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HomeMy WebLinkAboutAG 20-574 - Fred HutchRETURN TO: AUTUMN GRESSETT
EXT: 6914
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: PARKS
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT _mmmmmIT EXT: 5914 3. DATE REQ. BY- 8/19/2021
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
I_J CONTRACT AMENDMENT (AG#): 20-574 ❑ INTERLOCAL
❑ OTHER
5, PROJECT NAME: FRED HUTCH PARKING LICENSE AMENDMENT 3
6. NAME OF CONTRACTOR: FRED HUTCH
ADDRESS: TELEPHONE
E-MAIL: FAX:
SIGNATURE NAM
EXHIBITS AND ATTACHMENTS: 91 SCOPE, WORK OR SERVICES A COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
COMPLETION DATE: March 31, 2022
i. TOTAL CCOOMP NSAONOHOUI� Q Y LAIIt)It t IAI�I CH SCHEDULES OF EMPLOYEES mmmmm (INCLUDE EXPENSES AND SALES TAX, IF ANY)
ES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES NO IF YES, MAXIMUM DOLLAR AMOUNT: $ mmmmmmmmITIT _ . _IT
IS SALES TAX OWED ®YES ENO IF YES $ ....
PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO:
•Y.Y.n Y..
10. DOCUMENT/CONTRACT REVIEW INITIAL /DATE REVIEWED INITIAL DATE
A PROJECT MANAGER AG 2/24/22
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
IR LAW M 2.25.22P W W ,,.....
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
COUNCIL APPROVAL DATE:
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: m
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I 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.)
TIAL DA l Ism SIGNED
w;.�<,AmNl
DEPAIVIMENT �
1 AT (IRS'"(MAYOR OR DIRECTOR)� 11' " I" LLR �
I ASSIGNED AG 1
COMMENTS:
See date change and comments in the amendment document. JE 117122
CITY CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
7r����Uary:d (253) 835-7000
www crtyoffederalway. com
AMENDMENT NO. 3
TO
PARKING LICENSE
FOR
OLD TARGET PARKING LOT
This Amendment ("Amendment No. 3") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and FRED HUTCHINSON CANCER RESEARCH CENTER, a Washington State Public
Benefit Corporation ("Licensee"). The City and Licensee (together "Parties"), for valuable consideration and by
mutual consent of the Parties, agree to amend the original Parking License for Old Target Parking Lot
("Agreement") dated effective September 11, 2020, as amended by Amendment Nos. 1 and 2, as follows:
1. AMENDED TERM. The teen of the Agreement, as referenced by Section 2 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 March 31, 2022 ("Amended Term").
2. GENER. L 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 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 OF CITY HALL
33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www crtyoffederalway. com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below,
CITY OF FEDERAL WAY:
ATTEST:
J i I n 06, ty t 1- el iianie Courtney, C M , .,,ity Clerk
DATE:"�w APPROVED AS TO FORM:
J. yan Call, City At.orncy
w�
FRED HUTCHINSON CANCER RESEARCH CENTER:
DATE:...............6
STATE OF WASHINGTON )
ss.
COUNTY OF )
On this day personally appeared before me � to me known to be the
,. S e N.
Iti A M , a � . o 9 v, 43-A . R .n- it I ILL � 1 '' i�iat 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 day of 1,20 µ ,
1,1 loop,
Notary's signature
' ,.�°""t�°•, Notary's printed name. �, u
N I
.............�.��
°' TRY Notary Public in and for the State of Washington.
My commission expires —
PUB►-�C°
m
OF
AMENDMENT
-2-
Rev. 3/2017
RETURN TO: AUTUMN GRESSETT
EXT: 6914
._..............
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: PARKS
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT EXT: 6914 3. DATE REQ, By- 8/19/2021
4. TYPE OF DOCUMENT (CHECK ONE):
0 CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
Ei PUBLIC WORKS CONTRACT E] SMALL OR LIMITED PUBLIC WORKS CONTRACT
El PROFESSIONAL SERVICE AGREEMENT E] MAINTENANCE AGREEMENT
El GOODS AND SERVICE AGREEMENT 11 HUMAN SERVICES/ CDBG
11 REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
El ORDINANCE [I RESOLUTION
(51 CONTRACT AMENDMENT (AG#): 20-574 El INTERLOCAL
0 OTHER
5. PROJECT NAME; FRED HUTCH PARKING LICENSE AMENDMENT 2
6. NAME OF CONTRACTOR: FRED HUTCH . .....
ADDRESS: . .... —TELEPHONE
E-MAIL: FAX:11111—
SIGNATURE NAME: TITLE... —
7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES A COMPENSATION El INSURANCE REQUIREMFNTS/CERTIFICATE El ALL
OTHER REFERENCED EXHIBITS D PROOF OF AUTHORITY TO SIGN 0 REQUIRED LICENSES El PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
COMPLETION DATE: FEBRUARY 28,2022
TOTAL COMPENSATION $ 1,000 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: El YES 41 NO IF YES, MAXIMUM DOLLAR AMOUNT: $_.— - . ......
IS SALES TAX OWED OYES ONO
RETAINAGE: RETAINAGE AMOUNT:
i
0 RETAINAGE AGREEMENT (SEE CONTRACT) OR El RETAINAGE BOND PROVIDES
-7(p
0 PURCHASING: PLEASE CHARGE TO: _-OL-IIi
10. DOCUMENT/CONTRACT REVIEW INITIAL O DATLE R EVIE ETJ rNITIAL / DAI'E APPROVED
A PROJECT MANAGER AG 1/7/2022
El DIRECTOR
El RISK MANAGEMENT (IF APPLICABLE)
I* LAW JE 1/7/22
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE
Fwelrjlrlll.•�
12. CONTRACT SIGNATURE ROUTING
0 SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: - -----
El ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
0 CREATE ELECTRONIC REM fNDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
■
COMMENTS:
See date change and comments in the amendment document. JE 1/7/22
I N 1. Tj A L / D AT L5� I G -NE I)
AG
This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and FRED HUTCHINSON CANCER RESEARCH CENTER, a Washington State Public
Benefit Corporation ("Licensee"). The City and Licensee (together "Parties"), for valuable consideration and by
mutual consent of the Parties, agree to amend the original Parking License for Old Target Parking Lot
("Agreement") dated effective September 11, 2020 as follows:
AMENDED TERM. The term of the Agreement, as referenced by Section 2 ofthe Agreement and any prior
amendments thereto, shall be amended and shall continue until the completion of the Services, but in any
event no later than February 28, 2022 ("Amended Term").
2. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 3 of the
Agreement, shall be amended to change the total compensation the Licensee shall pay the City. The Licensee
agrees that it shall pay an additional rental fee in the amount of One Thousand Dollars and 00/100 ($
1,000.00) ("Rental Fee") for the amended term as outlined in Section 1. Licensee shall pay the Rental Fee by
February 5, 2022.
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 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 OF 0TY o....aALII.
25 Stun veme South
'048 Federa,l Way ederas Way, WA 98003 6325
(253) 5-7 000
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
By: ........
iinrell,�ryor
DATE: i
FRED HUTCHINSON CANCER RESEARCH CENTER:
BY A/--j
Printed Name: Thamas 1 rrch
Title: President & Director
DATE:
..
STATE OF WASHINGTON )
ss.
COUNTY OF
ATTEST:
� j "',`
Sfe ha ie Courtney, CMC, it Clerk.
p Y y
APPROVED AS TO FORM:
1, 1 are Call, City ttojrney
On this day personally appeared before mein..►,,. , to me known to be the
p. � T h i�� c.Tb�. of t",r ,� � �Z- t Q ..... 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 m _ 2 day of 3ftNuAf-`4 , 202,2.
Notary's signature
name J ��
Notary's.._ w.
Nota
63
State �"� Folic rY' p Notary P Public in and the State of Washington.Washi ,t ashington.
