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1 - Original Submission_ ISGP SWPPP PSA 211123_final
Page 1 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 PROFESSIONAL SERVICES AGREEMENT WWTP ISGP Stormwater Pollution Prevention Plan The City of Bremerton (“City”) and SWPPP Solution Inc. (“Consultant”), referred to collectively as the “Parties,” enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work, dated November 16, 2021, 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 X.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 $ 16,350. 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: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 2 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 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: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 3 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 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-contractors. Before beginning work on the project described in this Agreement, the Consultant shall provide a Certificate of Insurance evidencing: 1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; explosion, collapse and underground (XCU) if applicable; and 3. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim; Any payment of deductible or self-insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an “occurrence” basis except professional liability insurance (if required), which may be provided on a “claims-made” basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all the required insurance policies and endorsements. The City further reserves the right to reject any unacceptable policies and/or endorsements. The Consultant's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. The Consultant's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Consultant to advise the City’s Risk Manager by fax at (360) 473-5161, or by DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 4 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 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 Poulsbo, Washington. Consultant shall make such data, documents, and files available to the City upon its request at all reasonable times for the purpose of editing, modifying and updating as necessary until such time as the City is capable of storing such information in the City's offices. Duplicate copies of this information shall be provided to the City upon its request, and at reasonable cost. All documents, including all reports, drawings, specifications, computer software or other items prepared or furnished by Consultant pursuant to this Agreement, are instruments of service with respect to the project and are the property of the City. Any reuse by the City for other than the specific purpose intended will be at City’s sole risk. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 5 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 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 Poulsbo, Washington. Meetings with the City staff as described in Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. F. Entire Agreement: This Agreement and its Exhibits constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. G. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. H. Modification: This Agreement may only be modified by written instrument signed by both Parties. I. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. Notices to be sent to: Notices to be sent to: CITY: CONSULTANT: Attn: Chance Berthiaume Attn: Dave Burns City of Bremerton 15640 Orweiler Lane NW 100 Oyster Bay Ave. N Poulsbo, WA 98370 Bremerton, WA 98310 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 DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 6 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 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. 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, DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 12/1/2021 Page 8 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 R:\Legal\Legal\Forms\FORMS ON COBWEB\Professional Services Agreement Rev. 09 2021.docx Exhibit A Scope of Work The Department of Ecology (Ecology) is requiring the Wastewater Treatment Plant to develop and implement an Industrial Stormwater General Permit (ISGP) Program and associated ISGP Stormwater Pollution Prevention Plan (SWPPP). This contract is for the development of an ISGP SWPPP (Plan) that meets the requirements of the Department of Ecology guidance manuals and Permit. The Consultant will work closely with City staff via in-person site visits, interviews with staff, and virtual meetings to prepare the updated Plan. The final plan will meet criteria established in the January 2020 Industrial Stormwater General Permit (ISGP), and Ecology’s Stormwater Sampling Manual: A Guide for the Industrial Stormwater General Permit, published December 2015. City staff will provide current plans and documents to the Consultant as requested to facilitate Plan development. The final deliverable is an ISGP SWPPP that meets Ecology’s requirements in digital format including an unsecure PDF and Word.docx. The attached spreadsheet identifies scope of work and assigned tasks. Sections to be provided by the Consultant are marked as Dave being the first person in the cell. ISGP SWPPP development Scope of Work 11/16/2021 Main Tasks to Complete Sub-tasks to Complete Specifics Assigned To Update and revise SWPPP Create Site map GIS based site map to be developed by City staff based on record drawings, site visits, and information collected through interviews with staff City/Dave/Michele/ Chance Facility assessment Need to inventory industrial activities that may be source of pollutants Dave/staff interview Need inventory of materials used on-site Dave/staff interview Need to identify employees/roles for inspections, sampling, etc. Eric/Dave BMP descriptions Need to identify the BMPs that will be used (Operational Source Control, Structural Source Control, Treatment, Erosion & Sediment Control) - see other tabs for additional info Dave/WWTP staff Site visit and interview w/staff Need to schedule walkthrough of site Dave/Eric DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 9 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 SPECP (Spill control plan)* Need to identify BMPs and WWTP will purchase as needed Dave/Eric/staff Need to develop training docs and schedules for employees Dave/Eric Sampling plan with methods and types Need to include sampling plan per DOE permit requirements as identified in ISGP Permit Dave/Eric/Chance Inspections and Recordkeeping Need to include inspection/recordkeeping plan/procedure after development Dave/Eric/Staff Identify IDDEs Need to identify potential locations and eliminate - list BMPs to accomplish Dave/Eric/Staff Develop sampling procedure Confirm sampling locations Start with Chance's map Dave/Eric/Chance Establish benchmarks Vactor/clean all catch basins Eric/Darrell SW crew Hydrojet all pipes to eliminate particulate, dirt, traceable pollutants Eric/Darrell SW crew Repair issues in storm system/hot spots Eric/Darrell SW crew Identify testing requirements Set up to test for pollutants identified in the ISGP. Identify procedures and equipment needed based on DOE sampling manual Dave/Eric/Chance Create sampling documentation including methods to be used Dave/Eric/Chance Identify responsible employees Set up training for frequency/timing/requirements/documentation Dave/Eric Develop inspection procedure Identify responsible employees Create Inspection form - ISGP SWPPP has example to use, assign staff to roles and document Dave/Eric/Chance Develop reporting procedure Define chain of command for reporting incidents as defined in ISGP and WWTP Manager Dave/Eric/Chance Develop employee training Provide sources for necessary training materials, including staff training log Dave/Eric/Chance Maintain on- site documentation One printed copy of SPCC and ISGP SWPPP to be kept on-site for use by staff. Physical copies of inspection and other reports to be kept with ISGP or uploaded to NPDES Pro. Dave/Eric/Chance Reporting and Recordkeeping DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Page 10 of 10 Bremerton/SWPPP Solutions, Inc. Wastewater Treatment Plant ISGP SWPPP Rev. 09/2021 Upload Discharge Monitoring Reports for sampling data Identify responsible employees; create SAW accounts for staff who will be submitting reports to Ecology Eric/Staff Submit annual report DOE has template Eric/Staff Set up location for documents on network Electronic copy on network and NPDES Pro, Printed copy in WWTP Office, clearly labeled for use by staff Eric/Staff Sinclair Inlet is 303d listed waterbody and a Puget Sound Sediment Cleanup Site ISGP SWPPP provided in MS Word format, .docx, and unlocked PDF so it can be edited as needed, and 1 color printed copy with attachments * = Update existing spill containment and control plan to current standards Assigned staff = First person named is lead with following person/people to provide information so task can be completed Exhibit B Schedule Notice to proceed, given when the contract is approved, and purchase order is issued. City staff will prepare the site map per Ecology’s requirements with Consultant’s review input. City staff will provide plan review and comments in a timely manner, within 24 hours during weekdays (Monday through Thursday). Due to holiday breaks, times may vary but every effort will be made to provide a quick review and response. Final ISGP SWPPP (Plan) will be completed no later than March 31st, 2022. Exhibit C Hourly Rates Consultant will charge $150 per hour for services provided. The Consultant agrees to cap costs at $16,350 (includes tax) to complete the Plan. This provides funds for 100 hours of work. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 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 EXP TYPE 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 $(Ea accident) BODILY INJURY (Per person)$ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $AUTOS (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 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 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2014/01) CERTIFICATE OF LIABILITY INSURANCE 11/23/2021 ISU INS SERV - BC ENV BROKERAGE 1037 Suncast Ln Ste 103 El Dorado Hills, CA 95762 DINA ATHEY (916)939-1080 (916)939-1085 SWPPP SOLUTIONS, INC. 2205 HILLTOP DR. #8006 REDDING, CA 96002 ADMIRAL INSURANCE COMPANY 24856 A X X X CONT.POLLUTION X FEI-ECC-25097-03 06/24/21 06/24/22 1,000,000 50,000 5,000 1,000,000 2,000,000 2,000,000 A PROF.LIABILITY FEI-ECC-25097-03 06/24/21 06/24/22 $1,000,000 OCCURRENCE (CLAIMS MADE) RETRO. 2/13/01 $2,000,000 AGGREGATE Re: All Operations The City of Bremerton has been named as an additional insured on the Commercial General Liability. Primary and Non-Contributory coverage applies. Waiver of Subrogation applies. (Blanket Endorsements Attached) City of Bremerton 345 6th Street, Ste 100 Bremerton, WA 98337 DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 SWPPP Solutions, Inc. Endorsement Number: 20 CG 20 10 07 04 © ISO Properties, Inc., 2004 Additional Insured – Owners, Lessees or Contractors – Scheduled Person or Organization This endorsement, effective 6/24/2021 attaches to and forms a part of Policy Number FEI-ECC-25097-03. This endorsement changes the Policy. Please read it carefully. In consideration of an additional premium of $Applied, 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 person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. Those project locations where this endorsement is required by contract. 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. 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. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 SWPPP Solutions, Inc. Endorsement Number: 21 CG 20 37 07 04 © ISO Properties, Inc., 2004 Additional Insured – Owners, Lessees or Contractors – Completed Operations This endorsement, effective 6/24/2021 attaches to and forms a part of Policy Number FEI-ECC-25097-03. This endorsement changes the Policy. Please read it carefully. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. Those project locations where this endorsement is required by contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II – Who Is An Insured is amended to 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". DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 SWPPP Solutions, Inc. Endorsement Number: 17 ECC-548-0317 Automatic Primary and Non-Contributory Insurance Endorsement Designated Work Or Project(s) This endorsement, effective 6/24/2021 attaches to and forms a part of Policy Number FEI-ECC-25097-03. This endorsement changes the Policy. Please read it carefully. This endorsement modifies insurance provided under the Coverage Part(s) indicated below: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTORS POLLUTION LIABILITY COVERAGE SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to provide Primary and/or Non-contributory status of this insurance. However, this status exists only for the project specified in that contract. In consideration of an additional premium of $Applied and notwithstanding anything contained in this policy to the contrary, it is hereby agreed that this policy shall be considered primary to any similar insurance held by third parties in respect to work performed by you under any written contractual agreement with such third party. It is further agreed that any other insurance which the person(s) or organization(s) named in the schedule may have is excess and non- contributory to this insurance. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 SWPPP Solutions, Inc. Endorsement Number: 7 ECC-320-0712 Automatic Waiver of Subrogation Endorsement This endorsement, effective 6/24/2021 attaches to and forms a part of Policy Number FEI-ECC-25097-03. This endorsement changes the Policy. Please read it carefully. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s) or organization(s) to whom the Named Insured agrees, in a written contract, to provide a waiver of subrogation. However, this status exists only for the project specified in that contract. The Company waives any right of recovery it may have against the person or organization shown in the above Schedule because of payments the Company makes for injury or damage arising out of the insured’s work done under a contract with that person or organization. The waiver applies only to the person or organization in the above Schedule. Under no circumstances shall this endorsement act to extend the policy period, change the scope of coverage or increase the Aggregate Limits of Insurance shown in the Declarations. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 SWPPP Solutions, Inc. Endorsement Number: 6 ECC-319-0712 Automatic Additional Insured – Owners, Lessees or Contractors This endorsement, effective 6/24/2021 attaches to and forms a part of Policy Number FEI-ECC-25097-03. This endorsement changes the Policy. Please read it carefully. In consideration of an additional premium of $Applied, this endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person(s) or organization(s) whom the Named Insured agrees, in a written contract, to name as an additional insured. However, this status exists only for the project specified in that contract. The person or organization shown in this Schedule is included as an insured, but only with respect to that person’s or organization’s vicarious liability arising out of your ongoing operations performed for that insured. DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Certificate Copy 3007590 11-23-21 CHISHOLM INSURANCE 19045 HWY 305 #204 POULSBO, WA 98370 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON, WA 98337-1891 CUSTOMER NUMBER: RUN DATE: DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3 Certificate Copy 648946017 11-22-2021 11-23-21 11-22-2022 CHISHOLM INSURANCE SWPPP SOLUTIONS, INC. 15640 ORWEILER LN NW POULSBO WA 98370-7247 CERTIFICATE HOLDER ALL SCHEDULED AUTOS. WAIVER OF SUBROGATION. CITY OF BREMERTON X $ 1,000,000 345 6TH ST STE 100 BREMERTON, WA 98337-1891 CI CW A02 10 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission CI CW A02 10 11 Allstate Insurance Company Page 1 of 1 CERTIFICATE OF INSURANCE This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard- less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder: Named Insured: Automobile Liability Insurer Name: Allstate Insurance Company Policy Number: 1 --- Any Auto 2 --- Owned Autos Only 3 --- Owned Priv. Pass. Autos Only 4 --- Owned Autos Other Than Priv. Pass. Autos Only 5 --- Owned Autos Subject to No Fault 6 --- Owned Autos Subject to a Compulsory UM Law 7 --- Specifically Described Autos 8 --- Hired Autos Only 9 --- Non-owned Autos Only Policy Effective Date: Policy Expiration Date: Combined Single Limit (each accident) Limits Of Insurance: BI Per Person BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions Interested Party Type: THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: Authorized Representative: Date: / Ron Gilbert - Operations Manager DocuSign Envelope ID: 4968A565-1CBF-438C-989B-5B3FDA8523D3