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HomeMy WebLinkAboutAG 13-234l3 -23'1
C (
� CERTIFICATE OF LIABILITY INSURANCE
DATE
2 /2
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
CS &S /HUB INTNL NORTHWEST LLC
PO BOX 946580
Maitland, FL 32794 -6580
1- 866 - 816 -9592
CONTACT
NAME:
PHONE
(A/C, No, Ext):
FAX
(A/C, No):
EMAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A' National Fire Insurance of Hartford
20478
INSURED
SOUND LAW CENTER
4500 9TH AVE NE
SUITE 300
INSURER B:
INSURER C:
INSURER D.
INSURER E:
INSURER F:
SEATTLE, WA 98105
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. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MM /DD/YY)
POLICY EXP
(MM /DD/YY)
LIMITS
A
X
COMMERCIAL GENERA L LIABILITY
Y
5094976328
02/01/18
02/01/19
EACH OCCURRENCE
$ 2,000,000
DAMAGE T
PREMSESO (Ea Eoccureence)
$ 300,000
CLAIMS -MADE
X
OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4,000,000
$ 4,000,000
GEN'L
AGGREGATE
POLICY
LIMIT APPLIES
JOECT
\
PER:
LOC
PRODUCTS - COMP /OP AGG
OTHER:
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED AUTOS
ONLY
HIRED AUTOS
ONLY
\/
/\
SCHEDULED
AUTOS
NON -OWNED
AUTOS ONLY
5094976328
02/01/18
02/01/19
COMBINED SINGLE LIMIT (Fa
(Ea accident)
1,000,000
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA LIAB
EXCESS LIAB
_
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DED
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
Y/N
N/A
PER
STATUTE
OTH-
ER
EL EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
PER
STATUTE
OTH-
ER
E . EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Acord 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder is added as an additional insured as provided in the blanket additional insured endorsement as it pertains to work
being performed by the named insured under written contract.
CERTIFICATE HOLDER
CANCELLATION
The City of Federal Way
33325 8th Ave S
Federal Way, WA 98003
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
V.) rn Q(LA_,r.a/i t
ACORD 25 (2016/03)
O 1988 -2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
RETURN TO: Jennifer Marshall
EXT: 2542
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: CITY CLERK'S OFFICE
2. ORIGINATING STAFF PERSON: STEPHANIE COURTNEY, CMC
4. TYPE OF DOCUMENT (CHECK ONE):
• CONTRACTOR SELECTION DOCUMENT (E.
❑ PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT
❑ REAL ESTATE DOCUMENT
❑ ORDINANCE
• CONTRACT AMENDMENT (AG #): 13 -234 A
❑ OTHER
EXT: 2540 3. DATE REQ. BY: 12/01/2017
G., RFB, RFP; RFQ)
❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ MAINTENANCE AGREEMENT
❑ HUMAN SERVICES / CDBG
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
5. PROJECT NAME: PRO TEMPORE HEARING EXAMINER SERVICES
6. NAME OF CONTRACTOR: SOUND LAW CENTER, LLC
ADDRESS: 4500 NINTH AVE NE, STE 300 SEATTLE, WA 98105
E -MAIL: TPH @SOUNDLAWCENTER.COM
SIGNATURE NAME: TED HUNTER
TELEPHONE: 206 628 -0700
. FAX: N/A
. TITLE: MANAGING PARTNER
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS
8. TERM: COMMENCEMENT DATE: 01/01/2018
COMPLETION DATE: 12/31/2019
9. TOTAL COMPENSATION NOT TO EXCEED $4,000.00 (PER ORIGINAL CONTRACT EXHIBIT B) (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: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND
PROVIDED
• PURCHASING: PLEASE CHARGE TO: 001- 1200 - 044 - 514 -30 -410
10. DOCUMENT /CONTRACT REVIEW INITIAL /DATE REVIEWED INITIAL /DATE APPROVED
❑ PROJECT MANAGER
• DIRECTOR/CITY CLERK 1‘114 I/
❑ RISK MANAGEMENT (IF APPLICABLE)
• LAW
11. COUNCIL APPROVAL (IF APPLICABLE)
2.o1T
COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/19/2013 .
12. CONTRACT SIGNATURE ROUTING
• SENT TO VENDOR/CONTRACTOR DATE SENT: I2-1 014 (I V1 DATE REC'D: 1/101 111
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS 11 in(,.
• 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
Zop.. Zdi}
• LAW DEPARTME
• SIGNATORY
• CITY CLERK
• ASSIGNED AG#
• SIGNED COPY RETURNED
DIRECTOR)
corm S:
AG#
DATE SENT:
2/2017
446- CITY F
O
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
w ww.cityoffederaiwaycorn
AMENDMENT NO. 2
TO
PROFESSIONAL SERVICE AGREEMENT
FOR
PRO TEMPORE HEARING EXAMINER SERVICES
This Amendment ( "Amendment No. 2 ") is made between the City of Federal Way, a Washington municipal
corporation ( "City "), and Sound Law Center, LLC, a Washington limited liability company, ( "Contractor "). The City
and Contractor (together "Parties "), for valuable consideration and by mutual consent of the Parties, agree to amend
the original Agreement for Hearing Examiner Services ( "Agreement ") dated effective January 1, 2014, as amended
by Amendment No. 1, and 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 December 31, 2019 ( "Amended Term ").
2. 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 - Rev. 3/2017
CITY CIF
-�% Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835-7000
www afyoffederalway.. con;
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
Bv:
.1. Ferr- 1, Mayor
DATE: 7?,, /
SOUND LAW CENTER, LLC
Printed Name:
Title: 1M•ika . 0tvie. ,
DATE:
STATE OF WASHINGTON )
) ss.
COUNTY OF j�,
On this day personally appeared before me 7 d / h T�" V , to me known to be the
/71Ct✓1Cic Iw A }nea
ATTEST:
Al. '
Stephanie Courtney
IP
APPROVED AS TO FORM:
MC, City Clerk
J. Ryan Call, City Attorney
TERESA J SPARLING
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
SEPTEMBER 24, 2021
of ' c1 L 0+,J Co. >�Pr t t. C that executed the foregoing
instrum4nt' and ackno edged the said instrument to be the free and voluntary act and deed of said limited liability
company, for the uses and purposes therein mentioned, and on oath stated that he /she was authorized to execute said
instrument.
GIVEN my hand and official seal this - day of i✓-a7•'1 l , 20j2
Notary's signature c. i .�
Notary's printed name e rte- ci J ?' c/ 1%+�
Notary Public in and for he State of Washington.
My commission expires
AMENDMENT 2 Rev. 3/2017
o
A ® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM /DD/YYYY)
12/19/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES
NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS
WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CS &S /HUB INTNL NORTHWEST LLC
PO BOX 958489
LAKE MARY, FL 32746 -8989
Phone - 866- 816 -9592
Fax - 877 - 763 -5122
CONTACT
NAME:
PHONE FAX
E -MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Continental Casualty Company
20443
INSURED
SOUND LAW CENTER
4500 9TH AVE NE
SUITE 300
SEATTLE, WA 98105
INSURER B :
Y
INSURERC:
5094976328
INSURER D:
02/01/2018
INSURERE:
$ 2,000,000
INSURER F :
CLAIMS -MADE
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
LTR
TYPE OF INSURANCE
ADOL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MMIDD/YYYY)
POLICY EXP
(MM /DD/YYYY)
LIMITS
A
X
COMMERCIAL GENERAL
X
LIABILITY
OCCUR
Y
N
5094976328
02/01/2017
02/01/2018
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 300,000
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
00,000
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
PRO
1 POLICY I I JECT - %Q LOC
OTHER
GENERAL AGGREGATE
4,000,000
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
A
AUTOMOBILE
XHIRED
LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
AUTOS ONLY
\/
/\
SCHEDULED
AUTOS
NON -OWNED
AUTOS ONLY
N
N
5094976328
02/01/2017
02/01/2018
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA LIAB
EXCESS LIAB
—
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I 'RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR /PARTNER/EXECUTIVE Y/N
OFFICER /MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
Stop Gap Liability
5094976328
02/01/2017
02/01/2018
Bodily Injury by Accident - Each
Accident
Bodily Injury by Disease - Each
Employee
Bodily Injury by Disease -
Aggregate
$1,000,000
$1,000,000
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule may be attached if more space is required)
Certificate holder is added as an additional insured as provided in the blanket additional insured endorsement as it pertains to work
being performed by the named insured under written contract.
CERTIFICATE HOLDER
CANCELLATION
The City of Federal Way
33325 8th Ave S
Federal Way, WA 98003
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988 -2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CNA
SB- 146932 -E20
(Ed. 06/11)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered
as an additional insured on any other endorsement now or hereafter attached to this Policy.
1. ADDITIONAL INSURED — BLANKET VENDORS
WHO IS AN INSURED is amended to include as an
additional insured any person or organization
(referred to below as vendor) with whom you
agreed, because of a written contract or agreement
to provide insurance, but only with respect to "bodily
injury" or "property damage" arising out of "your
products" which are distributed or sold in the regular
course of the vendor's business, subject to the
following additional exclusions:
1. The insurance afforded the vendor does not
apply to:
a. "Bodily injury" or "property damage" for
which the vendor is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in the
absence of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the
product made intentionally by the vendor;
d. Repackaging, except when unpacked solely
for the purpose of inspection,
demonstration, testing, or the substitution of
parts under instructions from the
manufacturer, and then repackaged in the
original container;
e. Any failure to make such inspections,
adjustments, tests or servicing as the
vendor has agreed to make or normally
undertakes to make in the usual course of
business, in connection with the distribution
or sale of the products;
f. Demonstration, installation, servicing or
repair operations, except such operations
performed at the vendor's premises in
connection with the sale of the product;
Products which, after distribution or sale by
you, have been labeled or relabeled or used
as a container, part or ingredient of any
other thing or substance by or for the
vendor; or
g.
h. "Bodily injury" or "property damage" arising
out of the sole negligence of the vendor for
its own acts or omissions or those of its
employees or anyone else acting on its
behalf. However, this exclusion does not
apply to:
(1) The exceptions contained in
Subparagraphs d. or f.; or
(2) Such inspections, adjustments, tests or
servicing as the vendor has agreed to
make or normally undertakes to make
in the usual course of business, in
connection with the distribution or sale
of the products.
2. This insurance does not apply to any insured
person or organization, from whom you have
acquired such products, or any ingredient, part
or container, entering into, accompanying or
containing such products.
3. This provision 2. does not apply to any vendor
included as an insured by an endorsement
issued by us and made a part of this Policy.
4. This provision 2. does not apply if "bodily injury"
or "property damage" included within the
"products- completed operations hazard" is
excluded either by the provisions of the Policy or
by endorsement.
2. MISCELLANEOUS ADDITIONAL INSUREDS
WHO IS AN INSURED is amended to include as an
insured any person or organization (called additional
insured) described in paragraphs 2.a. through 2.h.
below whom you are required to add as an
additional insured on this policy under a written
contract or agreement but the written contract or
agreement must be:
1. Currently in effect or becoming effective during
the term of this policy; and
2. Executed prior to the "bodily injury," "property
damage" or "personal and advertising injury,"
but
Only the following persons or organizations are
additional insureds under this endorsement and
coverage provided to such additional insureds is
limited as provided herein:
SB- 146932 -E20 Page 1 of 5
(Ed. 06/11)
CNA
a. Additional Insured — Your Work
That person or organization for whom you
do work is an additional insured solely for
liability due to your negligence specifically
resulting from your work for the additional
insured which is the subject of the written
contract or written agreement. No coverage
applies to liability resulting from the sole
negligence of the additional insured.