JO BA L CO NE My commission expires ��� 2023
COMM. # 182081
MY COMM. EXP.11/1212023
AMENDMENT - 2 - Rev. 3/2017
RETURN TO: AUTUMN GRESSETT
EXT: 6914
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: PARKS
2. ORIGINATING STAFF PERSON: AUTUMN GRESSETT
EXT: 6914 3. DATE REQ. BY: 8/19/2021
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#): 20-574
❑ INTERLOCAL
❑ OTHER
S. PROJECT NAME: FRED HUTCH PARKING LICENSE AMENDMENT
6. NAME OF CONTRACTOR: FRED HUTCH
ADDRESS:
E-MAIL:
SIGNATURE NAME:
TELEPHONE
FAX:
TITLE
7. EXHIBITS AND ATTACHMENTS: A SCOPE, WORK OR SERVICES IN COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE:
COMPLETION DATE: JAN 31, 2022
9. TOTAL COMPENSATION $16,500 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
IF CALCULATED ON HOURLY LABOR CHARGE — ATTACH SCHEDULES OF EMPLOYEES TITLES AN
D ND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES A 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
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT/CONTRACT REVIEW
A PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
A LAW
11. COUNCIL APPROVAL (IF APPLICABLE)
12. CONTRACT SIGNATURE ROUTING
INITIAL / DATE REVIEWED
AG 8.18.2021
JE 8/19/21
INITIAL / DATE APPROVED
COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
❑ SENT TO VENDOR/CONTRACTOR DATE SENT:m DATE EC"'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.)
DAIL SIGNED
W DEPARTMENT(�WLTIAL 1/1 -,. ........
CLERK
OR DIRECTOR)
El CITY K rp)�
,+
�b
❑ ASSIGNED AG# AG#
COMMENTS:
2/2N 17
Wry OF C, FIFYII
58t Aveinue°
9113 6325
Illllllllllllpiwi�ip
w�r��� a r�Wa���� r��:.^m��a�w�✓a��p� rt ro�r�
AMENDMENT NO. 1
TO
PARKING LICENSE
FOR
OLD TARGET PARKING LOT
This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and FRED HUTCHINSON CANCER RESEARCH CENTER, a Washington State Public
Benefit Corporation ("Licensee"). The City and Licensee (together "Parties"), for valuable consideration and by
mutual consent of the Parties, agree to amend the original Parking License for Old Target Parking Lot ("Agreement")
dated effective September 11, 2020 as follows:
1. AMENDED TERM. The term of the Agreement, as referenced by Section 2 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 31, 2022 ("Amended Term").
2. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 3 of the
Agreement, shall be amended to change the total compensation the Licensee shall pay the City. The Licensee agrees
that it shall pay an additional rental fee in the amount of Four Thousand Five Hundred Dollars and 00/100
($4,500.00) ("Rental Fee") for the amended term as outlined in Section 1 of this amendment No. 1. Licensee shall
pay the Rental Fee by November 5, 2021.
3. AMENDED CONDITION OF PREMISES. The condition of premises, as referenced in Section 8 of the
Agreement, shall be amended to change the Licensee's ability to make modifications to the premises. City hereby
grants to Licensee the approval to add prime power as referenced in Exhibit A of this amendment. Licensee shall be
required to follow current City permit policy before any work may begin. Licensee shall be required to return
premises to original condition upon completion of term. Returning premises to original condition includes, but is not
limited to, removing all conduit, electrical wire, transformers, and patching any disturbed asphalt, etc. Section 9 of
the Agreement remains unchanged and Licensee shall be solely responsible for any and all costs associated with
restoring the premises to its original condition.
4. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior
amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by
either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the
previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been
performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The
Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this
Amendment, which is binding on the parties of this contract.
[Signature page follows]
AMENDMENT Rev. 3/2017
I F
Un i' ALII
33325 8th JAveinuue South
14tdPrRdO'�". R';qP�e"�P�$a5°1�Y1i"Xk:���VMdd'�°' e':�:PNp9
IN WITNESS, the Parties execute
this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
Jim r ell, 11yor
DATE:,
ATTEST:
w V
p
Si'p6 nie Courtney, Clqity Clerk
APPROVED AS TO FORM:
6?NRyan Call,y Attorney
me
FRED HUTCHINSON CANCER RESEARCH CENTER:
BY......... Vo
Printed Name: l..ynclt
Title:
President & Director
DATE:
...............
p.
STATE OF WASHINGTON )
) ss.
COUNTY OF V-1 N G )
On this day personally appeared before me kA RS L` N0k to me known to be the
?�LESkDENZ & 01RECioR- of Q y-�cl+ - ,C - cl+ ENTER- 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 I -Li day of .. YiU& %5 5'r 20 tii.
Notary's signature
Notary's printed name Joo-t N n Gy.w p�
M
lic �^��-ngton Notary Public in and for the State of Washington.
NER My commission expires N-%%Nang *- �2,202S
811212023
AMENDMENT Rev. 3/2017
CURY OF
14. NFe, d le ra I Wa y
111NIN-1160,
EXHIBIT A
Drawings & Plan Specifications
CITY 11AL-IL
33325 8th Avenue South
Federal Way, WA 9800,3-6325
(253) E.6:35.7000
WmdV ('�rvcft;" I/,rahm v Com
AMENDMENT Rev. 3/2017
! _,wes;eoeREPLACED CABLEsses
. .
.
SITE PLAN
P,mw Cable! Conduit Tab«F--.,; _:
.-------- . . . . . .. . . . . . . .. ..
...
: .
�:. .
, �. ------------------
'yUCIRCUIT MAP
3 _ CABLDIAGRAM
«kDE
r
BUTTEULY CONDUIT e mem 0
w 2 AE : Gu»
RETURN TO: Autumn Gressett EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: Parks
2. ORIGINATING STAFF PERSON: Autumn Gressett EXT: 3. DATE REQ. BY
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 Lease
5. PROJECT NAME: FRED HUTCH CANCER RESEARCH CENTER PARKING LICENSE
G
NAME OF CONTRACTOR: Fred Hutchinson Cancer Research Center
ADDRESS: 1100 Fairview Ave N Seattle, WA 98109 TELEPHONE
E-MAIL: RMOYER@FREDHUTCH.ORG FAX:
SIGNATURENAME: THOMAS LYNCH TITLE
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: 9/13/2020
COMPLETION DATE: 9/13/2021
9. TOTAL COMPENSATION $ 12,000 to the City (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 IDNO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ----[I RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: "I"
10. DOCUMENT/CONTRACT REVIEW
A PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
a LAW
INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
AG 8/25/2020
JRC 8/26/2020
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 9/1/2020
12. CONTRACT SIGNATURE ROUTING
* SENT TO VENDOR/CONTRACTOR DATE SENT: 9/8/2020 DATE REC'D: 9/10/2020
* 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 1 DATE SIGNED
❑ LAW DEPARTMENT
Q,RIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG# AG "'
COMMENTS:
PARKING LICENSE
THIS PARKING LICENSE (the "License") is entered into this _ day of September, 2020
("Execution Date) with an effective date of 13th day of September 2020 ("Effective Date") by and between
the City of Federal Way, a Washington municipal corporation ("City"), and FRED HUTCHINSON
CANCER RESEARCH CENTER, a Washington State Public Benefit Corporation ("Licensee").
RECITALS
A. City is the owner of that certain improved parcel of real property located in the City of
Federal Way, King County, Washington commonly known as Old Target Parking Lot off
of Pete von Reichbauer Way S, located at 2141 S 314' South and legally described as King
County Parcel #0921049017 and #8575000020 ("Property").
B. City desires to grant to Licensee a exclusive license to use a portion of the Property for the
Permitted Use, as defined herein, with ingress and egress pursuant to the terms set forth
herein.
AGREEMENT
1. Premises. City hereby grants to Licensee a License to use an area located at the Property in the
locations depicted on the attached Exhibit A (the "Premises"). Licensee shall be required to provide a
secured chain link fence enclosure surrounding the area marked on Exhibit A. City also grants to Licensee
and its agents, employees, consultants, and invitees a non-exclusive license for vehicular and pedestrian
ingress, egress, and access over, upon, across, and through the Property for the benefit of the Premises. This
License shall terminate automatically at the expiration of the term.
2. Term. The term of this License shall commence on the Effective Date, and shall terminate on
September 13, 2021. This License may be extended for additional periods of time upon the mutual
written agreement of the City and the Licensee.
3. Rent. Licensee shall pay a monthly rental fee in the amount of One Thousand Dollars ($1,000)
("Rental Fee"). Licensee shall pay the Rental Fee by the 5`' of each month.
4. Termination. Licensee may terminate this agreement with 30 days' notice to City. City may
terminate this agreement should Licensee fail to pay the Rental Fee as described above with five (5) days'
written notice and after allowing five (5) days for Licensee to cure the failure.
5. Use of Premises. The Premises shall be used for COVID-19 Vaccine Efficacy Studies material
storage, equipment and vehicle parking by Licensee and its agents, employees, consultants, and invitees
and for no other purpose without City's prior written consent. Licensee shall not create or maintain on the
Premises any nuisance or in any way violate generally applicable laws, ordinances, and public regulations
now or hereafter in effect.
6. Access and Use. Licensee's access to the Premises shall be from 12:00am — 11:59pm, Monday
through Sunday. City reserves the right to make other uses of the Premises that do not interfere with
Licensee's use.
7. Liens and Improvements. Licensee shall not permit any mechanic's or materialmen's liens of any
kind to be enforced against the Premises for any work done or materials furnished thereon at the request of
or on behalf of Licensee.
8. Condition of Premises. Licensee accepts the Premises "as -is."
9. Maintenance and Repairs. City shall not be responsible for any costs associated with cleaning,
maintaining, and repairing the Premises.
10. Accidents and _Liability,_ Insurance. City, its elected officials, officers, employees, agents, and
volunteers shall not be liable for any injury or damage to persons or property sustained by Licensee or
Licensee's invitees in and about the Premises or Property, except to the extent such injury or damage is
caused by City's or its elected officials', officers', employees', agents', or volunteers' negligence or breach
of this License. Licensee agrees to indemnify, defend and hold City and its elected officials, officers,
employees, agents, and volunteers harmless from any claim, action, expenses, costs, fees (including
attorneys' fees) and/or judgment for damages to property or injury to persons suffered or alleged to be
suffered on the Property resulting from Licensee's negligence or breach of this License, except to the extent
caused by City's negligence or breach of this License. Licensee shall maintain commercially reasonable
liability insurance on the Premises and to name the City as an additional insured.
11. Successors and Assigns. This License and each of the terms, provisions, conditions, and covenants
hereof shall be binding upon and inure to the benefit of the parties hereto and their respective successors
and assigns.
12. Notices. All notices hereunder shall be in writing and shall be delivered personally, by certified or
registered mail, by email or by recognized overnight courier addressed as follows:
If to Licensee: FRED HUTCHINSON CANCER RESEARCH CENTER
Attention: THOMAS LYNCH, PRESIDENT & DIRECTOR
TOM@FREDHUTCH.ORG
1100 Fairview Ave N
Seattle, WA 98109
If to City: City of Federal Way
Attention: Autumn Gressett, Contract Administrator
Autumn.gressett@cityoffederalway.com
33325 8th Avenue South
Federal Way, WA 98003-6325
Or to such other address(es) or addressee(s) as any party entitled to receive notice hereunder shall designate
to the other in the manner provided herein for the service of notices. Rejection, refusal to accept, or inability
to deliver because of changed address or because no notice of changed address was given, shall be deemed
receipt.
13. Governmental. Charges. City shall indemnify and save Licensee harmless from any taxes,
assessments or governmental charges of any kind which may be levied against the Premises.
14. Suhros-,ation Waiver. Each of City and Licensee release and relieve the other and waive their entire
right of recovery against the other for loss or damage arising out of or incident to the perils described in
standard fire insurance policies and all perils described in the "Extended Coverage" insurance endorsement
approved for use in Washington state, that occurs in, on, or about the Premises or Property, whether due to
the negligence of either party, their agents, employees, or otherwise.
15. Entire Agreement. This License contains the entire agreement between the parties and supersedes
all other statements or understandings between the parties.
16. Counterparts. This License may be executed by the parties in any number of separate
counterparts, and all such counterparts so executed constitute one agreement binding on all the Parties,
notwithstanding that all the parties are not signatories to the same counterpart. This License may be
executed by facsimile signatures or by electronic signatures (such as an executed pdf document emailed
by a party), and each counterpart executed and transmitted by facsimile or email shall have the same force
and effect as an originally executed document.
IN WITNESS WHEREOF, the parties hereto have executed this instrument on the date herein set forth.
[Signatures to Follow]
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF .1 BIZ iL WAY:
B
Y
Jim Fer al ❑r
I
DATE:
LICENSEE:
ATTEST:
APPROVED AS TO FORM:
J. Ryan Call, City Attorney
` FRED TC S ANCER _ RUH CENTER
1
By: ThomasLyn
Its: Presidem & ectQ
Date: 9 I "� 1
STATE OF WASHINGTON )
) ss.
COUNTY OF Ko N C1 )
I certify that I know or have satisfactory evidence that �%o m& S L y n tl-, is the person who
appeared before me, and said person acknowledged that he signed this instrument. on oath stated that he
was authorized to execute the instrument and acknowledged it as the President & Director of Fred
Hutchinson Cancer Research Center to be the free and voluntary act and deed of such party for the uses and
purposes mentioned in the instrument.
�aaaar►N�
w
Dated: ,+���►�� �1
""■+■ e r
do J,
49
m - I10
Notary Pub& in and foAhe State of Washington
Residing at K I µ C C p ,-j
Printed Name '., `• "� ! = r_ `� p,�
My appointment expires —1 —Ze
EXHIBIT A
8
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 09/09/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Marsh USA, Inc. NAME _
PHONE FAx
1301 5th Avenue, Suite 1900 (A/C. No, Extl. _ _ {A_C, .NO).
Seattle, WA 98101 EMAIL
Attn: Cindy Allen (206) 214-3176 ADDRESS-
INSURER(S) AFFORDING COVERAGE NAIC #
CN 1 02167269-ALL-CAS-20-21
INSURER A: Lexington Insurance Company
INSURER IS: National Union Fire Ins Co Pittsburgh PA
19437
INSURED Fred Hutchinson Cancer Research
Center, et at
1100 Fairview Avenue North, J6300
PO Box19024
Seattle, WA 98109
19445
-
INSURER C : N/A
N/A
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: SEA-003688174-01 REVISION NUMBER: 5
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 ADDL;5UI3R POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MIDDIYYYY MM/DD/YYYY .
A
X COMMERCIAL GENERAL LIABILITY
6792542
04/01/2020
04/01/2021
EACH OCCURRENCE
$ 1,000,000
I CLAIMS -MADE (�- OCCUR
I
9 X f HPL - RETRO DATE 12/1/96
DAM_...X
PREAISE REI�cli ce
S (Ea,occu re pe
MED EXP (Any one person)
$ 50,000
$ 5,000
riPERSONAL
& ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 3,000,000
�GEI'LAGGREGATELIMITAPPLIESPER:
POLICYPftG❑JC�'T LOC
PRODUCTS-COMP/OPAGG
5
$
OTHER SR Sl',; 100
B
AUTOMOBILE LIABILITY
CA7550845
04/01/2020
04/01/2021
COMBINED S:r,:.�L= L VIIT
EA appLec i U --
$ 1,000,000
$
X ANY AUTO
BODILY INJURY (Per person)
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMNOE
Per accwent
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Comp/Coll Ded
$ 500 / 1,000
UMBRELLA LIAB OCCUR
6792551
04/01/2020
04/01/2021
EACH OCCURRENCE
_$ 5,000,000
AGGREGATE
S 5,000,000
X EXCESS LIAB X CLAIMS -MADE
S
DED I I RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
-STATUTE ER
E.L EACH ACCIDENT
S
OFFICERIMEMBEREXCLUDED? N/A
(Mandatory in NH) I
E.L. DISEASE - EA EMPLOYE
S
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
S
A Wasington Stop Gap
6792542
04/01/2020
04/01/2021
Limits:
See Page 2
Employers Liability
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: Old Target Parking Lot off Pete von Reichbauer Way S, located at 2141 S 3141h South
City of Federal Way, its agents, officers, and employees are included as additional insured where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited
to liability arising out of the operations of the named insured and where required by written contract.
CERTIFICATE HOLDER CANCELLATION
City of Federal Way
Attn: Autumn Gressett, Contract Administrator
33325 8th Avenue South
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
of Marsh USA Inc.
Richard S. Cuff �r,� -. C—*
©1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102167269
LOC #: Seattle
AnnITIMIAI RFMARKC Qrwi=niq G
(AGENCY NAMED INSURED
i Marsh USA, Inc. Fred Hutchinson Cancer Research
Center, et at
POLICY NUMBER 1100 Fairview Avenue North, J6300
PO Box 19024
Seattle, WA 98109
CARRIER NAIC CODE
1 EFFECTIVE DATE:
7DITIONAL REMARKS
25 Certificate of Liz!FORM,
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD
FORM NUMBER: FORM TITLE: bility Insurance
Washington Stop Gap Employers Liability
Policy Number: 6792542
Carrier: Lexington Insurance Company
Policy Dates: 4/1/20 - 4/1/21
Limits:
Each Accident: $1,000,000
Each Employee: $1,000,000
Policy Limit: $1,000,000
Pana 7 of
,cUKD 101 (zoo8/o1) © 2008 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
ENDORSEMENT NO.19
This endorsement, effective 12:01 AM: April 1, 2020
Forms a part of policy no.: 6792542
Issued to: FRED HUTCHINSON CANCER RESEARCH CENTER
By: LEANGTON INSURANCE COMPANY
ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided by the Policy:
The following is only added to Section 11. WHO IS AN INSURED of the Coverage Parts as indicated
by an "X" below:
HEALTHCARE PROFESSIONAL LIABILITY COVERAGE PART
X HEALTHCARE GENERAL LIABILITY COVERAGE PART
The person or organization shown in the Schedule below is included as an additional Insured if you
are obligated by virtue of a written contract, executed prior to the medical Incident, occurrence or
offense, to provide insurance to such person or organization of the type afforded by this Policy, but
only with respect to liability arising out of operations conducted by you or on your behalf.
In the event that the Limits of Insurance provided by this Policy exceed the Limits of Insurance
required by the written contract, the insurance provided by this endorsement shall be limited to the
Limits of Insurance (inclusive of any applicable self insured retention) required by the written
contract. The Limits of Insurance (inclusive of any applicable self insured retention) provided by this
Policy shall not be increased for any reason, including any failure, refusal or inability of any self
insurance/ Insured to pay any amounts due thereunder. This endorsement shall not increase the
Limits of Insurance shown in the Declarations pertaining to the coverage provided herein.
Any coverage provided by this endorsement to an additional Insured shown in the Schedule below
shall be excess over any other valid and collectible insurance or self insured retention available to
the additional Insured whether primary, excess, contingent or on any other basis, unless the written
contract with the additional Insured specifically requires that this insurance be primary and
non-contributory with any other insurance carried by the additional Insured. In such case, this
insurance shall be primary and non-contributory with any other insurance carried by the additional
Insured.
In the event of payment under the Policy, we waive our right of subrogation against any person or
organization shown in the Schedule below where the Famed Insured has waived liability of such
person or organization as part of the written contract between the Named Insured and such person
or organization.
In accordance with the terms and conditions of the Policy, as soon as practicable, each additional
MNSCPT (02118)
ENDORSEMENT NO. 19 (Continued)
Insured must give us prompt notice of any medical incident, occurrence or offense which may result
in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise
comply with all of the Policy's terms and conditions. Failure to comply with this provision may, at
our option, result in the claim or suit being denied.
SCHEDULE
Name of Additional Insured:
Any person or organization as limited above
Al other terms and conditions of the policy remain the some.
MNSCPT (02/18)
Authorized Representative
or countersignature (where required by law)