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AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Professional Services Agreement with HDR Engineering, Inc. for the Preliminary Design of the Northlake Way Culvert Replacement Project Study Session Date: COUNCIL MEETING Date: Department: Presenter: Al February 12, 2020 February 19, 2020 PW&U Chance Berthiaume Phone: (360) 473-5929 SUMMARY: HDR Engineering, Inc. was selected to complete a feasibility and preliminary design to replace the Kitsap Creek fish barrier at Kitsap Lake. This project will complete an alternatives analysis, and develop a preliminary design to restore a section of Kitsap Creek that flows through a 72" culvert that's 200 feet long, and 35 feet below the surface of Northlake Way. The culvert is the discharge point for Kitsap Lake, located at Northlake Way NW and Kitsap Lake Road, where the lake flows into Kitsap Creek, a tributary of Chico Creek. The long, steep culvert is undersized and a partial fish barrier (33% passable). Eliminating this barrier will open 1,082 square meters of spawning area and 104,170 square meters of rearing area for coho, chum, steelhead, and cutthroat trout. ATTACHMENTS: Professional Services Agreement with HDR Engineering, Inc. that sets terms and conditions, scope of work, deliverables for the project, cost for services, and certificate of insurance FISCAL IMPACTS (Include Budgeted Amount): The estimated project cost is $154,300; $85,850 is funded by a grant from the Salmon Recovery Funding Board (SRFB), and the remainder ($68,450) is funded through the Stormwater Utility Capital Fund (484). No budget adjustment required. STUDY SESSION AGENDA: ❑x Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: M Consent Agenda ❑ General Business ❑ Public Hearing 17tKo7-IT41►Li:R1l 147iTi[ollI RIki Move to approve the Professional Services Agreement between the City of Bremerton and HDR Engineering, Inc.; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: Approve ❑ Deny ❑ Table ❑ Continue ❑ No Action Form Updated 01/02/2018 O c a v 0 a 0 C) N N O 00 D 0 - amtnpC cn m Cc Cn0 c" DcCincnDZ n rn00' m o 0 p C r oCO CO vcn( CD 0 : 3 r Q v Cl) cn 0 0- u 3( D 00_ v n m Z cn v xD Z m v D ' 0( D m CL .. 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D ( D 0W 4 c nC/) rc m0 -0 z (n Z o c G 17( D 3 pp D ( D ( D 11- 1 W m O p w i co N O 0 D D 90 c MR Ul m PROFESSIONAL SERVICES AGREEMENT Northlake Way Culvert Replacement Preliminary Design/Project# The City of Bremerton ("City") and HDR Engineering, Inc. ("Consultant"), referred to collectively as the"Parties,"enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work, dated December 16, 2019, including any attachments thereto , attached hereto as Exhibit A, which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.H of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be performed upon the express written request of the City. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time such services are performed. II. Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described in Exhibit A is to be completed as provided for in the work schedule attached hereto as Exhibit B;provided however,that additional time shall be granted by the City for excusable delays or extra work as provided for in Section IX.A of this agreement. III. Compensation: In consideration of the services provided pursuant to this Agreement,the City shall pay Consultant in an amount not to exceed $154,300. Consultant's charges and bills shall conform to the fee schedule attached hereto as Exhibit C and incorporated herein by this reference. The Consultant shall submit regular billing statements detailing work performed and amount charged on each task or portion thereof. The descriptions shall conform to and fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall promptly process payment and will pay all undisputed amounts within 30 days following receipt of Consultant's billing statement. PROVIDED,HOWEVER,the City reserves the right to prioritize scoped work and accelerate and/or delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit C. Consultant shall not perform work beyond the Scope of Work, nor shall be compensated for such work, unless the Scope of Work or amount of compensation is modified pursuant to this Agreement. Consultant shall only be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compensation shall be in accordance with Exhibit C. If a billing statement does not conform to this Agreement,the City may withhold payment until the statement is brought into compliance. Such withholding does not relieve Consultant of its obligations under this Agreement. Page 1 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 IV. Relationship of Parties: Consultant represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. Consultant and its personnel are independent Consultants and not employees of the City. Consultant and its personnel have no authority to bind the City or to control the City's employees and other Consultants. None of the benefits provided by the City to its employees, including,but not limited to,compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub-consultants of the Consultant. Consultant will be solely and entirely responsible for its acts and for the acts of Consultant's agents, employees, representatives and sub-consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent Consultants to perform the same or similar work. As an independent Consultant, Consultant is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Consultant or its personnel. As an independent Consultant, Consultant is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These taxes and fees include but are not limited to State industrial insurance,Business&Occupation, State professional licensing, and City business licensing. If any taxes or fees due the City have been declared delinquent,the City may withhold the delinquent amount,plus any additional charges arising from the delinquency, from any payments due Consultant. V. Indemnification: A. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, to the extent arising out of or in connection with the Consultant's wrongful or negligent acts, errors, or omissions in the performance of this Agreement except for that portion of the injuries and damages caused by the City's sole negligence, subject 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. hi 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. Page 2 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 The provisions of this section shall survive the expiration or termination of this Agreement. VI. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub-consultants or sub-contractors. Before beginning work on the project described in this Agreement, the Consultant shall provide a Certificate of Insurance evidencing: 1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; explosion, collapse and underground (XCU)if applicable; and 3. Excess Liability insurance with limits not less than $1,000,000 limit per occurrence and aggregate; and 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim; and 5. Workers Compensation insurance as statutorily required by the Industrial Insurance Act of the State of Washington, Title 51, Revised Code of Washington and employer's liability with limits not less than$1,000,000. Any payment of deductible or self-insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an "occurrence" basis except professional liability insurance(if required),which may be provided on a"claims-made"basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a redacted 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 Page 3 of 7 Bremerton/HDR Engineering,INC. Northiake Way Culver Replacement Preliminary Design Rev.07/2018 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 100, 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 redacted copy of the insurance policy with all endorsements as evidence of coverage. Redactions shall be limited to personally identifying information of employees, salary information, and proprietary information unless otherwise subsequently agreed to in writing the City and the Consultant. 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 Bellevue, 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 modification or 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. Page 4 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 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 Bellevue, 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 Agreement may only be modified by written instrument signed by both Parties. I. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. Notices to be sent to: Notices to be sent to: CITY: CONSULTANT: Attn: Chance Berthiaume Attn: Brian Ward City of Bremerton 929 108th Avenue NE 100 Oyster Bay Ave.N. Suite 1300 Bremerton, WA 98312 Bellevue. WA 98004 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. Page 5 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 L. Compliance with Laws: Consultant shall comply with all applicable Federal,State, and local laws in performing its obligations under this Agreement. M. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement shall be brought in Kitsap County Superior Court. N. Attorneys' Fees: In the event of litigation to enforce any of the terms or provisions herein, each party shall pay all its own costs and attorney's fees. O. Assignment: Any assignment of this agreement by the Contractor without the written consent of the City shall be void. VIII. Nondiscrimination: Consultant shall not discriminate in employment or services to the public on the basis of race, color, national origin, sex, religion, age, marital status, disability, or sexual orientation except for employment actions based on bona fide occupational qualification. IX. Termination: This Agreement shall remain in force until completion and acceptance of the services, terminated by written instrument upon mutual consent, or by the City of Bremerton for convenience. This Agreement may be immediately terminated for cause by a Party if the other Party substantially fails to perform through no fault of the terminating Party, and the non- performing Party does not commence correction of the failure of performance within thirty (30) days of the terminating Party's sending notice to the non-performing Party. Any Notice by Consultant shall include a report showing the status of all items listed in the Scope of Work current through the termination date. If the City receives reimbursement by any federal, state,or other source for work described in Section 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 Delays: The right of Consultant to proceed shall not be terminated nor shall Consultant be charged with 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 Page 6 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 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,provided that Consultant may retain an archival copy of such records and data for its project files subject to confidential treatment. Any such use not related to the project which Consultant was contracted to perform shall be without liability or legal exposure to the Consultant. X. Suspension & Debarment. For contracts involving Federal funding, Consultant hereby certifies, by signing this agreement, that neither it nor its principals are presently debarred, suspended,proposed for debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any Federal department or agency. Consultant shall provide immediate written notice to the City if at any time it learns that it is or has become ineligible for certification. Should Consultant enter into a covered transaction with another firm,Consultant agrees by signing this agreement that it will verify that the firm with whom it intends to do business is not debarred, suspended, ineligible, excluded or disqualified. IN WITNESS WHEREOF,the parties below have executed this Agreement. CITY: CONSULTANT: CITY OF BREMERTON HDR .neeri INC. By: w�.�.., __ By: AA Print Name: e e e l e c Print Name: PAvL 1Z21EL Its: MCA C Its: VI C ` P2 Ockfr Date: 2. 2-r \202.o Date: 21/Z412C) APPROVED AS TO FORM: ATTEST: By:/v\ gyp✓ By:f'' 4 'JA Roger A. Lubovich,Bremerton City Attorney Angela :: ,City erk 1-I-ooV{J R:\Legal\Legal\Forms\FORMS ON COBWEB\Professional Services Agreement Rev.07 2018.docx Page 7 of 7 Bremerton/HDR Engineering,INC. Northlake Way Culver Replacement Preliminary Design Rev.07/2018 Exhibit A City of Bremerton Northlake Way Culvert Replacement Preliminary Design Scope of Services December 16, 2019 EN600 University Street Suite 500 Seattle, WA 98101 (206) 826-4700 EN Exhibit A Table of Contents Background 2 Task 100 Project Management 2 Objective 2 HDR Services 2 Client Responsibilities 2 Assumptions 3 Deliverables 3 Task 200 Project Kick-off and Background Information Review 3 Objective 3 HDR Services 3 Client Responsibilities 3 Assumptions 4 Deliverables 4 Task 300 Hydrologic and Hydraulic Analysis 4 Objective 4 HDR Services 4 Client Responsibilities 4 Assumptions 5 Deliverables 5 Task 400 Site Survey(1 Alliance Geomatics) 5 Objective 5 HDR Services 5 Subconsultant Services 5 Client Responsibilities 6 Assumptions 6 Deliverables 7 Task 500 Geotechnical Evaluation (Shannon and Wilson) 7 Objective 7 HDR Services 7 Consultant Services 7 Client Responsibilities 8 Assumptions 8 Deliverables 9 Task 600 Concept Design/Options Analysis 9 Object ive 9 HDR Services 9 Client Responsibilities 9 Assumptions 9 Deliverables 9 City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services FYZ Exhibit A Task 700 Preliminary Design 10 Objective 10 HDR Services 10 Client Responsibilities 10 Assumptions 10 Deliverables 10 Schedule 12 Project Fee 13 City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Fat Exhibit A EXHIBIT A SCOPE OF SERVICES Background Kitsap Creek, a tributary to Chico Creek, is the outlet of Kitsap Lake that runs through a 200 foot long 72 inch diameter culvert 35 feet below the surface of Northlake Way NW in the City of Bremerton (City). Currently, the culvert inhibits salmon and trout passage during migration, even after a 1990's installation of weir plates (baffles) to try to assist the process. This project will evaluate options to eliminate the current barrier, and develop a preliminary design. The potential fish barrier removal would open 1,082 square meters of spawning area, and 104,170 square meters of rearing area for coho, chum, steelhead, and cutthroat trout. Options to evaluate are: 1)three sided box culvert, 2) arched concrete culvert, and 3) bridge deck and abutments. Construction methods to be evaluated are: 1) open cut excavation, 2) pipe bursting, and 3) micro tunneling. The Salmon Recovery Funding Board Manual 18 contains the standards for which the deliverables for this scope of work are based. Task 100 Project Management Objective The purpose of this task is to monitor, control and adjust scope, schedule, and budget as well as provide monthly status reporting, accounting, and invoicing. HDR Services 1. Project set-up and close-out 2. Prepare a Project Management Plan (Project Guide) outlining the project scope, team organization, schedule, field safety instructions, and communications information. 