HomeMy WebLinkAboutCAG2021-546 - Original - Goodbye Graffiti Seattle - Briscoe Park Graffiti Removal - 01/01/2022ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingComments:
Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
#VTJOFTT-JDFOTF7FSJGJDBUJPO:FT*O1SPDFTT&YFNQU ,$$
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
6XS0JU
SFW
'03$*5:0',&/50''*$*"-64&0/-:
.FNPUP.BZPSNVTUCFBUUBDIFE
-DQ$SSOHJan Applegate Parks, Recreation & Community Services
12/21/2021 12/28/2021
✔n/a
10006600.64190.5225
✔
✔
N/A
Clean Streets, Inc. dba Goodbye Graffiti Seattle Contract
176337 Original
Graffiti Removal at Briscoe Park 01/01/2022 through 12/31/2023
Two year agreement for graffiti removal per vendor's Ever-Clean
Program January 1, 2022 through December 31, 2023.
01/01/2022
Other
12/31/2023
✔
✔
✔
$6710.72
GL
CAG2021-546
GOODS & SERVICES AGREEMENT - 1
($20,000 or Less, incl. WSST)
GOODS & SERVICES AGREEMENT
between the City of Kent and
Clean Streets, Inc.
dba Goodbye Graffiti Seattle
THIS AGREEMENT is made by and between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Clean Streets, Inc. dba Goodbye Graffiti Seattle organized under the laws of
the State of Washington, located and doing business at 982 Industry Drive, Tukwila WA 98188-3412, Phone:
(206) 720-4777, Contact: Robert Haggard (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:
Graffiti removal through the vendor's Ever-Clean Program (monthly) for a two year term at
Briscoe Park, located at S. 190th St. on east side of Green River, near 64th Ave. S. Kent, WA
98032 as described in Exhibit A attached
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 December 31, 2023.
III. COMPENSATION. The City shall pay the Vendor an amount not to exceed SIX THOUSAND
SEVEN HUNDRED TEN DOLLARS AND SEVENTY TWO CENTS ($6,710.72), 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 submit an invoice to the City of Kent at AccountsPayable@KentWA.gov for
the amount not to exceed $838.84 each quarter (including sales tax) as stated on the attached
Exhibit A.
GOODS & SERVICES AGREEMENT - 2
($20,000 or Less, 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
($20,000 or Less, 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 giving rise to the
claims, or within fourteen (14) calendar days of the date the Vendor knew or should have known of the facts
GOODS & SERVICES AGREEMENT - 4
($20,000 or Less, including WSST)
or events giving rise to the claim, whichever occurs first. Any claim for damages, additional paymen t 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 should have
known of the defect, or (2) upon the Vendor’s receipt of notification from the City of the existence or
GOODS & SERVICES AGREEMENT - 5
($20,000 or Less, including WSST)
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.
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
GOODS & SERVICES AGREEMENT - 6
($20,000 or Less, including WSST)
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 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 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.
K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, and all of which will together constitute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
GOODS & SERVICES AGREEMENT - 7
($20,000 or Less, including WSST)
to the other by fax or email and that signature shall have the same force and effect as if the Agreement
bearing the original signature was received in person.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below. All acts consistent with the authority of this Agreement and prior
to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed
to have applied.
VENDOR:
By:
Print Name:
Its:
DATE:
CITY OF KENT:
By:
Print Name: Garin Lee,
Its: Park Operations Superintendent
DATE:
NOTICES TO BE SENT TO:
VENDOR:
Robert Haggard
Clean Streets, Inc.
dba Goodbye Graffiti Seattle
982 Industry Drive
Tukwila, WA 98188-3412
(206) 720-4777 (telephone)
(206) 328-1675 (facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Garin Lee,
Park Operations Superintendent
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5131 (telephone)
(253) 856-6120 (facsimile)
ATTEST:
Kent City Clerk
Garin Lee (Dec 27, 2021 10:05 PST)
12/27/2021
Laurie Spivack (Dec 28, 2021 11:20 PST)
President
12/28/2021
Laurie Spivack
EEO COMPLIANCE DOCUMENTS - 1 of 3
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: ___________________________________________
For: __________________________________________
Title: _________________________________________
Date: _________________________________________
Laurie Spivack (Dec 28, 2021 11:20 PST)
President
Goodbye Graffiti
12/28/2021
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: _________________________________________
12/21/21, 12:32 PM about:blank
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Washington State Prevailing Wage
The PREVAILING WAGES listed here include both the hourly wage rate and the hourly rate of fringe
benefits. On public works projects, worker's wage and benefit rates must add to not less than this
total. A brief description of overtime calculation requirements are provided on the Benefit Code
Key.
Journey Level Prevailing Wage Rates for the Effective Date: 12/21/2021
*Risk
County
Trade
Job Classification
Wage
Holiday
Overtime Note
Class
King
Laborers
Air, Gas Or Electric Vibrating
$54.62
7A
4V
8Y
View
Screed
King
Laborers
Airtrac Drill Operator
$56.31
7A
4V
8Y
View
King
Laborers
Ballast Regular Machine
$54.62
7A
4V
8Y
View
King
Laborers
Batch Weighman
$46.29
7A
4V
8Y
View
King
Laborers
Brick Pavers
$54.62
7A
4V
8Y
View
King
Laborers
Brush Cutter
$54.62
7A
4V
8Y
View
King
Laborers
Brush Hog Feeder
$54.62
7A
4V
8Y
View
King
Laborers
Burner
$54.62
7A
4V
8Y
View
King
Laborers
Caisson Worker
$56.31
7A
4V
8Y
View
King
Laborers
Carpenter Tender
$54.62
7A
4V
8Y
View
King
Laborers
Cement Dumper -paving
$55.62
7A
4V
8Y
View
King
Laborers
Cement Finisher Tender
$54.62
7A
4V
8Y
View
King
Laborers
Change House Or Dry Shack
$54.62
7A
4V
8Y
View
King
Laborers
Chipping Gun (30 Lbs. And
$55.62
7A
4V
8Y
View
Over)
King
Laborers
Chipping Gun (Under 30 Lbs.)
