HomeMy WebLinkAboutCAG2001-0549 - Original - Integra Telecom - Fiber Optic Telecommunications License - 02/15/2001 LIMITED STREET LICENSE BETWEEN
THE CITY OF DENT AND
INTEGRA TELECOM OF WASHINGTON, INC.
THIS LIMITED STREET LICENSE ("License") is entered into between the CITY OF
KENT, a Washington Municipal Corporation ("City"), and INTEGRA TELECOM OF
WASHINGTON, INC., an Oregon Corporation("Integra").
RECITALS
WHEREAS, Integra seeks to extend a fiber optic telecommunications system in the City of
Kent; and
WHEREAS, Integra has requested that the City grant a permit to use City right-of-way to
extend its telecommunications system within the City; and
WHEREAS, the City has agreed to issue this license,which constitutes a use permit under
Chapter 35.99, Revised Code of Washington, for a telecommunications system; and
WHEREAS, the City is willing to enter into this License under the terms and conditions set
forth in this License so that Integra can commence construction of its planned transmission lines;
NOW, THEREFORE, THE CITY AND INTEGRA AGREE AS FOLLOWS:
LICENSE
1. License Granted. The City grants Integra this Limited Street License for a period
of five (5) years from the effective date of this License to install, construct, operate, maintain,
remove, repair, reconstruct, replace, use and inspect a fiber optic telecommunications system and
all related equipment("Telecommunications System")within the right-of-way in the City of Kent
along the route shown on Exhibit A, attached hereto and incorporated by this reference. In order
to complete installation of this Telecommunications System, Integra must install its system across,
along, in, upon, and under the City's right-of-ways that follow the existing US West duct system
from 196th Street to 204th Street on 68th Avenue. Integra will place fiber optic cable in the existing
duct. Integra will also install aerial fiber optic cable on Puget Sound Energy, Inc.'s existing poles
along the same route. This License is subject to all the terms and conditions established below.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 1 of 7 (Febmary 6,2001)
2. City Owned Facilities. In lieu of compensating the City for its costs to administer
this License, Integra would typically provide and install a four inch(4') conduit with pullboxes for
and on behalf of the City, at no cost to the City, in the affected City right-of-ways. However, since
Integra's interference in the City's right-of-ways is minimal. At this time, the City will waive this
condition.
3. Revocation and Termination. The intent of this License is to authorize Integra
to operate its Telecommunications System on the designated City right-of-ways,which right-of-ways
constitute a valuable property interest owned by the City. This License does not grant an estate in
the land described in Exhibit A; it is not an easement; it is not a franchise; it is not exclusive; and,
it does not exclude the City from full possession of the property described in Exhibit A. As a
license upon real property, it is revocable at the will of the City. However, prior to termination or
revocation by the City,the City shall provide Integra with at least sixty(60) calendar days written
notice of that termination or revocation. Upon the effective date of the City's termination or
revocation, the City may require Integra to remove the Telecommunications System within thirty
(30) calendar days; if Integra fails to remove the Telecommunications System within the allotted
time, the City may remove all or part of the Telecommunications System and Integra waives any
right it may have to any claim for damages of any kind incurred as a result of the City's removal of
all or part of the Telecommunications System.
4. Permits Required. The City's grant of this License does not release Integra from
any of its obligations to obtain applicable local, state, and federal permits necessary to install,
construct, operate, maintain, remove, repair, reconstruct, replace, use and inspect the
Telecommunications System. Integra's failure to comply with this Section 4 shall constitute grounds
for immediate revocation by the City.
5. Relocation. Integra shall, at its sole cost and expense,protect, support,temporarily
disconnect, relocate or remove, all or a part of its Telecommunications System when required by the
City for reasons of traffic conditions or public safety,widening or improvement of existing right-of-
ways, change or establishment of street grade, or the construction of any public improvement or
structure by any governmental agency acting in a governmental capacity,provided that Integra shall,
upon receiving approval and obtaining the necessary permits from the City,have the right to bypass
in the authorized portion of the same right-of-way, any section of cable required to be temporarily
disconnected or removed.
5.1. For the purposes of this Section 5, any condition or requirement imposed by
the City upon itself or any person or entity acting on the City's behalf, (including without
limitation, any condition or requirement imposed pursuant to any contract or in conjunction
with approvals for permits for zoning, land use, construction, or development) that
reasonably necessitates the relocation of Integra's facilities within the right-of-ways described
in Exhibit A shall be a required relocation for purposes of the previous subsection.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 2 of 7 (February 6,2001)
5.2. If the City,under its authority,causes a required relocation of all or part of the
Telecommunications System, the City, at least sixty (60) calendar days prior to the
commencement of the project requiring relocation, shall provide written notice to Integra of
the required relocation and shall provide Integra with copies of pertinent portions of the plans
and specifications for the project. After receipt of the City's notice, Integra must complete
the required relocation of its affected facilities at least ten (10) calendar days prior to the
commencement of the project requiring relocation. Integra will complete this required
relocation at no charge or expense to the City. Further, Integra's relocation shall be
accomplished in a manner that accommodates and does not interfere with the project
requiring relocation.
5.3. Integra may, after receipt of the City's written notice requesting relocation,
submit written alternatives to the City. The City will evaluate those alternatives to determine
if any of the alternatives can accommodate the work that would otherwise necessitate the
relocation of the Telecommunications System. If requested by the City, Integra will submit
additional information to assist the City in making its determination. The City will give each
alternative proposed by Integra full and fair consideration. In the event the City ultimately
determines that no reasonable or feasible alternative exists, Integra shall relocate its facilities
as otherwise provided in this Section 5.
