HomeMy WebLinkAboutCAG2021-447 - Original - Systems Interface, Inc. - Pump Station #7 PLC Upgrade - 10/12/2021ApprovalOriginator:Department:
Date Sent:Date Required:
Mayor or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingDate Received: City Attorney:
Comments:
Date Routed: Mayor’s Office City Clerk’s OfficeAgreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Local Business? Yes No*
Business License Verification:
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Yes In-Process Exempt (KCC 5.01.045)
Notice required prior to disclosure?
Yes No
Contract Number:
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms. (Print on pink or cherry colored paper)
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Dir Asst:
Sup/Mgr:
Dir/Dep:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
Agreement Routing Form
For Approvals, Signatures and Records Management
(Optional)
Basis for Selection of Contractor:
* Memo to Mayor must be attached
Termination Date:
Authorized to Sign:
Original
CAG2021-447
GOODS & SERVICES AGREEMENT - 1
(Over $20,000, including WSST)
GOODS & SERVICES AGREEMENT
between the City of Kent and
Systems Interface, Inc.
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Systems Interface, Inc. organized under the laws of the State of Washington,
located and doing business at 10802 47th Avenue W., Mukilteo, WA 98275, Phone: (425) 481-1225,
Contact: Scott Martin (hereinafter the "Vendor").
AGREEMENT
I. DESCRIPTION OF WORK.
The Vendor shall provide the following goods and materials and/or perform the following services
for the City:
The Vendor shall provide PLC programming services and hardware upgrades at Pump
Station #7. For a description and Vendor's Scope of Work, see Exhibit A which is attached
and incorporated by this reference.
The Vendor acknowledges and understands that it is not the City’s exclusive provider of these
goods, materials, or services and that the City maintains its unqualified right to obtain these goods,
materials, and services through other sources.
II.TIME OF COMPLETION. Upon the effective date of this Agreement, the Vendor shall
complete the work and provide all goods, materials, and services by March 31, 2022.
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed Twenty
Thousand, Nine Hundred Thirteen Dollars and Forty Nine Cents ($20,913.49), including applicable
Washington State Sales Tax, for the goods, materials, and services contemplated in this Agreement. The
City shall pay the Vendor the following amounts according to the following schedule:
The Vendor shall be compensated after execution of the agreement and upon submittal of
invoice for each authorized work request.
GOODS & SERVICES AGREEMENT - 2
(Over $20,000, including WSST)
Card Payment Program. The Vendor 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 Vendor. If the Vendor voluntarily participates in this
Program, the Vendor will be solely responsible for any fees imposed by financial institutions or credit card
companies. The Vendor shall not charge those fees back to the City.
If the City objects to all or any portion of an invoice, it shall notify the Vendor and reserves the
option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately
make every effort to settle the disputed portion.
A. Defective or Unauthorized Work. The City reserves its right to withhold payment from the
Vendor for any defective or unauthorized goods, materials or services. If the Vendor is
unable, for any reason, to complete any part of this Agreement, the City may obtain the
goods, materials or services from other sources, and the Vendor shall be liable to the City
for any additional costs incurred by the City. "Additional costs" shall mean all reasonable
costs, including legal costs and attorney fees, incurred by the City beyond the maximum
Agreement price specified above. The City further reserves its right to deduct these
additional costs incurred to complete this Agreement with other sources, from any and all
amounts due or to become due the Vendor.
B. Final Payment: Waiver of Claims. VENDOR’S ACCEPTANCE OF FINAL PAYMENT SHALL
CONSTITUTE A WAIVER OF CLAIMS, EXCEPT THOSE PREVIOUSLY AND PROPERLY MADE
AND IDENTIFIED BY VENDOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL PAYMENT
IS MADE.
IV.INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Vendor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Vendor maintains and pays for its own place of business from which the Vendor’s
services under this Agreement will be performed.
C. The Vendor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained the Vendor’s services, or the Vendor is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Vendor is responsible for filing as they become due all necessary tax documents
with appropriate federal and state agencies, including the Internal Revenue Service
and the state Department of Revenue.
E. The Vendor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by the Vendor’s
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Vendor maintains a set of books dedicated to the expenses and earnings of its
business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement.
