HomeMy WebLinkAboutEC11-060 - Original - Christopher Mathews, Attorney at Law - Hearing Examiner - 02/08/2011ecords h4 erTE
KFNT Document
WASHINGTON
CONTRACT COVER. S[.IEET
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Vendor [dumber;
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Descriptionl I Interlocal Agreement tr Change Order ! Amendment [J Contract
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S : Public\RecordsMana gement\Forms\ContractCover\a dcc7832 | 1 V08
KENT RHCHXVHMWasHtNGToN
PROFESSIONAL SERVICES AGREEM ENT
between the City of Kent and
Christopher Mathews, Attorney at Law
CITV OF KEhIT
PIANNIh{G SERVIGES
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and Christopher Mathews, Attorney at Law whose primary business address is
P.O. Box 18111, Seattle, Washington 98118 (hereinafter the "Contractor").
I. APPOINTMENT AND CONTRACT MANAGEMENT, Pursuant to the authority provided in
Kent City Code section 2.32.O30, the Mayor appoints Christopher Mathews as a Hearing Examiner for the
City of (ent subject to the terms and conditions set forth in this Agreement. The Mayor further delegates
the daily contract management over this Agreement to the City Planning Director, or his or her designee.
II. DESCRIPTION OF WORK.
Contractor shall perform the following Hearing Examiner services for the City pursuant to the Kent
City Code:
A. As Contractor's primary responsibility, conduct hearings and make
decisions on code enforcement matters;
B. When requested by the city, conduct hearings and make
recommendations and/or decisions on land use applications such as, but
not limited to, conditional use permits, variances, preliminary plats, and
rezones; and
C. When requested by the city, review and hear other matters as provided
for in the Kent CitY Code.
Contractor 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.
This Agreement is a non-exclusive contract with Contractor, and the City reserves its sole and
exclusive right to employ any other person or entity to conduct the work described in this Agreement.
The assignment of specific hearings to Contractor shall be at the discretion of the City' As partial
consideration for the City's entering into this Agreement, unless the City provides its prior written consent
to a substitution of another attorney, Christopher Mathews will sit as the City's Hearing Examiner at all
hearings assigned by the City, and will be the primary author on all written orders, provided that, in an
emergency (e.g. illness, unexpected travel delay, etc.), the City Planning Director, or his/her designee,
may provide his/her oral consent to substitute another attorney.
III. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section II above immediately upon the effective date of this Agreement, and Contractor shall complete the
work by December 3L,?OLL.
IV. COIIIPENSATION'
A. The City shall pay Contractor at the rate of One Hundred Dollars and NO/100 ($100.00)
per hour for the services described in this Agreement'
PROFESSIONAL SERVICES AGREEMENT - 1
(Over $10,000)
iAhd 1 0 201x
B. The City shall pay the full amount due each month within thirty (30) days of receipt of
each monthly invoice. If the City objects to any portion of any invoice, it shall notiff
Contractor of its objection within fifteen (15) days from the date of receipt and shall pay
that portion of the invoice not in dispute, and the parties shall immediately make every
effort to settle the disputed portion'
C. The City, or its authorized representative, shall have the authority to inspect, audit, and
copy upon reasonable notice and from time to time any records of Contractor regarding
his billings and payments to verify matching funds and expenditures made for the work
performed herein.
V. 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 Contractor 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 Contractor maintains and pays for its own place of business from which
Contractor's services under this Agreement will be performed.
C. The Contractor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Contractor's services, or the Contractor is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Contractor 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 Contractor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Contractor's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Contractor maintains a set of books dedicated to the expenses and earnings of
its business.
VI. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party seven (7) calendar days written notice at its address set forth on the signature
block of this Agreement.
VIL DISCRIMINATION, In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the
Contractor or subcontractor shall not discriminate against any person who is qualified and available to
perform the work to which the employment relates as provided for by the City of Kent's Equal
Lmployment Opportunity policy. Contractor shall execute the attached City of Kent Equal Employment
Opportunity eoiicy Declaration, Compty with City Administrative Policy L.2, and upon completion of the
contract work, file the attached Compliance Statement'
VIU. INDEMNIFICATION. Contractor 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 Contractor's
performan." o-f this Agreement, except for that portion of the injuries and damages caused by the City's
negligence. The City'i inspection or acceptance of any of Contractor's work when completed shall not be
grJunar to avoid any of these covenants of indemnification. The provisions of this section shall survive
the expiration or termination of this Agreement'
PROFESSIONAL SERVICES AGREEMENT - 2
(Over $10,000)
In the event Contractor 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 Contractor's part, then-Contractor shall pay ali 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 Contractor's Part.
