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HomeMy WebLinkAbout5759PROFESSIONAL SERVICES AGREEMENT Urban Forest Management Plan Development [contract!# The City of Bremerton -<"City") and Sound Urban Forestry, LLC ("Consulianf% referred to collectively as the "Parties," enter into the following Agreement for professional services: 1. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work, dated May 11, 2017, 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 VILH 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. 11. Terms: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The panties agree that the work desm-bed in Exhibit A is to be within 180 days, however, that additional time shall be granted by j the City for excusable delays or extra work as provided for in Section 1X,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 $15 ,000.00. Consultant's charges and bills shall conform to the hourly rates indicated in Exhibit A and incorporated herein by this reference. �I The Consultant shall submit regular billing statements detailing word: 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, HOViiEVER, 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. Consultant shall pot 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. Qsvd .6. ,cam 6K - - . - --- -- -- .-- -�� 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. 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 Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Page 1 of 7 EZev 02-16 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 Cit- , 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 B 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. 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 Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Rev 02-16 Page 2 of 7 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. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. 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. 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 6th 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. Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Rev 02-16 Page 3 of 7 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 Olympia, 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 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 Olympia, 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. Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Rev 02-16 Page 4 of 7 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 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 1 st 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 680 Lebo Blvd. Bremerton, WA. 98337 Consultant Address 1910 E. 4th Ave., PMB Olympia, W.A. 98506 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. Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Rev 02-16 Page 5 of 7 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 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 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 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, fires, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must promptly notify the City within ten (10) calendar days in writing of the cause of the delay. If, on the basis of the facts and the terms of this Agreement, the delay is 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 Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Page 6 of 7 Rev 02-16 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 By: Je levado its: Director Parks & Recreation Date: 11 112-oC.7— Approved as to form: Bremerton Ci A omey R:1Legal\Legal\Contracts\FORMS1Professional Services Agreement Form (2016).doc a. Bremerton/Sound Urban Forestry, LLC Urban Forestry Management Plan Page 7 of 7 CONSULTANT 4--- VY6_e4l By: 14, Uta its: F(N'-^V v I"t f vjerl l , L L -C Date: S 2.12_ City Clerk Rev 02-16 SUF SOUND URBAN FORESTRY, LLC Appraisals, Planning, Urban Landscape Design and Management City of Bremerton Parks & Recreation Dept. Attn: Colette Berna, Park Development Planner 680 Lebo Boulevard Bremerton, WA 98310 5/11/16 RE: Risk Tree Inventory Development, Tree Risk Assessments & Forest Management Plan Proposal Ms. Berna: Upon your request, I have developed a Fee and Service Schedule to co -develop a risk tree inventory data collection program, conduct assessments of trees within and along the boundaries of 6 city parks and the development a forest management plan for each one. The following table represents each task with the associated hourly rate and total cost estimates. If you should have any questions, please feel free to contact me. Respectfully Submitted, -04 Kevin M. McFarland, SUF Consulting Forester ISA Certified Arborist PN -0373 & ISA Tree Risk Assessment Qualified SOUND URBAN FORESTRY — 360/870-2511-1910 E 4"' Ave, PMB 97, Olympia WA 98506 Project Name: Risk Tree Inventory Development, Tree Risk Assessments & Forest Management Plan Proposal Elements and Tasks Time Rate/Hour Cost Estimate Estimate 1. Risk Tree Inventory Data Collection -10 hours $100.00 $1,000.00 Program • Work with the City's GIS specialist in developing a risk tree data collection inventory program 2. Conduct Tree Risk Assessments/Data 78 hours $100.00 $7,800.00 Collection & Staff Training • Visit 6 Parks (N.A.D., N.A.D. Marine, Stephenson Canyon, Forest Ridge, Madrona Trails and the NW Corner of Evergreen Rotary) and conduct tree assessments along park boundaries abutting targets such as houses, yards, misc. structures, utilities, streets/roads, and established trails • Field mark risk trees • Collect data and enter into inventory program 3. Development of a Forest Management 52 hours $100.00 $5,200.00 Plan for each park. (6 parks) Presenting: • Tree risk assessments • Data • Mitigation measures • Description of recommended maintenance • Prioritization of tree maintenance • Tree location maps Totals 150 $100.00 $15,000 hours ■v SOI141R-1 OP ID: MJ AC®RO® �- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE: ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 303-951-5050 Outdoor Insurance Group, Inc. 1371 Hecla Drive Ste E Louisville, CO 80027 Glenn J. Sudo/ CONTACT Glenn J. Sudol NAME: PHONE 303-951-5050 FAX 303-951-5060 (AIC, No, Ext): (AIC, No): EbMA L michelle a�oigcorp.coim X COMMERCIAL GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURER A: Tokio Marine Specialty Ins 23850 INSURED Sound Urban Forestry, LLC Kevin McFarland INSURER B : PMB97-1910 E. 4th Ave. -INSURERC: Olympia, WA 98506 INSURER D: 07/01/2017 INSURER E: ' INSURER F: MED EXP An one person)$ 5'000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY. PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPITR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS -MADE CUR X X PPK1677986 E&O$1M/$1M 07/01/2017 07/01/2018 100,0 DAMAGE TO RENTED c_�REMISES (Ea $ MED EXP An one person)$ 5'000 PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT LOC GENERAL AGGREGATE $ 2,000,OQq PRODUCTS - COMP/OP AGG $ 2,000,000 Elnp Ben. $ EXCLUDED OTHER: AUTOMOBILE LIABILITY GDMBINED SINGLE LIMIT ..,den,) BODILY INJURY Perperson) $ ANY AUTO BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE (Per accident) $ NON-OWNED ONLY SONL $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I J RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) It is understood ayA agreed that the Certificate Holder is named as the Additional In d, but on with respect to it's liability arising out of the activities of the Nam Insured. Waiver of u gatlon applies, the insurance is prima on -contributory "Needs Al Endo & other forms CERTIFICATE HOLDER CANCFI I ATION 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 ACCORDANCE WITH THE POLICY PROVISIONS. City of Bremerton Bremerton Parks & Recreation Attn: Colette Berna AUTHORIZED REPRESENTATIVE 680 Lebo Blvd.s lBremerton. WA 98310 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPK1677986 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of Bremerton, Bremerton Parks & Recreation Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above, CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 11 POLICY NUMBER: PPK1677986 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION,/ This endorsement modifies insurance provided under the following: . COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Or Organization(s) City of Bremerton Bremerton Parks & Recreation Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your.behaif: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 PI -GL -005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY. COVERAGE PART SCHEDULE Effective Date 7/1/17 Name of Person or Organization (Additional Insured): City of Bremerton Bremerton Parks & Recreation Attn: Colette Berna 680 Lebo Blvd., Bremerton, WA 98310 SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or 'occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION [if — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. r v d ® PO Sox 853922 Richardson, TX 75085-3922 108A AT1 15 000674 0093 CITY OF BREMERTON, PARKS DEPT C/O COLETTE BERNA 1 680 LEBO BLVD BREMERTON WA 98310-3308 'IIIII"IIII'i�III'III'1!'IIII"I'Ilill'I'll'I'IIIIIIIIIIII"'ll'. DATE OF NOTICE: AUG 14 2017 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. At)DITIO( AL::I[VSUI�E ..S:Nrr?3'ICE.OF. QVE."Ot.. . .................. State Farm Mutual Automobile Insurance Company 2120-FBBGA NAMED INSURED: POLICY NO: 394 3399 -F06 -47A COVERAGE: MC FARLAND, KEVIN M YR/MAKE/MODEL: 2008 HONDA SPORT WG BI AND PD LIABILITY/ $ t MIL 191.0 4TH AVE E PMB 97 VIN/CAMPER: W6YH28728L000398 $100 DED. COMP. OLYMPIA WA 98506-4632 AGENT NAME: WILLIAM E BROWN $250 DED. COLL. AGENT PHONE: (360)943-8740 ENDORSEMENT NO: 6028BL POLICY EFFECTIVE JUL 18 2017 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 3943399-47. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT (A)JA-k2' C - Expi'i ( A If54Sq i". SOUUR-1 OP ID: MJ ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) kk....----- 06/21/2019 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 303-951-5050 CONTACT Glenn J.Sudol NAME: Outdoor Insurance Group,Inc. PHONE 303-951-5050 FAX 303-951-5060 1371 Hecla Drive Ste E (AI ,No,Ext): (NC,No): Louisville,CO 80027 k iss:michelle@oigcorp.com Glenn J.Sudol INSURERS)AFFORDING COVERAGE NAIC# IN URERA:Tokio Marine Specialty Ins 23850 INSURED IN URER B: Sound Urban Forestry, LLC Kevin McFarland IN URER C: PMB97-1910 E.4th Ave. Olympia,WA 98506 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEDY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BE N REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X PPK1998504 07/01/2019 07/01/2020 PREMISES(Ea occurrence) $ 100,000 E&O$1N1/1 M MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY J 1,000'000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PERT LOC PRODUCTS-COMP/OP AGG _$ 2,000,000 OTHER: Emp Ben. $ EXCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRECEIVED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS Rr adS ONLY — AUTO Vy ONLY (Pent)D AMAGE $ 1LN262019 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS City°f Bret►IeaOry Mott $ WORKERS COMPENSATION MottManHaemenf PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA andatory in NH) E.L.DISEASE-EA EMPLOYEE $ If Yes,describe under DtSCRiP ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) It is understood and agreed that the Certificate Holder is named as the Additional Insured, but only with respect to it's liability arising out of the activities of the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ciy of Bremerton Milenka Hawkins-Bates, Public Works AUTHORIZED REPRESENTATIVE 100 Oyster Bay Ave. North ,.._ 1.Q Bremerton.WA 98512 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .fit SSo �___.-1 ® DATE(MM/DD/YYYY) A�l20 CERTIFICATE OF LIABILITY INSURANCE 06/17/2019 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 M REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. cm IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If L SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .c CONTACT 0) PRODUCER —V NAME: Aon Risk Services Northeast, Inc. PHONE FAX c/o Aon Client Services (AIC.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 V 4 Overlook Point E-MAIL o Lincolnshire IL 60069 USA ADDRESS: = RECEIVED INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: The Travelers Indemnity Co of CT 25682 CINTAS CORP.#2 JUN 2 5 2010 INSURER B: Travelers Property Cas Co of America 25674 dba Ci ntas Fire Protection - - -- 3320 West valley Hwy N INSURER C: Westchester Fire Insurance Company 10030 suite DWAl Auburn WA 98001 USA City of Bremerton INSURER D: Risk Management INSURER E: V b r (I '26' 1 INSURER F: COVERAG C IFICATE NUMBER: 570076810540 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS , A X COMMERCIAL GENERAL LIABILITY Y HC2EGLSA472M4731TCT19 07/01/2019 67/01/2020 EACH OCCURRENCE V/$2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR V V PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY /$1,000,000 V GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE V $2,000,000 0 1 POLICY PE� X LOC PRODUCTS-COMP/OPAGG $1,000,000 JOTHER: No A Y HC2E-CAP-472M4651-TCT-19 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT 'A AUTOMOBILE LIABILITY /$5,000,000 (Ea accident) .. X ANYAUTO BODILY INJURY(Per person) O Z OWNED —SCHEDULED BODILY INJURY(Per accident) 0) AUTOS ONLY _AUTOS PROPERTY DAMAGE 16 HIRED AUTOS NON-OWNED V ONLY _AUTOS ONLY (Per accident) w X Comp/Coll$0 ded. d C X UMBRELLA LIAB X OCCUR Y G22035277014 07/01/2019 07/01/2020 EACH OCCURRENCE $5,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10,000 B WORKERS COMPENSATION AND HC2JUB472M470619 07/01/2019 07/01/2020 X I PER IoTH- EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC-AOS E.L.EACH ACCIDENT $2,000,000 B OFFICER/MEMBER EXCLUDED? N N/A HRJUB472M469919 07/01/2019 07/01/2020 (Mandatory in NH) WC - MA, WI E.L.DISEASE-EA EMPLOYEE $2,000,000 If vesdescribe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLiCY LIMIT $2,000,000— IN iellias DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 10li Additional Remarks Schedule,may be attached if more space is required) 4.P4 City of Bremerton is included as Additiona)�7Insured on the General Liability, Automobile Liability and Umbrella Liability policies, but only with respect to work ptsrformed under contract between the Certificate Holder and the Insured. =IF- L V ■ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. •C. City of Bremerton V/ •=-11AUTHORIZED REPRESENTATIVE .,r Attn: Risk Management z 345 6th Street, Suite 600 lOQ w `''V r e�4. M Bremerton WA 98337 USA eIVo/'a rl)_/clJeC/� MN ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SOU U R-1 ACORO �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/29/2020 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 endorsements . 