HomeMy WebLinkAboutCAG2024-163 - Original - King County - East Hill North Community Park Development - 03/28/2024 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep: 81
KEN T This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional)
WASHINGTON Sheet forms. (Print on pink or cherry colored paper)
Originator: Department:
KateLynn Jennings for Kerry O'Connor Parks, Recreation&Community Services
_ Date Sent: Date Required:
> 2/27/2024 3/12/2024
O
C. Authorized to Sign: Date of Council Approval:
QMayor or Designee 2/20/2024
Budqet Account Number: Grant? Yesw] Noo
P21067
Budget?W]Yes❑No Type: Local
Vendor Name: Category:
King County Contract
Vendor Number: Sub-Category:
= 886584 Original
O
W Project Name: East Hill North Community Park Development
L. Project Details: The grant will help support phase 1 development of East Hill North Community Park
0 including parking, restrooms, shelters, trails and boardwalks, playground, and connections
= to the surrounding community.
C
� Agreement Amount: $$QQ,QQQ
Basis for Selection of Contractor:
E *Memo to Mayor must be attached
L. Start Date: upon signature Termination Date: 11/30/2026
Q Local Business? Yes W]No*lfineetsrequirementsperKCC3J0.100,pleasecomplete"VendorPurchase-LocalExceptions"formonCityspace.
Business License Verification: ❑Yes❑In-Process F1Exempt(KCC 5.01.045) ElAuthorized Signer Verified
Notice required prior to disclosure? ;;Contract Number:
F—]YeswI No CAG2024-163
Comments: i-.A i
King County will route agreement to Mayor via Docusign
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Date Received:City Attorney: 2/28/24 Date Routed:Mayor's Office 3/28/24 City Clerk's Office
3/28/24
adccW22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20221201
8.J
KEN T
WASHINGTON
DATE: February 20, 2024
TO: Kent City Council
SUBJECT: King County Parks Levy - East Hill North Community Park -
Authorize
MOTION: I move to accept grant funds from King County for the East Hill
North Community Park Development, amend the budget, authorize
expenditure of the grant funds, and authorize the Mayor to sign the grant
agreement, subject to final terms and conditions acceptable to the Parks
Director and City Attorney.
SUMMARY: Parks Planning staff applied for grant funds for park improvements that
are part of the East Hill North Community Park Development project. These grant
funds are managed by the King County Parks Capital and Open Space Levee, which
supports projects that expand and improve recreation opportunities for the region's
growing population, including the development of active and passive recreation and
trail facilities, and the acquisition of open space for future public parks. The City
was awarded $800,000 toward park renovations.
The grant will help support phase 1 of the development of the East Hill North
Community Park including parking, restrooms, shelters, trails and boardwalks,
playground, and connections to the surrounding community. This park is a
milestone new park development for the Panther Lake neighborhood and will fill a
gap in outdoor recreation, as documented in the 2022 Parks and Open Space Plan.
BUDGET IMPACT: Expenditures related to this project will be offset by the grant
funds received.
SUPPORTS STRATEGIC PLAN GOAL:
Innovative Government - Delivering outstanding customer service, developing leaders, and
fostering innovation.
Evolvina Infrastructure - Connecting people and places through strategic investments in physical
and technological infrastructure.
Thrivina City - Creating safe neighborhoods, healthy people, vibrant commercial districts, and
inviting parks and recreation.
Packet Pg. 172
8.J
Sustainable Services - Providing quality services through responsible financial management,
economic growth, and partnerships.
Inclusive Community - Embracing our diversity and advancing equity through genuine community
engagement.
ATTACHMENTS:
1. Parks Capital and Open Space Levee Grant - East Hill North Community
(PDF)
02/06/24 Committee of the Whole MOTION PASSES
RESULT: MOTION PASSES [UNANIMOUS]Next: 2/20/2024
7:00 PM
MOVER: Zandria Michaud, Councilmember
SECONDER: Satwinder Kaur, Council President
AYES: Boyce, Boyd, Fincher, Kaur, Larimer, Michaud, Troutner
Packet Pg. 173
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
King County
PARKS CAPITAL AND OPEN SPACE PROGRAM
CAPITAL PROJECT GRANT AGREEMENT
Department/Division: Natural Resources and Parks / Parks and Recreation
Grant
Recipient: City of Kent
Project: East Hill North Community Park Development
Award Amount: $800,000 Project#: 1144509 Contract#: 6416655
3/28/2024 1 3:59 PM PDT
Term Period: To 11/30/2026
THIS AGREEMENT is a grant agreement entered into between City of Kent (the "Grant
Recipient") and King County (the "County") (referred to individually as a "Party" and
collectively the "Parties") for an active recreation, passive recreation, local trail, or other
capital project in a park or recreational facility using a Parks Capital and Open Space
Program grant.
RECITALS
A. Ordinance 18890, which took effect May 13, 2019, called for a special election to
authorize the King County parks, recreation trails, and open space levy. On
August 6, 2019, King County voters approved the levy, which included funding
for capital projects for active and passive recreation, local trails, or capital
projects in parks and recreation facilities in order to construct new and improve
existing recreation facilities to address the pressures of rapid growth in King
County.
B. Motion 15378, Section A.1., and Attachment A, further delineated the use of levy
funds for the Parks Capital and Open Space Grants Program and the guidelines
governing that use.
C. Ordinance 19166, Attachment A established the grant award criteria and the
process for the distribution of Parks Capital and Open Space Grants as well as
the proposed composition of an advisory committee to review and make
recommendations on the grant awards.
D. King County, a home rule charter county and political subdivision of the State of
Washington, is authorized to administer the Parks Capital and Open Space Grant
Program and enter into agreements for the use of the grant funds with King
County towns, cities, or metropolitan parks districts for capital projects for active
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and passive recreation, local trails, or capital projects in parks and recreation
facilities.
E. Grant Recipient is a(n) City or Town in King County.
F. The Parks Capital and Open Space Grant Program Advisory Committee
("Advisory Committee") has recommended an allocation of levy grant funds to
specific projects, pursuant to Ordinance 19666.
G. King County has selected Grant Recipient to receive a Parks Capital
and Open Space Grant award in the amount of $800,000 ("Grant
Award Funds") in order to construct, improve, or repair the Project
described below and in the attached exhibits.
NOW THEREFORE, in consideration of the promises, covenants, and other provisions
set forth in this Agreement, the Parties agree as follows:
GRANT AWARD TERMS AND CONDITIONS
1 . DEFINITIONS
1.1 Project.
The term "Project" means the design, development, and construction of the
Facility described in Exhibit A. Grant Award Funds available pursuant to this
Agreement may only be used for the Project. To complete the Project, Grant
Recipient shall use the Grant Award Funds to design, develop, and construct the
Facility, as set forth in Exhibit B, consistent with the requirements set forth in this
Agreement and in the following attached exhibits, which are incorporated herein
by reference:
Map of Facility and/or Schematic Attached hereto as Exhibit
A
Scope of Work Attached hereto as Exhibit
B
Project Budget Attached hereto as Exhibit
C
Insurance Requirements Attached hereto as Exhibit
D
Certificate of Insurance and Endorsements Attached hereto as Exhibit
E
Notice of Grant (draft Attached hereto as Exhibit
F
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Cultural Resource Preservation Attached hereto as Exhibit
Requirements G
1.2 Map of Facility and/or Schematic. This Agreement applies to the Project to
improve the park and recreational facility ("Facility") which is located at:
13525 SE 216th Street, Kent, WA, 98042
Parcel Number(s): 1022059011, 1022059143
See Exhibit A for a visual depiction of the Facility via a map and/or schematic
(including boundaries) for the physical address noted above.
