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CAG2023-489 - Amendment - #2 - Smith Fire Systems, Inc - Fire Protection and Fire/Security Monitoring - 8/1/23
FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Af/ Agreement Routing Form Dir. Assist: 44— KP • For Approvals,Signatures and Records Management KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover WASHINcroN Sheet forms. Dir/Dep Dill-: Originator: Department: Leah Bryant Parks, Recreation & Community Services Date Sent: Date Required: > 08/29/2024 09/5/2024 0 CL Authorized to Sign: Date of Council Approval: QDirector or Designee NA Budget Account Number: Grant? Yes WINo 54006940.64190.5800 Budget?w]YesEl No Type: N/A Vendor Name: Category: Smith Fire Systems, Inc Contract Vendor Number: Sub-Category: = 67830 Amendment 0 y g Services Fire Protection & Fire/Security Monitoring Project Name: 1.1. Project Details:This amendment extends the agreement for an additional year at the year 4 0 = pricing as outlined in attached Exhibit A. c a� Agreement Amount: $41 277.45 Basis for Selection of Contractor: Other `Memo to Mayor must be attached Start Date: 8/1/2023 Termination Date: 7/31/2025 Im Q Local Business?F--]YeslzNo* If meets requirements per KCC3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:Yes In-Process Exempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: F—lYesONo CAG2023-489 Comments: im Amendment #2 c a� H •� i N 3 f0 C V1 Date Routed to the City Clerk's Office: 9/9/24 ,c«w»373__,0 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20210513 • KENT WASHINGTON AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: Smith Fire System, Inc CONTRACT NAME & PROJECT NUMBER: Fire Protection & Fire/Security Monitoring Services ORIGINAL AGREEMENT DATE: 9/19/2023 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: This amendment extends the agreement for an additional year at the year 4 pricing as outlined in attached Exhibit A. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $44,057.87 including applicable WSST Net Change by Previous Amendments $561.51 including applicable WSST Current Contract Amount $44,619.38 including all previous amendments Current Amendment Sum $41,408.00 Applicable WSST Tax on this $869.45 Amendment Revised Contract Sum $86,896.83 AMENDMENT - 1 OF 2 Original Time for Completion 7/31/2024 (insert date) Revised Time for Completion under NA prior Amendments (insert date) Add'1 Days Required (f) for this 365 calendar days Amendment Revised Time for Completion 7/31/2025 (insert date) The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. CONSULTANT/VENDOR: CITY OF KENT: Josh 6odi�q By:Josh Gooding(Sep 6,2024 :55 PDT) By:hli arascondola(Sep 6,202422:35 PDT) Print Name:Josh Gooding Print Name: Julie Parascondola Its Operations Manager ITM/FA Its: Director-Parks DATE: Sep 6,2024 DATE: Sep 6,2024 ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent City Clerk Kent Law Department AMENDMENT - 2 OF 2 Exhibit A CITY OF KENT SCOPE OF WORK COMPANY NAME&CONTACT: Smith Fire Systems-Elora Hale Date:6/14/2024 CENTENNIAL CENTER 400 W.GOWE NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing(WORK TO BE PERFORMED ON A SATURDAY)FP 42 ANNUAL-DUE SEPT 1069 15 1169 17 621.31 94 794 97 Confidence Testing-3 TIMES PER YEAR,TEST 15% QUARTERLY 1416 0 1617 0 1863.92 0 2013 0 BackFlow Devices 3 Annual 282 0 290 0 190.80 0 206 0 Vault Underground Confined Space 1 1 Annual 1 188 1 0 1 193 1 0 1 127.20 1 0 1 137 1 0 Wet System 2 Annual 188 7.5 193 8.5 318.01 47 405 1 49 Dry System-Generator Building 1 Annual 188 7.5 193 8.5 318.01 47 405 49 Stand Pipe(INSPECT ANNUALLY/MAINTENANCE DUE 2023)4 STORY 1 Insp Annual 188 15 280 17 5108.00 94 317 97 TOTAL 3981 45 4397 51 9009.24 282 4739 292 A FOR SAT INSP $ 5,031.00 CENTENNIAL CENTER GARAGE 400 W.GOWE NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES FEE FEE FEE YEAR FEE DESCRIPTION FREQUENCY Stand Pipe-Dry(INSPECT ANNUALLY/MAINTENANCE DUE 2020) 1 Insp Annual 188 15 193 17 190.80 94 206 97 TOTAL 188 15 193 17 190.80 94 206 97 S 303.00 CITY HALL 220 Fourth Avenue South NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PR EICE ARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing(WORK TO BE PERFORMED ON A SATURDAY)FP 254 ANNUAL-DUE SEPT 1151 15 1185 17 3424.81 94 3698 97 BackFlow Devices 2 Annual 1 188 0 193 0 127.20 1 0 1 137 0 Stand Pipe-Dry(INSPECT ANNUALLY/MAINTENANCE DUE 2020)4 STORY 1 Insp Annual 188 15 280 17 190.80 94 206 97 TOTAL 1989 30 2120 34 4204.81 188 4503 194 $ 4,697.00 CORRECTIONS FACILITY 1230 SOUTH CENTRAL NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing FP 85 ANNUAL-DUE SEPT 1316 15 1355 17 1588.81 94 1715 97 BackFlow Devices 5 Annual 470 1 0 484 0 318.01 1 0 343 0 Vault Underground Confined Space 1 Annual 188 0 193 0 127.20 0 137 0 Wet System 1 Annual 188 7.5 193 8.5 254.41 47 274.5 48.5 Dry System 1 Annual 188 7.5 193 8.5 254.41 47 274.5 48.5 Hood 1 Semi-Annual 640 15 659 34 564.00 0 608 0 Pre-Action Fire Protection System 7 Annual 1316 0 1355 0 890.41 0 961 0 TOTAL 4768 45 4894 68 4459.24 188 4775 194 $ 4,969.00 CORRECTIONS ANNEX 8323 S 259TH NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing FP 33 ANNUAL-DUE SEPT 502 15 560 17 967.81 94 1045 97 TOTAL 964 15 1022 17 1429.81 94 1507 97 $ 1,604.00 MUNICIPAL COURT 1220 CENTRAL AVENUE SOUTH NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Security Monitoring(Subject to WSST) 1 Monthly 264 0 264 0 264.00 0 264 0 Confidence Testing FP(HORNS&STROBES AT 6:30 A.M.) 28 ANNUAL-DUE SEPT 998 1 15 1027 17 868.81 1 94 1 938 97 Wet System 1 Annual 188 15 193 17 1 190.80 94 206 97 TOTAL 1912 30 1946 34 1785.61 188 1870 194 $ 2,064.00 COMMONS 525 4TH AVENUE NORTH NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRYEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Security Monitoring w/opening&closing information(Subject to WSST) 1 Monthly 330 0 330 0 330.00 0 330 0 Confidence Testing FP(HORNS&STROBES AT 6:30 A.M.) 188 ANNUAL-DUE SEPT 1009 15 1039 17 2515.81 94 2717 97 Backnow Devices 3 Annual 282 0 290 0 1 190.80 0 206 0 Wet System 1 Annual 197 15 202 17 1 190.80 94 206 97 Vault 1 Annual 188 0 193 0 127.20 0 137 0 TOTAL 2468 30 2516 34 3816.61 188 4058 194 $ 4,252.00 SENIOR CENTER 600 E.SMITH NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Security Monitoring w/opening&closing information(Subject to WSST) 1 Monthly 330 0 330 0 330.00 0 330 0 Confidence Testing FP(HORNS&STROBES AT 6:30 A.M.) 29 ANNUAL-DUE SEPT 893 15 919 17 904.81 94 977 97 BackFlow Devices 2 Annual 188 0 193 0 127.20 0 137 0 Vault Underground Confined Space 1 Annual 188 0 193 0 127.20 0 131 0 Wet System 1 Annual 188 15 193 17 190.80 94 206 97 Hood 1 Semi-Annual 750 15 772 34 1199.70 0 1294 0 TOTAL 2999 45 3062 68 3341.71 188 3543 194 $ 3,737.00 RIVERBEND 18 HOLE CLUBHOUSE 2019 WEST MEEKER NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES FEE FEE FEE YEAR FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Security Monitoring 1 Monthly n/a 0 n/a 0 n/a 0 0 Security Monitoring w/opening and closing information(Subject to WSST) 1 Monthly 330 0 330 0 330.00 0 330 0 Security Monitoring Pro Shop 1 Monthly 36 0 36 0 n/a 0 0 Confidence Testing FP 49 ANNUAL-DUE SEPT 768 15 791 17 967.81 94 1045 97 Backflow Devices 4 Annual 282 