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HomeMy WebLinkAbout5724AGENDA BILL CITY OF BREMERTON CITY COUNCIL SUBJECT: Professional Services Agreement with Stantec Consulting Services, Ir c. for administration of the US EPA Brownfields.Community-Wide Assessment and Area -Wide Planning Grant Study Session Date: COUNCIL MEETING Date: Department: Presenter: Phone: 5H August 23, 2017 September 6, 2017 Community Development Andrea Spencer (360) 473-5283 SUMMARY: The Department of Community Development has selected Stantec Consulting Services, Inc. as a partner consultant to perform the work authorized by the FY2017 Environmental Protection Agency (EPA) Brownfields Community -Wide Assessment and Area -Wide Planning Grant which will allow the City to develop a Brownfields Revitalization Program. The work will begin with an inventory and assessment of sites in the areas comprised of the Anderson Cove Neighborhood, Wheaton Way Corridor, Callow Avenue Corridor, the Downtown Designated Blight Zone and possibly other areas within City limits as directed by the City. Stantec was selected in 2016 after an extensive process that adhered to Federal procurement guidelines. In November -2016 Community Development received City Council's approval to move forward with Stantec's no -cost option to the City to assist with the grant application and if successful in obtaining funding, Community Development was to bring Stantec's administrative professional services agreement to City Council for approval. With Stantec's assistance we were successful in obtaining $300,000 ($150,000 for hazardous substances and $150,000 for petroleum) in no -match grant funds with potential for added funding later in the project. This agreement with Stantec for administrative services is at no cost to the City as it precludes payments in excess of grant administrative allowances of $300,000 over the next three years (term of grant). ATTACHMENTS: Professional Services Agreement between the City of Bremerton and Stantec Consulting Services, Inc. for the administration the US EPA Brownfield Community -Wide Assessment and Area -Wide Planning grant. FISCAL IMPACTS: (Include Budgeted Amount): With the acceptance of the EPA Brownfields Grant the City Council amended the 2017 DCD Budget to authorize this expenditure. It is anticipated that $75,000 will be spent in 2017, $125,000 in 2018 and $100,000 in 2019. These expenditures will be reimbursed by EPA grant in full and there will be no impact to the General Fund. STUDY SESSION AGENDA: ❑x No Presentation ❑ Full Presentation STUDY SESSION ACTION: Z Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Professional Services. Agreement with Stantec Consulting Services, Inc. in the amount of $300,000.00 for the administration of the US EPA Brownfield Community -Wide Assessment and Area -Wide Planning grant 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 01/07/15 PROFESSIONAL• SERVICES'+AGREEMENT U.S' ENVIRONMENTAL PROTECTION'AGENCY BROWNFIEL'D GRANTAPPLICATION' AND IMPLEMENTATION ASSISTANCE Between the City of Bremerton and STANTEC Consulting Services, Inc. ' _ Ja .. .' .iY' C�. t. . ' .• of i ... ,, .,_ , ,t. , • -r�: , . _ , The City' of Bremeitori ("City") and Staritec Consulting-. Services Inc. (Stantec) ("Consultant"); referred to collectively as the "Partie`s," enter•into the following Agreement"foi professional services: I. 'Scope: The Consultant'agrees to perfbrnftheservices more specifically described`i Alfie Scope'of Work; dated October 26, 2016,' including any attaclirrients thereto,' attached'hereto as`Exhibit A;'wluch' is incorporated`by reference herein. The Scope of Work -may' be modified''onlypuisuant't'a,Section' VII.H of tt s"Agreement: ` If ffE Scope 'of Work provides'for 'unspecified additional)�'services'such service's s>iall'�onlybe"performed upon` -the express written°"request of 1h6 City. -Consultahfjfuitlier represents that the services furnished''under this 'Agr6e-t eiit ' will be'peifornied in' acco"rdaiice with' generally accepted professional practices in effect at the time such services are performed. As identified in the -attached `exhibits;- the Scope of Work consists of two phis' &, Phase 4 U -.S. EPA Grant Application Services ("Phase P'), and Phase II - U.S:'EPA*Grant Implementation°Services ("Phase IF'). - 11. I"). -II. Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon, 6k&ution of this Agreement. The parties agree that"the' work- described in Exhibit A is`•to Abe completed as provided for in the work schedule' attached hereto as Exhibit B 'provided however, tliat'additiorialrtiiie'shall be'granted by the City for excusable delays or extra work asprovided' for in Section IX.A of this. agreement:°Corisultant�shall perform'the services for Phase -II only upon the following conditions:' -1)- `grant fiinding' is' -'successfully obtained, 2)`the`grant 'award(s) and Stantec's services and fees are accepted and approved by City Council, and 3) EPA has. approved Staiitec's fees; services and schedule. If these conditions are not met, this Agreement shall terminate at.the completion of Phase I and Consultants services will not be performed for Phase II. III. Compensation: Tri'consideration of the services provided pursuant to this Agreement, the City shall'pay Consultant an'amount'not-to exceed $0-00-(Z-&6 Dollars)'for Phase I'services. If -all of the conditions' for implementation of Phase II 'are ' met as 'set forth :in: Secti&i"IlI 'above; the City shall compensate Co'n'sultant for services performed pursuant to the fee s6edule attached hereto. as Ezhiliit C and incorporated herein by this reference. ' The Consultant shall submit 'regular billing 'statements detdilingiworkperformed and amount charged on each task or portion thereof. The descriptions'shall conform to and; fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall -promptly process payment. PROVIDED, HOWEVER; "theiCity reserves the right to prioritize scoped!work and accelerate' and/or delay work tasks under- the time frame set..forth in Sectiori.II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit/C ' : ;' • r' Consultant shall not perform work beyond the'Scope of Work, nor shall-be"compensated'for such work, 'unless -the Scope of Worlc or amount of compen§atiori l is modified- pursuant to this: Agreement. Consultant shall- only be compensated for additional services if requested pursuant to Section I and, if riot otherwise provided,'such c6ipensation shall be in accordance with Exhiliif C. Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 1 of 36 If a billing statement does not`conforin to this, Agreement, the City niay,withhold payment until the: statement: is brought. into.. compliance. Such withholding does not relieve ; Consultant of its obligations under this Agreement. }, IV. Relationship of Parties: Consultant represents that it is skilled in, the matters addressed -in the Scope;of_Work and is performing independent: functions and responsibilities within its, field of expertise. Consultant and its personnel are independent Consultants_ and not employees.of the City. Consultant and its personnel have no authority to bind the City or to control the City's 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, duri1.ng the term- of this Agreement, , engage other independent Consultants to perform the same or similar, work. ; As an independent. Consultant, Consultant is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Consultant or its personnel. As an independent Consultant, Consultant is responsible for payment of all taxes, and licensing fees necessary to. perform its obligations under this Agreement. These taxes and ^fees include but are not limited, to State industrial, insurance, Business & Occupation, State professional licensing, and City business licensing. If any taxes or fees due the,. City have been declared delinquent, the City may. withhold the delinquent amount, plus any additional charges arising from the delinquency, from any payments due Consultant... V. Indemnification: A. Consultant shall defend, indemnify.and hold the City, its officers; officials, employees; agents and volunteers, harmless from any,. and all claims; injuries, damages, losses .or suits, including all legal costs and attorney, fees;; arising out of or in connection with the ,performance. of ,this Agreement except for that portion of the injuries and damages caused by. the City's: sole negligence, unless Consultant is conducting work pursuant to Subsection B below. The City's. review or acceptance of any. of the work when; completed . shall not be grounds to avoid any of these covenants of indemnification. B.. Architects .Engineers and. Any Other Professional Listed In -and Performing Services Defined; in ;RCW 4.24.115. Should, a court of competent jurisdiction determine that Consultant's services provided pursuant, to this Agreement is subject, to. RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence -of the. Consultant and the City, its officers, off cials, 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 Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 2 of 36 IMMUNITY UNDER INDUSTRIAL INSURANCE-, TITLE .51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION.. THE PARTIES FURTHER ACKNOWLEDGE. THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this -section shall survive the expiration or termination of this Agreement. VI. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub -consultants or sub -Consultants. Before beginning work on the project described in this -Agreement, the Consultant, shall provide a Certificate of Insurance; evidencing: 1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injuy 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 employer's liability;. and 3. Excess Liability insurance with limits not less than 1,000,000 limit per. occurrence and aggregate: 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. 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- irisured !shall be attached to, the Certificate of Insurance. The City, reserves the right, to receive a certified_ copy of all the required insurance policies and endorsements. The City fiuther reserves the right to reject any_ unacceptable policies and/or endorsements. The Consultant's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. The Consultant's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies.- , • It shall be. an affirmative obligation upon Consultant to advise the City's Risk Manager by fax'at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, attn: Risk'Management, 345 60' Street, Suite 600, Bremerton; Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 3 of 36 WA 98337 within two days ,of .the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to-do so shall be construed to be a breach of this Agreement. - . - The City also reserves its unqualified right to require at any time and for any reason, proof .of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. VII., General Conditions: . A. Reports and Information: When requested by the City, Consultant shall furnish periodic reports and documents on matters, covered by this •Agreement.- The reports and documents, shall be furnished in the time and form requested. Consultant shall maintain._ accounting records, in* accordance with Generally Accepted Accounting Principles (GAAP) to substantiate all billed amounts. B. Ownership and Use of Records -and Documents: Upon full payment of all monies owed to the Consultant, original., documents, drawings; designs and .reports. (`,`Records and Documents"), 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 r 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, or is disclosed pursuant to the requirements of a governmental authority or judicial order, 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 fiunished by Consultant pursuant to this Agreement, are instruments of service with respect to the project and are the property of the City. Any reuse by the City for other than the specific purpose intended will be at City's sole risk. C. Use of Photographs and Images. Consultant shall not use or distribute photographs or images depicting City officials, personnel,. property, or equipment whether prepared by Consultant or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. ' D. Work. Performed at Consultant's Risk: Consultant shall take all precautions necessary and shall be responsible :for the safety of its. employees, agents, and sub -consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of .or damage to materials, tools, or other articles used or held for use in connection with the work. Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 4 of 36 E.: . Place of Work: The Consultant shall performAhe 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,rof this., Agreement be found void, the balance of the Agreement shall remain. in full force and effect. H. Modification: This Agreement may only be modified by written instrument ,signed by both Parties: , I. Written Notices: All communications regarding* this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by+personal service, and shall.be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be-hereafter.specified in writing. City Address Consultant Address City of Bremerton Stantec Consulting Services Inc. 345 6a'. Street, Suite 600 11130 NE 33d Place, Suite 200. Bremerton, WA 98337 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,i 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 jbe 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. Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 5 of 36 VIII. Nondiscrimination: Consultant -shall not_discriminate.in employment or seryices 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 ofthe work; the City may. summarily terminate this Agreement. A. Excusable Delays: The right of Consultant to proceed. -shall -not `be.terminated nor shall Consultant be charged with liquidated damages for any delays in the completion of the work due to: 1) any acts of the federal goyernment: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 ofthe 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. Rigbts Upon Termination: In the event of termination, the City shall pay for all services. performed by the Consultant to the effective date of termination, as described on a final -invoice submitted to the City. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project which may be used by the City without restriction. Any such use not related to the project which Consultant was contracted to perform shall be without liability or legal exposure to the Consultant. , X. Suspension & Debarment. For'contracts involving Federal funding, Consultant hereby certifies, by signing this agreement; that neither it nor its principals are presently debarred, suspended,. proposed for debarment, declared ineligible, or voluntarily excluded from participation in this . , - transaction by any Federal department or. agency. Consultant shall provide immediate written notice to the City if at any time it learns that ivi's-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. Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 6 of 36 CITY OF BREMERTON By:® its: A Date: / 3 ?�! Approv d as to form: J Bremerto it . Attorfey r CONSULTANT Stantec su 'ng Servi s By: its: Date / Zo! Attest: City Clerk Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 7 of 36 EXHIBIT A SCOPE OF WORK October 26, 2016 Stantec Consulting Services Inc. (Stantec) will perform the following services for U.S. EPA Brownfield Grant Application Services (Phase 1) and Implementation Services (Phase II). The project shall have two phases: • Phase I -U.S. EPA Brownfield Grant Application Services • Phase II -U.S. EPA Brownfield Grant Implementation Services PHASE I SCOPE - U.S. EPA GRANT APPLICATION SERVICES Stantec prepared a single application for hazardous and petroleum substance brownfield funding as a part of the FY17 EPA Brownfield Assessment Grant Competition, announced in October 2016 and due in December 2 016.,The successful grant application was prepared at no cost to. the City.•. Stantec also assisted the City with pre -award tasks and administrative requirements to initiate the grant processes with EPA, -including establishing a Cooperative Agreement (CA) Work Plan (provided as Attachment 1). Pre -award tasks commenced upon notification of funding award . from EPA in May 2017 and.will be completed in advance of the CA start date(September 1 2017). Pre -award tasks will be completed at no cost to the City. PHASE II SCOPE - U.S. EPA GRANT IMPLEMENTATION SERVICES A brief description of the proposed scope of work for each of the six (6) main project tasks is presented below. The detailed scope of work and budget for each task were established -via the EPA -approved CA Work Plan (provided as Attachment 1) and Bremerton City Council's approval to accept the grant funds and Stantec's Phase II fees, scope and schedule. Phase II Tasks Task 1- Project Management, Reporting and Other Eligible Activities The objective of this task is to properly manage the project per EPA and City requirements. At the City's direction Stantec will assist with the preparation of all quarterly and annual financial and progress reports and provide technical assistance and updates including site-specific information required to complete property profile updates in EPA's Assessment, Cleanup and Redevelopment Exchange (ACRES) database. Task 2 -Public Involvement The objective of this task is to ensure that community concerns are considered in assessment planning and execution and that the public is informed of project progress and provided opportunity for meaningful participation. Stantec will work with the City to conduct outreach tasks, including the following: • Coordinate and conduct meetings with the Brownfield Advisory Committee (BAC), stakeholders, and the public; • Prepare meeting materials and presentations; and Stantec/USEPA. Brownfield Grant Application & Implementation FY2017 Page 8 of 36 • .Prepare and publish public notices, press releases, project information sheets and website materials, compatible with the City's brand and public information image. Task 3 - Site Inventory, Prioritization and Eligibility Site Inventory and Pri ritiza inn, Stantec will create a comprehensive database of potential Brownfield sites within the focus areas, which will be used by the City to prioritize opportunity sites for grant -funded activities (i.e., Phase I/II ESAs, cleanup planning, etc.). Various historical, environmental and county assessor data will be used to develop a Site Inventory Tool, a GIS -linked database of commercial and industrial parcels. Following initial inventory activities, sites will be prioritized for assessment and/or cleanup/redevelopment planning. The inventory will be further evaluated by the City, BAC and real estate strategists to identify and focus ESA and other cleanup reuse planning activities on those sites with the greatest redevelopment potential. Eligibility Determinations Stantec will complete Eligibility Determination (EDs) Forms for prioritized brownfield sites selected by the City in accordance with EPA requirements. Task 4 - Phase I ESAs Stantec will complete Phase I ESAs at select, eligible priority sites: All Phase I ESAs will.be . performed in accordance with the All Appropriate Inquired Final Rule and the standards set forth in the ASTM E1527-13 Phase I Environmental Site. Assessment Process: Task 5 -Phase II?ESAs QAPP. SAPs & HAS Ps EPA requires that an approved Quality Assurance Project Plan (QAPP) and site-specific Sampling and Analysis Plan (SAP) are. approved by EPA before Phase 11 ESA activities are initiated. Stantec will prepare 'a comprehensive QAPP (covering both petroleum and hazardous substances brownfield sites) for approval by EPA. For each site approved for Phase II ESA activities, a SAP and a Health and Safety Plan (HASP) prior to initiating Phase lI ESAs. Stantec will complete Phase 1I ESAs and/or other investigation/assessment activities at select eligible priority sites identified by the City. Stantec will also collect information necessary for Endangered Species Act, Section 7 and National Historic Preservation Act, Section 106, as applicable. Task 6 - Site -Specific Cleanup Planning and Area -Wide Planning Site -Specific Cleanup Planning At sites with significant documented envi=ronmental impacts, Stantec will prepare an Analysis of Brownfield Cleanup Alternatives (ABCA) and/or Cleanup Action Plan (CAP). The deliverable(s) will address. detected contamination and risks to human health and the environment; provide a cost benefit analysis; evaluate feasible remedial actions/objectives and land re -use options; describe state and federal cleanup regulatory requirements; evaluate institutional and engineering controls; and support brownfield redevelopment. Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 9 of 36 EXHIBIT C BUDGET Stantec Consulting Services Inc. (Stantec) has prepared the following budget to perform the services outlined in Exhibit A for U.S. EPA Brownfield Grant Application Services (Phase I) and Implementation Services (Phase II). Per the work plan described in Exhibit A, the project shall have two phases: • Phase I - U.S. EPA Brownfield Grant Application Services • Phase II - U.S. EPA Brownfield Grant Impiernentation Services Phase I Preliminary Budget No cost to City: Phase II Preliminary Budge All costs to the City are outlined in the EPA -approved CA Work Plan (provided as Attachment 1) and assume Stantec's services and fees are accepted and approved by City Council. The total anticipated contractual'costs for Tasks 1-6 is not to exceed the amount of EPA Brownfield Assessment Grant funding awarded to the City, (totaling $300,000 [$150,000 for hazardous substance brownfield sites and $150,000 for petroleum impacted brownfield sites]. Services will be billed on a time and materials basis (not to exceed $300,000) in accordance with the rate schedule included in Stantec's proposal dated October 24, 2016. The:: cost 'estimate included in -the EPA -approved CA Work Plan is provided as Table 1 below. The rate schedule included in Stantec's -proposal is provided as, Table 2 on the following page. i anie is rroject itsuaget Hazardous Petroleum. Total Task 1- Project Management, $14,100 $14;100 f. t $28,200 . Reporting & Other Eligible Activities Task 2 -Public Involvement $12,000 $12,000 $24,000 Task 3 - Site Inventory, $16,500 $16,500 $33,000 Prioritization & Eligibility Task 4 - Phase I ESAs $20,000 $20,000 $40,000 Task S - Phase I1 ESAs $61,000 $61,000 $122,000 Task 6 - Site -Specific Cleanup $26,400 $26,400 $52,800 Planning & Area -Wide Planning PHASE TOTAL ESTIMATED COST. $150,000 $150,000 $300,000 Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 12 of 36 Table 2: Rate Schedule for Grant Implementation Services Key Team Member Role Hourly Rate. Anticipated Project Tasks Stantec Consulting Services Inc. Field Technician+ $105 1 'Fieldwork; Reporting Junior Geologist/Engineer/Scientist' (Andrea Schweiter) $113 GIS, Site Inventory, Phase 1/I1 ESAs, HASPs, SSSAPs, Fieldwork GIS Technician (Joe Neville) Project Coordinator _ $122 Project Administration, Report Production Intermediate Geologist/Engineer/Scientist $131 Phase I/1I ESAs, HASPs, SSSAPs, Fieldwork, Reporting Grant Specialist (Andrea Pedersen) $141 Compliance Reporting, QA/QC, Project Management Support Professional Geologist/Engineer/Scientist$166 Site Inventory, Phase 1/II ESAs, QAPP, QA/QC, (Cyrus Gorman & Kim Vik) Cleanup Planning Senior Brownfield Grant Specialist (Chris Gdak) Site Inventory &Eligibility, QA/QC, Market Senior Urban Planner & Entitlements Specialist $201 Analysis, Cleanup/Reuse Planning, AWP, (Gary Maynard) Community Outreach, Permitting, Entitlements Project Manager (Bill Webb) Project Management, QA/QC, Site Inventory & „ $221- Eligibility, Cleanup/Reuse Planning, AWP, Senior Environmental Scientist (Wayne Wright) Community Outreach, Permitting BERK Associate Planner $125 - Real Estate Strategy, Redevelopment Planning, Public Outreach Land Use Planning Lead (Lisa-Grueter) $175 Greenworks Landscape Designer III $120 Landscape Architecture, Green Space Planning Senior Project Manager $140 Principal, Landscape Architect (Mike Faha) $165= Rates will be fixed for a period of24 months (per Section 2 of the RFQ). and. then subject to annual increase. Stantec will provide cost estimates for other fees/expenses including equipment rental and other reimbursable expenses as needed during the course of the project (in advance of performing such services). All subconsultanV subcontractor fees, equipment and reimbursable expenses Will ,be charged at cost 10% nidrkup. Stantec/USEPA Brownfield Grant Application & Implernentation-FY2017 Page 13 of 36 ATTACHMENT 1 - STANTEC PROFESSIONAL SERVICE AGREEMENT BROWNFIELDS COMMUNITY -WIDE ASSESSMENT COOPERATIVE AGREEMENT WORK PLAN FOR City of Bremerton, Washington Fiscal Year 2017 Brownfields Assessment Grant for Sites Impacted by Hazardous Substances and Petroleum Anticipated Project Period: September 1, 2017 to August 31, 2020 Submitted on: 'June 22, 2017 (Draft Work Plan) July 24', 2017 (Final Work Plan) Submitted by: Alyce Fierro, ProjectAssistant (Brownfields Project Coordinator) 345 6th Street, Suite 600, Bremerton WA 98337 Phone: (360) 473-5269 Email: alyce.fierro@ci.bremerton.wa.us Lead Contact: Andrea L'. Spencer, Community Development Director (Brownfields Project Manager) 345 6th Street, Su'ite'600, Bremerton WA 98337 Phone: (360) 473-5283 Email: andrea.spencer@ci.bremerton.wo.us Website: https://ci.bremerton.wa.us Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 14 of 36 City of Bremerton, Washington Cooperative Agreement Work Plan a July 24, 2017 TABLE OF CONTENTS 1.0 INTRODUCTION....................................................................................................................16 1.1 Project Descrlptlon, Goals & Objectives...............................................................................16. 1.2 Organizational Structure & Responsibilities...................................................:.......................16 1.2.1 Key Personnel......................:.........................................................................................................16 1.2.2 Regulatory Agencies.....................................................................................................................17 1.2.3 Consultant Team..........................................................................................................................18 1.2.4 Brownfield Advisory Committee (BAC)..: ................................................................................18 1.2.5 Summary of Roles,and Responsibilities by Project Task.........................................................18 1.3 Project Outputs & Outcomes.......................:..........................................................................19 1:3.1 Project Outputs.................................................................... .......................................... .......19 1.3.2 Project Outcomes................................................................ :........:..20 2.0 PROJECT.TASK DESCRIPTIONS.............................................:.....................................:.....:.......21 2.1 Task 1: Project Management, Reporting & Other Eligible Activities..................................21 2.1.1 Project Management & Reporting Activities.................................................:........................21 2.1.2 Task 1 Budget Detail.....................................................................................................................22 2.2 Task 2: Public Involvement.....................................................................................................23 2.2.1 _ Public Outreach & Involvement Activities......:.............................::........................................:23 2.2.2 Project Updates & Other Public Information Activities.........................................................23 2.2.3 Task 2 Budget Detail.....................................................................................................................24 2.3 'Task 3 - Site Inventory, Prioritization & Eligibility...................................................................25 2.3.1 Site Inventory & Prioritization Activities ............. .25 2.3.2- Site Eligibility Determination (ED) Request Activities..........................................................26 2.3.3 Task 3 Budget Detail.....................................................................................................................27 2.4 Task 4 - Phase I ESAs................................................................... .27 2.4.1 Phase I ESA Activities..' ........... .................................................... * .................... ..........................27 2.4.2 Task 4 Budget Detail........:............................................................................................................28 2.5 Task 5 - Phase II ESAs..............................................................................................................28 2.5.1 `Quality Assufance Project Plan (QAPP)'Activities.............................:....................................28 2.5.2. Phase 11 ESA Activities......................................................................:....::.........:.........:..:::.............29 2.5.3 Task 5 Budget Detail...........:.........................................................................................................30 2.6 Task 6 - Site -Specific Cleanup Planning & Area -Wide Planning........................................30 2.6.1 Site -Specific Cleanup Planning Activities.......................................:........................................30 2.6.2 AWP Activities................................................................................................................................31 2.6.3 Task 6 Budget Detail........................................................................:............................................32 3.0 SCHEDULE AND DELIVERABLES................................................................................................33 4.0 BUDGET......................................................................................................................................34 4.1 Budget Tables by Funding Type.............................................................................................34 4.2 Budget Narrative - Combined Hazardous Substances & Petroleum.................................35 4.2.1 Budget Detail by Task..........:.....:.......................................:................:........................................35 4.2.2 Budget Narrative by Expenditure Category ...........: 5.0 PRE-AWARD•COSTS & ACTIVITIES...........................................................................................36 Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 15 of 36 1.0 INTRODUCTION 1.1 Project Description, Goals & Objectives During Fiscal Year (FY) 2017, the United States Environmental Protection Agency: (EPA) selected the City of Bremerton, Washington (referred to as "the City") as a recipient of Brownfield Community -Wide Assessment (CWA) Grant funding- in "the amount of $300,000 ($150,000 for hazardous substances and '$150,000 for petroleum) to'be used within a three-year period. The City is working to strengthen the local economy by attracting new, diverse industries; however, a surplus. of brownfield sites have 'impeded this. vision of recovery. Grant funding will allow the City to develop a Br6w46ld!'Revii61ization Program (referred to as the "Project") which will begin with an inventory and assessment of sites in the target areas comprised -of the Anderson Cove Neighborhood, Wheaton Way Corridor, Callow Avenue Corridor, and Designated Blight Zone. The City will also examine sites outside of;the target areas and within City limits, as appropriate, to further local economic goals.. The City will engage the community throughout the Project to prioritize revitalization opportunities in accordance with established community plans and objectives. The Project will include assessment activities at priority brownfield sites, including Phase I Environmental Site Assessments (ESAs; up to 8) and Phase.. II ESAs' (up to 4), which may include 'regulated building materials (asbestos/lead) surveys.,The project will also include preparation of site-specific Analysis of Brownfields Clednu ',Alternatives (ABCAs) and/or Cleanup Action Plans (CAPS) (up to 2) and. area -wide . planning (AWP) activities for up to one priority brownfield-impacted area. To get a quick -start on the project, the City requests the approval of $15,000,of pre- award costs and a project start date of September 1, 2017 for this Cooperative Agreement (CA): A detailed breakdown of pre -award costs and activities is provided in Section -5.0. - 1.2.Organizational Structure & Responsibilities In the following sections we describe the roles and responsibilities of key personnel and organizations supporting this project. 11.2.11", Key Personnel The City will be responsible for all administrative and programmatic tasks, including preparing and submitting quarterly, annual, and final program reports in compliance with the program requirements and the CA. The City has identified two experienced Bremerton/Stantec US EPA Brownfield Grant Application & hnplementationAssistance FY2017 Page 16 of 36 project managers to fulfil the' roles of Browhfields Project Manager (Ms. Andrea .Spencer, Community! Development Director) and Brownfields. Project Coordinator (Ms. Alyce Fierro, Project Assistant). • Andrea Spencer, Community Development Director City of Bremerton: Andrea will be the Brownfields Project Manager and main point-of-coritcict'for this" project. She has over 18 years -of experience in local government planning, the last .1,11 of which have been at -Bremerton. - She manages, the"annual'.Community;, Development Block Grant (CDBG) federal funding program and all land use planning,, building and environmental review for ,the City' She has led % large - planning efforts for interjuris&:tional kind' use planning, engaged;.with citizens and *special interest groups in the development `of Comprehensive -Plans, - led changes' to *the City's Critical Areas Ordinance and Shoreline`=Master; Programs' without' appeals; and spearheaded efforts to target the City's `CDBG�i funding" , to abate° "-downtown blight: Andrea's project management -expertise is' an asset, to successful project execution and her role as the City's Community Development Director provides her with a comprehensive understanding of ongoing planning/redevelopment efforts and the ability to identify opporturiitie9-3f6(>leveraging- concurrent grants and, projects. =i _ • Alyce: Flerro, Project -Assistant, City of Bremerton: As the Brownfields Project Coordinator, Alyce:will be responsible for overseeing administrative and financial reporting. tasks (i.e: schedule/budget tracking; compliance reporting to EPA); executing outreach campaigns and organizing public events;, ensuring -the project webpage is maintained and informational materials are up-to-date; and serving as the public's primary point-of-cor tbct for 'quesfi($ns/comments. Alyce' has over 15 years,- of project management experience and 12 years .of, experience managing municipal grants. She has extensive 'experience coordinating public -outreach/involvement - efforts and administrative tasks to comply with grant requirements (e,g. financial and progress. reporting). - --,' Contact information for the individuals identified above is provided below. ` Persorinel Name,& Title: Pioject'Role, C-ontact Info AndreaSpencerp (360) 473-5283, ~ . Community Development Director andrea.spencer@ci.bremerton.wa.us Alyce Fierro Project Coordinator (360)473-5269 Project Assistant alyce.fierro@ci.bremerton.wa.us 1.2.2* -Regulatory Agencies 4 The City will work closely with the EPA and Washington State Department of Ecology (Ecology) to achieve Project, objectives, maintain budgets and schedules, and prepare plans and reports. The,- City will coordinate , with EPA and , Ecology , to establish site eligibility and enroll hazardous substance and petroleum" brownfield sites in appropriate cleanup programs (e.g. leaking underground storage tank [LUST] or. Voluntary Cleanup Program [VCP]). The City will coordinate with Ecology and EPA (as, needed) for Bremerton/Stantec US EPA BrownfieldGrant Application "& Implementation Assistance FY2017 Page 17 of 36 technical :support, resolution of .regulatory/procedural issues, and interpretation of rules/guidance documents. ,.Ecology will provide review and approval of Cleanup Action Plans (CAPs) for sites requiring remedial action. 1.2.3 ' Consultant Team .. � ,. The City -.routinely contracts engineering and consulting services and. has management and procurement,procedures in,,place to acquire these. services,througha competitive qualifications:. and -:evaluation and/or bidding process: In advance of the, grant application, the•,City undertook a qualifications=based procurement., and .evaluation process, consistenttwith applicable federal procurement. rules (2 CFR 200.317 - 200.326 and 2 CFR Part:1500). The City solicited qualified consulting -firms through a competitive public Request for,Qualifications (RFQ) seeking -support for the Project. -A panel'of City staff reviewed the proposals. 1n,the fall of 2016, a team led by Stantec Consulting Services Inc; -."("the Consultant") was selected -.by, the City :to provide Jechnical and project management assistance. 1.2.4; Brownfield Advisory Committee (BAC) The City has received commitment from community stakeholders for participation on a BAC: The 3A, C.,Lwill • serve as the. Project steering committee iand will bei, comprised. of representatives., from community organizations; state andilocal-.government, agencies, environmental ; and- health . organizations;:. property/business owners,,. real ; estate professionals, ;community members,, and other stakeholders., . 1.2.5, -,Summary of Roles and. Responsibilities by Project Task, _ Brownfield assessment funding from EPA will �be used' to cover the cost's of activities indirect support of brownfields `sites as defined under CERCLA 101(39): The overall coordination of the Project will `be carried out by Andrea Spencer 'wi{h cissistance from Alyce Fierro. Technical- assistcince and oversight will be performed 'by the Consultant and Ecology. An overview of the Project -tasks and lead entities for each task is provided below. • ' ' Yui'.. ` I .. . - 3� t" • Task 1 - Project Management, Reporting & Other Eligible Program Activities: This task will be carried out'by the City with assistance from the Consultant. • Task 2 - Public Involvement:. This task will be carried out by the City with assistance from the BAC and Consultant. , • Task 3 - Site Inventory, Prioritization & Eligibility: This task,will. be facilitated by the Consultant with assistance_ from the City and BAC. The City and BAC will develop ` the prioritization -' criteria ' and approve the prioritization process. Eligibility Determination (Eb) 'requests for use of 'hazardous substances grant- funds will be submitted to EPA for' app"royal. ED requests for use of. petroleum grant funds will`be submitted to Ecology -for approval. Bremerton/Stantec US EPA Brownfield'Grant Application & Implementation Assistance FY2017 Page 18 of 36 • Task 4 - Phase .I Environmental Site Assessments (ESAs): This task will be carried out by the Consultant with assistance from the City. • Task 5 - Phase II ESAs: This task will be carried out by the Consultant with assistance from the City. • Task.6 - Analysis of Brownfield Cleanup Alternatives (ARCA), Cleanup 'Action Plans (CAPS) & Area -Wide Planning (AWP): This task will be carried out by the Consultant with assistance from the City and BAC. 1.3 Project Outputs & Outcomes 1.3.1 Project Outputs The City will inventory and assess hazardous substance and petroleum brownfields within the community to catalyze 'cleanup and revitalization of priority sites. The City anticipates specific outputs to include -the following: . Task 1 - Proiect Management Reporting & Other Eligible Program Activities • Prepare Quarterly Progress Reports (APRs). • Prepare annual Disadvantaged Business Enterprise (DBI=) Reports. • Update property profiles in Assessment, Cleanup and Redevelopment Exchange System (ACRES). • Prepare final DBE Report, Federal Financial Report (FFR)and Project Close -Out Report. Task 2 - Public Involvement • Coordinate and conduct meetings with the BAC, developers, property owners, . other stakeholders, and the general public y • Solicit, discuss and implement meaningful public input into the grant processes. • Prepare and publish public notices. • Prepare meeting materials, presentations and meeting minutes. Prepare -and distribute Project fact sheets and other informational materials. • Develop and regularly update a Project -specific webpage. Task 3 - Site Inventory. Prioritization & Eligibility • Complete an inventory of potential brownfield sites in the target areas. • Incorporate portions of the inventory into existing GIS datdbase(s)'. • Prioritize sites for assessment and/or cleanup/reuse planning activities. • Prepare site-specific 'eligibility determination (ED) requests for priority sites for submittal to EPA (hazardous substance sites) and/or Ecology (petroleum sites). Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 19 of 36 Task 4 - Phase 1 ESAs • Obtain, Access Agreements for sites prioritized for Phase I ESAs. • Prepare Health and Safety Plans (HASPS) for sites selected for Phase I ESAs. • Complete Phase I ESAs in compliance with ASTM .E.1527-13_ at up .to.8 high priority browhiield,sites^(--4 each for hazardous substance and petroleum impac"fed sites). Task 5 - Phase II ESAs • Develop a comprehensive Quality Assurance Project Plan (QAPP). • Obtain Access Agreements for sites prioritized for Phase II ESAs. • Prepare HASPs, Site -Specific Sampling and Analysis Plans (SSSAPs) and. Section 7. and 106 consultations for sites selected for Phase II ESAs. • Complete. Phase II ESA and/or supplemental assessment activities at up to 4 high- priority brownfields sites (-2 each. fora haz_a_rdous substances and. petroleum impacted sites). Task 6 - ABCAs, -CAPs AWP • Prepare site-specific analysis of brownfield cleanup alternatives (ABCAs) and/or - cleanup action plans (CAPS) at up to 2 high-priority brownfields sites (-1 each for hazardous -substances and petroleum impacted sites).. - • Conduct area -wide planning (AWP) (impacted by hazardous -substances inventory and outreach process. 1.3.2 Project Outcomes for up to one priority brownfield area and . petroleum) identified through the Grant funding will allow the City to build a Brownfield Revitalization Program. The City will develop the organizational infrastructure to enhance the processes for assessing, remediating, and ,catalyzing brownfield redevelopment. Other key objectives include raising awareness of brownfields and brownfield redevelopment tools; spurring private investment and creating jobs through development: projects on brownfield sites; and reducing threats to human health and the. environment. The following types of potential- outcomes will be tracked on a quarterly basis for sites where EPA grant funds are used: ` • Number of potential brownfield sites identified/prioritized. • Number of sites and acres for which Phase I ESAs dre'performed. • Number of: sites and acres for which Phase ll ESAs are performed.. • Incorporation of green and sustainable assessment and remediation (GSR) techniques that are applicable to Phase II ESA activities. • Number of sites and acres for which remedial planning is`performed. • Numbers of sites for which property title transfers are facilitated. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 20 of 36 • Acres of,- land redeveloped and square footage of buildings positioned for adaptive reuse: Acres of parks or green space created. Amount of additional public and private investment leveraged. •_ Amount of other funding -leveraged.. • Number of jobs created or retained. . . • Number of community meetings held. 2.0 PROJECT TASK DESCRIPTIONS _ In the following sections we include descriptions of the activities anticipated for each task as well as a detailed breakdown of the budget associated with each task. The budgetincludess-an average rate of $150/hour for contractual. seryices. As stated in our grant application,' the City has elected not to use grant funding for. personnel Idbor and. fringe or -other costs *and will only use grant funding for contractual costs. A description of requested pre=award activities and costs is provided in Section 5.0. 2.1 Task 1: Project Management, Reporting. & Other Eligible Activities 2.1.1 Projecf Management & Reporting Activities Objective: Manage the Project in accordance_ with EPA requirements and CA terms and conditions. Lead: The.. City is responsible . for -overall- project management and will direct all Consultant activities, regularly monitor: the schedule and budget, for each task, handle _ all correspondence with EPA, and host project check-in meetings (as heeded)'With-the EPA -Project Officer:. The -.City will facilitate regularly scheduled; bi-monthly = -project cheek -in meetings with the.Consultant to monitor project progress and ensure agreed upon activities are moving forward on schedule and within budget: (More frequent check-in meetings will be hosted as needed during times of high activity.) As directed by; the City, the Consultant. will <assist with compliance reporting activities such as.'Quarferiy. ProgressReports;: Annucil Disadvantaged Business Enterprises (DBE/,MBE/WBE) Reports, and Project Close -Out Reports. f. Milestones Deliverables & Schedule: • The Brownfields--Project Manager (Andrea Spencer). with -support from the Brownfields Project Coordinator (Alyce_Fierro� will .coordir-a - -grdhf activities with _ the Consultant and BAC and will serve as liaison to Ecology, EPA and other stakeholders. • Records will be created and maintained for each property that receives grant funds (i.e. documentation of where/how grant funds are used and property profiles updated in ACRES). Property profiles will be completed and updated quarterly in ACRES for each property where grant funds are expended. Bremerton/Stantec US EPA Brownfield Grant Application &.Implementation Assistance FY2017 Page 21 of 36 • Progress, reports will be prepared and submitted to EPA on,a quarterly basis [due within 30 days -of the end of each federal fiscal quarter ending.December•,SMarch, June, and September (i.e. reports will be.sybmitted by January, 30, April 30, July 30, and October 30)]. These reports will describe the progress made -for each task defined in this Work Plan and additional information as required in EPA's CA Terms and Conditions. The reports will 'be submitted electronically. to the EPA"Project Officer unless another arrangement is discussed and -approved -by EPA.- • Disadvantaged Business Enterprises (DBE%MTBE/WBE)-. Reports Will be prepared and submitted to EPA annually within 30 days of the end of the fiscal year ending in September (i.e. reports will be submitte&,b •October 30)• • -A final Project Close -Out Report, DBE,Report and Federal Financial Report (FFR) will be- completed and submitted (electronically) to the • EPA :Project. Officer within 90 calendar days (or sooner) following the expiration or termination!of the award. The final report will contain. the same information as the Quarterly;: Progress Reports; but will cover the- entire, Project period. In addition, the final performance report will specifically address lessons learned,, successes, achieved, and .Project -fact sheet and/or other information on project success stories. 2.1.2- Task 1 Budget Detail, Task 1 Budget Detail by Activity Descriptions � lUnNs (sCL4600 perAUn0 Total il Hazardous Substances Budget = fl 4, TOO 'S' = $0 Project Management & Reporting - ? Contractual (Hazardous Substances) 94 hours $150/hour �r 3.:$14100 $0 L $14,100 , �y" +y for'.1 y.�..-'.'ti.'r-�- ` R I F "^^ "1.-'�..i. G95::.�.'2,t^r T- Totals Bud et Haaartlous�8 Petroleum ',r �'.L"s.F.,S.._^'Pn�:'c�?ML'ii.P."..�Twi'Si�(4Y3"�f'Jl�.iiYtlY'..,4.':}�..Ly'�:f f�' �y y,�' �3 'f Contractual (Petroleum) 94 hours .$1.50/hour, �$�h41OOr y i. � �� � Hazardo_ us?SubstancesAQd0 17j' 's a � - t � 1.4 � k$14,�1.00 F b �- -. ,1 �» _ �. u s ._ _. .� ..iat,t _« 14,100 ,;tom -_a-= ._"•ea' — ar_ r1S _ -s.. , .� � ,t6sF '4i._.t.. a� x ._ .r � ... c. �..� .n..ry£, :,. a.c� � 1. Y �� n._.£`1��.,'.�_ Saz _3u _ m ...)�S2. t2c^-'. _.•�z n -� �. [ eta Hazardou's�Substances Bi•,Petroleum , _ .c�.-_,s� L � �� �' �iG.:_.�. s, r� #X��� �" B}ra ��� Total�Bud m-:c� ! �3.3.�Sr� a.�..r._-3c--xr�s-�� s.! °�`t��� c»�'i :b?���..'..� =��„i�s � s:��%� Zai,. � ! Task 1 Budget Detail by Funding Woe ` rFuriding�TyVor Personnel �ij- $0 '- d� =xContractualf _,Other; ��tTotal Nu $1'11- Hazardous Substances Budget = fl 4, TOO 'S' = $0 Petroleum Budget $0 $14�,11��y00 $0 L $14,100 , �y" +y for'.1 y.�..-'.'ti.'r-�- ` R I F "^^ "1.-'�..i. G95::.�.'2,t^r T- Totals Bud et Haaartlous�8 Petroleum ',r �'.L"s.F.,S.._^'Pn�:'c�?ML'ii.P."..�Twi'Si�(4Y3"�f'Jl�.iiYtlY'..,4.':}�..Ly'�:f f�' �y y,�' �3 'f ,�.'r,Y 2OvLo0 $$0 h4 "�-'•- }- 4� ?4, �/�/�0 $ LV V ' �} —is^�Cr IG��.__. Bremerton/Stantec US EPA Brownfield -Grant Application &Implementation Assistance FY2017 Page 22 of 36 2:2 Task 2: Public Involvement 2.2.1 Public Outreach & Involvement Activities Objective: Ensure community concerns are considered and inform assessment planning, and execution. Lead: The City will -'lead public outreach with support from the Brownfield' 'Advisory Committee (BAC) and Consultant, as needed. Milestones & Deliverables: • Convene the BAC. • Coordinate and conduct at least six meetings with the BAC, stakeholders, and the public to solicit input, publicize the program and promote' community and property -owner participation. _. • Prepare and make publicly available a Site Nomination Form to solicit community input regarding identification and prioritization of sites -of concern and to identify sites where environmental contamination (real or. perceived) may be limiting redevelopment/reuse and business expansion. Estimated Submittal/Completion Dates: • September 2017: Develop Site Nomination Form. • January 2018:. Convene; the BAC composed of community organizations and other- stakeholders identified- during the grant application process to plan-and- -guide lan and- -guide community outreach efforts. BAC meetings will be ongoing throughout the. Project (with a.minimum of one per year). - • = February 2018: Host the first. Public Open House/Meeting. Public meetings will be ongoing throughout the Project (with a minimum -of one per year): Nbte: The meeting dates provided above are estimates and may change to coordinate BAC- and/or public. meetings with. other relevant project meetings hosted by the. City: 2.2:2 Project- Updates & Other Public Information Activities -= Objective: Ensure the community is kept- informed of Project goals, methods;- and progress and ensure the public is provided opportunity for medningful •participation. Lead: The City will lead this task with support from the BAC and Consultant. As directed by the City, the Consultant will prepare project fact sheets and other informational materials for the project webpage. Milestones & Deliverables: • Project webpage will be developed and updated throughout the life of the Project. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 23 of 36 • Fact sheets (specific to property owners and the general public) will be prepared and distributed at the beginning of the Project, if there are new developments, and after the assessment is complete. They will be. distributed at the first community meeting and made available on the project webpage. • A Process Guide will be prepared to inform property' owners of what to expect should grant -funded Phase I and/or II ESA activities be approved for their property. • Press releases will be .used to inform the public of the project, announce key milestones, and upcoming meeting dates. • Meeting minutes, handouts and presentations will be prepared for all BAC and community outreach meetings and will be made available 'on the project webpage. Estimated Submittal/Completion Dates: • y Summer 2017: Publish article/press release announcing EPA; grant award. e September 2017: Develop .Project, fact sheets for community members and stakeholders, Process Guide for property owners, and webpage-content. Fall/Winter 2017: Publish Project webpage and -update throughout the life of the Project. ` 2.2.3 Task 2 Budget Detail Task 2 Budget Detail by Activity F e s -r av t`_ jq : - - z, ":7r 1_'Y t r b - i s F •� Desc�(ption �� E' .Y' !''� T'' ,.+ .,' Units„)Cost &j- --•• �. ' � t+ per Univ° ; > �.. s � �i r Total ,� Public Outreach & Involvement Contractual (Hazardous Substances) 50 hours $150/hour ' Contractual (Petroleum) 50 hours $150/f Our aye' tv^s� % L�VyI=i{�i Project Updates & Other Public Information Contractual (Hazardous Substances) 36 hours' -,$150/hour._$4 Contractual (Petroleum) 30 hours $150/hour$450 -d ” ��•. HcizardousEBubstcnces Budget�4&'' SUM '�4 3 ik � r .,.-,�, �—Yy"'�7,� a �,.S���fi_"`.-.'�" },. �r �f a�'�,�c�tc Pelroleum,Budgetr h' f rr..x...zcti.�ar__.,..__.�.-z.,.. .3�.:`�xr:a.... .s ..k�•Y..�,`r....�s'-.:.s��:..,7 �,.x'-..._.�. W:.ae i� .�� �C. ` .t's�Y �5 a �' may, n i i, �h Y- �-'•`.. r2 yt� n%$12,000'�� `T�' � KA-i..la Y��--y��r..��"A ��gg,,33 4.:'�LY"v�n'�rvCk� pT i'+J,MSY-"1' t ,0 3'�T:d.: Tota Budge(Hazardous+Substcncest&,Petroleum) ;?� w� , t q�.Y ¢'3.