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HomeMy WebLinkAboutAG 22-034 - JLA PUBLIC INVOLVEMENTI RETURN TO: Kari Cimmer
EXT: x2629
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: COMMUNITY DEVELOPMENT / PLANNING
2. ORIGINATING STAFF PERSON: KEITH NIVEN
EXT: 2643 3. DATE REQ. BY: DECEMBER 30 2021
(IF POSSIBLE)
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G.,
RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT
❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
M 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: COMP PLAN UPDATE —COMMUNITY ENGAGEMENT
6. NAME OF CONTRACTOR: JLA PUBLIC INVOLVEMENT
ADDRESS: 921 SW WASHINGTON STREET, SUITE 570; PORTLAND OR 97205 TELEPHONE: 503-235-5881
E-MAIL: KRISTEN.KiBLEP,@JLA.US.COM FAX: N/A
SIGNATURE NAME: KRISTEN KIBLER TITLE: PARTNER
7. EXHIBITS AND ATTACHMENTS: ® SCOPE, WORK, OR SERVICES ® COMPENSATION M INSURANCE REQUIREMENTS/CERTIFICATE
® ALL OTHER REFERENCED EXHIBITS ® PROOF OF AUTHORITY TO SIGN ® REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: JANUARY 1, 2022 COMPLETION DATE: SEPTEMBER 30, 2024
9. TOTAL COMPENSATION $ 60,000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAWAGE BOND PROVIDED
M PURCHASING: PLEASE CHARGE TO: 001-5200-073-558-60-411
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED
M PROJECT MANAGER KN 12/20/21
M DIRECTOR BD 12/21/21
❑ RISK MANAGEMENT (IF APPLICABLE) N/A
M LAW KVA 1/3/2022
12. CONTRACT SIGNATURE ROUTING
INITIAL / DATE APPROVED
M SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D:
M ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL / DATE SIGNED
M LAW DEPARTMENT jryA I I lho7,t
M SIGNATORY (MAYOR OR DIRECTOR) BD 3/ 15I22
M CITY CLERK
M ASSIGNED AG# AG# 22-
COMMENTS:
New contract and new vendor
` CITY OF CITY HALL
Fe d
�ra I �� 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway. com
PROFESSIONAL SERVICES AGREEMENT
FOR
COMPREHENSIVE PLAN UPDATE — COMMUNITY ENGAGEMENT
This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and JLA Public Involvement, Inc., an Oregon corporation ("Contractor"). The City and Contractor
(together "Parties") are located and do business at the below addresses, which shall be valid for any notice required under
this Agreement:
JLA PUBLIC INVOLVEMENT, INC.:
Kristen Kibler
921 SW Washington Street, Suite 570
Portland, OR 97205
(503) 235-5881 (telephone)
Kristen(Jla.us.com
The Parties agree as follows:
CITY OF FEDERAL WAY:
Keith Niven
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-2643 (telephone)
com
l . TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be the
date of mutual execution, and shall continue until the completion of the Services specified in this Agreement, but in any
event no later than September 30, 2024 ("Term"). This Agreement may be extended for additional periods of time upon the
mutual written agreement of the Parties.
2. SERVICES. The Contractor shall perform the services more specifically described in Exhibit A ("Services"),
attached hereto and incorporated by this reference, in a manner consistent with the accepted professional practices for other
similar services within the Puget Sound region in effect at the time those services are performed, performed to the City's
satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee.
The Contractor warrants that it has the requisite training, skill, and experience necessary to provide the Services and is
appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to
obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this
Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or
delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Services
in accordance with this Agreement, notwithstanding the City's knowledge of defective or non -complying performance, its
substantiality or the ease of its discovery.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other
party thirty (30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if
the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Section 12 of
this Agreement. Termination for such conduct may render the Contractor ineligible for City agreements in the future.
4. COMPENSATION.
4.1 Amount. In return for the Services, the City shall pay the Contractor an amount not to exceed a maximum
amount and according to a rate or method as delineated in Exhibit B, attached hereto and incorporated by this reference.
The Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at
the negotiated rate(s) for the Term. Except as otherwise provided in Exhibit B, the Contractor shall be solely responsible
for the payment of any taxes imposed by any lawful jurisdiction as a result of the perfonmance of Services and payment
under this Agreement.
PSA - JLA Public Involvement - 1 - Rev. 7/2021
` ciry of CITY HALL
�.- Federal Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederalway.. com
4.2 Method of Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form
specified by the City, including a description of what Services have been performed, the name of the personnel performing
such Services, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon
completion of all Services. Payment shall be made on a monthly basis by the City only after the Services have been
performed and within thirty (30) days following receipt and approval by the appropriate City representative of the voucher
or invoice. If the Services do not meet the requirements of this Agreement, the Contractor will correct or modify the work
to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the
Agreement.
4.3 Non -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.
5.1 Contractor Indemnification. The Contractor agrees to release, indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all
claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries,
damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by
any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives; arising
from, resulting from, or in connection with this Agreement or the acts, errors or omissions of the Contractor in performance
of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent
jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising
out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the
Contractor and the City, the Contractor's liability, including the duty and cost to defend, hereunder shall be only to the
extent of the Contractor's negligence. Contractor shall ensure that each sub -contractor shall agree to defend and indemnify
the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent
and on the same terms and conditions as the Contractor pursuant to this paragraph. The City's inspection or acceptance of
any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Contractor waives any
immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the
purposes of this indemnification. Contractor's indemnification shall not be limited in any way by any limitation on the
amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability
benefit acts or any other benefits acts or programs. The Parties acknowledge that they have mutually negotiated this
waiver.
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers,
directors, shareholders, partners, employees, agents, representatives, and sub -contractors harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages,
liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all
persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from,
resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of
the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with
respect to any event occurring prior to such expiration or termination.
6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with
the performance of the services or work by the Contractor, their agents, representatives, employees, or subcontractors for
the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as
follows:
PSA - JLA Public Involvement - 2 - Rev. 7/2021
` CITY OF CITY HALL
Federal Way Feder l Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www cifyoffederalway. com
6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms
and with such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations,
independent contractors, products -completed operations, stopgap liability, personal injury, bodily injury, death, property
damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than
$2,000,000 for each occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the
laws of the State of Washington.
