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HomeMy WebLinkAbout5492Contract Number: Vendor: Subject: Department: File Class: Begin Date: End Date: Review Date: Vault Date: 5492 PACIFIC FOREST RESOURCES PSA-Bremerton Watershed Bridge Designs Forestry GS2011-169 Rev. 1 Capital Assets (Non-Real Property) 4/3/2015 5/3/2015 6/1/2015 2016 Comments : ►' ' • 0 PROFESSYONAL SERVICES AGREEMENT Paci�ic Forest Resources The City of Bremerton ("City") and Pacifc Forest Resources {"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 March 11, 2015, including any attachments Ehereto , 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 shatl onIy 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 perfarmed. II. Term: The City and the Consultant agree that work witl 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. III. Compensation: In consideration of the services provided pursuant to this Agreement, the City shall pay Consultant in an amount not to exceed $20,000. Consultant's charges and bills shall conform to the fee schedule as shown in the Scope of Work in Exhibit A and incorporated herein by this reference. The Consultant shail 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 prompdy process payment. PROVIDED, HOWEVER, the City reserves the right to prioritize scoped work and accelerate and/or delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit A. 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 onIy be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compen"sation shall be in accordance with Exhibit A. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brougttt into compliance. Such withholding does not relieve Consultant of its obligations under this Agreemen� 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 Bremerton/Pacific Forest Resources Forestrv Culvert Replacement Page 1 of 7 Rev. 2/15 of the City. Consultant and its pe�sonnel have no authority to bind the City or to control the City's employees and other Consultants. Nane oF the benefits provided by the City to its employees, including, but not limited to, compensation, insurunce, 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 awn management. The City's administration and enforcement of this Agreement shall not be deemed an ezercise of managerial control over Consultant or its personnel. ' As an independent Consultant, Consultant is responsible for payment of all taxes and licensing fees necessary ta perform its obligations under this Agreement. 'These taxes and fees include but are not Iimited 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, incIuding alI iegal costs and attorney fees, arising out of ar in connectian with Consultant's performance of this Agreement, unless Consultant is conducting work pursuant to Subsection B below. The City's review or acceptance of any of the work when compieted shail not be gounds to avoid any of these covenants of indemnifcation. B. Architects, fin�ineers and Any Other Professional Listed In and Performin¢ Services De�ned in RCW 4.24.115. Shoutd a court of competent jurisdiction determine that Consultant's services provided pursuant to this Agreement is sabject to RCW 4.24.115, then, in the event of liability for damages urising out of bodily injury to persons ar 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 TI� INDEMNIFICATION PROVIDED HEREIN CONSTITUTFS THE CONSULTANT'S WANER 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. Bremerton/Pacific Forest Resources Rev. 2/15 Forestr�Culvert Replacement Page 2 of 7 VI. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub-consultants or sub-Consultants. Before beginning work on the project described in this Agreement, the Consultant shall provide a�ertificate of Insurance evidencing: 1. Automobile Liabilitv insurance with limits no less than $1,000,0(}0 combined single ' limit ger accident Por bodily injury and property damage; and 2: Commercial Genera! Liabilitv insurance written on an occurrence basis with limits no less than $1,000,000 combined single Iimit per occurrence and general aggregate for personal injury, bodily injury and property damage. Caverage shall include but not be limited to; blanket contractual; products/completed operations/broad form property damage: explosion, collapse and underground (XCU) if applicable; and employer's liability; and 3. Ex�ess Liabilitv insurance with limits not less than 1,000,000 limit per occurrence and aggregate. 