^f� f--• •i.z � rvr' xM. Tt.' i � ,�� � � Y (..rt„'Z V��:N. x-'$24 000�„�„kY � ���:� ;�'�", Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 24 of 36 Task 2 Budget Detail by Funding Type Funding�T,YPe 'Personnels ' "° _ Contractual tOther• Tofal• .'' Hazardous Substances Budget $0 $12,000 $0;$12,000 .' a Petroleum Budget $0$12,000 $0 Y,4$�12'000 '+ 'l--"k''Ys'' QS.0 ��""��u �S'i' ''r.:.h�•�,'t'` Total (Haz dous8 Petroleum); ;S 4K;1' t xrZ" � �$0,, k �� �F��Y'^4�1 x$24 00,0 F,�'���=�"^� ,dv$ , f ... �Yl. a,",:�•� 24 OOOr��iYY _Budget _ � � � ��•,� T1TTT�' _ ;� , 2.3 Task 3 - Site Inventory, Prioritization Eligibility 2.3.1 Site Inventory &-:Prioritizbtion Activities f Objective: Build a GIS -based inventory of brownfield sites in the target areas as a foundation for identifying priority cleanup and redevelopment- opportunity sites; reaching,ou.t to owners, and. selecting sites for,assessment. The data may be integrated with other databases to better relate the presence of brownfelds to various economic impacts and/or health data. The following activities may be completed as part of the inventory: - • Identify environmental records for all sites in; the target areas listed in EPA; Ecology and/or local environmental databases; • Review select City, County and State records that are potentially relevant to identifying brownfields (including occupancy and other permits, tax delinquency status, building code violations, Loopnet, assessors data, and sites identified in recent plans and studies); • Review available historical Sanborn Fire Insurance Maps, aerial photographs, topographic maps, city directories and/or'other sources of information to identify historic sites which have a significant potential for impacts; • Survey local, real estate industry, representatives for information ion sites in the target areas; • Conduct tours/inspections throughout the target areas to identify blighted or vacant potential brownfie'ld sites that are not recordbcldn existing databases or identified by recent plans/studies; and • Review other State and County records to verify that all sites .with known or suspected, impacts orthreats to public health are included in the evaluation/prioritization process. Following, inventory activities, sites will, beprioritized for 'assessment'= and/or cleanup/redevelopment planning. The following criteria. will` be analyzed : when prioritizing sites: economic development potential/opportunities; • known or suspected threats to public health; Bremerton/Stantec US EPA Brownfield Grant Application &Implementation Assistance FY2017 Page 25 of 36 • sites identified in existing community planning documents; • degree'of known or suspected environmental impacts;- • degree of blight or underutilization;- tax• delinquency status; - - - - - - community concerns; and - - - - • social,- demographic and health data (as -available) -within -the immediate vicinity of the site. r Lead: At the direction of the City, the Consultant will lead technical activities associated with the inventory with support from the City and ,the BAC. The City will lead site prioritization activities with support from the BACK :-i-, Milestones & Deliverables: - • GIS -based comprehensive inventory of potential brownfield sites' within -target areas. • GIS maps of potential brownfields sites, as needed, for planning and property redevelopment marketing.. .Brownfield inventory report. documenting inventory and prioritization methods. Estimated Submittal/Completion Dates: • •-Spring 2018: Initial inventory and ranking completed (to be updated throughout Project). 2.3.2 Site Eligibility Determination (ED) Request Activities Objective: The- Consultant will prepare ED requests for sites ,prioritized :for assessment and/or cleanup planning activities. Site ED req uests;will be submitted to the_EPA Project Officer using the supplied request form. Site eligibility will be reviewed by the EPA Project Officer' (for hazardous substance sites) and/or Ecology (for petroleum'sites) for concurrence prior to initiating any site-specific work. " Lead:. -The City will lead. -ED Request .activities with support from the Consutlant to .prepare ED Forms for submittal to EPA (for hazardous, substances and petroleum sites) and Ecology (for petroleum sites). . Milestones and Deliverables: Deliverables include completed/approved ED forms. Estimated Submittal/Completion Dates: ED requests will be prepared and submitted to EPA and Ecology throughoutthe grant period. The first ED request is estimated to be completed in winter of 2017/2018. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 26 of 36 2.3.3 Task 3 Budget Detail Task 3 Budget Detail by Activity T77 - Description y , Task �' yUnffs _CCost� pe�'Urit ., T A ` tal Site Inventory 8 Prioritization. ;Lab_orfB.Frlii - ...� Hazardous Substances Budget $0 Contractual (Hazardous Substances) 80 hours $150/hour$i12,000"F�' Petroleum Budget ."'$0$16;500 $0 Contractual (Petroleum) 80 hours $150/hour54:2,$ 2j000y k Total' Budget`(Hazardou 8��Petroleum) r$0' fi $33 OOOi ED Requests for Priortly Sites x$331000 `$150/hour _.._.LJ Contractual (Hazardous Substances) 30 hours=, Contractual (Petroleum) 30 hours $150/hour�4$4�500 , -u .. sSunces Bud Buger t�lo- f" Hazardouub._^( 3 Budget. Detail. by- Funding Type Y -1- r =Fun T e 9� YP r TP°ne `e .—+n' is ' t' rtConfiractual r^— +cy}* ��Other ,i; t �fSfi✓' �.`5 \ ," Total;•; ;Lab_orfB.Frlii - ...� Hazardous Substances Budget $0 $16,500 $0 $0 rE { Petroleum Budget ."'$0$16;500 $0 Total' Budget`(Hazardou 8��Petroleum) r$0' fi $33 OOOi $0 x$331000 _.._.LJ -2.4Task 4 — Phase I ESAs 2.4.1—Phase I ESA Activities 7. Objective: Evaluate past and current site uses to assess potential for environmental contamination. Phase I ESAs will support property transfers and;,eventual redevelopment, and provide information for evaluating the need for Phase II ESAs and cleanup. The City anticipates conducting Phase I ESAs _on up to 8 sites -4 each at hazardous substance and petroleum impacted'sites): The Consultant.. will complete Phase I ESAs in accordance with ASTM Practice E1527-13. The City will contact site owners and negotiate access agreements.- ; The ACRES database will be updated following completion of each Phase I ESA. Lead: The City will execute Access Agreements with property owners. The Consultant will lead Phase I ESA technical activities at priority sites selected by .the City.and the BAC. The City will assist with data acquisition and report review, and distribution. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 27 of 36 Milestones and Deliverables: Deliverables include site-specific Health, and Safety Plans (HASPs) and Phase I ESA reports. Estimated Submittal/Completion Dates: Phase I ESA reports will be prepared throughout - -the grant period. The first Phase I ESA report -is estimated to Abe completed in spring of 2018. �. 2.4.2 Task 4 Budget, Detail - Task 4 Budget Detail bv-Activity 7 a :-Desc ption - il k 4 Ung Cost To Totcl Funo ng�Type y �- er <Unt� Contractual Phase I ESAs F ` � i V�' Hazardous Substances Budget, Contractual (Hazardous Substances) 4 -sites $5,000/site x$20 000 Petroleum Budget $0 $20,000 $0 - Contractual'(Petroleum) -4 sites 5'00O/site " J.S-+.w'iL�^-.2 S { amu.. �p{� J a �.n »4+ Ha..._I-�h rte-* r.• x �'F'� /� 0 :•{Mian{:..VLi9 �!, ,�Z'_.1'..!_.a'�3t ._r�.$4•L?.L-.+l�.5...Lni `jk$40;000rr ..Jc,:..i ...y�L0/VoO, Avg'-F"t .i.1i troleum�Budget �� _ t - d .. 000•. Pe -x .tS20 �.:-- +���.-.._.�,K-....,'-r{ t r � �".'a_ `-l. �y., ;.-rs-.—..•+r. Total' Budgetp((Hazardous�°Substanc sf 8., Petroleum) i ; "t'--,.�-... •: - ;� r f"7 ,.P•'> = a °$40000' t,. .,y Y.. C"- r Task 4 Budget Detail by Funding Type IS, Task.5 — Phase II ESAs 2.5.1 Quality Assurance Project Plan (QAPP) Activities Objective: Establish quality assurance/quality control (QA/QC) procedures applicable throughout the life, of the grant -funded- Project, Before- beginning Phase 11 ESA work, both the City and the Consultant will participate in a pre-QAPP conference call with EPA, if required. A draft comprehensive (i.e. not site-specific) QAPP be prepared and submitted'to EPA and Ecology (if desired) for review and approval. The Consultant will finalize the QAPP once EPA has reviewed and -provided comments on the draft. Lead: The Consultant will prepare the comprehensive QAPP and the City will ; review and approve the draft prior to submittal to EPA. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 28 of 36 Personnels i= Other Totcl Funo ng�Type y a Contractual F ` � i Labor � F,rir� Hazardous Substances Budget, $0 $20,000 _ $0. $20 000i Petroleum Budget $0 $20,000 $0 $20;000�x TotalBudget�(HazardousBPetroleum)rnWy k5 j $40000x$0 `jk$40;000rr q$0 IS, Task.5 — Phase II ESAs 2.5.1 Quality Assurance Project Plan (QAPP) Activities Objective: Establish quality assurance/quality control (QA/QC) procedures applicable throughout the life, of the grant -funded- Project, Before- beginning Phase 11 ESA work, both the City and the Consultant will participate in a pre-QAPP conference call with EPA, if required. A draft comprehensive (i.e. not site-specific) QAPP be prepared and submitted'to EPA and Ecology (if desired) for review and approval. The Consultant will finalize the QAPP once EPA has reviewed and -provided comments on the draft. Lead: The Consultant will prepare the comprehensive QAPP and the City will ; review and approve the draft prior to submittal to EPA. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 28 of 36 Milestones & Deliverables:. Draft and Final Comprehensive QAPP. Annual QAPP Revisions. Estimated Submittal/Completion Dates: • January 2017: 'Draft_ QAPP submitted to EPA for review. • March/April 2018: Final QAPP completed (pending EPA review time). 2:5;2- Phase II ESA Activities Objective: -Collect, -environmental sampling data to assess -conditions; evaluate risks to human health and.. the environment, for cleanup, • prepare, p _planning, andfacilitate . • property trarisfers'and redevelopment. . The City anticipates conducting Phase II ESAs• on up to 4 sites (-2 each"at hazardous substance and petroleum . impacted sites) where the Phase I ESAs or other available= information -suggests that 'additional investigation 'is warranted. Phase II ESA activities .are -anticipated to include soil, groundwater, soil- vapor, and regulated building - materials sampling ,and analysis, and reporting. SSSAPs and HASP§ addressing each property where -Phase II •ESA d-Wis anticipated will', be submitted to EPA -for review prior to�conducting any. field activities. For ea.Ph chase II.- ESA to be conducted, the Consultanf will also•tprovidd informatiomto the City to -help fulfill EPA's requirements under the Endangered Species Act Section 7 land the National Historic Preservation Act Section 106 (NHPA). The information will include the location of the Project, any threatened' or endangered species `orhabitat that may be affected by the Project, whether a site is of concern io the State Historic Preservation Officer. (SH PO), a list of Tribes who might believe !the,;Project could. disturb cultural resources, and an evaluation as to whether cleanup/redevelopment'plans could h(:ve.adverse effects on . endangered or cultural resources. - - - - ---= .. _ The ACRES database. will be updated following completion of eachihase II ESA:; Lead: The City will execute Access Agreements with property owners. The Consultant . will lead Phase II ESA technical activities at priority sites selected by the City and the BAC. The City will.,dssist with�data acquisition and report, review and distribution. - Milestones and Deliverables: • EPA -approved SSSAPs • Site-specific HASPS , • • Phase II ESA Report(s)' • Updated ACRES database • Green and sustainable efforts updates (included in quarte'rlyreporting) Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 29 of 36 • Section 7 and NHPA consultations (as necessary) Task 3 Phase II ESA Subtaskj Estimated Submittal/Completion Dates: • Summer/Fall 2018: Phase II ESA fieldwork underway -at first 'site. • Fall 2018/Winter 2019: First Phase II ESA reports) completea, (ongoing throughout Project).. 2.5.3 Task 5 Budget Detail Task 5 Budget Detail by Activity Description77,1 ,UHUY" s Co tip re !)n r ! i Tofial - - - .' 9 YPM -, .w ComprehensiveJQAPP. -- -- T Lamor&�Frin e�� ,t"i�J Contractual (Hazardous Substances) 0.5"' $6,000/QAPP -- r x$3`000 r Hazardous Substances Budget `x ' ' ' '' $0 '� $63,000 Contractual (Petroleum) $6,000/QAPP .0.5 Phase. 11 ESAs Petroleum Budget $0 Contractual (Hazardous Substances)-2-sites�t$58000 $0$61;0001 Contractual (Petroleum) -2 sites .$29,000/site.580 rTT µs���" =a �-,..i���^ 2Y�3ft .� Total: Bud et�Hazardous .- $1r26;000I� $0$ 3s f.,7 Ste. a-':`-" '' D_ x� .x 'x "�-c• „'F'' , a'• �` ."2"�.A. L'+1'.s's'. Hazardous SubstcncesBudget'',r K r ' ,, JY . } '=7t fir. y ,," ,-; , x �'`� ri$61',000,� -'A� s^�r_T_�._._.��ar.�. vrt�s .`..*au�pi-!-" 3.r..,�s,.. .:.i.s.u.:,"�'. `t�� , �;_:;.,�,x�•c;-r�t..� �-_v�.l,_... .a'rT oX.� C. 1. µ q_.g.a:��o�.;.[ �r'a{. +��"L VY"r�,.�q �.r,K�� "�i4 ^�3f•t ;l'�a YW,g�,f�r`�`'.� 1 j+7,���• 33'1-t � l 3S' 4F�}�^',X�C>C �i � �r� �.l' a'('""` +bh tea,-,. Petroleum [s :.•"i, --rtir- .. __ 'tf. Srn Ti, -. ;:�`., 5 -��{ * fir -1' C 4 it 4i� b TotBudgetr(HazardoSubstances &1�Peholeum),r��•'r* i �� >$122000v Task's Budcet Detdll by Fundina Twe � ---T. �j'..T �,. �� �'—.Si � J'e4� t hi� S X Fundin T e� `` �" "; '{I—x F"T� <) Personnel Imo»=.;: �TT.- t alp ''$ ''O'fiher z ' { Tofialt .' 9 YPM 'Contra Lamor&�Frin e�� Hazardous Substances Budget `x ' ' ' '' $0 '� $63,000 $0 9,j1000 , Petroleum Budget $0 $63,000 $0$61;0001 rTT µs���" =a �-,..i���^ 2Y�3ft .� Total: Bud et�Hazardous r h"r $Orth $1r26;000I� $0$ �tvs 2,000ti ; ti g »,'Petroleum)' _ .. ,#:s rr..rr-.arl r_ %' �. _.a oX.� C. 1. µ 2.6 Task 6 _ Site -Specific' Cleanupf'Planning & Area -Wide Planning 2.6.1 Site -Specific Cleanup Planning Activities Objective: Prepare site-specific ABCAs and/or CAPS for up to 2 sites (-1 each for hazardous substances sites and petroleum impacted sites) to address contamination, risks to human health and the environment, and support brownfield redevelopment. The City will conduct cleanup and redevelopment planning as required' by Ecology \ and/or. EPA for brownfields where redevelopment is imminent and such activities will Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 30 of 36 move redevelopment forward. Planning may include preparation 'of ABCAs and/or CAPS. The plans/reports will describe detected co*ntamination;,conceptual site models; site-specific remedial . action objectives; state and federal cleanup regulatory requirements; and evaluation of institutional and engineering controls. Stakeholder, meetings' will be held, os needed, to' develop trand review the most appropriate and effective remedial options for each selected brownfield site and redevelopment. The City and environmental Consultant will work closely with Ecology and EPA when considering options for cleanup planning: Grant funds_mciy. be -used to manage the Public Notice and comment period for any ABCAs prepared using grant funding, including documentation of significant comments, received,•and how they were/are being responded to. This task also includes site reuse.planning, which may include,a•variety ofactivities to identify potential future uses. These eligible activities may include market research and a variety .of community outr'eacli, activities (such ' as .design charrettes), which are specifically -referenced as 'eligible -activities under EPA community -wide assessment grants: Any "site-specific", reuse planning activities_ will be'performed only on those parcels confirmed to meet the eligibility requirements. .fi. A . . Lead: -At the -direction -of the City, the -Consultant will lead --technical activities for -sites prioritized by the City and the BAC. The e City will support data acguisifion, planning; and deliverable review and distribution. Milestones &. Deliverables: Deliverables for -this task, will be site-specific ABCAs and/or- CAPs. Estimated Submittal/Completion Dates: • Summer 2019: First written site-specific ABCA/CAP-complete. - - 2.6.2 AWP Activities Obiective: Identify ,potential future uses for:_up. to one;:'targeted brownfields area (impacted -by hazardous substances -.and petroleum) and develop strategies to facilitate the reuse of existing infrastructure, as wellas identifying potential infrastructure investments needed to accommodate alternative future uses. - With. support from the City= and the BAC, the Consultant will develop up an_ AWP document for up to one target area to be determined during -_outreach and inventory- , activities. AWP activities will be tailored to each focus areciand.may include markef�` ,analysis, existing conditions/infrastructure evaluation studies, site-specific reuse planning for catalyst sites, and community visioning exercises to inform a common redevelopment strategy and implementation plan. AWP efforts may include a variety of community outreach 'activities (such 'as design. charrettes), which are also specifically referenced as eligible activities under EPA Brownfields Assessment Grants. Any reuse planning activities that are "site-specific" will Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 31 of 36 be performed only .on .,those parcels that are confirmed to, , meet the eligibility requirements: Lead: At the direction -of the City, the Consultant will•. lead. technical: activities for,sites prioritized by the City and the BAC. The City will lead public outreach activitivies with support from the: BAC and Consultant. The City will review and distdbute-delivercibles. Milestones -& Deliverables: Brownfields AWP. cru::. ., _, -,, ,:.t •, 'i .. .. Estimated Submittal/Completion Dates:.., • July 2020: Anticipated completion date for AWP. 2.6:3 Task 6 Budget ®etail - Task 6, Budget Detail by Activity .� 1% s Descri""tion - Ps�l Units t * Costr,Unit° , Total' _ p _ _ L :.@•Ss_....c..e,!'f.,.. `�r. w.r _ 'ate.. .k �, zL'n ..4�^,a..,.ac�^ .. _.. .1 �i.� C�...t�..T���^^�..�_� :...� p;Tota • 1 {- ..i. "ray 1 Site -Specific ABCAs/CAPs $0 r-=`_.rte L $26400 Contractual (Hazardous Substances) -1 site $9,000/site Petroleum Budget '- - $0� $26400 $0 Contractual (Petroleum), . , -1 site,, :-$9,,000/site.,$9000 :. 2?800 AWP6..� m a18^ S3 et oleum ,�� �,,�M:Vit.. _ a'_ _$?_��� , .a ... _€x.:. ..1 Contractual (Hazardous Substances), --0.5.area $34,800/area _ Contractual (Petroleum) -0.5 area $34,800/area ' a$1h74'.s -.. .�. :%•—�' a .a8r`�-'i ''Ti rr ud�`„� �4, �i Hr -� g>'+�"'''.` Y'"�_'S ,7 1 ��4""�'-�F'^ a Vit,; -' �—.- '"rn �aza�dou_sSubstancesBudgetr g..-�, ra5� f� .� ,�! I"�U - —t 3,F7,4 H s , �� $26:400> PetroleumBuclget,� a�� r�� `.. .a r.: �_..�^... ..: PY __.,.r IC'✓.R,`rsz.'.:P1�_a.t�__. _. �«n t :'_,i_�....,�'1.k'L...�".✓=_1 �,.� Total Budget (Hazardous�Substances BnPetroleum) = � - ,q, W5, � w —•c_— -_... .$5 2,800, ..Task,, 6 Budget Detail by Funding Type: 'ea 4V�ersonnelh.� FRundingT,ype Contractual, Other i � f.��Latior8�Frin"- p;Tota Hazardous Substances Budget $0 $26,400 $0 r-=`_.rte L $26400 Petroleum Budget '- - $0� $26400 $0 F $26'1400; TotaLBud Hazardousl8P -�r :. 2?800 s m a18^ S3 et oleum ,�� �,,�M:Vit.. _ a'_ _$?_��� , .a Bremerton/Stantec US EPA Brownfield Grant Application &•Implementation Assistance FY2017 - Page 32 of 36 3.0 . SCHEDULE AND DELIVERABLES 'The table below summarizes the anticipated deliverable schedule (assuming a project -start -date of September 1, 2017) and the agency/office each will be submitted to:— - Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 33 of 36 ITEM` �tyEPA,PO '' ESTATE EPA EPA ■ Kick-off/pre-QAPP meeting with - Consultant and EPA. • Preliminary inventory work. ■ Develop project fact sheets and \,ve_bpage content.- ontent:Months Months1-4. • - --Develop Site Nomination Form and • _ _ (Sept. -Dec. 2017) Access Agreement Template. X ■ Develop comprehensive QAPP. _ ■ Establish access into ACRES. (Property Profile Forms will be entered into _ ACRES as property specific projects are completed.) - "- ■ BAC Kick -Off Meeting (meetings will be ongoing with a minimum of Month 5 one%year) (Jan. 2018) • Quarterly Progress Report (QPR) #1 for X period 09/01/17-12/31/17 (for pre- . award and 1 Q18 activities) - continue quarterly for as long as needed Month 5 (Jan. 2018) Submit Draft QAPP for approval ^' X • Month 6 First public meeting (meetings will be- e (Feb. (Feb. 2018) ongoing with a minimum of one/year) X Months 7-8 Finalize comprehensive QAPP per _ .��.•"" (Mar.-Apr: 2018) agency comments'(a SSSAP will be X _ X prepared for each property assessed) Month 9. Inventory developed & Site Selection X (May 2018) Criteria set - - Month 10 (June 2018) Top sites selected X Ongoing - At least 30 days before assessment is ED approval requested & confirmed X ?;.; for :, I.. p etroleum • scheduled to begin - " -- sites only) • Site Access Agreements Before fieldwork HASP begins • Section 7/NHPA Letters (not required X . for Phase I ESA) - - "0:. SSSAP Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 33 of 36 ' DUE Personnel? a PO EP,A EPA ! DATE ITEM EPA STATE ;I GR/\NTS FINANCE` 1) Project Management, Reporting & Other $0 $14,100 $0 • Phase I & II ESA Reports - x (OAPs for sites Ongoing ■ ABCA/CAP Reports X requiring remedial '$12;000 2) Public Involvement----- — - ■ AWP Report $12,000 action) ' DBE Report (413E/Wk) Reports will be submitted annually by . 3) Site Inventory, Prioritization & Eligibility $0 $16,500 T Annually, October 30th of each year. X x For forms & more information, visit. (copy) l " https://www.epa.aovZr4bsb"urc7es-small- $20,000 $0$20,00012 b6sinesses As Needed Requests for Reimbursement - see 5) Phase II ESAs $0 x $0 Administrative Terms & Conditions Month 38 Fact Sheet - Assessment results X $26,400 $0 Final DBE & Federal Financial Reports (FFR; SF425) & Final Drawdown TotahBudget (Mazbrdous`Substa'nces) ' �` �;, $0 `� a Months 38 - 41 For forms & more information, visit: (c py) (copy) x https://www.e pa.gov%gra nWep a- arbntee-forms Closeout: Final Performance Report with Months 38 - 41 Summary Fact Sheet, Photos, and X Lessons Learned 4.0 BUDGET 4.1 Budget Tables by Funding Type The tables in this section summarize the budget by expenditure category (i.e. personnel, travel, contractual, etc.). " Hazardous Substances Budsjet 77777 7 Personnel? a t ' `Conhactual i Otherf Total L Ldbor 8„ � dn" a -f 1) Project Management, Reporting & Other $0 $14,100 $0 $14;1.00 Eligible Activities�.z_-�: '$12;000 2) Public Involvement----- — - $0 $12,000 $0Ll 3) Site Inventory, Prioritization & Eligibility $0 $16,500 $0" a� $16°;500 4) Phase I ESAs $0 $20,000 $0$20,00012 5) Phase II ESAs $0 $61,000 $0 $6x1,0007 f,. q 6) ABCAs, CAPs 8 AWP $0 $26,400 $0 TotahBudget (Mazbrdous`Substa'nces) ' �` �;, $0 `� a $150,000 $0 $150,000a Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 34 of 36 Petroleum Budaet a A x Personnel xr Task 1 - Project Mgmt, Reporting 4 Other Eligible Activities �Totcl Task 2: Public Involvement i }Tasks m << Labor&Fiiri Contractual .,Other $40,000 Task 5 - Phase II ESAs $122,000 Task 6-ABCAs, CAPs &AWP $52,800 i -NIM 1) Project Management, Reporting & Other $Oe $14,100 $0 $4,� Eligible Activities � 2) Public Involvement $0 w $12,000 $0 3) Site Inventory, Prioritization aL Eligibility $0 $16,500. $0$F6;500 11 4) Phase I ESAs $0 $20,000���'$� $0 20,000 ��, 5 Phase II ESAs $0 $61,000 $0:4$61 000 6) ABCAs, CAPs & AWP`" $0 $26,400 $0 N" $26 40 Totta~lBu,dV�g'.re`J t'^Mx(Petro6 l`4e.s�.um3 ) F } 'm rt iS(' ,T < " el `150000r� $ yyn �- $0 0i 0+«x11'��712Et��a $1A5"0,7 A� R 7. 4.2 Budget Narrative -. ' Combined Hazardous Substances -` & Petroleum 4.2.1 Budget Detail by Task The budget includes an average rate of $150/hour for contractual services. As stated in our grant application, the City has elected not to use grant funding for personnel labor and fringe of other costs and will only use grant funding for contractual costs. Anticipated costs for each task are provided in the tables included in this section. A detailed description of the scope of work for each task along with a cost breakdown is provided in Section 2.0. .4.2.2_ Budget Narrative by Expenditure Category (1) Personnel Labor & Fringe: none (ii) Contractual �x�vbu.. d "�lyy G9 .f Y b ,;. ,, fit! w.C',.,K.�""'f`.*-+✓.,�yro7� Task Number _ s m � i x17.s W /#mount Y Task 1 - Project Mgmt, Reporting 4 Other Eligible Activities $28,200 Task 2: Public Involvement '$24,000 Task 3 -'Site Invent o 1. ry-Pdoritization & Eligibility $33,000 Task 4 - Phase I ESAs $40,000 Task 5 - Phase II ESAs $122,000 Task 6-ABCAs, CAPs &AWP $52,800 i -NIM € $3001000` Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 35 of 36 (iii) Other: none (M . Total Budget Descrlptian r _ ,. _ �Rmount: Personal Labor $0 .Personal Fringe $0 Travel - $0 Equipment $0 Supplies $0 Contractual $300,000 Other . $0 't'.✓�=`9`t� xp� {t kr t; � Tt� r 'hGdG'. a`WM Si � P"n..'� 4 X�^'. At *('7 Develop fact sheets, webpage content and other 5.0 PRE -AWARD COSTS A ACTIVITIES To get a quick-sfart on the project, the City requests the approval of $15,000 of pre -award costs and a project start date of September 1, 2017 for this CA. A breakdown of pre -award costs and activities is provided in the table below. ' ° , F Descrlptlon� +y. r Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 36 of 36 'Ant iclpatedA'nticipafeii/1nHcOpaFed Cost. �Com�ler70on;Dates tConsulFants Hoursf (Contracfuan Prepare for and host project kick-off meeting/pre- QAPP call with the EPA Project; Officer and consultant to review project scope, goals, and 09/6/17 25 $3,750 strategies. Develop fact sheets, webpage content and other outreach materials to inform the community about 9/15/17-9/30/17 20' $3,000 the project. Develop Site Nomination Form and Access Agreement template. 9/15/17-9/30/17 10 $1,500 Gather data and develop site inventory work plan, 09/30/17 20 $3,000- 3,000Initiate Initiatepreparation of the comprehensive QAPP (following kick-off meeting/pie-QAPP call with EPA). 09/30/17 25 $3,750 TOTALS -- 100 hours $15,000 Note: The estimated budget was calculated using an average rate of $150/hour for contractual services. Bremerton/Stantec US EPA Brownfield Grant Application & Implementation Assistance FY2017 Page 36 of 36 CERTIFICATE OF LIABILITY INSURANCE � 44 5/1/2018 DATE(MM/DDIYYYY) F8/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONTACT PHONE (Ao. /C,Ex F C N E-MAIL ADDRESS: GLO5415704 5/1/2017 INSURERS AFFORDING CO RAGE NAIC # INSURER A: Zurich American Insurance Company 16535 PR MAGE M SES Ea occurrence) $ 300.000 INSURED STANTEC CONSULTING SERVICES, INC. 1415077 8211 SOUTH 48TH STREET INSURER B: Travelers Property Casualty Co of America 25674 INSURER C: American Guarantee and Liab. Ins. Co. 26247 PHOENIX, AZ 85044 INSURER D: INSURER E: $ INSURER F: AUTOMOBILE X GUVtKAtit, CERTIFICATE NUMRFR- IARAQ22A DF%11QlnIJ IJIIIIA929:0• Vvvvvvv THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X CONTRACTUAL/CROSS Y GLO5415704 5/1/2017 5/1/2018 EACH OCCURRENCE $ 21000,000 PR MAGE M SES Ea occurrence) $ 300.000 MED EXP (Any one person) $ 25,000 X XCU COVERER PERSONAL & ADV INJURY $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PES a LOC OTHER: GENERAL AGGREGATE $ 4:000:000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y y TC2J-CAP-8E086819 TJ -BAP -8E086820 TC2J-CAP-8E087017 5/1/2017 5/1/2017 5/1/2017 5/1/2018 5/1/2018 5/1/2018 (Ea aBINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY Per person) $ ( P ) XXXXXXX (Per accident) $ BODILY INJURY XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX C X X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N Y AUC9184637 5/1/2017 5/1/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DED X RETENTION $ 10,000 $ XXXXXXX B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? NI (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A y TC2J-UB-8E08592 (AOS) TRJ-UB-8E08593 WI) EXCEPT FOR OH 'WA 5/1/2017 5/1/2017 5/1/2018 5/1/2018 I ER X I STATUTE EERH E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $J,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT #185750574. SEE ATTACHED. 14869334 CITY OF BREMERTON 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2016/03) ucU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©I The ACORD name and logo are registered marks of ACORD A41 rinhfq rpgprvarl M /11 CONTINUATION DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) THE CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY, AS REQUIRED BY WRITTEN CONTRACT. THE ADDITIONAL INSUREDS' OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY, AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY MWH/STANTEC, WHERE REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, EXCESS/UMBRELLA LIABILITY, AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY, WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. .,�z AUUKU 20 JZUl b/U3) Certificate Holder ID: 14869334 ACORN' CERTIFICATE OF LIABILITY INSURANCE lik.I 10/1/2018 F DATE(MM/DD/YYYY) 1 9/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 444 W. 47th Street, Suite 900 Kansas City MO 641121906 (816) 960-9000 CONTACT NAME: HONE No, Ext): No E-MAIL ADDRESS: COMMERCIAL GENERAL LIABILITY INSURERS AFFORDIN OVERAGE NAIC # INSURER A: Lloyds Of London INSURED STAN -TEC CONSULTING SERVICES INC. 1414100 11130 NE 30TH PLACE, SUITE 200 BELLEVUE WA 98004 INSURER B: AIG Specialty. Insur e C an 26883 INSURER C: INSURER D: CLAIMS -MADE ❑ OCCUR INSURER E: INSURER F: COVERAGES CERTIFICATE NLJMRFR- 14R69,117 RFVl_QInM III IMRPI?• V-V'YYYXY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ❑ OCCUR NOT APPLICABLE DAMAGE TO RENTED XXXXXXX PREMISES Ea occurrence MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY❑ JEOCT- LOC PRODUCTS - COMP/OP AGG $ XXXXXXX OTHER: AUTOMOBILE LIABILITY EOa aBINEDISINGLE LIMIT $XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY (Per person) $ XXXXXXX AUTOSDONLY SCHEDULED BODILY INJURY (Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XXXXXXX UMBRELLA LIABOCCUR EACH OCCURRENCE $ xXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLEH AGGREGATE $XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N NOT APPLICABLE STATUTE I I ER E.L. EACH ACCIDENT XXXXXXX ANY PROPRIETOR/PARTNER/EXECUTIVE$ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE XXXXXXX (Mandatory in If yes, describe and under DESCRIPTION OF OPERATIONS below - `7V E.L. DISEASE - POLICY LIMIT XXXXXXX A Professional LiabN N GLOPRI701673 10/1/201 Z 1 /2018 $3,000,000 PER CLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2017 10/1/2019 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT #185750574. � � u -wry � c nvcvcr� C+AIVI.ttLA I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14869337 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2016/03) ©1 8-2015 ACORD CORPORATION All rinhlc racer rarl The ACORD name and logo are registered marks of ACORD POLICY NUMBER: GLO5415704 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 10 0413 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 SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location(s) Of Covered Operations: ALL LOCATIONS COVERED UNDER THIS POLICY, FOR LIABILITIES ARISING OUT OF OUR NAMED INSURED'S ACTIVITIES ONLY. (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. CG 20 10 0413 Page 1 of 1 Attachment Code: D522032 Certificate ID: 14869334 POLICY NUMBER: GLO5415704 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 37 0413 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 Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location And Description of Completed Operations: ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXCEPT WHEN SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Attachment Code: D522054 Certificate ID: 14869334 Policy No.: GL05415704 NAMED INSURED: SEE ATTACHED CERTIFICATE Other Insurance Amendment -- Primary And Non - Contributory THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U -GL -1327 -BCW (04/13) Attachment Code: D522092 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 ; TC2J-CAP-8E087017 NAMED INSURED: SEE ATTACHED CERTIFICATE COMMERCIAL AUTO CA 20 48 10/13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED 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 the 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. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective: 5/1/2017 SCHEDULE Name of Person(s) or Organization (s): WHERE REQUIRED BY WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for 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 D522021 Attachment Code: D522021 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 TC2J-CAP-8E087017 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II - LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV - BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non- contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 42 04 09 Attachment Code: D522094 Certificate ID: 14869334 POLICY NUMBER: GLO5415704 CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST / OTHERS TO US This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name Of Person Or Organization: Any person or organization that requires you to waive your rights of recovery, in a written contract or agreement with the Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Attachment Code: D522055 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820; TC2J-CAP-8E087017 COMMERCIAL AUTO CA 04 44 03 10 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: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: STANTEC CONSULTING SERVICES, INC. Endorsement Effective Date: 5/1/2017 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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 "loss" under a contract with that person or organization. CA 04 44 03 10 Attachment Code: D522017 Certificate ID: 14869334 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 0313 (00) POLICY NUMBER: TC2J-UB-8E08592 (AOS); TRJ-UB-8E08593 (MA, WI) 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 rot operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code: D524752 Certificate ID: 14869334 ACIORd 0 CERTIFICATE OF LIABILITY INSURANCE %.� 5/1/2018 FDATE(MMIDD/YYY/) 8/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT PHONE N x F C N E-MAIL ADDRESS: GL05415704 5/1/2017 / INSURERS AFFORDING CO RAGE NAIC # INSURER A: Zurich American Insurance Company 16535 DAMAGE TO RENTED PREMISES Ea occurrence $ 300 000 INSURED STANTEC CONSULTING SERVICES, INC. 1415077 8211 SOUTH 48TH STREET INSURER B: Travelers Property Casualty Co of America 25674 INSURER C: American Guarantee and Liab. Ins. Co. 26247 INSURER D: PHOENIX, AZ 85044 INSURER E : $ INSURER F: AUTOMOBILE X COVERAGES CERTIFICATE NUMBER: 14869334 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 TR TYPE OF INSURANCE INSD SUBR POLICY NUMBER MM/DD EFF MM DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEFX OCCUR X CONTRACTUAL/CROSS Y GL05415704 5/1/2017 / 5/1/2018 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300 000 MED EXP (Any one person) $ 25 000 X XCU COVERER PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II PE� r—xl LOC OTHER: GENERAL AGGREGATE $ 4 000 000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B B B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y y TC2J-CAP-8E086819 TJ -BAP -8E086820 TC2J-CAP-8E087017 5/1/2017 5/1/2017 5/1/2017 5/1/2018 5/1/2018 5/1/2018 Ea BINEDtSINGLE LIMIT $ 1 OOO O00 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident ) $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX Per accident $XXXXXXX C X X UMBRELLA LAS EXCESS LIAB X OCCUR CLAIMS -MADE N Y AUC1184637 5/1/2017 5/1/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5 000,000 DED X RETENTION $ 10,000 $ XXXXXXX B B B WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? FN] (Mandatory in NH) DYes, describe under DESCRIPTION OF OPERATIONS below NIA Y TC2J-UB-81-08592 (AOS) TRJ-UB-8E08593 (MA, WI) EXCEPT FOR OH ND WA Y 5/1/2017 5/1/2017 5/1/2018 5/1/2018 OTH- X STATUTE I ER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 -T-T DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT #185750574. SEE ATTACHED. 14869334 CITY OF BREMERTON 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED The ACORD name and logo are registered marks of ACORD All riahts reserved CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS (Use only if more space is required) THE CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY, AS REQUIRED BY WRITTEN CONTRACT. THE ADDITIONAL INSUREDS' OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY, AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY MWIVSTANTEC, WHERE REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, EXCESS/UMBRELLA LIABILITY, AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY, WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. "Z AWKU Z5 (ZU76/U3) Certificate Holder ID: 14869334 POLICY NUMBER: GLOS415704 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 10 0413 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 SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location(s) Of Covered Operations: ALL LOCATIONS COVERED UNDER THIS POLICY, FOR LIABILITIES ARISING OUT OF OUR NAMED INSURED'S ACTIVITIES ONLY. (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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: B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. CG 20 10 04 13 Attachment Code: D522032 Certificate ID: 14869334 Page 1 of 1 POLICY NUMBER: GL05415704 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 37 0413 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 Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location And Description of Completed Operations: ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXCEPT WHEN SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Attachment Code: D522054 Certificate ID: 14869334 Policy No.: GL05415704 NAMED INSURED: SEE ATTACHED CERTIFICATE Other Insurance Amendment -- Primary And Non - Contributory THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to S the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U -GL -1327 -BCW (04/13) Attachment Code: D522092 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 ; TC2J-CAP-8E087017 NAMED INSURED: SEE ATTACHED CERTIFICATE COMMERCIAL AUTO CA 20 48 10/13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED 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 the 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. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective: 5/1/2017 SCHEDULE Name of Person(s) or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for 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 D522021 Attachment Code: D522021 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 TC2J-CAP-8E087017 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II - LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV - BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non- contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 42 04 09 Attachment Code: D522094 Certificate ID: 14869334 POLICY NUMBER: GLO5415704 CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST / OTHERS TO US \� This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name Of Person Or Organization: Any person or organization that requires you to waive your rights of recovery, in a written contract or agreement with the Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09. Attachment Code: D522055 Certificate ID: 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820; TC2J-CAP-8E087017 COMMERCIAL AUTO CA 04 44 03 10 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: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: STANTEC CONSULTING SERVICES, INC. Endorsement Effective Date: 5/1/2017 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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 "loss" under a contract with that person or organization. CA 04 44 03 10 Attachment Code: D522017 Certificate ID: 14869334 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 0313 (00) POLICY NUMBER: TC2J-UB-8E08592 (AOS); TRJ-UB-8E08593 (MA, WI) 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 rot operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code: D524752 Certificate 1D: 14869334 44.� CERTIFICATE OF LIABILITY INSURANCE 10/1/2017 DATE(MM/DDIYYYY) 8/1/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT NAME: PE FAx HON N Ext • AIC No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Lloyds of London INSURED STANTEC CONSULTING SERVICES, INC. 1414100 8211 SOUTH 48TH STREET INSURER B: AIG Specialty Insurance Company 26883 INSURER C: INSURER D: PHOENIX, AZ 85044 INSURER E INSURER F: rnVr0AnFS. rFRTIFICATF NIIMRFRr 1dRA0117 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOLDY EFF POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FIOCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TRENTED PREMISES Ea occurrenceO $ XXXXXXX MED EXP (Any one person) $ XXXXXXX - PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX RO- POLICY X JECT ❑X LOC PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE OaBINEDtSINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE $XXXXXXX Per accident $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE NOT APPLICABLE O - STAPERTUTE ER E.L. EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N I A E.L. DISEASE - EA EMPLOYEE $ XXXXXXX DESs, describe under CRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ XXXXXXX A Professional Liab N N GLOPRI601673 10/1/2016 10/1/2017 $3,000,000 PER CLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2016 10/1/2017 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT #185750574. CERTIFICATE HOLDER CANCELLATION 14869337 CITY OF BREMERTON 345 6TH STREET, SUITE 600 BREMERTON WA 98337 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED All rinhts rpcprvPd ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACOR"® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDNYYY) 5/1/2019 4/26/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate I endorsement(s). PRODUCER LoCkton Companies NCONTACT AME: 444 W. 47th Street, Suite 900 aHONE FU c, No, Ext): A/c, No Kansas City MO 64112-1906 MAY — 8 2018 E-MAIL (816) 960-9000 ADDRESS: y' City of Bremerton INSURED STANTEC CONSULTING SERVICES INC. Risk Managemeni 1415077 8211 SOUTH 48TH STREET PHOENIX AZ 85044 Zurich American Insurance Travelers Property Casualty Co of Ai rnVFRAnI=Q P00'rICIf%ATC d11 IRAIMCo. 1 A04011A 1�9"'-N — — •ter •.v.v.�.�v��+�r�. 11L11�1111AA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL00246172 5/1/2018 5/1/2019 EACH OCCURRENCE s 2,0004)W" CLAIMS -MADE OCCUR PREMISES (E. occurrrence300,OOT MED EXP (Any oneperson) 25,000 _2L CONTRACTUAL/CRO % X X_CU COVERED 2,000,000 PERSONAL & ADV INJURYts4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY 7 LOCPRODUCTS JERCOT- - COMP/OP AG0O 00 OTHER:B AUTOMOBILE LIABILITY Y Y TC2J-CAP-8E086819 5/1/2018 5/1/2019 Ea aocldeD SINGLE LIMIT00 0 zz B B X ANY AUTO TJ -BAP -8E086820 TC2J-CAP-8E087017 5/1/2018 5/1/2018 5/1/2019 5/1/2019 BODILYINJURY(Perperson) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ XXXXXXX $XXXXXXX C X UMBRELLA LIAB X OCCUR N Y AUC9184637 5/1/2018 5/1/2019 EACH OCCURRENCE $ 5 000 00 j X EXCESS LIAB CLAIMS -MADE AGGREGATE $51000 00' DED I X I RETENTION $10,000 $ XXXXXXX B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y TC2J-UB-8E08592 (AOS) 5/1/2018 5/1/2019 X STATUTE OER E.L. EACH ACCIDENT $ 1,000,00 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NI N / A TRJ-UB-8E08593 (MA, W1) EXCEPT FOR OH ND WA WY 5/1/2018 5/1/2019 E.L. DISEASE - EA EMPLOYEE 1,000, 0 (Mandatory in NH)and If yes, describe under E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT #185750574. SEE ATTACHED. 14869334 CITY OF BREMERTON 345 6TH STREET, SUITE 600 BREMERTON WA 98337 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ©1 8-2015 ACORD CORPORATION All rinhfQ roco-I The ACORD name and logo are registered marks of ACORD CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) THE CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY, AS REQUIRED BY WRITTEN CONTRACT. THE ADDITIONAL INSUREDS' OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY, AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY MWH/STANTEC, WHERE REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, EXCESS/UMBRELLA LIABILITY, AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY, WHERE ALLOWED BY STATE LAW AND AS REQUIRED BY WRITTEN CONTRACT. ACORD 25 (2016/03) Certificate Holder ID: 14869334 Attachment Code: D522032 Certificate ID : 14869334 POLICY NUMBER: GL00246172 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE CG 20 10 04 13 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 SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location(s) Of Covered Operations: ALL LOCATIONS COVERED UNDER THIS POLICY, FOR LIABILITIES ARISING OUT OF OUR NAMED INSURED'S ACTIVITIES ONLY. (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. CG 20 10 04 13 Page 1 of 1 Attachment Code: D522054 Certificate ID : 14869334 POLICY NUMBER: GL00246172 COMMERCIAL GENERAL LIABILITY NAMED INSURED: SEE ATTACHED CERTIFICATE 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 Person or Organization: ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Location And Description of Completed Operations: ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXCEPT WHEN SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW (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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay ,,,/on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Policy No.: GL00246172 NAMED INSURED: SEE ATTACHED CERTIFICATE Other Insurance Amendment -- Primary And Non -Contributory THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV --- Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. All other terms and conditions of this policy remain unchanged. U -GL -1327 -BCW (04/13) Attachment Code: D522092 Certificate ID : 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 ; TC2J-CAP-8E087017 NAMED INSURED: SEE ATTACHED CERTIFICATE COMMERCIAL AUTO CA 20 48 10/13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED 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 the 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. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective: 5/1/2018 SCHEDULE Name of Person(s) or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for 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 D522021 Attachment Code: D522021 Certificate ID : 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820 TC2J-CAP-8E087017 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE O✓ This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II -LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV - BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 42 04 09 Attachment Code: D522094 Certificate ID : 14869334 POLICY NUMBER: GL00246172 CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: Commercial General Liability Coverage Part SCHEDULE Name Of Person Or Organization: Any person or organization that requires you to waive your rights of recovery, in a written contract or agreement with the Named Insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Attachment Code: D522055 Certificate ID : 14869334 POLICY NUMBER: TC2J-CAP-8E086819; TJ -BAP -8E086820; TC2J-CAP-8E087017 COMMERCIAL AUTO CA 04 44 03 10 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: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: STANTEC CONSULTING SERVICES INC. Endorsement Effective Date: 5/1/2018 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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 "loss" under a contract with that person or organization. CA 04 44 03 10 Attachment Code: D522017 Certificate ID : 14869334 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) POLICY NUMBER: TC2J-UB-8E08592 (AOS); TRJ-UB-8E08593 (MA, WI) 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code : D524752 Certificate ID : 14869334 IMMUNITY UNDER INDUSTRIAL INSURANCE; TITLE .51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. - THE PARTIES FURTHER ACKNOWLEDGE. THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this -section shall survive the expiration or termination of this Agreement.. VI. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant; its agents, representatives, employees, sub -consultants or sub -Consultants. Before beginning work on the project described in this -Agreement, the Consultant, shall provide a Certificate of Insurance, evidencing: 1. Automobile Liability insurance with Iimits no less than $1,000,000 combined single limit per accident for bodily, injuy and property damage; and 2. Commercial General.,Liabffi insurance written on an occurrence basis with limits no less than $1,000,000. combined •single, limit per occurrence and general • aggregate for personalinjury, bodily injury- and property damage. Coverage shall . include but not be limited to: • blanket contractual; products/completed operations/broad forin property damage; explosion,,collapse'and underground (XCU) if applicable; and employer's liability;. and 3. Excess Liability insurance with limits not less than 1,000,000 limit per. occurrence and ,aggregate., 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. 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- irisured shall be attached to, the Certificate of Insurance. ' The City, reserves the right, to receive a certified_ copy of all .the required insurance policies and endorsements. The City further reserves the right to reject any_ unacceptable policies and/or endorsements. The Consultant's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is. brought, except with respects to the limits of the insurer's liability. The Consultant's insurance shall be primary and non-contributoryinsurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies:• , Jt 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 60' Street, Suite 600,'Bremerton; Stantec/USEPA Brownfield Grant Application & Implementation FY2017 Page 3 of 36 LL+ ACORhP �� CERTIFICATE OF LIABILITY INSURANCE 10/1/2018 DATE (MMIDD/YYYY) 1 5/23/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER L,Ockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816)960-9000 CONTACT NAME: PHONE FAX N Ex AIC No E-MAIL ADDRESS: COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR INSURER(S) AFFORDING COVERAGE NAIC # 1 INSURER A: Lloyds of London INSURED ST,ANTEC CONSULTING LTD. 1414100 8211 SOUTH 48TH STREET INSURER B: AIG Specialty Insurance Company 26883 INSURER C : PHOENIX AZ 85044 INSURER D : INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 15400417 REVISION NlJkBEk - "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 TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MM/DDY POLICY EXP MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED PREMISES Ea occurrence $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL &ADV INJURY $ XXXXXxx GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY ] PEa � LOC PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ Y,=YI XX ANY AUTO OWNED AUTOS ONLY AUTOSULED BODILY INJURY (Per accident) $ XXyl=X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ XXXXX� Per accident $XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXY—XYX EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N / A NOT APPLICABLE PER OTH- STATUTE ER EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ X A A Professional Liab N N GLOPR1701673 NO RETROACTIVE DATE 10/1/2017 10/1/2018 $3,000,000 PER CLAIM/AGG INCLUSIVE OF COSTS B I Contractors Pollution Liab CP08085428 10/1/2017 10/1/2019 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 2002 STANTEC PROJECT#1857 CLIENT PROJECT: #18570574 USEPA BROWNFIELD EPA GRANT FUNDING AND IMPLEMENTATION ASSISTANCE. CERTIFICATE HOLDER CANCELLATION 15400417 CITY OF BREMERTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 345 6TH STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SUITE 600 ACCORDANCE WITH THE POLICY PROVISIONS. BREMERTON WA BREMERTON AUTHORIZED REPRESENTATIV ACORD 25 (2016/03) ©1988 015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5-)act ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) /4...------ 10/1/2019 9/12/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies - CONTACT 444 W.47th Street,Suite 900 V �` NAME: Kansas City MO 64112-1906 (A/C,PHONE,Ext): FAX No): (816)960-9000 r IL-3 2 ' 'FI It`+ E-MAILADSS: INSURER(S)AFFORDING COVERAGE NAIC# Lity Of IA ertfertor. INSURER A: Lloyds of London INSURED STANTEC CONSULTING SERVICES INC. .ity Attorney's UttICU INSURER B: AIG Specialty Insurance Company _ 26883 1414100 8211 SOUTH 48TH STREET INSURER C: PHOENIX AZ 85044 , INSURER D INSURER E: / INSURER F: , ' I COVERAGES CERTIFICATE NUMBER: 14869337 REVISION NUMBER: XXX)X' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORNTHE pipuoy PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPOT'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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VWD POLICY NUMBER IMM/DD/YYYY)IMM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ XXXXXXX CLAIMS-MADE OCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES(Ea occurrence) $ XXXXXXX MED EXP(Any one person) $ XXXXXXX PERSONAL&ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY PE LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT NOT APPLICABLE (Ea accident) $ XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED -AUTOS ONLY _AUTODULED BODILY INJURY(Per accident $ XXXXXXX _ AUTOS ONLY IRED NON-OWNED ONLYY PROPERTY DAMAGE $ XXXXXXX _ (Per accident) $ UMBRELLA LIAB _OCCUR EACH OCCURRENCE _$ XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ELEACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE N/A NOT APPLICABLE $ XXXXXXX OFFICER/MEMBER EXCLUDED? . . (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ XXXXXXX DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 XXXXXXX A Professional Liab N N GLOPR1801673 10/1/2018 10/1/2019 $3,000,000 PER CLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2017 10/1/2019 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: PROJECT NAME EPA BROWNFIELDS GRANT IMPLEMENTATION SERVICES. STANTEC PROJECT#185750574. 