GOODS & SERVICES AGREEMENT - 3
(Over $20,000, including WSST)
VI. CHANGES. The City may issue a written amendment for any change in the goods, materials
or services to be provided during the performance of this Agreement. If the Vendor determines, for any
reason, that an amendment is necessary, the Vendor must submit a written amendment request to the
person listed in the notice provision section of this Agreement, Section XV(D), within fourteen (14)
calendar days of the date the Vendor knew or should have known of the facts and events giving rise to the
requested change. If the City determines that the change increases or decreases the Vendor's costs or
time for performance, the City will make an equitable adjustment. The City will attempt, in good faith, to
reach agreement with the Vendor on all equitable adjustments. However, if the parties are unable to
agree, the City will determine the equitable adjustment as it deems appropriate. The Vendor shall
proceed with the amended work upon receiving either a written amendment from the City or an oral order
from the City before actually receiving the written amendment. If the Vendor fails to require an
amendment within the time allowed, the Vendor waives its right to make any claim or submit subsequent
amendment requests for that portion of the contract work. If the Vendor disagrees with the equitable
adjustment, the Vendor must complete the amended work; however, the Vendor may elect to protest the
adjustment as provided in subsections A through E of Section VIII, Claims, below.
The Vendor accepts all requirements of an amendment by: (1) endorsing it, (2) writing a separate
acceptance, or (3) not protesting in the way this section provides. An amendment that is accepted by the
Vendor as provided in this section shall constitute full payment and final settlement of all claims for
contract time and for direct, indirect and consequential costs, including costs of delays related to any
work, either covered or affected by the change.
VII. FORCE MAJEURE. 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 Vendor 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 Vendor due to a force majeure event.
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 Vendor 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 Vendor to fulfill its
obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be
borne by the Vendor.
VIII. CLAIMS. If the Vendor disagrees with anything required by an amendment, another
written order, or an oral order from the City, including any direction, instruction, interpretation, or
determination by the City, the Vendor may file a claim as provided in this section. The Vendor shall give
written notice to the City of all claims within fourteen (14) calendar days of the occurrence of the events
GOODS & SERVICES AGREEMENT - 4
(Over $20,000, including WSST)
giving rise to the claims, or within fourteen (14) calendar days of the date the Vendor knew or should
have known of the facts or events giving rise to the claim, whichever occurs first . Any claim for
damages, additional payment for any reason, or extension of time, whether under this Agreement or
otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim
is made in strict accordance with the applicable provisions of this Agreement.
At a minimum, a Vendor's written claim shall include the information set forth in subsections A,
items 1 through 5 below.
FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN
THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF ANY CLAIMS ARISING IN
ANY WAY FROM THE FACTS OR EVENTS SURROUNDING THAT CLAIM OR CAUSED
BY THAT DELAY.
A. Notice of Claim. Provide a signed written notice of claim that provides the following
information:
1.The date of the Vendor's claim;
2.The nature and circumstances that caused the claim;
3.The provisions in this Agreement that support the claim;
4. The estimated dollar cost, if any, of the claimed work and how that estimate
was determined; and
5.An analysis of the progress schedule showing the schedule change or
disruption if the Vendor is asserting a schedule change or disruption.
B. Records. The Vendor shall keep complete records of extra costs and time incurred as a
result of the asserted events giving rise to the claim. The City shall have access to any of
the Vendor's records needed for evaluating the protest.
The City will evaluate all claims, provided the procedures in this section are followed. If the
City determines that a claim is valid, the City will adjust payment for work or time by an
equitable adjustment. No adjustment will be made for an invalid protest.
C. Vendor's Duty to Complete Protested Work. In spite of any claim, the Vendor shall proceed
promptly to provide the goods, materials and services required by the City under this
Agreement.
D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Vendor
also waives any additional entitlement and accepts from the City any written or oral order
(including directions, instructions, interpretations, and determination).
E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this
section, the Vendor completely waives any claims for protested work and accepts from the
City any written or oral order (including directions, instructions, interpretations, and
determination).
IX.LIMITATION OF ACTIONS. VENDOR MUST, IN ANY EVENT, FILE ANY LAWSUIT ARISING
FROM OR CONNECTED WITH THIS AGREEMENT WITHIN 120 CALENDAR DAYS FROM THE DATE THE
CONTRACT WORK IS COMPLETE OR VENDOR’S ABILITY TO FILE THAT SUIT SHALL BE FOREVER BARRED.
THIS SECTION FURTHER LIMITS ANY APPLICABLE STATUTORY LIMITATIONS PERIOD.
X. WARRANTY. The Vendor warrants that it will faithfully and satisfactorily perform all work
provided under this Agreement in accordance with the provisions of this Agreement. In addition to any
other warranty provided for at law or herein, this Agreement is additionally subject to all warranty
provisions established under the Uniform Commercial Code, Title 62A, Revised Code of Washington. The
Vendor warrants goods are merchantable, are fit for the particular purpose for which they were obtained,
and will perform in accordance with their specifications and the Vendor’s representations to City. The
Vendor shall promptly correct all defects in workmanship and materials: (1) when the Vendor knows or
GOODS & SERVICES AGREEMENT - 5
(Over $20,000, including WSST)
should have known of the defect, or (2) upon the Vendor’s receipt of notification from the City of the
existence or discovery of the defect. In the event any part of the goods are repaired, only original
replacement parts shall be used—rebuilt or used parts will not be acceptable. When defects are corrected,
the warranty for that portion of the work shall extend for an additional year beyond the original warranty
period applicable to the overall work. The Vendor shall begin to correct any defects within seven (7)
calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the
corrections within a reasonable time as determined by the City, the City may complete the corrections and
the Vendor shall pay all costs incurred by the City in order to accomplish the correction.
XI.DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any sub-contract, the Vendor, its sub-contractors, or any person acting on behalf of the
Vendor or sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national
origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who
is qualified and available to perform the work to which the employment relates.
The Vendor shall execute the attached City of Kent Equal Employment Opportunity Policy
Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the
attached Compliance Statement.
XII. INDEMNIFICATION. The Vendor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees, arising out of or in connection with the Vendor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence.
The City's inspection or acceptance of any of the Vendor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER.
In the event the Vendor refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Vendor’s part, then the
Vendor shall pay all the City’s costs for defense, including all reasonable expert witness fees and
reasonable attorneys’ fees, plus the City’s legal costs and fees incurred because there was a wrongful
refusal on the Vendor’s part.
The provisions of this section shall survive the expiration or termination of this Agreement.
XIII. INSURANCE. The Vendor shall procure and maintain for the duration of the Agreement,
insurance of the types and in the amounts described in Exhibit B attached and incorporated by this
reference.
XIV. WORK PERFORMED AT VENDOR'S RISK. The Vendor shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at the Vendor's own risk, and the Vendor shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XV. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
GOODS & SERVICES AGREEMENT - 6
(Over $20,000, including WSST)
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties’ performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section XII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment,
the terms of this Agreement shall continue in full force and effect and no further assignment shall be
made without additional written consent.
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 Vendor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. All of the above documents are hereby made a part of this
Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any
language contained in this Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws. The Vendor agrees to comply with all federal, state, and municipal
laws, rules, and regulations that are now effective or in the future become applicable to the Vendor's
business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of
the performance of those operations.
I. Public Records Act. The Vendor acknowledges that the City is a public agency subject to the
Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes,
emails, and other records prepared or gathered by the Vendor in its performance of this Agreement may
be subject to public review and disclosure, even if those records are not produced to or possessed by the
City of Kent. As such, the Vendor agrees to cooperate fully with the City in satisfying the City’s duties and
obligations under the Public Records Act.
J. City Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code.
10/12/2021
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.
By; Scott Martin'
For: Systems Interface, Inc.
Title: Project Sales / Manager
Date: 10/05/2021
EEO COMPLIANCE DOCUMENTS - 1 of 3
EEO COMPLIANCE DOCUMENTS - 2 of 3
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City’s
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City’s equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 3 of 3
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
By: ___________________________________________
For: __________________________________________
Title: _________________________________________
Date: _________________________________________
EXHIBIT A
functional replacement code. Programming shall primarily be completed in ladder
logic unless functionally unfeasible. All code shall be open to the end user and non-
proprietary.