IX. INSURANCE. The Contractor shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amo!.rnts described in Ehlbit A attached and incorporated
ny tnis reference. f a a'/ Af'WDIfuV )@-
X. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal,
state, and municipal laws, rules, and regulations that are now effective or in the future become applicable
to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those services. All work shall be done at Contractor's own risk, and
Contraclor 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.
XI. 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 faiture of the City to insist upon strict performance of any of the
covenants ancl agieements 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 Governino 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 iesolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiltion 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
partiei' 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 lJwf 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.
E. Assiqnment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement stralt Ue binding unless in writing and signed by a duly authorized representative of the City
and Contractor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereio, 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 .alteiing in any manner this Agreement. Should any language in any of the exhibits to this
PROFESSIONAL SERVICES AGREEMENT - 3
(Over $10,000)
Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall
prevail.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date entered below.
CONTRACTOR:
By a
(signature)
Print Name: Christopher Mathews
Its:ILh b-tatl-
(title)
DATE:
CITY OF KENTI
By:
Prin
24-//
(signature)
NOTICES TO BE SENT TO:
CONTRACTOR:
Christopher Mathews
PO Box 18111
Seattle, WA 98118
(206) 769-75O7 (telephone)
(206) 7 22-3t66 (facsimile)
NOTICES TO BE SENT TO:
CITY OF KENT:
Fred Satterstrom
City of Kent
220 Fourth Avenue South
Kent, WA 98032
(253) 856-5454 (telephone)
(253) 856-6454 (facsimile)
APPROVED AS TO
t Law partment
P:\Civil\Files\Open Files\0237-Hearing Examiner\Mathews PSA.1-1-2011.doc
PROFESSIONAL SERVICES AGREEMENT - 4
(Over $10,000)
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 oppoftunity
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.
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, I agree to fulfill the five requirements referenced above
Dated this 7rd day of 20 tl
AVt C-jeft-6;f7j)tfu7- )<;fifuEk*4\
For:
Title:.-0t-.t
Date: A J tr rt
3
4
5
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: L.2 EFFECTIVE DATE: January 1, 1998
SUBJECT:MINORIW AND WOMEN
CONTRACTORS
SUPERSEDES: April 1, 1996
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 paft of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 2
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEM ENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to pro.perty which
may arise fiom or in connectioh with the performance of the work hereunder
by the 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 all owned,. non-
owned, hired and leased vehicles. Coverage shall be written
on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If
necessary, the policy shall be endorsed to provide
contractual liabilitY coverage'
2. Commercial General Liabilitv insurance shall be written on
ISO occurrence form cG 00 01 and shall cover liability
arising from premises, operations, independent contractors,
produtts-completed operations' personal inj.ury and
advertising injury, and liability assumed under an insured
contract. fne-Commercial General Liability insurance shall be
endorsed to provide the Aggregate Per Project Endorsement
ISO form CG 25 03 11 85' The City shall be named as an
insured under the Consultant'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
Consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined
single limit for bodily injury and property damage of
$500,000 Per accident.
2. Commercial General Liability insurance shall be written with
timits no less than $500,000 each occurrence, 500,000
general aggregate'
EXHIBIT B (Continued)
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the followingprovisions for Automobile Liability and Commercial General Liability
insurance:
1. The consultant'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 consuliant's
insurance and shall not contribute with it.
2. The Consultant's insurance shall be endorsed to state that coverage shallnot 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
(gxgepq Professional Liability) as respects work performed by oi on behalfof the consultant.and g copy of the endorsement naming thb city asadditlonal insured shall be attached to the Certificate of Insurance. TheCityreservestherighttoreceiveacertified@Surance
policies. The Consultant's Commercial Generai tiabitity insurance shall
also contain a clause stating that coverage shall apply'separately to each
insured against whom claim is made or suit is brought, eicept 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:VIL
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of theamendatory endorsements, including but not necessarily limited tb'tneadditional insured -endorsement, evidencing the insurance requirements ofthe 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.
