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HomeMy WebLinkAbout5740PROFESSION 111 Street The City of Bremerton ("C collectively as the "Parties," enter into I. Scope: The Consultant agrees Scope of Work, dated September, 20 Exhibit A, which is incorporated by rc pursuant to Section VII.H of this Ag additional services such services shall City. Consultant further represents 1 performed in accordance with general. services are performed. SERVICES AGREEMENT rossing Bi -Annual Inspection I and Parametrix, Inc., ("Consultant"), referred to following Agreement for professional services: o perform the services more specifically described in the 7, including any attachments thereto, attached hereto as erence herein. The Scope of Work may be modified only -ement. If the Scope of Work provides for unspecified )nly be performed upon the express written request of the iat the services furnished under this Agreement will be accepted professional practices in effect at the time such 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 complete d 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 amouni not to exceed $5,512.62. 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 amount charged on each task or portic the categories set out in the Scope of billing statement, the City shall prom reserves the right to prioritize scoped frame set forth in Section II herein. delineated in Exhibit C. -gular billing statements detailing work performed and thereof. The descriptions shall conform to and fall within Tork and/or Fee Schedule. Upon receipt of a conforming ly process payment. PROVIDED, HOWEVER, the City irk and accelerate and/or delay work tasks under the time Che Consultant's labor rates and billing fees shall be as 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 until the statement is brought into co its obligations under this Agreement. Bremerton/Parametrix, Inc. 11`h Street Overcrossing Bi -Annual Page 1 of 7 to this Agreement, the City may withhold payment Such withholding does not relieve Consultant of Rev 02-16 IV. Relationship of Parties: Coni the Scope of Work and is performing i expertise. Consultant and its persom City. Consultant and its personnel I employees and other Consultants. N including, but not limited to, compens from the City to the employees, age: Consultant will be solely and entirely r employees, representatives and sub -C City may, during the term of this Ag the same or similar work. int represents that it is skilled in the matters addressed in ,pendent functions and responsibilities within its field of are independent Consultants and not employees of the no authority to bind the City or to control the City's of the benefits provided by the City to its employees, n, insurance, and unemployment insurance are available representatives, or sub -Consultants of the Consultant. onsible for its acts and for the acts of Consultant's agents, ultants during the performance of this Agreement. The nent, engage other independent Consultants to perform 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 licensing fees necessary to perform i include but are not limited to State ind licensing, and City business licensir delinquent, the City may withhold the the delinquency, from any payments c V. Indemnification: A. Consultant shall defen employees, agents and volunteers harn suits, including all legal costs and performance of this Agreement except City's sole negligence, unless Consultz The City's review or accep to avoid any of these covenants of In Services Defined in RCW 4.24.115 Consultant's services provided purse the event of liability for damages ari caused by or resulting from the coni officials, employees, agents and vole the extent of the Consultant's ne2li2e IT IS FURTHER SPECIFICALL INDEMNIFICATION PROVIDED H OF IMMUNITY UNDER INDUSTR Consultant is responsible for payment of all taxes and obligations under this Agreement. These taxes and fees trial insurance, Business & Occupation, State professional If any taxes or fees due the City have been declared 4inquent amount, plus any additional charges arising from Consultant. indemnify and hold the City, its officers, officials, ss from any and all claims, injuries, damages, losses or orney fees, arising out of or in connection with the r that portion of the injuries and damages caused by the is conducting work pursuant to Subsection B below. of any of the work when completed shall not be grounds Should a court of competent jurisdiction determine that t to this Agreement is subject to RCW 4.24.115, then, in ig out of bodily injury to persons or damages to property ent negligence of the Consultant and the City, its officers, eers, the Consultant's liability hereunder shall be only to AND EXPRESSLY UNDERSTOOD THAT THE EIN CONSTITUTES THE CONSULTANT'S WAIVER TITLE 51 RCW, SOLELY FOR THE Bremerton/Parametrix, Inc. 1 lth Street Overcrossing Bi -Annual Inspection Rev 02-16 Page 2 of 7 PURPOSES OF THIS INDEMNIF THAT THEY HAVE MUTUALLY The provisions of this section shall s ,TION. THE PARTIES FURTHER ACKNOWLEDGE GOTIATED THIS WAIVER. ive 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 provide a Certificate of Insurance evid 1. Automobile Liability insuranc per accident for bodily injury ai 2. Commercial General Liabilit less than $1,000,000 combine personal injury, bodily injury ; limited to: blanket contracts damage; explosion, collapse an 3. Excess Liability insurance wit aggregate. 4. Professional Liability insur, occurrence/claim. 