$54.62
7A
4V
8Y
View
King
Laborers
Choker Setter
$54.62
7A
4V
8Y
View
King
Laborers
Chuck Tender
$54.62
7A
4V
8Y
View
King
Laborers
Clary Power Spreader
$55.62
7A
4V
8Y
View
King
Laborers
Clean-up Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Concrete Dumper/Chute
$55.62
7A
4V
8Y
View
Operator
King
Laborers
Concrete Form Stripper
$54.62
7A
4V
8Y
View
King
Laborers
Concrete Placement Crew
$55.62
7A
4V
8Y
View
King
Laborers
Concrete Saw Operator/Core
$55.62
7A
4V
8Y
View
Driller
King
Laborers
Crusher Feeder
$46.29
7A
4V
8Y
View
King
Laborers
Curing Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Demolition: Wrecking Et Moving
$54.62
7A
4V
8Y
View
(Incl. Charred Material)
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King Laborers
King Laborers
King Laborers
King
King
King
King
King
King
King
King
King
King
King
King
King
King
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
King
King
King
King
King
King
King
King
King
King
King
King
King
King
King
King
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
Laborers
about:blank
Ditch Digger
Diver
Drill Operator (Hydraulic,
Diamond)
Dry Stack Walls
Dump Person
Epoxy Technician
Erosion Control Worker
Faller Et Bucker Chain Saw
Fine Graders
Fi rewatch
Form Setter
Gabian Basket Builders
General Laborer
Grade Checker Et Transit Person
Grinders
Grout Machine Tender
Groutmen (Pressure) Including
Post Tension Beams
Guardrail Erector
Hazardous Waste Worker (Level
A)
Hazardous Waste Worker (Level
B)
Hazardous Waste Worker (Level
C)
High Scaler
Jackhammer
Laserbeam Operator
Maintenance Person
Manhole Builder-Mudman
Material Yard Person
Motorman -Dinky Locomotive
nozzleman (concrete pump,
green cutter when using
combination of high pressure
air Et water on concrete Et
rock, sandblast, gunite,
shotcrete, water blaster,
vacuum blaster)
Pavement Breaker
Pilot Car
Pipe Layer (Lead)
Pipe Layer/Tailor
Pipe Pot Tender
Pipe Reliner
Pipe Wrapper
Pot Tender
Powderman
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$46.29
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$46.29
7A
4V
8Y
View
$46.42
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$55.62
7A
4V
8Y
View
$54.62
7A
4V
8Y
View
$56.31
7A
4V
8Y
View
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12/21/21, 12:32 PM
about:blank
King
Laborers
Powderman's Helper
$54.62
7A
4V
8Y
View
King
Laborers
Power Jacks
$55.62
7A
4V
8Y
View
King
Laborers
Railroad Spike Puller - Power
$55.62
7A
4V
8Y
View
King
Laborers
Raker - Asphalt
$46.42
7A
4V
8Y
View
King
Laborers
Re-timberman
$56.31
7A
4V
8Y
View
King
Laborers
Remote Equipment Operator
$55.62
7A
4V
8Y
View
King
Laborers
Rigger/Signal Person
$55.62
7A
4V
8Y
View
King
Laborers
Rip Rap Person
$54.62
7A
4V
8Y
View
King
Laborers
Rivet Buster
$55.62
7A
4V
8Y
View
King
Laborers
Rodder
$55.62
7A
4V
8Y
View
King
Laborers
Scaffold Erector
$54.62
7A
4V
8Y
View
King
Laborers
Scale Person
$54.62
7A
4V
8Y
View
King
Laborers
Sloper (Over 20")
$55.62
7A
4V
8Y
View
King
Laborers
Sloper Sprayer
$54.62
7A
4V
8Y
View
King
Laborers
Spreader (Concrete)
$55.62
7A
4V
8Y
View
King
Laborers
Stake Hopper
$54.62
7A
4V
8Y
View
King
Laborers
Stock Piler
$54.62
7A
4V
8Y
View
King
Laborers
Swinging Stage/Boatswain
$46.29
7A
4V
8Y
View
Chair
King
Laborers
Tamper Et Similar Electric, Air
$55.62
7A
4V
8Y
View
Et Gas Operated Tools
King
Laborers
Tamper (Multiple Et Self-
$55.62
7A
4V
8Y
View
propelled)
King
Laborers
Timber Person - Sewer (Lagger,
$55.62
7A
4V
8Y
View
Shorer Et Cribber)
King
Laborers
Toolroom Person (at Jobsite)
$54.62
7A
4V
8Y
View
King
Laborers
Topper
$54.62
7A
4V
8Y
View
King
Laborers
Track Laborer
$54.62
7A
4V
8Y
View
King
Laborers
Track Liner (Power)
$55.62
7A
4V
8Y
View
King
Laborers
Traffic Control Laborer
$49.50
7A
4V
9C
View
King
Laborers
Traffic Control Supervisor
$52.45
7A
4V
9C
View
King
Laborers
Truck Spotter
$54.62
7A
4V
8Y
View
King
Laborers
Tugger Operator
$55.62
7A
4V
8Y
View
King
Laborers
Tunnel Work -Compressed Air
$142.82
7A
4V
9B
View
Worker 0-30 psi
King
Laborers
Tunnel Work -Compressed Air
$147.85
7A
4V
9B
View
Worker 30.01-44.00 psi
King
Laborers
Tunnel Work -Compressed Air
$151.53
7A
4V
9B
View
Worker 44.01-54.00 psi
King
Laborers
Tunnel Work -Compressed Air
$157.23
7A
4V
9B
View
Worker 54.01-60.00 psi
King
Laborers
Tunnel Work -Compressed Air
$159.35
7A
4V
9B
View
Worker 60.01-64.00 psi
King
Laborers
Tunnel Work -Compressed Air
$164.45
7A
4V
9B
View
Worker 64.01-68.00 psi
King
Laborers
Tunnel Work -Compressed Air
$166.35
7A
4V
9B
View
Worker 68.01-70.00 psi
King
Laborers
Tunnel Work -Compressed Air
$168.35
7A
4V
9B
View
Worker 70.01-72.00 psi
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King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
King
Laborers
about:blank
Tunnel Work -Compressed Air
$170.35
7A
4V
9B
View
Worker 72.01-74.00 psi
Tunnel Work-Guage and Lock
$57.41
7A
4V
8Y
View
Tender
Tunnel Work -Miner
$57.41
7A
4V
8Y
View
Vibrator
$55.62
7A
4V
8Y
View
Vinyl Seamer
$54.62
7A
4V
8Y
View
Watchman
$42.08
7A
4V
8Y
View
Welder
$55.62
7A
4V
8Y
View
Well Point Laborer
$55.62
7A
4V
8Y
View
Window Washer/Cleaner
$42.08
7A
4V
8Y
View
about:blank 4/4
EXHIBIT A
EXHIBIT B
INSURANCE REQUIREI.IENTS 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 fnsurance
Contractor shall obtain insurance of the types described below:
