HomeMy WebLinkAboutCAG2021-287 - Original - J.A Brennan Associates PLLC - Chestnut Ridge Park Renovation Design & Support - 06/22/20216/17/21
, PLLC
OK to sign, 6/17/2021, TW.
CAG2021-287
6/17/21 6/22/21
KENT
CONSULTANT SERVICES AGREEMENT
between the City of Kent and
J.A. Brennan Associates RLLC
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter
the "City"), and ].A. Brennan Associates PLLC organized under the laws of the State of Washington, located
and doing business at 2701 First Avenue, Suite 510, Seattle, WA 98121 (hereinafter the "Consultant").
I. DESCRIPTION OF WORK.
The Consultant shall perform the following services for the City in accordance with the following
described plans and/or specifications:
As described in attached Exhibit A, incorporated herein, consultant shall provide design
services for Chestnut Ridge Park Renovation. Services shall include preliminary through final
design, construction plans and specifications, bid assistance and construction support.
The Consultant further represents that the services furnished under this Agreement will be performed
in accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement. The Consultant shall complete the
work described in Section I by 12/31/2021.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed
$48,902.00, for the services described in this Agreement. This is the maximum amount to
be paid under this Agreement for the work described in Section I above, and shall not be
exceeded without the prior written authorization of the City in the form of a negotiated and
executed amendment to this agreement. The Consultant agrees that the hourly or flat rate
charged by it for its services contracted for herein shall remain locked at the negotiated rate(s)
for a period of one (1) year from the effective date of this Agreement. The Consultant's billing
rates shall be as delineated in Exhibit A.
B. The Consultant shall submit monthly payment invoices to the City for work performed, and a
final bill upon completion of all services described in this Agreement. The City shall provide
payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any
portion of an invoice, it shall notify the Consultant and reserves the option to only pay that
portion of the invoice not in dispute. In that event, the parties will immediately make every
effort to settle the disputed portion.
C. Card Payment „Program, The Consultant may elect to participate in automated credit card
payments provided for by the City and its financial institution. This Program is provided as an
alternative to payment by check and is available for the convenience of the Consultant. If the
Consultant voluntarily participates in this Program, the Consultant will be solely responsible
CONSULTANT SERVICES AGREEMENT -
(Over $20,000)
for any fees imposed by financial institutions or credit card companies. The Consultant shall
not charge those fees back to the City.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor -
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Consultant has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Consultant maintains and pays for its own place of business from which the
Consultant's services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained the Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Consultant is responsible for filing as they become due ail necessary tax
documents with appropriate federal and state agencies, including the Internal Revenue
Service and the state Department of Revenue.
The Consultant has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by the
Consultant's business, and has obtained a Unified Business Identifier (UBI) number
from the State of Washington.
The Consultant maintains a set of books dedicated to the expenses and earnings of its
business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement. After termination, the City may take possession of all records and data within the
Consultant's possession pertaining to this project, which may be used by the City without restriction. If the
City's use of the Consultant's records or data is not related to this project, it shall be without liability or legal
exposure to the Consultant.
VI. FORCE MA]EURE. Neither party shall be liable to the other for breach due to delay or failure
in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood,
or other natural disaster or acts of government ("force majeure event"). Performance that is prevented or
delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent
to the other that at the time of signing this Agreement, they are able to perform as required and their
performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing
state or national declarations of emergency, or any current social distancing restrictions or personal
protective equipment requirements that may be required under federal, state, or local law in response to
the current pandemic.
If any future performance is prevented or delayed by a force majeure event, the party whose
performance is prevented or delayed shall promptly notify the other party of the existence and nature of
the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be
effective only to the extent and duration of the force majeure event causing the prevention or delay in
performance and, provided, that the party prevented or delayed has not caused such event to occur and
continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation.
Notwithstanding other provisions of this section, the Consultant shall not be entitled to, and the City
shall not be liable for, the payment of any part of the contract price during a force majeure event, or any
costs, losses, expenses, damages, or delay costs incurred by the Consultant due to a force majeure event.
CONSULTANT SERVICES AGREEMENT - 2
(Over $20,000)
Performance that is more costly due to a force majeure event is not included within the scope of this Force
Majeure provision.
If a force majeure event occurs, the City may direct the Consultant to restart any work or
performance that may have ceased, to change the work, or to take other action to secure the work or the
project site during the force majeure event. The cost to restart, change, or secure the work or project site
arising from a direction by the City under this clause will be dealt with as a change order, except to the
extent that the loss or damage has been caused or exacerbated by the failure of the Consultant to fulfill its
obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be
borne by the Consultant.
VII. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national
origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who
is qualified and available to perform the work to which the employment relates. The Consultant 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.
VIII. INDEMNIFICATION. The Consultant shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Consultant's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of the Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
then, in the event of liability for damages arising out of bodily injury to persons or damages to property
caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials,
employees, agents and volunteers, the Consultant's duty to defend, indemnify, and hold the City harmless,
and the Consultant's liability accruing from that obligation shall be only to the extent of the Consultant's
negligence.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event the Consultant refuses tender of defense in any suit or any claim, if that tender was
made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court
having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then
the Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal
on the Consultant's part.
The provisions of this section shall survive the expiration or termination of this Agreement
IX. INSURANCE. The Consultant 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.
X. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable
accuracy of any information supplied by it to the Consultant for the purpose of completion of the work under
this Agreement.
XI. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings,
designs, reports, or any other records developed or created under this Agreement shall belong to and
CONSULTANT SERVICES AGREEMENT - 3
(Over $20,000)
become the property of the City. All records submitted by the City to the Consultant will be safeguarded by
the Consultant. The Consultant shall make such data, documents, and files available to the City upon the
City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records
Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to
cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The
City's use or reuse of any of the documents, data, and files created by the Consultant for this project by
anyone other than the Consultant on any other project shall be without liability or legal exposure to the
Consultant.
XII. CITY'S RIGHT OF INSPECTION. Even though the Consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the City and shall be subject to the City's general right of
inspection to secure satisfactory completion.
XIII. WORK PERFORMED AT CONSULTANT'S RISK. The Consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at the Consultant's own risk, and the Consultant shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XIV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
B. Non -Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; roovided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section VIII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non -assigning party shall be void. If the non -assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be made
without additional written consent.
F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement
shall be binding unless in writing and signed by a duly authorized representative of the City and the
Consultant.
CONSULTANT SERVICES AGREEMENT - 4
(Over $20,000)
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part of
or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to the Consultant's
business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of
the performance of those operations.
I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes,
emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may
be subject to public review and disclosure, even if those records are not produced to or possessed by the
City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties
and obligations under the Public Records Act.
I City Business License Re iced. 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.
CONSULTANT SERVICES AGREEMENT - 5
(Over $20,000)
06/22/2021
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
directives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2
2. During the time of this Agreement I will not discriminate in employment on the basis of sex,
race, color, national origin, age, or the presence of all sensory, mental or physical disability.
3. During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
9a�vice�,4. 8�e��u�z
By James A. Brennan (Jun 16, 202113:08 PDT)
For: J.A. Brennan Associates, PLLC
Title: Principal
Date: Jun 16, 2021
EEO COMPLIANCE DOCUMENTS - 1
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
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
Exhibit A
EXHIBIT A
May 18, 2021
Scope of Work
Chestnut Park Improvements
Prepared For:
'A0
landscape Architects & Planners
100 S. King Strecr, Saute 200, Seattle, WA 98104
t.206.583-0620 f.206.583.0623
www.jabrennan.com
City of Kent - PARKS, RECREATION & COMMUNITY SERVICES
Terry Jungman
Parks Planning and Development Manager
220 4th Avenue South
Kent, WA 98032
Fax: 253-856-6050
Phone: 253-856-5110
Description: This scope of work includes the production of a design development and a contract
document package for Chestnut Park for the City of Kent Parks, Recreation and Community
Services (Parks).
This process includes the following project elements:
• Site planning proposed park play elements including swing set and feature elements
associated with existing loop path such as outdoor workout equipment.
■ Improve accessible design of pathways.
• Site planning a scramble or discovery path stair feature connecting park open space to
forested grove.
• Coordinating with Parks and play vendor on product selection for play elements.
• Irrigation
■ Planting design
Refer to Exhibit B for fee spreadsheet breakdown by task.
Task A — Administration/ Coordination
Administration tasks include meeting coordination, scheduling, and contract administration.
Task B -- Site Inventory & Analysis
This task will include visiting the site to assess existing site conditions and meeting with Parks.
Existing site data and City Codes will be reviewed for landscape requirements and an existing
EXHIBIT A (Continued)
conditions base plan will be prepared from a combination of survey, and field verification of
existing features.
CAD Survey will be provided by Parks.
Park program will be reviewed and verified.
Deliverables
■ As identified in the fee matrix
Task C — Design Development 30% Desiin
The design development submittal will apply technical expertise to create design solutions to the
concept plan design work prepared in 2020 and finalized in April 2021. JAB will create a design
development submittal that will be primarily Auto -cad -drafted, although some information may
be hand -drawn. Draft and final site plant will be completed as a method to convey design
feasibility and finished project character. A preliminary square -footage level cost estimate will
be provided for the design development plan.
Deliverables
• As identified in the fee matrix
Task D —90% & 100% Plans Specs and Estimate PSE
Construction documents will be submitted once for client review prior to issuing final
construction documents. Submittals will be provided at 90% and 100% (bid -ready) design
completion. The 90% and 100% submittals will include plans, general notes and estimate of
probable construction costs.
Deliverables
• As identified in fee matrix
Task E- Bid Surmort
Provide assistance to Parks during the public bid process, including answering contractor's
questions during bidding, and issuing addenda if necessary.
Deliverables
• As identified in the fee matrix
Task F- Construction Su ort
Parks will lead the construction management, J.A. Brennan will support construction
management by reviewing and responding to submittals, requests for information (R.F.I.),
providing back-up documentation for the City's issuance of modification proposals, attending a
limited number of site review meetings, preparing a punch list prior to Substantial Completion,
and reviewing completed construction to ensure "punch list" items have been corrected prior to
2
EXHIBIT A (Continued)
Final Acceptance. Prepare electronic media record drawings incorporating contractor's "as -
built" drawings.
Deliverables
• As noted in the fee matrix
Scope Assumptions
1. Parks will provide CAD survey file with existing condition site features including
topography and spot elevations. Survey of project site will be provided by Parks; JA
Brennan will provide input to site survey needs.