3. Coordinate and manage the project team, including sub-consultants. 4. Prepare and electronically submit monthly status reports describing the following: a. Services completed during the month b. Services planned for the next month c. Needs for additional information d. Scope/schedule/budget issues, if applicable e. Schedule update and financial status summary 5. Prepare and electronically submit monthly invoices. 6. Project Manager will participate in monthly project management meetings with the client Project Manager to review progress on accomplishing the project scope, to review project schedule, and budget. Client Responsibilities 1. Attend project management meetings. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Exhibit A 2. Review and provide written comments to draft meeting summary notes within 7 calendar days of receipt of meeting notes. 3. Process payment of invoices within 30 calendar days of invoice date. Assumptions 1. The project duration will be 6 months. 2. One project management check-in meeting will be held once per month between the city and HDR project manager. The monthly meetings will be phone or Skype meetings. 3. Up to 1 hour of project manager time is assumed for each phone meeting, including preparation, participation via teleconference, and preparation of an agenda and meeting summary notes. 4. The standing agenda will include a project status update, review of upcoming activities, and discussion of scope, schedule, or budget. HDR will e-mail draft meeting summary notes within 3 business days following each meeting and will incorporate City comments, as appropriate, in the final notes. 5. Invoices will be HDR standard invoice format. 6. Expense backup will be provided with invoices upon request by the city. Deliverables 1. Monthly status reports and invoices (one copy with invoice can be mailed or e-mailed PDF file). 2. Project management meeting agenda and notes (e-mailed PDF files). Task 200 Project Kick-off and Background Information Review Objective The objective of this task is to formally kick-off the project with key team members and review available information related to the Northlake Way culvert. This information will inform Consultant's understanding of existing conditions, issues, and constraints. HDR Services 1. Meet with City staff to kick-off the project and discuss priorities and information to be reviewed in this task. 2. Develop Key Decisions Log to reflect decisions made during this meeting, and to be updated as needed for future meetings. 3. Conduct background research to obtain background information including watershed or reach assessments and feasibility studies. 4. Conduct site visit on same day as kick-off meeting. Client Responsibilities 1. Schedule and host the Kick-off Meeting and coordinate attendance by City staff. 2. Provide input on City priorities to be addressed in the feasibility analysis. 3. Provide input on materials to be reviewed in this task, and provide the materials. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services I-) Exhibit A Assumptions 1. The budget for this task assumes one in-person kick-off meeting, up to 2 hours in duration plus travel time. The meeting will be attended in-person by the Project Manager. The Staff engineer will call in for the meeting. 2. Document review assumptions includes review of 10 number of documents for a maximum time of 5 hours. Deliverables 1. Meeting agenda, to be delivered electronically via e-mail in PDF file format at least 2 days prior to kick-off meeting. 2. Meeting summary notes, to be delivered electronically via e-mail in PDF file format within 3 days of kick-off meeting. 3. Key decisions log which includes documenting and summarizing the information received will be issued following the meeting. To be delivered electronically via e-mail in PDF file format. 4. Key decision log documenting and summarizing information obtained during the staff interview. Task 300 Hydrologic and Hydraulic Analysis Objective The objective of this task is to establish a stage-discharge curve of the Kitsap Lake outlet channel (known as Kitsap Creek) and to conduct a hydraulic analyses of Kitsap Creek within the Project limits. The Project limits are defined in Task 400-Site Survey, but essentially extend from approximately 100 feet downstream of the Northlake Way culvert to the mouth of Kitsap Lake. The hydraulic model will establish water surface elevations for a range of flows discharging from Kitsap Lake. HDR Services 1. Analyze lake-level and stream-flow data provided by the city to establish any correlation between the two data sets. 2. Develop a stage-discharge curve for Kitsap Creek at the mouth of Kitsap Lake. 3. Develop an existing conditions HEC-RAS model for the Project limits using the in- channel survey information from Task 400 using industry standards for roughness coefficients, cross section stationing, entrance and exit losses. 4. Develop a proposed-conditions HEC-RAS model for purposes of supporting design of a new channel in Kitsap Creek considering the modified hydraulic conditions that a new water crossing will present. 5. Prepare a draft and final technical memorandum (TM) of the hydrologic and hydraulic analyses. The TM is expected to be about 7-10 pages in length plus appendices. 6. Provide QA/QC review of the HEC-RAS model, the stage-discharge curve, and the draft and final TM. Client Responsibilities 1. Review and provide one set of consolidated (conflict resolved)written comments to the draft TM within 14 calendar days after receipt of the deliverable. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Exhibit A 2. The City will obtain lake level data from Kitsap County Public Utility District (KPUD) and provide data to HDR. 3. The City will obtain stream flow and stage data from KPUD and provide to HDR. Assumptions 1. HEC-RAS model will be a 1 D model. 2. Model validation will be based on lake level data provided by the city. Deliverables 1. A 7-10 page technical memorandum, draft and final, pdf format, delivered electronically. Task 400 Site Survey (1 Alliance Geomatics) Objective The objective of this task is to provide surveying and mapping services in support of HDR on the City's Northlake Way/Kitsap Culvert. 1 Alliance Geomatics, LLC (1 Alliance)will be the service provider for this subtask as a subcontractor to HDR. The project limits on the north side of Northlake Way follow the creek 100 feet northerly from the culvert. Creek profiles and cross-sections will be taken at 50-foot intervals or where creek bed slope changes abruptly. Limits on the south side of Northlake Way will follow the creek from the culvert to the mouth at Kitsap Lake. This includes locating and providing dimensional measurements of the concrete structure in the channel downstream from the lake mouth. Northlake Way limits will extend 100-feet along the roadway from the centerline of the culvert and will include the toe of slope or, in areas of hills, sufficiently map to depict the topography. Considerations include: Stream alignment with roadway Conflicts with existing utilities, and property ownership. HDR Services 1. Coordinate with subconsultant and City 2. Provide Quality Assurance (QA) of site survey data provided by survey team. Subconsultant Services This task includes the survey project management, administrative duties, and quality control required for a project of this complexity and magnitude. Depending on the project requirements, 1 Alliance will assign a management and quality leads for the project. Survey Control This task includes the establishment of survey control, or the recovery of existing survey control, as required for the project. Typically, survey control will be set, found, or referenced utilizing Real Time Kinematic(RTK) GPS (GNSS) and the Washington State Reference Network (WSRN) in conformance with industry standards. This survey control is then typically propagated, as required, utilizing standard terrestrial total station measurements. Geodetic Survey Control A system of horizontal and/or vertical control stations that have been established and adjusted by geodetic methods and in which the shape and the size of the earth (geoid) have been iof Bremerton Northlake WayCulvert PreliminaryScope of Services City Design p 9 1-)1 Exhibit A considered in position computations. A geodetic datum is an abstract coordinate system with a reference surface that serves to provide known locations to begin surveys and create maps. Horizontal Typically, survey work shall reference the Washington State Plane Coordinate System of 1983 as established in accordance with Chapter 58.20 Revised Code of Washington. Vertical Typically, the Vertical Datum for the survey work shall reference the North American Vertical Datum of 1988 (NAVD88). Units Units shall be in US Survey Feet. Field Surveying and Mapping This task includes the field surveying and mapping required for this specific effort. Topographic and Planimetric • Creek thalweg, if definable. • Top and toe of creek banks. • Top and toe of slope along roadway. • Edge of paved roadway and channelization within the project limits. • Unique features identified by the engineer such as large woody material or boulders. Utility Surveying Services • Surface Observable utilities will be located as found within the surveying limits. • Measure Downs for sewer manholes, catch basins and storm drain manholes with pipe size, material, direction, and invert elevations will be obtained, if possible, at each structure. Nearest drainage structure outside the mapping limits will also be collected. Office Processing This task includes the office processing of the collected survey data, data extraction, field book note reductions, CADD drafting, and other duties required for the generation of the deliverable(s). Right-of-Way and Boundary Resolution(s) Right-of-Way and parcels. 1 Alliance will utilize current, available GIS data to create Right-of- Way and parcel boundaries. These boundaries will be approximate and should not be relied on for design decisions. Client Responsibilities 1. Provide right-of-entry documentation to private property necessary for aforementioned consulting services. Assumptions 1. Locating trees is NOT a part of these services. 2. Conductible utility locating is NOT a part of these services. 3. Boundary/Record of survey is NOT a part of these services. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services I-? Exhibit A 4. Rights of entry, if needed, will be accomplished by others prior to dispatching the field survey crew. 5. 1 Alliance will not enter any conditions deemed unsafe and will notify the Client to resolve any concerns should they arise. 6. 1 Alliance and HDR are not responsible for any delays due to safety issues. 7. The use of a conductible utility locator is NOT a part of these services. 8. Survey to occur during same period geotech is on site so traffic Control is provided for both services simultaneously. 9. Survey work associated with geotechnical investigation and utility pothole work is NOT a part of these services. 10. Wetland flags are NOT a part of these services. 11. 1 Alliance cannot be responsible for delays in the project due to ferry travel or other delays beyond their control. Deliverables 1. Signed topographic survey drawings (hard copy) if required. 2. Project basemap at 1" = 20' scale, 1-foot contours. 3. 2016 or newer AutoCAD Civil 3D file of project basemap in 1 Alliance CAD drafting standards. 4. 2016 or newer AutoCAD Civil 3D digital terrain model (DTM)file. 5. 2016 or newer AutoCAD Civil 3D Land XML-compatible digital terrain model (DTM)file. 6. ASCII file of topographic and control points. Excel spreadsheet highlighting pipe segments that are capacity constrained. Task 500 Geotechnical Evaluation (Shannon and Wilson) Objective The objective of this subtask is to provide geotechnical services to assist in the Options Analysis Phase for replacing an existing culvert along Kitsap Creek in Bremerton, Washington. The culvert crossing is located below the intersection of Northlake Way NW and Kitsap Lake Road NW. The geotechnical services will be provided by Shannon &Wilson, Inc. as subcontract services to HDR. HDR Services 1. Provide subconsultant management, including QA of geotechnical report. 2. Respond to comments from City. Consultant Services The geotechnical scope of services will include drilling and sampling of soil borings near the southeast and northwest ends of the existing culvert. The borings will extend to depths of approximately 30 to 40 feet below ground surface to facilitate a level of understanding of the subsurface conditions that is sufficient for preliminary options analysis. Analyzing the data from our field studies and performing geotechnical laboratory testing on selected soil samples in order to develop geotechnical design recommendations. Prepare a draft and final preliminary geotechnical assessment report. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services 1-01 Exhibit A The services will include the following tasks: 1. Reconnaissance. Shannon &Wilson (S&W)will perform a site reconnaissance to evaluate surface topography, site access, and exploration locations. S&W will coordinate access to the exploration sites with HDR and the City of Bremerton representative. S&W will call for utility locating at the boring locations. 2. Subsurface Exploration. S&W will secure a drilling subcontractor to drill test borings at the proposed culvert locations. One groundwater observation well will be installed. The driller will be licensed for well installation in Washington State and will acquire Washington State Department of Ecology permits prior to drilling. Flush-mounted monuments will be installed at the well location. 3. Lab Testing. S&W will collect representative soil samples during the exploration program and deliver them to the S&W laboratory in Seattle, Washington, for geotechnical laboratory testing. Testing will consist of water content determination and grain size analysis. 4. Geotechnical Analyses and Recommendations. S&W will finalize their analyses and provide design recommendations based on the above geotechnical items. 5. Draft and Final report. S&W will prepare a report summarizing the results of their subsurface conditions assessment and analyses. Client Responsibilities 1. Provide one set of consolidated (conflict resolved) comments to the geotechnical report. Assumptions 1. Utility locates will be performed by S&W with help from City of Bremerton and locate requests will be submitted to the Washington State one-call utility notification center. 2. Test borings will be performed on the shoulder within the right-of-way of the City roads. 3. Traffic control plan is necessary and will be provided by S&W as well as required flaggers 4. The boring efforts will take two days. 5. S&W will contain and haul off soil cuttings. Vacated boring to be filled with bentonite of industry-approved equivalent material. 6. Temporary Erosion and Sediment Control plans is provided by the driller under contract by S&W. Drilling contractor will sweep the pavement surface clean as necessary. 7. The archaeological monitoring subconsultant will be on site for two days and is included in the fee estimate provided by S&W. 8. Observations during the drilling and documentation of any potential issues related to contaminates or suspect conditions encountered will be documented by the contractor. 9. Review of plans and specifications and design services beyond the preliminary geotechnical assessment are not included in this scope of services. 10. S&W services will not include any environmental assessment or evaluation regarding the presence or absence of hazardous or toxic materials in the soil, surface water, groundwater, or air on, below, or around this site. 11.All soils at the subject location are NOT contaminated. 12. The geotechnical analyses and preparation of the draft report will take about four weeks to be completed following field explorations. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Exhibit A Deliverables 1. Geotechnical recommendations in a letter report in Adobe PDF format via email delivered to HDR, then HDR to deliver to the City. 2. Geotechnical Data Report for potential inclusion in future Contract Documents. 3. The recommendations may be provided over the phone or through email before the draft report is submitted. Task 600 Concept Design/Options Analysis Object ive The purpose of this task is to evaluate the options for replacing the water crossing at the site to achieve the stated project objectives of providing fish passage according to Washington Department of Fish and Wildlife. The options analysis will consider the recommendations made by the geotechnical engineer, private property constraints, roadway safety improvements, and risk factors relative to recommended construction methods resulting from this task. HDR Services 1. Develop evaluation criteria for selecting a preferred alternative. 2. Develop concept designs for three (3) alternatives to include detailed plan-view drawing of each alternative. Concept designs will include sufficient detail in plan-view drawing to evaluate the merits and drawbacks of each concept. 3. Conduct one in-person meeting between the City and Consultant to discuss the options and the advantages and disadvantages of each alternative. 4. Prepare a technical memorandum (TM) describing each option, the selection criteria, and the documentation for selection of the preferred alternative. Client Responsibilities 1. Provide meeting room and schedule necessary City staff to attend the meeting. 2. Review the draft TM and provide one set of consolidated comments within 14 calendar days of receiving the draft. 3. Provide authoritative input on selection of preferred alternative. Assumptions 1. The budget for this task assumes one in-person kick-off meeting, up to 2 hours in duration plus travel time. The meeting will be attended by the following consultant team members: Project Manager. Staff Engineer to attend by phone. 2. Alternatives to be evaluated include: 1)three sided box culvert, 2) arched concrete culvert, and 3) bridge deck and abutments. 3. Construction methods to be considered are: 1) Open cut, 2) pipe bursting, 3) micro- tunneling. 4. The draft and final TM is expected to be 6-7 pages in length and will include 1 figure. 5. The draft and final TM will be emailed in Portable Document Format(PDF). Deliverables 1. Decision log from meetings. 2. A draft TM, anticipated to include: City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services F-Y2 Exhibit A • Evaluation criteria, • Recommendations from the geotechnical engineer, • Methods for selecting the preferred alternative. 3. Final TM. Task 700 Preliminary Design Objective The objective of this task is to produce preliminary design report, drawings and, cost estimate for the preferred alternative. HDR Services 1. Develop preliminary design drawings for the preferred alternative. 2. Calculate preliminary opinion of cost estimate for the preferred alternative. 3. Prepare draft and final preliminary design report. 4. Prepare Landownership Certification form. 5. Conduct one in-person meeting between the City and Consultant to discuss the proposed preliminary design drawings. Client Responsibilities 1. Provide meeting room and schedule necessary City staff to attend the meeting. 2. Review the draft preliminary design report and the preliminary drawing set. Provide one set of consolidated (conflict resolved) comments within 14 calendar days of receiving the draft documents. 3. Complete the grant applications. 4. Review landownership form. Assumptions 1. Three design sheets are anticipated to illustrate the preliminary design. 2. The preliminary design is commensurate with 15-30 percent design and will include crossing length, width, headwall design, streambed profile, footing designs, and hydraulic structures intended to provide a stabilize stream bed profile. 3. The budget for this task assumes one in-person preliminary design meeting, up to 2 hours in duration plus travel time. The meeting will be attended by the Project Manager. The Principal in Charge and Staff Engineer will participate via telephone or tele- conference. 4. This opinion of cost is considered a "Class IV" estimate as defined by the American Association of Cost Engineers (AACE). 5. The draft and final report are expected to be up to 20 pages in length and will be prepared to standards described in the 2019 Salmon Recovery Grants Manual 18. 6. The draft and final report will be emailed in Portable Document Format(PDF). Deliverables 1. Decision log from meetings. 2. Preliminary design drawings and cost estimate. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Exhibit A 3. Land ownership form 4. Preliminary design report, draft and final. 5. AutoCad drawings in digital format, 6. Survey data in ACSII digital format. City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services EN Exhibit B Schedule Milestones Start Date Finish Date NTP 02/06/2020 Kickoff/Information Exchange (14 days) 02/12/2020 02/26/2020 Survey (18 days) 02/10/2020 02/28/20 Geotechnical Evaluation (32 days) 02/10/2020 03/13/2020 Hydrologic and Hydraulic Analysis (21 days) 02/24/20 03/16/2020 Concept Design/Options Analysis (45 days) 03/16/2020 04/23/2020 Preliminary Design (78 days) 04/13/2020 06/30/2020 City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services Exhibit C Project Fee See exhibit $154,300. This fee is based on the Scope of Services defined within Exhibit A and associated assumptions. Any modifications to the scope or requests for additional services will be agreed upon prior to proceeding. Task Description Fee 100 Project Management $10,400 200 Project Kickoff and Background Information $2,800 300 Hydrologic and Hydraulic Modeling $16,500 400 Site Survey $29,600 500 Geotechnical Evaluation (including cultural resource $38,300 observations and traffic control) 600 Concept Design/Options Analysis $22,500 700 Preliminary Design $34,200 Total $154,300 City of Bremerton Northlake Way Culvert Preliminary Design Scope of Services EXHIBIT Cl•LABOR ESTIMATE.HDR ENGINEERING STAFF Chy of Bremerton:pry of Bremerton-Nortiake Way Culvert Rpkmnt Fess Study • wY. 8 aLi g 5 S 8 p Projeet Role r Ier1Ma,gpr Fvdpd m Owe. CC Renewer owl Engineer CO,l En9,neer Err mud Cmrd,rw Tem Edbr Rgencounew OC Re0M4e, Records Caw.n+m F Billing Rate 223.21 344.57 2130.40 133.02 112.18 112.67 99.98 128.22 87.29 331.53 123.39 4 Projeet Management 24 2 0 0 0 0 21 0 2 2 4 0 59 6 10,349.40 1 Project Setup 2 1 2 5 $ 990.95 2 Project Mgml Plan/Duality Mpml Plan/HASP 2 1 1 _ 4 $ 633.69 3 Coordination and Monitoring 12 ��-- ------ B 1 2 4 27 f 6,721.17 4 Invoicing/Status Reporting I EV/WorkPlan 6 _ 6 12 f 1,939.14 5 Stbconsuttenl Management 4 4 8 6 1,292.76 6 Project Closeout 2_-�- 1 -_-- 3 6 790.99 2 Data C8Beeeon 7 0 0 0 0 to 0 0 0 0 0 0 17 5 2,6119.17 1 Data request 1 1 6 223.21 2 Kick off meeting _--_4 2 6 8 1,115.16 3 Review Doclanenlation __t 4 5 8 673.69 4 Date review 1 4 5 $ 673.59 0 { 3 Hydrologic and Hydraulic Analysts 6 0 10 0 i 110 Iii 0 0 0 0 0 0 126 $ 16,483.06 i 1 Analyze lake level and stream flow data 1 2 6 9 f 1457.09 2 Develop stage-discharge curve 1 2 8 11 $ 1,601.45 3 Develop HEC-RAS modal(*noting conditions) 32 32 $ 3,549.76 4 Develop HEC-RAS model(proposed condNo ) 24 24 6 2,492.32 5 Prepare draft technical memo 2 -- _ - 24 26 6 3,135.74 6 Prepare final tedncal memo 2 16 18 6 2,241.30 7 CIA/QC 6 6 $ 1,66240 4 Site Survey 0 i 0 2 0 2 0 0 0 0 0 0 0 4 5 745.16 1 Sits survey QA/QC 2 2 4 2 735.16 ' 5 Geotechnical Evaluation 2 i 3 0 0 0 0 0 0 0 0 0 U 5 5 1,400.13 1 Review daft gedectviul report(OA) 1 .....2 3 6 912.34 2 Respond to comments from sub 1 --- ---- 1 8 344.57 3 Respond to comments from city I 1 6 223.21 6 Concept Design/Options Analysis 40 2 2 4 0 98 0 5 0 0 0 0 151 5 22.393.14 1 Develop evaluation Uterus 2 8 10 $ 1,347.713 2 City-Consultant meeting 6 _ 2 8 f 1,564.60 3 Concept designs 8 40 48 f 8,292.48 4 Prepare daft options analysis technical memo 16 32 4 52 f 7,689.68 5 Prepare final options analysis technical memo 8 16 1 25 f 4,716.62 6 CIA/QC 2 2 4 - 8 i 1,742.02 7 Preliminary Design 53 8 12 0 3 125 0 12 0 0 0 0 214 D 34,023.09 1 Prehmirary design preferred alternative 24 40 64 $ 9,483.44 2 Cost estimate 2 2 4 113 24 $ 4,059.84 3 Lard Owrership Form 1 3 -- _-_ - 4 6 659.75 4 Draft technical report -__ 8 _ _ _-_ _ _. 40 8 -. - - 56 s 7,318.24 5 Final technical report 8 28 4 40 4 6,453.32 6 QAl0C _ _ 4 4 8 16 $ 4,514.32 7 Meeting between city and HDR 6 2 2 10 6 2,253.74 Task Total Hoots 136.00 15.00 26.00 4.00 115.00 234.00 21.00 17.00 2.00 2.00 4.00 0.00 576.00 Task Total Fee 15 30,356.56 $ 5,168.55I 8 7,290.40 I$ 532.08 I$ 12,900.70 $ 26,364.78 I$ 2,099.58 I$ 2,179.74I$ 174.58 I8 663.06 $ 493.56 $ - $ 88,223.59 .1w.wo,ssvw,vctasenenm wwwrin.a,wwnum.n.xuw Printed 1/24/2020009 AM EXHIBIT C2-EXPENSES City of Bremerton: City of Bremerton-Northlake Way Culvert Rplcmnt Feas Study 1-)/ POV Mileage/mile Tolls Copies/Page 8 5x11 Copies/Page 8.5x11 I Copies/Page 11x17 a + B8W Color BSW a. Travel Travel Office Expenses Office Expenses Office Expenses LL q 0 E. ie 2 @ q OTHER DIRECT COSTS ~ u ~ o Each Each Each Each Each Unit Cost $0.58 $5.00 $0.05 $0.45 $0.09 $3.70 0.00% 5.00% 1 Project Management Quantity 0 0 0 0 0 0.00 Task Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2 Data Collection Quantity 40 9 0 0 0.00 Task Total $23.20 $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $68.20 $3.41 $71.61 3 Hydrologic and Hydraulic Analysis ---- -- -- ---- - - Quantity 0 0 0 0 10 0.00 Task Total $0.00 $0.00 $0.00 $0.00 $0.90 $0.00 $0.00 $0.90 $0.05 $0.95 4 Site Survey Quantity 0 0 0 0 10 0.00 i Task Total $0.00 $0.00 $0.00 $0.00 $0.90 $0.00 $0.00 $0.90 $0.05 $0.95 4,:. . 5 Geotechniaaf Evaluation Quantity 0 0 50 10 0 0.00 Task Total $0.00 $0.00 1 $2.50 $4.50 $0.00 $0.00 $0.00 $7.00 $0.35 $7.35 1 6 Concept Design/Options Analysis _ _ , _ Quantity 40 9 100 25 10 0.00 Task Total $23.20 $45.00 $5.00 $11.25 $0.90 $0.00 $0.00 $85.35 $4.27 $89.62 ,; 7 Preliminary Design Quantity 40 9 100 25 10 0.00 Task Total $23.20 $45.00 $5.00 $11.25 $0.90 $0.00 $0.00 $85.35 $4.27 $89.62 Total ODCI[T 69.60II$ 135.00 II$ 12.50Ir$- 27.00II$ 3.60 0 $ II $ - 1013111KaalLIIIMIll` 'r c:\pwworking\nat\d016a597\Bremerton NL Culvert Study Estlmate.XLSM SUBCONSULTANTS City of Bremerton: City of Bremerton-Northlake Way Culvert Rplcmnt Feas Study I-3 One Alliance Shannon&Wilson Traffic Control C3ccm .. a F O 2 a 0 C N SUBCONSULTANTS O (0 a U) N to 5.00% 1 Project Management Task Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 2 Data Collection Task Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 3 Hydrologic and Hydraulic Analysis Task Total $0.00 $0.00 $0.00 $0.00 1 $0.00 $0.00 4 Site Survey Task Total $27,371.00 $0.00 $0.00 I $27,371.00 $1,368.55 $28,739.55 5 Geotechnical Evaluation Task Total $0.00 $32,340.00 $2,700.00 I $35,040.00 $1,752.00 $36,792.00 6 Concept Design/Options Analysis Task Total $0.00 I $0.00 $0.00 $0.00 $0.00 $0.00 Total Subconsultantsl $ 27,371.00 $ 32,340.00 1$ 2,700.00 J0 $ 62,411.00 I $3,120.55 0$ 65,531.55 c\pwworking\nat\d0168597\Bremerton NI.Culvert Study Estimate.XLSM Exhibit C FEE ESTIMATE City of Bremerton: City of Bremerton -Northlake Way Culvert Rplcmnt Feas Study I-3 Task# Task Description Total Total Total Total Labor Expenses Subconsultants (See note) 1 Project Management $ 10,370 $ - $ - $ 10,400 2 Data Collection $ 2,689 $ 72 $ - $ 2,800 3 Hydrologic and Hydraulic Analysis $ 16,483 $ 1 $ - $ 16,500 4 Site Survey $ 785 $ 1 $ 28,740 $ 29,600 5 Geotechnical Evaluation $ 1,480 j $ 7 ; $ 36,792 $ 38,300 6 Concept Design/Options Analysis $ 22,393 $ 90 $ - $ 22,500 7 Preliminary Design $ 34,023.09 $ 89.62 $ - $ 34,200 $ 154,300.00 Note:Rounded to$100. c:\pwworking\nat\d0168597\Bremerton NL Culvert Study Estimate.XLSM Page 1 1 Page 1 of 2 A E P CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01/03/2020 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 endorsement(s). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd IA/C.No.Extl: (A/C.No): P.O. Box 305191 ADD DRE ADRE SS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B: Ohio Casualty Insurance Company 24074 NOR Engineering, Inc. V 14__ �A. •e).3•> �'(% Liberty Insurance Corporation 42404 1917 South 67th Street INSURER C: Omaha, NE 68106 SN INSURER D: U INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W15162587 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 EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,0,07' CLAIMS-MADE X OCCUR DAMAGE TO RENTED 1,000,+000 PREMISES(Ea occurrence) $ A X Contractual Liability MED EXP(Any one person) $ 10,000 Y Y TB2-641-444950-039 06/01/2019 06/01/2020 2,000,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ,+ 4,000,00 PRO \ ��� GENERAL AGGREGATE $ POLICY X JECT X LOC `i/ PRODUCTS-COMP/OPAGG $ 4,000, 00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 2,000,0 X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y AS2-641-444950-049 06/01/2019 06/01/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,00� B X EXCESSLIAB CLAIMS-MADE Y Y EUO(20) 57919363 06/01/2019 06/01/2020 AGGREGATE $ 1,000, 00 DED X RETENTION$0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. ,000,000 OFFICER/MEMBEREXCLUDED? No N/A Y WA7-64D-444950-019 06/01/2019 06/01/2020 .L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under 1,000, 00 DESCRIPTION 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) Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written contract and as permitted by law. Umbrella/Excess policy is Follow Form over General Liability, Auto Liability and Employers Liability. 