4. Professional Liabilitv insurance with limits no less than $1,000,000 limit per occurrence%laim. Any payment of deductible or self insured retention shall be the sole responsibility of the Consultant. All required policies sh�ll be provided on an "occurrence" basis except professional liability insurance (if required), which may be provided on a"claims-made" basis. The City shalt be named as an additionul insured on the Commercial General Liability insurance policy, as respects work performed by or ort 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 ceRified 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 cIause 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 insurance as respects the City and it shall be an affumative obligation upan Consuitant to advise the City's Risk Manager by fax at (360) 473- 5161, or by certiFed mail, return receipt requested to City of Bremerton, attn: Risk Management, 345 6'� Street, Suite 600, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to do so shall be construed to be a breach af this AgreemenE. Bremerton/Pacific Forest Resources Rev. 2/15 Forestr�Culvert Replacement Page 3 of 7 i The City also reserves its unqualified right to require at any time and for any reason, proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. VII. General Conditions: A. Reports and information: When requested by the City, Consultant shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested. Consultant shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to snbstantiate all billed amounts. B. Ownership and Use of Records and Documents: Original documents, drawings, designs and reports, including those in electronic format, developed ander this Agreement are the property of the City. All written infor�nation submitted by the City to the Consultant in connection with the services performed by ihe Consultant under this Agreement will be safeguarded by the Consultant to at least the same extent as the Consu�tant safeg�.iards like information relating to its own business. If such informadon 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 responsibiIity for its disclosure, inadvertent or atherwise. All data, documents and files created by Consultant under this Agreement may be stored at Consultant's office in Enumclaw, Washington. Consultant shaIl m�ke 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 o�ces. Dupticate 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 ta the project and are the property of the City. Any reuse by the City for ather than the specific purpose intended will be at City's sole risk. C. Use aE Photograahs and Ima es. 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 witl not unreasonably withhold its consent. D. Work Performed at Consultant's Risk: Consultant shall take all precaations necessary and shall bs responsible for the safety of its emgloyees, agents, and sub-consultants in the performance of the work hereunder and sh�ll utilize all protection necessary for that purpose. All work shall be done at ConsultanCs own risk, and Consultant shall be responsible for any loss of or damage to materiafs, tools, or other articles used or held for use in connection with the work. Bremerton/Pacific Forest Resources Forestry Culvert Replacement Page 4 of 7 Rev. 2l15 / � E. Place of Work: The Consultant shall perform the work authorized under this Agreement at its offices in Enumclaw, 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 Asreement: 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. Severabilitv: Should any part of this Agreement be found void, the baiance of the Agreement shall remain in full force and effect. H. Modi�cation: 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 Ist class mail, or by personal service, and shall be deemed su�ciently 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 Pat Coxon Consultant Address Steve Faulkner, PE 16(}0 Oyster Bay Ave. S Bremerton, WA 98312 PO Box 345; 24322 SE 374`� St Enumclaw, WA 98022 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 shaIl not be deemed waiver of any other right or power. K. Non-Waiver of Breach: The failure of the City to insist upon strict pecfortnance 