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Home My WebLink AboutCAG2024-424 - Original - A&M Consulting - 224th Street Phase 3 - Stage 2 - 9/4/24 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form Dir Asst: • For Approvals,Signatures and Records Management Dir/Dep: KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional) WASHINGTON Sheet forms. Originator: Department: Karin Bayes for Abdulnaser A. Public Works Date Sent: Date Required: c 09/04/2024 9/6/2024 CL Director or Designee to Sign. Date of Council Approval: Q N/A Budget Account Number: Grant?[:]YesZNo 22-3010 Budget?R]YesE]No Type: N/A Vendor Name: Category: A&M Consulting Contract Vendor Number: Sub-Category: = Original 0 Project Name: 224th Street Phase 3 - Stage 2 E 3- Project Details:The Consultant shall provide consultation services to the City for public and _C private utility coordination for the 224th Street Phase III - Stage 2 project. C d 40 Agreement Amount: $9 810 Basis for Selection of Contractor: Other `Memo to Mayor must be attached Start Date: upon execution Termination Date: 12/31/2025 Q Local Business?F--]YesF--]No* If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:YesElln-ProcessElExempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: Yes No CAG2024-424 Comments: a1 C 3 4) H •� i N 3 f0 C V1 Date Routed to the City Clerk's Office: 9/4/24 Interlocal Agreement has been uploaded to website: adccW22313_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20210513 • KENT CONSULTANT SERVICES AGREEMENT between the City of Kent and A&M Consulting THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and A&M Consulting organized under the laws of the State of Washington, located and doing business at 18119 NE 30th Street, Redmond, WA 98052, Phone: (206) 276-3635, Contact: Arnold Tomac (hereinafter the "Consultant"). I. DESCRIPTION OF WORK. The Consultant shall perform the following services for the City in accordance with the following described plans and/or specifications: The Consultant shall provide consultation services to the City for public and private utility coordination for the 224th Street Phase III - Stage 2 project. For a description, see the Consultant's Scope of Work, which is attached as Exhibit A and incorporated by this reference. The Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement. The Consultant shall complete the work described in Section I by December 31, 2025. III. COMPENSATION. A. The City shall pay the Consultant, based on time and materials, an amount not to exceed Nine thousand, Eight Hundred Ten Dollars ($9,810), for the services described in this Agreement. This is the maximum amount to be paid under this Agreement for the work described in Section I above, and shall not be exceeded without the prior written authorization of the City in the form of a negotiated and executed amendment to this agreement. The Consultant agrees that the hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for a period of one (1) year from the effective date of this Agreement. The Consultant's billing rates shall be as delineated in Exhibit A. B. The Consultant shall submit monthly payment invoices to the City for work performed, and a final bill upon completion of all services described in this Agreement. The City shall provide payment within forty-five (45) days of receipt of an invoice. If the City objects to all or any portion of an invoice, it shall notify the Consultant and reserves the option to only pay that portion of the invoice not in dispute. In that event, the parties will immediately make every effort to settle the disputed portion. C. Card Payment Program. The Consultant may elect to participate in automated credit card payments provided for by the City and its financial institution. This Program is provided as an alternative to payment by check and is available for the convenience of the Consultant. If the CONSULTANT SERVICES AGREEMENT - 1 ($20,000 or Less) Consultant voluntarily participates in this Program, the Consultant will be solely responsible for any fees imposed by financial institutions or credit card companies. The Consultant shall not charge those fees back to the City. IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor- Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in accordance with Ch. 51.08 RCW, the parties make the following representations: A. The Consultant has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. B. The Consultant maintains and pays for its own place of business from which the Consultant's services under this Agreement will be performed. C. The Consultant has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained the Consultant's services, or the Consultant is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. D. The Consultant is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. E. The Consultant has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by the Consultant's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. F. The Consultant maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty (30) days written notice at its address set forth on the signature block of this Agreement. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project, which may be used by the City without restriction. If the City's use of the Consultant's records or data is not related to this project, it shall be without liability or legal exposure to the Consultant. VI. FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood, or other natural disaster or acts of government ('force majeure event"). Performance that is prevented or delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent to the other that at the time of signing this Agreement, they are able to perform as required and their performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing state or national declarations of emergency, or any current social distancing restrictions or personal protective equipment requirements that may be required under federal, state, or local law in response to the current pandemic. If any future performance is prevented or delayed by a force majeure event, the party whose performance is prevented or delayed shall promptly notify the other party of the existence and nature of the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be effective only to the extent and duration of the force majeure event causing the prevention or delay in performance and, provided, that the party prevented or delayed has not caused such event to occur and continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation. Notwithstanding other provisions of this section, the Consultant shall not be entitled to, and the City shall not be liable for, the payment of any part of the contract price during a force majeure event, or any CONSULTANT SERVICES AGREEMENT - 2 ($20,000 or Less) costs, losses, expenses, damages, or delay costs incurred by the Consultant due to a force majeure event. Performance that is more costly due to a force majeure event is not included within the scope of this Force Majeure provision. If a force majeure event occurs, the City may direct the Consultant to restart any work or performance that may have ceased, to change the work, or to take other action to secure the work or the project site during the force majeure event. The cost to restart, change, or secure the work or project site arising from a direction by the City under this clause will be dealt with as a change order, except to the extent that the loss or damage has been caused or exacerbated by the failure of the Consultant to fulfill its obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be borne by the Consultant. VII. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Consultant, its subcontractors, or any person acting on behalf of the Consultant or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. The Consultant shall execute the attached City of Kent Non-Discrimination Policy Declaration and comply with City Administrative Policy 1.2. VIII. INDEMNIFICATION. The Consultant 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 Consultant's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of the Consultant's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's duty to defend, indemnify, and hold the City harmless, and the Consultant's liability accruing from that obligation shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event the Consultant refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Consultant's part, then the Consultant shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys'fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Consultant's part. The provisions of this section shall survive the expiration or termination of this Agreement. IX. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit 6 attached and incorporated by this reference. X. EXCHANGE OF INFORMATION. The City will provide its best efforts to provide reasonable accuracy of any information supplied by it to the Consultant for the purpose of completion of the work under this Agreement. CONSULTANT SERVICES AGREEMENT - 3 ($20,000 or Less) XI. OWNERSHIP AND USE OF RECORDS AND DOCUMENTS. Original documents, drawings, designs, reports, or any other records developed or created under this Agreement shall belong to and become the property of the City. All records submitted by the City to the Consultant will be safeguarded by the Consultant. The Consultant shall make such data, documents, and files available to the City upon the City's request. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. The City's use or reuse of any of the documents, data, and files created by the Consultant for this project by anyone other than the Consultant on any other project shall be without liability or legal exposure to the Consultant. XII. CITY'S RIGHT OF INSPECTION. Even though the Consultant is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion. XIII. WORK PERFORMED AT CONSULTANT'S RISK. The Consultant shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All work shall be done at the Consultant's own risk, and the Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XIV. MISCELLANEOUS PROVISIONS. A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's right to indemnification under Section VIII of this Agreement. D. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written notice hereunder shall become effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. E. Assignment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. F. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and the Consultant. CONSULTANT SERVICES AGREEMENT - 4 ($20,000 or Less) G. Entire Agreement. The written provisions and terms of this Agreement, together with any Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this Agreement. All of the above documents are hereby made a part of this Agreement. However, should any language in any of the Exhibits to this Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall prevail. H. Compliance with Laws. The Consultant agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to the Consultant's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those operations. I. Public Records Act. The Consultant acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Consultant in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Consultant agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. J. City Business License Required. Prior to commencing the tasks described in Section I, Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. CONSULTANT SERVICES AGREEMENT - 5 ($20,000 or Less) K. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS, the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. CONSULTANT: CITY OF KENT: Digitally signed by Chad Bieren _ Chad Bieren Date:2024.09.04 By: U By: 14:03:42-07'00' .r f, Print Name: O (� YhA L Print Name: Chad Bieren, P.E. Its: �� `� Its: Public Works Director DATE: DATE: _ J NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: - CONSULTANT: CITY OF KENT: Arnold Tomac Chad Bieren, P.E. A&M Consulting City of Kent 18119 NE 301h Street 220 Fourth Avenue South Redmond, WA 98052 Kent, WA 98032 (206) 276-3635 (telephone) (253) 856-5500 (telephone) arnold.tomac@gmail.com email PublicWorks@KentWa.gov email ATTEST: Kent Cit Clerk kb-EV2712024 CONSULTANT SERVICES AGREEMENT - 6 ($20,000 or Less) DECLARATION CITY OF KENT NON-DISCRIMINATION POLICY The City of Kent (City) is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors, consultants, vendors, and suppliers who perform work with relation to this Agreement shall comply with the regulations of the City's equal employment opportunity policies. The City of Kent and its contractors are subject to and will comply with the following: • Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); • 49 C.F.R. Part 21 (entitled Non-discrimination In Federally-Assisted Programs Of The Department Of Transportation-Effectuation Of Title VI Of The Civil Rights Act Of 1964); • 28 C.F.R. section 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964). • Ch. 49.60 RCW (Washington Law Against Discrimination) The preceding statutory and regulatory cites hereinafter are referred to as "the Acts and Regulations". The following statements specifically identify the requirements the City deems necessary for any contractor, subcontractor, or supplier on this specific Agreement to adhere to. An affirmation of all of the following is required for this Agreement to be valid and binding. If any contractor, subcontractor, or supplier willfully misrepresents themselves with regard to the directives outlined below, 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 statements are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement I, the prime contractor, will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. During the performance of this contract, the contractor, for itself, its assignees, and successors in interest (hereinafter referred to as the "contractor") agrees as follows: EEO COMPLIANCE DOCUMENTS - 1 A. Compliance with Regulations: The contractor, subcontractor, consultant, vendor, and supplier (hereinafter "Contractor") will comply with all Acts and the Regulations relative to non-discrimination, including those applicable to Federally- assisted programs of the U.S. Department of Transportation, State-assisted programs through the Washington State Department of Transportation, and generally under Washington's Law Against Discrimination, Ch. 49.60 RCW, as they may be amended from time to time, which are herein incorporated by reference and made a part of this contract. B. Non-discrimination: The contractor, with regard to the work performed by it during the contract, will not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The contractor will not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of 49 CFR Part 21. C. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding, or negotiation made by the contractor for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier will be notified by the contractor of the contractor's obligations under this contract and the Acts and the Regulations relative to non-discrimination on the grounds of race, color, or national origin. D. Information and Reports: The contractor will provide all information and reports required by the Acts and Regulations and directives issued pursuant thereto and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined applicable to contractor's contract by the City or the Washington State Department of Transportation to be pertinent to ascertain compliance with such Acts and Regulations and instructions. Where any information required of a contractor is in the exclusive possession of another who fails or refuses to furnish the information, the contractor will so certify to the City or the Washington State Department of Transportation, as appropriate, and will set forth what efforts it has made to obtain the information. E. Sanctions for Noncompliance: In the event of a contractor's noncompliance with the non-discrimination provisions of this contract, the City will impose such contract sanctions as it or the Washington State Department of Transportation may determine to be appropriate, including, but not limited to: a. withholding payments to the contractor under the contract until the contractor complies; and/or b. cancelling, terminating, or suspending a contract, in whole or in part. F. Incorporation of Provisions: The contractor will include the provisions of paragraphs (A) through (F) above in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts and Regulations and directives issued pursuant thereto. The contractor will take action with respect to any subcontract or procurement as the City or the Washington State Department of Transportation may direct as a means of enforcing such provisions including sanctions for noncompliance. Provided, that if the contractor becomes involved in, EEO COMPLIANCE DOCUMENTS - 2 or is threatened with litigation by a subcontractor, or supplier because of such direction, the contractor may request the City to enter into any litigation to protect the interests of the City. In addition, the contractor may request the United States to enter into the litigation to protect the interests of the United States. 6. During the performance of this contract, the contractor, for itself, its assignees, and successors in interest agrees to comply with the following non-discrimination statutes and authorities; including but not limited to: Pertinent Non-Discrimination Authorities: i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21. ii. The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. § 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); iii. Federal-Aid Highway Act of 1973, (23 U.S.C. § 324 et seq.), (prohibits discrimination on the basis of sex); iv. Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. § 794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27; V. The Age Discrimination Act of 1975, as amended, (42 U.S.C. § 6101 et seq.), (prohibits discrimination on the basis of age); vi. Airport and Airway Improvement Act of 1982, (49 USC § 471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); vii. The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities" to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors, whether such programs or activities are Federally funded or not); viii. Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38; ix. The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. § 47123) (prohibits discrimination on the basis of race, color, national origin, and sex); X. Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, which ensures Non-discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; EEO COMPLIANCE DOCUMENTS - 3 xi. Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); xii. Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. 1681 et seq). xiii. Washington Law Against Discrimination (Ch. 49.60 RCW) 7. The submission of the final invoice for this contract will constitute a reaffirmation that the preceding statements were complied with during the course of the contract's performance. By signing below, I agree to fulfill the five requirements referenced above. By: For: Title: Date: -- EEO COMPLIANCE DOCUMENTS - 4 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: October 20, 2022 SUBJECT: INCLUSIVE CONTRACTING SUPERSEDES: January 1, 1998 APPROVED BY Dana Ralph, Mayor POLICY: Equal employment opportunity and non-discrimination in contracting 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. Further, all contractors, subcontractors, consultants, suppliers, grantees, or subgrantees of the City, regardless of the value of the Agreement, are required to sign the City's Non-Discrimination Policy Declaration, prior to commencing performance. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to coordinate with the City's Title VI coordinator, and perform 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 - 5 Exhibit A A&M Consulting 224th Phase III -Stage 2 Improvements Project Scope of Work The Consultant shall provide consultation services to the City for public and private utility coordination for the 224th Phase III -Stage 2 (SE 216t' St. from 99t'Ave S to 108t'Ave SE ) Project. These services shall include the following: Evaluate impacts of the City's project on private utilities' equipment. Coordinate with Puget Sound Energy to execute a Schedule 74 Conversion Agreement for undergrounding of overhead power. Coordinate with Puget Sound Energy on relocating gas facilities. Coordinate with private property owners to facilitate conversion of their private services from overhead to underground. Coordinate with other utilities and City Staff for construction of a joint utility trench and conversion of services from overhead to underground. Coordinate with private utility companies for relocation of their facilities that conflict with the City's proposed project. Coordinate with private utilities,prepare agreements and cost estimates for utility relocations. Provide construction coordination and provide advice on resolution of conflicts related to private utilities during construction of the City's public projects. Hourly rate: $90/hr Total Hours 109 Total Contract Amount $9,810.00 Exhibit 6 Insurance Requirements Insurance Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees, or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: Commercial General Liability insurance shall be written on Insurance Services Office (ISO) occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products- completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. 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. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. Consultant may use Umbrella or Excess Policies to provide the liability limits as required in this Agreement. This form of insurance will be acceptable if all the Primary and Umbrella or Excess Policies shall provide all the insurance coverages herein required. The Umbrella or Excess policies shall be provided on a true "following form" or broader coverage basis, with coverage at least as broad as provided on the underlying Commercial General Liability insurance. Automobile Liability insurance providing bodily injury and property damage liability coverage for all automobiles/vehicles used in the performance of this Agreement. This coverage must be on a primary and non-contributory basis only. Coverage shall be written on 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. Professional Liability or Errors & Omissions insurance appropriate to the Consultant's profession. Workers' Compensation coverage for the employees of Consultant and subcontractors as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: Commercial General Liability insurance shall be written with limits no less than $2,000,000 per occurrence, $2,000,000 general aggregate, and $2,000,000 products-completed operations aggregate limit. Primary Non-Contributory Additional Insured coverage for the City of Kent, et. al. Stop Gap Liability - $1,000,000/$1,000,000/$1,000,000 Waiver of Subrogation Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per occurrence. Professional Liability or Errors & Omissions insurance shall be written with limits no less than $1,000,000 per occurrence, $1,000,000 general aggregate. If the Consultant maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Consultant. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. The above policy limits may be obtained with excess liability (umbrella) insurance. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. Consultant's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be in excess of the Consultant's insurance policies and shall not contribute to the Consultant's insurance policies. 2. Consultant's insurer must deliver or mail written notice of cancellation to the named insured at least forty-five (45) days before the effective date of the cancellation. The Consultant's insurance policy shall include an endorsement that provides the City with written notice of cancellation forty-five (45) days before the effective date of the cancellation. If Consultant's insurer fails to provide the City with a copy of the notice of cancellation endorsement, the Consultant must notify the City of any cancellation, nonrenewal or termination within two (2) business days of their receipt of such notice. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) with respect to work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claims are made or suit is brought, except with respect 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 ANII. E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. The City waives no rights, and the Consultant is not excused from performance if Consultant fails to provide the City with a copy of the endorsement naming the City as a Primary Non- Contributory Additional Insured. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all the same insurance requirements as stated herein for the Consultant. 1 ATE CERTIFICATE OF LIABILITY INSURANCE D �aa3i2g23(MMJODtYYYY' 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(Ies) must be endorsed. If SUBROGATIONIS 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 A J GALLAGHER RISK MGMNT SVCSIPHS PHONE (888)920-6259 FAx 83556228 (Arc,No,Ext): (AIC,No),. The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER[$]AFFORDING COVERAGE NAICq INSURED INSURERA: Hartford Casualty Insurance Company 29424 ARNOLD TOMAC DBA A&M CONSULTING INSURER B: 18119 NE 30TH ST INSURER C: REDMOND WA 98052-5902 INSURER O INSURER E: N INSURER F: N COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD c 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 NUMBER POLICY EPF POLICY EXP LIMITS LTR MR WVD MM DD YY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR DAMAGE TO-RENTED $300 QOa PREMI$Ei(Ea occurrence X General Liability ME I)EXP(Any one person) $10,000 A x 83 SBM UK5026 11/01/2023 11101/2024 PERSONAL&ADV INJURY $2 00Q 0p0 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY❑PRO LOC PRODUCTS-OOMPIOPAGG $4,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2,000,000 (Ea pcoldenl) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED 83 SBM UK5025 1110112023 11101/2024 BODILY INJURY(Per amIdent) AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE x AUTOS x AUTOS (Per acddent) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE ED I RETENTION$ WORKERS COMPENSATION PER ER OTH- AND EMPLOYERS'LIABILITY ISTAT V,E ANY YIN E.L.EACH ACCIDENT $1,000.000 A PROPRIETORIPARTNERIEXECUTIVE NIA 8358MUK5025 11/01/2023 11/01/2024 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) IT yes•describe under E.L.DISEASE-POLICY LIMIT $1.000,000 P-ESCRIPTION OF OPE ATIONS below A EMPLOYMENT PRACTICES 83 SBM UK5025 11/01/2023 11/01/2024 Each Claim Limit $5,0aa LIABILITY :�__ Aggregate Limit $5,000 DESCRIPTION OF OPERA TIONS/LOCAT1ONS1 VEHICLES(ACORD 101,AddlUo"I Remarks 8oheduto,may be attached If more space Is required) Those usual to the Insured's Operations,Certificate Holder Is an Additional Insured per the Business Liability Coverage Form 850008 attached to this POIIGY. CERTIFICATE HOLDER CANCELLATION The City of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Public Works Engineering BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 222 4TH AVE S IN ACCORDANCE WITH THE POLICY PROVISIONS. KENT WA 98032 AUTHORIZED REPRESENTATIVE �uB2tr3� �QQ�� Q 1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD I ■ & uj \ � � § / § m / kG \ q o � z - o § }ice § o _ R% � � § > 2 k - E 2m> §_ § ® I C) / Ln 9 � , � . � �,;: 9 s s v 0 THANK YOU FOR RENEWING YOUR POLICY WITH U5 If you're receiving this renewal through the mail directly from The Hartford, please note that we've only attached new, changed or updated documents. These include your new declarations page, which outlines your coverage, as well as any notices and brochures with updated information. We leave out unchanged documents to help cut down on paperwork and mailing costs. You can keep the attached documents filed alongside those from your previous policy if you wish. If you're receiving this renewal electronically, or it's been mailed by your agent, it may include all of your documents- even ones that haven't changed. In either case, keep in mind that you can view, download or print any of these documents online. Just register or log into your account https:llbusiness.thehartford com and click on "Documents". For added convenience,you can also pay your bill, request a Certificate of Insurance, check claims status, update preferences and more. Farm G-4169-0 02g19,The Hartford Page 1 of 1 0 w ARNDLD TONAC DBA A & N THE 18119 N.N. 3OTH STRUT HA,R T FQRD RZDMOM WA 98052 Policy Number: 83 SSM UK5025 Renewal €3ate: 11/01/23 Thank you for being a loyal customer of The Hartford. #1: Your Hartford Policy Enclosed are renewal documents for your policy, which is scheduled to renew on 11/01/23 . Along with a new Declarations Page, which details the coverages provided by your policy, we are enclosing important policy documents. Please be aware that you will receive an invoice separately for this new policy term approximately 30 days prior to the renewal date; no action is required now. To ensure the premium you paid for this past policy term was accurate, we may contact you by letter, phone or email to conduct a premium audit. If contacted, we will advise what information is needed to complete the audit. #2: Your Business Insurance Coverage Checkup Now is a great time to complete a business insurance coverage checkup with a Hartford Insurance Professional. Because you wear so many hats each day, you may not be thinking about how changes to your business can impact the type and amount of insurance coverage needed to protect it. Together we will evaluate how your needs may have changed over the past year. Examples include: - Has your mailing address and/or the physical location of your business changed? - Has there been any increase/decrease in the amount of business property/equipment you own? - Has there been any increase/decrease in your company's payroll or sales? - Have you added or eliminated any vehicles used in your business operations? Are the bill plan and deductible on your policy right for your business? mmendations, provide peace of mind solutions, During the review we may make coverage reco and possibly reduce your costs. Here is all you need to do: s•I` - Call toll free (866) 467-8730 , and select our renewal review service option any weekday from 7 A.M.to 7 P.M.CST and request your business insurance check-up. - To best serve you, please have your Policy Number or Account Number and a Copy of your current Renewal Policy in hand when you call. #3: Servicing Your Needs To login or register for our Online Business Service Center, g❑ to www.thehartford.comiservicecenier where any time,day or night you can: Pay your bill,view payment history and enroll in Auto Pay Request Auto ID Cards and Certificates of Insurance - View electronic copies of billing and policy documents and sign up for pap erless delivery #4: if You've Had A Loss or Accident... Report It Immediately We want to help! Contact us as quickly as possible at 1-800-327-3636. - Representatives are available 24-7 to assist in helping you recover from your loss. On behalf of A J (;AI+LW1MR RISK t GMU SVCS/PRO and The Hartford, we appreciate the opportunity to have been of service to you this past year and look forward to serving your business insurance needs for the upcoming year. Sincerely, Your Hartford Team s m IMPORTANT NOTICE TO POLICYHOLDERS 0 THE HARTFORD CYBER CENTER WEBSITE ACCESS Thank you for choosing The Hartford for your business insurance needs. You are receiving this Notice because you purchased a business owner's policy from The Hartford, (your Policy was issued by The Hartford writing company identified on your policy Declarations page)which includes access to The Hartford Cyber Center. This portal was created because we recognize that businesses face a variety of cyber-related exposures and need help managing the related risks. These exposures include data breaches, computer virus attacks and cyber extortion threats. Through The Hartford Cyber Center, you have access to: * A panel of third party incident response service providers o Third party cybersecurity pre-incident service providers and a list of approved services to help protect your business before a cyber-threat occurs o Risk management tools, including self-assessments, best practice guides, templates, sample incident response plans, and data breach cost calculators ❑ White papers, blogs and webinars from leading privacy and security practitioners o Up-to-date cyber-related news and events, including examples of privacy and security related events Accessing The Hartford Cyber Center is easy 1. Visit www.thehartford.comlcybercenter 2. Enter policyholder information 3. Access code: 952689 4. Login to The Hartford Cyber Center This Notice does not amend or otherwise affect the provisions of your business owner's policy. Coverage Options: The Hartford offers a variety of endorsements to your business owner's policy that can help protect your business :i.. from a broad range of cyber-related threats. Please review your coverage with your insurance agent or broker to determine the most appropriate cyber coverages and limits for your business. Claims Reporting: if you have a claim,you can report it by calling The Hartford's toll-free claims line at 1-800-327-3636. Should you have any questions, please contact your insurance agent, broker or you may contact us directly. We appreciate your business and look forward to being of continued service to YOU Please be aware that: ❑ The Hartford Cyber Center is a proprietary web portal exclusively provided to customers of The Hartford. Please do not share the access code with anyone outside your organization. a Registration is required to access the Cyber Center. You may register as many users as necessary. o Contacting a service provider about any issue does not constitute providing The Hartford notice of a claim as required under your insurance policy. Read your insurance policy and discuss any questions with your agent or broker. The Hartford Cyber Center provides third party service provider references and materials for educational purposes only. The Hartford does not specifically endorse any such service provider within The Hartford Cyber Center and hereby disclaims all liability with respect to use of or reliance on such service providers. All service providers are independent contractors and not agents of The Hartford. The Hartford does not warrant the performance of the service providers, even if such services are covered under your Business Owners Policy. We strongly encourage you to conduct your own assessments of the service providers' services and the fitness or adequacy of such services for your particular needs. Form SS 89,93 07 16 © Page 1 of 1 2016. The Hartford �i: g lid. '•:E i Insurance Policy Billing Information Thank you for selecting The Hartford for your business insurance needs. Shortly, you will receive your first bill from us. You are receiving this Notice s❑ you know what to expect as a valued customer of The Hartford. Should you have any questions after reviewing this information, please contact us at 866-467-8730, and we will be happy to assist you. o Your total policy premium will appear on your policy's Declarations Page. You will be billed based on the payment plan you selected. ❑ You may pay the "minimum due" as it appears on your insurance bill or pay the policy balance in full. ❑ An installment service fee is added to each installment. A late fee will also be applied if the "minimum due" is not received by the due date shown on your bill. Service and late payment fees do not apply in all states. ❑ if you selected installment billing, any credit or additional premium due as the result of a change made to your policy,will be spread over the remaining billing installments. Additional premium due as a result of an audit will be billed in full on your next bill date following the completion of the audit. o If you elected Electronic Funds Transfer (EFT), policy changes may result in changes to the amount automatically withdrawn from your bank account. The invoice you receive following a policy change will include future withdrawal amounts. if you need to adjust or stop your next scheduled EFT withdrawal, please contact us at least 3 days prior to the scheduled withdrawal date at the telephone number shown below. o If you selected installment billing and pay the premium for your first policy term on time,at renewal, your account may qualify for our"Equal installment"feature.This means that the percentage due for each installment, including the initial renewal installment, will be the same throughout the policy term -- helping you better manage cash flow. Equal installments will continue as long as you pay your premiums on time and no cancellation notices are issued for any policy on your account. If you no longer qualify for Equal Installments, future renewals will be billed based on the payment plan you selected, which includes a higher initial installment amount. ❑ If your policy is eligible for renewal, your bill for the upcoming policy term will be sent to you approximately 3D days prior to your policy's renewal date. If your insurance neo eds change, please contact us at least 60 days prior t your renewal date so we can properly address any adjustments needed. I.EiEEi: o One bill convenience -- you have the option of combining all eligible Hartford policies on one single bill allowing you to make one payment for all policies on your account as payments are due. You're In Control In addition to selecting a bill plan option that best meets your budget, you have the flexibility to decide how you r payments are made ... a Repetitive EFT:Sign up for Repetitive EFT payments and have payments automatically withdrawn from your bank account.This option saves you money by reducing the amount of the installment service fee. ❑ Pay Online. Register at www.thehartford.comiservicecenter.Online Bill Pay is Quick, Easy and Secure! ❑ Pay by Check: Send a check with your remittance stub in the envelope provided with your bill. o Pay by phone: Gall toll-free 1-866-467-8730. Should you have any questions about your bill,please call Customer Service toll-free number: 1-866-467-8730-7AM -7PM CST. We look forward to being of service to you. Form 100722 11th Rev. Printed in U.S.A. a POLICY NUMBER: 83 SBM UK5025 a N THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. DISCLOSUREICAP ON LOSSES - TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium: $ $6.00 A. Disclosure Of Premium United States or to influence the policy or In accordance with the federal Terrorism Risk affect the conduct of the United States Insurance Act, as amended (TRIA), we are required Government by coercion to provide you with a notice disclosing the portion of C. Disclosure of Federal Share Of Terrorism your premium, if any, attributable to coverage for Losses "certified acts of terrorism" under TRIA. The portion The United States Department of the Treasury will of your premium attributable to terrorism coverage is reimburse insurers for 80% of insured lasses shown in the above Schedule of this endorsement. attributable to certified acts of terrorism" under 7:: B. The following definition is added with respect to the TRIA that exceeds the applicable insurer deductible. ;��;� provisions of this endorsement: However, if aggregate industry insured losses !', 1. A "certified act of terrorism" means an act that is attributable to "certified acts of terrorism" under...'"': certified by the Secretary of the Treasury, in TRIA exceed $100 billion in a calendar year, the accordance with the provisions of TRIA, to be an Treasury shall not make any payment for any portion act of terrorism under TRIA. The criteria of the amount of such losses that exceeds $100 contained in TRIA for a "certified act of terrorism" billion. The United States government has not include the following: charged any premium for their participation in a. The act results in insured losses in excess of covering terrorism losses. $5 million in the aggregate, attributable to all D. Cap On Insurer Liability for Terrorism Losses types of insurance subject to TRIA; and If aggregate industry insured lasses attributable to b. The act results in damage within the United "certified acts of terrorism" under TRIA exceed $100 States, or outside the United States in the billion in a calendar year and we have met, or will case of certain air carriers or vessels or the meet, our insurer deductible under TRIA, we shall premises of an United States mission; and not be liable for the payment of any portion of the c. The act is a violent act or an act that is amount of such losses that exceed $100 billion. In dangerous to human life, property or such case, your coverage for terrorism losses may infrastructure and is committed by an be reduced on a pro-rata basis in accordance with individual or individuals as part of an effort to procedures established by the Treasury, based on its coerce the civilian population of the estimates of aggregate industry losses and our estimate that we will exceed our insurer deductible. Form SS 83 76 12 20 Page 1 of 2 ® 2020,The Hartford (Includes copyrighted material of Insurance Services Office, Inc., with its permission) In accordance with the Treasury's procedures, would otherwise be excluded under this Coverage" amounts paid for losses may be subject to further Form, Coverage Part or Policy, such as losses adjustments based on differences between actual excluded by any pollution, pathogenic, nuclear losses and estimates. hazard or war exclusions which may be included on E. Application of Other Exclusions this Policy. The terms and limitations of any terrorism exclusion, F. All other terms and conditions remain the same the inapplicability or omission ❑f a terrorism exclusion, or the inclusion of terrorism coverage, do not serve to create coverage for any loss which L� Page 2 of 2 Form SS 83 76 12 20 a w 0 0 0 a IMPORTANT NOTICE TO POLICYHOLDERS To help your insurance keep pace with increasing costs, we have increased your amount of insurance . . • giving you better protection in case of either a partial,or total loss to your property. if you feel the new amount is not the proper one, please contact your agent or broker. 3: Form PC-374-0 Printed in U.S.A. 25 This Spectrum Policy consists of the Declarations,Coverage Forms, Common Policy Conditions and any 50 other Forms and Endorsements issued to be a part of the Policy.This insurance is provided by the stock ❑K insurance company of The Hartford Insurance Group shown below. SBM 0 INSURER: HARTFORD CASUALTY INSURANCE COMPANY ; ONE HARTFORD PLAZA, HARTFORD, CT 06155 0 COMPANY CODE: 3 0 THE Policy Number: 83 SBM UK5025 DV HARTFORD SPECTRUM POLICY DECLARATIONS ORIGINAL Named insured and Mailing Address: ARNOLD TOMAC DBA A & M (No., Street,Town, State,Zip Code) CONSULTING 18119 N.E. 30TH STREET REDMOND wA 98052 Policy Period: From 11/01/23 To 11/01/24 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. Name of Agent/Broker: A J GALLAGHER RISK MGMNT SVCSIPHS Code: 556226 Previous Policy Number: 72 SBM UK5025 Named Insured is: INDIVIDUAL Audit Period: NON-AUDITABLE Type of Property Coverage: NONE Insurance provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: $425 MP �• i Countersigned by 08/04/23 Authorized Representative Date Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) Process Date: 08/04/23 Policy Expiration Date: 11/01/24 INSURED COPY SPECTRUM POLICY ❑ECLARATICNS (Continued) POLICYNUMBER: 83 SSM UK5425 Location(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 001 18119 N.E. 30TH STREET REDMOND WA 98052 Description of Business: REAL, ESTATE APPRAISER Deductible: NO COVERAGE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING NO COVERAGE BUSINESS PERSONAL PROPERTY REPLACEMENT COST NO COVERAGE PERSONAL PROPERTY OF OTHERS REPLACEMENT COST NO COVERAGE MONEY AND SECURITIES INSIDE THE PREMISES NO COVERAGE OUTSIDE THE PREMISES NO COVERAGE Form SS 00 02 12 06 Page 002 (CONTINUED ON NEXT PAGE) Process Date: 08/04 j23 Policy Expiration► Date: 11/01/24 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 83 SBM UK5025 BUSINESS LIABILITY LIMITS OF INSURANCE LIABILITY AND MEDICAL EXPENSES $2, 000,000 v a 0 MEDICAL EXPENSES -ANY ONE PERSON $ 10, 000 PERSONAL AND ADVERTISING INJURY $2, 000,000 DAMAGES TO PREMISES RENTED TO YOU $ 300,000 ANY ONE PREMISES AGGREGATE LIMITS $4, 000,000 PRODUCTS-COMPLETED OPERATIONS GENERAL AGGREGATE $4, 000, 000 EMPLOYMENT PRACTICES LIABILITY COVERAGE: FORM SS 09 01 EACH CLAIM LIMIT $ 5, 000 DEDUCTIBLE -EACH CLAIM LIMIT NOT APPLICABLE AGGREGATE LIMIT $ 5,000 RETROACTIVE DATE: 11012 0 0 5 This Employment Practices Liability Coverage contains claims made coverage. Except as may be otherwise provided herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are first made against the insured while the insurance is in force. Please read and review the insurance carefully and ;::. discuss the coverage with your Hartford Agent or Broker. The Limits of Insurance stated in this Declarations will be reduced, and may be completely exhausted, by theE:I payment of "defense expense" and, in such event, The Company will not be obligated to pay any further "defense expense" or sums which the insured is or may become legally obligated to pay as "damages". BUSINESS LIABILITY OPTIONAL COVERAGES HIRED/NON-OWNED AUTO LIABILITY $2,000, 000 FORM: SS 01 70 Form SS 00 02 12 06 Page 003 (CONTINUED ON NEXT PAGE) Process Date: 08/04/23 Policy Expiration Date: 11/01/24 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 83 SBM UX5025 BUSINESS LIABILITY OPTIONAL COVERAGES LIMITS OF INSURANCE (Continued) EMPLOYERS LIABILITY AND STOP GAP BODILY IHamy wr ACCIDENT Ram ACCIDENT $1,000,000 BODILY INJURY BY DISEASE ZhCA aNPLOYEE $1, 000,000 BODILY INJURY BY DXSEASE POLICY LIMIT $1,000, 000 APPLICABLE TO LOCATIONS IN Tmz FOLLOWING STATE(a) ; WASHINGTON WAIVER Or SUBROGATIONm FORM SS 12 13 LOCATION: Dal BUILDING: 001 NAME:: IV im Form SS 00 02 12 06 Page 004 (CONTINUED ON NEXT PAGE) Process Date: 08/04/23 Policy Expiration Date: 11/01/24 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 83 SBM UK5025 a v ro m v v v v 0 ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDING 001 TYPE MAWLGER LESSOR NAm SEE FORM IA 12 00 Form SS 00 02 12 06 Page 005 (CONTINUED ON NEXT PAGE) Process Date: 08/04/23 Policy Expiration Date: 11/01/24 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER:R: 83 SBM UK5025 Form Numbers of Forms and Endorsements that apply: SS 00 01 03 14 SS 00 05 12 06 SS 00 08 04 05 SS 00 45 12 06 SS 00 64 09 16 SS 01 28 05 17 SS 01 70 09 09 SS 89 93 07 16 SS 00 60 09 15 SS 41 02 04 05 SS 41 63 06 11 SS 05 03 03 00 SS 05 47 09 15 SS 51 10 03 17 IH 12 07 02 21 SS 09 01 12 14 SS 09 25 12 14 SS 09 67 09 14 SS 09 70 12 14 SS 09 71 12 14 SS 10 04 09 98 SS 12 15 03 00 IH 99 40 04 09 IH 99 41 04 09 SS 83 76 12 20 IH 12 00 11 85 ADDITIONAL, INSURER - MANAGER/LESSOR e Form SS 00 02 12 08 page 006 Process Date: 08/04/23 Policy Expiration Date: 11/01/24 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 83 SBM UK5025 N SUPPLEMENTAL DECLARATIONS: P O 0 0 0 A service fee of$ 5.00 is charged for each installment when your premium is paid in installments. The service fee is $ 5.00 per withdrawal when you select an electronic fund transfer payment plan. The service fee will be added to the premium amount shown on your premium billing statement. i•z''E: Form SS 00 45 12 OS Process Date: 08/04/23 Policy Expiration Date: 11/01/24 f w 0 a 0 0 0 0 0 COMMON POLICY CONDITIONS r==: Form SS 00 85 12 05 0 2006, The Hartford QUICK REFERENCE - SPECTRUM POLICY DECLARATIONS and COMMON POLICY CONDITIONS I. DECLARATIONS Named Insured and Mailing Address Policy Period Description and Business Location Coverages and Limits of Insurance II. COMMON POLICY CONDITIONS Beginning on Page A. Cancellation 1 B. Changes 1 C. Concealment, Misrepresentation Or Fraud 2 D. Examination Of Your Books And Records 2 E. Inspections And Surveys 2 F. Insurance Linder Two Or More Coverages 2 G. Liberalization 2 W. Other Insurance- Property Coverage 2 I. Premiums 2 J. Transfer Of Rights Of Recovery Against Others To Us 2 K. Transfer Of Your Rights And Duties Linder This Policy 3 L. Premium Audit 3 Form SS 00 06 12 06 COMMON POLICY CONDITIONS N All coverages of this policy are subject to the following conditions. v v v A. Cancellation (5) Failure to: 1. The first Named Insured shown in the (a) Furnish necessary heat, water, Declarations may cancel this policy by mailing sewer service or electricity for 30 or delivering to us advance written notice of consecutive days or more, except cancellation. during a period of seasonal 2. We may cancel this policy by mailing or unoccupancy; or delivering to the first Named insured written (b) Pay property taxes that are owing notice of cancellation at least: and have been outstanding for a. 5 days before the effective date of more than one year following the cancellation if any one of the following date due, except that this provision conditions exists at any building that is will not apply where you are in a Covered Property in this policy: bona fide dispute with the taxing authority regarding payment of (1) The building has been vacant or such taxes. unoccupied 60 or more consecutive b. 10 days before the effective date of days. This does not apply to: cancellation if we cancel for nonpayment (a) Seasonal unoccupancy; or of premium. (b) Buildings in the course of c. 30 days before the effective date of construction, renovation or cancellation if we cancel for any other addition. reason. Buildings with 65% or more of the rental 3. We will mail or deliver our notice to the first units or floor area vacant or unoccupied are Named Insured's last mailing address known to considered unoccupied under this us. provision. 4. Notice of cancellation will state the effective (2) After damage by a Covered Cause of date of cancellation. The policy period will end ,,,••,: Loss, permanent repairs to the building: on that date. (a) Have not started; and 5. If this policy is canceled, we will send the first (b) Have not been contracted for, Named Insured any premium refund due. Such �;i within 30 days of initial payment of refund will be pro rats. The cancellation will be loss. effective even if we have not made or offered a refund. (3) The building has: g. If notice is mailed, proof of mailing will be (a) An outstanding order to vacate; sufficient proof of notice. (b) An outstanding demolition order; or T. If the first Named Insured cancels this policy, (c) Been declared unsafe by we will retain no less than $100 of the governmental authority. premium. (4) Fixed and salvageable items have B. Changes been or are being removed from the This policy contains all the agreements between building and are not being replaced, you and us concerning the insurance afforded. This does not apply to such removal The first Named Insured shown in the Declarations that is necessary or incidental to any is authorized to make changes in the terms of this renovation or remodeling. policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. Form SS 00 05 12 06 Page 1 of 3 0 2006, The Hartford COMMON POLICY CONDITIONS C. Concealment, Misrepresentation Or Fraud I. Premiums This policy is void in any case of fraud by you as it 1. The first Named Insured shown in the relates to this policy at any time. It is also void if Declarations: you or any other insured, at any time, intentionally a. Is responsible for the payment of all conceal or misrepresent a material fact concerning: premiums; and 1. This policy: b. Will be the payee for any return premiums 2. The Covered Property; we pay. 3. Your interest in the Covered Property; or 2. The premium shown in the Declarations was 4. A claim under this policy, computed based on rates in effect at the time D. Examination Of Your Books And Records the policy was issued. If applicable, on each renewal, continuation or anniversary of the We may examine and audit your books and records effective date of this policy, we will compute the as they relate to the policy at any time during the premium in accordance with our rates and rules policy period and up to three years afterward. then in effect. E. Inspections And Surveys 3. With our consent, you may continue this policy We have the right but are not obligated to: in force by paying a continuation premium for 1. Make inspections and surveys at any time; each successive one-year period. The premium must be: 2. Give you reports on the conditions we find; and a. Paid to us prior to the anniversary date; and 3. Recommend changes. b. Determined in accordance with Paragraph Any inspections, surveys, reports or 2. above, recommendations relate only to insurability and the Our forms then in effect will apply. If you do premiums to be charged. We do not make safety not pay the continuation premium, this policy inspections. We do not undertake to perform the will expire on the first anniversary date that we duty of any person or organization to provide for the have not received the premium. health or safety of any person. And we do not represent or warrant that conditions: 4. Changes in exposures or changes in your 1. Are safe or healthful; or business operation, acquisition or use of locations that are not shown in the Declarations 2. Comply with laws, regulations, codes or may occur during the policy period. If so, we standards. may require an additional premium. That This condition applies not only to us, but also to any premium will be determined in accordance with rating, advisory, rate service or similar organization our rates and rules then in effect. which makes insurance inspections, surveys, reports J. Transfer Of Rights Of Recovery Against Others or recommendations. To Us F. Insurance Under Two Or More Coverages Applicable to Property Coverage: If two or more of this policy's coverages apply to the If any person or organization to or for whom we same loss or damage, we will not pay more than the make payment under this policy has rights to actual amount of the loss or damage. recover damages from another, those rights are G. Liberalization transferred to us to the extent of our payment. That If we adopt any revision that would broaden the person or organization must do everything coverage under this policy without additional necessary to secure our rights and must d❑ nothing premium within 45 days prior to or during the policy after loss to impair them. But you may waive your period, the broadened coverage will immediately rights against another party in writing: apply to this policy. 1. Prior to a loss to your Covered Property. H. Other Insurance -Property Coverage 2. After a loss to your Covered Property only if, at If there is other insurance covering the same loss or time of loss, that party is one of the following: damage, we will pay only for the amount of covered a. Someone insured by this insurance; loss or damage in excess of the amount due from b. A business firm: that other insurance, whether you can collect on it or not. But we will not pay more than the applicable (1) Owned ❑r controlled by you; or Limit of Insurance. (2) That owns or controls you; or Page 2 of 3 Form SS 00 06 12 06 COMMON POLICY CONDITIONS c. Your tenant. L. Premium Audit You may also accept the usual bills of lading or a. We will compute all premiums for this policy in shipping receipts limiting the liability of carriers. accordance with our rules and rates. N This will not restrict your insurance. b. The premium amount shown in the Declarations K. Transfer Of Your Rights And Duties Under This is a deposit premium only. At the close of each o audit period we will compute the earned o Policy premium for that period. Any additional Your rights and duties under this policy may not be premium found to be due as a result of the transferred without our written consent except in the audit are due and payable on notice to the first case of death of an individual Named Insured. Named Insured. If the deposit premium paid If you die, your rights and duties will be transferred for the policy term is greater than the earned to your legal representative but only while acting premium, we will return the excess to the first within the scope of duties as your legal Named Insured. representative. Until your legal representative is c. The first Named Insured must maintain all appointed, anyone having proper temporary custody records related to the coverage provided by this of your property will have your rights and duties but policy and necessary to finalize the premium only with respect to that property. audit, and send us copies of the same upon our request. Our President and Secretary have signed this policy. Where required by law, the Declarations page has also been countersigned by our duly authorized representative. c-- ?�-i Kevin Barnett,secretary M. Ross Fisher,President %1'st Form SS 00 06 12 06 Page 3 of 3 N g POLICY NUMBER: 83 SBM Ux5025 V 0 N THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. s 0 0 P ADDITIONAL, INSURED - MANAGER/LESSOR THE CITY OF KENT PUBLIC WORDS ENGINEERING 222 FOURTH AVE. SC. KENT WA 98032 i>» EE Form IH 12 00 11 85TSEQ.NO. 002 Printed in U.S.A. Page 001 Process Date: 0 810 412 3 Expiration Date: l 110112 4 INSURED COPY 0 THE ARTFORD a 4 Named Insured: ARNOLD TOKILC DBA A & N Policy Number: 63 SBM UK5025 Effective Date: 11/01/23 Expiration Date: 11/01/24 Company Name: HARTFORD CASUALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE DR ECONOMIC SANCTIONS ENDORSEMENT This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to,the payment of claims. All other terms and conditions remain unchanged. Form IH 99 41 04 09 Page 1 of 1 7o help your Insurance keep pace with increasing costs, we have increased your amount of insurance . . . giving you better proloctlon In case of ellher a parlia1,or fatal loss to your property. if you feel the new amount is not the proper one, please contact your agent or broker. Form PC-3740 Printed In U.S.A. In accordance with the Treasury's procedures, would othciwriu be excluded under this Coverage amounts paid for losses may be subject to further Form, Coverooe Part or Policy, such as losses adjustments based on differences between actual excluded by any pollution, pathogenic, nuclear tosses and estimates, hazard or war exclusions which may be included on E. Application of Other Exclusions this Policy. The terms and limitations of any terrorism exclusion, F. All other terms and conditlons remain the same the inapplicability or omission of a terrorism exclusion, or the inclusion of terrorism coverage, do not serve to create coverage for any loss which Page 2 of 2 Form S5 83 76 12 20 ►' POLICY NUMBER: 72 S€iM UtC5025 All THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSt,11RE REQUIREMENTS OF THE 'TERRORISM RISK INSURANCE ACT. DISCLOSURE/CAP ON LOSSES .. TERRMSM MSK INSURAiNCE ACT SCHEDULE Terrorism Prernium: $ $5.i74 United States or to influence the policy of A, Disclosure of Premium affect the conduct of the United States In aiccordanct, with ttie fe(lel-Eil Terror-Isla Risk Government by coercion inr;uratnce Act. as nmendetl ['fruit}, vie aattl MgUired to provitle you with a notice disclosir►y Wo portiola cif c. Disclosure Of Federal Share of Terrorism ycxr( pOMiLiin, if any, '1111ribolahle to wvoraqu for Losses "certified acts of lerrorisol" ulidef TRW The portir.11 The United States Department of the Treasury will of your premium attribulalble to terrorism coverage is reimburse insurers for BOOK) of i(IsLIred losses shown in the above Schodule of this endof%orilent, altr-ilyutAble to "rLertificd arts of terrorisi►i" uilClt'r l�`;'; :. B. The following definition is added with respect to the 1'RIA that exceeds the appGcalsle insurer tleductiblr). ; 3'1 provisions of this endorsement I-lowever, if aggregate industry insured ions"'; 1. A"cerlifietl acl of terrorism,, rriefuis an act that is attributable to "certified acts of terrorism" urrde:r l' certified by tht: Secretauy of the Treasufy, in TRIA exceed $100 billion in a calendar year, the accordance with the provisiolis of TRIA. to be an Treasury shall not matte any payinent (or any portion ac! of terrori;in under TRIA. 'file criteria of ihw, amount of such losses that exceeds $100 contained in TRIA for a"certified act of terrorism" billion. The United States government has not include the following: charged any premium for their participation in a. The act results in insured losses in excess of covering terrorism losses $5 million in the aggregate, attributable to all D. Cary On insurer Liability For Terrorism Losses types of insurance subject to TRIA; and it aggrr ants, industry Insufc-d tosses attributable to b. The act results in damage within the United I.Cortified arts of ierrnrisrn" under TRIA exceed $100 Slates. or outside the United Status in the Million in al calendar year cued we have met, or will case of certain air carriers or vossels or the meet, Our insurer deductible under TRIA, we, droll premises of an United States mission; and ijoi lye liable for the payfnent of any Pnrtion of lilt: c, The act is a violent act or an act that is aunount of such lasses that exWscl n'I00 1)"1t011. 111 dangerous to human life; property or such case, your coverage for terrorism losses may infrastnicture and is committed by an be reduced on a pro-rats basis in accordance with individual or individuals as part of an effort to procedures established by the Treasury, based on its coerce the civilian population of the estimates of aggregate industry lasses and our estimate that we will exceed our Insurer deductible. Page 1 of 2 Forrn S5 83 rti 12 20 2020,The Hartford [Includes copyrighted material of Insurance Services office, Eric., with its permission} r�lll: . Named Insured, ARNOLD TOXAC DHA A &L 9 Policy Number: 72 SBM UY,5025 Effective Date: 11/01/2 2 Expiration Date'. 11/01/2 3 Company Name: HARTFORD CASUALTY INSURANCE COMPANY THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT This insurance does not +la;liy to the extr;nt that uncle ar c wflomic sanctions or ut1wr laws or regulations prohibit us from providing in51.1rance, inchiriing,but riot limited to.the payment of CWITIs All other terms and conditions remain unchanged- : I" Form IH 99 41 04 09 Page i of 1 I i L'ti�J THiS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GOODS AND SERVICES ENDORSEMENT WASHINGTON This endorsement modifies insurance provided under all Coverage Paris of this Policy. We may offer or make "goods Of s0lvices' available Io you through it,is unourwaling coinimilY. 3 rroiy insult;r stibsidlary, Or rlf}affilialted third parties as ai part of this policy. 1 lle "griocis or services" nialy he pravicic:d fof al chalgo, at a discount. oil ri basis, of free of Charge. ill sonle c:.:a:BS. M."may f[r[:rrivt: a fee. froal cxi[l�stlt;r tnriffilialed third par'lies lh."d provide "goods 01, services". We (lo not walfrarnt or guarasttlee the "g r,c.rv9Ges" tifovidF:d try iflir[I fxalllig:g, anrt such Third I)attir•s shall he Solely lialbla rind responsible rot' the "goods nr of services" they provider The "goody or srr'vic:>r5" offtsrrjil ororn'rade; available by in; may Ix: lrur[lifirx! discontinued al any time. This endOrsefrient is stoject to RGW 413.30.1500)(6), which prohibits insurance companies from fuuviding prijes, goads, wares, gift cards, gift c ortificates, cif twgchandise of an aggregate value in ext:ess of `i,wo per persnii in 113e 099rrctate ill aniy cnnsr:clllive iwc:lvc:-lllr�nfh period. "Goods or services" means goods, products of services, including but not limited to risk rnitigation, safety, and)or loss prevention services or etluipmant yll: IH 11 l]T 02 21 Page 1 ❑f 1 2021,The Hartford POLICY NUMBER:72 SBm uK5025 ; THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUDITIONAL INSURED - KMAGERILESSOR THE crry OF XENT PUBLIC WORKS ENGINEERING 222 FOURTH AVE. SO. Klm wA 96032 Form IH 12 Do 11 85 T SEG.NO. 002 Printed in U.S.A. Page 00 Expiration❑ats: 111fl1123 Process Date: 09/19/22 INSURE❑ COPY COMMON POLICY CONDITIONS c. Your tenant. L. Premium Audit Yotr may also accept the usual bills of lading or a. We will compute all premiums for this policy in accordance with our rules and rates. shipping receipts limiting the liability of carriers. This will not fBstrlCt yOUI insurance. b. fh[- IX01►li'll"Mytt)(IF11 "llown in the D(Iclaraholls is�► deposit prcrmillrn only. At the close:of Wich K. Transfer of Your Fights And Duties tinder This airriit perirsCE w[: wilE GUrrlll�IEt., ll►r, same[! Policy premium ful that pofiod. Any aldditicnl.li Your rights and duties under this policy may not be promium fourlr.l 1rl Ile title gS a MWlt of ills transferred without our written consent except in the jl(l{lil arrr: duly and pay,)hlu 011 ltntice to llu: hint case of death of an individual Named Insured. Nanwitl Illsul•ed. If the dapollit 1)rr;rlliurl► p:licl If you die, your rights and duties will be transferred for the policy term is greater Char► the earned to your legal ropreserltative but Only whit[: acting premium, we will return the excess to the first within the scope of duties as your legal Named Insured. representative. Until your legal representative is c• The first Named Insured must maintain all appointed, anyone having prosper temporary custody records related to the coverage provided by this of your {property will have your rights arld duties but policy and necessary to finalize the prernlum only with respect to that property• audit, and send us copies of the same upon our request. Our President and Secretary have signed this policy. Where required by taw, the Declarations page has also been countersigned by our duly authorized representative. A f' f • c . �:, t Kevin Barnett,secretary oougtas Elliot.President ;Ml• Ik� Form SS 00 06 12 06 Page 3 of 3 COMMON POLICY CONDITIONS C. Concealment, Misrepresentation Or Fraud L Premiums This policy is void in any case of fraud by you as it 1. The first Narned Insured shown in the relates to this policy at any tinre. It is also void if Declarations: You or any other insured, at any time, intentionally a, is responsible for the paymetrt of all conceal or misrepresent a material fact concerning: premiums', and This policy; b. Will be the payee for any return premiums 2. The Covered Property; we pay. 3. Your interest in the;Covered Property;or 2. The premium shown in the Declarations was 4. A claim under this policy. computed based on rates in effect at the tune D. Examination Of Your Books And Records the policy was issued. If applicable, on each renewal, continua#inn or anniversary of the We may examine and audit your books and records effective:date at lhis polir;y,we will compute:the as they relate to the policy at any (line during the premium in accordance with our rates and rules policy period and up to three years afterward, then in effect. E. Inspections And Surveys 3. Wilt( our consent, you may continue this policy We have the right but are not obligated to: in farce by paying a continuation premium for each successive One:-year period, The premiurn 1. Make inspections and surveys at any time; must be: 2. Give you reports on the conditions we find; and a. Paid to us prior to the anniversary date; and 3. Recommend changes. b. Determined in accordance with Paragraph Any inspections. surveys, reports ar 2. above. rr:rxarruru:trdaalions relate: only to insurability and tiro Our forms tlien in effect will apply. it you do Prernirrnrs to ho chanted. We do not make safely not pay the continuation premium, this policy ilisprar.(ions, WO cto not undertake to perform thn will expire oil the first anniversary date (flat we duty of any perseatr Of nrctanizatinn to prnvielc foI the have not received the premium. 110'alllr rrr safcsty of any per;;on- And we do not represent or warrant that conditions: 4. Changes in exposures or changes in your business operation, acquisition or use of 1. Are safe or healthful; or locations that are not shown in the Declarations 2. Comply with laws, regulations, codes or may occur during the policy period. If so, we standards. may require an additional premiurn, That This c ollditioer applies(rot only to us, hill akm to ally premium will be determined in accordance with latirrtJ, advisory. inles services or similar organization our rates and rules then in effect. which=Macke:;irrsuraiwe: frrspections, survey;, rupprts J. Transfer Of Rights Of Recovery Against Others car rr�c:orrrnrGnrfalirrrr:s• To Us F. Insurance Under Two Or More Coverages Applicable to Property Coverage: If two or more of this Policy's coverages. pply to the if any person or organization to or for whom we :,rune loss or damage, we will not pay more than the make payment under this policy has rights to actual amount of the loss or damage. recover darnages frarrl arsolher, those rights are O, Liberalization transferred to its to the extent of our paaymenl. That If we adopt any revision that would broaden the person or organization must do everything coverage under #h15 necessary to secure: o(tr rights and must eto not Ilinq €3 policy without additional after loss 1a 'impair them. But you may waive your pn�r rri urn within 45 datys prior to or during the policy after against another party in writing- poi lent, the broade�nod coverage will immedkilely apply to this policy. i. Prior to a loss to your Covered Property. H. Other Insurance-Property Coverage 2. After a loss to your Covered Property only if, at If th,•rre is other hisura nco covering the same 1w;n or time of loss, that party is one:of the following: da in age,, we will pray only for the amount of cove:seef a. Someone insured by this insurance; loss or damage in excess of the amount due from lb. A iausiness firm: that other Insurance, whether you can collect oil it or not. Out we will not pay more than the applicable t11 Awned or controlled by you-,or Limit of f:tserrance. (2) That owns or controls you; or Page 2 of 3 Fort" SS 00 05 12 06 :1v COMMON POLICY CONDITIONS All coverages of this policy are subject to the following condilions. ( A. Cancellation 5) Failure to: a Furnish necessary heat, water, 1. The first darned Insured show) in the (a) ectricity far 30Declarations may cancel this policy ny mailing consecutive days sewer service or el more, except or defivciing to us advance written notice of during a period of seasonai cancellation. unaccupancy,or 2. We may cancel this policy by mailing or delivering to the fir m h first Named insured written [try Pay a taxes are owing notice of cancellation at leas(: and have e been outstanding for mare than one year following the a. 5 days before the effective date of date due, except that this provision cancellation if any one of the fniluwing will not apply where you are in a conditions exists at any building that is bona fide dispcite with the taxing Covered Property in this policy: authority regarding payment of (1) The building has been vacant ar such taxes. unoccupied 60 or more consecutive b 10 days before the effective date of days.This does not apply to: cancellation if we. cancel for nonpayment (a) Seasonal unoccupancy; or of premium. (b) Buildings in the course of c. 30 days before the effective date of colistruction, renovation or cancellation if we cancel for any other addition. reason. Buildings with 65% or more of the rental 3. we wilt mail or deliver our notice to the first units or floor area vacant or unoccupied are Warned Insured's fast mailing address known to considered unoccupied under this us. provision. 4. Notice of cancellation will state the effective (2) After damage by a Covered Grmsv of date of cancellation- The policy period will end t.iyss, permanent repairs to the b lildiltg: on that date. (a) Have not stalled; and S. if this {policy is canceled, we will send the first (b) Have not been contracted for, Named Insured any premium refund due. Such refund will be pro rats. The cancellation will be within 30 days of initi3i payment of effective even if we have not made or offered loss- a refund. (3) The building has: 6. if notice is mailed, proof of mailing will be (a) An outstanding order to vacate; sufficient pf❑cif of notice. (b) An outstanding demolition order; or 7. if the first Named Insured cancels this policy, (c) Been declared unsafe by we will retain no less than $100 of the governmental authority. premium. (4) Fixod and salvayeable items have D' Fh 5 p ngo cy contains all the agreements between been or are being i-emoved from the building and are not being replaced. you and us concerning the insurance afforded. This does riot apply to such removal The first Named Insured shown in the Declarations that is necessary or incidental to any is authorized to make changes in the terms or this renovation of remodeling. policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. Form sS 00 05 12 06 Page 1 of 3 � 02405,The Hartford QUICK REFERENCE - SPECTRUM POLICY DECLARATIONS and COMMON POLICY CONDITIONS I. DECLARATIONS Named Insured and Mailing Address Policy Period ❑escription and Business Location Coverages and Limits of Insurance II. COMMON POLICY CONDITIONS Beginning on Page A. Cancellation q B. Changes 1 C. Concealment, Misrepresentation or Fraud 2 D. Examination Of Your Books And Records 2 E. Inspections And Surveys 2 F. Insurance Under Two Or More Coverages 2 G. Liberalization 2 N. Other Insurance- Property Coverage 2 I. PrerniUMS 2 J. Transfer Of Rights Of Recovery Against Others To Us 2 K. Transfer Of Your Rights And Duties Linder This Policy 3 L. Premium Audit 3 Form SS 00 05 12 06 COMMON POLICY CONDITIONS Farm SS 00 05 12 06 0) 2006, The Hanford SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 'l2 sBm (j)(5025 SUPPLEMENTAL DECLARATIONS: A service i e of $ 6 .ur)is charged for each installment when your premium is paid in installrnents. Tile service fee is $ 6 .00 per withdrawal when you select an electronic fund transfer payment plan. The service fee will be added to tine premium amount shown on your premium billing statement. Farm SS 00 45 12 06 Policy Expiratevn Date: 1 1 101 l 2 3 Process mate: 09/19/2 2 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 72 SBH UK5025 Form Numbers of Forms and Endorsements that apply: SS 00 01 03 14 SS 00 05 12 06 SS 00 0B 04 05 SS 00 45 12 06 SS 00 64 09 16 SS 01 28 05 17 SS 01 70 09 09 SS 89 93 07 16 SS 00 60 09 15 SS 41 02 04 05 SS 41 63 06 11 SS 05 03 03 00 SS 05 47 09 15 SS 51 10 03 17 1H 12 07 02 21 SS 09 01 12 14 SS 09 25 12 14 SS 09 67 09 14 SS 09 70 12 14 SS 09 71 12 14 SS 10 04 09 98 SS 12 15 03 00 IH 99 40 04 09 IH 99 41 04 09 SS 83 76 12 20 IH 12 00 11 85 ADDITIONAL INSURE❑ - MANAGERILESSOH Form 55 00 02 12 06 Page 006 Process Date: 09/19/22 Policy Expiration Date: 11/01/23 SPECTRUM POLICY DECLARATIONS (COI1tinued) POLICY NUMBER: 72 SRM UK5025 ADDITIONAL INSUREDS: THE FOLLOWING ARE ADDITIONAL INSUREDS FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDINC; 001 TYPE MANA(;XR LESSOR N"m $F.z FORM IN 12 40 r"r Form SS 00 02 12 QF Page 005 (CONTINUER ON NEXT PAGE) Process Date: 09119122 Policy Expiration Date: 11/0/123 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: '72 SFiT4 UK5025 BUSINESS LIABILITY OPTIONAL COVERAGES LIMITS ❑F INSURANCE (Continued) KMPLO` ERS LIABILITY AND STOP C XXI BODILY INJURY BY ACCIT,}n`rr MACH ACCIDENT $1,000, OOD BODILY IN-)'EntY 15Y DISEASE EACH ZKP LdYEH,' $1,000,000 BODILY INJURY BY DXSZASa POLICY LIMIT $1,000,000 APPLICAHLL TO LOCA' TONS IN THE 10LI,0Wxua S'I'ATZ(S) WASHINGTON WAIVER OF titi'ORO UATION: FORM SS 12 15 LOCATION. 001 BUILDING. 001 NAM: Ir ANY Form SS 00 02 12 06 Page 004 {C0D3FINUCD 014 NEXT PAGE) Process fate: 09/19/22 Policy Expiration Date: 11/01/23 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER: 72 SBM UK5025 BUSINESS LIABILITY LIMITS OF INSURANCE LIABILITY AND MEDICAL EXPENSES ;2,000,000 MEDICAL EXPENSES -ANY ONE PERSON $ 10,000 PERSONAL AND ADVER-risiNG INJURY $2,000,000 DAMAGES TO PREMISES RENTED TO YOU 300,000 ANY ONE PREMISES AGGREGATE LIMITS $4,000 000 PRODUCTS-COMPLETED OPERATIONS GENERAL AGGREGATE $4,000,000 EMPLOYMENT PRACTICES LIABILITY COVERAGE: FORM SS 09 01 EACH CLAIM LIMIT $ 5, DOD DEDUCTIBLE-EACH CLAIM LIMIT NOT APPLICABLE AGGREGATE LIMIT $ 5,000 RETROACTIVE DATE:11012005 This Employment Practices Liability Cczveracic c:orztain i c.laiaiis made coverage. Except as may be otherwise pravid�:d h�:+'ern, spr.cifir:ct rnvr�rcules of lhis ii�suraurce are limited goti golly to liability for i3tija:rikas for which cla tars ore first made .rrlri+nst Itle irtsurCri while the insurance is ir, forCe PfcasF: read aoad review the itisrsrance cart?iriily acid discuss the coverage with yaur l-ariford Agent or Broker. The Limits of Insur!a0ce stated in this Declarations)silt be reduced, and may he completely exhausted, by the payment of "defense expense" and, ill such event, The Company will not be obligated to pay any further "defense expense" or sums which the insured is or omy becorne legally obligated to tray as"damages". BUSINESS LIABILITY OPTIONAL CQVFRA(,ES HIREl31NON-OWNED AUTO LIABILITY $2,000,000 FORM: SS 01 70 Form SS 00 02 12 06 Page 003 (CONTINUEL) ON NEAT PAGE) Process Date: 09/19/22 Policy Expiration Date: 11101 /23 SPECTRUM POLICY DECLARATIONS (Continued) POLICY NUMBER.: 72 SBM UK5025 Lovation(s), Building(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number below. Location: 001 Building: 001 18119 N.E. 30TH STREET REDMOND WA 95052 Description of Business: REAL .ESTATE APPRAISER Deductible: NO COVERAGE BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE BUILDING NO COVERAGE BUSINESS PERSONAL PROPERTY REPLACEMENT COST NO COVERAGE PERSONAL PROPERTY OF OTHERS REPLACEMENT COST NO COVERAGE MONEY AND SECURITIES INSIDE THE PREMISES NO COVERAGE OUTSTDE THE PREMISES NO COVERAGE Form SS 00 02 12 06 Page 002 (CONTINUED ON INERT PAGE) Process Date: 0 9/19/22 Policy Expiration date: 1110112.3 25 This Spectrum Policy consists of the ueciamumis,t.uvaidya—1 vVtI—IV,I I - _-.- --..- 50 other Farms and Endorsements issued to be a part of the Policy. This insurance is provided by the stork UK insurance company Of The Hartford Insurance Group shown below. 5SMli✓ INSURED: HARTFORD CASUALTY INSURANCE COMPANY ONE HARTFORD PLAZA, HAR'PFORD, CT 06155 COMPANY CODE: 3 Policy Number: *12 SBM UK5025 DX ��ARI SPECTRUM POLICY DECLARATIONS ORIGINAL Named Insured and Mailing Address: ARNOLD TOMAC DSA A & M (No., Street,Town, State,Zip Code) CONSULTING 18119 N.E. 30TH STREET REDMOND USA 98052 Policy Period. From 11/01/22 To 1-4101/23 1 YPI.Ak 12:01 a.m.,Standard time at your.nailing address shown above. Exception. 12 noon in New Ha1-11psijire Name of Agent/Broker: A7 GALLAGHER & CO INS ERKRS CA/PHS Code: 255202 Previous Policy Number: 72 SSM [FK5025 Named Insured is: INDIVIDUAL Audit Period: NON-AUDITABLE Type of Property Coverage: NONE InsuranCe Provided'. In return for the payment of the premium and soject to all of the terms of this palicy,we �sr.Iret°avitlt ys}u to frc'ovide ir}sur;�i�ce as stated in this polity. TOTAL ANNUAL PREMIUM IS: - $425 MP IN RECOGNITION OF THE KULTIPLE COVERAGES INSURED WITH THE HARTFORD, YOUR F . POLICY PREMIUM INCLUDES AN ACCOUNT CREDIT. Countersigned by 09/19/22 Authorized Representative Date Form SS 00 02 12 46 Page 001 =CL)UrINUE:II raN N1{1. 11` PAG'Et Process Date: 09/19/22 policy Expiration Date: 11/01/23 INSURED COPY