0 290 0 63.60 0 68 0 Hood 1 Semi-Annual 884 15 910 34 678.72 0 798 0 TOTAL, 2726 30 2783 51 2502.13 94 2703 97 $ 2,800.00 DRIVING RANGE 2020 WEST MEEKER NUMBER 2021 PSRFA 2022 PSRFA 2023 PSRFA ANNUAL PSRFA OF FEE FEE FEE PRICE 4TH FEE DEVICES YEAR DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Security Monitoring w/opening and closing information(Subject to WSST) 1 Monthly 330 0 330 0 500.00 0 500 0 Backflow Devices 2 Annual 188 0 193 0 127.20 0 0 0 Backflows removed Confidence Testing FP 21 ANNUAL-DUE SEPT 442 1 15 455 17 742.81 94 802 97 TOTAL 1422 15 1440 17 1832.01 94 1764 97 $ 1,861.00 POLICE DEPARTMENT 220 Fourth Avenue South NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE 4TH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing FP(HORNS&STROBES AT 6:30 A.M.) 89 ANNUAL-DUE SEPT 642 15 661 17 1237.81 94 1336 97 Backfl ow 3 Annual 282 0 290 0 190.80 0 206 0 Wet System 1 Annual 188 15 193 17 190.80 94 206 97 Underground Vault Confined Space 1 Annual 188 0 1 193 1 0 1 12Z20 0 137 0 2 30 1799 34 2208.61 188 2347 194 TOTAL 17� $ 2,541.00 PUBLIC WORKS OPERATIONS 5821 S.240- NUMBER 2021 PSRFA 2022 PSRFA 2023 PSRFA ANNUAL PSRFA OF FEE FEE FEE PRICE 4TH FEE DEVICES YEAR DESCRIPTION FREQUENCY Backflow Devices 2 Annual 564 0 580 0 12T20 0 137 0 Panic Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Dry Chemical Booth 2 Semi-Annual 905 15 932 34 1171.02 0 1264 0 TOTAL 1931 15 1974 34 1760.22 0 1863 0 $ 1,863.00 PUBLIC WORKS PUMP STATION 5 23825 98TH AVE S NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES FEE FEE FEE YEAR FEE DESCRIPTION FREQUENCY Wet System 1 Annual 188 15 193 17 190.80 94 206 97 BackFlow Devices 2 Annual 188 0 193 0 254.41 0 274 0 Vault 1 Annual 188 0 193 0 127.20 0 137 0 TOTAL 564 15 579 17 572.41 94 617.00 97 S 714.00 EAST HILL PUMP STATION SE 248TH AND 108TH SE NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE TH PSRFA YEAR FEE FEE FEE FEE DESCRIPTION FREQUENCY Wet System 1 Annual 188 15 193 17 190.8 94 206 97 Backflow Devices 2 Annual 188 0 193 0 127.2 0 137 0 Vault 1 Annual 188 0 193 0 127.2 0 137 0 TOTAL 564 15 579 17 445.2 94 480 97 $ 577.00 WATER TREATMENT PLANT 9001 212TH STREET NUMBER 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Fire Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing FP 16 ANNUAL-DUE SEPT 188 15 193 17 69Z81 94 753 97 Backfl w Devices 2 Annual 188 0 193 0 127.20 0 137 0 Wet System 1 Annual 166 15 170 17 190.80 94 206 97 Underground Vault Confined Space 1 Annual 188 0 193 0 127.20 0 1 137 0 TOTAL 1192 30 1211 34 1605.01 188 1695 194 $ 1,889.00 LAGOONS ENGINEERING 22306 RUSSELL ROAD NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE YEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Security Alarm Monitoring -PHONE LINE(Subject to WSST) 1 Monthly 264 0 264 0 264.00 0 264 0 TOTAL 264 0 264 0 264.00 0 264 0 S 264.00 HISTORICAL SOCIETY 855 E.SMITH NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES YEAR FEE FEE FEE FEE DESCRIPTION FREQUENCY Security Alarm Monitoring-AES RADIO(Subject to WSST) 1 Monthly 462 0 462 0 462.00 0 462 0 Confidence Testing FP 1 ANNUAL 400 15 560 17 562.81 94 607 97 TOTAL 862 15 1022 17 1024.81 94 1069 97 $ 1,166.00 NEELY SOAMES HOUSE 5311 S.237TH PLACE NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE RYEARTH PSRFA FEE FEE FEE FEE DESCRIPTION FREQUENCY Backflow Devices 1 Annual 376 0 387 0 63.60 0 68 0 TOTAL 376 0 387 0 63.60 0 68 0 $ 68.00 NEW CONNECTIONS RENTAL PROPERTY 422 WEST TITUS STREET NUMBER 2021 2022 2023 ANNUAL OF DEVICES PSRFA PSRFA PSRFA PRICE 4TH PSRFA YEAR FEE FEE FEE FEE DESCRIPTION FREQUENCY Backflow Devices 1 Annual 376 0 387 0 63.60 0 68 0 TOTAL, 376 0 387 0 63.60 0 68 0 $ 68.00 GUIBERSON CORROSION SITE 515 KENNEBECK AVE NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES FEE FEE FEE YEAR FEE DESCRIPTION FREQUENCY Backflow Devices 2 Annual 188 0 193 0 127.20 0 137 0 Wet Sprinkler System 1 564 15 580 17 190.80 94 206 97 TOTAL 752 15 773 17 318.00 94 343 97 $ 440.00 CITY HALL ANNEX 302 W GOWE ST NUMBER 2021 2022 2023 ANNUAL OF PSRFA PSRFA PSRFA PRICE 4TH PSRFA DEVICES FEE FEE FEE YEAR FEE DESCRIPTION FREQUENCY Security Alarm Monitoring -CELLULAR(Subject to WSST) 1 Monthly 500.00 500 0 TOTAL 500.00 500 0 S 500.00 WSST on Monitoring Services Only Annual Price Including PSRFA Fee-2021 32,495 Annual Price Including PSRFA Fee-2022 33,945 Annual Price Including PSRFA Fee-2023 43,247.45' *include Syr maintenance at Centennial Center and City of Kent Compliance Engine rate increases Annual Price Including PSRFA Fee-4th Year S 41,408.00 Total-4 Years Includina PSRFA Fee $8524.00 Subject to WSST $41,408.00 + $869.45 (WSST) = $41,277.45 77/30/2024 (MM/DDYYY) A�" CERTIFICATE OF LIABILITY INSURANCE IY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Debra Powell Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 777 108th Ave NE A/C No Ext: 253-238-1151 A/C No):253-572-1430 #200 ADDRESS: Debra_Powell@ajg.com Bellevue WA 98004 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Navigators Specialty Insurance Company 36056 INSURED SMITFIR-01 INSURERB:Westfield Specialty Insurance Company 16992 Smith Fire Systems, Inc.1106 54th Avenue East INSURERC:Continental Western Insurance Company 10804 Tacoma WA 98424 INSURERD: HOMESITE INSURANCE COMPANY OF FLORIDA 11156 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:808684031 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IY LIMITS LTR INSD WVD POLICY NUMBER MM/DDYYY IY MM/DDYYY A X COMMERCIAL GENERAL LIABILITY Y LA23CGLZO69CHIC 11/2/2023 11/2/2024 EACH OCCURRENCE $1,000,000 Fv� DAMAGE TO CLAIMS-MADE OCCUR PREMISES (E.occur ante) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY jE LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: BI/PD Retention $10,000 C AUTOMOBILE LIABILITY Y CPA6052606-21 11/2/2023 11/2/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ D UMBRELLA LIAB X OCCUR Y CXP-025321-00$5MM Lead 11/2/2023 11/2/2024 EACH OCCURRENCE $5,000,000 B XSL-0000 1 HJ-02$5M XS$5M 11/2/2023 11/2/2024 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ A WORKERS COMPENSATION LA23CGLZO69CHIC 11/2/2023 11/2/2024 PER X OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER WA Stop Gap ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *10 days cancellation notice for nonpayment of premium/30 days cancellation notice for all other reasons. RE: The City of Kent is named as an additional insured with respects to the work performed by the named insured per a written contract agreement. Endts attached. Primary&Noncontributory verbiage is in favor of the additional insured per a written contract agreement regarding the General Liability,Automobile Liability and Excess Liability coverages. The Excess Liability coverage is"Follow Form"over the General Liability,Automobile Liability and Employer's Liability-Stop Gap Washington coverages. The Workers Compensation coverage is handled by the Department of Labor and Industries State Fund for the State of Washington due to Washington State being a monopolistic State. Aggregate per Project endt is applicable and attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Kent Parks&Recreation ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Leah Bryant 220 4th Avenue South AUTHORIZED R