HomeMy WebLinkAbout5.991 Original ContractAGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN THE
THE CITY OF PORT ANGELES
AND
HAMMOND COLLIER WADE LIVINGSTONE
PA PROJECT: TR01 -10
HCWL PROJECT: 09 -20 -002
RELATING TO: THE CITY'S LANDSLIDE REPAIRS
THIS AGREEMENT is made and entered into this / day of =C S
2009, by and between THE CITY OF PORT ANGELES, a non - charter code city of the State of
Washington, (hereinafter called the "CITY ") and Hammond Collier Wade Livingstone, a
Corporation authorized to do business in the state of Washington (hereinafter called the
"CONSULTANT ").
WHEREAS, the CITY desires to have the CONSULTANT provide planning, design and
construction support services relative to landslide repairs; and
WHEREAS, the CITY desires to engage the professional services and assistance of a qualified
consulting firm to perform on -call engineering services on a Task Order basis (a sample of
which is attached hereto as Exhibit "A "), and
WHEREAS, the CONSULTANT represents that it is in full compliance with the statutes of the
State of Washington for professional registration and /or other applicable requirements, and
WHEREAS, the CONSULTANT represents that it has the background, experience, and ability
to perform the required work in accordance with the standards of the profession, and
WHEREAS, the CONSULTANT represents that it will provide qualified personnel and
appropriate facilities necessary to accomplish the work;
NOW, THEREFORE, in consideration of the above representations and the terms, conditions,
covenants, and agreements set forth below, the parties hereto agree as follows:
I SCOPE OF WORK
The CONSULTANT agrees to perform certain consulting, design, studies, and /or advisory
services for the CITY as follows:
Provide on -call engineering services on a Task Order basis. Each item of work under this
agreement will be provided by Task Order (the format which is attached hereto as Exhibit
"A "). Each Task Order will be individually negotiated with the CITY. Each Task Order will
identify the specific work to be performed, identifying the maximum amount authorized,
start date and end date (time of performance), and scope of work specific to the task. The
terms of the Task Order cannot be modified without written approval from CITY and
CONSULTANT.
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002 Page 1 of 6
The CITY may review the CONSULTANT'S work product, and if it is not satisfactory, the
CONSULTANT shall make such changes as may be required by the CITY. Such changes
shall be a required performance of completion of each task and shall not constitute "Extra
Work ".
The CONSULTANT agrees that all services performed under this Agreement shall be in
accordance with the standards of the engineering profession and in compliance with applicable
federal, state and local laws.
II OWNERSHIP OF DOCUMENTS
Upon completion of the work, all documents, exhibits, photographic negatives, or other
presentations of the work shall become the property of the CITY for use without restriction and
without representation as to suitability for reuse by any other party unless specifically verified
or adapted by the CONSULTANT. However, any alteration of the documents, by the City or by
others acting through or on behalf of the City, will be at the City's sole risk.
III DESIGNATION OF REPRESENTATIVES
Each party shall designate its representatives in writing. The CONSULTANT'S representative
shall be subject to the approval of the CITY.
IV TIME OF PERFORMANCE
To be defined by each Task Order.
V PAYMENT
The CITY shall pay the CONSULTANT as set forth in this section of the Agreement. Such
payment shall be full compensation for work performed, services rendered, and all labor,
materials, supplies, equipment and incidentals necessary to complete the work.
A. Payment shall be on the basis of the CONSULTANT'S Schedule of 2009 Billing Rates as
set forth in the attached Exhibit B.
B. The CONSULTANT shall submit invoices to the CITY on a monthly basis. Invoices shall
detail the work, hours, employee name, and hourly rate; shall itemize with receipts and
invoices the non -salary direct costs; shall indicate the specific task or activity in the Scope
of Work to which the costs are related; and shall indicate the cumulative total for each task.
C. The CITY shall review the invoices and make payment for the percentage of the project
that has been completed less the amounts previously paid.