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 al! its own costs and attorney's fees. Bremerton/Pacific Forest Resources Forestrv CulverE Replacement Page 5 of 7 Rev. 2/15 O. Assisnment: 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, cotor, 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 untii 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 substantialty fails to perform through no fautt 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 Motice by Consultant shall include a report showing the status of aIl items listed in the Scope of Wark current through the terminatian date. If the City receives reimbursement by any fecEeral, 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 cancelied or sabstantially 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 Dela,ys: The right of Consultant to proceed shalt not be terminated nor shall Consultant be charged with liquidated damages for any delays in the completion of the work due ta: 1) any acts of the federal government in controlling, restricting, or requisitioning cnaterials, 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 foreseeabte by the parties at the time of the execution of the Agreement that are beyond the control and withaut the fault or negligence of the Consultant, including, but not restricted to, acts of God, �res, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must prornptly 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 excusabte, the City shall, in writing, extend the time for campleting the work for a period of time commensurate with the period of excusable delay. B. Ri h� ts Upon Termination: In the event of termination, the City sh�ll pay for all services performed by the Consuitant to the effective date of termination, as described on a final invoice submitted to the City. After termination, the City may take possession of ail records and data within the Consultant's possession pertaining to this project which may be used by the CiEy without restriction. Any such use not related to the project which Consultant was contracted to perform shall be without iiability or legal exposure to the Consultant. X. Suspension & Debarment. For contracts involving Federal funding, Cvnsultant hereby certifies, by signing this agreernent, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared inetigible, or volunt�rily excluded from participation in this transaction by any Federa( 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/Facific Forest Resources Rev. 2/tS Forestry Culvert Replacement Page6of7 i certification. Should Consultant enter into a covered transaction with another firm, Consultant �grees 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: Chal M�rtin. P its: Director of PW&U Date: �_ . a.s to form: Bremerton CONSUL By: ve aulkner. PE its• President Date: �3 - ►S , t: � i City Clerk Services Agrerment Fam (20t4)_doc Bremerton/Pacific Forest Resources ForestrY Culvert Replacement Page 7 of 7 Rev. 2/15 .� � P F R Pacific Forest Resources, Inc. Engineeringand ForestManagement City of Bremerton, Public works & Utilities March 11, ZO15 Attn: Patric Coxon 1600 Oyster bay Ave S Bremerton, WA 98312 RE: Bremerton Watershed Bridge Designs — Project Approach Outline & Cost EsEimate The following is a brief description of the perceived engineering/design process required for the bridge and footing designs for the two fish-passage crossings in the Ciry of Bremertoa Watershed along with an estimated cost to complete the process. Site Surveys & Preliminary Site Reviews Pacific Forest Resources (PFR) will provide the necessary survey for the design of the two structures. It is anticipated that the Ciry will provide at least one field assistant to PFR for the site surveys to be completed (no provision is included by PFR for the field assistant). Initial field visits to each site will be made with the WDFW and WDNR to analyze potential oprions and concerns as well as to jointly determiae the bank-full-width of the two crossings. This meeting will also serve as the "pre-FP/HPA" review. Preliminary Plans, FP/�iPA Preparation & Cost Estimates Based on their similarities, the two site will likely be designed in tandem, which should afford some efficiencies and the ability to easily replicate the work. Utilizing best engineering practices, PFR will develop "permit-ready" plans and specifications needed to obtain the FP/HPA. PFR will also prepare a complete Forest Practice Application package ready for the City's submittal ta the WDNR. Following development of the preliminary plans, PFR will provide the City with a cost estimate for the completed project. Bridge Bid Speci6cations & Bid Packages Pacific Forest Resources will provide all necessary bridge specifications needed the assist the City in preparing the bid package for the purchase of the needed structures {including any assistance in evaluating the bids). Construction Plans & Bid Specifications Once the bridge manufacture(s) have been selected, a"stand-alone" set of "construction-grade" plans for the complete bridge project will be developed for each of the sites. These plans shall be stamped by a licensed engineer and will be suitable for construction and inclusion into the P.Q. Box 395 Phone 360-825-292I 29322 SE 374°h St paciRcforestresources@msn.com Ce11253-569-8244 Enumclaw, WA 96022 www.paci8cforestresources.com Fax 360-825-9666 Bremerlon Warershed Bridge Desrgn Projecls Proposa! 3--11-ZOI S Page Z City's construction bid package. PFR will offer whatever assistance is needed to the City the in preparation and evaluation of the construction bid package/contractor selection. Construction Staking It is recommended that the construction staking be completed at the sites prior to the construction bid site visit in order to reduce some oFthe potenNal contractor concerns. This work should be fairly straight-forwazd and could easily be accomplished by the Cit�s foresdy staff, however a separate item for that process is included under this proposal so that the "office design" can be verified in the field. A single site visit will be required to accosnplish this item and it is recommended that this site visit be combined with the construction pre-bid site meeting so the PFR can answer any poteatial contractor yuestions. Construction Supervision It is expected that that much of the construction supervision wiil be done by the CiE}�s Forester, however a provision is included for this item. Although probably not needed, if requested by the City, PFR wilt develop a set of As-Built plans for the projects that depict any significant deviations &om the original constructioa plans. Estim�ted Engineering Costs Pacific Forest Resources (PFR) proposes to charge for professiona! services on a time and material basis as with similar municipal contracts. The basic engineering rate will be One Hundred T'wenry Dollars ($120) per hour plus vehicle cast per the accepted IRS rate (currently Fifty Six Cents per mile for 2015). Direct expenses and/or materials will chazged based on the actual cost incurred pEus 10%. The cost estimate shown below should be somewhat conservative and also anticipates that much of the construction supervision is to be supplied by the City's Forester. Bremerton Watershed Bridge Design Projects Engineering Cost Estimate Item Estimated Time Estimated Cost Survey & Preliminary Site Review Prelim Design, FPA & Cost Estimate Bridge Specs & Bid Package Conswction Plans & Bid Specs Construction Staking Construction Superoision As-Built plans 2f days w/travel 4t days 1� days 3� days l t day w/travel 2'/�f days wltravel '/:f day $2,000� $4,OOQ� $ t,000t $3,SOOf $1,000f $2,SOOf $SOOt Estimated Engineering Cost �14,500t Bremerlon Walerslled Bridge Design Projecls Proposa! 3-11-1Q15 Page 3 As noted above, these costs are expected to be somewhat conservative, however all work is to be invoiced on an "actual time" basis, therefore if the project is simpter than expected or if more site work can be accomplished by the City, the final cost wilt obviously be reflective of that. Throughout the design process, status reports for the project will be coordinated with the Cit}�s contracting officer so that any decisions as to additions (or deletions) to the project scope may be made in a timely manner. Please feel &ee to contact me if you wish to discuss any of this in more detail. Respectfully submitted — Steve Faullcner, PE President THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY POLICY N0: O1 CH746795-8 CG 76 80 03 96 ADDITIONAL INSURED PRIMARY COVERAGE This endo�sement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Orgaruzation: Any Person or Organization with whom the insured has agreed within a written contract provided such agrecment is eacuted prior to the loss. (If no entry appears abovc, information required to complete this endorsement will be shown in�the Declarations as applicable to this endorsement). WHO IS AN INSURED (Section II) is amended to include as an insured the person or organizat�on shown in the Schedule subject ta t}ie following provisions. 1. This insurance applies only wit6 respect to liability: a Arising out of your ongoing operations from that insured by or for you; or b. Arising from the general supervision of your ongoing operations by the person or organization shown in the schedule. 2. T�tis insurance does not apply to "bodiiy injury" or "prapetty damage" arising out O�the sole negligence or willful misconduct of, or for defects in design furnished by, the person or orgazuzation shovm in the schedule. With resp�ect to the insurance afforded thc additional insured, paragraph 4 of COMMERCIAL GENER.AL LIABILITY CONDITIONS (Section IV) is deleted and replaced by the following: 4. OtherInsurance a This insurance is primary and noncontributory, and our obligations are not affected by any other insurance cartied by such additional insured whether primary, excess, contingent, or on any other bas�is. h. This additional provision applies only to the person or organization shovm in the Schedule. I � : � "' s; i � ! �```� " CERTIFICATE �F LIABILITY f NSURANC� 3i1`6�zo°is'' ����R 360-829-940 FAX: 36Q-829-9405 THIS CERTIFICA?E 18 IS3t1ED AS A MATTER OF INFORMATIQN Tot�m Agenaias, Iaa ONLY Al� CONF�S NO RIGHT$ UPON THE CBZTIFlCATE P O Sox 1554 NOLbER THI3 CER7IFlCATE DOES NOT AIY�ND� EXTENp OR ALTER THE COV6tAGE A BY THE POLIdES BELOW. suckioy _� wA 9832i _ � iNSU�ts ��oaor�c cove N aic � �� � s. � • .Americaa 8tate Iasuraace C o Pacigic Foreet Reaovraes, Inc. iNSUaEae. ! P. O. Box 395 i �e� �� ,.. - � . a -- -- — WA ...... 98�22 CO - - --- THE POLICIES OF INSURANCE tJSTED 80.0W HAVE BEEN ISSUED TO i}� INSURED NAMED ABOVE FOR THE POCICY PERIOD (NDtCAlEO. 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Mditional insnrad is primary gar ths attnc]�ad ondorsoment Cti7660-0396. City cf Hremerton Attn: Risk Mariaqement 345 6th 3treet 1�60Q Bremaxtoa, WA 98337 a �s (zooero�) � � naoem3o� The ACORD aams and logo aro rogis�rsd ma� lHOULp AN1t OFTN6 ABOVE Of'JCIC6ED �IJQEB sECANCELLEQ SEFCf� iF� E%F1RAlICM CAfB TNEREOP,IHE IS3IllN0 INSIINER WILL ENOEAYOR TO YAIL 30 OAYa YWUiTEIt N07ICH 70 THE CERiIRCATC HOtaER MAl1ED TD 7HE LEfT, 6UT FAIWRE TG 00 00 61lA�I. 161POSE MO CBLI0AT�11 OR �sIl1TY OA JWY KWD UPON TN2INBUR@1,178 lUiEMTB OR IIYTNORQED P�IOt1 r i �_+ � - ^ �� ° CERTIFICATE OF LIABILITY INSURANCE °��`""�°'""Y' 3/16/2015 PRODUCER 360-829-9400 FAX: 360-929-9405 THIS CERTIFlCATE 18 ISSUED A8 A MATTER OF INFORMATlON Totem Agmnci�e, Inc ONLY ANQ OONFERS NO RIGHTS UPCN THE CER7IFlCATE P O Box 155d Ha�� ?}11S CERTIFICATE DOES NOT AMEN�, D(TENp pR ��oY WA 98321 ��wu�o . _. _. Paci£ic Forest Reaourcas, Ina. P. O. Hox 395 �N3URER5 A COVERAGE ��p�AContinental Casualt3 IkBUfiER B. ftt9UR�t C: .•.. . „-. , ������ �. $n���+( � 98022 INSURER E �'� CO Q � .. , THE PflUCIES OF INSURAhtCE LISTED BELOW liAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TNE POLICY PERIOD INDlCATED. N071MTHSTAHDING ANY REQWREMENT. iERM O CONDITION OF ANY CONTRACT OR OTHER DOCUNiENT 1MTH RESPECT TO WHICH TH(S CERTtFlCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN E AFFORDED BY THE POLICIES DESCRlBED HERON !S S!lBJECT TO ALL THE TERMS, Ea(CWSIONS AWD CQNDITIOMS CFSUCH POLICIES. AGGREGATE UMI SHOV�M MAY NAVE BEEN REOlJCED BY PAID CWMS. o��n�u u�urr co��tciu cs�r�rw. u�eam CLAONB MAOE � OCCIRi 0@M. AOOIiEOATE UMR APPLJES PER caosc� �u►murr AM� AUTO ILLL OWN� AUT08 SCH�lil� AU108 NIAEL /WTOS NON-0YVNED Allfp$ AOE WOLRY ANYAUTO ess � uws�u�► u,�un oceun � cwets w�ne o�ucrre� AND EMPLOYER!' llABMY A I �pi'soiosaio H 5/1/2014 �S/1/2025 # � i � • --• COMBINEO 61NOLE UMR : (£a ooad�e) BGOM1Y WJURY = (PU Oxw+) . . -• •- ... . . . . . . , I B000.Y IMJURr = IPr �a�d�ntl �� � s AUTOONLY-EAACCICENT i OiMER 1�uw �►AtG f AtlTO ONLY: .,,,, . c �. �•owc - rn awr�vre� B L �9EASE - POUCY LtIWT ds,000,0000ccurronc• 02,000�000 �qqspae� DElCIOFi1QN OF OPERMIpNa /�pG21QNS! YEHICLp J EXCLUlIONO ADDEO BY BNOOIISEMENT! 