1.3 Scope of Work. Grant Recipient shall provide a scope of work ("Scope of
Work"), attached hereto as Exhibit B, which describes the Project in detail
and includes a description of the various design, development, permitting,
and construction milestones required for completion of the Project and
intended use of the Grant Award Funds. Grant Recipient shall apply the
funds received from the County for the Project under this Agreement in
accordance with the Scope of Work, attached hereto as Exhibit B.
1.4 Proiect Budget. Grant Recipient shall work with King County to develop a
Project Budget ("Project Budget"), attached hereto as Exhibit C. King
County shall provide the Grant Award Funds to the Grant Recipient to pay
for costs and expenditures related to the Project, as set forth in Exhibits B
and C. Grant Award Funds provided to Grant Recipient may only be used to
pay for costs and expenditures related to the Project, as set forth in Exhibits
B and C.
1.5 Contractor. "Contractor" shall include any contractor or consultant hired by
Grant Recipient, including any of the contractor's or consultant's
subcontractors or subconsultants.
2. EFFECTIVE DATE
The Agreement shall be effective upon signature by both Parties ("Effective Date").
3. TERM
The term ("Term") of this Agreement shall begin on the Effective Date and end on
11/30/2026. This Agreement shall remain in effect until such time as it is
amended in writing or terminated as provided herein.
4. AMENDMENTS
This Agreement together with the attached exhibits expressly incorporated herein
by reference and attached hereto shall constitute the whole Agreement between
the Parties. This Agreement may be amended only by an instrument, in writing,
duly executed by the Parties. Either party may request changes to this Agreement,
however, changes that deviate substantially from the proposal submitted to and
approved by the Advisory Committee and the King County Council will need to be
approved by those entities.
5. NOTICES
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Unless otherwise specified in the Agreement, all notices or documentation
required or provided pursuant to this Agreement shall be in electronic form and
shall be deemed duly given when received at the addresses first set forth below
via electronic mail.
KING COUNTY City of Kent
Parks Grant Manager Kerry O'Connor
Community Investments
Unit City of Kent
King County Parks City of Kent
201 S Jackson Street
Suite #5702 220 Fourth Ave. S.
Seattle, WA 98104 Kent, WA 98032
(206) 848-0984 253-856-5115
ehirschi@kingcounty.gov KOConnor@kentwa.gov
*NOTE: Personal contact information for your assigned grant manager is
available in the grant management system
Either Party hereto may, at any time, by giving ten (10) days written notice to the
other Party, to designate any other address in substitution of the foregoing
address to which such notice or communication shall be given.
6. DISBURSEMENT OF GRANT FUNDS
6.1 Notwithstanding the Effective Date of this Agreement, the County shall
pay for eligible and authorized costs supported by adequate
documentation, as determined by the County, for the work specified in the
Scope of Work (Exhibit B) expended from 09/13/2023 through 11/30/2026.
6.2 The County may authorize, at County's sole discretion, release of a
portion of the Grant Award Funds to Grant Recipient, upon execution of
this Agreement, and receipt of Grant Recipient's County-approved
completed Scope of Work and Project Budget (see Section 1 and Exhibits
B and C).
6.3 The County shall initiate authorization for payment and disbursement of
Grant Award Funds after approval of sufficiently detailed Project-related
invoices submitted by Grant Recipient. The County shall make payment to
Grant Recipient not more than thirty (30) days after a complete and
accurate invoice and any other required documentation is received and
approved.
6.4 Grant Recipient shall submit the final invoice, supporting documentation
and any outstanding deliverables, as specified in the Scope of Work
(Exhibit B) and Project Budget (Exhibit C), no later than thirty (30) days
after the Contract End Date. If the Grant Recipient's final invoice,
supporting documentation, and reports are not submitted by the day
specified in this subsection, or if such final documents are not approved by
the County then the County shall have no obligation to pay Grant
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Recipient unless and until Grant Recipient submits, and the County
approves, a properly completed invoice. Grant Recipient must submit a
corrected invoice within 30 days after receiving notice of an improper or
incomplete invoice.
7. GRANT REPORTING
All Grant Award Funds received pursuant to this Agreement and accrued interest
therefrom must accounted for separately from all other Grant Recipient accounts
and moneys. Until the Project is completed, and all proceeds provided pursuant
to this Agreement have been expended, the Grant Recipient shall provide reports
to the King County Project Manager on a schedule determined by the County.
8. COMPLETION OF THE PROJECT
Grant Recipient shall complete the Project described in Section 1.1 and Exhibits
A, B and C of this Agreement. If Grant Recipient cannot complete the Project, as
specified by the Scope of Work and deliverables set forth in Exhibit B, the County
shall be released from any obligation to fund the Project, and the County in its
sole discretion may reallocate such funds for other projects in other jurisdictions
in accordance with Ordinance 19166 and Motion 15378.
Pursuant to Section 19, Termination, this Agreement will be terminated if the
Grant Recipient is unable or unwilling to expend the Grant Award Funds for the
Project as provided in this Agreement. The Grant Recipient may not redirect
Grant Award Funds for a purpose other than completion of the Project as
approved by the Advisory Committee and King County Council.
9. COMMUNICATION AND KING COUNTY MILESTONE NOTIFICATION
Grant Recipient shall recognize County as a "grant sponsor" for the Project in the
following manner:
9.1 Events: Grant Recipient shall invite and recognize "King County Parks" at
all events promoting the Project, and at the final Project dedication.
9.2 Community Relations: Grant Recipient shall recognize "King County
Parks" as a "grant sponsor" in all social media, websites, brochures,
banners, posters, press releases, and other promotional material related
to the Project.
9.3 King County Parks Notification: Grant Recipient shall notify the King
County Parks Grant Manager thirty (30) days prior to any major milestone,
such as a groundbreaking or opening dates.
9.4 King County Council Notification: If Grant Recipient is a city or town,
notification to the King County Council thirty (30) days prior to any major
milestone, such as a groundbreaking or opening dates is, required.
9.5 Signage: Grant Recipient shall recognize "King County Parks" on any
signage as a funder/contributor of project/facility. Grant Recipient is
required to use appropriate King County logo on any signage and
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communications.
10. DISPOSITION OF REMAINING GRANT AWARD FUNDS
If Grant Recipient does not expend all proceeds obligated to be provided through
this Agreement, such proceeds, if held by Grant Recipient, shall be refunded to the
County. For purposes of this section, "proceeds" shall include all Grant Award
Funds obligated to be provided by the County plus interest accrued by Grant
Recipient on the grant funds. Any proceeds in excess of those required to be
provided by the County for the actual costs of the Project shall remain with the
County for use in its sole discretion.