The insurance provided to the additional
insured is limited as follows:
(1) The Limits of Insurance applicable to
the additional insured are those
specified in the written contract or
written agreement or in the Declarations
of this policy, whichever is less. These
Limits of Insurance are inclusive of, and
not in addition to, the Limits of
Insurance shown in the Declarations.
(2) The coverage provided to the additional
insured by this endorsement and
paragraph F.9. of the definition of
"insured contract" under Liability and
Medical Expenses Definitions do not
apply to "bodily injury" or "property
damage" arising out of the "products -
completed operations hazard" unless
required by the written contract or
written agreement.
The insurance provided to the additional
insured does not apply to "bodily injury,"
"property damage," or "personal and
advertising injury" arising out of the
rendering or failure to render any
professional services.
(3)
b. State or Political Subdivisions
A state or political subdivision subject to the
following provisions:
(1) This insurance applies only with respect
to the following hazards for which the
state or political subdivision has issued
a permit in connection with premises
you own, rent, or control and to which
this insurance applies:
(a) The existence, maintenance, repair,
construction, erection, or removal of
advertising signs, awnings,
canopies, cellar entrances, coal
holes, driveways, manholes,
marquees, hoistaway openings,
sidewalk vaults, street banners, or
decorations and similar exposures;
or
SB- 146932 -E20
(Ed. 06/11)
SB- 146932 -E20
(Ed. 06/11)
(b) The construction, erection, or
removal of elevators; or
(2) This insurance applies only with respect
to operations performed by you or on
your behalf for which the state or
political subdivision has issued a permit.
This insurance does not apply to "bodily
injury," "property damage" or "personal and
advertising injury" arising out of operations
performed for the state or municipality.
c. Controlling Interest
Any persons or organizations with a
controlling interest in you but only with
respect to their liability arising out of:
(1) Their financial control of you; or
(2) Premises they own, maintain or control
while you lease or occupy these
premises.
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for such
additional insured.
d. Managers or Lessors of Premises
A manager or lessor of premises but only
with respect to liability arising out of the
ownership, maintenance or use of that
specific part of the premises leased to you
and subject to the following additional
exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place
after you cease to be a tenant in that
premises; or
(2) Structural alterations, new construction
or demolition operations performed by
or on behalf of such additional insured.
e. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver but only
with respect to their liability as mortgagee,
assignee, or receiver and arising out of the
ownership, maintenance, or use of a
premises by you.
This insurance does not apply to structural
alterations, new construction or demolition
operations performed by or for such
additional insured.
f. Owners /Other Interests — Land is Leased
An owner or other interest from whom land
has been leased by you but only with
respect to liability arising out of the
ownership, maintenance or use of that
Page 2 of 5
CNA
g.
specific part of the land leased to you and
subject to the following additional
exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place
after you cease to lease that land;
or
(2) Structural alterations, new
construction or demolition
operations performed by or on
behalf of such additional insured.
Co -owner of Insured Premises
A co -owner of a premises co -owned by you
and covered under this insurance but only
with respect to the co- owners liability as co-
owner of such premises.
h. Lessor of Equipment
Any person or organization from whom you
lease equipment. Such person or
organization are insureds only with respect
to their liability arising out of the
maintenance, operation or use by you of
equipment leased to you by such person or
organization. A person's or organization's
status as an insured under this
endorsement ends when their written
contract or agreement with you for such
leased equipment ends.
With respect to the insurance afforded
these additional insureds, the following
additional exclusions apply:
This insurance does not apply:
(1) To any "occurrence" which takes place
after the equipment lease expires; or
(2) To "bodily injury," "property damage" or
"personal and advertising injury" arising
out of the sole negligence of such
additional insured.
Any insurance provided to an additional insured
designated under paragraphs b. through h.
above does not apply to "bodily injury" or
"property damage" included within the
"products- completed operations hazard."
3. The following is added to Paragraph H. of the
BUSINESSOWNERS COMMON POLICY
CONDITIONS:
H. Other Insurance
4. This insurance is excess over any other
insurance naming the additional insured
as an insured whether primary, excess,
contingent or on any other basis unless
SB- 146932 -E20
(Ed. 06/11)
SB- 146932 -E20
(Ed. 06/11)
a written contract or written agreement
specifically requires that this insurance
be either primary or primary and
noncontributing.
4. LEGAL LIABILITY — DAMAGE TO PREMISES
A. Under B. Exclusions, 1. Applicable to
Business Liability Coverage, Exclusion k.
Damage To Property, is replaced by the
following:
k. Damage To Property
"Property damage" to:
1. Property you own, rent or occupy,
including any costs or expenses
incurred by you, or any other
person, organization or entity, for
repair, replacement, enhancement,
restoration or maintenance of such
property for any reason, including
prevention of injury to a person or
damage to another's property;
2. Premises you sell, give away or
abandon, if the "property damage"
arises out of any part of those
premises;
3. Property loaned to you;
4. Personal property in the care,
custody or control of the insured;
5. That particular part of any real
property on which you or any
contractors or subcontractors
working directly or indirectly in your
behalf are performing operations, if
the "property damage" arises out of
those operations; or
6. That particular part of any property
that must be restored, repaired or
replaced because "your work" was
incorrectly performed on it.
Paragraph 2 of this exclusion does not
apply if the premises are "your work"
and were never occupied, rented or
held for rental by you.
Paragraphs 1, 3, and 4, of this
exclusion do not apply to "property
damage" (other than damage by fire or
explosion) to premises:
(1) rented to you:
(2) temporarily occupied by you with
the permission of the owner, or
(3) to the contents of premises rented
to you for a period of 7 or fewer
consecutive days.
Page3of5
CNA
A separate limit of insurance applies to
Damage To Premises Rented To You
as described in Section D — Liability and
Medical Expenses Limits of Insurance.
Paragraphs 3, 4, 5, and 6 of this
exclusion do not apply to liability
assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not
apply to "property damage" included in
the "products- completed operations
hazard."
B. Under B. Exclusions, 1. Applicable to
Business Liability Coverage, the last
paragraph of 2. Exclusions is deleted and
replaced by the following:
Exclusions c, d, e, f, g, h, i, k, I, m, n, and
o, do not apply to damage by fire to
premises while rented to you or temporarily
occupied by you with permission of the
owner or to the 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 D.
Liability And Medical Expenses Limits Of
Insurance.
C. The first Paragraph under item 5. Damage
To Premises Rented To You Limit of
Section D. Liability And Medical
Expenses Limits Of Insurance is replaced
by the following:
The most we will pay under Business
Liability for damages because of "property
damage" to any one premises, while
rented to you, or temporarily occupied by
you, with the permission of the owner,
including contents of such premises rented
to you for a period of 7 or fewer consecutive
days, is the Damage to Premises Rented to
You limit shown in the Declaration.
5. Blanket Waiver of Subrogation
We waive any right of recovery we may have
against:
a. Any person or organization with whom you
have a written contract that requires such a
waiver.
6. Broad Knowledge of Occurrence
The following items are added to E.
Businessowners General Liability
Conditions in the Businessowners Liability
Coverage Form:
e. Paragraphs a. and b. apply to you or to any
additional insured only when such
SB- 146932 -E20
(Ed. 06/11)
SB- 146932 -E20
(Ed. 06/11)
"occurrence," offense, claim or "suit" is
known to:
(1)
You or any additional insured that is an
individual;
(2) Any partner, if you or an additional
insured is a partnership;
Any manager, if you or an additional
insured is a limited liability company;
(4) Any "executive officer" or insurance
manager, if you or an additional insured
is a corporation;
Any trustee, if you or an additional
insured is a trust; or
(6) Any elected or appointed official, if you
or an additional insured is a political
subdivision or public entity.
This paragraph e. applies separately to you
and any additional insured.
7. Bodily Injury
Section F. Liability and Medical Expenses
Definitions, item 3. "Bodily Injury" is deleted
and replaced with the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including death,
humiliation, shock, mental anguish or mental
injury by that person at any time which results
as a consequence of the bodily injury, sickness
or disease.
(3)
(5)
8. Expanded Personal and Advertising Injury
Definition
a. The following is added to Section F.
Liability and Medical Expenses
Definitions, item 14. Personal and
Advertising Injury, in the
Businessowners General Liability
Coverage Form:
h. Discrimination or humiliation that results in
injury to the feelings or reputation of a
natural person, but only if such
discrimination or humiliation is:
1. Not done intentionally by or at the
direction of:
a. The insured; or
b. Any "executive officer," director,
stockholder, partner, member or
manager (if you are a limited liability
company) of the insured; and
2. Not directly or indirectly related to the
employment, prospective employment,
past employment or termination of
Page 4 of 5
CNA
employment of any person or person by
any insured.
b. The following is added to Exclusions,
Section B.:
(15)Discrimination Relating to Room,
Dwelling or Premises
Caused by discrimination directly or
indirectly related to the sale, rental,
lease or sub -lease or prospective sale,
rental, lease or sub -lease of any room,
dwelling or premises by or at the
direction of any insured.
(16)Fines or Penalties
Fines or penalties levied or imposed by
a governmental entity because of
discrimination.
SB- 146932 -E20
(Ed. 06/11)
SB- 146932 -E20
(Ed. 06/11)
c. This provision (Expanded Personal and
Advertising Injury) does not apply if
Personal and Advertising Injury Liability
is excluded either by the provisions of the
Policy or by endorsement.
9. Personal and Advertising Injury Re- defined
Section F. Liability and Medical Expenses
Definitions, item 14, Personal Advertising Injury,
Paragraph c. is replaced by the following:
c. The wrongful eviction from, wrongful entry
into, or invasion of the right of private
occupancy of a room dwelling or premises
that a person or organization occupies
committed by or on behalf of its owner,
landlord or lessor.
Page 5 of 5
11
RETURN TO: STEPHANIE COURTNEY EXT: 2540
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: LAW /CITY CLERK
2. ORIGINATING STAFF PERSON: STEPHANIE COURTNEY, CITY CLERK
4. TYPE OF DOCUMENT (CHECK ONE):
D CONTRACTOR SELECTION DOCUMENT (E.
❑ PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT
❑ REAL ESTATE DOCUMENT
❑ ORDINANCE
X CONTRACT AMENDMENT (AG #): 13 -234
❑ OTHER
EXT: 2540 3. DATE REQ. BY: 12/31/2015
G., RFB, RFP, RFQ)
❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ MAINTENANCE AGREEMENT
❑ HUMAN SERVICES / CDBG
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
5. PROJECT NAME: PRO TEMPORE HEARING EXAMINER SERVICES
6. NAME OF CONTRACTOR: SOUND LAw CENTER, LLC
ADDRESS: 4500 NINTH AVE NE SUITE 300 SEATTLE WA 98105
E -MAIL: TPH@SOUNDLAWCENTER.COM
SIGNATURE NAME: TED HUNTER
TELEPHONE 206 628 -0700
FAX:
TITLE: MANAGING PARTNER
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE
❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS
8. TERM: COMMENCEMENT DATE: 01/01/2016 COMPLETION DATE: 12/31/2017
9. TOTAL COMPENSATION $ PER FEE SCHEDULE (NOT TO EXCEED $4,000.00) (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES X NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES X NO IF YES, $
X PURCHASING: PLEASE CHARGE TO: 001- 1200 - 044 - 514 -30 -410
PAID BY: ❑ CONTRACTOR ❑ CITY
10. DOCUMENT /CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
tit LAW
11. COUNCIL APPROVAL (IF APPLICABLE)
5aG ►i-11%
COMMITTEE APPROVAL DATE: N/A COUNCIL APPROVAL DATE: 11/19/2013
12. CONTRACT SIGNATURE ROUTING b,t)tC SENT TO VENDOR/CONTRACTOR DATE SENT: t 109 DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
® LAW DEPARTMENT
OGCHIEF OF STAFF
(1( SIGNATOR
• CITY CLERK
Py ASSIGNED AG#
❑ SIGNED COPY RETURNED
dar Pat
R DIRECTOR)
COMMENTS:
INITIAL / DAT SIGNED
c. \ _ 111
k. 'ArAD'F
um
AG. /3-231
DATE SENT: /? - - /S
ttl 9)v)(9/ott-c
11/9
CITY OF
Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www cityoffedera/way com
AMENDMENT NO. 1
TO
PROFESSIONAL SERVICE AGREEMENT
FOR
PRO TEMPORE HEARING EXAMINER SERVICES
This Amendment ( "Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ( "City "), and Sound Law Center, LLC, ( "Contractor "). The City and Contractor (together "Parties "), for
valuable consideration and by mutual consent of the parties, agree to amend the original Agreement for Hearing
Examiner Services ( "Agreement ") dated effective January 1, 2014, 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 December 31, 2017 ( "Amended Term ").
2. 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, is 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.
AMENDMENT
[Signature page follows]
- 1 -
AG #13 -234
44k Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www cltyoffederalway. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY
By:
Jima ell, Mayor
DATE: /0 /
SOUND LAW CENTER, LLC
By:
Ted Hunter, Managing Partner
DATE: O D t) ,
Z- 0) 20 t Sr
STATE OF WASHINGTON )
) ss.
COUNTY OF k 'i.t) )
ATTEST:
rk, Stephanie Courtn MC
APPROVED AS TO FORM:
Cik
5( City Attorney, Amy Jo Pearsall
On this day personally appeared before me Ted Hunter , to me known/proven to be the Managing Partner of
Sound Law Center, LLC that executed the foregoing instrument, and acknowledged 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 a0 day of /Ut i2-e7 , 20 /5`
L KYNotary Public
State of Washington
TERESA J SPARLING
COMMISSION EXPIRES
SEPTEMBER 24, 2017
AMENDMENT
Notary's signature
Notary's printed name �� s .5;7 ez 41
Notary Public in and for the State of Washington.
My commission expires , {� ,b - OL1 .2°17
- 2 -
AG #13 -234
RETURN TO: Carol McNeilly, City Clerk EXT: 2540
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT. /DIV: Law /City Clerk
2. ORIGINATING STAFF PERSON: Carol McNeillV, City Clerk EXT: 2541 3. DATE REQ. BY: 12 -27 -2013
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: Pro Tempore Hearing Examiner Services
6. NAME OF CONTRACTOR: Sound Law Center, LLC
ADDRESS: 4500 Ninth Avenue NE, Suite 300 _TELEPHONE 206- 628 -0700
E -MAIL: tph@soundlawcenter.com FAX:
SIGNATURE NAME: Ted Hunter TITLE Managing Partner
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK OR SERVICES ® COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑
ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS
8. TERM: COMMENCEMENT DATE: 01 -01 -2014 COMPLETION DATE: 12 -31 -2015
9. TOTAL COMPENSATION $ See Fee Schedule L4 Cm-09 ' (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
0 PURCHASING: PLEASE CHARGE TO: 001 -1200- 044 - 514 -30 -410
10. DOCUMENT /CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
® PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
Z LAW L Z -
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: NIA COUNCIL APPROVAL DATE: 11-19-2013
12. CONTRACT SIGNATURE ROUTING
Ej SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
INITIAL / DATE SIGNED
LAW DEPARTMENT .
SIGNATORY (MAYOR OR DIRECTOR)
CITY CLERK 2 -
ASSIGNED AG# AG# j-," 2
Z SIGNED COPY RETURNED DATE SENT:
COMMENTS:
11/9
city of
''
Federal Way
CITY OF FEDERAL WAY
33325 Eighth Avenue Scufh • Fedeial Way, WA 980003
, 2 -
253-835-7000 - w\Nw,cifyoffecieralw(jy.c(,f-ri
PROFESSIONAL SERVICES AGREEMENT
FOR
PRO TEMPORE HEARING EXAMINER SERVICES
This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Sound Law Center, LLC ("Pro Tempore Hearing Examiner"). The City and Pro Tempore
Hearing Examiner (together "Parties") are located and do business at the below addresses which shall be valid for any
notice required under this Agreement:
Sound Law Center, LLC
4500 Ninth Avenue NE, Suite 300
Seattle, WA 98105
(206) 628-0700 (telephone)
tph(@soundlawcenter.com.
The Parties agree as follows:
Carol McNeilly, City Clerk
333258 "' Ave. S.
Federal Way, WA 98003-6325
(253) 835-2540 (telephone)
(253) 835-2509 (facsimile)
Carol.meneilly@ciiyoffederalwgy.com
1. TERM. The term of this Agreement shall commence January 1, 2014 (the effective date of this Agreement) and
shall continue through December 31, 2015 ("Term"). This Agreement may be extended for additional periods of time
upon the mutual written agreement of the City and the Pro Tempore Hearing Examiner.
2. SERVICES. The Pro Tempore Hearing Examiner shall perform the services more specifically described in
Exhibit "A", attached hereto and incorporated by this reference ("Services"), 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 Pro Tempore Hearing Examiner 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 Pro
Tempore Hearing Examiner 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 Pro Tempore Hearing Examiner fails to maintain required insurance policies, breaches confidentiality, or materially
violates Section 12; and such may result in ineligibility for further City agreements.
4. COMPENSATION.
4.1 Amount. In return for the Services, the City shall pay the Pro Tempore Hearing Examiner an amount not
to exceed a maximum amount and according to a rate or method as delineated in Exhibit "B", attached hereto and
incorporated by this reference. The Pro Tempore Hearing Examiner 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 Term. Except as otherwise provided in
Exhibit "B", the Pro Tempore Hearing Examiner 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.
4.2 Method of Payment. On a monthly basis, the Pro Tempore Hearing Examiner 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
PROFESSIONAL SERVICES AGREEMENT " 1- 9/2012
CITY Of CITY OF FEDERAL WAY
Federal Way
33'1 i c; h i h A v 0 r ! u 01 S outh • Fedetol VNIoy, WA 980103
S,31_ %100 + www.c ",./c)ffed-,,-alw()Y.(.--otii
personnel performing such Services, and any 110LIrly labor charge rate for such personnel. The Pro Tempore Hearing
Examiner 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 after 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 Pro
Tempore Hearing Examiner will correct or modify the work to comply with the Agreement. The City may withhold
payment for SUCII work until the work meets the requirements of the Agreement.
4.3 Non-Appropriation 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-.
5.1i Pro Tempore Hearing Examiner Indemnification. The Pro Tempore Hearing Examiner agrees to release,
indemnify, defend, and hold the City, its - elected officials, I cials, 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 frorn, or in connection with this Agreement or the acts, errors
or omissions of the Pro Tempore Hearing Examiner 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 Pro Tempore Hearing Examiner and the City, the
Pro Tempore Hearing Examiner's liability, including the duty and cost to defend, hereunder shall be only to the extent of
the Pro Tempore Hearing Examiner's negligence. Pro Tempore Hearing Examiner 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 Pro Tempore Hearing Examiner
pursuant to this paragraph. The City's inspection or acceptance of any of Pro Tempore Hearing Examiner's work when
completed shall not be growids to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Pro Tempore
Hearing Examiner waives any immunity that maybe granted to it under the Washington State industrial insurance act,
Title 51 RCW, solely for the purposes of this indemnification, Pro Tempore Hearing Examiners indemnificationshall 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' comperisation 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 Pro Tempore Hearing
Examiner, 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 Pro Tempore Hearing Examiner agrees to carry insurance for liability which may arise from
or in connection with the performance of the services or work by the Pro Tempore Hearing Examiner, 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:
PROFESSIONAL SERVICES AGREEMENT - 2 - 9/2012
CITY of CITY OF FEDERAL WAY
11 3332` Eiahth Avenue SO(A � • Federal Way, WA 980 )3
Federal
2').. £33.5 / 00 n��v,at c�� euE�rc7;w;ay,ca�rn
6.1. Minimum Limits. The Pro Tempore Hearing Examiner 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, stop gap 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 $1,000,000 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 limits 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 $1,000,000 per claim and $1,000,000
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 Pro Tempore Hearing Examiner.
6.2. No Limit of Liability. Pro Tempore Hearing Examiner's maintenance of insurance as required by the
agreement, shall not be construed to limit the liability of the Pro Tempore Hearing Examiner to the coverage provided by
such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. The Pro Tempore
Hearing Examiner's insurance coverage shall be primary insurance as respect the City. Any insurance, self - insurance, or
insurance pool coverage maintained by the City shall be excess of the Pro Tempore Hearing Examiner's insurance and
shall not contribute with it.
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, Pro Tempore Hearing Examiner
shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit "C" and
incorporated by this reference. At City's request, Pro Tempore Hearing Examiner shall furnish the City with copies of all
insurance policies and with evidence of payment of premiums or fees of such policies. If Pro Tempore Hearing,
Examiner's insurance policies are "claims made," Pro Tempore Hearing Examiner shall be required to maintain tail
coverage for a minimum period of three (3) years from the date this Agreement is actually 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 Pro Tempore Hearing Examiner in
performance of this Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by
the Pro Tempore Hearing Examiner may be grounds for immediate termination. All records submitted by the City to the
Pro Tempore Hearing Examiner will be safeguarded by the Pro Tempore Hearing Examiner. The Pro Tempore Hearing
Examiner will fully cooperate with the City in identifying, assembling, and providing records in case of any public
records disclosure 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 which may be produced or modified by
Pro Tempore Hearing Examiner while performing the Work shall belong to the City upon delivery. The Pro Tempore
Hearing Examiner 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 Pro Tempore Hearing Examiner shall be delivered to the
City.
9. BOOKS AND RECORDS. The Pro Tempore Hearing Examiner agrees to maintain books, records, and
documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Work 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.
PROFESSIONAL SERVICES AGREEMENT -3 - 9/2012
X11-'" Of CITY OF FEDERAL WAY
Federal Wa,&,r 33325 Eight h Avenue South • Federal Way, WA 98003
21,3 8. 5 ?000 * www,cityoffederalwciy.com
10. INDEPENDENT CONTRACTOR. The Parties intend that the Pro Tempore Hearing Examiner shall be an
independent contractor and that the Pro Tempore Hearing Examiner 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 Pro Tempore Hearing Examiner sick leave, vacation pay or any other benefit of
employment, nor to pay any social security or other tax which may arise as an incident of employment. Pro Tempore
Hearing Examiner shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and
subcontractors in the performance of the contract work and shall utilize all protection necessary for that purpose. All
work shall be done at Pro Tempore Hearing Examiner's own risk, and Pro Tempore Hearing Examiner shall be
responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work.
The Pro Tempore Hearing Examiner shall pay all income and other taxes due except as specifically provided in Section 4.
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 Pro Tempore .Hearing Examiner, shall not be deemed to convert this Agreement to
an employment contract. If the Pro Tempore Hearing Examiner is a sole proprietorship or if this Agreement is with an
individual, the Pro Tempore Hearing Examiner agrees to notify the City and complete any required form if the Pro
Tempore Hearing Examiner retired under a State of Washington retirement;, system and agrees to indemnify any losses the
City may sustain through the Pro Tempore Hearing Examiner's failure to do so.
11. CONFLICT OF INTEREST; It is recognized that Pro Tempore'' Hearing Examiner may or will be performing
professional services during the Term for other parties; however, such performance of other services shall not conflict
with or interfere with Pro Tempore Hearing Examiner's ability to perform the Services. Pro Tempore Hearing Examiner
agrees to resolve any such conflicts of interest in favor of the City. Pro Tempore Hearing Examiner confirms that Pro
Tempore Hearing Examiner 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 Pro Tempore Hearing Examiner's selection, negotiation, drafting,
signing, administration, or evaluating the Pro Tempore Hearing Examiner'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 Pro Tempore Hearing
Examiner 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, 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. Pro Tempore Hearing Examiner 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 Part 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 lrepresentatives of the Parties.
13,2 Assignment and Beneficiaries. Neither the Pro Tempore Hearing Examiner 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
PROFESSIONAL SERVICES AGREEMENT - 4 - 9/2012
(Arr Of CITY OF FEDERAL WAY
t* 333 ?5 Eighth Avenue South • Fo.dera( Way, WA 98003
`l..'.4 83, =i� C�O + wwvi.ciiyc)f`eCErciiv~aycom
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 obligations of the Parties shall inure to the benefit of and be binding upon their respective
successors in interest, heirs and assigns. Th is 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 Pro Tempore Hearing Examiner 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 of 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 Pro
Tempore Hearing Examiner'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 provided, however, 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 Pro Tempore Hearing
Examiner 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]
PROFESSIONAL SERVICES AGREEMENT -5- 9/2012
ALI Ory 0�
F-e-deral Way
CITY OF FEDERAL WAY
33325 Eighth Avenue South • Federal Way, WA 98003
253-835-7000 • www.cityoffederalway.con-i
IN WITNESS, the Parties execute this Agreement below, effective the last date written below,
CITY OF FEDERAL WAY ATTEST:
9—p
ki Yriest. ka—vor City Clerk, Carol M-Neilly, C C
DATE: 0--,31-2,01--7z)
SOUND LAW CENTER, LLC
e---, --,
B: I'l -
Ted Hunter
Title: Managing Partner
DATE:
APPROVED AS TO FORM:
-CitjAttorney-, -Patricia A Richardson
STATE OF WASHINGTON )
COUNTY OY, X )?ss.�?
h!j
I
On this day personally appeared before me Ted Hunter, to me known to be the frilw4allar of
aizA,! La,., Co- that executed the foregoing instrument and acknowIdded 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 seat affixed, if any, is the corporate seal of said
corporation.
LA
GIVEN my hand and official seal this 91'7 - day of C L-1 lel- 2013.
Notary's signature
Notary's printed name
Notary Public in and for the tate of Washington.
My commission expires !E'.k-Lul 419017
Notary Public
L TERESA J SPARCING
MY T
COMMISSION EXPIRES
SEPTEMBER 24.2017
PROFESSIONAL SERVICES AGREEMENT - 6 - 9/2012
CITY OF
!' «wr : Wall
EXHIBIT "Al)
SERVICES
CITY OF FEDERAL WAY
:333 25 E -Jgnth Avenue;; South - Fede;rol Way, VVA 98003
253- 835 -7000 + www.citycffederalway.c:orn
FEDERAL WAY REVISED CODE: The Pro Tempore Hearing Examiner shall perform all duties described in and
pursuant to the jurisdiction, power and authority established in the Federal Way Revised Code (FWRC) Chapter 2.95 for the
Hearing Examiner as now existing or hereafter adopted or amended,' together with such other or further Pro Tempore Hearing
Examiner services as may be required by the Federal Way Revised Code.
CITY DIRECTION: All duties shall be performed pursuant to the direction of the Mayor or his or her designee.
COMPLIANCE WITH LAWS: All duties shall be performed in accordance with all applicable federal, state and City laws,
including but not limited to King County and the City of Federal Way Land Use laws, State Environmental 'Act (SEPA),
Shoreline Management Act, Open Public Meetings Act, Rules of Evidence, and all city codes, ordinances, resolutions,
standards or policies as now existing or hereafter adopted or amended, including the Hearing Examiner Rules of Procedure.
RULES OF PROCEDURE: The City's Official Hearing Examiner has established rules of procedure for the efficient and
fair conduct of matters that come before the Hearing Examiner. These rules are consistent with state and city law. A copy of
these rules.of procedure shall be made available for inspection and copying in the department of Economic & Community
Development during regular business hours.
CLERICAL SERVICES: The Pro Tempore Hearing Examiner shall furnish clerical services including, but not limited to,
the typing of decisions, mailing decisions to parties of record, typing _decisions on requests for reconsideration, furnish
qualified personnel to mark exhibits, list names and address of parties of record, and record public hearings.
TIMELINESS: Decisions shall be rendered within the time period prescribed by the applicable statue or FWRC provision. If
the Pro Tempore Hearing Examiner is unable to render a decision within the required time period, he shall follow the
protocol set forth in the FWRC. Failure to do so will be considered a material breach of contract.
PERFORMANCE STANDARD: All duties shall be performed in a manner consistent with the accepted practices for other
similar services, performed to the City's satisfaction, including, but not limited to conducting orderly and impartial hearings,
creating a professional and courteous environment for applicants, citizen and staff; and the preparation of findings and
conclusions which are understandable and based upon sound reasoning and all applicable laws. When deemed appropriate,
the Pro Tempore Hearing Examiner will make site visits to familiarize him or herself with the site of the proposed land use
and the surrounding area.
DESIGNATED PRO TEMPORE HEARING EXAMINER Unless otherwise approved to in writing by the City, the City
hereby designates Sound Law Center, LLC (Kim Allen and Kristen Larson), as Pro Tempore Hearing Examiners. Pro
Tempore Hearing Examiners shall be appointed by the City.
PROFESSIONAL SERVICES AGREEMENT - 7 -- 9/2012
C6TY Of
AM
Federal Way
CITY OF FEDERAL WAY
3.3325 U i)th twenue Soulh • Fed,: ral Vtiay, wA 98003
�`>� -Fs� � , C,C;Ci • �✓,nrw.Cityoff .aE,���!�ry.crm�
EXHIBIT "I3"
COMPENSATION
Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed $4,000.00.
In consideration of the Pro Tempore Hearing Examiner performing the Services, the City agrees to pay the Pro Tempore
Hearing Examiner an amount calculated on the basis of the hourly labor charge rate schedule for Pro Tempore Hearing
Examiner's personnel as shown below:
The following hourly rates are for services provided in 2014:
Hearing Examiner $175
Senior Associates/Planners - $140
Law Clerks -$60
Secretarial -$35
Our hourly rates include all costs, we do not invoice separately for mileage, phone calls, copies and other direct
costs incurred by SLC when providing services, unless expressly provided for by contract.
Our blended rate of $120 per hour is derived by an average of the rates charged on a typical case in order to
complete that matter. For example, a case may be heard by a Hearing Examiner at the $175 rate, a decision drafted
at the $140 rate, and research provided at the $60 rate. When these are blended on a per hour basis and weighted
for the amount of time spent, the rate usually will average about $120 per hour.
REIMBURSABLE EXPENSES
There are no reimbursable expenses,,
PROFESSIONAL SERVICES AGREEMENT - 8 - 9/2012
Corporations: Registration :Detail
Corporations Division - Registration Data Search
SOUND LAW CENTER, LLC
UBI Number
602670309
Category
LLC
Active/Inactive
Active
State Of Incorporation
WA
WA Filing Date
11/16/2006
Expiration Date
11/30/2014
Inactive Date
Duration
tual
Registered Agent Information
Agent Name
TED H LJNTE R
Address
4500 9TH AVE NE STE 23
City
SEATTLE
State
'WA
ZIP
98105
Special Address Information
Address
City
State
Gip
Page I of 2
Purchase Documents for this Corporation
h.q://www.sos.wa.gov/corps/search_detail.aspx?ubi=602670309 12/11/2013
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Lookup business information Back to search results
It `Non- revenue" appears after Tax Registration Number; the account is not registered with the Department of Revenue. However, it
may W registered With other agencies in the state;
WaslAngton State Department of Revenue
State Business Records Database Detail
TAX REGISTRATION NO: SW347595 ACCOU14T OPENED: 10/01/197912mW..90 AM
Ufa; 600347595 ACCOUNT CLOSED.r OPEN:...
ENTITY NAME;: HL04TER THEODORE PAUL
'BUSINESS NAME: THEODORE PAUL HUNTER ATTORNEY AT LAW
MAILING ADDRESS r BUSINESS LOCATION;
3333 WALLINGFORD AVE N APT 407 3333 WALLINGFORD AVE NAPT 407
SEATTLE, WA 98103 -9003 SEATTLE, WA 98103 -9003
ENTITY ;TYPE: SOLE PROPRIETOR RESELLER PERMIT W. N/A .
PERMIT EFFECTIVE: N /A:
1AICS CODE <t 541110 PERMIT EXPIRES; N /A'.
NAICS DEFINITION: OFFICES OF LAWYERS
FOR NON-COM MERCIAL USE ONLY
12/12/2013 I0:12 AM
CONTACT US.: I ABOUT US I QUESTIONS & ANSWERS I PRINTER FRIENDLY
EapN:ai (yr <�RVU I e+� � rya i rNuv way i AF�a A�.w�alrymn.�
YF- PAS0y I.9 106YASMTON STATE DEPARFNENT OF REVENUE AND ITS UCENSORS, AU RIGHTS RESERVED VoiM i"Ish0!iNt Ssxisl6R:v:(SECRETARY OF STATE)
http: / /dor.wa.gov/ content /doingbusiness/ registermybusiness /brd /Default.aspx 12/12/2013
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THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 6F`6N'THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGIVIIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
RFPRESENTAnvF- OR PRODUCER, AND THE CERTIFICATE HOLDEK licyties) must be endorsed. it suaRIDGATION IS WAIVED, subject to
the terrns and conditions of the policy. certain policies may require an endorsement A statement on this certificate does not confer rights to the
PRODUCER 42$-M4WO
PHONE
PO Box 3018
Bothe(l, WA 96041-3018 IL
Hub House Account in.
Ted Hunter
4300 Ninth Ave. NE, Suits 300
Seattle, WA 96106
THIS IS TO CERTIFY T14AT THE POLICIES OF INSURANCE LIRTED MOW 14AVE BEEN ��SUED TO fW INSURED NAMED ABOVE FOR THE PbUdy PERIOD
INDICATED, NOTMTHSTANDINIG, ANY M0U#RF_MEKr, TERM oR CONWM OF ANY CONTRACT OR OTHER DOCUMENT V41TH RESPECT TO VMC14 THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONENTIONs Of SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
IN AIM,
AUTOMOBILE UASKM
SCHEDULED
Taft
AND EMPLOVOW ORBILRY YIN
02M11)"13 0MV14
WA STOP W ONLY
City off— SHOULD ANY Of THE ABWZ DESCRIBED POLIIGIES BE CANCEI I BEFORE
ME EXPIRATION DATE THEREOF,, NOTICE WILL BE DELIMED IN
33325 8th'Ave. South
Federal WaY, WA 98003 .91
oil
AGO
26 (;Iolalos) The ACORD name and logo are registered marks of ACORD
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