D. The CONSULTANT invoices are due and payable within 30 days of receipt. In the event
of a disputed billing, only the disputed portion will be withheld from payment.
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002 Page 2 of 6
E. Final payment for the balance due to the CONSULTANT will be made after the completion
of the work and acceptance by the CITY.
VI MAXIMUM COMPENSATION
To be defined by each Task Order.
VII INDEPENDENT CONTRACTOR STATUS
The relation created by this Contract is that of owner - independent contractor. The
CONSULTANT is not an employee of the City and is not entitled to the benefits provided by
the City to its employees. The CONSULTANT, as an independent contractor, has the authority
to control and direct the performance of the details of the services to be provided. The
CONSULTANT shall assume full responsibility for payment of all Federal, State, and local
taxes or contributions imposed or required, including, but not limited to, unemployment
insurance, Social Security, and income tax.
VIII EMPLOYMENT
Employees of the CONSULTANT, while engaged in the performance of any work or services
under this Agreement, shall be considered employees of the CONSULTANT only and not of
the CITY, and claims that may arise under the Workman's Compensation Act on behalf of said
employees while so engaged, and any and all claims made as a consequence of any negligent
act or omission on the part of the CONSULTANT'S employees while so engaged, on any of the
work or services provided to be rendered herein, shall be the sole obligation and responsibility
of the CONSULTANT.
In performing this Agreement, the CONSULTANT shall not employ or contract with any CITY
employee without the City's written consent.
IX NONDISCRIMINATION
The CONSULTANT shall conduct its business in a manner, which assures fair, equal and
non - discriminatory treatment of all persons, without respect to race, creed or national origin, or
other legally protected classification and, in particular:
A. The CONSULTANT shall maintain open hiring and employment practices and will welcome
applications for employment in all positions, from qualified individuals who are members of
minorities protected by federal equal opportunity /affirmative action requirements; and,
B. The CONSULTANT shall comply with all requirements of applicable federal, state or local
laws or regulations issued pursuant thereto, relating to the establishment of non
discriminatory requirements in hiring and employment practices and assuring the service
of all persons without discrimination as to any person's race, color, religion, sex, Vietnam
era veteran status, disabled veteran condition, physical or mental handicap, or national
origin.
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002 Page 3 of 6
X SUBCONTRACTS
A. The CONSULTANT shall not sublet or assign any of the work covered by this Agreement
without the written consent of the CITY.
B. In all solicitation either by competitive bidding or negotiation made by the CONSULTANT
for work to be performed pursuant to a subcontract, including procurement of materials
and equipment, each potential subconsultant or supplier shall be notified by the
CONSULTANT of Consultant's obligations under this Agreement, including the
nondiscrimination requirements.
XI CHANGES IN WORK
Other than changes directed by the CITY as set forth in Section I above, either party may
request changes in the scope of work. Such changes shall not become part of this Agreement
unless and until mutually agreed upon and incorporated herein by written amendments to this
Agreement executed by both parties.
XIII TERMINATION OF AGREEMENT
A. The CITY may terminate this Agreement at any time upon not less than ten (10) days
written notice to the CONSULTANT. Written notice will be by certified mail sent to the
consultant's designated representative at the address provided by the CONSULTANT.
B. In the event this Agreement is terminated prior to the completion of the work, a final
payment shall be made to the CONSULTANT, which, when added to any payments
previously made, shall compensate the CONSULTANT for the work completed.
C. In the event this Agreement is terminated prior to completion of the work, documents that
are the property of the CITY pursuant to Section II above, shall be delivered to and
received by the CITY prior to transmittal of final payment to the CONSULTANT.
XIV INDEMNIFICATION /HOLD HARMLESS
The CONSULTANT agrees to indemnify the CITY from any claims, damages, losses, and
costs, including, but not limited to, attorney's fees and litigation costs, to the proportionate
extent arising out of claims by third parties for property damage and bodily injury, including
death, caused by the negligence or willful misconduct of the CONSULTANT, CONSULTANT
employees, affiliated corporations, officers, and subcontractors in connection with the work
performed under this Agreement.
