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AG 11-027I RETURN TO: Robyn Buck EXT: 2527 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT. /DIV: FINANCE 2. ORIGINATING STAFF PERSON: _ROBYN BUCK EXT: 2527 3. DATE REQ. BY: =/ 2.g - / 7 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., ❑ PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ REAL ESTATE DOCUMENT ❑ ORDINANCE x CONTRACT AMENDMENT (AG #): 11 -027 ❑ OTHER RFB, RFP, RFQ) ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ MAINTENANCE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ RESOLUTION ❑ INTERLOCAL 5. PROJECT NAME: UTILITY TAX AUDIT 6. NAME OF CONTRACTOR: _TAx RECOVERY SERVICES, LLC (TRS) ADDRESS: _PO Box 680, SPANAWAY, WA 98387 -0608 TELEPHONE _253- 223 -4986 E -MAIL: CRISP@TRS- INTEGRITY.COM FAX: SIGNATURE NAME: MICHAEL CRISP TITLE PRESIDENT 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES X PRIOR CONTRACT /AMENDMENTS 8. TERM: COMMENCEMENT DATE: NOVEMBER 1, 2010 COMPLETION DATE: DECEMBER 31, 2017 9. TOTAL COMPENSATION $_VARIES - NOT TO EXCEED 23% OF REVENUE RECOVERED _ (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 ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT /CONTRACT REVIEW ❑ PROJECT MANAGER X DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) X LAW 11. COUNCIL APPROVAL (IF APPLICABLE) INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ?N9 COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ LAW DEPARTMENT 11,8' 1ATORY (MAYOR OR-otirm-rom) ❑ CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED COMMENTS: INITIAL / DATE SI 1NED inn^ AG# ` 11-024--AD DATE SENT: 3 -, 13- 11/9 CITY 01- Federal way CITY HALL 33325 8th Avenue South Federal Way, WA 58003 -6325 (253) 835 -7000 www cftyoftidertclwoy com AMENDMENT NO. 4 TO PROFESSIONAL SERVICE AGREEMENT FOR TAX RECOVERY SERVICES This Amendment ( "Amendment No. 4 ") is made between the City of Federal Way, a Washington municipal corporation ( "City ") and Tax Recovery Services, LLC (TRS), a Washington limited Iiability company ( "Contractor "). The City and Contractor (together "Parties "), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for utility tax audit services ( "Agreement ") dated effective November 1, 2010, as amended by Amendment Nos. 1, 2 and 3 as follows: 1. AMENDED TERM. The term of the Agreement, as referenced by Section 1 of the Agreement and any prior amendments thereto, shall be amended and shall continue until the completion of the Services, but in any event no later than December 31, 2017 ( "Amended Term "). 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT 1 1/2015 CITY Ow F der l Way CITY NALL 33325 Stir Avenue South Federal Way, WA 98003 -6325 (253) 835 -7000 w ww csIyofteder Tway corn IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: TAX RECOVERY SERVICES, LLC: By: Printed Name: NN Title: Q. DATE: 3.... STATE OF WASHINGTON ) ) ss. COUNTY OF Ple,VCP On this day personally i -f of (position or title) ATTEST: ph: nie Courtney, CMC, y Clerk APPROVED AS TO FORM: City Attorney,,15 aa a k appeared before me i1 ‘,c.yX t ,L_ to me known to be the (name of signatory)...... t—(Sa ,c (S �L that executed the foregoing instrument, (corporation name) 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 A„NifER S a 'or�i i _ • + °ta / R .tom .. • f Nil ��i Av64�G i Z El 15. 44,9,09.194el■ A#1 1,m,,,o r E!I��'Sn3,z■.. official seal this Notary's Notary's 23 'r`- day of _ 'f P Y 1/tAi'L signature printed name Notary Public in and for the State of Washington. My commission expires .6Q . Iq , 2011 2 1/2015 A CERTIFICATE OF LIABILITY INSURANCE '/ DATE 14/2017) 1/14/2017 THIS CERTIFICATE'S 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 BROWN & BROWN OF WA INC /TACOMA /PHS 811153 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: (Nc°. "o.Ext): (866) 467-8730 FAX No) : (888) 443 -6112 ,; I ss INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Hartford Casualty Ins Co INSURED TAX RECOVERY SERVICES LLC PO BOX 608 SPANAWAY WA 98387 INSURER B X INSURER C: INSURERD: 52 SBA UQ2101 INSURER E 02/13/2018 INSURERF. g ]„ 000 0 0 0 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1'SR LTR TYPE OF INSURANCE ADDL INSR SURR WYD POLICYNUMBER POLICYEFF (MWDD /YYYY) POLICYEXP MMM/DD/YYPY) LIMITS A COMMERCIAL GENERAL -MADE Liab X LIABILITY OCCUR 52 SBA UQ2101 02/13/2017 02/13/2018 EACH OCCURRENCE g ]„ 000 0 0 0 CLAIMS DAMAGE TO RENTED . PREMISES (Ea occurrence) 3 0 O 0 0 0 X General MEDEXP(Anyoneperson) $10,000 GEN'L PERSONAL B ADV INJURY $1,000,000 AGGREGATE LIMIT E T APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X LOC PRODUCTS - COMP /OP AGG $2,000, 0 0 0 OTHER A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY 52 SBA UQ2101 02/13/2017 02/13/2018 COMBINED SINGLE LIMIT (Ea accident) $ l 0 0 0 0 0 0 i r BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE ., AGGREGATE DEC RETENTION $ A WORKERS COMPENSATION AND EMPIAYERS'LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVEY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS /N N/A 52 SBA UQ2101 02/13/2017 02/13/2018 IPERTl1TE I I ERH E.L. EACH ACCIDENT 81,000,000 E.L.DISEASE - EA EMPLOYEE $1,000,000 below E.L. DISEASE - POLICY LIMIT '1r 000, 000 DESCRIPTION OFOPERAIIONS / LOCATIONS /VEHIC(AZORD 101 Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE //741Z I,�,.-,, -- ACORD 25 (2016/03) ©1988 -2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD BROWN fi BROWN OF WA INC /TACOMA /PHS PO BOX 33015 SAN ANTONIO TX 78265 MB 01 001983 53092 B 5 B IIInu"1" 111 ,,IniI11119liIIII111111l1u,Iii„ 11111111111, City of Federal Way 33325 8TH AVE S FEDERAL WAY WA 98003 -6325 001983 1/1 ACORD 25 (2016/03) IRETURN TO: Robyn Buck CITY OF FEDERW WAY LAW DEPARTMEN OUTIS ANNED EXT: 2527 1. ORIGINATING DEPT. /DIV: FINANCE 2. ORIGINATING STAFF PERSON: ADE ARIWOOLA 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, REP, RFQ) EXT: 2520 3. DATE REQ. BY:_01/29/2016 ❑ PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ REAL ESTATE DOCUMENT ❑ ORDINANCE X CONTRACT AMENDMENT (AG #):_11 -027_ ❑ OTHER ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ MAINTENANCE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ RESOLUTION ❑ INTERLOCAL 5. PROJECT NAME: UTILITY TAX AUDIT 6. NAME OF CONTRACTOR: _TAX RECOVERY SERVICES, LLC (TRS) ADDRESS: P.O. Box 608, SPANAWAY, WA 98387 -0608 TELEPHONE _253- 223 -4986 E- MAIL:_ CRISP @TRS- INTEGRITY.COM FAX: SIGNATURE NAME: MICHAEL CRISP TITLE PRESIDENT 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES x PRIOR CONTRACT /AMENDMENTS 8. TERM: COMMENCEMENT DATE: NOVEMBER 1, 2010 COMPLETION DATE: DECEMBER 31, 2016 9. TOTAL COMPENSATION $ VARIES - NOT TO EXCEED 23% OF REVENUE RECOVERED (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 ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT /CONTRACT REVIEW ❑ PROJECT MANAGER 'DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCIL APPROVAL (IF APPLICABLE) INITIAL / DATE REVIEWED INITIAL / DATE APPROVED five_ 212- I l ( COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING l SENT TO VENDOR/CONTRACTOR DATE SENT: t'jr 2,e) Ito DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ LAW DEPARTMENT TAFF IGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG# ❑ SIGNED COPY RETURNED COMMENTS: INITIAL / DATE SIGNED c. 212 1 1cp AG ° I :a C DATE SENT: .2 "NO (0 11/9 CITY � F PLYHALL 25 8th Avenue South Federal Way, WA 98003 -6325 (253) 835 -7000 maw(aviitftaUer ilway_c0rn AMENDMENT NO. 3 TO PROFESSIONAL SERVICE AGREEMENT FOR TAX RECOVERY SERVICES This Amendment ( "Amendment No. 3 ") is made between the City of Federal Way, a Washington municipal corporation ( "City "), and Tax Recovery Services, LLC (TRS), a Washington Limited Liability Company ( "Contractor "). The City and Contractor (together "Parties "), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for Tax Recovery Services ( "Agreement ") dated effective November 1, 2010, previously as amended by Amendment Nos. 1 and 2 as follows: 1. AMENDED TERM. The term of the Agreement, as referenced by Section 1 of the Agreement and any prior amendments thereto, shall be amended and shall continue until the completion of the Services, but in any event no later than December 31, 2016 ( "Amended Term "). 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT 1 1/2015 cny of _ jotata FederanNay firHALL 325 8th Avenue South Federal Way. WA 98003-6325 (253) 835-7000 www cityolkkka atway corn IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY TAX RECOVERY SERVICES (TRS) Printed Name: \ Title: DATE: \ \ _\______ STATE OF WASHINGTON ) SS. ATTEST: erk, Stephanie Courtn APPROVED AS TO FORM: City Attorney, Amy Jo Pearsall COUNTY OF Perc c ) On this day personally appeared before me cct Cu9 _ to me known to be the Prefs'a.eriT of \cm Rec Ov,ry_. ,c; v-vites that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said limited liability company, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument. GIVEN my hand and official seal this 264h day of aatfy 201h, 1641146aidhldmimihgb".4""Clotary's signature Next Public Litary's printed name Ktv nel \ Ste-, \-. I Moto ot Washington 1 WNW, STEELE Notary Public in and for the State of Washington. PAy Appointment Expires Dee 24, 20111 My commission expires 12- 24-201 8' AMENDMENT - 2 1/2015 A o® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD /YYYY) 1/30/2016 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS 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 BROWN & BROWN OF WA INC /TACOMA /PHS 811153 P: (866) 467 -8730 F: (888) 443-6112= PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: NCNUExt): (866) 467-8730 c,No): (888) 443-6112 POLICY EXP (Mrl/DDIYYYYi INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Hartford Casualty Ins Co A INSURED TAX RECOVERY SERVICES LLC PO BOX 608 r; O p SPANAWAY WA 9 8 387 7 INSURER B GENERAL Liab INSURER C INSURERD: 52 SBA UQ2101 INSURER E: 02/13/2017 INSURER F: $1,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LIR TYPE OF INSURANCE ADDL SUER WVD POLICY NUMBER POLICY aSEV/DD,TYY) POLICY EXP (Mrl/DDIYYYYi LIMITS 7N.SR A COMMERCIAL GENERAL Liab LIABILITY 52 SBA UQ2101 02/13/2016 02/13/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) -300,000 X General MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT PRO- JECT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X LOC PRODUCTS - COMP /OP AGG $2 , 0 0 0, 000 OTHER A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 52 SBA UQ2101 02/13/2016 02/13/2017 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY(Peraccident) $ X X PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DEC RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LL48ILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS /N wA 52 SBA LT(22101 02/13/2016 02/13/2017 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE 1,000,000 below E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VENOM: RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7 7 ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BROWN & BROWN OF WA INC /TACOMA /PRS PO BOX 33015 SAN ANTONIO TX 78265 AB 01 006337 58458 E 28 B 111"1 1" 1" 111111u111" 1111111111uIu.I1111111111'IiiII ill'iI City of Federal Way 33325 8TH AVE S FEDERAL WAY WA 98003 -6325 ACORD 25 (2014101) A -- ® - MSL CERTIFICATE OF LIABILITY INSURANCE R002 DATE(MM/DD/YYYY) 1/22/2016 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS 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 BROWN & BROWN OF WA INC /TACOMA /PHS 811153 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: a"c °, " No, Exlr (866) 467 -8730 FAX (NC, (888) 443 -6112 ADDRIESS: INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Hartford Casualty Ins Co 29424 INSURED TAX RECOVERY SERVICES LLC PO BOX 608 SPANAWAY WA 98387 INSURER B X INSURER C: INSURER D: 52 SBA UQ2101 INSURER E: 02/13/2017 INSURER F: $1,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICYEFF (MM/DD/YYYY) POLICYEXP (MM/I)D/YYYY) LIMITS A COMMERCIAL GENERAL -MADE Liab X LIABILITY OCCUR 52 SBA UQ2101 02/13/2016 02/13/2017 EACH OCCURRENCE $1,000,000 CLAIMS DAMAGE O PREMISEST (Ea RENTED cc ourrenc e) $300,000 X General MEDEXP(Anyoneperson) $10,000 GEN'L PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT PRO- JECT APPLIES X PER: LOC GENERAL AGGREGATE $ 2,000,000 POLICY PRODUCTS - COMP /OP AGG S2,000,000 OTHER: S A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 52 SBA UQ2101 02/13/2016 02/13/2017 (EaMatcid D SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ X PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below W A IPER I OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ A EMP STOP GAP 52 SBA UQ2101 02/13/2016 02/13/2017 $1,000,000 /1,000,000 /1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ` -7,14,-- ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� W W MSL CERTIFICATE OF LIABILITY INSURANCE R002 DATE (MM DD YYYY) 1/22/2016 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS 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 BROWN & BROWN OF WA INC /TACOMA /PHS 811153 P: (866) 467 -8730 F: (888) 443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: (ac °, " No, Ext): (866) 967 -8730 (N, Ho): (888) 443 -6112 A DRIESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURERA: Hartford Casualty Ins Co 29424 INSURED TAX RECOVERY SERVICES LLC PO BOX 608 SPANAWAY WA 98387 INSURER B X INSURER C : INSURER D: 52 SBA UQ2101 INSURER E: 02/13/2016 INSURER F: $1,000,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICYEFF (MM/DD/YYY19 POLICYEXP (MM/DD/EYYY) LIMITS A COMMERCIAL GENERAL -MADE Liab X LIABILITY j OCCUR 52 SBA UQ2101 02/13/2015 02/13/2016 EACH OCCURRENCE $1,000,000 CLAIMS DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 X General MEDEXP(Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT PRO- JECT APPLIES X PER: LOC GENERAL AGGREGATE $2,000,000 POLICY PRODUCTS - COMP /OP AGG $ 2 , 000,000 OTHER: $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 52 SBA UQ2101 02/13/2015 02/13/2016 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I 1 If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE - E.L. DISEASE - POLICY LIMIT $ A EMP STOP GAP 52 SBA UQ2101 02/13/2015 02/13/2016 $1,000,000 /1,000,000 /1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City o f Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 70--(____ ---L7Qe_zzs,�� ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I I RETURN TO: /r it dl Y` EXT: CITY OF FEd RAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV:FINANCE 2. ORIGINATING STAFF PERSON:ADE ARIWOOLA EXT: 2520 3. DATE REQ.BY: 12/31/2014 4. TYPE OF DOCUMENT(CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG ❑ REAL ESTATE DOCUMENT 0 SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION X CONTRACT AMENDMENT(AG#): 11-027 ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME:UTILITY TAX AUDIT 6. NAME OF CONTRACTOR:TAX RECOVERY SERVICES,LLC,(TRS) ADDRESS:1902 157Th ST E,TACOMA,WA 98445 TELEPHONE 253-223-4986 E-MAIL:TRS(iIIINTEGRITY.COM FAX: SIGNATURE NAME:MICHAEL J.CRISP TITLE: PRESIDENT 7. EXHIBITS AND ATTACHMENTS:❑ SCOPE,WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: NOVEMBER 1,2010 COMPLETION DATE:DECEMBER 31,2015 9. TOTAL COMPENSATION$VARIES,NOT TO EXCEED 23%OF REVENUE RECOVERED(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 ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER X DIRECTOR —' ►a \ ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW Pro-1P ` .' l'12 14, 31 116 11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING _ SENT TO VENDOR/CONTRACTOR DATE SENT: p2- � J- l5 DATE REC'D: `a-1-IS A ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS INITIAL/DATE SIGNED ❑ LAW DEPARTMENT 3131 5- urzt, ❑ CHIEF F STAFF ATORY(MAYOR OR DIRECTOR) / CITY CLERKr� ❑ ASSIGNED AG# AG# 1111041p ❑ SIGNED COPY RETURNED DATE SENT: l'IIl COMMENTS: C.�Ytn t we q * Si; w. WA; l -stem Coot vFo r O 4orYCC S 11/9 CITY OF CITY HALL Federal Way 33325 8th Avenue South Federal Way,WA 98003 003-6325 (253)835-7000 www.cityoffederalway.com AMENDMENT NO.2 TO PROFESSIONAL SERVICE AGREEMENT FOR TAX RECOVERY SERVICES This Amendment ("Amendment No. 2") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Tax Recovery Services LLC (TRS), a Washington Limited Liability Company ("Contractor").The City and Contractor(together"Parties"),for valuable consideration and by mutual consent of the Parties,agree to amend the original Agreement for Tax Recovery Services("Agreement")dated effective November 1, 2010,as amended by Amendment No. 1,as follows: 1. AMENDED TERM.The term of the Agreement,as referenced by Section 1 of the Agreement and any prior amendments thereto,shall be amended and shall continue until the completion of the Services,but in any event no later than December 31,2015 ("Amended Term"). 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto,not modified by this Amendment,shall remain in full force and effect.Any and all acts done by either Party consistent with the authority of the Agreement,together with any prior amendments thereto,after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement,as modified by any prior amendments,as it existed prior to this Amendment.The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment,which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1/2015 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 (253) 835-7000 www crtyoffederatway.corn IN WITNESS,the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY ATTEST: r errell, Mayor C -rk, Stephanie Court i CMC DATE: 3/7V/5 APPROVED AS TO FORM: tire City Attorney, Amy Jo Pearsall TAX RECOVERY SERVICES,LLC (TRS) By: kts' Printed Name: "j Q Title: ,C e S % e DATE: ��. STATE OF WASHINGTON) )ss. COUNTY OF 91. ^ _) On this day personally appeared before me V C60 ,`' 3' Cy l , to me known to be the T _40,,,,J of -1—a ,_ ,,,u- Sedvvii� 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 a 'day of 20j �1 CHA ,9', Notary's signature ! , //. . .• fcy- �Ntssioti►,,;�( %,� Notary's printed name —mew _ t' r 0074 �c 0 Notary Public in and for the State of Washington. y s < s N My commission expires 'Oki,I�etic c 4. _: .�� IISH`NG AMENDMENT -2 - 1/2010 I I RETURN TO: THO KRAUS EXT:2520 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV:FINANCE 2. ORIGINATING STAFF PERSON:THO KRAus EXT: 2520 3. DATE REQ.BY:10/24/2010 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#):11-027 ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME:UTILITY TAx AUDIT 6. NAME OF CONTRACTOR:TAX RECOVERY SERVICES,LLC,(TRS) ADDRESS:1902 157'ST E,TACOMA,WA 98445 TELEPHONE 253-223-4986 E-MAIL:TRS(a INTEGRrrY.COM FAX: SIGNATURE NAME:MICHAEL J.CRISP TITLE:PRESIDENT 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:NOVEMBER 1,2010 COMPLETION DATE:DECEMBER 31,2014 9. TOTAL COMPENSATION$VARIES,NOT TO EXCEED 23%OF REVENUE RECOVERED (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 ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT/CONTRACT REVIEW INITIAL/DAT REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER /(2/3/ 4 DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) 6.LAW AAQ 10' 0.12 11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING �� ErgENT TO VENDOR/CONTRACTOR DATE SENT: �b'?v I 1Z II DATE REC'D: 1 I v 112- -, ❑ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,.LICENSES,EXHIBITS INITIAL/DATE SIGNED CLAW D E P A R T M E N T P 1 1 $1.12. SIGNATORY(CM OP DIRECTOR)hy„.�, war(CLERK ��''��'^I{ 6 4-1.2- 'ASSIGNED AG# AG# 1 I-CQ. 1 A ❑ SIGNED COPY RETURNED DATE SENT: 12-1H-1 2. COMMENTS: 11/9 CITY OF CITY ! 4.0 Federal Way 33325 8th Avenue South Federal a!Way,WA 98003 8003 -6325 (253)83:-7000 www.atyofledenj!can AMENDMENT NO 1 TO PROFESSIONAL SERVICE AGREEMENT FOR TAX RECOVERY SERVICES This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal corporation("City"),and Tax Recovery Services LLC,(TRS), a Washington Corporation ("Contractor").The City and Contractor(together"Parties"),for valuable consideration and by mutual consent of the parties,agree to amend the original Agreement for Tax Recovery Services("Agreement")dated effective November 1,2010,as amended by Amendment No(s). 1,as follows: 1. AMENDED TERM. The term of the Agreement,as referenced by Section 1 of the Agreement and any prior amendments thereto,shall be amended and shall continue until the completion of the Services,but in any event no later than December 31,2014("Amended Term"). 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement,together with any prior amendments thereto,not modified by this Amendment,shall remain in full force and effect Any and all acts done by either Party consistent with the authority of the Agreement,together with any prior amendments thereto,after the previous expiration date and prior to the effective date of this Amendment, is hereby ratified as having been performed under the Agreement,as modified by any prior amendments,as it existed prior to this Amendment The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment,which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1/2010 CITY OF CITY HALL IA Federal Way 33325 Avenue South Fedderal ral Way,WA 98003-6325 (253)835-7000 wwwctlwffixterahvaycom IN WITNESS,the Parties execute this Agreement below,effective the last date written below. CITY OF FEDERAL WAY ATTEST: By: 5' Ai )1 .11 .j 0:. Skip Priest,Mayor City Clerk,Caro McN:ii y,CMC DATE: t 2 - I Li — 12. APPROVED AS TO FORM: 11 Al .1/1%4Ad fan- City A' ,b"i‘ ,Patricia A Ric• :, 4 .4 n INSERT CONTRACTOR'S NAME By: k. .,1, Printed Name: ■c.�•a-&\ J , C-.r. r' Title: ere s: ex DATE: \ k 'L 1 ■ "L STATE OF WA INGTON ) COUNTY OF ITV ��, ) • On this day rsonally ap orpe me \ ' A # C,Yi ,, to me known to be the �Q ,l�`} ° INC e�b ' t CAS 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 �, day of i V 0_ IA , 20)• Notary's signature _ ' ,,,,' ,��„A '., %,„ ■ Notary's printed nam- gi►teiidafilngieu Notary Public Notary Public in and for of W.. .. < in. State of Washington TIMM 1 Vi 1 D� JP j M1NH CHAD TRI1N1 1 My commission expires My Appointment Expires Apr 12,2013 ` AMENDMENT -2- 1/2010 ACORD RRD CERTIFICATE OF LIABILITY INSURANCE R045 11-05/-20112 THIS CERTIFICATEIS 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 ADDITIONALINSURED,the policylies)must be endorsed. If SUBROGATIONIS 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 BROWN & BROWN OF WA INC/TACOMA/PHS PHONE 811153 P: (866) 467-8730 F: (877) 905-0457 EAMAILo,Est): (866)467-8730 ac,Nol: (877)905-0457 PO BOX 33015 ADDRESS: SAN ANTONIO TX 78265 INSURER(S)AFFORDING COVERAGE NAIC Y INSURERA: Hartford Casualty Ins Co INSURED INSURER B: INSURER C: TAX RECOVERY SERVICES LLC INSURER D 1902 157TH ST E TACOMA WA 98445 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXPO LTR INSR WYD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABIUTY EACH OCCURRENCE 81, 000,000 DAMAGE TO COMMERCIAL GENERAL LIABILITY PREMISES(EaRoccurrence) $ 300, 000 A I CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 X General Liab 111 52 SBA UQ2101 02/13/2012 02/13/2013 PERSONAL&ADVINJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGR ATE LIMIT gIPPPUU IS PER: PRODUCTS-COMP/OP AGG $ 2,000, 000 I POLICY JECT I LOC 8 AUTOMOBILE LIABILITY COMBINED SINGLE UMIT 81,000, 000 (Ea accident) BODILY INJURY(Per person) 8 ANY AUTO A ALL OWNED — SCHEDULED 0 0 52 SBA UQ2101 02/13/2012 02/13/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NON-OWNED 8 AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE 0 0 AGGREGATE 8 DED RETENTION 8 8 WORKERS COMPENSATION WC STATU- 0TH- AA)EMPLOYERS'LIABIITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 111 E.L.EACH ACCIDENT 8 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 8 A EMP STOP GAP 52 SBA UQ2101 02/13/2012 02/13/2013 $1,000,000/1,000,000/1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE City of Federal Way DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 33325 8TH AVE S AUTHORIZED REPRESENTATIVE FEDERAL WAY, WA 98003 702— 4,Y *1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD RETURN TO: THO KRAUS EXT: 2520 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: FiNaNCE 2. ORIGINATING STAFF PERSON: Txo KRaUS EXT: 2520 3. DATE REQ. BY: 10/18/2010 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) 0 PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT � PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT o HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. aorm xELn�D Docun�,rrTS� ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: UTiL�TY Tax AUn1T 6. NAME OF CONTRACTOR: TAx RECOVERY SExvicES LLC (TRS) • ADI�4�(�;SS: 1902157"' S'r E, TACO1�tA, WA 98445 TELEPHONE 253-223-4986 E - MAIL: TRS(a),INTEGRITY.COM FAX: SIGNATURE NAME: M�CxAE�, J CRISP TITLE: PRESIDENT 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: NovEMBEx 1, 2010 COMPLETION DATE: O N � Z� �i � I ZD � Z TOTAL COMPENSATION $VAR�ES NOT TO EXCEED SO% OF REVENUE RECOVERED (INCLUDE EXPENSES AND SALES TAX, IF ANY� (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑�S ❑ 1v0 1F �s, M��tvlUtvl DOLL�t AMOUtvT: $ IS SALES TAX OWED ❑ YES O NO IF YES, $ PAID BY: ❑ CONTRACTOR � CITY ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT/CONTRACT REVIEW � PROJECT MANAGER �( DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCILAPPROVAL (IF �PLIC�LE) INITIAL / DATE REVIEWED INITIAL / DATE APPROVED " I 0 .�pL ( 0 � o Pp 5�-6 f P 1�►-llo �J P h-is-io ui no+�s bo�tto►n � P+, -►oP � P. z, c�m p. COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING �( SENT TO VENDOR/CONTRACTOR DATE SENT: ( f ��'I ( I( DATE REC'D: I �1�TTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS Ltl LAW DEPARTMENT L�?'SIGNATORY (Ctv1 Ox D�x�CTOx) f3'CITY CLERK �f'ASSIGNED AG# �'SIGNED COPY RETURNED � INITIAL / DATE SIGNED �Q a-�-i� ��l'Y� a.-b-11 AG# � � — 0�..'l DATE SENT: �-�p-�� �_ «�C A� p �2`�3�c� �� PP � �I'- �' �� C�aY� ZS 11/9 ;�';: � arr oF : ..�x Federal Way PROFESSIONAL SERVICES AGREEMENT FOR TAX RECOVERY SERVICES crnr �►u 33325 Eighth Avenue South fedetal Way, WA 98003 253-835-7000 www. citvoffedera(wav. com This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal coiporation ("City"), and T� Recovery Services, LLC, (TRS), a Washington Corporation ("Contractor"). The Gity and Contractor (tagetl�er "Parties") are lcx�ted and do buszness at the below addresse;s which sllall be valid for �ny notice �requixed u��r tk�is Agxeement: TAX RECOVERY SERVICES, LLC, (TRS} Michael 3. Crisp, President 1902 I 5'1'� St. E. Tacoma, WA 98445 {253) 223-4986 {telephone) TRSna.inte�ritv.com CITY OF FEDERAL WAY: Tho Kraus 33325 $'� Ave. S. Federal Way, WA 98003 (253) 835-2520 (telephone) (253) 835-2509 (facsimile) The P�ties agree as follows: K�.ljtll L TERM. The term of this Agreeme�tt shall commer�ce upc>n the ef�ective date of this Agree�ent, which shall be the date of mutual execution, and sha11 continue until December 31, 2012, or until either party terminates said agreement in accardac� w�th Sectian 3 af this agreement ("Term"). This Agreeme�t may be e�ended for additicx�al �eriods af time upan the mutual vvritten agreement of the C�ty a�d tlte Contractar. 2. SERVICES. The Contractor shail perform the services more specifically described in Exhibit "A", attached heretu and incorporated by this reference ("Senrices"}, in a manner consistent with the accepted grofessional practices for other sic�ilar services wit�in the Puget So�nd regio� in effect at the time thase services are perforn�ed, I�erfarmed ta the City's sa.tisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her desigc�ee. The Contracior warrants that it has the requisite training, skill, arxi eacp�erie�+ce necessa�y ta �rouide tt� Servi� and is aPPmpriately accredited and licensed by all appticable agenc�es and governr�ental entities, inc�uding but not limited to obtaining a City of Federal Way business registration. Services sha11 begin immediately upon the effective date of this AgreemenL Se�vices shall be s�bject, at all times, ta inspection by and approvai of the City, but the making (or failure or delay in �making) such inspection or apgraval shall not relieve Contractor of responsibility for perfornaance of the Se�rvices in accorda�e with this Agreement, notwxths#anding the Gity's knowledg�e of clefe�tive or non-cornglying perfarmancc,, its substantiaiity ar the ease of its discovery. 3. TERMINATION. Either pariy may terminate this Agreement, with or without cause, upon providing the other parly thirty (30) ciays written notice at its addness sd forth above. The Gity may terminate this Agree�nant immediately if the Cotttractor fails to maintain reqi�ired �nsurance policies, breaches confidentiality, or materially violates Section 12; attd such may result in ineligibility for further City agreements. ���;_� ���� 4. i Amount. In return for the Services, the City shali pay the Contractor an amount not to exceed a maximum amount and according to a rate or mcthad as delineated in E�chihit "B", attachcd htreto and incorporated by this refere�ce. Except as otherwise provided in Exhibit "B", the Cont�actor shall be solely responsible for tt�e payment of any taxes imposed by any iawful jurisdiction as a result of the perforrnance and payment of this Agreement. 4.2 Method o£ Pa;�� The Cantractor shall submit an invoice �rpon camgtetion of each audit as describeci in the Services. Payment sha11 be made by the Gity anly after the City actually receives the taac revenue and witltin thiriy (3Q} days after receipt and approval by the appropri�te City represent�tive of the invaice. If the Services do not mcet the PRO�ESS�QNA,�. aERVIC�S AG�EEMENT -1 - l/2a�0 CITY HALL � 33325 Eighth Avenue South GTV OF ��' �"`��'"' �ederal Way, WA 98003 Federal Way 253-835-7000 www. citvoffedera(wav. com rec}uirements of this Agreemettt, the Contractor will correct or modify the work to comply with the Agreement The City may withhald payment for s�ch worlc until the work meets the requirements of the Agreement� 5. INDEMNIFICATION. S.l Contractor Indemnification. The Contractor agrees to release, indemnify, defend, and hald the City, its eiected officials, o�cers, employees, agents, represerrtatives, insurers, attorneys, and volunteers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damag�es, liahilities, taues, losses, fines, fees, �nalties e�nses, attoFney's fces, costs, and/ar litigation expenses to or by any and all persons or entities, inciuding, without limitation, their respecfive agents, licensees, or representatives; arising from, resalting from, or in cc3nnectio� with t�iis A,�ent ar the aects, errors or ornissions of the Contrac�flr in performance of this Agreeme�tt, except far tt�t portian of the claims caused by the City's sole negligex�. Shauld a court af competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damagc.s arising aut of bodilx inJwY to persons or damages to property caused by or resutting from the concurre�t �gligenEe ttf th� Contractar and the City, the Contractar's liability hereunde,� shail be only to the eacte�t Qf the Contractor's negligence. Contractor shall ensure that each sub-contractor shall agree to defend and indemnify the City, its el�ct,ad officials, ufficers, emPloYees, a�ts, representati�+�, ic�urers, aitorc�eYs, and volunte�rs to the extont and on the same terms and conditions as #he Contractor gursuant to this paragraph. The City`s inspection or accepta�ce of any af Contractor's work when eompleted sha11 not be grounds to avoid any of these covenants of indemnification. 5.2 Industriai Insurance t�1.c# Wa.iver. It is specifically and e�ressly understood that ti�a Gontractor waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 5 i RC W, solely for the Pu�s of this ind�mui�'icatiun. Con�actor's indemnification shall not be limited in any way by any limit�tion an the s�uYUnt af damag�, compensation or benefts p�yable to or by any third party uctder wc>rkers` compe�satiox► acts, disability be�e�t aets or any otl�ear benefits acts ar p�ogramts. 'Tl�e F�es �cknowledge that they have mutually ne�otiated this waiver. 5.3 Citv Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers, d�rectars, shareholdeFS, Partr►ers, emPloY�e.s, agents, repc�sentatives, and sutr-contractors t�atmless from any actid all ctaims, demands, actions, suits, causes of action, arbik�tions, mediations, pmceeding,s, judgments, awards, injuries, damages, liabilities, iosses, fines, fees, penalties expenses, attorney's f�s, costs, and/or litig�ation expenses to or by any and all persons or entitits�„ incl�ing without limitatian, their respective agenLs, licenseGS, or rre}�r�sentatives, arising fram, resulting from or cannected with this Agr�nent tca the e�tent solely causeci by tk�e n�egligc�t a�cts, er�ors, ar omissions of the City. 5.4 Su 'va . The prc�visiac�s of this Seckion shall survive the �pira2iflr► or ter�nina�t�iion of this ;Agreement with respect to any event occurring prior to such expiration or termination. 6. II�tS[J�NC�. The Contractor agrees to carry insuraz�ce for liabality vvh�cl� may arise fram or in co�ctian with the performance of the services or work by the Contractor, their agents, representatives, employees or subcontractors, as provided in Exhibit "�'.,', �tached hereto a�nd inaorporated hy this reference, for the d�ration Qf the Agreement and thereai�er wit� respect to any event occurrin�g g�or ta suc� e�piration c�t tecmination. �`he provisio��s of this Section shall survive the expiration or termination of this Agreement. 7. G . All infatm�tion regarding the Gity obt�ineci by Contractor in performance of this Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by the Contra�ctor may be grounds farr immcdiat� �ermir�aa.tion. Atl records submit#erl by the City tca the Contra�ctcar will be safeguarded by the Corntractor. The Contractor will futly capperate with the City in identifying, asserr�biing, and praviding records in case of any pub�ic r�c�rds disclosure request. 8. WQ� P�2t,��,?UC�. All ariginals and copies of work product, including plans, sketc�aes, xayouts, designs, design specificafions, records, files, computer disks, magnetic media or material which may be produced or modified by Contractor while performing the Work sha11 belong to the City upon delivery. The Contractor shall make such data, PRO�ESSIC}N,AL, SERVICES AGREEN�ENT - 2- t/2010 CITY HALL 33325 Eighth 6►venue South CITY OF `'�'��-:.. -,-� Federal Way, WA 980Q3 Federal Way 253-835-7000 www. ci tyo f f ederal wa y. com documents, and files available to the City and shall deliver ali needed or contracted for work product upon the City's rec�aest. At the expiration Qr termination of this Agreement, all originais and capies of any such work product remaining in the possession af Contractor shall be delivered to the City. 9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which suff'iciently and praperly reflect all direct and indirect costs related to the performance of the Work and maintain such accounting procedures and practices as may be deemed necessary t�y the City to assure praper accounting of all funds paid pursuant to this Agreement These records shatl be subject, at all reasonable times, to inspection, review or �it by th� City, its authorized re�nt�tive, t� State Aud�tar, or otlzer gaverrrnme�tat o�ci�ls atitltcYrizecl by law to manitot this Ag�reerreent. 10. iNDEPENDENT CONTRACTOR The Parties intend that the Contraetor shall be an independent contractor and that the Contra�ctor has the ability ta eontrol and direct the performance and dctails of its work, the City bcing interested only iz� the results obtained under this Agreement. The Gity shall be neither liahl� nar obligated to paY Contra.ctor sick leave, vacation pay or any other benefit of employment, nor to pay any social security or other tax which may aris� as an incid�nt of employmont. Contractor shali take all n+ece.ssary precautiuns and shali be responsihle for the safety of its cmployees, agents, a�d subcuntractocs in the performance of the eontcaet wark arx� shalt utilize all �atection necessary for that purpose. Ali work shall be done at Contra.ctor's own risk, and Contractor sha11 be responsible for any lc�ss of ar damage to materials, tools, or othra� articles usai or held far use in cc►nnection with thc work. T�e Contractor shall p�y all incom� anc� other tslces due ex�t as s�cifically provided in Section 4. ��dustrial or any other insuractce 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 con`reert this Agr�ment to an employment contradct. If the Cont�ar�,or is a sole prop�etorsl�ip or if this Agrect�tent is with � individual, tt�e Contractor agrees ta noti�y t�te City ar�d ca�nplete any required form if the Gontrador retired un�r a State of Washington retirement system a�d agi�s ta ind�nify any loss�.s the City msy sustain thraugh the Cantractor's failure to da so. 11. CONFLICT OF INTEREST. It is recognized that Contractor may or wiii be performing professional services during the Term ft�r other parties; l�,c�wever, su�h perfQnt�ance of other scrvices sh�ll not cw►flict with or interfer� with Cot�t�actor`s ability to perform the Sez�ices. Cc►t�tractar agrees #o reso�ve ainy suct� canflicts of �nte�st in favQx of the City. Comractor evnfirms that Contra,ctor does not have a business interest ar a close family relationship with any City officer or emplayee who was, is, or will be invdved in the Contractor's seler�ion, negatiazion, drafting, signing, admi�istration, or evaluati�ng the Contraetar's perfarmatice. 12. EQUAI.OPPORTUNITY EMPLOYER In a11 services, programs, activities, hiring, and employment made passa�c by or resulting fram this Agreement or any subcvntract, there shall be no dis�ximination by Contra�ctor or its sub�contractars af any level, m any of those entities' employ�, age�nts, subc:4ntractors, or rep�entatives �inst any person becanse of se� age {except minimum a.ge and retirement provisions), race, color, religion, ere�d, national origin, marital status, or the presencc of any disability, including sensory, �tal or physical handicaps, unless based upon a bona fide occupational q�al�fieation in rel�ionship to hiring and employmen�. 'This requircment shall aFP1y, but nNOt be limited to the foiiowing: empioyment, advertising, layoff or termination, rates of pay or other forms of compensation, and setect�on fior treining, inclu�dic�g �pgrtnticeship. C+a�traGtor shall comply with and shall �t violate �y of the terms Qf ChaptEr 49.6E} RCW, Title VI a� tha Civil Rights A�t af 1964, the Amexicans With Disabilities Act, Section 504 of the Rehahilitation Act af i973, 44 GFR Part Zi, 2i.5 and 26, or any other applicatsle federtl, state, or iocai law or regulation reg�t�din� non-diseritnination. i3. GENERAL PROVISIONS. 13.1 In��tat�on and Modification. This Agreem�nt, to�ther with any attacl�ecl F�chibits, contai�ts a�l of the agreements of the Parties with respect to any matter covered or mentioned in this Agreemerrt and no prior statemeirts or agraments, whet�er ural or written, shall be effedive for any purpc�se. Should any language in any Exhibits to this Ag�ean�nt conflict with any lang;uage in this A�nt, the terrns of this Agreement shall prevail. The respeditve captions of the Sections of this Agreement are inserted for convenience of reference oniy and shall not be de�emed to mndify c�r otheryvise af�ect any of the pmvisions of tl►►is Agreement. Any provisic�n af this Agreertu�nt that is ti�iared invalid, inope�rative, nutl and v4id, or ilt�gat shall in no way affe�t or invaliEdate �my a#her provisian hereaf and such other FR()F�SSIQN,A�.. SERVI��S .t�G�tEI�'NT - � - �r�o�a CITY HALL 33325 Eighth Avenue South c�rv oF '�`-'°�-.�=� Federat Way, WA 98003 Federal Way 253-835-7000 www. citvof federa(woy. com provisions sha11 remain in full force and effect. Any act done by either Parly prior to the effective date of the Agreement t�t is con�istent with the authority af the Agreement and cc�rnpliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision af tl�is Agreement, including this provisian, may be amezx�ed, waived, or modified except by written agreement signed by duly authorized representatives of the Parties. 13.2 Assignment and Be�ficiaries. Neither the Contractor nor the City shall have tl�e ri�ht 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 nan-assigning Party gives its conssnt to any assignment, tY�e terms of this Agree�nent sl�l continue in fuli force and effect and tto further assignment shati be made without additianai written consent. Suhject to the foregoing, the rights and obligations of the Parties sha11 inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This Agreement is ma�ie ar►d entered into for the sale protecxion and benefiY of the Parties hereto. No otlzer person or entity shalt have any right of actio� or interest in thi�.s Agreement b�sexi on arty grovision set farth herein. 13.3 Comnliance with Laws. The Contractor shall comply with and perform the Services in accordance with a11 a�plicable fe�rat, state, local, and city laws including, withcwt limitation, all City cc�des, ordinar�ces, res�lutions, regulatic�ns, rules, standards and policies, as now existi�g m ttet�eafter atnended, adapte�, or made eff�tive. If a viol�tion of the City's E#t�ics Resolution No. 4]-54, as amended, occurs as a result of the formation or perfvrn�ance of this Agreernent, this Agreement may be rendered nuil and void, s�t the C�ty's ogtion. 13.4 Enforcement. Time is of the essence of this Agreement and each and a11 of its provisions in which perfarmance is a factor. Adherence to comptetion dates �t forth in the description af tt�e S�r�rices is essential to the Co�ractor's perfcxmance of this A.greement. Any natices tequired ta be given hy the Parties shall be detivereci at the addresses set forth at the beginning of this Agreemern. Any notices rnay be delivered personally to the addressee of the notice ar may be depcssited in the United 5tates mail, postage prepaid, to th� address set forth above. Any �tice so posted in the United States tt�ail slta�l be�med z�eceived thtee (3} days after the date of mai►ling. Aa�y �i�s grovideci for under the tenns of ttus Agreement are nqt intended to be exciusive, but sha11 be cumulative with a11 other remedies availabte ta the Gity at law, in equity ar by statute. 'tt�e failure of tl�e City to insist upon strict performance of any of the covenants �nd agre�ments corttained in this figre�e�ne�t, or to exercise any opaion confecreci by this Agree�nent in one or more instances sha,ll not be construed to be a waiver or relinquishmerrt of those covenants, agreements or options, and the same s�hall be and remain in fuil fc�rce and effect. �'ailure or delay of the City to declare any breach or default immediatety upon a;cutrence s�tall not waive snch breach or default. Failure of the City ta de�lare one b�res�ch or defanit dces nat act as a waiver of the City's right to declare another breach or defauit. This Agreement shail be made in, governed by, and int�rpreted i� acccardance vvith the laivs of the State of �Vashington. If the Parties aze unable to settle any dispute, dif�'erence ar claun arisi�g from this Agreetnent, the �clusive meat►s of �olving that disp�ste, difference, or claim, shall be by fiiing suit under the venue, rules and jurisdiction of the King Caimty Superior Cour� King Coumy, Washington, unless the parties agree in writing to an altemative procGSS. If the King Cuunty Superior Cowt c�CS nat have jurisdiction over such a suit, then su�t may be filec� in any other a}�xop�iate c.ow�t in K.ing Co�nty, Washingtort. F..�► paRy consents to the persanai jurisdiction of the state and federai courts in King County, Washington and waives any objection that such courts aae an in�onve�ie�t forum. If either Party txings any claim or lawsuit arising from this Agrxcnent, each Party shall pay att its �l cvsts and a��y`s fees and expet�es incutred in c�fending or bringi�g such claim or lawsuit, ittcl�uling a1i appeals, in additian to any ather recovery or award grovided by law; grovidad, ho�ever, however nothing i� this peu�age�p#e shali be construed to limit the Farties' zig�ts ta indenr�nification under S�ection 5 of this Agreeme�t. 13.5 Exe�ution. Each individuai executing this Agreement on behalf of the City and Contractor represents and wasrants tt�t such individual is duly authorized tu execute and deliver this Agreement This Agreernent may he executed i� atiy ml�nber of ccwnt�parts, each of which shall be c�d an originat and witi� the sa�te effect as if all Parties kereta had signed the same document. All such counterparts sha11 be construud together and sha11 constitute one instrumerrt, but in malcing proof hereof it sh�ill only lx ne�cessary ta praduce one such counterpa�rt. Ttu� signatune ar�d acknowied�t pages from such caunterp�rts rnay t�e assembled together to form a single instcu�nent conn�riseci of all pages of this Agr�nt and a complete set af all signat�u�e and acknotiuledg,�nent pages. T'he date upon which the last af a�l af the Parties k�ave e�sacut�ci a co�mtetp�art of this Ag�ement sl�all be the "date af mutual e�ecutia�" hereof. PR4F�S3�41�t,��. S�RVIG�S AGatF..�h�I�NT - 4- 1<2010 CITY tiALL 33325 Eighth Avenue South cirr oF �� =�,.-a�" Federat Way, WA 98003 Federal Way 253-835-700Q www. citvoffederafway. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY Skip Priest, May ATTEST: � City Clerk, Carol Mc illy, C DATE: TAX RECOVERY SERVICES, LLC, (TRS) By: ny���(.�c,�.Q � _ , \ � � � Printed Name: � � c � e. .z.� � t,.. ;� � � �, Title: ��- � � : �\ � �� � DATE: � � \ – 1 � \ � STATE QF WASHINGTON ) ) ss. CQUNTY OF �� f � C -� } APPR��JED AS TO FORM: ,�� �� // .. � �/ J.� - . Sl . . , , On this day personally appeared before me ��, �� e� C I'i Sl� , to me known to be the ���; c�-cY�� of � S��`c1S L� executed the foregoing i�strument, and acknowledged the said instrument to the free and voluntary act and deed of said carporation, 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 carparate seal af said corporation. GIVEN my hand and official seal this � � day of S a(� vLG� �-,.� � , 20 ( �. Notary's signaiure �� tiVln��� 's printed name �C I� e 1 W�� 1� Natary Public in and for the Sta,tee of Washington. ���� My commission expire�s � 1� �(o ° 2�c� I� +��1n�MMillr� rMNl�r t�. �11 PROFESSIONAL SERVICES AGREEMEI�T - 6- l/20�0 CITY OF �. Federal CITY HALL ��/�� 33325 8th Avenue South • PO Box 9718 V�. Federal Way, WA 98063-9718 (253)835-7000 �•vww crryoffederatwau can EXHIBIT "A" SERVICES 1. The Contractor shall do or provide the following: �. Audits and taac investigations on selected businesses may be conducted by the Contractor as mutually agreed upon by the City and the Contractor. 2. In perfarming the audits, TRS will act as an agent af the City of Federal Way, cc3ntacting the appropriate businesses, examining their books, and working as necessary witli their responsible fnancial officers and staff. 3. As audits are completed, TRS will keep Federal �Vay informed as to additional advanta�eous audits to consiaer ne�ct. 4. TRS will need certain items from the City including: -access to City business license data, including the name of the cQmpany ta l�e audited with its address, phone number, state UB1 number and business Iicense open date. -if the company is registered, copies of the business' tax return for the past four years plus the current year (requires signed information sharing agreement between TRS and City) -current city map showing city boundaries with street level detail. S. TRS will provide regular reports on the status of the audit to the City as needed. 6. Onc� the audit is completed, Ta�t Recovery Services vvill supply a copy af the audit to the City of Pederal Way for review before a copy of the audit is sent to the taxpayer. TRS will be happy to discuss any part of the audit witl� the City and answer ar�y questions. 7. TRS will then work with the company to help them understand that the audit is done correctly and in accordance to ths law, and that payment is due. Doing this helps insure that the audit recovery is submitt€c� promptly, and that the ta�cPaYea' PaYs his firture ta�Les ca�rrectly. $. In no event will this contract be construed ta require the Contractor to act as a collection agency or to pruvide legal representativn in a litigatian proces,s. , ,� . , ., . . :.. .�. . �,. . . ; , . PROFESSIONAL SERVICES AGREEMENT - 7- 1l2010 CITY OF CITY HALL .,,.'�., Federa I Way 33325 Sth Avenue South • PO Box 9718 Federal Way, WA 98063-9718 (253) 835-7000 svwtiv crtyofl'ederAi�ray com EXHIBIT "B" COMPENSATION I. Total Compensation: In return far the 5ervices, the City shall pay tlze ContractQr an amount not to exceed twenty-three percent (23%) of the actual revenue recovered. 2. Method of Compensation: In consi�ation ofthe Co�►tractor �rfarming the Services, the City agrees to p�y the Contractar according to the following schedt�le: • For each audit or t� investigation, the City agrees to pay the Contractor a fee in the amount of twenty-three percent (23%} of any revenue recovered due to the audit; however, Contractor will not be compensated for money the City re�eives from taaces owed for periods before ar after the audit period. Contractor will be pa�d only wher� City receives actual tax revea��ue. "Revenues recovered" shall be construed to mean all funds received due to the final audit documents, plus any additional funds received dttring the audit phase directly attributable to the commencing or performing of the audit. PROFESSIONAL SERVICES AGREEMENT - 8- 1/2010 CITY Of ',�.,.�.. Federal Way EXHIBIT "C" I1�SU1tANCE CITY HALL 33325 8th Avenue South • PO Box 9718 Federal Way, WA 98063-9718 (253)835-7000 �v�vw crryo/federaiwr�y com 1. The Contractor agrees to carry as a minimum, the following insurance, in such forms and with such carriers wlzo have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, ind�eependent contractors, products-completed operations, stop g,ap liability, personal injury, bodily injury, death, pro�rty datnage, products liability, advertising injury, and liability assumed under an insured contract with lemits no less than $1,0(IO,Q00 for each occurrence and $1,000,000 general aggregate. b. Workers' compensation and employer's liability insurance in amounis sufficient pursuant to the laws of the State of Washington; c. Automobile liability insurance cavering all owned, non-owned, hired and leasai yehicles with a minimum combined single limits in the minimum amounts cequired to drive under W�shington State taw per accident for bodily injury, including personal injury or de�th, and properiy damage. d. Professional liability insurance with limits no less than 51,�0,000 per claim and $1,000,040 policy aggregate for damages sustained by reason of or in the caurse of operation ur�der this Agreement, whether occurring by reason vf act.s, errors or omissions of the Gontractar. 2. Contractor's maintenance of insurance as required by the agreement shall not be construed to limit the l�ability of the Contractor to the coverage grovided by suc� insurance, ar utherwise limit the City's recourse to any remedy avail�ble at law or in equity. The Cont�ctor's insurance coverage shall be primary insurance as res�t the City. Any insurance, self-insurance, or i�surance pool coverage maintained by the City shall be excess of the Contractor's insurance and sha�l not coarrtr�ii�ute with ��. 3. The City shall be named as additionai insured on all such insurance policies, with the exception of any pr4fessic�nal liability insurance and any wcarkers' comgensation coverage(s) if Gontr�ctar garticipates in a state-run work�rs' compensation program. Confiractar sha}1 provide certificates uf insuraalce, cuncurreazt with the execution of this Agreement, evidencing such coverage and, at City's request, furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of'such palicies. All ins�ce policies sha11 cAntain a clause of endorseme,nt grovidin� that they may nc>t be tetminateci or materially amended during the Term af this Agreement, except after thirty (30) days prior written notice to the City. If Contractor's insurance policies are ��claizns m�de,�� Cantractor shatl be required to maintain tail coverage fer a minimu�n period of three (3} Years from the dat�e this Agreem�nt is act�ally terminated or upsm prt�ject c,c�mpletion and �ce by the City. PROFESSIONAL SERViCES AGREEIvIENT - 9- 1/2010 - ..Yfiis. . iCi�I�',�tF�C^� � � �' l. ':� `� ` s af State SAM REED lNITtAL ANNUAL REPQRT FEE: �"lQ.QQ � cot�.� F��tm ��rtn �AYn�v�r,ro- Entity Name: TAX RECOYERY SERVIGES I.LC jt�ed� rn�e �ay� t� `Se�ret�ry orstate� !'�yment Das 8y: 9flf1?!?�4 Corporatlons Dtvfsion 801 Capitoi Way South PO Box 40234 aym�a, wa s$soa-o2aa FILED SEC�IETAr�Y OF STATE JUN � 4 2004 STATE OF WASHtPiGTOt�4 Unified Business tdentifier: 602-4Q3-814 State of tncorparation: WA iRC.tQu�i. Qate: 6l14/20Ei4 f0 AVOID WSSt3LUTIt3WR€VtJCATfON, AAI lt�ft7'1AL !Wl�tiAL RSPLMT N(LlS7 8E Ffl.�D AAtD QR��SSED PRiOR TO: 1tH13f2f1f34 Cument Registered Agent/Office MlCHAEL CRISP 1902 157TN E Regist8red /lgertt/Offlce Changes {Changes must be approved by the Board of [)irectas) New Registered Agent FVame {� i • `n a s� \ � e � � �, .Q �- r �, S � Ca�t to A A.� , n , l_ /' Signature of New Regist�red Agent � TACOMA, WA98445 R A dr�ss S � ���'- � S' Z��, � cny � c c.� *�., e �.'•r � s� wa z�� coa� ���1 �1.,5 Opdonal MaiGng Addr�ess Gity State WA Zip Code 1#II11AL ANNUAL REPORT SEG110N MUST BE FILIEQ IN COMPLETELY - TYPE OR PRiNT IN BLACK INK Prinapa� p�ace of busir�ess in wa �°, � ti ��' Z�s �. �. c� c. - M. �, WR ����'t S ,a�s c�r z� Teleph�e �� S��' - �t" �Emai1 Nature of Business 1� v r.4.� �"c'. t� R J� s.a ,�e �'" Foreign En6ties - Prinapat affice address � state/cocx�try o€ Qri�n Addr�� City Stale TJP CounUy t�A►i'I�M: Print d' type n�s artd ad�resses of c�orporate �rs 8nd d+r�s in�g PreSident, Ywe Preside�tt, Se�eiary. a�'M T�surer. ff app�r.al�le the Ctr�ir d tt1e Baatd'of Ditectas arui �ors. U.C: Pri�t ar type na�nes and addresses � Membe�s or Managets. (aaact► aald�nnat �st it necessarY) ��. c� c ti � .,> . C. r: z' ,C� ��' e 5� c� e:.-� nr� r� '" ada�ss e�ry s� zr� `Q e�, cs, r� i ^ . � f:,� �:, v�� c. 2. � r c�: c1 a�+ �c a� � c� �*". c� t��c � e. 'c : o n Name rdle Ad�ess CXY St�e �1P Name Tide Address Cfty StaGe �P Name 7Hte Adchess City SYa�e �P Name Tfde Address City Strte Z�p > *ft �::c�a.�1 C� �1�1 � — Sig►ratw�s af Chalrir►► � ffie Boarrf Otficer, K4erttbsr a k�f abave Type w Prr�rE Naf►�e srrd T"� CORPORATIONS INFORMATtON AND ASSiSTANCE - 360/753-7115 (TDD 360/753-1485) � Rev. Q1-OQ4 11/03 DLB CERTIFICATE OF LIABILITY INSURANCE R054 01.TE21/D2O1,1 THIS CERTIFICATEIS 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 ADDITIONALINSURED,the policy(ies) must be endorsed. if SUBROGATIONIS 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 endorsementls). PAODUCER CONTACT BROWN & BROWN OF WA INC/TACOMA/PHS PHONE FAx �Aic rvo Ext�: (866) 467 tAic,rvoi: �$'1�) 905 811153 P: (866) 467-8730 F: (877) 905-0457 E-MAIL P O BOX 3 3 015 RODU E�R SAN ANTONI O TX 7 8 2 6 5 CUSTOMER ID !l: /NSURfD TAX RECOVERY SERVICES LLC 1902 157TH ST. E. TACOMA WA 98445 INSURERISI AFFORDING COVERAGE iNSUaeRn: Hartford Casualtv In: INSURER C : INSURER D : NAIC # 24 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE Of /NSURANCE POLICY EFF POL/CY EXP /JM?S LTR /NSR WVD PoUCY NUMBER (MM/ODNYYY! lMM/DD/YYYY) GENERAL UABIL/TY EACH OCCURRENCE S 1� O O O O O O COMMERCIAL GENERAL LIABILITY P EMISES (Ea o currencel S 3 O O� O O O A CLAIMS-MADE O OCCUR MED EXP IAny one personl 5 l. O� O O O X General Liab 52 SBA UQ2101 02/13/2010 02/13/2011 PERSONAL&ADVINJURY SZi������0 GENERAL AGGREGATE S 2� O O O� O O O N'L AGGRE L1MIT A��,P P�LIE�S PER: PRODUCTS - COMP/OP AGG S 2� O O O� O O O POLICY U PR � I� I LOC $ AUTOMOBlLE L/AB/L/TY COMBINED SINGLE LIMIT � IEa accidentl S 1� � � �� � � � ANY AUTO BODILY INJURY (Per personl S ALL OWNED AUTOS BODILY INJURY (Per accidentl S SCHEOULED AUTOS A 52 SBA U ZZOZ 02�13/201D 02�13/2011 PROPERTY DAMAGE S X HIRED AUTOS Q (Per accidentl X NON-OWNED AUTOS 5 S UMBRELLA L/AB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE 5 DEDUCTIBLE S RETENTION S 5 WORKERS COMOENSAT/ON WC STATU- OTH- AND EMPLOYERS' L/AB/L!!Y TORV LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE v/ N N/A E.L. EACH ACCIDENT 5 1� O O O� O O O A lMandarory b� NHREXCLUDED? � SZ SBA UQ2101 02/13/2010 02/13/2011 E.L. DISEASE - EA EMPLOVE S 1� OOO � OOO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S �- � O O O� O O O OESCR/OT/ON OF OPERAT/ONS / LOCAT/ONS / VEH/CLES lAKach ACORD f 0 f, Additiana/ Remerks Schedu/e, N mom space k requbedl Those usual to the Insured's Operations. CERTIFICATE HOLDER City of Federal 33325 8TH AVE S FEDERAL WAY, WA Way 98003 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AllTNOR/ZED REPRESENTAT/VE ��- �'�� a 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD BROWN & BROWN OF WA INC/TACOMA/PHS P O BOX 33015 SAN ANTONIO TX, 78265 City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 ACORD 25 (2009/09) A � � DLB CERTIFICATE OF LIABILITY INSURANCE R054 01TEZZDZOI,1 THIS CERTIFICATEIS 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(S1, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTAIVT: If the certificate holder is an ADDITIONALINSURED,the policy(ies) must be endorsed. If SUBROGATIONIS 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 PRODUCER wrv i na. i BROWN & BROWN OF WA INC/TACOMA/PHS PHONE FAx 811153 P• (866}467-8730 F• (877)905-0457 E-MqILo �866)467-8730 �Aic,Noi: �877)905-045 P O BOX 3 3 O 1 r J • PRODUCER SAN ANTON I O TX 7 8 2 6 5 CUSTOMER ID #: /NSUREQ TAX RECOVERY SERVICES LLC �NSURER B: 1902 157TH ST. E. INSURERC: TACOMA WA 9 8 4 4 5 INSURER D: AFFORDING COVERAGE NAIC # Casualtv Ins Co 9424 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POIICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TypE Of /NSURANCE POL/CY EFF PoUCY EJIO UM?S CTR /NSR WVD PoUCY NUMBER (MM/DD/YYYYI !MM/DD/YYYYI CaENERAL UAB/L?Y EACH OCCURRENCE S 1� O O O� O O O COMMERCIAL GENERAL LIABILITY PREMISES IEa urrence) S 3 O O� O O O A CLAIMS-MADE � OCCUR MED EXP (Any one personl 5 1 O� O O O X General Liab 52 .SBA Ux21�1 02�13�2011 02�13�2012 PERSONAL&ADVINJURY 51�������� GENERAL AGGREGATE S 2� O O O� O O O EN'L AGGRE LIMIT AP I S PER: PRODUCTS - COMP/OP AGG S 2� O O O� O O O POLICY � PRO- � LOC S AI/TOM08/LE UABlL/TY COMBINED SINGLE LIMIT IEa accidentl S 1� � � �� � � � ANY AUTO BODILY INJURY IPer person) S ALL OWNED AUTOS BODILY INJURY (Per accidentl S SCHEDULED AUTOS A 52 SBA U 02/13�2011 02�13/2012 PROPERTV DAMAGE S X HIRED AUTOS ` IPer accident) X NON-OWNED AUTOS S 5 UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE $ RETENTION 5 S WORKERS COMiENSAT/ON WC STATU- OTH- AND EMPLOYERS' L/AB/L/TY TORY LIMITS ER ANY PROPRIETORlPAHTNER/EXECUTIVE Y/ N N � A E.L. EACH ACCIDENT S 1� O O O� O O O A /MandaR/�ME�M�FR/EXCLUDED7 � SZ SBA UQ21OZ 02�13�2011 02�13�2012 E.L. DISEASE - EA EMPLOYE S 1� OOO � OOO If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1� O O O� O O O DESCR/PT/ON OF OPER.4T/ONS / LOCAT/ONS / VEH/CLES /Attach ACORD 101, AddNiana/ Remaiks Schedu/e, iI moie space !s requiredl Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Clty Of Federal Way DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3 3 3 2 5 8 TH AV E S AU7HOR/ZED REPRESEMAT/VE ` FEDERAL WAY, WA 98003 ��,_ ��.C�,�� ° 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD BROWN & BROWN OF WA tNC/TACOMA/PHS P O BOX 33015 SAN ANTONIO TX, 78265 City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 ACORD 25 (2009/09) ^ ��` �5f� �� � " ' � DATEIMM/DD/YYYYI A� ° CERTIFI�►TE OF LIABILITY INSU�NCE O1-31-2012 THIS CERTIFICATEIS 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(Sl, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONALINSURED, the policylies) must be endorsed. If SUBROGATIONIS 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(sl. __ PRODUCER '-'�' NAME: BROWN & BROWN OF WA INC/TACOMA/PHS PHONE 811153 P: (866) 467-8730 F: (877) 905-0457 (AIC No Ext P� B�X 3 3 015 ADDRESS: SAN ANTONIO TX 78265 CUSTOMERI INSURED � INSURER A : ' INSURER B : TAX RECOVERY SERVICES LLC 1902 157TH ST. E INSURERC: TACOMA WA 9 S 4 4 S INSURER D: PREMISES (Ea xeurrence) S 3 � � r � � Q I MED EXP (Any one per�n) I S �. �� d 0 d 52 SBa� UQ21�1 02/13/2012 02/13/2013I PERSONAL&ADVINJURY I S �.� ���i ��0 I GENEflAL AGGREGATE I S 2� O O O� O O O PRODUCTS - COMP/OP AGG S 2� O O O� O O O S COMBINED SINGLE LIMIT (Ea eccident) g �. � � � �� � 0 � BODILY INJURY (Per pereonl S BODILY INJURY (Per xcidentl 3 52 SBA UQ2101 02/13/2012 02/13/2013 Pp $ S S -8730 INSURER(S) AFFORDING COVERAGE CO � INSURER F : I COVERAGES CERTIFICATE NUMBER: .REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMFNT WITH RESPECT TO INHICN THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIfd, 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. � ��Tp . TYPE OF INSURANCE INSR WVD POIICY NUMBER �MM/DDIYYYY► IMM7DDlVYYY� LIMITS GENERAL LIABILITY . EACH OCCURRENCE 4 Z O O O O O O COMMERCIAL GENERAL LIA8ILITY A CLAIMS-MADE u OCCUR X General Liab GEN'L AGGREGATE LIMIT APPLIES PER: POLICY U JECT I 1 � I LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS UMBRELLA LIAB U OCCUR EXCESS LIAB I I CLAIMS-MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE A OFFICER/MEMBEREXL'LUDEDl u N/ I (Mendatory in NN► If yea, describe under DESCRIPTION OF OPERATIONS below 877)905-045 NAIC k s E.l. EACH ACCIDENT I 5 1� O O O� O O O 52 SBA UQ2101 02/13/2012 02/13/2013 E.L. DISEASE -EA EMPLOYE S 1� �00 � 0�0 E.L. DISEASE • POLICY LIMIT S �- i O O O� O O O DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attech ACORD 101, Additlonal flemerks Schedule, H more space ia required) Those usual to the Insured's Operations. CERTIFICATE City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 ACORD 25 (2009/09) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAIVCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOpIZE PRESENTATIVE ` �� ���� �' 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loga are registered marks of ACORD EACH OCCURRENCE S AGGREGATE S BROWN & BROWN OF WA INCITACOMA/PHS PO BOX 33015 . � SAN ANTONIO TX, 78265 04522 City of Federal Way 33325 8TH AVE S FEDERAL WAY, WA 98003 s N 5 m � N N N 0 0 0 0 # ACORD 25 12009/09► i,�,�J�'S c��cs�,� . F�L1CY C7r ERFti7i�t5 AND t3MISS!{5NS L1A8l�1TY INSURANGE �OR SPECIFiEt) PRt7FESSIQl�AI SEi�VtCES {G6aims First Ntade and Repor[ed Sasis} EfEected with �ertain Underwrlters ai Lloyd's ROLICY NUMSER; 330B47 10 �078 1. NAI��f� INSU��D: Tax £�ec�ver�S�rv�c�s, LLC �lndivldual �Partnership ��orporatiot� �Limit�t Liability Corpcar�t�n (�Se�le Proprieta� QOther 2. POLlGY PER1Q[3: From: Q5123i1Q at 12:{�i }>.M. To: t?�l231i1 �t 12:i31 A.M. ��vc;sl Siand�rd Time} 3. AC►�RESS; 1�C}2 1�7th Street E�st Tacoma, WA 984�15 4. NAMED 1lVSUE2ED'S PS2i3F�5SittlNAl. SERVICES: Financi�ai Planning Cansultant 5. LIMI7S O� LI�►Bll.!"tY, DEDLiCTIBLE AND DE�EIVSE GOST�: A Limit of Liability Per Glaim: � 1 L Ot�,O{K? B. Toiai Aggregats Limit of LiabilitY� 1 0 Ot30 __,_ C. C?edtrctib�: ��.{yt10 Each and Ev�ry D. Defet�ss Costs sh�li be included within ihe Limits of Liability �. PRE1VlIUM: Pramium: $ 2,8�O.QQ Po3icy Fee: $ i5tt.t?0 State Surplus Linss Fee: $ Stamping C1f�'�ce Fee: $ Totai: $ 2.95t].(Xl 7. �ERYlCE OF SUIT: Mendes and 1Vlouni, 754 Seventh Avenue� �ew Yark, New York 1i3019-f'°i829, 8. RETRtaAGTIVE I��TE: 04/18107 �. APPOlNTEC3 REPRESENT:xtTlll'E5: . ...._,.,...,..... _........, ,. .,..,......,....,..,. . ,,... � . ..�..��...,, , . Attn; Claims �epar#�nent Facsimile: �32-327-583� 53Ct2 Thunderbird, Buii�Jing 1Q, Suite 1Qt}, L�go VisL�, TX 78f�5 E-Mail: claitnsta�c�lisin�.com dba Prof�ss�praal L'sabil�fy insuranr� Services. inc. — Undsnarriting �a�ilities; Prafessional Liab�lity lnsur�r�c� S�rvic�s - L3nderwriting F�ii°rtie�, ���s Frofessional Liabl�ity Insurance S€ruices, Inc, - llnderwritir�g �aciiiti�s; Professi��3i Liabiiity lnsurance Servicea.lrr�arpor���d -�#n�eravr�iing F�cili#Ies; irt ihe state caf New York and Californ'sa, CA License �17t}6� ss Texas Professionsl Liatsiii#v In�ur�nce Serv�:�s 1U. ENi3i�R'"sEM�NTS. Professional �apacity Endorsement; LS1N 1001 �everal liability Notice; Lh'fA 5L�20 Service of Suit Glause �U.S.A.); LMA 5029 Appli�able l.� �i1:�.A.}; #�1t�1R 11�f R�dioactive �onfaminat3on Exo#�sion Clause Physieal Dam�ge Direci; l�MA �96� Biological �r �hemical tataterials Exclusion; NMA 1256 Nuclear InGidenT Exciusion Ciause Liability - Direct (Bra�d); NMA 1331 Cancellation Clause; �1F 2F57 t,��r and Terrorism Exc3t�sion Endorsement; E8�t� Po(icy 02109. C'nurtersi�nec: �A�tr7���+Rc�� �c:thorized Repr�en�zav� Co}rt•r;�l�r +s ?f,�'i9 }'LIS 7na�. ;iti rs�h�s rf:.r,>rraw.t. � ..,�.� �` �±;'� t13it79 �""� � �i ,� ^ � a a:: ,,,f i.�'".f, ?�„.-..._.. , � _ ` CITY OF �.. Federal Way BUSINESS REGISTRATION License Number 20-11-100301-00-BL Non-Resident Business Re�istered: TAX RECOVERY SERVICES LLC 1902 157T'H ST E TACOMA, WA 98445 Categorv: 7380 - Business Srvc.- Misc.- Business Srvc. Exaires:l2/31/2011 Conditions: This license is non-transferable. Please notify the City Clerk's office of any change in your business such as a new location or business name. ���►������,,,� � ��`` � �� ,'��: �, ,.. .., C� .�. . � : GpiiPORATE ' � /� �•. �, ^ � V ' ""� _ SEAI. — , .. „ ,0°'0.' � '��� h, ..�.. ,�0� ����qSH,NG `��. This certifies that the above entity has been issued the registration or license listed. Citv of Federal Wav - Licensinc FEDERAL WAY WA 98063-9718_ _ tf �i 1� • � / City Clerk, City of Federal Way � �op� MICHAEL & TAMARA CRISP 1902 157TH ST E TACOMA WA 98445