HomeMy WebLinkAboutCAG2020-084 - Amendment - #2 - Playcore Wisconsin, Inc. dba GameTime - Engineered Wood Fiber for 13 Parks - 08/17/2020 Sup/Mgr:IGL
Agreement Routing Form Dir Asst: IRL
• For Approvals,Signatures and Records Management Dir/Dep: IBL
This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
KEN T
WASHINGTON (Print on pink or cherry colored paper)
Originator: Department:
Jan Applegate Parks, Recreation & Community Services
Date Sent: Date Required:
0 08/13/2020 08/18/2020
Q Authorized to Sign: Date of Council Approval:
Q
Q ❑Director or Designee 0 Mayor n/a
Budget Account Number: Grant? ❑Yes 171 No
15106404.63180.xxxx sub 850 W
Budget? ❑Yes N TYpe: N/A
Vendor Nam Category:
Im
Playcore Wisconsin, Inc. Contract
Vendor Number: Sub-Category:
90602 Amendment
0
Project Name: Engineered Wood Fiber for 13 Parks
E
0
c Project Details: Delivery and blown-in installation of 790 cubic yards of
engineered wood fiber to 13 park locations in the City of Kent.
Agreement Amount: � 46,919.40 Basis for Selection of Contractor:
E Other
a
IStart Date: 03/10/2020 Termination Date: 09/30/2020
Q Local Business? ❑Yes O No*
*If meets requirements per KCC3.70.700,please complete"Vendor Purchase-Local Exceptions"form on Cityspoce.
Notice required prior to disclosure? Contract Number:
❑Yes O No CAG2020-084
Date Received by City Attorney: Comments: OK to sign, 8/17/2020,TW. Mayor,
there is a location for you to initial a strike-
8/17/20 through on page 6 of he electronic document.
30
a,
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40
f0
p� Date Routed to the Mayor's Office:
i7A
Date Routed to the City Clerk's Office:
adccW22313_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.200804
•
KENT
W A s H i N G T o H
AMENDMENT NO. 2
NAME OF CONSULTANT OR VENDOR: Plavcore Wisconsin, Inc. dba GameTime
CONTRACT NAME & PROJECT NUMBER: Engineered Wood Fiber for 13 Parks
ORIGINAL AGREEMENT DATE: 03/10/2020
This Amendment is made between the City and the above-referenced Consultant or
Vendor and amends the original Agreement and all prior Amendments. All other provisions of
the original Agreement or prior Amendments not inconsistent with this Amendment shall remain
in full force and effect. For valuable consideration and by mutual consent of the parties,
Consultant or Vendor's work is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, the Consultant or Vendor shall:
Provide delivery and blown-in installation of an additional 281 cubic
yards of GT-Impax - Engineered Wood Fiber as described in attached
City of Kent EWF Change Order #1A, dated 08/07/2020, Quote
#100246-02-01 attached.
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are modified as follows:
Original Contract Sum, $29,889.20
including applicable WSST
Net Change by Previous Amendments $0.00
including applicable WSST
Current Contract Amount $29,889.20
including all previous amendments
Current Amendment Sum $15,482.00
Applicable WSST Tax on this $1,548.20
Amendment
Revised Contract Sum $46,919.40
AMENDMENT - 1 OF 2
Original Time for Completion 0 513 1/2 02 0
(insert date)
Revised Time for Completion under 08/31/2020
prior Amendments
(insert date)
Add'I Days Required ( ) for this 30 calendar days
Amendment '
Revised Time for Completion 09/30/2020
(insert date)
i
The Consultant or Vendor accepts all requirements of this Amendment by signing below,
by its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settlement of
all claims of any kind or nature arising from or connected with any work either covered or
affected by this Amendment, including, without limitation, claims related to contract time,
contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless i
otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the
guarantee and warranty provisions of the original Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any),
and this Amendment, prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANT/VENDOR: CITY OF KENT:
By: {JQX10
(signatur ) (signature)
Print Name:-S- - ¢�l� __-- Print Name: Dana Ralph
Its Its Mayor
(title) (title)
DATE; DATE: 08/17/2020
ATTEST: APPROVED AS TO FORM:
(applicable "Mayor's signature required)
I
Kent City CI� � KFnt L w D-paitment
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AMENDMENT - 2 OF 2
GameTime C/O Great Western Recreation 08/07/2020
Tff P.O. Box 680121 Quote#100246-02-01
mlemeFort Payne,AL 35967
c6aOffice:435-245-5055 Fax:435-245-5057
COREc�a■.r www.gwpark.com
City of Kent EWF Change Order #1 A
City of Kent Ship to Zip 98030
Attn:Jake Call
220 4th Ave S
Kent,WA 98032
Phone:253-856-5122
jcall@kentwa.gov
DescriptionQuantity Part#
1 EWF GT-Impax-281 CY of Engineered Wood Fiber,Blown In $7,962.00 $7,962.00
Sub Total $7,962.00
Freight $7,520.00
Tax $1,548.20
Total
GREAT WESTERN
UrichF8y Erv9n
Page 1 of 5 ^d.90 F k—
GameTime C/O Great Western Recreation 08/07/2020
Tff P.O. Box 680121 Quote#100246-02-01
mlemeFort Payne,AL 35967
c6aOffice:435-245-5055 Fax:435-245-5057
CORE c� pmmr www.gwpark.com
City of Kent EWF Change Order #1 A
Comments
Your sales rep is Lindsey Erwin at 253-988-7102. Please reach out to them with any questions.
Prevailing Wage
"Freight charges are based on listed zip code and are subject to change,if shipping information changes."
Shipping to Site Addresses:
Canterbury Park
24409 100th Avenue SE
Kent,WA 98030
Kiwanis#1
532 1 st Avenue S
Kent,WA 98032
Kiwanis#2
N 2nd Avenue and W Cloudy Street
Kent,WA 98032
Kiwanis#3
Alexander Street between E Chicago and E Seattle
Kent,WA 98030
Kiwanis#4
S 5th Avenue and W Crow Street
Kent,WA 98032
MORRILL MEADOWS
10600 SE 248th Street
Kent,WA 98030
RUSSELL ROAD
24400 Russell Road
Kent,WA 98032
SALT AIRE
24615 26th Place S
Kent,WA 98032
SCENIC HILL
25826 Woodland Way S
Kent,WA 98030
Seven Oaks
SE 259th Street and 118th Place SE
Kent,WA 98030
Kent Memorial Park
850 Central Ave N
Kent,WA 98030
SERVICE CLUB
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GREAT WESTERN
UrichF8y Erv9n
Page 2 of 5 ^d.90 F k—
GameTime C/O Great Western Recreation 08/07/2020
Tff P.O. Box 680121 Quote#100246-02-01
mlemeFort Payne,AL 35967
c6aOffice:435-245-5055 Fax:435-245-5057
CORE c� pamm www.gwpark.com
City of Kent EWF Change Order #1 A
14608 SE 288th Street
Kent,WA 98042
Wilson
13028 SE 251st Street
Kent,WA 98030
Remit Payment to:
GameTime
P.O.Box 680121
Fort Payne,AL 35967
Taxes:
All applicable taxes will be added at time of invoicing unless otherwise included or a tax-exempt certificate is provided.
If sales tax exempt,you must provide a copy of certificate to be considered exempt.
Prices:
FOB Factory.
Orders:
All orders shall be in writing by purchase order,contract,or similar document made out to PlayCore Wisconsin Inc.,dba GameTime.
Standard GameTime equipment orders over$100,000 may require a deposit of 25%at the time of order and an additional 25%at or before order ships
Standard orders with equipment,installation and surfacing are requested to be split billed.
Equipment,Taxes&Freight as noted above Initial:
Installation and Surfacing billed as completed and Due Upon Receipt. DR
DR
Terms:
Cash With Order Discount-(CWO)-Orders for GameTime equipment paid in full at time of order via check, Electronic Funds Transfer(ACH or wire)
are eligible for a three percent(3%)cash with order discount.
Credit terms are Net 30 days,subject to approval by the GameTime Credit Manager.A completed credit application must be submitted and approved
prior to the order being received. Please allow at minimum 2 days for the credit review process. GameTime may also require:
Completed Project Information Sheet(if applicable)
Copies of Payment and Performance Bonds(if applicable)
A 1.5%per month finance charge will be imposed on all past due invoices.
Retainage not accepted.
Orders under$5,000 require payment with order.
INSTALLATION CONDITIONS:
• ACCESS: Site should be clear,level and allow for unrestricted access of trucks and machinery.
• STORAGE: Customer is responsible for providing a secure location to off-load and store the equipment during the installation process.Once
equipment has delivered to the site,the owner is responsible should theft or vandalism occur unless other arrangements are made and noted
on the quotation.
• FOOTER EXCAVATION: Installation pricing is based on footer excavation through earth/soil only.Customer shall be responsible for unknown
conditions such as buried utilities(public&private),tree stumps, rock,or any concealed materials or conditions that may result in additional
labor or materials cost.
• UTILITIES: Owner is responsible for locating any private utilities.
• ADDITIONAL COSTS: Pricing is based on a single mobilization for installation unless otherwise noted. Price includes ONLY what is stated in
this quotation. If additional site work or specialized equipment is required,pricing is subject to change.
A&&,
GREAT WESTERN
LEntlsey ErMn
Page 3 of 5 ^d.90M°AL°"
GameTime C/O Great Western Recreation 08/07/2020
Tff P.O. Box 680121 Quote#100246-02-01
mlemeFort Payne,AL 35967
c6aOffice:435-245-5055 Fax:435-245-5057
CORE c� pmmr www.gwpark.com
City of Kent EWF Change Order #1 A
ACCEPTANCE OF QUOTATION:
Acceptance of this proposal indicates your agreement to the terms and conditions stated herein.
Accepted By(printed): Title:
Telephone: Fax:
P.O.Number: Date:
Purchase Amount:$17,030.20
SALES TAX EXEMPTION CERTIFICATE#: FEIN#
(PLEASE PROVIDE A COPY OF CERTIFICATE)
Salesperson's Signature Customer Signature
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GREAT WESTERN
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Page 4 of 5 ^d.90M"rk—
GameTime C/O Great Western Recreation 08/07/2020
Tff P.O. Box 680121 Quote#100246-02-01
mlemeFort Payne,AL 35967
c6aOffice:435-245-5055 Fax:435-245-5057
CORE c� pmmr www.gwpark.com
City of Kent EWF Change Order #1 A
Customer Order Info:
BILLING INFORMATION:
Bill to:
Contact:
Address:
Address:
City,State: Zip:
Tel: Fax:
E-mail:
SHIPPING INFORMATION(IF DIFFERENT FROM ABOVE)_
Ship to:
Contact:
Address:
Address:
City,State: Zip:
Tel: Fax:
E-mail:
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GREAT WESTERN
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Page 5 of 5 ^d.90M"rkL
�� Agreement Routing Form
• For Approvals,Signatures and Records Management
KET his formcombinei&replaces me FequeB for Mayor's S,gnmure and C.rrwa Cover Sneer roans
w......r.. (Pnnt on pme to cae,,c .,w paper)
Originator Department
Park Operations
Date Sent: Date Required:
c 0 310 5/2 0 2 0 as soon as possible
CL Authorized to Sign. Date of Council Approval:
It Direaor or Designee 0 Mayor nla
Budget Account Number; Grant? ❑Yes El No
1510640480190 Sube50rypeW
Budget? Yes O No Type:
Vendor Name: ategory'.
Contract
Vendor Number: Sub-Category:
c 90602
0
'r, Project Name: Engineered Wood Fiber for 13 Parks
E
cProject Details-Delivery and blown-in installation of 509 cubic yards of engineered wood
fiber to 13 park locations in the City of Kent.
c
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E Agreement Amount. $29,889,20 Basis for Selection of Contractor Other
d
TStart Date: as soon as possible Termination Date: 05/31/2020
cc
Local Business? ❑Yes El No*
Wmeets requirementsper K073.70100,please complete"Vendor Purchase-Local Exceptions'loan on Cityspace
Notice required prior to disclosure? Contract Number
❑Yes ONo
CH zo-
CDfe rN[A�r ® Comrr,ents.
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KENT LAW DEPT. KED
pr Date Routed to the Mayor's Office. MAR I 0 2026
h Bate Routed to the City of Kent Clerk's Office: 10
Visit Documents.KentWA.gov to obtain copies ofall agreements
GOODS & SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE
between the City of Kent and
Playcore Wisconsin, Inc. dba GameTime,
c/o Great Western Recreation
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Playcore Wisconsin, Inc. dba GameTime organized under the laws of the
State of Wisconsin, located and doing business at 150 Playcore Drive SE, Fort Payne, AL 35967-7576
(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:
Delivery and blown-in installation of 509 cubic yards of GT-Impax - Engineered Wood Fiber
to 13 park locations in the City of Kent as described in attached Quote #100246-01-01,
dated 02/12/2020, attached and marked as Exhibit A.
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 unqualifed 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 May 31, 2020.
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed TWENTY NINE
THOUSAND EIGHT HUNDRED EIGHTY NINE DOLLARS AND TWENTY CENTS ($29,889.20) , 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:
Vendor shall submit invoice to AccountsPayable@KentWA.gov upon completion of contracted
services as described In I. Description of Work.
GOODS &SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 1
(Over$20,000.00, including WSST)
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.
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. PREVAILING WAGES. Vendor shall file a "Statement of Intent to Pay Prevailing Wages,"
with the State of Washington Department of Labor & Industries prior to commencing the Contract work.
Vendor shall pay prevailing wages in effect on the date the bid is accepted or executed by Vendor, and
comply with Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevailing
wage rate provisions. The latest prevailing wage rate revision issued by the Department of Labor and
Industries is attached.
V. 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.
VI. 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.
GOODS &SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 2
(Over$20,000.00, including WSST)
VII. CHANGES. The City may issue a written change order 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 a change order is necessary, Vendor must submit a written change order
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 change order work upon receiving either a written change order from the City or an
oral order from the City before actually receiving the written change order. If the Vendor fails to require a
change order within the time allowed, the Vendor waives its right to make any claim or submit subsequent
change order requests for that portion of the contract work. If the Vendor disagrees with the equitable
adjustment, the Vendor must complete the change order 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 a change order by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. A change order 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.
VIII. CLAIMS. If the Vendor disagrees with anything required by a change order, 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
GOODS & SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 3
(Over$20,000.00, including WSST)
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
City any written or oral order (including directions, instructions, interpretations, and
determination).
IX. LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING
FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120CALENDAR 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.
X. 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.
XI. 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.
XII. 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, arlsing out of or in connection with the Vendor's negligent
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.
GOODS &SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 4
(Over$20,000.00,including WSST)
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 refusalon 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.
XIII. 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.
XIV. 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.
XV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed In accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section XII 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.
GOODS & SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 5
(Over$20,000.00, including wSST)
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Vendor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering Into or forming a part
of or altering. In any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained In this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to Vendor's business,
equipment, and personnel engaged in operations covered by this Agreement or accruing out of the
performance of those operations.
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,
smalls, and other records prepared or gathered by the Vendor 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 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 Reaulred. 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.
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 emall 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:
By: By:
(slgnatu ) (signature)
Print Name:LY,'4 f 71�,je Print Name: Dana Ralph
Its Its Mayor
DATE: 3/S/ _;to
DATE: � ICJI Cil_J
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
VENDOR: CITY OF KENT:
Lindsey Erwin Ben Levenhagen,Support Services Field Supervisor
GameTime City of Kent
c/o Great Western Recreation 220 Fourth Avenue South
Kent WA 98032
GOODS&SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE- 6
(Ove,$20,000.00,lmlvwng w557/
975 S. State Hwy 89
Logan, UT 84321 (253) 508-9548 (cell) or
(435) 245-5055 x119 (telephone) (253) 856-5133 (telephone)
facsimile 253 856-6120 facsimile
APPR D AS TO FORM:
an a apartment
AizksT,.:)
Kent City Clerk
GOODS&SERVICES AGREEMENT
FOR ORDINARY MAINTENANCE - 7
(Over$20,000,00, 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 belloow,Iz&�I agree to fulfill the five requirements referenced above.
By: L��..:� �
For: yla. W' 1' 4- s" C/ T
Title: . ..rvn•s �.e�f i+ri..�...
Date: J7�-S�ZQz°
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 (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3 of 3
EXHIBIT A
Great m R Weweecreation W5 S.State Hwy 89 Logan.UT 84321 435-245-5055 02/122020
GameTime wwwgwpad cam Quote Ct0024fi-01At
A PjpYCOfiF C«
City of Kent EWF Bid
City of Kent Ship to Zip 98030
Attn:Jake Call
220 4th Ave S
Kent,WA 98032
Phone:251856-5122
jc ll@kentwa.gov
Quantity Part# Description Unit Price Amount
i EWF CT-Impax-Engineered Wood Fiber,Blown ln- $14,262.00 $14.26200
12"compacted depth. 10,295 SF coverage,509 CV. Prevailing wage. Multiple locations
Sub Total $14,26200
Freight $12.910.00
Tax $2.717.20
GREAT WESTERN
u;ee..r ate.
Page 1 ot5
Great Western Recreation 975 S.State Hwy 89 Logan,UT 84321 435-245-5055 02/1212020
Game me° wry gwpaA om Quote#100246-01-01
PLAVCOW
City of Kent EWF Bid
Commends
Shipping to.
Canterbury Park
24409 1009r Ave BE
Kent,WA 98030
Site Addresses'.
Centel Perk
24409100th Avenue SE
Kent,WA 98030
Kwanis N1
5321st Avenue S
Kent.WA 98032
Kiwants A2
N 2nd Avenue and W Cloudy Street
Kent,WA 98032
IOwanis d3
Alexander Street between E Chicago and E Seattle
Kent.WA 98030
Kiwanis"
S Sin Avenue and W Crew Street
Kent WA 98032
MORRILL MEADOWS
10600 BE 248th Street
Kent,WA 98030
RUSSELL ROAD
24400 Russell Road
Kent,WA 98032
SALTAIRE
24615 26th Place S
Kent,WA 98032
SCENIC HILL
25826 Woodland Way S
Kent,WA 98030
Seven Oaks
BE 25M Street and 118th Place SE
Kent,WA 96030
Kent Memorial Park
850 Central Ave N
Kent,WA 98030
SERVICE CLUB
A&bh,-
GREAT WESTERN
ay E.
Page 2 of 5 n sa.n
Great Western Recreation 975 S.State Hwy 89 Logan.UT.84321 435-245-5055 02I12/2020
GameTime .9wpxrl Quote E100246-01-01
FILAYCORE
City of Kent EWF Bid
14608 SE 288th Street
Kent,WA 98042
alson
13028 SE 251st Street
Kent,WA 98030
GAMETIME-TERMS&CONDITIONS:
PRICING:Pricing Is subject to change.Request updated pricing when purchasing from quotas mom than 30 days old.
MS OF SALE.For equipment&material purchases,Net 30 days from date of invoice for gpvemmental agencie d those with
apP 0 cretli[.All others,full payment for equipment,taxes and freight up front.Balance for services&mate' due upon completion or
as oche negotiated upon credit application review Pre-payment may be required for equipment orde sling lesa Iheq 5,00O.
Payment b SA,MasterCard or AMEX is accepted Checks should be made payable to PI troche consin,Inc of
GameTime unless
otherwise dire
CREDIT APPLICA N:Required for all nor-governmental agencies and those entries w acre not purchased from GameTme within the
previous twelve calend onlhs.
• FINANCE CHARGE:A 1.5 onthly finance charge(or maximum pertnittetl b )will ce atlded to all invoices over 30 tlays past tlue.
• CASH WITH ORDER DISCOU Orders for GameTime equipment paid 1 at time of order via check or electronic funds transfer(EFT)
are eligible for a 3%cash-with-order 0)discount.
• ORDERS:Al orders shall be in writing by ass oder signed station or similar documentation.Purchase orders must be made out to
Playcore Wisconsin,Inc.dlb(a GameTime.
• FREIGHT CHARGES:Shipments shall be F O 8,des ' n.Freight charges prepaid and added separately.
• SHIPMENT:Standard Lead time is 4-6 weeks after lot acceptance of purchase order,credit application,color selections and
approved drawings or submittals.
• PACKAGING-All goods shall be packag - accordance with accep commercial practices and marked to preclude confusion during
unloading and handling.
• RECEIPT OF GOODS:Customer II cpmdinate,receive.unload,Inspect an vide written acceptance of shipment.Any damage to
packaging or equipment most noted when signing delivery ticket if damages are n receiver must submit a claim to Cunningham
Recreation within 15 Days aceiver is also responsible for taking Inventory of the shipmen reporting any concealed damage or
discrepancy in quanli received within 60 days of receipt.
• RETURNS:Retu are only available on shipments delivered within the last 60 days A 25%(mm)re Ing fee will be deducted from
any credit di ustomer is responsible for all packaging is shipping charges.Credit is based on condition o upon reNm.All returns
mus i t be Fused and merchantable condition.GameTime reserves Me right to deduct costs associated with reston turned goods to
me table condition. Uprights&custom products cannot be returned.
T S:Sales tax is shown as aseparate line item when included A copy of your tax exemption certifcate must be submitted a - e of
rider or taxes will be added to your invoice.
GREAT WESTERN
uM•q Erwin
Page 3 of 5 I+ern I".,.'
Great Western Recreation 975 S State Hwy 99 Logan,UT U321 435-245-5055 0V1212020
GameTime wwwgwTlalk.wm Quote#IW246-01-01
City of Kent EWF Bid
INSTALLATION CONDITIONS:
• ACCESS:Site should be dear,level and allow for unrestricted access of trucks and machinery,
• STORAGE:Customer is responsible for providing a secure location to art-load and store the equipment during the installation process.
Once equipment has delivered to the site,the owner is responsible should Ihe6 or vandalism occur unless other arrangements are made
and noted on the quotation
• FOOTER EXCAVATION:Installation pricing is based on tooter excavation through serthlsoil only,Customer shall be responsible for
unknown conditions such as butted utilities(public S private),tree stumps.rock,or any concealed materials or conditions that may result in
additional labor or materials war
• UTILITIES:Owner is responsible to,locating any private utilities.
• ADDITIONAL COSTS:Pacing is based on a single mobilization for installation unless otherwise noted.Price includes ONLY what is stated
in this quotation If additional site work or specialized equipment is required pricing is subject to change.
ACCEPTANCE OF OUOTATION'
Acceptance of this proposal indicates your agreement to the terms and conditions stated herein,
Accepted By limited): Tile.
Telephone: F.
PO.Number Date:
Purchase Amount:$29,889.20
SALES TAX EXEMPTION CERTIFICATE Ill. 11/4 FEIN# FL- 6OOI2Sf
(PLEASE PROVIDE A COPY OF CERTIFICATE)
Salesperson's Signature Customer Signature
®ifth&-
GREAT WESTERN
Und"Y si—
Page 4 of 5
Great VJestem Recrea5on 975 S.State Hwy 89 Logan,UT 84321 435-245-5055 02/122020
GameTime www gwpar,.codd Quote n100248-01-01
City of Kent EWF Bid
Customer Order Info:
BILLING INFORMATION,
Bill to Cfry mF kENT
Contact 19CQoanyr /7iayAO2B
Address: 22.0- 4`4,i S.
Address:
City,State: rttf. wa Zip: 4803z-5895
Tel: (253) 9JG-Jz.52 Fax N 1A
E-mail ACCounTJI0G1/i1 BcE(y �FST-{1/N.gee/
SHIPPING INFORMATION(IF DIFFERENT FROM ABOVEI:
Snip to: Cf-ry of 4<14mM PfMk QOg.PstT7OnC5
Contact: Jowl K'A4
address. 58z1 So. 7�oM b`r.
Address:
City.State: �5.JT�.(I/19 Zip: 9>lA
Tel: (200450-9ZVO Fax:: V64 -&/20
E-mail. J 6u•tl [J KEATl'AA, rY
MAMON
GREAT ':IESTE RN
Page 5 of 5 �^.ti,.•a....=^
2020 Engineered Wood Fibers
Park Name Address Zip Amount Needed
Cameft, 24409 Min Avenue SE Kent,WA W30 90 Vdl
Kiwanre Al 5321at Avenue S Kent,WA. M032 30 ytls
Kiwams d2 N 2nd Avenue and W Cioudly Street Kent WA 08032 40 Vds
Kiwanis Y3 Alexander SVael between E Chicago and E Sea61e Kent WA 98030 40 ytls
Ki—s ea S Sth Avenue and W Crow Sheet Kent WA 98032 60 Vds
NORRILL NEo0W9 10600 SE 248th Sheet Kent WA 98030 40 vds
RUSSELLROAo 24400 Russell Road Kent,WA 98032 30yds
SALT AIRE 2461526th Piece S Kent,WA 98032 30yds
SCENIC HILL 25826 Woodland Way S Kent,WA won 20 yds
Seven oaks SE 2591h Street and 118th Place SE Kent WA W30 W ydi
KentNemaea van 850 Cenhat Ave N Kent WA N032 60 yds
SERVICECLUB 14508 SE 288th Street Kent WA I ON2 60vds
WI MN 113U255E 251.weet lKent,WA I 90030 30 ytls
Total Yards Needed! I 509 ytls
3=020 aboutblank
State of Washington
Department of Labor & Industries
Prevailing Wage Section -Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe benefits. On
public works projects, worker's wage and benefit rates must add to not less than this total. A brief description of
overtime calculation requirements are provided on the Benefit Code Key.
Journey Level Prevailing Wage Rates for the Effective Date: 3/2/2020
County Trade Job Classification WAge Holiday Overtime Note `Risk
Class
King Laborers Air, Gas Or Electric Vibrating Screed $50.86 7A IV )}_Y Attm
King Laborers Airtrac DnU Operator S52.44 A 4Y aY View
King L borers Ballast Regular Machine $50.86 A dY aY vier
King Laborers Batch Weighman $43.11 A A.Y AY_ VAS
King Labore Brick Pavers $50.86 A 4y HY View
King Laborers Brush Cutter $50.86 A 4V ff Vier
King Laborers Brush Hog Feeder $50.86 A 4V 8Y View
King abore Burner $50.86 A 9Y aY View
King Laborers Caisson Worker $52.44 A 9y Illy View
King Laborers Carpenter Tender S50.86 7A 4V BY Vier
King Labor Labore Cement Dumper-paving $51.80 A 9Y BY View
King Laborers Cement Finisher Tender $50.86 L AY ¢Y View
King Lahorer5 Change House Or Dry Shack $50.86 A gV $y View
King Laborers Chipping Gun(30 Lbs. And Over) $51.80 A 4Y BY view
King Labore Chipping Gun(Under 30 Lbs.) $50.86 A 9Y BY View
King Laborers Choker Setter $50.86 A 4Y aY View
King Laborers Chuck Tender $50.86 A 9Y av View
King Lgpp err Clary Power Spreader $51.80 A A-V ay View
King Laborers Clean-up Laborer $50.86 A 4V 4Y Vier
King Laborers Concrete Dumper/Chute Operator $51.80 A 4V aY vier
King laborers Concrete Form Stripper $50.86 A 4V aY View
King Labone Concrete Placement Crew $51.80 A 4Y ay View
King Laborers Concrete Saw Operator/Core Driller $51.80 7A 4V BY View
King Laborers Crusher Feeder $43.11 7A 4Y ay yew
King Lahorers Curing Laborer $50.86 7A 4Y 9Y View
King Laborers Demolition: Wracking&Moving(Intl. S50.86 A 4V BY View
Charred Material)
King Laborers Ditch Digger $50.86 A 9Y aY View
King Laborer Diver $52.44 A 4Y aY View
King Laborers Drill Operator(Hydraulic, Diamond) $51.8D 7A gy BY View
King Laborers Dry Stack Walls $50.86 7A 4V BY view
King Laborers Dump Person $50.86 A 4Y BY view
King Laborers Epoxy Technician $50.96 A gy BY Y102
King La¢eL r� Erosion Control Worker $50.86 A 4Y ay view
King. Laborer Faller a Bucker Chain Saw $51.80 A 9V AY View
King Laborers Fine Graders $50.86 A 9 EY Vier
King Laborers Firewatch $43.11 A AY 4Y view
alwutblank 1/3
3 wam about blank
King Laborers form Setter $50.86 ZA 4Y 4Y view
King Laborers Gabian Basket Builders $50-86 7A 4y $Y View
King Laborers General Laborer $50.86 7A 4V BY Viev,
King Laborers Grade Checker ft Transit Person $52.44 7A 4y AY View
King Laborers Grinders $50.86 7A Ay ly View
King Laborers Grout Machine Tender $50.86 7A 4V 8Y View
King Laborers Groutmen(Pressure)Including Post $51.80 7A Ay $Y View
Tension Beams
King Latxtrers Guardrail Erector $50.86 L 4V By
King Laborers Hazardous Waste Worker(Level A) $52.44 7A 4y ly V)ew
King Laborers Hazardous Waste Worker(Level B) $51.80 ZA A a View
King Laborers Hazardous Waste Worker(Level C) $50.86 ZA 4y BY View
King Laborers High Scaler $52.44 ZA V BY View
King Laborers Jackhammer $51.80 ZA 4Y BY View
King Laborers Laserbeam Operator $51.80 7A 4y $Y View
King Laborers Maintenance Person $50.86 7A 4y 8y View
King Laborers Manhole Builder-Mudman $51.80 Z6 4V gV View
King Laborers Material Yard Person $50.86 ZA 4y BY yiew
King Laborers Motorman-Dinky Locomotive $51.80 7A 4y Ey Yin
King Lam Nozzleman(Concrete Pump,Green $51.80 7A R ly View
Cutter When Using Combination Of
High Pressure Air&Water On
Concrete&Rock, Sandblast, GUMte,
Shotcrete,Water Blaster,Vacuum
Blaster)
King Laborers Pavement Breaker $51.80 ZA 4y Ay View
King Laborers Pilot Car $43.11 ZA 4y $Y View
King Laborers Pipe Layer Lead $52.44 ZA 4Y By yiew
King Laborers Pipe Layer/Tailor $51.80 Z6 4y U View
King Laborers Pipe Pot Tender $51.80 L 4Y BY View
King Laborer Pipe Reliner $51.80 7A 4y ff View
King or Pipe Wrapper $51.80 ZA 4V $Y View
King Laborers Pot Tender $50.86 7A 4y 8Y View
King laborers Powderman $52.44 7A 4y Ay View
King Laborers Powderman's Helper $50.86 7A 4V $y View
King Laborers Power Jacks $51.80 ZA 4y B View
King Laborers Railroad Spike Puller-Power $51.80 L 4Y fly ylew
King Lam Raker-Asphalt $52.44 7A 4V BY view
King Laborers Re-timberman $52-44 ZA 4Y .9Y View
King Lam Remote Equipment Operator $51.80 ZA 4y BY View
King Labore Rigger/Signal Person $51.80 YA 4V BY View
King Laborers Rip Rap Person $50.86 ZB 4y HY View
King Laborers Rivet Buster $51.80 ZA 4V BY View
King Labore Rodder $51.80 ZA A ly View
King Laborer Scaffold Erector $50.86 ZA 4Y 8Y Yten
King Labors Scale Person $50.86 ZA 4y 8Y View
King Laborers Sloper(Over 20") S51.80 ZA V $y View
King Laborer Stoper Sprayer $50.86 ZA 4V SY View
King Laborers Spreader(Concrete) $51.80 7A 4V BY View
King Labgre,s Stake Hopper $50.86 ZA 4Y 8Y View
King Laborer; Stack Piler $50.86 ZA 4y 8Y View
King Laborers Swinging Stage/Boatswain Chair $43.11 ZA 4y Al view
King Laborers Tamper a Similar Electric, Air&Gas $51.80 ZA 4y AY View
Operated Tools
aboutblank V3
3122020 about blank
King Laborers Tamper(Multiple B Self-propelled) $51.80 A 4Y LY View
King Laborers Timber Person-Sewer(Lagger, $51.80 A by 9Y Vi€w
Shorer @ Cribber)
King Laborers Toolroom Person(at Jobsite) $50.86 A 4y 5Y Yiew
King Laborers Topper $50.86 A V 9y )a=
King r rs Track Laborer $50.86 A Aly _$Y View
King Laborers Track Liner(Power) $51.80 A 4Y f vim
King Laborers Traffic Control Laborer 546.10 A 4V 9A View
King Laborers Traffic Control Supervisor $46.10 7A AY S View
King Laborem Truck Spotter $50.86 A R EY View
King La re Tugger Operator $51.80 _7A 4Y 9y View
King Laborers Tunnel Work-Compressed Air Worker $120.61 7A 4y 99 i v
0-30 psi
King Laborers Tunnel Work-Compressed Air Worker $125.64 7A 4V 9)) View
30.01-44.00 psi
King Laborers Tunnel Work-Compressed Air Worker $129.32 7A 4V 99 Yiew
44.01-54.00 psi
King Laborers Tunnel Work-Compressed Air Worker $135.02. Z 4Y 95 YLP&
54.01-60.00 psi
King Labore Tunnel Work-Compressed Air Worker $137.14 A 4V 98 view
60.01.64.00 psi
King Lahore Tunnel Work-Compressed Air Worker $142.24 A AY 98 View
64.01-68.00 psi
King Lahorers Tunnel Work-Compressed Air Worker $144.14 7A 4V 96 View
68.01-70.00 psi
King Lahore Tunnel Work-Compressed Air Worker $146.14 A 4Y 9.Q View
70.01-72.00 psi
King Laborers Tunnel Work-Compressed Air Worker $148.14 A 4y 29 view
72.01-74.00 psi
King Labs Tunnel Work-Guage and Lock Tender $52.54 A 4y $y Yew
King laborers Tunnel Work-Miner $52.54 A R BY view
King Laborers Vibrator $51.80 A 4Y gy view
King Laborers Vinyl Seamer $50.86 A 4Y 9Y View
King LAbolgri; Watchman $39.18 A 4Y ff View
King Laborem Weider $51.80 A by 91' View
King Laborers Weil Point Laborer $51.80 7A 4V 8V View
King Lab rg a Window Washer/Cleaner $39.18 A 4V §y View
about blank 3/3
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:
L. 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 City shall be named as an Additional Insured
under the Contractor's Commercial General Liability insurance
policy with respect to the work performed for the City using
CrW ISO additional Insured endorsement CG 20 10 11.65 or a
substitute endorsement providing equivalent coverage.
04,13
2. 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.
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. Commercial General Liability insurance shall be written with
Limits no less than $2,000,00o each occurrence, 2,000,000
general aggregate and a $2,000,000 products-completed
operations aggregate limit.
2. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
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 mall, 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
CTW respects to the limits of the Insurer's lablllty. In the event ofa Claim or Lawsuit related
to this contract,the City will be provided with a copy of the Contractor's insurance policy.
D. Acceptability of Insurers
Insurance Is to be placed with insurers with a current A.M. Best rating of not
less than A:VII,
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
CTW Contractor
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same Insurance
CFW requirements as stated herein forthe Contractor. Subcontractors performing onsite Work shall
provide additional insured status naming the City of Kent for both ongoing and completed operations.
A`R� CERTIFICATE OF LIABILITY INSURANCE orz;rzmo' "
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,no pOlicy(ias)must have ADDITIONAL INSURED provisions or Ise mulmsed.
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 endoreement(s).
PRODUCER ONTA T
Marsh USA,Inc.
PXIXIE FAX
Two Allianre Curter .Na Fm' I.,xo):
3W)Lenox Roan.Suite 2400 nd10 n[6p:
Aponte,GA=6 -
Ahn'MEETS.Canlanuen@marsh:D9m I Fa.212-9184321 IxauRER�SL�FFOAaInOcoyERPG& _ _ xAlcr
CN10232631NHCA AJYJX 1920 IWRERA:E.mw IRauemCompany 3531E
IRSVRED IxwRERB:Trap ers ProPIR Ca l Comparj OrAmMca 25674
PapDERIUSEnsiq Inc -
OREameTMe Ixsu C_ACE_Pmpe.gMAKCmiMI _20699
150PO4Ccm OINa SE INSIIRERO:The ira'.ElerS lMenrli Ot Amd'l18 125fi66
Pon Payne AL 35E(C - �Ce.^PRAY--
INSURER E:NIA _ WA
Waumnal TheUha6I1OMkFi.ISN.Co. 25615
COVERAGES CERTIFICATE NUMBER: ATIA05036514.m REVISION NUMBER: 0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANOING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO MICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1NSR- A40L SUBR. pOLICYEFF POLICY EXP
One TYPEOF WSVMNCE POUCYNUMBER 0.MYVY LaaT6
A X COMMERCIAL GENERAL LIABILITY X MKLV2PBCW0.1'6] 08N1/1019 C lIM20 ENCH000URRENCE S 21100,W0
OA A
CIAIMS-MADE X OCCUR PREMISESLEawArn.y S tIp,000
X SIR$250.000 RE,DOE MED ExP 1An m[Pvrsonl S EXCLUDED
PERSONALBADV_IN_J_URV 5 2000,000
GEN POLICY GATE LIMIT APPLIES PER GENERALAGGREWTE 5 4MONO
POLICY�_X_T JEO LOO PRODUCTS-COMROP AGO S 4,000,WO
OTHER POLICY AGGREGATE a 10,COg000
B ORL tlN_AUTaMO91L I-ABILm TJ-C4P-9 10BST L-19 IpBe1l[T119 WIWICOMB�INEDJU SIN IE LIMIT S 1Q.a" M
_ �
X NYAIITO BOd[Y INJURY(Pv parmn) IDS
DWNED SCHEDULED MJDLYINJURY IPv eMMMmlls
AUTOS ONLY AUTOS
HIRED ON.OWNED -PROPERTY WMNGE S
AUTOS ONLY AUTOS ONLY Per
Come AGAL DeE.:$1,BOB 6
XJ UMBAEL4UAR X OCCUR XWC11549501 C01 0E101019 OR10II2020 _EACHOCCURRENCE S lo'n'CW
EXCESSUAa CI-AIMSS MADE AGGREGATE a 10M.Ow
OED X RETENTIONOEL(0) a
F WoRKERSCOMPENSITON U0.21110695319-51-R 0801019 11 X -ER TH.
AXDEMPLOYERS'LABILITY ylx -STATUTE_ER
D AN YPNOPRIETOPMARTNERIEXECUIIVE J&2N1590311951A =112019 WIY1112021) EL EACH ACCIDENT s I.M,M
B ORFNC E^X;EXCLUDED'+ FNI US2J6020BB19'II-G OBN12019 CBN11NZiI EL DISEASE EA EMPLOYEE 6 1.000.030
11Y ..u.1 (See Atl AXAPape.) ip00,000
DE SC RIPTIONOFOPERANONScnw IL OSEASE-POLICY LIMIT S
CESGLIPIIONOF MERATbX31 LOCATOXSI VEXICIES IACOII 1p1.AWMon1 WnuM[a[MtluN.nay Melh[Mtl NTon[pawM1 nyulM
RE: OHivery MOObwnln imNpaas of 509wbk riNs dErlpMeereE WboO Fiperm 1JPNa Loappre',wpNa1092wp1-tit
cam a.jac bi,tolPa,st.'a.P'Ra ry$.r mdA Wnwa1re-cEr RDallns5 Muu6tewm Iyl9dbMeaIpmka se opapm lsh'eaO mlaflamwmroIDr eUlltehUaaSperyNtl pMNM CMGE I 2ms1u 0reNtls1m3aaMell MpA,dpkumonmrg,M MfiHde Ln a InedDl uimryre mMtlp b ldCyAow nmi4N3
n1
Ron...1Mn1eDYreEdbyxypemnbed COCa1
CERTIFICATE HOLDER CANCELLATION
Cry Dl Keel SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
220 Pouts Avenue Swill THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN
Kenl,WA SEEK ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORINOREPRESENTATNE
nF Mats USA Inc.
Marsh!Mukher)ee -VLaL wn J4.AterSi,tEy
S)iSM2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN1O2326389
LOC e: Atlanta
AC Ro tie ADDITIONAL REMARKS SCHEDULE Page 2 of z
AaExc "ANEW 1Nau"ao
Mash U$A,Ix. Playme Wamn5,n Im
aea Gemxrane
POIICY NUMBER 1`.✓)RSyCare DMY$E
Fan Payne.AL36�1
URWER N .edE
EFFECTVEOPIE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORMTITLE: Cert Bcate Of Liability insurance
WaxeK'C.larsabn(C Ibn Me
U&PN1464511¢51.R(PZ,P..OR,WI)
UB M15W311W K(AKALW/ IAILINKs KYMDMIMNMOArt NCNONENVIJYOHOKPAPR$CTNT%UTVAWAWn
UBIJFJDD3¢I¢ILG(MGCOCTFLWIDILINK$MOMIMNWMFNCNHNJNMNVNYOKORPAXRl WVJ
ACORD 101 (2008101) ®2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are regiafered marks of ACORD
INSURED: PLAYCORE GROUP, INC.
EFFECTIVE DATES: 08-01-2019-08-01-2020
POLICY NUMBER: MKLV2PBC000367 COMMERCIAL GENERAL LIABILITY
CG 20 10 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance prodded under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Locations Of Covered Operations
Blanket as required by written contract Asper written contract
Information required to complete this Schedule if not shown above will be shown in the Declarations.
A. Section II—Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the pemon(s) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclusions apply.
with respect to liability for"bodily injury", "property This insurance does not apply to"bodily injury"a
damage' or "personal and advertising injury' "property damage" occurring after:
caused, in whole or in part, by:
1. Your acts or omissions; or 1. All work, including materials,parts orequipment
furnished in connection with such work, on the
2. The acts or omissions of those acting on your project (other than service, maintenance or
behalf, repairs)to be performed by or on behalf of the
in the performance of your ongoing operations for additional insured(s) at the location of the
the additional insured(s) at the location(s) covered operations has been completed; or
designated above. 2. That portion of "your work" out of which the
However injury or damage arises has been put to its
1. The insurance afforded to such additional intended use by any person or organization
insured insurance
applies to the extent permitted other than another contractor or subcontractor
Y pP P by engaged in performing operations fora princpal
law; and as a part of the same project.
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract oragreement to promde
for such additional insured.
CG 20 10 04 13 Q Insurance Services Office, Inc., 2012 Page 1 of 2
C. With respect to the insurance afforded to these 2. Available under the applicable Limits of
additional insureds, the following is added to Insurance shown in the Declarations;
Section III —Limits Of Insurance: whichever is less.
If coverage proaided to the additional insured is This endorsement shall not increase the applicable
required by a contract or agreement, the most we Limits of Insurance shown in the Declarations.
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement;or
Page 2 of 2 ® Insurance SeMces Office, Inc., 2012 CG 20 10 04 13
MSURED NAME: PLAYCORE GROUP,INC.
EFFECTIVE DATE: 08/01/2019 TO 08/012020
POLICYNUMBER: TJ-CAP.9D897063-TIL-19 COMMERCIALAUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following is added to Paragraph c. in A.1., Who between you and that person or organization, that is
Is An Insured, of SECTION II — COVERED AUTOS signed by you before the "bodily injury" or "property
LIABILITY COVERAGE in the BUSINESS AUTO damage" occurs and that is In effect during the policy
COVERAGE FORM and Paragraph e. in A.1.,Who Is period, to name as an additional insured for Covered
An Insured, of SECTION II — COVERED AUTOS Autos Liability Coverage, but only for damages to
LIABILITY COVERAGE in the MOTOR CARRIER which this insurance applies and only to the extent of
COVERAGE FORM, whichever Coverage Form is that person's or organization's liability for the conduct
pan of your policy: of another"insured".
This includes any person or organization who you are
required under a written contract or agreement
CA T4 37 02 16 ®2016 The Travelers indemnity Company.All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office.Inc.with its permission.
Account Name: Playcore Group Inc.
Effective Date: 08-01-19 to 08-01-20
TRAVELERS , WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 00 03 13(00)-
POLICYNUMBER: DE-2NIs9031-19-51-X
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
AS REQUIRED BY WRITTEN CONTRACT
DESIGNATED ORGANIZATION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED
BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS
WAIVER.
DATE OF ISSUE: - - STASSIGN:
ACCOUNT' NAME: PLAYCORE GROUP, INC.
POLICY NUMBER: TJ-CAP-9D897065-TIL-19
EFFECTIVE DATE: 08-01-2019 - 08-01-2020 COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the fallowing:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following replaces Paragraph A.S., Transfer of required of you by a written contract executed
Rights Of Recovery Against Others To Us, of the prior to any"accident'or"loss", provided that the
CONDITIONS Section: "accident" or "loss' arises out of the operations
S. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap-
am To Us plies only to the person or organization desig-
We waive any right of recovery we may have nated in such contract.
against any person or organization to the extent
CA T3 40 02 15 02015 The Travelers Indemnity Company.All rights reserved Page 1 of 1
includes copyrightetl material of Insurance services Office,Inc.with its permission.
INSURED: PLAYCORE GROUP, INC.
EFFECTIVE DATES: 08-01-2019 - 08-01-2020
POLICY NUMBER: MKLV2PBC000367 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance promded under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
As required by written contract signed by both parties prior to loss.
Information required to complete this Schedule, ifnot shown above,will be shown in the Declarations.
The following is added to Paragraph 9. Transfer Of
Rights Of Recovery Against Others To Usof Sec-
tion IV -Conditions:
We waive any right of recovery we may have against
the person or organization shown in the Schedule.
above because of payments we make for injury or
damage arising out of your ongoing operations or
'yourwork"done undera contmctwith that person a
organization and included in the 'products-compleled
operations hazard". This waiver applies only to the
person or organization shown in the Schedule above.
CG 24 04 05 09 ® Insurance Serdces Office, Inc., 2008 Page 1 of 1 13
City of Kent
Business License
.�( Yl ..♦
GAMETIME
544 CHESTNUT ST V
CHATTANOOG.A,TN 37402 -
Pleuse fear of perforation
BUSINESS LICENSE PaRCW82141rcalsala
and use mx mus be,n d
LICENSE MUST BE PAID ANNUALLY BY No: V I5 fom 111 quallfed
JANUARY 1st TO AVOID PENALTY sales WiNinth,cityor
I.suanm or Livewe Does Not Imply Liun 's K o' l
Compliance with Stet,aad Lbenl Laws
THIS LICENSE MUST BE POSTED IN A CONSPICUOUS 202� `?
PLACE.NOT TRANSFERABLE OR ASSIGNABLE
NAME AND ADDRESS OF BUSINESS
BLOC-2I90554 0.
GAMETIME MAYOR
544 CHESTNUT ST Tax Registration The City of Kent
CHATTANOOGA,TN 37402 Endorsement A�2.4THAVE.
KE:T.WASHWCTONIo)3:
A8
ozoz a avw
3AIE10A
400 Agreement Routing Form
• Far ApprovaIs,Signatures and Records Management
KE N T This form combines&replaces the Request for Mayor's S9iiature and Con[rdct cover Sheet farms.
W A 5 H I N G T O N (print on pink or cherry colored paper)
Originator: Department:
Jan Applegate Parks, Recreation & Community Services
Date Sent: Date Required:
to
06/01/2020 06/04/2020
v
CL Authorized to Sign: Date of Council Approval:
Q ❑Director or Designee ❑Mayor
Q
Budget Account Number- Grant? ❑Yes 1173 No
15106404.63180.xxxx sub 850 W
Budget? ❑Yes ❑No Type:
Vendor Name: Category:
Playcore Wisconsin, Inc. dba GameTime Contract
Vendor Number: Sub-Category:
e 90602 Amendment
v
Project Name: Engineered Wood Fiber for 13 Parks
E
v
Project Details:Delivery and blown-in installation of 509 cubic yards of engineered wood
}, fiber to 13 park locations in the City of Kent
c
m
Agreement Amount: $ 29,889.20 Basis for Selection of Contractor: Other
N
Start Date: Termination Date: 08/31/2020
m
Q
Local Business? ❑Yes 17 No*
*If meets req uirernen ts per KCC3,70.700,please complete"Vendor Purchase-Local Exceptions"form on Cityspoce.
Notice required prior to disclosure? Contract Number:
Yes 0 No CAG2020-084
Date Received by City Attorney: Comments
Cn
c
3 0
m
a �
to
m Date Routed to the Mayor's Office:
171
Date Routed to the City Clerk's Office:
Visit Documents.KentWA.gov to obtain copies of all agreements
KENT
•NgSyIh GTC
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: Playcore Wisconsin, Inc. dba GameTime
CONTRACT NAME & PR03ECT NUMBER: Engineered Wood Fiber for 13 Parks
ORIGINAL AGREEMENT DATE; 0.3f 10,UM
This Amendment is made between the City and the above-referenced Consultant or
Vendor and amends the original Agreement and all prior Amendments. All other provisions of
the original Agreement or prior Amendments not inconsistent with this Amendment shall remain
in full force and effect. For valuable consideration and by mutual consent of the parties,
Consultant or Vendor's work is modified as follows:
1. Section I of the Agreement, entitled "Description of Work," is hereby modified to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, the Consultant or Vendor shall:
No change to original "Description of Work".
2. The contract amount and time for performance provlslons of Section II "Time of
Completion," and Section III, "Compensation," are modified as follows:
` Original Contract Sum, $29,889.20
including applicable WSST
Net Change by Previous Amendments $0.00
including applicable WSST
Current Contract Amount $29,889.20
including all previous amendments
Current Amendment Sum $0.00
Applicable WSST Tax on this $Q.Qo
Amendment
Revised Contract Sum $29,889.20
AMENDMENT - 1 OF 2
Original Time for Completion 05/31/2020
(insert date)
Revised Time for Completion under
prior Amendments
(insert date)
Add'I Days Required (f) for this 90 calendar days
Amendment
Revised Time for Completion 08/31/2020
(insert date)
The Consultant or Vendor accepts all requirements of this Amendment by signing below,
by its signature waives any protest or claim it may have regarding this Amendment, and
acknowledges and accepts that this Amendment constitutes full payment and final settlement of
all claims of any kind or nature arising from or connected with any work either covered or
affected by this Amendment, including, without limitation, claims related to contract time,
contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless
otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the
guarantee and warranty provisions of the original Agreement.
All acts consistent with the authority of the Agreement, previous Amendments (if any),
and this Amendment, prior to the effective date of this Amendment, are hereby ratified and
affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this Amendment, which is binding on the parties of this contract.
IN WITNESS, the parties below have executed this Amendment, which will
become effective on the last date written below.
CONSULTANT/VENDOR: CITY OF KENT:
Whiteside.Clint.T.O Digi21ly5ign Siby
ftbt ide.CHMTORC3D1 I W9612.I Brian DigUly sign.by 9nan
RC3011009612.ID D D8renbagen
gy; Dale.2020,05 s,naza3 os oo gy• Levenhagen 1eoo:50-0r5oo
(signature) {5ignat e)
Print Name: Clint Whiteside Print Name: Brian Leven�iagen
Its Sales Administration Protect Manager Its parks.Deputy Director
(title)
DATE: 5/28/2020 DATE:
ATTEST: APPROVED AS TO FORM:
(applicable if mayor's signature required)
Dlaiblly signed by Kim
Kim Komoto K...
De le:202006.09
15 X 174oW
Kent City Clerk Kent Law Department
i
AMENDMENT - 2 OF 2