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AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Professional Services Agreement wit11 Parametria; -Inc. for Construction Management Services for the Lebo Boulevard Road Improvement Project RA Study Session Date: March 22, 2017 COUNCIL MEETING Date: April 5, 2017 Department: Public Works Presenter: Rick Zimburean Phone: (360) 473-5334 SUMMARY: This Professional Services Agreement will augment our in-house staff as the Lebo Boulevard construction gets underway. We identified four qualified consultants utilizing the MRSC web service and requested consultants submit written qualification packages. Two consultants responded. Parametrix, Inc. was chosen as best qualified to provide construction management services for this project, based on the selection criteria. This contract is for $233,875. Expected total expense for the construction management is $555,408. ATTACHMENTS: 1. Consultant solicitation and selection documentation 2. Professional Services Agreement, Parametrix Inc. FISCAL IMPACTS (Include Budgeted Amount): The Lebo Boulevard Road Improvement Project is funded with a Transportation Improvement Board grant of $4,942,722; City Stormwater Utility funding of $913,514, and City Water Utility funding of approximately $113,000. STUDY SESSION AGENDA: 0 No Presentation ❑ Full Presentation STUDY SESSION ACTION: o Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve a Professional Services Agreement with Parametrix, Inc. for Construction Management Services in the amount of $233,875.00 for the Lebo Boulevard Roadway Improvement Project; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: [ZApprove Form Updated 01/07/15 ❑ Deny ❑ Table ❑ Continue ❑ No Action PROFESSIONAL SERVICES AGREEMENT Lebo Boulevard Roadway Improvement Project Construction Management Services The City of Bremerton ("City") and Parametrix, Inc. ("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 described in the Scope of Work, including any attachments thereto, attached hereto as Exhibit A, which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.H of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be performed upon the express written request of the City. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time such services are performed. II. 'Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described in Exhibit A is to be completed as provided for in 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 provided pursuant to this Agreement, the City shall pay Consultant in an amount not to exceed $233,875. Consultant's charges and bills shall conform to the fee schedule attached hereto as Exhibit C and incorporated herein by this reference. The Consultant shall submit regular billing statements detailing 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 prioritize scoped work and accelerate and/or delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit C. Consultant 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 shall only be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compensation shall 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 this Agreement. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Proiect Construction Management Services Rev 02-16 Page 1 of 13 IV. Relationship 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 its personnel are independent Consultants and not employees of the City. Consultant and its 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 shall not be deemed an exercise of managerial 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 taxes 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 declared 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, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement except for that portion of the injuries and damages caused by the City's sole negligence, unless Consultant is conducting work pursuant to Subsection 13 below. The City's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indemnification. B. Architects, Engineers and Any Other Professional Listed In and Performing Services Defined in RCW 4.24.115. 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 City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Page 2 of 13 Rev 02-16 IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this Agreement. VI. 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, sub -consultants or sub -Consultants. Before beginning work on the project described in this Agreement, 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 general 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 3. Excess Liability insurance with limits not less than 1,000,000 limit per occurrence and aggregate. 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. 5. 