3PECNL PROVI�IWIS J1s r�apacts opaestione at tk� naead insur�ct. City of Ar�rton Attrt: ltfsk Mariagemeat 345 6th etraet �F600 Brmerton, wA 98337 Y!N � �IIOtI�D ANT OF iHE A BOYE DECqtlBED �OUCES BE CAHCELLED BEFORE 7ME E]IPWATION O�TE 7MFREOF, TNE IS�lItNO IN'URER 1MLL ENOlAYOR 7D lAAIL 30 DAY� WRITTEN NRTICE i0 TNE CHRIIFlCATE FIOLOER NANEO TO TIE IERT, BU7 fA�URE TO DO �O SMALL IYPMB NO OBLNiATIQ7 OR Wl6WT� O� ANY KIND VPON THH INiYRflR, R3 AGE#IT! OR r�aewT�rnEa. ` AU7MOI�ED REPRESENTA , . n YJ 7i100'W{Iff A{iYKU I:ilKPVRATIDry, All r Thv ACORD name and logo a�s rsgister�d muks of ACORD ...-- f-'41 ® "' DATE(MM/DD/YYYY) �` D CERTIFICATE OF LIABILITY INSURANCE 2/3/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES 410T AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES , BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTDianne Daines - .. ".. • NAME: • Totem:Agencies, Inc , . ... _ •_ . - .. . ` - • (A/C.NNo.Extic 360-829-9400 z A/C.Nol:360-829-9405 P 0 Box 1554 ` ADDRESS:ddaines@ totemagencies:cpm- RECEIVED INSURER(S)AFFORDING COVERAGEA Buckley WA .98321 ((�� ((�� INSURERA:American States _Insurance- Co INSURED FEB 0 p 2016 INSURER B: Pacific Forest Resources, Inc. INSURERC: P. O. Box 395 City of Bremerton INSURERD: Risk Management INSURER E: Enumclaw WA 98022 _INSURER F: COVERAGES CERTIFICATE NUMBER:2016 liability 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 I 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 EXPWWILIMITS LTR INSR WPOLICY NUMBER IMM/DD/YYYY) IMM/DD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ V1,000,000 — DAMAGE TO RENTED 200,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ A CLAIMS-MADE n OCCUR 01CH746795-9 2/21/2016 2/21/2017 MEDEXP(Anyoneperson) $ 10,000 X Log Broad Form PD . ,PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ ,2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' .. - - PRODUCTS-COMP/OP AGG $ 2,000,000 7 POLICYI ) I PRO n LOC ... $-... AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT / 1,000,000 _ (Ea accident) $ v X ANY AUTO - .- - BODILY INJURY(Per person) $ AALL OWNED:`. ., •SCHEDULED ' 01CH938025-8 2/21/2016 2/21/2017 BODILY INJURY(Per accident) "$ ' . . . AUTOS AUTOS NON-OWNED • • PROPERTY DAMAGE • $ HIRED AUTOS. _ AUTOS (Per accident) ' Underinsured motorist $ V -1,000,000 X UMBRELLA LIAB OCCUREACH OCCURRENCE $ 1,000,000 A EXCESS LIAB . . •`'CLAIMS-MADE .`' AGGREGATE $ 1,000,000 DED RETENTION$ 01SU431582-3 2/21/2016 2/21/2017 ' $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N • TORY I IMITS FR • 'ANY_PROPRIETOR/PARTNER/EXECUTIVE nE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Certificate holder is named additional insured as respects operations of the named insured. Additional insured is primary per the attached endorsement CG7680-0396. 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 Attn: Risk Management • 345 6th Street #600 AUTHORIZED REPRESENTA I Bremerton, WA 98337 ' ik\,.......L.404,,....) ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY POLICY NO: 01CH746795-9 CG 76 80 03 96 ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any Person or Organization with whom the insured has agreed within a written contract provided such agreement is excuted prior to the loss. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule subject to the following provisions. 1. This insurance applies only with respect to liability: a. Arising out of your ongoing operations from that insured by or for you; or b. Arising from the general supervision of your ongoing operations by the person or organization shown in the schedule. 2. This insurance does not apply to "bodily injury" or"property damage" arising out Of the sole negligence or willful misconduct of, or for defects in design furnished by, the person or organization shown in the schedule. With respect to the insurance afforded the additional insured, paragraph 4 of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV) is deleted and replaced by the following: 4. Other Insurance a. This insurance is primary and noncontributory, and our obligations are not affected by any other insurance carried by such additional insured whether primary, excess, contingent, or on any other basis. b. This additional provision applies only to the person or organization shown in the Schedule.