1. Commerciql Qgngral 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 providlng equivalent coverage.
2. Automgbite tiability insurance covering all owned, non-owned, hired and
leased vehicles. Coverage shall be written on Insurance Services Office
(ISp) 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. Workp,rs.j Qompensatlon.coverage as required by the Industrial Insurance
laws of the State of Washington.
insurance covering losses
caused by pollution conditions that arise
Contractor.
the operations of the
B. Minimum Amounts of Insurance
Contractor shall maintain the following insurance limits:
1. Sgm.mqlclal General l.iabilitlf 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.
4
EXHIBIT B (Continued)
2. Automobije tjgbility insurance with a minimum combined single limit for
bodily injury and property damage of $1,000,000 per accident.
3. Cqnlractpr'slCpnsUlta-n!'s PcllutiQn Liabiljgf insurance shall be written in
an amount of at least $1,000,000 per loss, with an annual aggregate of at' least $11000.000. Coverage may be written on a claims-made basis.
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 lnsurance:
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 qf !!''g contractor and
a copy of.the endorsement naming the Clty as additional insured shall be attached to
the Cirtifiqate pf hs,urgnSe" The City reserves the right to receive a certifled 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 furnlsh the City with original certificates and a copy of the amendatory
endorsements, including but nat necessarily limlted to the additional insured
endorsement, evidencing the insurance requirements of the Contractor before
commencement of the work.
F. Subcontractors
Contractor shall include all subcontractors bs 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.
Saco nR CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
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, FJCTEND 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 endorsemen s .
PRODUCER NAME Cindy Chambers
Nicholson $Associates Ins LLC W� NO FeH; (360 352-e44t FAX_met, -$712
1802 Black Lake Blvd SW #301 E-MAIclnd am ichirmure.c
ADORLss:
Olympia, WA 98512 INsuRER�djAFFaRDINGCDVeRA� NAIL/
INSURERA. Western National Mute
INSURED IkSURERB: YIfeSLerR_iYart I I�Or
Clean Streets, Inc.
DBA Goodbye Graffiti INSURERC:
982 Industry Drive INSURERD:
Tukwila, WA 98188 INSURERE:
INSURER F -
-n..a RFVICIAIJ NIIMRFR• 9Ad
%IVv G,iM-------- ____. ..
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.
TYPE OF INSURANCE SD ' N DL $l7 o POLICY NUMBER MWDOIYYYY)POLICY EFF ;DLICOY E%P LIMITS
A
X COMMERCIAL GENERAL LIABILITY
Y
CPP109961307
09/01/2021
09/01/2022
EACH OCCURRENCE
$ 1.000.000
$ 100,000
iAWc�tM TO RENTED
CLAIMS -MADE O OCCUR
bTISf.;$,{Ea occurrence
s 5 000
X Pollution t11VI 1$1 M
MED EXP aria person
PERSONAL F ADV INJURY
$ 1,000,000
X $2500 Ea OCc
GENERAL AGGREGATE
S 2.000.000
GENLAGGREC PA XE LIMIT APPLIES PER:
PRODUCTS -DOMP0PAGG
S 2,000,000
POLICY [i] J CST L� LOC
S
OTHER
I
B
AUTOMOBILE LIABILITY
CPP109921907 09/01/2021 09/01/2022
COMBINED INGLE LIMIT
s 1.000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
I
PROPERTY DAMAGE
=fit)
s
AUTOS ONLY AUTOS ONLY
r
$
B
x UMBRELLA LIAB x OCCUR
UMB101640507
09/01/2021
09/01/2022
EACH OCCURRENCE s $2,000 000
EXCESS LIAB C__LAIMS-MAD_ E
AGGREGATE _ .: $2 000 000
DED X RETENTIONS 1000
S
X P Stop Gap
B
WORXERS COMPENSATION
CPP109961307
09101/2021
09/01/2022
AND EMPLOYERS' LIABILITY YIN
E.L. EACH ACCIDENT S 1,000,000
ANY PROPRIETORIPARTNERIEXECUTIVE ❑
OFFiCERIMEMBER EXCLUDED:
lUmndstorV In NH)
NIA
E.L. DISEASE - EA 9WIL $ 1,000,000
it
EIONDS , descu e under OPERATIONS below
E.L. DISEASE - POLICY LIMIT S 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required)
Certificate holder is additional insured with respect to work and services provided by named insured per written contract.
Coverage is primary and non-contributory.
L:tK I IrIL:R t C T1VLUtK
City of Kent
Parks, Recreation & Community Services
220 Fourth Avenue South
Kent, WA 98032
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
W-IVOO-AW 1;0 AYVRV Vwmvw.v.'. nu •,b.,w •�.w. w..•
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Printed by NCC on September 01, 2021 at 02:38PM
COMMERCIAL GENERAL LIABILITY
WNGL490715
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
PRIMARY AND NONCONTRIBUTORY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended to in-
clude as an additional insured any person or or-
ganization for whom you are performing opera-
tions when you and such person or organization
have agreed in writing in a contract or agreement
that such person or organization be added as an
additional insured on your policy. Such person or
organization is an additional insured only with re-
spect to liability for "bodily injury", "property dam-
age" or "personal and advertising injury" caused,
in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured.
