HomeMy WebLinkAboutCAG2020-124 - Original - 125k Reservoir Recoating and Fall Protection Improvements - 04/23/2020Agreement Routing Form
KENT For Approvals, Signatures and Records Management
This form combines & replaces ihe Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cheny colored paper)WasHtNGfoN
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Originator:
Nancy Yoshitake for Paul Kuehne
Department:
Public Works
Date Sent:
4t22t20
Date Required;
4t29t20
Authorized to Sign:
E Director or Designee E Mayor
Date of Council Approval:
N/A
Budget Account Number:
w20050
Budget? EYes E No
Grant? E Yes El No
Type:
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Vendor Name:
Gray & Osborne, lnc.
Category:
Contract
Vendor Number:
34003
5ub-Category:
.
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ProjecrName: 125K Reservoir Recoating and Fall Protection lmprovements
Project Details: P rovide co nstruction support services.
Agreement Amount: $31,685
Start Date: MayOr'S Signature
Basis for Selection of Contractor:
lerminarion Dare: 12131121
Local BusinessT E Yes El No*
"lf meets requirements per KCC 3.7a.100, please complete "Vendor Purchase-Local Exceptions" form on Cityspace
Notice required prior to disclosure?
EYes trNo
Contracl Number:cnaLoTo - tLl
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Date Received by City Attorney
April22,2020
Comments:
*,tkvlr
Date Routed to the Mayor's Office:o{laelsoa
Date Routed to the City Clerk's Office:
ad(W)2313-1_n Visit Documents.KentWA.gov to obtain copies of all agreements
KEN
CONSULTANT SERVICES AGREEM ENT
between the City of Kent and
Gray & Osborne, Inc,
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Gray & Osborne, Inc. organized under the laws of the State of Washington,
located and doing business at 1130 Rainier Avenue S,, Suite 300, Seattle, WA 98t44, Phone: (zO,q 2e4-
0860, Contact: Russell Porter (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following
described plans and/or specifications:
The Consultant shall provide construction support services for the 125K Reservoir Recoating
and Fall Protection Improvements Project. For a description, see the Consultant's Scope of
Work which is attached as Exhibit A and incorporated by this reference.
Consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement. Consultant shall complete the
work described in Section I by December 31, 2O2L.
III. COMPENSATION.
The City shall pay the Consultant, based on time and materials, an amount not to exceed
Thirty One Thousand, Six Hundred Eighty Five Dollars ($31,685), for the services described
in this Agreement. This is the maximum amount to be paid under this Agreement for the
work described in Section I above, and shall not be exceeded without the prior written
authorization of the City in the form of a negotiated and executed amendment to this
agreement. The Consultant agrees that the hourly or flat rate charged by it for its services
contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1)
year from the effective date of this Agreement. The Consultant's billing rates shall be as
delineated in Exhibit B.
B,The Consultant shall submit monthly payment invoices to the City for work performed, and
a final bill upon completion of all services described in this Agreement. The City shall
provide payment within forty-five (45) days of receipt of an invoice. If the City objects to
all or any portion of an invoice, it shall notify the Consultant 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.
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:
CONSULTANT SERVICES AGREEMENT - 1
(Over $20,000)
A.
The Consultant 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.
The Consultant maintains and pays for its own place of business from which
Consultant's services under this Agreement will be performed,
The Consultant has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
The Consultant 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.
The Consultant has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F The Consultant 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. After termination, the City may take possession of all records and data within the
Consultant's possession pertaining to this project, which may be used by the City without restriction. If
the City's use of Consultant's records or data is not related to this project, it shall be without liability or
legal exposure to the Consultant.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor 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. Consultant
shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with
City Administrative Policy t.2, and upon completion of the contract work, file the attached Compliance
Statement.
VII. INDEMNIFICATION. Consultant 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 Consultant'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 Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.L15, then, in the event of liability for damages arising out of bodily injury to persons or damages to
property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers,
officials, employees, agents and volunteers, the Consultant's duty to defend, indemnify, and hold the City
harmless, and Consultant's liability accruing from that obligation shall be only to the extent of the
Consulta nt's negligence.
CONSULTANT SERVICES AGREEMENT - 2
(Over $20,000)
A.
B.
c
D
E
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'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 Consultant 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 Consultant's paft, then
Consultant 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 Consultant's part.
The provisions of this section shall survive the expiration or termination of this Agreement.
VIII. INSURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit C attached and incorporated by
this reference.
IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide
reasonable accuracy of any information supplied by it to Consultant for the purpose of completion of the
work under this Agreement.
X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings,
designs, reports, or any other records developed or created under this Agreement shall belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded
by the Consultant. Consultant shall make such data, documents, and files available to the City upon the
City's request. The Consultant 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. As such, the Consultant agrees to
cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act.