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. 14869337 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH STREET,SUITE 600 BREMERTON WA 98337 3 4,01 Ag=e ,,,,,.4.,„,,4„ ACORD 25(2016/03) ©19$8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Ste. ACORKY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ikor 5/1/2020 4/18/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies CONTACT 444 W.47th Street,Suite 900 PHO NFAX No,Ext): (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES,INC. INSURER B: Travelers Property Casualty Co of America 25674 1415077 370 INTERLOCKEN BOULEVARD,SUITE 300 INSURER C: b'L �-L I/I(� BROOMFIELD CO 80021-8012 I4 pm f C ss" r a.1 J INSURER D: - j Q� INSURER E: 1 1V7/I1'41j 'Io •1 1 INSURER F: ( COVERAGES CERTIFICATE NUMBER: 15885959 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER COMMERCIAL GENERAL LIABILITY 47-GLO-307584 NECE1 1(5/1/20/YYYYt LIMITS A X y y / 5/1/2020 EACH OCCURRENCE $ 2,000,00 CLAIMS-MADE n OCCUR DAMAGE O(Ea RENTED $ 1,000,0 0 X CONTRACTUAL/CROSS / MAY 1 0 2019 i MED EXP(Any one person) $ 25,000 X XCU COVERED V. PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 POLICY PRO- LOC City of Bremerton /.— JECT X Risk Management PRODUCTS-COMP/OP AGG $ 2,000,v OTHER: $ B AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT Y Y TC2J-CAP-8E086819 5/1/2019 5/1/2020 (Ea accident) $ 1,000,000 B X ANY AUTO TJ-BAP-8E086820 5/1/2019 5/1/2020 BODILY INJURY(Per person) $ XXXXXXX B OWNED SCHEDULED TC2J-CAP-8E087017 5/1/2019 5/1/2020 AUTOS ONLY _AUTOS BODILY INJURY(Per accident,$ XXXXXXX _ AUTOS ONLY NON-OWNED ONLYY PROPERTY DAMAGE $ XXXXXXX (Per accident) $ XXXXXXX A X UMBRELLA LIAB X OCCUR N Y 47-UMO-307585 5/1/2019 5/1/2020 EACH OCCURRENCE $ 5,000 00 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000, 0 DED RETENTION$ $ XXXXXXX BWORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y TC2J-UB-8E08592(AOS) 5/1/2019 5/1/2020 X STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TRJ-UB-8E08593(MA,WI) 5/1/2019 5/1/2020 E.L.EACH ACCIDENT B OFFICER/MEMBER EXCLUDED? n N/A EXCEPT FOR OH ND WA WY $ 1,000,000 nn� (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,W If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT.CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY,AND THESE COVERAGES ARE PRIMARY,IF REQUIRED BY WRITTEN CONTRACT.THE ADDITIONAL INSUREDS'OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY,AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY STANTEC CONSULTING SERVICES,INC.IF REQUIRED BY WRITTEN CONTRACT.WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY,AUTO LIABILITY,UMBRELLA/EXCESS LIABILITY,AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY,WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. le)aaaieZ p i D ce S S f O n di i t c 1 1 t CoI . CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . 15885959 AUTHORIZED REPRESENTATIVE /� CITY OF BREMERTON 1�' 345 6TH ST,SUITE 100 BREMERTON WA 98337 i / 4..07 1 ' ACORD 25(2016/03) ©19g8-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code :D522032 Certificate ID : 15885959 POLICY NUMBER: 47-GLO-307584 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any such person or organization but only to the extent required by a written contract executed prior to the "occurrence" or offense. 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 additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does nota I to "bodilyinjury" or damage" or "personal and advertising injury" "property damage" occurring after: apply caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured principal as a part of the same project. is required by a contract 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 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 Attachment Code : D522032 Certificate ID : 15885959 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III— Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 Attachment Code :D522054 Certificate ID : 15885959 POLICY NUMBER: 47-GLO-307584 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 but only to the extent required by a written contract executed prior to the "occurrence" or offense. 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 by This endorsement shall not increase the applicable law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract 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 Wolters Kluwer Financial Services I Uniform FormsTM Attachment Code : D522092 Certificate ID : 15885959 ENDORSEMENT This endorsement, effective 12:01 AM: 5/1/2019 Forms a part of Policy No.: See Attached Certificate Issued to: Stantec Consulting Services Inc. By: Berkshire Hathaway Insurance Company ERIVIARV No I- ) �r _B ..,U TT - OTHER INSURANCE_NCE PROVISION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY FOLLOW FORM EXCESS LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY The following Condition is added to the policy: Primary Noncontributory— Other Insurance The insurance provided by this policy is primary, and will not seek contribution from any insurance available to an additional insured under this policy, provided that: (a) The additional insured is a named insured under such other insurance; and (a) Prior to an "occurrence" you agreed, in a fully executed written contract or agreement, that this insurance would be primary and would not seek contribution from any insurance available to that additional insured. All other terms and conditions of this policy remain unchanged. Page 1 I CLP-UN-065-10/2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code :D522055 Certificate ID : 15885959 Berkshire Hathaway Specialty insurance ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2019 Forms a part of Policy No.: See attached certificate Issued to: Stantec Consulting Services Inc By: Berkshire Hathaway Specialty Insurance Company • WAIVER. m . " OF RECOVERYAGAINST / OTHERS TO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY SCHEDULE Name Of Person Or Organization: Any person or organization that requires you to waive your rights of recovery, in a written and executed contract or agreement with you that is executed prior to the "occurrence" or"offense". The following Condition is added to the policy: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a written and executed 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. The Transfer of Rights of Recovery condition in the policy is deleted to the extent of the waiver provided in this endorsement for the person or organization shown in the Schedule above. All other terms and conditions of this policy remain unchanged. Page 1 I CL-UN-045-10/2016 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. POLICY NUMBER: TC2J-CAP-8E086819; TJ-BAP-8E086820 TC2J-CAP-8E087017 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II-LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV - BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or"property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CAT4420409 Attachment Code :D522094 Certificate ID : 15885959 POLICY NUMBER: TC2J-CAP-8E086819; TJ-BAP-8E086820;TC2J-CAP-8E087017 COMMERCIAL AUTO CA 04 44 03 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY oO AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: STANTEC CONSULTING SERVICES,INC. Endorsement Effective Date: 5/1/2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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"loss"under a contract with that person or organization. CA 04 44 03 10 Attachment Code:D522017 Certificate ID: 15885959 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) POLICY NUMBER: TC2J-UB-8E08592 (AOS); TRJ-UB-8E08593 (MA, WI) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT �O 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code : D524752 Certificate ID : 15885959 Attachment Code :D525009 Certificate ID : 15885959 Policy Number: 47-UM0-307584 Commercial Umbrella Liability Insurance Policy Transfer of Rights of Recovery If any "insured" has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The "insured" must do nothing after loss to impair these rights and must help us enforce them. Any recoveries will be applied as follows: a. Any person or organization, including the "insured", that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first; b. We then will be reimbursed up to the amount we have paid; and c. Lastly, any person or organization, including the "insured" that has paid an amount over which this policy is excess is entitled to claim the remainder. Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the "insured", in the ratio of their respective recoveries as finally settled. If, prior to the time of an "occurrence", you waive any right of recovery against a specific person or organization for injury or damage as required under an "insured contract", we will also waive any rights we may have against such person or organization. ® DATE(MM/DD/YYYY)AC� � CERTIFICATE OF LIABILITY INSURANCE l0/1/2019 2/11/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,� the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms 9a 9L9TJlshe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificld u� �uch endorsement(s). PRODUCER Lockton Companies CONTNAME: ACT 444 W.47th Street,Suite 900 PHONE FAX MAY 1 4 2019 ( IC.No.EXU: __WC,No):-- Kansas City MO 64112-1906 E-MAIL -- (816)960-9000 ADDRESS: City of Bremerton INSURER(S)AFFORDING COVERAGE NAIC I Risk Management INSURER A:Lloyds of London INSURED STANTEC CONSULTING SERVICES,INC. INSURER B:AIG Specialty Insurance Company 26883 1414100 8211 SOUTH 48TH STREET INSURER C: PHOENIX AZ 85044 INSURER D: ` ' ' Q �'�/l INSURER E: U _i/ INSURER F: COVERAGES CERTIFICATE NUMBER: 15885961 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/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 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY X 27 X LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT NOT APPLICABLE (Ea accident) $ XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $AUTOS ONLY AUTOSHIRED XXXXXXX NON-OWNED PROPERTY DAMAGE $ XXXXXXX ONLY AUTOS ONLY (Per accident) $ XXXXXXX UMBRELLA LIAB _^ OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE I PER OTH- ERAND EMPLOYERS'LIABILITY Y/N (STATUTE , ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ XXXXXXX (MandatoryOFFICERMEMin ER EXCLUDED? n N/A XXXXXXX in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under XXXXXXX DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional[jab N N GLOPR1801673 10/1/2018 1 /1/2019 S3,000,000 PER CLAIM/AGO A NO RETROACTIVE DATE INCLUSIVE OF COSTS B I Contractors Pollution Liza) 1 (CP08085428 10/1/2017 i 10/I/2019 S3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: 185750574'CI'I Y OF 13REMERTON EPA BROWNFIELDASSESSMENT GRANT. CERTIFICATE HOLDER CANCELLATION 15885961 CITY OF BREMERTON / SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 345 6TH ST,SUITE 100 f THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BREMERTON WA 98337 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV. /l'i 4t'. ©19884015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD BUSINESS LIABILITY COVERAGE FORM (2) When all of the work to be done at the 21. "Volunteer worker" means a person who is not site has been completed if your your "employee", and who donates his or her contract calls for work at more than work and acts at the direction of and within the one site. scope of duties determined by you, and is not (3) When that part of the work done at a paid a fee, salary or other compensation by job site has been put to its intended you or anyone else for their work performed for use by any person or organization you. other than another contractor or 22. "Your product": subcontractor working on the same a. Means: project. Work that mayneed service, (1) Any goods or products, other than real property, manufactured, sold, handled, maintenance, correction, repair or distributed or disposed of by: replacement, but which is otherwise complete, will be treated as completed. (a) You; c. This hazard does not include "bodily injury" (b) Others trading under your name; or"property damage" arising out of: or (1) The transportation of property, unless (c) A person or organization whose the injury or damage arises out of a business or assets you have condition in or on a vehicle created by acquired; and the"loading or unloading"of it; or (2) Containers (other than vehicles), (2) The existence of tools, uninstalled materials, parts or equipment equipment or abandoned or unused furnished in connection with such materials. goods or products. 18. "Property damage" means: b. Includes: a. Physical injury to tangible property, (1) Warranties or representations made at including all resulting loss of use of that any time with respect to the fitness, property. All such loss of use shall be quality, durability, performance or use deemed to occur at the time of the of"your product"; and physical injury that caused it; or (2) The providing of or failure to provide b. Loss of use of tangible property that is not warnings or instructions. physically injured. All such loss of use c. Does not include vending machines or shall be deemed to occur at the time of other property rented to or located for the "occurrence" that caused it. use of others but not sold. Computerized or electronically stored data, 23. "Your work": programs or software are not tangible property. a. Means: 19. "Suit" means a civil proceeding in which (1) Work or operations performed by you damages because of "bodily injury", "property or on your behalf; and damage" or"personal and advertising injury"to (2) Materials, parts or equipment which this insurance applies are alleged. furnished in connection with such work "Suit" includes: or operations. a. An arbitration proceeding in which such b. Includes: damages are claimed and to which you (1) Warranties or representations made at must submit or do submit with our any time with respect to the fitness, consent; or quality, durability, performance or use b. Any other alternative dispute resolution of"your work"; and proceeding in which such damages are (2) The providing of or failure to provide claimed and to which you submit with our warnings or instructions. consent. 20. "Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short-term workload conditions. Page 20 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM Form SS 00 08 04 01 © 2001, The Hartford POLICY NUMBER: 52 SBA IL7842 „ , Aa THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON-ORGANIZATION CITY OF BREMERTON CITY CLERK 345 6TH STREET SUITE 100 BREMERTON, WA 98337 Form Ill 12 00 11 85 T SEQ. NO, 002 Printed in U.S.A. Page 001 Process Date: 03/22/18 Expiration Date: 05/16/19 QUICK REFERENCE BUSINESS LIABILITY COVERAGE FORM READ YOUR POLICY CAREFULLY BUSINESS LIABILITY COVERAGE FORM Beginning on Page A. COVERAGES 1 Business Liability 1 Medical Expenses 1 Professional Services Coverages 2 Incidental Malpractice Coverage 2 Coverage Extension - Supplementary Payments 3 B. EXCLUSIONS 4 C. WHO IS AN INSURED 9 D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE 12 E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 13 1. Bankruptcy 13 2. Duties in The Event of Occurrence, Claim or Suit 13 3. Financial Responsibility Laws 14 4. Legal Action Against Us 14 5. Separation of Insureds 14 6. Unintentional Failure To Disclose Hazards 14 7. Other Insurance— Primary Additional Insured 14 F. OPTIONAL COVERAGES 15 Additional Insureds 15 G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS 17 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations. The words "we", "us"and "our" refer to the stock insurance company member of THE HARTFORD providing this insurance. The word "insured" means any person or organization qualifying as such under Section C. - Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section G. - Liability And Medical Expenses Definitions. In consideration of the payment of the premium when due, and: a. In reliance upon the statements made in the Declarations; and b. Subject to the Limits Of Insurance, Exclusions, Definitions, Conditions and all other terms of this policy, including those modified, replaced by or added by endorsements we issue forming a part of this policy, we agree with you as follows: A. COVERAGES No other obligation or liability to pay sums 1. BUSINESS LIABILITY COVERAGE (BODILY or perform acts or services is coveredunless INJURY, PROPERTY DAMAGE, PERSONALexplicitly provided for under Coverage AND ADVERTISING INJURY) Extension - Supplementary Payments. Insuring Agreement b. This insurance applies to: a. We will pay on behalf of the insured those (1) "Bodily injury" and "property damage" sums that the insured becomes legally only if: obligated to pay as damages because of "bodily injury", "property damage" or (a) The "bodily injury" or "property "personal and advertising injury" to which damage" is caused by an this insurance applies. We will have the "occurrence" that takes place in the"coverage territory"; and right and duty to defend the insured against any "suit" seeking those damages. (b) The "bodily injury" or "property However, we will have no duty to defend damage" occurs during the policy the insured against any "suit" seeking period. damages for "bodily injury", "property (2) "Personal and advertising injury" damage" or "personal and advertising caused by an offense arising out of injury" to which this insurance does not your business, but only if the offense apply. is committed in the "coverage territory" We may, at our discretion, investigate any during the policy period. "occurrence" or offense and settle any c. Damages because of "bodily injury" claim or"suit" that may result. But: include damages claimed by any person or (1) The amount we will pay for damages organization for care, loss of services or is limited as described in Section D. - death resulting at any time from the "bodily injury". Liability And Medical Expenses Limits Of Insurance; and 2. MEDICAL EXPENSES (2) Our right and duty to defend end when Insuring Agreement we have used up the applicable limit of a. We will pay medical expenses as insurance in the payment of described below for "bodily injury" caused judgments, settlements or medical by an accident: expenses to which this insurance (1) On premises you own or rent; applies. (2) On ways next to premises you own or rent; or Form SS 00 08 04 01 Page 1 of 20 © 2001, The Hartford BUSINESS LIABILITY COVERAGE FORM (3) Because of your operations; provided (iii) Disposition; that: (iv) Cremation; (a) The accident takes place in the (v) Burial; "coverage territory and during the policy period; (vi) Embalming; or (b) The expenses are incurred and (vii) Disinterment, reported to us within three years of of any "deceased human the date of the accident; and body"; (c) The injured person submits to (viii)Conduct of any memorial examination, at our expense, by service even though no physicians of our choice as often "deceased human body" as we reasonably require. actually be present; and b. We will make these payments regardless (ix) Injury to, destruction of or of fault. These payments will not exceed interference with the right of the applicable limit of insurance. We will burial of a "deceased human pay reasonable expenses for: body". (1) First aid administered at the time of an (b) Professional service by any accident; insured as a member of a: (2) Necessary medical, surgical, x-ray and (i) Formal accreditation board; or dental services, including prosthetic (ii) A similar professional board or devices; and committee. (3) Necessary ambulance, hospital, (2) This insurance also applies to professional nursing and funeral damages for "property damage" services. caused by an "occurrence" to: 3. PROFESSIONAL SERVICES COVERAGES (a) Urns; When your operations include: (b) Caskets, linings or fittings; a. Optical or hearing aid establishments, (c) Casket cases; Exclusion j. (7) in Section B. - EXCLUSIONS does not apply. (d) Crypts or mausoleums; or b. Retail druggist or drugstore, Exclusion j. (e) Other facilities belonging to others (10) in Section B. - EXCLUSIONS does that are in the care, custody or not apply. control of the insured and used for c. Funeral director or funeral parlors, the the purpose of burying or caring following professional services coverage is fora"deceased human body". added: (3) Only Exclusions d., e., f. and k. in (1) The Business Liability Coverage Section B. - EXCLUSIONS apply to this coverage. applies to damages arising out of professional services by you or your (4) Additional Definition "employees" in the course of your "Deceased human body" includes any mortician or funeral parlor business. part of a human body severed Subject to the Limits of Insurance therefrom and ashes of a deceased stated in Section D. of this form, we human body after legal cremation. will pay on behalf of the insured those 4. INCIDENTAL MALPRACTICE COVERAGE sums that the insured becomes legally obligated to pay as damages for a. The definition of "bodily injury" in Section "bodily injury" including mental G. - LIABILITY AND MEDICAL anguish, and "property damage" EXPENSES DEFINITIONS is amended to because of any: include injury arising out of the rendering (a) Professional malpractice, error or or failure to render medical or paramedical omission in the services to persons by any physician, dentist, nurse, emergency medical (i) Removal; technician or paramedic who is employed (ii) Handling; by you to provide such services. Page 2 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM b. Paragraph 2.a.(1)(d) in Section C. - WHO a. The "suit" against the indemnitee seeks IS AN INSURED does not apply to nurses, damages for which the insured has emergency medical technicians or assumed the liability of the indemnitee in a paramedics referred to in a. above. contract or agreement that is an "insured c. Paragraph (1) of Exclusion e. in Section B. contract"; - EXCLUSIONS does not apply to injury to b. This insurance applies to such liability the emotions or reputation of a person assumed by the insured; arising out of such services. c. The obligation to defend, or the cost of the This Incidental Malpractice Coverage does defense of, that indemnitee, has also been not apply if you are engaged in the assumed by the insured in the same business or occupation of providing any "insured contract"; services referred to in a. above. COVERAGE EXTENSION - SUPPLEMENTARY d. The allegations in the "suit" and the information we know about the PAYMENTS "occurrence" are such that no conflict 1. We will pay, with respect to any claim or "suit" appears to exist between the interests of we investigate or settle, or any "suit" against the insured and the interest of the an insured we defend: indemnitee; a. All expenses we incur. e. The indemnitee and the insured ask us to b. Up to $1,000 for the cost of bail bonds conduct and control the defense of that required because of accidents or traffic indemnitee against such "suit" and agree law violations arising out of the use of any that we can assign the same counsel to vehicle to which Business Liability defend the insured and the indemnitee; Coverage for "bodily injury" applies. We and do not have to furnish these bonds. f. The indemnitee: c. The cost of bonds to release attachments, but only for bond amounts within the (1) Agrees in writing to: applicable limit of insurance. We do not (a) Cooperate with us in the have to furnish these bonds. investigation, settlement or d. All reasonable expenses incurred by the defense of the "suit"; insured at our request to assist us in the (b) Immediately send us copies of any investigation of the claim or defense of the demands, notices, summonses or "suit", including actual loss of earnings up to legal papers received in $500 a day because of time off from work. connection with the"suit"; e. All costs taxed against the insured in the (c) Notify any other insurer whose "suit". coverage is available to the f. Prejudgment interest awarded against the indemnitee; and insured on that part of the judgment we (d) Cooperate with us with respect to pay. If we make an offer to pay the coordinating other applicable applicable limit of insurance, we will not insurance available to the pay any prejudgment interest based on indemnitee; and that period of time after the offer. (2) Provides us with written authorization to: g. All interest on the full amount of any (a) Obtain records and other judgment that accrues after entry of the information related to the "suit"; judgment and before we have paid, and offered to pay, or deposited in court the part of the judgment that is within the (b) Conduct and control the defense applicable limit of insurance. of the indemnitee in such "suit". Any amounts paid under a. through g. above So long as the above conditions are met, will not reduce the Limits of Insurance. attorneys fees incurred by us in the defense of that indemnitee, necessary 2. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a litigation expenses incurred by us and partynecessary litigation expenses incurred by to the "suit", we will defend that the indemnitee at our request will be paid indemnitee if all of the following conditions are as Supplementary Payments. met: Form SS 00 08 04 01 Page 3 of 20 BUSINESS LIABILITY COVERAGE FORM Not withstanding the provisions of execution of the contract or paragraph 1.b.