2. Base map preparation is limited to the hours identified in Exhibit B.
3. City of Kent Title block, 22" x 34" will be used in the sheet setup.
4. Contract documents will be limited to pathway circulation improvements, limited play
area improvements, scramble path with associated site grading. Play vendor and parks
will provide all selection of play products.
5. Parks will lead any permit support needs with the City of Kent. 90 or 100% drawings for
permits, and up to 1 plan revision.
6. Structural calculations are not anticipated for design of project elements.
7. J.A. Brennan does not provide contaminated soils remediation services. No contaminated
soils are anticipated on site.
8. A maximum allowable construction cost (MACC) of $400,000 has been identified for the
park improvements. Up to three Alternate bid items may be produced as part of the
contract documents.
9. This scope of work assumes drainage design and permitting is not anticipated. The
impervious surface improvements are anticipated to be routine maintenance to improve
accessibility to the park site, and no net increase in impervious surface will occur. If the
permit review process identifies impervious surface replacement requires civil
engineering, extra services will be required.
10. No utilities are anticipated to be affected by this work. Irrigation design will be limited
to head layout, pipe sizing and hydraulic calculations will be bidder design.
11. Construction administration is limited to the number of site visits identified in this scope
of work and to the hours allocated in the attached fee matrix.
3
EXHIBIT A (Continued)
12. A pre -bid meeting and a construction kick off meeting are not included in this scope of
work.
13. Review submittals with Parks will be limited to design Development and 90% design
review.
14. Parks will provide coordinated, consolidated review comments at Design development,
and 90% design. 100% design will be bid ready. Each Parks review period will take no
longer than two weeks.
15. General notes will be prepared. CSI specifications are not included in the scope of work
16. This scope of services assumes that the project will not require extension of sewer or
water supply mains, and the project will not alter existing sewer and water supply
facilities (except for the connection of new landscape irrigation).
17. It is assumed that there will be no changes to the entry road and path, or to any other
elements in the road R.O.W., therefore no Right of Way permit will be necessary.
18. Arborist services will be provided by Parks.
4
EXHIBIT A (Continued)
EXHIBIT A
Client: City of Kent
Project: CHESTNUT PARK IMPROVEMENTS
J A. BRENNAN ASSOCIATES, PLLC May 19, 2021
V0101114
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40.90200
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
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:
Automobile Liability insurance covering all owned, non -
owned, hired and leased vehicles. Coverage shall be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide
contractual liability coverage.
2. Commercial General Liability insurance shall be written on
ISO occurrence form CG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
products -completed operations, personal injury and
advertising injury, and liability assumed under an insured
contract. The Commercial General Liability insurance shall be
endorsed to provide the Aggregate Per Project Endorsement
ISO form CG 25 03 11 85 or a substitute endorsement
providing equivalent coverage. The City shall be named as
an insured under the Contractor's Commercial General
Liability insurance policy with respect to the work performed
for the City using ISO additional insured endorsement CG 20
10 11 85 or a substitute endorsement providing equivalent
coverage.
3. Workers' Compensation,_ coverage as required by the
Industrial Insurance laws of the State of Washington.
4. Professional Liability insurance appropriate to the
Consultant's profession.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
EXHIBIT B (Continued)
1. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$1,000,000 per accident.
2. Commercial General Liability insurance shall be written with
limits no less than $1,000,000 each occurrence, $2,000,000
general aggregate and a $1,000,000 products -completed
operations aggregate limit.
3. Professional Liability insurance shall be written with limits no
less than $1,000,000 per claim and $1,000,000 policy
aggregate limit.
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:
The Contractor's insurance coverage shall be primary insurance as respect
the City. Any Insurance, self-insurance, or insurance pool coverage
maintained by the City shall be excess of the Contractor's insurance and
shall not contribute with it.
2. The Contractor's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty (30) days prior
written notice by certified mail, return receipt requested, has been given
to the City.
3. The City of Kent shall be named as an additional insured on all policies
(except Professional Liability) as respects work performed by or on behalf
of the contractor and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance. The
City reserves the right to receive a certified copy of all required insurance
policies. The Contractor's Commercial General Liability insurance shall
also contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance is to be placed with insurers with a current A.M. Best rating of not
less than ANII.
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
EXHIBIT B. (Continued )
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
Contractor shall include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Contractor.
0 DATE (MM/DD/YYYY)
A JR� CERTIFICATE OF LIABILITY INSURANCE
sizizo2l
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER CONcAC7
KIBBLE & PRENTICE HOLDING COMPANY
601 UNION ST STE 1000
SEATTLE WA 98101
INSURED
888 835-5675 _ Z, Nol: (866) 828-2424
Cerrifloata@Hanover.com
INSURERS AFFORDING COVERAGE
NAIC p
Citizens Ins Cc of America
31534
Allmerica Financial Benefit
41840
Hanover Insurance Co
22292
J A BRENNAN ASSOCIATES PLLC INSURER D:
2701 1 ST AVE STE 510 [NSURER E :
SEAT WA 98121 NSURERF:
rnVCDAf=Cc f_G17TIrW_ATF KIIIURPD- RI•=VISION NUMRFR:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPEOFINSURANCE DL$ BR PDLICYN ER POLICY EFF POLICY EXP LIMITS
LTR
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE a OCCUR
DAIME EN
PRE4 7, ri,arcurrence
$ 1000000 ,,
MED EXP Ant oneperson)
$ 10,000
A
Y
N
OB2 H519876 00
03/01/2021
03/01/2022
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS -COMP/OPAGG
$ 4,000,000
POLICY1:1 ECT IV] LOC
$
OTHER:
AUTOMOBILE LIABILITY
L L
En�I ED accident)
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED / NON -OWNED
1/ AUTOS ONLY Y AUTOS ONLY
Y
N
AW2 H519887 00
03/01/2021
03/01/2022
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? ❑N
(Mandatory in NH)
NIA
N
OB2 H519876 00
03/01/2021
03/01/2022
TATUTE FR
EL EACH ACCIDENT
$ 2,000,000
EL DISEASE - EA EMPLOYE
$ _
I-L. DISEASE -POLICY LIMIT
Ir yes, describe under
DESCRIPTION OF OPERATIONS below
$
A
Employment Practices Liability
OB2 H519876 00
03/01/2021
03/01/2022
Claims -Made: $25K Agg/ $5K Deductible
C
Architects & Engineers Prof Liab
N
N
LH2 H520779 00
03/01/2021
03/01/2022
Claims -Made: $1 M Ea Claim/$2M Agg
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
RE: Project: Chestnut Ridge Renovation Design.
The City of Kent is an Additional Insured on the General Liability pursuant to the terms and conditions by form 391-1006 and on the Auto Liability pursuant to the terms and
conditions by form CA0001. Additional Insured is Primary and Noncontributory to the extent provided by form 391-1003 (pg 79 of 81). Separation of Insureds provided to
the extent allowed by form 391-1003 (pg 73 of 81). Cancellation Notice will be provided to the Certificate Holder pursuant to endorsement: 401-1235. Such notice is solely
for the purpose of informing the Certificate Holder of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.
n�nrirenwv� uni MOM PAMPUI I ATInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CITY OF KENT
AUTHORIZED REPRESENTATIVE
220 FOURTH AVENUE SOUTH
(" r•
KENT WA 98032
U T VOO-ZU10 AI.UKL) GUKI'UK/i I FUIY. All rignis reServeu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SUMMARY OF COVERAGES
Limits
Page
1. Additional Insured by Contract, Agreement or Permit
Included
1
2. Additional Insured - Broad Form Vendors
3. Alienated Premises
4. Broad Form Property Damage - Borrowed Equipment, Customers
Goods and Use of Elevators
Included
2
Included
3
3
Included
5. Incidental Malpractice (Employed Nurses, EMT's and Paramedics)
Included
3
6. Personal and Advertising Injury - Broad Form
Included
4
7. Product Recall Expense
Included
4
Product Recall Expense Each Occurrence Limit
$25,000
Occurrence
$50,000
Aggregate
5
Product Recall Expense Aggregate Limit
Product Recall Deductible
5
5
$500
8. Unintentional Failure to Disclose Hazards
Included
Included
6
6
9. Unintentional Failure to Notify
This endorsement amends coverages provided under the Businessowners Coverage Form through new
coverages and broader coverage grants. This coverage is subject to the provisions applicable to the
Businessowners Coverage Form, except as provided below.
The following changes are made to SECTION II -
LIABILITY:
1. Additional Insured by Contract, Agreement or
Permit
The following is added to SECTION II -
LIABILITY, C. Who Is An Insured:
Additional Insured by Contract, Agreement or
Permit
a. Any person or organization with whom you
agreed in a written contract, written
agreement or permit to add such person or
organization as an additional insured on
your policy is an additional insured only with
respect to liability for "bodily injury",
"property damage", or "personal and
advertising injury" caused, in whole or in
part, by your acts or omissions, or the acts
or omissions of those acting on your behalf,
but only with respect to:
(1) "Your work" for the additional insured(s)
designated in the contract, agreement or
permit;
(2) Premises you own, rent, lease or
occupy; or
(3) Your maintenance, operation or use of
equipment leased to you.
b. The insurance afforded to such additional
insured described above:
(1) Only applies to the extent permitted by
law; and
(2) Will not be broader than the insurance
which you are required by the contract,
agreement or permit to provide for such
additional insured.
(3) Applies on a primary basis if that is
required by the written contract, written
agreement or permit.
(4) Will not be broader than coverage
provided to any other insured.
(5) Does not apply if the "bodily injury",
"property damage" or "personal and
advertising injury" is otherwise excluded
from coverage under this Coverage Part,
including any endorsements thereto.
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 1 of 6
c. This provision does not apply:
(1) Unless the written contract or written
agreement was executed or permit was
issued prior to the "bodily injury",
"property damage", or "personal injury
and advertising injury".
(2) To any person or organization included
as an insured by another endorsement
issued by us and made part of this
Coverage Part.
(3) To any lessor of equipment:
(a) After the equipment lease expires; or
(b) If the "bodily injury", "property
damage", "personal and advertising
injury" arises out of sole negligence
of the lessor.
(4) To any:
(a) Owners or other interests from whom
land has been leased if the
"occurrence" takes place or the
offense is committed after the lease
for the land expires; or
(b) Managers or lessors of premises if:
(1) The "occurrence" takes place or
the offense is committed after
you cease to be a tenant in that
premises; or
(ii) The "bodily injury", "property
damage", "personal injury" or
"advertising injury" arises out of
structural alterations, new
construction or demolition
operations performed by or on
behalf of the manager or lessor.