303-951=5050 CONTACT Glenn J. Sudol PRODUCER NAME: Outdoor Insurance Group, Inc. a/ONe, Ext>: 303-951-5050 FAX No): Louisville, Loui Hecla Drive Ste E RECEIVED Louisville, CO 80027 1r CL� nl DRIESS: michelle@oigcorp.com Glenn J. Sudol INSURERS AFFORDING COVERAGE NAIC # JUL 0 0 2n2n INSURER A: Tokio Marine Specialty Ins 123850 CM/FRArFC LLc City of Bremerton Risk Management f`FRTIFI(:ATF NI IMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE FGLICY PERIGD 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 LTRA TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 190003000 CLAIMS -MADE X OCCUR X X PPK2145401 07/01/2020 07/01/2021 DAMAGE TO RENTED E Ea occurrence) $ 1005000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,000 PRODUCTS - COMP/OP AGG $ 21000,000 X POLICY PRO- JECT ❑ LOC OTHER I lEmp Ben. EXCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY Perperson) $ BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Peraccident $ AUTOS ONLY A�TOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A PER E OTH- E E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) It is understood and agreed that the Certificate Holder is named as the Additional Insured, but only with respect to it's liability arising out of the activities of the Named Insured. Waiver of subrogation applies, the insurance is primary & non-contributory **Needs Al Endo & other forms CFRTICICATG 4JAI r1FR (:ANf:FI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Bremerton Attn Risk Management 345 6th Street Ste 100 AUTHORIZED REPRESENTATIVE Bremerton, WA 98337�-�,��.—Q ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: WK2145401 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(sl Or City of Bremerton Information required to complete this SCHEDULE if not shown Section 11 —Who Is An Insured is amended to in- clude as an additional insured the persons) or organi- zations) shown in the Schedule, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. be shown in the Declarations. CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ SODUR-1 DATE (MMIDD/YYYY) �►coRO' CERTIFICATE OF LIABILITY INSURANCE 06/16/2021 L-Iaswo,� Lsms,,, 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 ends) orsement(. r 303 951 5050 I NAMEACT Glenn J. Sudol PRODUCER FAX _. . 303-951-5060 Outdoor lnsurance Grou p,lnc. 1371 Hecla Drive Ste E Louisville, CO 80027 Glenn J. Sudol Urban Forestry, LLC AcFarland -1910 E. 4th Ave. a, WA 98506 RECEIVE® JUN 28 ?.021 City of Bremerton Risk Management 303-951-5050 rnichelle@oigcorp.com 7 Ins OVERAGES ctrc I IrwF+t � IYurYro�r.. THIS IS TO CERTIFY THAT THE POLICIES OF I INSURANCE L^S ^ED B!E^OW HAVE BEEN ISSU pD TO OR nINSURED NAMED ABOVN FOR THE POLICY PERT INDICATED, NO?WITH ...P. P.RY RECU.R�MEI„ TERM OR r0ND.TION OF AN CONTRACT OR .HER DOCUMENT TH RESPECT T.. W.HICH HIS 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 GY PAID POLICY EI MS LIMITS 3R ADDL SUB POLICY NUMBER TYPE OF INSURANCE 1,000,0 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED 1 OO,a CLAIMS -MADE ❑X OCCUR X X PPK2287002 07101/2021 07/01/2022 P E E Eaoccu a ce $ 5,( E&O $1 MI1 M MED EXP An one arson $ - 1,000,( ^EN'L AGGREGATE LIMIT APPLIES PER: X 1 POLICY ❑PRO ❑ LOC JECT AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY A I X I UMBRELLA LIAB SCHEDULED AUTOS NON -OWNED AUTOS ONLY EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ N I A Mandatory rn NH) EXCLUDED? If yes, describe under___ 2434 0710112021�07/01/2022 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) It is understood and agreed that the Certificate Holder is named as the Additional Insured, but only with respect to it's liability arising out of the activities of the Named Insured. Waiver of subrogation applies, the insurance is primary & non-contributory "Needs Al Endo & other forms City of Bremerton Attn Risk Management 345 6th Street Ste 100 Bremerton, WA 98337 2,000,000 LIMIT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. RIZED REPRESENTATIVE AUTHO 2016/03) ACORD 25 ( ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PPI<2287002 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i I 1 • 1 nI I i • •' • • This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or O Gity of Bremerton Information required to complete this Schedule, if not shown Section II —Who Is An Insured is amended to in- clude as an additional insured the persons) or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. will be shown in the Declarations. CG 20 26 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 07/01/2017 Name of Person or Organization (Additional Insured): CITY OF BREMERTON BREMERTON PARKS & RECREATION SECTION II —WHO IS AN INSURED is amended to include as an additional insured the persons) or organizations) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III —LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.