(b) of Section B. — agreement. Solely for the purpose EXCLUSIONS, such payments will not be of liability assumed in an "insured deemed to be damages for "bodily injury" contract", reasonable attorney and "property damage" and will not reduce fees and necessary litigation the Limits of Insurance. expenses incurred by or for an Our obligation to defend an insured's indemnitee are deemed to be indemnitee and to pay for attorneys fees and damages because of "bodily necessary litigation expenses as injury" or "property damage" Supplementary Payments ends when: provided: a. We have used up the applicable limit of (i) Liability to such indemnitee insurance in the payment of judgments or for, or for the cost of, that settlements; or indemnitee's defense has also been assumed in the same b. The conditions set forth above, or the "insured contract", and terms of the agreement described in (ii) Such attorney fees and paragraph f. above, are no longer met. litigation expenses are for B. EXCLUSIONS defense of that indemnitee 1. Applicable to Business Liability Coverage against a civil or alternative dispute resolution proceeding This insurance does not apply to: in which damages to which a. Expected or Intended Injury this insurance applies are (1) "Bodily injury" or "property damage" alleged. expected or intended from the c. Liquor Liability standpoint of the insured. This "Bodily injury" or "property damage" for exclusion does not apply to "bodily which any insured may be held liable by injury" or "property damage" resulting reason of: from the use of reasonable force to protect persons or property; or (1) Causing or contributing to the intoxication of any person; (2) "Personal and advertising injury" arising out of an offense committed (2) The furnishing of alcoholic beverages to by, at the direction of or with the a person under the legal drinking age or consent or acquiescence of the under the influence of alcohol; or insured with the expectation of (3) Any statute, ordinance or regulation inflicting "personal and advertising relating to the sale, gift, distribution or injury". use of alcoholic beverages. b. Contractual Liability This exclusion applies only if you are in the (1) "Bodily injury"or"property damage"; or business of manufacturing, distributing, selling, serving or furnishing alcoholic (2) "Personal and advertising injury" beverages. for which the insured is obligated to pay d. Workers Compensation and Similar damages by reason of the assumption of Laws liability in a contract or agreement. Any obligation of the insured under a This exclusion does not apply to liability for workers' compensation, disability benefits damages because of: or unemployment compensation law or (a) "Bodilyinjury", "property damage" any similar law. 9 or "personal and advertising e. Employer's Liability injury" that the insured would have "Bodily injury" to: in the absence of the contract or (1) An "employee" of the insured arising agreement; or out of and in the course of: (b) "Bodily injury" or "property damage" (a) Employment by the insured; or assumed in a contract or agreement that is an "insured contract", (b) Performing duties related to the provided the "bodily injury" or conduct of the insured's business, or "property damage" occurs subsequent to the Page 4 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM (2) The spouse, child, parent, brother or (b) At or from any premises, site or sister of that "employee" as a location which is or was at any consequence of(1) above. time used by or for any insured or This exclusion applies: others for the handling, storage, disposal, processing or treatment (1) Whether the insured may be liable as of waste; an employer or in any other capacity; and (c) Which are or were at any time transported, handled, stored, (2) To any obligation to share damages treated, disposed of, or processed with or repay someone else who must as waste by or for: pay damages because of the injury. This exclusion does not apply to liability (i) Any insured; or assumed by the insured under an "insured (ii) Any person or organization for contract". whom you may be legally responsible; or f. Pollution (1) "Bodilyinjury", ro ert damage" or (d) At or from any premises, site or "property Y 9 location on which any insured or "personal and advertising injury" any contractors or subcontractors arising out of the actual, alleged or working directly or indirectly on threatened discharge, dispersal, any insured's behalf are seepage, migration, release or escape performing operations if the of"pollutants": "pollutants" are brought on or to (a) At or from any premises, site or the premises, site or location in location which is or was at any connection with such operations time owned or occupied by, or by such insured, contractor or rented or loaned to any insured. subcontractor. However, this However, this subparagraph does subparagraph does not apply to: not apply to: (i) "Bodily injury" or "property (i) "Bodily injury" if sustained damage" arising out of the within a building and caused escape of fuels, lubricants or by smoke, fumes, vapor or other operating fluids which soot from equipment used to are needed to perform the heat that building; normal electrical, hydraulic or (ii) "Bodily injury" or "property mechanical functions damage" for which you may necessary for the operation of be held liable, if you are a "mobile equipment" or its contractor and the owner or parts, if such fuels, lubricants lessee of such premises, site or other operating fluids or location has been added to escape from a vehicle part your policy as an additional designed to hold, store or insured with respect to your receive them. This exception ongoing operations performed does not apply if the "bodily for that additional insured at injury" or "property damage" that premises, site or location arises out of the intentional and such premises, site or discharge, dispersal or location is not and never was release of the fuels, lubricants owned or occupied by, or or other operating fluids, or if rented or loaned to, any such fuels, lubricants or other insured, other than that operating fluids are brought on additional insured; or or to the premises, site or location with the intent that (iii) "Bodily injury" or "property they be discharged, dispersed damage" arising out of heat, or released as part of the smoke or fumes from a operations being performed by "hostile fire"; such insured, contractor or subcontractor; Form SS 00 08 04 01 Page 5 of 20 BUSINESS LIABILITY COVERAGE FORM (ii) "Bodily injury" or "property rented or loaned to any insured. Use damage" sustained within a includes operation and "loading or building and caused by the unloading". release of gases, fumes or This exclusion applies even if the claims vapors from materials brought against any insured allege negligence or into that building in connection other wrongdoing in the supervision, with operations being performed hiring, employment, training or monitoring by you or on your behalf by a of others by that insured, if the contractor or subcontractor; or "occurrence" which caused the "bodily (iii) "Bodily injury" or "property injury" or "property damage" involved the damage" arising out of heat, ownership, maintenance, use or smoke or fumes from a entrustment to others of any aircraft, "hostile fire". "auto" or watercraft that is owned or (e) At or from any premises, site or operated by or rented or loaned to any location on which any insured or insured. any contractors or subcontractors This exclusion does not apply to: working directly or indirectly on (1) An aircraft that is: any insured's behalf are (a) Hired, chartered or loaned with a performing operations if the operations are to test for, monitor, paid crew; but clean up, remove, contain, treat, (b) Not owned by any insured; detoxify or neutralize, or in any (2) A watercraft while ashore on premises way respond to, or assess the you own or rent; or effects of, "pollutants". (3) A watercraft you do not own that is: (2) Any loss, cost or expense arising out of any: (a) Less than 51 feet long; and (a) Request, demand, order or (b) Not being used to carry persons statutory or regulatory requirement for a charge. that any insured or others test for, This provision (3) applies to any monitor, clean up, remove, person who, with your expressed or contain, treat, detoxify or implied consent either uses or is neutralize, or in any way respond responsible for use of a watercraft. to, or assess the effects of, Provisions under paragraphs (1) and (3) of "pollutants"; or this Exclusion g. do not apply if the insured (b) Claim or suit by or on behalf of a has any other insurance for "bodily injury" or governmental authority for "property damage" liability that would also be damages because of testing for, covered under those provisions, whether the monitoring, cleaning up, removing, other insurance is primary, excess, containing, treating, detoxifying or contingent or on any other basis. In that neutralizing, or in any way case, provisions (1) and (3) above do not responding to, or assessing the provide any insurance. effects of, "pollutants". (4) Parking an "auto" on, or on the ways However, this paragraph does not next to, premises you own or rent, apply to liability for damages because provided the "auto" is not owned by or of "property damage" that the insured rented or loaned to you or the insured; would have in the absence of such (5) Liability assumed under any "insured request, demand, order or statutory or regulatory requirement, or such claim contract" for the ownership, maintenance, or use of aircraft or or "suit" by or on behalf of a watercraft; or governmental authority. g. Aircraft, Auto or Watercraft (6) "Bodily injury" or "property damage" arising out of the operation of any of "Bodily injury" or "property damage" arising the equipment listed in Paragraphs out of the ownership, maintenance, use or f.(2) or f.(3) of the definition of "mobile entrustment to others of any aircraft, "auto" equipment". or watercraft owned or operated by or h. Mobile Equipment Page 6 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM "Bodily injury" or"property damage" arising Paragraphs (4) and (5) of this exclusion do out of: not apply to Incidental Malpractice (1) The transportation of "mobile coverage afforded under paragraph 4. in equipment" by an "auto" owned or Section A. - COVERAGE. operated by or rented or loaned to any k. Damage to Property insured; or "Property damage" to: (2) The use of "mobile equipment" in, or (1) Property you own, rent or occupy, while in practice or preparation for, a including any costs or expenses prearranged racing, speed or incurred by you, or any other person, demolition contest or in any stunting organization or entity, for repair, activity. replacement, enhancement, i. War restoration or maintenance of such "Bodily injury" or"property damage" due to property for any reason, including war, whether or not declared, or any act or prevention of injury to a person or condition incidental to war. War includes damage to another's property; civil war, insurrection, rebellion or (2) Premises you sell, give away or revolution. abandon, if the "property damage" This exclusion applies only to liability arises out of any part of those assumed under a contract or agreement. premises; j. Professional Services (3) Property loaned to you; "Bodily injury", "property damage" or (4) Personal property in care, custody or "personal and advertising injury" due to the control of the insured; rendering of or failure to render any (5) That particular part of real property on professional service. This includes but is which you or any contractor or not limited to: subcontractor working directly or (1) Legal, accounting or advertising indirectly on your behalf is performing services; operations, if the "property damage" (2) Preparing, approving, or failing to arises out of those operations, or prepare or approve maps, shop (6) That particular part of any property drawings, opinions, reports, surveys, that must be restored, repaired or field orders, change orders, designs or replaced because "your work" was drawings and specifications; incorrectly performed on it. (3) Supervisory, inspection, architectural Paragraphs (1), (3) and (4) of this or engineering activities; exclusion do not apply to "property (4) Medical, surgical, dental, x-ray or damage" (other than damage by fire) to nursing services or treatment; premises, including the contents of such premises, rented to you for a period of 7 or (5) Any health service or treatment; fewer consecutive days. A separate Limit (6) Any cosmetic or tonsorial service or of Insurance applies to Damage To treatment; Premises Rented To You as described in (7) Optical or hearing aid services Section D. LIMITS OF INSURANCE. including prescribing, preparation, Paragraph (2) of this exclusion does not fitting, demonstration, or distribution of apply if the premises are "your work" and ophthalmic products or hearing aid were never occupied, rented or held for devices; rental by you. (8) Optometric services including but not Paragraphs (3) and (4) of this exclusion do limited to examination of the eyes and not apply to the use of elevators. prescribing of ophthalmic lenses and Paragraphs (3), (4), (5) and (6) of this exercises; exclusion do not apply to liability assumed (9) Ear piercing services; under a sidetrack agreement. (10) Services in the practice of pharmacy. Paragraph (4) of this exclusion does not (11) Computer consulting, design or apply to "property damage" to borrowed programming services, including web equipment while not being used to perform site design. operations at a job site. Form SS 00 08 04 01 Page 7 of 20 BUSINESS LIABILITY COVERAGE FORM Paragraph (6) of this exclusion does not (2) Arising out of oral, written or electronic apply to "property damage" included in the publication of material whose first "products-completed operations hazard". publication took place before the I. Damage to Your Product beginning of the policy period; "Property damage" to "your product" (3) Arising out of a criminal act committed arising out of it or any part of it. by or at the direction of the insured; m. Damage to Your Work (4) Arising out of any breach of contract, except an implied contract to use "Property damage" to "your work" arising out of it or any part of it and included in the "advertisement"; anotheis "advertising idea" in your " "products-completed operations hazard". "advertisement"; This exclusion does not apply if the (5) Arising out of the failure of goods, damaged work or the work out of which products or services to conform with the damage arises was performed on your any statement of quality or behalf by a subcontractor. performance made in your n. Damage to Impaired Property Or "advertisement"; Property Not Physically Injured (6) Arising out of the wrong description of "Property damage" to "impaired property" the price of goods, products or services; or property that has not been physically injured, arising out of: (7) Arising out of any violation of any intellectual property rights, such as (1) A defect, deficiency, inadequacy or dangerous condition inpatent, trademark, trade name, trade "your product" secret, service mark or other or"your work"; or designation of origin or authenticity. (2) A delay or failure by you or anyone However, this exclusion does not acting on your behalf to perform a apply to infringement, in your contract or agreement in accordance "advertisement", of with its terms. This exclusion does not apply to the loss (a) Copyright; of use of other property arising out of (b) Slogan, unless the slogan is also a sudden and accidental physical injury to trademark, trade name, service "your product" or "your work" after it has mark or other designation of origin been put to its intended use. or authenticity; or o. Recall Of Products, Work Or Impaired (c) Title of any literary or artistic work; Property (8) Arising out of an offense committed by Damages claimed for any loss, cost or an insured whose business is: expense incurred by you or others for the (a) Advertising, broadcasting, loss of use, withdrawal, recall, inspection, publishing or telecasting; repair, replacement, adjustment, removal or disposal of: (b) Designing or determining content of web sites for others; or (1) "Your product"; (c) An Internet search, access, (2) "Your work"; or content or service provider. (3) "Impaired property"; However, this exclusion does not if such product, work or property is apply to paragraphs a., b. and c. withdrawn or recalled from the market or under the definition of "personal and from use by any person or organization advertising injury" in Section G. — because of a known or suspected defect, LIABILITY AND MEDICAL deficiency, inadequacy or dangerous EXPENSES DEFINITIONS. condition in it. For the purposes of this exclusion, p. "Personal and Advertising Injury": placing an "advertisement" for or (1) Arising out of oral, written or electronic linking to others on your web site, by publication of material, if done by or at itself, is not considered the business of advertising, broadcasting, the direction of the insured with publishing or telecasting; knowledge of its falsity; Page 8 of 20 Form SS 00 08 04 01 • BUSINESS LIABILITY COVERAGE FORM (9) Arising out of an electronic chat room d. Workers Compensation And Similar or bulletin board you host, own, or Laws over which you exercise control; To a person, whether or not an "employee" (10) Arising out of the unauthorized use of of any insured, if benefits for the "bodily another's name or product in your e- injury" are payable or must be provided mail address, domain name or under a workers' compensation or metatag, or any other similar tactics to disability benefits law or a similar law. mislead another's potential customers; e. Athletics Activities (11) Arising out of the violation of a To a person injured while taking part in person's right of privacy created by athletics. any state or federal act. f. Products-Completed Operations However, this exclusion does not Hazard apply to liability for damages that the insured would have in the absence of Included with the "products-completed such state or federal act; operations hazard". (12) Arising out of: g. Business Liability Exclusions (a) An "advertisement" for others on Excluded under Business Liability your web site; Coverage. (b) Placing a link to a web site of h. War others on your web site; or Due to war, whether or not declared, or (c) Content from a web site of others any act or condition incidental to war. War displayed within a frame or border includes civil war, insurrection, rebellion or on your web site. Content revolution. includes information, code, C. WHO IS AN INSURED sounds, text, graphics or images; 1. If you are designated in the Declarations as: (13) Arising out of a violation of any anti a. An individual, you and your spouse are trust law; or insureds, but only with respect to the (14) Arising out of the fluctuation in price or conduct of a business of which you are the value of any stocks, bonds or other sole owner. securities. b. A partnership or joint venture, you are an Exclusions c. through i., k., I., m. and n. do insured. Your members, your partners not apply to damage by fire, lightning or and their spouses are also insureds, but explosion to premises rented to you. A only with respect to the conduct of your separate Limit of Insurance applies to this business. coverage as described in Section D. c. A limited liability company, you are an LIABILITY AND MEDICAL EXPENSES insured. Your members are also insureds, LIMITS OF INSURANCE. but only with respect to the conduct of your 2. Applicable to Medical Expenses Coverage business. Your managers are insureds, We will not pay expenses for"bodily injury": but only with respect to their duties as your a. Any Insured manager. To any insured, except "volunteer d. An organization other than a partnership or workers". joint venture or limited liability company, you are an insured. Your "executive b. Hired Person officers" and directors are insureds, but To a person hired to do work for or on only with respect to their duties as your behalf of any insured or a tenant of any officers or directors. Your stockholders insured. are also insureds, but only with respect to c. Injury On NormallyOccupied Premises their liability as stockholders. p To a person injured on that part of e. A trust, you are an insured. Your trustees premises you own or rent that the person are also insureds, but only with respect to their duties as trustees. normally occupies. 2. Each of the following is also an insured: Form SS 00 08 04 01 Page 9 of 20 BUSINESS LIABILITY COVERAGE FORM a. Your "employees", other than either your (2) Until your legal representative has "executive officers" (if you are an been appointed. organization other than a partnership, joint d. Your legal representative if you die, but venture or limited liability company) or your only with respect to duties as such. That managers (if you are a limited liability representative will have all your rights and company), but only for acts within the duties under this insurance. scope of their employment by you or while e. Any "employee" of the insured while acting performing duties related to the conduct of your business. However, none of these in the scope of his/her duties as a retail "employees" is an insured for: pharmacist, or optician or optometrist. (1) "Bodily injury" or "personal and f. Additional Insureds by Contract, advertising injury": Agreement or Permit (a) To you, to your partners or Any person or organization with whom you members (if you are a partnership agreed, because of a written contract or or joint venture), to your members agreement or permit, to provide insurance r you are a limited liabilityer such as is afforded under this Business (iLiability Coverage Form, but only with company), or to a co-employee" respect to your operations, "your work" or while that co-"employee" is either facilities owned or used by you. in the course of his or her employment or performing duties However, coverage under this provision related to the conduct of your does not apply: business; (1) Unless the written contract or (b) To the spouse, child, parent, agreement has been executed or a brother or sister of that co- permit has been issued prior to the "employee" as a consequence of "bodily injury", "property damage" or Paragraph (1)(a) above; "personal and advertising injury". (2) To any person or organization (c) For which there is any obligation included as an insured under provision to share damages with or repay g. (Broad Form Vendors). someone else who must pay damages because of the injury (3) To any other person or organization described in Paragraphs (1)(a) or shown in the Declarations as an (b) above; or Additional Insured. (d) Arising out of his or her providing Coverage under this provision includes or failing to provide professional the following: health care services. (1) When an engineer, architect or (2) "Property damage" to property: surveyor becomes an insured under provision 2.f., the following additional (a) Owned, occupied or used by; or exclusion applies: (b) Rented to, in the care, custody or "Bodily injury", "property damage" or control of, or over which physical "personal and advertising injury" control is being exercised for any arising out of the rendering of or the purpose by you, any of your failure to render any professional "employees", any partner or services by or for you including: member (if you are a partnership (a) The preparing, approving, or or joint venture), or any member (if failure to prepare or approve you are a limited liability maps, shop drawings, opinions, company). reports, surveys, field orders, b. Any person (other than your "employee"), change orders, designs or or any organization while acting as your drawings and specifications; and real estate manager. (b) Supervisory, inspection, c. Any person or organization having proper architectural or engineering temporary custody of your property if you activities. die, but only: (2) When a lessor of leased equipment (1) With respect to liability arising out of becomes an insured under provision the maintenance or use of that 2.f., the following additional exclusions property; and apply: Page 10 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM (a) To any "occurrence" which takes (b) Any express warranty place after the equipment lease unauthorized by you; expires; or (c) Any physical or chemical change (b) To "bodily injury" or "property in product made intentionally by damage" arising out of the sole the vendor; negligence of the lessor. (d) Repackaging, unless unpacked (3) When owners or other interests solely for the purpose of from whom land has been leased inspection, demonstration, testing, become an insured under provision or substitution of parts under 2.f., the following additional exclusions instructions from the apply: manufacturer, and then repackaged in the original (a) Any "occurrence" which takes container; place after you cease to lease that land; or (e) Any failure to make such new inspections, adjustments, tests or (b) Structural alterations, servicing as the vendor has construction or demolition agreed to make or normally operations performed by or on undertakes to make in the usual behalf of the owners or other course of business, in connection interests from whom land has been with the distribution or sale of the leased. products; (4) When managers or lessors of (f) Demonstration, installation, servicing premises become an insured under or repair operations except such provision 2.f., the following exclusions operations performed at the apply: vendor's premises in connection (a) Any "occurrence" which takes with the sale of the product; place after you cease to be a (g) Products which, after distribution tenant in that premises: or or sale by you, have been labeled (b) Structural alterations, new or relabeled or used as a construction or demolition container, part or ingredient of any operations performed by or on other thing or substance by or for behalf of the manager or lessors the vendor. of the premises. (2) This insurance does not apply to any g. Additional Insured - Broad Form insured person or organization, from Vendors whom you have acquired such products, or any ingredient, part or Any person or organization with whom you container, entering into, accompanying agreed, because of a written contract or or containing such products. agreement to provide insurance, but only with respect to "bodily injury" or "property (3) This provision g. does not apply to any damage" arising out of "your products" vendor included as an insured by an which are distributed or sold in the regular endorsement issued by us and made course of the vendor's business, subject to a part of this Coverage Part. the following additional exclusions: (4) This provision g. does not apply if (1) The insurance afforded the vendor "bodily injury" or "property damage" does not apply to: included within the "products- completed operation hazard" is (a) "Bodily injury" or "property excluded either by the provisions of damage" for which the vendor is the Coverage Part or by endorsement. obligated to pay damages by reason of the assumption of h. Broad Form Named Insured liability in a contract or agreement. Any subsidiary and subsidiary thereof, of This exclusion does not apply to yours which is a legally incorporated entity liability for damages that the of which you own a financial interest of vendor would have in the absence more than 50% of the voting stock on the of the contract or agreement; effective date of this coverage form. Form SS 00 08 04 01 Page 11 of 20 i BUSINESS LIABILITY COVERAGE FORM The insurance afforded herein for any (ii) To the spouse, child, parent, subsidiary not shown in the Declarations brother or sister of your as a named insured does not apply to "volunteer workers" or your injury or damage with respect to which an "employees" as a insured under this insurance is also an consequence of paragraph (1) insured under another policy or would be (a) above; or an insured under such policy but for its (c) "Property damage" to property: termination or upon the exhaustion of its limits of insurance. (i) Owned, occupied or used by, i. Newly Formed or Acquired (ii) Rented to, in the care, custody Organizations or control of, or over which physical control is being