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AG 19-236 - BRATWEAR SOUND UNIFORM SOLUTIONS
.� 1.r, TO: KRIS F,XT, 6769 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: PD 2. ORIGINATING STAFF PERSON: KRISTEN GREGORY EXT: 6769 3. DATE REQ.BY: 10/20/20 so I can revise 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 U CONTRACT AMENDMENT(AG#):2019-236 ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: Bratwear Sound Uniform Solutions—'Goods&Services'Agreement extension for Police Uniforms,alterations&repairs 6. NAMI OF CONTRACTOR: Bra twear Sound Uniform Solutions ADDRESS: 579 W Hi Street TELEPHONE 253-625-7420 E-MAIL:corporate@elephantcarwash.com FAX: SIGNATURE NAME: Satily Swanson TITLE President 7. EXHIBITS AND ATTACHMENTS:A SCOPE,WORK OR SERVICES A COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES A PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: extension COMPLETION DATE: 12/31/2024 9. TOTAL COMPENSATION$50,000 (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE:❑YES ANO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALIIS fAX OWED AYES ONO IF YES,$ PAID BY:❑CONTRACTOR El CITY RL-:IAINAGE: RETAINAGEAMOUNT: ❑RETAINAGE AGREEMENT(SEE CONTRACT) OR ❑RETAINAGE BOND PROVIDED A PURCHASING: PLEASE CHARGE TO: 001-2100-111-521-22-330 10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (IFAPPLICABLE) 19 LAW DK 10-22-2020 11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENTTO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS ❑ CREATE ELECTRONIC REM IN DER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (111CIUCle dept.support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) IM , 1v 1) E. I .1i:`11 D ❑ I.AW DEPARTMENT _ ❑ SIGNATORY(MAYOR OR DIREC-I'OR) ❑ CITY CLERK � ( ❑ ASSIGNED AG# AC;#1 COMMENTS: Coumcil apoproval is not necessary since no new funds are being added.No need for an agenda bill or staff report on this one,10/21 2/2017 ` Fe d e ra I Way Feder e[rr OF CITY HALL 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www cttyoffedere4ay.com AMENDMENT NO. 1 TO GOODS AND SERVICES AGREEMENT FOR POLICE UNIFORMS This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal corporation("City"),and Sound Uniform Solutions,Inc.dba Bratwear,a Missouri 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 Police Uniforms ("Agreement") dated effective November 7, 2019 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 12/31/2025 ("Amended Term"). 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto,not modified by this Amendment,shall remain in full force and effect.Any and all acts done by either Party consistent with the authority of the Agreement,together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement,as modified by any prior amendments,as it existed prior to this Amendment.The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment,which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - Rev. 3/2017 ` Feder CITY CITY HALL Federal � 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www.cMt offederalway..com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: ATTEST: By: Jim e 11, yor SVplfanic Courtney, CMC, 1j, y Clerk DATE: APPROVED AS TO FORM: J. Ryan Call, C It v Attorney BRATWEAR: r By: Printed Name: Title: DATE: STATE OF WASHINGTONCOUNT)- OF ) ) ) ss. this day personally appeared be ore me to me known to be the '( Ll s of G bck 6�cd-�K-)&kx' 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 nity hand and official seal this :�q day of �J brU CAS , 202j �* E A If f 1nn + r .•� +$ �'C� l°°i Notary's signature `b>��x°r r'`,r�' 'r, Notary's printed name E e v\ i L 1 e- e w �� r � s o =o Notary Public in and for the tate of Washington. ue o My commission expires��o / C) AMENDMENT - 2 - Rev. 3/2017 RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV:—POLICE DEPARTMENT 1281114P ORIGINATING STAFF PERSON:—KRISTEN GREGORY--EXT: 6769 3. DATE REQ.BY-2. TYPE OF DOCUMENT(CHECK ONE): El CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) 0 PUBLIC WORKS CONTRACT 0 SMALL OR LIMITED PUBLIC WORKS CONTRACT �PROl"ESSIONAL SERVICE AGREEMENT El MAINTENANCE AGREEMENT GOODS AND SERVICE AGREEMENT 0 ['1UMAN SERVICES/CDBG Ei REAL ESTATE DOCUMENT El SECURITY DOCLJ M ENT(r.(3,OW4D RELATED DOCUDMNTS) 0 ORDINANCE E] RESOLUTION Ei CONTRACT AMENDMENT(AG#): DINTERLOCAL EI OTHER PROJECT NAME: GOODS AND SERVICES AGREEMENT FOR POLICE UNIFORMS ...... NAME OF CONTRACTOR: BRATWEAR SOUND UNIFORM SOLUTIONS ADDRESS:579 W.Hi STREET nmyyyyy .253-625-7420 E-MAI ( Bft,�FWEAR,COM... "I......,....._ ....... 1-1-111,111,..........--- FAX:----.---...... SIGNATURE NAME: SALLY SWANSON TITLEPRESIDENT ............ � - EXHIBITS AND ATTACHMENTS: SCOPE,WORK OR SERVICES -4 COMPENSATION El INSURANCE REQUIREMENTS/CERTIFICATE El ALL OTHER REFERENCED EXHIBITS [I PROOF OF AUTHORITY TO SIGN El REQUIRED LICENSES 0 PRIOR CONTRACT/AMENDMENTS TERM: COMMENCEMENT DATE: 1/1/2018 COMPLETION DATE: 12/31/2020 TOTAL COMPENSATION$—— -,-MAX ANNUALLY OF$50,000 (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE:E]YES 4- NO IF YES,MAXIMUM DOLLAR AMOUNT: $, IS SALES TAX OWED El YES JO IF YES,$ yyyPAID BY.11 CONTRACTOR El CITY RETAINAGE: RETAINAGE AMOUNT: -----., El RETAINAGE AGREEMENT(SEE CONTRACT) OR El RETAINAGE BOND PROVIDE f,PURCHASING: PLEASE CHARGE TO: ..,,001-2100-111-521-22-330............ ---- 0. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED El PROJECT MANAGER - .m,,,____ — ❑ ----- 0 DIRECTOR Ej RISK MANAGEMENT (IF APPLICABLE) .............. 1:1 LAW ad C. 1 ....... 1. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: ............... COUNCIL APPROVAL DATE: 2. CONTRACT SIGNATURE ROUTING El SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: F-1 ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS El 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.) -I-N,ITI Al, DATE SIGNED LAGEPARTIVIENT 0- NATORY(MAYOR OR DIRECTOR) 11 CITY CLERK ....... ......................................... 0 ASSIGNED AG# M1, tok El SIGNED COPY RETURNED DATE SENT: ........................... 'OMMENTS: ........................ ................. .............................. ...... ............. ............... ................... COUNCIL MEETING DATE: February 20,2018 ITEM#: 5n, ............. CITY OF FEDERAL WAY CITY-COUNCIL AGENDA BILL SUBJECT: BRATWEAR SOUND UNIFORM SOLUTIONS—`GOODS&SERVICES' AGREEMENT FOR POLICE UNIFORMS,ALTERATIONS&REPAIRS POLICY QUESTION: Should the Federal Way Police Department enter into a `Goods & Services' Agreement with Bratwear Sound Uniform Solutions—For Specific police uniform items, including repair&alterations? COMMITTEE: Parks, Recreations,Human Services and Public Safety MEETING DATE: Feb. 13,2018 Council Committee—(PRHS&PSC) CATEGORY: ® Consent EI Ordinance ❑ Public Hearing ❑ City E] Other Buslness �Reso Resolution._ ..�....._ ......_ Ci Council _ STAFF REPORT BY: Kristen Gre ory, PoliceQuartermaster DEPT: Police Attachments: 1. PRHS&PSC Staff Memo 2. `Goods & Services' Agreement for Certain Police Uniforms, (plus repairs& alterations) Options Considered: 1. Approve the Execution of this `Goods & Services Agreement 2. Do not approve this Agreement MAYOR'S RECOMMENDATION:_.. 9rrpGfl�a6fl1:J... Approve this nGdoraooatDad&1u@�s.. & Services' ices' Agreement Request st � DIRECTOR APPROVAL:APPROVAL: _ 4 ao1w .7V.„6—a_e. mm^ J COMMITTEE RECOMMENDATION: I move to forward the `Goods & Services Agreement with Bratwear Sound Uniform Solutions for Police Uniforms, repairs and alterations, to the February 20, 2018 Council consent agenda for approval. Committee Chair - Cor mitt c Member Com e Member PROPOSED COUNCIL MOTION: "I move approval of the `Goods & Services Agreement with Bratwear Sound Uniform Solutions for specific Police Uniforms, repairs and alterations, effective January 1, 2018 through December 31, 2020 with a total compensation of no more than $50,000 per year, and authorize the Mayor to sign said agreement.” _fB (CIT CLERKS OiF FICC .i9'"TO ItT COMPLETED 6II'... ... T .. _ .W.._ COLDNCIL APPROVE — COUNCIL BILL# ❑ Dta,NIED 1ST reading _ _n ❑ TABLED/DEFERRED/NO ACTION Enactment reading ❑ MOVED TO SECOND READING(ordinances only) ORDINANCE# REVISED—1/2015 RESOLUTION# _ . CITY OF FEDERAL WAY CITY COUNCIL COMMITTEE STAFF REPORT DATE: February 13, 2018 TO: Parks, Recreation, Human Services and Public Safety Council Committee VIA: Jim Ferrell, Mayor FROM: Andy J. Hwang, Chief of Police SUBJECT: Bratwear Sound Uniform Solutions - Goods and Services Agreement for Police Uniforms. The Federal Way Police Department (FWPD)is entering into a Goods and Services Agreement with a police uniform vendor, that we have used for many years,Bratwear Sound Uniform Solutions, for certain Police Uniforms. This company produces, repairs and alters jumpsuits, jackets and pants for Patrol Officers, Motor Officers, Bicycle Officers and Animal Services Officers. The materials, quality of work and services provided are excellent and no other vendor meets our required specifications. This `Goods & Services' Agreement will be effective January 01, 2018 through December 31, 2020. The total cost should not typically exceed $50,000 per year. 1 CITY OF CITY HALL 33325 3th AvenLc e Soltth A�kl Fe.d e�ra I Way Federe['d ay,WA 98003-6325 (,253; 335-7096 Qa'uw�:rJ�F �1d+s��udvr�ayc�,�-r GOODS AND SERVICES AGREEMENT FOR POLICE UNIFORMS This Goods and Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Sound Uniform Solutions, Inc. dba Bratwear, a Missouri 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: BRATWEAR: CITY OF FEDERAL WAY: Sally Swanson, President Police Department Quartermaster 579 W. High Street 33325 8th Ave. S. Aurora, MO 65605 Federal Way, WA 98003-6325 (253) 625-7420 (253) 835-6769 (253) 301-0678 (253) 835-6899 kgor (a cityoffederalwayw co sally(a� risten. re bratwear com w The Parties agree as follows: 1. 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 Work,but in any event no later than December 22, 2020 ("Term"). This Agreement may be extended for additional periods of time upon the mutual written agreement of the City and the Contractor. 2. WORK. 2.1 Work. The Contractor shall provide goods, materials or services and otherwise perform the work more specifically described in Exhibit"A,"attached hereto and incorporated by this reference("Work"),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. 2.2 Warranties. The Contractor warrants that it has the requisite training,skill,and experience necessary to provide the Work 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.The Contractor warrants it will provide services in a manner consistent with the accepted practices for other similar services within the Puget Sound region in effect at the time those services are performed.The Contractor warrants goods are merchantable,are fit for the particular purpose for which they were obtained,and will perform in accordance with their specifications and Contractor's representations to City. The Contractor shall, at its sole cost and expense, correct all Work performed which the City deems to have defects in workmanship and material discovered within one(1)year after the City's final acceptance of the Work. This Agreement is subject to all warranty provisions established under the Uniform Commercial Code, Title 62A RCW. In the event any part of the goods are repaired, only original replacement parts shall be used;rebuilt or used parts are not acceptable.When defects are corrected,the warranty for that portion of the work shall extend for one(1)year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects within seven(7)calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish the corrections within a reasonable time as determined by GOODS AND SERVICES AGREEMENT - 1 - 9/2017 CITY F CITY FALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-632 (253) 835-7000 svvev cityoffederzildv,iy.coria City in order to accomplish the correction. 2.3 'l°itis Documentation,wiiid liis ectioo.Work shall begin immediately upon the effective date of this Agreement. Work shall be subject, at all times,to observation and inspection by and with 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 Work in accordance with this Agreement,notwithstanding the City's knowledge of defective or non-complying performance, its substantiality or the ease of its discovery. 2.4 Clean Ufa,, At any time ordered by the City and immediately after completion of the Work, the Contractor shall,at its own expense,clean up and remove all refuse and unused materials of any kind resulting from the Work. In the event the Contractor fails to perform the necessary clean up, the City may, but in no event is it obligated to,perform the necessary clean up and the costs thereof shall be immediately paid by the Contractor to the City and/or the City may deduct its costs from any remaining payments due to the Contractor. 3. TERMINATION. Either party may terminate this Agreement, with or without cause,upon providing the other party thirty(3 0)days' written notice at its address set forth on the signature block of this Agreement.The City may terminate this Agreement immediately if the Contractor fails to maintain required insurance policies,breaches confidentiality, or materially violates Section 12 and such may result in ineligibility for further City agreements. 4. COMPENSATION. 4.1 Amount. In return for the Work, 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 performance and payment of this Agreement. 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 Work have been performed, the name of the personnel performing such Work,and any hourly labor charge rate for such personnel.The Contractor shall also submit a final bill upon completion of all Work. Payment shall be made on a monthly basis by the City only after the Work has been performed and within thirty(30)days after receipt and approval by the appropriate City representative of the voucher or invoice. If the Work does 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 Def'ect1ye orUnatithorized Work. If any goods,materials,or services provided under this Agreement are either defective,unauthorized,or otherwise do not meet the requirements of this Agreement,the Contractor will correct or modify the work to comply with the Agreement and the City reserves the right to withhold payment from the Contractor until the goods, materials, or services are acceptable to the City. If Contractor is unable, for any reason, to complete any part of this Agreement, the City may obtain the goods, materials or services from other sources, and Contractor shall be liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the Contractor. 4.4 Non-Appropriation ol;'1°unds.If sufficient funds are not appropriated or allocated for payment under GOODS AND SERVICES AGREEMENT - 2 - 9/2017 CITY F CITY HALL 33325 8th Avenue South aderal Way Federal Way,SVA 93003-6325 (253) 3 5-7000 bV'W4V_ 00177 this Agreement for any future fiscal period,the City will not be obligated to make payments for Work or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Work for which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies. 4.5 F ii l Payment;mmWai ver of Claims. Contractor's acceptance of final payment shall constitute a waiver of any and all claims, except those previously and properly made and identified by Contractor as unsettled at the time request for final payment is made. 5. INDEMNIFICATION. mm_ 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 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 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 hidtzsta ,11 mmIllsr.arazice pct 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 further acknowledge that they have mutually negotiated this waiver. 5.3 Cit'.' Indenmilicat.iot7.. 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. 5.4z,r.ryi.val. 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. INSI:1R1"t~.NCE.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 GOODS AND SERVICES AGREEMENT - 3 - 9/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way, Federal Way,WA 93003-6325 (253) 835-7000 c °rte%u:�il)uzu`rkPrAr��f���ycnrra subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows: 6.1. M nin U111, 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, stop gap liability, personal injury, bodily injury, death, property damage,products liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each occurrence and $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 limits in the minimum amounts required to drive under Washington State law per accident for bodily injury, including personal injury or death, and property damage. 6.2. No Limit of hi :bi linty. Contractor's maintenance of insurance as required by the 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 as respect 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 it. 6.3. Additional Insured, Verification, The City shall be named as additional insured on all c,oanniercial general liability insnrancc policies, Concurrent with the execution of this Agreeniet, Contractor shall provide certilacates of insurance for all conaaaiercial general liability policies attached hereto as Exhibit"C"and incorporated reference.by this q faay op inSUrance policies rvewith evidenceof p Ymet of premiums or fees of such policies.es. IfContrafor sinsurance pocies 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 actually terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. °ONF1DENTIA LIT' '.All information regarding the City obtained by Contractor in performance of this Agreement shall be considered confidential 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 disclosure request. 8. �,NIQR K:P RODucT.All originals and copies of work product,including plans,sketches,layouts,designs, design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Contractor while performing the Work 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 Work and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be subject,at all reasonable times,to inspection,review or audit by the City, its authorized representative,the State Auditor, or other governmental officials authorized by law to monitor this Agreement. GOODS AND SERVICES AGREEMENT - 4 - 9/2017 IT 01.: CITY HALL N6. 33325 ath AvenUe SOUth Federal Way Federal Way,WA 95003-5325 (253) 335-7000 myw cityoffederalway corn 10. INDEPENDENT CONTRACTOR/EMPLOYEE CONDITIONS. 10.1 1lidepnidepc- .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, income, or other tax which may arise as an incident of employment, except as specifically provided in Section 4. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the 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. 10.2 Safety. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees,agents, and subcontractors at the work site and in the performance of the contract work and shall utilize all protection necessary for that purpose. Contractor shall comply with all applicable provisions of federal,state and municipal safety and health laws and codes, including without limitation,all OSHA/WISHA requirements, Safety and Health Standards for Construction Work (Chapter 296-155 WAC), General Safety and Health Standards (Chapter 296-24 WAC),and General Occupational Health Standards(Chapter 296-62 WAC). Contractor shall erect and properly maintain, at all times,all necessary guards,barricades,signals and other safeguards at all unsafe places at or near the site for the protection of its employees and the public, safe passageways at all road crossings, crosswalks, street intersections,post danger signs warning against known or unusual hazards and do all other things necessary to prevent accident or loss of any kind. Contractor shall protect from damage all water,sewer,gas,steam or other pipes or conduits, and all hydrants and all other property that is likely to become displaced or damaged by the performance of the Work.The Contractor shall,at its own expense,secure and maintain a safe storage place for its materials and equipment and is solely responsible for the same 10.3 Risk of Work. 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 work. 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.Even though Contractor is an independent contractor,the work must meet the approval of the City and shall be subject to the City's general right of inspection to secure satisfactory completion 11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services during the Term for other parties; however, such performance of other services shall not conflict with or interfere with 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, negotiation, drafting, signing, administration, or evaluating 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, 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 GOODS AND SERVICES AGREEMENT - 5 - 9/2017 CITY OF CITY HALL 'Federal Way 33325 8th Avenue South Federal way,WA 98003-6325 (253) 835-7000 ew1v cityoffederalway.coni employment. This requirement shall apply to,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 Part 21,21.5 and 26,or any other applicable federal, state,or local law or regulation regarding non-discrimination. 13. GENERAL PROVISIONS. 13.1 hrteat �o prii a,gd ModilicatioiT. This Agreement,together with any attached Exhibits,contains all of �a 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 Assi grinient and Berreliciaries.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 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 of this Agreement and each and all of its provisions in which performance is a factor.Adherence to completion dates set forth in the description of the Services is essential to the 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. GOODS AND SERVICES AGREEMENT - 6 - 9/2017 ITT OF CITY HALL 33325 9th Avenue South Federal Way Federal Way,WA 98003-5325 2 , (253) 835-7000 www..cityofAederalw ay corn 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; provided, however, however nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. 13.5 Exec thio ..