DATE (MM/DD/YYYYI
02-02-20].L
THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI S
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATEOF INSURANCE DOES NOTCONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONALINSURED,the policy(ies) must be endorsed. lf SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certif icate does not confer rights to the
certificate holder in lieu of such endorsement(s).
"r5?fr"irruRANCE H'LDTNGS LLCI PHS
s07526 P: (866)467-8730 Fz (877 ) gos-0457
P O BOX 3301_5
SAN ANTON]O TX 78265
PHONElA/C Nn. Fxtl:(866\ 467 -8730 (e77 905-045
IN AFFORDING COVERAGE NAIC #
INSURED
CHRTSTOPHER MATHEWS
7642 39TH AVE S
SEATTLE WA 98].18
INSURERA: SENIiNEI INS CO I,TD
INSIIRER B:
INSURER C :
INSURER D :
INSIJRER E
INSURER F
CERTIFICATE OF LIABILITY INSURANCE
DE
uo22
COVERAGES CERTIFICATE NUMBERT REVISION NUMBER
THIS IS TO CERTI FY THAT THE POLIC rEs OF INSURANCE LI STED ELOW HA VE BEEN SSUED TO TH E INSU RED NAMED ABOVE FO R THE POLICY PERIOD
IND CATED. NOTWITHSTANDING ANY REOUIREM ENT TERM OR co N DITION OF ANY CONTRACT OR OTHER DOCU MENT WITH RES PECT TO WHICH TH
TO ALL THE TERMS,CERTI FI CA TE MA BE ISSUE D o R MAY PERT AIN,THE IN SURANCE AFFORDED BY THE POLICIES DESC RIBED HEREI N ts SUBJECT
EXC LU SION S AN D CONDITI ONS OF SUC H POLI CIES LIM ITS SHOWN MA HA VE BEEN REDUCED BY PAI D CLAIMS.
tNSn
LTR TYPE OF INSURANCE POUCY IIUMBER
POLICY EFF
IMM/DD/YVYY)
POLICY bxf(MM/DD/YYYY)IIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
.LA'MS-MADE I x-l o""r,
X General Liab
LIMIT PER:
x LOC
46 SBM rU4358 or / 3L/ 2oLr oL/3L/20L2
EACH OCCURRENCE s 1. 000. 000
s l-, 000, 000
MED EXP lAnv one oersonl s 10, 000
PERSONAL & ADV INJURY + 1, 000, 000
GENERAL AGGREGATE s 2, 000, 000
PRODUCTS - COMP/OP AGG s 2, 000, 000
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)$
BODILY INJURY (Per personl $
BODILY INJURY (Per accidentl $
PBOPERTY DAMAGE
(Per accident)$
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCURRENCE $
AGGREGATE $
DEDUCTIBLE
RFTFNTION S
$
s
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY
OFFICER/MEM
lMandatory in
lf yes, descrlbe under
DFSCRIPTION OF OPERATIONS below
N A
WC STATU-TNRV I I['ITq OTH.
FR
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEI $
E.L. DISEASE - POLICY LIMIT $
DESCR||TTON OF OqERATTONS / LOCATTONS / VEHTCLES lAttach ACORD 1Ol, Ad.rftional Rematks schedule, if morc space is QquiQd)
Those usual to t.he Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
City of Kent., WA
220 4TH AVE S
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.
A UTH ORIZE D RE PRE SE NTA T IVE
l^.r- ]"-tt'^*-,
@ 1988-2009 ACORD CORPORATION. All rights reserved
ACORD 25 z00gt0gl The ACORD name and logo are registered marks of ACORD
GEICO
Wrshlngton DC
GEIUO GENERAL INSURANCE COMPANY
VERIFICATION OF COVERAGE
(sEE BELOW UNDER CAUTIONARY NOTE)
To whorn it may concerni
Thls letter is to verify that we have lssued the policyholder coverage undsr the above policy number for the datos indicated in the effec'
tive and expiration iate fields for the vehicle iirt.d. 'ri,ir ehould ie*r .r proof that the below mentioned vehicle meets or exceeds the
flnansial responsibility requirement for your state.
This verification of coverage does not amend, extend or alter the coverage afforded by this policy.
Vehicle Year: 2004
Make: ToyoTA
Model: CAMRY
VIN: 4T1-B E 3 2K3 4U92LL47
INSURED
CI]RTSTOPH P trIIGtrNtr MATI{trWq
RtrVtrRI FF DTTTMAN
7RL) ?qTA a\/tr q
StrATTI F ^ OR1 1 R-?76q
COVERAGES
BODILY INJURY LIABILITY
PROPERTY DAMAGE LIABILITY
PERSONAL INJURY PROTECTION
UNDERINSURED MOTORIST
UNDERINSURED MOTORIST PROPERTY DAMAGE
COMPREHENSIVE
COLLISION
RENTAL RETMBURSEMENT
tlenholder
LIMITS
$ 500 ,000/$ 500,000
$1-00,000
OPTION B
$ 5oo , ooo/$ 5oo, ooo
$50,000
$25IDAY-$750 MAX
Additional Insured - Interested Partn
Policy Number: 1-433 586409
Effectlve Dater l-0-03-10
Expiration Date: 04 - 0 3 - l-l-
Registered State:WAS H I NGTON
DEDUCTIBLES
NON-DED
$250 oeo
$500 oeo
11trNT l^l^qHT
?7O 4Tl1 avF s,
KENT. WA 98 1?
Addttional Information:
Tccrrarl i1 /"1 /)i1 1
Ifyou have any additional questions' please call 1-800-841-3000.
gAUTTONARyNOTE: THE g1RR5NT COYERAGES, LIl!trTS,AND DEDUCTIBT.T'S MAYDIFF'ER IROM IEE COVERAGES' I-I1VtrTS'AND DX'DUCTIBLES IN EFFECTAT oTHER
TIMES DIJRING TIIE POLICYPERIOD. TIIIS YERtrICATION OF CO\/ER.A.GE REFLECTS TEE COVERAGES, LIMITS AND DEDUCTIBLES AS OF THE ISSI]ED DATE Otr'THIS
DOCIJMENTTVHICHIS SttOTyNUNDER rADDITIONALINT'ORMATION" ()RIFANISSIIED DATE IS NOT SIIOIVN, THE DATE OFTHIS FACSIMILE'
u-33 10-07
(AGENCY LOGO HERE)
#$FOnn
Spectrum Proposal
Prepared for:
CHRISTOPHER MATHEWS
7642 39TH AVENUE SOUTH
SEATTLE, WA 98118
Proposed bY (AgencY Name)
This document is a proposal of insurance for the applicant indicated above. It is not to be used as proof of coverage, unless
bound by agent signature.
Coverage bound
for 30 days, Effective
(Date)(Authorized Representative)
By
Proposal Dat e I /2'7 /201I
Regardless of vhether an authorized representoliw has bolnd coverage, the cou.erages and premium stated herein.are preliminu'y and stbiec! to .change'i;;i;ir"rddltiona ura"iiiti;g ;;"i"* in"rog" bound mayie cancelledlmmediagly upn notice to the insured and/or its agent subiect to
applicahle state lav. c"r*"g, iiti ipre upon the eipiration of the 30-day period vithoil funher-notice, mless extended in flriting with consent of rhe
iiiitira. Cowrage cannot bi backdaid withort a signed no-hss letter and consent of Tlte Hartford.
The premium dmo*rrts staled herein are delermined based on the coiterages and limits selected together with the specrfic characleristics of the insured
Chinges to corerages, limits or insured chwacteristics may result in chaiges in premitm and may only be determined by The Hartford or ils automdled
submission system.
The coverage descriptions in this propsa! are abbreviated. Any cowrage bound in accordance with the terms oJ this propsal is subject to th: ter.ms,
conditions, limilaions *a ,*ifiir,r{of ihe aplicable poliq7;g. I! thire is any confiic! between the covelage statements wtthin this poposal and the
Aii;r"bi insturance prti.yft"tj,--iii ,ilicy pilvisions iitt itievat "For questions re[arding this proposal, contdct your independent Hartford dgent or
atnhorize d Hartford repre sentalit e.