C. Automobile liability insurance covering all owned, non -owned, hired, and leased vehicles with a
minimum combined single limit in the minimum amounts required to drive under Washington State law per accident for
bodily injury, including personal injury or death, and property damage.
d. Professional liability insurance with limits no less than $1,000,000 per claim and $2,000,000
policy aggregate for damages sustained by reason of or in the course of operation under this Agreement, whether occurring
by reason of acts, errors or omissions of the Contractor.
6.2. No Limit of Liability. Contractor's maintenance of insurance as required by this Agreement shall not be
construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance with
respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the
Contractor's insurance and shall not contribute with Contractor's insurance.
6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of
insurance for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At
the City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of
premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to
maintain tail coverage for a minimum period of three (3) years from the date this Agreement is terminated or upon project
completion and acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this
Agreement shall be considered confidential and subject to applicable laws. Breach of confidentiality by the Contractor may
be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the
Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of
any public records request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media, or material that may be produced or modified by Contractor
while performing the Services shall belong to the City upon delivery. The Contractor shall make such data, documents, and
files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the
expiration or termination of this Agreement, all originals and copies of any such work product remaining in the possession
of Contractor shall be delivered to the City.
9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently
and properly reflect all direct and indirect costs related to the performance of the Services specified in this Agreement, and
maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of
all funds paid pursuant to this Agreement. These records shall be subject, at all reasonable times, to inspection, review, or
audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to
monitor this Agreement.
PSA - JLA Public Involvement - 3 - Rev. 7/2021
Federal Way
CITY OF
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www. cityofiederalway. com
10. INDEPENDENT CONTRACTOR. The Parties intend that the Contractor shall be an independent contractor and
that the Contractor has the ability to control and direct the performance and details of its work, the City being interested
only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick
leave, vacation pay, or any other benefit of employment, nor to pay any social security or other tax that may arise as an
incident of this Agreement. Contractor shall take all necessary precautions and shall be responsible for the safety of its
employees, agents, and subcontractors in the performance of the Services specified in this Agreement and shall utilize all
protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible
for any loss of or damage to materials, tools, or other articles used or held for use in connection with the Services. The
Contractor shall pay all income and other taxes due except as specifically provided in Section 4 of this Agreement.
Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a
secondary or incidental benefit to the Contractor, shall not be deemed to convert this Agreement to an employment
contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual, the Contractor agrees to notify
the City and complete any required form if the Contractor retired under a State of Washington retirement system and
agrees to indemnify any losses the City may sustain through the Contractor's failure to do so.
11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services
during the Term for other entities or persons; however, such performance of other services shall not conflict with or
interfere with Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in
favor of the City. Contractor confirms that Contractor does not have a business interest or a close family relationship with
any City officer or employee who was, is, or will be involved in the Contractor's selection, the negotiation, drafting,
signing, administration of this Agreement, or the evaluation of the Contractor's performance.
12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made
possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its
subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any
person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin,
marital status, honorably discharged veteran or military status, sexual orientation including gender expression or identity,
or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide
occupational qualification in relationship to hiring and employment. This requirement shall apply, but not be limited to the
following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for
training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60
RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act
of 1973, 49 CFR Parts 21, 21.5, and 26, or any other applicable federal, state, or local law or regulation regarding non-
discrimination.
13. GENERAL PROVISIONS.
13.1 interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the
agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or
agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this
Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective
captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to
modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other
provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement
that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as
having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended,
waived, or modified except by written agreement signed by duly authorized representatives of the Parties.
13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or assign,
in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If
the non -assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and
effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the rights and
PSA - JLA Public Involvement - 4 - Rev. 7/2021
CITY OF
.� Federal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www. cityoffederahvay. com
obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and
assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person
or entity shall have any right of action or interest in this Agreement based on any provision set forth herein.
13.3 Compliance with Laws. The Contractor shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions,
regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation
of the City's Ethics Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this
Agreement, this Agreement may be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence in this Agreement and each and all of its provisions in which
performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the
Contractor's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the
addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted
in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for
under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies
available to the City at law, in equity, or by statute. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or
more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the
same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately
upon occurrence shall not waive such breach or default. Failure of the City to declare one breach or default does not act as
a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and
interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference
or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing
suit under the venue, rules, and jurisdiction of the King County Superior Court, King County, Washington, unless the
parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a
suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the personal
jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an
inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its
legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals,
in addition to any other recovery or award provided by law; however, nothing in this paragraph shall be construed to limit
the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and
warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in
any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had
signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in
making proof hereof, it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages
from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement
and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have
executed a counterpart of this Agreement shall be the "date of mutual execution" hereof.
[Signature page follows]
PSA - JLA Public Involvement - 5 - Rev. 7/2021
jT 11
Federal Way
CrfY HALL
33325 W AVY1" SOu111
Fedwa? 'Nay YEA 998003-6325
(253) 835-7000
IN WITNESS, the Panics execute this Agrccmcnt below, effective the last date written below.
CITY OF FEDERAL WAY:
RPAVl •vI S �i7 `j �°�DVt,t[(nl5filib�
DATE: 3VZ07-
JLA PUBLIC I?ti VO I EMENT, C.:
By:
Printed Namc: Kristen Kiblcr
Title: Partner
DATE:�-
STATE OF OREGON )
M ) ss.
COUNTY OF I � lu 1 n
ATTEST:
phanic Courtney, CMC Ci y Clerk
APPROVED AS TO FORM:
X.Ryan�Call,Z�iityA&tto;4�
On this day personally appeared before me KrI6, en ki bkn . to me known to be the
Pa rk e)e- f of J<_A Pr r I.. 1nvd-j, M, n l i tnr 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 10 4hday of N\nveG i, , 2022.
AW Notary's signature 6Lbra
�WA� MAKn" Notary's printed name R,,6 La I LIAa Me, vvvu
uarurr sh" - oeeeou Notary Public in and for the State Sf Oregon.
COMWSSM No. ""77 M commission expires
wY COMMISSION WIRES OECUSER 10. 2023 YQL e YY1 hP ✓ IQ (Z 0 L 3
PSA - JLA Public lnvolvcmcnt - 6 - Rev. 7/2021
` CITY OF CITY HALL
��. Fe d le Feder ra I Way 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityotfedera/way com
EXHIBIT A
SERVICES
The Contractor shall do or provide the following:
Throughout the 2022-2023 Comprehensive Plan Update project, the Contractor shall prepare for and participate
in public involvement strategy meetings, as requested, with the City's Project Management Team to review and
discuss public engagement activities for the duration of the project.
The Contractor shall also support the City's public engagement activities by providing strategic communications
support; graphic design services including development of materials, a project logo, and supplemental plan
graphics; online engagement surveys and public input tools; translation services; and, support with data analysis.
The City will determine when these services are required and will discuss the anticipated time and cost of each
service, as needed.
Contractor shall provide monthly invoices and progress reports to the City for work completed. Invoices shall
include time and materials costs, including work completed in increments of 0.25 hours, personnel, rates, and a
description of work completed. Hourly billing rates are listed in Exhibit B.
PSA — JLA Public Involvement - 7 - Rev. 7/2021
`CITY OF
Federal Way
EXHIBIT B
COMPENSATION
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederatway coin
1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to
exceed Sixty Thousand and NO/100 Dollars ($60,000.00).
2. Method of Compensation: In consideration of the Contractor performing the Services, the City agrees to
pay the Contractor an amount calculated on the basis of the hourly labor charge rate schedule for Contractor's
personnel as shown below:
Labor Classification
2022 Hourly Billing Rate
(Minimum)
2022 Hourly Billing Rate
(Maximum)
Senior Associate 2
$ 206.43
$ 230.49
Senior Associate 1
$ 178.13
$ 206.42
Public Involvement Specialist 6
$ 157.96
$ 178.12
Public Involvement Specialist 5
$ 139.49
$ 157.95
Public Involvement Specialist 4
$ 119.65
$ 139.48
Public Involvement Specialist 3
$ 105.07
$ 119.64
Public Involvement Specialist 2
$ 87.59
$ 105.06
Public Involvement Specialist 1
$ 40.00
$ 87.58
Administration 5
$ 113.16
$ 140.32
Administration 4
$ 93.72
$ 113.15
Administration 3
$ 71.54
$ 93.71
Administration 2
$ 56.60
$ 71.53
Administration 1
$ 40.00
$ 56.59
PSA — JLA Public Involvement - 8 - Rev. 7/2021
r
j1a,
Public Involvement
December 13, 2021
Individuals authorized to sign on behalf of JLA Public Involvement:
Q Jessica Pickul
Kristen Kibler
JLA Public Involvement
921 SW Washington Street,
Suite 570, Portland, OR
97205
503.235.5881
www.jla.us.com
If you have any questions or need any more information. Please call 503.235.5881 or email
i-niriam@lla.us.com.
Thank you,
Miriam Hanes
Office Manager
12/13121, 4:05 PM Corporations and Charities System
BUSINESS INFORMATION
Business Name:
JLA PUBLIC INVOLVEMENT, INC.
UBI Number:
601902 227
Business Type:
FOREIGN PROFIT CORPORATION
Business Status:
ACTIVE
Principal Office Street Address:
921 SW WASHINGTON ST STE 570, PORTLAND, OR, 97205-2831, UNITED STATES
Principal Office Mailing Address:
921 SW WASHINGTON ST STE 570, PORTLAND, OR, 97205-2831, UNITED STATES
Expiration Date:
03/31/2022
Jurisdiction:
UNITED STATES, OREGON
Formation/ Registration Date:
03/09/2020
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
ADMINISTRATION & BUSINESS SUPPORT SERVICES
REGISTERED AGENT INFORMATION
Registered Agent Name:
JEANNE LAWSON
Street Address:
15443 SE RIVERSHORE DR., VANCOUVER, WA, 98683, UNITED STATES
Mailing Address:
7720 NE HIGHWAY 99 STE D, # 186, VANCOUVER, WA, 98665-8859, UNITED STATES
GOVERNORS
Title
GOVERNOR
GOVERNOR
Governors Type
INDIVIDUAL
INDIVIDUAL
Entity Name First Name
JEANNE
JESSICA
Last Name
LAWSON
PICKUL
BUSINESS LICENSE
STATE OF
WASHINGTON
Profit Corporation
JLA PUBLIC INVOLVEMENT, INC-
JEANNE LAWSON ASSOCIATES, INC.
15443 SE RIVERSHORE DR
VANCOUVER WA 98683-5377
UNEMPLOYMENT INSURANCE - ACTIVE
TAX REGISTRATION - ACTIVE
Issue Date: Dec 10, 2021
Unified Business ID #: 601902227
Business I❑ #: 001
Location: 0002
Expires: Mar 31, 2022
INDUSTRIAL INSURANCE - ACTIVE
CITY ENDORSEMENTS:
VANCOUVER HOME OCCUPATION BUSINESS - ACTIVE
FEDERAL WAY GENERAL BUSINESS - NON-RESIDENT (EXPIRES 12/3112022) - ACTIVE
LICENSING RESTRICTIONS:
Not licensed to hire minors without a Minor Work Permit.
REGISTERED TRADE NAMES:
JEANNE LAWSON ASSOCIATES, INC.
t
[ This document lists the registrations, endorsements, and licenses authorized for the business
F1 named above. By accepting this document, the licensee certifies the information on the application
was complete, true, and accurate to the best of his or her knowledge, and that business will be
t conducted in compliance with all applicable Washington state, county, and city regulations.
STATE OF WASHINGTON
UBI: 601902227 001 0002
JLA PUBLIC INVOLVEMENT, INC. UNEMPLOYMENT INSURANCE -
JEANNE LAWSON ASSOCIATES, ACTIVE
INC. INDUSTRIAL INSURANCE - ACTIVE
15443 SE RIVERSHORE DR TAX REGISTRATION - ACTIVE
VANCOUVER WA 98683-5377 VANCOUVER HOME OCCUPATION
BUSINESS - ACTIVE
FEDERAL WAY GENERAL BUSINESS
- NON-RESIDENT (EXPIRES
12/31/2022) -ACTIVE
Director, Department of Revenue
Expires: Mar 31, 2022
IMPORTANT!
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY
BEFORE POSTING THIS LICENSE
General Information Endorsements
Post this Business License in a visible location at your All endorsements should be renewed by the expiration
place of business. date that appears on the front of this license to avoid
any late fees.
If you were issued a Business License previously,
destroy the old one and post this one in its place.
Login to My DOR at dor.wa.gov if you need to make
changes to your business name, location, mailing
address, telephone number, or business ownership.
Telephone: 360-705-6741
If there is no expiration date, the endorsements remain
active as long as you continue required reporting. Tax
Registration, Unemployment Insurance, and Industrial
Insurance endorsements require you to submit periodic
reports. Each agency will send you the necessary
reporting forms and instructions.
For assistance or to request this document in an alternate format, visit http://business.wa.gov/BLS or call (360) 705-6741. Teletype (TTY) users may use the Washington
Relay Service by calling 711.
BLS-700-107 (07/27/20)
JLAPUBL-01 W1 STRKRI.
CERTIFICATE OF LIABILITY INSURANCE DATE (MMI
TE(MMI DIYY )
021
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 Donald Kraig Sturgill
NAME! _
AssuredPartners of Oregon
PHONE Jce ). (503) 9©6 890�1 FAX
Nei,
2000 Pacific Ave
Forest Grove, OR 97116
E-Miaii - —
ADDRESS: donald.sturaili@Jassuredpartners.com
INSUIRM S AFFORDING COV RA E
NAIC A
_.
INSURER At Ohio Security Insurance Company
24082
INSURED
INSURER a _The Ohio Casualty Insurance Company
24074
Corporation
36196
JLA Public Involvement, Inc.
INSURER C.:.SAIF
921 SW Washington St., Suite 570
INSURER0: Travelers Casualty & Surety of America
31194
Portland, OR 97205
INSURER E • _
INSURER F :
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBS
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
BEEN REDUCED BY PAID CLAIMS.
INSR� TYPE OF INSURANCE IiADDL SUER POLICY NUMBER
t
LTRINSD WVD
POLICY�OLICY EXP LIMITS
A
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $
1,000,00
CLAIMS -MADE 1 X OCCUR X X 13KS58377987
11/1/2021 11/1/2022 DAMAGE TO RENTED
PREM11 ES [E�� n
1,000,00
15,00
MED EXP (Any oneperson) $_
1,000,00
Please note: CD
. PERSONAL aADYINJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: Director, Brian Davis
GENERAL AGGREGATE $
2,000,00
POLICY PECOT- LOC approved decreased
�.aTHFR
PRODUCTS=COMP/OP AGG_ $
2'000'00
insurance amount.
Stop Gap 1
1,000,00
AUTOMOBILE LIABILITY
$
COMINED
El; aBciden SINGLE LIMIT tl $ 1,000,00
A
ANY AUTO x 11BAS58377987
11/1/2021 11/1/2022 BODILY INJURY Perperson)
OWNED SCHEDULED
AUTOS ONLY AUTOpS�y
BODILYJNJURY Per accident. S
X HIRED X NOr6SV6N 7
AUTOS ONLY AUTO r
lPe aockdant AGE $
X UMBRELLA LIAB X OCCUR
I :$
I EACH OCCURRENCE $
2,000,00
B
EXCESS LIAB CLAIMS -MADE X X US058377987
11/1/2021 11/1/2022 AGGREG_A_TE _ S
2,000,00
DED I X RETENTIONS 10,000
WORKERS COMPENSATION
$
X PER OTH-
TATLITE. ER.
C
AND EMPLOYERS' LIABILITY
YIN 964597
JNIJXE_L
11/1/2021 11/1/2022
1,000,00
ANY PROPRIETOR/PARTNER/EXECUTIVE
EACH ACCIDENT
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
E_L. DISEASE -EA EMPLOYEE $
f
1,000,00
If yes, describe under
1,000,00
DESCRIPTION OF OPERATIONS below
EL. DISEASE - POLICY LJMIT $
D Prof Liab 106842488
11/1/2021
111112022
Each Claim
1,000,00
D Prof Liab 106842488
11/1/2021
11/1/2022
Aggregate
2,000,00
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Certificate Holder is named as an additional insured per forms attached. Coverage includes ongoing and completed operations, is primary and non
contributory and includes a waiver of subrogation.
City of Federal Way
ATTN: Karl Cimmer
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
awe �.4y .
ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
CG88100413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
INDEX
SUBJECT
NON -OWNED AIRCRAFT
NON -OWNED WATERCRAFT
PROPERTY DAMAGE LIABILITY -ELEVATORS
EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)
MEDICAL PAYMENTS EXTENSION
EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B
ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT
PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION
ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE"
WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN
INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES
NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
LIBERALIZATION CLAUSE
BODILY INJURY REDEFINED
EXTENDED PROPERTY DAMAGE
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US -
WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU
PAGE
2
2
2
2
3
3
3
5
S
6
7
7
7
7
7
8
8
C 2013 Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission
Page 1 of 8
With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by
the endorsement.
A. NON -OWNED AIRCRAFT
Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability,
exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided:
1. It is not owned by any insured;
2. It is hired, chartered or loaned with a trained paid crew;
3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of
the United States of America or Canada, designating her or him a commercial or airline pilot; and
4. It is not being used to carry persons or property for a charge.
However, the insurance afforded by this provision does not apply if there is available to the insured other
valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically
in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under
this provision.
B. NON -OWNED WATERCRAFT
Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability,
Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following:
This exclusion does not apply to:
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or property for a charge.
C. PROPERTY DAMAGE LIABILITY -ELEVATORS
1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil-
ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property
damage" results from the use of elevators. For the purpose of this provision, elevators do not include
vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations.
2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other
Insurance, Paragraph b. Excess Insurance:
The insurance afforded by this provision of this endorsement is excess over any property insurance,
whether primary, excess, contingent or on any other basis.
D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)
If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part:
1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability:
a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow-
ing:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage
by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to:
(i) Premises rented to you for a period of 7 or fewer consecutive days; or
(ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of
more than 7 days.
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of
premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to this coverage as described in Section III - Limits of
Insurance.
2013 Liberty Mutual Insurance
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b. The last paragraph of subsection 2. Exclusions is replaced by the following:
Exclusions c. through n. do not apply to damage by fire, lightning, Explosion, smoke or leakage
from automatic fire protection systems to premises while rented to you or temporarily occupied by
you with permission of the owner. A separate limit of insurance applies to Damage To Premises
Rented To You as described in Section III - Limits Of Insurance.
2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will
pay under Coverage A for damages because of "property damage" to:
a. Any one premise:
(1) While rented to you; or
(2) While rented to you or temporarily occupied by you with permission of the owner for
damage by fire, lightning, explosion, smoke or leakage from automatic protection sys-
tems; or
b. Contents that you rent or lease as part of a premises rental or lease agreement.
3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO
YOU (Tenant's Property Damage) - Paragraph 9.a, of Definitions is replaced with the following:
9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises
that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or
leakage From automatic fire protection systems to premises while rented to you or temporarily
occupied by you with the permission of the owner, or for damage to contents of such premises
that are included in your premises rental or lease agreement, is not an "insured contract".
E. MEDICAL PAYMENTS EXTENSION
If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy
are amended as follows:
Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments, Subparagraph
(b) of Paragraph a. is replaced by the following:
(b) The expenses are incurred and reported within three years of the date of the accident; and
F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B
1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following:
b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising
out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have
to furnish these bonds.
2. Paragraph 1.d. is replaced by the following:
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time
off from work.
G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT
1. Paragraph 2. under Section 11 - Who Is An Insured is amended to include as an insured any person or
organization whom you have agreed to add as an additional insured in a written contract, written
agreement or permit. Such person or organization is an additional insured but only with respect to
liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole
or in part by:
a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance
of your on going operations for the additional insured that are the subject of the written contract or
written agreement provided that the "bodily injury" or "property damage" occurs, or the "per-
sonal and advertising injury" is committed, subsequent to the signing of such written contract or
written agreement; or
O 2013 Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 8
b. Premises or facilities rented by you or used by you; or
c. The maintenance, operation or use by you of equipment rented or leased to you by such person or
organization; or
d. Operations performed by you or on your behalf for which the state or political subdivision has
issued a permit subject to the following additional provisions:
(1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad-
vertising injury" arising out of the operations performed for the state or political subdivision;
(2) This insurance does not apply to "bodily injury" or "property damage" included within the
"completed operations hazard".
(3) Insurance applies to premises you own, rent, or control but only with respect to the following
hazards:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising
signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees,
hoist away openings, sidewalk vaults, street banners, or decorations and similar expo-
sures; or
(b) The construction, erection, or removal of elevators; or
(c) The ownership, maintenance, or use of any elevators covered by this insurance.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insur-
ance afforded to such additional insured will not be broader than that which you are required by
the contract or agreement to provide for such additional insured.
With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured
under this endorsement ends when:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured
under this endorsement ends when their written contract or written agreement with you for such
premises or facilities ends.
With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes
place after the equipment rental or lease agreement has expired or you have returned such equipment
to the lessor.
The insurance provided by this endorsement applies only if the written contract or written agreement
is signed prior to the "bodily injury" or "property damage".
We have no duty to defend an additional insured under this endorsement until we receive written
notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the
Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi-
tions.
0 2013 Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 8
2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2.
Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability:
This insurance does not apply to:
a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured.
b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the
location where such "bodily injury" or "property damage" occurs.
c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render-
ing of, or the failure to render, any professional architectural, engineering or surveying services,
including:
(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(2) Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in
the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur-
rence" which caused the "bodily injury" or "property damage", or the offense which caused the
"personal and advertising injury", involved the rendering of, or the failure to render, any professional
architectural, engineering or surveying services.
d. "Bodily injury" or "property damage" occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf of the
additional insured(s) at the location of the covered operations has been completed; or
(2) That portion of "your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
e. Any person or organization specifically designated as an additional insured for ongoing operations
by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is-
sued by us and made a part of this policy.
3. With respect to the insurance afforded to these additional insureds, the following is added to Section III
- Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount of insurance:
a. Required by the contract or agreement; or
b. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns.
H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION
This provision applies to any person or organization who qualifies as an additional insured under any form
or endorsement under this policy.
Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend-
ed as follows:
a. The following is added to Paragraph a. Primary Insurance:
If an additional insured's policy has an Other Insurance provision making its policy excess, and you
have agreed in a written contract or written agreement to provide the additional insured coverage on a
primary and noncontributory basis, this policy shall be primary and we will not seek contribution from
the additional insured's policy for damages we cover.
2013Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 8
b. The following is added to Paragraph b. Excess Insurance:
When a written contract or written agreement, other than a premises lease, facilities rental contract or
agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political
subdivision between you and an additional insured does not require this insurance to be primary or
primary and non-contributory, this insurance is excess over any other insurance for which the addi-
tional insured is designated as a !Named Insured.
Regardless of the written agreement between you and an additional insured, this insurance is excess
over any other insurance whether primary, excess, contingent or on any other basis for which the
additional insured has been added as an additional insured on other policies.
I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE"
This provision applies to any person or organization who qualifies as an additional insured under any form
or endorsement under this policy.
1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit:
An additional insured under this endorsement will as soon as practicable:
a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under
this insurance to us;
b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have
insurance available to the additional insured; and
c. Agree to make available any other insurance which the additional insured has for a loss we
cover under this Coverage Part.
d. We have no duty to defend or indemnify an additional insured under this endorsement until
we receive written notice of a "suit" by the additional insured.
2. The limits of insurance applicable to the additional insured are those specified in a written contract
or written agreement or the limits of insurance as stated in the Declarations of this policy and
defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are
inclusive of and not in addition to the limits of insurance available under this policy.
J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS / MALPRACTICE
WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES
Paragraph 2.a.(1) of Section 11 -Who Is An Insured is replaced with the following:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if
you are a limited liability company), to a co -"employee" while in the course of his or her employ-
ment or performing duties related to the conduct of your business, or to your other "volunteer
workers" while performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a
consequence of Paragraph (1) (a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay
damages because of the injury described in Paragraphs (1) (a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services. However,
if you are not in the business of providing professional health care services or providing profes-
sional health care personnel to others, or if coverage for providing professional health care ser-
vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not
apply.
Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by
an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means
the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ-
ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and
2013 Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 8
advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to
cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica-
tion by liquor or controlled substances.
The coverage provided by provision J. is excess over any other valid and collectable insurance available to
your "employee".
K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES
Paragraph 3. of Section II -Who Is An Insured is replaced by the following:
3. Any organization you newly acquire or form and over which you maintain ownership or majority
interest, will qualify as a Named Insured if there is no other similar insurance available to that
organization. However:
a. Coverage under this provision is afforded only until the expiration of the policy period in
which the entity was acquired or formed by you;
'— b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you
acquired or formed the organization; and
c. Coverage B does not apply to "personal and advertising injury" arising out of an offense
committed before you acquired or formed the organization.
d. Records and descriptions of operations must be maintained by the first Named Insured.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint
venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies
as an insured under this provision.
L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre-
sentations:
Your failure to disclose all hazards or prior 'occurrences" existing as of the inception date of the policy
shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or
prior 'occurrences" is not intentional.
M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties
In The Event of Occurrence, Offense, Claim Or Suit:
Knowledge of an 'occurrence", offense, claim or "suit" by an agent, servant or "employee" of any
insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph
1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of
"occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or
"employee".
N. LIBERALIZATION CLAUSE
If we revise this Commercial General Liability Extension Endorsement to provide more coverage without
additional premium charge, your policy will automatically provide the coverage as of the day the revision is
effective in your state.
0. BODILY INJURY REDEFINED
Under Section V - Definitions, Definition 3. is replaced by the following:
3. 'Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes
mental anguish, mental injury, shock, fright or death that results from such physical injury, sick-
ness or disease.
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CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 8
P. EXTENDED PROPERTY DAMAGE
Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the
following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured.
This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of
reasonable force to protect persons or property.
Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A
CONTRACT OR AGREEMENT WITH YOU
Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans-
fer Of Rights Of Recovery Against Others To Us:
We waive any right of recovery we may have against a person or organization because of payments we
make for injury or damage arising out of your ongoing operations or "your work" done under a
contract with that person or organization and included in the "products -completed operations hazard"
provided:
1. You and that person or organization have agreed in writing in a contract or agreement that you
waive such rights against that person or organization; and
2. The injury or damage occurs subsequent to the execution of the written contract or written agree-
ment.
2013 Liberty Mutual Insurance
CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 8
POLICY NUMBER.
COMMERCIAL GENERAL LIABILITY
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s)
BLANKET AS REQUIRED BY
WRITTEN CONTRACT
VARIOUS
PORTLAND, OR 97239
Location And Description Of Completed Operations
CONSULTING
VARIOUS
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to
include as an additional insured the person(s)
or organization(s) shown in the Schedule, but
only with respect to liability for "bodily in-
jury" or "property damage" caused, in whole
or in part, by "your work" at the location des-
ignated and described in the Schedule of this
endorsement performed for that additional
insured and included in the "products -com-
pleted operations hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permit-
ted by law; and
2. If coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance afforded to such
additional insured will not be broader
than that which you are required by the
contract or agreement to provide for such
additional insured.
B. With respect to the insurance afforded to
these additional insureds, the following is
added to Section III - Limits Of Insurance:
If coverage provided to the additional insured
is required by a contract or agreement, the
most we will pay on behalf of the additional
insured is the amount of insurance:
1. Required by the contract or agreement;
or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the ap-
plicable Limits of Insurance shown in the Dec-
larations.
CG 20 37 04 13 o Insurance Services Office, Inc., 2012 Page 1 of 1
COMMERCIAL AUTO
CA 88 62 01 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
The Transfer Of Rights of Recovery Against Others To Us Condition does not apply to the person(s), or
organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the
"accident" or the "loss" under a contract with that person or organization.
SCHEDULE
Name(s) of Person(s) or Organization(s): All entities whereby a written contract requires
this endorsement.
(If no name appears above, the information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement).
© 2013 Liberty Mutual Insurance
CA 88 62 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
COMMERCIAL AUTO
CA 88 66 05 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED -NONCONTRIBUTING
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured
Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
Schedule
Name of Person(s) or Organization(s):
AS REQUIRED BY CONTRACT
Regarding Designated Contract or Project:
AS REQUIRED BY CONTRACT
Each person or organization shown in the Schedule of this endorsement is an "insured" for Liability Cov-
erage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An
Insured Provision contained in Section II of the Coverage Form.
The following is added to the Other Insurance Condition:
If you have agreed in a written agreement that this policy will be primary and without right of contribu-
tion from any insurance in force for an Additional Insured for liability arising out of your operations, and
the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will
be primary and we will not seek contribution from such insurance.
© 2013 Liberty Mutual Insurance. All rights reserved.
CA 88 66 05 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
POLICY NUMBER.
COMMERCIAL AUTO
CA 20 48 02 99
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following -
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi-
sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indi-
cated below.
Endorsement Effective:
Countersigned By:
11/1/21
Named Insured:
JLA Public Involvement, Inc
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
All entities whereby a written contract requires this endorsement
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent
that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained
in Section II of the Coverage Form.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 0
www.saif.com
Carrier no: 20001
SAIF policy: 964597 Jla Public Involvement Inc
■
Work.
aif
Life.
sOregon.
Endorsement no: WC000313
(Ed. 430B)
Waiver of Our Right to Recover from Others Endorsement
We have the right to recover our payments from anyone liable for an injury covered by this policy. We
will not enforce our right against the person or organization named in the Schedule.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Description: ALL OPERATIONS
Contractor name: Persons and/or organizations with whom the insured -employer is required by
written contract to waive subrogation rights.
This endorsement does not alter the rights of an injured worker to pursue recovery from another party
or SAIF to receive a statutory share of recoveries by an injured worker, even from the party listed in the
schedule.
The premium charge for this endorsement is based on one (1) percent of your manual premium.
Effective date: November 01, 2021
This endorsement changes the policy to which it is attached and is effective on the date issued unless
otherwise stated.