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] GOODS AND SERVICES AGREEMENT - 7 - 9/2017 CITY OF CITY HALL 33325 8th Avenue South Federal Way Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: ATTEST: Jim Ferrlayo�� pC a %e Courtney, CMC, it.� Clerk 1-11 DATE: APPROVED AS TO FORM: J. Ryan Call City Attorney BRATWEAR: By: Printed Name: Sally Swanson Title: President DATE: STATE OF WASHINGTON ) ss. COUNTY OF � s day zi ly appeared before 111 �� w, � � _ w to me known to be the ' crpoli On t ZiI instrument,and�ic� l�x�owled ed the said instrument to be the free and voluntary of Ile" that executed the foregoing g 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 mi, hand and official seal this- ¢X/ day of 112(� jj ignature Notary's printed name , Notary Public in and for the State o I'Washington. My commission expires EXHIBIT "A" GOODS AND SERVICES AGREEMENT - 8 - 9/2017 CITY OF CITY HALL 33323 8th Avenue South F e- d era I Way Federal way,WA 98003-6325 (233) 835-7000 tbl✓s�,{✓_L'om SERVICES 1. The Contractor shall do or provide the following: Manufacture, repair, and alter custom uniforms and equipment for first responders including the following items: •patrol jumpsuits -patrol jumpsuit jackets -bicycle jackets, shirts, pants -motorcycle pants, shirts ,animal services jumpsuits •embroidery •screen printing GOODS AND SERVICES AGREEMENT - 9 - 9/2017 ct'ry OF GUTY HALL 33325 8th Avenue Stena@h Federal Way Federa[Way...WA, 98003-6325 �m (25P3) 835-7000 uarGvaycom EXHIBIT "B" COMPENSATION 1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed One Hundred Fifty Thousand and NO/100 Dollars ($150,000.00). 2. Method of Compensation: Hourly rate: 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 of$42 per hour (before tax) during the 2018 calendar year for repairs and alterations of uniforms and jumpsuits returned to Bratwear after initial purchase. Hourly rates may increase no more than 8%per calendar year. Unit price plus sale tax In consideration of the Contractor performing the Services,the City agrees to pay the Contractor(before-tax)rates listed on attached Exhibit B "compensation"for the 2018 calendar year. Rates may increase no more than 8%per calendar year. GOODS AND SERVICES AGREEMENT - 10 - 9/2017 DATE(MM/DDIYYYY) + CERTIFICATE OF LIABILITY INSURANCE 08I21I2019 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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 Robin Taity NAMEt OLLIS/AKERS/ARNEY PHONE (417)881-8333 FAX (417)823-7444 2274 E SUNSHINE ST E-MAIL robin.talty@ollisaa.com ADDRESS: INSURER( S)AFFORDING COVERAGE NAIC# SPRINGFIELD MO 65804-1819 wsURERA: Travelers Property Casualty Co of America 25674 INSURED INSURER B: The Travelers Indemnity Company of Connecticut 25682 Seattle Sewing Solutions,Inc dba Sound Uniform Solutions INSURER C: c/o Blackstone Investment Group,Inc. INSURER D r 579 W High Street INSURER E Aurora MO 65605 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 Master 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 CONTRACTOR 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, TN-SR INSURANCE IINSD WVDUgff.ITITITIT��.. ..� POLICY EFF)m ...LIMITS LTR •••• ..,TYPE„OFINSU _.... POLICY NUMBER MMIDDIYYYY �MMIDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 40 CLAIMS-MADE ®OCCUR PR(tdIIIJES Ea nccurra�nce $ 300 00 X'' Add'I Ins'd-Vendors MED EXP(Any one person) $ 5,000 .. A X, Add'I Ins'd-Landlord Y Y 630-7N266728 07/17/2019 07/17/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 _ R 00 Xw POLICY El JECT' El LOC PRODUCTS-COMP/OP AGG S 2 2,0000' OTHER' $ E�MINI c1c daOq rvVt�li”LL N.Ihr91"I'. AUTOMOBILE LIABILITY $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ AOWNED SCHEDULED BA-7N268906 07/17/2019 07/17/2020 '..BODILY INJURY(Per accident) $ AUTOS „„ „,„,...... XHIRED v + NON-OWNED PROPERTY TY DAMAGE $ AUTOS ONLY AUTOS ONLY IParacardcnr Hired/borrowed $ 1,000,000 X UMBRELLA LAB X OCCUR EACH OCCURRENCE s 25,000,000 A 7 EXCESS LIAB CLAIMS-MADE CUP-2N726398 07/17/2019 07/17/2020 AGGREGATE s 25,000,000 •.... DED RETENTION SPER S ..... ...._.......... _._........... .... WORKERS COMPENSATION YINX.. STATUTE ERH AND EMPLOYERS'LIABILITY 1,000.000 ... ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT S B OFFICERWEMgBER EXCLUDED? N/A UB-7N267473 07/17/2019 07/17/2020 - - (Mandatory In NH) """' E ,DISEASE-EA EMPLOYEE S 1,000.000 IP you besurrlte undm ................ DESCMPTION OF OI ERATIONS below E DISEASE-POLICY LIMIT S 1 000,000 •••••••••••••••••••••• DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks„Schhedule,may be attached if more space is required) � ������-�....................................... .