B. With respect to the insurance afforded to these ad-
ditional insureds, the following additional exclusion
applies:
This insurance does not apply to:
1. "Bodily injury", "property damage" or "personal
and advertising injury" arising out of the ren-
dering of, or the failure to render, any profes-
sional architectural, engineering or surveying
services, including:
a. The preparing, approving, or failing to pre-
pare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
change orders or drawings and specifica-
tions; or
b. Supervisory, inspection, architectural or
engineering activities.
A person's or organization's status as an additional This exclusion applies even if the claims
insured under this endorsement ends when your against an additional insured allege negligence
operations for that additional insured are com- or other wrongdoing in the supervision, hiring,
pleted. employment, training or monitoring of others
However: by that insured, if the "occurrence" which
1. The insurance afforded to such additional in- caused the "bodily injury' or "property dam-
sured only applies to the extent permitted by age", or the offense which caused the "person -
law; and al and advertising injury', involved the render-
ing of or failure to render any professional
2. If coverage provided to the additional insured services by you with respect to your providing
is required by a contract or agreement, the in- engineering, architectural or surveying serv-
surance afforded to such additional insured ices in your capacity as an engineer, architect
will not be broader than that which you are re- or surveyor.
quired by the contract or agreement to provide
for such additional insured.
WN GL 49 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2
2. "Bodily injury' or "property damage" occurring
after:
a. All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than serv-
ice, maintenance or repairs) to be per-
formed by or on behalf of the additional in-
sured(s) at the location of the covered op-
erations has been completed; or
b. That portion of "your work" out of which
the injury or damage arises has been put
to its intended use by any person or or-
ganization other than another contractor or
subcontractor engaged in performing oper-
ations for a principal as a part of the same
project.
C. With respect to the insurance afforded to these ad-
ditional insureds, the following is added to Section
III — Limits Of Insurance:
If coverage provided to the additional insured is re-
quired by a contract or agreement, the most we
will pay on behalf of the additional insured is:
1. The minimum amount required by the contract
or agreement; or
2. The Limits of Insurance shown in the Declara-
tions;
whichever is less.
This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.
D. The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
any contribution from any other insurance
available to an additional insured under your
policy provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
(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.
WN GL 49 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2
CUmMERICAL GENERAL LIABILITY
WN GL 39 08 18
COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
The Commercial General Liability Enhancement Endorsement is an optional endorsement that provides coverage en-
hancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is pro-
vided by this summary, refer to following endorsement for changes in your policy.
SUMMARY OF COVERAGES
Bodily Injury And Property Damage Liability
PAGE
• Non Owned Watercraft Up To 50 Feet ............................ _...................................... ........ 2
Property Damage Liability
• Elevators........................................................................................................................3
• Fire, Lightning, Explosion Or Sprinkler Leakage Exception..................................................3
• Borrowed Equipment ($25,000 Per Occurrence, $50,000 Aggregate,
$2,500 Deductible Per Occurrence.................................................................................3
Supplementary Payments — Amended
BailBonds Up To$5,000...................................................................................................4
• Loss of Earnings Up To $500/Day.....................................................................................4
Who Is An Insured Amendments
• Employee Bodily Injury To A Co-Employee.........................................................................4
• Newly Formed Or Acquired Organizations For Up To 180 Days...........................................4
• Blanket Additional Insured — Vendors — As Required By Contract........................................4
• Blanket Additional Insured — Lessor Of Leased Equipment..................................................6
• Blanket Additional Insured — Managers Or Lessors Of Premises..........................................6
• Blanket Additional Insured — State Or Governmental Agency Or Subdivision
Or Political Subdivision — Permits Or Authorizations.........................................................7
• Blanket Additional Insured — State Or Governmental Agency Or Subdivision
Or Political Subdivision — Permits Or Authorizations Relating To Premises ........................8
Damage To Premises Rented To You —$300,000.............................................I...........................9
Medical Payments Increased Limit — $10,000 Or Amount Shown on Declarations ........................... 9
Conditions
• Knowledge of Occurrence, Offense, Claim Or Suit Amended...............................................9
• Unintentional Failure To Disclose Hazards ................ ...............9
..........................................
• Waiver of Subrogation..................................................................................................... 10
InsuredContract Amended..........................................................................................................10
Personal And Advertising Injury Redefined
• Televised, Videotaped Or Electronic Publication............................................................... 10
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc.,with its permission. Page 1 of 10
COMMERCIAL GENERAL LIABILITY
WN GL 39 0818
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
This endorsement modifies the insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by
this endorsement. The SECTIONS of the Commercial General Liability Coverage Form identified in this endorsement will
be amended as shown below.
SECTION 1— COVERAGES AMENDMENTS (3) Parking an "auto" on, or on the ways next to,
premises you own or rent, provided the "auto"
COVERAGE A — BODILY INJURY AND PROPERTY is not owned by or rented or loaned to you or
DAMAGE LIABILITY the insured;
A. Non Owned Aircraft Or Watercraft
Item 2. Exclusions, Paragraph g. is replaced by the
following:
g. Aircraft, Auto Or Watercraft
"Bodily injury" or "property damage' arising out of
the ownership, maintenance, use or entrustment
to others of any aircraft, "auto" or watercraft
owned or operated by or rented or loaned to any
insured. Use includes operation and 'loading or
unloading".
This exclusion applies even if the claims against
any insured allege negligence or other wrong-
doing in the supervision, hiring, employment,
training or monitoring of others by that insured, if
the "occurrence" which caused the "bodily injury"
or "property damage" involved in the ownership,
maintenance, use or entrustment to others of any
aircraft, "auto" or watercraft that is owned or
operated by or rented or loaned to any insured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises you
own or rent;
(2) A watercraft you do not own that is:
(a) Less than 50 feet long; and
(b) Not being used to carry persons or prop-
erty for a charge;
This Subparagraph (2) applies to any person,
who with your expressed or implied consent,
either uses or is responsible for the use of the
watercraft;
(4) Liability assumed under any "insured con-
tract" for the ownership, maintenance or use
of aircraft or watercraft; or
(5) 'Bodily injury" or "property damage" arising
out of.
