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Contract Number Vendor: Sub�ect: Department: File Class: Begin Date End Date: Review Date: Vault Date: 5277 NORTON CORROSION LIMITED PSA Resevoir 23 Corrosion Repair Engineering LEG 12-1 9/10/2013 12/31/2013 2015 Comments: Engineering Support and Inspection Services PROFESSIONAL SERVIC�S AGIdEE1VIEI�1�' FOR RESERVOiit 23 CORROSION REPAIR ENGINEERING SUPPORT AND INSPECTION SERVICES The City of Bremerton ("City") and Norton Corrosion Limited ("Consultant"), referred to collectively as the "Parties," enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically descnbed in the Scope of Work, dated July 2, 2013, including any atta.chments thereto , attached hereto as Exhibit A, which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.G of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be perFormed upon the express wntten request of the City. Consultant further represents that the services furnished under tlus Agreement will be performed in accorda.nce with generally accepted professional practices in effect at the time such services are performed. II. Term: The City and the Consultant agree that work vv�ll begin on the tasks descnbed in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described m Exhibit A is to be completed as provided for m the work schedule attached hereto as Exhibit B; provided however, that additional time shall be granted by the City for excusable delays or extra work as provided for in Section IX.A of this agreement. III. Compensation: In consideration of the services pmvided pursuant to this Agreement, the City shall pay Consultant in an amount not to exceed $9,761.50. Consultant's charges and bills sha11 conform to the fee schedule attached hereto as Exhibit C and incorporated herein by this reference. The Consultant sha11 submit regular billing statements detailmg work performed and amount charged on each task or portion thereof The descriptions shall conform to and fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall promptly process payment. PROVIDED, HOWEVER, the City reserves the right to priontzze scoped work and accelerate and/or delay work tasks under the time frame set forth m Section II herein. The Consultant's labor rates and billing fees sha11 be as delineated in Exhibit C. Co�sultant shall not perform work beyond the Scope of Work, nor shall be compensated for such work, unless the Scope of Work or amount of compensation is modified pursuant to this Agreement. Consultant sha11 only be compensated for addirional services if requested pursuant to Section I and, if not otherwise provided, such compensation sha11 be in accordance with Exhibit C. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brought into compliance. Such withholding does not relieve Consultant of its obligations under tlus Agreement Bremerton/Norton Corros:on Reservo�r 23 Corroston Repair Page 1 oj7 IV. Relations6ip of Parties: Consultant represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. Consultant and rts personnel are independent Consultants and not employees of the City Consultant and rts personnel have no authority to bind the City or to control the City's employees and other Consultants. None of the benefits provided by the City to its employees, including, but not limited to, compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub-Consultants of the Consultant. Consultant will be solely and entirely responsible for its acts and for the acts of Consultant's agents, employees, representatives and sub-Consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent Consultants to perform the same or similar work As an independent Consultant, Consultant is responsible for its own management. The City's administration and enforcement of this Agreement sha11 not be deemed an exercise of managenal control over Consultant or its personnel As an independent Consultant, Consultant is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These ta.xes and fees include but are not limited to State industrial insurance, Business & Occupation, State professional licensing, and City business licensing. If any taxes or fees due the City have been declazed delinquent, the City may withhold the delinquent amount, plus any additional charges arising from the delinquency, from any payments due Consultant. V. Indemnification: A. Consultant shall defend, indemnify and hold the City, rts officers, officials, employees, agents and volunteers harmless