11. PUBLIC ACCESS
The Grant Award is provided to Grant Recipient for the Project for the purpose of
land protection and recreation for the citizens of King County. Therefore, Grant
Recipient and any successor in interest agree to maintain the Facility for public
use as required by Ordinances 18890 and 19166, and the Parks Capital and
Open Space Grant program requirements specified in Motion 15378. The Facility
shall be open and accessible to the public at reasonable hours and times. Grant
Recipient shall notify the public of the availability of use by posting and updating
that information on its website and by maintaining at entrances and/or other
locations openly visible signs with such information. Fees for use of the Facility
shall be no greater than those generally charged by public operators of similar
facilities in King County.
Notwithstanding temporary closure for required maintenance or repairs, the
minimum period of time Grant Recipient must ensure the Project is available for
public use is thirty (30) years. If the Facility is retired or otherwise removed from
use before the end of the thirty-year period, then the Grant Recipient shall
reimburse the Grant Award Funds to King County. Grant Recipient's duties under
this Section 11 will survive the expiration or earlier termination of this Agreement.
12. NOTICE OF GRANT
Upon completion of construction of the Facility, a completed Notice of Grant will
be provided by King County for execution, a sample of which is attached hereto
as Exhibit F. Upon final execution of the Notice of Grant, Grant Recipient and/or
the legal property owner must record a copy with the appropriate county offices.
13. CONSTRUCTION OF THE FACILITY
13.1 Capital Improvements.
Grant Recipient shall design, develop, and construct mutually agreed
upon Facility, features, and amenities in accordance with all applicable
design(s), timelines, restrictions, environmental considerations, permitting
determinations, neighborhood impact mitigations, and all other
requirements. All contracted work by Grant Recipient, its agents,
representatives, or subcontractors, shall be bonded and properly insured
to ensure the complete and safe design and construction of all facilities,
features, and amenities. As between Grant Recipient and King County,
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Grant Recipient will be solely responsible to comply with all applicable
authorities and to obtain all necessary permits, approvals, and
endorsements for the Project.
13.2 Warranties.
With respect to all warranties, express or implied, for work performed or
materials supplied in connection with the Project, Grant Recipient shall:
• Obtain all warranties, express or implied, that would be given in normal
commercial practice from suppliers, manufacturers, contractors, or
installers;
• Require all warranties be executed, in writing; and
• Be responsible to enforce any warranty of a contractor, subcontractor,
manufacturer, or supplier.
If, within an applicable warranty period, any part of the Facility or work
performed to construct the Facility is found not to conform to
specifications, permit requirements, or industry standard, Grant Recipient
shall correct it correct it within a reasonable timeframe at the
determination of King County.
13.3 Right to Inspect- Construction.
King County personnel or agents may inspect the construction project at
any time provided that such persons observe due regard for workplace
safety and security. King County may require Grant Recipient or its
contractors to stop work if King County deems work stoppage necessary
to remedy construction defects or to address risks to health, safety, or
welfare. Grant Recipient specifically understands, acknowledges, and
agrees that at a minimum, King County will inspect the Facility
construction project before final completion of the Project.
13.4 Design.
Grant Recipient has retained a licensed architect and/or licensed
professional engineer, registered in the State of Washington, who will
prepare a Project design for the Facility and exterior landscaping, which
visually blends with the setting. King County shall review the design plans
for the Project in concept and reserves the right to approve the final
design of the Project, consistent with established zoning, design code, or
both.
13.5 Construction Site/Work Fencing.
Grant Recipient will be solely responsible for the site work, required
permits, and grading for the Project. Grant Recipient will ensure the work
area is properly barricaded, and that signage is installed, directing
unauthorized persons not to enter onto the construction site during any
phase of development or construction. Unless otherwise agreed by the
Parties in writing, fencing will be placed around work areas. In addition,
construction areas will be kept clean and organized during development
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
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periods. Grant Recipient will be responsible for site security, traffic, and
pedestrian warnings at the site during the development and construction
phases.
13.6 Alteration of Site or Facility after Construction.
For thirty (30) years after the Facility is completed and accepted by Grant
Recipient and King County as defined herein, Grant Recipient will not
make any material alteration outside of ordinary maintenance to the
Facility without the express, written consent by King County.
13.7 Development and Construction Fees and Expenses.
Grant Recipient will be responsible to obtain and pay for all necessary
permits, fees, and expenses associated with the Project.
13.8 Public Works Laws.
To the extent applicable, Grant Recipient will comply with all public works
laws, regulations, and ordinances, including but not limited to those
related to prevailing wages (see RCW 39.12), retainage (see RCW 60.28),
bonding (see RCW 39.08), use of licensed contractors (see RCW 39.06),
and competitive bidding (see RCW 36.32 and RCW 35.21.278). Grant
Recipient will indemnify and defend King County should it be sued or
made the subject of an administrative investigation or hearing for a
violation of such laws, regulations, and ordinances in connection with the
improvements.
13.9 Contractor Indemnification and Hold Harmless.
Grant Recipient will require its construction contractors and subcontractors
to defend, indemnify, and hold King County, its officers, officials,
employees, and volunteers harmless from any and all claims, injuries,
damages, losses, or suits including attorney's fees and costs, arising out
of or in connection with the design, development, and construction of the
Facility except for injuries and damages caused by the sole negligence of
King County.
13.10 Minimum Scope and Limits of Insurance.
Grant Recipient shall maintain, and/or require its Contractor(s) to maintain
the minimum scope and limits of insurance as required in Exhibit D —
Insurance Requirements and as evidenced in Exhibit E — Certificate of
Insurance and Endorsements.
14. INTERNAL CONTROL AND ACCOUNTING SYSTEM
Grant Recipient shall establish and maintain a system of accounting and internal
controls which complies with applicable, generally accepted accounting
principles, and governmental accounting and financial reporting standards in
accordance with Revised Code of Washington (RCW) Chapter 40.14.
15. MAINTENANCE OF RECORDS
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15.1 Grant Recipient shall maintain accounts and records, including personnel,
property, financial, Project records, including Agreement deliverables, and
other such records as may be deemed necessary by the County to ensure
proper accounting for all Grant Award Funds and compliance with this
Agreement.
15.2 These records shall be maintained for a period of six (6) years after the
expiration or earlier termination of this Agreement unless permission to
destroy them is granted by the Office of the Archivist in accordance with
(RCW) Chapter 40.14.
15.3 Grant Recipient shall inform the County in writing of the location, if different
from the Grant Recipient address listed in Section 5 of this Agreement of
the aforesaid books, records, documents, and other evidence and shall
notify the County in writing of any changes in location within ten (10)working
days of any such relocation.
16. RIGHT TO INSPECT
King County reserves the right to review and approve the performance of Grant
Recipient with regard to this Agreement, and, at its sole discretion, to inspect or
audit the Grant Recipient's records regarding this Agreement and the Project upon
seventy-two (72) hours' notice during normal business hours.
17. COMPLIANCE WITH ALL LAWS AND REGULATIONS
Grant Recipient shall comply with all applicable laws, ordinances and regulations
in using funds provided by the County, including, without limitation, those relating
to providing a safe working environment to employees and, specifically, the
requirements of the Washington Industrial Safety and Health Act (WISHA); and,
to the extent applicable, those related to "public works," payment of prevailing
wages, and competitive bidding of contracts. The Grant Recipient specifically
agrees to comply and pay all costs associated with achieving such compliance
without notice from King County; and further agrees that King County, does not
waive this Section by giving notice of demand for compliance in any instance.
The Grant Recipient shall indemnify and defend the County should it be sued or
made the subject of an administrative investigation or hearing for a violation of
such laws related to this Agreement.
18. CORRECTIVE ACTION
18.1 If the County determines that a breach of contract has occurred or does
not approve of the Grant Recipient's performance, it will give the Grant
Recipient written notification of unacceptable performance. Grant
Recipient will then take corrective action within a reasonable period of
time, as may be defined by King County in its sole discretion in its written
notification to Grant Recipient.
18.2 King County may withhold any payment owed Grant Recipient until the
County is satisfied that corrective action has been taken or completed.
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19. TERMINATION
19.1 King County may terminate this Agreement in whole or in part, with or
without cause, at any time during the Term of this Agreement, by providing
Grant Recipient ten (10) days advance written notice of the termination.
19.2 If the termination results from acts or omissions of Grant Recipient,
including but not limited to misappropriation, nonperformance of required
services, or fiscal mismanagement, Grant Recipient shall return to the
County immediately any funds, misappropriated or unexpended, which
have been paid to Grant Recipient by the County.
19.3 Any King County obligations under this Agreement beyond the current
appropriation biennium are conditioned upon the County Council's
appropriation of sufficient funds to support such obligations. If the Council
does not approve such appropriation, then this Agreement will terminate
automatically at the close of the current appropriation biennium.
19.4 The Agreement will be terminated if the Grant Recipient is unable or
unwilling to expend the Grant Award Funds as specified in Section 1 and
Exhibits B and C, or upon reimbursement by the Grant Recipient to the
County of all unexpended proceeds provided by the County pursuant to this
Agreement and payment of all amounts due pursuant to Section 6.
20. FUTURE SUPPORT, UTILITIES AND SERVICE
The County makes no commitment to support the services contracted for herein
and assumes no obligation for future support of the activity contracted for herein
except as expressly set forth in this Agreement. Grant Recipient understands,
acknowledges, and agrees that the County shall not be liable to pay for or to
provide any utilities or services in connection with the Project contemplated
herein.
21. HOLD HARMLESS AND INDEMNIFICATION
Grant Recipient shall protect, indemnify, and save harmless the County, its
officers, officials, agents, and employees from and against any and all claims,
costs, and/or losses whatsoever occurring or resulting from (1) Grant Recipient's
failure to pay any such compensation, wages, benefits, or taxes, and/or (2) work,
services, materials, or supplies performed or provided by Grant Recipient's
employees or other suppliers in connection with or support of the performance of
this Agreement.
Grant Recipient further agrees that it is financially responsible for and will repay
the County all indicated amounts following an audit exception which occurs due to
the negligence, intentional act, and/or failure, for any reason, to comply with the
terms of this Agreement by the Grant Recipient, its officers, employees, agents,
representatives, or subcontractors. This duty to repay the County shall not be
diminished or extinguished by the expiration or prior termination of the Agreement.
Grant Recipient agrees for itself, its successors, and assigns, to defend, indemnify,
and hold harmless King County, its appointed and elected officials, and employees
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from and against liability for all claims, demands, suits, and judgments, including
costs of defense thereof, for injury to persons, death, or property damage which is
caused by, arises out of, or is incidental to any use of or occurrence on the Project
that is the subject of this Agreement, or Grant Recipient's exercise of rights and
privileges granted by this Agreement, except to the extent of the County's sole
negligence. Grant Recipient's obligations under this Section shall include:
A. The duty to promptly accept tender of defense and provide defense to the
County at the Grant Recipient's own expense;
B. Indemnification of claims made by Grant Recipient's employees or agents;
and
C. Waiver of Grant Recipient's immunity under the industrial insurance
provisions of Title 51 RCW, but only to the extent necessary to indemnify King
County, which waiver has been mutually negotiated by the parties.
In the event it is necessary for the County to incur attorney's fees, legal expenses,
or other costs to enforce the provisions of this Section, all such fees, expenses,
and costs shall be recoverable from the Grant Recipient.
In the event it is determined that RCW 4.24.115 applies to this Agreement, the
Grant Recipient agrees to protect, defend, indemnify and save the County, its
officers, officials, employees, and agents from any and all claims, demands,
suits, penalties, losses damages judgments, or costs of any kind whatsoever for
bodily injury to persons or damage to property (hereinafter "claims"), arising out
of or in any way resulting from the Grant Recipient's officers, employees, agents
and/or subcontractors of all tiers, acts or omissions, performance of failure to
perform the rights and privileges granted under this Agreement, to the maximum
extent permitted by law or as defined by RCW 4.24.115, as now enacted or
hereafter amended.
A hold harmless provision to protect King County similar to this provision shall be
included in all Agreements or subcontractor Agreements entered into by Grant
Recipient in conjunction with this Agreement. Grant Recipient's duties under this
Section 21 will survive the expiration or earlier termination of this Agreement.
22. NONDISCRIMINATION
Kinq County Code ("KCC") chapters 12.16 through 12.19 apply to this Agreement and
are incorporated by this reference as if fully set forth herein. In all hiring or
employment made possible or resulting from this Agreement, there shall be no
discrimination against any employee or applicant for employment because of
sex, race, color, marital status, national origin, religious affiliation, disability,
sexual orientation, gender identity or expression, or age except minimum age
and retirement provisions, unless based upon a bona fide occupational
qualification.
23. POLITICAL ACTIVITY PROHIBITED
None of the funds, materials, property, or services provided directly or indirectly
under this Agreement shall be used for any partisan political activity or to further
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City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
the election or defeat of any candidate for public office.
24. PROJECT MAINTENANCE, EQUIPMENT PURCHASE, MAINTENANCE, AND
OWNERSHIP
A. As between the County and Grant Recipient, Grant Recipient shall be
responsible to operate and maintain the completed Project at its own sole
expense and risk. Grant Recipient shall maintain the completed Project in good
working condition consistent with applicable standards and guidelines. Grant
Recipient understands, acknowledges, and agrees that the County is not
responsible to operate or to maintain the Project in any way.
B. Grant Recipient shall be responsible for all property purchased pursuant to this
Agreement, including the proper care and maintenance of any equipment.
C. Grant Recipient shall establish and maintain inventory records and transaction
documents (purchase requisitions, packing slips, invoices, receipts) of
equipment and materials purchased with Grant Award Funds.
Grant Recipient's duties under this Section 24 shall survive the expiration of this
Agreement.
