HomeMy WebLinkAboutPW17-480 - Original - CWT, LLC - Certified Erosion & Sediment Control Lead Training - 10/17/2022ecords M em
KENT D ocu mentWASHINGToX
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n 2017 CONTRACT COVER SHEET
SCAN}IEDplultr {'YIl
Thislisffi be completed by the Contract Manager prior to submission
,',,:.1,,4e City Clerks Office. All portions are to be completed.
If you have questions, please contact city clerk's office.
Vendor Name: CWT, LLC
Vendor Number:
JD Edwards Number
Contract Number:?N n-qfl
This is assigned by City Clerk's Office
Project Namel Certified Erosion and Sedi ment Control Lead Traini no
Description: n Interlocal Agreement n Change Order n Amendment X Contract
I other:
Contract Effective Date z LO/L7/L7 Termination Datet L2/3L117
Contract Renewal Notice (DaYs):
Number of days required notice for termination or renewal or amendment
Contract Manag er: Laura Haren De partment:Enoineerinq
Contract Amount: $4,350'00
Approval AuthoritY: (CIRCLE ONE)Mayor City Council
parcel number, tax id, etc.):
iment Control Lead re-certification trainin
Department Director
Detail: (i.e. address, locat
Provide Certified Erosion and
ton,
Sed to ci staff
As of, 08/27/14
KENT
WASHINGTON
CONSULTANT SERVICES AGREEM ENT
between the CitY of Kent and
cwr, LLc
THIS AGREEMENT is made between the city of Kent, a washington municipal corporation
(hereinafter the "City"), and cWT, LLc organized under the laws of the State of Washington, located and
.,loing business atzils't sE 25gth st,, tuaFle Valley, wA 9Bo3B, Phone: (206) 226-8820, contact: Nathan
lla rdebeck (herei nafter the "Consultant")'
I. DESCRIPTION OF WORK.
Consultant shall perform the following services for the City in accordance with the following
described plans and/ or specifications :
The Consultant shall provide Certified Erosion and Sediment Control Lead re-certification
training to city staff on October 30, 2OI7. For a description and billing rate, see Exhibit A
which is attached and incorporated by this reference,
consultant further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement, Consultant shall complete the
work described in Section I by December 31, 2017.
III. COMPENSATION.
A. The City shall pay the Consultant, based on time and materials, an amount not to exceed
Four Thousand, three Hundred riity oottars (94,350,00), for the services described in this
Agreement. This is the maximum amount to be paid under this Agreement for the work
described in Section I above, and shall not be exceeded without the prior written
authorization of the City in the form of a negotiated and executed amendment to this
agreement, The Consultant agrees that the hourly or flat rate charged by it for its services
contracted for herein shall rerirain locked at the negotiated rate(s) for a period of one (1)
year from the effective date of this Agreement. The Consultant's billing rates shall be as
delineated in Exhibit A.
B. The Consultant shall submit monthly payment invoices to the City for work performed, and
a finit bill upon completion of all services described in this Agreement. The City shall
provide payment within forty-five (45) days of receipt of an invoice' If the City objects to
all or any portion of an invoite, it s-hali notlfy the Consultant and reserves the option to only
pay thaf portion of the invoice not in dispute. In that event, the parties will immediately
make every effort to settle the disputed portion'
rv. TNDEPENDENT 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:
CONSULTANT SERVICES AGREEMENT - 1
($20,000 or Less)
A. The Consultant has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement'
B. The Consultant maintains and pays for its own place of business from which
consultant,s services under this Agreement will be performed.
C. The Consultant has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Consultant's services, or the Consultant is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement'
D. The Consultant is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
E. The Consultant has registered its business and established an account with the state
Department of Revenul and other state agencies as may be required by Consultant's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Consultant maintains a set of books dedicated to the expenses and earnings of
its business.
v. TERMINATION. Either party may terminate this Agreement, with or without cause' upon
providing the other party thirty (30) days written notice at its address set forth on the signature block of
this Agreement, Aiter-termination, the City may take possession of all records and data within the
consultant,s possession pertaining to this project, which may be used by the city without restriction' If
the City,s use of Consultant's records or data-is not related to this project, it shall be without liability or
legal exposure to the Consultant.
vI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the
Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation,
national origin, or the presence of any sensory, mental, or physical disability, discriminate against any
,)erson who is qualified and available to perform the work to which the employment relates. consultant
shall execute the attached city of Kent Lqual Employment Opportunity Policy Declaration, .comply with
City Administrative policy !.2, and upon completion of the contract work, file the attached Compliance
Statement.
vII. INDEMNIFICATION. Consultant shall defend, indemnify and hold the city' its officers'
officials, employees, agents and votunteers harmless from any and all claims, injuries, damages, losses or
suits, including all 'leg-al costs and attorney fees, arising out of or in co.nnection with the Consultant's
performance of this Agreement, except for tnat portion o1 tl'e injuries and damages caused by the city's
negligence,
The City's inspection or acceptance of any of Consultant's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event or iiabitity?or damages arising out of bodily injury to persons or damages to
property caused by or resulting from the concurrent negligence of the consultant and the city, its officers,
officials, employees, agents arid volunteers, the consutlant's duty to defend, indemnify, and hold the city
irarmless, and consuliant's liability u..rring from that obligation shall be only to the extent of the
Consu ltant's negligence.
CONSULTANT SERVICES AGREEMENT . 2
($20,000 or Less)
IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION
PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAiVER OF IMMUNITY UNDER INDUSTRIAL
INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES
TUNTNTN ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER'
In the event Consultant refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then
bonsultant stratt pay ati ttre city's costs for defense, including all reasonable expert witness fees and
reasonable attorneys, fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Consultant's Part,
The provisions of this section shall survive the expiration or termination of this Agreement'
vrrl. INsURANCE. The Consultant shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by
this reference,
rx. EXCHANGE OF TNFORMATTON. The city will provide its best efforts to provide
reasonable accuracy of any information supplied by it to consultant for the purpose of completion of the
work under this Agreement.
x. owNERsHrp AND usE oF REcoRDs AND DoCUMENTS. original documents, drawings,
designs, reports, or any other records developed or created under this Agreement sha.ll. belong to and
become the property of the City. All records submitted by the City to the Consultant will be safeguarded
L:y the Consultant. consultant shall make such data, documents, and files available to the city upon the
city,s request. The consultant acknowledges that the city is a public agency subject to the Public Records
Act codified in chapter 42.56 of the ReJised code of washington. As such, the consultant agrees to
cooperate fully with the city in satisfying the city's duties and obligations under the Public Records Act'
The city,s use or reuse of any of the ioJuments, data, and files created by consultant.for this project by
anyone other than consultant on any other project shall be without liability or legal exposure to
Consultant.
xr. crTy's RrGHT OF TNSPECTTON. Even though consultant is an independent contractor
with the authority to control and direct the performance and details of the work authorized under this
Agreement, the work must meet the approval of the city and shall be subject to the city's general right of
inspection to secure satisfactory completion'
xrr. woRK PERFoRMED AT coNsuLTANT's RrsK. consultant shall take all necessary
precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the
performance of the contract work and shall utilize all protection necessary for that purpose. All work shall
be done at consultant,s own risk, and consultant shall be responsible for any loss of or damage to
materials, tools, or other articles used or held for use in connection with the work.
XIII. MISCELLANEOUS PROVISIONS.
A. Recvclable 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 ano 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 Governinq Law. This Agreement shall be governed by and
construed in accordance with the laws or the staie of wEhington. If the parties are unable.to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
CONSULTANT SERVICES AGREEMENT - 3
($20,000 or Less)
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiition or the ring County Superior court, King County, washington, unless the parties agree in
writing to an alternative dispute resoluiion process. lnlny claim or lawsuit for damages arising from the
partie!' performance of this Agreement, uaih party shall pay all its legal co.sts and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award proui-dud by lJw;-provided, however, notning 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 ihre" (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently'given if sent tothe 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-assignin! partv snail ue void. If the non-assigning party gives its consent to any assignment,
the terms of this Rlieement 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 srratt oe ninaing unless in writing and signed by a duly authorized representative of the City
and Consultant.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shill 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 uny-languuge in any of the Exhibits to this Agreement conflict with any
la-nguage contained in tfris Agreement, the terms of this Agreement shall prevail.
H. Compliance with Laws, The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
consultant,s business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those operations'
i. public Records Act, The Consultant acknowledges that the City is a public agency subject to
the public Records Act codified in chapter 42.56 of the Revised code of washington and documents,
notes, emails, and other records prepared or gathered by the consultant in its performance of this
Agreement may be subject to public review and disclosure, even if those records are not produced to or
possessed by the city of Kent. As such, the consultant agrees to cooperate fully with the city in satisfying
the City,s duties and obligations under the Public Records Act.
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CONSULTANT SERVICES AGREEMENT - 4
($20,000 or Less)
K. Counterparts and Sionatures bv Fax or Emall. This Agreement may be executed in any
number of counterparts, each of which shall constitute an orlginal, and all of which will together constltute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that slgnature shall have the same force and effect as lf the Agreement
bearing the orlginal signature was recelved ln person.
IN WfTNESS, the partlee below execute thb Agreemcnt, whlch shall becomo elfcctlv€ on
the |rst date cntcred bclow. All acts conslctent wlth the authorlty of thlc Agreement and prlor
to ltr ellccllve date are ratllled and afllrmed, and the tcrmc of the Agrcment chall be decmed
to havc applled.
clsn Wdd Tdrnolo$G - CISC- l6inh9/lb6
CONSULTANT SERVICES AGREEMENT - 5
($20,000 or Less)
CONSULTANT:
1..
." . "1 /"-
(signature)
Print
Its ^tuur.lr
DATE:
crw
By
Print Name: Timothy J. LaPorte, P.E.
Its:Publlc Dlrector
DATE 2
NOTICES TO BE SEI{T TO:
CONSULTAT{T:
Nathan Hardebeck
cwr, LLc
2t73r SE 259th St.
Maple Valley, WA 98038
(206) 226-8820 (telephone)
NOTICES TO BE SENT TO:
CITY OF KEIIT:
Timothy J. LaPorte, P.E.
Clty of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5500 (telephone)
(253) 856-6500 (facsimile)
DECLARATIOT{
CITY OF KENT EQUAL EIIIPLOYMEHT OPPORTUI{ITV POTICY
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
direciives 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:
l. I have read the attached City of Kent administrative policy number 1.2
During the time of this Agreement t 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.
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.
During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
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,gree to fulfill the five requirements referenced above.
2
3
4
5
.t
e
By:L
For:7'
Tirle:{luNPt- t"'t't;'i. Ltt-
Date:I r7
EEO COMPLTANCE DOCUMENTS - 1
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The city of Kent is committed to conform to Federal and state laws regarding equal oppoftunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agr."r"nt shall .orpiy 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, Jubcontractor or rrppiiur 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 suppliJr *ittrutty 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.
z. 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 Frime contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
For:
Title:
Date:
By
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: JanuarY 1, 1998
SUBJECT:
POLICY:
Equal employment opportunity requirements for. the City of Kent will conform to federal and
state laws, All contra.torr, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the city
amounting to g10,0cjcj 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'
MINORITY AND WOMEN
CONTRACTORS
SUPERSEDES: APril 1, 1996
APPROVED BY Jim White, MaYor
EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date) between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative policy t.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement'
By:
For
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
City of Kent CESCL Training 20L7 - Scope of Work
CESCL Training will be held at Kent Commons in the Olympic Room on
October 30th, 2017 from 7:30 - 4:30. See below for the details sent to me
from Nathan Hardebeck from Clearwater Technologies, the certified training
provider.