'Workers Compensation insurance as statutorily required by the Industrial Insurance Act of the State of Washington, Title 51, Revised Code of Washington and employer's liability with limits not less than $1,000,000. .Any payment of deductible or self insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an "occurrence" basis except professional liability insurance (if required), which may be provided on a "claims -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 Certificate of Insurance. The City reserves the right to receive a certified copy of all the required insurance policies and endorsements. The City further reserves the right to reject any unacceptable policies and/or endorsements. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Page 3 of 13 Rev 02-16 The Consultant's Commercial General Liability 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 and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Consultant to advise the City's Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, attn: Risk Management, 345 6" Street, Suite 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 shall be construed to be a breach of this Agreement. The City also reserves its unqualified right to require at any time and for any reason, proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. VII. General Conditions: A. Reports 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. Consultant shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to substantiate all billed amounts. B. Ownership 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 City to the Consultant in connection with the services performed by the Consultant under this Agreement will be safeguarded by the Consultant to at least the same extent as the Consultant safeguards like information relating to its own business. If such information 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 shall bear no responsibility for its disclosure, inadvertent or otherwise. All data, documents and files created by Consultant under this Agreement may be stored at Consultant's office in Bremerton, Washington. Consultant shall make such data, documents, and files available to the City upon its request at all reasonable times for the purpose of editing, modifying and updating as necessary until such time as the City is capable of storing such information in the City's offices. Duplicate copies of this information shall be provided to the City upon its request, and at reasonable cost. All documents, including all reports, drawings, specifications, computer software or other items prepared or furnished by Consultant pursuant to this Agreement, are instruments of service Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 4 of 13 with respect to the project and are 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. Use of Photographs and Images. Consultant shall not use or distribute photographs or images depicting City officials, personnel, property, or equipment whether prepared by Consultant or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. D. Work Performed at Consultant's Risk: Consultant shall take all precautions necessary and shall be responsible for the safety of its employees, agents, and sub -consultants in the performance of the work hereunder and shall 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 articles used or held for use in connection with the work. E. Place of Work: The Consultant shall perform the work authorized under this Agreement at its offices in Bremerton, Washington. Meetings with the City staff as described in Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. 1'. Entire Agreement: This Agreement and its Exhibits constitutes the entire 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. (i. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. H. Modification: This Agreement may only be modified by written instrument signed by both :Parties. I. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. City Address Consultant Address P,,L6)ic Wor-ks U7El1 ties parametrix, Inc. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Page 5 of 13 60 Washington Ave, Ste Bremerton„ WA 98337 Rev 02-16 J. Waiver: Failure to enforce any provision of this Agreement shall not be deemed a waiver of that provision. Waiver of any right or power arising out of this Agreement shall not be deemed waiver of any other right or power. K. Non -Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contained 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 in full force and effect. L. Compliance with Laws: Consultant shall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. M. 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 shall be brought in Kitsap County Superior Court. N. Attorneys' Fees: In the event of litigation to enforce any of the terms or provisions herein, each party shall pay all its own costs and attorney's fees. O. Assignment: Any assignment of this agreement by the Contractor without the written consent of the City shall be void. VIII. Nondiscrimination: 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 orientation 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 terminating Party, and the non- performing Party does not commence correction 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 l herein, and that funding is withdrawn, 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 terminate this Agreement. A. Excusable Delays: The right of Consultant to proceed shall not be terminated nor shall Consultant be charged 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 materials, equipment, tools, or labor by reason of war, national defense, or other national Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 6 of 13 emergency; 2) any acts of .the City, its consultants, or other public agencies causing such delay; and 3) causes not reasonably foreseeable by the parties at the time of the execution of the Agreement that are beyond the control and without the fault or negligence of the Consultant, including, but not restricted to, acts of God, fres, 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 properly excusable, the City shall, in writing, extend the time for completing the work for a period of time commensurate with the period of excusable delay. B. Rights Upon Termination: In the event of termination, the City shall 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 such use not related to the project which Consultant was contracted to perform shall be without liability or legal exposure to the Consultant. X. Suspension & 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 City 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 agrees by signing this agreement that it will verify that the firm with whom it intends to do business is not debarred, suspended, ineligible, excluded or disqualified. CITY OF BREMERTON v ; r Apjagved as to form: Bremerton Cit orney CONSULTANT By: MA` - Date: Attest: City Clerk Ct\Users\puyallupfrontdesk\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\FOCT5JBD\170313 Lebo Boulevard CM Services.docx Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 7 of 13 EXHIBIT A — SCOPE OF WORK Error! Unknown document property name. Lebo Blvd Construction Management Services INTRODUCTION This scope of work describes Construction Services tasks to be performed by Parametrix for the Lebo Boulevard project. This Work will be performed on a Time and Materials basis. Work to be performed consists of the following: TASK 01 — Construction Management Objective Perform construction management tasks through project construction including managing scope, schedule, and budget. Activities The following activities are associated with this task: Manage Parametrix staff and services for the assigned projects. Routine correspondence, budget updates, status reports on progress of work, and invoices. Participate in the City meetings to provide a forum for and foster open communication between all parties (i.e., Contractor, City, and Design team) for project assignments. Provide Support to Contractor Claims and resolutions as requested by the City. In conjunction with the City, coordinate changes in the contract and issue change orders to the Contractor. Change Orders will be approved by the City and Council. Force account procedures may be used if the City elects. Assist in the preparation and distribute work change directives and field orders. Advise the City of the Contractor's progress schedules for conformance with the, contract documents, and notify the City and the Contractor of identified deviations or noncompliance. Assist in the preparation of correspondence to and from the Contractor and permitting agencies Deliverables The following deliverables will be prepared: Routine correspondence including monthly progress reports. TASK 02 — PROJECT CONTROLS & COORDINATION Objective Provide construction controls and coordination to support City with detailed documentation of construction practices. Activities The following activities will be performed as part of this task: Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 8of13 • Provide daily oversight of the construction project documentation including, but not limited to; daily reports, logging construction activity for the day, construction photos, and performance and material testing and inspection reports. • Prepare and draft meeting agendas and meeting notes for the weekly construction meetings • Assist with documentation and tracking. • Prepare contract working day reports for issuance to the contractor. • Review and recommend payment requests and assist in preparation of Change Orders, Submittals, RFI's, and Field Orders. • Implement and maintain master document control system to track correspondence, shop drawing submittals, RFI's, laboratory and test reports, work directives, and change orders. Deliverables The following deliverables are associated with this task: • Provide weekly construction agenda meeting notes and documentation required. • Maintain master document control system to track correspondence, shop drawing submittals, RFI's, laboratory and test reports, work directives, and change orders. • Confirm that certified payrolls are verified and logged. • Maintain electronic files per City's instructions. TASK 03 — Resident Engineering Support Objective Provide resident engineering support as requested by the City during the construction phase of the project. The main objective will be to work in coordination with City staff and the City's design consultant to address project issues on an on-call basis. Activities The following activities may be performed: • Attend a pre -construction meeting with the City and Contractor. • Attend project meetings at the construction site as requested by the City. • Review Contractor's submittal schedule for compliance with the specifications. • Review Contractor work plans and reports and provide recommendations for approval or acceptance to the City. • Review and respond to Contractor's material submittals, catalog cut sheets, and shop drawings. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 9 of 13 • Respond to Contractor's Requests for Information (RFIs). • Conduct a site walk at substantial completion to assist the City in the punch list inspection. Deliverables The following deliverables may be submitted under this task: • Hard copies and electronic copies of Parametrix's responses to material submittal, cut sheet, and shop drawing review. • Hard copies and electronic copies of Parametrix's responses to work plans, reports, RFIs, and requests for change orders. Assumptions The following assumptions apply: • The Parametrix Project Manager will attend site meetings as requested by the City. • Resident Engineer will attend on-site meetings as appropriate and as requested by the City. • Contractor work plans or reports will be reviewed at an estimated 2 hours each. • Parametrix will review and respond to shop drawing submittals at an estimated 2 hours each and material submittals at an estimated 1 hour each. • Parametrix will review and respond to all BFI's as requested by the City. For estimating purposes, it is assumed that RFI review and response will require 1 hour each. • Responses to RFIs will not require CADD Operator labor unless final plans have errors and omissions requiring corrections. TASK 04 — Construction Observation Objective Provide construction management as needed throughout the construction phase of the project. Activities The following activities will be performed as part of this task: • Provide periodic observation during construction. • PARAMETRIX will assist the City with oversight and coordination of the Cities Performance and Material Testing and Inspection Services. Material testing service will be contracted directly to the City. Deliverables The following deliverables are associated with this task: Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Rev 02-16 Page 10 of 13 • Complete periodic observation reports including photos. Assumptions The following assumptions are associated with this task: • Day to day construction inspection and daily inspection report preparation will be performed by City staff. • Costs for materials testing and inspection will be paid by the City. PROJECT ASSUMPTIONS AND CONDITIONS • Work under this contract will begin April 10, 2017 and continue through the spring of 2018, with the bulk of the hours needed between April 10th and October 13th, 2017. • Normal working day and night work hours shall be in accordance (Monday through Friday 8:00 AM — 5:00 PM). Saturday, Sunday, and holidays, plus nighttime work may be required at the request of the City and for work performed on those days, reimbursement shall be in accordance with the hourly rates contained within this proposal. a, PARAMETRIX shall not be responsible for the Contractor's construction means, methods, techniques, sequences or procedures, or safety precautions and programs except as otherwise provided in this Scope of Services. PARAMETRIX shall not be responsible for the Contractor's failure to carry out the work in accordance with the contract documents. PARAMETRIX will endeavor to identify and guard the City against defects and deficiencies in the work of the Contractor, but it is understood that PARAMETRIX does not and cannot guarantee the performance of the Contractor. PARAMETRIX will advise the City of identified work that does not conform to the contract documents. When considered necessary or advisable to determine the proper implementation of the intent of the contract documents, PARAMETRIX will advise the CITY of the need for special inspection, testing of any work, or direct CITY participation in the inspection work. PARAMETRIX may authorize, subject to the prior approval of the City, such special testing or inspection in accordance with the provisions of the contract documents whether or not such work be then fabricated, installed, or completed. PARAMETRIX has prepared this Scope of Services and related cost spreadsheet with the assumption that a competent Contractor is selected by the CITY for the project. Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Page 11 of 13 Rev 02-16 EXHIBIT B - SCHEDULE Work Element Completed By Council Approval April 5, 2017 Notice to Proceed (5 days) April 10, 2017 Lebo Project Functional Completion October 2017 Lebo Project Physical Completion Spring 2018 Project Closeout Spring — Summer 2018 Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Protect Construction Management Services Page 12 of 13 Rev 02-16 EXHIBIT C - COMPENSATION d1l6nir City of Bremarton Project: Lebo5061evard W'Servicas ca Pt6j4kt1No: TM E' PKU: Bu - dget Dated: March 10, 2017 0 C b a Phase Task ask p-pspriptl" Lal Labor Budget C i2n -75-00 o Cu 0 0 0, U 71— Lebo 9 01, 1uctron;Wnqtei eht $ 47i250 M ,Q2 PrdjeCtCbntr6ls;and:CDordihaton 84 no ob 770 G, qesldentE jrig; neer[rg Support —A,!Q4, —�k-19,575.00 EE!!F JCbmtrudor, Observation 135 105 Imanagernent Reserve $ 25,000.00 'To al' ot Hoarsgt4MJ: "'210 4712 0 , 57,j 1457 All k a 111r6 wdMate4ab rot ZO 173(Cet?j CCj prfor aut, tte c7ry; Bremerton/Parametrix, Inc. Lebo Boulevard Roadway Improvement Project Construction Management Services Page 13 of 13 Rev 02-16 Client#: 319834 PARAMINC AC®RM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/1212017 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 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 USI Kibble & Prentice 601 Union Street, Suite 1000 Seattle, WA 98101 206-441-6300 NAME CT Please send all requests by PHONE fax or email FA FAX, No : 610-362-8518 E �� ADDRESS: CLCertRequest@usi.com INSURERS) AFFORDING COVERAGE I� NAIC # INSURER A: Hanover American Insurance Co 36064 INSURED Parametrix, Inc. 1019 39th Ave. SE, Suite 100 Puyallup, WA 98374-6502 INSURER B: Hanover Insurance Company 22292 INSURER C: Employers Ins Co of Wausau 21458 INSURER D: XL Specialty Insurance Company 37885 INSURER E: Allmerica Financial Benefit Ins 41840 INSURER F COVERAGES CERTIFICATE NUMBER: K1 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MWDD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X 722893486906 1/01/2016 11/0112017 EACH OCCURRENCE $1,000,000 V CLAIMS -MADE X OCCUR pAMAGE TO RENTED PREMISES Ea occurrence$1,00 000 MED EXP (Any one person) $10,000 X WA Stop Gap/EL PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � ECT ❑ LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ Included WA Stop Ga $1,000,000 OTHER: E AUTOMOBILE LIABILITY X X AW2889472706 11/01/2016 11/01/201 EOa acddeDISINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO X ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ B X UMBRELLA LIAB X OCCUR X X UH2891561606 1/01/2016 11/01/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIM CLAIMS MADE XS of GL, Auto & DED I X RETENTION $None $ Employers Liab. C WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N I A X WCCZ91447422016 States: CA CO ID IL NM OR UT 1101/201611101/201 X PER OH- ERT E.L. EACH ACCIDENT - $1,000,000 P/ E.L. DISEASE - EA EMPLOYEE $1,000,000 aV If yes, describe under DESCRIPTION OF OPERATIONS below USL&H included for above states+Wfi E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional DPR9907916 1/01/2016 11/01/2017 $1,000,000 Per Claim Liability Pollution Legal $1,000,000 Aggregate Claims Made Liab included Retro Date: 1/1/1969 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 267-1896-1XX - Lebo Boulevard Roadway Improvements Project CM Services. . City of Bremerton is Additional Insured as respects General Liability if required by written contract per attached endorsement. City of Bremerton Public Works and Utilities 100 Oyster Bay N Bremerton, WA 98312 ACORD 25 (2014101) 1 of 1 #S20289476/M19194860 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i IN ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CXBZP ZZ2 8934869 THIS ENDORSEMENT'CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY BROADENING' ENDORSEMENT This endorsement modifies insurance provided under the following: - COMMERCIAL. GENERAL LIABILITY COVERAGE PART SUMMARY C)F Cf)VFRAGFS 1. Additional Insured by Contract, Agreement or Permit Included 2. Additional Insured — Primary and Non -Contributory Included 3. Blanket Waiver of Subrogation . Included 4. Bodily Injury Redefined' Included b. Broad Form Property Damage — Borrowed Equipment, -Customers Goods & Use of Elevators Included 6. Knowledge of Occurrence Included 7: Liberalization Clause,. Included 8. Medical Payments — Extended Reporting Period Included 9. Newly Acquired or Formed Organizations - Covered until.end of policy period Included 10. Non -owned Watercraft: 51 ft. 11. Supplementary Payments Increased Limits agreement or. permit to provide for such 'behalf, but -only with respect to: - Bail Bonds $2,500 - Loss of Earnings $1000 12. Unintentional Failure to Disclose Hazards Included 13. Unintentional failure to Notify Included This endorsement amends. coverages provided under the .Commercial General Liability Coverage Part through new coverages, higher limits and broader coverage grants. 1. Additional Insured by Contract, Agreement or (1) "Your work" for the additional insured(s) Permit designated in the contract, agreement or The following is added to SECTION II — WHO IS permit: AN INSURED: (2) Premises you gown, rent, lease or occupy; Additional Insured by Contract, Agreement or or Permit (3) Your maintenance, operation or use of a. Any person or organization with whom you equipment leased to you. agreed in a written contract, written agreement b. The' -,insurance afforded to such additional or permit that, such, person or organization to insured described above: add an additional insured on your policy is an (1) Only'applies to the-. extent permitted by additional insured only with respect to liability and " for "bodily injury", ."property damage", or .--law; "personal and advertising injury" caused, in (2) Will not be broader than the insurance Whole or in part, by your acts or omissions, or which you are required by the contract, the acts or omissions of those acting on your agreement or. permit to provide for such 'behalf, but -only with respect to: additional insured. , 421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. -Page 1 of 4 (3) Applies on, a primary, basis ;if ,that is _ advertising-"injuryinvolved the rendering required by the written contract, written of or failure,to render any professional ,agreement or, permit:.: t services by or for you. k (4) Will not be broader than coverage d. With respect to the insurance afforded to provided to any other insured. these additional ' insureds, the following is (5) Does not apply if the "bodily:. injury",' added _ to., SECTION III .r - LIMITS OF "property damage" or "personal and INSURANCE advertising injury" is otherwise excluded The-' most ewe will `'pay on behalf of the from coverage under this Coverage Part, additional insured for a covered claim is the including any endorsements thereto. lesser of the amount of insurance: c. This provision does not apply: 1,.*,.,,Required by 'the contract, agreement or (1) Unless the written contract or written .. permit described in Paragraph a.;"or; agreement was executed or permit was 2. *Available_' under the applicable Limits ,of ._issued prior.to,the "bodily.injury",-"property .Insur•anceshown in the Declarations. . mage", or "personal injury and This endorsement'<-shall::not increase the advertising injury". applicable Limits„of .Insurance .shown 'in the (2) To.any person or -organization included as Declarations., ' t an ,insured:. by another • endorsement.2, . Additional In_sured[� -' PrimaryNon - issued by- us and made part of this "and . Contributory Coverage Part. The following is added 'to SECTION IV- - To any lessor of equipment: COMMERCIAL GENERAL' LIABILITY (a) After the equipment lease expires; or CONDITIONS,. Paragraph 4.. Other insurance:... (b) If the - "bodily injury”, ' -property Additional •insured' - Primary 'and Non - damage;",, "personal.; and advertising ' ', Contributory: , injury" arises out of sole negligence of If you agree in a:,.written . contract, written the lessor agreement or permit that the insurance provided to (4) To any: - any* person or -,.organization .'included ' as an (a) Owners or other interests_ from. whom Additional Insured under SECTION II - WHO IS land has been leased which takes AN INSURED;- • is primary and- non-contributory, -place after. the lease. for ,the land ex- _ the following applies:: " pires; or If other valid and collectible insurance is. available (b) Managers or 11 lessors of premises if:1. the to Additional insured fora loss covered under Coverages A or',B of :•this `Coverage Part, our (i) The occurrence'` takes place' after obligations are limited as follows: •, you ,cease to be tenant in that premises; or a. Primaryrinsurance ; (ii) The "bodily injury", "property This insurance is primary`to other insurance damage", "personal injury" or that is available' to the Additional Insured i "advertising injury" arises out of :which covers the structural' alterations, new con- Additional Insured as a Named Insured. We struction or demolition operations will, not seek contribution from any. other - , : ,,peribrmed•,by .pri,pn behalf of the insurance available to the Additional Insured manager or lessor. except: (5) To _"bodily, injury", "property damage" or (1) For the sole negligence of the Additional "personal and. advertising injury" arising Insured, out of the .rendering" of or the failure to %(2) When the ""i Additional.:Insured . is an render any professional services; Additional:. Ins ured•, under;,another primary This exclusion applies even if . the claims liability policy, °or . against any insured`allege,„ negligence or " � (3) when b' below applies. ' other wrongdoing in th`e supervision, hiring, employment, training or monitoring rc If.this msurance,is`.primary, our obligations are of.; others by that insured, if the not affected unless, an"y� of the other. insurance "occurrence" which' caused the "bodily is. also .primary. Then,.. we will share with all injury" or "property damage" or the offense that other ;insurance, by the method described which caused the "personal and in c. below. 421-2915 06 15 Includes;copyrighted material'of insurance; Services Office, Inc.;;with its permission. Page 2 of 4 b. Excess Insurance (1) This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That ' is Fire, Extended Coverage, Builder's Risk, Installation Risk or -.similar coverage for"your work'; (b) That is Fire insurance for premises rented to. the Additional Insured or temporarily occupied by the Additional Insured with permission of the owner; (c) That is insurance purchased by the Additional Insured to cover the Additional Insured's liability as a tenant for "property damage" to premises . rented to the Additional Insured or temporarily occupied by the Additional with permission of the owner; or _ , (d) If the loss arises outs of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A — BODILY INURY AND PROPERTY DAMAGE LIABILITY. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer" has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other Insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total. amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of.. all deductible and' self insured amounts under all that other insurance. insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers 3. Blanket Waiver of Subrogation The following. is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damage under this coverage form. The damage must arise out of your activities under a written contract with that person or organization. This waiver applies only to the extent that subrogation is, waived under a written contract executed prior to the "occurrence" or offense giving rise to such payments. 4. Bodily Injury Redefined SECTION V — DEFINITIONS, Definition 3. "bodily injury" is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person including death resulting from any of these at any time. "Bodily injury" includes mental anguish or other mental injury. resulting from "bodily injury". 5. Broad Form Property Damage — Borrowed .Equipment, Customers Goods, Use of Elevators a.. SECTION 1—COVERAGES, COVERAGE A — BODILIY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions subparagraph j. is amended as follows: Paragraph, (4) does not apply to. "property damage" to borrowed equipment while at a jobsite and not being used to perform operations. We will share the remaining loss, if any, - Paragraphs (3), (4) and (6) do not apply to With any other insurance that is not "property damage" to "customers goods" while described in this Excess Insurance on your premises nor do they apply to the use provision and was not bought specifically of elevators at premises you own, rent, lease to apply in excess of the Limits of or occupy. Insurance shown in the Declarations of b. The following is added to SECTION V — this Coverage Part. DEFINTIONS: c. Method Of Sharing 24. "Customers goods" means property of If all of the other insurance permits your customer on your premises for the contribution by equal shares, we will follow this purpose of being: method also. Under this approach each 421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 3 of 4 6. 7. 8. 9. a. worked on; or b' used in, you r.rnanufacturing-process. c. The insurance afforded under'this provision is excess" over any other valid 'and collectible property insurance (including , deductible) available to the insured whether primary, excess, contingent Knowledge of Occurrence The following ,Js .added to•.s SECTION .IV := COMMERCIAL GENERAL .LIABILITY CONDITIONS, Paragraph 2. Duties: in the Event of Occurrence; Offense, Claim or.Suit: e. Notice of an "occurrence", offense, claim or "suit' will be considered knowledge ,of the insured if reported 'to an individual named insured, 'partner, executive officer or an "employee—designated by you to give: us such a notice. " Liberalization Clause .The . following . is added "'to:SECTION - IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: Liberalization Clause If we adopt any revision that would broaden the coverage under this Coverage Form °without additional premium, within .45 days prior'to or during- the, policy period,.:the broadened coverage .will; immediately apply to this Coverage Part. Medical ' Payments Extended Reporting Period a. SECTION I - COVERAGES i'COVERAGE C — ' MEDICAL PAYMENTS, ' ' Paragraph , 1. Insuring Agreement, subparagraph a.(3)(b) is replaced by the following: (b) The expenses are 'incuhred and reported to us within three years of the date of the accident; and - b. This coverage does not apply if' COVERAGE C — MEDICAL PAYMENTS is excluded either by the' provisions of the •Coverage -Part or by endorsement. Newly'Acquired Or Formed Organizations SECTION II — WHO IS AN INSURED,, Paragraph 1a. is, replaced by the'following a. Coverage under this provision -is afforded until • the end of the policy period.. 10. Non -Owned Watercraft SECTION 17 — COVERAGES, COVERAGE A .BODILY, INJURY -.AND PROPERTY DAMAGE LIABILITY, Paragraph :2., Exclusions, subparagraph g.(2) isry replaced by the following: g. Aircraft, Auto Or Watercraft (2) A watercraft you do'not own that is: (a) Less than 51 feet long; and (b) Not being used to. -carry persons or property for a charge;' This provision applies to any person who, With your consent, either uses or is responsible for the use, of a watercraft. 11. Supplementary Payments Increased Limits SECTION I — SUPPLEMENTARY PAYMENTS COVERAGES 'A AND B, Paragraphs 1.b. and 1.d. are replaced by the following: 1.b.Up to $2,500 for cost of bail bonds required because `of accidents or traffic law violations arising out of the''use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. -1.d.All reasonable .expenses incurred by the insured at our request to., assist us in the investigation or defense of the claim or "suit', including actual loss of earnings up to $1000 a day because of time off from work. 12. Unintentional Failure to Disclose Hazards The, following is.. added for SECTION IV — COMMERCIAL,, GENERAL LIABILITY CONDITIONS, Paragraph 6. Representations: We' will not disclaim coverage under this Coverage Part if you fail to disclose all hazards existing as of the inception date of the. policy provided such failure is not intentional. 13. Unintentional Failure to Notify. The following is' added - to SECTION IV — COMMERCIAL' "'.GENERAL LIABILITY CONDITIONS, Paragraph 2.' Duties in the Event of Occurrence, Offfense., Claim or:Suit: Your rights afforded under this policy shall not be prejudiced if you fail to give us notice of an "occurrence",,offense; claim or "suit', solely due to your reasonable and documented belief that the "bodily injury' or "property damage" is not covered under this policy. ALL OTHER TERMS,`'CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 4421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 4 A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) F10/10/2018 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). PRODUCERCONTACT a .. Dealey, Renton & Associates v -' P. O. Box 12675 Oakland, CA 94604-2675 1`, ` �� .% ,; License #0020739 NAME: Alison Olsen At No Ex ; 510 465-3090 FAX No : 510-452-2193 E-MAIL ADDRESS: lnsurance.Certificates@Dealeyrenton.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: National Fire Insurance Co of Hartford z 20478 �-It y ca INSURED PARAMETRI -itv Attnrnc 's O +C'• Parametrix, Inc. 1019 39th Ave. SE Suite 100 INSURER B: Valley Fore Insurance Company 20508 _ INSURERC: Continental Insurance Company �, 35289 INSURER D: American Casualty Company of Reading PA 20427 Puyallup, WA 98374 INSURER E: XL Specialty Insurance Co. 37885 (253) 604-6600 INSURER F COVERAGES CERTIFICATE NUMBER: 1148902931 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 LTR TYPE OF INSURANCE ADDL SUBR WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6050531366 11/1/2018 11/1/2019 EACH OCCURRENCE $1,000,00 ' DAMAGE TO RENTED CLAIMS -MADE FxIOCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 X WA Stop Gap/EL PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2100&00 POLICY FX] C LOC PRODUCTS - COMP/OP AGG $ 2,00 00 WA Stop Ga $ 1,000, 00 OTHER: B AUTOMOBILE LIABILITY Y Y 6050531352 11/1/2018 11/1/2019 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident _ BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE $ Per accident X HIREDX NON -OWNED AUTOS ONLY AUTOS ONLY C X UMBRELLA LIAB X OCCUR 6050531433 11/1/2018 11/1/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N Y 6050531383 6050531402 11/1/2018 11/1/2018 11/1/2019 11/1/2019 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Professional Liability DPR9932956 11/1/2018 11/1/2019 $1,000,090 per Claim Claims Made $1,000,0 Annual Aggregate Pollution Liability Included Retroactive Date 01/01/1969 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) . Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. - Project Number: 999-1896-999 - Lebo Bid Review and Support Services. City of Bremerton Is Additignal Insured, coverage is primaiy and non-contributory, and waiver of subrogation applies as respects General Liability if required by written contract per attached endorsement. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Chal A. Martin, PE AUTHORIZED REPRESENTATIVE 100 Oyster Bay Avenue N Bremerton WA 98312 I I (9 . %ir )Jim— ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD