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AG 20-081 - KPG, PS. RETURN TO: PW ADMIN EXT: 2700 ID#: 4180 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIY: PUBLIC WORKS/Engineering 2. ORIGINATING STAFF PERSON:John MUIkey EXT: 2722 3. DATE REQ.B"t,- 12/14/22 3. TYPE OF DOCUMENT(CHECK ONE): p CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT EI PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION 0 CONTRACT AMENDMENT(AG#):20-081 ❑ INTERLOCAL ❑ OTHER a. PROJFCTNAME: PACIFIC HIGHWAY SOUTH HOV LANES PHASE V LITIGATION SUPPORT 5. NAME OF CON-1 R�( I OIC Psomas dba KPG Psomas, Inc, fka KPG, P.S. ADDRESS: 3131 Elliott Ave. Suite 400 Seattle WA 98121 1 E:LEPHONE: E-M en.: NELSONn.KPG.COM FAX:208-267-1052 SIGNATURE\:1'ti1€ : Nei5on Davis TITLE: PrinCpal 6. 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 CFW LICENSE#T BL,EXP. 12/31/_ UBI# .EXP. / /_ 7. TERM: COMMENCEMENT DATE: 6/17/2020 COMPLETIONDATE: 12/31/2024 (ammended) 8. TOTAL COMPENSATION:$ no Change $100,000.00 (INCLUDE EXPENSES AND SALES TAX,IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE-ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑YES ❑NO IF YES,MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑YES ❑NO IF YES,$ PAID BY: ❑CONTRACTOR ❑CITY RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT(SEE CONTRACT) OR ❑RETAINAGE BOND PROVIDED O PURCHASING: PLEASE CHARGE TO: 306-4400-165-595-30-411 9. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED A PROJECT MANAGER JRM-12/1/2022 ❑ DIVISION MANAGER 8 DEPUTY DIRECTOR DSW 12/2/22 A DIRECTOR EJW 12/5/2022 ❑ RISK MANAGEMENT (IF APPLICABLE) A LAW DEPT TMW 12/5/22 10. COUNCIL APPROVAL(IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE: SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE: 11. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT.SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL/DATE SIGNED ❑ FINANCE DEPARTMENT aq I-AwDEPT Z 7oL� GNATORY(MAYOR OR DIRECTOR) ❑ CITY CLERK 2 ❑ ASSIGNED AG# AG# r-jo 'c&fA ❑ SIGNED'COPY RETURNED DATE SENT:T COMMENTS: EXECUTE" "ORIGINALS 1/2020 ` CITY OF CITY HALL Fades I Way Feder 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www.cityoffederahvay_com AMENDMENT NO. 1 TO PROFESSIONAL SERVICES AGREEMENT FOR PACIFIC HIGHWAY SOUTH HOV LANES PHASE V LITIGATION SUPPORT This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Psomas dba KPG Psomas Inc., fkas KPG, P.S., a California foreign profit 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 Pacific Highway South HOV Lanes Phase V Litigation Support("Agreement") dated effective June 17,2020 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, 2024 ("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 ` Federal Way CITY OF CITY HALL Feder 8th Avenue South Federal Way,WA 98003-6325 (253)835-7000 www.cdiyn�flederelway com IN WITNESS,the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: ATTEST: By: Jim FeWeA M yor t nie Courtney, CM , City Clerk DATE: 'lam f AP RO D AS TO ORM• {,. Ryan tall, City Atto 4 PSOMAS DBA KPG PSOMAS INC.: By: Printed Name: NEt"�-O—% A. r ► � Title: UJ-t e,6 V%I's % n -s DATE: l '2 - t 3 , -LO 2.2- STATE OF WASHINGTON ) ) ss. COUNTY OF K N } On this day personally appeared before me _N21_Soi) DAVC-5., to me known to be the of _ .?r�''}`7e� K�' _ � � �:+? ! �r�IC 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 13 Y) day of 202,4- Notary's signature �,Am,�,p� Notary's printed name 1111 NoeM►Pu6xc Notary Public in acid for the State.Aof Washington. stme of My My commission expires�c /��/'9i� COItV►1!"W Iw�mDar 124W AMENDMENT - 2 - Rev. 3/2017 UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF PSOMAS, a California corporation. September 27,2022 THE UNDERSIGNED, being all of the members of the Board of Directors of Psomas, a California corporation (the "Corporation"), hereby adopt the following resolutions without a meeting as of the date set forth above,pursuant to Section 307(b) of the General Corporation Law of California: RESOLVED that the following, being the Officers of the Corporation, be and hereby are authorized to execute any and all documents required to conduct the business of the Corporation, including, but not limited to contracts, leases and certifications; IT IS FURTHER RESOLVED that any one signature of the Officers listed herein shall be sufficient to bind the Corporation; STEVE MARGARONI President and Chief Executive Officer NICK TARDITTI Chief Financial Officer,Treasurer, Assistant Secretary CHAD WILSON Vice President, Secretary CRAIG AHRENS Vice President ALEJANDRO ANGEL Vice President SESSYLE ASATO Vice President BRETT BARNETT Vice President REGINA BEEM Vice President STEVEN BEIN Vice President MARC BLAIN Vice President MONIKA BOWDEN Vice President MICHAEL BOWEN Vice President JOSEPH L. BOYLE Vice President SCOTT BRYANT Vice President BRIAN E.BULLOCK Vice President JEFFREY CHESS Vice President MARCIA CARRILLO Vice President MATTHEW D. CLARK Vice President MICHAEL J. CREHAN Vice President SARAH CURRAN Vice President DAVID CURTIS Vice President CHRIS DAVENPORT Vice President NELSON DAVIS Vice President AMY DAY Vice President WILLIAM ESTEPA Vice President MARY FIORE Vice President ROSE FISTROVIC Vice President PETER FITZPATRICI< Vice President DAN FORGEY Vice President BRIAN FRAGIAO Vice President JASON FRITZLER Vice President PAUL GERVACIO Vice President ELIZABETH GIBSON Vice President JEFF GILLIS Vice President DANNIE B. GREEN Vice President TIMOTHY G. HAYES Vice President GREGORY A. HELMER Vice President ALIA HOKUKI Vice President JIM HUNTER Vice President ROBERT J. IANNARINO Vice President RICHARD IMAN Vice President Unanimous Written Consent of the Board of Directors of Psomas September 27,2022 Page 2 JEREMY JOHNSON Vice President ANN JOHNSTON Vice President ALLISON KOOIMAN Vice President VINCENT LUNGARI Vice President RYAN LYNCH Vice President JENNIFER MARKS Vice President FRANK MARTIN Vice President NANDEZ MILLER Vice President CECILIA MOKLER Vice President DAVID A.MORITZ Vice President NATHANIEL MOZER Vice President ARIEF NAFTALI Vice President ANDREW NICKERSON Vice President JUSTIN PALLAMARY Vice President TRAVIS PERRY Vice President TOM PILARSKI Vice President DANIEL RAHE Vice President MICHAEL R.REDIG Vice President TERESITA REUTTER Vice President, Assistant Treasurer SCOTT ROCKE Vice President SEAN SAMSEL Vice President GARY SKREL Vice President SEAN SMITH Vice President THEO SMITH Vice President RICHARD M. SULLIVAN Vice President MICHAEL D. SWAN Vice President ROBERT J.TALAFUS Vice President KEVIN T.THORNTON Vice President BYRON G. TOBEY,JR. Vice President REUBEN TOLENTINO Vice President ALYSEN WEILAND Vice President DONALD LEE WHITELEY Vice President BRIAN WRIGHT Vice President TERRENCE WRIGHT,JR. Vice President CAROLINE YONTEZ Vice President This Unanimous Written Consent shall be filed with the Minutes of the proceedings of the Board of Directors, and the actions taken hereby shall have the same force and effect as if taken at a meeting duly called and held. Ryan E. McLean David A. Moritz t1leW Clark / Mike Lucki 4 —A l L� Ann Johnston Steve Margaroni Unanimous Written Consent of the Board of Directors of Psomas September 27,2022 Page 3 Alejandro :Nii-cl Reuben Tolentino Donal ee Whit Client#:25181 PSOMAS DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/07/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CRllIACI Sabrina Wynn Greyling Ins.Brokerage/EPIC IyHONF 470.785.2254 I arc,Np (AIC,No.Ext), 3780 Mansell Road,Suite 370 L-MAIL ) ADDREss. Sabrina.Wynn@greyting.eom Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE I NAIC# _ INSURER A:National Union Fire Ins.CO. 119445 INSURED INSURER B:Everest National Ins Co 10120 KPG Psomas Inc. INSURER C 3131 Elliott Avenue,Suite 400 INSURER D: Seattle,WA 98121 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 22-23 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. MR' TYPE OF INSURANCE ADDISUBR POLICY BFF POLICY EXP iTR INSIi WVD POLICY NUMBER (MM?DDfYYYY):{MM!DDeYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL5268212 4/01/2022 04/01/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I ^I OCCUR DAMA� EMIS EES(T RENaTE>] p E occurrence) $500,000 _ MED EXP(Any one person) $25,000 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO PRODUCTS s2,000,000 POLICY JECT LOC OTHER: $ A AUTOMOBILE LIABILITY CA4489706 4/01/2022 04/01/2023 COMBLNEDDt SING LELIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY _Per accident $ B UMBRELLA LIAB X OCCUR XC8C000043221 4/01/2022 04/01/202 EACH OCCURRENCE $1 000000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 000 000 DIED X RETENTION 10,000_ _ $ WORKERS COMPENSATION A WC015893764(AOS) 4/01/2022 04/01/2023 X PER -J—OrH- AND EMPLOYERS'LIABILITY A 'ANY PROPRIETOR/PARTNER/EXECU-I 1 N WC015893765(CA) 4/01/2022 04/01/2023 E.L.EACH ACCIDENT S1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) KPG PN 13022C-Pacific Highway South HOV Lanes Phase V The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Federal Way,Washington, only when there is a written contract that requires such status,and only with regard to work performed on (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Federal Way SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33325 8th Ave S ACCORDANCE WITH THE POLICY PROVISIONS. Federal Way,WA 98003-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S3228876/M3167478 KTRU1 DESCRIPTIONS (Continued from Page 1) behalf of the named insured.The General Liability policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract. SAGITTA 25.3(2016/03) 2 of 2 #S3228876/M316708 12/1122. 12'00 f'M Corporations and Charities System ssCl�irf a� a�ns-and Charities Filing System _ BUSINESS INFORMATION 8us,nes Narne PSOMAS DBA KPG`PSOMAS INC. llBl Nurnbt r: 604 535 123 Business Type: FOREIGN PROFIT CORPORATION ecsiness Status: ACTIVE ❑rincipal Uft:ce Street Acoress: 555 5 FLOWER ST STE 4300,LOS ANGELES,CA,90071-2405,UNITED STATES Prin. pal Office Ivlailirg.Adcress: 555 S.FLOWER ST STE Q00,LOS ANGELES,CA,9007 1-240 5,UNITED STATES E=nirarian Dare 07/31/2023 UNITED STATES,CALIFORNIA Formation/Registration Date: 07/0912020 Period at Duration. PERPETUAL tmctive:rare. Nature of euwie,, : PROFESSIONAL,SCIENTIFIC&TECHNICAL SERVICES REGISTERED AGENT INFORMATION Registered A�enr Narne. CORPORATION SERVICE COMPANY Street Address 300 DESCHLITES WAY SW STE 208 MC-CSC1,TLIMWATER,WA,98501,UNITED STATES Mailing Address 300 DESCHUTES WAY SW STE 208 MC-CSC1,TUMWATER,WA,98501,UNITED STATES GOVERNORS Iittps:11ccfs,sas.wa.gov/#IBU$inessSearch'Susinesslnfflrmalian 112 12/1/22,12:00 PM Corporations and Charities System Title Governors Type Entity Name Rrst Name Last Name -GOVERNOR INDIVIDUAL STEVE MARGARONI GOVERNOR INDIVIDUAL MATTHEW CLARK GOVERNOR INDIVIDUAL LEE WHITELEY GOVERNOR INDIVIDUAL CHAD WILSON GOVERNOR INDIVIDUAL NICOLAS TARDITTI Back Filing History Name History Print Return to Business Search hftps://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 2/2 12/1/22,12:01 PM Washington State Department of Revenue License Information' New search Back to results Entity name: PSOMAS DBA KPG PSOMAS INC. Business name: KPG PSOMAS Entity type: Profit Corporation UBI#: 604-635-123 Business ID: 001 Location ID: 0001 Location: Active Location address: 402 NW 70TH ST SEATTLE WA 98117-5043 Mailing address: 100 CORPORATE POINTE STE 265 CULVER CITY CA 90230-7648 Excise tax and reseller permit status: Click here Secretary of State status: Click here Page 1 of 3 Endorsements Filter Endorsements held at this loc License# Count Details Status Expiration dat First issuance Blaine General Business- Active May-31-2023 Jun-29-2022 Non-Resident Bonney Lake General Active May-31-2023 May-17-2022 Business-Non-Resident Bothell General Business- Active May-31-2023 May-16-2022 Non-Resident Bremerton General 35530 Active May-31-2023 May-16-2022 Business- Non-Resident https://secure.dor.wa.gov/gteunauth/—t#4 1/3 12/1/22,12:01 PM Washington State Department of Revenue Endorsements held at this loc License# Count Details Status Expiration dat First issuance Burien General Business- May-31-2023 May-17-2022 Non-Resident Carnation General Business May-31-2023 Jun-02-2022 -Non-Resident Clyde Hill General Business Active May-31-2023 Nov-02-2022 -Non-Resident Covington General Active May-31-2023 Jun-23-2022 Business-Non-Resident Duvall General Business- Active May-31-2023 Jun-09-2022 Non-Resident East Wenatchee General Active May-31-2023 May-27-2022 Business-Non-Resident Eatonville General Business Active May-31-2023 May-27-2022 -Non-Resident Edmonds General Business Active May-31-2023 May-16-2022 -Non-Resident Federal Way General Active May-31-2023 May-16-2022 Business-Non-Resident Fife General Business- Active May-31-2023 May-31-2022 Non-Resident Fircrest General Busine- Active May-31-2023 May-19-2022 Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title CLARK, MATTHEW MARGARONI,STEVE TARDITTI,NICOLAS WHITELEY,LEE WILSON,CHAD Registered Trade Names Registered trade names Status First issued https://secure.dor.wa.gov/gteunauth/_/#4 2/3 12/1/22, 12:01 PM Washington State Department of Revenue Registered trade names Status First issued KPG PSOMAS Active Jan-28-2022 The Business Lookup information is updated nightly.Search date and time: 12/1/2022 12:01:20 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported https://secure.dor.wa.gov/gteunauth/_/94 3/3 RETURN TO: PW ADMIN EXT: 2700 ID#: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT/Div: PUBLIC WORKS/STREETS ORIGINATING STAFF PERSON:JOHN MULKEY EXT:2722 3. DATE REQ.BY:ASAP _. TYPE OF DOCUMENT(CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,RFP,RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT )(PPROFESSIONALSERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT * GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES/CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT(E.G.BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT(AG#):_ ❑ INTERLOCAL ❑ OTHER I. PROJECT NAME:PACIFIC Hwy S HOV LANES PHASE V(S 340TH ST TO S 359TH ST)LITIGATION SUPPORT i. NAME OF CONTRACTOR:KPG PS. ADDRESS:3131 ELLIOT AVENUE NORTH,SUITE 400,SEATTLE,WA 98121 TELEPHONE(206)267-1052 E-MAIL: NELSON(&KPG.COM FAX: SIGNATURE NAME:NELSON DAVIS TITLE:PRINCIPAL/PRESIDENT i. 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 CFW LICENSE#06101042 BL,EXP. 12/31/20 UBI# 601248468 ,EXP.05/31/20 '. TERM: COMMENCEMENT DATE:UPON EXECUTION COMPLETION DATE:DECEMBER 31,2022 �. TOTAL COMPENSATION:$100,000.00 TOTAL (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: $500.00 TOTAL IS SALES TAX OWED: ❑YES ❑NO IF YES,$ PAID BY: ❑CONTRACTOR ❑CITY RETAINAGE: RETAINAGE AMOUNT: ❑RETAINAGE AGREEMENT(SEE CONTRACT) OR ❑RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO:306-4400-165-595-30-411 �. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED li PROJECT MANAGER n V7i� '7- O ❑ DIVISION MANAGER mDEPUTYDIRECTOR s 4 ZD -g DIRECTOR 'o ❑ RISK MANAGEMENT (IF APPLICABLE �A LAW DEPT 2 Z g 2-d 2,U 0. COUNCIL APPROVAL(IF APPLICABLE COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 1. CONTRACT SIGNATURE ROUTING I❑ SENT TO VENDOR/CONTRACTOR DATE SENT: 3.(_2(J LxVlati��� DATE REC'D: Lo ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT.SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) INITIAL/DATE SIGNED ❑ FINANCE DEPARTMENT LAW DEPT �D SIGNATORY(MAYOR OR DIRECTOR) • CITY CLERK' ii ASSIGNED AG# A _p ❑ SIGNED COPY RETURNED DATE SENT: ❑RETURN ONE ORIGINAL ,OMMENTS: :XECUTE"2"ORIGINALS. c Vv �c4 c S-e,4 buck- Ckl pt C4 x- `e0&ic\v- gym, 0C MAC co((4,wen", -fa 4/2012 ` cEsv OF CITY HALL F'e d e ra l a Feder 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www.cityoffederalway com PROFESSIONAL SERVICES AGREEMENT FOR PACIFIC HIGHWAY SOUTH HOV LANES PHASE V LITIGATION SUPPORT This Professional Services Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and KPG, P.S., a Washington professional service 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: KPG,P.S.: CITY OF FEDERAL WAY: Nelson Davis,P.E. John Mulkey,P.E. 3131 Elliot Avenue N, Suite 400 33325 8th Avenue South Seattle,WA 98121 Federal Way,WA 98003-6325 (206)267-1052 (telephone) (253) 835-2722 (telephone) nelson@kpg.com (253) 835-2709 (facsimile) 'ohn.mulkey anci offederalwa .com 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 Services specified in this Agreement, but in any event no later than December 31,2022 ("Term"). This Agreement may be extended for additional periods of time upon the mutual written agreement of the Parties. 2. SERVICES. The Contractor shall perform the services more specifically described in Exhibit A ("Services"), attached hereto and incorporated by this reference,in a manner consistent with the accepted professional practices for other similar services within the Puget Sound region in effect at the time those services are performed, performed to the City's satisfaction,within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee. The Contractor warrants that it has the requisite training, skill, and experience necessary to provide the Services and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not limited to obtaining a City of Federal Way business registration. Services shall begin immediately upon the effective date of this Agreement. Services shall be subject, at all times, to inspection by and approval of the City, but the making (or failure or delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Services in accordance with this Agreement, notwithstanding the City's knowledge of defective or non-complying performance, its substantiality or the ease of its discovery. 3. TER UNATION. Either party may terminate this Agreement, with or without cause, upon providing the other party thirty(30) days' written notice at its address set forth above. The City may terminate this Agreement immediately if the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially violates Section 12 of this Agreement. Termination for such conduct may render the Contractor ineligible for City agreements in the future. 4. COMPENSATION. 4.1 Amount. In return for the Services,the City shall pay the Contractor an amount not to exceed a maximum amount and according to a rate or method as delineated in Exhibit B, attached hereto and incorporated by this reference. The Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the negotiated rate(s) for the Term. Except as otherwise provided in Exhibit B, the Contractor shall be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance of Services and payment under this Agreement. PROFESSIONAL SERVICES AGREEMENT - 1 - Rev.3/2017 CITY OF CITY HALL Federal ■Way Feder 8th Avenue South �0/■■Wl Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway com 4.2 Method o1'Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form specified by the City, including a description of what Services have been performed,the name of the personnel performing such Services, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon completion of all Services. Payment shall be made on a monthly basis by the City only after the Services have been performed and within thirty(30) days following receipt and approval by the appropriate City representative of the voucher or invoice. If the Services do not meet the requirements of this Agreement, the Contractor will correct or modify the work to comply with the Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement. 4.3 Nan-Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this Agreement for any future fiscal period, the City will not be obligated to make payments for Services or amounts incurred after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Services for which funds are allocated.No penalty or expense shall accrue to the City in the event this provision applies. 5. INDEMNIFICATION. 5.1 Contractor .Indemnification. The Contractor agrees to release, indemnify, defend, and hold the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives; arising from,resulting from,or in connection with this Agreement or the acts,errors or omissions of the Contractor in performance of this Agreement, except for that portion of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, the Contractor's liability, including the duty and cost to defend, hereunder shall be only to the extent of the Contractor's negligence. Contractor shall ensure that each sub-contractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Contractor pursuant to this paragraph. The City's inspection or acceptance of any of Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. 5.2 Industrial I11SUrance Act Waiver. It is specifically and expressly understood that the Contractor waives any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes of this indemnification. Contractor's indemnification shall not be limited in any way by any limitation on the amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts,disability benefit acts or any other benefits acts or programs. The Parties acknowledge that they have mutually negotiated this waiver. 5.3 Citv In deninification. The City agrees to release, indemnify, defend and hold the Contractor, its officers, directors, shareholders,partners, employees, agents,representatives, and sub-contractors harmless from any and all claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City. 5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with respect to any event occurring prior to such expiration or termination. 6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with the performance of the services or work by the Contractor, their agents, representatives, employees, or subcontractors for the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as PROFESSIONAL SERVICES AGREEMENT - 2 - Rev.3/2017 CITY or CITY HALL '�...._ 8th Avenue South Federal Way.WA 98003-6325 ,..- (253) 835-7000 Fe d e ra I Way www cityoffederalway com follows: 6.1. Mlnlmuni Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms and with such carriers who have a rating that is satisfactory to the City: a. Commercial general liability insurance covering liability arising from premises, operations, independent contractors, products-completed operations, stopgap liability, personal injury, bodily injury, death, property damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than $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. d. Professional liability insurance with limits no less than $1,000,000 per claim and $2,000,000 policy aggregate for damages sustained by reason of or in the course of operation under this Agreement,whether occurring by reason of acts, errors or omissions of the Contractor. 6.2. No Lirr►it of l.iabili . Contractor's maintenance of insurance as required by this Agreement shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with Contractor's insurance. 6.3. Add itiona] III SLI rCd. Verification. The City shall be named as additional insured on all commercial general liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of insurance for all commercial general liability policies attached hereto as Exhibit C and incorporated by this reference. At the City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to maintain tail coverage for a minimum period of three (3) years from the date this Agreement is terminated or upon project completion and acceptance by the City. 6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement. 7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this Agreement shall be considered confidential and subject to applicable laws. Breach of confidentiality by the Contractor may be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of any public records request. 8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design specifications,records, files, computer disks, magnetic media, or material that may be produced or modified by Contractor while performing the Services shall belong to the City upon delivery. The Contractor shall make such data, documents,and files available to the City and shall deliver all needed or contracted for work product upon the City's request. At the expiration or termination of this Agreement, all originals and copies of any such work product remaining in the possession of Contractor shall be delivered to the City. 9. BOOKS AND D RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently and properly reflect all direct and indirect costs related to the performance of the Services specified in this Agreement, and maintain such accounting procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement. These records shall be subject, at all reasonable times, to inspection, review, or audit by the City, its authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement. PROFESSIONAL SERVICES AGREEMENT - 3 - Rev.3/2017 CITY OF CITY HALL 44% I Feder 8th Avenue South �!!,& FederaWay Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway com 10. INDEPENDENT CONTRACTOR. The Parties intend that the Contractor shall be an independent contractor and that the Contractor has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick leave, vacation pay, or any other benefit of employment, nor to pay any social security or other tax that may arise as an incident of this Agreement. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees, agents, and subcontractors in the performance of the Services specified in this Agreement and shall utilize all protection necessary for that purpose. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the Services. The Contractor shall pay all income and other taxes due except as specifically provided in Section 4 of this Agreement. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the Contractor, shall not be deemed to convert this Agreement to an employment contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual,the Contractor agrees to notify the City and complete any required form if the Contractor retired under a State of Washington retirement system and agrees to indemnify any losses the City may sustain through the Contractor's failure to do so. 11. COINFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services during the Term for other entities or persons; however, such performance of other services shall not conflict with or interfere with Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in favor of the City. Contractor confirms that Contractor does not have a business interest or a close family relationship with any City officer or employee who was, is, or will be involved in the Contractor's selection, the negotiation, drafting, signing,administration of this Agreement, or the evaluation of the Contractor's performance. 12. Fqi. AL OPPORTUNITY I%MMOYER. In all services, programs, activities, hiring, and employment made possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, honorably discharged veteran or military status, sexual orientation including gender expression or identity, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in relationship to hiring and employment. This requirement shall apply,but not be limited to the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964,the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Parts 21, 21.5, and 26, or any other applicable federal, state, or local law or regulation regarding non- discrimination. 13. GENERAL PROVISIONS. 13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this Agreement conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended, waived,or modified except by written agreement signed by duly authorized representatives of the Parties. 13.2 Assignment and Beneficiaries.Neither the Contractor nor the City shall have the right to transfer or assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non-assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and PROFESSIONAL SERVICES AGREEMENT -4 - Rev.3/2017 CITY Or CITY HALL AN§�. FederalWay Feder 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway com 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 C onipliance 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. Failure of the City to declare one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall be by filing suit under the venue, rules, and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over such a suit,then suit may be filed in any other appropriate court in King County,Washington. Each party consents to the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; however, nothing in this paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement. 13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof hereof, it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the Parties have executed a counterpart of this Agreement shall be the"date of mutual execution"hereof. [Signature page follows] PROFESSIONAL SERVICES AGREEMENT - 5 - Rev. 3/2017 CITY OF CITY HALL South Federal Way Feder 8th Avenue 8003 Federal Way,WA 98003-6325 (253) 835-7000 www ciryoffederalway com IN WITNESS,the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: ATTEST: r. F Jim a 'el ,Mayor / SL4hAnie Courtney, CMIC, ity Clerk DATE: APPROVED AS TO FORM: ' h Y / J. Ryan Call, City Attorney KPG P.S.. By: \�, Printed Name: 1k&f✓t-S�«) � �s Title: Yg-4�— ( o&j r DATE: 11� /2 G / 2 0 STATE OF WASHINGTON ) ss. COUNTY OF On this day personally appeared before me to me known to be the �N- &NT of y4b ) ('•S• 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 20 LGEORGEANNE S SMITH Notary's signatureRY PUBLIC#153128 Notary's printed name r 5 SMCN E CF WASHINGTON Notary Public in and for the State of Washington. MISSION EXPIRESPRIL 19,2023 My commission expires 4-?� ,'�2-3 PROFESSIONAL SERVICES AGREEMENT - 6 - Rev. 3/2017 CITY OF CITY HALL Y Fe Feder 8th Avenue South Federal Way,WA 98003-6325 (253) 835-7000 www cityoffederalway com EXHIBIT A SERVICES 1. The Contractor shall do or provide the following: Legal Services. PROFESSIONAL SERVICES AGREEMENT - 7 - Rev.3/2017 CITY OF CITY HALL I 8th Avenue South FederaFederaWay l Way,WA 98003-6325 (253) 835-7000 www cityoSederalway.com EXHIBIT B COMPENSATION 1. Total Compensation: In return for the Services, the City shall pay the Contractor an amount not to exceed One Hundred Thousand and no/100 Dollars ($100,000.00). 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 rate schedule for Contractor's personnel as shown in the attached Fee Schedule (Exhibit B-1). Reimbursable Expenses The actual customary and incidental expenses incurred by Contractor in performing the Services including mileage and other reasonable costs; provided, however, that such costs shall be deemed reasonable in the City's sole discretion and shall not exceed$500.00 and No/100 Dollars ($500.00). PROFESSIONAL SERVICES AGREEMENT - 8 - Rev.3/2017 Exhibit B-1 KPG. PS Summary mfDirect Labor Costs Effective January 1' 2Q20through December 31. 2O2Q Classification Hourly Billing Rate Engineerin.gMAnager .$209 Senior Engineer $183 Design E-n-gineer'--­ $1117 Engineering Technician $99 Technician $92 Engine��istant $76 Principal Architect $199 SeniorArchitect $150 Architecture Technician 11 $117 Architecture Technician 1 $99 Survey grew 11 �K;Equip $2.1.5. Project Surveyor $139 SunLey Technician $117Urban Design Manager $165 Project Landscape Architect $127--,— Senior Transportation Planner $150 Transportation Planner $99 Senior Resident Engineer --$139 Resident Engineer $124 Construction Office Engineer $124 Senior Construction Inspector $127 Construction Inspector 11 $110 Construction Inspector 1 $92 Construction Technician -$76 Document Control Specialist $114 Document Control Admin $76 Construction Assistant $76 CAD Manager $150 Senior CAD Technician CAD Technician $99 Business Manager ---$150 Senior Admin $114 Off ice Admin Office Assistant $76 Subs billed at cost plus 5%. Reirribursables billed at actual costs. Mileage billed at the current approved IRS mileage rate. What is the expected monthly dollar amount of outgoing domestic ACH transactions? $100,000- $249,999 What is the purpose of the outgoing domestic ACH Accounts Payable transactions? Transfers for Other Accounts Investments Pension Payroll Benefit Lump Sump Payouts Payroll Other 4. Monetary Instruments (Cashier's Checks) Does the business anticipate using this account to purchase monetary instruments(cashier's checks)on a regular basis? Sa Lending/Leasinq Is the business requesting a loan or lease? Name of Relationship Manager/Loan Officer Olivia Doyle L5c7&J -)�)A-u ( S [name of natural person (customer) opening account], hereby certify,to the best of my knowledge,that the information provided above is complete and correct. 12-,-1/ Z-) Z� Signature: -"`r Date: 6/1012020 Corporations and Charities System r p t ns-and Charities Filing Systemi ri e's M - BUSINESS INFORMATION Business Name: KPG, P.S. UBI Number: 601 248 468 Business Type: WA PROFESSIONAL SERVICE CORPORATION Business Status: ACTIVE Principal Office Street Address: 3131 ELLIOTT AVE,SUITE 400,SEATTLE,WA,98121-1006, UNITED STATES Principal Office Mailing Address: 3131 ELLIOTT AVE,SUITE 400,SEATTLE,WA,98121-1006, UNITED STATES Expiration Date: 05/31/2021 Jurisdiction: UNITED STATES,WASHINGTON Formation/Registration Date: 05/10/1990 Period of Duration: PERPETUAL Inactive Date: Nature of Business: PROFESSIONAL,SCIENTIFIC&TECHNICAL SERVICES REGISTERED AGENT INFORMATION https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 1/3 6/10/2020 Corporations and Charities System Registered Agent Name: KPG, P.S. Street Address: 3131 ELLIOTT AVE STE 400, SEATTLE,WA, 98121-1006, UNITED STATES Mailing Address: 3131 ELLIOTT AVE STE 400, SEATTLE,WA, 98121-1006, UNITED STATES GOVERNORS Title Governors Type Entity Name First Name Last Name GOVERNOR INDIVIDUAL ELIZABETH GIBSON GOVERNOR INDIVIDUAL PAUL FUESEL GOVERNOR INDIVIDUAL TERRY WRIGHT GOVERNOR INDIVIDUAL OLIVIA PARASCHIV GOVERNOR INDIVIDUAL NANDEZ MILLER GOVERNOR INDIVIDUAL NELSON DAVIS GOVERNOR INDIVIDUAL DENNIS DEAN JR GOVERNOR INDIVIDUAL JAN CIGANIK GOVERNOR INDIVIDUAL NATHANIEL MOZER GOVERNOR INDIVIDUAL MICHAEL BOWEN GOVERNOR INDIVIDUAL JASON FRITZLER GOVERNOR INDIVIDUAL SUSAN ROWE GOVERNOR INDIVIDUAL SESSYLE ASATO Back https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation 2/3 Client#: 1487397 KPGPS DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/11/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME- Tracy Miyake USI Insurance Services NW PR PHONE Fnx a) 206 441-6300 ( G,Nns: 610-362-8530 601 Union Street,Suite 1000 E-MAIL A ;q. Seattle.PLCertRe uest@usi.com �DRF Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Indemnity Co of America 25666 INSURED INSURER B:Berkley Insurance Company 32603 KPG, P.S.fka KPG, Inc. INSURER C:Charter Oak Fire Insurance Company 25615 3131 Elliott Avenue, Suite 400 INSURER D: Seattle,WA 98121 INSURER E, 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 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. INSR1 TYPE OF INSURANCE ADDL. UBR� pOLICV NUMBER POLICY M DO VYYY1 MMMO VYVY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY X X 6809M677855 1/01/2020 01/01/2021 EACH OCCURRENCE $1.000.000 DAMAGET RENTED CLAIMS-MADE u OCCUR PRFMI F P rr nrol $1.000.000 MED EXP IAnv one oersonl $5.000 PERSONAL&ADV INJURY $1.000.000 GEN'L AGGRE�GATTE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 I POLICY I n I JECT FI LOC PRODUC I S-COMP/OP AGG s2,000,000 •�-HFR C AUTOMOBILE LIABILITY X X BA9M680558 1/01/2020 01/01/2021wid`a:'Is,N"i.rt.inflr �1 000000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED F'FN7TER.TY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Pyr -I n UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION X 6809M677855 LD1/01/2020 01/01/2021 1T' I TG X oTH- AND EMPLOYERS'LIABILITY Y:N Ar•I1'G'I'i'1Pi.-ifETOFd!P.4R-NER!EXECUTIVE fiWA Stop Gap) E L EACH ACCIDENT $1,000.000 OFA`:Gl:w�McA4G34=,RL-XGLUDED":' u N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $1.000,000 If yes,describe under DESCPIPTION OF OPERATIQNS below EL DISEASE-POLICY LIMIT 0,000,000 B Professional X AEC903396102 1/01/2020 01/01/2021 $1,000,000 per claim Liability $2,000,000 annl aggr. Incl: Pollution DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE: KPG PN 13022C-Pacific Highway South HOV Lanes Phase V The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Federal Way,Washington,only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured.The General Liability policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract. CERTIFICATE HOLDER CANCELLATION City of Federal Way SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33325 8th Ave S ACCORDANCE WITH THE POLICY PROVISIONS. Federal Way,WA 98003 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S29026744/M27627094 DZGZP