City of Kent is requesting CESCL recertification training services from CWT.
To be eligible to take the recertification course, students expiration dates
cannot eiceed 6 mo past the expiration date of their previous CESCL
certification date. To do a CESCL recertification for up to 50 people at a
defined City of Kent facility in the next couple months, CWT will provide the
following:x Ecology approved content* Certification cards
x submittal of attendee list to Ecology
* sign in sheet
City of Kent will Provide:x training facility
x all necessary printing
* any desired coffee or snacks* a/v equipment (screen, projector or !v, etc)
x a list of ittenOees and associated previous CESCL numbers and expiration
dates on CWT provided form 2 weeks prior to class
CWT will provide this service at a flat rate lump sum of $4350.00.
Nathan Hardebeck
Nathan Hardebeck, owner of CWT, LLC., has over 15 years of experience in business developntent
in the environmental consulling fielcl with an emphasis on best management practices (BMPs) and
program matragemenl related l0 storrnvlalet services His professiorral experience atrd
responsibilities include providing technical expertise, implemenlation o{ BMP programs, tleatment
technologies and providing sformwater and environmental training for both pLtblic agencies and
private businesses.
A gifted edrreator, Nathan n in denrand as a presentsr at conferences, ten'linafs, anel *ynlposiunra'
HJ nas the abilily to comnrunicate complex informahon usirrg real-lif* examples thal hold ths
audiences" uttuoiiotl w5ile they learn the iRtfiCacies af topics, ilrcluding $tarmwater mafiAgenlent"
BNlp$, and erosion cantrol tte lras been asleecl to partitipste 0n rnany policy development
eomnriRees anS l! flctlve in nrany of the €duqalional Confer*n*e$ a$ part of the devel0prnent
commiltee. He ha$,aulflore{ nlany articles on a v€fieh/ of storlnw.aler topics in both local and
natisnal pilhlitalior'l$.
Photo
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against iiaims ror injuries to persons or dama-9Q to property which
miy iriie i6m or in connection with th'e performance of the work hereunder
UV tfru Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum ScoPe of Insurance
Consultant shall obtain insurance of the types described below:
1. Automobile Liability insurance covering a.ll owned, non-owned,
ffihicles.CoverageshallbewrittenonInSurance
ServicesbmJJ(ISO) form cA 00 bt or a substitute form providing
equivateni tiJOitity c6verage. If nece.ssary, the policy shall be
eddorsed to provide contractual liability coverage'
2. Commercial General LiEbility insurance shall be written on ISO
occurreffi,-fne City shall be named as an
Additional Insured under the Consultant's Commercial General
Liabitity'in;;i*;; policy with respect to the wo(-p-efglqe-d for the
City usinglso uOoitionil insured'endorsement CG 20 t0 11 85 or a
su6stitut6 endorsement providing equivalent coverage.
3. Workers' compensation coverage a.s. required by the Industrial
tnsurance laws of the State of Washington'
B. Minimum Amounts of Insurance
consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combine-d-single
y and property damage of $1,000,000 per
accident,
2. Commercial General Liability insurance shall be written with limits- h occurrence, $2,000,000 general
aggregate.
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endo.rsed to contain, the following
piouiii*i ior Automobite Liability and Commercial General Liability
insurance:
1. The Consultant's insurance coverage shall be primary insurance as
respect tfre CitV. Any Insurance, s-elf-insurance, or insurance.pool.