3. Convert the existing Step 7 V5.5 software to TIA Portal V15.1.
4. Provide all labor, material and hardware required to replace the existing Siemens
300 series CPU and 1/0 modules with a direct Siemens S7-1500 CPU series
replacement.
S. Replace the existing HMI with a TP1200 Comfort panel.
6. Prepare and install any required hardware for future Profinet controlled Drives.
*Commissioning
1. Installation of the new program and hardware.
2. Check all wiring to the newly installed S7-1500 PLC's. Provide any additional
hardware required to complete the conversion.
3. Perform all 1/0 and functionality checks with assistance of City staff.
4. Confirm proper communications to headquarters with City staff.
5. Provide updated drawings (.dwg files) of direct changes.
*(2) hard 11X17 copies and (1) electronic copy.
* City will provide original ACAD drawings to be updated.
Project Duration
*Due to the critical nature of this water source all work shall be completed in a single day
shift. 7am-4pm
*The City will conduct a full functional test of the pumping system for 1-week, (7) calendar
days, to the satisfaction of the City. Any wiring or PLC code modifications required to satisfy
completion shall be completed by the integrator upon notice.
*Contractor shall warrant all work including software changes and hardware installation for
1-year upon final acceptance. This is to insure proper functionality.
*The contractor will enter into a Goods and Services Agreement with the City prior to any
Notice to Proceed.
(425)481-1225 T
(425)481-2115 F
Systems Interface Inc.
w .systems-Interface.com
10802 4r' Ave W.
Wkllteo, WA 98275 USA
To: Estimator
From: Scott Martin, P.E.
Re: City of Kent, Pump Station 7 Project
Spec Sections:l6xxx and 17xxx — MCCs. VFDs, Instrumentation, Telemetry, and Control System
Sit Quote #: OS211002-1
Inclusions: Standard Inclusions
1.
Updates to existing ACAD drawings (provided by City of Kent), Electrical
Schematics, Panel Layout drawings, and Bill of Materials for all SII supplied
equipment. (2) hard 11x17 copies and (1) electronic copy will be provided.
2.
Supply of Submittals, Operation and Maintenance Manuals, along with all other
required documentation on S I I supplied equipment as part of this quotation.
3.
PLC replacement and code update of one (1) S7-300 PLC with remote 110
located at the Pump Station #7 water facility. This includes the existing PLC, HMI,
remote 110 rack, and all associated hardware. A new Siemens 1500 PLC, remote
110 and HMI will be installed and loaded translated program in its place
4.
Configuration of all supplied instrumentation.
5.
Provision of (2) Danfoss VFd Profinet communication cards (for a later system
update). Profinet infrastructure for new network to be included.
6.
Technical coordination with all Contractors during instailation.
7.
0n-site startup, testing, & commissioning services consisting of one 8-hour day
between lam and 4pm.
Modifications to existing panel with:
1. New Siemens 1500 PLC system with:
a. 1511 CPU
b. One 531 8 pt. Analog Input Modules
c. One 521 16 pt. Digital Input Modules
d. Two 522 16 pt. Digital Output Modules.
e. One 322 16 pt. Relay Output Modules.
f. One 241 Communications Module (to connect with existing telemetry
modem).
One TP1200 CE6.0, 12" COLOR TOUCH SCREEN Door -mounted Operator
Interface Touchscreen.
Qualified Engineering Resources
Matt Davis -- EIT, approximately 10 years ongoing Siemens PLC 1 HMI programming experience.
Project Management
SCADA design and implementation.
Greg Michaelson — EIT, approximately 3 years ongoing Siemens PLC 1 HMI programming experience
• Siemens TIA Portal Programming Course 1
Siemens TIA Portal Programming Course 2
Jordan Cross — MS EE, approximately 3 years Siemens PLC 1 HMI programming experience.
(425)01-1225 T
(425)481-2115 F
www.systems4nterfa�.com
Systems Interface Inc.
1 Dee2 4r" Ave W.
Wkiltep, WA 915275 USA
Similar Project Work
Project # S20L003 — City of Kent Clark 5prings.
o Development of a oomplete set of Electrical Schematics, Panel Layout drawings, and Bill of
Materials for all Sit supplied equipment.
o Supply of Submittals, Operation and Maintenance Manuals, along with all other required
documentation on S I I supplied equipment as part of this quotation.
o Programming and configuration of all supplied and existing control equipment; including the
Siemens PLC, HQ Alarm Notification System, and HQ SCADA system.
o Start up and on -site commissioning.
Project # S19A021 — City of Kent 640 Booster Station
o Development of a complete set of Electrical Schematics, Panel Layout drawings, and Bill of
Materials for all Sit supplied equipment.
o Supply of Submittals, Operation and Maintenance Manuals, along with all other required
documentation on Sit supplied equipment as part of this quotation.
o Programming and configuration of all supplied control equipment. including the AB PLC,
Operator Interface, Alarm Notification System, and SCADA systems.
o Configuration of all supplied instrumentation.
❑ Start up and on -site commissioning.
Project # S18L023 —City of Kent Upper Mill Creek Dam Improvements
o Development of a complete set of Electrical Schematics, Panel Layout drawings, and Bill of
Materials for all S I I supplied equipment.
❑ Supply of Submittals, Operation and Maintenance Manuals, along with all other required
documentation on SII supplied equipment as part of this quotation.
o Programming and configuration of all supplied and existing control equipment.
a Configuration of all supplied instrumentation,
a Startup and on -site commissioning.
Exclusions and Clarifications.
1. New Instrumentation or Field Devices.
2. Service or safety Disconnects, Automatic/Manual Transfer Switches, Load Centers,
Panelboards, Power Distribution Panels, Main Breakers, Service Entrances, Power
Meter Bases, or Transformers that are external to the supplied Control Panels.
3. Pumps, pressure gauges, manifolds, bushings, thermowells, diaphragms, annular
seals, purge assemblies, stilling wells, valves, pump over temp sensors, pump
moisture sensors, or solenoids that are not an integral part of the supplied
instrumentation.
4. Field Installation labor outside of panel upgrade. Interconnecting field wiring (and field
wire), conduit, field terminations, mounting brackets, stanchions, supports, mounting
pads, fittings, tubing, valving or piping, or anchoring systems.
5. Standby labor rates may apply due to non -productive time spent on -site due to
circumstances beyond Systems Interface's control (such as absence of required
escorts, clearances, inability to enter workplace, job site conditions, trade stacking,
incomplete field wiring, lack of utilities, etc). The costs associated with these
conditions will be considered a change order.
6. Systems Interface shall not be held liable for errors or omissions in designs by others,
nor inadequacies of materials and equipment specified, supplied, pre-existing, or
installed by others.
7. Systems Interface shall not incur cost impacts due to delays associated with the design
submittal review and approval process.
(425)481-1225 T
{425}481-2115 F
Systems Interface Inc. www.systems ntertace.com
10802 47°i Ave W,
Mukil[eo, WA 98275 USA
8. Seismic Calculations to ensure Seismic Zone installation requirements are met_
9. Arc Flash Studies or PPE requirement analysis.
10. For systems with Variable Frequency Drives, we are excluding any guarantee of
meeting IEEE-519 recommended Harmonic distortion levels, related calculations, or
on -site measurements.
11. Short Circuit Current calculations or ratings in excess of 5KAIC. Higher AIC ratings
and/or coordinated trip studies can be provided optionally at additional cost.
12. Cost of permits and inspection requirements of field installation.
13. Systems Interface is not responsible for delay, disruption, or liquidated damages of any
sort, unless Purchaser requests and receives a quotation which includes pricing and
terms for such damages.
14. Costs due to local laws or union regulations to have non Sit craftsman make wiring
modifications or adjustments to SII supplied equipment during start-up & calibration.
15. Costs associated with contractor requirements to perform drug testing and meet
extraordinary on -site safety requirements.
16. Costs associated with submission of certified payroll and monthly EEO reports,
completion of Affidavit of Wages paid, and filing of Intent to Pay Prevailing Wages.
Systems Interface Inc. is a supplier of control systems and has no employed staff
which fall under Prevailing wage rules and requirements.