(a) The operation of machinery or equipment
that is attached to, or part of, a land
vehicle that would qualify under the
definition of "mobile 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 garaged; or
(b) The operation of any of the machinery or
equipment listed in Paragraph f. (2) or f.
(3) of the definition of "mobile equip-
ment".
13. Damage To Property Coverage Extensions
Item 2. Exclusions, Paragraph j. is replaced by the
following:
j. Damage To Property
"Property damage" to:
(1) Property you own, rent, or occupy, including
any costs or expenses incurred by you, or
any other person, organization or entity, for
repair, replacement, enhancement, restora-
tion or maintenance of such property for any
reason, including prevention of injury to a
person or damage to another's property;
(2) Premises you sell, give away or abandon, if
the "property damage' arises out of any part
of those premises;
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc.,with its permission. Page 2 of 10
(3) Property loaned to you;
(4) Personal property in the care, custody or con-
trol of the insured;
(5) That particular part of real property on which
you or any contractors or subcontractors
working directly or indirectly on your behalf
are performing operations, if the "property
damage" arises out of those operations; or
(6) That particular part of any property that must
be restored, repaired or replaced because
"your work" was incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do not
apply to "property damage" (other than damage by
fire, lightning, explosion or sprinkler leakage) to
premises, including the contents of such premises,
rented to you for a period of seven or fewer
consecutive days. A separate limit of insurance
applies to Damage To Premises Rented To You as
described in SECTION III — LIMITS OF INSURANCE.
However, the provisions of this paragraph do not
apply if coverage for Damage To Premises Rented To
You is excluded by endorsement.
Paragraph (2) of this exclusion does not apply if the
premises are "your work" and were never occupied,
rented or held for rental by you.
Paragraphs (3) and (4) of this exclusion do not apply
to the use of elevators.
Paragraphs (3), (4), (5) and (6) of this exclusion do
not apply to liability assumed under a sidetrack
agreement.
The insurance provided for "property damage" from
the use of elevators and for "property damage" to
borrowed equipment is excess over any other valid
and collectible property insurance (including any de-
ductible portion thereof) available to the insured
whether primary, excess, contingent or on any other
basis.
C. Damage To Premises Rented To You
Item 2. Exclusions, the last paragraph is replaced by
the following:
Exclusions c. through n. do not apply to damage by
fire, lightning, explosion or sprinkler leakage to
premises while rented to you or temporarily occupied
by you with permission of the owner. A separate limit
of insurance applies to this coverage as described in
Paragraph 6. of SECTION III — LIMITS OF
INSURANCE.
COVERAGE B — PERSONAL AND ADVERTISING
INJURY LIABILITY
D. Personal And Advertising Injury
Rem 2. Exclusions is amended by replacing Sub-
paragraphs b. and c. with the following:
b. Material Published With Knowledge Of Falsity
"Personal and advertising injury" arising out of
oral, written, televised, videotaped or electronic
publication, in any manner, of material, if done by
or at the direction of the insured with knowledge
of its falsity.
c. Material Published Prior To Policy Period
Paragraph (4) of this exclusion does not apply to "Personal and advertising injury" arising out of
"property damage" to borrowed equipment while not oral, written, televised, videotaped or electronic
being used to perform operations at the jobsite. publication, in any manner, of material whose first
Subject to Paragraph 2. of SECTION III —LIMITS OF publication took place before the beginning of the
INSURANCE, the rules below fix the most we will pay policy period.
for "property damage" under this provision:
(1) $25,000 any one 'occurrence", regardless of the
number of persons or organizations who sustain
damages because of that 'occurrence";
(2) $50,000 annual aggregate; and
(3) We will pay only for damages in excess of $2,500
as a result of any one 'occurrence", regardless of
the number of persons or organizations who
sustain damages because of that 'occurrence".
We may, or if required by law, pay all or any part
of any deductible amount, if applicable, to effect
settlement of any claim or "suit'. Upon notice of
our payment of a deductible amount, you shall
promptly reimburse us for the part of the
deductible amount we paid.
Paragraph (6) of this exclusion does not apply to
"property damage" included in the "products -com-
pleted operations hazard".
SUPPLEMENTARY PAYMENTS —COVERAGES A
AND B
E. Supplementary Payments —Coverages A and B
Item 1. is amended by replacing Subparagraphs b.
and d. with the foollowing:
b. Up to $5,000 for cost of bail bonds required be-
cause of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily
Injury Liability Coverage applies. We do not have
to furnish these bonds.
d. All reasonable expenses incurred by the insured
at our request to assist us in the investigation or
defense of the claim or "suit". including actual loss
of earnings up to $500 a day because of time off
from work.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc.,w ith its permission. Page 3 of 10
SECTION 11 - WHO IS AN INSURED AMENDMENTS The following are added:
A. Employee Bodily Injury To A Co -Employee C.
Paragraph 2. a. (1) is replaced by the following:
However, none of these "employees" or "volunteer
workers" are insureds for "bodily injury" or "personal
and advertising injury":
(a) To you, to your partners or members (if you are a
partnership or joint venture), to your members (if
you are a limited liability company), to a co -
"employee" while in the course of his or her
employment or performing duties related to the
conduct of your business, or to your other
"volunteer workers" while performing duties
related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of
the co -"employee" or "volunteer worker" as a
consequence of Paragraph (1)(a) above;
(c) For which there is any obligation to share
damages with or repay someone else who must
pay damages because of the injury described in
Paragraph (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to
provide professional health care services.
However, if a suit seeking damages for "bodily injury"
or "personal and advertising injury" to any co -
"employee" or other "volunteer worker" arising out of
and in the course of the co -"employee's" or "volunteer
worker's" employment or while performing duties
related to the conduct of your business, or a suit
seeking damages brought by the spouse, child,
parent, brother or sister of the co -"employee" or other
"volunteer worker", is brought against you or a co -
"employee" or a "volunteer worker", we will reimburse
the reasonable costs that you incur in providing a
defense to the co -"employee" or "volunteer worker"
against such matters. Any reimbursement made
pursuant to this sub -section will be in addition to the
limits of liability set forth in the Declarations.
B. Newly Acquired Organizations
Paragraph 3. a. is replaced by the following:
a. Coverage under this provision is afforded only
until the 1801i' day after you acquire or form the
organization or the end of the policy period,
whichever is earlier,
Blanket Additional Insured — Vendors — As Re-
quired By Contract
1. Section II — Who Is An Insured is amended to
include as an additional insured any person(s) or
organi2ation(s) (referred to throughout this
endorsement as vendor) with whom you have
agreed in a written contract, executed prior to
loss, to name as an additional insured, but only
with respect to "bodily injury" or "property
damage" arising out of "your products" which are
distributed or sold in the regular course of the
vendor's business.
However,
a. The insurance afforded to such vendor only
applies to the extent permitted by law, and
b. If coverage provided to the vendor is required
by a contract or agreement, the insurance
afforded to such vendor will not be broader
than that which you are required by the
contract or agreement to provide for such
vendor.
2. With respect to the insurance afforded to these
vendors, the following additional exclusions
apply:
a. The insurance afforded the vendor does not
apply to:
(1) "Bodily injury" or "property damage" for
which the vendor is obligated to pay dam-
ages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in
the absence of the contract or
agreement;
(2) Any express warranty unauthorized by
you;
(3) Any physical or chemical change in the
product made intentionally by the vendor;
(4) Repackaging, except when unpacked
solely for the purpose of inspection,
demonstration, testing, or the
substitution of parts under instructions
from the manufacturer, and then
repackaged in the original container,
WN GL 39 08 18 Includes copyrighted materiel of the Insurance Service Office, Inc.,w ith its permission. Page 4 of 10
(5) Any failure to make such inspections,
4. With respect to the insurance afforded to these
adjustments, tests or servicing as the
vendors, the following is added to Section III —
vendor has agreed to make or normally
Limits Of Insurance:
undertakes to make in the usual course
If coverage prodded to the vendor is required by
of business, in connection with the
a contract or agreement, the most we will pay on
distribution or sale of the products;
behalf of the vendor is:
(6) Demonstration, installation, servicing or
a. The minimum amount required by the
repair operations, except such
operations performed at the vendor's
contract or agreement; or
premises in connection with the sale of
b. The Limits of Insurance shown in the
the product;
Declarations;
(7) Products which, after distribution or sale
whichever is less,
by you, have been labeled or relabeled or
used as a container, part or ingredient of
This endorsement shall not increase the
any other thing or substance by or for the
applicable Limits of Insurance shown in the
vendor; or
Declarations.
(8) "Bodily injury or "property damage"
5. With respect to the insurance afforded to these
arising out of the sole negligence of the
additional insureds, the following additional
vendor for its own acts or omissions or
exclusion applies:
those of its employees or anyone else
This insurance does not apply to:
acting on its behalf. However, this
a. "Bodily injury", "property damage" or
exclusion does not apply to:
"personal and advertising injury" arising out
(i) The exceptions contained in
of the rendering of, or the failure to render,
Subparagraphs (4) or (6); or
any professional architectural, engineering or
(ii) Such inspections, adjustments, tests
surveying services, including:
or servicing as the vendor has
(1) The preparing, approving, or failing to
agreed to make or normally
prepare or approve, maps, shop
undertakes to make in the usual
drawings, opinions, reports, surveys,
course of business, in connection
field orders, change orders or drawings
with the distribution or sale of the
and specifications; or
products.
(2) Supervisory, inspection, architectural or
3. This Provision C. does not apply:
engineering activities.
a. To any insured person or organization from
This exclusion applies even if the claims
whom you have acquired such products, or
against an additional insured allege
any ingredient, part or container, entering
negligence or other wrongdoing in the
into, accompanying or containing such
supervision, hiring, employment, training
products;
or:,monitoring of others; by that insured, if
b. To any vendor for which coverage as an addi-
the "occurrence" which caused the
tional insured specifically is scheduled by
"bodily injury" or "property damage", or
endorsement; or
the offense which caused the "personal
c. When liability included within the "products-
and advertising injury", involved the
completed operations hazard" has been ex-
rendering of or failure to render any
cluded for such product either by the provi-
professional services by you with respect
sions of the coverage part or by endorse-
to your providing engineering,
ment.
architectural or surveying services in
your capacity as an engineer, architect or
surveyor.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Cifice, Inc.,w ith its permission. Page 5 of 10
D. Blanket Additional Insured — Lessor Of Leased
Equipment
1. Section II — Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) from whom you lease equipment
when you and such person(s) or organization(s)
have agreed in writing in a contract or agreement,
executed prior to loss, that such person(s) or
organization(s) be added as an additional insured
on your policy. Such person(s) or organization(s)
is an insured only with respect to liability for
"bodily injury", "property damage" or "personal
and advertising injury" caused, in whole or in part,
by your maintenance, operation or use of
equipment leased to you by such person(s) or
organization(s).
However, the insurance afforded to such
additional insured:
a. Only applies to the extent permitted by law;
and
b. Will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
A person(s or organization's status as an addi-
tional insured under this endorsement ends when
their contract or agreement with you for such
leased equipment ends.
2. With respect to the insurance afforded to these
additional insureds, this insurance does not apply
to any "occurrence" which takes place after the
equipment lease expires.
3. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If 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:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
4. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" arising out
of the rendering of, or the failure to render,
any professional architectural, engineering or
surveying services, including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or drawings
and specifications; or
(2) Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against an additional 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 you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
E. Blanket Additional Insured — Managers Or Les-
sors Of Premises
1. Section II — Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) with whom you have agreed in a
written contract, executed prior to loss, to name
as an additional insured, but only with respect to
liability arising out of the ownership, maintenance
or use of that part of the premises leased to you,
subject to the following additional exclusions:
This insurance does not apply to:
a. Any "occurrence" which takes place after you
cease to be a tenant in that premises.
b. Structural alterations, new construction or
demolition operations performed by or on
behalf of such additional insured.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service office, Inc.,with its permission. Page 6 of 10
However.
F. Blanket Additional Insured — State Or
a. The insurance afforded to such additional
Governmental Agency Or Subdivision Or Political
insured only applies to the extent permitted
Subdivision — Permits Or Authorizations
by law; and
Section II — Who Is An Insured is amended to in-
b. if coverage provided to the additional insured
clude as an additional insured any state or
is required by a contract or agreement, the
govemmental agency or subdivision or political
insurance afforded to such additional insured
subdivision with whom you have agreed in a written
will not be broader than that which you are
contract, executed prior to loss, to name as an
required by the contract or agreement to
additional insured, subject to the following provisions:
provide for such additional insured.
1. This insurance applies only with respect to op-
2. With respect to the insurance afforded to these
erations performed by you or on your behalf for
additional insureds, the following is added to
which the state or governmental agency or sub -
Section III — Limits Of Insurance:
division or political subdivision has issued a
If coverage provided to the additional insured is
permit or authorization.
required by a contract or agreement, the most we
However
will pay on behalf of the additional insured is:
a. The insurance afforded to such additional
a. The minimum amount required by the
insured only applies to the extent permitted
contract or agreement; or
by law; and
b. The Limits of Insurance shown in the
b. If coverage provided to the additional insured
Declarations;
is required by a contract or agreement, the
insurance afforded to such additional insured
whichever is less.
will not be broader than that which you are
This endorsement shall not increase the
required by the contract or agreement to
applicable Limits of Insurance shown in the
provide for such additional insured.
Declarations.
2. This insurance does not apply to:
3. With respect to the insurance afforded to these
a. "Bodily injury", "property damage" or "per -
additional insureds, the following additional
sonal and advertising injury" arising out of op -
exclusion applies:
erations performed for the federal govern -
This insurance does not apply to:
ment, state or municipality; or
a. "Bodily injury", "property damage" or
b. "Bodily injury" or "property damage" included
"personal and advertising injury" arising out
within the "products -completed operations
of the rendering of, or the failure to render,
hazard".
any professional architectural, engineering or
3. With respect to the insurance afforded to these
surveying services, including:
additional insureds, the following is added to
(1) The preparing, approving, or failing to
Section III — Limits Of Insurance:
prepare or approve, maps, shop
If coverage provided to the additional insured is
drawings, opinions, reports, surveys,
required by a contract or agreement, the most we
field ;girders, change orders or drawings
will pay on behalf of the additional insured is:
and specifications; or
a. The minimum amount required by the
(2) Supervisory, inspection, architectural or
contract or agreement; or
engineering activities.
b. The Limits of Insurance shown in the
This exclusion applies even if the claims
Declarations;
against an additional insured allege
negligence or other wrongdoing in the
whichever is less.
supervision, hiring, employment, training or
This endorsement shall not increase the
monitoring of others by that insured, if the
applicable Limits of Insurance shown in the
"occurrence" which caused the "bodily injury"
Declarations.
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 you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
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4. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" arising out
of the rendering of, or the failure to render,
any professional architectural, engineering or
surveying services, including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or drawings
and specifications; or
(2) Supervisory, inspection, architectural or
engineering activities.
This exclusion applies even if the claims
against an additional 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 you with respect
to your providing engineering, architectural or
surveying services in your capacity as an
engineer, architect or surveyor.
G. Blanket Additional Insured — State Or
Governmental Agency Or Subdivision Or Political
Subdivision — Permits Or Authorizations Relating
To Premises
Section II — Who Is An Insured is amended to in-
clude as an additional insured any state or
govemmental agency or subdivision or political
subdivision with whom you have agreed in a written
contract, executed prior to loss, to name as an
additional insured, subject to the follovng provision:
1. This insurance applies only with respect to the fol-
lowing hazards for which the state or
governmental agency or subdivision or political
subdivision has issued a permit or authorization
in connection with premises you own, rent or
control and to which this insurance applies:
a. The existence, maintenance, repair,
construction, erection or removal of
advertising signs, awnings, canopies, cellar
entrances, coal holes, driveways, manholes,
marquees, hoist away openings, sidewalk
vaults, street banners or decorations and
similar exposures; or
b. The construction, erection or removal of
elevators; or
c. The ownership, maintenance or use of any
elevators cowered by this insurance.
However,
a. The insurance afforded to such additional
insured only applies to the extent permitted
by law, and
b. If coverage provided to the additional insured
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
2. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits Of Insurance:
If 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:
a. The minimum amount required by the
contract or agreement; or
b. The Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
3. With respect to the insurance afforded to these
additional insureds, the following additional
exclusion applies:
This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" arising out
of the rendering of, or the failure to render,
any professional architectural, engineering or
surveying services, including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or drawings
and specifications; or
(2) Supervisory, inspection, architectural or
engineering activities.
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Office, Inc.,w kh its permission. Page 3 of 10
This exclusion applies even if the claims
SECTION IV — COMMERCIAL GENERAL LIABILITY
against an additional insured allege
CONDITIONS AMENDMENTS
negligence or other wrongdoing in the
A. Knowledge Of Occurrence
supervision, hiring, employment, training or
monitoring of others by that insured, if the
Item 2. Duties In The Event Of Occurrence, Of -
"occurrence" which caused the "bodily injury"
fense, Claim or Suit is amended by adding the fol-
or "property damage", or the offense which
lowing:
caused the "personal and advertising injury",
e. You must give us or our authorized representa-
involved the rendering of or failure to render
tive prompt notice of an "occurrence", claim or
any professional services by you with respect
loss only when the "occurrence", claim or loss is
to your providing engineering, architectural or
known to:
surveying seances in your capacity as an
(1) You, if you are an individual;
engineer, architect or surveyor.
(2) A partner, if you are a partnership;
SECTION III —LIMITS OF INSURANCE AMENDMENTS
(3) An executive officer or insurance manager, if
you are a corporation; or
A. Damage To Premises Rented To You
(4) A member or manager, if you are a limited
Paragraph 6. is replaced by the following:
liability company.
6. Subject to Paragraph S. above, the most we will
B. Other Insurance
pay under Coverage A for damages because of
Item 4. Other Insurance, b. Excess Insurance (1)
"property damage" to any one premises, while
a !I is replaced b the following:
() () p y
rented to you, or in the case of damage by fire,
lightning, explosion or sprinkler leakage, while
(ii) That is fire, lightning, explosion or sprinkler leak -
rented to you or temporarily occupied by you with
age insurance for premises rented to you or
temporarily occupied by you with permission of
permission of the owner is the greater of
the owner;
a. $300,000; or
C. Unintentional Failure To Disclose Hazards
b. The amount shown next to the Damage To
Item 6. Representations is replaced by the following:
Premises Rented To You Limit in the Decla-
6. Representations And Unintentional Failure To
rations.
Disclose Hazards
However, the provisions of this paragraph do not
apply if Damage To Premises Rented To You
a. By accepting this policy, you agree:
Coverage is excluded by endorsement.
(1) The statements in the Declarations are
accurate and complete;
B. Medical Expense Limit
(2) Those statements are based upon repre-
Paragraph 7. is replaced with the following:
sentations you made to us; and
7. Subject to Paragraph 5. above, the most we will
(3) We have issued this policy in reliance
pay under Coverage C for all medical expenses
upon your representations.
because of "bodily injury" sustained by any one
b. If you unintentionally fail to disclose any haz-
person is the greater of.
ards existing at the inception date of your
a. $10,000; or
policy, we will not deny coverage under this
b. The amount shown next to the Medical Ex-
Coverage Part because of such failure.
pense Limit in the Declarations.
However, this provision does not affect our
This insurance does not apply if coverage for
right to collect additional premium or exercise
Medical Expenses is excluded either by the pro-
our right of cancellation or non -renewal.
visions of the coverage part or by endorsement.
WN GL 39 08 18 Includes copyrighted materiel of the Insurance Service Office, Inc.,w ith b permission. Page 9 of 10
D. Waiver of Subrogation
Item 8. Transfer of Rights of Recovery Against
Others to us is hereby amended by the addition of
the following:
We waive any right of recovery we may have because
of payments we make for injury or damage arising out
of your ongoing operations or "your work" done under
a written contract, executed prior to loss, requiring
such waiver with that person or organization and
included in the "products -completed operations
hazard". However, our rights may only be waived
prior to the "occurrence" giving rise to the injury or
damage for which we make payment under this
Coverage Part. The insured must do nothing after a
loss to impair our rights. At our request, the insured
will bring "suit" or transfer those rights to us and help
us enforce those rights.
SECTION V —DEFINITIONS AMENDMENTS
A. Insured Contract Amended
Paragraph 9. a. is replaced by the following:
a. A contract for a lease of premises. However, that
portion of the contract for a lease of premises that
indemnifies any person or organization for
damage by fire, lightning, explosion or sprinkler
leakage to premises while rented to you or
temporarily occupied by you with permission of
the owner is not an "insured contract";
B. Personal And Advertising Injury Redefined
Paragraph 14. d. and e. are replaced by the following:
d. Oral, written, televised, videotaped or electronic
publication of material that slanders or libels a
person or organization or disparages a person's
or organization's goods, products or service,
e. Oral, written, televised,
publication of material
right of privacy;
videotaped or electronic
that violates a person's
WN GL 39 08 18 Includes copyrighted material of the Insurance Service Cff ice, Inc.,with its permission. Page 10 of 10
GOODBYE GRAFFITI SEATTLE
982 INDUSTRY DR
TUKWILA, WA 98188
City of Kent
Business License
Per RCW 82.14 local sales
and use tax must be coded
No. 1715 for all qualified
sales within the city of
Kent.
BUSINESS LICENSE
LICENSE MUST BE PAID ANNUALLY BY
JANUARY 1st TO AVOID PENALTY
Issuance of License Does Not Imply Licensee's
Compliance with State and Local Laws
THIS LICENSE MUST BE POSTED IN A CONSPICUOUS
PLACE. NOT TRANSFERABLE OR ASSIGNABLE
NAME AND ADDRESS OF BUSINESS
MAYOR
The City of Kent
At 220 4TH AVE SO
KENT, WASHINGTON 98032
BLOC-2170788
2021
GOODBYE GRAFFITI SEATTLE
Please tear at perforation
982 INDUSTRY DR
TUKWILA, WA 98188
Tax Registration
Endorsement
Per RCW 82.14 local sales
and use tax must be coded
No. 1715 for all qualified
sales within the city of
Kent.
BUSINESS LICENSE
LICENSE MUST BE PAID ANNUALLY BY
JANUARY 1st TO AVOID PENALTY
Issuance of License Does Not Imply Licensee's
Compliance with State and Local Laws
THIS LICENSE MUST BE POSTED IN A CONSPICUOUS
PLACE. NOT TRANSFERABLE OR ASSIGNABLE
NAME AND ADDRESS OF BUSINESS
MAYOR
The City of Kent
At 220 4TH AVE SO
KENT, WASHINGTON 98032
BLOC-2170788
2021
GOODBYE GRAFFITI SEATTLE
Please tear at perforation
982 INDUSTRY DR
TUKWILA, WA 98188
Tax Registration
Endorsement
Signature:
Email:
Signature:
Email:japplegate@kentwa.gov
Melissa McCormick (Dec 28, 2021 12:58 PST)
Melissa McCormick
cityclerk@kentwa.gov
GoodbyeGraffiti.Briscoe2022-2023
Final Audit Report 2021-12-28
Created:2021-12-21
By:Janice Applegate (japplegate@kentwa.gov)
Status:Signed
Transaction ID:CBJCHBCAABAAsBL_n2AgGNWQ9cE6PSBSdOMxmmT5m9hG
"GoodbyeGraffiti.Briscoe2022-2023" History
Document created by Janice Applegate (japplegate@kentwa.gov)
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Document e-signed by Janice Applegate (japplegate@kentwa.gov)
Signature Date: 2021-12-21 - 8:51:19 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Garin Lee (glee@kentwa.gov) for signature
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Signature Date: 2021-12-28 - 8:01:32 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature
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Email viewed by Melissa McCormick (cityclerk@kentwa.gov)
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Document e-signed by Melissa McCormick (cityclerk@kentwa.gov)
Signature Date: 2021-12-28 - 8:58:34 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2021-12-28 - 8:58:34 PM GMT