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HomeMy WebLinkAboutCAG2025-035 - Original - King County - Hazardous Waste Management Program - 1/29/25 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form DirAsst: • 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. (Print on pink or cherry colored paper) Originator: Department: Karin Bayes for Tony Donati Public Works Date Sent: Date Required: 0 12/18/2024 12/24/2024 a Mayor or Designee to Sign. Date of Council Approval: IL Q Interlocal Agreement Uploaded to Website N/A Budget Account Number: Grant? Yes NoD 47005245.7930 Budget?R]Yes❑No Type: LOca Vendor Name: Category: King County Contract Vendor Number: Sub-Category: = Original 0 40 Project Name: Hazardous Waste Management Program o Project Details: w Agreement for Award of Local Hazardous Waste Management c Grant Funds for 2025 +J Ic Basis for Selection of Contractor: Agreement Amount: $31,490.18 Other a1 *Memo to Mayor must be attached i Start Date: 01/01/2025 Termination Date: 03/31/2026 tT a Local Business?❑Yes❑No*If meets requirements per KCC 3.70,100,please complete'Vendor Purchase-Local Exceptions"form on Cityspace. Business License Verification: ❑YesElln-Process❑Exempt(KCC 5.01.045)El Authorized Signer Verified Notice required prior to disclosure? Contract Number: F—]YesF—]No CAG2025-035 Comments: aAgreement will be signed via DocuSign. M CM C IC tA *r 3 0 — 40 a, cc Date Received:City Attorney: 12/19/24 Date Routed:Mayor's Office 12/30/24 City Clerk's Office 12/30/24 adccW22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20221201 Hazardous Waste Management Program GRANT AGREEMENT GOVERNMENTS WORKING TOGETHER FOR A HEALTHIER AND CLEANER KING COUNTY This Agreement is between King County and the Recipient identified below. The County department overseeing the work to be performed in this Agreement is the Department of Natural Resources and Parks (DNRP), Water and Land Resources Division (WLRD). RECIPIENT NAME City of Kent RECIPIENT ADDRESS 220 4th Ave S. Kent, WA 98032 RECIPIENT CONTACT & EMAIL ADDRESS Tony Donati tdonati(o)kentwa.qov PROJECT TITLE Local Hazardous Waste Management Program Grant Funds for 2025 AGREEMENT START DATE AGREEMENT END DATE AGREEMENT MAXIMUM AMOUNT January 1, 2025 March 31, 2026 $31,490.18 EXHIBITS. The following Exhibits are attached and are incorporated into this Agreement by reference: Exhibit A—Scope of Work Exhibit B — Budget Exhibit C— Invoice Template Exhibit D—Certificate/Evidence of Insurance Agreement No. HW 1045 AGREEMENT FOR AWARD OF LOCAL HAZARDOUS WASTE MANAGEMENT GRANT FUNDS FOR 2025 Between KING COUNTY and the CITY OF KENT This Agreement for Award of Local Hazardous Waste Management Grant Funds "Agreement" is made by and between King County, a charter county and political subdivision of the State of Washington, acting through its Department of Natural Resources, Water and Land Resources Division and the City of Kent, a municipal corporation of the State of Washington, hereinafter referred to as the "County" and the "City" respectively. The County and City may be referred to individually as a"Party" and collectively as the "Parties." 1. RECITALS 1.1 The Local Hazardous Waste Management Plan (hereafter referred to as the "Plan") as updated in 1997, 2010, and 2021, was adopted by the participating agencies (the King County Solid Waste Division, the Seattle Public Utilities, the King County Water and Land Resources Division, and Public Health— Seattle and King County) and the cities located in King County. The Washington State Department of Ecology in accordance with RCW 70A.300.350 subsequently approved the Plan. The City is an active and valued partner in the regional Local Hazardous Waste Management Program (hereafter referred to as the "Program"). 1.2 The Plan authorizes Local Hazardous Waste Management Funds to be provided to partner cities located in King County to help fund those cities' activities associated with hazardous waste collection and/or educational outreach and educational services. 1.3 King County has received a proposed scope of work and budget from the City and has determined that the scope of work and budget, attached hereto and incorporated herein as Exhibit A ("Scope of Work") and Exhibit B ("Budget"), respectively, are consistent with the Plan's and Program's policies, goals, and objectives. 1.4 King County and the City desire to enter into this Agreement for the purpose of establishing the terms and conditions under which King County will provide an award of Local Hazardous Waste Management Funds to the City. NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the Parties hereby agree to the terms and conditions as follows: 2. AWARD OF GRANT; CONDITIONS OF GRANT 2.1 The Recitals are an integral part of this Agreement and are incorporated herein by this reference. 1 Agreement No. HW 1045 2.2 King County agrees to grant the City an award of Local Hazardous Waste Management Funds not to exceed$31,490.18 (the"Award")on a reimbursement basis as described in Section 2.5. The Award shall be used by the City solely for the performance of the activities described in this Agreement. 2.3 The City shall use the grant of Local Hazardous Waste Management Funds to provide hazardous waste collection and/or education services or programs as described in Exhibit A. The total amount of funds available from this grant in 2025 shall not exceed $31,490.18. 2.4 This Agreement provides for distribution of 2025 grant funds to the City. Reimbursement for activities carried out and expenses incurred by the City may predate the execution date of this Agreement provided that.(a)the activities have been identified by the City as being within the Scope of Work and have been approved by King County as being within such Scope of Work; (b)the expenses are incurred in carrying out the Scope of Work and are authorized by the Award; and(c) such activities and expenses otherwise comply with all other terms of this Agreement. Reimbursements shall be paid to the City only after this Agreement has been fully executed. 2.5. During this one-year grant program,the City will submit a minimum of two (2),but no more than eight(8),progress reports, which include the City's reimbursement requests,to the County in a form determined by the County. Reports must be signed by a City official. These reports shall include all of the following: a. A description of each activity accomplished pertaining to the Scope of Work. b. Copies of invoices for expenditures or a financial statement prepared by the City's finance department. The financial statement should include vendor names, a description of services provided, date paid, and a check or warrant number. c. Reimbursement requests with an Invoice Form and an Invoice Detail Form,which is attached hereto as Exhibit C and incorporated herein by reference, unless the City has a spreadsheet similar to the Invoice Detail Form already in use, in which case the City may use that spreadsheet instead of the Invoice Detail Form. The City will submit the form or similar spreadsheet and submit backup documentation for grant expenses. d. If the City receives funding from sources other than the Local Hazardous Waste Management Program for any of the activities set forth in Exhibit A,then the City's reimbursement request shall acknowledge these other sources and the reimbursement request to the County shall include only a pro-rata share of the expenses. 2.5.1 If the City chooses to submit up to the maximum of eight(8)progress reports and requests for reimbursement during the one-year grant program,the reports shall be due to the County on the last day of the month following the end of each quarter(April 30, July 31, October 31, January 30), except for the final progress report and request for reimbursement, which shall be due by February 27, 2026. 2.5.2 Regardless of the number of progress reports the City chooses to submit, in order to secure reimbursement,the City must provide in writing to the County by the December 12, 2025, an 2 Agreement No. HW 1045 estimate or final invoice for activities completed in that calendar year for which the City has not yet submitted a reimbursement request. 2.5.3 If the City accepts funding through this grant program for the provision of hazardous waste collection or education programs and projects for other incorporated areas of King County, the City shall explain the relationship with the affected adjacent city or cities that allows for acceptance of this funding and the specifics of the proposed programs and projects within the Scope of Work document related thereto. 2.5.4 Within forty-five (45) days of receiving a request for reimbursement from the City,the Program's contract administrator shall either notify the City of any exceptions to the request which have been identified or shall process the request for payment. If any exceptions to the request are made,this shall be done by written notification to the City providing the reason for such exception. The contract administrator will not authorize payment for activities and/or expenditures which are not included in the Scope of Work and Budget attached as Exhibits A and B unless the scope has been amended according to Section 5 of this Agreement. The contract administrator retains the right to withhold all or partial payment if the City's report(s) and reimbursement request(s) are incomplete (i.e., do not include proper documentation of expenditures and/or adequate description of each activity described in the scope of work for which reimbursement is being requested), and/or are not consistent with the Scope of Work and/or Budget attached as Exhibits A and B. 2.6 The City shall be responsible for following all applicable federal, state, and local laws, ordinances, rules, and regulations in the performance of the Scope of Work described herein. The City warrants and represents that its procedures are consistent with federal, state, and local laws relating to public contract and bidding procedures. The County neither incurs nor assumes any responsibility for the City's bid, award, or contracting process. 2.7 The City shall use recycled paper for the production of all printed and photocopied documents related to the fulfillment of this Agreement. The City shall use both sides of paper sheets for copying and printing and shall use recycled/recyclable products wherever practical. 2.8 The City shall maintain accounts and records, including personnel, financial, and programmatic records, and other such records as may be deemed necessary by the County,to ensure proper accounting for all project funds and compliance with this Agreement. All such records shall sufficiently and properly reflect all direct and indirect costs of any nature expended and service provided in the performance of this Agreement. 2.8.1 These records shall be maintained for a period of six(6)years after termination hereof unless permission to destroy them is granted by the Office of the State Archivist in accordance with RCW Chapter 40.14. These accounts shall be subject to inspection, review, or audit by the County and/or by federal or state officials as so authorized by law. 2.8.2 The City shall maintain a record of the use of any equipment that costs more than $1,000 and is purchased with grant funds from King County for a total period of three (3)years. The records shall be compiled into a yearly evaluation report, a copy of which shall be submitted to King County by March 31 of each year through the year 2028. 3 Agreement No. HW 1045 2.9 The City agrees to appropriately acknowledge the Program in all media produced—in part or in whole—with Program funds. Where feasible, the City will use the Program's logo. The intent of this provision is to further strengthen this regional partnership in the public's mind. 2.9.1 The City agrees to provide the Program with copies of all media material produced for local hazardous waste management events or activities that have been funded by the Program. The City also agrees to allow the Program to reproduce media materials created with Program money provided that the Program credits the City as the originator of that material. 2.9.2 The Program agrees to credit the City on all printed materials provided by the City to the Program, which the Program duplicates, for distribution. Either the City's name and logo will appear on such materials (including fact sheets, case studies, etc.), or, at a minimum, the Program will credit the City for artwork or text provided by the City as follows: "artwork provided courtesy of the City of Kent" and/or"text provided courtesy of the City of Kent." 2.9.3 The Program retains the right to share the written material(s) produced by the City, which have been funded through this grant, with other King County cities for them to duplicate and distribute. In so doing, the Program will encourage other cities to credit the City on any pieces that were produced by the City. 2.10 The City designates Tony Donati; Conservation Coordinator; 220 4th Avenue S., Kent, WA 98032; 253-856-5589; tdonati@ketnwa.gov or designee, as the administrator of this Agreement for the City. 2.11 Questions or concerns regarding any issue associated with this agreement that cannot be handled by the Program's Contract Administrator should be referred to the Local Hazardous Waste Management Program Director for resolution. 3. DURATION OF AGREEMENT This Agreement shall become effective on either January 1, 2025, or the date of execution of the Agreement by both the County and the City and shall terminate on March 31, 2026. The City shall not incur any new charges after December 31, 2025. However, if execution by either Party does not occur until after January 1, 2025, this Agreement allows for disbursement of grant funds to the City for County-approved programs initiated between January 1, 2025, and the later execution of the Agreement provided that the City complies with the reporting requirements of Section 2.5 of the Agreement. 4. TERMINATION 4.1 King County may terminate this Agreement in whole or in part, for convenience, without cause prior to the termination date specified in Section 3, upon thirty (30) days advance written notice. 4.2 King County may also terminate this Agreement, in whole or in part, for lack of appropriation, upon thirty (30) days prior written notice to the City. In accordance with King County Code 4A.100.070, if King County terminates this Agreement for non-appropriation, then King County's costs associated 4 Agreement No. HW 1045 with such termination, if any, shall not exceed the appropriation for the biennium in which termination occurs. 4.3 This Agreement may be terminated by either Party, in whole or in part, for cause prior to the termination date specified in Section 3, upon thirty (30)days advance written notice. Reasons for termination for cause may include but not be limited to nonperformance,misuse of funds, and/or failure to provide grant related reports/invoices/statements as specified in Section 2.5. 4.4 If the Agreement is terminated as provided in this section: (a)the County will be responsible to reimburse the City only for allowable expenses, in accordance with the terms of this Agreement for expenses incurred prior to the effective date of termination; and (b)the City shall be released from any obligation to provide further services pursuant to this Agreement. 4.5 Nothing herein shall limit,waive, or extinguish any right or remedy provided by this Agreement or law that either Party may have in the event that the obligations,terms, and conditions set forth in this Agreement are breached by the other Party. 5. AMENDMENTS This Agreement may be amended only by written agreement of both Parties. Amendments to scopes of work will only be approved if the proposed amendment is consistent with the most recently adopted Hazardous Waste Management Plan. Amendments will only be approved if the proposed change(s) is (are) consistent with and/or achieves the goals stated in the scope and falls within the activities described in the scope. Funds may be moved between tasks in the Scope of Work, attached as Exhibit A, upon written notification by the City to King County and written approval by the County. 6. HOLD HARMLESS AND INDEMNIFICATION 6.1 The City agrees to indemnify, defend, and hold harmless King County, and its elected or appointed officials, employees and agents, from all suits,claims, alleged liability, actions, losses, costs, expenses (including reasonable attorney's fees), penalties, settlements and damages of whatsoever kind or nature arising out of, in connection with, or incident to any acts or omissions of the City, its employees, agents, contractors or subcontractors in performing its obligations under this Agreement, except of the County's sole negligence. 6.2 The City's obligations under this section shall include, but not be limited to all of the following: (a) The duty to promptly accept tender of defense and provide defense to the County with legal counsel acceptable to the County and at the City's own expense; (b) Indemnification of claims made by the City's own employees or agents; and(c) Waiver of the City's immunity under the industrial insurance provisions of Title 51 R.C.W. but only to the extent necessary to indemnify the County, which waiver has been mutually negotiated by the Parties. In the event it is necessary for the County to incur attorney's fees, legal expenses, or other costs to enforce the provisions of this section, all such fees, expenses, and costs shall be recoverable from The City. The provisions of this Section 6.2 shall survive the expiration, abandonment, or termination of this Agreement. 5 Agreement No. HW 1045 7. INSURANCE 7.1 The City, at its own cost, or its contractor(s)/subcontractor(s) at their own cost, shall procure by the date of execution of this Agreement and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damages to property which may arise from or in connection with performance of work pursuant to this Agreement by the City, its agents, representatives, employees, contractors, and/or subcontractors. The minimum limits of Commercial General Liability insurance shall be $1,000,000 per occurrence and $2,000,000 in the aggregate for bodily injury, personal and advertising injury, and property damage. Such insurance shall include coverage for, but not be limited to,premises liability, ongoing operations, products and completed operations,advertising injury, and contractual liability. The minimum limit of Automobile Liability insurance shall be $1,000,000 combined single limit per accident for bodily injury and property damage. If the work involves the transport of pollutants (as defined by the standard auto policy exclusion of pollution)the auto policy shall be endorsed to include endorsement CA 9948 (or its equivalent) and MCS 90, or auto pollution coverage. The minimum limit of Pollution Liability insurance shall be $1,000,000 per occurrence and in the aggregate to cover sudden and non-sudden bodily injury and/or property damage to include the destruction of tangible property, loss of use, clean-up costs and the loss of use of tangible property that has not been physically injured or destroyed. Coverage shall include non-owned disposal sites. Any deductible or self-insured retention(s) shall be the sole responsibility of the City or its contractor(s)/subcontractor(s). Such insurance shall cover King County, its officials, employees, and agents as additional insured for full coverage and policy limits against liability arising out of activities performed by or on behalf of the City pursuant to this Agreement. A valid Certificate of Insurance and additional insured endorsement is attached to this Agreement as Exhibit D unless Section 7.2 or Section 7.3 (below) apply. Evidence of required coverage maintained by the contractor(s)/subcontractor(s) must be provided to the County prior to the commencement of any work. 7.2 If the Agency is a Municipal Corporation or an agency of the State of Washington and is self- insured for any of the above insurance requirements, a written acknowledgement of self-insurance is attached to this Agreement as Exhibit D. 7.3 If the Agency is a Municipal Corporation or an agency of the State of Washington and is a member of the Washington Cities Insurance Authority(WCIA), a written acknowledgement/certification of current membership is attached to this Agreement as Exhibit D. 8. ENTIRE CONTRACT: NO WAIVER OF DEFAULT This Agreement is the complete expression of the agreement of the County and City hereto, and any oral or written representations or understandings not incorporated herein are excluded. Waiver of any default shall not be deemed to be a waiver of any subsequent default. Waiver of breach of any provision of this Agreement shall not be deemed to be waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of this Agreement unless stated to be such through written approval by the County, which shall be attached to the original Agreement. 9. TIME IS OF THE ESSENCE 6 Agreement No. HW 1045 The County and City recognize that time is of the essence in the performance of this Agreement. The Scope of Work set forth in Exhibit A shall be completed by the City no later than December 31, 2025. In the event that the Scope of Work is not completed by this date, then King County shall retain any unexpended Award funds. 10. SEVERABILITY If any section, subsection, sentence, clause, or phrase of this Agreement is, for any reason, found to be unconstitutional or otherwise invalid by a court of competent jurisdiction, such decision shall not affect the validity of the remaining portions. 11. NOTICE Unless otherwise specified in the Agreement, all notices or documentation required or provided pursuant to this Agreement shall be in electronic form and shall be deemed duly given when received at the addresses first set forth below via electronic mail. A copy of any notice shall also be sent via first class mail to the address listed below. Keith Quinata, Contract Administrator, or a provided designee King County Department of Natural Resources and Parks Water and Land Resources Division Hazardous Waste Management Program 201 S. Jackson Street, Suite 5600 Seattle, WA 98104 hazwastegovrelations@kingcounty.gov or kquinata@kingcounty.gov If to the City: Tony Donati, Conservation Coordinator, or a provided designee City of Kent 220 4th Avenue S. Kent, WA 98032 tdonati@kentwa.gov Either Party hereto may, at any time, by giving ten (10) days written notice to the other Party, designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 12. GENERAL PROVISIONS 12.1 This Agreement shall be binding upon and inure to the benefit of the Parties and their respective successors and assigns. 12.2 Each Party warrants and represents that such Party has full and complete authority to enter into this Agreement and each person executing this Agreement on behalf of a Party warrants and represents that he/she has been fully authorized to execute this Agreement on behalf of such Party and that such Party is bound by the signature of such representative. 7 Agreement No. HW 1045 12.3 None of the funds,materials,property, or services provided directly or indirectly under this Agreement shall be used for any partisan political activity or to further the election or defeat of any candidate for public office. 12.4 This Agreement may be signed in multiple counterparts each of which shall be deemed an original, and all counterparts together shall constitute but one and the same instrument. 12.5 This Agreement is for the benefit of the Parties hereto only and is not intended to benefit any other person or entity, and no person or entity not a party to this Agreement shall have any third-party beneficiary or other rights whatsoever hereunder. 12.6 This Agreement shall be governed by and construed according to the laws of the State of Washington. Actions pertaining to this Agreement will be brought in King County Superior Court, King County, Washington. IN WITNESS WHEREOF this Agreement has been executed by each Party on the date set forth below: City of Kent King County BY BY Dana Ralph, Mayor Maythia Airhart, Environmental Programs Section Manager City of Kent Hazardous Waste Management Program For Dow Constantine, King County Executive Date Date 8 Exhibit A HAZARDOUS WASTE MANAGEMENT PROGRAM CITY OF KENT 2025 HWMP GRANT APPLICATION COVER LETTER CONTACT NAME: TONY DONATI 7/ 0/r l/ofa t/ PHONE: d: 253-856-5589; c: 206-867-2739 ADDRESS: 220 4T" AVE S., KENT, WA 98032 EMAIL: tdonati@kentwa.gov City of Kent Hazardous Waste Management Program Grant Application and Scope of Work The City of Kent proposes to use 2025 HWMP grant funds for the following project: Task #1 - Residential Hazardous Waste Collection Events & Education The city of Kent will create and mail a brochure to residential and multifamily homes advertising upcoming recycle collection events, the Auburn Wastemobile, and traveling Wastemobile. The city will use funding to cover the fee for CFC appliance, battery, and propane tank recycling at three (3) residential recycling collection events held throughout the year. The city will also collaborate on quarterly social media outreach through Facebook boosts with south sound cities to promote outreach messages to a broader audience. PROJECT OVERVIEW: Residential Hazardous Waste Collection Events a. Event Dates: • March, June, & October 2025 b. Event Hours: 9 a.m. - 3 p.m. c. Locations: • Hogan Park on Russell Rd. in March & October • Kent Phoenix Academy in June d. Project Manager/City Contact: • Tony Don.ati, Conservation Coordinator City of Kent 220 4th Ave. South Kent, WA 98032-5895 TEL: 206-867-2739 (cell) TEL: 253-856-5589 (desk) Email: tdonati@kentwa.gov e. MRW Materials Collected: • Lead Acid Batteries • Household Batteries • Propane tanks • CFC Appliances f. Event Promotion: • Recycle event flyer will be posted on City website: KentWA.gov/TalkingTrash, detailing what residents can bring and will provide credit to granting agencies who fund the events. Flyer will also promote the King County Wastemobile and acceptable items to bring. • Notices included in: 1. Event flyer mailed to 45,000 homes three times a year. 2. City & Reporter Newspaper calendars. 3. City social media (Facebook/Twitter) and Mayor's weekly newsletter. 4. Event flyer sent internally to staff to distribute to: a. Neighborhood Councils b. Various email lists 5. Event posted on King County website. 6. Event date included on Republic Services' annual calendar distributed to residents. g. Event Educational Materials to be Distributed: • Information on upcoming city recycling programs. • King County-produced Hazardous Waste Disposal/Collection Information. • Other appropriate educational materials. h. Total Budget: $31,490.18 Estimated Cost 2025 Collection/Hauling/Staff Labor $ 9,545.09 Collection/Hauling Costs $ 9,545.09 Event Flyer& Postage $ 10,000.00 Social Media Boosts $ 400.00 City Representative MRW Work Group $ 2,000.00 Totals $ 31,490.18 Educational Outreach may include: • Wastemobile information • Alternative, safer cleaning products • Information on product safety • Proper disposal of household hazardous and moderate risk waste • Water pollution prevention • Pesticide and herbicide reduction Proposed expenditures for this project include: • Residential collection event brochure o Printing o Postage/mailing o Design • Social media boosts • Staff labor • Hazardous waste recycling and disposal fees • Vendor fees Performance Objectives: • Promote the Residential Hazardous Waste Collection Events to Kent single-family and multi-family residents. • Promote proper hazardous waste disposal options at no cost to residents. • Highlight the events on both the City and Kent Reporter online calendars, King County website, and city website: KentWA.gov/TalkingTrash. • Advertise events on the city's social media and email platforms. Impact Objectives: • Event brochures to 45,000 residential homes three times a year. • Reduce the number of hazardous waste materials illegally dumped along roadsides within the city of Kent by offering free disposal of such items. • Increase awareness and participation of residents in the proper handling and disposal of moderate risk waste materials. The expected estimated total volumes of materials collected by the end of this grant (2025) are as follows: • Lead Acid Batteries: 3,500 pounds • Household Batteries: 3,500 pounds • CFC Appliances: 400 each • Propane Tanks: 400 each • Vehicles: 3,000 each Agreement# HW1045 EXHIBIT B 2025 BUDGET LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM City of Kent 220 4th Avenue S. Kent, WA 98032 Component Description 2025 Budget Task 1: Household Hazardous Waste $29,490.18 Collection & Education Task 2: City Staffing to Hazardous Waste $2,000 Program Committees and Work rou s Total $31,490.18 Footnote: Please note that the budget and grant cycle for 2025 will be for one year. Hazardous Waste Management Program GOVERNMENTS WORKING TOGETHER FOR ALL FIELDS MUST BE COMPLETED FOR PROMPT PAYMENT PROCESSING A HEALTHIER AND CLEANER KING COUNTY King County Accounts Payable Information INVOICE Purchase Order# Supplier Name City of Kent Agreement No.HW1045 Supplier# 1585 Exhibit C Supplier Pay Site FOURTH AVE S Period of Performance: 1/1/25-12/31/25 Remit to Address 220 4th Avenue S Kent,WA 98032 City of Kent Invoice Date 220 4th Avenue S. Kent,WA 98032 Invoice# Invoice Processing Contact:Tony Donati 253-856-5589 Amount to be Paid tdonatiL@kentwa.eov Requistioner name/phone: Amanda Miller 206-477-1649 Submit signed invoice to: Keith Quinata Hazardous Waste Management Program DNRP Water and Land Resources Division Start Date End Date Invoice for services rendered under this 201 South Jackson Street,Suite 6300 Agreeement for the period of: Seattle,WA 98104 hazwasteeovrelationsCo kinecounty.eov Project Organization Expend Acct Task CPA Amount 1114016 860000 53105 001 Please do not enter values in shaded cells.Enter"Previously Billed"and"Current"values only. Expenditure Item 2025 Budget Previously Billed Current Cumulative Balance HHW Collection&Education $29,490.18 $0.00 $0.00 $0.00 $29,490.18 City Representative $2,000.00 $0.00 $0.00 $0.00 $2,000.00 Total $31,490.18 $0.00 $0.00 $0.00 $31,490.18 Materials and quantities collected: Collection event details: Gallons of motor oil Number of collection events Number of motor oil filters Number of participants at collection events Gallons of mixed fuel Gallons of antifreeze Education event details: Pounds of lead acid batteries Number of education events Pounds of dry batteries Number of participants at education events Number of CFC aplliances Number of fluorescent bulbs Other(please specify) I,the undersigned,do hereby certify under the laws of the State of Washington penalty of perjury,that this is a true and correct claim for reimbursement services rendered.I understand that any false claims,statements,documents,or concealment of material fact may be prosecuted under applicable Federal and State laws.This certification includes any attachments which serve as supporting documentation to this reimbursement request. Recipient-Print Name Recipient Signature Date Haz Waste Program Authorization/Approval Date INVOICE DETAIL Salaries&Wages-List by Employee Hours Rate of Pay/Hr Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative) Current Subtotal $ $ $ $ $ Fringe Benefits Base Rate Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative) Current Subtotal $ - $ - $ - $ - $ - Consultant Costs-Itemize by consultant Unit of measure Rate Budget Previously Current Cumulative Balance(Budget below Billed Expenditure (Previous+ less Cumulative) Current Subtotal $ Supplies-Please detail below Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative) Current Subtotal $ - $ - $ - $ - $ - Travel Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative) Current In State Travel Total Al of Miles Rate Out of State Travel #of People Rate Per Diem and Lodging #of People #of Units Unit Cost Subtotal $ - $ - $ Other Costs-Please detail below Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Previous+ less Cumulative) Current $ $ $ $ Subtotal $ - $ - $ - $ - $ - Overhead Costs-Please detail below Budget Previously Current Cumulative Balance(Budget Billed Expenditure (Prev ious+ less Cumulative) Current Subtotal $ - $ - $ - $ - $ - Budget Previously .Current Cumulative Balance(Budge, Billed Expenditure (Previous+ less Cumulative) Current Direct Costs Total $ - $ Grand Total $ - $ - $ - $ - $ - Notes regarding this Invoice Invoice Detail Page 2 DATE(MM/DDIYYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 12/18/2024 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 N ME: Jamie Arnoldi Seattle-Alliant Insurance Services, Inc. PHONE FAX 401 Union Street,31 st Floor ac Ne .t E :949-627-7000 ac No): Seattle WA 98101 ADDRESS: jamie.arnoldi@alliant.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Safety National Casualty Corpo 15105 INSURED KE583802 INSURERB:Tokio Marine Specialty Insuran 23850 City of Kent 220 4th Avenue South INSURER C: Kent WA 98032 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1588059855 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MMIDD MMIDD A X COMMERCIAL GENERAL LIABILITY Y XPR4067983 1/1/2024 1/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE J OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $500,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ nGEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $2,000,000 POLICY E PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: SIR $1,625,000 A AUTOMOBILE LIABILITY Y XPR4067983 1/1/2024 1/1/2025 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 SIR $1,625,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Pollution Liability PPK2481866 11/1/2022 1115121125 See Below* See Below* DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *Pollution Liability: Policy Aggregate:$4,000,000;SIR:$25,000; $2,000,000 Per Contamination Incident-Remediation Expense and Liability Coverage-On-Site Contamination $2,000,000 Per Contamination Incident-Remediation Expense and Liability'Coverage-Off-Site Contamination $2,000,000 Per Contamination Incident-Claims for Bodily Injury and Property Damage Resulting from Contamination $25,000 Per Contamination Incident-Image Restoration RE:Contract/Agreement#HW 1045 with King County to receive grant funds in the amount of$31,490.18,which will be used for residential hazardous waste See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN King County ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Keith Quinata 201 S Jackson Street, Suite 5600 AUTHORIZED REPRESENTATIVE Seattle WA 98104 �i�IrM.. �•Wlukr ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: KE583802 LOC#: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Seattle-Alliant Insurance Services,Inc. City of Kent 220 4th Avenue South POLICY NUMBER Kent WA 98032 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE collection events and education. King County,its officials,employees,and agents are included as Additional Insured. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMON POLICY CHANGE ENDORSEMENT SAFETY NATIONAL CASUALTY CORP Policy Number Effective Date ST. LOUIS, MO63146 XPR4067983 01/01/2024 (888)995-5300 Endorsement Number 001 12:01 A.M.Standard Time at the described loc- ation Named Insured and Address Agent CITY OF KENT ALLIANT INSURANCE SERVICES INC 220 4TH AVENUE SOUTH 401 Union Street KENT, WA 98032 31st Floor Seattle,WA 98101 Telephone: CHANGE DESCRIPTION The following endorsement has been Added: PE 001 00 12 22 Additional Insured - Scheduled Contracts Added: Blanket wording Premium Changes This Premium does not include surcharges Additional Return $0 $0 Surcharge Changes Additional Return $0 $0 AUTHORIZED REPRESENTATIVE IL 10 05 12 08 Page 1 of 1 POLICY NUMBER: XPR4067983 PE 001 00 12 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED CONTRACTS This endorsement may be used to modify insurance provided under the following: GENERAL LIABILITY COVERAGE PART AUTOMOBILE LIABILITY COVERAGE PART LAW ENFORCEMENT LIABILITY COVERAGE PART This endorsement does NOT extend insurance for any above Coverage Part if Item 3 of the Declarations for this Policy indicates"Not Covered"for such Coverage Part. SCHEDULE Coverage Part(s) Modified By This Endorsement GENERAL LIABILITY COVERAGE PART AUTOMOBILE LIABILITY COVERAGE PART Additional Insured Description Of Contract Contract Date Person(s) or As per written contract As per written contract Organization(s) to whom you are obligated by virtue of a written contract to provide insurance and when such written contract is executed prior to a loss to which the insurance applies. A. The following is added to Section B. WHO IS AN B. The following is added to Section D. LIMITS OF INSURED of each applicable Coverage Part listed INDEMNITY of each applicable Coverage Part in the SCHEDULE above: listed in the SCHEDULE above: Any person(s) or organization(s) listed in the The Limits of Indemnity afforded to the additional SCHEDULE to whom you are obligated by virtue Insured shown in the SCHEDULE will be limited to of a written contract to provide insurance solely the Limits of Indemnity required within the terms of with respect to bodily injury or property damage the contract or the Limits of Indemnity of this is an Insured. Policy, whichever is less.The Limits of Indemnity However, insurance for such additional Insured afforded to such additional Insured will apply in applies only to bodily injury and property excess of the retained limit shown in the Item 3. of damage required within the terms of the contract the Declarations. and only to the extent that such additional Insured is liable for bodily injury or property damage Any insurance provided in this endorsement is caused by your acts or omissions in the part of and not in addition to the Limits of performance of your operations. Indemnity shown in Item 4. of the Declarations for each applicable Coverage Part. PE 001 00 12 22 Safety National Casualty Corporation Page 1 of 1