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HomeMy WebLinkAbout6749 Docusign Envelope ID:C5D9469B-6950-4CB2-B02D-56E2CFDDA05F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F PUBLIC WORKS AGREEMENT THIS AGREEMENT is entered intwkt lveen the City of Bremerton, a Washington Municipal Corporation (``City''), and Nuitiivvc FiLliratuial riudu,..ts ("Contractor"), whose mailing address is 18717 236`1' Avenue Northeast, Woodinville, WA 98077 The parties agree as follows: 1. CONTRACTOR SERVICES. The Contractor shall perform t e following services for the City: Installation of new ribbed carpet wall covering on three pa tions of the main level ballrooms at the Kitsap Conference Center. See attached proposal. 2. TIME OF COMPLETION. Contractor shall complete the work wit in 90 calendar days from the date of issuance of the City's Notice to Proceed. 3. COMPENSATION. The City shall pay the Contractor the tota amount of $71,350.00, plus any applicable Washington State Sales Tax, for the work . d services contemplated in this agreement. The City shall pay the Contractor ninety percent 0%) of the Contract amount upon completion and acceptance of the work by the City, and remainder upon fulfillment of the conditions listed below and throughout this agreement. A. No Performance Bond. Because this contract including app icable sales tax is $150,000 or less, and pursuant to Chapter 39.08 RCW, the Contractor. in lieu of providing the City a performance bond has elected to have the City retain the final ten percent (10%) of the Con tract amount for a period of thirty (30) days after the date of final accepta ce, or until receipt of all necessary releases from the State Department of Revenue and the State Department of Labor& Industries and until settl:ment of any liens filed under Chapter 60.28 RCW, whichever is later. • B. Retainage. The City shall hold back a retainage in the amount of five Ten (10%) percent (WO-of any and all payments made to contractor fo a period of thirty (30) days after the date of final acceptance, or until r•ceipt of all necessary releases from the State Department of Revenue . d the State Department of Labor & Industries and until settlement of an, liens filed under Chapter 60.28 RCW, whichever is later. C. Defective or Unauthorized Work. The City reserves its right to withhold payment from Contractor for any defective or unautho ized work. Defective or unauthorized work includes, without limitation work and materials that do not conform to the requirements of this agreement; and extra work and materials furnished without the City's written approval. If Contractor is unable, for any reason, to satisfactorily complete any portion Public Works Agreement(short form) Rev.04/2023 Docusian Envelope ID:C5D9469B-6950-4CB2-802D-56E2CFDDA05F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F of the work, the City may complete the work by contract or o'i erwise, and Contractor shall be liable to the City for any additional cost, incurred by the City. `Additional costs" shall mean all reasonable cos s, including legal costs and attorney fees, incurred by the City beyond t e maximum Contract price specified above. The City further reserves its right to deduct the cost to complete the Contract work, including an Additional Costs, from any and all amounts due or to become due the Co tractor. D. Final Payment: Waiver of Claims. THE MAKING OF FINAL PAYMENT (EXCLUDING WITHHELD RETAINAG 1 ) SHALL PRECLUDE ALL CLAIMS, EXCEPT THOSE PREVIO SLY AND PROPERLY MADE AND IDENTIFIED BY CONT' • CTOR AS UNSETTLED AT THE TIME REQUEST FOR FINAL P• YMENT IS MADE. 4. INDEPENDENT CONTRACTOR. Contractor is and shall be .t all times acting as an independent contractor and not as an employee of the City. The Co tractor shall secure at its expense, and shall be responsible for all payments of income tax, so4ial security, state disability insurance compensation, unemployment compensation, and all er payroll deductions for the Contractor, officer, agents, employees and sub-contractors. 'I'h• Contractor shall also secure all applicable business licenses, if required, in connection with he contract services, including all required licenses for Contractor's officers, agents, employes and sub- contractors. 5. TERMINATION. The City may terminate this agreement for _ood cause. "Good cause" shall include, without limitation. any one or more of the following eve ts: A. The Contractor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for compl z ion of the Contract work. B. The Contractor's failure to complete the work within the time specified in this agreement. C. The Contractor's failure to make full and prompt payn -nt to sub- contractors or for material or labor. D. The Contractor's persistent disregard of federal, state or loca laws, rules or regulations. E. The Contractor's filing for bankruptcy or becoming adjudged .ankrupt. If the City terminates this agreement for good cause, the Contractor shall no: receive any further monies due under this agreement until the Contract work is completed. Public Works Agreement(short form) Rev.04/2023 Docusian Envelope ID:C5D9469B-6950-4CB2-802D-56E2CFDDA05F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F 6. PREVAILING WAGES. Contractor shall file a "Statement of I tent to Pay Prevailing Wages" with the State of Washington Department of Labor & Indus n ies prior to commencing the Contract work. Contractor shall pay prevailing wages and comply ith Chapter 39.12 of the Revised Code of Washington, as well as any other applicable prevaili g wage rate provisions. Contractor will be required to pay Kitsap County Prevailing Wage Rate s current on the bid opening date. The Kitsap County rates are available at the Department •f Labor and Industries website. 7. CHANGES. The City may issue a written work change directive fo any change in the Contract work during the performance of this agreement. If the Contractor de ermines, for any reason, that a change order is necessary, Contractor must submit a written •hange order request to the City's project manager within two (2) business days of the date th• Contractor knew or should have known of the facts and events giving rise to the requested c tnge. If the City determines that the change increases or decreases the Contractor's costs or time for performance, the City will make an equitable adjustment. The City will attempt, in .00d faith, to reach agreement with the Contractor on all equitable adjustments. However, if th. parties are unable to agree, the City will determine the equitable adjustment as it deems appn priate. The Contractor shall proceed with the change order work upon receiving a written ork change directive or change order from the City. If the Contractor fails to require a change order within the time allowed, the Contractor waives its right to make any claim or submit subse•uent change order requests for that portion of the contract work. If the Contractor disagrees with the equitable adjustment the Contractor must complete the change order work; h kwever, the Contractor may elect to protest the adjustment as provided below: A. Procedure and Protest by the Contractor. If the Contractor disagrees with anything required by a work change directive or change order, including any direction, instruction, interpretation, or determination by he City, the Contractor shall: 1. Immediately give a signed written notice of protest to t e City; 2. Supplement the written protest within fourteen (14) c.lendar days with a written statement that provides the following information: a. The date of the Contract's protest. b. The nature and circumstances that caused the p •test. c. The provisions in this agreement that support th- protest. d. The estimated dollar cost. if any, of the protest d work and how that estimate was determined. e. An analysis of the progress schedule showing ii e schedule change or disruption if the Contractor is asserting a schedule change or disruption. The Contractor shall keep complete records of extra co.ts and time incurred as a result of the protested work. The Ci shall have Public Works Agreement(short form) Rev.04/2023 Dnrucinn Fnvalnna In•rrir)QdR9R_Racn-ArR7_Rn9n_csporgnnAnr,F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F access to any of the Contractor's records needed for e aluating the protest. 3. The City will evaluate all protests, provided the proce lures in this section are followed. if the City determines that a pro est is valid, the City will adjust payment for work or time by .n equitable adjustment. No adjustment will be made for an invalid protest. B. Contractor's Duty to Complete Protested Work. In spite of any protest, the Contractor shall proceed promptly with the work as t e City has ordered. C. Contractor's Acceptance of Changes. The Contractor accepts all requirements of a change order by: (1) endorsing it, (2) writi g a separate acceptance, or (3) not protesting in the way this section .i ovides. A change order that is accepted by Contractor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct, indirect and consequential costs, includ ng costs of delays related to any work, either covered or affected by the c ange. D. Failure to Protest Constitutes Waiver. By not protesting as this section provides, the Contractor also waives any additional enti lenient and accepts from the City any written order (including directions, nstructions, interpretations,and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing is follow the procedures of this section, the Contractor completely waive' any claims for protested work and accepts form the City any written order (including directions, instructions, interpretations, and determination). F. Liens. In the event that there are any liens on file against the City of Bremerton, the City of Bremerton shall be entitled to withl old final or progress payments to the extent deemed necessary by he City of Bremerton to properly protect the outstanding lien claimants until proper releases have been filed with the City Clerk S. CLAIMS. The Contractor shall give written notice to the City of all laims other than change orders within fourteen (14) calendar days of the occurrence of the even is giving rise to the claims. Any claim for damages, additional payment for any reason, or exten.ion of time, whether under this agreement or otherwise, shall be conclusively deemed to have seen waived by the Contractor unless a timely written claim is made in strict accordance with tl e applicable provisions of this agreement; or, if(and only if) no such provision is applicable, unl s that claim is set forth in detail in writing and received by the City within seven (7) calendar s ys from the date Contractor knew, or should have known, of the facts giving rise to the claim. At a minimum, a Contractor's written claim must include the information set forth regar a ing protests in Section 7.A.2.a.-e. Public Works Agreement(short form) Rev.04/2023 Dnrusinn Fnv InnP.ID•C51194R9R-R950-4CR2-Rn2D-5RF2CFDDA05F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION •F CLAIM WITHIN THE TIME ALLOWED SHALL BE AN ABSOLUTE WAIVER OF A Y CLAIMS ARISING IN ANY WAY FROM THE FACTS OR EVENTS SURROUNDING T AT CLAIM OR CAUSED BY THAT DELAY. Contractor must, in any event, file any claim or bring any suit arising from or connected with this agreement within 120 calendar days from the date the contract work is corn plete. 9. WARRANTY. The Contractor shall correct all defects in wor anship and materials within one year from the date of the City's acceptance of the Contract ork. When defects are corrected, the warranty for that portion of the work shall extend for one y.ar from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable ti e, the City may complete the corrections and the Contractor shall pay all costs incurred by the 4 ity in order to accomplish the correction. 10. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officer, officials, employees. agents and volunteers harmless from any and all clai ii s, injuries, damages, losses or suits including all legal costs and attorney fees, arising out of or i connection with the performance of this agreement. except for injuries and damages caused b the City's sole negligence. The City's inspection or acceptance of any of Contractor's work when coi pleted shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this agreement is subj et 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 Co tractor and the City, its officials, employees, agents and volunteers, the Contractor's liability her under shall be only to the extent of the Contractor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD HAT THIS INDEMNIFICATION CONSTITUTES THE CONTRACTOR'S WAIVER OF I MUNITY UNDER INDUSTRIAL INSURANCE. TITLE 51 RCW, SOLELY FOR THE PUI' 'OSE OF THIS INDEMNIFICATION. THE PARTIES ACKNOWLEDGE THAT TH Y HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termina on of this agreement. 11. INSURANCE. The Contractor shall procure and maintain for the du .tion of this agreement insurance of the types and in the amounts described below against claim for injuries Public Works Agreement(short form) Rev. 04/2023 Dnrucinn Fnvalnno in.rrifgdRQR_RQrin-4r.R7-Rf17n-riRF7r.FnnAncF Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F to persons or damage to property which may arise from or in connection with the pe ormance of the work by the Contractor, its agents, representative, employees, sub-consult,nts or sub- contractors. Before beginning work on the project described in this agreement, the Co tractor shall provide a Certificate of Insurance evidencing: A. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and prop:rty damage; and B. Commercial General Liability insurance written on an occ ence basis with limits no less than $1,000,000 combined single limit pe occurrence and $2,000,000 general aggregate for personal injury, bodil injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form prop.' y damage; explosion, collapse and underground (XCU); and C. Excess Liability insurance with limits not less than $1,1,00,000 per occurrence and aggregate; and B. Workers Compensation insurance as statutorily required by t I e Industrial Insurance Act of the State of Washington, Title 51, Revis-d 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 Contractor. The City, its officials, employees, agents and volunteers shall be n ed as an additional insured on the insurance policy, as respects work performed by or on .-half of the Contractor and a copy of the endorsement naming the City as additional insured shal be attached to the Certificate of Insurance. The Contractor's insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except wi respects to the limits of the insurer's liability. The Consultant's insurance shall be primary and non-contributory insuranc: as respects the City and shall contain a waiver of subrogation against the City for claims arisin: out of any operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Consultant to advise the City's Risk Manager by fax at (360) 473 5161, or by certified mail, return receipt requested to City of Bremerton, attn: Risk Manage -nt, 345 6`h Street, Suite 100, Bremerton, WA 98337 within two days of the cancellation, s spension or substantive change of any insurance policy set out herein, and failure to do so shall e construed to be a breach of this Agreement. Public Works Agreement(short form) Rev.04/2023 Dnrucinn FnvAInnA In rsnq4RAR-Figsn-4CR7-Rn2n-sRF2cFlfAn F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F The City reserves the right to receive a certified copy of all the requir,d insurance policies. In the event that the Contractor employs other contractors (sub-contracto .) as part of the work covered by this Agreement, it shall be the Contractor's responsibility to require and confirm that each sub-contractor meets the minimum insurance requirements specified above. The Contractor shall, upon demand of the City, deliver to the City copies of su h policy or policies of insurance and the receipts for payment of premiums thereon. 12. MISCELLANEOUS. A. Equal Employment Opportunity Statement. In the hiring of e ployees for the performance of work under this Agreement, the Contractor, its subcontractors, o any person acting on behalf of Contractor shall not discriminate in any employment practice on the basis of age (40+), sex, race, creed, color, national origin, sexual orientation/gender ide ity, marital status,military status, or the presence of any physical, mental or sensory disability. B. ADA Statement. The City' of Bremerton does not discrim nate on the basis of disability in programs and activities, which it operates pursuant to the req I irements of the Americans with Disabilities Act of 1990, and ADA Amendments Act. This poli extends to both employment and admission to participation in the programs, services and acti ities of the City of Bremerton. Reasonable accommodation for employees or applicants for •mployment will be provided. C. Compliance with Laws. Contractor shall comply with all -deral, state and local laws, rules and regulations throughout every aspect in the perform.' ce of this agreement. D. Work Performed at Contractor's Risk. Contractor sh.11 take all precautions necessary and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of this agreement. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, toils, or other articles used or held for use in connection with the work. E. Nonwaiver of Breach. The failure of the City to insist upon strict performance of any of the terms and rights contained herein, or to exercise any o.tion herein conferred in one or more instances, shall not be constructed to be a waiver or relinq ishment of those terms and rights and they shall remain in full force and effect F. Governing Law. This agreement shall be governed and construed in accordance with the laws of the State of Washington. If any dispute arises between he City and Contractor under any of the provisions of this agreement, resolution of that disp to shall be available only through the jurisdiction, venue and rules of the Kitsap County Su.-rior Court, Kitsap County, Washington. G. Attorney's Fees. To the extent not inconsistent with RCW 3!.04.240, in any claim or lawsuit for damages arising from the parties' performance of this agreement, each party shall be responsible for payment of its own legal costs and attorney's fees incurred in Public Works Agreement(short form) Rev.04/2023 pnr Ginn Fn\/oInno In.rcnadRoR-RQFn-dr R7-Rn7n_c=ornnnncc Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F defending or bringing such claim or lawsuit; however, nothing in this subsection s d all limit the City's right to indemnification under Section 10 of this agreement. H. Written Notice. All communications regarding this agree ent shall be sent to the parties at the addresses listed on the signature page of this agree ent, unless otherwise notified. Any written notice shall become effective upon delivery, but n any event three (3) calendar days after the date of mailing by registered or certified mail, : d shall be deemed sufficiently given if sent to the addressee at the address stated on this agree ent. I. Assignment. Any assignment of this agreement by the Contractor without the written consent of the City shall be void. J. Modification. No waiver, alteration, or modification of any of the provisions of this agreement shall be binding unless in writing and signed by a dul authorized representative of the City and Contractor. K. Severability. If any one or more sections, sub-sections, or entences of this agreement are held to he unconstitutional or invalid, that decision shall not affect the validity of the remaining portion of this agreement and the remainder shall remain in fu 1 force and effect. L. Entire Agreement. The written provisions and terms of thi• agreement, together with any attached Exhibits, supersede all prior verbal statements by any r:i.resentative of the City, and those statements shall not be construed as forming a part of or alt-ring in any manner this agreement. This agreement and any attached Exhibits contain the entir agreement between the parties. Should any language in any Exhibit to this agreement confl ct with any language contained in this agreement,the terms of this agreement shall prevail. M. Mutually Bound. Contractor and Subcontractor are mutual! bound by the terms of this agreement. Terms of this agreement will apply to the work of any s .contractor. The Contractor shall assume toward the subcontractor all obligations and responsibilities the Owner, under this agreement, assumes toward the Contractor, and the Subcon tractor shall assume toward the Contractor all obligations and responsibilities which the Contr:ctor, under this agreement, assumes towards the Owner. N. Suspension& Debarment. For contracts involving Washington St. e and Federal funding, Contractor hereby certifies, by signing this agreement, that neither is nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any State or Federal de•artment or agency. Contractor shall provide immediate written notice to the City if at any time i learns that it is or has become ineligible for certification. Should Contractor enter into a covere. transaction with another firm, Contractor agrees by signing this agreement that it will verify that e firm with whom it intends to do business is not debarred, suspended, ineligible, excluded i r disqualified. Public Works Agreement(short form) Rev.04/2023 Dm,...cc,...G...,vi,,.,o in•rFnonaoa_aoGn_nrlmo_ctn,n_aar nnenaG Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F O. Solicitation of Minority Business. Per RCW 35.22.650, Cont actor agrees that the contractor shall actively solicit the employment of minority group member.. Contractor further agrees that the contractor shall actively solicit bids for the subcontracting of goods or services from qualified minority businesses. Contractor shall furnish evidence of the contractor's compliance with these requirements of minority employment and solicitation. Cont .ctor further agrees to consider the grant of subcontracts to said minority bidders on the basis of.ubstantially equal proposals in the.light most favorable to said minority businesses. The contra tor shall be required to submit evidence of compliance with this section as part of the bid. IN WITNESS WHEREOF, the parties below have executed this agreement. CONT TOR N AP' Inc. THE CITY OF BREME"TON Signed by:4, AQe Print ame: ce Williams Print 1\ameF4tre, heeler Title: resident Title: Mayor DATE August 14. 2024 DATE 8/16/2024 Notices to be sent to: Notices to be sent to: CONTRACTOR: NWAP, Inc. CITY OF BREMERTON: bryce@nw-ap.com Matt Donlevcott accounting@nw-ap.com 345 6t1' Street, Suite 100 Bremerton, WA 98337 (360) 473-2316 APPROVED AS TO FORM: ESigned by: k i4jhuix Kyhe J. Finnell Bremerton City Attorney ATTEST: Signed by: 6110, Ammx —24Eu5EDatnot,4 I r... Angela Hoover, City Clelk R:\Legal\Legal\Forms\FORMS ON COBWFB\Public Works Agreement(short form)Rev.04 2023.doc Public Works Agreement(short form) Rev.04/2023 Docusian Envelone ID:C5D94698-6950-4CB2-B02D-56F2CFDDAn5F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F NWAP,Inc. Estimate 19657962 18717-236th Avenue Northeast Estimate Date 6/25/2024 Woodinville WA 98077-7521 (425)967-4444 www.nw-ap.com Billing Address Job Address City of Bremerton* Kitsap Conference Center 100 Oyster Bay Avenue 100 Washington Avenue Bremerton,WA 98312 USA Bremerton,WA 98337 Description of work Operable Partition Recover(Main Level)-Kitsap Conference Center(06.25.2024) We Propose the following finish recover for the panels on (3)Main Level Ballroom operable partitions. Work includes: -Remove all existing trim. -Remove all existing wall cover. -Apply 1 coat of bonding primer. -Install new'Ribbed Carpet'acoustic wallcovering. -Reinstall existing trim. Drivable Scissor Lift:Provided by customer at no cost,and available for use without restriction. Notes: -Tax is included. -If bonding is required,ADD 4%to the total price(after tax). -Nearby parking options will be made available at no cost,either street or garage. Specific Exclusions: Parking expenses.Dumpster(for disposal of discarded existing material).Split shifts or night shifts,or work on weekends/holidays(8 hour mobilizations, between 6am and 5pm M-F only),re-location and replacement of artwork, furniture,or other removable items.Repairs beyond minor spackling. Terms:Due upon Completion. Sub-Total $71,350.00 Tax $6,564.20 Total Due $77,914.20 Deposit/Downpayment $0.00 Please note that we have changed our business name to'NWAP,Inc.'.All licensing numbers remain the same.Please update us in your system if you haven't already. Thank you for choosing NWAP,Inc. _ This quotation includes labor limited to"our work"only and does not include any structural support work,drilling in o supporting structures,backing or backing installation,opening preparation,ceiling work,drywall.insulation,drywall finishing an• electrical work, unless specifically noted above. All products are limited to manufacturers standard construction and colors unless otherwise noted above.Standard :round freight,one shipment is included unless otherwise noted above. All work to be performed during normal working hours Monday through Friday,unless otherwise noted.We assume normal building access for our work. We are a licensed and insured Contractor.We will provide our standard 2M insurance with your name listed as prim:ry additional insured.Any special insurance requirements other than our standard coverage,are not included in this proposal and may or may not be available for additional costs.Bonding costs are not included in this proposal.If performance and payment bonds ar: required,there will be additional costs. This proposal is valid for 30 days unless otherwise noted above.Also,sales tax is not included unless it is noted abov•. This proposal shall be made part of the contract documents and shall take precedence over all like areas elsewhere i the contract. By accepting this proposal you agree to all terms and clarifications outlined herein. The lead-time stated on this proposal applies after we receive the following: 1)Our proposal returned with a signature from the person or persons authorized to purchase material for your firm,indicating acceptance of this quotation price,terms and conditions and a purchase order or project number to process this as an order. 2)A signature on our submittals approving product,product size(verified in the field)and color. 1 Docusian Envelone ID:C5D9469R-6950-4CR7-R0711-5RF7CFDDAn.S,F Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F 3)Terms of sale are:Unless otherwise noted above are subject to your credit approval and our final acceptance of•.ntract documents. Contractor License#Washington:NWAPII*786NN,Oregon:CCB207853 Dnriisinn FnvAInnP. In csn9469R-R9sn-4CR9-Rn9n-sR,F9r.FnnAncF Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F Nal Executive Correspondence Routing Memo Date: 7/24/2024 Description: Public Works agreement with NWAP for the installation of new ribbed carpet wall covering on three partitions of the main level ballrooms at the Kitsap Conference C:nter. Funding will come from the approved 2024 Facilities CIP Budget. Action Requested: Agreement Signatures. Originator: Matt Donleycott, Internal Services Manager Coordination /Approval / Recommendation: Internal Services Manager: Recommended Initials/date nl Digitally signed by Torn Knuckey Initials date Date:20207'00' Public Works Director: Recommended / Knu�key- Date:201 24.08. Contracts Administrator: LASERFICHE Finance: LASERFICHE City Attorney: LASERFICHE/DO USIGN City Clerk: LASERFICHE/DO USIGN Mayor: Signature LASERFICHE/DOCUSIGN Please return to Public Works, Attn: Matt Donleycott Legal green sheet attached, Public Works& Utilities ; 100 Oyster f3ay Ave.N.,Bremerton,WA 98312*Phone(360)473-5315* Fax(360)473-5018 Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F NWAP,Inc. Estimate 19657962 18717-236th Avenue Northeast Estimate Date 6/25/2024 Woodinville WA 98077-7521 (425)967-4444 www.nw-ap.com Billing Address Job Address City of Bremerton* Kitsap Conference Center 100 Oyster Bay Avenue 100 Washington Avenue Bremerton,WA 98312 USA Bremerton,WA 98337 Description of work Operable Partition Recover(Main Level)-Kitsap Conference Center(06.25.2024) We Propose the following finish recover for the panels on(3) Main Level Ballroom operable partitions. Work includes: -Remove all existing trim. -Remove all existing wall cover. -Apply 1 coat of bonding primer. -Install new'Ribbed Carpet'acoustic wallcovering. -Reinstall existing trim. Drivable Scissor Lift:Provided by customer at no cost,and available for use without restriction. Notes: -Tax is included. -If bonding is required,ADD 4%to the total price(after tax). -Nearby parking options will be made available at no cost,either street or garage. Specific Exclusions:Parking expenses.Dumpster(for disposal of discarded existing material).Split shifts or night shifts,or work on weekends/holidays(8 hour mobilizations, between 6am and 5pm M-F only),re-location and replacement of artwork, furniture,or other removable items.Repairs beyond minor spackling. Terms:Due upon Completion. Sub-Total $71,350.00 Tax $6,564.20 Total Due $77,914.20 Deposit/Downpayment $0.00 Please note that we have changed our business name to'NWAP,Inc.'.All licensing numbers remain the same.Please update us in your system if you haven't already. Thank you for choosing NWAP,Inc. This quotation includes labor limited to"our work"only and does not include any structural support work,drilling into supporting structures,backing or backing installation,opening preparation,ceiling work,drywall,insulation,drywall finishing and electrical work, unless specifically noted above. All products are limited to manufacturers standard construction and colors unless otherwise noted above.Standard ground freight,one shipment is included unless otherwise noted above. All work to be performed during normal working hours Monday through Friday,unless otherwise noted.We assume normal building access for our work. We are a licensed and insured Contractor.We will provide our standard 2M insurance with your name listed as primary additional insured.Any special insurance requirements other than our standard coverage,are not included in this proposal and may or may not be available for additional costs.Bonding costs are not included in this proposal.If performance and payment bonds are required,there will be additional costs. This proposal is valid for 30 days unless otherwise noted above.Also,sales tax is not included unless it is noted above. This proposal shall be made part of the contract documents and shall take precedence over all like areas elsewhere in the contract. By accepting this proposal you agree to all terms and clarifications outlined herein. The lead-time stated on this proposal applies after we receive the following: 1)Our proposal returned with a signature from the person or persons authorized to purchase material for your firm,indicating acceptance of this quotation price,terms and conditions and a purchase order or project number to process this as an order. 2)A signature on our submittals approving product,product size(verified in the field)and color. Docusign Envelope ID: C5D9469B-6950-4CB2-B02D-56E2CFDDA05F 3)Terms of sale are:Unless otherwise noted above are subject to your credit approval and our final acceptance of contract documents. Contractor License#Washington:NWAPII*786NN,Oregon:CCB207853 NWAPINC-01 OHUNT , rJ DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/17/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Acrisure Northwest Partners Insurance Services,LLC PHONE g00 442-1281 FAX 425 291-5100 19401 40th Ave W,Suite 440 (A/C,No,Ext):( ) (A/C,No):( ) Lynnwood,WA 98036 ADDRESS:ohunt@acrisure.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B:The Ohio Casualty Insurance Company 24074 NWAP,Inc. INSURER C: 18717 236th Ave NE INSURER D: Woodinville,WA 98077 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR W POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD VD (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BKS65314021 11/1/2023 11/1/2024 DAMAGE TO RENTED 1,000,000 X X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO BAS54609740 11/1/2023 11/1/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNEDUUT PROPERTY DAMAGE (Per accident B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE US054609740 11/1/2023 11/1/2024 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION PER X OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N BKS65314021 11/1/2023 11/1/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Any and All Projects I City of Bremerton is additional insured per the attached endorsement#CG8810 0413,CG8583 0413 and AC8501 0618. Primary Non-Contributory and Waiver of Subrogation apply per the attached Endorsement#CG8810 0413 and AC8501 0618. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 345 Sixth Street Suite 100 Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88 70 12 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONSTRUCTION PROJECT(S) - GENERAL AGGREGATE LIMIT (PER PROJECT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex- penses caused by accidents under Section I - Coverage C Medical Payments, which can be attributed only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. A separate Construction Project General Aggregate Limit applies to each construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations . 2. The Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Cov- erage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex- penses caused by accidents under Section I - Coverage C Medical Payments, which cannot be attrib- uted only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Construction Project General Aggregate Limit. D. If the applicable construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply. CG 88 70 12 08 Includes copyrighted material of ISO Properties, Inc.,with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY -ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 " KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 8 With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON-OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I -Coverage A-Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY -ELEVATORS 1. Under Paragraph 2. Exclusions of Section I -Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I -Coverage A-Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i) Premises rented to you for a period of 7 or fewer consecutive days; or (ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 8 b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III -Limits Of Insurance. 2. Paragraph 6. under Section III -Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of"property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises ° = that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 1. Under Supplementary Payments -Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: ° d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section II -Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury' arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (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. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. $ The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I -Coverage A-Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing 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; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "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. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS 1 MALPRACTICE WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II -Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employ- , ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co-"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 8 advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II -Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an 'occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II -Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V -Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 8 of 8 COMMERCIAL GENERAL LIABILITY CG 85 83 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED CONTRACTORS - PRODUCTS/COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraph 2. under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or "property damage": 1. Caused by "your work" performed for that additional insured that is the subject of the written contract or written agreement; and 2. Included in the "products-completed operations hazard". However: a) The insurance afforded to such additional insured only applies to the extent permitted by law; and b) If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV -Commercial General Liability Conditions. B. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I -Coverage A-Bodily Injury And Property Damage Liability: This insurance does not apply to: 1. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the ° location where such "bodily injury" or "property damage" occurs. 2. "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b. Supervisory, inspection, architectural or engineering activities. © 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission . Page 1 of 2 C. With respect to the insurance afforded by this endorsement, exclusion I. Damage To Your Work of Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: I. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products- completed operations hazard". D. With respect to the insurance afforded to these additional insureds, the following is added to Section II - Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. E. With respect to the insurance afforded by this endorsement, Section IV - Commercial General Liability Conditions is amended as follows: 1. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claims Or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured. 2. Paragraph 4. of Section IV -Commercial General Liability Conditions is amended as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. © 2013 Liberty Mutual Insurance CG 85 83 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its permission . Page 2 of 2 Coverage Is Provided In: ���&If Liberty Policy Number: Ohio Security Insurance Company BKS (24) 65 31 40 21 r- Mutual Policy Period: INSURANCE From 11/01/2023 To 11/01/2024 12:01 am Standard Time at Insured Mailing Location Common Policy Declarations Named Insured Agent NWAP, INC (425) 291-5200 18717 236TH AVE NE BELL ANDERSON AGENCY INC WOODINVILLE, WA 98077 600 SW 39TH ST STE 200 RENTON, WA 98057-4919 OTHER NAMED INSUREDS See Named Insured Endorsement DS8804 SUMMARY OF LOCATIONS This policy provides coverage for the following under one or more coverage parts. Please refer to the individual Coverage Declarations Schedules, or, the individual Coverage Foul's for locations or territory definition for that specific Coverage Part. 0001 18717 236th Ave NE, Woodinville, WA 98077-7521 POLICY FORMS AND ENDORSEMENTS This section lists the Foul's and Endorsements for your policy. Refer to these documents as needed for detailed infoiuiation concerning your coverage. FORM NUMBER TITLE ° CG 00 01 04 13 Commercial General Liability Coverage Foul' - Occurrence CG 01 81 05 08 Washington Changes CG 01 97 12 07 Washington Changes - Employment-Related Practices Exclusion CG 04 42 11 03 Stop Gap - Employers Liability Coverage Endorsement - Washington CG 04 50 05 08 Washington Changes - Who Is An Insured In witness whereof, we have caused this policy to be signed by our authorized officers. Damon Hart Hamid Mirza Secretary President To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/23 65314021 POLSVCS 235 NCAOPPNO INSURED COPY 002506 PAGE 28 OF 218 Coverage Is Provided In: Vi&If Liberty Policy Number: Ohio Security Insurance Company BKS(24) 65 31 40 21 r- Mutual Policy Period: INSURANCE From 11/01/2023 To 11/01/2024 12:01 am Standard Time at Insured Mailing Location Common Policy Declarations Named Insured Agent NWAP, INC (425) 291-5200 18717 236TH AVE NE BELL ANDERSON AGENCY INC WOODINVILLE, WA 98077 600 SW 39TH ST STE 200 RENTON, WA 98057-4919 POLICY FORMS AND ENDORSEMENTS - CONTINUED This section lists all of the Foul's and Endorsements for your policy. Refer to these documents as needed for detailed infoiunation concerning your coverage. FORM NUMBER TITLE CG 20 37 04 13 Additional Insured - Owners, Lessees or Contractors - Completed Operations CG 21 06 05 14 Exclusion - Access Or Disclosure Of Confidential Or Personal Information And Data-Related Liability - With Limited Bodily Injury Exception CG 21 70 01 15 Cap on Losses from Certified Acts of Terrorism CG 21 76 01 15 Exclusion of Punitive Damages Related to a Certified Act of Terrorism CG 21 86 12 04 Exclusion - Exterior Insulation and Finish Systems CG 21 96 03 05 Silica or Silica-Related Dust Exclusion CG 22 79 04 13 Exclusion - Contractors - Professional Liability CG 24 26 04 13 Amendment of Insured Contract Definition CG 26 77 12 04 Washington - Fungi or Bacteria Exclusion CG 32 21 01 15 Washington Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) CG 70 02 01 01 General Endorsement CG 80 08 10 09 Employee Benefits Liability Coverage Foul' CG 84 94 12 08 Exclusion - Consolidated Insurance Programs Wrap-Up CG 84 99 08 09 Non-Cumulation Liability Limits Same Occurrence CG 85 83 04 13 Blanket Additional Insured Contractors - Products - Completed Operations CG 88 10 04 13 Commercial General Liability Extension CG 88 60 12 08 Each Location General Aggregate Limit CG 88 67 12 08 Property Damage - Borrowed Equipment - $100,000 Limit CG 88 70 12 08 Construction Project(s)-General Aggregate Limit (Per Project) CG 88 77 12 08 Medical Expense At Your Request Endorsement CG 88 80 12 08 Property Damage - Customers' Goods ($100,000 Limit) To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/23 65314021 POLSVCS 235 NCAOPPNO INSURED COPY 002506 PAGE 29 OF 216 Coverage Is Provided In: Vi&If Liberty Policy Number Ohio Security Insurance Company BKS(24) 65 31 40 21 r- Mutual Policy Period: INSURANCE From 11/01/2023 To 11/01/2024 12:01 am Standard Time at Insured Mailing Location Common Policy Declarations Named Insured Agent NWAP, INC (425) 291-5200 18717 236TH AVE NE BELL ANDERSON AGENCY INC WOODINVILLE, WA 98077 600 SW 39TH ST STE 200 RENTON, WA 98057-4919 POLICY FORMS AND ENDORSEMENTS - CONTINUED This section lists all of the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE CG 89 27 10 09 Washington Exclusion - Asbestos CG 90 43 08 12 Additional Insured - Owners, Lessees or Organizations - Scheduled Person or Organization - Including Primary/Noncontributory and Waiver of Subrogation Rights CG 90 44 08 12 Additional Insured - Owners, Lessees or Contractors - Completed Operations - Including Primary and Non-Contributory and Waiver of Subrogation CG 91 98 06 15 Disclosure and Notice Concerning Fully Earned and Minimun Premium Endorsements CG 93 41 08 20 Voluntary Loss Coverage No Duty To Defend CG 93 74 03 22 Exclusion - PFC/PFAS CG 93 81 11 22 Exclusion - Biometric Information Privacy Claim CP 00 10 10 12 Building and Personal Property Coverage Form CP 00 30 10 12 Business Income (And Extra Expense) Coverage Form CP 00 90 07 88 Commercial Property Conditions CP 01 26 10 12 Washington Changes CP 01 40 07 06 Exclusion of Loss Due to Virus or Bacteria CP 01 60 03 21 Washington Changes - Domestic Abuse CP 01 79 10 12 Washington Changes - Excluded Causes of Loss CP 10 30 10 12 Causes of Loss - Special Form CP 88 04 03 10 Removal Permit CP 88 44 02 15 Equipment Breakdown Coverage Endorsement CP 90 55 12 12 Business Income And Extra Expense Changes - Actual Loss Sustained In A Twelve-Month Period CP 90 59 12 12 Identity Theft Administrative Services and Expense Coverage CP 91 42 01 15 Custom Protector Plus Endorsement To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/23 65314021 POLSVCS 235 NCAOPPNO INSURED COPY 002506 PAGE 30 OF 216 Coverage Is Provided In: Vi&If Liberty Policy Number: Ohio Security Insurance Company BKS(24) 65 31 40 21 r- Mutual Policy Period: INSURANCE From 11/01/2023 To 11/01/2024 12:01 am Standard Time at Insured Mailing Location Common Policy Declarations Named Insured Agent NWAP, INC (425) 291-5200 18717 236TH AVE NE BELL ANDERSON AGENCY INC WOODINVILLE, WA 98077 600 SW 39TH ST STE 200 RENTON, WA 98057-4919 POLICY FORMS AND ENDORSEMENTS - CONTINUED This section lists all of the Foul's and Endorsements for your policy. Refer to these documents as needed for detailed infoiunation concerning your coverage. FORM NUMBER TITLE CP 92 12 12 20 Cyber Incident Exclusion IL 01 23 11 13 Washington Changes - Defense Costs IL 01 46 08 10 Washington Common Policy Conditions IL 01 98 09 08 Nuclear Energy Liability Exclusion Endorsement (Broad Foul) IL 09 35 07 02 Exclusion of Certain Computer-Related Losses IL 09 52 01 15 Cap On Losses From Certified Acts Of Terrorism IL 09 96 01 07 Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Dispostion of Federal Terrorism Risk Insurance Act) IL 88 24 07 12 Washington Conditional Exclusion of Terrorism- Involving Nuclear, Biological or Chemical Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) IL 88 36 01 15 Cap On Losses From Certified Acts Of Terrorism IL 88 38 01 15 Exclusion of Punitive Damages Related to a Certified Act of Terrorism IL 88 56 03 22 Actual Cash Value - Washington To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/23 65314021 POLSVCS 235 NCAOPPNO INSURED COPY 002506 PAGE 31 OF 216 rdr Coverage Is Provided In: Policy Number: "V* Liberty Ohio Security Insurance Company, a stock company BAS (24) 54 60 97 40 ♦ mutual. Domiciled in New Hampshire Y 175 Berkeley Street, Boston, MA 02116 Policy Period: INSURANCE From 11/0112023 To 11/01/2024 12:01 am Standard Time Common Policy Declarations at Insured Mailing Location Named Insured Agent NWAP, INC. (425)291-5200 BELL ANDERSON AGENCY INC POLICY FORMS AND ENDORSEMENTS This section lists the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage. FORM NUMBER TITLE STATE(S)APPLICABLE AC 00 31 01 14 Changes In Your Policy WA AC 01 15 08 17 Washington Changes WA AC 84 59 06 14 State Application Of Terrorism Exclusion Endorsements Involving WA Nuclear, Biological Or Chemical Terrorism AC 85 01 06 18 Business Auto Coverage Enhancement Endorsement WA AC 85 85 01 21 Peer To Peer Vehicle Sharing Program Exclusion WA AC 86 31 04 23 Washington Amendment Of Concealment, Misrepresentation Or WA Fraud Condition AC 99 34 01 21 Loss Payable Clause WA CA 00 01 03 06 Business Auto Coverage Form WA CA 21 34 01 08 Washington Underinsured Motorists Coverage WA CA 23 45 11 16 Public or Livery Passenger Conveyance and On- Demand Delivery WA Services Exclusion CA 23 85 01 06 Exclusion of Terrorism Involving Nuclear, Biological or Chemical WA Terrorism CA 23 87 01 06 Exclusion of Terrorism Involving Nuclear, Biological or Chemical WA Terrorism Above Minimum Statutory Limits CA 23 89 01 06 Alaska Exclusion of Terrorism Involving Nuclear, Biological or WA Chemical Terrorism Above Minimum Statutory Limits CA 23 93 01 06 Washington Exclusion of Terrorism Involving Nuclear, Biological or WA Chemical Terrorism CA 23 94 03 06 Silica or Silica-Related Dust Exclusion for Covered Autos Exposure WA CA 85 47 12 93 Temporary Substitute Auto- Physical Damage Insurance WA CA 85 53 12 93 Recreational Trailers and Boat Trailers WA CA 87 57 08 13 Punitive or Exemplary Damages Exclusion WA CA 88 63 09 12 Amendment Of Cancellation Provisions WA CA 88 66 05 13 Designated Insured -Non Contributing WA CA 99 03 03 06 Auto Medical Payments Coverage WA To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/2023 54609740 N0175294 EC Insured Copy ►~ Coverage Is Provided In: Policy Number: ♦♦, Liberty Ohio Security Insurance Company, a stock company BAS(24)54 60 97 40 l 1VIUtu '. Domiciled in New Hampshire 411 175 Berkeley Street, Boston, MA 02116 Policy Period: INSURANCE From 11/01/2023 To 11/01/2024 12:01 am Standard Time Common Policy Declarations at Insured Mailing Location Named Insured Agent NWAP, INC. (425)291-5200 BELL ANDERSON AGENCY INC POLICY FORMS AND ENDORSEMENTS - continued FORM NUMBER TITLE STATE(S)APPLICABLE CA 99 89 05 01 Washington Loss Payable Form Reg-335 WA IL 01 23 11 13 Washington Changes-Defense Costs WA IL 01 46 08 10 Washington Common Policy Conditions WA IL 01 98 09 08 Nuclear Energy Liability Exclusion Endorsement(Broad Form) WA In witness whereof,we have caused this policy to be signed by our authorized officers. Damon Hart Hamid Mirza Secretary President To report a claim, call your Agent or 1-844-325-2467 DS70211116 11/01/2023 54609740 N0175294 EC Insured Copy Coverage Is Provided In:Vki.f Liberty The Ohio Casualty Insurance Company Policy Number:USO (24) 54 60 97 40 re' Mutual INSURANCE (ITEM 5)SCHEDULE OF UNDERLYING INSURANCE: CARRIER, POLICY NUMBER AND PERIOD TYPE OF COVERAGE LIMITS OF INSURANCE OHIO SECURITY INSURANCE GENERAL $1,000,000 EACH OCCURRENCE COMPANY LIABILITY LIMIT $1,000,000 PERSONAL AND BKS(24)65314021 ADVERTISING INJURY 11/01/2023 - 11/01/2024 LIMIT $2,000,000 GENERAL AGGREGATE LIMIT $2,000,000 PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT OHIO SECURITY INSURANCE OWNED AND HIRED $1,000,000 COMBINED SINGLE COMPANY AND/OR NONOWNED LIMIT AUTO LIABILITY BAS(24)54609740 11/01/2023 - 11/01/2024 OHIO SECURITY INSURANCE STOP GAP $1,000,000 BODILY INJURY EACH COMPANY LIABILITY ACCIDENT LIMIT $2,000,000 BODILY INJURY BY BKS(24)65314021 DISEASE AGGREGATE 11/01/2023 - 11/01/2024 LIMIT $1,000,000 BODILY INJURY BY DISEASE EACH EMPLOYEE LIMIT OHIO SECURITY INSURANCE EMPLOYEE $1,000,000 EACH CLAIM LIMIT COMPANY BENEFITS LIABILITY $2,000,000 AGGREGATE LIMIT BKS(24)65314021 11/01/2023 - 11/01/2024 To report a claim, call your Agent or 1-844-325-2467 DS 70 23 01 08 11/01/2023 54609740 POLSVCS 235 INSURED COPY 002504 PAGE 18 OF 74 COMMERCIAL AUTO AC85010618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. If the policy to which this endorsement is attached also contains a Business Auto Coverage Enhancement Endorsement with a specific state named in the title, this endorsement does not apply to vehicles garaged in that specified state. COVERAGE INDEX SUBJECT PROVISION NUMBER ACCIDENTAL AIRBAG DEPLOYMENT 13 ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 4 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 21 AMENDED FELLOW EMPLOYEE EXCLUSION 6 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 15 BODILY INJURY REDEFINED 25 EMPLOYEES AS INSUREDS (Including Employee Hired Auto) 3 EXTRA EXPENSE- BROADENED COVERAGE 11 GLASS REPAIR-WAIVER OF DEDUCTIBLE 17 HIRED AUTO COVERAGE TERRITORY 23 HIRED AUTO PHYSICAL DAMAGE (Including Employee Hired Auto) 7 LOAN / LEASE GAP (Coverage Not Available In New York) 16 NEWLY FORMED OR ACQUIRED SUBSIDIARIES 2 PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE) 18 PERSONAL EFFECTS COVERAGE 12 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 9 PHYSICAL DAMAGE DEDUCTIBLE -VEHICLE TRACKING SYSTEM 14 PRIMARY AND NON-CONTRIBUTORY -WRITTEN CONTRACT OR WRITTEN AGREEMENT 24 RENTAL REIMBURSEMENT 10 SUPPLEMENTARY PAYMENTS 5 TOWING AND LABOR 8 TRAILERS - INCREASED LOAD CAPACITY 1 TWO OR MORE DEDUCTIBLES 19 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 20 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 22 SECTION I-COVERED AUTOS is amended as follows: 1. TRAILERS-INCREASED LOAD CAPACITY The following replaces Paragraph C.1. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I-COVERED AUTOS: "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 1 of 7 11/01/2023 54609740 N0175294 EC Insured Copy SECTION II -LIABILITY COVERAGE is amended as follows: 2. NEWLY FORMED OR ACQUIRED SUBSIDIARIES SECTION II - LIABILITY COVERAGE, Paragraph Al. - Who Is An Insured is amended to include the following as an "insured": d. Any legally incorporated subsidiary of which you own more than 50 percent interest during the policy period. Coverage is afforded only for 90 days from the date of acquisition or formation. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an "insured" under any other automobile policy except a policy written specifically to apply in excess of this policy; or (3) Has exhausted its Limit of Insurance or had its policy terminated under any other automobile policy. Coverage under this provision d. does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 3. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, Paragraph AA. Who Is An Insured is amended to include the following as an "insured": e. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow but only for acts within the scope of their employment by you. Insurance provided by this endorsement is excess over any other insurance available to any "employee". f. Any "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee". 4. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, Paragraph AA. Who Is An Insured is amended to include the following as an "insured": g. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, written agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured". However, such person or organization is an "insured": (1) Only with respect to the operation, maintenance or use of a covered "auto"; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or written agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit. The "insured" is required to submit a claim to any other insurer to which coverage could apply for defense and indemnity. Unless the "insured" has agreed in writing to primary noncontributory wording per enhancement number 24, this policy is excess over any other collectible insurance. 5. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, Paragraphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 2 of 7 11/01/2023 54609740 N0175294 EC Insured Copy 6. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow "employees" are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provi- sion is added: SECTION II - LIABILITY, Exclusion B.5. Fellow Employee does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire if you have workers compensation insurance in force for all of your "employees" at the time of "loss". This coverage is excess over any other collectible insurance. SECTION III -PHYSICAL DAMAGE COVERAGE is amended as follows: 7. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": a. You hire, rent or borrow; or b. Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: a. The most we will pay for "loss" in any one "accident" or "loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. b. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. c. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. d. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. e. This coverage extension does not apply to: (1) Any "auto" that is hired, rented or borrowed with a driver; or (2) Any "auto" that is hired, rented or borrowed from your "employee" or any member of your "employee's" household. Coverage provided under this extension is excess over any other collectible insurance available at the time of"loss". 8. TOWING AND LABOR SECTION III - PHYSICAL DAMAGE COVERAGE, Paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is disabled: a. For private passenger type vehicles, we will pay up to $75 per disablement. b. For "light trucks", we will pay up to $75 per disablement. "Light trucks" are trucks that have a gross vehicle weight (GVW) of 10,000 pounds or less. c. For "medium trucks" , we will pay up to $150 per disablement. "Medium trucks" are trucks that have a gross vehicle weight (GVW) of 10,001 -20,000 pounds. However, the labor must be performed at the place of disablement. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 3 of 7 11/01/2023 54609740 N0175294 EC Insured Copy 9. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a. Coverage Extensions, Transportation Expenses of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended to provide a limit of$50 per day and a maximum limit of$1,500. 10. RENTAL REIMBURSEMENT SECTION III -PHYSICAL DAMAGE COVERAGE,A. Coverage, is amended by adding the following: a. We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those ex- penses incurred after the first 24 hours following the "accident" or"loss" to the covered "auto." b. Rental Reimbursement requires the rental of a comparable or lessor vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. G. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". This limit is excess over any other collectible insurance. d. This coverage does not apply unless you have a business necessity that other "autos" available for your use and operation cannot fill. e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4. Coverage Extension. f. No deductible applies to this coverage. g. The insurance provided under this extension is excess over any other collectible insurance. If this policy also provides Rental Reimbursement Coverage you purchased, the coverage provided by this Enhancement Endorsement is in addition to the coverage you purchased. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 12.B. 11. EXTRA EXPENSE-BROADENED COVERAGE Under SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, we will pay for the expense of returning a stolen covered "auto" to you. The maximum amount we will pay is $1,000. 12. PERSONAL EFFECTS COVERAGE A. SECTION III -PHYSICAL DAMAGE COVERAGE, A. Coverage, is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $600 for "personal effects" stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance. B. SECTION V -DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an "insured." "Personal effects" does not include tools, equipment, jewelry, money or securi- ties. 13. ACCIDENTAL AIRBAG DEPLOYMENT SECTION III -PHYSICAL DAMAGE COVERAGE, B. Exclusions is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other coverage or warranty. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 4 of 7 11/01/2023 54609740 N0175294 EC Insured Copy 14. PHYSICAL DAMAGE DEDUCTIBLE -VEHICLE TRACKING SYSTEM SECTION III -PHYSICAL DAMAGE COVERAGE, D. Deductible, is amended by adding the following: Any Comprehensive Deductible shown in the Declarations will be reduced by 50% for any "loss" caused by theft if the vehicle is equipped with a vehicle tracking device such as a radio tracking device or a global position device and that device was the method of recovery of the vehicle. 15. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, B. Exclusions, Paragraph a. of the exception to exclu- sions 4.c. and 4.d. is deleted and replaced with the following: Exclusions 4.c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not de- signed solely for the reproduction of sound, if the equipment is: (1) Permanently installed in the covered "auto" at the time of the "loss" or removable from a housing unit that is permanently installed in the covered "auto"; and (2) Designed to be solely operated by use from the power from the "auto's" electrical system; and (3) Physical damage coverages are provided for the covered "auto". If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a$100 deductible. 16. LOAN 1 LEASE GAP COVERAGE (Not Applicable In New York) A. Paragraph C. Limit Of Insurance of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by adding the following: The most we will pay for a "total loss" to a covered "auto" owned by or leased to you in any one "accident" is the greater of the: 1. Balance due under the terms of the loan or lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount of: a. Overdue payments and financial penalties associated with those payments as of the date of the "loss"; b. Financial penalties imposed under a lease due to high mileage, excessive use or abnormal wear and tear; c. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insur- ance purchased with the loan or lease; d. Transfer or rollover balances from previous loans or leases; e. Final payment due under a"Balloon Loan"; f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered "auto"; g. Security deposits not refunded by a lessor; h. All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto"; i. Any amount representing taxes; j. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the "loss". An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the "loss". This adjustment is not applicable in Texas. B. Additional Conditions This coverage applies only to the original loan for which the covered "auto" that incurred the "loss" serves as collateral, or lease written on the covered "auto" that incurred the "loss". © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 5 of 7 11/01/2023 54609740 N0175294 EC Insured Copy C. SECTION V -DEFINITIONS is changed by adding the following: As used in this endorsement provision, the following definitions apply: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. A "balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. 17. GLASS REPAIR-WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 18. PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by collision to such covered "auto" of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as maximum loaded weight the "auto" is designed to carry while it is: a. In the charge of an "insured"; b. Legally parked; and c. Unoccupied. The "loss" must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations. This provision does not apply to any "loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 19. TWO OR MORE DEDUCTIBLES Under SECTION III - PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply to the same "accident", the following applies to Paragraph D. Deductible: a. If the applicable Business Auto deductible is the smaller (or smallest) deductible, it will be waived; or b. If the applicable Business Auto deductible is not the smaller (or smallest) deductible , it will be reduced by the amount of the smaller (or smallest) deductible; or c. If the "loss" involves two or more Business Auto coverage forms or policies, the smaller (or smallest) deductible will be waived. For the purpose of this endorsement, company means any company that is part of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS is amended as follows: 20. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS, Paragraph B.2. is amended by adding the following: If you unintentionally fail to disclose any hazards, exposures or material facts existing as of the incep- tion date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 6 of 7 11/01/2023 54609740 N0175294 EC Insured Copy 21. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION IV -BUSINESS AUTO CONDITIONS, Paragraph A.2.a. is replaced in its entirety by the follow- ing: a. In the event of"accident", claim, "suit" or "loss", you must promptly notify us when it is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) Member, if you are a limited liability company; (4) An executive officer or the "employee" designated by the Named Insured to give such notice, if you are a corporation. To the extent possible, notice to us should include: (a) How, when and where the "accident" or "loss" took place; (b) The "insureds" name and address; and (c) The names and addresses of any injured persons and witnesses. 22. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us, is amended by the addition of the following: If the person or organization has in a written agreement waived those rights before an "accident" or "loss", our rights are waived also. 23. HIRED AUTO COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS, Paragraph B.7. Policy Period, Coverage Territory, is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the "insured'? responsibility to pay for damages is determined in a"suitTM, on the merits, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to. This extension of coverage does not apply to an "auto" hired, leased, rented or borrowed with a driver. 24. PRIMARY AND NON-CONTRIBUTING IF REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREE- MENT The following is added to SECTION IV -BUSINESS AUTO CONDITIONS, General Conditions, B.5. Other Insurance and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to such '9nsuredTM. SECTION V-DEFINITIONS is amended as follows: 25. BODILY INJURY REDEFINED Under SECTION V -DEFINITIONS, Definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. © 2017 Liberty Mutual Insurance AC 85 01 06 18 Includes copyrighted material of Insurance Services Office Inc.,with its Permission. Page 7 of 7 11/01/2023 54609740 N0175294 EC Insured Copy Coverage Is Provided In: Policy Number: Vi&If Liberty The Ohio Casualty Insurance Company USO (24) 54 60 97 40 r- Mutual INSURANCE POLICY FORMS AND ENDORSEMENTS This section lists all the Foul's and Endorsements for your policy. Refer to these documents as needed for detailed infoiuiation concerning your coverage. FORM NUMBER TITLE CNI90 11 07 18 Reporting A Commercial Claim 24 Hours A Day CU 60 02 04 21 Commercial Umbrella Coverage Foul' CU 60 38 04 21 Exclusion - Certified Acts Of Terrorism CU 61 02 04 21 Exclusion - Aircraft Products And Grounding Liability CU 61 29 04 21 Personal And Advertising Injury - Following Foul' CU 61 50 04 21 Contractors Limitation Endorsement CU 61 53 04 21 Employee Benefit Liability - Following Foul' CU 64 00 04 21 Exclusion - Exterior Insulation And Finish Systems CU 64 30 04 21 Washington Exclusion - Fungi or Bacteria CU 64 95 04 21 Waiver Of Transfer Of Rights Of Recovery Against Others - Following Foul' CU 88 27 04 21 Washington Exclusion - Employment Related Practices CU 88 65 04 21 Damage To Your Work Perfoiined By Subcontractors On Your Behalf- Following Foul' ° CU 88 80 04 21 Exclusion - Silica Or Silica-Related Dust CU 89 28 04 21 Washington Conditional Exclusion Of Terrorism (Relating To Disposition Of Federal Terrorism Risk Insurance Act) CU 89 40 04 21 Crisis Management Coverage In witness whereof, we have caused this policy to be signed by our authorized officers. Damon Hart Hamid Mirza Secretary President To report a claim, call your Agent or 1-844-325-2467 DS 70 23 01 08 11/01/2023 54609740 POLSVCS 235 INSURED COPY 002504 PAGE 19 OF 74 Coverage Is Provided In: Policy Number: Vi&If Liberty The Ohio Casualty Insurance Company USO (24) 54 60 97 40 r- Mutual INSURANCE POLICY FORMS AND ENDORSEMENTS - continued This section lists all the Foul's and Endorsements for your policy. Refer to these documents as needed for detailed infoiuiation concerning your coverage. FORM NUMBER TITLE CU 89 41 04 21 Washington Changes - Defense Costs CU 89 45 04 21 Exclusion - Access Or Disclosure Of Confidential Or Personal Information And Data-Related Liability - With Limited Bodily Injury Exception CU 90 63 04 21 Tracking General Aggregate Limit CU 91 12 04 21 Washington Changes - Cancellation and Nonrenewal CU 91 27 04 21 Washington Changes - Amendment of Pollution Exclusion CU 91 37 04 21 Washington Amendment of Pollution Exclusion CU 91 41 04 21 Washington Changes - Concealment, Misrepresentation or Fraud CU 91 94 03 22 Exclusion - PFC/PFAS CU 92 21 11 22 Exclusion - Biometric Information Privacy Claim To report a claim, call your Agent or 1-844-325-2467 DS 70 23 01 08 11/01/2023 54609740 POLSVCS 235 INSURED COPY 002504 PAGE 20 OF 74 r• nankapz_gacn_Arp')_pn9n_cAp?rpnnAncp Docusign Envelope ID: C5D9469B-6950-4CB2-602D-56E2CFDDA05F Bremerton City Attorney Contract Review Sheet (;ENERAIL CITY ATTORNEY TRACK!NG ft 240330 I Date Received: 7/17/24 Contractor: NWAPOnc. purpose: Public Works Agreement - Carpet installation at Kitsap Conference Center Contract Amount: $ 77, 914.20 Contract Tenn: 90 days from NTP Originator/Depariment Contact: Matt Donleycott Phone: 2316 Request Comments By: ISK NIANAGER REVIFNAI LI APPROVE C NOT APPROVE Reviewer lintials: MVP Date: 7/30/24 Comments: Need COI &endorsement CITY VI FORNEY O. APPROVE Ei NOT APPROVE Needs to go to Council Reviewer MRR Dale: 7.23.24 Comments: ROUTED TO R LIGALContractsTORMS\Contiaet Re\tem,Request doe ""Attorney-Client Communication. Not for Disseminaton****