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. City of Bremerton / AUTHORIZED REPRESENTATIVE Attn: Chance Berthiaume V/ 345 6thSt, Ste. 100 �Y�it[ Cd Bremerton,. on, WA 98337 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 19073379 BATCH: 1513216 AGENCY CUSTOMER ID: LOC#: AC Ra ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Midwest, Inc. HDR Engineering, Inc. 1917 South 67th Street POLICY NUMBER Omaha, NE 68106 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Project: Kitsap Creek, a tributary to Chico Creek, is the outlet of Kitsap Lake that runs through a 200 foot long 72 inch diameter culvert 35 feet below the surface of Northlake Way NW in the City of Bremerton (City) . Currently, the culvert inhibits salmon and trout passage during migration, even after a 1990's installation of weir plates (baffles) to try to assist the process. This project will evaluate options to eliminate the current barrier, and develop a preliminary design. The potential fish barrier removal would open 1,082 square meters of spawning area, and 104,170 square meters of rearing area for coho, chum, steelhead, and cutthroat trout. Options to evaluate are: 1) three sided box culvert, 2) arched concrete culvert, and 3) bridge deck and abutments. Construction methods to be evaluated are: 1) open cut excavation, 2) pipe bursting, and 3) micro tunneling. The Salmon Recovery Funding Board Manual 18 contains the standards for which the deliverables for this scope of work are based. Employers Liability for the Monopolistic States of ND, OH, WA & WY is provided in the Workers Compensation policy. Additional Insured and Waiver of Subrogation: The City. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 19073379 BATCH: 1513216 CERT: N15162587 ACO DATE(MM/DD/YYYY) Cc CERTIFICATE OF LIABILITY INSURANCE 6/1/2020 1/2/2020 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 endorsement(s). PRODUCER Lockton Companies NAME:CONTACT 444 W.47th Street,Suite 900 PHONE . .EMI: (NFAX,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Company 19437 INSURED HDR ENGINEERING,INC. p' 1//�1� INSURER B: 1429583 1917 SOUTH 67TH STREET `�'—"'—) /�� `a INSURER C: OMAHA NE 68106 ✓ `' 3 0 INSURER D: /lJ\ INSURER E: INSURER F: COVERAGES * CERTIFICATE NUMBER: 16485215 REVISION NUMBER: XXXXXXX 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 ADD WUVD POLICY EFF POLICY EXP LTR POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ XXXXXXX MED EXP(Any one person) $ XXXXXXX PERSONAL&ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT (Ea accident) $ XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per $ AUTOS ONLY AUTOS accident) XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ XXXXXXX $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXX A ARCH&ENG N N 061853691 6/1/2019 1/2020 PER CLAIM:$1,000,000 PROFESSIONAL AGGREGATE:$1,000,00 LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ****SEE ATTACHED**** CERTIFICATE HOLDER CANCELLATION 16485215 CITY OF BREMERTON V/ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTENTION: CHANCE BERTHIAUME THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th St. Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. BREMERTON WA 98337 AUTHORIZED REPRESENTATI 7ti" r, ç441 4 7 ©1988- 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS(Use only if more space is required) KITSAP CREEK,A TRIBUTARY TO CHICO CREEK,IS THE OUTLET OF KITSAP LAKE THAT RUNS THROUGH A 200 FOOT LONG 72 INCH DIAMETER CULVERT 35 FEET BELOW THE SURFACE OF NORTHLAKE WAY NW IN THE CITY OF BREMERTON(CITY).CURRENTLY,THE CULVERT INHIBITS SALMON AND TROUT PASSAGE DURING MIGRATION,EVEN AFTER A 1990'S INSTALLATION OF WEIR PLATES(BAFFLES)TO TRY TO ASSIST THE PROCESS.THIS PROJECT WILL EVALUATE OPTIONS TO ELIMINATE THE CURRENT BARRIER,AND DEVELOP A PRELIMINARY DESIGN.THE POTENTIAL FISH BARRIER REMOVAL WOULD OPEN 1,082 SQUARE METERS OF SPAWNING AREA,AND 104,170 SQUARE METERS OF REARING AREA FOR COHO,CHUM,STEELHEAD,AND CUTTHROAT TROUT.OPTIONS TO EVALUATE ARE: 1)THREE SIDED BOX CULVERT,2)ARCHED CONCRETE CULVERT,AND 3)BRIDGE DECK AND ABUTMENTS.CONSTRUCTION METHODS TO BE EVALUATED ARE: 1)OPEN CUT EXCAVATION,2)PIPE BURSTING,AND 3)MICRO TUNNELING.THE SALMON RECOVERY FUNDING BOARD MANUAL 18 CONTAINS THE STANDARDS FOR WHICH THE DELIVERABLES FOR THIS SCOPE OF WORK ARE BASED. ACORD 25(2016/03) Certificate Holder ID: 16485215 Policy Number: TB2-641-444950-039 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): All locations owned by or rented to the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally b. Claims made or"suits" brought; or obligated to pay as damages caused by "occur- c. Persons or organizations making claims or rences" under Section I—Coverage A, and for all bringing "suits". medical expenses caused by accidents under Section I — Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated "loca- damages or under Coverage C for medical tion"shown in the Schedule above: expenses shall reduce the Designated Loca- tion General Aggregate Limit for that desig- 1. A separate Designated Location General nated "location". Such payments shall not re- Aggregate Limit applies to each designated duce the General Aggregate Limit shown in "location", and that limit is equal to the the Declarations nor shall they reduce any amount of the General Aggregate Limit other Designated Location General Aggre- shown in the Declarations. gate Limit for any other designated "location" 2. The Designated Location General Aggregate shown in the Schedule above. Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A, except damag- Occurrence, Damage To Premises Rented To es because of "bodily injury" or "property You and Medical Expense continue to apply. damage" included in the "products-completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Decla- under Coverage C regardless of the number rations, such limits will be subject to the appli- of: cable Designated Location General Aggre- a. Insureds; gate Limit. CG 25 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to operations at a single designated reduce the Products-completed Operations Ag- "location"shown in the Schedule above: gregate Limit, and not reduce the General Ag- 1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gen- damages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defi- under the General Aggregate Limit or the nitions Section is amended by the addition of Products-completed Operations Aggregate the following definition: Limit, whichever is applicable; and "Location" means premises involving the same or 2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit. interrupted only by a street, roadway, waterway or right-of-way of a railroad. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 04 05 09 Policy Number: TB2-641-444950-039 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All construction projects not located at premises owned, leased or rented by a Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical rences" under Section I—Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli "property damage" included in the "products- cable Designated Construction Project Gen completed operations hazard", and for medi— cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 0 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit, whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 03 05 09 POLICY NUMBER: TB2-641-444950-039 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR ‘,/ CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only work, on the project (other than service, with respect to liability for"bodily injury", "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury" on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf; injury or damage arises has been p ut to its intended use by any person or organization in the performance of your ongoing operations for other than another contractor or subcontractor the additional insured(s) at the location(s) engaged in performing operations for a designated above. principal as a part of the same project. However: C. With respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III—Limits Of Insurance: law; and If coverage provided to the additional insured is 2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a c ontract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured amount of insurance: will not be broader than that which you are 1. Required by the contract or agreement; or required by the contract or agreement to provide for such additional insured. 2. Available under the applicable Limits of Insurance shown in the Declarations; B. With respect to the insurance afforded to these additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the This insurance does not apply to "bodily injury" or applicable Limits of Insurance shown in the "property damage" occurring after: Declarations. CG 20 10 0413 ©ISO Properties, Inc., 2012 Page 1 of 2 0 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization with whom you have Any location where you have agreed, through agreed, through written contract, agreement or writtencontract, agreement or permit,to provide permit to provide additional insured coverage. additionalinsured coverage Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER: TB2-641-444950-039 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR • CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization to whom or to which Any location where you have agreed, through you are required to provide additional insured written, contract, agreement or permit, to provide status in a written contract, agreement or permit additional insured coverage for completed except where such contract or agreement is operations. prohibited. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a c ontract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Policy Number TB2-641-444950-039 Issued by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT—SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Person or Organization: Where required by written contract. If you re obligated under a written agreement to provide liability insurance on a pri a y, excess, contingent, or anher basis for any person or organization shown in the Schedule of this endorsement that qualifies as an additional insured on this policy, this policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV - Conditions will not apply. If the applicable written agreement does not specify on w hat basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same"occurrence, claim or"suit". LC 24 20 02 13 ©2013 Liberty Mutual Insurance.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. POLICY NUMBER: AS2-641-444950-049 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 Policy Number:AS2-64 1-4 4 4 950-0 4 9 Issued by:Liberty Mutual Fire Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED-NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form.This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s)or Organizations(s): Any person or organization where the Named Insured has agreed by written contract to include such person or organization Regarding Designated Contract or Project: Any Each person or organization shown in the Schedule of this endorsement is an"insured"for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or"property damage", then this insurance will be primary and we will not seek contribution from such insurance. AC 84 23 08 11 ©2010,Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc,, with its permission. POLICY NUMBER: TB2-641-444950-039 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: As required by written contract or agreement 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 un der 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 POLICY NUMBER: AS2-641-444950-049 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract of the contract requires you to obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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 applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss. Issued by: For attachment to Policy No WA7-64D-444950-019 Effective Date 6/01/2019 Premium Issued to: WC 00 03 13 © 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed.4/1/1984 Policy Number TB2-641-444950-039 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): As required by written contract or As required by written contract or written 30 written agreement agreement A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Policy Number AS2-641-444950-049 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): Per Schedule on File 30 A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF MATERIAL CHANGE We will not make changes that reduce the insurance afforded by this policy until written notice of such reduction has been delivered to those scheduled below at least 30 days before the effective date of the material change to the insurance afforded by this policy. Our failure to provide notice under this endorsement will not affect the validity of the changes except as it relates to the person or organization listed below. NAME ADDRESS As required by written contract or written agreement In no event will the notification be less than the minimum days required for notification by state statute. Notification will be provided to all parties in a manner as required by state statute, if any. This endorsement is executed by the Liberty Insurance Corporation Premium: Effective Date:6/1/2019 Expiration Date:6/1/2020 For attachment to Policy No:WA7-64D-444950-019 Countersigned by Authorized Representative End.Serial No. WC 99 20 15 Page 1 of 1 Ed. 09/01/2010 Copyright 2010 Liberty Mutual Group of Companies.All Rights Reserved WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 20 74 (Ed. 12-16) NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below by email as soon as practical after notifying the first Named Insured. B. This advance email notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. SCHEDULE Name of Other Person(s)/Organization(s): As required by written contract 30 Days or written agreement All other terms and conditions of this policy remain unchanged. Issued by For attachment to Policy No. WA7-64D-444950-019 Effective Date 6/01/2019 Premium$ Issued to