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CAG2020-112 - Original - TMG Services, Inc. - 2020 Annual Chlorine Equipment Maintenance - 04/07/2020
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 SS H I N G T O N (Print on pink or cherry colored paper) Originator: Department: Kathi Kilborn for Tom Cunningham PW Water Department Date Sent: Date Required: > 4/8/2020 4/10/2020 O L O- Authorized to Sign: Date of Council Approval: 0 Director or Designee ❑Mayor Q Budget Account Number: Grant? ❑Yes ❑No 41005550.64110.7431 Budget? ❑Yes ❑No Type: Vendor Name: Category: TMG Services, Inc. Contract Vendor Number: Sub-Category: 36343 O Project Name: 2020 Annual Chlorine Equipment Maintenance E L Project Details:The Vendor shall provide parts, materials,and labor to perform the annual 2020 Chlorination System Service Maintenance at Clark Springs, Kent Springs, East Hill Well,Seven Oaks,and Armstrong Springs ++ C w E Agreement Amount: $8,209.00 Basis for Selection of Contractor: Bid 4) L. Start Date: April 7, 2020 Termination Date: July 31, 2020 Q Local Business? ❑Yes 0 No* *Ifineets requirements per KCC3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace. Notice required prior to disclosure? Contract Number: ❑Yes ❑No C Date Received by City Attorney: Comments: Im C 7 3 0 � N •� L 3 C 4711 Date Routed to the Mayor's Office: in Date Routed to the City Clerk's Office: A,w213„__20 Visit Documents.KentWA.gov to obtain copies of all agreements KENT GOODS & SERVICES AGREEMENT between the City of Kent and TMG Services, Inc. THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation (hereinafter the"City"), and TMG Services, Inc. organized under the laws of the State of Washington, located and doing business at 3216 East Portland Avenue, Tacoma, WA 98404, Phone: (253) 779-4160, Contact: Mary Gazdik (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 provide parts, materials, and labor to perform the annual 2020 Chlorination System Service Maintenance at Clark Springs, Kent Springs, East Hill Well, Seven Oaks, and Armstrong Springs. For a description and Vendor's quote, see Exhibit A which is attached 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 July 31, 2020. III. COMPENSATION. The City shall pay the Vendor an amount not to exceed Eight Thousand Two Hundred Nine Dollars ($8,209), 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 the services included in Exhibit A are completed and submittal of invoice. The quoted costs for this work including WST, is $7,463.00. 10% is added to cover unforeseen cost. 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 amendment within the time allowed, the Vendor GOODS &SERVICES AGREEMENT - 2 ($20,000 or Less, including WSST) 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. 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. GOODS &SERVICES AGREEMENT - 4 ($20,000 or Less, including WSST) 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 Cade, 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. CQ_ml2liance 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. I. Public Records Act. The Vendor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42,56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may GOODS &SERVICES AGREEMENT- 5 ($20,000 or Less, including WSST) be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Vendor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. I �. City Business License Required, Prior to commencing the tasks described in Section I, i Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the III Kent City Code. K. Counterparts and Sianatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original 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 are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. VENDOR: CITY OF KENT: t By: aq U r' I By:N--4 Z�, (signatur / (signature) Print N e:_ dr �, -0 Z,4,�_ Print Name: David A. Brock, P,E. Its:_ c , Lt+ (tRle) Its; Dep ty Director Operations Manager DATE: d-4 C,3 0c) DATE: 41 2� NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: VENDOR: CITY OF KENT: Mary Gazdik Timothy J. LaPorte, P.E. TMG Services, Inc, City of Kent 3216 East Portland Avenue 220 Fourth Avenue South Tacoma, WA 98404 Kent, WA 98032 (253) 779-4160 (telephone) (253) 856-5500 (telephone) (253) 779-4165 (facsimile) (253) 856-5600 (facsimile) Kent City Clerk P'\PubiiclAdminlstmtlon\.ontracts�(:antcacts Prepared(Kathi)`TMG Services,Inc GOODS &SERVICES AGREEMENT - 6 ($20,000 or Less, including WSST) DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State 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 to be valid and binding. If any contractor, subcontractor or supplier willfully 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 questions are as follows: 1. 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 will 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. 5. 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. For: � Crytc.rs . Vic. Title: Date: 041031a0 EEO COMPLIANCE DOCUMENTS - 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_ __ m. F__ (date), between the firm I that 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 Exhibit A 3216 E.Portland Avenue T� MG Quality Products-Excellent Service Tacoma, WA 98404 253-779-4160 SERVICES tmginc@trngservices.net March 2n0,2020 QUOTATION Tom Cunningham Kent,City of 220 Fourth Avenue S. Kent,WA 98032 Dear Tom, TMG Services,Inc is pleased to offer you a QUOTATION for 2020 Annual Preventative Maintenance on your W&T Gas Equipment at the(5)Sites listed below.If you have any q uestions don't hesitate to give us a call. KENT SPRINGS SITE 2-W&T210S Vacuum Regulato s 2-W&T V10K Chlorinators 2-W&I'3!4"Injector Scope of Work:To CleanllnspecURegasket the above items,replace tubing&test equipment to ensure proper operation. CLARK SPRINGS SITE 2-W&T210S Vacuum Regulators 1-W&T WOK Chlorinator 1-W&T 5'Rate Control Unit 1-W&T 314"Injector Scope of Work:To Clean/1 nspect/Regasket the above items,replace tubing&test equipment to ensure proper operation. EAST HILL SITE 2-W&T 210S Vacuum Regulators 1-W&T WOK Chlorinator 1-W&T 5"Rate Control Unit 1-W&T 314"lnector Scope of Work:To CleanAnspectlRegasket the above items,replace tubing&test equipment to ensure proper operation. ARMSTRONG SPRINGS SITE 1-W&T E10K Vacuum Regulators 2—W&T 210S Vacuum Regulator 1-W&T 314"Injector Scope of Work:To Clean/lnspecURegasket the above ims,replace tubing&test equipment to ensure proper operaticn. SEVEN OAKS SITE 2-W&T 210S Vacuum Regulators 1-W&T 5"Rate Control Unit 1-W&T 314"Injector Scope of Work:To CleanilaspectlRegasket the above items,replace tubing&test equipment to ensure proper operation. TOTAL PRICE:$7,463(Includes Freight&Estimated Taxes) Terms&Conditions of Sale: -F.O.B.:Kent.WA -Payment Terms: Net 30 Days—Our tems of payment are 1 n0%payable 30 days after shipment. Since this is an agreement between Buyer and Seger,and Seller has no relationship with the third party owner,this agreement must be independent of any third party action or inaction. Payment wail be due as Indicated above wfthmd a dependency on the buyer being paid by the owner, with no further rwtrhtt+on or impedimerft.and regardless of arty payment arrangement that may exist between contractor and owner. -This price is in effect for 60 days. -Submittals,if required,wUi be provided 4 weeks after receipt of all technical data at T M G Services. -Delivery w3!be made In approximately 4-6 weeks after receipt of order and/or approvals and reso'.ution of all necessary technical data at T M G SeMces. -Quotation prices do not include any sales tortes or any other taxes that may apply. -This quotation is limited to the products and/or services as listed and excludes arty them or service not specifically listed. Thank you, Joelene Dorry TMG Services,Inc. EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS Insurance The Contractor shall procure and maintain for the duration of the Agreement, Insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract, The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. The City shall be named as an insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 3. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Automobile LjgtflLty insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations aggregate limit. EXHIBIT B (Continued C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability and Commercial General Liability insurance: 1. The Contractor's insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. 2. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the contractor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Contractor's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Verification of Coverage Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. F. Subcontractors Contractor shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Contractor. ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATE,oa71zo2oro7/2020 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the 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 endorsement(s). PRODUCER CONTACT Linda Doherty NAME: HENTSCHELL&ASSOC INC PHONE (253)272-1151 FAX (253)272-1225 A/C No Eat. JAIC.No): 1436 S.Union Ave. E-MAIL Linda ADDRESS: Doherly@hentschell.com INSURERS)AFFORDING COVERAGE NAIC# Tacoma WA 98405-1925 INSURERA: Western National Assurance Co. INSURED INSURER B: SAIF Corporation TMG Services,Inc. INSURER C: 3216 E.Portland Ave. INSURER D: INSURER E: Tacoma WA 98404-4929 INSURER F: COVERAGES CERTIFICATE NUMBER: 19/20GL/Auto/Um/StpGp REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL SUSHI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER IMMLRPNYYYL rMMIDDIYYYYJLIMITS I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AGE TC EN D CLAIMS-MADE ® R OCCUR - 100,�D PREMISES, ac�,rraxa� $ MED EXP(Arri oneperson) $ 15,000 A Y Y CPPI12463405 12O212019 12102/2020 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,DOO PRO- POLICY®JET ❑LOC PRODUCTS-COMP/OP AGO s 2,000,000 X OTHER Employee Benefits s 1,000,000 AUTOMOBILE LIABILITY COMBINE°tl SINGLE LIMIT S 1,OOD,OOD Ea aocidan X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y CPPI12211705 i 12/02/2019 12/02/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS I XHIRED NON-OWNED I PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ Uninsured motorist $ 1,000,000 UMBRELLA LIAB """"""`�""'_ """ 5,000,000 OCCUR EACH OCCURRENCE $ A EXCESS LIAS CLAIMS-MADE Y Y UMB102042005 12/02/2019 12/0212020 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 ^� $ WORKERS COMPENSATION I SPER OTH- State of Washington AND EMPLOYERS'LIABILITY YIN TATUTE X.ER A ANY PROPRIETORIPARTNER/EXECUTIVE 1,000,000 OFFICER/MEMBER EXCLUDED) NIA CPP112463405 12/02/2019 12/0212020 EL.EACH ACCIDENT $ (Mandatory in NH) E.L. .L.DISEASE-EA EMPLOYEE $ 1,000.000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ Worker's Compensation-Oregon Each Accident 500,000 B 602214-State of Oregon 03/01/2019 03/0112020 Disease Policy 500,000 Disease Ea Employee 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space is required) RE: 2020 Maintenance Agreement. City of Kent is under Blanket Primary Non-Contributory Additional Insured with Waiver of Subrogation as required by written contract or agreement per WNGL49(07-15);WNGL50(05-15),WNGL39(08-18)and WNCA27(06-16) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 400 West Gewe AUTHORIZED REPRESENTATIVE Kent WA 98032 I ZL� "L I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref# Description Coverage Code Form No. ` Edition Date Medical payments MEDPM Limit 1 ; Limit 2 Limit 3 Deductible Amount Deductible Type Premium 5,000 Ref# I Description Coverage Code Form No. Edition Date Underinsured motorist combined single limit UNCSL I limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type _ Premium 1,000,000 Ref# Description Coverage Code Form No. Edition Date Limit 1 JI-Imit2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. ::IEdition Date Limit 1 Limit 2 Limit 3 • Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium i Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Data E i Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium n Description Coverage Code € Form No. Edition Date I Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium E Ref# Description Coverage Code Form No. Edition Date Limit i Limit 2i Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001,AMS Services,Inc. Additional Named Insureds Other Named Insureds Thamas & Mary Gazdik Tndi.vid.;al, Addi:_ional Named insarea TMG DBA Engineered Control Product, In,;. C Corporation, Additional Named Insured OFAPPINF(0212007) COPYRIGHT 2007,AW SERVICES INC POLICY NUMBER; CPPI12463405 COMMERCIAL GENERAL LiABLITY WN GL 50 0715 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Operations _ _Or Or_ganization: si: PER WRITTEN CONTRACT OR AGREE- AS REQUIRED BY WRITTEN MENT WHERE YOU AGREED TO NAME CONTRACT A PARTY OR PARTIES AS ADDITIONAL INSURED(S) Information required to com,,Jete this Schedule,if not shoam above.will be shown in the Declarations. A. Section 11—Who is An insured is amended to g. With respect to the insurance afforded to these ad- include as an additional insured the person(s) or ditional insureds, the following additional exclusion organization(s) shown in the Schedule. but only applies: with respect to liability for"bodily injury" or"prop- erty damage" caused, in whole or in part, by This insurance does not apply to: "your work" at the location designated and de- scribed in the schedule of this endorsement per- 1. "Bodily injury", "property damage" or "personal formed for that additional insured and included in and advertising injury"arising out of the render. the"products-completed operations hazard". ing of, or the failure to render, any professional However: architectural, engineering or surveying services. 1. The insurance afforded to such additional in- including: sured only applies to the extent permitted by a, The preparing, approving, or failing to pre- law;and pare or approve, maps, shop drawings, 2. If coverage provided to the additional insured opinions, reports, surveys, field orders, is required by a contract or agreement, the change orders or drawings and specifica- insurance afforded to such additional insured tions;or will not be broader than that which you are required by the contract or agreement to pro- b. Supervisory, inspection, architectural or en- vide for such additional insured, gineering activities. WIN GE.50 07 15 includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 2 This exclusion applies even if the claims D. The following is added to the Other Insurance against an additional insured allege negligence Condition and supersedes any provision to the or other wrongdoing in the supervision, hiring, contrary: employment, training or monitoring of others by that insured, if the "occurrence" which Primary And Noncontributory Insurance caused the "bodily injury" or "property dam- This insurance is primary to and will not seek age",or the offense which caused the"person- contribution from any other Insurance available al and advertising injury", involved the render- to an additional insured under your policy pro- ing of or failure to render any professional vided that: services by you with respect to your providing (1) The additional insured is a Named Insured engineering, architectural or surveying serv- under such other insurance; and ices in your capacity as an engineer, architect or surveyor. (2) You have agreed in writing in a contract or C. With respect to the insurance afforded to these ad- agreement that this insurance would be pri- ciitional insureds, the following is added to Section mary and would not seek contribution from III-Limits Of Insurance: any other insurance available to the addition- al insured. If coverage provided to the additional insured is re- quired by a contract or agreement, the most we wit!pay on behalf of the additional insured is: 1. The minimum amount required by the contract or agreement; or 2. The Limits of Insurance shown in the Declara- tions; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. WN GL 50 07 15 includes copyrighted material of Insurance Services office,Inc.,with its permission. page 2 of 2 COMMERCIAL GENERAL LIABILITY CPP 112463405 WN GL 49 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or or- additional insureds, the following additional exclu- ganization for whom you are performing opera- sion applies: -bons when you and such person or organization This insurance does not apply to: have agreed in writing in a contract or agreement 1. "Bodily injury", "property " 'personal damage"or P that such person or organization be added as an and advertising injury" arising out of the ren- additional insured on your policy. Such person or dering of, or the failure to render, any profes- organization is an additional insured only with re- sional architectural, engineering or surveying spect to liability for "bodily injury", "property dam- services,including; age" or "personal and advertising injury" caused, whole or in part, by: s, The preparing, approving, or failing to pre- in in Your acts a omissions; or pare or approve, maps, shop drawings, i. opinions, reports, surveys, field orders, 2. The acts or omissions of those acting on your change orders or drawings and specifica- behalf; tions,or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured engineering activities. A person's or organization's status as an additional This exclusion applies even if the claims insured under this endorsement ends when your against an additional insured allege negli- operations for that additional insured are complet- gence or other wrongdoing in the supervision, ed. hiring, employment, training or monitoring of However: others by that insured, if the "occurrence" 1. The insurance afforded to such additional in- which caused the 'bodily injury' or "property sured only applies to the extent permitted by damage", or the offense which caused the law;and "personal and advertising injury"", involved the rendering of or failure to render any profes- 2. if coverage provided to the additional insured sional services by you with respect to your is required by a contract or agreement, the in- providing engineering, architectural or survey- surance afforded to such additional insured ing services in your capacity as an engineer, will not be broader than that which you are re- architect or surveyor quired by the contract or agreement to provide for such additional insured. WN GL 49 07 15 Page 1 of 2 includes copyrighted material of insurance Services Office,Inc.,with its permission. 2. "Bodily injury" or "property damage" occurring it. The following is added to the Other Insurance after: Condition and supersedes any provision to the a. All work, including materials, parts or contrary, equipment furnished in connection with Primary And Moncontributory Insurance such work, on the project (other than ser- vice, maintenance or repairs) to be per- This insurance is primary to and will not seek any contribution from any other insurance formed by or on behalf of the additional in-sured(s) at the location of the covered available to an additional Insured under your operations has been completed;or policy provided that: lb, That portion of 'your work" out of which (1) The additional insured is a Named Insured the injury or damage arises has been put under such other insurance;and to its intended use by any person or or- (2) You have agreed in writing in a contract or ganization other than another contractor or agreement that this insurance would be subcontractor engaged in performing op- primary and would not seek contribution erations for a principal as a part of the from any other insurance available to the same project additional insured. C. With respect to the insurance afforded to these additional insureds, the following is added to Sec- tion III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is: 1. The minimum amount required by the contract or agreement or 2. The Limits of Insurance shown in the Declara- tions; whichever is less, This endorsement shall not increase the applicable Limits of insurance shown in the Declarations. WN GI.49 07 15 Page 2 of 2 Includes copyrighted rnSted2l of lotsurance Services Office Inc-,with its penrission. CPP112211705 WN CA 27 0616 BUSINESS AUTO ENHANCEMENT ENDORSEMENT The Business Auto Enhancement Endorsernsrit is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement No coverage Is provided by this summary,refer to following endorsement for changes In your policy. SUMMARY OF COVERAGES PAGE Accidental Airbag Deployment Coverage d Auto L,oamtease Gap Coverage 4 Blanket Additional Insured 2 Blanket Waiver of Subrogation g Broadened Definition of Insured Includes: • Newly Acquired Organizations for up to 160 Days 2 • Employees as insureds 2 • Subsidiaries In Which You Own 60%or More 2 Deductible Warlrer for Glass Repair 3 Employee Hired Auto 2,5 Fallow Employee Coverage 3 Hired Auto Physical Damage Coverage q Knowledge of Accident,Claim,Suit or Loss 6 Lass Of Use Expenses-Amended 3 Personal Effects 3 Rental RelmbureementCoverage d Supplementary Payments-Amended: e Ball Bonds up to$6,000 2 + Loss of Earnings up to$W01Day 2 Transportation Expense Limits—Amended 3 Unintentional Failure to Disclose Hazards 6 WN GA 27 0616 hwWOes copyrighted material of Ineuranse Services Office,with its permission Page f of 5 WN CA 27 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BUSINESS AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies the insurance provided under the following;BUSINESS AUTO COVERAGE FORM With respect to the coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Business Auto Coverage Form Identified In this endorsement will be amended as shown below. SECTION II — COVERED AUTO$ LIABILITY S. Any "employee" of yours is an "insured" while COVERAGE AMENDMENTS operating a covered"auto"hired or rented under A.who Is An insured a contract or agreement In the "employee's" SECTION li — COVERED AUTOS LIABILITY duties with your permission, while performing duties related to the conduct of your business. COVERAGE, A. Coverage, 1. Who Is An Insured is amended to add: B. Blanket Additional insured d. Any legally incorporated subsidiary of yours in SECTION If — COVERED AUTOS LIABILITY which you oven more than 50% of the voting COVERAGE,A.Coverage, 1. Who Is An Insured, stock on the effective date of this coverage forrm paragraph c.is amended to add the following: However, "insured" does not Include any Any person or organization who is required under a subsidiary of yours that is an "insured" under written contract or agreement between you and that any other automobile liability policy, or would perms or organization,that is signed and executed be an "insured" under such policy but for by you before the "bodily injury" or "property termination of such policy or the exhaustion on damage" occurs and that is in effect during the such pollcy's limits of insurance. policy period,to be named as an additional Insured is an "insured" for Liability Coverage, but only for e. Any organization which Is newly acquired or damages to which this insurance applies and only to formed by you and over which you maintain the extent that persons or organization qualifies as majority ownership. However, coverage under an"Insured"under the Who Is An Insured provision this provision; contained In Section 11, (1)is afforded only for the first 160 days after C. Liability Coverage Extensions —Supplementary you acquire or form the organization or until Payments the and of the policy period, whichever comes first; SECTION 11 — COVERED AUTOS LIABILITY (2)does not apply to"bodily Injury'or"property COVERAGE, A. Coverage, 2. Coverage damage"that results from an"accident that Extensions, a. Supplementary Paymerrts is occurred before you formed of acquired the amended by replacing subparagraphs (2) and (4) organization; with the following: (3)does not apply to any newly acquired or (2) Up to $5.000 for cost of ball bonds (including formed organization that is a joint venture or bonds for related traffic law violations) required partnership;and because of an "ao rident" we cover_ We do not have to furnish these bonds. (4)doss not apply to an "B1su under any (4) Ali reasonable expenses incurred by the other automobile liability policy,cyry,or would be "insured"at our request,including actual loss of an"Insured"under such a policy but for ter earnings up to$600 a day,because of time off minat"wn of such policy or the exhaustion off such pollgrs Omits of Insurance, from work. f. Any "employee" of yours is an "Insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affalm. WN CA 27 06 is includes copyrtgh#ed ma"I of insurance services 011im,with b osrmimicn Page 2 of 5 D.Fellow Employes Coverage D. Glass Repair—Deductible Waiver SECTION 11 — COVERED AUTOS LIABILITY SECTION IN—PHYSICAL DAMAGE COVERAGE,A. COVERAGE, B. Exclusions, 6, Fellow Employee, Coverage, 3. Glass Breakage—Hitting A Bird Or the following Is added: Animal—Failing Objects Or Missiles, is amended Co-Employee Lawsuit Defense Cost by adding the following: Rehribursement No deductible will apply to glass breakage tf such if a suit seeking damages for"bodily injury°to any glass is r+epalred, in a manner acceptable to us, fellow"ernpioyee"of the'Insured"arlskrg out of and rather than replaced. In the course of the fellow"employee`s"employment E. Hired Auto Physical Damage or while performing dudes rebated to the conduct of SECTION lit—PHYSICAL DAMAGE COVERAGE,A. your p use c it a suit seeking damages terbro of tat Coverage is amended by adding the following: the spouse, child, parent, brother or sister of that fellow 'emptayse", Is brought against you,we will 6. Hired Auto Physical Damage ral mburse reasonable costs that you Incur In the E hired"autos"are covered"autos"for Uabilhy defense of such madam. Any reimbursement made Coverage and If Comprehensive, Specified pursuant to Oft sub-section will be In additim to the Causes of Loss;or Collision coverages are pro- limits of liability set froth in the Declaratlon& vided under the coverage form for any " .. you own,then the Physical Damage Coverages SECTION Ill — PHYSICAL DAMAGE COVERAGE provided are extended to".autos"you hire of like AMENDMENT'S kind and use,subject to the fallowing: A.Transportation Expense—Limits Amended a. The most we will pay for any one"loss" is SECTION fit—PHYSICAL DAMAGE COVERAGE,A. $60,000 or the actual cash value or feet to Coverage, 4 Coverage Extensions, a. Trans- repair or replace,whichever is Was,minus a nation Expenses is amended deductible; per xp by replacing $20 b. The deductible will be equal to the la per day/SgtTO maximum tlrnit with$50 per dsy!$1000 deductible a � y �t maximum, applicable to an owned"auto" for that coverage. Any Comprehensive B. Hired Auto Physical Damage — Loss Of Use deductible does not apply to"loss"caused Expenses—trmits Amended by fire or lightening; SECTION Ill--PHYSICAL DAMAGE COVERAGE,A. c. Hired Auto Physical Damage coverage is Coverage,4. Coverage Extensions,b. Loss of Ilse excess over any other collectible linsurarms; Expenses Is amended by replacing the $20 per and dayl$W maximum limit with $50 per dayJ$760 d. Subject to the above limit, deductible and maximum limit excess provisions we will provide coverage C.Personal Effects Coverage equal to the broadest coverage applicable SECTION RI—PHYSICAL DAMAGE COVERAGE,A. to any covered"auto"you own. Coverage,4.Coverage Extensions is amended by If a limit for Hired Auto Physical Damage is adding the following: Indicated In the Declarations, then that limit c. Personal Effects replaces,and is not added to,the$50,000 limit Indicated above. We will pay up to$500 for"lost"to personal effects,which are: (i) Owned byan"Insured';and (2) in or on your covered"auto." This coverage applies only In the event of the total theft of your covered"auto."No deductible applies to this coverage WN CA 27 0616 Includas copyrighted meterki of Insurance Se vices Office,with Its perwiselon Page 3 of 8 F,Rental Reimbursement G.Accidental Airbag Deployment Coverage SECTION III—PHYSICAL DAMAGE COVERAGE A. SECTION Ill—PHYSICAL DAMAGE COVERAGE,R. Coverage,Is amended by adding the following: Coverage Is amended by adding the following: 6.Rental Reimbursement 7.Accidental Alfteg Deployment Coverage This coverage applies only to a covered"auto" We will pay to reset or replace factory installed of the private passenger or light truck type set airbag(s) in any covered 'auto" for accidental follows: discharge, other than discharge due to a a.We will pay for rental reimbursement expo collision loss. incurred by you for the rental of a private This coverage Is applicable only if comprehen- passertger or light truck type"auto because sive coverage applies to the covered"auto". of loss"to a covered private passenger or This coverage Is excess over any other collecti- light track type auto". Payment applies in ble insurance or reimbursement by manufac- addition to the otherwise applicable amount fumes warranty. of sach coverage you have on a covered private passenger or light truck type H.Auto LoanlLesae Gap Coverage "auto." No deductibles apply to this SECTION III PHYSICAL DAMAGE COVERAGE, coverage. item A., Coverage, is amended by adding the b.We will pay only for those expenses Incurred following; during the policy period beginning 24 hours 0.Auto LoanfLease Gap Coverage after the"loss" and ending, regardless of the policy's expiration, with the lesser of This coverage applies only to a covered "auto" the following number of days: described or designated in the Schedule or in the Declarations as including physical damage (1) The number of days reasonably re- coverage, quired to repair or replace the covered privets passenger or light truck type In the event of a covered total "loss" to a 'auto'.If"loss"Is caused by theft,this covered "auto" described or designated In the number of days is added to the number Schedule or in the Declarations,we will pay any of days it takes to locate the covered unpaid amount due on the lease or loan for a private passenger or light truck type cowered"auto"less: "auto"and return It to you;or a. The amount paid under the Physical (2) 30days. Damage Coverage Section on the policy; c. Our payment Is limited to the lesser of the and following amounts: b. Any: (1) Necessary and actual expenses (1) Overdue Ieass/loan payments at the incunod,or time of the"loss"; (2) $60 per day,up to a maximum of (2) Financial penalties imposed under a s1,000. lease for excessive use,abnormal wear d.This coverage does not apply while there are and tsar or high mileage; spare or reserve private passenger or light (3) Security deposits not returned by the truck type"autos"available to you for your lessor; operations. (4) Costs for extended warranties, Credit e. If "loss" results from the total tuft of a Life Insurance, Health, Accident or covered"auto"of the private passenger or Disability insurance purchased with the tight truck type, we will pay under this loan or lease;and coverage only that amount of your rental reimbursement expenses which is not (6) Carry-over balances from previous already provided for under SECTION III— loans or leases, PHYSICAL DAMAGE COVERAGE, A. Coverage,4.Coverage Externslons. For the purposes of this Rental Reimbursement coverage,light truck 19 defined as a truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as the maximum loaded weight the auto Is designed to carry. WN CA 2108 16 Includes c9W9tftd material of lrmurance 9ervFces Office,with its pwrrnissron Page 4 of C. Unintentional Failure to Disclose Hazards AMENDMENTS SECTION IV BUSINESS AUTO CONDITIONS SECTION lit--BUSINESS AUTO CONDITIONS,E, A Geneml Conditions, 2. Concesiment, Mlarepre. A.Duties In The Event Of Accident,Claim,Suit Or Loss sentation Or Fraud, Is amended by adding the Amended following paragraph: SECTION W—BUSINESS AUTO CONDIT1CM, A. If you unfinf rftionaily fail to disclose any hazards Lose Conditions. 2. duties In The Event Of existing at the Inception date of the policy,or during Accident, Claim, Stilt Or Loss, a. Is amended by the policy period In connection with any additional adding the following: hazards,we will not deny coverage under this Cov- This condition applies only when the"accident"or erage Fart because of such failure. "lase"Is known to: D. Employee Hired Auto (1)You,if you are an individual; (2}A�r�er,B area SECTION N—BUSINESS AUTO CONDITIONS,B. you partnership; General Conditions,S.Other Insurance,paragraph (8)An executive officer or Insurance manager, If b.is deleted and replace by the foltwing: you are a corporation;or b.For Hired Auto Physical Damage coverage,the (4)A member or manager. If you are a limited following ere deemed to be a covered'autos" liability company. you own: But, thle auction does not amend the provisions (1) Any covered"auto"you lease,hire,rent or relating to notification of police, protection or borrow. examination of the property which was subject to (2) Any covered "auto" hired or rented by Me"lam". your"employee" under a contract in that B.Blanket Waiver of Subrogation individual "employee's" name, with your permission, while performing duties Section IV — BUSINESS AUTO CONDITIONS, A. misted to the conduct of your business. Loss Conditions,S.Transfer of Rights of Recovery However,any"auto"that is teased,hired,rented following exception; Against Others exception, Us, is amended by adding fire or bonvured with a driver Is not a covered'auW' However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract signed and executed prior to any "accident" or 'loss", provided that the"accident"or"toss"arises out of operations contemplated by such contract The waiver applies only to the person or organization designated In such contract. WN CA 27 08 t 8 Includes copyr72hred meter48i cf insurance services Office,wnh its permission Page a of 6 TMG SERVICES INC Pagel of 2 sc�w�tta�.t�rr�r I Department of Labor& Industries I Certificate of Workers' Compensation Coverage October 30, 2019 i WA UBi No. 601 245 015 L&I Account10 474,380-01 Legal Business Name TMG SERVICES INC Doing Business As TMG SERVICES INC i Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2019"11 to 20 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. TMGSEI'085B3 E License Expiration 03/20/2020 I I What does "Estimated Workers I Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person, or several part time workers. i Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of E hops://sec;ure.ini.N,va.go,,,,/verify/Details/liabilityCerti ficate.aspx?lJBT=601245015&LIC=T... 10/30/2019