5. Workers Compensation insur of the State of Washington, Titl with limits not less than $1,000 Any payment of deductible or Consultant. described in this Agreement, the Consultant shall with limits no less than $1,000,000 combined single limit I property damage; and insurance written on an occurrence basis with limits no single limit per occurrence and general aggregate for id property damage. Coverage shall include but not be .1; products/completed operations/broad form property underground (XCU) if applicable; and limits not less than 1,000,000 limit per occurrence and e with limits no less than $1,000,000 limit per ice as statutorily required by the Industrial Insurance Act 51, Revised Code of Washington and employer's liability insured retention shall be the sole responsibility of the 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 a insurance policy, as respects work per endorsement that is acceptable to the ( attached to the Certificate of Insurance all the required insurance policies and any unacceptable policies and/or endo. additional insured on the Commercial General Liability )rmed by or on behalf of the Consultant and a copy of an ty, which names the City as an additional insured shall be The City reserves the right to receive a certified copy of ndorsements. The City further reserves the right to reject 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 sl City and shall contain a waiver of Bremerton/Parametrix, Inc. 11`h Street Overcrossing Bi -Annual Page 3 of 7 be primary and non-contributory insurance as respects the )rogation against the City for claims arising out of any Rev 02-16 operations, liabilities and obligations obligation upon Consultant to advise t certified mail, return receipt requested b Suite 600, Bremerton, WA 98337 witl change of any insurance policy set out I of this Agreement. to which coverage applies. It shall be an affirmative to City's Risk Manager by fax at (360) 473-5161, or by City of Bremerton, attn: Risk Management, 345 6th Street, in two days of the cancellation, suspension or substantive ;rein, and failure to do so shall be construed to be a breach 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 Inforr periodic reports and documents on shall be furnished in the time and in accordance with Generally Ac( amounts. B. Ownership and Use of designs and reports, including those in property of the City. All written inform with the services performed by the Co Consultant to at least the same extent a own business. If such information is pi known to it, or is rightfully obtained by responsibility for its disclosure, inadvei All data, documents and files c, at Consultant's office in Bremerton, W and files available to the City upon its modifying and updating as necessary information in the City's offices. Dupli upon its request, and at reasonable cost All documents, including all r( items prepared or furnished by Consu with respect to the project and are the the specific purpose intended will be z C. Use of Photographs ar or images depicting City officials, Consultant or provided by City wit unreasonably withhold its consent. Bremerton/Parametrix, Inc. 11th Street Overcrossing Bi -Annual Page 4 of 7 When requested by the City, Consultant shall furnish rs covered by this Agreement. The reports and documents requested. Consultant shall maintain accounting records Accounting Principles (GAAP) to substantiate all billed ecords and Documents: Original documents, drawings, ectronic format, developed under this Agreement are the tion submitted by the City to the Consultant in connection 3ultant under this Agreement will be safeguarded by the the Consultant safeguards like information relating to its )licly available or is already in Consultant's possession or he Consultant from third parties, Consultant shall bear no ,nt or otherwise. -ated by Consultant under this Agreement may be stored ishington. Consultant shall make such data, documents, •equest at all reasonable times for the purpose of editing, until such time as the City is capable of storing such ate copies of this information shall be provided to the City orts, drawings, specifications, computer software or other int pursuant to this Agreement, are instruments of service iroperty of the City. Any reuse by the. City for other than City's sole risk. ages. Consultant shall not use or distribute photographs onnel, property, or equipment whether prepared by prior written consent of the City. The City will not Rev 02-16 D. Work Performed at Cc necessary and shall be responsible for t the performance of the work hereunder All work shall be done at Consultant's of or damage to materials, tools, or othe isultant's Risk: Consultant shall take all precautions ie safety of its employees, agents, and sub -consultants in and shall utilize all protection necessary for that purpose. wn risk, and Consultant shall be responsible for any loss 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. F. 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. G. 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 by both Parties. I. Written Notices: to the parties at the addresses listed and shall be deemed sufficiently 1 Agreement or such other address as City Address City of Bremerton 3027 Olympus Drive Bremerton, WA 98310 J. Waiver: Failure to en waiver of that provision. Waiver of deemed waiver of any other right or K. Non -Waiver of Breach: any of the covenants and agreements c in one or more instances shall not be cc agreements or options, and the same sl L. Compliance with Laws: and local laws in performing its obliga Bremerton/Parametrix, Inc. 11th Street Overcrossing Bi -Annual Page 5 of 7 may only be modified by written instrument signed communications regarding this Agreement shall be sent x by registered or 1 st class mail, or by personal service, if sent to the addressee at the address stated in this be hereafter specified in writing. Consultant Address Parametrix, Inc. 60 Washington Avenue, Suite 390 Bremerton, WA 98337 e any provision of this Agreement shall not be deemed a right or power arising out of this Agreement shall not be ie failure of the City to insist upon strict performance of ained herein, or to exercise any option herein conferred rued to be a waiver or relinquishment of said covenants, be and remain in full force and effect. shall comply with all applicable Federal, State, under this Agreement. Rev 02-16 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.l 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 the services, terminated by written inst for convenience. This Agreement may Party substantially fails to perform t: performing Party does not commence days of the terminating Party's sendi Consultant shall include a report shown through the termination date. call remain in force until completion and acceptance of ment upon mutual consent, or by the City of Bremerton immediately terminated for cause by a Party if the other )ugh no fault of the terminating Party, and the non- rrection of the failure of performance within thirty (30) notice to the non-performing Party. Any Notice by the status of all items listed in the Scope of Work current If the City receives reimbursement by any federal, state, or other source for work described in Section I 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 Delay The shall Consultant be charged with liquid due to: 1) any acts of the federal goverr equipment, tools, or labor by reason of acts of the City, its consultants, or otl reasonably foreseeable by the parties at the control and without the fault or nel acts of God, fires, floods, strikes, or we the Consultant must promptly notify th of the delay. If, on the basis of the fay excusable, the City shall, in writing, ex commensurate with the period of excu- ght of Consultant to proceed shall not be terminated nor ted damages for any delays in the completion of the work :lent in controlling, restricting, or requisitioning materials, iar, national defense, or other national emergency; 2) any r public agencies causing such delay; and 3) causes not he time of the execution of the Agreement that are beyond igence of the Consultant, including, but not restricted to, ther of unusual severity. PROVIDED, HOWEVER, that City within ten (10) calendar days in writing of the cause s and the terms of this Agreement, the delay is properly ;nd the time for completing the work for a period of time ble 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 possessionlpertaining to this project which may be used by the City Bremerton/Parametrix, Inc. 11th Street Overcrossing Bi -Annual Page 6 of 7 Rev 02-16 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. Forcontracts 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 Approved as to form: 1.7 i Bremen Ay Attor4ey I Bremerton/Parametrix, Inc. 11"Street Overcrossing Bi -Annual Inspection Page 7 of 7 CONSULTANT AA st:oo a City lerk Rev 02-16 Parametrix I FNGINFFRINC PI ANNINC FwRONNIFNTAI SrIFNCFt EXHIBIT A -SCOPE OF WORK City of Bremerton 11th Street Bridge Overcrossing I PHASE 1 — BI -ANNUAL BRIDGE INSPECTION i TASK 1 — Bridge Inspection (Field) Measurable Task Objectives i i The City of Bremerton has requested Parametria develop a scope and budget for the biannual inspection of the 11th Street Bridge overcrossing. Our proposed Schedule for the work is included in Exhibit B herein. The proposed budget is provided in Exhibit C (attached). Approach • Review all bridge plans. • Determine a plan of action for the inspection of the bridge. • Perform routine biannual inspection of the bridge. Assumptions • The routine inspection will be performed from land. The inspection will not use ladders, scaffolding, or climbing equipment. • A revised bridge load rating is not included in this scope of work. • Previous inspection reports will be provided to PMX by the City prior to our field inspection (2014 is the only one required). • The bridge/structure to be inspected is the 11th Street overcrossing. Deliverables There are no deliverables for this task. TASK 2 — Prepare Bridge Inspection Report Measurable Task Objectives Prepare bridge inspection report. Approach • Input data into BridgeWorks database • Prepare a WSBIS inventory report. I • Prepare a bridge inspection report. City of Bremerton 11th Street Bridge Overcrossing Biannual Bridge Inspection September 2017 SCOPE OF WORK (continued) • Prepare a photo log. Assumptions Reports and photo log will be generated using BridgeWorks. Deliverables • Bridge inspection report for the 11th Street overcrossing • Photo log • WSBIS inventory report I I City of Bremerton 11th Street Bridge Overcrossing 2 Biannual Bridge Inspection i 233-1896-8AM September 2017 SCOPE OF WORK (continued) EXHIBIT B—SCHEDULE i NTP — October 2, 2017 i Inspection complete — November 15, 2017 Draft Inspection Report - December 1, 2017 Final Inspection Report — December 23, 2017 City of Bremerton 11th Street Bridge Overcrossing Biannual Bridge Inspection 3 233-1896-8AM September 2017 Client: City of Bremerton Project: 11th St Bridge Overcrossing Project No: 233-1896-8AM BRIDGE INSPECTION Labor Totals: $5,412.62 DIRECT EXPENSES: Description Amount Misc. Expenses $100.00 Expense Total: $100.00 Project Total: $5,512.62 EXHIBIT C - BUDGET 34 1 14 10 4 3 2 .40 $171.72 9/22/2017 1 11th St Bridge Draft Budget 09212017.xlsx Y � o > ° 3 a t w C C O 0 c O N = E O � � C _ N d 2 - p U 0 34 1 14 10 4 3 2 .40 $171.72 9/22/2017 1 11th St Bridge Draft Budget 09212017.xlsx A C®R�® CC CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD/YWY) 9/29/2017 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 Dealey, Renton & Associates P. O. Box 12675 Oakland CA 94604-2675 POLICY EFF MM/DD/YYYY CONTACT NAME: Alison Muller PHONE 510-465-3090 FA'1 510-452-2193 -MAIL . Insurance.Certificates@dealeyrenton.com EAORESS INSURERS AFFORDING COVERAGE NAIC # Y Y INSURER A: Hanover American Insurance Company 36064 11/1/2016 INSURED PARAMETRI EACH OCCURRENCE $1,000,000 INSURERB:AIImerica Financial 41840 Parametrix, Inc. INSURERC:Hanover Insurance Company 22292 1019 39th Ave. SE Puyallup WA 98374-6502 INSURER D:Em to ers Insurance of Wausau 21458 INSURER E:XL Specialty Insurance Co. 37885 INSURER F: MED EXP (Any one person) $10,000 X WA Stop Gap/EL COVERAGES uEKIIriGAIt NUMBER: Ivrivvvovc•r KtVIJIUN NUmtstK: 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZZ2893486906 11/1/2016 11/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCU DAMAGE TO RENTED 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 $2,000,000 POLICY PE [j]COT- LOC PRODUCTS - COMP/OP AGG $2,000,000 WA Stop Gap $1,000,000 OTHER: B AUTOMOBILE LIABILITY Y Y AW2889472706 11/1/2016 11/1/2017 COMBINED SINGLE LIMIT $1,000,000 Ea accident 1, 000, 000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ C X UMBRELLA LIAB X OCCUR UH2811561606 11/1/2016 11/1/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESSLIAB CLAIMS -MADE DED I X I RETENTION$0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N WCCZ91447422016 11/1/2016 11/1/2017 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �N N I A E.L. EACH ACCIDENT $1,0001000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 E Professional Liability DPR9907916 11/1/2016 11/1/2017 $1,000,000 per Claim Claims Made $1,000,000 Annual Aggregate Pollution Liability Included Retroactive Date: 01/01/1969 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Project Name/Number: 11th Street Overcrossing Bi -Annual Inspection/233-1896-8AM City of Bremerton is named as Additional Insured as respect's Schedule, may be attached if more space is required) General and Auto Liability as required per written contract or agreement. General Liability is Primary/Non-Contributory per wording. Insurance coverage includes Waiver of Subrogation per the attached. `policy yfform V CERTIFICATE HOLDER I CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Tom Knuckey ACCORDANCE WITH THE POLICY PROVISIONS. 3027 Olympus Drive Bremerton WA 98310 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ZZ2 893486906 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 OF COVERAGES 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 I Included 5. Broad Form Property Damage — Borrowedi Equipment, Customers Goods & Use of Elevators Included 6. Knowledge of Occurrence Included 7. Liberalization Clause I Included 8. i 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 (2 Will not be broader than the insurance ) whole or in part, by your acts or omissions, or - Bail Bonds I $2,500 agreement or permit to provide for such - Loss of Earnings $1000 12. Unintentional Failure to Disclose Hazards) Included 13. Unintentional Failure to Notify j 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 ' h additional insured(s) (1) 'Your work for the additio a Permit designated in the contract, agreement or The following is added to SECTION II — WHO IS permit; AN INSURED: (2) Premises you own, 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 additional insured only with respect to liability (1) Only applies to the extent permitted by for "bodily injury", "property damage", or law; and "personal and advertising injury ca used, 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 required by the written contract, written agreement or permit. (4) Will not be broader than coverage provided to any other insured. (5) Does not apply 'if the "bodily injury", "property damage" or "personal) and advertising injury" is otherwise excluded from coverage under this Coverage Part, including any endorsements thereto. c. This provision does not apply: (1) Unless the written contract or agreement was executed or perm issued prior to the "bodily injury", "pr damage", or "personal injury advertising injury". (2) To any person or organization inclul an insured by another endors issued by us and made part c Coverage Part. (3) To any lessor of equipment: (a) After the equipment lease expire (b) If the "bodily injury", "pi damage", "personal and adv( injury" arises out of sole neglige the lessor (4) To any: MIL -R] and as advertising injury" involved the rendering of or failure to render any professional services by or for you. d. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III — LIMITS OF INSURANCE: The most we will pay on behalf of the additional insured for a covered claim is the lesser of the amount of insurance: 1. Required by the contract, agreement or permit described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ler)` 2. Additional Insured — Primary and Non - this / Contributory V The following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY or CONDITIONS, Paragraph 4. Other insurance: sing ;e of (a) Owners or other interests from. whom land has been leased which Itakes place after the lease for the land ex- pires; or (b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage", "personal injury" or "advertising injury" arises lout of structural alterations, new con- struction or demolition operations performed by or on behalf of the manager or lessor. (5) To bodily injury", property damage or "personal and advertising injury" I arising out of the rendering of or the failure to render any professional services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and Additional Insured — Primary and Non - Contributory If you agree in a written contract, written agreement or permit that the insurance provided to any person or organization included as an Additional Insured under SECTION II — WHO IS AN INSURED, is primary and non-contributory, the following applies: If other valid and collectible insurance is available to the Additional Insured for a loss covered under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary to other insurance that is available to the Additional Insured which covers the Additional Insured as a Named Insured. We will not seek contribution from any other insurance available to the Additional Insured except: (1) For the sole negligence of the Additional Insured; (2) When the Additional Insured is an Additional Insured under another primary liability policy; or (3) when b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in c. below. 421-2915 06 15 Includes copyrighted materiallof Insurance Services Office, Inc., with its permission. Page 2 of 4 b. Excess Insurance I insurer contributes equal amounts until it has (1) This insurance is excess over any of the paid its applicable limit of insurance or none of other insurance, whether primary, excess, the loss remains, whichever comes first. If any contingent or on any other basis: of the other insurance does not permit contribution by equal shares, we will contribute (a) That is Fire, Extended Coverage, by limits. Under this method, each insurer's Builders Risk, Installation Risk or share is based on the ratio of its applicable similar coverage for "your work';I limit of insurance to the total applicable limits (b) That is Fire insurance for premises of insurance of all insurers rented to the Additional Insured or 3. Blanket Waiver of Subrogation temporarily occupied by the Additional Insured with permission of the owner; he following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY (c) That is insurance purchased by the CONDITIONS, Paragraph 8. Transfer Of Rights Additional Insured to cover the Of Recovery Against Others To Us: Additional Insured's liability as a tenant for "property damage" to We waive any right of recovery we may have premises rented to the Additional against any person or organization with whom you Insured or temporarily occupied by the have a written contract that requires such waiver Additional with permission of the because of payments we make for damage under this coverage form. The damage must arise out of owner; or your activities under a written contract with that (d) If the loss arises out of the "autos" person or organization. This waiver applies only to maintenance or use of aircraft, the extent that subrogation is waived under a or watercraft to the extent not subject written contract executed prior to the "occurrence" to Exclusion g. of SECTION I — or offense giving rise to such payments. COVERAGE A — BODILY INURY AND PROPERTY DAMAGE 4. Bodily Injury Redefined LIABILITY. j SECTION V — DEFINITIONS, Definition 3. "bodily (2) When this insurance is excess, we will injury" is replaced by the following: have no duty under Coverages A o r B to 3. "Bodily injury" means bodily injury, sickness or defend the insured against any "suit"; if any disease sustained by a person including death other insurer has a duty to defend the resulting from any of these at any time. "Bodily insured against that "suit". If no 1 other injury" includes mental anguish or other insurer defends, we will undertake to do mental injury resulting from "bodily injury". so, but we will be entitled to the insured's g, Broad Form Property Damage — Borrowed. rights against all those other insurers. Equipment, Customers Goods, Use of (3) When this insurance is excess over, other Elevators Insurance, we will pay only our share of a. SECTION I — COVERAGES, COVERAGE A — the amount of the loss, if any! that BODILIY INJURY AND PROPERTY exceeds the sum of: DAMAGE LIABILITY, Paragraph 2. (a) The total amount that all such) other Exclusions subparagraph j. is amended as insurance would pay for the loss) in the follows: absence of this insurance; and I Paragraph (4) does not apply to "property (b) The total of all deductible and self damage" to borrowed equipment while at a insured amounts under all that other jobsite and not being used to perform insurance. 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. I 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 0615 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 4 a. worked on; or b: used in your manufacturing 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 6. Knowledge of Occurrence The following is added to SECTION i IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 2. Duties in the;Event of Occurrence, Offense, Claim or Suit: 1. e. Notice of an "occurrence", offense, claim or "suit" will be considered knowledge lof the insured if reported to an individual named insured, partner, executive officer or an "employee" designated by you to give us such a notice. 7. 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.1 8. Medical Payments — Extended Reporting Period a. SECTION I — COVERAGES, COVERAGE C — MEDICAL PAYMENTS, Paragraph 1. Insuring Agreement, subparagraph a.(3)(b) is replaced by the following: (b) The expenses are incurred 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. 9. Newly Acquired Or Formed Organizations SECTION. II — WHO IS AN INSURED, Paragraph 3.a. is replaced by the following: a. Coverage under this provision is afforded until the end of the policy period. 10. Non -Owned Watercraft SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions, subparagraph g.(2) is 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. 1A.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 to 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, Offense, 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. I ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. I I 421-2915 0615. Includes copyrighted material of, insurance Services Office, Inc., with its permission. Page 4 of 4 i I I The Hanover Insurance GrouP.- CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 9of12 AW2889472706 b. The -covered "auto"; 6. Premium Audit c. Your interest in the covered "auto"; or a. The estimated premium for this Coverage d. A claim under this Coverage Form. Form is based on the exposures you told us you would have when this policy be - 3. Liberalization gan. We will compute the final premium If we revise this Coverage Form to provide due when we determine your actual ex - more coverage without additional premium posures. The estimated total premium charge, your policy will automatically p i�jovide will be credited against the final premium the additional coverage as of the day the re- due and the first Named Insured will be vision is effective in your state.i billed for the balance, if any. The due 4. No Benefit To Bailee -Physical Damage date for the final premium or retrospec- Coverages tive premium is the date shown as the due date on the bill. If the estimated total We will not recognize any assignment or premium exceeds the final premium due, grant any coverage for the benefit of any holding, storing or the first Named Insured will get a refund. person or organization transporting property for a fee regardless of b. If this policy is issued for more than one any other provision of this Coverage Form. year, the premium for this Coverage II Form will be computed annually based on 5. Other Insurance our rates or premiums in effect at the be - a. For any covered "auto" you own!, this ginning of each year of the policy. Coverage Form provides primary 'insur- "auto" 7, Policy Period, Coverage Territory ance. For any covered you, don't own, the insurance provided by this Cov- Under this Coverage Form, we cover "acci- "losses" erage Form is excess over any I other dents" and occurring: collectible insurance. However, while a a. During the policy period shown in the covered "auto" which is a "trailer" is con- Declarations; and nected to another vehicle, the Liability b. Within the coverage territory. Coverage this Coverage Form provides for the "trailer" is: The coverage territory is: (1) Excess while it is connected to a mo- a. The United States of America; for vehicle you do not own. I b. The territories and possessions of the (2) Primary while it is connected!, to a United States of America; covered "auto" you own. ! c. Puerto Rico; b. For'Hired Auto Physical Damage Cover- d. Canada; and age, any covered "auto" you lease, hire, e. Anywhere in the world if: rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that (1) A covered "auto" of the private pas - is leased, hired, rented or borrowed with senger type is leased, hired, rented or a driver is not a covered "auto". I borrowed without a driver for a period c. Regardless of the provisions of I Para- of 30 days or less; and graph a. above, this Coverage Form's Li- (2) The "insured's" responsibility to pay "suit" ability Coverage is primary for anylliabil- damages is determined in a on ity assumed under an "insured contract". the merits, in the United States of d. When this Coverage Form and any other America, the territories and posses- United States America, sions of the of Coverage Form or policy covers on the Puerto Rico, or Canada or in a settle - same basis, either excess or primary, we will pay only our share. Our share his the ment we agree to. "loss" "accidents" proportion that the Limit of Insurance of We also cover to, or in - our Coverage Form bears to the total of volving, a covered "auto" while being trans - the limits of all the Coverage Forms and ported between any of these places. policies covering on the same basis CA 00 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 9of12 14. AUTO LOAN PHYSICAL DAMAGE EXTENSION The following is added to SECTION III i - PHYSICAL DAMAGE COVERAGE, C. Limit Of Insurance provision: When -a "loss" results in a total loss to a covered auto you own for which a Loss Payee is designated in this policy, the' most we will pay for "loss" in any one "accident" is the greater of: 1.. The actual cash value of the damaged or stolen property as of the time of the "loss"; or 2. The outstanding balance of the initial loan, less any amounts for taxes, overdue payments, overdue payment charges, penalties, ' interest , any charges for early termination of the loan, costs for Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan, and carry-over balances from previous loans. 15. AUTO LEASE PHYSICAL DAMAGE EXTENSION The following is added to SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limit Of Insurance provision: If, because of damage, destruction or theft of a covered "auto", which is a long-term leased "auto", the lease agreement between you and the lessor is terminated, "we" will pay the difference between the amount paid under paragraph C. LIMIT OF INSURANCE 1. or 2. and the amount due at the time of "loss" under the terms of the lease agreement applicable to the leased "auto" which you are required to pay: less any fees to dispose of the auto; any overdue payments; financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; security deposits not refunded by the lessor; cost for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan; and carry over balances from previous leases. This coverage applies only to the initial lease for the covered "auto" which has not previously been leased. This coverage is excess over all other collectible insurance. SECTION IV - CONDITIONS 16. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The following is added to SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss: d. Knowledge of any "accident", claim, "suit" or "loss" will be deemed knowledge by you when notice of such "accident", claim, "suit" or "loss" has been received by: (1) You, if you are an individual; (2) Any partner or insurance manager if you are a partnership; or (3) An executive officer or insurance manager if you are a corporation. 7. BLANKET WAIVER OF SUBROGATION Paragraph 5. Transfer Of Rights Of Recovery Against Others To Us, SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions is replaced by the following: Includes copyrighted material of Insurance Services Office, Copyright, Insurance Services Office, Inc., 461-0155 (9-97) Inc. with its permission. 1996 Page 6 of 7 5. Transfer Of Rights Of Recovey Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, which have not been waived through the execution of an "insured contract", written agreement, or permit, prior tothe "accident" or "loss" giving rise to the payment, those rights to recover damages from another are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after the "accident" or "loss" to impair them. 18. UNINTENTIONAL FAILURE TO DISCLOSE INFORMATION The following is added to SECTION IV BUSINESS AUTO CONDITIONS. B. General Conditions, paragraph 2. Concealment, Misrepresentation Or Fraud: I Your unintentional error in disclosing, or failure to disclose, any material fact existing after the effective date of;this Coverage Form shall not prejudice your rights under this Coverage Form. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. I I Hanover Insurance Group.. AWF8894727 5701120 19. HIRED AUTO - WORLDWIDE COVERAGE The following is added to SECTION IV - Business Auto Conditions, B. General Conditions, paragraph 7. Policy Period, Coverage Territory provision: e. Outside the coverage territory described in a., b., c., and d. above for an "accident" or "loss" resulting from the use of a covered "auto" you hire, without a driver, or your employee hires without a driver, at your direction, for the purpose of conducting your business, for a period of 30 days or less, provided the suit is brought within The United States of America or its territories or possessions. SECTION V - DEFINITIONS 20. MENTAL ANGUISH Paragraph C. "Bodily injury", SECTION V - DEFINITIONS is replaced by the following: C. "Bodily injury" means bodily injury, sickness or disease sustained by a person including death or mental anguish resulting from any of these. Includes copyrighted material o I Insurance Services Office, Inc. Copyright, Insurance Services Office, Inc., 199E 461-0155 (9-97) with its permission. Page 7 of 7 POLICY #:AW2889472706 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED i This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions ofthe Coverage Form apply unless modi- fied by this endorsement. i This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 11/1/2016 Countersigned By: Named Insured: i Parametrix, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): city iof Bremerton Attn:, Tom Knuckey 3027j01ympus Drive Bremerton WA 98310 i (If no entry appears above, information required Ito complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insu fed" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 `-tf'5-�Ll0 �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 10/10/2018 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). PRODUCER CONTACT Alison Olsen Dealey, Renton & Associates PHONE FAX P. O. Box 12675 , 510-465-3090 'C' /c No): 510-452-2193 ADDRESS: Insurance.Certificates@DeaIeyrenton.com Oakland, CA 94604-2675 INSURER(S) AFFORDING COVERAGE NAIC# License #0020739 INSURER A: National Fire Insurance Co of Hartford ' i 20478 INSURED PARAMETRI_ ,_ Parametrix, Inc. INSURER B: Valley Forge Insurance Company ��-� 20508 IN Continental Insurance Company 35289 1019 39th Ave. SE Suite 100 1019 INSURER D: American Casualty Company of Reading PA 20427 Puyallup, WA 98374 INSURER E: XL Specialty Insurance Co. 37885 253 604-6600 `-ry of Brelrlertpr; ( ) rVsik Management ` INSURER F COVERAGES CERTIFICATE NUMBER: 718921149 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. )NSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MPOLICY EFF /DD/YYYY POLICY EXP MM DD/YYYY LIMITS A X COMMERCIAL GENERALLIABILITY Y Y 6050531366 11/1/2018 11/1/2019 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS -MADE OCCUR ` 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 $ 2,00 OOQ POLICY JE � [7 LOC PRODUCTS - COMP/OP AGG $ 2,00 000 WA Stop Gap $ 1,000,000 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) $ PROPERTY DAMAGE $ Per accident �( HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ C X UMBRELLALIAB X OCCUR 6050531433 11/1/2018 11/1/2019 EACH OCCURRENCE $10,OOQOO AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ o $ 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 $ 1,000,00Q OFFICER/MEMBER EXCLUDED? ❑ N/A E L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) 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 $1,000,000 per Claim Claims Made Pollution Liability Included $1,000,000 Annual Aggregate Retroactive Date 01/01/1969 DESCRIPTION OF OPERATIONS / LOCATIONS / 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 Name/Number: 11th Street Overcrossing Bi -Annual Inspection/233-1896-8AM City of Bremerton is named as Additb1lai Insured as respects General and Auto Liability as required per written contract or agreement. General Liability is Primary/IVonZontributory per policy form wording. Insurance coverage includes Waive rpf�Subrogation per the attached. CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 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:Tom Knuckey AUTHORIZED REPRESENTATIVE 3027 Olympus Drive Bremerton WA 98310 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1-15) Page 1 of 1 Nat'l Fire Ins Co of Hartford Insured Name: PARAMETRIX, INC. copyright CNA All Rights Reserved. Policy NO: 6050531366 Endorsement No: 7 Includes copyrighted material of Insurance Services Office, Inc., with its permission. SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE CONTRACT OR AGREEMENT TO WAIVE SUCH CONTRACT OR AGREEMENT: NAMED INSURED HAS AGREED IN WRITING IN A RIGHTS OF RECOVERY, BUT ONLY IF SUCH 1. IS IN EFFECT OR BECOMES EFFECTIVE 2. WAS EXECUTED PRIOR TO THE BODILY ADVERTISING INJURY GIVING RISE TO THE DURING THE TERM OF THIS COVERAGE PART; AND INJURY, PROPERTY DAMAGE OR PERSONAL AND CLAIM. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1-15) Page 1 of 1 Nat'l Fire Ins Co of Hartford Insured Name: PARAMETRIX, INC. copyright CNA All Rights Reserved. Policy NO: 6050531366 Endorsement No: 7 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT, Blanket Additional Insured - Owners, Lessees or Contractors -with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products - completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance is required by written CNA75079XX (1-15) Policy No: 6050531366 Page 1 of 2 Endorsement No: 5 Nat'l Fire Ins Co of Hartford Insured Name: PARAMETRIX, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement contract to be primary and non-contributory, this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1, the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (1-15) Policy No: 6050531366 Page 2 of 2 Endorsement No: 5 Nat'l Fire Ins Co of Hartford Insured Name: PARAMETRIX, INC. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA63359XX (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section II, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an "insured" under any other liability "policy" providing "auto" coverage. 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. b. Does not apply to: (1) "Bodily injury" or "property damage" caused by an "accident" that occurred before you acquired or formed the organization; or (2) Any such organization that is an "insured" under any other liability "policy" providing "auto" coverage. 3. Any person or organization that you are required by a written contract to name as an additional insured is an "insured" but only with respect to their legal liability for acts or omissions of a person, who qualifies as an "insured" under Section II — Who Is An Insured and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. 4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. "Policy," as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: 1. Which are no longer in force; or 2. Whose limits have been exhausted. B. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. C. Fellow Employee Section II, Paragraph B.5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. II. PHYSICAL DAMAGE COVERAGE A. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide: a. $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600. C. Loss of Use Expenses Section III, Paragraph AA.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximum, in lieu of $600 CNA63359XX Copyright, CNA Corporation, 2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. D. Hired "Autos" The following is added to Section III. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered "auto" you lease, hire, rent or borrow without a driver; and b. Any covered "auto" hired or rented by your "employee" without a driver, under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one "accident" or "loss" is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to "loss" caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned "autos." e. Such physical damage coverage for hired "autos" will: (1) Include loss of use, provided it is the consequence of an "accident" for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern. (2) Such coverage as is provided by this provision will be subject to a limit of $750 per "accident." E. Airbag Coverage The following is added to Section III, Paragraph B.3.: The accidental discharge of an airbag shall not be considered mechanical breakdown. F. Electronic Equipment Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed electronic equipment including its antennas and other accessories. CNA63359XX (Ed. 04/12) d. A $100 per occurrence deductible applies to the coverage provided by this provision. G. Diminution In Value The following is added to Section III, Paragraph B.6.: Subject to the following, the "diminution in value" exclusion does not apply to: a. Any covered "auto" of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and b. Any covered "auto" of the private passenger type hired or rented by your "employee" without a driver for a period of 30 days or less, under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. c. Such coverage as is provided by this provision is limited to a "diminution in value" loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. d. The most we will pay for "loss" to a covered "auto" in any one accident is the lesser of: (1) $5,000; or (2) 20% of the "auto's" actual cash value (ACV). III. Drive Other Car Coverage — Executive Officers The following is added to Sections II and III: 1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers," except: a. An "auto" owned by that "executive officer" or a member of that person's household; or b. An "auto" used by that "executive officer" while working in a business of selling, servicing, repairing or parking "autos." Such Liability and/or Physical Damage Coverage as is afforded by this provision. (1) Equal to the greatest of those coverages afforded any covered "auto"; and CNA63359XX copyright, CNA Corporation, 2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. (2) Excess over any other collectible insurance. 2. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by- laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are "insureds" while using a covered "auto" described in this provision. IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: (4) Your "employees" may know of an "accident" or "loss." This will not mean that you have such knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2. b.: (6) Your "employees" may know of documents received concerning a claim or "suit." This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or CNA63359XX (Ed. 04/12) damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an "accident" or "loss." C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. D. Other Insurance The following is added to Section IV, Paragraph B.5.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to "Accident" or "Loss." E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. Paragraph C. is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX Copyright, CNA corporation, 2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA Workers Compensation And Employers Liability Insurance Policy Endorsennent We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Policy No: 6 50531402 Endorsement No: 3; Page: 1 of 1 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, Chicago, IL 60604 Copyright 1983 National Council on Compensation Insurance. 't h2a ..a2.. ":", We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: WC 00 03 13 (04-1984) Policy No: 6 50531402 Endorsement No: 3; Page: 1 of 1 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, Chicago, IL 60604 Copyright 1983 National Council on Compensation Insurance.