.ou"rug. ma-infained'by the City'sha.ll. be excess of the Consultant's
insurante and shall not contribute with it'
2. The Consultant's insurance shall be endorsed to state that coverage
shall not be fancelled by either party, except after thirty (30) days
prior writien-notice by c'ertified mail, return receipt requested, has
been given to the CitY'
3. The City of Kent shall be named as an additional insured on all
polici"s' lexcept erofessional Liability) as respects work, performed
by or on'behalf of the Consultant and a copy of ,!he,9lg?ltgttntnlming the City as additional insured shall be attached to the
Certifidaie of lrisurance. The City reserves the iOht to receive a
certifiedftf,y oTEll required insur'ance policies. The Consultant's
CommerCili'Ceneral Li'ability insurance shall also contain a clause
stating ttraf coverage shall ipqly separately to each insured against
whom cf air ii mad-e or suit is'U'rought, exiept 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
consultant shall furnish the city with original certificates and a copy.of the
ur"nOiloiy uhOoirements, inciuding bu[ not, necessarilV ti1t1e!_i1!h.
additional insured endorsement, eviiencing the insuran-e requirements of
ine Consultant before commencement of the work'
F. Subcontractors
Consultant 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 Consultant'
a,iQo*CERTIFICATE OF LIABILITY INSURANCE
CER TIFICATE NUM BER:2 017031ORWI REVISION NUMBER:
10 1 20L7
DATE (MM'DD'YYYY)
endors
RMATI THDER.lsETHERTIcTEFICAHOLRSFERINOUGHTSPONoONYNLDANcoNASEDMAARTTEOFNFOFICERTITECAtssuts'rHts
BY POLICITHE ESAFFORDEDCOVERAGEORTENOTERALETHLTIVEYEXAFNOTRMAFIYTIVELOREGAAMEND,ERl'I TEFICA ESDO DNGAUTHORIZERINSUBTHETWEENEssulER(S),ACONSTITUTE CONTRACTNSUDOESRANCENOTsFICERTITECAFoTHItsELOW.
r,he
HOTE DL ER.ROP A,N THED TIFICACEREPRESENTRTIVEARoDUCER,
s toONeendorsed.eTI pAODIanced to thenotrlconferatementonshlticertidoescateghtsanndorsemeAstent.n tcrol esconditlonstheofolcertai may requiretermspicypand
e holder ln lleu
Ryan Wiita
(800 ) {95-6054lljP\E* .",, (8oo) 362-s220
ryanGw-ins. com
NAIC *INSURER(S) AFFORDING COVERAGE
LOL12TNSURERA :Westchester Surplus Lines Insurance
PRODUCER
!:f Insurance Group
1007 Pacific Ave
tacona wA 98402
24082TNSURERB:Ohio Securitv Ins Co
INSURER C
INSURERD:
INSI.IRER E :
INSURER F
II'JJURED
ciin L],C
2 '-731 SE 259th St
ll,rple Valley wA 98038
COVERAGES
DOCUMENT WITH RESPECT TO \A'TIICH THIS
D HEREIN IS SUBJECT TO ALL THE TERMS,
THE
RTAIN
N U EDR NAMsEENBLISTEDRANCENSUTHETPOLIClsTHTOISTHA
ONTRACT OTHOR REcoNOROFDITIONANYcANYEQUIREMENTRERMTOTWITHANDSTgINTEDtcAINDlcDESCESRIBEDAFFORDETHBYPOLEETHRANINSUCEPEMAISSUEDEMAYORFICATECERTICLAIMSRENDUEBYCEDPAILIMES.srTs OWNH MA HAVEOFsUsPOLCHtcstEXCLUANoNsCONDITIOND
LIMITS
TYPE OF INSURANCE 1,000/000EACH OCCURRENCEx 50,000
10,000lvlED EXP
1,000,000PERSONAL & ADV IN.-[JRY
2,000/ 000GENERAL AGGREGATE
2,000,000PRODUCTS.x
$Employoe BenslSts
3lLO/20L7 3lLOl20L8c27569948003x
COMMERCIAL GENERAL LIABILITY
CLATMS-|VADE lXlo".r*
GEN'L AGGREGATE LIMIT APPLIES PER
f___l pno-I lJEcr I I LOCPOLICY
OTHER:$ 1/o0o/0oo
$BODILY INJURY (Per Person)
$BODILY INJURY (Per accid€nt)
$
$
7212S | 2OL'l12l 2s / 2oL6RAA51'.l 42570
A
l,
B
AUTOMOBILE LIABILITY
HIRED AUTOS
SCHEDUTED
AUTOS
ALL O\^/I!ED
At.JTOS
ANY AUTO
NON.O\,4NED
AUTOS
EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-IVIADE
UMBRELLA LIAB
EXCESS LIAB
$E.L. EACH ACCIDENT
E.L. D
$- POLICY LIMITE,L
N/A
a.
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory ln NH)
/N
3lLOl2OL8
3 lto I 2oLe
Each Pollution Condition
E€ch Claim
1,000/000
1,000/000
3lLol20L7
3lto | 2or'l
627 56 9 94 80 03
c2? 55 9 94 80 03
Pollution LiabilitY
Professional LiabilitY
A
A
11e/08)
attachedbe motelf requi rsdl01R€marksAddltlonal may spaceschedula,ITIONS VEHICLES ROOFNSPERATIOLOCA(ACODESCRIPTION 2-32 6E}TVand08)ENVforms 25-32 (10insuredtionaladdiasnamedper:Lt-cf tea derho1Ce!rti
city of Kent
220 trourtb Ave s
Kent I T,in' 98032
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
rXE EXPIUION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Ryan Wiita,/CRl,r]F**-- --A--/'-:;-*
CATE HO
ACORD 25 {2014tO1)
i r: S025 (2oi4oi )
CANCE
@ 1988-2014 ACORO
The ACORD name and logo are registered marks of ACORD
CORPORA TION. All rights reserved.
CWT, LLC
avfit20170911012017 to 03i1A12018G27569948 003ECP
v)
lnsurance CompanyWestchester Surplus Lines
By (Name ol lnsurance
ADDITIONAL I NSU RED EN DO RSEMENT - FRODUCTS.COMPLETE D O PERATIONS HAZARD
THIS ENDORSEMENT CHANGES THE POLIGY. PLEASE READ IT GAREFULLY'
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CONTRACTOR'S POLLUTION LIABI LIry COVERAGE PART
SGHEDULE
Any person or organization that is an owner of real property or personal property on whi.ch you ale performing
op6rbtions, or a jontractor on whose behalf you are perrorming operations, and only at the specific written request of
such person or organization to you, wherein such request is made prior to commencement of operations'
(lf no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
Section ll - Who ls An lneured is amended to include as an additional insured the person(s)or organization(s) shown in
the Schedule, Out ontyw'rth respect to liability for bodity injury or property damagg caused, in whole or in part, by your
work performed for that additional insured and inctudeo in fhe products-completed operations hazard.
All other terms and conditions remain the same
ENV-3225 (10-08)Page 1 of 1
Any person or organization that is an owner of real properly or personal property on which.you are performing operalions,
or a contractor on wr,os;oe6ar you are performing opbrations, and only at the specific written requesl of such person or
organization to you, wherein such request is made prior to c6mmencement ot operatlons'
ADDITIONAL INSURED EN DORSEMENT - PRODUCTS.CO MPLETED O PERATIONS HAZARD
PRIMARY & NON.CONTRIBUTORY
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART
SCHEDULE
(lf no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsemenl,)
section ll - who ls An lneured is amended to include as an additional insured the person(s)or organization(s) shown in
the schedule, but ontywith respect to liability for bodily injury or property damage caused, in whole or in part, by your
;;rk drftmed for th;t additionat insured ano inctudeo- in the-products-completed operations hazard,
Furthermore, the coverage provided hereunder shall be primary and not contributing with any other insurance available to
those designated above under any other third party liability policy,
All other terms and conditions remain the same
CWT, LLC
ay10120170311012017 to 03/1 012018c27569948 003ECP
Westchester Surplus Lines I nsu rance Company
ENV-3226 (10-08)Page I of 1