Any organization you newly acquire or form, other than a partnership or joint exercised for any purpose by venture, and over which you maintain you, any of your other "volunteer ownership or majority interest, will qualify workers", your "employees", any as a Named Insured if there is no other partner or member (if you are a similar insurance available to that partnership or joint venture) or any organization. However: member (if you are a limited (1) Coverage under this provision is liability company). afforded only until the 180th day after 3. Additional Insured - Mobile Equipment you acquire or form the organization or With respect to "mobile equipment" registered the end of the policy period, whichever in your name under any motor vehicle is earlier; and registration law, any person is an insured while (2) Coverage under this provision does driving such equipment along a public highway not apply to: with your permission. Any other person or (a) "Bodily injury" or "property organization responsible for the conduct of such person is also an insured, but only with damage" that occurred; or respect to liability arising out of the operation (b) "Personal and advertising injury" of the equipment, and only if no other arising out of an offense insurance of any kind is available to that committed before you acquired or person or organization for this liability. formed the organization. However, no person or organization is an 1 Additional Insured —Volunteer Workers insured with respect to: a. "Bodily injury" to a co "employee" of the Your "volunteer workers", but only while person driving the equipment; or performing duties related to the conduct of your business. b. "Property damage" to property owned by, (1) However, no "volunteer workers" are rented to, in the charge of or occupied by insureds for: you or the employer of any person who is an insured under this provision. (a) "Bodily injury", "property damage" No person or organization is an insured with or "personal and advertising respect to the conduct of any current or past injury" arising out of rendering or partnership, joint venture or limited liability the failure to render professional company that is not shown as a Named Insured in services. the Declarations. (b) "Bodily injury" or "personal and D. LIABILITY AND MEDICAL EXPENSES advertising injury": LIMITS OF INSURANCE (i) To you, to your partners or members (if you are a 1. The Limits of Insurance shown in the partnership or joint venture), Declarations and the rules below fix the most to your members (if you are a we will pay regardless of the number of: limited liability company), your a. Insureds; other"volunteer workers" or to b. Claims made or"suits" brought; or your "employees" arising out of and in the course of their c. Persons or organizations making claims or duties for you; bringing "suits". Page 12 of 20 Form SS 00 08 04 01 • BUSINESS LIABILITY COVERAGE FORM 2. Aggregate Limits If more than one limit of insurance under this policy The most we will pay for: and any endorsements attached thereto applies to any claim or "suit", the most we will pay under this a. Injury or damages under the "products- policy and the endorsements is the single highest completed operations hazard" arising from limit of liability of all coverages applicable to such all "occurrences" during the policy period claim or "suit". However, this paragraph does not is the Products-Completed Operations apply to the Medical Expenses limit set forth in Aggregate Limit shown in the Declarations. paragraph 3. above. b. All other injury or damages, including The limits of this policy apply separately to each medical expenses, arising from all consecutive annual period and to any remaining "occurrences" during the policy period is period of less than 12 months, starting with the the General Aggregate Limit shown in the beginning of the policy period shown in the Declarations. Declarations, unless the policy period is extended This General Aggregate Limit applies after issuance for an additional period of less than separately to each of your "locations" 12 months. In that case, the additional period will owned by or rented to you. be deemed part of the last preceding period for "Location" means premises involving the purposes of determining the Limits of Insurance. same or connecting lots, or premises E. LIABILITY AND MEDICAL EXPENSES whose connection is interrupted only by a GENERAL CONDITIONS street, roadway or right-of-way of a railroad. 1. Bankruptcy This aggregate limit does not apply to Bankruptcy or insolvency of the insured or of "property damage" to premises rented to the insured's estate will not relieve us of our you arising out of fire, lightning or obligations under the policy. explosion. 2. Duties in The Event of Occurrence, 3. Subject to item 2. above, the most we will pay Offense, Claim or Suit for the sum of all damages because of all a. You must see to it that we are notified "bodily injury", "property damage" and medical promptly of an "occurrence" or an offense expenses arising out of any one "occurrence" which may result in a claim. To the extent is the Liability and Medical Expenses Limit possible, notice should include: shown in the Declarations. (1) How, when and where the "occurrence" The most we will pay for all medical expenses or offense took place; and because of"bodily injury" sustained by any one (2) The names and addresses of any person is the Medical Expenses Limit shown in injured persons and witnesses; and the Declarations. (3) The nature and location of any injury 4. Subject to item 2. above, the most we will pay or damage arising out of the for the sum of all damages because of all "occurrence" or offense. "personal and advertising injury" sustained by This condition applies only when the any one person or organization is the Personal "occurrence" or offense is known to: and Advertising Injury Limit shown in the Declarations. (1) You, if you are an individual; (2) A partner, if you are a partnership; or 5. The most we will pay under Business Liability Coverage for damages because of "property (3) A manager if you are a limited liability damage" to premises rented to you, or in the company; case of fire, while rented to you or temporarily (4) An "executive officer" or insurance occupied by you with permission of the owner, manager, if you are a corporation; or is the Damage To Premises Rented To You (5) Any elected or appointed official, if you Limit shown in the Declarations. are a political subdivision or public The Damage to Premises Rented To You Limit entity. applies to all damage proximately caused by b. If a claim is made or "suit" is brought the same event, whether such damage results against any insured, you must: from fire, lightning or explosion or any combination of the three. (1) Immediately record the specifics of the claim or "suit" and the date received; and Form SS 00 08 04 01 Page 13 of 20 BUSINESS LIABILITY COVERAGE FORM (2) Notify us as soon as practicable. A person or organization may sue us to You must see to it that we receive a recover on an agreed settlement or on a final written notice of the claim or"suit" as soon judgment against an insured; but we will not be as practicable. liable for damages that are not payable under the terms of this insurance or that are in But this condition will not be considered excess of the applicable limit of insurance. An breached unless the breach occurs after agreed settlement means a settlement and such claim or "suit" is known to anyone release of liability signed by us, the insured listed in 2 .a. (1) through (5) above. and the claimant or the claimant's legal c. You and any other involved insured must: representative. (1) Immediately send us copies of any 5. Separation of Insureds demands, notices, summonses or Except with respect to the Limits of Insurance, legal papers received in connection and any rights or duties specifically assigned in with the claim or"suit"; this policy to the first Named Insured, this (2) Authorize us to obtain records and insurance applies: other information; a. As if each Named Insured were the only (3) Cooperate with us in the investigation, Named Insured; and settlement of the claim or defense b. Separately to each insured against whom against the"suit"; and a claim is made or"suit" is brought. (4) Assist us, upon our request, in the 6. Unintentional Failure to Disclose Hazards enforcement of any right against any person or organization that may be It is agreed that based on our reliance on your liable to the insured because of injury representations as to existing hazards, if or damage to which this insurance unintentionally you should fail to disclose all may also apply. such hazards at the inception date of your d. No insureds will, except at their own cost, policy, we shall not deny any coverage under voluntarily make a payment, assume any this Coverage Form because of such failure. obligation, or incur any expense, other 7. Other Insurance - Primary Additional than for first aid, without our consent. Insured 3. Financial Responsibility Laws If the written contract or agreement or permit a. When this policy is certified as proof of requires this insurance to be primary for any financial responsibility for the future under person or organization with whom you agree to the provisions of any motor vehicle include in WHO IS AN INSURED, this Other financial responsibility law, the insurance Insurance Provision is applicable. provided by the policy for "bodily injury" If other valid and collectible insurance is liability and "property damage" liability will available for a loss we cover under this comply with the provisions of the law to the Business Liability Coverage Form, our extent of the coverage and limits of obligations are limited as follows: insurance required by that law. a. Primary Insurance b. With respect to "mobile equipment" to This insurance is primary. We will not which this insurance applies, we will seek contributions from other insurance provide any liability, uninsured motorists, available to the person or organization with underinsured motorists, no-fault or other whom you agree to include in WHO IS AN coverage required by any motor vehicle INSURED, except when b. applies. law. We will provide the required limits for those coverages. b. Excess Insurance 4. Legal Action Against Us This insurance is excess over: No person or organization has a right under (1) Any other insurance, whether primary, this coverage form: excess, contingent or on any other a. To join us as a party or otherwise bring us basis: into a "suit" asking for damages from an (a) That is Fire, Extended Coverage, insured; or Builder's Risk, Installation Risk or b. To sue us on this coverage form unless all similar coverage for"your work"; of its terms have been fully complied with. Page 14 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM (b) That is Fire insurance for F. OPTIONAL COVERAGES premises rented to you or If listed or shown as applicable in the Declarations, temporarily occupied by you with one or more of the following Optional Coverages permission of the owner; also apply. These coverages are subject to the (c) That is insurance purchased by terms and conditions applicable to Business you to cover your liability as a Liability Coverage in this policy, except as provided tenant for "property damage" to below: premises rented to you or 1. Additional Insured - Designated Person or temporarily occupied by you with permission of the owner; or Organization (d) If the loss arises out of the WHO IS AN INSURED under Section C. is maintenance or use of aircraft, amended to include as an insured the person "autos" or watercraft to the extent or organization shown in the Declarations, but not subject to Exclusion g. of only with respect to liability arising out of your Section A. —Coverages. operations or premises owned by or rented to you. (2) Any other primary insurance available 2. Additional Insured - Managers or Lessors to you covering liability for damages of Premises arising out of the premises or operations for which you have been a. WHO IS AN INSURED under Section C. is added as an additional insured by amended to include as an insured the attachment of an endorsement. person(s) or organization(s) shown in the When this insurance is excess over other Declarations, but only with respect to insurance, we will pay only our share of liability arising out of the ownership, the amount of the loss, if any, that maintenance or use of that part of the exceeds the sum of: premises leased to you and shown in the Declarations and subject to the following (1) The total amount that all such other additional exclusions: insurance would pay for the loss in the absence of this insurance; and b. Additional Exclusions (2) The total of all deductible and self- This insurance does not apply to: insured amounts under all that other (1) Any "occurrence" which takes place insurance. after you cease to be a tenant in that We will share the remaining loss, if any, premises; or with any other insurance that is not (2) Structural alterations, new described in this excess of the Limits of construction or demolition operations Insurance shown in the Declarations of performed by or for that person or this Coverage Part. organization. c. Method of Sharing 3. Additional Insured - Grantor of Franchise If all the other insurance permits WHO IS AN INSURED under Section C. is contribution by equal shares, we will follow amended to include as an insured the this method also. Under this approach, person(s) or organization(s) shown in the each insurer contributes equal amounts Declarations, but only with respect to their until it has paid its applicable limit of liability as grantor of franchise to you. insurance or none of the loss remains, 4. Additional Insured - Lessor of Leased whichever comes first. Equipment If any of the other insurance does not a. WHO IS AN INSURED under Section C. is permit contribution by equal shares, we amended to include as an insured the will contribute by limits. Under this person(s) or organization(s) shown in the method, each insurer's share is based on Declarations, but only with respect to their the ratio of its applicable limit of insurance liability arising out of the maintenance, to the total applicable limits of insurance of operation or use by you of equipment all insurers. leased to you by such person(s) or This provision provides such insurance as organization(s). is afforded under this coverage form, but b. Additional Exclusions: only with respect to your operations, "your work" or facilities owned or used by you. This insurance does not apply: Form SS 00 08 04 01 Page 15 of 20 BUSINESS LIABILITY COVERAGE FORM (1) To any"occurrence"which takes place (a) "Bodily injury" or "property after the equipment lease expires; or damage" for which the vendor is (2) To "bodily injury" or "property damage" obligated to pay damages by arising out of the sole negligence of reason of the assumption of the lessor. liability in a contract or agreement. 5. Additional Insured - Owners or Other This exclusion does not apply to Interests From Whom Land Has Been liability for damages that the Leased vendor would have in the absence WHO IS AN INSURED under Section C. is of the contract or agreement; amended to include as an insured the person (b) Any express warranty or organization shown in the Declarations, but unauthorized by you; only with respect to liability arising out of the (c) Any physical or chemical change ownership, maintenance or use of that part of in the product made intentionally the land leased to you and shown in the by the vendor; Declarations and subject to the following additional exclusion: (d) Repackaging, unless unpacked solely for the purpose of This insurance does not apply to: inspection, demonstration, testing, a. Any "occurrence" that takes place after or the substitution of parts under you cease to lease that land; or instructions from the b. Structural alterations, new construction or manufacturer, and then demolition operations performed by or for repackaged in the original the person or organization shown in the container; Declarations. (e) Any failure to make such 6. Additional Insured - State or Political inspections, adjustments, tests or Subdivision - Permits servicing as the vendor has agreed a. WHO IS AN INSURED under Section C. is s underrttakei make or normally s to make in the usual amended to include as an insured the course of business, in connection state or political subdivision shown in the with the distribution or sale of the Declarations, but only with respect to products; operations performed by you or on your behalf for which the state or political (f) Demonstration, installation, subdivision has issued a permit. servicing or repair operations, b. Additional Exclusions except such operations performed at the vendor's premises in This insurance does not apply to: connection with the sale of the (1) "Bodily injury", "property damage" or product; "personal and advertising injury" (g) Products which, after distribution arising out of operations performed for or sale by you, have been labeled the state or political subdivision; or or relabeled or used as a (2) "Bodily injury" or "property damage" container, part or ingredient of any included in the "product-completed other thing or substance by or for operations" hazard. the vendor. 7. Additional Insured -Vendors (2) This insurance does not apply to any a. WHO IS AN INSURED under Section C. is insured person or organization, from amended to include as an insured the whom you have acquired such person(s) or organization(s) (referred to products, or any ingredient, part or below as vendor) shown in the container, entering into, accompanying Declarations, but only with respect to or containing such products. "bodily injury" or "property damage" arising (3) This Provision 7. does not apply to any out of"your products"which are distributed vendor included as an insured by an or sold in the regular course of the endorsement issued by us and made vendor's business. a part of this Coverage Form. b. Additional Exclusions (1) The insurance afforded the vendor does not apply to: Page 16 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM (4) This Provision 7.does not apply if"bodily However, "advertisement" does not include: injury" or "property damage" included a. The design, printed material, information within the "products-completed or images contained in, on or upon the operations hazard" is excluded either by packaging or labeling of any goods or the provisions of this Coverage Form or products; or by endorsement. b. An interactive conversation between or 8. Additional Insured —Controlling Interest among persons through a computer WHO IS AN INSURED under Section C. is network. amended to include as an insured the 2. "Advertising idea" means any idea for an person(s) or organization(s) shown in the "advertisement". Declarations but only with respect to their liability arising out of: 3. "Auto" means a land motor vehicle, trailer or semi-trailer designed for travel on public roads, a. Their financial control of you; or including any attached machinery or b. Premises they own, maintain or control equipment. But "auto" does not include while you lease or occupy these premises. "mobile equipment". This insurance does not apply to structural 4. "Bodily injury" means bodily injury, sickness or alterations, new construction and demolition disease sustained by a person, including operations performed by or for that person or mental anguish or death resulting from any of organization. these at any time. 9. Additional Insured — Owners, Lessees or 5. "Coverage territory" means: Contractors — Scheduled Person or Organization. a. The United States of America (including its territories and possessions), Puerto Rico WHO IS AN INSURED under Section C. is and Canada; amended to include as insured the person or b. International waters or airspace, but only if organization shown in the Declarations, but the injury or damage occurs in the course only with respect to liability arising out of your of travel or transportation between any ongoing operations performed for that insured. places included in a. above; 10. Additional Insured — Co-Owner of Insured Premises c. All other parts of the world if the injury or damage arises out of: WHO IS AN INSURED under Section C. is (1) Goods or products made or sold by amended to include as an insured the person(s) or Organization(s) shown in the you in the territory described in a. Declarations, but only with respect to their above; liability as co-owner of the premises shown in (2) The activities of a person whose home the Declarations. is in the territory described in a. above, G. LIABILITY AND MEDICAL EXPENSES but is away for a short time on your business; or DEFINITIONS (3) "Personal and advertising injury" 1. "Advertisement" means the widespread public offenses that take place through the dissemination of information or images that Internet or similar electronic means of has the purpose of inducing the sale of goods, communication products or services through: provided the insured's responsibility to pay a. (1) Radio; damages is determined in the United States of (2) Television; America (including its territories and (3) Billboard; possessions), Puerto Rico or Canada, in a suit on the merits according to the substantive law in (4) Magazine; such territory, or in a settlement we agree to. (5) Newspaper; 6. "Employee" includes a "leased worker". b. The Internet, but only that part of a web "Employee" does not include a "temporary site that is about goods, products or worker". services for the purposes of inducing the 7. "Executive officer" means a person holding sale of goods, products or services; or any of the officer positions created by your c. Any other publication that is given charter, constitution, by-laws or any other widespread public distribution. similar governing document. Form SS 00 08 04 01 Page 17 of 20 BUSINESS LIABILITY COVERAGE FORM 8. "Hostile fire" means one which becomes un- (b) Giving directions or instructions, or controllable or breaks out from where it was failing to give them, if that is the intended to be. primary cause of the injury or 9. "Impaired property" means tangible property, damage; or other than "your product" or "your work", that (2) Under which the insured, if an cannot be used or is less useful because: architect, engineer or surveyor, a. It incorporates "your product" or "your assumes liability for an injury or work" that is known or thought to be damage arising out of the insured's defective, deficient, inadequate or rendering or failure to render dangerous; or professional services, including those listed in (1) above and supervisory, b. You have failed to fulfill the terms of a inspection, architectural or engineering contract or agreement: activities. if such property can be restored to use by: 11. "Leased worker" means a person leased to a. The repair, replacement, adjustment or you by a labor leasing firm under an removal of "your product" or "your work"; agreement between you and the labor leasing or firm, to perform duties related to the conduct of b. Your fulfilling the terms of the contract or your business. "Leased worker" does not agreement. include a "temporary worker". 10. "Insured contract" means: 12. "Loading or unloading" means the handling of property: a. A contract for a lease of premises. However, that portion of the contract for a a. After it is moved from the place where it is lease of premises that indemnifies any accepted for movement into or onto an person or organization for damage by fire aircraft, watercraft or"auto"; to premises while rented to you or b. While it is in or on an aircraft, watercraft or temporarily occupied by you with "auto"; or permission of the owner is not an "insured c. While it is being moved from an aircraft, contract"; watercraft or "auto" to the place where it is b. A sidetrack agreement; finally delivered; c. Any easement or license agreement; but "loading or unloading" does not include the d. Any obligation, as required by ordinance, movement of property by means of a to indemnify a municipality, except in mechanical device, other than a hand truck, connection with work for a municipality; that is not attached to the aircraft, watercraft or "auto". e. An elevator maintenance agreement; or 13. "Mobile equipment" means any of the following f. That part of any other contract or types of land vehicles, including any attached agreement pertaining to your business machinery or equipment: (including an indemnification of a. Bulldozers, farm machinery, forklifts and municipality in connection with work performed for a municipality) under which other vehicles designed for use principally you assume the liability of another party to off public roads; pay for "bodily injury" or"property damage" b. Vehicles maintained for use solely on or to a third person or organization. next to premises you own or rent; Paragraph f. does not include that part of c. Vehicles that travel on crawler treads; any contract or agreement d. Vehicles, whether self-propelled or not, on (1) That indemnifies an architect, which are permanently mounted: engineer or surveyor for injury or (1) Power cranes, shovels, loaders, damage arising out of: diggers or drills; or (a) Preparing, approving or failing to (2) Road construction or resurfacing prepare or approve maps, shop equipment such as graders, scrapers drawings, opinions, reports, or rollers; surveys, field orders, change orders, designs or drawings and specifications; or Page 18 of 20 Form SS 00 08 04 01 BUSINESS LIABILITY COVERAGE FORM e. Vehicles not described in a., b., c., or d. d. Oral, written or electronic publication of above that are not self-propelled and are material that slanders or libels a person or maintained primarily to provide mobility to organization or disparages a person's or permanently attached equipment of the organization's goods, products or services; following types: e. Oral, written or electronic publication of (1) Air compressors, pumps and material that violates a person's right of generators, including spraying, privacy; welding, building cleaning, geophysical f. Copying, in your "advertisement", a exploration, lighting and well servicing person's or organization's "advertising equipment; or idea" or style of"advertisement"; (2) Cherry pickers and similar devices g. Infringement of copyright, slogan, or title of used to raise or lower workers; any literary or artistic work, in your f. Vehicles not described in a., b., c., or d. "advertisement"; or above maintained primarily for purposes h. Discrimination or humiliation that results in other than the transportation of persons or injury to the feelings or reputation of a cargo. natural person, but only if such However, self-propelled vehicles with the discrimination or humiliation is: following types of permanently attached (1) Not done intentionally by or at the equipment are not "mobile equipment" but direction of: will be considered "autos": (a) The insured; or (1) Equipment designed primarily for: (b) Any executive officer, director, (a) Snow removal; stockholder, partner or member of (b) Road maintenance, but not the insured; and construction or resurfacing; or (2) Not directly or indirectly related to the (c) Street cleaning; employment, prospective employment or termination of employment of any Paragraphs(a), (b)and (c)above do not person or persons by any insured. apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. This paragraph h. does not apply in the States of Nebraska and Kansas. (2) Cherry pickers and similar devices 16. "Pollutants" means any solid, liquid, gaseous mounted on automobile or truck or thermal irritant or contaminant, including chassis and used to raise or lower smoke, vapor, soot, fumes, acids, alkalis, workers; and chemicals and waste. Waste includes (3) Air compressors, pumps and materials to be recycled, reconditioned or generators, including spraying, reclaimed. welding, building cleaning, geophysical 17. "Products-completed operations hazard"; exploration, lighting and well servicing equipment. a. Includes all "bodily injury" and "property damage" arising out of "your product" or 14. "Occurrence" means an accident, including continuous or repeated exposure to your work except: substantially the same general harmful (1) Products that are still in your physical conditions. possession; or 15. "Personal and advertising Injury" means injury, (2) Work that has not yet been completed including consequential "bodily injury", arising or abandoned. out of one or more of the following offenses: The "bodily injury" or "property damage" a. False arrest, detention or imprisonment; must occur away from premises you own b. Malicious prosecution; or rent, unless your business includes the selling, handling or distribution of "your c. The wrongful eviction from, wrongful entry product" for consumption on premises you into, or invasion of the right of private own or rent. occupancy of a room, dwelling or premises b. "Your work" will be deemed completed at that the person occupies, committed by or on behalf of its owner, landlord or lessor; the earliest of the following times: (1) When all of the work called for in your contract has been completed. Form SS 00 08 04 01 Page 19 of 20 53 ACCORD® DATE(MMIDD/YYYY) L.----- CERTIFICATE OF LIABILITY INSURANCE 10/1/2020 9/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). NTACT PRODUCER Lockton Companies NAME: 444 W.47th Street,Suite 900 PHONE FAX (A/C.No.Ext): (A/C,No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES,INC. INSURER B:AIG Special Insurance C mpany 26883 1414100 370 INTERLOCKEN BOULEVARD,SUITE 300 INSURER C BROOMFIELD CO 80021-8012 D� �< �I D !�VIt �rte' INSURER D: 'i al. I +V Q n(.t A ' D11 INSURER E: _J\ _/\INSURER F: COVERAGES CERTIFICATE NUMBER: 15885961 REVISION NUMBER: 3�XXXXXX 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 WLIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $AMAGE XXXX0OS; ( RENTED CLAIMS-MADE OCCUR RECEIVEDPREMSES(Ea ccurence) $ XXXXXXX _ ,g MED EXP(Any one person) $ XXXXXXX _ 0 4. l PERSONAL&ADV INJURY $ XXXXXXX GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY X JECT X LOC City of Bremerton PRODUCTS-COMP/OP AGG $OTHER: XXXXXXX AUTOMOBILE �anaQement LIABILITY NOT APPLICABLE Risk $ COMBINED SINGLE LIMIT (Ea accident) XXX30�XX _ ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED AUTOS ONLY _ AUTOS SCHEDULED BODILY INJURY(Per accident) $ XXXXXXX HIRED NON-OWNED ROPERTY AUTOS ONLY AUTOS ONLY (Per accident)DAMAGE $ XXXXXXX $ XXXXXXX UMBRELLA LIAB _ OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXJ0( 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 $ 3S.X��XXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab N N 47-EPP-308810 10/1/2019 10 1/2020 $3,000,000 PER CLAIM/ A NO RETROACTIVE DATE / INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2019 10/1/2021 $3,000,000 PER LOSS/AIV DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. CERTIFICATE HOLDER CANCELLATION 15885961 CITYOF OF BREMERTONSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 345 6TH ST,SUITE 100 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BREMERTON WA 98337 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV§ ,11.1-,17 Al 414 ©1988'11015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 STANTEC CONSULTING SERVICES, INC. 370 INTERLOCKEN BOULEVARD, SUITE 300 BROOMFIELD CO 80021-8012 AIG Specialty Insurance Company 26883 Berkshire Hathaway Specialty Insurance Company 22276 XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX Professional Liab Contractors Pollution Liab $3,000,000 PER CLAIM/AGG INCLUSIVE OF COSTS $3,000,000 PER LOSS/AGG A 47-EPP-308810 10/1/2019 10/1/2020 A NO RETROACTIVE DATE B CPO8085428 10/1/2019 10/1/2021 NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE 10/1/2020 1414100 9/13/2019 N N 15885961 15885961 XXXXXXX CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 STANTEC CONSULTING SERVICES, INC. 370 INTERLOCKEN BOULEVARD, SUITE 300 BROOMFIELD CO 80021-8012 Travelers Property Casualty Co of America 25674 Berkshire Hathaway Specialty Insurance Company 22276 X X X CONTRACTUAL/CROSS X XCU COVERED 2,000,000 1,000,000 25,000 2,000,000 4,000,000 2,000,000 X 1,000,000 XXXXXXX XXXXXXX XXXXXXX XXXXXXX X X X 5,000,000 5,000,000 XXXXXXX N X 1,000,000 1,000,000 1,000,000 B TC2J-CAP-8E086819 (AOS)5/1/2020 5/1/2021 B TJ-BAP-8E086820 5/1/2020 5/1/2021 B TC2J-CAP-8E087017 (NJ)5/1/2020 5/1/2021 A 47-GLO-307584 5/1/2020 5/1/2021 A 47-UMO-307585 5/1/2020 5/1/2021 B UB-3P635310 (AOS)5/1/2020 5/1/2021 B UB-3P533004 (MA, WI)5/1/2020 5/1/2021 B EXCEPT FOR OH ND WA WY 5/1/2021 1415077 Y Y Y Y N Y Y 4/10/2020 15885959 15885959 XXXXXXX CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT. THE ADDITIONAL INSUREDS’ OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY, AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY STANTEC CONSULTING SERVICES, INC. IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, UMBRELLA/EXCESS LIABILITY, AND WORKERS COMPENSATION/EMPLOYER’S LIABILITY, WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. X X See Attachments POLICY NUMBER: 47-GLO-307584 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations ANY SUCH PERSON OR ORGANIZATION BUT ONLY TO THE EXTENT REQUIRED BY A WRITTEN CONTRACT EXECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. ALL LOCATIONS COVERED UNDER THIS POLICY, FOR LIABILITIES ARISING OUT OF OUR NAMED INSURED’S ACTIVITIES ONLY. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 Attachment Code: D522032 Certificate ID: 15885959 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 PAGE 2 of 2 Attachment Code: D522032 Certificate ID: 15885959 POLICY NUMBER: 47-GLO-307584 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 SUCH PERSON OR ORGANIZATION BUT ONLY TO THE EXTENT REQUIRED BY A WRITTEN CONTRACT EXECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT , EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract 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. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Wolters Kluwer Financial Services | Uniform FormsTM Attachment Code: D522054 Certificate ID: 15885959 ENDORSEMENT This endorsement, effective 12:01 AM: 5/1/2020 Forms a part of Policy No.: 47-GLO-307584 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Insurance Company PRIMARY NONCONTRIBUTORY – OTHER INSURANCE PROVISION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY FOLLOW FORM EXCESS LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY The following Condition is added to the policy: Primary Noncontributory – Other Insurance The insurance provided by this policy is primary, and will not seek contribution from any insurance available to an additional insured under this policy, provided that: (a)The additional insured is a named insured under such other insurance; and (a)Prior to an “occurrence” you agreed, in a fully executed written contract or agreement, that this insurance would be primary and would not seek contribution from any insurance available to that additional insured. All other terms and conditions of this policy remain unchanged. Page 1 | CLP-UN-065-10/2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D522092 Certificate ID: 15885959 BERKSHIRE HATHAWAY SPECIALTY INSURANCE ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2020 Forms a part of Policy No.: 47-GLO-307584 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Specialty Insurance Company WAIVER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY SCHEDULE Name Of Person Or Organization: Any person or organization that requires you to waive your rights of recovery, in a written and executed contract or agreement with you that is executed prior to the "occurrence" or "offense". The following Condition is added to the policy: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a written and executed 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. The Transfer of Rights of Recovery condition in the policy is deleted to the extent of the waiver provided in this endorsement for the person or organization shown in the Schedule above. All other terms and conditions of this policy remain unchanged. Page 1 | CL-UN-045-10/2016 Attachment Code: D522055 Certificate ID: 15885959 POLICY NUMBER: TC2J-CAP-8E086819 (AOS); TJ-BAP-8E086820 TC2J-CAP-8E087017 (NJ) COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A. The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II-LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV - BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance , if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 42 04 09 Attachment Code: D522094 Certificate ID: 15885959 POLICY NUMBER: TC2J-CAP-8E086819 (AOS); TJ-BAP-8E086820; TC2J-CAP-8E087017 (NJ) COMMERCIAL AUTO CA 04 44 03 10 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: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. ___________________________________________________________________________ Named Insured: STANTEC CONSULTING SERVICES, INC. Endorsement Effective Date: 5/1/2020 ___________________________________________________________________________ SCHEDULE _____________________________________________________________________________________ Name(s) Of Person(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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 "loss" under a contract with that person or organization. CA 04 44 03 10 Attachment Code: D522017 Certificate ID: 15885959 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) POLICY NUMBER: UB-3P635310 (AOS); UB-3P533004 (MA, WI) 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION: WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code: D524752 Certificate ID: 15885959 Policy Number: 47-UMO-307585 Commercial Umbrella Liability Insurance Policy Transfer of Rights of Recovery If any “insured” has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The “insured” must do nothing after loss to impair these rights and must help us enforce them. Any recoveries will be applied as follows: a.Any person or organization, including the “insured”, that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first; b.We then will be reimbursed up to the amount we have paid; and c.Lastly, any person or organization, including the “insured” that has paid an amount over which this policy is excess is entitled to claim the remainder. Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the “insured”, in the ratio of their respective recoveries as finally settled. If, prior to the time of an “occurrence”, you waive any right of recovery against a specific person or organization for injury or damage as required under an “insured contract”, we will also waive any rights we may have against such person or organization. Attachment Code: D525009 Certificate ID: 15885959 ACOR"° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `. 10/1/2021 9/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 RECEIVED Kansas City MO 64112-1906 (816) 960-9000 SEP 15 2020 Berkshire Hathaway Specialty Insurance Company INSURED STANTEC CONSULTING SERVICES, INC City gtt01'11e7 QjfjCe INSURER B : AIG S ecial Insurance Com an 26883 1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 INSURER C : BROOMFIELD CO 80021-8012 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 15885961 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS -MADE ❑ OCCUR NOT APPLICABLE DAMAGE TO RENTED PREMISES Ea occurrence XXXXXXX MED EXP (Any oneperson) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT- LOC GENERAL AGGREGATE $ XXXXXXX PRODUCTS - COMP/OP AGG $ XXXXXXX $ OTHER: AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE COMBINED SINGLE LIMIT Ea accident $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX AUTOS ONLY SCHEDULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY accidentDAMAGE $ XXXXXXX AUTOS ONLY AUUTOS ONLY $ UMBRELLA LIAB EACH OCCURRENCE $ XXXXXXX EXCESS LIAB HOCCUR CLAIMS -MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A NOT APPLICABLE PER STATUTE I OTH- I ER E.L. EACH ACCIDENT $ XXXXXXX (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- EA EMPLOYEE XXXXXXX E.L. DISEASE - POLICY LIMIT XXXXXXX A A Professional Liab N N 47-EPP-308810 NO RETROACTIVE DATE 10/1/2020 10/1/2021 $35000,000 PERCLAIM/AGG INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2019 10/1/2021 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. CERTIFICATE HOLDER CANCELLA' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15885961 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 , ACORD 25 (2016/03) ©19 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORN° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1641n/ 10/1/2022 1 9/16/2021 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 y ll 444 W. 47th Street, Suite 900 REL;E1VtL Kansas City MO 64112-1906 (816) 960-9000 SEP 21 2021 INSURED STANTEC CONSULTING SERVICES, INC. 1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 City OT t3remertor BROOMFIELD CO 80021-8012 Risk Managemen COVERAGES CERTIFICATE NUMBER: 15885961 IN A : Berkshire Hathaway Specialty Insurance Company INSURER B : AIG INSURER C Insurance 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 LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR NOT APPLICABLE EACH OCCURRENCE XXXXXXX DAMAGE TO RENTED eeeeeeeeeXXXXXXX PREMISES Ea occurrence MED EXP An one person)XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC OTHER: PRODUCTS - COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO AUTOS ONLY SCHEDULED AUTOS ONLY AUUTO ONEDY NOT APPLICABLE Ea MBI NeDtSINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY accidentDAMAGE $ XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER)EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED'? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE PER STATUTE OTH- ER E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE - POLICY LIMIT XXXXXXX A A B Professional Liab Contractors Pollution Liab N N 47—EPP-308810 NO RETROACTIVE DATE CP08085428 10/1/2021 10/1/2021 10/1/2022 10/1/2023 $3,0001000 PER CLAIM/AGG INCLUSIVE OF COSTS $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. 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. 15885961 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 ACORD 25 (2016/03) ©19 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 5/1/2023 DATE 0 (MMIDD YYY) 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 poiicy(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 ` w �' o 444 W. 47th Street, Suite 900 PHONE FAX c c Kansas City MO 64112-1906 E-MAIL (816) 960-9000 MAY 10 2U2L ADDRE88 INSURERS AFFORDING COVERAGE NAI INSURER A : Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES, INC. City OT bremellorINSURER B: Travelers Property Casual Co of America 25674 415077 370 1NTERLOCKEN BOULEVARD, SUITE 3061isk Managemen INSURER C : BROOMFIELD CO 80021-8012 1___ COVERAGES CERTIFICATE NUMBER: 15�3fi5�3Fi�3 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 LTR TYPE OF INSURANCE ADDL INSD SUB WVD POLICY NUMBER POLICY EFF I MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 47-GLO-307584-04 05/01/202 05/01/2023 EACH OCCURRENCE $ 2,0009000 CLAIMS -MADE OCCUR DAMAGEa occurrence) PREMISES( $ 1 000 000 X MED EXP (Any oneperson) $ 25,000 CONTRACTUAL/CROSS Y Y PERSONAL & ADV INJURY $ 2 000 000 X XCU COVERED GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Y FRI LOC POLIC�E� PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY TC2J-CAP-8E086819(AOS) 05/01/202 05/01/202 COIB EaaacccidentSINGLELIMIT) $ 11000,000 B ANY AUTO TJ-BAP-8E086820 05/01/202 05/01/2023 X BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED AUTOS ONLY AUTOS Y Y BODILY INJURY (Per accident) $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PEOPERTY AMAGE er accident $XXXXXXX $XXXXXXX A X UMBRELLA LIAB X OCCUR 47-UMO-307585-04 05/01/202 05/01/2023 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE N Y AGGREGATE $ 5,000,000 DED I RETENTION $ $ B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) NIA Y UB-3P635310 (AOS) UB-3P533004 (MA, WI) EXCEPT FOR OH ND WA 05/01/202 05/01/202 05/01/202 05/01/202 X PER U E JOTH- E E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, desenbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. CITY OF BREMERTON ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY AND AUTO LIABILITY, AND THESE COVERAGES ARE PRIMARY, IF REQUIRED BY WRITTEN CONTRACT. THE ADDITIONAL INSUREDS' OWN COVERAGE IS EXCESS OF AND NON-CONTRIBUTORY WITH THE GENERAL LIABILITY, AND ON THE AUTO LIABILITY AS RESPECTS THE USE OF VEHICLES OWNED BY STANTEC CONSULTING SERVICES, INC. IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, UMBRELLA/EXCESS LIABILITY, AND WORKERS COMPENSATION/EMPLOYER'S LIABILITY, WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION See Httacnments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15885959 AUTHORIZED REPRESENTATIVE CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 ACORD 25 (2016/03) ©1988-2015 CORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Attachment Code : D522032 Certificate ID : 15885959 POLICY NUMBER: 4r-ULO-307584-04 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 SCHEDULE Name Of Additional Insured Persons) NY SUCH PERSON OR ORGANIZATION BUT ONLY TO IE EXTENT REQUIRED BY A WRITTEN CONTRACT PRIOR TO THE "OCCURANCE" FOR OFFENSE. Information required to complete this Schedule, if A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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. Locations) Of Covered Operations TIONS COVERED UNDER THIS POLICY, FOR :S ARISING OUT OF OUR NAMED INSURED'S ONLY. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or ry 2. That portion of "your work" out of which the inju or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 00413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 Attachment Code : D522032 Certificate ID : 15885959 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 PAGE 2 of 2 Attachment Code : D522054 Certificate ID : 15885959 POLICY NUMBER: 47-GLO-307584-04 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 Persons) Or Oraanization(s) ANY SUCH PERSON OR ORGANIZATION BUT ONLYTO THE EXTENT REQUIRED BYA WRITTEN CONTRACT EXECUTED PRIOR TO THE "OCCURANCE" FOR OFFENSE. Information required to complete this Schedule, if not A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract 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 0413 Location And Description Of Completed Operations ANY LOCATION OR PROJECT WHERE YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT , IXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 Page 1 of 1 Wolters Kluwer Financial Services � Uniform FormsTM Attachment Code: D522092 Certificate ID : 15885959 ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2022 Forms a part of Policy NO.: 47-GLO-307584-04 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY FOLLOW FORM EXCESS LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY The following Condition is added to the policy: Primary Noncontributory— Other Insurance The insurance provided by this policy is primary, and will not seek contribution from any insurance available to an additional insured underthia policy, provided that: (a) The additional insured is a named insured under such other insurance; and (a) Prior to an "occurrence" you agreed, in a fully executed written contract or agreement, that this insurance would be primary and would not seek contribution from any insurance available to that additional insured. All otherterms and conditions of this policy remain unchanged. Page 1 � CLP-UN-065-10/2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code : D522055 Certificate ID : 15885959 BERKSHIRE HATHAWAY SPECIALTY INSURANCE ENDORSEMENT This endorsement, effective 12:01 AM: 05/01/2022 Forms a part of Policy No.: 47-GL0-307584-04 Issued to: SEE ATTACHED CERTIFICATE By: Berkshire Hathaway Specialty Insurance Company WAIVER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY POLICY PRODUCTS/COMPLETED OPERATIONS LIABILITY POLICY C�i]:1�711�a Name Of Person Or Organization: Any person ororganization that requires you to waive your rights of recovery, in a written and executed contractoragreementwith you that is executed prior to the "occurrence" or"offense". The following Condition is added to the policy: We waive any right of recoverywe may have against the person ororganization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a written and executed 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. The Transfer of Rights of Recovery condition in the policyis deleted to the extentof the waiverprovided in this endorsement for the person ororganization shown in the Schedule above. All otherterms and conditions of this policyremain unchanged. Page 11 CL-UN-045-10/2016 Attachment Code: D522094 Certificate ID : 15885959 POLICY NUMBER: TC2J-CAP-8E086819 (AOS); TJ-BAP-8E086820 [JCAUPOL3J] COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided by the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. SCHEDULED PERSONS OR ORGANIZATIONS Where required by written contract. PROVISIONS A The following is added to Paragraph c. in A. 1., Who Is An Insured, of SECTION II -LIABILITY COVERAGE: Any person or organization shown above who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an additional insured is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organi whzation qualifies as an "insured" under the organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. B. The following is added to Paragraph 5., Other Insurance, in B. General Conditions of SECTION IV -BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, if the scheduled person or organization shown above has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that scheduled person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. 3 A T4 42 04 09 Attachment Code: D522094 Certificate ID : 15885959 Attachment Code : D522017 Certificate ID : 15885959 POLICY NUMBER: TC2J-CAP-SE086619 (AUS); TJ-BAP-SEOS6820; LjUAUPOL3j] COMMERCIAL AUTO CA 04 44 03 10 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: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: STANTEC CONSULTING SERVICES, INC. Endorsement Effective Date: OS/O1/2022 SCHEDULE Names) OfPerson(s) Or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT 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 persons) or organizations) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or "loss" under a contract with that person or organization. CA 04 44 03 10 Attachment Code : D522017 Certificate ID : 15885959 Attachment Code : D524752 Certificate ID : 15885959 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 00 03 13 (00) POLICY NUMBER: UB-3P635310 (AOS); UB-3P533004 (MA, WI) 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON OR ORGANIZATION WHERE REQUIRED BY WRITTEN CONTRACT Attachment Code : D525009 Certificate ID : 15885959 Policy Number: 47-UMO-307585-04 Commercial Umbrella Liability Insurance Policy Transfer of Rights of Recovery If any "insured" has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The "insured" must do nothing after loss to impair these rights and must help us enforce them. Any recoveries will be applied as follows: a. Any person or organization, including the "insured", that has paid an amount in excess of the applicable Limits of Insurance of this policy will be reimbursed first; b. We then will be reimbursed up to the amount we have paid; and c. Lastly, any person or organization, including the "insured" that has paid an amount over which this policy is excess is entitled to claim the remainder. Expenses incurred in the exercise of rights of recovery will be apportioned among the persons or organizations, including the "insured", in the ratio of their respective recoveries as finally settled. If, prior to the time of an "occurrence", you waive any right of recovery against a specific person or organization for injury or damage as required under an "insured contract", we will also waive any rights we may have against such person or organization. CERTIFICATE OF LIABILITY INSURANCE 10/1/2024 DATE 0 (MM/DD YYY) 23 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). NACT PRODUCER Lockton Companies NAME: 444 W. 47th Street, Suite 900 PHONE FAX A/C No Ext : A/C Not: Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: kcasu@lockton.com INSURERS AFFORDING COVERAGE NAIC # INSURER A : Berkshire Halhawav SDecialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES, INC. lNsuRER B : AIG 414100 410 17TH STREET INSURER C SUITE 1400 INSURERD: DENVER CO 80202-4427 INSURER E COVERAGES CERTIFICATE NUMBER: 1 Insurance REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL INSD SUB WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX DAMAGE TO RENTED E ISES E occu e e $ XXXXXXX MED EXP An one person)$ XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GENERAL AGGREGATE $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ PRO- ❑ LOC JECT OTHER: PRODUCTS-COMP/OP AGG $ XXXXXXX $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NOT APPLICABLE 4 (�' T O 2 1. _, �_ :,' R { t - COMBINED SINGLE LIMIT Ea accident $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXi(X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE C RI ty of Bre k Manag rtoi I ment EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A NOT APPLICABLE PER U E OE H- E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX E.L. DISEASE - POLICY LIMIT $ XXXXXXX A A B Professional Liab Contractors Pollution Liab N N 47-EPP-308810 NO RETROACTIVE DATE CP08085428 10/01/202 10/01/202 10/01/202 10/01/202 $3,000,000 PER CLAIM/AGG INCLUSIVE OF COSTS $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: 185750574/CITY OF BREMERTON EPA BROWNFIELD ASSESSMENT GRANT. 15885961 CITY OF BREMERTON 345 6TH ST, SUITE 100 BREMERTON WA 98337 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD