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HomeMy WebLinkAboutCAG2022-290 - Original - Mary Iverson - Repaint & Relocate Titus Railroad Mural - 07/13/2022ApprovalOriginator: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* Business License Verification: Yes In-Process Exempt (KCC 5.01.045) 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 Sup/Mgr: rev. 20210513 FOR CITY OF KENT OFFICIAL USE ONLY * Memo to Mayor must be attached Jan Apple Dir. Assist: Dir/Dep Dir: 4 Ronda Billerbeck Parks, Recreation & Community Services 07/01/2022 ASAP 03/15/2022 19026223.66500.4310 4 4 N/A Contract 94661 Original 06/13/2022 Other 08/31/2022 4 4 4 $13,000 LH 7/14/22 EEO COMPLIANCE DOCUMENTS - 1 ARTISTIC SERVICES AGREEMENT between the City of Kent and Mary Iverson THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Mary Iverson, located and doing business at P.O. Box 17486, Seattle, WA 98127; (206) 271-3818 (hereinafter the "Artist"). AGREEMENT I. DESCRIPTION OF WORK. Artist shall perform the following services to create and install artwork for the City in accordance with the following described plans and/or specifications: Repaint Titus Railroad mural on the north wall of the building at 109 2nd Avenue South, Kent, WA 98032 in accordance with the Scope of Work, attached and incorporated as Exhibit A. Artist further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. Upon the effective date of this Agreement, Artist shall complete the work described in Section I by September 30, 2022. III. COMPENSATION. The maximum amount to be paid under this Agreement for the work described in Section I above is $13,000 and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this Agreement. Payments to Artist for the work contracted for in this Agreement shall be made as follows: PHASE 1. Mobilization • Upon completion of Phase 1, and production by Artist of the noted deliverables, the Artist may submit an invoice in the amount of $5,000.00. PHASE 2: Artwork Installation • Upon completion of Phase 2 and the City’s final approval of the artwork as installed, which approval is to be given by the City’s Cultural Programs Manager, or their designees, within 30 days of Artist’s completion of the artwork’s installation, the Artist may submit an invoice for final payment in the amount of $8,000.00. The Artist shall submit payment invoices to the City for work performed in accordance with the above payment schedule, which shall fully compensate Artist for all work described in this Agreement. The City shall provide payment within thirty (30) days of its receipt of a proper invoice from Artist. If the City objects to all or any portion of an invoice, it shall notify the Artist and reserves the option to only pay that portion of the EEO COMPLIANCE DOCUMENTS - 2 invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement and that the Artist 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. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, and except as limited by Section XIII below, the City may take possession of all records and data within the Artist’s possession pertaining to this project, which may be used by the City without restriction. If the City’s use of Artist’s records or data is not related to this project, it shall be without liability or legal exposure to the Artist. VI. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Artist, its subcontractors, or any person acting on behalf of the Artist or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Artist 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. VII. INDEMNIFICATION. Artist 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 Artist'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 Artist's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Artist and the City, its officers, offici als, employees, agents and volunteers, the Artist's liability hereunder shall be only to the extent of the Artist's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE ARTIST'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. The provisions of this section shall survive the expiration or termination of this Agreement. VIII. INSURANCE. The Artist 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. IX. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to Artist for the purpose of completion of the work under this Agreement. EEO COMPLIANCE DOCUMENTS - 3 X. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Except as limited by Section XIII below, original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Artist will be safeguarded by the Artist. Artist shall make such data, documents, and files available to the City upon the City’s request. The City’s use or reuse of any of the documents, data and files created by Artist for this project by anyone other than Artist on any other project shall be without liability or legal exposure to Artist. XI. CITY'S RIGHT OF INSPECTION. Even though Artist is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XII. WORK PERFORMED AT ARTIST'S RISK. Artist 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 Artist's own risk, and Artist 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. XIII. ORIGINAL ARTWORK CREATION. The Artist’s services under this Agreement may include the creation of original artwork in the form of original designs in sufficient detail and scale so that the City or its agents or assigns could fabricate and install the Artist’s specific original creation. In that event, the following terms and conditions will also apply, but only to that portion of the Artist’s work under this Agreement that is directly related to the Artist’s creation of the original artwork: A. Original Artwork. Artist’s original designs created under this Agreement constitute original artwork. B. Retention of Rights and Issuance of License. The Artist retains all rights it may be entitled to pursuant to the Copyright Act of 1976, 17 U.S.C. § 101, et seq., and all other rights in and to the original artwork, except ownership and possession. Because the original artwork in its final dimension shall be uniqu e, the Artist shall not make any additional exact duplicate or three-dimensional reproductions of the original artwork or permit others to do so except by written permission of the City. The Artist grants to the City and its assigns an irrevocable license to reproduce the original artwork in any manner whatsoever for the purposes of promotion, publicity, education, or exhibition of the original artwork or of the City Art Collection. All reproductions by the City of the original artwork shall contain a credit to the Artist and a copyright notice substantially in the following form: “Copyright, Artist’s name, all rights reserved, date,” in such a manner and location as shall comply with the U.S. Copyright Laws. Any use of the original artwork reproductions by the City, for profit, that is not directly related to the City Art program, shall be subject to Artist's advance approval and Artist shall be entitled to reasonable royalties or additional usage fees. In that event, the parties shall negotiate additional compensation due Artist. C. Ownership of Documents. Models. All studies, drawings, designs, maquettes, and models of original artwork prepared and submitted under this Agreement shall be returned to the Artist and shall belong to the Artist. The City may select and the Artist shall convey to the City one of the original drawings of the original artwork submitted as part of the Scope of Work, and the City represents that the drawing(s) will be used by it solely for exhibition and held by it in permanent safekeeping, or as otherwise required by state records retention schedules. At the request of the City, the Artist will loan the City studies, drawings, and maquettes of any original artwork for use in display exhibits for reasonable time periods to be mutually agreed upon by the Artist and City, and the Artist agrees not to unreasonably withhold Artist’s consent. The City shall ensure that all studies, drawings, or maquettes of original artwork contain a credit to the Artist and a copyright notice EEO COMPLIANCE DOCUMENTS - 4 substantially in the following form: “Copyright, Artist’s name, all rights reserved, date,” in such a manner and location as shall comply with the U.S. Copyright Laws. D. Intellectual Property. If for any reason the proposed design is not implemented, all rights to the proposed Artist’s original artwork shall be recognized as the Artist’s intellectual property and protected from infringement in accordance with Federal Law. E. Alteration of the Work or of the Site. The City agrees that it will not alter, modify, o r change Artist’s original artwork without first attempting to obtain the prior written approval of the Artist. Relocation of the artwork is not an alteration, modification, or change triggering notice under this section. F. Artist's Address. The Artist shall notify the City of changes in address. The failure to do so, if such failure prevents the City from locating the Artist, shall be deemed a waiver by the Artist of the right subsequently to enforce this Section XIII of this Agreement. Notwithstanding this provision, the City shall make a reasonable effort to locate the Artist when matters arise relating to the Artist's rights. G. Surviving Covenants. The covenants and obligations set forth in this Section XIII shall be binding upon the parties, their heirs, legatees, executors, administrators, assigns, and all their successors in interest, and the City's covenants do attach and run with the Artist’s original artwork and shall be binding to and until twenty (20) years after the death of the Artist. In the event of the Artist’s death, the City shall pay any outstanding amounts to the Artist at the time of death to the Artist’s estate. XIV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties’ performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, 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 VII 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. EEO COMPLIANCE DOCUMENTS - 5 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 Artist. G. Entire Agreement. The written provisions and terms of this Agreement, together with any attached Exhibits, 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 Artist agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to Artist's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. ARTIST: By: Print Name: Its DATE: CITY OF KENT: By: Print Name: Its DATE: NOTICES TO BE SENT TO: ARTIST: Attn: Mary Iverson P.O. Box 17486 Seattle, WA 98127 (206) 271-3813 (telephone) mary@maryiverson.com NOTICES TO BE SENT TO: CITY OF KENT: Ronda Billerbeck, Cultural Programs Manager City of Kent Parks, Recreation and Community Services Department 220 Fourth Avenue South Kent, WA 98032 (253) 856-5055 (telephone) rbillerbeck@kentwa.gov ATTEST: ____________________________________ City Clerk Mary Iverson (Jul 11, 2022 09:19 PDT) 07/11/2022 Mary Iverson Artist Julie Parascondola (Jul 13, 2022 09:02 PDT) Julie Parascondola Julie Parascondola Director 7/13/2022 EEO COMPLIANCE DOCUMENTS - 6 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, consultant, 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, consultant, subcontractor, or supplier willfully misrepresents themselves with regard to the directives outlined, 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. Dated this day of , 20___. By: ___________________________________________________ For: __________________________________________________ Title: _________________________________________________ Date: _________________________________________________ Mary Iverson (Jul 11, 2022 09:19 PDT) 11th July 222222222222 Mary Iverson Artist 07/11-2022 EEO COMPLIANCE DOCUMENTS - 7 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 Pub lic 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 - 8 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. Dated this day of , 20____. By: ___________________________________________________ For: __________________________________________________ Title: _________________________________________________ Date: _________________________________________________ EXHIBIT A Scope of Work: City of Kent Mural Design: LOCATION: 109 2nd Avenue South, Kent WA. Rain & Co’s building, north wall. PROJECT DESCRIPTION: -Exterior mural painted on primed cinderblock wall, approximately 17’h x 45’w. -Lower 8 feet of wall left blank for graffiti protection. Mural painted above the 8 foot graffiti zone. -The design will leave room for signage on the left side of the wall. -This mural will be a re-make of the original Titus Railroad Park mural. The design is the same as the original mural, with slight color adjustments. The imagery is an abstract representation of a railroad yard, with colorful containers on trains bending around a curve in the tracks. MATERIALS:: Exterior latex paint and Golden acrylic paint on primed cinderblock wall EXHIBIT A – Page 2 BUDGET: Lift rental not to exceed $3000 Materials $1000 Insurance: $100 Mural assistants $2600 Artist prep time and painting time: $6300 TIMELINE: Weather permitting June 13: arrange for lift reservation June 27-30: finalize design for projecting, meet with assistants, purchase all materials, load van July 1-11: paint on site, July 12 (or at project completion): client walk through, lift return, site cleanup, load van PAYMENT/DELIVERABLES: -Deliverables for Phase 1 are: Signed contract, proof of insurance, invoice, written scope of work. Payment is $5,000. -Deliverables for Phase 2 are: Completion of mural. Payment is $8,000. EXHIBIT B INSURANCE & INDEMNITY REQUIREMENTS 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 Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. There shall be no endorsement or modification of the Commercial General Liability insurance for liability arising from explosion, collapse or underground property damage. 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. 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 $1,000,000 each occurrence, $1,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for 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 2. maintained by the City shall be excess of the Contractor’s insurance and shall not contribute with it. 3. 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. 4. 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. ® AC Ro CERTIFICATE OF LIABILITY INSURANCE TE (MM/DD/YYYY) 705/2712022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Rachel Alexander Insurance Agency Inc. 644 NW Richmond Beach Road Shoreline, WA 98177 CO ANE- Rachel Alexander "No EXt : 206-542-8800 we No : 206-542-6789 E-MAIL Ess: rachel.alexander.ckmi@statefarm.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B : State Farm Mutual Automobile Insurance Company 25178 INSURER C : Mary Iverson INSURER D : 3040 NW 63rd St INSURER E : Seattle, WA 98107 INSURER F : rnveoer%_r_e rtFRTIFIncTF NUMBER' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD I INSD SUB WVD POLICY NUMBER POLICY F MM/DD/YYYY POLICY P MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR PREASES RENcEDnce $ 300,000 MED EXP (Any one person) $ 10,000 Y 980CJ-Z602-1 04/10/2022 04/10/2023 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- POLICY F7 JECT E LOC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ac e t $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r PROP AG Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N /A STATUTE 1 PER OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ R yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Artist -Art Studio located at 3040 NW 63rd St., Seattle, WA 98107 Project location: 109 2nd Ave. S., Kent, WA 98032 ADDITIONAL INSURED: City of Kent- Parks, Recreation and Community Services Department, 229 Fourth Avenue S., Kent, WA 98032 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent -Parks, Recreation and Community Services ACCORDANCE WITH THE POLICY PROVISIONS. Department AUTHORIZED KEPKESENTATIVE 229 Fourth Avenue S., Completed by an authorized State Farm representative. If signature Kent, WA 98032 is required, please contact a State Farm agent. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.14 04-13-2022 Signature: Email: Signature: Email: Signature: Email: Lori Hogan (Jul 5, 2022 13:30 PDT) lhogan@kentwa.gov rlashley@kentwa.gov Melissa McCormick (Jul 14, 2022 08:28 PDT) Melissa McCormick cityclerk@kentwa.gov Hello Mary, Here is your contract for the railroad mural. Please click on the link in this email to review and sign digitally. Thank you, Ronda Final Audit Report 2022-07-14 Created:2022-07-05 By:Ronda D Billerbeck (rbillerbeck@kentwa.gov) Status:Signed Transaction ID:CBJCHBCAABAACa4b6S0tIs-MyjWu89DFNQWPkwQ9morw "Hello Mary, Here is your contract for the railroad mural. Please click on the link in this email to review and sign digitally. Thank y ou, Ronda" History Document created by Ronda D Billerbeck (rbillerbeck@kentwa.gov) 2022-07-05 - 8:20:41 PM GMT- IP address: 146.129.252.126 Document emailed to lhogan@kentwa.gov for signature 2022-07-05 - 8:27:40 PM GMT Email viewed by lhogan@kentwa.gov 2022-07-05 - 8:28:15 PM GMT- IP address: 146.129.252.126 Document e-signed by Lori Hogan (lhogan@kentwa.gov) Signature Date: 2022-07-05 - 8:30:19 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to mary@maryiverson.com for signature 2022-07-05 - 8:30:21 PM GMT Email viewed by mary@maryiverson.com 2022-07-05 - 10:01:16 PM GMT- IP address: 104.28.116.86 Document e-signed by Mary Iverson (mary@maryiverson.com) Signature Date: 2022-07-11 - 4:19:53 PM GMT - Time Source: server- IP address: 97.113.190.181 Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature 2022-07-11 - 4:19:57 PM GMT Email viewed by Ronald Lashley (rlashley@kentwa.gov) 2022-07-12 - 11:30:32 PM GMT- IP address: 146.129.252.126 Document e-signed by Ronald Lashley (rlashley@kentwa.gov) Signature Date: 2022-07-12 - 11:44:32 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Julie Parascondola (jparascondola@kentwa.gov) for signature 2022-07-12 - 11:44:35 PM GMT Email viewed by Julie Parascondola (jparascondola@kentwa.gov) 2022-07-13 - 4:01:49 PM GMT- IP address: 146.129.252.126 Document e-signed by Julie Parascondola (jparascondola@kentwa.gov) Signature Date: 2022-07-13 - 4:02:09 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature 2022-07-13 - 4:02:13 PM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2022-07-13 - 4:37:57 PM GMT- IP address: 146.129.252.126 Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date: 2022-07-13 - 4:38:10 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to cityclerk@kentwa.gov for signature 2022-07-13 - 4:38:12 PM GMT Email viewed by cityclerk@kentwa.gov 2022-07-14 - 3:25:07 PM GMT- IP address: 146.129.252.126 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov) Signature Date: 2022-07-14 - 3:28:40 PM GMT - Time Source: server- IP address: 146.129.252.126 Agreement completed. 2022-07-14 - 3:28:40 PM GMT