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HomeMy WebLinkAboutAG 22-083 - STANTEC CONSULTING SERVICES, INCS
RETURN TO: Samantha Homan EXT: 2601
I
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: Community Development
2. ORIGINATING STAFF PERSON: Samantha Homan EXT: 2601 3. DATE REQ. BY: 6/2/2023
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
A CONTRACT AMENDMENT (AG#): 22-083 ❑ INTERLOCAL
❑ OTHER.
5. PROJECT NAME: Electrical Lighting Review
6. NAME OF CONTRACTOR: Stantec Consulting Services Inc
ADDRESS: 3400 188th St Ste 285 Lynnwood, WA 98037 TELEPHONE 205-224-3887
E-MAIL' chris.fote@stantec.com; anna.denson@stantec.com FAX;
SIGNATURE NAME: Chris Fate TITLE Project Manager
7. EXHIBITS AND ATTACHMENTS: 0 SCOPE, WORK OR SERVICES 9 COMPENSATION A INSURANCE REQUIREMENTS/CERTIFICATE Lf ALL
OTHER REFERENCED EXHIBITS A PROOF OF AUTHORITY TO SIGN A REQUIRED LICENSES A PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: July 27, 2022 COMPLETION DATE: 1-1- a 9
9. TOTAL COMPENSATION $ 10,000 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES IR NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
A PURCHASING: PLEASE CHARGE TO: 001-5200-073-558-60-411
10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED
❑ PROJECT MANAGER
A DIRECTOR KN 5/11/23
❑ RISK MANAGEMENT (IF APPLICABLE)
N LAW KVA 5/15/2023
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: N/A
12. CONTRACT SIGNATURE ROUTING
X SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D_
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL] DATE SIGNED
IN LAW DEPARTMENT o ay-1
❑ SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK fill lwt-6
❑ ASSIGNED AG# AG# _ 3:(:� _0R'-
COMMENTS:
2/20I7
CITY OF CITY HALL
Federal WayFeder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cilyoffederalway com
AMENDMENT NO. 1
TO
PROFESSIONAL SERVICES AGREEMENT
FOR
CONSULTANT REVIEW OF SUBMITTED ELECTRICAL DOCUMENTS
This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Stantec Consulting Services Inc, a Foreign Profit Corporation ("Contractor"). The City
and Contractor (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to
amend the original Agreement for consultant review of submitted electrical documents ("Agreement") dated
effective July 27, 2022 as follows:
1. AMENDED TERM. The term of the Agreement, as referenced by Section 1 of the Agreement and any
prior amendments thereto, shall be amended and shall continue until the completion of the Services, but in any
event no later than January 1, 2024 ("Amended Term").
2. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 4 of the
Agreement, shall be amended to change the total compensation the City shall pay the Contractor and the rate or
method of payment, as delineated in Exhibit B-1, attached hereto and incorporated by this reference. The
Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain
locked at the negotiated rate(s) for the Amended Term. Except as otherwise provided in an attached Exhibit, the
Contractor shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result
of the performance and payment of this Agreement.
3 GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior
amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done
by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after
the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been
performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment.
The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose
names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which
is binding on the parties of this contract.
[Signature page follows]
AMENDMENT - 1 - 3/2017
CITY OF CITY HALL
Fed Feder 8th Avenue South
Y Federal Way, WA 98003-6325
ral 1!I!a
(253) 835-7000
www.d6,offederelsmy. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
By:
Jim Ferr ayor
DATE: A -
STANTEC CONSULTING SERVICES INC
By: av-�
Printed Name: r) T6+Z
Title: ko\Q,�14
Date: S I ara 11�
STATE OF WASHINGTON )
ss.
COUNTY OF
ATTEST:
S't6phNnie Courtney, CM(, ity Clerk
AP OVED AS TO FORM:
�r; yan Call, City At ey
On this day personally appeared before me L h r 5T3 f Q to me known to be the
Pm I of h 4'C C CcjV Re, that executed the foregoing
inst ument, and acknowledged the said instrument to be the Yree and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute said
instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN my hand and official seal this Z 2 AIday of M AY 0 t3
Notary's signature
Notary's printed name
MOSES YUSAF Notary Public in and for the State of Washington.
Notary Public My commission expires
State of Washington
Commission Number 22013204
My Commission Expires
04/28/2026
AMENDMENT - 2 - 3/2017
CITY OF: CITY HALL
Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-700C
WWWC?"ffa 010hvay com
EXHIBIT B-1
ADDITIONAL COMPENSATION
1. The total amount payable to Contractor pursuant to the original Agreement, all previous Amendments,
and this Amendment shall be an amount not to exceed Ten thousand and NO/100 Dollars ($10,000.00).
2. Method of Compensation:
Hourly Rate
In consideration of the Contractor performing the Services, the City agrees to pay the Contractor an amount
calculated on the basis of the hourly labor charge rate schedule for Contractor's personnel as shown below:
Stantec Staff
Hourly Rate
Project Manager
$219.00
Engineer
$179.00
Production Staff
$154.00
Project Controls
$173.00
AMENDMENT - 3 - 3/2017
RETURN TO: Kari Cimmer EXT: x2629
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: COMMUNITY DEVELOPMENT / PLANNING
2. ORIGINATING STAFF PERSON: KEITH NIVEN EXT: 2643 3. DATE REQ. BY: 6/15/22
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
® PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
❑ OTHER
5. PROJECT NAME: ELECTRICAL LIGHTING REVIEW
6. NAME OF CONTRACTOR: STANTEC CONSULTING SERVICES, INC
ADDRESS: 3400 188TH STREET, SUITE 285, LYNNWOOD, WA 98037 TELEPHONE: (206) 224-3667
E-MAIL: CHRIS.FOTE@STANTEC.COM FAX: N/A
SIGNATURE NAME: CHRISTOPHER FOTE TITLE: PROJECT MANAGER, ELECTRICAL
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK, OR SERVICES ® COMPENSATION X INSURANCE REQUIREMENTS/CERTIFICATE
® ALL OTHER REFERENCED EXHIBITS ® PROOF OF AUTHORITY TO SIGN X REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: UPON EXECUTION COMPLETION DATE: DECEMBER 31, 2022
9. TOTAL COMPENSATION $ 10,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAWAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
M PURCHASING: PLEASE CHARGE TO: 001-5200-073-558-60-411
10. DOCUMENT/CONTRACT REVIEW
® PROJECT MANAGER
® DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
X LAW
11. COUNCIL APPROVAL (IF APPLICABLE)
�12
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
KN / N/A
N/A
_KVA 7/14/2022
N/A
SCHEDULED COMMITTEE DATE: N/A COMMITTEE APPROVAL DATE: N/A
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
CONTRACT SIGNATURE ROUTING
® SENT TO VENDOR/CONTRACTOR DATE SENT: Its DATE REC'D: Z ✓� 2�
® ATTACH: SIGNATURE AUTHORITY, INSURANCE CERiiFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
M LAW DEPARTMENTI-Ittho-27
® SIGNATORY (MAYOR OR DIRECTOR) $Z
X CITY CLERK -7Z 'L
❑ ASSIGNED AG# AG
COMMENTS:
CITY OF CITY HALL
Federal Via 33325Avenue South
� Federal
Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
PROFESSIONAL SERVICES AGREEMENT
FOR
CONSULTANT REVIEW OF SUBMITTED ELECTRICAL DOCUMENTS
This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Stantec Consulting Services Inc, a Foreign Profit Corporation ("Contractor"). The City and
Contractor (together "Parties") are located and do business at the below addresses, which shall be valid for any notice
required under this Agreement:
STANTEC CONSULTING SERVICES INC:
Chris Fote
3400 188`s Street, Suite 285
Lynnwood, WA 98037
(206) 224-3667 (telephone)
Chris.Fote@stantec. com
The Parties agree as follows:
CITY OF FEDERAL WAY:
Keith Niven
33325 8' Avenue South
Federal Way, WA 98003-6325
(253) 835-2643 (telephone)
Keith.
.com
1. TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be the
date of mutual execution, and shall continue until the completion of the Services specified in this Agreement, but in any
event no later than December 31, 2022 ("Term"). This Agreement may be extended for additional periods of time upon the
mutual written agreement of the Parties.
2. SERVICES. The Contractor shall perform the services more specifically described in Exhibit A ("Services"),
attached hereto and incorporated by this reference, in a manner consistent with the accepted professional practices for other
similar services within the Puget Sound region in effect at the time those services are performed, performed to the City's
satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee.
The Contractor warrants that it has the requisite training, skill, and experience necessary to provide the Services and is
appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to
obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this
Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or
delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Services
in accordance with this Agreement, notwithstanding the City's knowledge of defective or non -complying performance, its
substantiality or the ease of its discovery.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other
party thirty (30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if
the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Section 12 of
this Agreement. Termination for such conduct may render the Contractor ineligible for City agreements in the future.
4. COMPENSATION.
4.1 Amount. In return for the Services, the City shall pay the Contractor an amount not to exceed $10,000.00
and according to a rate as delineated in Exhibit B, attached hereto and incorporated by this reference. The Contractor
agrees that any hourly rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s)
for the Term. Except as otherwise provided in Exhibit B, the Contractor shall be solely responsible for the payment of any
taxes imposed by any lawful jurisdiction as a result of the performance of Services and payment under this Agreement.
Stantec PSA - 1 - Rev. 7/2021
CITY OF CITY HALL
Federal � 8th Avenue South
Feder
y Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
4.2 Method of Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form
specified by the City, including a description of what Services have been performed, the name of the personnel performing
such Services, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon
completion of all Services. Payment shall be made on a monthly basis by the City only after the Services have been
performed and within thirty (30) days following receipt and approval by the appropriate City representative of the voucher
or invoice. If the Services do not meet the requirements of this Agreement, the Contractor will correct or modify the work
to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the
Agreement.
4.3 Non-Agpronriatian of Funds. If sufficient funds are not appropriated or allocated for payment under this
Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred
after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services
for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies.
5. INDEMNIFICATION.
5.1 Contractor Indemnification. The Contractor agrees to release, indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all
claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries,
damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by
any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives; arising
from, resulting from, or in connection with this Agreement or the acts, errors or omissions of the Contractor in performance
of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent
jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising
out of bodily injury to persons or damages to property caused by or resulting from the .concurrent negligence of the
Contractor and the City, the Contractor's liability, including the duty and cost to defend, hereunder shall be only to the
extent of the Contractor's negligence. Contractor shall ensure that each sub -contractor shall agree to defend and indemnify
the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent
and on the same terms and conditions as the Contractor pursuant to this paragraph. The City's inspection or acceptance of
any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Contractor waives any
immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the
purposes of this indemnification. Contractor's indemnification shall not be limited in any way by any limitation on the
amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability
benefit acts or any other benefits acts or programs. The Parties acknowledge that they have mutually negotiated this
waiver.
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers,
directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages,
liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all
persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from,
resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of
the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with
respect to any event occurring prior to such expiration or termination.
6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with
the performance of the services or work by the Contractor, their agents, representatives, employees, or subcontractors for
the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as
follows:
Stantec PSA - 2 - Rev. 7/2021
CITY OF
Fe d e ra i Way CITY HALL
33325 8th Avenue South
� Federal Way. WA 98003-6325
(253)835-7000
www cityoffederalway.com
6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms
and with such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations,
independent contractors, products -completed operations, stopgap liability, personal injury, bodily injury, death, property
damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than
$1,000,000 for each occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the
laws of the State of Washington.
C. Automobile liability insurance covering all owned, non -owned, hired, and leased vehicles with a
minimum combined single limit in the minimum amounts required to drive under Washington State law per accident for
bodily injury, including personal injury or death, and property damage.
d. Professional liability insurance with limits no less than $2,000,000 per claim and $2,000,000
policy aggregate for damages sustained by reason of or in the course of operation under this Agreement, whether occurring
by reason of acts, errors or omissions of the Contractor.
6.2. No Limit of Liability. Contractor's maintenance of insurance as required by this Agreement shall not be
construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance with
respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the
Contractor's insurance and shall not contribute with Contractor's insurance.
6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of
insurance for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At
the City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of
premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to
maintain tail coverage for a minimum period of three (3) years from the date this Agreement is terminated or upon project
completion and acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this
Agreement shall be considered confidential and subject to applicable laws. Breach of confidentiality by the Contractor may
be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the
Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of
any public records request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media, or material that may be produced or modified by Contractor
while performing the Services shall belong to the City upon delivery. The Contractor shall make such data, documents, and
files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the
expiration or termination of this Agreement, all originals and copies of any such work product remaining in the possession
of Contractor shall be delivered to the City.
9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently
and properly reflect all direct and indirect costs related to the performance of the Services specified in this Agreement, and
maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of
all funds paid pursuant to this Agreement. These records shall be subject, at all reasonable times, to inspection, review, or
audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to
monitor this Agreement.
Stantec PSA - 3 - Rev. 7/2021
CITY OF CITY HALL
-44
Fe d e ra I Way Feder l Avenue South
�� � Federal Way, WA 98003-6325
(253)835-7000
www cityoffederalway com
10. INDEPENDENT CONTRACTOR. The Parties intend that the Contractor shall be an independent contractor and
that the Contractor has the ability to control and direct the performance and details of its work, the City being interested
only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick
leave, vacation pay, or any other benefit of employment, nor to pay any social security or other tax that may arise as an
incident of this Agreement. Contractor shall take all necessary precautions and shall be responsible for the safety of its
employees, agents, and subcontractors in the performance of the Services specified in this Agreement and shall utilize all
protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible
for any loss of or damage to materials, tools, or other articles used or held for use in connection with the Services. The
Contractor shall pay all income and other taxes due except as specifically provided in Section 4 of this Agreement.
Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a
secondary or incidental benefit to the Contractor, shall not be deemed to convert this Agreement to an employment
contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual, the Contractor agrees to notify
the City and complete any required form if the Contractor retired under a State of Washington retirement system and
agrees to indemnify any losses the City may sustain through the Contractor's failure to do so.
11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services
during the Term for other entities or persons; however, such performance of other services shall not conflict with or
interfere with Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in
favor of the City. Contractor confirms that Contractor does not have a business interest or a close family relationship with
any City officer or employee who was, is, or will be involved in the Contractor's selection, the negotiation, drafting,
signing, administration of this Agreement, or the evaluation of the Contractor's performance.
12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made
possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its
subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any
person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin,
marital status, honorably discharged veteran or military status, sexual orientation including gender expression or identity,
or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide
occupational qualification in relationship to hiring and employment. This requirement shall apply, but not be limited to the
following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for
training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60
RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act
of 1973, 49 CFR Parts 21, 21.5, and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination.
13. GENERAL PROVISIONS.
13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the
agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or
agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this
Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective
captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to
modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other
provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement
that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as
having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended,
waived, or modified except by written agreement signed by duly authorized representatives of the Parties.
13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or assign,
in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If
the non -assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and
effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the rights and
Stantec PSA - 4 - Rev. 7/2021
CITY OF CITY HALL
'4! Federal WayFeder 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www.cityoffederalway.. com
obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and
assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person
or entity shall have any right of action or interest in this Agreement based on any provision set forth herein.
13.3 Compliance with Laws. The Contractor shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions,
regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation
of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this
Agreement, this Agreement may be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which
performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the
Contractor's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the
addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted
in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for
under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies
available to the City at law, in equity, or by statute. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or
more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the
same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately
upon occurrence shall not waive such breach or default. Failure of the City to declare one breach or default does not act as
a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and
interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference
or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing
suit under the venue, rules, and jurisdiction of the King County Superior Court, King County, Washington, unless the
parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a
suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal
jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an
inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its
legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals,
in addition to any other recovery or award provided by law; however, nothing in this paragraph shall be construed to limit
the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and
warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in
any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had
signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in
making proof hereof, it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages
from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement
and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have
executed a counterpart of this Agreement shall be the "date of mutual execution" hereof.
[Signature page follows]
Stantec PSA - 5 - Rev. 7/2021
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(2531835-7000
WWW cityvlfad6ra1LVi1V can
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
rian Davis,VInt�h_Cfi_inistratormy Ad
DATE: Z -7 'L2
STANTEC CONSULTING S RVICES INC:
By:
Printed Name: Christopher Tate
Title: Protect Manager- Electrical
DATE:
STATE OF WASHINGTON )
ATTEST:
qtl
ephanie Courtney, CMC, Ci lerk-
APPROVED AS TO FORM:
(,r-yan Call, City Attorney
ss.
COUNTY OF CAr15lkil
this da personally appeared b -fnre me g b� ��; a me known to be the
dq��r of that executed the foregoing
instru ent, and acknovAedged the said instrument to be the free and voluntary act and deed of said corporation,
for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said
instrument and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN my hand and official seal this IQ day of , 2022.
Notary's signature
FState
T KAUR Notary's printed name
Public Notary L16HC in and for the State Washington.
ashington My commission expires# 20109202res Jul 9, 2024
Stantec PSA - 6 - Rev. 7/2021
CITY OF CITY HALL
Federal� 33325 8th Avenue South
�i y (253)Federal Way, WA 98003-6325
(253) 835-7000
www.cityoffederalway.com
EXHIBIT A
SERVICES
The Contractor shall do or provide the following:
Project Scope:
Lighting consulting services to review proposed plans and documentation for the new proposed field lighting at
Memorial Field, Federal Way High School.
Contractor to provide theContractor toprovide the followingProfessional Services:
1. Perform site visit at night to document existing lighting and impacts.
2. Review proposed lighting layouts and technical data submitted by Federal Way School District.
3. Review fmdings with Stantec staff and prepare technical memorandum for conformance with City of
Federal Way permitting compliance.
4. Attendance at up to four Public Meetings to provide technical support to City staff.
Design and Site Visits:
Site Visits:
Contractor will provide one site visit, one in -person staff meeting, and one remote staff meeting..
Additional Services:
Additional services or tasks shall be provided at any time during the course of the project as needed to meet
project requirements.
Stantec PSA - 7 - Rev. 7/2021
CITY OF CITY HALL
Fe d e ra I Vtila 33325 8th Avenue South
Y Federal Way, WA 98003-6325
(253) 835-7000
wwwWyoffederalway com
EXHIBIT B
COMPENSATION
1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not
to exceed Ten Thousand and NO/100 Dollars ($ 10,000.00).
2. Method of Compensation: In consideration of the Contractor performing the Services, the City agrees
to pay the Contractor an amount calculated on the basis of the hourly labor charge rate schedule for Contractor's
personnel as shown below:
Stadium Lighting Permit Support
Stantec Staff
Hourly Rate
Project Manager
$208.00
Engineer
$179.00
Production Staff
$154.00
3. Reimbursable Expenses: The actual customary and incidental expenses incurred by Contractor in
performing the Services including travel, printing, and other reasonable costs; provided, however, that such costs
shall be deemed reasonable in the City's sole discretion and shall not exceed Two Hundred and NO/100 Dollars
($200.00).
Stantec PSA - 8 - Rev. 7/2021
BUSINESS INFORMATION
Business Name:
STANTEC CONSULTING SERVICES INC
UBI Number:
602 529 295
Business Type:
FOREIGN PROFIT CORPORATION
Business Status:
ACTIVE
Principal Office Street Address:
370 INTERLOCKEN BOULEVARD, SUITE 200, BROOMFIELD, CO, 80021, UNITED STATES
Principal Office Mailing Address:
10220 103 AVENUE NW, SUITE 400, EDMONTON, AB, T5J OK4, CANADA
Expiration Date:
01/31/2023
Jurisdiction:
UNITED STATES, NEW YORK
Formation/ Registration Date:
01/01/2010
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
OTHER SERVICES
REGISTERED AGENT INFORMATION
Registered Agent Name:
CORPORATION SERVICE COMPANY
Street Address:
300 DESCHUTES WAY SW STE 208 MC-CSC1, TUMWATER, WA, 98501, UNITED STATES
Mailing Address:
300 DESCHUTES WAY SW STE 208 MC-CSC1, TUMWATER, WA, 98501, UNITED STATES
GOVERNORS
Title
Governors Type
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
GOVERNOR
INDIVIDUAL
Entity Name First Name
Last Name
JEFFREY P
STONE
STUART E
LERNER
CHRISTOPHER O
HEISLER
THERESA
JANG
GORDON A
JOHNSTON
OFFICER'S CERTIFICATE
of
STANTEC CONSULTING SERVICES INC.
A NEW YORK CORPORATION
I, the undersigned, do hereby certify that:
1. I am the duly elected and acting Corporate Counsel of Stantec Consulting
Services Inc., a New York corporation (the "Corporation").
2. On April 1, 2022, the following resolution was adopted by the Corporation's Board
of Directors:
BE IT RESOLVED THAT:
the Corporation hereby adopts the Signing Authority Policy, as modified or
amended from time to time, of Stantec Inc.;
2. execution of any documents for and on behalf of the Corporation shall be
governed by the Signing Authority Policy, as modified or amended from
time to time, of Stantec Inc.; and
3. the Secretary or any of the Corporate Counsels of the Corporation be
authorized, empowered and directed from time to time as required to
facilitate the execution of contracts or submission of proposals, to sign, and
to seal with the Corporate Seal, Certificates of the foregoing action
evidencing the authority delegated in the Signing Authority Policy, as
amended from time to time, of Stantec Inc.
Christopher Fote is a Project Manager, Electrical of the Corporation, and in that
capacity is duly authorized to sign proposals and enter into agreements for professional
services in accordance with the Corporation's Signing Authority Policy in connection with
the following project:
Federal Way Memorial Stadium Lighting
City of Federal Way
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the
Corporation, this 30t" day of June, 2022.
cat]�TING
S
Amy Oygen, „} arpu atr m
Corporate Counselrl �"
7/26/22, 10:26 AM Washington State Department of Revenue
Washington State Department of Revenue
< Business Lookup
License information:
Entity name: STANTEC CONSULTING SERVICES INC
Business STANTEC CONSULTING SERVICES INC
name:
Entity type: Profit Corporation
UBI #: 602-529-295
Business ID: 001
Location ID: 0002
Location: Active
Location address:
Mailing address:
1687 114TH AVE SE
STE 100
BELLEVUE WA 98004
1687 114TH AVE SE
STE 100
BELLEVUE WA 98004-6965
Excise tax and reseller permit status: Click here
Secretary of State status:
Click here
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Governing people
HEISLER, CHRISTOPHER O
JANG, THERESA
JOHNSTON, GORDON A
LERNER, STUART E
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Kari Cimmer
From: Taryn Weatherford
Sent: Monday, July 25, 2022 3:31 PM
To: Kari Cimmer
Subject: RE: Certificate of Insurance
Yes ma'am!! Q
TARYN WEATHERFORD
Legal Assistant, Civil Division
Ph: (253) 835-2562 1 F: (253) 835-2569
taryn.weath erford P citvoffederalway. com
C" eo
Federal Way
camww �ftr
From: Kari Cimmer <Kari.Cimmer@cityoffederalway.com>
Sent: Monday, July 25, 2022 3:31 PM
To: Taryn Weatherford <Taryn.Weatherford@cityoffederalway.com>
Subject: RE: Certificate of Insurance
Ok, just so I'm sure I understand this..
Kent has ok'd us moving forward with the generic C01 forms and this email as the T01" to be routed along with the
other paperwork when I send it to Law.
Does that sum it up? iM
From: Taryn Weatherford <Taryn.Weathe rford@cityoffedera lway.com>
Sent: Monday, July 25, 2022 2:00 PM
To: Kari Cimmer<Kari.Cimmer@cityoffederalway.com>
Subject: FW: Certificate of Insurance
Importance: High
Kent approved going forward with this!!!
NOTE ****Please do not forward this e-mail *****
TARYN WEATHERFORD
Legal Assistant, Civil Division
City of Federal Way
Ph: (253) 835-2562 1 F: (253) 835-2569
taryn.weatherford@c'ityoffederalway.com
em a
Federal Way
«00 ly
From: Taryn Weatherford
Sent: Monday, July 25, 2022 1:55 PM
To: Kent van Alstyne<Kent.VanAlstyne@citvoffederalway.com>; Tonia Proctor <Tonia.Proctor@cityoffedera[way.com>
Subject: FW: Certificate of Insurance
Importance: High
Stantec responded with this:
have attached our generic COls which lines out our coverage; it is Stantec building practice to not name clients on our
insurance until executed documentation has been confirmed.
I understand this is not something you come across but in order to submit Client specific COls we need an executed
contract. Once that has been completed, I can turn around a COI request pretty quickly.
Documents are in the back up file labeled Stantec GL, Stantec PL
Thoughts? Looks the same as what was provided to Tonia
TARYN WEATHERFORD
Legal Assistant, Civil Division
Ph: (253) 835-2562 1 F: (253) 835-2569
taryn.weath erford @ cityofFederal_way.cam
cr" *,
Federal way
i • �d on Dppordarley
From: Kari Cimmer <Kari.Cimmer@citvoffederalway.com>
Sent: Monday, July 25, 2022 10:55 AM
To: Fote, Christopher <Chris.Fote@stantec.com>
Cc: Taryn Weatherford <Taryn.Weatherford@cityoffederalway.com>; Keith Niven <Keith.NivenC@cityoffederalway.com>
Subject: Certificate of Insurance
Importance: High
Good morning Chris,
I heard your message on Friday.
We really do need the Certificate of Insurance before the contract is
executed. Our legal department (and likely yours) need to verify that the
insurance criteria is met prior to execution.
I currently process all of the contracts in our department and have never
encountered an issue with obtaining a copy of the COI prior to execution, so I'm
perplexed.
I copied an excerpt from an earlier email indicating what we originally
requested If there is anything additional I can do please let me know.
Thank you,
K.Q. c,, c9Dr
Administration & Permit Center Supervisor
Amanda Administrator
A* Federal Way
33325 81h Avenue South
2
Federal Way, WA 98003-6325
Phone:253.835.2629 1 Alt: 253.835.2607 1 Fax: 253.835.2609
www.cityoffederalway.com
Ka ric @cityofFede ra Iway. com
Permit Center Hours, Mon - Fri 9:00 am to 4:00 pm
A copy of Stantec Inc.'s current Certificate of Insurance (Liability and Professional insurances) with the City
of Federal Way as a certificate holder. Please note the highlight on page 3 for the insurance minimum
limits.
�C Q6 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)1/1/2024 04/21/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER LOCKTON COMPANIES CONTACTNAMg- PAX
444 W. 47TH STREET, SUITE 900 PHONE
I
KANSAS CITY MO 64112-1906 E-MAIL
(816) 960-9000
kcasu@lockton.com INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Travelers Property Casualty Company of America 25674
INSURED STANTEC CONSULTING SERVICES INC INSURER B: Berkshire HathawaX S ecialtY Insurance Company 122276
1426517 410 17TH STREET INSURER C :
SUITE 1400
INSURERn
DENVER CO 80202-4427
INSURER E:
INSURE F :
rn�i�oAr±cc f+eDTlCtI'A'r= hl1IhAnr_o. '1Aigr,7nrA RFVICInRE 1dI IMRFIR• YYYYYYY
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, EXQJLUSIONS AND C DITIDNSF SUCH P UCIES. LJWJTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
-
TYPE OF INSURANCE
DOLSUER
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIODfYYYY
POLICY EXP
MWDDIYYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADORAMAOF
E OCCUR
CONTRACTUAL/CROSS
Y
N
47 - L - 0 584
05 0172021,
05/01Y202
TEACH OCCURRENCE
$ 2, 000.000
TO RENT I: D
$ 1,000.000
X
MED EXP lAny one rson)
$ 25 p00
X
131!N'LAGGRE43ATE
XCU COVERED
(PERSONAL & ADV INJURY
$ 2,000.000
LIMIT APPLIES PER:
POLICY PE O LOC
OTHER:
GENERALAGGREGATE
$ 4 O 0 OOO
PRODUCTS - COMPIOP AGG
$ 2 00O 000
$
A
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
N
N
TC2J - CAP - 8E086819 (AOS
TJ - BAP - 8EO86820
05/01/202
05/01/202
05/01/202
05/01/202
Ia acci4en SINGLE LIMIT
$ 11000,000
-BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
tROSPECtDAMAGE
Pee R
$ XXXXXXX
$ xxxxxx_x
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
C4o,IMS-MADE
N
N
47 - UMO-307585
05/01/202
05/01/202
EACH OCCURRENCE
$ 5,000,000
X
-AGGREGATE
$ 5,000,000
DED I I RETENTION $
$
A
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF er
OPERATIONS below
NIA
N
UB - 3P635310 (ADS)
UB-3P533004 (MA. Wi)
EXCEPT FOR OH NO WA WY
05/01/202
05/01/202
05/01/202
05/01/202
x ST T
IE.L. EACHACCIDENT
$ 1,000,000
�E L DISEASE - EA EMPLOYEE
$ 1,000.000
F' DISEASE - POLI Y LIMIT
Is 1 mo.000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
BELLEVUE, WA RE: RIGHT OF WAY PERMIT. CERTIFICATE HOLDER IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY BUT ONLY ARISING OUT
OF THE OPERATIONS OF THE NAMED INSURED, IF REQUIRED BY WRITTEN CONTRACT.
U tKI IFIL;A I k HULLILK LAIY4CLLfi I IVIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14667064 AUTHORIZED REPRESENTATIVE
CITY OF FEDERAL WAY
33325 8TH AVENUE S
FEDERAL WAY MI 98003
C 1988-2015 ACORD CORPORATION. All rights reserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
A�1 DATE (MM/DDIYYYY)
Y CERTIFICATE OF LIABILITY INSURANCE
15/1/2024 04/21/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER LOCKTON COMPANIES
444 W. 47TH STREET, SUITE 900 PHONE A
KANSAS CITY MO 64112-1906 E-MAIL
(816) 960-9000
kcasu@lockton com INSURERS AFFORDING COVERAGE NAIC ft
INSURER A : Travelers Property Casualtv Company of America 125674
INSURED STANTEC CONSULTING SERVICES INC.
1426517 410 17TH STREET
SUITE 1400
DENVER CO 80202-4427
INSURER B : Berkshire Hathawav Specialty Insurance ComDanv 122276
D:
rnaernA^-r /^COTICI!`ATC RII IRAC71=0- IA Pr-.n r-, rn RF\IICInPd NI IRARFR- YY)(YY)CY
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
XCLUSIONS AND CO NDrTIONS OF SUC14 POLICIES. LTMtTS SHO N MAY HA BEEN REDU ED BY PAID "AIMS
INSR
LTR
TYPE OF INSURANCE
ADDL
INSDIWVD
UB
POLICY NUMBER
POLICY EFF
MMIDDIYYYY)
POLICY EXP
(MMIDDIYYYYJ
LIMITS
�( COMMERCIAL GENERAL LIABILITY
47 - GLO-307584
05/011 02
051011
EACH OCCURRENCE
$ 2.000.000
CLAIMS -MADE OCCUR
PREMISES (Ea n =
S 1.000 000
MED EXP (Any one erson)
$ 25 000
X I CONTRACTUAL/CROSS
Y
N
X XCU COVERED
(PERSONAL B ADV INJURY
$ 2.000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLILI'7X JECT LOC
GENERAL AGGREGATE
S 4,000,000
(PRODUCTS - COMP/OP AGG
$ 2.000.000
$
OTHER:
A
AUTOMOBILE LIABILITY
TC2J - CAP - 8EO86819 (AOS
05/01 /202
05/01 /202
[ ae E (SINGLE LIMIT
$ ,000.000
(BODILY INJURY (Per person)
S XXXXXXX
A
X ANY AUTO
TJ - BAP - 8E086820
05/01/202
Ob/Ul /ZUZ4
(BODILY INJURY (Per accident)
$ XXXXXXX
OWNED SCHEDULED
N
N
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PQOaPEV DAMAGE
S XXXXXXX
$ XXXX>OCX
B X
X
I UMBRELLA LIAB
+ EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
47 - UMO-307585
05/01/202
05/01/202
EACH OCCURRENCE
$ 5,000,000
,AGGREGATE
$ 5,000,000
DED I I RETENTIONS
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
N
UB - 3P635310 (AOS)
UB-3P533004 MA, WI]
EXCEPT FOR OH ND WA
05/01/202
05/01/202
05/01/202
05/01/202
07
X 7i-
P MTFA
E.L.EACHACC10ENT
$ 1,000,000
IE.L. DISEASE - EA EMPLOYEE
$ 1,000.000
LL. DJSE E - POLICY LMIT
$ 1,000,000
If yes describe under
DESCRIPTION OF OPERATIONS beio�,
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
WEST CHESTER, PA. STANTEC PROJECT# 185750421, CLIENT PROJECT# WD #239646, RE: 7-ELEVEN STORE NO. 17463 FEDERAL WAY UST REMOVAL PROJECT,THE CITY ITS OFFICERS, OFFICIALS,
EMPLOYEES AND VOLUNTEERS ARE ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY BUT ONLY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED IF REQUIRED BY WRITTEN
CONTRACT AND THIS COVER IS PRIMARY AND OTHER INSURANCE IS EXCESS AND NON CONTRIBUTORY IF REQUIRED BY WRITTEN CONTRACT, THE COVERAGE SHALL NOT BE CANCELLED OR NON
RENEWED EXCEPT AFTER THIRTY (30) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER,
rFRTIFICATF Hni f1FR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14660554 AUTHORIZED REPRESENTATIVE
CITY OF FEDERAL WAY
33325 8TH AVENUE SOUTH,
FEDERAL WAY WA 98003
c 19 8.2015 ACORD CORPORATION. All rights reserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DATE (MM/DDIYYYY)
4eoJtzr�'' CERTIFICATE OF LIABILITY INSURANCE
5/1 /2024 1 04/21 /2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies k,UN :
444 W. 47th Street, Suite 900 PHONE AX
Ic
Kansas City MO 64112-1906 E-MAIL
(816)960-9000
kcasu@lockton.com INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Travelers Property Casualty Company of America 25674
INSURED STANTEC CONSULTING SERVICES INC. INSURER B: Berkshire Hathaway Specialty Insuianee CompanyGG61 D
415077 410 17TH STREET INSURER C
SUITE 1400 INSURER D:
DENVER CO 80202-4427
INSURER E
INSURER P :
nntic DA r_cc *tAl frCDTlVlr'ATC Atill"M=0- 1SI7r.7?RR RFVIS1nH fit IMFIFR- xxxxxxx
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS AND CO NDI F SUCH POLICIES LIMITS SHO MAY HAVE N REDU Ell BY PA112 CLAIMS
INSR
LTR
—EXCLUSIONS
TYPE OF INSURANCE
ADDL
JNSD
BUS
WVf]
POLICY NUMBER
POLICY EFF
MM,DOIYYYY
POLICY EXP
MMIDDNYYY
LIMITS
B I
X I
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADEFx 1
NTRACTUAL/CROSS
Y
N
4 - GLO-307584
5/01/202
051011 4
EACH OCCURRENCE
$ 2 000 000
'�"�' c
$ 1.000 000
MEDFxP An onenersonJ
$ 25 000
rIF-
CU COVERED
PERSONAL & ADV INJURY$
2.000.000
GGREGATE LIMIT APPLIES PER.
ICYPEA �LOC
ER
GENERAL AGGREGATE
S 4.000 000
PRODUCTS-OOMPJOPAGG
$ 2 000.000
S
A
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
N
N
TC2J - CAP - 8EO86819 (AOS
TJ - BAP - 8EO86820
05/01/2023
05/01/202
05/01/202
05/01/2024
'EOMaB .DJSINGLE LIMB
$ 1.000,000
BODILY INJURY (Per person)
S )()(XXX)()(
BODILY INJURY (Per accident)
$ XXXXXXX
PROPE Rr; Y DAMAGE
S XXXXXXX
� $XXXXXXX
B
)(
UMBRELLA LIAB X
EXCESS LIAB
pGCUR
CLAIMS-NAI7E
N
N
47 - UMO-307585
05/01/202
05/01/202
EACH OCCURRENCE
$ S,000,OOO
AGGREGATE
$ 5,000.000
DED I I RETENTION S
S
A
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIErOR/PARTNER/EXECUTIVE
OFFICEory in NH) EXCLUDED?
(Mantlatory in NH)
:Mandatory
yes tlescribe urder
DESCRIPTION OF OPERATIONS below
NIA
N
UB - 3P635310 (AOS)
UB-3P533004 (MA, WI)
EXCEPT FOR OH ND WA
05/01 /202
05/01/202
05/01 /202
05/01/202
11
X STATUTE I FER
E.L EACH ACCIDENT
S 1.000.000
E. DISEASE - EA EMPLOYEE
$ 1 ,000,000
E.L. DISEASE - POLICY LIMIT
$ 1 OOO.00O
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
PROJECT NAME: CITY OF FEDERAL WAY -FEDERAL WAY MEMORIAL STADIUM LIGHTING THE CITY IS AN ADDITIONAL INSURED AS RESPECTS GENERAL
LIABILITY, IF REQUIRED BY WRITTEN CONTRACT-
CERTIFICATEHVLUEK I.,ASVLtLLNIIVFV V �ILQ4lrri—rr
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
18757268 AUTHORIZED REPRESENTATIVE
CITY OF FEDERAL WAY:
33325 8TH AVENUE SOUTH
FEDERAL WAY WA 98003-6325
1 15 Tkr,51FD RPORATION. All rights reserved
ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
5/1/2023
DATE(MMIDD/YYYY)
7/29/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies
ACT
NAME:
PHONE FAX
JAI., Nu:
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816)960-9000
E-MAIL
ADDRESS:
ketSu@lockton.Com
INSURERS AFFORDING. COVERAGE
NAIC#
INSURER A: Berkshire Hathawa Specialty Insurance Company
22276
INSURED STANTEC CONSULTING SERVICES INC.
1415077 370 INTERLOCKEN BLVD., SUITE 200
INSURER B; Travelers Property Casual Co of America
25674
INSURER C.
INSURER D,
BROOMFIELD CO 80021-8009
INSURER E :
INSURER F :
COVERAGES *N CERTIFICATE NUMBER: 18757268 REVISION NUMBER: fix(
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.
TNSR
TYPE OF INSURANCE
AADL
SUER
POLICY NUMBER
PM(D Y EFF
POLICMMMOOY EXP rfYM
LIMITS
rA
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE XOCCUR
CONTRACTUAL/CROSS
Y
N
47 - GLO-307584
5/l/2022
5/l/2023
EACH OCCURRENCE
DAM aG aNTE?D
..
MED EXP An one erson
S 2, 00,000
S 1.000.000
X
S 25 000
XCU COVERED
PERSONAL & ADV INJURY
S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
' POLICY � PE� N LOC
OTHER:
GENERAL AGGREGATE
S 4 O00 000
PRODUCTS - COMP/OP AGG
S 2 OD0 000
S
B
B
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS ONLY AUTOSULED
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Ni
N
TC2J-CAP-8E086819 (AOS)
TJ-BAP-8E086820
5/1/2022
5/1/2022
5/1/2023
5/l/2023
COMBINED SINGLE LIMIT
TAAcCiderlt),.
BODILY INJURY (Per person)
$ 1,000,000
SOWNED X3CXXXXX.
I
BODILY INJURY (Per accident)
P OPERTYDAMACE
,.@� ,
5 x xxxM
5 XXXXXXX
s xxxxxxx
A
X UMBRELLA LIAB
X EXCESS LIAB
j�' OCCUR
CLAIMS -MADE
N
N
47 - UMO-307585
5/1/2022
5/1/2023
EACH OCCURRENCE
5 5,000A0
AGGREGATE
s 5,000�000.
DEL) I I RETENTIONS
S xxxxX.xx
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? NI
(Mandatary in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
N NUB-3P635310
(AOS)
UB-3P5330I14(MA, WI)
EXCEPT FOR OH ND WA WY
5/1/2022
5/l/2022
5/1/2023
5/I/2023
X I STATUTE ER
E.L. EACH ACCIDENT
S L000 00
EL. DISEASE - EA EMPLOYEfi
$1 0 0 00�„ O
E-L. DISEASE - POLICY LIMIT
S 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
PROJECT NAME: CITY OF FEDERAL WAY -FEDERAL WAY MEMORIAL STADIUM LIGHTING. THE CITY IS AN ADDITIONAL INSURED AS RESPECTS
GENERAL LIABILITY, IF REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANGELLAI ION NeeAttacilment.
18757268
CITY OF FEDERAL WAY:
33325 8TH AVENUE SOUTH
FEDERAL WAY WA 98003-6325
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED
n IgAR-7t)15 ACr)Rr) Cr)RPr)RATIr1N_ All rinhts reserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Attachment Code: D564542 Master ID: 1415077, Certificate ID: 18757268
STANTEC CONSULTING SERVICES INC..; 1415077
18757268
CITY OF FEDERAL WAY:
33325 8TH AVENUE SOUTH,
FEDERAL WAY, WA 98003-6325
Dear Valued Client:
In our continuing effort to provide timely certificate delivery, Lockton Companies is utilizing paperless
delivery of Certificates of Insurance. To ensure electronic delivery for future renewals of this certificate, we
need your email address. Please contact us via the email below and reference Certificate ID: 18757268.
You must reference this Certificate ID number in order for us to complete this process.
■ Certificate ID: 18757268
• Email: kctsu@lockton.com
• Subject Line: TSU E-Delivery
Signing up for this will NOT sign you up for any solicitation emails - your email will only be used to
forward updated or renewal certificates direct from Lockton. The email you receive will look like this:
twi CW.cYfs r i.MaW �Nrw.
n.— "4: Die m +aw [w +M rw i I'NM. •awt., r lG YM r— WN; oe.*., of Yi 14
If you received this letter with a certificate via email, no further action on your part is necessary. If you no
longer need this certificate, please contact us at the email address above, reference the Holder ID number
and use this subject line: "Certificate Removal"
NOTE. • Please do NOT send certificate requests or other insurance inquiries to the email inbox
above. Instead, use this email for in uiries: EEC-Inquiries@lockton.com
Thank you for your cooperation.
Lockton Companies
Technical Services Unit
6riail 12 l.irsikng Updai� - uO iiiiy Ccriik,Atfes
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)10/1/20zz 1 1/29/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816)960-9000AD
kctsu@lockton.com
CONTAC1 '
NAME
PHONE FAX
AIC No ;
EMAIL
s
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Berkshire Hathaway Specialty Insurance Com an
22276
INSURED STANTEC CONSULTING SERVICES INC.
1414100 370 INTERLOCKEN BLVD., SUITE 200
INSURER B : AIG Specialty Insurance Company
26883
INSURER C :
INSURER D :
BROOMFIELD CO 80021-8009
INSURER E
INSURER F
COVERAGES •N CERTIFICATE NUMBER: 18757256 REVISION NUMBER: Xx7CXXXX
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
LTRimsn
TYPE OF INSURANCE
ADD
B
POLICY NUMBER
POLICY tiFP
MP Dtl EXP.
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
NOT APPLICABLE
EACH OCCURRENCE
S XXXXXXX
DAMAGE
PMISI 50 RENTED Deco n a
S xyXX-Xxxx
MED EXP (Any one person)
S =X'XXXX
PERSONAL & ADV INJURY
S xxxx=
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S xxXXXXX
POLICY PRO-
JECT LOC
PRODUCTS - COMP/OP AGG
S XXXXXXX
$
OTHER:
AUTOMOBILE LIABILITY
NOT APPLICABLE
(CO�EaMB ucddo chintsiNGLE LIMIT
5 XXXXXXX
BODILY INJURY (Per person)
$ XXXXXXX
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$ XXXXXXX
PROPERTY DAMAGE
Per Rcra t
5 XXXXXXX
sXXXXXXX
UMBRELLA LIAB
OCCUR
NOT APPLICABLE
EACH OCCURRENCE
$ 11x XXX
AGGREGATE
$ XX3
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
5 XxXXXXX
1
1
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE 1
NOT APPLICABLE
STAT ER
EL EACH ACCIDENT
S XXXXXXX
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
N I A
EL DISEASE - EA EMPLOYE
$ XXXXXXX
E.L DISEASE- POLICY LIMIT
S XXXXXXX
If yes, describe unde
DESCRIPTION. OF OrPERATIONS below
A
Professional Liab
N
N
47-EPP-308810
10/1/2021
10/1/2022
$3,000,000 PER CLAIM/AGG
A
NO RETROACTIVE DATE
INCLUSIVE OF COSTS
B
Contractors Pollution Liab
CP08085428
10/1/2021
10/1/2023
S3,000,000 PER LOSS/AGG
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
PROJECT NAME: CITY OF FEDERAL WAY -FEDERAL WAY MEMORIAL STADIUM LIGHTING.
L. tt{ I It-R-A l 1= f1ULULt< l./ANt r_LLJA I IUN
18757256
CITY OF FEDERAL WAY:
33325 8TH AVENUE SOUTH
FEDERAL WAY WA 98003-6325
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTA
©198ORD CORPORATION. All riahts reserved
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD