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AG 12-013RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM � . o����T�G D�PT.�1�: -�� l � 2. ORIGINATING STAFF PERSON: \ t EXT: 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ} ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT D GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTAT'E DOCUMENT ❑ SECURITY DOCUMENT (E.G. sorm xELn�n nocu►�vTS� ❑ ORDINANCE ❑ RESOLUTION n (�(1NTRArTAMF.NnMRNT(AC'.#1• n TNTRRT.CIC�AT. OTHER 5. PROJECT NAME: r� � 6. NAME OF CONTRACTOR: T ADDRESS: TELEPHONE E-MAIL: FA • SIGNATURE NAME: 2 TITLE 7. EXHIBITS AND ATTACHMENTS: O 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: COMPLETION DATE: � 2���1 ��Fj 9. TOTAL COMPENSATION $ � (INCLUDE EXPENSES AND SALES TAX, IF ANY� (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: � YES ❑ 1vo IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: 0 CONTRACTOR � CITY ❑ PURCHASING: PLEASE CHARGE TO: 20. DOCUMENT/CONTRACT REVIEW ❑ PROJECT MANAGER � DIRECTOR :❑ RISK MANAGEMENT (tF �PLtC�LE) �LAW INITIAL / DATE REVIEWED � e. � ��1/� INITIAL / DATE APPROVED 11. COUNCIL APPROVAL (1F arPLIC�aLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: i2. CONTRACT SIGNATURE ROUTING � SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS , -- - - I,AW DEPA� � SIGNATOR (MAYOR R DIRECTOR� '0 CITY CLERK ❑ ASSIGNED AG# AG# �'SIGNED COPY RETURNED..� DATE �v �� C� .1 GOMMENTS: ��� � , I r 1/9 Hold Harmtess and Indemnification Agreement Between the City of Kent and the City of Federal Way The City of Kent (�`Kent") has requested that Federal Way Police Officer Eric Davis, who is a Master Instructor certified to Criminal ]ustice Training Standards in Defensive Tactics, review the use of force of Kent Police O�cer Eric Doherty. Kent has agreed that in consideration for this review, it will hold harmless, defend, and indemnify the City of Federal Way (��Federal Way"), and Officer Davis, and all other Federal Way officers and emp(oyees, from any lawsuit or cause of action that may arise as a result of the review conducted by Officer Davis. Pursuant to this agreement, Kent shall defend, indemnify, and hold Federal Way, its o�cers, officials, employees, and agents harmless from any and all ctaims, injuries, damages, losses, or suits, including all legal costs and attorney fees, arising out of or in connection with Officer Davis's review of Kent Police O�cer Eric Doherty's use of force. The parties further acknowledge that they have mutually negotiated this waiver. The contact information for both parties is as provided below or as subsequently changed in writing: Gity of Kent Attn: Ken Thomas, Police Chief 220 Fourth Avenue South Kent, WA 98a32 Phone: (253) 856-5888 Email: kthomas@kentwa.gov Fax: (253) 856-6802 City of Federal Way Attn: Brian Wilson, Police Chief 33325 8 Ave. 5. Federal Way, WA 98003 Phone: (253) 835-67Q1 Email: brian.wilson@cityoffederalway.com Fax: (253)835-6739 By signing below, the parties 'have caused this Hold Harmless and Indemnification Agreement to be executed on the date last siqned below. CITY OF FEDERAL WAY $y : Skip Priest Mayor Date: �13►I ao�a P:�Civil\Files�Open Files\0133-2011-POlice General\Indemniflcatlon Agreement.dooc [_TTY AF KFNT