5.4. Notwithstanding the above provisions in this Section 5, Integra may seek
reimbursement from the City for its actual relocation expenses under any one of the
following conditions:
5.4.1. If the City has required Integra to relocate these facilities at Integra's
cost within five (5)years of the date of a request for relocation;
5.4.2. If Integra holds an ownership interest of the aerial supporting
structures for its facilities, and if the City requires an aerial to underground relocation
to Integra's facilities, the City will pay the additional incremental costs of
undergrounding these facilities compared to an aerial relocation of the facilities, or
will pay those costs required in any approved tariff, if less than the additional
incremental costs;or
5.4.3. If the City requests relocation solely for aesthetic purposes.
5.5. In the event that a relocation of any of the Telecommunications System is
required by any person or entity other than the City, so long as that person or entity is not
acting on the City's behalf in conducting any of the activities described in this Section 5,
Integra shall make those arrangements,including compensation for Integra's relocation cost,
that it deems appropriate with that person or entity.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 3 of 7 (February 6,2001)
'-1 w
5.6. Notwithstanding all of the above, the City may require the relocation of the
telecommunications system at Licensee's expense in the event of an unforeseen emergency
that creates an immediate threat to the public safety,health or welfare.
5.7. The provisions of this Section 5 shall survive the expiration or termination
of this License.
6. Undergrounding. Integra shall, wherever possible, underground its
Telecommunications System. Integra shall not erect poles, run or suspend wires, cables, or other
facilities, in any area where there are no aerial facilities, or in any area in which telephone, electric
power wires and cables have been placed underground. Nevertheless, if at the time of permit
application, the City does not require the undergrounding of all or part of the Telecommunications
System, the City may, at any time while this License is in effect, require the conversion of Integra's
aerial facilities to underground installation at Integra's sole cost and expense.
6.1. Whenever the City requires undergrounding of any aerial utilities in the street
right-of-ways, Integra shall underground its aerial facilities in the manner specified by the
City concurrently with the other affected utilities. When other utilities are present and
involved in the undergrounding project,Integra shall pay its fair share of common costs born
by all utilities in addition to the costs specifically attributable to the undergrounding of
Integra's own facilities. Common costs shall include necessary costs not specifically
attributable to the undergrounding of any particular facility, such as costs for common
trenching and utility vaults. "Fair share" shall be determined for a project on the basis of the
number and size of Integra's facilities being undergrounded in comparison to the total
number and size of all other utility facilities being undergrounded.
7. Emergency. In the event of any emergency in which any portion of the
Telecommunications System breaks,becomes damaged, or in any other way becomes an immediate
danger to the property, life, health, or safety of any individual, Integra shall immediately take the
proper emergency measures to remedy the dangerous condition without first applying for and
obtaining a permit as required by this License. However, this emergency work shall not relieve
Integra from its obligation to obtain all permits necessary for this purpose, and Integra shall apply
for those permits within the next two succeeding business days.
8. Indemnification. Integra shall comply with the following indemnification
requirements:
8.1. Integra shall defend, indemnify and hold the City, its officers, officials,
employees,agents,assigns and volunteers harmless from any and all claims, actions,injuries,
damages, losses or suits, including all legal costs, witness fees and attorney fees, arising out
of or in connection with the performance of any of Integra's rights or obligations granted by
this License, but only to the extent of the negligence or comparative fault of Integra, its
employees, agents, contractors, subcontractors, consultants, subconsultants or assigns.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 4 of 7 (February 6.zoo!)
8.2. The City's inspection or acceptance of any of Integra's work when completed
shall not be grounds to avoid any of these covenants of indemnification.
8.3. These indemnification obligations shall extend to any claim, action or suit
that may be settled by compromise,provided that Integra shall not be liable to indemnify the
City for any settlement agreed upon without the consent of Integra; however, if Integra
consents to the agreed upon settlement, then Integra shall indemnify and hold the City
harmless as provided for in this Section 8 by reason of that settlement. Moreover, if Integra
refuses to defend the City against claims by third parties, Integra shall indemnify the City
regardless of whether the settlement was made with or without Integra's consent.
8.4. In the event that Integra refuses to tender defense in any claim, action or suit
by a third party pursuant to this Section 8 and if Integra's refusal is subsequently determined
by a court having jurisdiction(or such other tribunal that the parties shall agree to decide the
matter)to have been a wrongful refusal,then Integra shall pay all the City's costs for defense
of the action, including all legal costs,witness fees and attorneys' fees and also including the
City's costs,including all legal costs,witness fees and attorneys' fees, for recovery under this
indemnification clause (Section 8).
8.5. The provisions of this Section 8 shall survive the expiration or termination
of this Agreement.
9. Insurance. Integra shall procure and maintain for the duration of this License,
insurance of the types and in the amounts described below against claims for injuries to persons or
damage to property which may arise from or in connection with the performance of the work by
Integra, its agents, representatives, employees, contractors, subcontractors, consultants,
subconsultants or assigns.
9.1. Before beginning work on the project described in this License,Integra shall
provide a Certificate of Insurance evidencing:
9.1.1. Automobile Liability insurance with limits no less than $1,000,000
combined single limit per accident for bodily injury and property damage; and
9.1.2. Commercial General Liability insurance written on an occurrence
basis with limits no less than$2,000,000 combined single limit per occurrence and
general aggregate for personal injury,bodily injury and property damage. Coverage
shall include but not be limited to: blanket contractual; products/completed
operations/broad form property damage; explosion, collapse and underground
(XCLI); and employer's liability.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 5 of 7 (February 6,2001)
9.1.3. Excess Liability insurance with limits not less than $2,000,000 per
occurrence and aggregate.
9.2. Any payment of deductible or self-insured retention shall be the sole
responsibility of Integra.
9.3. The City, its officers, officials, employees, agents, assigns and volunteers
shall be named as an additional insured on the insurance policy, as respects work performed
by or on behalf of the Integra and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance.
9.4. Integra's insurance shall 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.
9.5. hitegra's insurance shall be primary insurance as respects the City, and the
City shall be given thirty (30) calendar days prior written notice by certified mail of any
cancellation, suspension or material change in coverage.
10. Modification. This License may not be modified, altered, or amended unless first
approved in writing by the City.
11. Assignment. Integra may assign all or any portion of its rights, benefits, and
privileges, in and under this License subject to and conditioned upon approval of the City, which
approval will not be unreasonably withheld or delayed. Integra shall,no later than thirty(30) days
of the date of any proposed assignment, file written notice of intent to assign the License with the
City together with the assignee's written acceptance of all terms and conditions of the License and
promise of compliance. Notwithstanding the foregoing, Integra shall have the right,without such
notice or such written acceptance, to mortgage its rights,benefits, and privileges in and under this
License to the Trustee for its bondholders and assign to any subsidiary,parent, affiliate or company
having common control with Integra so long as notice of same is provided to the City and provided
Integra remains fully liable to the City for compliance with all terms and conditions hereof until such
time as the City shall consent to such assignment as provided above.
12. Dispute Resolution; Venue; Jurisdiction. In the event of any alleged breach or
threatened breach of this License by either party and if the City and Integra are unable to cure the
breach or otherwise resolve their dispute, then final resolution of this dispute or claim shall occur
solely under the jurisdiction or venue of the King County Superior Court located in Kent,
Washington. Each party shall also be responsible for its own legal costs and attorney fees incurred
in defending or bringing that claim or lawsuit.
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 6 of 7 (February 6,2001)
13. Notice.All notices,requests,demands, or other communications provided for in this
License shall be in writing and shall be deemed to have been given when sent by registered or
certified mail,return receipt requested, addressed as the case may be, to the addresses listed below
for each party, or to such other person or address as either party shall designate to the other from time
to time in writing forwarded in like manner.
CITY OF KENT INTEGRA TELECOM OF WASHINGTON,
Attn: City Clerk INC.
220 Fourth Avenue South Attn: James H. Huesgen, President and
Kent, WA 98403 Chief Operating Officer
19545 NW Von Neumann Drive, Suite 200
Beaverton, OR 97006-6902
14. This License contains the entire agreement between the parties and, in executing it,
the City and Integra do not rely upon any statement, promise, or representation, whether oral or
written, not expressed herein.
IN WITNESS, this Limited Street License is executed and shall become effective as of the
last date signed below.
INTEGRA TELECOM OF WASHINGTON,
CITY O KENT INC.
By: Print . JAMES H. HUESGE
J WHITE, Mayor Its: President and Chief Operating Officer
DateY C. , —/g Date: Z l 131 Of
APPROVED AS TO FORM:
By: I
(A_A_�
THO AS C. BRU13AKER
Deputy City Attorney
P:ICmPFO Pa dmd 2lIntegn-Ii®Id5tra4iceue.doc
INTEGRA TELECOM OF WASHINGTON,INC.
LIMITED STREET LICENSE-Page 7 of 7 (February 6,2001)
ACOR4�. CERTIFICATE OF LIABILITY INSURANCE I °A' * "'*D/YY,
02/15/2001
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brokers Inc.-Vancouver Div HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11818 SE All Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684 COMPANY
A Great Northern Insurance Co.
INBUReO
ANY
Integra Telecom of WA,Inc. CO s
19545 NW Von Neumann Dr#200 COMPANY
Beaverton,OR 97006 C
COMPANY
TH D
COVERAGES............... .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN'ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCC- POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION OMITS
LTR DATE IMM/DONY) DATE(MWDDYYY)
A GENERALLIAbIUTY 3S751313 12/15/00 12/15/01 GENERALAOGREOATE S 2 000 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIO/AGO S 2.000A00
CUUMSMADE OOCCVR PERSONALSADVIWURY $ 5000000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE y 1000 000
FIRE DAMAGE(Ay ano lira) $ 1000 000
MED EXP(Any one coon) S 1(1000
A AVfOMOOILE LIABILITY X ANY AUTO COMBINED BINDLE OMIT y �,73254299 12/15/00 12/15/01 ,000,(100
ALL OWNED AUTOS
BODILY IWURY I
SCHEDULED AUTOS (Par peroon)
X HIRED AUTOS BODILY INJURY
X NON-OWNCD AUTOS (Por ww%rn) $
PROPERTY DAMAGE I
OARAOELIABILITf AUTO ONLY•EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY.
CACH ACCIDENT I
AOOREOAT'E y
A Bxcess uABILITY 79692109 12/15/00 12/15/01 EACH OCCURRENCE S 91000,000
X UMBRELLA FORM AGGREGATE S 91000,000
Pq OTHCR THAN UMBRELLA FORM y
WORKERS COMPENSATION AND
WC STATU• OT
EMPLOYERS'LIABILITY EL EACH ACCIDENT y
THE PRO
PARTNEREIEXECPRIETOR/VTIVE INCL EL DISEASE•POLICY LIMIT Is
OFFICERS ARE: IRI EXCL EL DISEASE-EA EMPLOYCE S
OTHER
DESCRIPTION OF OPGRATK)WLOCATNNISNEHICLUiOPECWL ITEMS
The City,its officers,officials,employees,agents,assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named Insured.
CERTIFICATE HOLDER ..................._._.. .- CANCELLATION...
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OEFOAC THe
The City of Kent EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk ,l�DAYS W NA NOTICE TO THE CERTIFICATE HOLDER MBD To THE LEFT,
220 Fourth Avenue South BUT FAILURE TO tsucm N ICE HALL IMPOSE NO OBLIDATION OR LIABILITY
Kent,WA 98403 OF ANY ION° T OM NY, ITS AGENTS OR REPREGENTATwE4
AUTHOR=RE A
ACORD 24 S�1/95) ` '` ACORD COR0ORATION'1998
S9SfESZ09EI EZ'EI TOOZrST'Hfl3
POLICY NUMBER: 35751313 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED OWNERS, LESSEES or
CONTRACTORS [Form B]
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
The City of Kent
Attn: City Clerk
220 Fourth Avenue South
Kent,WA 98403
(if no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to Include as an insured the person or organization shown In
the Schedule, but only with respect to liability arising out of'your work"for that insured by or for you.
The City, Its officers, officials,employees,agents,assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named Insured.
CG 20 10 11 85 Copyright, Insurance Service Office, Inc., 1984
C 09el fZ fT IOOZSZ'g3d
111111111101t
�1111111111811�
■iaaaa■a■■a■.aaa■■
■i■■■■aa■■■■a■aa� Jam. , ,.
lillillillllt
11111111111111
■i■■■■■■■■■■■■■■�
Ming■Ron■man
■ate
:i::::::::::::._
■i■■■■■■■■a■■■■a�
MINN
■i■■■■■■■■■■■■■■�
Minn i■■.■■■■■.■..�
NINE■■■■■■■■■■�
Minn aBoni a■aaaaaa.,
MINN■■■■■■■aa■aaaal
■■aaa■■■a■■a■a�
,, ■i■■■■■■■■■■■a■a�
fn a
W02 ++
mU x
wn s m >E
M2A F
s m i
P P P
uo"
cei-w
m ® xdsd
m
N ++p
i O
7+26
0 LAMP
N
�lJ
O
m
x
(��x n m
r n c �.Y'
��C ; 8 0�
>7 F A-A
gyr
�Q a O
Fi
> 9+16
0 Y x LAMP
x j
yil V x
O
vVL 0
cTrN
10+30
O
Q W
$�
FENCE
K.H.K /R
0+
® m
N
m C04B
N +
_ � N
� N5
w _ _ _ ___ __ »nv-
0 68TH SOUTH AVE. ASPH. —CA
V1 c.LL
u
_.7 LLL
I�, m C Z Z nK C
I'ITy� LLL MI C Q Z y m f�+ S
�+ Z g Oc
rn zox
J
y I 11+70
N P P P p POLE #315573
aY a Cwe LO I F CL. 2-80
MA � PWR 30'+
FIBER 30'-10"
w4 -Zi I I ATT. 29'-10"
RR i
o B RS-S
ppN
�1 I 13+80
N i POLE #NA
CL. 2-80
PWR 30'+
FIBER 31'-6"
I ATT. 30'-6"
14+88
LAMP
i
I15+96
' POLE NX3505
CL. 1-85
PWR 30'+
FIBER 31'-7"
ATT. 30'-7"
—R/W R/W-
16+32
TRAFFIC SIGNAL
16+84 204 SOUTH ST.
CA -�-- ASPH. — — �—
17+50 A
TRAFFIC SIGNAL y
17+80
—R/w R/W-POLE #315631
W CL. 1-85
H I PWR 30'+
FIBER 32'-0"
I ATT. 31'-0"
C
C�]I
S:
20+35
POLE #315646 O
DO NOT ATT.
x'
20+52
POLE /315648
y CL 1-BS
V] PWR 30'+
'TJ FIBER 31'-10`
R r�i ATT. 30'-10"
0
i
23+34
F I POLE #315682
lip CL. 1-85
PWR 30'+
FIBER 31'-3"
iATT. 30'-3"
i
o �
� c
y�7
g0�9,
m$ I 26+46
m N POLE #315713
CL 1-65
PWR 30'+
In m FIBER 31'-1"
D i ATT. 30'-1"
A
m �
rn
m` I AE
� � I
SEE SHT. 4 OF 5
m Lcq
LLL
In Z
Ip a pp —1—
� y� \+/ n $� Z wZ Comm
lP 'oat# A ire orNf o Mmo�
8 I Qi 2E >
9 SEE SHT. 3 OF 5
euex 26+46
POLE #315713
@ a � `48 � PWR 30'+
0 FIBER
PEl-z I ATT.
Prn 0
PMI 0
mu
PM4
g R3-4 I POLE #315736
CL. 1-80
PWR 30'+
FIBER 32'-6"
31+64 i i ATT. 81'-6"
TRAFFIC SIGNAL
L
—R/W i
i
I
322+16 200 SOUTH ST_
ASPH.
I
32+46
POLE /X3121
-R/W CL. 1-80
a I PWR 30'+
32+62 ,53 .¢. FIBER 33'-4"
TRAFFIC SIGNAL e I ATT. 82'-4"
i
lk
I
O 35+48
CO POLE #315806
e y CL. 1-80
PWR 30'+
FIBER I 2 "ATT. 28'-0'-0"
I
Cn I
OI
38+40
POLE #3158340
CL. 1-80
PWR 30'+
FIBER 29'-10"
C b I ATT. 28'-10"
s � I
F�tl I 41+34
POLE #315852
CL. 1-80
PWR 30'+
FIBER 30'-9"
ATT. 29'-9"
W I
g 08 O
A> 42+76
y
POLE A
g CL. 1 B
PWR 330'
g + I FIBER 0`-4"
m ° ATT. 29'-4"
A
> I
x g ` 42+98
i I ® I STORM DRAIN
i,
SEE SHT. 5 OF 5
LLL
m LLLL
E m RV� ti X yC y C'J
0G K ~ ~ O S
T OA 0`v ~ ~ �' N ~ --1-
mZ
� tl - + 7C
CD z
O;0
UD(W-4) L 3E g I f
z
um —R/W g I R/W-
m
m ,
N
0 68TH SOUTH AVE.
—�— . — — ASPH. �—
8 CONC. S W 6 CONC. S
w ® .¢ MD
U o 43+48
—R W I R/W— P.O.T.
i
^ r
FF 43+70
�? PWR POLE
1
m � i
43+88 n m n
GAS M.H. O m
Z]� P N I ❑T
44+20
i
GAS VALVES 00
o
O m
v 1 44+BO �
GAS VALVEco
,
cI
o O)i0
o pi
C
> y
D x, A
45+38
CULV. y I f
455++62 GRVL. GRVL.
CA
ro'
O
a
I
i
g 46+28 i
(n U.S.W. M.H. aII.
� F I
46+46
�2=j ASPH. GRVL. 1 P.O.T.
�pyp prp 1yA z
I
a5� I
pe
y> 9
A� O
t�• LLL N O ti 4
m LL LL A4�• Z H m O Z 2
zn-
o m � o
ulN rn-
1F1
S i Fl m cmiC
n Qi Qi C ZED
V N 2V
M
AC D,M ''CERTIFICATE :OF LIABFLIT fNSURAI CE 02/1`5/00'
. £ !K?' 9 -
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brokers Inc. -Vancouver Div ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11818 SE Mill Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684
COMPANY
A Great Northern Insurance Co.
INSURED COMPANY
Integra Telecom of WA,Inc. B
19545 NW Von Neumann Dr#200 COMPANY
Beaverton,OR 97006 C
COMPANY
TH D
L ,•. �° c ( i'a,'iEi )'� hi r »i n is i,
" 4 ,' a ai,Isc' i iA.i -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UNITS
LTR DATE(MWDD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY 35751313 12/15/00 12/15/01 GENERALAGGREGATE $ 2,000,000
X COMMERCIALGENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2000000
CLAIMS MADE Fx—I OCCUR PERSONAL&ADV INJURY $ 5,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000 000
FIRE DAMAGE(Any one fire) $ 1.000.000
MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY
X ANY AUTO 73254289 12/15/00 12/15/01 COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
X NON-OWNEDAUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
A EXCESS LIABILITY 79692109 12/15/00 12/15/01 EACH OCCURRENCE $ 9,000,000
X UMBRELLA FORM AGGREGATE $ 9,000,000
OTHER THAN UMBRELLA FORM $
WC STATU- OTH-
WORKERS COMPENSATION AND T Y M T ER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $
THE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT $
PARTNER&EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The City,its officers,officials,employees,agents,assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named insured.
J w.. ,6 1,11 lic ll 1111 4 C) S «,.P 4 yii , �I� i. ti�^i + .v x x w r'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Kent EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk 45 DAYS WRITT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
220 Fourth Avenue South BUT FAILURE 70 SUCH N CE HALL IMPOSE NO OBLIGATION OR LIABILITY
Kent,WA 98403
OF ANY KIND ON T OM ITS AGENTS OR REPRESENTATIVES.
' �• I I ... ry ! r, AUTHORIZED REPR�• �I
F04 .1 . 1 11
POLICY NUMBER: 35751313 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES or
CONTRACTORS [Form B]
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
The City of Kent
Attn: City Clerk
220 Fourth Avenue South
Kent, WA 98403
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in
the Schedule, but only with respect to liability arising out of "your work"for that insured by or for you.
The City, its officers, officials,employees, agents, assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named Insured.
CG 20 10 11 85 Copyright, Insurance Service Office, Inc., 1984
.:. .: DATE(MWDIXYY)
A RD. � a" F �E .. R41 01/29/2001
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF
INFORMATION-ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brokers Inc. -Vancouver Div ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11818 SE Mill Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684
COMPANY
A Great Northern Insurance Co.
INSURED COMPANY
Integra Telecom of WA,Inc. B
19545 NW Von Neumann Dr#200 COMPANY
Beaverton,OR 97006 C
COMPANY
TH D
III I , a, o !i II ' iI �i - � ;I; I :. Ifl ..Ig II ?p� �
.: :� � I i .. :n t ( � ,, i 6,:.I I .'; I I I d.m Ili �
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UNITS
LTR DATE(MM/DDlYY) DATE(MM/DONY)
A GENERAL LIABILITY 35751313 12/15/00 12/15/01 GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2000000
CLAIMS MADE Fx—I OCCUR PERSONAL&ADV INJURY $ 5,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000 000
FIRE DAMAGE(Any one fire) $ 1000000
MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY
X ANY AUTO
73254289 12/15/00 12/15/01 COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per Person) $
X HIREDAUTOS BODILY INJURY
X NON-OWNEDAUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE UABIUTY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $
A EXCESS LIABILITY 79692109 12/15/00 12/15/01 EACH OCCURRENCE $ 9,000,000
X UMBRELLA FORM AGGREGATE $ 9,000,000
OTHER THAN UMBRELLA FORM $
ATUTH-
WORKERS COMPENSATION AND WCS V I IT LIMIT ER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Work performed for Certificate Holder during policy term,subject to policy
conditions,limitations and exclusions.
' , r III
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Kent EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk 45 DAYS WR EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
220 Fourth Avenue South BUT FAILURE TO L SUCH TI SHALL IMPOSE NO OBLIGATION OR LIABILITY
Kent,WA 98403
OF ANY KIND PON E CO ANY, ITS AGENTS OR REPRESENTATIVES.
j AUTHORIZED REP Ni TI
7 4I I]
ACORDM C ERTI FIrATE OF LIABILI SURANCE DATE(MM/DD(YY)
12/18/2000
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brokers Inc. -Vancouver Div ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11818 SE Mill Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684
COMPANY
A Great Northern Insurance Co.
INSURED COMPANY
Integra Telecom of WA,Inc. B
19545 NE Von Neumann Dr#200 COMPANY
Beaverton,OR 97006 C
COMPANY
TH D
M V g „ yy , w
�L It 161 § � x)Y
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MNVDWYY) DATE(MM/DD/YY)
A GENERAL LIABILITY 35751313 12/15/00 12/15/01 GENERAL AGGREGATE $ 2,000,000
}[ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000
CLAIMS MADE NI OCCUR PERSONAL&ADV INJURY $ 5,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000 000
FIRE DAMAGE(Any one fire) $ 1000 000
MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO 73254289 12/15/00 12/15/01
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
A EXCESS LIABILITY 79692109 12/15/00 12/15/01 EACH OCCURRENCE $ 9,000,000
X UMBRELLA FORM AGGREGATE $ 9,000,000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STATU- OTR-
TDRY
R
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Work performed for Certificate Holder during policy term,subject to policy
conditions,limitations and exclusions.
mg
CERTIFIC. .;
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Kent EXPIRATION DATE THER OF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk DAYS WRITTEN TICE TO 7 E C 71FlCATE HOLDER NAMED TO THE LEFT,
220 Fourth Avenue South BUT FAILURE TO MAI CH N C SH L IMPOSE NO OBLIGATION OR LIABILITY
Kent,WA 98403
OF ANY KIND UP THE ITS AGENTS OR REPRESENTATIVES.
AUTHORED REPRES E IF
° L' F " 4Y 5 R� & ( �' ° :I r9 i, 3 x- 97 0
ACQRp zS IG "�;I" : I�, � a ,11 ,1 r ,. .. d ry � � rri s
DATE(MM/DD/YY)
T. OURAN I
12/18/2001
ACORD 'i E 01
WT
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brokers Inc. -Vancouver Div ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
11818 SE Mill Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684 COMPANY
A Federal Insurance Company
INSURED
Integra Telecom of WA,Inc. COMP BANY Northwestern Pacific Indemnity
19545 NE Von Neumann Dr#200
COMPANY
Beaverton,OR 97006 C
COMPANY
V-C D
COVERAdii, .......
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IC9- POLICY EFFECMVE- POLICY EXPIRATION
LTR DATE(MMJD0fYY) DATE(MR&`D�Y) LIMITS
A GENERAL LIABILITY 35348475 12115/01 12/15102 GENERAL AGGREGATE $ 2,0 0,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000.000
CLAIMS MADE 1XI OCCUR PERSONAL&ADV INJURY $ 5,000,000
— OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 11000,000
FIRE DAMAGE(My one fire) $ 11000,000
I MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY
x ANY AUTO 73254289 12/15101 12/15/02 COMBINED SINGLE LIMIT $ 1,000,000
ALL 0WNEDAUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
$
X HIREDAUTOS
BODI LY INJURY
NON OWNED AUTOS (Per ..id.nt) $
PROPERTY DAMAGE $
GARAGE UABIUTY AUTO ONLY-EAACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
B EXCESSUABIUITY 79692109 12/15/01 12/15/02 EACH OCCURRENCE $ 9,000,000
UMBRELLA FORM AGGREGATE $ 9,000,000
OTHER THAN UMBRELLA FORK $
WORKERS COMPENSATION AND WC ST ATU- I JOTH'
EMPLOYERS'LINBILITY TORYIMITS ER'
EL EACH ACCIDENT
T
THE PROPRIETOR/ INCL EL A E C
Y LIMIT
PARTNERS/EXECUTIVE -W' I's
OFFICERS ARE EXCL EL DISEASE EA EMPLOYEE1 $
OTHER
I I I
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESMPEEIAL ITEMS
The City,its officers,officials,employees,agents,assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named insured.
OERtFldATEHOLDO"� � , �—' -- 1 11 " "�:!i
CANC# 1, 1 I� !'I
, , A�ATION' ' .......
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Kent EXPIRATION DATE THEREOF, ME ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk 45 220 Fourth Avenue South DAYS WRITTEN NOT1CjTCC THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Kent,WA 98403 BUT FAILURE TO M ICE SHALL IMP NO OBLIGATION OR LIABILITY
OF ANY KIND U OMPAWY, 11 ENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
00)
11400"DO-A 159760
, 00 CORPORATION 1886
Liability Insurance
Endorsement
PWkypedod 12/15/01-12/15/02
EAeGfve Date 12/15/01
Policy Number
35348475
Insured
Integra Telecom of WA, Inc.
Name of Company
Federal Insurance Company
Date Issued
. —1218/01
-r its Endorsement applies to the following forms:
�rvws�nn.w�wnw¢o+:.cumnww�iAciownmv ....• ..•t ' :.,!_ 'v�+nni.een++m�vanmmnmr xxn+Ti'mmnxuva.�mr.«mm���mv,�v.n...wnun.......awoi.�+vvuwuux.�n.v«mu:��numrvuun��n�n+wm:��n .
Under Who Is Insured, the roupwing provision is added:
14140 Is Insured
O vners,Lessees Or Any person or organization designated below is an insured,but only with respect to their liability
Ci�nlractorS as owner, lessee or contractor arising out of your ongoing operations performed for that insured.
Designated Owner, Lessee Or(:ontrdc:or
The City of Kent
220 Fourth Avenue South
.- - -- _—_— --XeUt,.-WA 9B_403 -- — -- - ------ --- -
All other tents and conditions remain unchange^dd-
4athodred Repreaer17ative
LiaD;ty Insurance Addllional Imurad-Owners,Lessens tr Conrraem a last papa
Forn 80-07-270yEd.a-gq) Endorsemonl _
Pago r
t3 { I I{I f
IIII ACORD., ��II�I II1�C811111��11'Nill�l iiii6izooi Lin ' + ,n rznnnwni,Lail•IORp•IUNUnRO,tH•++iAUI{ili9iiiUlb i9tiilNpl{Ai{IIINiIUIlI 1 ! S' x4 „b;, t,h•nafil•fn uP
1. { I
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Brokers Inc. - Vancouver Div ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
11818 SE Mill Plain Blvd#106 COMPANIES AFFORDING COVERAGE
Vancouver,WA 98684
COMPANY
A Federal Insurance Company
INSURED
COMPANY
Integra Telecom of WA,Inc. B Northwestern Pacific Indemnity
19545 NE Von Neumann Dr#200
Beaverton,OR 97006 COMPANY
COMPANY
DAP D
uunlnunitnl!i l ew i ltplU.{tUlU11 m i i i l tfpt t11ii! { !( !J 6 I Iii 111 itN fi N till NN!liugf x{ y I II 3 4i 1(I !i +t • t+„i� i f.AtfNtit,,ifiifiVitwfltttNflUU9filiiilMllpNif{ifkt{Niiilii 11!!ii ! I!{ Vllii i{i !111 lNlt+ll.n.UUl,MI. lit.{ filildliki ill M{ Nit{IMI11{t!d{tilt{NVihiiiViiliiiii{jp{}y{pbet�+l41,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
Co- TYPE OF INSURANCE POLICYNUMBER - VBLICY-FFF aC't LIMBS ,_
LTR DATE(MM/DDIYY) DATE(MMTOPIFY)
A GENERAL LIABILITY 35348475 12/15/02 12/15/03 GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OPAGG $ 2000000
CLAIMS MADE Fx—I OCCUR PERSONAL&ADV INJURY $ 5,000,000
OWNER S&CONTRACTORS PROT EACH OCCURRENCE $ 1000 000
FIRE DAMAGE(Any one fire) $ 1000000
MED EXP(Any one person) $ 10,000
A AUTOMOBILE LIABILITY
X ANY AUTO
73254289 12/15/02 12/15/03 COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACHACCIDENT $
AGGREGATE $
B EXCESS LIABILITY 79692109 12/15/02 12/15/03 EACH OCCURRENCE $ 91000,000
X UMBRELLA FORM AGGREGATE $ 9,000,000
OTHER THAN UMBRELLA FORM - - - - __ - __ - - - __ —_ - - - ----
WORKERS COMPENSATION AND TWO STATU- OTH ,I
EMPLOYERS'LIABILITY T RV IMIT
EL EACH ACCIDENT $
THEPROPRIETOR/ INCL EL DISEASE-POUCY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE F1 EXCL EL DISEASE-EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECML ITEMS
The City,its officers,officials,employees,agents,assigns and
volunteers shall be named as Additional Insureds as respects work performed
by or on behalf of named insured.
tS� •, '! xII i:nlIIEI�I�1IIi nnm 't1tlGlfll{7{ I ' +•jiIII{�{����� In Ii3tl „ {;31itlI�IIN r, it;�{II{� s{s Ii�147l
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The City of Kent EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: City Clerk 45 220 Fourth Avenue South DAYS WRITTEN NOTICE O THE CERTIFIC E HOLDER NAMED TO THE LEFT,
Kent,WA 98403 BUT FAILURE TO MAIL SUCH N CE SHALL 1 NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE MP S OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
em 1�1II1l1'!iNi 76
i`! i
Liability Insurance
Endorsement
PWkYPmfod 12/15/02 - 12/15/03
E1red*@Datd 12/15/02
Po(kyNumber 35348475
Insured Integra Telecom of WA, Inc.
NameofCompany Federal Insurance Co.
Date Issued 12/17/02
Y da Endorsement applies to the lbllowing forma:
Under Who Is Insured, the following provision is added:
14 ho /s Insured
O vners,Lessees Or Any person or organrr mton demgnated below is an insured,but only with respect to their liability
0 infractors a owner, lessee or contractor artatng out of your ongoing operations performed for that insured.
Dc%ignated Owner, Ucssee Or Contractor
The City of Kent, its officers, officials,
employees, agents, assigns and volunteers
All other tens and conditions remain unchanged
qufhonred Represonglns
'-'-P" oar paps
LIDO,4y Insurance Medicinal Insurod-Ownors,Lessens Of Conlracron _
powFora &rat-230!'Ed 4-94) Endorsemont 7
Client#:92127 INTETELE
ACORQ CERTIFICATE OF LIABILITY INSURANCE 1DATE W
2/10/03G '
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brokers,Inc.-Vancouver CL HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1406 SE 164th Ave,#200
Vancouver,WA 98683 INSURERS AFFORDING COVERAGE NAIC III
INSURED INSURER A. FEDERAL INSURANCE COMPANY
Integra Telecom of WA, Inc. INSURER B NORTHWESTERN PACIFIC INDEMNITY
19545 NW Von Neumann Dr#200 INSURER C GREAT NORTHERN INS.CO.
Beaverton,OR 97006 INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSH T TYPE OF INSURANCE POLICY NUMBER POT Y EFFECTIVEP EXPIRATION LIMITS
A GENERAL LIABILITY 35348475 12/15/03 12/15M4 MHOCCURRENCE $1000000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED
CLAIMS MADE 111 OCCUR MED EXP(Any one rsm) $10 000
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $2 000 000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPA)P AGG $2 000 000
17 POLICY PRO- LOC
A AUTOMOBILE LIABILITY 73254289 12/15M3 12/15M4 COMBINED SINGLE LIMIT
X ANY AUTO (Ea acadenq $1,000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per paon) $
rs
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per acciderd)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG S
B EXCESSIUMBRELLA LIABILITY 79692109 12/15/03 12/15/04 EACH OCCURRENCE $1 000 000
OCCUR CLAIMS MADE AGGREGATE $1 000 000
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WC STATU- OTH-
_ _ EMPLOYERS'LIABILITY_ _ _ _ _ _ _ _ _ __ _ - _ __ ___ _.---
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIt $
OFFICER/MEMBER EXCLUDED? E L DISEASE-EA EMPLOYEE $
II ems,deecnbe under
PECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $
C OTHER Personal& 35751313 12/15/03 12MSM4 $51000,000
Advertisinglnjury
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
The City,its Officers,Officials,Employees,Agents,Assigns and
Volunteers shall be named as Additional Insureds as respects work
performed by or on behalf of named Insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
The City Of Kent DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL --45_ DAYS WRITTEN
Attn:City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED TO THIS LEFT,BUT FAILURE TO DO SO SHALL
220 Fourth Avenue South IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND NTHE INSURER, AGENTS OR
Kent,WA 98403 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08)1 of 2 #S17140/M17139 JXG00 ACORD FX140RATION 1988
Liability Insurance
Endorsement
Policy Period 12/15/03—12/15/04
Effective Date 12/15/03
Policy Number 35348475
Insured Integra Telecom of WA,Inc.
Name of Company Federal Insurance Co.
Date Issued 12/10/03
This Endorsement applies to the following forms
Under Who Is An Insured,the following provision is added
Who Is An Insured
Owners, Lessees Or
Contractors Any person or organization designated below is an insured;but they are insureds only with respectto
their liability as owner,lessee or contractor arising out of your ongoing operations performed for that
insured
Designated Mortgagee,Assignee or Receiver
The City of Kent,Its Officers,Officials,Employees,Agents,Assigns
and Volunteers
All other terms and conditions remain unchanged
Authorized Representgrve
Liability Insurance Additional Insured—Owners,Lessees or Contractors
Form 80-02-2305(Rev 4-01) Endorsement Page 1
__ Client#:92127 INTETELE
A ORDTe CERTIFICATE OF LIABILITY INSURANCE 12110/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bratrud Middleton Pfisurance - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brokers,Inc.=rVancouve;CL_ HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
1406 SE 164th Ave,#200
Vancouver,WA 98683 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA FEDERAL INSURANCE COMPANY
Integra Telecom of WA, Inc. INSURERS NORTHWESTERN PACIFIC INDEMNITY
19545 NW Von Neumann Dr#200 INSURERC GREAT NORTHERN INS.CO.
Beaverton,OR 97006 INSURER D
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEENISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TR TYPE OF INSURANCE POLICYNUMBER POLICY EC POLICY IRATION DATE IMM1DDtYY1 DATE GM=DnM LIMBS
A GENERAL LIABILITY 35348475 12115/03 12/15/04 EACHOCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1 OOO DOD
CLAIMS MADE F—R OCCUR MED EXP(Any one person) $10 000
PERSONAL&ADV INJURY $
GENERAL AGGREGATE s2,000,000
GERI.AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $2000000
POLICY jR0 LOC
A AUTOMOBILE LIABILITY 73254289 12/15/03 12/15/04 COMBINED SINGLE LIMIT
X ANY AUTO -- (Ea accident) $1,000,000
ALL OWNED AUTOS BODILY
THIS CERTIFICATES PERSEDES Perper on) $
— SCHEDULED AUTOS - -- (Per parson)
X HIRED AUTOS
PREVIOUSLY ISSUE CERTIFICA E.
X NON-OWNED AUTOS BODILY INJURY $
PLEASE REPLACE T AT CERTIFICATE (Per
PROPERTY DAMAGE $
WITH THIS QNL (Per acddent)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
B EXCESSIUMBRELLA LIABILITY 79692109 12/15/03 12/15104 EACH OCCURRENCE $1 00D 000
OCCUR CLAIMS MADE AGGREGATE $1 DOO ODO
E
DEDUCTISLE�,�
RETENTION $ $
WORKERS COMPENSATION AND WC STATU• OTH-
EMPLOYERS'LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT S
OFFICERIMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $
If yes describe under
SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT Is
C OTHER Personal& 35751313 12/15/D3 12/15/04 $1,000,000
Advertisinglnjury
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
The City,its Officers,Officials,Employees,Agents,Assigns and
Volunteers shall be named as Additional Insureds as respects work
VbYtormed by or on behalf of named Insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
The City Of Kent DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _AS— DAYS WRITTEN
Attn:City Clerk NOTICE TO THE CERTIFICATE HOLDER NAMED O THE LEFT,BUT FAILURE TO DO SO SHALL
220 Fourth Avenue South IMPOSE NO OBLIGATION OR LIABILITY OF ANY IND UPON THE INS R,ITS AGENTS OR
Kent,WA 98403 REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
ACORD 2512001108)1 Of 2 #S17140/M17139 JX 00 0 AC RPORATION 1988
Liability Insurance
Endorsement
Policy Period 12/15/03—12/15/04
Effective Date 12/15/03
Policy Number 35349475
-�Instred Integra Telecom of WA,Inc.
Name of Company Federal Insurance Co.
Date Issued 12/10/03
This Endorsement applies to the following forms.
I
Under Who Is An Insured,the following provision is added
Who Is An Insured
Owners,Lessees Or
Contractors Any person or organization designated below is an inwred;but they are msurWs only with respectm
their liability as owner,lessee or contractor arising out of your ongoing operahms performed for that
F insured.
Designated Mortgagee,Assignee or Receiver
The City of Kent,Its Officers,Officials,Employees,Agents,Assigns�
All other terms and conditions remain unchanged.
Authorized RepresentRrve
Liability Insurance Additional Insured—Owners,Lessees or Contractors
Form 80-02-2305(Rev 4-01) Endorsement Page 1
t