PRESENTATIVE Kent WA 98032 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: LA23CGLZO69CHIC SCHEDULE OF FORMS AND ENDORSEMENTS The following are the forms attached to and forming a part of the policy at inception: 23-GS-856077A 01 23 Cover Letter Front Page 2023 NIC GL PJ 01 07 Policy Jacket and Common Policy Conditions with Validation Signatures NPC-901 03 09 Common Policy Declarations - Navigators Specialty Insurance Company NPC-903 08 07 Schedule of Forms and Endorsements NPC-400 05 06 Schedule of Named Insured(s) IL 00 21 05 04 Nuclear Energy Liability Exclusion Endorsement(Broad Form) NPC-909 11 08 Service of Suit NAV-PHN-200 04 17 Claim Reporting Procedures NPC 904 01 15 Disclosure Notice Terrorism Risk Insurance Program Reauthorization Act of 2015 Rejection CG 21 73 01 15 Exclusion of Certified Acts of Terrorism NAV-ML-002 11 12 OFAC ENDORSEMENT NPC-905 03 09 Commercial General Liability Coverage Part Declarations NPC-611 11 08 Cross Suits Exclusion NPC-605 11 08 Asbestos Exclusion CG 00 01 04 13 Commercial General Liability Coverage Form NPC-642 11 08 Intellectual Property Amendment NPC-711 08 11 General Aggregate Limit per Project with an Overall General Aggregate Cap NPC-624 11 08 Lead Exclusion NPC-713 11 08 Definition of Employee Amendment NPC-827 04 13 Exclusion - Designated Operations Covered by a Consolidated (Wrap-Up) Insurance Program CG 21 55 09 99 Total Pollution Exclusion With A Hostile Fire Exception CG 21 47 12 07 Employment-Related Practices Exclusion CG 21 86 12 04 Exclusion - Exterior Insulation & Finish Systems CG 21 96 03 05 Silica or Silica Related Dust Exclusion CG 21 67 12 04 Fungi Or Bacteria (Mold) Exclusion CG 20 10 10 01 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 20 10 10 01 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 20 10 10 01 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 20 10 10 01 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 20 1010 01 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization NPC-903 08 07 Page 1 of 3 CG 20 10 1001 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person or Organization CG 20 37 1001 Additional Insured - Owner, Lessees Or Contractors - Completed Operations CG 20 37 1001 Additional Insured - Owner, Lessees Or Contractors - Completed Operations CG 20 37 1001 Additional Insured - Owner, Lessees Or Contractors - Completed Operations CG 20 37 1001 Additional Insured - Owner, Lessees Or Contractors - Completed Operations CG 20 37 1001 Additional Insured - Owner, Lessees Or Contractors - Completed Operations CG 04 35 12 07 Employee Benefits Liability Coverage - Claims Made ANF-ES 158 08 15 Exclusion - Condominiums, Townhouses, Timeshares and Tracts CG 22 34 04 13 Exclusion - Construction Management Errors And Omissions CG 20 01 04 13 Primary And Noncontributory- Other Insurance Condition CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 11 04 13 Additional Insured - Managers or Lessors of Premises CG 20 12 04 13 Additional Insured - Political Subdivisions Permits or Authorizations CG 20 34 04 13 Additional Insured - Lessor Of Leased Equipment-Automatic Status When Required In Lease Agreement With You NPC-704 06 13 Self-Insured Retention - Claim Expenses Eroding The Retention CG 20 26 04 13 Additional Insured - Designated Person or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors-Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors-Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors-Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors-Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization CG 20 10 04 13 Additional Insured - Owners, Lessees Or Contractors- Scheduled Person Or Organization NPC-903 08 07 Page 2 of 3 CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees Or Contractors- Completed Operations CG 21 34 01 87 Exclusion - Designated Work CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 21 53 01 96 Exclusion - Designated Ongoing Operations NPC-806 01 13 Non-Pyramiding of Limits Endorsement NPC-670 06 09 Continuous or Progressive Injury and Damage Exclusion NPC-635 05 14 Punitive And Exemplary Damages, Fines, Penalties And Multiplication Of Damages Exclusion NPC-706 04 14 Subcontractors Independent Contractors Conditional Coverage - Deductible Applies if Conditions Not Met CG 21 32 05 09 Communicable Disease Exclusion CG 22 43 07 98 Exclusion - Engineers, Architects Or Surveyors Professional Liability NPC-847 05 15 Hazardous Materials Exclusion CG 22 80 07 98 Limited Exclusion - Contractors-Professional Liability CG 04 42 11 03 Stop Gap - Employers Liability Coverage Endorsement-Washington CG 24 17 10 01 Contractual Liability- Railroads CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us MANUSCRIPT EXCLUSION - CONDOMINIUMS, TOWNHOUSES, TIMESHARES, AND TRACTS CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 05 09 Waiver of Transfer of Rights of Recovery Against Others to Us NPC-807 11 08 Notice of Cancellation to Others NPC-807 11 08 Notice of Cancellation to Others CG 24 17 10 01 Contractual Liability- Railroads NPC-807 11 08 Notice of Cancellation to Others NPC-834 12 14 Exclusion - Cyber Injury CG 04 37 05 14 Electronic Data Liability Form G-3418-0-NAVG 09 19 Producer Compensation Notice 23-GS-856077B 01 23 Cover Letter Back Page 2023 ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. NPC-903 08 07 Page 3 of 3 Policy No.: CSP-025321-00 Insurance Company: Homesite Insurance Company & Homesite Insurance Company of Florida Commercial Excess Liability VARIOUS PROVISIONS OF THIS POLICY RESTRICT COVERAGE. READ THE ENTIRE POLICY CAREFULLY TO DETERMINE RIGHTS, DUTIES AND WHAT IS AND IS NOT COVERED. Throughout the policy, the words"you"and "your"refer to the Named Insured shown in the Declarations. The words "we,""us,"and "our"refer to the company providing this insurance. The word "insured" means any other person or organization qualifying as such in SECTION II —WHO IS AN INSURED. Other words and phrases that appear in quotation marks in this policy have the meanings given them in SECTION V— DEFINITIONS. Unless contradicted in this policy, words and phrases defined by"controlling underlying insurance" have the meanings given them in"controlling underlying insurance." SECTION I—COVERAGE 1. Insuring Agreement We will pay on behalf of the insured and in excess of"underlying limits"those sums the insured becomes legally obligated to pay as damages because of"injury or damage"to which this insurance applies. Except as otherwise stated in this policy, this insurance follows the same provisions, exclusions and limitations of the"controlling underlying insurance" in effect at the inception date of that policy. This insurance will not be broader than "controlling underlying insurance." This insurance only applies if: a. the"injury or damage"is caused by an "event" in the coverage territory; b. the"injury or damage"first occurs during the policy period; and c. "controlling underlying insurance"applies to the"injury or damage"and is exhausted by the payment of, or agreement to pay,judgments or settlements to which this insurance also applies. The amount we will pay is limited as described in SECTION III — LIMITS OF INSURANCE. 2. Defense When there is a reasonable expectation that this insurance may be involved in a loss, we may investigate any claim, defend any suit, or associate with any insured or insurer. We may settle any claim at our discretion. We have no duty to investigate claims or defend suits until the expressed and unlimited obligation of all "underlying insurance" terminates because of the exhaustion of"underlying limits" by payment of, or agreement to pay,judgments or settlements. "Defense expenses"will not reduce our limit unless such expenses also reduce"underlying limits."Any duty to defend that we may have ends when we pay or agree to pay our applicable limit. 3. Exclusions Exclusions applicable to"controlling underlying insurance"also apply to this insurance. Even when "controlling underlying insurance"applies, this insurance does not apply to: a. Asbestos "Injury or damage"arising out of the actual, alleged or threatened exposure to"asbestos"or any goods or products containing "asbestos;" b. Law Any liability that is or would be imposed under: 1) The Employment Retirement Income Securities Act of 1974 or any amendments thereto, or any similar law; 2) Medical payments, no-fault, personal injury protection or any similar law; 3) Uninsured or underinsured motorist or any similar law; or 4) Workers compensation, disability benefits, unemployment compensation or similar law; c. Sub-limits "Injury or damage"to which "underlying insurance"applies but at amounts less than "underlying limits." CXS 00 01 11 20 Contains copyrighted material of Page 1 of 3 Insurance Services Office, Inc. with its permission. 111111111 SECTION II —WHO IS AN INSURED 1. You are an insured. 2. Any other person or organization who is an insured on "controlling underlying insurance" is an insured on this policy. However, no one is an insured for broader coverage than that provided by"controlling underlying insurance." SECTION III— LIMITS OF INSURANCE The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of insureds, claims made, suits brought, or persons or organizations making claims or bringing suits. 1. Aggregate The Aggregate Limit shown in the Declarations is the most we will pay for the sum of all damages to which this insurance applies except"injury or damage"arising out of the ownership, maintenance, operation or use, including loading or unloading, of an automobile when such damages are not subject to an Aggregate on"controlling underlying insurance." When all "underlying policies"apply a separate Aggregate Limit to damages because of bodily injury or property damage included in a products-completed operations hazard, the Aggregate Limit will apply in the same manner. 2. Each Event Subject to the Aggregate Limit described above, the Each Event Limit shown in the Declarations is the most we will pay for the sum of all damages because of"injury or damage"arising out of any one"event." 3. Anti-Stacking If this policy and any previous or subsequent policy we issued to you apply to"injury or damage"from the same "event,"the policy with the highest Limits of Insurance will be the only one to apply. This provision does not apply to any policy we may have issued as excess to this insurance. SECTION IV - CONDITIONS Conditions applicable to"controlling underlying insurance"also apply to this insurance unless contradicted by the following: 1. Bankruptcy Bankruptcy of the insured or any insurer providing "underlying insurance"will not change your or our obligations under this policy. 2. Cancellation The first Named Insured may cancel this policy for any reason by returning the policy to us or the Producer shown in the Declarations. We may cancel this policy by providing the first Named Insured written notice: a. 10 days in advance if we cancel for non-payment of premium; or b. 30 days in advance if we cancel for any other reason. If we cancel, the return premium amount will be calculated on a pro rata basis. If you cancel, the return premium amount, subject to the Minimum Earned Premium shown in the Declarations, will be less than pro rata. Proof of Mailing will be proof of notice. 3. Duties in the Event of a Claim, Event or Suit You must see to it that we are notified in writing as soon as possible of any claim, "event"or suit that may be reasonably expected to involve this insurance. You and any other involved insured have the same duties to us that you have to"controlling underlying insurance." CXS 00 01 11 20 Contains copyrighted material of Page 2 of 3 Insurance Services Office, Inc. with its permission. 111111111 4. Maintenance of Underlying You must immediately notify us of any cancellation, non-renewal or change to"underlying insurance"that broadens the coverage. We will not follow such changes unless and until an endorsement is issued and you have paid the premium due to us. You must immediately notify us of any reduction of"underlying limits." Reduction of"underlying limits"by the payment of judgments, settlements or defense expenses, to which this insurance applies, will not be considered a failure to comply with this condition. Should you fail to comply with this condition, we will only be liable to the extent we would have been liable had you complied. 5. Non-Renewal If we decide not to renew this policy, we will provide advance notice of that decision, in the manner and timeframe required by applicable statute or regulation, to the first Named Insured. Proof of mailing will be proof of notice. 6. Other Insurance This insurance is excess of any other valid and collectible insurance available to the insured except insurance purchased specifically to apply in excess of this insurance. 7. Payment of Damages When the amount of damages has been determined by judgment or settlement with which we agree and all "underlying insurance" policies have paid, or agreed to pay, their full limits of insurance we will pay, up to our Limits of Insurance, our share of the damages. 8. Separation of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned to the first Named Insured, this insurance applies: a. as if each Named Insured were the only Named Insured; and b. separately to each insured against whom claim is made or suit is brought. SECTION V— DEFINITIONS Words and phrases defined by"controlling underlying insurance" have the meanings given them in "controlling underlying insurance" unless contradicted by the following: 1. "Asbestos" means the mineral in any form. 2. "Controlling underlying insurance" means the policy or policies shown in the Declarations as such that apply to the "injury or damage." 3. "Defense expenses"means amounts we pay to investigate claims or defend suits. 4. "Event" means an occurrence, offense, accident, act, or other"injury or damage"causing event, defined by and to which the "controlling underlying insurance" applies. 5. "Injury or damage"means any bodily injury, property damage, personal and advertising injury, or other injury or damage defined by and to which the "controlling underlying insurance" applies. 6. "Underlying insurance" means the"controlling underlying insurance"policy or policies and any other insurance underlying to or in excess of the"controlling underlying insurance." 7. "Underlying limits" means the amounts shown in the Declarations that must be paid by"underlying insurance" policies before we pay anything. "Underlying limits"are not reduced by damages to which this insurance does not apply. CXS 00 01 11 20 Contains copyrighted material of Page 3 of 3 Insurance Services Office, Inc. with its permission. 111111111 CONTRACTORS ENDORSEMENT BLANKET ADDITIONAL INSURED - NON-CONTRIBUTING - WAIVER OF SUBROGATION In consideration of the premium charged, it is understood and agreed that: A. Additional Insureds When a written contract, signed prior to an"event"requires that you provide Additional Insured coverage with Limits of Insurance greater than "underlying limits"and"controlling underlying insurance" provides such coverage: 1. SECTION II—WHO IS AN INSURED is amended to include the Additional Insured as an insured for the lesser of: a. Coverage required by the written contract; or b. Coverage provided by this insurance or"controlling underlying insurance." 2. As respects the coverage provided by this endorsement, SECTION III — LIMITS OF INSURANCE is amended to add: Limits of Insurance provided to the Additional Insured will be the lesser of: a. Limits required by the written contract; or b. Limits available under the applicable Limits of Insurance. B. Primary and Non-Contributing When a written contract signed prior to an "event"requires, for Limits of Insurance greater than "underlying limits,"that this insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured, this insurance will apply in this manner provided that: 1. the Additional Insured is a Named Insured under such other insurance; and 2. all "underlying insurance"applies in the same manner. C. Waiver of Subrogation When a written contract signed prior to an"event"requires, for Limits of Insurance greater than "underlying limits,"that we waive our rights of recovery against the Additional Insured, then, to the extent required by the contract, the following is added to SECTION IV— CONDITIONS: Waiver of Rights of Recovery We waive any right of recovery we may have against the Additional Insured because of any payment we make under this policy. Such waiver by us applies only to the extent that you have waived your right of recovery prior to the"event"causing the"injury or damage." All other terms and conditions remain unchanged. CXS 20 50 08 21 Contains copyrighted material of the Page 1 of 1 Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO CLCA01490721 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE EXPANSION ENDORSEMENT - PLATINUM This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to the coverages provided by this endorsement, the provisions of the Business Auto Coverage Form apply unless modified by this endorsement. A. NEWLY ACQUIRED OR FORMED 1. Such person or organization is an additional ORGANIZATIONS "insured" only to the extent such person or The following is added to Paragraph A.1. Who is organization is liable for "bodily injury" or "property damage": because of the conduct of An Insured of Section II -Covered Autos Liability an "insured" under Paragraphs a. orb. under Coverage: Paragraph A.1. Who Is An Insured of Section Any organization you newly acquire or form, other II -Covered Autos Liability Coverage, caused than a partnership,joint venture or limited liability by an "accident" and resulting from the company or any organization excluded either by ownership, maintenance or use of a covered this Coverage Part or by endorsement, and over "auto"; which you maintain ownership or majority interest 2. The written contract or agreement described of more than 50 percent will qualify as a Named above must have been executed prior to the Insured. However: "accident"that caused the "bodily injury" or 1. This insurance does not apply to any newly "property damage" and be in effect at the time acquired or formed organization that is an of such "accident"; "insured"underany otherautomobile policy or 3. The insurance afforded to any such additional would be an "insured" under such policy but "insured" does not apply to any "accident" for its termination or the exhaustion of its Limit beyond the period of time required by the of Insurance. written contract or agreement described 2. Coverage does not apply to "bodily injury" or above; "property damage" that occurred before you 4. The most we will pay on behalf of such acquired or formed the organization. additional "insured(s)"is the lesser of: 3. Coverage under this provision is afforded only until the 180th day after you acquire or form a. The Limits of Insurance specified in the the organization or the end of the policy written contract or agreement described period, whichever is earlier. above; or B. ADDITIONAL INSURED BY CONTRACT OR b. The Limits of Insurance shown in the AGREEMENT Declarations. The following is added to Paragraph A.1., Who Is This provision shall not increase the Limit of An Insured of Section II -Covered Autos Liability Insurance shown in the Declarations in this Coverage: policy or coverage part; and When you have agreed in a written contract or 5. The following changes are madeto Paragraph agreement to include a person or organization as 5. Other Insurance of B. General Conditions an additional "insured", such person or under Section IV-Business Auto Conditions: organization is included as an "insured" subject to a. The following is added to Paragraph 5.a.: the following: If required by the written contract or agreement described above, the CL CA 0149 07 21 Includes copyrighted material of Insurance Services Page 1 of 5 Office, Inc., with its permission insurance afforded to the additional Paragraph A.4.a. Transportation Expenses of insured under this provision will be Section III -Physical Damage Coverage is primary to, and will not seek contribution amended as follows: from, the additional insured's own insurance. 1. The Limits of Insurance are increased to$75 per day to a maximum of$2,500. b. Paragraph 5.c. is deleted in its entirety. 2. We will also pay reasonable and necessary 6. Paragraph A.1.c. under Section II - Covered expenses to facilitate the return of the stolen Autos Liability Coverage is deleted in its "auto"to you. entirety. 3. It is agreed and understood and it is our stated 7. The definition of "insured contract" under intent that expenses incurred by you underthe Section V-Definitions is amended to add the Transportation Expenses Coverage following: Extension will not also be covered or paid An "insured contract" does not include that under the Rental Reimbursement Coverage part of any contract or agreement: provided by this endorsement or any rental reimbursement coverage added by separate That pertains to the ownership, maintenance endorsement to this policy. or use of an "auto" and which indemnifies a H. EXTENDED COVERAGE-AIRBAGS person or organization for other than the vicarious liability of such person or The following is added to Exclusion B.3.a. of organization for "bodily injury" or "property Section III -Physical Damage Coverage: damage" caused by your operation or use of However, this exclusion does not apply to the a covered "auto". unintended discharge of an airbag. However, a person or organization is an This coverage is excess over any other collectible additional "insured" under this provision only to the extent such person or organization is insurance or warranty providing such airbag not named as an "insured" by separate coverage. endorsement to this policy. I. AUTO LOAN/LEASE GAP COVERAGE C. EMPLOYEES AS INSUREDS The following is added to Section III - Physical The following is added to Paragraph A.1. Who Is Damage Coverage, Paragraph C. Limits of An Insured Section II - Covered Autos Liability Insurance. Coverage: 4. In the event of a total "loss" to a covered Any "employee" of yours is an "insured" while "auto", we will pay the lesser of: using a covered "auto" you don't own, hire or a. Any unpaid amount due on the lease or borrow in your business or your personal affairs. loan for a covered "auto", less: D. INCREASED COVERAGE- BAIL BONDS (1) The amount under the Physical The Supplementary Payments Coverage Damage Coverage section of the Extension of Section II - Covered Autos Liability policy; and Coverage is amended as follows: (2) Any: The Limit of Insurance in paragraph A.2.a.(2) is (a) Overdue lease/loan payments at increased to$5,000. the time of the"loss"; E. INCREASED COVERAGE - LOSS OF (b) Financial penalties imposed EARNINGS under a lease for excessive use, The Supplementary Payments Coverage abnormal wear and tear or high Extension of Section II - Covered Autos Liability mileage; Coverage is amended as follows: (c) Security deposits not returned by The Limit of Insurance in paragraph A.2.a.(4) is the lessor; increased to$1,000. (d) Costs for extended warranties, F. FELLOW EMPLOYEE COVERAGE Credit Life Insurance, Health, Accident or Disability Insurance The Fellow Employee Exclusion contained in purchased with the loan or lease; Section II-Covered Autos Liability Coveragedoes and not apply. This coverage is excess over any other collectable insurance. (e) Carry-over balances from previous loans or leases; or G. COVERAGE EXTENSION-TRANSPORTATION EXPENSES b. $5,000. Page 2 of 5 Includes copyrighted material of Insurance Services CL CA 0149 07 21 Office, Inc., with its permission However, this provision does not apply to the disabled. However, the labor must be performed extent loan/lease gap coverage has been at the place of disablement. provided by separate endorsement to this N. FIRE EXTINGUISHER RECHARGE policy. J. GLASS REPAIR-NO DEDUCTIBLE The following is added to Paragraph A.4, The following is added to Paragraph D. Deductible Coverage Extensions of Section IV - Physical of Section II I-Physical Damage Coverage:Any Damage Coverage: Comprehensive Coverage deductible shown in When fire extinguishers are kept in your covered the Declarations does not apply to "loss" to auto and any are discharged in an attempt to extinguish a fire, we will pay the lesser of the glass breakage when you elect to patch or repair actual cost of recharging or replacing such fire rather than replace the glass. extinguisher(s). This provision does not apply to any covered No deductible applies to this coverage. auto provided Physical Damage Coverage under CA 04 21 - Full Safety Glass Coverage. O. HIRED AUTO PHYSICAL DAMAGE COVERAGE K. INCREASED COVERAGE - ELECTRONIC EQUIPMENT The following is added to Paragraph A.4. Coverage Extensions of Section III - Physical The $1,000 limit indicated in Paragraph C.1.b. Damage Coverage: under Section III -Physical Damage Coverage is increased to$2,500. If hired "autos" are covered "autos" for Covered Autos Liability Coverage and if Physical Damage L. EXTENDED COVERAGE - PERSONAL Coverage is provided for any "auto" you own,then PROPERTY the Physical Damage coverages provided are The following is added to Paragraph AA extended to"autos"you lease, rent, hire or borrow Coverage Extensions of Section III - Physical from someone other than your "employees", Damage Coverage: partners or members of their households subject Physical Damage Coverage on a covered "auto" to the following: may be extended to "loss" to your personal 1. The most we will pay in any one "loss" is the property or, if you are an individual, the personal lesser of: property of a family member, that is in the covered a. The actual cash value of the"auto"; "auto" at the time of "loss" and caused by an b. The cost to repair or replace the"auto";or "accident" and resulting from the ownership, maintenance or use of a covered "auto". C. $100,000. The insurance provided by this coverage 2. Paragraph 1. above is subject to a deductible. extension is excess over any other collectible The deductible shall be equal to the amount of insurance. The most we will pay for anyone"loss" the highest deductible shown for any owned under this coverage extension is $500. However, "auto" of the same classification for that our payment for "loss" to personal property will coverage. In the event there is no owned only be for the account of the owner of the "auto" of the same classification, the highest property. deductible for any owned "auto"will apply for Under this provision, personal property does not that coverage. include and we will not pay for "loss" of currency, No deductible will apply to "loss" caused by coins, securities or contraband. fire or lightning. No deductible applies to this coverage extension. 3. Hired Auto Physical Damage Coverage is M. TOWING subject to the following: Paragraph A.2. Towing of Section III - Physical a. If symbol 8 is shown in the Covered Auto Damage Coverage, is replaced by the following: If section of the Declarations pageforany of a private passenger type "auto" or light truck the Physical Damage coverages, then the "auto" (0-10,000 Lbs. GVW) is provided both Hired Auto Physical Damage coverage Comprehensive and Collision Coverage, we will described in this endorsement does not pay up to$150 for towing and labor costs incurred apply. each time such "auto" is disabled. If a medium, b. Other than indicated in Paragraphs a. heavy or extra-heavy truck or extra-heavy Truck- directly above, coverage provided under tractor"auto" (greater than 10,000 Lbs. GVW)is this provision will be excess over any provided both Comprehensive and Collision other collectible insurance or coverage. Coverage, we will pay up to $250 for towing and labor costs incurred each time such "auto" is CL CA 0149 07 21 Includes copyrighted material of Insurance Services Page 3 of 5 Office, Inc., with its permission 4. In addition to the limit set forth in Paragraph 1. However, this provision does not apply to the above we will pay up to $500 per day, to a extent that rental reimbursement is provided maximum of$3,500 per"loss"for: by separate endorsement to this policy. a. Any costs or fees associated with the Q. DRIVE OTHER CAR COVERAGE "loss"to a hired "auto"; and 1. The following is added to Section II -Covered b. Loss of use of the hired "auto", provided it Autos Liability Coverage: is the consequence of an "accident"for which you are legally liable, and as a a. Any "auto"you don't own, hire or borrow result of which a monetary loss is is a covered "auto"for Liability Coverage sustained by the leasing or rental while being used by: concern. (1) You, if you are designated in the However, Paragraph A.4.b. Loss of Use Declarations as an individual; Expenses under Section III - Physical Damage (2) Your partners or members, if you are Coverage of the Business Auto Coverage Form designated in the Declarations as a does not apply. partnership orjoint venture; P. RENTAL REIMBURSEMENT COVERAGE (3) Your members or managers, if you We will pay for rental reimbursement expenses are designated in the Declarations as incurred by you for the rental of an"auto"because a limited liability company; of"loss"to a covered "auto". (4) Your executive officers if you are 1. Payment applies in addition to the otherwise designated in the Declarations as an applicable amount of each coverage you have organization other than an individual, on the covered "auto". partnership, joint venture or limited liability company;and 2. No deductible applies to this coverage. (5) The spouse of any person named in 3. We will pay only for those expenses incurred Paragraphs Q.1.a.(1). through during the policy period beginning 24 hours Q.1.a.(4)while a resident of the same after the "loss" and ending, regardless of the household; expiration date of the policy,with the lesser of Except: the following number of days: a. The number of days when the covered (a) Any "auto" owned by that "auto" has been repaired or replaced, or individual or by any memberof his or her household. b. 45 days. (b) Any "auto" used by that individual 4. Our payment is limited to the lesser of the or his orher spouse while working following amounts: in a business of selling,servicing, a. Necessary and actual expenses incurred; repairing or parking"autos". or 2. Changes In Auto Medical Payments And b. Not more than $75 for any one day; Uninsured And Underinsured Motorists Coverages 5. We will pay up to an additional $300 for the The following is added to Who Is An Insured: reasonable and necessary expenses you incur to remove your materials and equipment Any individual named in 1.a above and his or from the covered "auto" and replace such her "family members" are "insured" while materials and equipment on the rental "auto". "occupying"or while a pedestrian when being 6. This coverage does not apply while there are struck by any "auto"you don't own except: spare or reserve "autos" available to you for Any "auto" owned by that individual or by any your operations. "family member". 7. If"loss"resultsfrom thetotal theft ofa covered 3. Changes In Physical Damage Coverage "auto" of the"private passenger type",we will Any private passenger type "auto" you don't pay under this coverage only that amount of your rental reimbursement expenses which is own, hire or borrow is a covered "auto"while not already provided for under the Physical in the care,custody or control ofany individual D named in Q.1.a. above or his or her spouse Damage Coverage Extension of the Business Auto Coverage Form or any endorsements while a resident of the same house-hold thereto. except: a. Any "auto" owned by that individual or by any member of his or her household; or Page 4 of 5 Includes copyrighted material of Insurance Services CL CA 0149 07 21 Office, Inc., with its permission b. Any"auto"used by that individual or his or b. Was in effect at the time of the covered her spouse while working in a business of "bodily injury" or"property damage". selling, servicing, repairing or parking"autos". 2. The covered "bodily injury" or "property damage" must arise out of the operations 4. The most we will pay for the total of all specified in such written contract or damages under Covered Autos Liability agreement. Uninsured Motorists Coverage and 3. At our request you must provide us with a Underinsured Motorists Coverage is the Limit copy of the aforementioned written contract or Of Insurance shown in the Declarations as agreement. applicable to owned "autos". 5. Our obligation to pay for, repair, return or T. UNINTENTIONAL OMISSIONS replace damaged or stolen property under The following is added Paragraph B.2. of Section Physical Damage Coverage, will be reduced IV-Business Auto Conditions: by a deductible equal to the amount of the If you fail to disclose any hazards existing at the highest deductible shown for any owned private passenger type "auto" applicable to inception date of this policy, such failure will not that coverage. If there are no owned private prejudice the coverage provided to you. However, passenger type "autos", the deductible shall this provision does not affect our right to collect be $250 for Comprehensive Coverage and additional premium or exercise our right of $500 for Collision Coverage. No deductible cancellation or nonrenewal. will apply to"loss"caused by fire or lightning. U. LIBERALIZATION 6. Additional Definition If we revise this endorsement to provide greater As used in this DRIVE OTHER CAR coverage without additional premium charge, we Provision: will automatically provide the additional coverage to all endorsement holders as of the day the "Family member" means a person related to revision is effective in your state. the individual named in 1.a. by blood, marriage or adoption who is a resident of the individual's household, including a ward or foster child. R. KNOWLEDGE OF AN ACCIDENT, CLAIM, SUIT OR LOSS The following is added to Paragraph A.2. of Section IV-Business Auto Conditions: Your obligation to provide prompt notice of an "accident", claim,"suit' or"loss" is satisfied if you or a person designated by you to be responsible for insurance matters is notified of, or in any manner made aware of an"accident",claim, "suit" or"loss" and provides us such notice as soon as practicable S. WAIVER OF SUBROGATION BY CONTRACT OR AGREEMENT The following is added to Paragraph A.5 of Section IV-Business Auto Conditions: We waive any right of recovery we may have against a person or organization because of payments we make for"bodily injury" or"property damage" when you and such person or organization have agreed in writing in a contract or agreement to waive such right of recovery, provided: 1. Such written contractor agreement was: a. Made prior to the "accident" or "loss" resulting in the covered "bodily injury" or "property damage"; and CL CA 0149 07 21 Includes copyrighted material of Insurance Services Page 5 of 5 Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY NPC 711 08 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL AGGREGATE LIMIT PER PROJECT WITH AN OVERALL GENERAL AGGREGATE CAP This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects:All Projects Overall General Aggregate Cap: $10,000,000 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally a. Insureds; obligated to pay as damages caused by "occur- b. Claims made or"suits" brought; or rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents c. Persons or organizations making claims or under COVERAGE C (SECTION 1), which can be bringing "suits". attributed only to ongoing operations at a single 3. Any payments made under COVERAGE A for designated construction project shown in the damages or under COVERAGE C for medical Schedule above: expenses shall reduce the Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- that designated construction project. Such ignated construction project, and that limit is payments shall not reduce the General Ag- equal to the amount of the General Aggregate gregate Limit shown in the Declarations nor Limit shown in the Declarations. Subject to shall they reduce any other Designated Con- the application of the General Aggregate Limit struction Project General Aggregate Limit for to each of your projects, the maximum any other designated construction project amount we will pay under the General Aggre- shown in the Schedule above. gate Limit for all claims arising from all 4. The limits shown in the Declarations for Each projects is the Overall General Aggregate Cap Occurrence, Fire Damage and Medical Ex- shown in the Schedule above. pense continue to apply. However, instead of 2. The Designated Construction Project General being subject to the General Aggregate Limit Aggregate Limit is the most we will pay for the shown in the Declarations, such limits will be sum of all damages under COVERAGE A, subject to the applicable Designated Con- except damages because of "bodily injury" or struction Project General Aggregate Limit. "property damage" included in the "products- completed operations hazard", and for medi- cal expenses under COVERAGE C regard- less of the number of: NPC 711 08 11 Page 1 of 2 B. For all sums which the insured becomes legally D. If the applicable designated construction project obligated to pay as damages caused by "occur- has been abandoned, delayed, or abandoned rences" under COVERAGE A (SECTION 1), and and then restarted, or if the authorized contract- for all medical expenses caused by accidents ing parties deviate from plans, blueprints, de- under COVERAGE C (SECTION 1), which cannot signs, specifications or timetables, the project will be attributed only to ongoing operations at a sin- still be deemed to be the same construction gle designated construction project shown in the project. Schedule above: E. The provisions of Limits Of Insurance (SECTION 1. Any payments made under COVERAGE A for III) not otherwise modified by this endorsement damages or under COVERAGE C for medical shall continue to apply as stipulated. expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gate Limit nor the Designated Construction Project General Aggregate Limit. Page 2 of 2 NPC 711 08 11 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be primary contrary: and would not seek contribution from any other Primary And Noncontributory Insurance insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER:LA23CGLZ069CHIC COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization for whom you are performing "commercial construction" during the period of this policy and have agreed in a written contract to add as an additional insured for products-completed operations. "Commercial construction" does not include any habitational or residential construction other than hotels or apartments Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for"bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2. If coverage provided to the additional insured is Limits of Insurance shown in the Declarations. required by a contract or agreement, the insurance afforded to such additional insured CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER:LA23CGLZ069CHIC COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization for whom you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and any other person or organization you are required to add as an additional insured under the contract or agreement described above. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s)or additional insureds, the following additional organization(s)shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or"personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equipment 1. Your acts or omissions; or furnished in connection with such work, on the 2. The acts or omissions of those acting on your project (other than service, maintenance or behalf; repairs)to be performed by or on behalf of the in the performance of your ongoing operations for additional insured(s) at the location of the covered the additional insured(s) at the location(s) operations has been completed; or designated above. 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use However: by any person or organization other than another 1. The insurance afforded to such additional contractor or subcontractor engaged in performing insured only applies to the extent permitted by operations for a principal as a part of the same law; and project. 2. If coverage provided to the additional insured is required by a contract or agreement, the CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: LA23CGLZO69CHIC CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization.. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV-Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Signature: � �% j Signature: Kent Park 6,zoz' Email: nharper@kentwa.gov Email: parkscontracts@kentwa.gov Signature: Kt�4v Kim Komoto(Sep 10,2024 09:17 PDT) Email: cityclerk@kentwa.gov FAC23-32 Smith Fire Amentdment 2 Final Audit Report 2024-09-10 Created: 2024-09-04 By: Leah Bryant(Ibryant@kentwa.gov) Status: Signed Transaction ID: CBJCHBCAABAAxpgYxSPUpxxasH9A8pO7z6llgnYkODxi "FAC23-32 Smith Fire Amentdment 2" History Document created by Leah Bryant(Ibryant@kentwa.gov) 2024-09-04-6:32:41 PM GMT Document emailed to nharper@kentwa.gov for signature 2024-09-04-6:35:29 PM GMT Email viewed by nharper@kentwa.gov 2024-09-05-4:11:44 PM GMT dp Signer nharper@kentwa.gov entered name at signing as Nathen C. Harper 2024-09-05-4:15:03 PM GMT �p Document e-signed by Nathen C. Harper(nharper@kentwa.gov) Signature Date:2024-09-05-4:15:05 PM GMT-Time Source:server Document emailed to jgooding@smithfire.com for signature 2024-09-05-4:15:10 PM GMT Email viewed by jgooding@smithfire.com 2024-09-06-8:40:48 PM GMT d4 Signer jgooding@smithfire.com entered name at signing as Josh Gooding 2024-09-06-8:55:33 PM GMT �p Document e-signed by Josh Gooding (jgooding@smithfire.com) Signature Date:2024-09-06-8:55:35 PM GMT-Time Source:server Document emailed to Kent Parks (parkscontracts@kentwa.gov) for signature 2024-09-06-8:55:41 PM GMT Email viewed by Kent Parks (parkscontracts@kentwa.gov) 2024-09-06-11:25:20 PM GMT Powered by Adobe ENT Acrobat Sign �p Document e-signed by Kent Parks (parkscontracts@kentwa.gov) Signature Date:2024-09-06-11:26:44 PM GMT-Time Source:server Document emailed to Julie Parascondola Qparascondola@kentwa.gov) for signature 2024-09-06-11:26:47 PM GMT Email viewed by Julie Parascondola aparascondola@kentwa.gov) 2024-09-07-5:35:36 AM GMT Document e-signed by Julie Parascondola Qparascondola@kentwa.gov) Signature Date:2024-09-07-5:35:56 AM GMT-Time Source:server Document emailed to Kim Komoto (kkomoto@kentwa.gov)for signature 2024-09-07-5:36:01 AM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2024-09-09-2:57:57 PM GMT �p Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date:2024-09-09-2:58:10 PM GMT-Time Source:server Document emailed to cityclerk@kentwa.gov for signature 2024-09-09-2:58:13 PM GMT Email viewed by cityclerk@kentwa.gov 2024-09-10-4:16:42 PM GMT d4 Signer cityclerk@kentwa.gov entered name at signing as Kim Komoto 2024-09-10-4:17:12 PM GMT Document e-signed by Kim Komoto (cityclerk@kentwa.gov) Signature Date:2024-09-10-4:17:14 PM GMT-Time Source:server Q Agreement completed. 2024-09-10-4:17:14 PM GMT Powered by Adobe ` ENT Acrobat Sign