from any and all claims, injunes, damages, losses or suits, including all legal costs and attomey fees, azising out of or in connection with Consultant's performance of this Agreement, wiless Consultant is conducting work pursuant to Subsection B below The City's review or acceptance of any of the work when completed sha11 not be grounds to avaid any of these covenants of indemnification B. Architects, En ' eers and Any Other Professional Listed In and Performing �ervices Defined in RCW 42.24 115: Should a court of competent jurisdiction determine that Consultant's services provided pursuant to this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the Crty, its officers, ofFicials, employees, agents and volunteers, the Consultant's liability hereunder sha11 be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMIVIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WANER OF IIVIMUNITY UNDER INDUSTRIAL INSURANCE TITLE 51 RCW, SOLELY Bremerton/Norton Corrosion Reservoir 23 Corrosion Repair Page 2 of 7 FOR THE PURPOSES OF THIS INDEMNIFICATION. 'TI� PAR'TIES FURTHER ACKNOWLEDGE THAT TF�Y HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this Agreement VI. Insurance: Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property wluch may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub-consultants or sub-Consultants. Before beginning work on the project described in this Agreement, the Consulta.nt shall provide a Certificate of Insurance evidencing: 1. Automobile Liabali4v insurance with hmits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Comenercial Generai Liabilitv insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal mjury, 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 uaderground (XCLn if applicable; and employer's liability; and 3. Ezcess Liabilitv insurance with limrts not less than 1,000,000 limit per occurrence and aggregate 4. Professional Liabilitv insurance with limits no less than $1,000,000 limit per occurrenceklaim. Any payment of deductible or self insured retention shall be the sole responsibility of the Consultant. All requued policies shall be provided on an"occurrence" basis except professional liability insurance (if required), which may be provided on a"clairns-made" basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the ertificate of Insurance. The City reserves the right to receive a certified copy of a11 the �uired insurance policies and endorsements. The City further reserves the right to reject any unacceptable policies and/or endorsements. The Consulta.nt's Commercial General Liability insurance shall contain a clause stating that covera$e sha11 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. T'he Consultant's insurance shall be primary insurance as respects the City and it shall be an affirmative obligation upon Consultant to advise the City's Risk Manager by fax at (360) 473- 5161, or by certifi� mail, return receipt r�uested to City of Bremerton, attn: Risk Management, Bremerton/Norton Corroston Reservoir 23 Corrosion Repatr Page 3 of 7 345 6�` Street, Surte 600, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to do so sha11 be construed to be a breach of ttus Agreement. The Crty also reserves its unqualified nght to require at any time and for any reason, proof of coverage m the form of a duplicate of the insurance policy with a11 endorsements as evidence of coverage. VYI. General Conditions: A. Re.ports and Information: When requested by the City, Consultant shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested. Consultaat shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to substantiate a1i billed amounts. B. Ownershi,p and Use of Records and Documents: Original documents, drawings, designs and reports, including those in electronic format, developed under this Agreement are the property of the City. All written information submitted by the Crty to the Consultant in connechon v�nth the services performed by the Consultant under this Agreement v�nll be safeguarded by the Consuitant to at least the same extent as the Consulta.nt safeguards like information relating to its own business. ff such informa6on is publicly available or is already in Consultant's possession or known to it, or is rightfully obtained by the Consultant from third parties, Consultant sha11 beaz no responsibility for its disclosure, inadvertent or otherwise All data, documents and files created by Consultant under ttus Agreement ma.y be stored at Consultant's office in Woodinville, WA. Consultant shall make such data, documents, and files available to the City upon rts request at all reasonable tunes for the purpose of edihng, modifying and updating as necessary until such tune as the City is capable of storing such information in the City's offices. Duplicate copies of this information sha11 be provided to the City upon its request, and at reasonable cost. All documents, including all reports, drawings, specifications, computer soflware or other items prepared or fiu�nished by Consultant pursuant to this Agreement, are instruments of service with respect to the pr�ject and aze the property of the City. Any reuse by the City for other than the specific purpose intended will be at City's sole risk. C Work Performed at Consultant's Risk: Consultant shall take all precautions necessary and sha11 be responsible for the safety of its employees, agents, and sub-consultants in the performance of the work hereunder and sha11 utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other anc�les used or held for use in connection with the work. D. Place of Work: The Consultant shall perForm the work authorized under this Agreement at its offices in Woodinville, WA. Meetings with the City staff as described in Bremerton/Norton Corrosion Reservotr 23 Corroston Repair Page 4 of 7 Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. E. Entire A�reement: This Agreement and its Exhibits constitutes the entue agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. F. Severabilitv: Should any part of this Agreement be found void, the balance of the Agreement sha11 remain in full force and effect. G. Modification: This Agreement may only be modified by written instrument signed by both Parties. H. Written Notices: All communications regarding this Agreement sha11 be sent to the parties at the addresses listed below by registered or 1 st class mail, or by personal service, and shall be deemed sui�ciendy given if sent to the addressee at the address stated in this Agreement or such other address as raay be hereafter specified in writing. Citv Address: 345 Sixth Street Bremerton, WA 98310 Consulta�t Address: 8820 222d Street SE Woodinville, WA 98077 I. Waiver: Failure to enforce any provision of this Agreement shall not be deemed a waiver of that pmvision. Waiver of any right or power arising out of this Agreement sha11 not be deemed waiver of any other right or power. J. Non-Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contai.ned herein, or to exercise any option herein conferred in one or more instances shall not be construed to be a waiver or relinquishment of said covenants, agreements or options, and the same shall be and remain m full force and effect K. Compliance with La.ws: Consultant sha11 comply with all applicable Federal, State, and locallaws in performing its obligations under this Agreement. L. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement sha11 be brought in Kitsap County Superior Court. M. Attornevs' Fees: In the event of htigation to enforce any of the terms or provisions herein, each party shall pay a11 its own costs and attorney's fees. N. Assignment: Any assi�nment of this agreement by the Contractor without the written consent of the City shall be void. Bremerton/Norton Corrosion Reservou 23 Corrosion Repau Fage S of 7 VIII. Nondiscrianination: Consultant shall not discriminate in employment or services to the public on the basis of race, color, national origin, sex, religion, age, marital status, disability, or sexual onentation except for employment actions based on bona fide occupational qualification. IX. Termination: This Agreement shall remain in force until completion and acceptance of the services, terminated by written instrument upon mutual consent, or by the City of Bremerton for convenience. This Agreement may be immediately terminated for cause by a Party if the other Party substantially fails to perform through no fault of the ternunating Party, and the non- perfornung Party does not commence conrection of the failure of performance within thirty (30) days of the terminating Party's sending notice to the non-performing Party. Any Notice by Consultant shall include a report showing the status of all items listed in the Scope of Work current through the termination date. If the City receives reimbursement by any federal, state, or other source for work described in Section I herein, and that funding is wrthdrawn, reduced or limited in any way, or the project is cancelled or substantially reduced after the execution date of this Agreement and prior to the completion of the work, the City may summarily termi.nate ttus Agreement. A. Excusable Delays: The right of Consultant to pmceed sha11 not be terminated nor sha11 Consultant be chazged with liquidated damages for any delays in the completion of the work due to: 1) any acts of the federal government in controlling, restricting, or requisitioning ma.terials, equipment, tools, or labor by reason of war, national defense, or other national emergency; 2) any acts of the City, its consultants, or other public agencies causing such delay; and 3) causes not r�asonably foreseeable by the parties at the time of the execution of the Agreement that are beyond the contnol and without the fault or negligence of the Consultant, including, but not restricted to, acts of God, fires, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must promptly notify the City within ten (10) calendar days in writing of the cause of the delay. If, on the basis of the facts and the terms of this Agreement, the delay is pmperly excusable, the City shall, in writing, extead the time for completing the work for a period of time commensura.te with the period of excusable delay. B Ri h� ts Upon Ter�unation: In the event of termination, the City sha11 pay for all services performed by the Consultant to the effective date of termination, as described on a final invoice submitted to the City. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project which may be used by the City without restriction. Any svch use not related to the project which Consultant was contracted to perform shall be without liability or legal e�osure to the Consultant. X. Suspensian & Debarment. For contracts involving Federal funding, Consultant hereby certifies, by signing this agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. Consultant shall provide immediate written notice to the Crty if at any time it learns that it is or has become ineligible for certification. Should Consultant enter into a covered transaction with another firm, Consultant Bremerton/Norton Corrosion Reservoir 23 Conosion Repa�r Page 6 of 7 agrees by signing this agreement that it will verify that the firm with whom it intends to do bus�ness is not debarred, suspended, ineligible, excluded or disqualified CITY OF BREMERTON -� ay r its �VB� �t�'�� Date � � �` Approved as to form• ` ' Qr Bre erto ity Attorney CONSULTANT Norton Corrosion L�mited B �ts Date � � � st City Clerk B� enre� lon/No� !on Co� � osion Rese�vou 23 Co» os�on Repan Page 7 of 7 EXHIBIT A- SCOPE OF WORK (SEE ATTACHED) Bremerton/Norton Corrosron Reservoir 23 Corrosion Repair NORTON CORROSIOIV LIMITED July 2, 2013 Bill Davis, P E City of Biemei�ton Engineering Depai�tment Bremerton, WA E-mail william davis n,ci bremerton wa us 8820 222" St�eet SE, Woodmwlle, WA 98077 Phone (425) 483-1616 o Fax (425) 485-1754 e-maii pgoodwin@nortoncorrosion com Phone. (360) 473-2312 Sub�ect. �A�'I�OIDIC PRO'�'EC'I'gON gNSP�CTIOIV SE12VgC�S CI'TY OF �It�1VI�RT01�1 RES�RVOIIt #23 Deai Bill We have updated oui June 21, 2013 pioposal based on the feedback we ieceived in the attachment you sent on today July 2" We would ptopose the following. gtem Quantity I)escription-NCI.'s Approach to the Pro�ect iTnit Cost Ext. Cost 1 4 lu s�re Site Visit lteview: NCL will review existing drawings, $169 00 $676 00 repoi�ts and documents NCL will help determine locations � and coordinahng pipe sections to be potholed (actual potholing to be by otheis) 1 lot Site Visit NCL corrosion engineei will travel to site and perfoim coi�rosion evaluation testmg as deemed necessaiy. The following are possible onsite tasks (time allotted for this visit assumes that the pipe areas selected to be potholed will be done prior to our aitiival) o Visually inspect pipmg at various locations o Cui iequiiement testmg o Continurty testmg o Retrieve soil samples for DIPRA testing Cost noted mcludes up to one day ons�te with mob/demob 3 4 time and all travel expenses 1 lot 12eport/�'uture gDesign: NCL will piovide report detailing iaw data collected and our observations We will provide a future plan of action with necessary drawmgs to support future work (pricing assumes that specifications would not be required) I lot Installation Supervision: NCL conos�on professional/lechman will mob�l�ze to the s�te He will assist the c�ty of Bremei�ton �nstallation crew wrth CP installat�on/technical support. NCL w�ll ass�st with such items as cadweldmg, startup and other CP activit�es identified wh�le ons�te Pricing assumes one day ons�te including mob/demob t�me and all expenses (excavat�on work to be done prior to NCL ar� ivmg) $1,524 50 $2,704.00 $1,332 50 $1,524 50 $2,704 00 $1,332.50 NORTON CORROSION LIMITED F'. 6 CITY OF BREMERTON RESERVOIR 23 JuLY 2, 2013 PAGE 2 OF 2 1 lot Post Installation Testing: Afte� the CP system has been installed and has a chancc to pola�izc (mmimum of 30 days), NCL coiios�on eng�nee� will mob�l�ze to the site and peifo�m post installat�on testmg A�epoit w�ll be prov�ded deta�l�ng test results I lot CP Ndaterials: Actual b�(I of CP mate� ials to be dete�7mned afte► initial srte v�srt and CP des�gn wo�k �s completed Cost indicated �s veiy �ough It could be that CP mate� ials w�ll not be effective oi a couple of anodes w�ll p�ovide adequate p�otection It maybe that a much mo�e involved �mpjessed cuijent system may be necessaty NCL undeistands that this budget rtem will only be used by wiitten autho� ization by city staff $1,524 50 �$2,000 00 $1,524 50 �$2,000 00 'I'otal �stimated Budget $9,761.50 Terms Net 30 days on appioved ciedrt Validrty-60 days NCL maintains $5 Million piofessional liability insuiance- highei limrts aie available at addrtional cost Yout ieturned authoiization (below) via fax can seive as oui Notice to Proceed. Thank you for the oppoitumty to provide a proposal for this project We look forwaid to your positive iesponse Y� lhiiip Goodwin ech Rep (7) SC�PBC\BREMERTON_RESERVOIR23A Authorized by Date EXHIBIT B— T�RM OF WOROC The work shall be completed no later than December 31, 2013 Bremertorr/Norton Corrosion Reservoir 23 Corrosion Repatr �XHIBIT C — FEE SCHEDULE Payment shaii be made based on the following task and fee schedule Task 1— Pre-Site Review Task 2 — Site Visit Task 3 — ReportJFuture Design Task 4 — installation Supervision Task 5— Post Installation Testing Task 6 — CP Materials TOTAL $676.00 $1524.50 $2704.00 $1332.50 $1524.50 $2000.00** $9,761.50 ** Task 6 to only be used upon wr approval by the Owner Bremerton/Norton Corrosion Reservoir 23 Corrosion Repair 5211 ' . . ' • •:Client#:61470 • NORTCORR ACORDTM - CERTIFICATE OF LIABILITY INSURANCE. - DATE(MM/DD/YYYY) 9/30/2014 THIS CERTIFICATE IS ISSUED ASA 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 THEPOLICIES;,- ' 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 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 conifer rights to the.. certificate-Holder in•lieu.of such'endorsement(s). PRODUCER.. . . - CONTACT . NAME: Dean&Draper Ins.Agcy., LP . PHONE ' FAX (A/C,No,Ext):713 527-0444 (A/C,No): 713-527 0457 ' 3131 West-Alabama .,_ E-MAIL ADDRESS: . 4th Floor • INSURER(S)AFFORDING COVERAGE NAIC# Houston,TX•77098 INSURER A Evanston Insurance Co. INSURED INSURER B:Hartford Ins Co of the Midwest Norton Corrosion Limited;LLC INSURER C:Alaska National Insurance Compa 8820 222nd Street SE INSURER D:American States Ins Co of Texas Woodinville,WA 98077 I INSURER E: INSURER F: - COVERAGES 'CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ' 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 ADDL SUBR ! POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY x x 14PKGMS81221 09/30/2014 09/30/2015 EACH OCCURRENCE $1,000,000 ' X COMMERCIAL GENERAL LIABILITY . . . - DAMAGE TO RENTED PREMISES R occurrence) $SO,000 -•; • CLAIMS=MADE' 'X OCCUR' . ' . .. • ;.• • - ., ... - ' ' . .-; MED EXP(Any one person) $5,000'" "' - - y • - '" - - - - .PERSONAL&ADV INJURY-' .$1,"0-60-,600 - - GENERAL AGGREGATE. $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: . • -PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY PRO-JECT LOC S - - $. . ' D AUTOMOBILE LIABILITY • x -x 01C178487501 09/30/2014 09/30/2015 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO ) - BODILY INJURY(Per person) $ • ALL OWNED SCHEDULED • - BODILY INJURY(Per accident) $ AUTOS AUTOS • X HIRED AUTOS X NON-OWNED' • PROPERTY DAMAGE $ AUTOS (Per accident) XDrive Oth Car $ A UMBRELLA LIAB X OCCUR 14EFXMS80719 09/30/2014 09/30/2015 EACH OCCURRENCE $4,000,000 • X EXCESS LIAB . CLAIMS-MADE AGGREGATE $4,000,000 DED RETENTION$ - . \ $ - T-B-WORKERS CUMYENSATION x " 61 WBCAL41 O3 , - 09/6112U74 U9/01/20 1.5 X")WC STATIJ- I.. .OTH - - 1.— AND EMPLOYERS'LIABILITY t TURYLIMITS IER -C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 541697714267 09/08/2014 09/08/2015 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A C (Mandatory in NH) 141WU09326 09/30/2014 09/30/2015 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional 14PKGMS81221 09/30/2014 09/30/2015 1,000,000/2,000,000 ' A Pollution - '14PKGMS81221 09/30/2014 09/30/2015 1,000,000/2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required). ' The General Liability policy includes a blanket additional insured endorsement CG 2037 07 04 and waiver of subrogation endorsement form MEEI 2211 08 10 policy contains a special endorsement with the primary . and non contributory wording per form MEGL 1543 04 11 to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status.Policy include a blanket 30 day notice of cancellation endorsement(MEIL123 11 13)to the (See Attached Descriptions) CERTIFICATE HOLDER • CANCELLATION Cityof Bremerton • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN 345 6th St. ACCORDANCE WITH THE POLICY PROVISIONS. . • Bremerton,WA 98337 • . AUTHORIZED REPRESENTATIVE - . • ©1988-2010 ACORD CORPORATION.All rights reserved. . . ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD ' #S450613/M450273VMA ' . DESCRIPTIONS (Continued from Page 1) certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The Auto Liability policy provide a blanket additional insured endorsement, waiver of subrogation endorsement-form to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status.Policy include a blanket 30 day notice of cancellation endorsement form to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. Workers Compensation policy provide a blanket waiver of subrogation endorsement form only when there is a written contract between the named insured and the certificate holder that requires such status. USL&H/Martime is under Alaska National Policy and Alaska WC is under the Alaska National policy. North Carolina'and Nevada coverage is under the Hartford policy-. -- - Excess Liability policy is follow form with scheduled polices to include Auto Liability,General Liability and Employers Liability. Job#ME 21160-AST SAGITTA 25.3(2010/05) 2 of 2 #S450613/M450273 H �-, e 5a/1 ACRODATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/25/2015 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 HOLDER1 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Linda Fontenot Insgroup, Inc. RECEIVE® NAME: IPAHONE Ext): (713)541-7272 (FAX AIC,No): (713)772-5224 N1455 W. Loop South, 9th Floor Q 2015 qo1 REss:lfontenot@insgroup:net OCT 0.9 INSURER(S)AFFORDING COVERAGE NAIL# Houston TX 77027 INSURER A:Evanston Insurance Co. 35378 INSURED City of Bremerton INSURER B American States Ins Co 19712 Norton Corrosion Limited, LLC Risk Management INsuRERc:Hartford Insurance Company of the 37478 8820 222nd Street SE INSURERDAlaska National Insurance Co 37833 INSURER E: Woodinville WA 98077 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1592573783 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW DAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER. (MM/DD/YYYY) (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000_ DAMAGE TO RENTED 50,000 A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 14PKGMS81221 9/30/2015 9/30/2016 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 X ITT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 01CI784875-1 9/30/2015 9/30/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS ON-O PROPERTY DAMAGE X HIRED AUTOS AUUTOSTOS ED A (Per accident) $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A x EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ 14EFXMS80719 9/30/2015 9/30/2016 $ C WORKERS COMPENSATION 61WBCAQ0031 X PER OTH- AND EMPLOYERS'LIABILITY _ STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 14IWW72912 — ALASKA • E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A ii - D (Mandatory in NH) 14IWU09326 USL&H'ONLY-----=WA 9/1/2015 9/1/2016 E.L.DISEASE--EA EMPLOYEE $ 1,000'TOOT If yes,describe under DESCRIPTION OF OPERATIONS below fl E.L.DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY 14PKGMS81221 • 9/30/2015 9/30/2016 Aggregate/Occurrence $2M / $1M A POLLUTION LIABILITY 14PKGMS81221 9/30/2015 9/30/2016 Aggregate/Occurrence $2M / $1M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Job # ME 21160-AST CERTIFICATE HOLDER ,1 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th St. ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton, WA 98337-0000 AUTHORIZED REPRESENTATIVE Henry Hochman/JR02 rr Lww �� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) i