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HomeMy WebLinkAboutCAG2020-090 - Original - Traffic Control Plan Co. of Washington, LLC - Lower Russell Levee - Traffic Control Plans - 03/11/2020 Agreement Routing Form • For Approvals,Signatures and Records Management KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. w A s�I N c T o N (Print on pink or cherry colored paper) Originator: Department: Nancy Yoshitake for Toby Hallock Public Works Date Sent: Date Required: > 3/11/20 3/13/20 0 QAuthorized to Sign: Date of Council Approval: Q 0 Director or Designee ❑ Mayor N/A Budget Account Number: Grant? ❑Yes El No D20079 Budget? 0 Yes ❑ No Type: Vendor Name: Category: Traffic Control Plan Co. of Washington, LLC Contract Vendor Number: Sub-Category: 1688086 0 Project Name: Lower Russell Levee E 0 Project Details:Prepare traffic control plans. c a� E Agreement Amount: $1,750 Basis for Selection of Contractor: a) Start Date: 3/11/20 Termination Date: 6/30/20 Q Local Business? ❑Yes O No* *If meets requirements per KCC 3.10.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspoce. Notice required prior to disclosure? Contract Number: ❑Yes ❑ No CAEn202-0 0 D Date Received by City Attorney: Comments: C1 C r 3 3 0 a, GJ � � a+ f0 p� Date Routed to the Mayor's Office: Date Routed to the City Clerk's Office: ad«w22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements KENT W-1 1-N GOODS & SERVICES AGREEMENT between the City of Kent and Traffic Control Plan Co. of Washington, LLC THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Traffic Control Plan Co. of Washington, LLC organized under the laws of the State of Washington, located and doing business at 1245 Auburn Way N. #315, Auburn, WA 98002, Phone: (253) 258-1419, Contact: Christopher Grose (hereinafter the "Vendor"). AGREEMENT I. DESCRIPTION OF WORK. Vendor shall provide the following goods and materials and/or perform the following services for the City: The Vendor shall prepare traffic control plans for the Lower Russell Levee Project. For a description, see the Vendor's Scope of Work which is attached as Exhibit A and incorporated by this reference. Vendor acknowledges and understands that it is not the City's exclusive provider of these goods, materials, or services and that the City maintains its unqualified right to obtain these goods, materials, and services through other sources. II. TIME OF COMPLETION. Upon the effective date of this Agreement, Vendor shall complete the work and provide all goods, materials, and services by June 30, 2020. III. COMPENSATION. The City shall pay the Vendor an amount not to exceed One Thousand, Seven Hundred Fifty Dollars ($1,750), including applicable Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The City shall pay the Vendor the following amounts according to the following schedule: The Vendor shall be paid after traffic control plans have been prepared, delivered, and submittal of invoice. If the City objects to all or any portion of an invoice, it shall notify Vendor and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. GOODS & SERVICES AGREEMENT - 1 ($20,000 or Less, ind. WSST) A. Defective or Unauthorized Work. The City reserves its right to withhold payment from Vendor for any defective or unauthorized goods, materials or services. If Vendor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Vendor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Vendor. B. Final Payment: Waiver of Claims. VENDOR'S ACCEPTANCE OF FINAL PAYMENT SHALL CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT IS MADE. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Vendor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Vendor maintains and pays for its own place of business from which Vendor's services under this Agreement will be performed. C. The Vendor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Vendor's services, or the Vendor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Vendor is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Vendor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Vendor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Vendor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. VI. CHANGES. The City may issue a written amendment for any change in the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines, for any reason, that an amendment is necessary, Vendor must submit a written amendment request to the person listed in the notice provision section of this Agreement, section XIV(D), within fourteen (14) calendar days of the date Vendor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Vendor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the amended work upon receiving either a written amendment from the City or an oral order from the City before actually receiving the written amendment. If the Vendor fails to require an GOODS & SERVICES AGREEMENT - 2 ($20,000 or Less, including WSST) amendment within the time allowed, the Vendor waives its right to make any claim or submit subsequent amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the adjustment as provided in subsections A through E of Section VII, Claims, below. The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by Vendor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, including costs of delays related to any work, either covered or affected by the change. VII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another written order, or an oral order from the City, including any direction, instruction, interpretation, or determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for damages, additional payment for any reason, or extension of time, whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement. At a minimum, a Vendor's written claim shall include the information set forth in subsections A, items 1 through 5 below. FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. A. Notice of Claim. Provide a signed written notice of claim that provides the following information: 1. The date of the Vendor's claim; 2. The nature and circumstances that caused the claim; 3. The provisions in this Agreement that support the claim; 4. The estimated dollar cost, if any, of the claimed work and how that estimate was determined; and 5. An analysis of the progress schedule showing the schedule change or disruption if the Vendor is asserting a schedule change or disruption. B. Records. The Vendor shall keep complete records of extra costs and time incurred as a result of the asserted events giving rise to the claim. The City shall have access to any of the Vendor's records needed for evaluating the protest. The City will evaluate all claims, provided the procedures in this section are followed. If the City determines that a claim is valid, the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed promptly to provide the goods, materials and services required by the City under this Agreement. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor also waives any additional entitlement and accepts from the City any written or oral order (including directions, instructions, interpretations, and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the GOODS & SERVICES AGREEMENT - 3 ($20,000 or Less, including WSST) City any written or oral order (including directions, instructions, interpretations, and determination). VIII. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE CONTRACT WORK IS COMPLETE OR VENDOR'S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED. THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD. IX. WARRANTY. Vendor warrants that it will faithfully and satisfactorily perform all work provided under this Agreement in accordance with the provisions of this Agreement. In addition to any other warranty provided for at law or herein, this Agreement is additionally subject to all warranty provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington. Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained, and will perform in accordance with their specifications and Vendor's representations to City. The Vendor shall promptly correct all defects in workmanship and materials: (1) when Vendor knows or should have known of the defect, or (2) upon Vendor's receipt of notification from the City of the existence or discovery of the defect. In the event any part of the goods are repaired, only original replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected, the warranty for that portion of the work shall extend for an additional year beyond the original warranty period applicable to the overall work. The Vendor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a reasonable time as determined by the City, the City may complete the corrections and the Vendor shall pay all costs incurred by the City in order to accomplish the correction. X. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the Vendor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Vendor shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. XI. INDEMNIFICATION. Vendor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the Vendor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of Vendor's work when completed shall not be grounds to avoid any of these covenants of indemnification. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Vendor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Vendor's part, then Vendor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Vendor's part. The provisions of this section shall survive the expiration or termination of this Agreement. GOODS & SERVICES AGREEMENT - 4 ($20,000 or Less, including WSST) XII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by this reference. XIII. WORK PERFORMED AT VENDOR'S RISK. Vendor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at Vendor's own risk, and Vendor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section XI of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Vendor. G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. GOODS & SERVICES AGREEMENT - 5 ($20,000 or Less, including WSST) Public ReCarcls Act, The VQndor acknowledgQs that the City Is a pLjbl;c agency sLi4jed to the Public Records Act codified irl Chapter 42.5-6, (if the Revised Code o( Washington and documents,ts, notes, emalls, and other records prepared or garhurud by the Consultant in its jo�erforrnance of this Agreement MaY tag si,hiect to public neview and disclosure, even if those r�trjrds are not produced to or possessed by tht City of Kent, As such, the Vendor agrees to cooperate fully with the City In satisfying the City's duti-es anc obligations under the flubdc Records Act. 31 Crty Buskles.s--Lk&n _RetUlred, Prior to commencing the tasks described in Section 1, Contractor agrees to provide proof of a current city of Kent busines,& license Pursuant to Chapter 5.01 or the Kcr!, City Code. K, Lau�zM and Signatures by Fox or Email.. This Agreement rray to executed in any numbar of cmincerparts, each of which sWall 6�nstltute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreernentr either party may deliver the 5ignature paget to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the oh�gjnal signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date acre ratifi ed and affirmed, and the terms of the Agreement shall be deemed to have applied. VENDOR,. CM OF KENT; BY: By: PrInLName.- (L2�- r,i` Print: Name- Nlichai,-,l Mactutis, P,E, its: Its: Environmental Engineering Manager ATE: 31) X9 DATE: D r4—rkii, 0' BE SEAT T- 00 NOTICES TO BE SENT TO: ........... VENDOR- CITY OF KENT: Christopher Grose Timothy J. LaPorte, P.E. Traft Control Plan Ccj,, i�! Washington City of ye"If 1245 Auburn Way N, #315 220 fourth Avenue South Auburn, WA 96002 Kert, WA 98032 (253) 258-1419 i,,Le°epnone) f253) 856-5500 (telephone) (253) 270-2250 (facsimile) 1253) 856-6500 (facsimile) r A 7ES 4 LK__ Trw%-C.airza Pw r.0*k-L.—Wsmf GOODS &SERVTCf 5 AGREEMErlr' 6 ($2010M or Lesr', MPOUding W-SET) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY 'T'he City of Kent is committed to confonm to Federal and SL@Le, laws regarding equal opportunity, As such all contractors, subcontractors and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies, The following questions specifically Identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to, An affirmative response is, required on all of the following questions for this Agreement too be valid and binding, If any contractor, subcontractor or supplier wififuily misrepresents themselves with regard to the directives outlines, it will be considered a breach of contract and it will be at the City's sole determination regarding -suspension or termination for all or part of the Agreement-, The queSLlons areas follows: I. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor wili provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities, 1; Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements, as set forth above. By signing below., I agree to fulfill the five requirements referenced above, q For: Title. Date: EEO COMPUANCE DOCUMEN7S - 1 of 3 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. EEO COMPLIANCE DOCUMENTS - 2 of 3 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. By: For: Title: Date: EEO COMPLIANCE DOCUMENTS - 3 of 3 rrrafflic Control. Plan Co. ' Washington, LIX raff on s o City of Kent 02/24/2020 400 W Gowe St uG Kent, Wa 98032 ATTN: Tobias Hallock Project ob`eci tive: To provide all traffic control plans (TCP) for the Lower Russell Levee Green River Trail to South 212th St Detour Route Project. Key points that Traffic Control Plan Co. of WA, LLC will provide ° Work on Proposed TCP's will not commence until contract has been signed and delivered via email to TCP Co. of WA. LLC. Verbal noticewill not be acce_pteci No charge will be applied to any in-house consultations or pre-cons that are requested. Payment terms for providing TCP's for this project shall be NET 30, Task 1: Proposal for Lower Russell Levee Green River Trail to South 212th St Detour Route Project. Cost for each plan sheet shall be $175.00 Per sheet. 10 Sheets X $175.00 per sheet= $ 1,750.00 NOTE: final cost of package will be determined by the final number of TCP's prepared. REVISIONS: No additional charge (whether customer needs revisions or approving authority). We do not charge sales tax Christopher D. Grose v. ' Plan engineer/Owner Traffic Control Plan CO. of WA, LLC Traffic Control Plan Co of WA,LLC O:253-258-1419 email:chris@trafficcontrolplan net CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/1YYY) a9F26/2o19 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. Tt*JS ;RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES _LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZr REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. "ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject It .e terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER AC NAME: PHONE FAx NATIONWIDE SALES SOLUTIONS INC EMAIL No: ADDRESS: 1200 LOCUST ST DEPT 2010 INSURERS AFFORDIN=E-GEA DES MOINES IA 50391-2010 INSURERA: DEPOSITORS INSURAINSURED INSURER B: INSURER C TRAFFIC CONTROL PLAN CO.OF WASHINGTON, LLC INSURERD: 1339 42ND ST NE IN E AUBURN WA 98002-7036 IN F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER XLIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.000 CLAIMS-MADE X OCCUR AMA PR MI S rare S 100,000 MED EXP(Any one person) S 5,000 A ACP GLDO 3028459207 09/25/2019 09/25/2020 PERSONAL dADV INJURY s 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY E PE 4 ❑LOC GENERAL AGGREGATE S 4,000,000 OTHER: PRODUCTS-COMP/OP AGG S 4,000.000 S 'AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO a c nt S BODILY INJURY Per ALL OWNED SCHEDULED O $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE P $ UMBRELLA LIAR pOCUR $ EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIEDRETENTION S WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY OTH- ANYPROPRIETOR/PARTNERIEXECUTIVE Y/N PEAT T R OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) If yes describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The above mentioned general liability policy includes data compromise coverage with a response expense limit of$50,000 and defense and liability limit of $50,000.The above mentioned general liability policy includes computer attack coverage with a limit of$50,000.The above mentioned general liability policy includes identity recovery coverage with a limit of$25,000. CERTIFICATE HOLDER CANCELLATION :FRESENTATIVE Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATION DATE THEREOF, NOTICE WILL BE DELIVERED IN E WITH THE POLICY PROVISIONS. lKent t AUTHORIZED WA, 98032 4CORD 25(2014101) 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG72881216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage C. Non-Owned Watercraft 1. Under Section I — Coverages, Coverage A Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Bodily Injury And Property Damage Liability, Liability, coverage is extended to include 2. Exclusions Exclusion g. Aircraft, Auto Or the following: Watercraft Paragraph (2) (a) is replaced with: If a customer's master or grand key, (a) Less than 51 feet long; and excluding electronic key card, is lost, damaged or stolen while in your care, D. Expanded Property Damage Coverage custody or control we will pay the cost of 1• For the purposes of this endorsement only: replacing the keys, including the master lock Section I — Coverages, Coverage A and all keys used in the same lock, the cost Bodily Injury And Property Damage of adjusting locks to accept the new keys, or Liability, 2. Exclusions, Exclusion j. the cost to replace the locks, whichever is Damage To Property is amended as less. follows: 2. Limit of Insurance— For the purpose of this a. Paragraphs (3), (5), and (6) are deleted coverage, the most we will pay is $10,000 in their entirety. per"occurrence". b. Paragraph (4) is deleted in its entirety B. Voluntary Property Damage and replaced with: 1. Under Section I — Coverages, COVerage A (4) Personal property in the care Bodily Injury And Property Damage Liability, custody, or control of the insured: coverage is extended to include the following: (a) For storage or sale at premises At your request, we will pay for "property you own, rent or occupy;or damage" to property of others caused by you (b) While beingtransported b an" Y Y and while in your possession, arising out of your business aircraft, "auto , or watercraft operations and occurring during thepolicy period- owned or operated by or rented to or loaned to any insured. 2. Limit of Insurance— For the purpose of this coverage the most we will pay is $1,500 per C. The coverage provided by this endorsement does not apply to "occurrence". "property damage": C. Non-Owned Watercraft Under Section I — Coverages, Coverage A (1) osslo9 use ofng out f the personal disappearance (2) Included in the Bodily Injury And Property Damage Liability, property;pl 2. Exclusions Exclusion g. Aircraft, Auto Or "products-completed Watercraft Paragraph (2)(a) is replaced with: operations hazard". (a) Less than 51 feet long;and CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 with its permission. ACP 3028459207 - TRAFFIC CONTROL PLAN CO. OF WASHINGTON, LLC CG72881216 b. Managers or Lessors of Premises d. Owners, Lessees, or Contractors with with respect to liability arising out of the respect to liability for "bodily injury", ownership, maintenance, or use of that "property damage", or "personal and part of the premises you own, rent, advertising injury" caused, in whole or in lease, or occupy. part, by: This insurance does not apply to: (1) Your acts or omissions; or (1) Any "occurrence" which takes place (2) The acts or omissions of those after you cease to be a tenant in acting on your behalf; that premises. in the performance of your ongoing (2) Structural alterations, new con- operations performed for that struction or demolition operations additional insured, whether the work performed by or on behalf of the is performed by you or on your person or organization. behalf. However, their status as additional The insurance does not apply to: insured under this policy ends when you cease to be a tenant of such premises. (1) "Bodily injury", "property damage", or "personal and advertising injury" c. State or Political Subdivision — arising out of the rendering of or the Permits Relating to Premises with failure to render any professional respect to the following hazards for architectural, engineering, or survey which the state or political subdivision services, including: has issued a permit or authorization in connection with premises you own, rent (a) The preparing, approving, or or control and to which this insurance failing to prepare or approve applies: maps, shop drawings, opinions, reports, survey, field orders, (1) The existence, maintenance, repair, change orders, or drawings and construction, erection, or removal of specifications: or advertising signs, awnings, canopies, cellar entrances, coal (b) Supervisory, inspection, archi- tectural, or engineering activ holes, driveways, manholes, marquees, hoist away openings, ities. sidewalk vaults, street banners, or (2) "Bodily injury" or "property damage" decorations and similar exposures; occurring after: or (a) All work, including materials, (2) The construction, erection, or parts, or equipment furnished in removal of elevators; or connection with such work, on The ownership, maintenance, or use of the project (other than service, any elevators covered by this insurance. maintenance or repairs) f be o This insurance does not apply to: Performed by or on behalf of the additional insured(s) at the (1) "Bodily injury" or "property damage" location of the covered or "personal or advertising injury" operations has been completed; arising out of operations performed or for the state or municipality;or (b) That portion of "your work" out (2) "Bodily injury" or "property damage" of which the injury or damage included within the "products- arises has been put to its completed operations hazard". intended use by any person or However, such state or political organization other than another subdivision's status as additional contractor or subcontractor engaged in performing insured under this policy ends when the operations for a principal as a permit ends. part of the same project. CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. ACP 3028459207 - TRAFFIC CONTROL PLAN CO. OF WASHINGTON, LLC CG72881216 N. Liberalization O. Broadened Bodily Injury Definition (Mental Under Section IV — Commercial General Anguish) Liability Conditions, the following condition is Under Section V — Definitions Definition 3. added: "Bodily Injury" is replaced with: 10. Liberalization 3. "Bodily injury" means physical injury, If we revise this coverage form to provide sickness, or disease to a person and if more coverage without additional premium arising out of the foregoing, mental anguish, charge, your policy will automatically provide mental injury, shock, or humiliation, the additional coverage as of the day the including death at any time resulting revision is effective in your state. therefrom. All terms and conditions of this policy apply unless modified by this endorsement. CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 with its permission. ACP 3028459207 - TRAFFIC CONTROL PLAN CO. OF WASHINGTON, LLC Wakefield,Wendy From: Christopher Grose echris@trafficcontrolplan.net> Sent: Thursday, December 14, 2017 4:14 PM To: Wakefield,Wendy Subject: RE:Your Nationwide Commercial Insurance Attachments: image001.em2;Contractor's Enhancement.pdf Wendy- Attached is the CG7288 form. If this is not what you need, let me know and I will call my agent fielow is an email& link f)ertaining to the L& I requirements for the State of Washington, As a sole Proprietor,I am not required to carry Workman's Compensation, I received this reply on 6/1(i/17 from Lila Allenton. See below between red brackets. [Hello Chris, Below is a link to Labor and industries Limited Liability Companies. i i Itftta;j/www,lrlM.wc"�:f,x�u{/f I,��i�n�I�i�ji�»lifyf�cct�+rrt� G7t�en(C�Ic:F�sft All managers who are also members to the LLC are excluded Iron)coverage. Thank you W18 '011Qznton I`iccouni Proc¢asor-T,nm I C"rnpley�.r S¢rvicry$ VIZP1 Of Gabor and indualri(rg wifzn23,51fi.wt1. av P: 360-00248i3l As for the Automobile insurance requirements....my business does not have any vehicles listed or registered as company assets. lily work is done using phone&email. I do not visit any jobsites nor do I provide labor,equipment or onsite job consults. Feel free to contact me with any other questions. Thank you.