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HomeMy WebLinkAbout6163Page 1 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 PROFESSIONAL SERVICES AGREEMENT Construction Engineering Services Kitsap Lake Park Renovation Project The City of Bremerton (“City”) and Parametrix (“Consultant”), referred to collectively as the “Parties,” enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work, dated August 2020, including any attachments thereto, attached hereto as Exhibit A, which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.H of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be performed upon the express written request of the City. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time such services are performed. II. Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described in Exhibit A is to be completed as provided for in the work schedule attached hereto as Exhibit B; provided however, that additional time shall be granted by the City for excusable delays or extra work as provided for in Section IX.A of this agreement. III. Compensation: In consideration of the services provided pursuant to this Agreement, the City shall pay Consultant in an amount not to exceed $113,889. Consultant’s charges and bills shall conform to the fee schedule attached hereto as Exhibit C and incorporated herein by this reference. The Consultant shall submit regular billing statements detailing work performed and amount charged on each task or portion thereof. The descriptions shall conform to and fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall promptly process payment. PROVIDED, HOWEVER, the City reserves the right to prioritize scoped work and accelerate and/or delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit C. Consultant shall not perform work beyond the Scope of Work, nor shall be compensated for such work, unless the Scope of Work or amount of compensation is modified pursuant to this Agreement. Consultant shall only be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compensation shall be in accordance with Exhibit C. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brought into compliance. Such withholding does not relieve Consultant of its obligations under this Agreement. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 2 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 IV. Relationship of Parties: Consultant represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. Consultant and its personnel are independent Consultants and not employees of the City. Consultant and its personnel have no authority to bind the City or to control the City’s employees and other Consultants. None of the benefits provided by the City to its employees, including, but not limited to, compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub-Consultants of the Consultant. Consultant will be solely and entirely responsible for its acts and for the acts of Consultant's agents, employees, representatives and sub-Consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent Consultants to perform the same or similar work. As an independent Consultant, Consultant is responsible for its own management. The City’s administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Consultant or its personnel. As an independent Consultant, Consultant is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These taxes and fees include but are not limited to State industrial insurance, Business & Occupation, State professional licensing, and City business licensing. If any taxes or fees due the City have been declared delinquent, the City may withhold the delinquent amount, plus any additional charges arising from the delinquency, from any payments due Consultant. V. Indemnification: A. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement except for that portion of the injuries and damages caused by the City’s sole negligence, unless Consultant is conducting work pursuant to Subsection B below. The City's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indemnification. B. Architects, Engineers and Any Other Professional Listed In and Performing Services Defined in RCW 4.24.115. Should a court of competent jurisdiction determine that Consultant’s services provided pursuant to this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 3 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 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 injury and property damage; and 2. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; explosion, collapse and underground (XCU) if applicable; and 3. Excess Liability insurance with limits not less than 1,000,000 limit per occurrence and aggregate. 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. 5. Workers Compensation insurance as statutorily required by the Industrial Insurance Act of the State of Washington, Title 51, Revised Code of Washington and employer's liability with limits not less than $1,000,000. Any payment of deductible or self-insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an “occurrence” basis except professional liability insurance (if required), which may be provided on a “claims-made” basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a 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. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 4 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 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 a ny operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Consultant to advise the City’s Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, Attn: Risk Management, 345 6th Street, Suite 100, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to do so shall be construed to be a breach of this Agreement. The City also reserves its unqualified right to require at any time and for any reason, proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. In the event that the Consultant employs other consultants or contractors (sub-consultants or sub-contractors) as part of the work covered by this Agreement, it shall be the Consultant’s responsibility to require and confirm that each sub-consultant or sub-contractor meets the minimum insurance requirements specified above. The Consultant shall, upon demand of the City, deliver to the City copies of such policy or policies of insurance and the receipts for payment of premiums thereon. VII. General Conditions: A. Reports and Information: When requested by the City, Consultant shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested. Consultant shall maintain accounting records in accordance with Generally Accepted Accounting Principles (“GAAP”) to substantiate all billed amounts. B. Ownership and Use of Records and Documents: Original documents, drawings, designs and reports, including those in electronic format, developed under this Agreement are the property of the City. All written information submitted by the City to the Consultant in connection with the services performed by the Consultant under this Agreement will be safeguarded by the Consultant to at least the same extent as the Consultant safeguards like information relating to its own business. If such information is publicly available or is already in Consultant's possession or known to it, or is rightfully obtained by the Consultant from third parties, Consultant shall bear no responsibility for its disclosure, inadvertent or otherwise. All data, documents and files created by Consultant under this Agreement may be stored at Consultant's office in Bremerton, Washington. Consultant shall make such data, documents, and files available to the City upon its request at all reasonable times for the purpose of editing, modifying and updating as necessary until such time as the City is capable of storing such information in the City's offices. Duplicate copies of this information shall be provided to the City upon its request, and at reasonable cost. All documents, including all reports, drawings, specifications, computer software or other items prepared or furnished by Consultant pursuant to this Agreement, are instruments of service DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 5 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 with respect to the project and are the property of the City. Any reuse by the City for other than the specific purpose intended will be at City’s sole risk. C. Use of Photographs and Images. Consultant shall not use or distribute photographs or images depicting City officials, personnel, property, or equipment whether prepared by Consultant or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. D. Work Performed at Consultant's Risk: Consultant shall take all precautions necessary and shall be responsible for the safety of its employees, agents, and sub -consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. E. Place of Work: The Consultant shall perform the work authorized under this Agreement at its offices in Bremerton, Washington. Meetings with the City staff as described in Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. F. Entire Agreement: This Agreement and its Exhibits constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. G. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. H. Modification: This Agreement may only be modified by written instrument signed by both Parties. I. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. Notices to be sent to: Notices to be sent to: CITY: CONSULTANT: Attn: Jeff Elevado Attn: City of Bremerton Parametrix 345 6th Street, Suite 100 60 Washington Ave. #390 Bremerton, WA 98337 Bremerton, WA 98337 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. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 6 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 K. Non-Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contained herein, or to exercise any option herein conferred in one or more instances shall not be construed to be a waiver or relinquishment of said covenants, agreements or options, and the same shall be and remain in full force and effect. L. Compliance with Laws: Consultant shall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. M. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement shall be brought in Kitsap County Superior Court. N. Attorneys’ Fees: In the event of litigation to enforce any of the terms or provisions herein, each party shall pay all its own costs and attorney’s fees. O. Assignment: Any assignment of this agreement by the Contractor without the written consent of the City shall be void. VIII. Equal Employment Opportunity Statement: In the hiring of employees for the performance of work under this Agreement, the Consultant, its subcontractors, or any person acting on behalf of Consultant shall not discriminate in any employment practice on the basis of age (40+), sex, race, creed, color, national origin, sexual orientation/gender identity, marital status, military status, or the presence of any physical, mental or sensory disability. IX. ADA Statement: The City of Bremerton does not discriminate on the basis of disability in programs and activities, which it operates pursuant to the requirements of the Americans with Disabilities Act of 1990, and ADA Amendments Act. This policy extends to both employment and admission to participation in the programs, services and activities of the City of Bremerton. Reasonable accommodation for employees or applicants for employment will be provided. X. Termination: This Agreement shall remain in force until completion and acceptance of the services, terminated by written instrument upon mutual consent, or by the City of Bremerton for convenience. This Agreement may be immediately terminated for cause by a Party if the other Party substantially fails to perform through no fault of the terminating Party, and the non - performing Party does not commence correction of the failure of performance within thirty (30) days of the terminating Party’s sending notice to the non-performing Party. Any Notice by Consultant shall include a report showing the status of all items listed in the Scope of Work current through the termination date. If the City receives reimbursement by any federal, state, or other source for work described in Section I herein, and that funding is withdrawn, reduced or limited in any way, or the project is cancelled or substantially reduced after the execution date of this Agreement and prior to the completion of the work, the City may summarily terminate this Agreement. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Page 7 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 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 government in controlling, restricting, or requisitioning materials, equipment, tools, or labor by reason of war, national defense, or other national emergency; 2) any acts of the City, its consultants, or other public agencies causing such delay; and 3) causes not reasonably foreseeable by the parties at the time of the execution of the Agreement that are beyond the control and without the fault or negligence of the Consultant, including, but not restricted to, acts of God, fires, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must promptly notify the City within ten (10) calendar days in writing of the cause of the delay. If, on the basis of the facts and the terms of this Agreement, the delay is properly excusable, the City shall, in writing, extend the time for completing the work for a period of time commensurate with the period of excusable delay. B. Rights Upon Termination: In the event of termination, the City shall pay for all services performed by the Consultant to the effective date of termination, as described on a final invoice submitted to the City. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project which may be used by the City without restriction. Any such use not related to the project which Consultant was contracted to perform shall be without liability or legal exposure to the Consultant. XI. Suspension & Debarment. For contracts involving Federal funding, Consultant hereby certifies, by signing this agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. Consultant shall provide immediate written notice to the City if at any time it learns that it is or has become ineligible for certification. Should Consultant enter into a covered transaction with another firm, Consultant agrees by signing this agreement that it will verify that the firm with whom it intends to do business is not debarred, suspended, ineligible, excluded or disqualified. IN WITNESS WHEREOF, the parties below have executed this Agreement. CITY: CONSULTANT: CITY OF BREMERTON By: By: Print Name: Greg Wheeler Print Name: Its: Mayor Its: Date: Date: DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Parametrix Dwight Miller 10/19/2020 Principal Consultant 10/19/2020 Page 8 of 8 Bremerton/Parametrix Construction Engineering Services for the Kitsap Lake Park Renovation Project Rev. 06/2020 APPROVED AS TO FORM: ATTEST: By: By: Bremerton City Attorney City Clerk R:\Legal\Legal\Forms\FORMS ON COBWEB\Professional Services Agreement Rev. 03 2018.docx DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 1 August 2020 EXHIBIT A SCOPE OF WORK City of Bremerton Kitsap Lake Park Renovation INTRODUCTION This exhibit presents Parametrix’s proposed scope of work (SOW) for preparation of construction plans, specifications, and engineer’s opinion of probable cost (PS&E) for the Kitsap Lake Park Renovation project. Construction drawings for the project will be prepared using conceptual designs provided by City staff. A proposed schedule for the work is provided in Exhibit B and our proposed budget is attached as Exhibit C. The following tasks are associated with this SOW. Task 1 – Project Management and Meetings Objective Obtain project data; monitor and manage scope, schedule, and budget; and periodically meet with the City and other members of the design team to review project status. Activities The following activities will be performed as part of this task: • Manage and direct the project technical team. • Provide routine project management and communications (scope, schedule, budget, invoicing). • Prepare monthly progress reports and progress billings and submit to the City for approval and payment. Deliverables The following deliverables will be prepared: • Routine correspondence and monthly progress reports • Meeting agendas and notes Assumptions The following assumptions apply to this task: • Design deliverable review meetings will be attended by the Parametrix project manager. • Project duration will be 6 months (October 2020 through March 2020). DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 2 August 2020 Task 02 – Permitting Objective Assist the City in obtaining the following permits or approvals for the project: USACE Nationwide Permit 3, Shoreline Substantial Development permit, Washington State Environmental Policy Act (SEPA) determination, and Hydraulic Project Approval (HPA). Activities The following activities will be performed: • Coordinate and attend a pre-application meeting with City DCD staff. • Attend a site walk with WDFW and Tribal representatives. • Conduct desk research and stake wetland and ordinary high water (OHW) boundaries in the field for pick up by the survey crew. • Prepare and submit applications for permits and approvals. Deliverables The following deliverables are associated with this task: • SEPA Checklist • Shoreline Substantial Development application with critical area memorandum • Joint Aquatic Resource Permit Application (JARPA) for USACE Nationwide 3 Permit (maintenance) • Biological evaluation for informal consultation (to USACE for ESA compliance) • Hydraulic Project Approval (HPA) application to WDFW Assumptions The following assumptions apply to this task: • Drawings, such as a site plan to support the permit applications, will be prepared under the preliminary design task. • The shoreline permit will not require a critical areas report, cultural resources report, or habitat mitigation plan. Task 3 – Preliminary Design (30%) Objective Prepare 30% plans and engineer’s opinion of probable cost. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 3 August 2020 Activities The following activities would be performed as part of this task: • Perform a site walk with City staff. The Parametrix structural engineer will attend the site walk to observe the existing creosote piles for structural integrity. It is likely that the piles have not been damaged by wood boring organisms since this only occurs in marine and brackish water. If the piles are not damaged, the City may elect not to replace them. • Procure a geotechnical subconsultant to perform cone penetrometer tests at the picnic shelter location and at the floats using handheld equipment. The test results will be used to provide recommendations for pile replacement (if needed) and picnic shelter foundations. • Prepare streamlined drainage technical memorandum for permitting and for sizing the stormwater treatment vault. • Prepare 30% complete design plans based on City-provided schematics. • Develop 30% engineer’s opinion of probable cost using City’s preliminary estimates to vet cost assumptions and evaluate budget. Deliverables The following deliverables will be prepared: • Plan sheets as follows  Cover Sheet 1 sheet  Parking Lot Site Plan 1 sheet at 1-inch = 20- feet scale  Parking Lot Grading and Drainage Plan 1 sheet at 1-inch = 20- feet scale  Path Grading Plan 1 sheet  Boat Ramp and Float Plan and Profiles 1 sheet 5 Sheets Total • 30% engineer’s opinion of probable cost • Drainage technical memorandum • Draft and final geotechnical report Assumptions The following assumptions apply to this task: • The boat ramp, associated float, and fishing float will be replaced in-kind within the original footprint for each feature. New floats will be provided with a minimum of 50 percent grated surface to meet Washington state code for recreational docks. • The fishing pier will be provided with a pre-fabricated aluminum gangway. • The gangway, and floats will be designed to meet American with Disabilities Act (ADA) requirements. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 4 August 2020 • New impervious surface will be less than 10,000 square feet and no flow control will be triggered at the site. • Structural design for modular block retaining wall, picnic shelter, floats, and pedestrian gangway for the fishing pier will be provided by each respective vendor, including plans stamped by a Washington State licensed professional engineer. • Landscape and irrigation design will be by the City. • Special provisions and all drawings will follow WSDOT format. • Two hard copies and one PDF set of all plans (11-inch x 17-inch), special provisions, and cost estimates at each design stage will be provided. • AutoCAD and PDF files of all drawings and documents will be provided on CD. Task 4 – 60%,90%, 100%, and Final Plans, Specifications, and Estimates (PS&E) Objective Prepare 60%, 90%, 100%, and Final PS&E for the project. Activities The following activities would be performed as part of this task: • Develop final engineering plans from the 30% plans. • Prepare an engineer’s opinion of probable cost at each deliverable stage. • Prepare special provisions at each deliverable stage. • Prepare contract documents for the 60%, 90%, 100%, and final deliverables packages. Deliverables The following deliverables will be prepared: • Plan sheets as follows:  Cover Sheet 1 sheet  Notes, Legend, and Abbreviations 1 sheet  Survey Ctl., Demo. and TESC Plan 1 sheet at 1-inch = 30- feet scale  Demolition and TESC Details 1 sheet  Parking Lot Site Plan 1 sheet at 1-inch = 20- feet scale  Parking Lot Grading and Drainage Plan 1 sheet at 1-inch = 20-feet scale  Path Grading Plan 1 sheet  Path Grading Points 1 sheet  Path Profiles 1 sheet  Picnic Shelter Grading Plan and Details 1 sheet DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 5 August 2020  Site, Utility, and Drainage Details 3 sheets  Modular Bock Wall Plan and Profile 1 sheet  Boat Ramp and Float Plan and Profiles 1 sheet  Boat Ramp and Float Sections and Details 1 sheet  Structural Details 1 sheet  Total Sheets 17 • 60%, 90%, and final engineer’s opinion of probable cost. • 60%, 90%, and final contract documents. • Two hard copies and one PDF set of all plans (11-inch x 17-inch), special provisions, and cost estimates at each design stage. • AutoCAD and PDF files of all drawings and documents provided on CD. Assumptions The following assumptions apply to this task (in addition to the assumptions under Task 2): • Electrical design will consist of providing a run of empty conduit to the covered picnic shelter. • Structural design will consist of details for connecting the gangway to the existing concrete abutment at the fishing pier and for replacing the concrete abutment at the boat launch. • City will perform bid advertisement, provide all additional document reproduction, and pay fees for advertisements and reproduction. • Special provisions and drawings will follow WSDOT format. Task 05 – Survey Objective Parametrix will provide a boundary survey for the northern property boundary and topographic mapping to support design. Activities Parametrix will retrace the northeast boundary line of the property known as Kitsap County Tax Parcel No. 172401-4-011-2007 located at 1974 Price Rd., Bremerton, WA. Parametrix will perform the boundary survey of the subject property based on deeds supplied by owner. Parametrix will perform additional Kitsap County records research for evidence of previous surveys, perform control measurements, and locate evidence of occupation near the boundary of the property. Parametrix will also perform a topographic survey of the property described above with survey coverage sufficient to perform related design activities. The topographic mapping shall include the area shown in attached Figure 1. Storm and sanitary structures to be located shall include one structure each upstream and downstream of the property. Contours will be at 1-foot intervals, or as required. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 6 August 2020 The field survey will locate visible evidence of the following improvements: • Buildings • Curbs • Sidewalks/Paths • Driveways/curb cuts • Pavement delineation between concrete and asphalt • Retaining walls, bulkheads, and fences – materials and heights • Storm drainage and storm drain structures • Sanitary sewer manholes and/or septic tank/drain field areas as identified to our field survey crew by the client • Water valve boxes • Electrical power vaults and associated surface features • Telephone pedestals • Natural gas • Cable or fiber optic pedestals • Street lighting • Fire hydrants • Signage • Ponds • Overhead wires, guy wires • Meters or utility connects to existing buildings. • Note: Our survey crews are not allowed to enter sub-surface vaults. Our work will be conducted from the surface, using measure-down techniques. Crews will also not open any structure covers in excess of 80 pounds. • Underground utility location paint marks set by others if visible at time of the field survey. • Significant trees with drip lines (6 inches or larger as measured 4 1/2 feet above the ground) Deliverables The following deliverables are associated with this task: • An electronic drawing file of the topographic survey in AutoCAD Civil 3D 2018 format in one drawing file Assumptions The following assumptions apply to this task: • Parametrix will be provided reasonable access to all areas requiring surveys. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 7 August 2020 • For safety reasons Parametrix personnel are not permitted to enter enclosed utility structures. These structures will be detailed and inventoried only to the extent feasible from the surface. • All electronic mapping standards will be based on Parametrix drafting standards unless specified otherwise. • Parametrix field crews may need to perform minor brush removal with machetes to conduct this survey, and we have Client’s permission to do so. • The cost of an independent utility locating service to identify the location of existing underground utilities is included in the budget. • The cost of an arborist is not included in this proposal. If it is determined, in the interest of the client, to retain an arborist, and if there are tags, flagging, etc. on site during the field survey, this information will be incorporated into the topographic mapping. • Unless otherwise specified by the client, horizontal datum shall be NAD 83/11 Washington Coordinate System, North Zone, and vertical datum shall be NAVD88. • Research of the Kitsap County On-Line records indicate that the subject property is described as Kitsap County Tax Parcel number 172401-4-011-2007. If your records indicate otherwise, please notify us immediately. • The setting of any survey monuments at any of the exterior boundary points of the subject properties has not been included in this proposal. The boundary of the property will be merged into the topographic mapping, as appropriate, and shown for graphical purposes only. This service can be provided if required at a later date however, any setting of property corners, and filing of a Record of Survey (if required) will be considered additional services and billed separately. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SCOPE OF WORK (continued) City of Bremerton 233-1896-8BB Kitsap Lake Park Renovation 8 August 2020 EXHIBIT B – SCHEDULE Work Element Completed By Notice to Proceed October 1, 2020 Survey (4 weeks) October 29, 2020 30% Plans and Cost Estimate (4 weeks) November 26, 2020 Permit Applications (2 weeks) December 10, 2020 60% PS&E (4 weeks) January 7, 2021 90% PS&E (6 weeks) February 18,2021 Final PS&E (4 weeks) March 18, 2021 Construction June – September, 2021 Project Closeout September 30, 2021 NOTE: The assumed turnaround time for City review of deliverables is 1 week. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 PARAMETRIX EXHIBIT C - BUDGET 9/3/2020 Sci. III Sr. Sci.GIS A. Hoenig S. Krueger J. Ahmann TOTAL TOTAL PHASE TASK 3.00 Burdened Labor Rate $224.46 $105.00 $105.30 $202.83 $113.25 $119.25 $106.68 $80.76 $147.48 $142.17 $151.41 $144.90 $198.42 $115.68 $72.00 $82.23 $120.00 HOURS COST 1 1 Project Management and Meetings Virtual Project Meetings (2)2 2 $449 Project Management (6 mo.)12 14 6 32 $4,995 Subtotal 14 14 6 34 $5,443 1 2 Permitting Preapplication meeting with DCD 1 1 $147 Site Walk with Agencies 2 2 $295 Research and Map Wetlands and OHW 8 4 12 $1,236 Shoreline Permit Application and Critical Areas Memo 8 12 2 22 $2,706 SEPA Checklist 12 6 18 $1,854 JARPA 16 8 24 $2,472 Biological Evaluation for Informal Consultation 2 50 4 2 58 $8,299 HPA Application (WDFW)4 4 $323 QC 4 4 $898 Subtotal 4 48 35 50 4 4 145 $18,230 1 3 Preliminary Design Site Walk 2 2 4 8 $1,470 30% Review Meeting Drainage TM 2 16 4 22 $2,322 SHEETS Cvr w/ Vty Map & Sht Index (1 sheet)1 1 2 $210 Parking Lot Site Plan (1 sheet @ 20 scale)12 16 28 $2,945 Path Grading Plan (1 sheet)12 16 28 $2,945 Picnic Shelter Grading Plan and Details (1 sheet)8 16 24 $2,525 Boat Ramp and Float Plan and Profiles (1 sheet)8 24 32 $3,367 SHEET TOTAL - 5 JARPA Figures (6)4 24 28 $2,947 QC 8 8 $1,796 30% Engineer's Opinion of Probable Cost 2 4 12 18 $2,133 Geotechnical (Shannon & Wilson), incl. 5% markup $7,875 Subtotal 12 53 125 4 4 198 $30,534 1 4 Final Design 60%, 90%, & Bid Set Review Meetings 3 3 6 $988 SHEETS Cvr w/ Vty Map & Sht Index (1 sheet)1 1 2 $210 General Notes, Legend and Abbreviations (1 sheet)1 1 2 $210 Survey Control, Demo., & TESC (1 sheet @ 30' scale)4 16 20 $2,105 Demolition and TESC Details (1 sheet)4 12 16 $1,684 Parking Lot Site Plan (1 sheet @ 20 scale)8 8 16 $1,682 Parking Lot Grading and Drainage Plan (1 sheet @ 20' scale 8 20 28 $2,946 Path Grading Plan (1 sheet)4 12 16 $1,684 Path Grading Points (1 sheet)4 24 28 $2,947 Path Profiles (1 sheet)4 20 24 $2,526 23318968BT Designer J. Cerald Project: City of Bremerton STAFFPMX # Kitsap Lake Park Improvements Sr. Sci. A. Merrill Sci. I A. Weiss BILLING MULT.: Acct. L. Gilbertson PM D. Dinkuhn Client: Str. Eng S. Wagner Survey III K. Allinson Jr. Survey A. Desplanches Survey I J. Austin Sr. PC S. Harris PLS B. Pusey Survey Tech S. Sharpe Eng. II C. Odegard WP A. Lucas Page 1 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 PARAMETRIX EXHIBIT C - BUDGET 9/3/2020 Sci. III Sr. Sci.GIS A. Hoenig S. Krueger J. Ahmann TOTAL TOTAL PHASE TASK 3.00 Burdened Labor Rate $224.46 $105.00 $105.30 $202.83 $113.25 $119.25 $106.68 $80.76 $147.48 $142.17 $151.41 $144.90 $198.42 $115.68 $72.00 $82.23 $120.00 HOURS COST 23318968BT Designer J. Cerald Project: City of Bremerton STAFFPMX # Kitsap Lake Park Improvements Sr. Sci. A. Merrill Sci. I A. Weiss BILLING MULT.: Acct. L. Gilbertson PM D. Dinkuhn Client: Str. Eng S. Wagner Survey III K. Allinson Jr. Survey A. Desplanches Survey I J. Austin Sr. PC S. Harris PLS B. Pusey Survey Tech S. Sharpe Eng. II C. Odegard WP A. Lucas Picnic Shelter Grading Plan and Details (1 sheet)4 20 24 $2,526 Site, Utility, and Drainage Details (3 sheets)8 24 32 $3,367 Modular Block Wall Plan and Profile (1 sheet)4 12 16 $1,684 Boat Ramp and Float Plan and Profiles (1 sheet)4 24 28 $2,947 Boat Ramp and Float Sections and Details (1 sheet)4 24 28 $2,947 Structural Details (1 sheet)24 16 40 $5,772 SHEET TOTAL - 17 60% Specials 2 12 8 22 $2,327 60% Engineer's Opinion of Probable Cost 2 8 10 $1,052 90% Contract Docs 2 8 4 14 $1,479 90% Engineer's Opinion of Probable Cost 2 4 6 $631 Bid Documents and Engr's Opinion of Probable Cost 2 8 4 14 $1,479 QC 12 12 $2,694 $150 Subtotal 15 75 282 16 16 404 $46,039 1 5 Survey Survey Field (3 days field) 1 16 30 2 49 $4,057 Processing and Basemap 2 1 2 30 2 37 $4,453 Boundary Survey 1 1 9 11 $1,392 Equipment fees (3 days) $465 Private Utility Locators (APS) $690 Subtotal 3 1 4 30 16 30 13 97 $11,057 1 MR Management Reserve Management Reserve TBD 1 ESC Salary Escalation Salary Escalation (2.5% effective 10/3/20)$2,586 45 128 407 20 17 7 20 48 35 50 4 4 4 30 16 30 13 878 PROJECT TOTAL $113,889 D. Dinkuhn, P.E.D. Miller, P.E. (Project Manager)(Division Manager) Prepared By: Labor Hours Total Expenses (mileage) Reviewed By: Page 2 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 10/15/2020 Dealey,Renton &Associates P.O.Box 12675 Oakland,CA 94604-2675 License #0020739 510-465-3090 510-452-2193 certificates@dealeyrenton.com National Fire Insurance Co of Hartford 20478 PARAINC-01 Continental Insurance Company 35289Parametrix,Inc. 1019 39th Ave.SE Suite 100 Puyallup,WA 98374 (253)604-6600 American Casualty Company of Reading PA 20427 XL Specialty Insurance Co.37885 Valley Forge Insurance Company 20508 Continental Casualty Company 20443 1186883498 A X 1,000,000 X 1,000,000 X Contractual Liab 10,000 X XCU Included 1,000,000 2,000,000 X X WA Stop Gap/EL Y Y 6050531366 11/1/2020 11/1/2021 2,000,000 WA Stop Gap 1,000,000 E 1,000,000 X X X Y Y 6050531352 11/1/2020 11/1/2021 B X X 15,000,000Y605053143311/1/2020Y 11/1/2021 15,000,000 X 0 C F X N Y 6050531383 6050531402 11/1/2020 11/1/2020 11/1/2021 11/1/2021 WA Stop Gap 1,000,000 1,000,000 1,000,000 D Professional Liability Claims Made Pollution Liability Included Y DPR9967689 11/1/2020 11/1/2021 Per Claim Annual Aggregate Retroactive Date: $1,000,000 $1,000,000 01/01/1969 Umbrella Liability policy is a follow-form to underlying General Liability/Auto Liability/Employers Liability. Project Number/Name:#999-1896-999 /Kitsap Lake Park Renovation Project. City of Bremerton is named as Additional Insured on General Liability and Auto Liability,per policy forms,with respect to the operations of the Named Insured as required by written contract or agreement.General Liability is Primary/Non-Contributory and severability of interests per policy form wording.Insurance coverage includes waiver of subrogation per attached. 30 Days Notice of Cancellation City of Bremerton Attn:Jeff Elevado 345 6th St.,Suite 100 Bremerton WA 98337 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part,including any such person or organization,if any,specifically set forth on the Schedule attachment to this endorsement.However,such person or organization is an Insured only with respect to such person or organization’s liability for: A.unless paragraph B.below applies, 1.bodily injury,property damage,or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured’s ongoing operations as specified in such written contract;or 2.bodily injury or property damage caused in whole or in part by your work and included in the products- completed operations hazard,and only if a.the written contract requires the Named Insured to provide the additional insured such coverage;and b.this coverage part provides such coverage. B.bodily injury,property damage,or personal and advertising injury arising out of your work described in such written contract,but only if: 1.this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard;and 2.the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II.Subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: A.coverage broader than required by the written contract;or B.a higher limit of insurance than required by the written contract. III.The insurance granted by this endorsement to the additional insured does not apply to bodily injury,property damage,or personal and advertising injury arising out of: A.the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1.the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and 2.supervisory,inspection,architectural or engineering activities;or B.any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV.Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance,this insurance is excess of all other insurance available to the additional insured whether on a primary,excess,contingent or any other basis.However,if this insurance is required by written 6050531366CNA75079XX(1-15)Policy No: 5Page1 of 2 Endorsement No: Nat'l Fire Ins Co of Hartford PARAMETRIX, INC.Insured Name: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission.10020006660505313665476DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement contract to be primary and non-contributory,this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V.Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence,Offense,Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1.give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2.except as provided in Paragraph IV.of this endorsement,agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3.send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the investigation,defense,or settlement of the claim;and 4.tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part.However,if the written contract requires this insurance to be primary and non-contributory,this paragraph (4)does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI.Solely with respect to the insurance granted by this endorsement,the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part,provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy;and B.was executed prior to: 1.the bodily injury or property damage;or 2.the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 6050531366CNA75079XX(1-15)Policy No: 5Page2 of 2 Endorsement No: Nat'l Fire Ins Co of Hartford PARAMETRIX, INC.Insured Name: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION WHOM THE NAMED INSURED HAS AGREED IN WRITING IN A CONTRACT OR AGREEMENT TO WAIVE SUCH RIGHTS OF RECOVERY, BUT ONLY IF SUCH CONTRACT OR AGREEMENT: 1. IS IN EFFECT OR BECOMES EFFECTIVE DURING THE TERM OF THIS COVERAGE PART; AND 2. WAS EXECUTED PRIOR TO THE BODILY INJURY, PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY GIVING RISE TO THE CLAIM. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above,the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured’s ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 6050531366CNA75008XX(1-15)Policy No: 7Page1 of 1 Endorsement No: Nat'l Fire Ins Co of Hartford PARAMETRIX, INC.Insured Name: Copyright CNA All Rights Reserved.Includes copyrighted material of Insurance Services Office,Inc.,with its permission.10020006660505313665478DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Business Auto Policy Policy Endorsement CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS I. A. 1. 2. a. b. (1) (2) 3. 4. 1. 2. B. 1. 2. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM LIABILITY COVERAGE Who Is An Insured The following is added to Section II, Paragraph A.1., Who Is An Insured: a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b.The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier. Does not apply to: Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or Any such organization that is an insured under any other liability "policy" providing auto coverage. Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION II – WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business. "Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but: Which are no longer in force; or Whose limits have been exhausted. Bail Bonds and Loss of Earnings Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows: In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day. Policy No: Policy Effective Date: Form No: CNA63359XX (04-2012) Page: 1 of 4 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352 11/01/2020 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Business Auto Policy Policy Endorsement C. II. A. B. a. b. C. a. D. a. b. c. d. e. (1) (2) E. Fellow Employee Section II, Paragraph B.5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. PHYSICAL DAMAGE COVERAGE Glass Breakage – Hitting A Bird Or Animal – Falling Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by you, to provide: $60 per day, in lieu of $20; subject to $1,800 maximum, in lieu of $600. Loss of Use Expenses Section III, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide: $1,000 maximum, in lieu of $600. Hired "Autos" The following is added to Section III. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: Any covered auto you lease, hire, rent or borrow without a driver; and Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business. The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to loss caused by fire or lightning. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos. Such physical damage coverage for hired autos will: Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern. Such coverage as is provided by this provision will be subject to a limit of $750 per accident. Airbag Coverage The following is added to Section III, Paragraph B.3.: The accidental discharge of an airbag shall not be considered mechanical breakdown. Policy No: Policy Effective Date: Form No: CNA63359XX (04-2012) Page: 2 of 4 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352 11/01/2020 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Business Auto Policy Policy Endorsement F. c. d. G. a. b. c. d. (1) (2) III. 1. a. b. (1) (2) 2. IV. A. Electronic Equipment Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: Physical Damage Coverage on a covered auto also applies to loss to any permanently installed electronic equipment including its antennas and other accessories A $100 per occurrence deductible applies to the coverage provided by this provision. Diminution In Value The following is added to Section III, Paragraph B.6.: Subject to the following, the diminution in value exclusion does not apply to: Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and Any covered auto of the private passenger type hired or rented by your employee without a driver for a period of 30 days or less, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business. Such coverage as is provided by this provision is limited to a diminution in value loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. The most we will pay for loss to a covered auto in any one accident is the lesser of: $5,000; or 20% of the auto's actual cash value (ACV). Drive Other Car Coverage – Executive Officers The following is added to Sections II and III: Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers", except: An auto owned by that "executive officer" or a member of that person's household; or An auto used by that "executive officer" while working in a business of selling, servicing, repairing or parking autos. Such Liability and/or Physical Damage Coverage as is afforded by this provision. Equal to the greatest of those coverages afforded any covered auto; and Excess over any other collectible insurance. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are insureds while using a covered auto described in this provision. BUSINESS AUTO CONDITIONS Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: Policy No: Policy Effective Date: Form No: CNA63359XX (04-2012) Page: 3 of 4 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352 11/01/2020 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Business Auto Policy Policy Endorsement (4) (6) B. C. D. E. a. V. Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise out of your activities under a contract with that person or organization. You must agree to that requirement prior to an accident or loss. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional. Other Insurance The following is added to Section IV, Paragraph B.5.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to Accident or Loss. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: 45 days of coverage in lieu of 30 days. DEFINITIONS Section V. paragraph C. is deleted and replaced by the following: Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. Policy No: Policy Effective Date: Form No: CNA63359XX (04-2012) Page: 4 of 4 Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 © Copyright CNA All Rights Reserved. Includes copyrighted material of the Insurance Services Office, Inc., used with its permission. 6050531352 11/01/2020 DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Workers Compensation And Employers Liability Insurance Policy Endorsement 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 shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement. The premium charge for the endorsement is reflected in the Schedule of Operations. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Chicago, IL 60604 Policy No: 6 50531402 Form No: WC 00 03 13 (04-1984) Endorsement No: 3; Page: 1 of 1 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, Copyright 1983 National Council on Compensation Insurance. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2 Workers Compensation And Employers Liability Insurance Policy Endorsement BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers’ Compensation Insurance G. Recovery From Others and Part Two - Employers’ Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Endorsement No: 2; Page: 1 of 1 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, Chicago, IL 60606 Form No: G-19160-B (11-1997) Endorsement Effective Date: Policy No: WC 6 50531383 Policy Endorsement Expiration Date: © Copyright CNA All Rights Reserved. DocuSign Envelope ID: 8A5AC59E-E79C-4471-905F-F36671B7FFF2