(5) To "bodily injury", "property damage" or
"personal and advertising injury" arising
out of the rendering of or the failure to
render any professional services.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision,
hiring, employment, training or
monitoring of others by that insured, if
the "occurrence" which caused the
"bodily injury" or "property damage" or
the offense which caused the "personal
and advertising injury" involved the
rendering of or failure to render any
professional services by or for you.
d. With respect to the insurance afforded to
these additional insureds, the following is
added to SECTION II - LIABILITY, D. Liability
and Medical Expense Limits of Insurance:
Hanauer
In3umn(v Group.
082 H519876 0901120
The most we will pay on behalf of the
additional insured for a covered claim is the
lesser of the amount of insurance:
1. Required by the contract, agreement or
permit described in Paragraph a.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations
e. All other insuring agreements, exclusions,
and conditions of the policy apply.
2. Additional Insured - Broad Form Vendors
The following is added to SECTION II -
LIABILITY, C. Who Is An Insured:
Additional Insured - Broad Form Vendors
a. Any person or organization that is a vendor
with whom you agreed in a written contract
or written agreement to include as an
additional insured under this Coverage Part
is an insured, but only with respect to liability
for "bodily injury" or "property damage"
arising out of "your products" which are
distributed or sold in the regular course of
the vendor's business.
b. The insurance afforded to such vendor
described above:
(1) Only applies to the extent permitted by
law;
(2) Will not be broader than the insurance
which you are required by the contract or
agreement to provide for such vendor;
(3) Will not be broader than coverage
provided to any other insured; and
(4) Does not apply if the "bodily injury",
"property damage" or "personal and
advertising injury" is otherwise excluded
from coverage under this Coverage Part,
including any endorsements thereto
c. With respect to insurance afforded to such
vendors, the following additional exclusions
apply:
The insurance afforded to the vendor does
not apply to:
(1) "Bodily injury" or "property damage" for
which the vendor is obligated to pay
damages by reasons of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the insured would have in
the absence of the contract or
agreement;
(2) Any express warranty unauthorized by
you;
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 2 of 6
(3) Any physical or chemical change in the
product made intentionally by the
vendor;
(4) Repackaging, unless unpacked solely for
the purpose of inspection,
demonstration, testing, or the
substitution of parts under instruction
from the manufacturer, and then
repackaged in the original container;
(5) Any failure to make such inspection,
adjustments, tests or servicing as the
vendor has agreed to make or normally
undertakes to make in the usual course
of business in connection with the sale
of the product;
(6) Demonstration, installation, servicing or
repair operations, except such
operations performed at the vendor's
premises in connection with the sale of
the product;
(7) Products which, after distribution or sale
by you, have been labeled or relabeled
or used as a container, part or
ingredient of any other thing or
substance by or for the vendor;
(8) "Bodily injury" or "property damage"
arising out of the sole negligence of the
vendor for its own acts or omissions or
those of its employees or anyone else
acting on its behalf. However, this
exclusion does not apply to:
(a) The exceptions contained within the
exclusion in subparagraphs (4) or (6)
above;or
(b) Such inspections, adjustments, tests
or servicing as the vendor has
agreed to make or normally
undertakes to make in the usual
course of business, in connection
with the distribution or sale of the
products.
(9) "Bodily injury" or "property damage"
arising out of an "occurrence" that took
place before you have signed the
contract or agreement with the vendor.
(10)To any person or organization included
as an Insured by another endorsement
issued by us and made part of this
Coverage Part.
01)Any insured person or organization,
from whom you have acquired such
products, or any ingredient, part or
container, entering into, accompanying
or containing such products.
The most we will pay on behalf of the vendor
for a covered claim is the lesser of the
amount of insurance:
1. Required by the contract or agreement
described in Paragraph a.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
3. Alienated Premises
SECTION It - LIABILITY, B. Exclusions, 1.
Applicable To Business Liability Coverage k.
Damage to Property, paragraph (2) is replaced by
the following:
(2) Premises you sell, give away or abandon, if
the "property damage" arises out of any part
of those premises and occurred from hazards
that were known by you, or should have
reasonably been known by you, at the time
the property was transferred or abandoned.
4. Broad Form Property Damage - Borrowed
Equipment, Customers Goods, Use of Elevators
a. The following is added to SECTION II -
LIABILITY, B. Exclusions, 1. Applicable To
Business Liability Coverage, k. Damage to
Property:
Paragraph (4) does not apply to "property
damage" to borrowed equipment while at a
jobsite and not being used to perform
operations.
Paragraph f3), (4) and (6) do not apply to
"property damage" to "customers goods"
while on your premises nor to the use of
elevators.
b. For the purposes of this endorsement, the
following definition is added to SECTION 11 -
LIABILITY, F. Liability and Medical Expenses
Definitions:
1. "Customers goods" means property of
your customer on your premises for the
purpose of being:
a. Worked on; or
b. Used in your manufacturing process.
c. The insurance afforded under this provision is
excess over any other valid and collectible
property insurance (including deductible)
available to the insured whether primary,
excess, contingent or on any other basis.
5. Incidental Malpractice - Employed Nurses, EMT's
and Paramedics
d. With respect to the insurance afforded to SECTION II - LIABILITY, C. Who Is An Insured,
these vendors, the following is added to paragraph 2.a.(1)(d) does not apply to a nurse,
SECTION II - LIABILITY, D. Liability and
Medical Expense Limits of Insurance:
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 3 of 6
Hanover
lns�xrance Group-
OB2 H519876 0901120
emergency medical technician or paramedic
o. Recall of Products, Work or Impaired
employed by you If you are not engaged in the
Property is replaced by the following:
business or occupation of providing medical,
o. Recall of Products, Work or Impaired
paramedical, surgical, dental, x-ray or nursing
Property
services.
6. Personal Injury Broad Form
1 ry '
Damages claimed for any loss, cost or
expense incurred by you or others for
a. SECTION II - LIABILITY, B. Exclusions, 2.
the loss of use, withdrawal, recall,
Additional Exclusions Applicable only to
inspection, repair, replacement,
"Personal and Advertising Injury", paragraph
adjustment, removal or disposal of:
e. is deleted.
(1) "Your product";
b. SECTION II - LIABILITY, F. Liability and
"Personal
(2) "Your work"; or
Medical Expenses Definitions, 14.
and advertising injury", paragraph b. is
(3) "Impaired property";
replaced by the following:
If such product, work or property is
b. Malicious prosecution or abuse of
withdrawn or recalled from the market or
process.
from use by any person or organization
because of a known or suspected defect,
c. The following is added to SECTION II -
deficiency, inadequacy or dangerous
LIABILITY, F. Liability and Medical Expenses
condition in it, but this exclusion does
Definitions, Definition 14. "Personal and
not apply to "product recall expenses"
advertising injury":
that you incur for the "covered recall" of
"Discrimination" (unless insurance thereof is
"your product".
prohibited by law) that results in injury to the
However, the exception to the exclusion
feelings or reputation of a natural person,
does not apply to product recall
but only if such "discrimination" is:
expenses resulting from:
(1) Not done intentionally by or at the
(4) Failure of any products to accomplish
direction of:
their intended purpose;
(a) The insured;
(5) Breach of warranties of fitness,
(b) Any officer of the corporation,
quality, durability or performance;
director, stockholder, partner or
(6) Loss of customer approval, or any
member of the insured; and
cost incurred to regain customer
(2) Not directly or indirectly related to an
approval;
"employee", not to the employment,
(7) Redistribution or replacement of
prospective employment or termination
"your product" which has been
of any person or persons by an insured.
recalled by like products or
d. For purposes of this endorsement, the
substitutes;
following definition is added to SECTION II -
(8) Caprice or whim of the insured;
LIABILITY, F. Liability and Medical Expenses
loss
Definitions:
(9) A condition likely to cause of
1. "Discrimination" means the unlawful
which any insured knew or had
reason to know at the inception of
treatment of individuals based upon race,
this insurance;
color, ethnic origin, gender, religion, age,
or sexual preference. "Discrimination"
(10)Asbestos, including loss, damage or
does not include the unlawful treatment
clean up resulting from asbestos or
of individuals based upon developmental,
asbestos containing materials; or
physical, cognitive, mental, sensory or
(11)Recall of "your products" that have
emotional impairment or any
no known or suspected defect solely
combination of these.
because a known or suspected
e. This coverage does not apply if liability
defect in another of "your product'
coverage for "personal and advertising
has been found.
injury" is excluded either by the provisions of
b. The following is added to SECTION II -
the Coverage Form or any endorsement
LIABILITY, C. Who Is An Insured, paragraph
thereto.
3.b.:
7. Product Recall Expense
"Product recall expense" arising out of any
a. SECTION II - LIABILITY, B. Exclusions, 1.
withdrawal or recall that occurred before you
Applicable To Business Liability Coverage,
acquired or formed the organization.
391-1006 08 16 Includes copyrighted materials of Insurance
Services Offices, Inc., with its permission. Page 4 of 6
c. The following is added to SECTION II -
LIABILITY, D. Liability and Medical Expenses
Limits of Insurance:
Product Recall Expense Limits of Insurance
a. The Limits of Insurance shown in the
SUMMARY OF COVERAGES of this
endorsement and the rules stated below
fix the most that we will pay under this
Product Recall Expense Coverage
regardless of the number of:
(1) Insureds;
(2) "Covered Recalls" initiated; or
(3) Number of "your products"
withdrawn.
b. The Product Recall Expense Aggregate d.
Limit is the most that we will reimburse
you for the sum of all "product recall
expenses" incurred for all "covered
recalls" initiated during the policy period.
c. The Product Recall Each Occurrence
Limit is the most we will pay in
connection with any one defect or
deficiency.
d. All "product recall expenses" in
connection with substantially the same
general harmful condition will be
deemed to arise out of the same defect
or deficiency and considered one
occurrence".
G. Any amount reimbursed for "product
recall expenses" in connection with any
one 'occurrence" will reduce the amount
of the Product Recall Expense Aggregate
Limit available for reimbursement of
"product recall expenses" in connection
with any other defect or deficiency.
f. If the Product Recall Expense Aggregate
Limit has been reduced by
reimbursement of "product recall
expenses" to an amount that is less than
the Product Recall Expense Each
Occurrence Limit, the remaining
Aggregate Limit is the most that will be
available for reimbursement of "product
recall expenses" in connection with any
other defect or deficiency.
g. Product Recall Deductible
We will only pay for the amount of
"product recall expenses" which are in
excess of the $500 Product Recall
Deductible. The Product Recall
Deductible applies separately to each
"covered recall". The limits of insurance
will not be reduced by the amount of this
deductible.
We may, or will if required by law, pay all
or any part of any deductible amount, if
applicable. Upon notice of our payment
of a deductible amount, you shall
promptly reimburse us for the part of the
deductible amount we paid.
The Product Recall Expense Limits of
Insurance apply separately to each
consecutive annual period and to any
remaining period of less than 12 months,
starting with the beginning of the policy
period shown in the Declarations, unless the
policy period is extended after issuance for
an additional period of less than 12 months.
In that case, the additional period will be
deemed part of the last preceding period for
the purposes of determining the Limits of
Insurance.
The following is added to SECTION II -
LIABILITY, E. Liability and Medical Expense
General Conditions, 2. Duties in the Event of
Occurrence, Offense, Claim or Suit:
You must see to it that the following are
done in the event of an actual or anticipated
"covered recall" that may result in "product
recall expense":
(1) Give us prompt notice of any discovery
or notification that "your product" must
be withdrawn or recalled. Include a
description of "your product' and the
reason for the withdrawal or recall;
(2) Cease any further release, shipment,
consignment or any other method of
distribution of like or similar products
until it has been determined that all
such products are free from defects that
could be a cause of loss under this
insurance.
e. For the purposs of this endorsement, the
following definitions are added to SECTION
II - LIABILITY, F. Liability and Medical
Expenses Definitions:
1. "Covered recall" means a recall made
necessary because you or a government
body has determined that a known or
suspected defect, deficiency,
inadequacy, or dangerous condition in
"your product' has resulted or will result
in "bodily injury" or "property damage".
2. "Product recall expense(s)" means:
a. Necessary and reasonable expenses
for:
(1) Communications, including radio
or television announcements or
printed advertisements including
stationary, envelopes and
postage;
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 5 of 6
(2) Shipping the recalled products
from any purchaser, distributor or
user to the place or places
designated by you;
(3) Remuneration paid to your
regular "employees" for
necessary overtime;
(4) Hiring additional persons, other
than your regular "employees";
(5) Expenses incurred by "employees"
including transportation and
accommodations;
Hiinover
Insurance GrolLP-
OB2 H519876 0901120
(1) If the "products - completed operations
hazard" is excluded from coverage under
this Coverage Part including any
endorsement thereto; or
(2) To "product recall expense" arising out of
any of "your products" that are otherwise
excluded from coverage under this
Coverage Part including endorsements
thereto.
8. Unintentional Failure to Disclose Hazards
(6) Expenses to rent additional
warehouse or storage space;
(7) Disposal of "your product', but
only to the extent that specific
methods of destruction other than
those employed for trash
discarding or disposal are 9.
required to avoid "bodily injury"
or "property damage" as a result
of such disposal,
you incur exclusively for the purpose
of recalling "your product'; and
b. Your lost profit resulting from such
"covered recall".
f. This Product Recall Expense Coverage does
not apply:
The following is added to SECTION It -
LIABILITY, E. Liability and Medical Expenses
General Conditions:
Representations
We will not disclaim coverage under this
Coverage Part if you fail to disclose all hazards
existing as of the inception date of the policy
provided such failure is not intentional.
Unintentional Failure to Notify
The following is added to SECTION II -
LIABILITY, E. Liability and Medical Expenses
General Conditions, 2. Duties in the Event of
Occurrence, Offense, Claim or Suit:
Your rights afforded under this Coverage Part
shall not be prejudiced if you fail to give us
notice of an 'occurrence", offense, claim or "suit",
solely due to your reasonable and documented
belief that the "bodily injury", "property damage"
or "personal and advertising injury" is not
covered under this Policy.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permission. Page 6 of 6
"property damage" included
in the "products -completed
operations hazard";
(b) Plus medical expenses;
(c) Plus all "personal and
advertising injury" caused by
offenses committed;
is twice the Liability And Medical
Expenses Limit.
b. The Aggregate Limits of Insurance
apply separately to each of your
"locations" owned by or rented to you,
"Location" means premises involving
the same or connecting lots, or
premises whose connection is
interrupted only by a street, roadway,
waterway or right-of-way of a railroad.
6. The Limits of Insurance of SECTION II -
LIABILITY apply separately to each
consecutive annual period and to any
remaining period of less than 12 months,
starting with the beginning of the policy
period shown in the Declarations, unless
the policy period is extended after
issuance for an additional period of less
than 12 months. In that case, the
additional period will be deemed part of
the last preceding period for purposes of
determining the Limits of Insurance.
E. Liability and Medical Expenses General
Conditions
1. Bankruptcy
Bankruptcy or insolvency of the insured or
of the insured's estate will not relieve us
of our obligations under this Coverage
Part.
2. Duties in the Event of Occurrence,
Offense, Claim or Suit
a. You must see to it that we are notified
as soon as practicable of an
"occurrence" or an offense which may
result in a claim. To the extent
possible, notice should include:
(1) How, when and where the
"occurrence" or offense took
place;
(2) The names and addresses of any
injured persons and witnesses;
and
(3) The nature and location of any
injury or damage arising out of the
"occurrence" or offense,
b. If a claim is made or "suit" is brought
against any insured, you must:
(1) immediately record the specifics
of the claim or "suit" and the date
received; and
(2) Notify us as soon as practicable.
Hanvver
Insurance Group.
0132 H519876 0901120
You must see to it that we receive
written notice of the claim or "suit"
as soon as practicable.
c. You and any other involved insured
must:
(1) Immediately send us copies of
any demands, notices,
summonses or legal papers
received in connection with the
claim or "suit";
(2) Authorize us to obtain records
and other information;
(3) Cooperate with us in the
investigation, or settlement of
the claim or defense against the
"suit"; and
(4) Assist us, upon our request, in
the enforcement of any right
against any person or
organization that may be liable
to the insured because of injury
or damage to which this
insurance may also apply.
d. No insured will, except at that
insured's own cost, voluntarily make
a payment, assume any obligation,
or incur any expense, other than for
first aid, without our consent.
3. Legal Action Against Us
No person or organization has a right
under this Coverage Part:
a. To join us as a party or otherwise
bring us into a "suit" asking for
damages from an insured; or
b. To sue us on this policy unless all of
its terms have been fully complied
with.
A person or organization may sue us to
recover on an agreed settlement or on a
final judgment against an insured; but
we will not be liable for damages that
are not payable under the terms of this
policy or that are in excess of the
applicable Limit of Insurance. An agreed
settlement means a settlement and
release of liability signed by us, the
insured and the claimant or the
claimant's legal representative.
4. Separation of Insureds
Except with respect to the Limits of
Insurance under SECTION II -
LIABILITY, and any rights or duties
specifically assigned in this Coverage
Part to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the
only Named Insured; and
b. Separately to each insured against
whom claim is made or "suit" is
brought.
391-1003 08 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 73 of 81
Hanauer
Insurance Croup.
0132 H519876 0901120
1. SECTION I - PROPERTY, if two or more of
However, if you agree in a written
this coverage part's coverages apply to
contract, written agreement, or
the same loss or damage, we will not pay
written permit that the insurance
more than the actual amount of the loss or
provided to any person or
damage.
organization included as an
2. SECTION II - LIABILITY, it is our stated
Additional Insured under this
Coverage Part is primary and
intent that the various Coverage Parts,
non-contributory, we will not seek
forms, endorsements or policies issued to
contribution from any other
the named insured by us, or any company
insurance available to that Additional
affiliated with us, do not provide any
Insured which covers the Additional
duplication or overlap of coverage for the
"occurrence",
Insured as a Named Insured except:
same claim, "suit„, offense,
accident, "wrongful act" or loss. We will
(1) For the sole negligence of the
not pay more than the actual amount of
Additional Insured; or
the loss or damage.
(2) When the Additional Insured is
If this Coverage Part and any other
an Additional Insured under
Coverage Part, form, endorsement or
another liability policy.
policy issued to the named insured by us,
b. Excess Insurance
or any company affiliated with us, apply to
the same claim, "suit", occurrence,
This insurance is excess over:
offense, accident, "wrongful act" or loss,
(1) Any of the other insurance,
the maximum Limit of Insurance under all
whether primary, excess,
such Coverage Parts, forms,
contingent or on any other basis:
endorsements or policies combined shall
(a) That is Fire, Extended
not exceed the highest applicable Limit of
Coverage, Builder's Risk,
Insurance under any one Coverage Part,
installation Risk similar
form, endorsement or policy.
w
coverage for your work";
This condition does not apply to any
(b) That is Property Insurance for
Excess or Umbrella Policy issued by us
premises rented to you or
specifically to apply as excess insurance
temporarily occupied by you
over this policy.
with permission of the owner;
G. Liberalization
(c) That is insurance purchased
If we adopt an revision that would broaden
y
by you to cover your liability
the coverage under this policy without
as a tenant for "property
additional premium within 45 days prior to or
damage" to premises rented
during the policy period, the broadened
to you or temporarily
coverage will immediately apply to this policy.
occupied by you with
H. Other Insurance
permission of the owner; or
1. SECTION I - PROPERTY
(d) If the loss arises out of the
maintenance or use of
If there is other insurance covering the
aircraft,autos or watercraft
same loss or damage, we will pay only for
the extent not subject to
a in
the amount of covered loss or damage
SECTION II LIABILITY,
excess of the amount due from that other
Exclusion g. Aircraft, Auto or
insurance, whether you can collect on it or
Watercraft; and
not. But, we will not pay more than the
applicable Limit of Insurance of SECTION 1
(2) Any other primary insurance
-PROPERTY.
available to you covering liability
for damages arising out of the
2. SECTION II -LIABILITY
premises or operations, or the
If other valid and collectible insurance is
products and completed
available to the insured for a loss we
operations, for which you have
cover under SECTION II - LIABILITY, our
been added as an additional
obligations are limited as follows:
insured by attachment of an
a. Primary Insurance
endorsement.
This insurance is primary except when
When this insurance is excess, we
will have SECTIONld
paragraph b. below applies. If this
toutydu
LIABILITY to e insured
insurance is primary, our obligations
against any "suit" if any other
are not affected unless any of the
insurer has a duty to defend the
other insurance is also primary. Then,
insured against that "suit". If no other
we will share with all that other
insurer defends, we will undertake to
insurance by the method described in
do so, but we will be entitled to the
paragraph c. below.
391-1003 08 16 Includes copyrighted material of Insurance Services office, Inc., with its permission. Page 79 of 81
rr.�•
Hanover
Insurance croup-
OB2 H519876 0901120
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WASHINGTON NOTICE OF CANCELLATION TO DESIGNATED CERTIFICATE
HOLDER(S)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
HANOVER COMMERCIAL FOLLOW FORM EXCESS AND UMBRELLA POLICY
COMMERCIAL PROPERTY COVERAGE PART
BUSINESS AUTO COVERAGE FORM
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Name of Designated E Number
g Entity Mailing Address or Email Address Days Notice
CITY OF KENT 30
220 FOURTH AVENUE SOUTH KENT, WA 98032
(Information required to complete this Schedule, if not shown above, will[ be shown in the Declarations,
If we cancel this policy for any reason other than
nonpayment of premium, we will give written notice
of such cancellation to the Designated Certificate
Holder(s) shown in the Schedule. Such notice may
be delivered or sent by any means of our choosing.
The notice to the Designated Certificate Holder(s)
will state the effective date of cancellation.
Unless otherwise noted in the Schedule above, such
notice will be provided to the Designated Certificate
Holder(s) no more than the number of days in
advance of the effective date of cancellation that we
are required to provide to the Named Insured for
such cancellation.
Such notice of cancellation is solely for the purpose
of informing the Designated Certificate Holder(s) of
the effective date of cancellation and does not
grant, alter, or extend any rights or obligations
under this policy.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
4014246 12 14 Includes copyrighted material of Insurance Services Office, Inc., with permission page 1 of 1
Hano►►er
Insiimn(v Group -
AW2H519887 0901120
BUSINESS AUTO COVERAGE FORM
Various provisions in this policy restrict coverage.
Read the entire policy carefully to determine rights,
duties and what is and is not covered.
Throughout this policy the words "you" and "your"
refer to the Named Insured shown in the Declara-
tions. The words "we", "us" and "our" refer to the
Company providing this insurance.
Other words and phrases that appear in quotation
marks have special meaning. Refer to Section V -
Definitions.
SECTION I - COVERED AUTOS
Item Two of the Declarations shows the "autos"
that are covered "autos" for each of your cover-
ages. The following numerical symbols describe
the "autos" that may be covered "autos". The sym-
bols entered next to a coverage on the Declara-
tions designate the only "autos" that are covered
"autos".
A. Description Of Covered Auto Designation
Symbols
Symbol
Description Of Covered Auto Designation Symbols
1
Any "Auto"
2
Owned "Autos" Only those "autos" you own (and for Liability Coverage any "trailers" you don't
Only own while attached to power units you own). This includes those "autos" you
acquire ownership of after the policy begins.
3
Owned Private Only the private passenger "autos" you own. This includes those private pas -
Passenger senger "autos" you acquire ownership of after the policy begins.
"Autos" Only
4
Owned "Autos" Only those "autos" you own that are not of the private passenger type (and for
Other Than Pri- Liability Coverage any "trailers" you don't own while attached to power units
vate Passenger you own). This includes those "autos" not of the private passenger type you
"Autos" Only acquire ownership of after the policy begins.
5
Owned "Autos" Only those "autos" you own that are required to have No -Fault benefits in the
Subject To No- state where they are licensed or principally garaged. This includes those
Fault "autos" you acquire ownership of after the policy begins provided they are re-
quired to have No -Fault benefits in the state where they are licensed or princi-
pally garaged.
6
Owned "Autos" Only those "autos" you own that because of the law in the state where they
Subject To A are licensed or principally garaged are required to have and cannot reject
Compulsory Uninsured Motorists Coverage. This includes those "autos" you acquire own -
Uninsured Mo- ership of after the policy begins provided they are subject to the same state
torists Law uninsured motorists requirement.
7
Specifically De- Only those "autos" described in Item Three of the Declarations for which a
scribed "Autos" premium charge is shown (and for Liability Coverage any "trailers" you don't
own while attached to any power unit described in Item Three),
6
Hired "Autos" Only those "autos" you lease, hire, rent or borrow. This does not include any
Only "auto" you lease, hire, rent, or borrow from any of your "employees", partners
(if you are a partnership), members (if you are a limited liability company) or
members of their households.
9
Nonowned Only those "autos" you do not own, lease, hire, rent or borrow that are used in
"Autos" Only connection with your business. This includes "autos" owned by your "employ-
ees", partners (if you are a partnership), members (if you are a limited liability
company), or members of their households but only while used in your busi-
ness or your personal affairs.
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 1 of 12
19
Mobile Equip- Only those "autos" that are land vehicles and that would qualify under the
ment Subject definition of "mobile equipment' under this policy if they were not subject to a
To Compulsory compulsory or financial responsibility law or other motor vehicle insurance law
Or Financial where they are licensed or principally garaged.
Responsibility
Or Other Motor
Vehicle Insur-
ance Law Only
B. Owned Autos You Acquire After The Policy
Begins
1. If Symbols 1, 2, 3, 4, 5, 6 or 19 are entered
next to a coverage in Item Two of the Decla-
rations, then you have coverage for "autos"
that you acquire of the type described for the
remainder of the policy period.
2. But, if Symbol 7 is entered next to a cover-
age in Item Two of the Declarations, an
"auto" you acquire will be a covered "auto"
for that coverage only if:
a. We already cover all "autos" that you own
for that coverage or it replaces an "auto"
you previously owned that had that cov-
erage; and
b. You tell us within 30 days after you ac-
quire it that you want us to cover it for
that coverage.
C. Certain Trailers, Mobile Equipment And
Temporary Substitute Autos
If Liability Coverage is provided by this Cover-
age Form, the following types of vehicles are
also covered "autos" for Liability Coverage:
1. "Trailers" with a load capacity of 2,000
pounds or less designed primarily for travel
on public roads.
2. "Mobile equipment' while being carried or
towed by a covered "auto".
3. Any "auto" you do not own while used with
the permission of its owner as a temporary
substitute for a covered "auto" you own that
is out of service because of its:
a. Breakdown;
b. Repair;
c. Servicing;
d. "Loss"; or
e. Destruction.
SECTION II - LIABILITY COVERAGE
A. Coverage
We will pay all sums an "insured" legally must
pay as damages because of "bodily injury" or
"property damage" to which this insurance ap-
plies, caused by an "accident" and resulting
from the ownership, maintenance or use of a
covered "auto".
We will also pay all sums an "insured" legally
must pay as a "covered pollution cost or ex-
pense" to which this insurance applies, caused
by an "accident" and resulting from the owner-
ship, maintenance or use of covered "autos".
However, we will only pay for the "covered pol-
lution cost or expense" if there is either "bodily
injury" or "property damage" to which this in-
surance applies that is caused by the same
"accident".
We have the right and duty to defend any "in-
sured" against a "suit' asking for such damages
or a "covered pollution cost or expense". How-
ever, we have no duty to defend any "insured"
against a "suit" seeking damages for "bodily
injury" or "property damage" or a "covered
pollution cost or expense" to which this insur-
ance does not apply. We may investigate and
settle any claim or "suit' as we consider appro-
priate. Our duty to defend or settle ends when
the Liability Coverage Limit of Insurance has
been exhausted by payment of judgments or
settlements.
1. Who Is An Insured
The following are "insureds":
a. You for any covered "auto".
b. Anyone else while using with your per-
mission a covered "auto" you own, hire
or borrow except:
(1) The owner or anyone else from whom
you hire or borrow a covered "auto".
This exception does not apply if the
covered "auto" is a "trailer" connected
to a covered "auto" you own.
Page 2 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 0103 06
(2) Your "employee" if the covered "auto"
is owned by that "employee" or a
member of his or her household.
(3) Someone using a covered "auto"
while he or she is working in a busi-
ness of selling, servicing, repairing,
parking or storing "autos" unless that
business is yours.
(4) Anyone other than your "employees",
partners (if you are a partnership),
members (if you are a limited liability
company), or a lessee or borrower or
any of their "employees", while mov-
ing property to or from a covered
"auto".
(5) A partner (if you are a partnership), or
a member (if you are a limited liability
company) for a covered "auto" owned
by him or her or a member of his or
her household.
c. Anyone liable for the conduct of an "in-
sured" described above but only to the
extent of that liability.
2. Coverage Extensions
a. Supplementary Payments
We will pay for the "insured":
(1) All expenses we incur.
(2) Up to $2,000 for cost of bail bonds (in-
cluding bonds for related traffic law
violations) required because of an
"accident" we cover. We do not have
to furnish these bonds.
(3) The cost of bonds to release attach-
ments in any "suit" against the "in-
sured" we defend, but only for bond
amounts within our Limit of Insurance.
(4) All reasonable expenses incurred by
the "insured" at our request, including
actual loss of earnings up to $250 a
day because of time off from work.
(5) All costs taxed against the "insured"
in any "suit" against the "insured" we
defend.
(6) All interest on the full amount of any
judgment that accrues after entry of
the judgment in any "suit" against the
"insured" we defend, but our duty to
pay interest ends when we have paid,
offered to pay or deposited in court
the part of the judgment that is within
our Limit of Insurance.
These payments will not reduce the Limit
of Insurance.
Hanover
Inmirance Groiip_
AW2H519887 0901120
b. Out -Of -State Coverage Extensions
While a covered "auto" is away from the
state where it is licensed we will:
(1) Increase the Limit of Insurance for Li-
ability Coverage to meet the limits
specified by a compulsory or financial
responsibility law of the jurisdiction
where the covered "auto" is being
used. This extension does not apply to
the limit or limits specified by any law
governing motor carriers of passen-
gers or property.
(2) Provide the minimum amounts and
types of other coverages, such as no-
fault, required of out-of-state vehicles
by the jurisdiction where the covered
"auto" is being used.
We will not pay anyone more than once
for the same elements of loss because of
these extensions.
B. Exclusions
This insurance does not apply to any of the fol-
lowing:
1. Expected Or Intended Injury
"Bodily injury" or "property damage" ex-
pected or intended from the standpoint of the
"insured".
2. Contractual
Liability assumed under any contract or
agreement.
But this exclusion does not apply to liability
for damages:
a. Assumed in a contract or agreement that
is an "insured contract" provided the
"bodily injury" or "property damage" oc-
curs subsequent to the execution of the
contract or agreement; or
b. That the "insured" would have in the ab-
sence of the contract or agreement.
3. Workers' Compensation
Any obligation for which the "insured" or the
"insured's" insurer may be held liable under
any workers' compensation, disability bene-
fits or unemployment compensation law or
any similar law.
4. Employee Indemnification And Employer's
Liability
"Bodily injury" to:
a. An "employee" of the "insured" arising
out of and in the course of:
(1) Employment by the "insured"; or
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 3 of 12
(2) Performing the duties related to the
conduct of the "insured's" business; or
b. The spouse, child, parent, brother or sis-
ter of that "employee" as a consequence
of Paragraph a. above.
This exclusion applies:
(1) Whether the "insured" may be liable
as an employer or in any other capac-
ity; and
(2) To any obligation to share damages
with or repay someone else who must
pay damages because of the injury.
But this exclusion does not apply to "bodily
injury" to domestic "employees" not entitled
to workers' compensation benefits or to li-
ability assumed by the "insured" under an
"insured contract". For the purposes of the
Coverage Form, a domestic "employee" is a
person engaged in household or domestic
work performed principally in connection
with a residence premises.
5. Fellow Employee
"Bodily injury" to any fellow "employee" of
the "insured" arising out of and in the course
of the fellow "employee's" employment or
while performing duties related to the con-
duct of your business.
6. Care, Custody Or Control
"Property damage" to or "covered pollution
cost or expense" involving property owned
or transported by the "insured" or in the "in-
sured's" care, custody or control. But this
exclusion does not apply to liability assumed
under a sidetrack agreement.
7. Handling Of Property
"Bodily injury" or "property damage" result-
ing from the handling of property:
a. Before it is moved from the place where
it is accepted by the "insured" for move-
ment into or onto the covered "auto"; or
b. After it is moved from the covered "auto"
to the place where it is finally delivered
by the "insured".
8. Movement Of Property By Mechanical Device
"Bodily injury" or "property damage" result-
ing from the movement of property by a me-
chanical device (other than a hand truck)
unless the device is attached to the covered
"auto".
9. Operations
"Bodily injury" or "property damage" arising
out of the operation of:
a. Any equipment listed in Paragraphs 6.b.
and 6.c. of the definition of "mobile
equipment"; or
b. Machinery or equipment that is on, at-
tached to, or part of, a land vehicle that
would qualify under the definition of "mo-
bile equipment" if it were not subject to a
compulsory or financial responsibility law
or other motor vehicle insurance law
where it is licensed or principally ga-
raged.
10. Completed Operations
"Bodily injury" or "property damage" arising
out of your work after that work has been
completed or abandoned.
In this exclusion, your work means:
a. Work or operations performed by you or
on your behalf; and
b. Materials, parts or equipment furnished
in connection with such work or opera-
tions.
Your work includes warranties or represen-
tations made at any time with respect to the
fitness, quality, durability or performance of
any of the items included in Paragraph a. or
b. above.
Your work will be deemed completed at the
earliest of the following times:
(1) When all of the work called for in your
contract has been completed.
(2) When all of the work to be done at the
site has been completed if your con-
tract calls for work at more than one
site.
(3) When that part of the work done at a
job site has been put to its intended
use by any person or organization
other than another contractor or sub-
contractor working on the same proj-
ect.
Work that may need service, maintenance,
correction, repair or replacement, but which
is otherwise complete, will be treated as
completed.
11. Pollution
"Bodily injury" or "property damage" arising
out of the actual, alleged or threatened dis-
charge, dispersal, seepage, migration, re-
lease or escape of "pollutants":
a. That are, or that are contained in any
property that is:
Page 4 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 0103 06
(1) Being transported or towed by, han-
dled, or handled for movement into,
onto or from, the covered "auto";
(2) Otherwise in the course of transit by
or on behalf of the "insured"; or
(3) Being stored, disposed of, treated or
processed in or upon the covered
"auto";
b. Before the "pollutants" or any property in
which the "pollutants" are contained are
moved from the place where they are ac-
cepted by the "insured" for movement
into or onto the covered "auto"; or
c. After the "pollutants" or any property in
which the "pollutants" are contained are
moved from the covered "auto" to the
place where they are finally delivered,
disposed of or abandoned by the "in-
sured".
Paragraph a. above does not apply to fuels,
lubricants, fluids, exhaust gases or other
similar "pollutants" that are needed for or
result from the normal electrical, hydraulic
or mechanical functioning of the covered
"auto" or its parts, if:
(1) The "pollutants" escape, seep, mi-
grate, or are discharged, dispersed or
released directly from an "auto" part
designed by its manufacturer to hold,
store, receive or dispose of such
"pollutants"; and
(2) The "bodily injury", "property damage"
or "covered pollution cost or expense"
does not arise out of the operation of
any equipment listed in Paragraphs
6.b. and 6.c. of the definition of "mo-
bile equipment".
Paragraphs b. and c. above of this exclusion
do not apply to "accidents" that occur away
from premises owned by or rented to an "in-
sured" with respect to "pollutants" not in or
upon a covered "auto" if:
(1) The "pollutants" or any property in
which the "pollutants" are contained
are upset, overturned or damaged as
a result of the maintenance or use of
a covered "auto"; and
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Hanauer
insumnev Group.
AW2H519887 0901120
a. War, including undeclared or civil war;
b. Warlike action by a military force, includ-
ing action in hindering or defending
against an actual or expected attack, by
any government, sovereign or other
authority using military personnel or
other agents; or
c. Insurrection, rebellion, revolution,
usurped power, or action taken by gov-
ernmental authority in hindering or de-
fending against any of these.
13. Racing
Covered "autos" while used in any profes-
sional or organized racing or demolition
contest or stunting activity, or while practic-
ing for such contest or activity. This insur-
ance also does not apply while that covered
"auto" is being prepared for such a contest
or activity.
C. Limit Of Insurance
Regardless of the number of covered "autos",
"insureds", premiums paid, claims made or ve-
hicles involved in the "accident", the most we
will pay for the total of all damages and "cov-
ered pollution cost or expense" combined, re-
sulting from any one "accident" is the Limit of
Insurance for Liability Coverage shown in the
Declarations.
All "bodily injury", "property damage" and "cov-
ered pollution cost or expense" resulting from
continuous or repeated exposure to substan-
tially the same conditions will be considered as
resulting from one "accident".
No one will be entitled to receive duplicate
payments for the same elements of "loss" under
this Coverage Form and any Medical Payments
Coverage Endorsement, Uninsured Motorists
Coverage Endorsement or Underinsured Motor-
ists Coverage Endorsement attached to this
Coverage Part.
SECTION III - PHYSICAL DAMAGE COVERAGE
A. Coverage
1. We will pay for "loss" to a covered "auto" or
its equipment under:
a. Comprehensive Coverage
From any cause except:
(2) The discharge, dispersal, seepage, (1) The covered "auto's" collision with
migration, release or escape of the another object; or
"pollutants" is caused directly by such
upset, overturn or damage. (2) The covered "auto's" overturn.
12. War b. Specified Causes Of Loss Coverage
"Bodily injury" or "property damage" arising Caused by:
directly or indirectly out of: (1) Fire, lightning or explosion;
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 5 of 12
(2) Theft;
(3) Windstorm, hail or earthquake;
(4) Flood;
(5) Mischief or vandalism; or
(6) The sinking, burning, collision or de-
railment of any conveyance trans-
porting the covered "auto".
c. Collision Coverage
Caused by:
(1) The covered "auto's" collision with
another object; or
(2) The covered "auto's" overturn.
2. Towing
We will pay up to the limit shown in the
Declarations for towing and labor costs in-
curred each time a covered "auto" of the pri-
vate passenger type is disabled. However,
the labor must be performed at the place of
disablement.
3. Glass Breakage - Hitting A Bird Or Animal -
Falling Objects Or Missiles
If you carry Comprehensive Coverage for the
damaged covered "auto", we will pay for the
following under Comprehensive Coverage:
a. Glass breakage;
b. "Loss" caused by hitting a bird or animal;
and
b. Loss Of Use Expenses
For Hired Auto Physical Damage, we will
pay expenses for which an "insured" be-
comes legally responsible to pay for loss
of use of a vehicle rented or hired without
a driver, under a written rental contract
or agreement. We will pay for loss of use
expenses if caused by:
(1) Other than collision only if the Decla-
rations indicate that Comprehensive
Coverage is provided for any covered
"auto";
(2) Specified Causes Of Loss only if the
Declarations indicate that Specified
Causes Of Loss Coverage is provided
for any covered "auto"; or
(3) Collision only if the Declarations indi-
cate that Collision Coverage is pro-
vided for any covered "auto".
However, the most we will pay for any
expenses for loss of use is $20 per day,
to a maximum of $600.
B. Exclusions
1. We will not pay for "loss" caused by or re-
sulting from any of the following. Such "loss"
is excluded regardless of any other cause or
event that contributes concurrently or in any
sequence to the "loss".
a. Nuclear Hazard
c. "Loss" caused by falling objects or mis-
(1)
The explosion of any weapon em-
siles.
ploying atomic fission or fusion; or
However, you have the option of having
(2)
Nuclear reaction or radiation, or ra-
glass breakage caused by a covered
dioactive contamination, however
"auto's" collision or overturn considered a
caused.
"loss" under Collision Coverage.
b. War Or Military Action
4. Coverage Extensions
(1)
War, including undeclared or civil war;
a. Transportation Expenses
(2)
Warlike action by a military force, in -
We will pay up to $20 per day to a maxi-
cluding action in hindering or defend -
mum of $600 for temporary transportation
ing against an actual or expected at -
expense incurred by you because of the
tack, by any government, sovereign or
total theft of a covered "auto" of the pri-
other authority using military person-
vate passenger type. We will pay only for
nel or other agents; or
those covered "autos" for which you carry
(3)
Insurrection, rebellion, revolution,
either Comprehensive or Specified
usurped power or action taken by
Causes of Loss Coverage. We will pay for
governmental authority in hindering or
temporary transportation expenses in-
defending against any of these.
curred during the period beginning 48
hours after the theft and ending, regard-
less of the policy's expiration, when the
covered "auto" is returned to use or we
pay for its "loss".
Page 6 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 0103 06
2. We will not pay for "loss" to any covered
"auto" while used in any professional or or-
ganized racing or demolition contest or
stunting activity, or while practicing for such
contest or activity. We will also not pay for
"loss" to any covered "auto" while that cov-
ered "auto" is being prepared for such a
contest or activity.
3. We will not pay for "loss" caused by or re-
sulting from any of the following unless
caused by other "loss" that is covered by
this insurance:
a. Wear and tear, freezing, mechanical or
electrical breakdown.
b. Blowouts, punctures or other road dam-
age to tires.
4. We will not pay for "loss" to any of the fol-
lowing:
a. Tapes, records, discs or other similar
audio, visual or data electronic devices
designed for use with audio, visual or
data electronic equipment.
b. Any device designed or used to detect
speed measuring equipment such as ra-
dar or laser detectors and any jamming
apparatus intended to elude or disrupt
speed measurement equipment.
c. Any electronic equipment, without regard
to whether this equipment is permanently
installed, that receives or transmits
audio, visual or data signals and that is
not designed solely for the reproduction
of sound.
d. Any accessories used with the electronic
equipment described in Paragraph c.
above.
Exclusions 4.c. and 4.d. do not apply to:
a. Equipment designed solely for the repro-
duction of sound and accessories used
with such equipment, provided such
equipment is permanently installed in the
covered "auto" at the time of the "loss" or
such equipment is removable from a
housing unit which is permanently in-
stalled in the covered "auto" at the time
of the "loss", and such equipment is de-
signed to be solely operated by use of
the power from the "auto's" electrical
system, in or upon the covered "auto"; or
b. Any other electronic equipment that is:
(1) Necessary for the normal operation of
the covered "auto" or the monitoring
of the covered "auto's" operating
system; or
Hanvver
Insurance Croup.
AW2H519887 0901120
(2) An integral part of the same unit
housing any sound reproducing
equipment described in Paragraph a.
above and permanently installed in
the opening of the dash or console of
the covered "auto" normally used by
the manufacturer for installation of a
radio.
5. We will not pay for "loss" to a covered "auto"
due to "diminution in value".
C. Limit Of Insurance
1. The most we will pay for "loss" in any one
"accident" is the lesser of:
a. The actual cash value of the damaged or
stolen property as of the time of the
"loss"; or
b. The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality.
2. An adjustment for depreciation and physical
condition will be made in determining actual
cash value in the event of a total "loss".
3. If a repair or replacement results in better
than like kind or quality, we will not pay for
the amount of the betterment.
D. Deductible
For each covered "auto", our obligation to pay
for, repair, return or replace damaged or stolen
property will be reduced by the applicable de-
ductible shown in the Declarations. Any Com-
prehensive Coverage deductible shown in the
Declarations does not apply to "loss" caused by
fire or lightning.
SECTION IV - BUSINESS AUTO CONDITIONS
The following conditions apply in addition to the
Common Policy Conditions:
A. Loss Conditions
1. Appraisal For Physical Damage Loss
If you and we disagree on the amount of
"loss", either may demand an appraisal of
the "loss". In this event, each party will se-
lect a competent appraiser. The two ap-
praisers will select a competent and impar-
tial umpire. The appraisers will state sepa-
rately the actual cash value and amount of
"loss". If they fail to agree, they will submit
their differences to the umpire. A decision
agreed to by any two will be binding. Each
party will:
a. Pay its chosen appraiser; and
b. Bear the other expenses of the appraisal
and umpire equally.
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 7 of 12
If we submit to an appraisal, we will still re-
tain our right to deny the claim.
2. Duties In The Event Of Accident, Claim, Suit
Or Loss
We have no duty to provide coverage under
this policy unless there has been full compli-
ance with the following duties:
a. In the event of "accident", claim, "suit" or
"loss", you must give us or our author-
ized representative prompt notice of the
"accident" or "loss". Include:
(1) How, when and where the "accident"
or "loss" occurred;
(2) The "insured's" name and address;
and
(3) To the extent possible, the names and
addresses of any injured persons and
witnesses.
b. Additionally, you and any other involved
"insured" must:
(1) Assume no obligation, make no pay-
ment or incur no expense without our
consent, except at the "insured's" own
cost.
(2) Immediately send us copies of any
request, demand, order, notice, sum-
mons or legal paper received con-
cerning the claim or "suit".
(3) Cooperate with us in the investigation
or settlement of the claim or defense
against the "suit".
(4) Authorize us to obtain medical rec-
ords or other pertinent information.
(5) Submit to examination, at our ex-
pense, by physicians of our choice, as
often as we reasonably require.
c. If there is "loss" to a covered "auto" or its
equipment you must also do the follow-
ing:
(1) Promptly notify the police if the cov-
ered "auto" or any of its equipment is
stolen.
(2) Take all reasonable steps to protect
the covered "auto" from further dam-
age. Also keep a record of your ex-
penses for consideration in the set-
tlement of the claim.
(3) Permit us to inspect the covered
"auto" and records proving the "loss"
before its repair or disposition.
(4) Agree to examinations under oath at
our request and give us a signed
statement of your answers.
3. Legal Action Against Us
No one may bring a legal action against us
under this Coverage Form until:
a. There has been full compliance with all
the terms of this Coverage Form; and
b. Under Liability Coverage, we agree in
writing that the "insured" has an obliga-
tion to pay or until the amount of that ob-
ligation has finally been determined by
judgment after trial. No one has the right
under this policy to bring us into an ac-
tion to determine the "insured's" liability.
4. Loss Payment - Physical Damage Coverages
At our option we may:
a. Pay for, repair or replace damaged or
stolen property;
b. Return the stolen property, at our ex-
pense. We will pay for any damage that
results to the "auto" from the theft; or
c. Take all or any part of the damaged or
stolen property at an agreed or appraised
value.
If we pay for the "loss", our payment will in-
clude the applicable sales tax for the dam-
aged or stolen property.
5. Transfer Of Rights Of Recovery Against
Others To Us
If any person or organization to or for whom
we make payment under this Coverage Form
has rights to recover damages from another,
those rights are transferred to us. That per-
son or organization must do everything nec-
essary to secure our rights and must do
nothing after "accident" or "loss" to impair
them.
B. General Conditions
1. Bankruptcy
Bankruptcy or insolvency of the "insured" or
the "insured's" estate will not relieve us of
any obligations under this Coverage Form.
2. Concealment, Misrepresentation Or Fraud
This Coverage Form is void in any case of
fraud by you at any time as it relates to this
Coverage Form. It is also void if you or any
other "insured", at any time, intentionally
conceal or misrepresent a material fact con-
cerning:
a. This Coverage Form;
Page 8 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 01 03 06
b. The covered "auto";
c. Your interest in the covered "auto"; or
d. A claim under this Coverage Form.
3. Liberalization
If we revise this Coverage Form to provide
more coverage without additional premium
charge, your policy will automatically provide
the additional coverage as of the day the re-
vision is effective in your state.
4. No Benefit To Bailee - Physical Damage
Coverages
We will not recognize any assignment or
grant any coverage for the benefit of any
person or organization holding, storing or
transporting property for a fee regardless of
any other provision of this Coverage Form.
5. Other Insurance
a. For any covered "auto" you own, this
Coverage Form provides primary insur-
ance. For any covered "auto" you don't
own, the insurance provided by this Cov-
erage Form is excess over any other
collectible insurance. However, while a
covered "auto" which is a "trailer" is con-
nected to another vehicle, the Liability
Coverage this Coverage Form provides
for the "trailer" is:
(1) Excess while it is connected to a mo-
tor vehicle you do not own.
(2) Primary while it is connected to a
covered "auto" you own.
b. For Hired Auto Physical Damage Cover-
age, any covered "auto" you lease, hire,
rent or borrow is deemed to be a covered
"auto" you own. However, any "auto" that
is leased, hired, rented or borrowed with
a driver is not a covered "auto".
c. Regardless of the provisions of Para-
graph a. above, this Coverage Form's Li-
ability Coverage is primary for any liabil-
ity assumed under an "insured contract".
d. When this Coverage Form and any other
Coverage Form or policy covers on the
same basis, either excess or primary, we
will pay only our share. Our share is the
proportion that the Limit of Insurance of
our Coverage Form bears to the total of
the limits of all the Coverage Forms and
policies covering on the same basis.
.�� Hanauer
lnsitrance Croup.
AW2H519887 0901120
6. Premium Audit
a. The estimated premium for this Coverage
Form is based on the exposures you told
us you would have when this policy be-
gan. We will compute the final premium
due when we determine your actual ex-
posures. The estimated total premium
will be credited against the final premium
due and the first Named Insured will be
billed for the balance, if any. The due
date for the final premium or retrospec-
tive premium is the date shown as the
due date on the bill. If the estimated total
premium exceeds the final premium due,
the first Named Insured will get a refund.
b. If this policy is issued for more than one
year, the premium for this Coverage
Form will be computed annually based on
our rates or premiums in effect at the be-
ginning of each year of the policy.
Policy Period, Coverage Territory
Under this Coverage Form, we cover "acci-
dents" and "losses" occurring:
a. During the policy period shown in the
Declarations; and
b. Within the coverage territory.
The coverage territory is:
a. The United States of America;
b. The territories and possessions of the
United States of America;
c. Puerto Rico;
d. Canada; and
e. Anywhere in the world if:
(1) A covered "auto" of the private pas-
senger type is leased, hired, rented or
borrowed without a driver for a period
of 30 days or less; and
(2) The "insured's" responsibility to pay
damages is determined in a "suit" on
the merits, in the United States of
America, the territories and posses-
sions of the United States of America,
Puerto Rico, or Canada or in a settle-
ment we agree to.
We also cover "loss" to, or "accidents" in-
volving, a covered "auto" while being trans-
ported between any of these places.
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 9 of 12
8. Two Or More Coverage Forms Or Policies
Issued By Us
If this Coverage Form and any other Cover-
age Form or policy issued to you by us or
any company affiliated with us apply to the
same "accident', the aggregate maximum
Limit of Insurance under all the Coverage
Forms or policies shall not exceed the high-
est applicable Limit of Insurance under any
one Coverage Form or policy. This condition
does not apply to any Coverage Form or
policy issued by us or an affiliated company
specifically to apply as excess insurance
over this Coverage Form.
SECTION V - DEFINITIONS
A. "Accident' includes continuous or repeated ex-
posure to the same conditions resulting in
"bodily injury" or "property damage".
B. "Auto" means:
1. A land motor vehicle, "trailer" or semitrailer
designed for travel on public roads; or
2. Any other land vehicle that is subject to a
compulsory or financial responsibility law or
other motor vehicle insurance law where it is
licensed or principally garaged.
However, "auto" does not include "mobile
equipment'.
C. "Bodily injury" means bodily injury, sickness or
disease sustained by a person including death
resulting from any of these.
D. "Covered pollution cost or expense" means any
cost or expense arising out of:
1. Any request, demand, order or statutory or
regulatory requirement that any "insured" or
others test for, monitor, clean up, remove,
contain, treat, detoxify or neutralize, or in
any way respond to, or assess the effects of
"pollutants"; or
2. Any claim or "suit' by or on behalf of a gov-
ernmental authority for damages because of
testing for, monitoring, cleaning up, remov-
ing, containing, treating, detoxifying or neu-
tralizing, or in any way responding to or as-
sessing the effects of "pollutants".
"Covered pollution cost or expense" does not
include any cost or expense arising out of the
actual, alleged or threatened discharge, disper-
sal, seepage, migration, release or escape of
"pollutants":
a. That are, or that are contained in any
property that is:
(1) Being transported or towed by, han-
dled, or handled for movement into,
onto or from the covered "auto";
(2) Otherwise in the course of transit by
or on behalf of the "insured";
(3) Being stored, disposed of, treated or
processed in or upon the covered
"auto";
b. Before the "pollutants" or any property in
which the "pollutants" are contained are
moved from the place where they are ac-
cepted by the "insured" for movement
into or onto the covered "auto"; or
c. After the "pollutants" or any property in
which the "pollutants" are contained are
moved from the covered "auto" to the
place where they are finally delivered,
disposed of or abandoned by the "in-
sured".
Paragraph a. above does not apply to fuels,
lubricants, fluids, exhaust gases or other
similar "pollutants" that are needed for or
result from the normal electrical, hydraulic
or mechanical functioning of the covered
"auto" or its parts, if:
(1) The "pollutants" escape, seep, mi-
grate, or are discharged, dispersed or
released directly from an "auto" part
designed by its manufacturer to hold,
store, receive or dispose of such
"pollutants"; and
(2) The "bodily injury", "property damage"
or "covered pollution cost or expense"
does not arise out of the operation of
any equipment listed in Paragraph 6.b.
or 6.c. of the definition of "mobile
equipment'.
Paragraphs b. and c. above do not apply to
"accidents" that occur away from premises
owned by or rented to an "insured" with re-
spect to "pollutants" not in or upon a cov-
ered "auto" if:
(1) The "pollutants" or any property in
which the "pollutants" are contained
are upset, overturned or damaged as
a result of the maintenance or use of
a covered "auto"; and
(2) The discharge, dispersal, seepage,
migration, release or escape of the
"pollutants" is caused directly by such
upset, overturn or damage.
Page 10 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 0103 06
�-� Hanover
Insurance C:roiip.
AW2H519887 0901120
E. "Diminution in value" means the actual or per- b. That pertains to the loan, lease or rental
ceived loss in market value or resale value of an "auto" to you or any of your "em-
which results from a direct and accidental ployees", if the "auto" is loaned, leased
"loss". or rented with a driver; or
F. "Employee" includes a "leased worker". "Em-
ployee" does not include a "temporary worker".
G. "Insured" means any person or organization
qualifying as an insured in the Who Is An In-
sured provision of the applicable coverage. Ex-
cept with respect to the Limit of Insurance, the
coverage afforded applies separately to each
insured who is seeking coverage or against
whom a claim or "suit" is brought.
H. "Insured contract' means:
1. A lease of premises;
2. A sidetrack agreement;
3. Any easement or license agreement, except
in connection with construction or demolition
operations on or within 50 feet of a railroad;
4. An obligation, as required by ordinance, to
indemnify a municipality, except in connec-
tion with work for a municipality;
5. That part of any other contract or agreement
pertaining to your business (including an in-
demnification of a municipality in connection
with work performed for a municipality) un-
der which you assume the tort liability of an-
other to pay for "bodily injury" or "property
damage" to a third party or organization.
Tort liability means a liability that would be
imposed by law in the absence of any con-
tract or agreement;
6. That part of any contract or agreement en-
tered into, as part of your business, pertain-
ing to the rental or lease, by you or any of
your "employees", of any "auto". However,
such contract or agreement shall not be
considered an "insured contract' to the ex-
tent that it obligates you or any of your "em-
ployees" to pay for "property damage" to any
"auto" rented or leased by you or any of
your "employees".
An "insured contract' does not include that part
of any contract or agreement:
a. That indemnifies a railroad for "bodily
injury" or "property damage" arising out
of construction or demolition operations,
within 50 feet of any railroad property and
affecting any railroad bridge or trestle,
tracks, roadbeds, tunnel, underpass or
crossing; or
c. That holds a person or organization en-
gaged in the business of transporting
property by "auto" for hire harmless for
your use of a covered "auto" over a route
or territory that person or organization is
authorized to serve by public authority.
I. "Leased worker" means a person leased to you
by a labor leasing firm under an agreement
between you and the labor leasing firm, to per-
form duties related to the conduct of your busi-
ness. "Leased worker" does not include a "tem-
porary worker".
J. "Loss" means direct and accidental loss or
damage.
K. "Mobile equipment' means any of the following
types of land vehicles, including any attached
machinery or equipment:
1. Bulldozers, farm machinery, forklifts and
other vehicles designed for use principally
off public roads;
2. Vehicles maintained for use solely on or next
to premises you own or rent;
3. Vehicles that travel on crawler treads;
4. Vehicles, whether self-propelled or not,
maintained primarily to provide mobility to
permanently mounted:
a. Power cranes, shovels, loaders, diggers
or drills; or
b. Road construction or resurfacing equip-
ment such as graders, scrapers or roll-
ers.
5. Vehicles not described in Paragraph 1., 2., 3.,
or 4. above that are not self-propelled and
are maintained primarily to provide mobility
to permanently attached equipment of the
following types:
a. Air compressors, pumps and generators,
including spraying, welding, building
cleaning, geophysical exploration, lighting
and well servicing equipment; or
b. Cherry pickers and similar devices used
to raise or lower workers.
6. Vehicles not described in Paragraph 1., 2., 3.
or 4. above maintained primarily for pur-
poses other than the transportation of per-
sons or cargo. However, self-propelled vehi-
cles with the following types of permanently
attached equipment are not "mobile equip-
ment' but will be considered "autos":
CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 11 of 12
a. Equipment designed primarily for:
(1) Snow removal;
(2) Road maintenance, but not construc-
tion or resurfacing; or
(3) Street cleaning;
b. Cherry pickers and similar devices
mounted on automobile or truck chassis
and used to raise or lower workers; and
c. Air compressors, pumps and generators,
including spraying, welding, building
cleaning, geophysical exploration, lighting
or well servicing equipment.
However, "mobile equipment" does not include
land vehicles that are subject to a compulsory
or financial responsibility law or other motor
vehicle insurance law where it is licensed or
principally garaged. Land vehicles subject to a
compulsory or financial responsibility law or
other motor vehicle insurance law are consid-
ered "autos".
M. "Property damage" means damage to or loss of
use of tangible property.
N. "Suit" means a civil proceeding in which:
1. Damages because of "bodily injury" or
"property damage"; or
2. A "covered pollution cost or expense",
to which this insurance applies, are alleged.
"Suit" includes:
a. An arbitration proceeding in which such
damages or "covered pollution costs or
expenses" are claimed and to which the
"insured" must submit or does submit
with our consent; or
b. Any other alternative dispute resolution
proceeding in which such damages or
"covered pollution costs or expenses" are
claimed and to which the insured submits
with our consent.
L."Pollutants" means any solid, liquid, gaseous or
thermal irritant or contaminant, including
smoke, vapor, soot, fumes, acids, alkalis,
chemicals and waste. Waste includes materials P.
to be recycled, reconditioned or reclaimed.
"Temporary worker" means a person who is
furnished to you to substitute for a permanent
"employee" on leave or to meet seasonal or
short-term workload conditions.
"Trailer" includes semitrailer.
Page 12 of 12 Copyright, ISO Properties, Inc., 2005 CA 00 01 03 06
Signature: Terry JuPrgm an (Jun 2021 929 PDT)
Email: tjungman@kentwa.gov
Signature: L�-
Email: rlashley@kentwa.gov
Signature:
Brian Levenhage n (Jun 8, 202116:45 PDT)
Email: bjlevenhagen@kentwa.gov
E-TRANSMITTAL: Agmt.
Park Renovation Design
Final Audit Report
for Chestnut Ridge
Created: 2021-06-08
By: Lynn Osborn (losborn@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAsm8mg98bot9YgUyRms08ODTIAxyiNa7Q
2021-06-16
"E-TRANSMITTAL: Agmt. for Chestnut Ridge Park Renovation
Design" History
Document created by Lynn Osborn (losborn@kentwa.gov)
2021-06-08 - 4:19:57 PM GMT- IP address: 146.129.252.126
, Document emailed to Terry Jungman (tjungman@kentwa.gov) for signature
2021-06-08 - 4:22:44 PM GMT
Email viewed by Terry Jungman (tjungman@kentwa.gov)
2021-06-08 - 4:29:29 PM GMT- IP address: 146.129.252.126
Document e-signed by Terry Jungman (tjungman@kentwa.gov)
Signature Date: 2021-06-08 - 4:29:59 PM GMT - Time Source: server- IP address: 146.129.252.126
�'• Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2021-06-08 - 4:30:02 PM GMT
Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2021-06-08 - 11:32:43 PM GMT- IP address: 146.129.252.126
'1Q Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2021-06-08 - 11:44:34 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature
2021-06-08 - 11:44:36 PM GMT
Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
2021-06-08 - 11:44:54 PM GMT- IP address: 146.129.252.126
o Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
Signature Date: 2021-06-08 - 11:45:34 PM GMT - Time Source: server- IP address: 146.129.252.126
0 Adobe Sign
Document emailed to James A. Brennan (drew@jabrennan.com) for signature
2021-06-08 - 11:45:36 PM GMT
f", Email viewed by James A. Brennan (drew@jabrennan.com)
2021-06-09 - 11:57:27 PM GMT- IP address: 73.109.97.166
Document signing delegated to jim@jabrennan.com by drew@jabrennan.com
2021-06-10 - 0:03:58 AM GMT- IP address: 73.109.97.166
Document emailed to jim@jabrennan.com for signature
2021-06-10 - 0:03:59 AM GMT
Cep. Document e-signed by James A. Brennan (drew@jabrennan.com)
Signature Date: 2021-06-16 - 8:08:26 PM GMT - Time Source: server- IP address: 73.109.97.166
Q Agreement completed.
2021-06-16 - 8:08:26 PM GMT
a Adobe Sign