The CITY agrees to indemnify the CONSULTANT from any claims, damages, losses, and
costs, including, but not limited to, attorney's fees and litigation costs, to the proportionate
extent arising out of claims by third parties for property damage and bodily injury, including
death, caused by the negligence or willful misconduct of the CITY, CITY's employees, or
agents in connection with the work performed under this Agreement.
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002 Page 4 of 6
If the negligence or willful misconduct of both CONSULTANT and CITY (or a person identified
above for whom each is liable) is a cause of such damage or injury, the loss, cost, or expense
shall be shared between the CONSULTANT and the CITY in proportion to their relative
degrees of negligence or willful misconduct and the right of indemnity shall apply for such
proportion.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or
damages to property caused by or resulting from the concurrent negligence of the
CONSULTANT, the CITY, and the officers, officials, employees, and volunteers of either, the
CONSULTANT'S liability hereunder shall be only to the extent of the CONSULTANT'S
negligence. It is further specifically and expressly understood that the indemnification provided
herein constitutes the CONSULTANT'S waiver of immunity under Industrial Insurance, Title 51
RCW, solely for the purposes of this indemnification. This waiver has been mutually
negotiated by the parties. The provisions of this section shall survive the expiration or
termination of this Agreement. However, the CONSULTANT expressly reserves its rights as a
third person set forth in RCW 51.24.035.
XV INSURANCE
The CONSULTANT shall procure and maintain for the duration of the Agreement, insurance
against claims for injuries to persons or damage to property which may arise from or in
connection with the performance of the work hereunder by the CONSULTANT, its agents,
representatives, employees or subcontractors.
The CONSULTANT shall provide a Certificate of Insurance evidencing:
1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per
accident for bodily injury and property damage; and,
2. Commercial General Liability insurance written on an occurrence basis with limits no less
than $1,000,000 combined single limit per occurrence and $2,000,000 aggregate for personal
injury, bodily injury and property damage. Coverage shall include but not be limited to:
blanket contractual; products /completed operations; broad form property damage; explosion,
collapse and underground (XCU) if applicable; and employer's liability; and,
3. Professional Liability insurance with limits no less than $1,000,000 per claim.
Any payment of deductible or self- insured retention shall be the sole responsibility of the
CONSULTANT.
The CITY shall be named as an additional insured on the Commercial General Liability
insurance policy, as respects work performed by or on behalf of the Consultant and a copy of
the endorsement naming the CITY as additional insured shall be attached to the
Certificate of Insurance. The CITY reserves the right to review a certified copy of all required
insurance policies with a representative of the CONSULTANT in the CONSULTANT's office.
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002 Page 5 of 6
The CONSULTANT'S insurance shall contain a clause stating that coverage shall apply
separately to each insured against whom claim is made or suit is brought, except with respects
to the limits of the insurer's liability.
The CONSULTANT'S insurance shall be primary insurance as respects the CITY, and the
CITY shall be given thirty (30) days prior written notice of any cancellation, suspension or
material change in coverage Consultant's insurer will provide notification of a cancellation in
coverage, and Consultant will provide notification of any material change.
XVI APPLICABLE LAW
This Agreement shall be construed and interpreted in accordance with the laws of the State of
Washington, and in the event of dispute the venue of any litigation brought hereunder shall be
Clallam County.
XVII SUPPLEMENTAL TERMS
The supplemental terms set forth in the attached Exhibit C shall also apply to this Agreement.
XVIII EXHIBITS AND SIGNATURES
This Agreement, including its exhibits, constitutes the entire Agreement, supersedes all prior
written or oral understandings, and may only be changed by a written amendment executed by
both parties. The following exhibits are hereby made a part of this Agreement:
Exhibit A — Sample Task Order
Exhibit B - Consultant Labor Costs and Non -salary Reimbursable Costs
Exhibit C — Supplemental Terms
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and
year first written above.