25. CULTURAL RESOURCES
Grant Recipient agrees to coordinate cultural resource review of the Project with
the King County Historic Preservation Program ("HPP") in order to determine
potential effects to cultural resources and any necessary mitigation. Grant
Recipient further agrees to perform the steps outlined by the HPP for any
necessary cultural resource preservation as specified in Exhibit G.
26. ASSIGNMENT
Grant Recipient shall not assign any portion of rights and obligations under this
Agreement or transfer or assign any claim arising pursuant to this Agreement
without the written consent of the County. Grant Recipient must seek such
consent in writing not less than thirty (30) days prior to the date of any proposed
assignment.
27. WAIVER OF BREACH OR DEFAULT
Waiver of breach of any provision in this Agreement shall not be deemed to be a
waiver of any subsequent breach and shall not be construed to be a modification
of the terms of the Agreement unless stated to be such through written approval
by the County, which shall be attached to the original Agreement. Waiver of any
default shall not be deemed to be a waiver of any subsequent defaults.
28. TAXES
Grant Recipient agrees to pay on a current basis all taxes or assessments levied
on its activities and property, including, without limitation, any leasehold excise tax
due under RCW Chapter 82.29A; PROVIDED, however, that nothing contained
herein will modify the right of the Grant Recipient to contest any such tax, and
Grant Recipient shall not be deemed to be in default as long as it will, in good faith,
be contesting the validity or amount of any such taxes.
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29. WASHINGTON LAW CONTROLLING; WHERE ACTIONS BROUGHT
This Agreement is made in and will be in accordance with the laws of the State of
Washington, which will be controlling in any dispute that arises hereunder. Actions
pertaining to this Agreement will be brought in King County Superior Court, King
County, Washington.
30. PUBLIC DOCUMENT
This Agreement will be considered a public document and will be available for
inspection and copying by the public.
31. LEGAL RELATIONS
Nothing contained herein will make, or be deemed to make, County and Grant
Recipient a partner of one another, and this Agreement will not be construed as
creating a partnership or joint venture. Nothing in this Agreement will create, or be
deemed to create, any right, duty or obligation in any person or entity not a party
to it.
32. PERMITS AND LICENSES
Grant Recipient shall develop and run the Project in accordance with all applicable
laws and regulatory requirements including environmental considerations,
permitting determinations, and other legal requirements. All activities and
improvements shall be performed by Grant Recipient at its sole expense and
liability. Grant Recipient shall, at its sole cost and expense, apply for, obtain and
comply with all necessary permits, licenses and approvals required for the Project.
33. INTERPRETATION OF COUNTY RULES AND REGULATIONS
If there is any question regarding the interpretation of any County rule or regulation,
the County decision will govern and will be binding upon the Grant Recipient.
34. ENTIRE AGREEMENT
This Agreement, including its attachments, constitutes the entire Agreement
between the County and Grant Recipient and supersedes all other agreements
and understandings between them, whether written, oral or otherwise.
35. COUNTERPARTS; ELECTRONIC SIGNATURES
This Agreement may be executed in one or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and the
same instrument. The Parties acknowledge and agree that this document may be
executed by electronic signature, which shall be considered as an original
signature for all purposes and shall have the same force and effect as an original
signature.
IN WITNESS WHEREOF, each individual signing this Agreement warrants that they
have the authority to enter into this Agreement on behalf of the Party for which that
individual signs. The Parties hereto have executed this Agreement on the dates set
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forth below.
City of Kent King County
DocuSigned by: DocuSigned by:
By Va" ' 1 L By FV-
'I-93E99D67ED24442 A1498C6DA09E46F_.
Title Mayor Title Division Director, Parks
Date 3/28/2024 1 8:33 AM PDT Date 3/28/2024 1 3:59 PM PDT
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent—East Hill North Community Park Development
EXHIBIT A— MAP OF FACILITY AND LOCATION
\ \ � � v._ 4. eke ffrr .1 �'_ `•�
\ 1
SITE DEVELOPMENT PLAN
LEGEND
Wetland . _ . . Archaeologically sensitive area
Wetland buffer -���■■ Property Line ® Restrooms
Q Picnic Area Q Nature Viewing ® Lawn Activities Q Shelter
®Trails Parking ® Play/Nature Play Equestrian Amenity
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EXHIBIT B — SCOPE OF WORK
Project Summary
The City of Kent will create a community park with open space, restrooms, shelters, and
a community gathering area to expand and improve recreation opportunities for
underserved areas of Kent and surrounding communities in south King County.
Deliverables
Progress Reports
Final Report
Completed Design/Plan
Cultural Resource Requirement
Notice of Grant
Timeline
Complete project design September 2024
Complete all permitting September 2024
Construction contractors selected December 2024
Groundbreaking - construction January 2025
begins
Com fete construction December 2025
Grand opening January 2026
The Grantee shall not make any significant changes to an approved project without prior
written consent of the County. Significant changes include, but are not limited to, a
change to the timeline that falls outside the contract period or a shift of more than
twenty percent of funds within the approved grant budget over the term of this Exhibit. If
changes are necessary and approved by the County, such changes will be formalized in
a written amendment signed by all parties.
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EXHIBIT C— PROJECT BUDGET
Construction Costs $800,000
Planning Costs $0
Personnel Costs $0
Indirect Costs $0
Total $800,000
Grant Budget Changes
With written approval from the County, the Grantee may reallocate grant funds across
budget line items within twenty percent of the total grant budget without requiring an
official contract amendment. Indirect costs shall not exceed twenty percent of direct
costs.
Budget Line Items Descriptions
Construction Costs include but are not limited to paving, furnishing, hardscape,
playground, restoration, and structures.
Planning Costs include but are not limited to planning, design, consultant fees, and
permits.
Personnel Costs include but are not limited to staff pay and benefits.
Indirect Costs include expenses of doing business that are not readily identified with a
particular grant, contract, project, function, or activity, but are necessary for the general
operation of the organization or the performance of the organization's activities.
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EXHIBIT D — INSURANCE REQUIREMENTS
1. Insurance Requirements
1.1.Grant Recipient shall purchase and maintain for the entire term of this
Agreement or as otherwise stated in this Exhibit, at its sole cost and expense,
the minimum insurance set forth below. By requiring such minimum insurance,
the County does not and shall not be deemed or construed to have assessed
the risks that may be applicable to Grant Recipient, or any Contractor under this
Agreement, or in any way limit the County's potential recovery to insurance limits
required hereunder. To the contrary, this Agreement's insurance requirements
may not in any way be construed as limiting any potential liability to the County
or the County's potential recovery from Grant Recipient. Grant Recipient and
any Contractor shall assess their own risks and if they deem appropriate and/or
prudent, maintain greater limits and/or broader coverage.
1.2. Each insurance policy shall be written on an "occurrence" basis, except
insurance for Pollution Liability, which may be written on a "claims made" basis.
If coverage is approved and purchased on a "claims made" basis, the coverage
provided under that insurance shall be maintained through: (i) consecutive
policy renewals for not less than three (3) years from the date of completion of
the Project which is subject of this Agreement or, if such renewals are
unavailable, (ii) the purchase of a tail/extended reporting period for not less than
three (3) years from the date of completion of the Project which is the subject of
this Agreement.
2. Evidence and Cancellation of Insurance
2.1. Prior to contract execution and upon request by the County, Grant Recipient
shall furnish the County certificates of insurance and endorsements certifying
the issuance of all insurance required by this Agreement which is to be
maintained for the entire term of the Agreement or as otherwise stated in this
Exhibit. All evidence of insurance shall be signed by a properly authorized
officer, agent, general agent, or qualified representative to the insurer(s), shall
certify the name of the insured(s), the type and amount of insurance, the location
and operations to which the insurance applies, the inception and expiration
dates, shall specify the form numbers of any endorsements issued to satisfy this
Agreement's insurance requirements, and shall state that the County shall
receive notice at least thirty (30) days prior to the effective date of any
cancellation, lapse, or material change in the policy(s). Certificate Holder: King
County Parks, 201 S. Jackson Street, Suite 5702, Seattle, WA 98104. Electronic
evidence of insurance documents may be emailed to-
ParksGrants@kingcounty.gov.
2.2.The County reserves the right to require complete, certified copies of all required
insurance policies, including all endorsements and riders, which may be
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redacted of any confidential or proprietary information. Grant Recipient shall
deliver such policies to the County within five (5) business days of County's
request.
3. Minimum Scope and Limits of Insurance
3.1.Grant Recipient shall maintain the following types of insurance and minimum
insurance limits:
3.1.1. Commercial General Liability: $1,000,000 per occurrence and $2,000,000
in the aggregate for bodily injury, personal and advertising injury, and
property damage. Coverage shall be at least as broad as that afforded
under ISO form number CG 00 01. Such insurance shall include coverage
for, but not limited to, premises liability, ongoing operations, products and
completed operations, and contractual liability. Limits may be satisfied by a
single primary policy or by a combination of separate primary and umbrella
or excess liability policies, provided that coverage under the latter shall be at
least as broad as that afforded under the primary policy and satisfy all other
requirements applicable to liability insurance including, but not limited to,
additional insured status for the County.
3.1.2. Automobile Liability: Grant Recipient and/or its Contractor(s) will maintain
Automobile Liability insurance with a minimum $1,000,000 combined single
limit per accident for bodily injury and property damage. Coverage shall be
at least as broad as that afforded under ISO form number CA 00 01
covering BUSINESS AUTO COVERAGE, symbol 1 "any auto"; or the
combination of symbols 2, 8, and 9. Limit may be satisfied by a single
primary policy or by a combination of separate primary and umbrella or
excess liability policies, provided that coverage under the latter shall be at
least as broad as that afforded under the primary policy.
3.1.3. Workers Compensation: If Grant Recipient or its Contractor(s) have
employees, then Workers Compensation coverage shall be maintained as
required by the Industrial Insurance Act of the State of Washington, as well
as any similar coverage required for this Project by applicable Federal or
"Other States" State Law.
3.1.4. Employers Liability or "Stop Gap" coverage: If Grant Recipient or its
Contractor(s) have employees, then Employers Liability or "Stop Gap"
coverage shall be maintained with a minimum limit of$1,000,000 each
occurrence and shall be at least as broad as the protection provided by the
Workers Compensation policy Part 2 (Employers Liability), or, in
monopolistic states including but not limited to Washington, the protection
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provided by the "Stop Gap" endorsement to the commercial general liability
policy.
3.1.5. Builder's Risk/ Installation Floater Insurance. If construction activities will
be funded by the Grant, Grant Recipient or its Contractor(s) shall procure
and maintain, prior to and for the duration of the construction phase of the
Project, "All Risk" Builder's Risk insurance or Installation Floater insurance
at least as broad as ISO form number CP0020 (Builder's Risk Coverage
Form) with ISO form number CP0020 (Causes of Loss — Special Form).
The coverage shall insure for direct physical loss to property of the Project
for 100% of the replacement value. The policy shall be endorsed to cover
the interests, as they may appear, of King County, Grant Recipient, and
Contractor(s) of all tiers. In the event of a loss to any or all of the work
and/or materials therein and/or to be provided at any time, Grant Recipient
or its Contractor(s) shall promptly reconstruct, repair, replace, or restore all
work and/or materials so destroyed. Policy shall include a waiver of
subrogation in favor of King County.
3.1.6. Pollution Liability: If geotechnical work will take place, Grant Recipient or
its Contractor(s) shall provide Pollution Liability coverage with minimum
limits of$1,000,000 per occurrence and in the aggregate to cover sudden
and non-sudden bodily injury and/or property damage to include the
destruction of tangible property, loss of use, clean-up costs, and the loss of
use of tangible property that has not been physically injured or destroyed.
3.1.7. Fidelity and Crime Insurance. If a Fiscal Sponsor is a party to this
Agreement, Fiscal Sponsor(s) shall procure and maintain Fidelity and Crime
insurance with a minimum limit equal to the grant amount. Coverage shall
include `Join Loss Payable' ISO form CR 20 15 10/10 or substantive
equivalent and `Provide Required Notice of Cancellation to Another Entity'
ISO form CR 20 17 10/10.
4. Other Insurance Provisions and Requirements
4.1.All insurance policies purchased and maintained by Grant Recipient and any
Contractor required in this Agreement shall contain, or be endorsed to contain
the following provisions:
4.1.1. With respect to all liability policies except Professional Liability (Errors and
Omissions) and Workers Compensation:
4.1.1.1. King County, its officials, employees, and agents shall be covered
as additional insured for full coverage and policy limits as respects
liability arising out of activities performed by or on behalf of the Grant
Recipient, its agents, representatives, employees, or Contractor(s) in
connection with this Agreement. Additional Insured status shall include
products-completed operations CG 20 100 11/85 or its substantive
equivalent. The County requires the endorsement(s) to complete the
Agreement.
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4.1.2. With respect to all liability policies (except Workers Compensation):
4.1.2.1. Coverage shall be primary insurance as respects the County, its
officials, employees, and agents. Any insurance and/or self-insurance
maintained by the County, its officials, employees, or agents shall not
contribute with any of Grant Recipient's or Contractor(s)'s insurance or
benefit the Grant Recipient, or any Contractor, or their respective
insurers in any way.
4.1.2.2. Insurance shall expressly state that it applies separately to each
insured and additional insured against whom a claim is made and/or
lawsuit is brought, except with respect to the limits of insurer's liability.
5. Waiver of Subrogation
5.1.Grant Recipient, its Contractor(s), and their respective insurance carriers release
and waive all rights of subrogation against King County, its officials, agents, and
employees for damages caused by fire or other perils which can be insured by a
property insurance policy. This provision shall be valid and enforceable only to
the extent permissible by the applicable property insurance policies.
6. Deductibles/Self-Insured Retentions
6.1.Any deductible and/or self-insured retention of the policies shall in all instances
be the sole responsibility of Grant Recipient or its Contractor, even if no claim
has been made or asserted against them.
7. Acceptability of Insurers
7.1. Unless otherwise approved by the County, insurance is to be placed with
insurers with an A.M. Best rating of no less than A:VIII.
8. Self-Insurance
8.1. If the Grant Recipient is a governmental entity or municipal corporation, Grant
Recipient may maintain a fully funded self-insurance program or participate in an
insurance pool for the protection and handling of its liabilities including injuries to
persons and damage to property. Further, if Grant Recipient maintains a self-
insurance program or participates in an insurance pool, the additional insured
requirement shall not apply to the coverage provided by the self-insured
program or insurance pool.
9. Contractors
9.1.Grant Recipient shall include all Contractors as insureds under its policies or,
alternatively, Grant Recipient must require each of its Contractors to procure and
maintain appropriate and reasonable insurance coverage and insurance limits to
cover each of the Contractor's liabilities given the scope of work and services
being provided herein. Contractor(s) must include the County, its officials,
agents and employees as additional insured for full coverage and policy limits on
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Task- 1.26
its Commercial General Liability insurance and, if applicable, its Automobile
Liability insurance. Upon request by the County, and within five (5) business
days, Grant Recipient must provide evidence of each Contractor(s) insurance
coverage, including endorsements.
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EXHIBIT E - CERTIFICATE OF INSURANCE AND ENDORSEMENTS
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
73/5/2024
E(MM/DDYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE /Y
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 CONTACT
NAME: Jamie Arnold)
Seattle-Alliant Insurance Services, Inc. PHONE FAX
401 Union Street, 31 st Floor AIc No Ext: 949-627-7000 A/C,No),
E-MSeattle WA 98101 ADDRESS: jamie.arnoldi@alliant.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Safety National Casualty Coro 15105
INSURED KE583802 INSURER B:
City of Kent
220 4th Avenue South INSURER C
Kent WA 98032 INSURER D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:1621930161 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
A X COMMERCIAL GENERAL LIABILITY XPR4067983 1/1/2024 1/1/2025 EACH OCCURRENCE $5,000,000
DAMAGES( RENTED
CLAIMS-MADE OCCUR
PREMISES Ea occurrence) $500,000
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000
POLICYEl PRO ❑JECT LOC PRODUCTS-COMP/OP AGG $5,000,000
OTHER: SIR $1,625,000
A AUTOMOBILE LIABILITY XPR4067983 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT $2 000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
SIR $1,625,000
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION SP4067921 1/1/2024 1/1/2025 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000"
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
A Stop Gap XPR4067983 1/1/2024 1/1/2025 Each Occurrence $1,000,000
Aggregate $1,000,000
Retention $1,625,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Work Comp has a$600,000 SIR.
RE: Parks Planning Division has following new grant contracts with King County.
1. Springwood Park Renovation
2. East Hill North Community Park Development.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
King County Parks ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Rusty Milholland
201 S Jackson Street Suite#5702 AUTHORIZED REPRESENTATIVE
Seattle WA 98104
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
COMMON POLICY CHANGE ENDORSEMENT
SAFETY NATIONAL CASUALTY CORP Policy Number Effective Date
ST. LOUIS, MO63146 XPR4067983 01/01/2024
(888)995-5300 Endorsement Number
001 12:01 A.M. Standard Time at the described loc-
ation
Named Insured and Address Agent
CITY OF KENT ALLIANT INSURANCE SERVICES INC
220 4TH AVENUE SOUTH 401 Union Street
KENT, WA 98032 31st Floor
Seattle,WA 98101
Telephone:
CHANGE DESCRIPTION
The following endorsement has been Added:
PE 001 00 12 22 Additional Insured - Scheduled Contracts
Added: Blanket wording
Premium Changes
This Premium does not include surcharges
Additional Return
$0 $0
Surcharge Changes
Additional Return
$0 $0
j k
AUTHORIZED REPRESENTATIVE
IL 10 05 12 08 Page 1 of 1
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
POLICY NUMBER: XPR4067983
PE 001 00 12 22
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - SCHEDULED CONTRACTS
This endorsement may be used to modify insurance provided under the following:
GENERAL LIABILITY COVERAGE PART
AUTOMOBILE LIABILITY COVERAGE PART
LAW ENFORCEMENT LIABILITY COVERAGE PART
This endorsement does NOT extend insurance for any above Coverage Part if Item 3 of the Declarations
for this Policy indicates "Not Covered" for such Coverage Part.
SCHEDULE
Coverage Part(s) Modified By This Endorsement
GENERAL LIABILITY COVERAGE PART
AUTOMOBILE LIABILITY COVERAGE PART
Additional Insured Description Of Contract Contract Date
Person(s) or As per written contract As per written contract
Organization(s) to whom you
are obligated by virtue of
a written contract to
provide insurance and when
such written contract is
executed prior to a loss to
which the insurance
applies.
A. The following is added to Section B. WHO IS AN B. The following is added to Section D. LIMITS OF
INSURED of each applicable Coverage Part listed INDEMNITY of each applicable Coverage Part
in the SCHEDULE above: listed in the SCHEDULE above:
Any person(s) or organization(s) listed in the The Limits of Indemnity afforded to the additional
SCHEDULE to whom you are obligated by virtue Insured shown in the SCHEDULE will be limited to
of a written contract to provide insurance solely the Limits of Indemnity required within the terms of
with respect to bodily injury or property damage the contract or the Limits of Indemnity of this
is an Insured. Policy, whichever is less. The Limits of Indemnity
However, insurance for such additional Insured afforded to such additional Insured will apply in
applies only to bodily injury and property excess of the retained limit shown in the Item 3. of
damage required within the terms of the contract the Declarations.
and only to the extent that such additional Insured
is liable for bodily injury or property damage Any insurance provided in this endorsement is
caused by your acts or omissions in the part of and not in addition to the Limits of
performance of your operations. Indemnity shown in Item 4. of the Declarations for
each applicable Coverage Part.
PE 001 00 12 22 Safety National Casualty Corporation Page 1 of 1
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EXHIBIT F— NOTICE OF GRANT
Upon Recording Return To:
King County
Department of Natural Resources and Parks
Parks and Recreation Division
201 S Jackson Street, KSC-NR-5702
Seattle, WA 98104-3855
Document Title:
Reference No. of Related Document:
Legal Description:
Assessor's Parcel No.:
NOTICE OF GRANT
This Notice of Grant is effective as of the day of , 202_, and is made
and executed by the Parks Capital & Open Space Levy grant recipient, City of Kent, and
King County (the "County"), a political subdivision of the State of Washington.
is/are the owner(s) (the "Property Owner") of the property(ies) in King
County, State of Washington (the "Property"), legally described and attached hereto in
Exhibit F-1.
Pursuant to a Parks Capital & Open Space Levy Grant Agreement, between the King
County and City of Kent, dated ("Grant Agreement"), attached hereto as
Exhibit F-2, City of Kent constructed a Facility Improvement "Facility" on the Property for
the purpose of providing recreation for the public. A map of the Property and Facility is
attached hereto as Exhibit F-3.
The City of Kent hereby agrees to be bound by the terms of the Grant Agreement
including the obligation to ensure public access to the Facility.
IN WITNESS WHEREOF, City of Kent and King County have executed this Notice of
Grant on the date set forth above.
City of Kent KING COUNTY
By: By:
Name: Name:
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
PROPERTY OWNER
By:
Name:
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that is the person
who appeared before me, and said person acknowledged that he/she signed this instrument, on
oath stated that he/she was authorized to execute the instrument and acknowledged it as the
of the City of Kent to be the free and voluntary act of such party for
the uses and purposes mentioned in the instrument.
Dated:
NOTARY PUBLIC
Print Name:
My Commission Expires:
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that is the
person who appeared before me, and said person acknowledged that he/she signed this
instrument, on oath stated that he/she was authorized to execute the instrument and
acknowledged it as the of KING COUNTY, a political subdivision of
the State of Washington, to be the free and voluntary act of such party for the uses and
purposes mentioned in the instrument.
Dated:
NOTARY PUBLIC
Print Name:
My Commission Expires:
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
STATE OF WASHINGTON )
) ss.
COUNTY OF KING )
I certify that I know or have satisfactory evidence that is the
person who appeared before me, and said person acknowledged that he/she signed this
instrument, on oath stated that he/she was authorized to execute the instrument and
acknowledged it as the of KING COUNTY, a political subdivision of
the State of Washington, to be the free and voluntary act of such party for the uses and
purposes mentioned in the instrument.
Dated:
NOTARY PUBLIC
Print Name:
My Commission Expires:
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
NOTICE OF GRANT EXHIBIT F-1 - LEGAL DESCRIPTION
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
NOTICE OF GRANT EXHIBIT F-2- GRANT AGREEMENT
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
NOTICE OF GRANT EXHIBIT F-3- PROPERTY AND FACILITY MAP
DocuSign Envelope ID:8348E146-699E-4404-AEBD-1 E59A8E55C12
City of Kent— East Hill North Community Park Development—6416655
Task- 1.26
EXHIBIT G — CULTURAL RESOURCE PRESERVATION REQUIREMENTS
Based on the initial cultural resources review, the following recommendation(s)is/are
conditions and/or requirements for this Project.
There is a known, recorded archaeological resource in the project area. In order to
avoid violating state law, the Grant Recipient will consult with the King County Historic
Preservation Program's Archaeologist, Philippe LeTourneau, at 206-477-4529 or
philippe.letourneau@kingcounty.gov, to determine next steps prior to ANY ground
disturbing activity. The Grant Recipient shall be required to comply with any
recommendations made by the King County Archaeologist, which may include, a
cultural resource study and/or archaeological monitoring of construction conducted by a
qualified, County-approved, professional archaeologist at the Grant Recipient's
expense. The recommended work may require a state-issued excavation permit. The
King County Archaeologist will also advise on coordination with the State Historic
Preservation Officer (SHPO) at the Department of Archaeology and Historic
Preservation (DAHP) and the appropriate Tribes, if needed. The professional
archaeologist selected to complete any needed fieldwork will notify the King County
Archaeologist as soon as their fieldwork is scheduled and will continue to coordinate
with the King County Archaeologist through the life of the project. The archaeologist
shall notify the Affected Indian Tribes of their field schedule so that the Tribes can send
staff to observe the field work. Grant Recipient shall cc their King County Parks grant
manager on all emails with Historic Preservation Program staff.
DocuSign
Certificate Of Completion
Envelope Id:8348E146699E4404AEBD1 E59A8E55C12 Status:Completed
Subject: City of Kent—East Hill North Community Park Development—6416655
Source Envelope:
Document Pages:34 Signatures:2 Envelope Originator:
Certificate Pages:5 Initials:0 Parks Grants
AutoNav: Enabled 401 5TH AVE
Envelopeld Stamping: Enabled SEATTLE,WA 98104
Time Zone: (UTC-08:00)Pacific Time(US&Canada) parksgrants@kingcounty.gov
I P Address: 3.132.16.71
Record Tracking
Status:Original Holder: Parks Grants Location: DocuSign
3/5/2024 5:12:04 PM parksgrants@kingcounty.gov
Security Appliance Status:Connected Pool: FedRamp
Storage Appliance Status: Connected Pool: King County-Dept of Natural Resources& Location: DocuSign
Parks-Parks
Signer Events Signature Timestamp
Dana Ralph ED—Sig-d by: Sent:3/27/2024 4:27:31 PM
dralph@kentwa.gov a" N fL Viewed:3/28/2024 8:32:54 AM
Mayor 93E99D67ED24442... Signed: 3/28/2024 8:33:09 AM
Security Level: Email,Account Authentication
(None) Signature Adoption: Pre-selected Style
Using IP Address: 146.129.252.126
Electronic Record and Signature Disclosure:
Accepted: 12/30/2021 9:04:36 AM
ID: 3207ed34-abbf-4175-8ca3-09636b72ead8
Warren Jimenez DocuSignedby: Sent:3/28/2024 8:33:11 AM
wjimenez@kingcounty.gov Viewed:3/28/2024 3:59:35 PM
Division Director, Parks n 4sacsonosE4sF Signed: 3/28/2024 3:59:50 PM
Security Level: Email,Account Authentication
(None) Signature Adoption: Drawn on Device
Using IP Address: 174.204.64.154
Electronic Record and Signature Disclosure:
Accepted: 12/16/2020 11:32:05 AM
ID:e1b2fdbc-66a3-41ef-9a99-bebbac2271d5
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Logan Todd I EIAf E D Sent:3/5/2024 5:19:56 PM
Ltodd@kentwa.gov Viewed:3/27/2024 4:27:30 PM
Security Level: Email,Account Authentication
(None)
Using IP Address: 146.129.252.126
Electronic Record and Signature Disclosure:
Certified Delivery Events Status Timestamp
Accepted:3/27/2024 4:27:30 PM
ID:f38fbac9-6ef3-4513-90ce-c70ea0600be3
Carbon Copy Events Status Timestamp
Kerry O'Connor �� Sent:3/5/2024 5:19:56 PM
KOConnor@kentwa.gov ED Viewed:3/6/2024 10:13:04 AM
Security Level: Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted:2/9/2023 2:20:59 PM
ID: 7d3c4c03-26f0-4491-b5d4-6e732cc2803e
DNRP GAP Grant COPIED Sent:3/28/2024 3:59:51 PM
GAPGrants@kingcounty.gov
Security Level: Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Parks Grants w Sent:3/28/2024 3:59:52 PM
parksgrants@kingcounty.gov t
Security Level: Email,Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/5/2024 5:19:56 PM
Certified Delivered Security Checked 3/28/2024 3:59:35 PM
Signing Complete Security Checked 3/28/2024 3:59:50 PM
Completed Security Checked 3/28/2024 3:59:52 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on:8/24/2020 3:49:22 PM
Parties agreed to:Dana Ralph,Warren Jimenez,Logan Todd,Kerry O'Connor
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, King County-Department of 16 (we, us or Company)may be required by law
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