WC000313
(Ed. 43013)
Countersigned September 27, 2021 at Salem, Oregon
T
;-�
Chip Terhune
President and Chief Executive Officer
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.373.8020
Pot PC1_E430B
POLICY NUMBER:
COMMERCIAL GENERAL LIABILITY
CG 04 42 11 03
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
STOP GAP - EMPLOYERS LIABILITY COVERAGE
ENDORSEMENT - WASHINGTON
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Limits Of Insurance
Bodily Injury By Accident $ 1000000 Each Accident
Bodily Injury By Disease $ 1000000 Aggregate Limit
Bodily Injury By Disease $ 1000000 Each Employee
(If no entry appears above, the information required to complete
this endorsement will be shown in the
Declarations as applicable to this endorsement.)
A. The following is added to Section I - Cover-
No other obligation or liability to pay
ages:
sums or perform acts or services is
COVERAGE - STOP GAP - EMPLOYERS LI-
covered unless explicitly provided
ABILITY
for under Supplementary Payments.
1. Insuring Agreement b.
This insurance applies to "bodily in -
a. We will pay those sums that the in-
jury by accident" or "bodily injury by
sured becomes legally obligated by
disease" only if:
Washington Law to pay as damages
(1) The:
because of "bodily injury by acci-
(a) "Bodily injury by accident"
dent" or "bodily injury by disease"
or "bodily injury by disease"
to your "employee" to which this in-
takes place in the "coverage
surance applies. We will have the
territory";
right and duty to defend the insured
(b) "Bodily injury by accident"
against any "suit" seeking those
or "bodily injury by disease"
damages. However, we will have no
arises out of and in the
duty to defend the insured against
course of the injured "em-
any "suit" seeking damages to which
ployee's" employment by
this insurance does not apply. We
you; and
may, at our discretion, investigate
(c) "Employee", at the time of
any accident and settle any claim or
"suit"
the injury, was covered un-
that may result. But:
der a worker's compensa-
(1) The amount we will pay for dam-
tion policy and subject to a
ages is limited as described in
"workers compensation
Section III - Limits Of Insurance;
law" of Washington; and
and
(2) The:
(2) Our right and duty to defend end
(a) "Bodily injury by accident"
when we have used up the ap-
is caused by an accident that
plicable limit of insurance in the
occurs during the policy pe-
payment of judgments or settle-
riod; or
ments under this coverage.
CG 04 42 11 03 ISO Properties, Inc., 2003 Page 1 of 5
(b) "Bodily injury by disease" is
caused by or aggravated by
conditions of employment
by you and the injured "em-
ployee's" last day of last ex-
posure to the conditions
causing or aggravating such
"bodily injury by disease"
occurs during the policy pe-
riod.
c. The damages we will pay, where re-
covery is permitted by law, include
damages:
(1) For:
(a) Which you are liable to a
third party by reason of a
claim or "suit" against you
by that third party to recover
the damages claimed
against such third party as a
result of injury to your "em-
ployee";
(b) Care and loss of services;
and
(c) Consequential "bodily injury
by accident" or "bodily in-
jury by disease" to a spouse,
child, parent, brother or sis-
ter of the injured "employ-
ee";
provided that these damages are
the direct consequence of "bod-
ily injury by accident" or "bodily
injury by disease" that arises out
of and in the course of the in-
jured "employee's" employment
by you; and
(2) Because of "bodily injury by ac-
cident" or "bodily injury by dis-
ease" to your "employee" that
arises out of and in the course of
employment, claimed against
you in a capacity other than as
employer.
2. Exclusions
This insurance does not apply to:
a. Intentional Injury
"Bodily injury by accident" or "bod-
ily injury by disease" intentionally
caused or aggravated by you, or
"bodily injury by accident" or "bod-
ily injury by disease" resulting from
an act which is determined to have
been committed by you if it was rea-
sonable to believe that an injury is
substantially certain to occur.
b. Fines Or Penalties
Any assessment, penalty, or fine
levied by any regulatory inspection
agency or authority.
c. Statutory Obligations
Any obligation of the insured under a
workers' compensation, disability
benefits or unemployment compen-
sation law or any similar law.
d. Contractual Liability
Liability assumed by you under any
contract or agreement.
e. Violation Of Law
"Bodily injury by accident" or "bod-
ily injury by disease" suffered or
caused by any employee while em-
ployed in violation of law with your
actual knowledge or the actual
knowledge of any of your "executive
officers".
f. Termination, Coercion Or Discrimi-
nation
Damages arising out of coercion,
criticism, demotion, evaluation,
reassignment, discipline, defama-
tion, harassment, humiliation, dis-
crimination against or termination of
any "employee", or arising out of
other employment or personnel de-
cisions concerning the insured.
g. Failure To Comply With "Workers
Compensation Law"
"Bodily injury by accident" or "bod-
ily injury by disease" to an "employ-
ee" when you are:
(1) Deprived of common law
defenses; or
(2) Otherwise subject to penalty;
because of your failure to secure
your obligations or other failure
to comply with any "workers
compensation law".
h. Violation Of Age Laws Or Employ-
ment Of Minors
"Bodily injury by accident" or "bod-
ily injury by disease" suffered or
caused by any person:
(1) Knowingly employed by you in
violation of any law as to age; or
(2) Under the age of 14 years, re-
gardless of any such law.
Page 2 of 5 ISO Properties, Inc., 2003 CG 04 42 11 03
L Federal Laws
2. A partnership or joint venture, you are an
Any premium, assessment, penalty,
insured. Your members, your partners,
fine, benefit, liability ot ier obliga-
and their spouses are also insureds, but
tion imposed by or granted pursuant
only with respect to the conduct of your
to:
business.
(1) The Federal Employer's Liability
3. A limited liability company, you are an
Act (45 USC Section 51-60);
insured. Your members are also in-
sureds, but only with respect to the con-
(2) The Non -appropriated Fund In-
duct of your business. Your managers are
strumentalities Act (5 USC Sec-
insureds, but only with respect to their
tions 8171-8173);
duties as your managers.
(3) The Longshore and Harbor
4. An organization other than a partnership,
Workers' Compensation Act (33
joint venture or limited liability company,
USC Sections 910-950);
you are an insured. Your "executive of-
(4) The Outer Continental Shelf
ficers" and directors are insureds, but
Lands Act (43 USC Section
only with respect to their duties as your
1331-1356);
officers or directors. Your stockholders
(5) The Defense Base Act (42 USC
are also insureds, but only with respect
Sections 1651-1654);
to their liability as stockholders.
(6) The Federal Coal Mine Health
No person or organization is an insured with
and Safety Act of 1969 (30 USC
respect to the conduct of any current or past
Sections 901-942);
partnership, joint venture or limited liability
(7) The Migrant and Seasonal Agri-
company that is not shown as a Named In -
cultural Worker Protection Act
sured in the Declarations.
(29 USC Sections 1801-1872);
D. For the purposes of this endorsement, Sec-
(8) Any other workers compensa-
tion III - Limits Of Insurance, is replaced by
tion, unemployment compensa-
the following:
tion or disability laws or any
1. The Limits of Insurance shown in the
similar law; or
Schedule of this endorsement and the
(9) Any subsequent amendments to
rules below fix the most we will pay re -
the laws listed above.
gardless of the number of:
j. Punitive Damages
a. Insureds;
Multiple, exemplary or punitive dam-
b. Claims made or "suits" brought; or
ages.
c. Persons or organizations making
k. Crew Members
claims or bringing "suits".
"Bodily injury by accident" or "bod-
2. The "Bodily Injury By Accident" - Each
ily injury by disease" to a master or
Accident Limit shown in the Schedule of
member of the crew of any vessel or
this endorsement is the most we will pay
any member of the flying crew of an
for all damages covered by this insurance
aircraft.
because of "bodily injury by accident" to
B. The Supplementary Payments provisions ap-
one or more "employees" in any one ac-
ply to Coverage - Stop Gap Employers Liabil-
cident.
ity as well as to Coverages A and B.
3. The "Bodily Injury By Disease" - Aggre-
gate Limit shown in the Schedule of this
C. For the purposes of this endorsement, Sec-
endorsement is the most we will pay for
tion II - Who Is An Insured, is replaced by the
all damages covered by this insurance
following:
and arising out of "bodily injury by dis-
If you are designated in the Declarations as:
ease", regardless of the number of "em-
1. An individual, you and your spouse are
ployees" who sustain "bodily injury by
insureds, but only with respect to the
disease".
conduct of a business of which you are
the sole owner.
CG 04 42 11 03 ISO Properties, Inc., 2003 Page 3 of 5
4. Subject to Paragraph D.3. of this endorse-
ment, the "Bodily Injury By Disease" -
Each "Employee" Limit shown in the
Schedule of this endorsement is the most
we will pay for all damages because of
"bodily injury by disease" to any one
"employee".
The limits of the coverage apply separately to
each consecutive annual period and to any
remaining period of less than 12 months,
starting with the beginning of the policy pe-
riod shown in the Declarations, unless the
policy period is extended after issuance for an
additional period of less than 12 months. In
that case, the additional period will be
deemed part of the last preceding period for
purposes of determining the Limits of Insur-
ance.
E. For the purposes of this endorsement, Con-
dition 2. - Duties In The Event Of Occurrence,
Claim Or Suit of the Conditions Section IV is
deleted and replaced by the following:
2. Duties In The Event Of Injury, Claim Or
Suit
a. You must see to it that we or our
agent are notified as soon as prac-
ticable of a "bodily injury by acci-
dent" or "bodily injury by disease"
which may result in a claim. To the
extent possible, notice should in-
clude:
(1) How, when and where the "bod-
ily injury by accident" or "bodily
injury by disease" took place;
(2) The names and addresses of any
injured persons and witnesses;
and
(3) The nature and location of any
injury.
b. If a claim is made or "suit" is
brought against any insured, you
must:
(1) Immediately record the specifics
of the claim or "suit" and the
date received; and
(2) Notify us as soon as practicable.
You must see to it that we re-
ceive written notice of the claim
or "suit" as soon as practicable.
c. You and any other involved insured
must:
(1) Immediately send us copies of
any demands, notices, sum-
monses or legal papers received
in connection with the injury,
claim, proceeding or "suit";
(2) Authorize us to obtain records
and other information;
(3) Cooperate with us and assist us,
as we may request, in the inves-
tigation or settlement of the
claim or defense against the
"suit";
(4) Assist us, upon our request, in
the enforcement of any right
against any person or organiza-
tion which may be liable to the
insured because of injury to
which this insurance may also
apply; and
(5) Do nothing after an injury occurs
that would interfere with our
right to recover from others.
d. No insured will, except at that in-
sured's own cost, voluntarily make a
payment, assume any obligation, or
incur any expense, other than for
first aid, without our consent.
F. For the purposes of this endorsement, Para-
graph 4. of the Definitions Section is replaced
by the following:
4. "Coverage territory" means:
a. The United States of America (in-
cluding its territories and posses-
sions), Puerto Rico and Canada;
b. International waters or airspace, but
only if the injury or damage occurs in
the course of travel or transportation
between any places included in a.
above; or
c. All other parts of the world if the in-
jury or damage arises out of the ac-
tivities of a person whose home is in
the territory described in a. above,
but who is away for a short time on
your business;
provided the insured's responsibility
to pay damages is determined in the
United States (including its territor-
ies and possessions), Puerto Rico, or
Canada, in a suit on the merits ac-
cording to the substantive law in
such territory, or in a settlement we
agree to.
Page 4 of 5 ISO Properties, Inc., 2003 CG 04 42 11 03
G. The following are added to the Definitions
Section:
1. "Workers Compensation Law" means the
Workers Compensation Law and any Oc-
cupational Disease Law of Washington.
This does not include provisions of any
law providing non -occupational disability
benefits.
2. "Bodily injury by accident' means bodily
injury, sickness or disease sustained by a
person, including death, resulting from
an accident. A disease is not "bodily in-
jury by accident' unless it results directly
from "bodily injury by accident'.
3. 'Bodily injury by disease" means a dis-
ease sustained by a person, including
death. "Bodily injury by disease" does
not include a disease that results directly
from an accident.
H. For the purposes of this endorsement, the
definition of "bodily injury" does not apply.
CG 04 42 11 03 ISO Properties, Inc., 2003 Page 5 of 5