CITY OF PORT ANGELES
6
MAYOR (
CONSULTANT
2009 Consultant Agreement with Hammond Collier Wade Livingstone 09 -20 -002
APPROVED AS TO ! ORM:
CITY ATTORNEY
ATTEST:
CITY CLERK
J/ #J9SSA- flUe
Page 6 of 6
SCOPE OF WORK
ATTACHMENT A -1
SCOPE OF SERVICES
Hammond Collier Wade Livingstone Project No. 09 -20 -002
City of Port Angeles
Stormwater Improvements and Slide Repairs Contract
OVERVIEW
The services provided under this contract will use existing survey information that has been
developed by the City. Hammond Collier Wade Livingstone, (hereinafter HCWL) will develop
PS &E for stabilizing the slide area and localized drainage improvements at South Race Street. The
scope of services includes assistance with field exploration, geotechnical engineering conclusions,
environmental permitting, and for design, bidding, and construction support services. Our
subconsultant, Landau Associates will assist m providing geotechnical investigations and engineering
recommendations to HCWL for developing a complete set of permitting and PS &E documents.
The limits of the work to be developed under this contract are from:
South Race Street- The slope failure is located approximately 425 feet north of the intersection of
East Park Street and begins at the approximate end of curb on the west side of South Race Street to
a distance of approximately 75 feet north of end of curb, including an alignment to a stable outfall
for a stormwater conveyance system at the bottom of ravine near the stream. The slope failure
extends for the full height of the slope and has undermined the guardrail and a portion of the paved
shoulder.
The scope of services includes the following major tasks of work:
Task 1: Project Management and Coordination
Task 1.1 Project Administration
• Schedule and coordinate survey crew and subconsultant.
• Subconsultant management
o Initiate subconsultant agreements
o Manage subconsultant services within established budgets
• Meetings with client and stakeholders (3 meetings).
• Provide coordination and correspondence, status reports and day -to -day
correspondence in the form of emails, letters, and phone calls.
• Prepare and monitor project schedule and budget.
L \ Projects \09 \09 -20 -002 Port Angeles Slide Repmrs \Attachement A Scope Port Angelesl doc
Page 1 of 5
ATTACHMENT A — SCOPE OF SERVICES Hammond Colker Project No. 09 -20 -002
CIO of Port Angeles Skde Repaars Contract
• Prepare monthly status reports and invoices, and monitor progress.
Task 1.2 Principal Oversight QA /QC
• Assign staff
• Provide assistance
• Monitor schedule and budget
• Conduct internal review of all deliverables
Deliverables:
• Monthly status reports and invoices
Task. 2: Development of PS &E Documents
Task 2.1
City.
Acquire survey data prepared by City or third party surveyor contracted by the
Task 2.2 Review survey data for field located cross section, existing utility locations,
property lines, and right -of -way limits
Task 2.3 Develop base maps, vicinity map, and legend sheet along with cross sections at
and adjacent to the slope failure.
Task 2.4 Review geotechnical report's conclusions and recommendations.
Task 2.5 Submit a prelumunary design recommendation for approval by the City along
with a preliminary engineers estimate for preferred alternative.
Task 2.6 Prepare 30 % design plans and specifications of the preferred alternative and
submit for City's comment and permitting agency's comments.
Task 2.7 Incorporate any design review comments into the 60% design plans and
specifications, prepare engineers estimate and submit for city comment.
Task 2.8 Prepare Hydraulics Project Approval (HPA) for storm conveyance outfall and
SEPA check list to be processed by the City. The HPA application and SEPA checklist will
require a discussion of stormwater treatment and flow quantity.
Task 2.9 Prepare 95% PS &E to incorporate City, Utility and permitting review
comments and requirements.
Task 2.10 Issue construction documents to City for bidding.
L \Projects \09 \09 -20 -002 Port Angeles Slide Repairs \Attachement A Scope Port Angelesl doc
Page 2 of 5
ATTACHMENT A — SCOPE OF SERVICES Hammond Collier Project No. 09 -20 -002
City of Port Angeles Slide Repairs Contract
Task 2.8 State Environmental Policy Act (SEPA) Checklist
HCWL will prepare the SEPA Checklist for the project in conformance with
WAC 197 -11 -960 and City standards. The SEPA Checklist will briefly describe the project and
address the project's effects on elements of the environment, as outlined in the Checklist. The
Checklist will include a list of permit requirements for the proposed project. To prepare the
Checklist, we will use project design information and other available studies prepared for the project,
such as the drainage report. As necessary to complete the Checkhst, we will review additional City
documents such as the comprehensive plan, zoning code, and other development regulations, and
we will conduct interviews with agency representatives, utility providers, and City staff members.
Assumptions:
• The project will not require preparation of a SEPA Environmental Impact Statement, and
either a Determination of Non - Significance (DNS) or a mitigated DNS will be issued for the
project.
• City of Port Angeles staff will prepare and publish the DNS (or mitigated DNS).
• HCWL staff members will not attend a public hearing should one be necessary.
• One HCWL staff member will conduct one site visit.
• Information to prepare the SEPA Checklist will be gathered from interviews with
agency /utility provider representatives and from readily available public documents; no
fieldwork or other primary investigations will be required.
• HCWL Associates will provide a draft copy of the SEPA Checklist to the City for review. The
City will provide one set of consolidated comments to HCWL, and we will prepare a final
SEPA Checklist for publication based on those comments. Should additional rounds of review
and comment be requested by the City, a scope and budget amendment will be required.
• This proposal does not include time for HCWL to respond to any public or resource agency
comments on the SEPA Checklist after the Checklist has been published for public comment.
• Special provisions will be based on the latest APWA /WSDOT Standard Specifications format.
• ACAD layering will conform to Hammond Collier formatting standards consistent with
APWA formatting standards.
• An Environmental Classification Summary and Essential Fish Habitat Evaluation will not be
required for the project.
• The slope failure project will be determined to be a Class II Documented Categorical
Conclusion and neither a NEPA Environmental Impact Statement nor an Environmental
Assessment will be required.
• Air Quality, Noise, Section 4(f), Wetland, and Environmental Justice analyses will not be
required to be documented in an ECS. Individual discipline reports and modeling efforts will
not be required for these elements of the environment.
Cities Responsibilities:
• City to review 30, 60, and 95% bid documents and provide review comments within two
weeks of receiving them.
• City to provide their most current electronic "boiler plate" of contract, forms, certifications,
general conditions, special provisions and standard plans.
L \Projects \09 \09 -20 -002 Port Angeles Slide Repairs \Attachement A Scope Port Angelesl doc
Page 3 of 5
ATTACHMENT A — SCOPE OF SERVICES Hammond Collier Project No. 09 -20 -002
City of Port Angeles Slide Repairs Contract
• City to provide survey of sites m ACAD electronic files.
• City to gain right of entry to sites along with construction easements or dedication.
• City to process SEPA checklist. City to pay all permitting application and processing fees.
• City to perform the Cultural Resource Investigation.
Deliverables:
• An electronic (Adobe PDF) of the draft SEPA checklist.
• An electronic (Adobe PDF) and paper copy of the final SEPA checklist.
• Construction cost estimates at alternative selection, 30 %, 60 %, and 95% and for bid
document.
• Three copies 11" x 17" 30% plans to City.
• Three copies 11" x 17" 60 % plans to City.
• Three copies 22" x 34" 95% plans and bid documents to City.
• One reproducible copy and one electronic copy of final bid documents including 22" x 34"
Plans, Project Manual, and engineers estimate of final bid documents.
SCOPE OF SERVICES (Landau Associates)
Task 1: Landau Associates will complete a boring at the top of the slope adjacent to the slope
failure to a depth of approximately 50 Feet below the existing ground surface or refusal, whichever
is less, for the purpose of determining subsurface soil and groundwater conditions. The borings will
be completed by using a truck rig advancing hollow -stem augers by Holocene Drilling ( under
subcontract to Landau Associates ). Landau Associates will mark the exploration location in the
field and arrange for underground utility locates (1 -800 call before you dig) prior to implementing
the field exploration program. The borings will be completed within the right -of -way and will
provide the appropriate traffic control necessary to complete the boring. They will contact the City
of Port Angeles to obtain a permit for work within the right -of -way.
A geologist or engineer from the firm will observe the boring, obtain representative soil
samples, and prepare a log of the conditions encountered. Soil samples will be obtained from the
boring on about 2 1/2 - or — 5 ft depth intervals using the Standard Penetration Test procedure. Soil
samples will be returned to Landau Associates' laboratory for further visual classification. Upon
completion of drilling and sampling, the boring will be abandoned m accordance with WAC 173 -160
and the area of the boring will be restored as best as possible with the equipment on hand. The
pavement will be patched with fast - setting concrete. Soil cutting from the boring will be disposed of
by spreading along the slope.
Information from the field investigation will be analyzed by a geotechnical engineer from
Landau Associates to develop geotechnical engmeermg conclusions and recommendations to
support reconstruction of the slope. Geotechnical engineering conclusions and recommendations
will be developed for a rock fill alternative and for a soldier pile wall alternative. It is assumed that
survey to provide slope geometry will be provided by the City.
The results of the field exploration, engineering analysis, and geotechnical engineering
conclusions and recommendations will be summarized in a geotechnical report. The geotechnical
report will be submitted as a draft for review. Review comments will be incorporated into a final
geotechnical report.
L \ Projects \09 \09 -20 -002 Port Angeles Slide Repass \Atrachement A Scope Port Angeles) doc
Page 4 of 5
ATTACHMENT A — SCOPE OF SERVICES Hammond Collter Project No. 09 -20 -002
City of Port Angeles Slide Repairs Contract
Dehverables:
• An electronic (Adobe PDF and FileMaker Pro) copy of the draft ECS.
• An electronic (Adobe PDF and FileMaker Pro) and paper copy of the final ECS.
SCHEDULE
ITEM
GEOTECHNICAL INVESTIGATION
30 % PLANs
60 % PLANs
95% PS &E
100% BID PACKAGE & ADVERTISEMENT
L \ Projects \09 \09 -20 -002 Port Angeles Slide Rep,urs \Attachement A Scope Port Angeles! doc
Page 5 of 5
DATE
DECEMBER 15, 2009
JANUARY 15, 2010
FEBRUARY 8, 2010
FEBRUARY 22, 2010
MARCH 1, 2010
C ITY OF PORT ANGELES
SLIDE REPAIRS
HAMMOND COLLIER WADE LIVINGSTONE
PROFESSIONAL ENGINEERING SERVICES SUMMARY
TASK
NO
1.0 PROJECT MANAGEMENT
1 1 Project Administration
1 2 Principal Oversite, QA/QC
2 0 PREPARE SLIDE REPAIR DESIGN PLANS
2 1 Aquire Survey Data
2 2 Review survey data
12 3 Develop Base Map, Vicinity Map, Legend
12 4 Review Geotech Report
2 5 Preliminary Design Recommendations & Eng Est
2 6 30% Plans & Spec
2 7 60% Design & Spec
128HPA &SEPA
2 9 95% PS &E
2 10 Issue Bid Documents
1 HOURLY RATE
TASK
TOTAL ESTIMATED HOURS BY LABOR CATEGORY
EST PERSONNEL CHARGES BY LABOR CATEGORY
DIRECT NON - SALARY COSTS (TRAVEL, MATERIALS TESTING & REPROGRAPHICS)
1 Sub - consultant Landau Assoc & Halocene DnIling
EXHIBIT B
FEE ESTIMATE
Principle Project
Manager
KG JH
05
05
8 2
2
1
1 - 1
1 3
1 8
1 8
1 3
8
1 3
18 39 0 0 0
$190 $14000 $12500 $145 00 1 $12500
� I
$3,420 00 1 $5,460 00 $0 00 $0 00 1 $0 00
01
I I I
12/4/2009
Project Survey Project Party Survey CAD Word 1
Engineer 1 Manager Surveyor Chief Operator 11 Processing TOTAL FOR
IH RH DB GK BA MR HA HOURS EACH TASK
I 1 10 $1,80000
I 1 5 $850 00
1 0 $0 00
I 1 o
1 0 5 $95 00
051 1 $14750
1 8 9 $980 00
21 $330 00
4 $610 00
8 17 $2,150 00
4 13 $1,730 00
0 5 4 5 $662 50
4 12 $1,540 00
4 $610 00
0 25 0 821 $11,50500
I I I
$95 00 $78 00 $105 00 $60 00 1
$0 00 $0 00 $2,625 00 $0 00 1 $11,505 00
$500 00
1 $17,215 00
1
TOTAL: r $29,220 00
ACDRDT, CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Kibble & Prentice, a USI Co.
P.O. Box 370
Seattle, WA 98111
206 441 -6300
INSURED
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
!Nun ..D,} U POLICY EFFECTIVE POLICY EXPIRATION
LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDIYY}_ DATE IMMIDDlYY1_
A GENERAL LIABILITY
)( COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ® OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
n POLICY n PE n LOC
B AUTOMOBILE LIABILITY
x
x
x
B
EXCESS/UMBRELLA LIABILITY CUP6752Y504
OCCUR n CLAIMS MADE
x
Hammond Collier & Wade Livingstone Asc.
4010 Stone Way N, Suite 300
Seattle, WA 98103 -8090
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
CERTIFICATE HOLDER
DEDUCTIBLE
RETENTION $ 10000
A WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
C OTHER Professional
Liability
City of Port Angeles
Attn: Mr. Jim Mahlum
321 E 5th St.
PO Box 1150
Port Angeles, WA 98362 -0217
Client #: 333394 HAMMOCOL
6802762L69A
BA2760L911
6802762L69A
( WA Stop Gap )
DPR9616682
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A:
INSURER B
INSURER C:
INSURER 0:
INSURER E
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
Re: Race Street Slide Repair.
The Certificate Holder is named as an Additional Insured on the General
Liability Policy, with respects to operations of the Named Insured.
Charter Oak Fire Insurance Company
Travelers Indemnity Company
XL Specialty Insurance Company
DATE IM MID DIYYYY]
12/17/09 •
NAIC #
1 25615
1 25658
37885
LIMITS
07/15/09 07115110 EACH OCCURRENCE I $1.000.000
DAMAGE TO RENTED
PREMISES (Ea occurrencel $1.000.000
$10,000
� $1.000.000
GENERAL AGGREGATE / $2,000.000
PRODUCTS - COMP/OP AGG 1$2,000.000
ry 07/15(09 07/15/10
i 2 2 79
City of Port Angeles
Pn �lic VThrks and INilifir f]rnt
E igineering Services Diu :Ision
07/15/09 07/15/10
07/15/09 07/15/10
07/15/09 07/15/10
MED EXP (Any one person).
PERSONAL & ARV INJURY
COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
BODILY INJURY
{Per person]
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY
EACH OCCURRENCE
AGGREGATE
EA ACC
AGG
WC STATU- OTH-
TORY I IMITS I x I FR
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
1 E.L. DISEASE - POLICY LIMIT
$1,000,000 per claim
$1 ,000,000 annl aggr.
$
$
5
$
$
$1,000.000
$1.000.000
$
5
$1,000,000
$1,000,000
$1,000,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2 #S4161123/M4069415 MXTJU @ ACORD CORPORATION 1988
ACORD 25S (2001/08) 2 of 2 #S41611231M4069415
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s),
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
COMMERICAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. The following is added to WHO IS AN INSURED
(Section II):
Any person or organization that you agree in a
"contract or agreement requiring insurance" to in-
clude as an additional insured on this Coverage
Part, but only with respect to liability for "bodily in-
jury" "property damage" or "personal injury"
caused, in whole or in part, by your acts or omis-
sions or the acts or omissions of those acting on
your behalf:
a. In the performance of your ongoing opera-
tions;
b. in connection with premises owned by or
rented to you; or
c. In connection with "your work" and included
within the "products- completed operations
hazard ".
Such person or organization does not qualify as
an additional insured for "bodily injury", "property
damage" or "personal injury" for which that per-
son or organization has assumed liability in a con-
tract or agreement.
The insurance provided to such additional insured
is limited as follows:
d. This insurance does not apply on any basis to
any person or organization for which cover-
age as an additional insured specifically is
added by another endorsement to this Cover-
age Part.
e. This insurance does not apply to the render-
ing of or failure to render any "professional
services ".
f. The limits of insurance afforded to the addi-
tional insured shall be the limits which you
agreed in that "contract or agreement requir-
ing insurance" to provide for that additional
insured, or the limits shown in the Declara-
tions for this Coverage Part, whichever are
less. This endorsement does not increase the
limits of insurance stated in the LIMITS OF
CG D3 81 09 07
INSURANCE (Section III) for this Coverage
Part.
B. The following is added to Paragraph a. of 4.
Other Insurance in COMMERCIAL GENERAL
LIABILITY CONDITIONS (Section IV):
However, if you specifically agree in a "contract or
agreement requiring insurance" that the insurance
provided to an additional insured under this Cov-
erage Part must apply on a primary basis, or a
primary and non - contributory basis, this insurance
is primary to other insurance that is available to
such additional insured which covers such addi-
tional insured as a named insured, and we will not
share with the other insurance, provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed;
after you have entered into that "contract or
agreement requiring insurance ". But this insur-
ance still is excess over valid and collectible other
insurance, whether primary, excess, contingent or
on any other basis, that is available to the insured
when the insured is an additional insured under
any other insurance.
C. The following is added to Paragraph 8. Transfer
Of Rights Of Recovery Against Others To Us
in COMMERCIAL GENERAL LIABILITY CON-
DITIONS (Section IV):
We waive any rights of recovery we may have
against any person or organization because of
payments we make for "bodily injury", "property
damage" or "personal injury" arising out of "your
work" performed by you, or on your behalf, under
a "contract or agreement requiring insurance" with
that person or organization. We waive these
rights only where you have agreed to do so as
part of the "contract or agreement requiring insur-
ance" with such person or organization entered
into by you before, and in effect when, the "bodily
a 2007 The Travelers Companies, Inc. Page 1 of 2
Includes the copyrighted material of Insurance Services Office, Inc., with its permission.
COMMERICAL GENERAL LIABILITY
injury" or "property damage" occurs, or the "per-
sonal injury" offense is committed.
D. The following definition is added to DEFINITIONS
(Section V):
"Contract or agreement requiring insurance"
means that part of any contract or agreement un-
der which you are required to include a person or
organization as an additional insured on this Cov-
Page 2 of 2
erage Part, provided that the "bodily injury" and
"property damage" occurs, and the "personal in-
jury" is caused by an offense committed:
a. After you have entered into that contract or
agreement;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.
10 2007 The Travelers Companies, Inc. CG D3 81 09 01
Includes the copyrighted material of Insurance Services Office, Inc., with its permission.