The City's use or reuse of any of the documents, data, and files created by Consultant for this project by
anyone other than Consultant on any other project shall be without liability or legal exposure to
Consultant.
XI. CfTY'S RIGHT OF INSPECTION. Even though Consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion.
XII. WORK PERFORMED AT CONSULTANT'S RISK. Consultant 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 Consultant's own risk, and Consultant 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.
XIII. 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 Disoutes and Governino 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
CONSULTANT SERVICES AGREEMENT - 3
(Over $20,000)
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 VII 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 Consultant.
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 Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
Consultant'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 Consultant acknowledges that the City is a public agency subject tothe 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 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 Consultant agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act.
J. Citv Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code,
/t
l/
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CONSULTANT SERVICES AGREEMENT - 4
(Over $20,000)
K. Counterparts and Signatures 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.
CONSULTANT:CITY OF KENT:
By
Print Na e
Tlc
%mrr
y'rt
(signature)
4!Ae' 6, Ji:tltv:-.p,. ?, E .
lb€tf
Print Name:
Its
Dana Raloh
Mayor
(title)
t,/4/za,i LlDATE
Gray & Osborne - l25K Reservoir 2/(uehne
CONSULTANT SERVICES AGREEMENT - 5
(Over $2O,000)
DATE:
APPROVED AS TO FORM:
t Law Depadment
ATT
a
Clerk
NOTICES TO BE SENT TO:
CONSULTANT:
Russell Porter
Gray & Osborne, Inc.
1l3O Rainier Ave. S., Suite 3O0
Seattle, WA 98144
(206) 284-0860 (telephone)
( 206) 283-3206 (facsi m i le)
NOTICES TO BE SENT TO:
CITY OF KENT:
Timothy J. LaPorte, P.E.
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5500 (telephone)
(253) 856-6500 (facsimile)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNIry 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 thisAgreement 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 anycontractor, 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 soledetermination 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 ofsex, 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 toall new employees and subcontractors indicating commitment as an equal oppoftunity
employer,
4. During the time of the Agreement I, the prime contractor, will actively consider hiring andpromotion 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.
By
For: 6'rA*to ,RF
Tige: fRe s trc;
Date: t{,/zr /z^+L
EEO COMPUANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT:MINORIry AND WOMEN
CONTRACTORS
SUPERSEDES: April 1, 1996
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
into on
Kent.
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNIW 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
(date), between the firm I represent and the City of
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy t.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
For:
Title:
Date:
By
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT "A'
SCOPE OF WORK
CITY OF KENT
125K RESERVOIR RECOATING CONSTRUCTION SUPPORT
This is an engineering services proposal for providing construction engineering services
for the l25K Reservoir Recoating project.
The proposal assumes the following:
l. All coating inspection will be performed by the City under a separate
contract.
2. All welding inspection will be performed by the City under a separate
contract"
3. Cray & Osbome will review submittals for the project where the City
requires technical assistant and as requested.
4. No record drawings are required.
The contract is 125 working days. For the purposes ofthis proposal. the
contractor is expected to be painting for 90 working days.
SCOPE OF WORK
Gray & Osbome will provide support to the Cify inciuding the following items:
5
Review submittals and shop drawings as assigned by the City. These may
include coatings, welding shop drawings, containment plan, blast disposal
plan, environmental control plan, and other submittals as required by the
City.
I Provide appropriate levels ofon-site inspection depending upon work
activities. For the purposes of this scope of work, it is assumed that a
Gray & Osbome engineer will be on site approximately 8 hours per week
on average throughout the structural work.
Provide in-office support including answering RFI questions as requested
by the City, reviewing coating inspection reports, and other support
activities.
Attend construction meetings for a total of eight meetings.
Page I of3
a
a
c&o #18599
Thenot-to-exceedcostforthisproposalis$31,685. Adetailedlistoftasksandhoursis
attached.
PROPOSED PERSONNEL
Project Manager
Russell Porter
WA PE (Civil. Chemical, Environmental)
Russ Porter is a principal and head of Gray & osbome's water group. He has served as
project manager on other City ofKent projects including the 640 Reservoir, the
640 Booster Station, Cambridge Reservoir Improvements, and the l25K Reservoir
Improvements.
Civil Engineer
Ryan Hale
wA, cA PE (Civil)
NACE Level I Coating Inspector
Myron Basden
WA, OR PE/SE (Civil, Structural)
Ryan Hale joined Gray & osborne in 201 5 and is member of the water group. His focus
has been reservoir recoating and rehabilitation projects. He provided engineering for the
Cambridge Reservoir Improvements and the l25K Reservoir Improvements.
Structural Engineers
Myron is a principal engineer and the head of Gray & Osbome's structural group. He
provided stnrctural engineering oversight for City of Kent projects including the
640 Booster Station, Cambridge Reservoir Improvements, and the 125K Reservoir
Improvements.
G&O{i8599 Page 2 of 3
Alex has been with Gray & osbome 3 years working in the structural group doing
design, calculations, and submittal review.
Electrical Engineer
Mike Sweeney
WA PE (Elecftical)
Mike joined cray & osborne in 2015 and has provided electri.cal engineering support to
various water and wastewater projects including the city's cambridge Reservoii
Improvements and th€ l25K Reservoir Improvements.
Zobreh Kiaeipour
WA EIT(Civil)
Zohreh has been with Gray & osborne 3.5 years working in the structural group doing
design, calculations, and submittal review.
Alex Quinn
WA EIT (Civil)
G&O # r 6s99 Page 3 of 3
EVHIBIT ''B'I
ENGINEERING SERIIICES
SCOPf, AND ESTIMATED COST
City of Kent - 125K Reservoir Recoating Construction Support
Total Fully Burdened Labor Cost:
Direct Non-Salary Cost:
Mileage & Expenses (mileage @ current IRS rate)
$
$
$
31,360
32s
31,685TOTAL ESTIMATED COST:
* Actual labor cost will be based on each employee's actual rate. Estimated rates are for detemining total estimated cost only
Fully burdened billing rates include direct salary cost, overhead, and profit.
c&o r,l8599 Page I ofl
Tasks
Project
Manager
Hours
Civil
Engineer
Hours
Structural
Engineer
Hours
Electrical
{,ngineer
Hours
Submittal Review 4 12 l6 4
On-Site inspection 2A 96 4
In-Office Assistance 6 12 8 4
Construction Meetings t2 24 4 4
Hour Estimate:42 144 28 l6
Fully Burdened Billine Rate Ranse:*$ 106 to $1 84 $96 to $126 $100to$168 $110 to $190
Estimated Fully Burdened Billine Rate:*$ 170 $120 $ 165 $r45
Fully Burdened Labor Cost:$7.140 $i7,280 $4.620 82,320
EXHIBIT C
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 Liabilitv 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
contractua I lia bility coverage.
2, Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
prem ises, operations, i ndependent contractors, prod ucts-co m pleted
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 covera ge 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 Liabilitv insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
2. Commercial General Liabilitv insurance shall be written with
limits no less than $2,000,000 each occurrence, $2,000,000general aggregate and a $2,000,000 products-completed
operations aggregate limit.
EXHIBIT C (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
insu ra nce:
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 ceftified 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 A:VIL
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.
CERTIFICATE OF LIABILITY INSURANCE DATE (MM'DD/YYYY}
4t21t2020
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 CERTIFTCATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may roquare an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Hall & Company
19660 1Oth Ave NE
Poulsbo WA 98370
Allison
360-626-2007
INSURER{SI AFFORDING COVERAGE NAIC #
TNSURERA: Travelers Casualtv and Suretv Comoanv 1 9038
INSURED
Gray & Osborne lnc
1130 Rainier Avenue South, Suite 300
Seattle WA 98144
4 rNsuRER B : The Travelers lndemnitv ComOanv 25658
rNsuRER c : Travelers Casualtv and Suretv Co of America 31194
INSIJRER D :
INSURER E
INSURER F
COVERAGES CERTIFICATE N REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSUMNCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO W{ICH 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 SHOIAN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INl'RID TYPE OF INSURANCE tNen POLICY NUMBER tsULIUY EFI LIMITS
B X COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
X OCP/XCU/BFPD
Separation lnsdsX
GEN'L AGGREGATE LI[TIT APPLIES PER:
POLICY I$o; fl 'oc
X
X
6808N744494 9t10t2019 91',1o12020 EACH OCCURRENCE $ 1.000.000
$ 300.000
MED EXP (Anv one Derson)$ 10.000
PERSONAL & ADV INJURY s 1.000.000
GENERAL AGGREGATE $ 2,000,000
PRODUCTS . COIUP/OP AGG $ 2,000.000
$
B AUTOMOBILE LIABILITY
X ANY AUTO
O\A/TIED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON-OWNED
AUTOS ONLY
8A8N746445 9t10t2019 9t10t2020 $ 1,000,000
BODILY INJURY (Per person)!
BODILY INJURY (Per accident)$
$
$
X UMBRELLA LIAB
EXCESS LIAB
X OCCUR
CLAIMS-MADE
cuP8N747012 9l'1o12019 9t10n020 EACH OCCURRENCE $ 1.000.000
AGGREGATE s 1.000.000
DFD X RFTFNTION S rn ana s
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICERYMEMBER EXCLUDED?
(Mandatory ln NHI
lf yes, describe under
DESCRIPTION OF OPERATIONS belN
Y'N
N/A
6808N74449A 9t10t2019 9t10t2020 PER lvqrarr rrF l UIH-FP WA Stoo Gao
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E,L, DISEASE - POLICY LIMIT $ 1.000.000
Professional Liab: Claims l\rad6
Pollution Liab: Occunsnco Form
1 0533981 9 911012019 9t10t2020 $1,000,000 P€rClaim
$1,000,000 Aggregate
DESCRIPTIONOFOPERATIONSTLOCATIONS/VEHICLES (ACORDl0l,AddltlonalRemarksSchedule,maybeattachedif morespaceisnquiredl
125K Reservoir Recoating and Fall Protection lmprovements Project
The certificate holder is an additional insured per the attached.
CERTIFICATE HOLDER
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Kent
22O Fourth Avenue South
Kent WA 98032 0.4 7rk
REPRESENTATIVE
z
ACORD 25 (2016/03)
Policy # 6808N74449A COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHTTECTS, ENGTNEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organization that you agree in a
"written contract requiring insurance" to include as
an additional insured on this Coverage Part, but:
a. Only with respect to liability for "bodily injury",
"property damage" or "personal injury"; and
b. lf, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" to which the "written contract
requiring insurance" applies, or in connection
with premises owned by or rented to you.
The person or organization does not qualify as an
additional insured:
c. With respect to the independent acts or
omissions of such person or organization; or
d. For "bodily injury", "property damage" or
"personal injury" for which such person or
organization has assumed liability in a
contract or agreement.
The insurance provided to such additional insured
is limited as follows:
e. This insurance does not apply on any basis to
any person or organization for which
coverage as an additional insured specifically
is added by another endorsement to this
Coverage Part.
f . This insurance does not apply to the
rendering of or failure to render any
"professional services".
g. ln the event that the Limits of lnsurance of the
Coverage Part shown in the Declarations
exceed the limits of liability required by the
"written contract requiring insurance", the
insurance provided to the additional insured
shall be limited to the limits of liability required
by that "written contract requiring insurance".
This endorsement does not increase the
limits of insurance described in Section lll -
Limits Of lnsurance.
h. This insurance does not apply to "bodily
injury" or "property damage" caused by "your
work" and included in the "products-
completed operations hazard" unless the
"written contract requiring insurance"
specifically requires you to provide such
coverage for that additional insured, and then
the insurance provided to the additional
insured applies only to such "bodily injury" or
"property damage" that occurs before the end
of the period of time for which the "written
contract requiring insurance" requires you to
provide such coverage or the end of the
policy period, whichever is earlier.
2. The following is added to Paragraph 4.a. of
SECTION IV COMMERCIAL GENERAL
LIABILITY CONDITIONS:
The insurance provided to the additional insured
is excess over any valid and collectible other
insurance, whether primary, excess, contingent or
on any other basis, that is available to the
additional insured for a loss we cover. However, if
you specifically agree in the "written contract
requiring insurance" that this insurance provided
to the additional insured under this Coverage Part
must apply on a primary basis or a primary and
non-contributory basis, this insurance is primary
to other insurance available to the additional
insured which covers that person or organizations
as a named insured for such loss, and we will not
share with the other insurance, provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed;
after you have signed that "written contract
requiring insurance". But this insurance provided
to the additional insured still is excess over valid
and collectible other insurance, whether primary,
excess, contingent or on any other basis, that is
available to the additional insured when that
person or organization is an additional insured
under any other insurance.
@ 2015 The Travelers lndemnity Company. All rights reserved.
lncludes the copyrighted material of lnsurance Services Office, lnc., with its permission
cG D3 81 09 1s Page 1 of2
COMMERCIAL GENERAL LIABILIry
3. The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:
We waive any right of recovery we may have
against any person or organization because of
payments we make for "bodily injury", "property
damage" or "personal injury" arising out of "your
work" performed by you, or on your behalf, done
under a "written contract requiring insurance" with
that person or organization. We waive this right
only where you have agreed to do so as part of
the "written contract requiring insurance" with
such person or organization signed by you
before, and in effect when, the "bodily injury" or
"property damage" occurs, or the "personal injury"
offense is committed.
4. The following definition is added to the
DEFINITIONS Section:
"Written contract requiring insurance" means that
part of any written contract under which you are
required to include a person or organization as an
additional insured on this Coverage Part,
provided that the "bodily injury" and "property
damage" occurs and the "personal injury" is
caused by an offense committed:
a. After you have signed that wriften contract;
b. While that part of the written contract is in
effect; and
c. Before the end of the policy period.
@ 2015 The Travelers lndemnity Company. All rights reserved.
lncludes the copyrighted material of lnsurance Services Office, lnc., with its permission
Page 2 of 2 cG D3 81 09 ls