�. .. The Certificate Holder and any person or organization required to be an Additional Insured under a written contract or agreement relating to your business is an Additional Insuredon a Primary and Non-Contributing basis per the General Liability policy provisions and/or endorsements.Waiver of Subrogation applies where indicated. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Federal Way,WA ACCORDANCE WITH THE POLICY PROVISIONS. Police Dept Quartermaster AUTHORIZED REPRESENTATIVE 33325 8th Ave S Federal Way WA 98003-6325 �- @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds 105 Me7—I.A.Len, AdditLonal. Named Insured Carry Geai Solut-.ions, LEZ Addi.ti.onal Narv,.d Insured Crew Outfi-tAers, Inc Cr.cw Outf..i.ttors, Inc. dba Premder HaL Cc AdditionaJ Narned lrisuTed �Crew outffitter.s, Inc., dba The Field Shop ffaiku, LLC Jliddit)cnal Named lnaur.ed LuggageWorks, Tric Doing Bus.!.ness As Lugqaqeworks, Jnc. dba Aurora Di.sti,.i.buti.on Centc..,r 1:ouggageWcr.ks, Inc. dba Logo Sol.iftdons AddiL.i.onal. Named Meadowv.f-ew Propcu-tj,es, Bldg Owner.s -- Aurora MQ, Additi,onaL Named Insured LLC Mounta.i.nSm.i.th, .,LC dba Detours Additional. Named Insur.ed Seattle Sewi.ng SoLutions Inc, Sound Uniform So.Lutions, Doi.nq Buis j.nes s, As, Stop Over Store, I,iz, j), i)ivision of Crew Outfitters AdW.kirial %omoj Irnsuue(i 'late F.I.A.ght StaLion, ITC dba Crew Outfi.ttors Additi-onal Named Insur.ed Youngstown G.Love Co, .,TZ AddiLional Named Insured OFAPPINF(0212007) COPYRIGHT 2007,AMS SERVICES INC COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS (1) Any "bodily injury", "property damage" or The following is added to SECTION II—WHO IS AN "personal injury" arising out of the providing, INSURED: or failure to provide, any professional Any person or organization that you agree in a architectural, engineering or surveying written contract or agreement to include as an services, including: additional insured on this Coverage Part is an (a) The preparing, approving, or failing to insured, but only: prepare or approve, maps, shop a. With respect to liability for "bodily injury" or drawings, opinions, reports, surveys, "property damage" that occurs, or for "personal field orders or change orders, or the injury" caused by an offense that is committed, preparing, approving, or failing to subsequent to the signing of that contract or prepare or approve, drawings and agreement and while that part of the contract or specifications; and agreement is in effect;and (b) Supervisory, inspection, architectural or b. If, and only to the extent that, such injury or engineering activities. damage is caused by acts or omissions of you or your subcontractor in the performance of "your (2) Any "bodily injury" or "property damage" work" to which the written contract or agreement caused by "your work" and included in the applies. Such person or organization does not "products-completed operations hazard" qualify as an additional insured with respect to unless the written contract or agreement the independent acts or omissions of such specifically requires you to provide such person or organization. coverage for that additional insured during The insurance provided to such additional insured is the policy period. subject to the following provisions: c. The additional insured must comply with the a. If the Limits of Insurance of this Coverage Part following duties: shown in the Declarations exceed the minimum (1) Give us written notice as soon as practicable limits required by the written contract or agreement, the insurance provided to the of an "occurrence" or an offense which may additional insured will be limited to such result in a claim. To the extent possible, such minimum required limits. For the purposes of notice should include: determining whether this limitation applies, the (a) How, when and where the "occurrence" minimum limits required by the written contract or or offense took place; agreement will be considered to include the minimum limits of any Umbrella or Excess (b) The names and addresses of any injured liability coverage required for the additional persons and witnesses; and insured by that written contract or agreement. (c) The nature and location of any injury or This provision will not increase the limits of insurance described in Section III — Limits Of damage arising out of the "occurrence" Insurance. or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 0419 0 2018 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the (4) Tender the defense and indemnity of any claim or"suit"and the date received; and claim or "suit" to any provider of other (b) Notify us as soon as practicable and see insurance which would cover such additional to it that we receive written notice of the insured for a loss we cover. However, this claim or"suit"as soon as practicable. condition does not affect whether the insurance provided to such additional (3) Immediately send us copies of all legal insured is primary to other insurance papers received in connection with the claim available to such additional insured which or "suit", cooperate with us in the covers that person or organization as a investigation or settlement of the claim or named insured as described in Paragraph 4., defense against the "suit", and otherwise Other Insurance, of Section IV—Commercial comply with all policy conditions. General Liability Conditions. Page 2 of 2 O 2018 The Travelers Indemnity Company.All rights reserved. CG D2 46 0419 POLICY NUMBER:BA-7N268906-19-43-G ISSUE DATE: 08-05-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED" TTY - NOTICE O CANCELLATION PROV D Y US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice of Cancellation: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2.. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS: If we cancel this policy for any statutorily permitted above. We will mail such notice to the address shown reason other than nonpayment of premium, and a in the schedule above at least the number of days number of days is shown for cancellation in the shown for cancellation in the schedule above before schedule above, we will mail notice of cancellation to the effective date of cancellation. the person or organization shown in the schedule IL T4 05 03 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 POLICY NUMBER: P-630-7N266728-TIL-19 GENERAL PURPOSE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATION PROVIDED BY US IL T4 05 03 11 THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: ALL COVERAGE PARTS INCLUDED IN THIS POLICY CONTINUATION OF FORM IL T4 05, PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. IL T8 03 Page 1 A W1 WORKERS COMPENSATION TRAVELERS J AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 R3 (00)- 001 POLICY NUMBER:UB-7N267473-19-43-G NOTICE OF CANCELLATION TO DESIGNATED PERSONS OR ORGANIZATIONS The following is added to PART SIX—CONDITIONS : Notice Of Cancellation To Designated Persons Or Organizations If we cancel this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organiza- tion before the cancellation is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below. If we cannot mail or deliver a notice of cancellation to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation. SCHEDULE Name and Address of Designated Persons or Organizations: Number of Days Notice PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN 30 CONTRACT THAT NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN , BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS ENDORSEMENT. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by DATE OF ISSUE: 08-05-19 ST ASSIGN: Page i of 1 ©2013 The Travelers Indemnity Company.All rights reserved. AW WORKERS COMPENSATION TRAVELERSJ AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 03 (C) POLICY NUMBER: UB-7N267473-19-43-G EMPLOYERS LIABILITY COVERAGE ENDORSEMENT This endorsement applies only to work in the states shown in the Schedule. A. Part One (Workers Compensation Insurance) does not apply to work in a state shown in the Schedule. B. Part Two (Employers Liability Insurance) applies to work in states shown in the Schedule as though they were shown in Item 3.A. of the Information Page. C. Part Two (Employers Liability Insurance), C. Exclusions is changed by adding these exclusions. This insurance does not cover: 13. bodily injury to an employee when you are deprived of common law defenses or are subject to penalty because of your failure to secure your obligations under the workers compensation law of any state shown in the Schedule or otherwise fail to comply with that law. SCHEDULE States WA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by DATE OF ISSUE: 08-05-19 ST ASSIGN: Page 1 of 1