17. Systems Interface's proposal is based upon an award of purchase order. Engineering
labor, administrative labor, and other miscellaneous costs associated with
subcontracting and/or bonding can be provided at an additional charge.
18. Use of a 3ro parry billing system which requires fees to be paid by Systems Interface.
19. Retention is not allowed unless specifically listed as an inclusion in our proposal. No
retentions shall be held for time & material proposals, proposals with a billing cycle of
less than 30 days, or proposals of less than $30,000.
20. Anything (verbal or written) expressed or implied elsewhere, which is contrary to these
conditions, clarifications, and exclusions, shall be null and void.
Pricing: Scope of work as described above ........................................... %$18,995-
All prices are net prices and do not include bonding costs or any State, local or use
taxes. Prices are valid for a period of 60 Days,
Note that we reserve the right to suspend any further performance in the event
payments are not made when due.
(425)481-1225 T
(425)481-2115 F
www.systems�rrcerFace.com
Systems Interface Inc.
10802 4T' Ave W.
Mukilteo. WA 88275 USA
Sales Tax Policy: Any customers reselling our products must supply Systems Interface Inc. (Sit) with
a Resellers Certificate for the destination State.
Out of State Customers who are the end user of our product must pay SaleslUse tax
in their State and supply documentation confirming these taxes have been paid.
Washington State customers who are the end -user and having our products shipped
to their facility in a different State need to supply documentation to Sit confirming that
the SalesJUse taxes have been paid to the destination State.
Unless Sig has been provided proper documentation (resellers certificates or
documentation confirming these taxes have been paid), SalesfUse Tax will be added
to the invoices.
Payment Terms: Monthly progress payments upon verifiable work completed. This includes a 10%
mobilization payment due upon completion of engineering design and submittals. If
equipment is ready for shipment to jobsite and necessary for billing, but the site
cannot receive it, additional storage fees may apply. Credit cards can be accepted
for payment with an additional handling fee.
Addenda Received: None
Estimated Delivery: Submittals and Integration Drawings: within 2 to S weeks from Notice to Proceed
Delivery of equipment to Jobsite: contingent on vendor deliveries.
Startup, Commissioning, Training: coordinated with the City & Contractor.
Shipping Terms: Material for this project will be shipped F.O.B. Mukilteo. Washington complete, ready
for installation and Feld terminations by others.
Warranty: Systems Interface Inc warrants defects in material S workmanship for all systems
supplied by SIf for a period of one (1) year beginning on the date of shipment.
Materials supplied by Systems Interface are warranted only to the extent that the
manufacturer warrants the same. No other warranties are verbally expressed or
implied.
Thank you for your consideration of this quotation.
Sincerely,
Systems Interface Inc.
Scott Martin, P.E.
Project Sales I Manager
samesystems RleAace.wm OS21 I W2.1 a.dm
EXHIBIT B INSURANCE REQUIREMENTS FOR SERVICE CONTRACTS
Insurance
The Contractor shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Contractor, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Contractor shall obtain insurance of the types described below:
1. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises, operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an insured contract. The City shall be named as an
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.
2. Automobile Liability insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
3. Workers’ Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Commercial General Liability insurance shall be written with limits
no less than $2,000,000 each occurrence, $2,000,000 general
aggregate and a $2,000,000 products-completed operations
aggregate limit.
2. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of $1,000,000 per
accident.
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Contractor’s insurance coverage shall be primary insurance as
respect the City. Any Insurance, self-insurance, or insurance pool
coverage maintained by the City shall be excess of the Contractor’s
insurance and shall not contribute with it.
2. The Contractor’s insurance shall be endorsed to state that coverage
shall not be cancelled by either party, except after thirty (30) days
prior written notice by certified 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 A:VII.
E. Verification of Coverage
Contractor shall furnish the City with original certificates and a copy of the
amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
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.
Client#:1058688 SYSTEINT2ACORD" CERTIFICATE OF LIABILITY INSURANCE
COVERAGES CERTIFICATE NUMBER REVISION NUMBER
DATE (MM/DD/YYYY)
1to5t202'l
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR MATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH]S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG INSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: ll the certiticate holder is an ADDITIONAL INSURED, the must ADDITIONAL INSURED orll SUBROGATION lS WAIVED, subiect to the terms and conditions ot the policy, certain policies may require an endorsement. A statement onthis certilicate does not conler anv riohts to the certificate holder in lieu ol such ^hi^r-^66^./-
PRODUCER
USI lnsurance Services NW
601 Union Street, Suite 1000
Seattle, WA 98101
Jeanne.
206 441-6300 61 0-362-8530
ust.com
INSURER(S) AFFORDING COVERAGE NAIC #
tNsuRER a . Philadelphia lndemnity lnsurance Co.1 8058
INSURED
Systems Interface, Inc
10802 47th Ave W.
Mukilteo, WA 98275
;NSUBER B . Twin City Fire lnsurance Company 29459
INSURER C
INSURER D:
INSUREB E :
INSURER F:
THIS IS TO CERTI FY THAT THE POLICIES OF INSURANCE LISTE D BELOW HAVE BEEN ISSU ED TO THE INSURED NAMED ABOVE FOR THE PO LICY PER IODNDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OB OTHER DOCUMENT WITH RESPECT TO WH tcH THIS
CERTI FICATE MAY BE ISSUED OR IVIAY PERTAIN,THE INS U RANCE AFFOBDED BY THE POLICIES DESCRI BED HEREIN IS S UBJECT TO ALL THE TERMS,
EXCLUS IONS AND CONDITIONS OF SUCH PO LICIES LIMITS SHOWN IVIAY HAVE BEEN REDUCE D BY PAID CLAIMS
NSH
LTR TYPE OF INSUBANCE SUBF
WVD POLICY NUMBER POLICY EFF(MM/DD/YYYY}POLIGY EXP(MM/DD/YYYYI LIMITS
A X COMMERCIAL GENERAL LIABILITY
CLAIMS.MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
OTHER
PRO-JEcr I I roc
X
x
PHPK2220880 12t31t2020 12t31t2021 EACH OCCURRENCE $1.000.000
DAIVAGE TO RENTED
PREI\4lSES (Ea occurrencel $1.000.000
MED EXP (Any one person)$5.000
PERSONAL & ADV INJURY $1.000.000
GENERAL AGGREGATE $2.000.000
PRODUCTS, COMP/OP AGG
$
A AUTOMOBILE LIABILITY
x ANY AUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON.OWNED
AUTOS ONLYxX
PHPK2220880 12t31t2020 12t31t2021 s1 ,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)$
$
$
A x UMBRELLA LIAB
EXCESS LIAB
x OCCUB
CLAIIVIS-MADE
PHU8751241 12t31t2020 12t31t2021 EACH OCCURRENCE $5.000.000
AGGREGATE
DFf)10000 $
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
ll yes, describe under
DESCRIPTION OF OPERATIONS below
N N/A
52WECAB6MZ8
Except Washington
Stop Gap Only
12t31t2020 12t31t2021 X lEFl,,,.,OTH,tra
E-1. EACH ACCIDENT $1,000.000
E,L. DISEASE - EA EMPLOYEE $1,000.000
E.L. DISEASE POLICY LIMIT $1,000.000
A E&O PHPK2220879 42t31t2020 12t31t2021 $2,000,000 Each Claim
and Aggregate
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
City of Kent is additional insured with coverage on primary/non-contributory basis per attached CG201O,
CG2037' CG2404 and CG2001and P|CA003. 30 days prior notice of cancellation applies except 10 days due to non
payment ol premium.
CE
ACORD 25 (2016/03) 1 ol 1
#s30877049/M308601 32
@ 1988-2015 ACORD CORPORATION. Ail righrs reserved.
The ACORD name and logo are registered marks of ACORD
59KZP
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIBATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS.
City of Kent
Eng Administration ;Public Works Oepartment
Attn: Nancy Yoshitake, Contract Specialist
220 Fourth Avenue S
Kent, WA 98032
AUTHORIZED REPRESENTATIVE
Pat*
Pr-cA-003 (04t14)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Withrespectto coverage provided by this endorsement,the provisionsofthe Coverage Form apply
unless modified by the endorsement.
A. SECTION ll- COVERED AUTOS LIABILITY COVERAGE, A. Goverage, 1. Who ls An lnsured is
amended by adding the following:
The following are also "insureds":
Any person or organization for whom you are required by an "insured contract" to procure "bodily
injury" or "property damage" liability insurance arising out of the operation of a covered "auto" with
your permission. However, this additional insurance does not apply to:
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 "traile/' connected to a covered "auto" you own;
2. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her
household;
3. Anyone using a covered "auto" while he or she is working in a business 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 moving
property to or from a covered "auto"; or
5. A partner (if you are a partnership), or a member (if you are a limited liability company) for
covered "auto" owned by him or her or a member of his or her household.
B. The "insured contract" must be in effect during the policy period shown in the Declarations and must
have been executed prior to the'bodily injury" or "property damage".
C. This person or organization is an "insured" only to the extent you are liable due to your ongoing
operations for that "insured", whether the work is performed by you or for you, and only to the extent
you are held liable for an "accident" occurring while a covered "auto" is being driven by you or one of
your employees.
D. There is no coverage provided to this person or organization for "bodily injury'to its employees or for
"property damage" to its propefi.
E. Coverage for this person or organization shall be limited to the extent of your negligence or fault
according to the applicable principles of comparative negligence or fault.
F. The defense of any claim or "suit" must be tendered by this person or organization as soon as
practicable to all other insurers which potentially provide insurance for such claim or "suit".
G. A person's or organization's status as an "insured" under this endorsement ends when your
operations for that "insured" are completed.
Page 1 of 2
Pr-cA-003 (04t14)
H. The coverage extended to any additional insured by this endorsement is limited to, and subject to all
terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached.
ln addition, coverage shall not exceed the terms and conditions that are required by the terms of the
wriften agreement to add any "insured," or to procure insurance.
l. The following additional exclusions apply:
The insurance afforded to any person or organization as an "insured" under this endorsement
does not apply to "loss":
'1. Which occurs prior to the date your contract is effective with such person or organization;
2. Arising out of the sole negligence of any person or organization that would not be an "insured"
except for this endorsement; or
3. Which occurs after you returned the leased or rented "auto" to the lessor or the policy period
ends, whichever occurs first.
Page2of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABI LITY COVERAGE PART
SCHEDULE
poltcy NUMBER: PHPK2220880
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. lf coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
COMMERCIAL GENERAL LIABILITY
cc 20 37 04 13
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable
Limits of lnsurance shown in the Declarations.
Name Of Additional lnsured Person(s)
Or Organization(s)Location And Description Of Completed Operations
As per written contract
lnformation required to complete this Schedule , if not shown above, will be shown in the Declarations.
cG 20 37 04 13 @ lnsurance Services Office, lnc.,2012 Page 1 of 1
Policy #PHPK2220880
The following is added to the Other lnsurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named lnsured
under such other insurance; and
coMMERCTAL GENERAL b,iii?I
(2) You have agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution
from any other insurance available to the
additional insured.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -OTHER INSURANGE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILIry COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIAB I LITY COVERAG E PART
cG 20 01 04 13 @ lnsurance Services Office, lnc.,2012 Page I of I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
POLICY NUMBER: PHPK2220880
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
L Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations forthe additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted by
law;and
2. lf coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
COMMERCIAL GENERAL LIABILITY
cG 20 10 04 13
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
Name Of Additional lnsured Person(s)
Or Orqanization(s)Location(s) Of Covered Operations
As per wriften contract
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
cG 20 10 04 13 @ lnsurance Services Office, lnc.,2O12 Page I of 2
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of lnsurance shown in the
Declarations.
Page2 ot 2 @ lnsurance Services Office, lnc.,2012 cG 20 10 04 13
PoLlcY NUMBER: PHPK2220880 COMMERCIAL GENERAL LIABILITY
cc 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIAB I LITY COVERAG E PART
SCHEDULE
Name Of Person Or Organization
As required by written contract
lnformation required to complete this Schedule, if not shown , will be shown in the Declarations
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section lV - Conditions:
We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person
or organization and included in the "products-
completed operations hazard". This waiver applies
only to the person or organization shown in the
Schedule above.
cG 24 04 05 09 @ lnsurance Services Office, lnc., 2008 Pagelofl tr