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Company:
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l:Jtp,/,11t*lpla*-trri!".9grn/ helps you find out what hundreds of insurance terms mean and ways to reduce your risk.
*QfickBoolw@ is a registered lradematk and sewice mtk oJ Intuit, Inc. in the thnited States and other colntries and is displayed herein with permission.
XactPAY lqeb is a specia! editionf,or Qticktsooks uers with (1) the 2006^or newer rersion oJ Qnicktsoolcs Pro/?remier/Ente;prise U.S pC 6a;pdy Web isnor available to Quicl8ooks Simple Stut users), and (2) a nbscripionfor Intuit QuickBoohsbasic, Staltdard, Enhanced or'Asisted payrog (Xaabay Web
is not atailable to QuickBooks Online Payroll subscribers). The purchase of a HartJord Workers' Compnsdrion poliq) is necessary to'fiilize the rtt2qy
Web senice All.insurance policies offere.d by The Hmtford are.sild throrgfi licenid agents appinted-by rhe H;tJo;d. The Hanford coverogu iriit"aherein nny be offered by one or more oJthe poprty and casualty insaranie subsidiari;s opne*nargoni rirnnciiGroup, Inc.
Speetrum Quote Prop os al
Proposeil with
S entinel Insurance ComPanY
I/27/2011 to 1/27/2012
T ot al An n u al S o ec'tru m Pr emiu m
Polictt Level:
Liabilitv Coverases
Business Liability Each Occurrence
General Aggregate
Products/Completed Operations Aggregate
Personal and Advertising InjurY
Damage to Premises Rented to You
Medical Expenses
ptop Gap Liability
For Location States: WA
Terrorism
Minimum Premium Difference
Propertv Coverages
Equipment Breakdown Coverage
L o catio n/B aildin s L ev el :
L o cat io n/ B uildin p I nfot m ation :
$425.00 *
Limits of Insurance Premium
$ 1"000,000
$ 2,000,000
$ 2,000,000
$ 1,000,000
$ 1,000,000
$ lo,o00
$ 1,000,000
$ 1,000,000
$ 1,000,000
$ Included
Each Accident
Policy Limit
EachEmployee
6
Included
locluded
Included
Included
28
Included
$
$
$
$
$
$
2
303
$
$
$
Limits of Insurance
$ Excluded
Premium
Location No./Building No.
Street Address
City, State and Zip Code
Protection Class
Class Code
Description
Construction
Sprrrklered
Area
0011001
76423glhAvenue South
Seattle, WA 98118
02
65',741
Lawyers & Law Firms
Frame
No
200
R eco mm en dali o n s an d C o mment s
DISCLOSI]RE PURSUANT TO TERRORISM RISK INSURANCE ACT
On December 26, 2007,legislation was enacted extending the Terrorism Risk inswance Act (as amended *TRIA.). In
accordance with TRIA, we are required to offer you coverage for "certified acts of terrorism" in policies for which the
act applies. However, coverage for "certified acts of terrorism" is limited by the terms, conditions, exclusions, limits,
endorsements and other provisions of your policy(ies), as well as any applicable rules of law to which this .ou"rug"
quote applies.
*Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in concurrence with the
Secretary of State and the Attomey General of the United States, to be an act of terrorism. The criteria contained inTRIA for a "certified act of terrorism', include the following:1. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of
insurance subject to TRIA; and
2. The act resulted in damage within the United States, or outside the United States in the case of certain
air carriers or vessels or the premises of an United States mission; and3. The act is a violent act or an act that is dangerous to human life, property or infrastruchre and is
committed by an individual or individuals acting as part of an effort to coerce th" civitiun population of the United
States or to influence the policy or affect the conduct of the United States Govemment by .o.r"iott.
Disclosure of Premium
In accordarice with TRIA, we are required to provide you with a notice disclosing the portion of your premium, if any,
attributable to coverage for "certified acts of terrorism" under TRIA. The portion of your pr.-ir* attributable to this
terrorism coverage is shown in the premium section(s) of this quote proposal.
Disclosure of Federal Par.ticipation in Payment of Terrorism Losses
The United States Department of the Treasury will pay a share of terrorism losses insured under the federal program.
The federal share equals 85% of that portion of such insured losses that exceeds the applicable insurer aeAuctiUte.
However, ifaggregate industry insured losses attributable to certified acts ofterrorism undei TRIA exceed $100 billion
in a Program Year (January I through December 31), the Treasury shall not make any payment for any portion of such
losses that exceeds $1 00 billion.
Cap on Insurer Participation in Payment of Terrorism Losses
If aggregate industry insured losses attributable to "certified acts of terrorism" r:nder TRIA, exceed $100 billion in a
Program Year (January 1 through December 31) and we have met our insurer deductible under TRIA, we shall not be
liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured
losses up to that amount are subject to pro rata allocation in accordance with procedr:res established by the Secretary of
the Treasury.
PLEASE CONTACT YOUR AGENT, BROKER OR REPRESENTATTVE IF YOU HAVE QIIESTIONS
* The Total Spectrum Annual Premium includes a State Surcharge of $ A and a policy base premium of $56.A0
The Hartford Direct Bill System, offers you the flexibility of various payment plans. You can tailor a plan to meet your
cash flow needs. For each installment, there is a nominal fee. Also, to help yo,r k""p track of your premium payments,
all of your Hartford commercial Business can be placed on one payment plan
To .make paying your premiums as easy as possible, we also offer you the benefit of electronic payments. With this
option, your payments are automatically deducted from your bank account" in accordance with the scledule you select.
So there's no bill, no check, no stamp, no woffy. When you receive your first bill, just call the toll free number
provided and ask to sign up for Repetitive EFT (Repetitive Electronic Funds Transfer).
Total Annaal Premium
(Signature of the hsured)
$ 425.00 *
Acknowledged and Accepted By
On
(Date)
Regardless oJ vhether an aulhorized reprercntaliye has bound coverage, the.cowrages and premium stated herein are.preliminary and sabiect to
iilo"g" t*"d ilpon additioml md"rwfifing review. Coverage boud may le ggnylled immediately tpon notice to the insured and/or ils agent
iriliaii"ppniablestatelan. Cotterageillexpiretponthiexpiration-ojthe30-dayperi.odwithoutfurthernoticz,unlessertendedinflrtfingwilh
"o*unt
o7 fh" U*yord. Coverage cmnot be bickdatid without a signed no-lost letter and consent ol The HanJord'
The coterage descripions in this proposal are abbreviated. Any coterage bound in accordance vith the lerms of this proposal is subiect to the
termt, coniitionr, li^itotior, *i ultutiont oJ the applicable poti"y1i"iS. $ there is any confiict between the. co'retage stalements wilhin this
proposal and the applicahle insnrance policy(tes), t-he policy provisions will prevail. For questions regatding this proposal, contact your
inderyndeft HdrtJord agent or afihorized Hmtford representalfue'
REQUEST FOR MAYOR'S SIGNATURE
KENT Please Fill in All Applicable Boxes
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Brief Explanation of Document:
pursuant to the authority provided in Kent City Code section 2.32.030, the:Mayor has appointed
Christopher Mathews as a Hearing Examiner for the City of Kent to conduct hearings and make
decisions on code enforcement matters, conduct hearings, make recommendations and/or
decisions on land use applications, and review and hear other matters provided for in the Kent
City Code. '
All Contracts Must Be Routed Through The Law Department
Shaded Areas To Be Completed By Administration Staff
Ori inator: Fred Satterstrom Phone (Originator): 5430
Date Sent:11 Date uired:1 11
Return Siqned Document to: Satterstrom CONTRACT TERMINATION DATE: 1 31 11
VENDOR NAME: Christopher Mathews,
Attorney at Law
DATE OF COUNCIL APPROVAL:
Received,Zltfit
Approval of Law Dept,
Law Dept. Comments:+u,tu\-lhuLla
(This area to be completed by the Law Department)
RECEIVED
Office of the fVlaYcr
Date Forwarded to Mayor:Y tl
t
FE$ - i 2011
EG
clrY
CLERK
OT KINT
CITY
EI \fReceived:
Recommendations and Comments
Disposition
Date Returned:
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