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AG 20-569 - CIVIC PLUSRETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM I 1. ORIGINATING DEPT./DIV: IT 2. ORIGINATING STAFF PERSON: Stacey curry TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) EXT: 2558 3. DATE REQ. BY: ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT A GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: SeeClick Fix- Eyes on Federal Way 6. NAME OF CONTRACTOR: civic Plus ADDRESS: 302 S 4th St Suite 500 Manhattan, KS 66502 F.-MAII,: Kevin.Crook@civicplus.com SIGNATURENAME: Kevin Crook TIT TELEPHONE 888-228-2233 ext. 291 FAX: 785-587-8951 ,E Regional Sales & Finance Director 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: 8/11/20 COMPLETION DATE: 12/31/2025 9. TOTAL COMPENSATION $ 234,287 (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES A NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED BYES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED 11 PURCHASING: PLEASE CHARGE TO: 502-1100-046-518-88-414 10. DOCUMENT/CONTRACT REVIEW .n PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCIL APPROVAL (IF APPLICABLE) INITIAL / DATE REVIEWED INITIAL / DATE ;APPROVED COMMITTEE APPROVAL DATE: 7/28/2020 COUNCIL APPROVAL DATE: 8/11/2020 12. CONTRACT SIGNATURE ROUTING A SENTTO VENDOR/CONTRACTOR DATE SENT: I�AT`EREC'D: - -J 1-14 ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,'LICENSES, ICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) ❑ LAW DEPARTMENT ❑ SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG# COMMENTS: INITIAL / DATE SIGNED AG# 0 2/2017 1. These Terms and Conditions, the Statement of Work (SOW) attached as Exhibit A, the SeeClickFix Operational Overview attached as Exhibit B, and the SeeClickFix Data Retention Policy attached as Exhibit C, constitute the entire agreement ("Agreement") of GivicPlus and the City of Federal Way ("Parties"). 2. The subscription described herein shall have an initial term beginning with mutual execution of this forn-, `she "Effective Date") and ending August 28, 2021. In the event that neither Marty gives 60 days' notice to terminate prior to the end of the initial or any subsequent Renewal Term, this Agreement will automatically renew for an additional one-year renewal term ("Renewal Term"), for up to lour Renewal Terms total, 1-,nding on August 28, 2025. The Initial Term Fee of $44,000 (sum of One Time Costs, and Annual Recurring Costs) for the initial terrn shall be invoices, at signing. Renewal Term Recurring Costs as defined in Exhibit A for any renewal terms shall be invoiced an the first clay of su,;h Renewal Term beginning August 29, 2021. 3. All prices for software or services billed under this Agreement are reflected on the SOW attached as Exhibit A to this Agreement, which is incorporated by reference. 4. The Recurring Costs herein are for a maximum of 120 user licenses for CP Connect. Client may purchase additional licenses for individual users ("User Licenses") at the annual rate of $1,000 per User License. Upon purchase of additional User Licenses, Clients Annual Services fee shall be increased from the time of purchase, reflecting the additional User Licenses and prorated to align with the Client's billing cycle. 5. The Phone Services (Voice/SMS) with unlimited lines, unlimited recordings (as further described herein), and up to 3000 minutes per user license per month and 500 SMS per user license per month. If phone usage (voiceISMS) exceeds the set usage amounts included herein, additional minutes and additional SMS will be invoiced in arrears to the client at $0.01 per minute and $0.01 perSMS. 6. The number of phone recordings and file size of phone recordings through CP Connect are unlimited. CivicPlus will store the phone recordings for up to 3 years and purge all recordings over 3 years old. Client understands it is Client's sole responsibility to download and store recordings prior to the third year. 7. Client understands that CP Connect does not collect, and discourages Client from collecting, any personally identifiable information ("PII") of the requesting citizens. In the event Client does collect PII, Client, and not CivicPlus, shall be solely responsible for the collection of such PI I. 8. Client allows CivicPlus to display a "Government Websites by CivicPlus" insignia, and web link at the bottom of their web pages. Client understands that the pricing and any related discount structure provided under this SOW #1 assumes such perpetual permission. 9. The Client will be invoiced electronically through email. Upon request CivicPlus will mail invoices and the Client will be charged a $5.00 convenience fee. 10. Client agrees to use CP Connect service (the "Service") in ways that conform to all applicable laws and regulations. Client agrees not to make any attempt to gain unauthorized access to any of CivicPlus' systems or networks. Client agrees that CivicPlus shall not be responsible or liable for the content of messages created by Client, or by those who access Service, or otherwise delivered by Service on behalf ofClient.Client Data is hereby defined as any data, information or material that Client submits to the Service in the course of using the Service. User Data" or "User Content" is hereby defined as any content including words, photos and videos by members of the public that access the Service. 11. CivicPlus does not own any Client Data. Client, not CivicPlus, shall have sole responsibility for the accuracy, quality, integrity, legality, reliability, appropriateness, and intellectual property ownership or right to use of all Client Data, and CivicPlus shall not be responsible or liable for the deletion, correction, destruction, damage, loss or failure to store any Client Data, unless it fails to follow data retention and security policies described in Exhibits B and C. CivicPlus will not CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.Clv!cPius.com Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951 Page 1 intentionally withhold, remove and/or discard Client Data for breach of contract without first giving Client 30 days' notice and an opportunity to cure. In addition, Client shall, at all times during the life of this SOW have the right to export any existing data which qualifies as a public record under Washington state law. In accordance with Exhibit B, upon termination for cause, Client's right to access Client Data shall be maintained for 90 days, after which it immediately ceases, and CivicPlus shall have no obligation to maintain or forward any Client Data. CivicPlus shall use commercially -reasonable methods and practice to safeguard Client data stored on any CivicPlus system. 12. CivicPlus will provide unlimited telephone support Monday -Friday, 7:00 am — 7:00 pm (Central Time) excluding holidays, for authorized callers. Client is responsible for providing CivicPlus with authorized caller contact updates. 13. Support includes providing technical support and technical maintenance of the CP Connect software. Following initial setup, additional setup support may be contracted separately for an additional fee. 14. During the period of this Agreement and subsequent Renewal Periods, CivicPlus warrants that it will, without additional charge to the Client, take action to correct any problems or defects discovered in the CP Connect software and reported to CivicPlus by the Client, such warranty to include ongoing maintenance upgrades and technical error correction. 15. TO THE MAXIMUM EXTENT PERMITTED BY LAW, NEITHER CIVICPLUS NOR CLIENT SHALL BE LIABLE FOR SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES OF ANY KIND INCLUDING, BUT NOT LIMITED TO, LOST PROFITS, OR LOST DATA, REGARDLESS OF THE FORESEEABILITY OF THOSE DAMAGES, ARISING OUT OF OR IN CONNECTION WITH CLIENT'S USE OF CP CONNECT. IN NO EVENT SHALL EITHER PARTY'S AGGREGATE LIABILITY FOR DIRECT DAMAGES ARISING OUT OF A BREACH OF CONTRACT OR WARRANTY EXCEED THE AMOUNTS ACTUALLY PAID BY CLIENT IN THE 12 MONTH PERIOD IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO THIS CLAIM. 16. Each party represents and warrants that it has the legal power and authority to enter into this Agreement. CivicPlus warrants that all Service provided in accordance with this SOW is free from material defects, performs in accordance with its end -user documentation when used as designed, does not infringe on the intellectual property rights of third parties, and that any software included in the Service does not contain viruses or malware. CivicPlus will use commercially reasonable efforts to maintain continuous access but will not be responsible for events beyond CivicPlus' control. 17. The Parties agree that any dispute or controversy arising out of or in connection with this Agreement shall be referred to arbitration for final and binding resolution to the maximum extent allowable by law. Either Party to this Agreement may initiate arbitration of the dispute by the filing of an application for resolution by one arbitrator appointed by and in accordance with the rules of the American Arbitration Association. The arbitration shall be conducted in the city and state in which the non - filing Party is located, but the Parties agree that counsel and witnesses for all Parties may appear remotely, by live video feed (Zoom, Skype, or a similar service). The award in the arbitration shall be final, binding and non -appealable. The award may be entered as a final, non -appealable judgment in any court having jurisdiction in Washington state or Kansas. Each Party will bear their own costs and attorneys' fees arising out of the dispute and will split the cost of the arbitrator's fees. 18. The laws of the United States and the State of Washington shall govern this Agreement, without regard to conflicts of laws principles. 19. The parties agree that CivicPlus shall be the sole and exclusive owner of any and all software, materials or other original works created by or licensed to CivicPlus prior to the execution of this Agreement and that the City will refrain from any actions which interfere with those ownership rights or exceed the scope of its license as defined by this Agreement. 20. Intellt ctu�tl laroperty rights in any sot ware or other original works created by or licensed to CivicPlus prior to the execution of this Agreement ("CivicPlus Property") will remade the property )f CivicPlus. Client shall not (i) license, sublicense, CivicPlus • 302 S. 4lh Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951 Page 2 sell, resell, reproduce, transfer, assign, distribute or otherwise commercially exploit or make available to any third party any CivicPlus Property in any way; (ii) modify or make derivative works based upon any CivicPlus Property; (iii) create Internet "links" to the CivicPlus Property software or "frame" or "mirror" any CivicPlus Property administrative access on any other server or wireless or Internet -based device; or (iv) reverse engineer or access any CivicPlus Property in order to (a) build a competitive product or service, (b) build a product using similar ideas, features, functions or graphics of any CivicPlus Property, or (c) copy any ideas, features, functions or graphics of any CivicPlus Property. The CivicPlus name, the CivicPlus logo, and the product and module names associated with any CivicPlus Property are trademarks of CivicPlus, and no right or license is granted to use them. 21. Provided Client complies with the terms and conditions herein, the relevant SOW, and license restrictions set forth in Section 21, CivicPlus hereby grants Client a limited, nontransferable, nonexclusive, license to access and use the CivicPlus Property associated with any valid and effective SOW associated with this Agreement, for the term of the respective SOW. 22. CivicPlus will not be liable for any act, omission of act, negligence or defect in the quality of service of any underlying carrier, licensor or other third -party service provider whose facilities or services are used in furnishing any portion of the service received by the Client. 23. CivicPlus will not be liable for any failure of performance that is caused by or the result of any act or omission by Client or any entity employed/contracted on the Client's behalf. 24. CivicPlus will provide, on a hosted, software -as -a -service basis, access to the Services described in the SOW, via mobile applications, internet, and an embeddable interactive widget for public reporting, alerts on discussing non -emergency issues ("the Software"). Users will be able to interact with the Software and post User Content as defined above. CivicPlus may not be able to control the nature of the User Content. CivicPlus reserves the right, not the obligation, to edit User Content. 25. The parties agree that scanned, copied, or electronic signatures shall have the same legal effect as originals. 26. If any provision of this Agreement shall be determined to be invalid or unenforceable, such invalidity or unenforceability shall not affect the remainder of this Agreement, which shall be construed as if such invalid or unenforceable provision had never been a part of this Agreement but in a manner so as to carry out as nearly as possible the Parties' original intent. Acceptance We, the undersigned, agreeing to the conditions specified in this document, understand and authorize the provision of services outlined in this Agreement. Client Narwe ,Jim Ferrell � r Title: Mary r, City W Federal Way Date: 08-24-2020 Civicplus By:�,, Name: zfr Title: , II Date 91, CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951 Page 3 Contact Information .all documents must be returned: Master Service Agreement, Statement of Work, and Contact Information Sheet. Organization URL Stacey Curry Street Address 33325 8th Ave S Address 2 City State Postal Code Federal Way WA 98003 CivicPlus provides telephone support for all trained clients from 7am —7pm Central Time, Monday -Friday (excluding holidays). Emergency Support is provided on a 24/7/365 basis for representatives named by the Client. Client is responsible for ensuring CivicPlus has current updates. Emergency Contact & Mobile Phone Emergency Contact & Mobile Phone Emergency Contact & Mobile Phone Billing Contact E-Mail Stacey Curry stacey.curry@cityoffederalway.com Phone Ext. Fax (253) 835-2558 Billing Address 33325 8th Ave S Address 2 Cit State Postal Code ederal WaV WA 98003 Tax ID # Sales Tax Exempt # 91-1462550 Billing Terms Account Rep 30 Days Stacey Curry Info Required on Invoice (PO or Job #) Invoice #, description of invoice, services or goods provided Contract Contact Email Stacey Curry stacey.curry@cilyoffederalway.com Phone Ext. Fax (253) 835-2558 Project Contact Email Stacey Curry star0; rrir Qcit)coffederalwa3/corta Phone Ext. Fax (253) 835-2558 CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.civicplus.com Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951 Page 5 Prepared for: Thomas Fichtner Federal Way Washington , Washington, thomas.fichtner@cityoffederalway.com (253)835-2547 Exhibit A — Statement of Work Prepared by: Issue Date: Andrew Shetty 5/26/2020 Account Executive Pricing Expires•. andrew.shetty@civicplus.com 5/31/2020 (203)349-6685 CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951 Page 6 Product Name DESCRIPTION QTY TOTAL SeeClickFix Annual SeeClickFix Annual Licenses 120.(0 USD 41,979.46 SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD-9,100.00 Discount Marketplace App Annual Marketplace App Annual 1.00 USD 3,498.29 SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD-800.00 Discount Single Sign -On Single sign -on uses SAML to replace standard 1.00 USD 787.11 SeeClickFix authentication with a third party authentication service such as Active Directory. SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD-100.00 Discount SeeClickFix Connector for ArcGIS Feature Service within ArcGIS to display your 1.00 USD 787.11 request data in internal reports, public maps and Open Data Portals SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD -49.92 Discount SeeClickFix Connector for GovQA SeeClickFix-hosted integration with GovQAs 1.00 USD 1,574.23 CRM/311 solution (WebQA). Requires GovQA Open311 API. Features include: Syncing Request Categories Syncing Request Questions & Answers Syncing Requests SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD-100.00 Discount SeeClickFix Connector for VUEWorks SeeClickFix-hosted integration with 1.00 USD 2,623.72 VUEWorks (DTS GIS), via Service Call Web Service (REST methods) SeeClickFix Year 1 Annual Fee Year 1 Annual Fee Discount 1.00 USD-100.00 Discount SeeClickFix Custom Account SeeClickFix Custom Account Configuration 1.00 USD 1,500.00 Configuration SeeClickFix Custom Training SeeClickFix Custom Training 1.00 USD 1,500.00 CP Connect Annual Fee CP Connect Base Annual Fee 1.00 USD 0.00 CP Connect Standard Implementation CP Connect Implementation and Initial Training 1.00 USD 0.00 TOTAL: USD 44,000.00 Year One Pricing One Time C _:::::. U W _t.i (iC.00 F'ec:.,r : ag Costs USD 41,000.00 CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext 307 • Fax 785-587-8951 Page 7 Year Two Recurring Costs I USD 41,820.00 1 Year Three Pricing Recurring Costs USD 42,656.00 Year Four Pricing Recurring Costs USD 43,509.00 Year Five Pricing Recurring Costs USD 44,379.00 CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicP]us.com Toll Free 888-228-2233 • Accounting Ext. 291 • Support Ext. 307 • Fax 785-587-8951 Page 8 Exhibit B — SeeClickFix Data Retention Policy SeeClickFix Data Retention Policy This policy documents how SeeClickFix stores and maintains data associated with organizations and their members (Members). The Data Categories section defines the categories of data covered by this policy statement. The Data Storage section provides an overview of our data storage practices associated with disaster recovery. The Data Retention section outlines how long we maintain data on oursystems and when we purge data. The Data Export section describes how an organization may obtain copies of their data. Data Categories Public Data: Content uploaded to the service and accessible without authentication or restriction. This includes access via mobile apps, web pages, or API access. Examples include issues, public comments, and organizational notices. Public data can be created by Users and Members. Protected Data: Content uploaded to the service and accessible only to authenticated users with proper authorization. This includes authenticated access via mobile apps, web pages, or API access. Examples include: private issues, internal comments, work orders, and user profiles. Protected data can be created by Users and Members. System Data: Contentthat is generated internally through the regular operation of the service. Examples include logs and analytics. System data is only available to authorized SeeClickFix staff. User Data: Public or protected data that is created by a particular User. Organizational Data: Public or protected content that is associated with a particular organizational account. This includes data created by Users as well as data created by Members. This category would include all issues reported to the organization (public and private), comments, internal comments, work orders, organizational notices, and soon. Data Storage Public and protected data as well as some system data is stored in a primary database and replicated continuously to a secondary database. A full backup of this data is made every four hours to a geographically separate data center. The secondary database and backups exist for operational and disaster recovery purposes and are not intended to be part of the general data retention policy. When data is purged from our production systems, it is not commercially feasible to purge it from backups stored for disaster recovery purposes. In the event that the backups are required to restore data to our production systems, SeeClickFix will make all reasonable efforts to exclude data that was previously purged (e.g., accounts that are inactive). CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.CivicPlus.com Toll Free 888-228-2233 • Accounting Ext. 291• Support Ext. 307 • Fax 785-587-8951 Page 9 Data Retention Active Accounts: User and Organizational Data is retained indefinitely while the accounts are active. User AccountTermination: Public user data associated with a terminated useraccount is retained for at least 90 days, but may be retained indefinitely as per the rights granted to SeeClickFix in the Terms of Service. Public and protected data that is associated with an organizational account is considered part of the Organizational Data and retained according to the organization policy below irrespective of the status of the user account. Organizational Data Purge Requests: Upon request, SeeClickFix will purge Protected Organizational Data that exceeds the data retention lifetime as defined by the organization. SeeClickFix may retain Public Data associated with the purged Organizational Data and may exclude data that is required for the service to operate (e.g., data associated with open issues or open work orders). Organization AccountTermination: Organizational data associated with a terminated organizational account is retained for at least 90 days. Public data may be retained indefinitely as per the rights granted to SeeClickFix in the Terms of Service. Protected data may be purged by SeeClickFix after 90 days. SeeClickFix will make reasonable efforts to ensure the data has been exported and stored by the organization before purging the data from our systems. Data Export Organizations may exporttheir Organizational Data via the product export features orAPI at any time priorto account termination. Some Organizational Data is not currently available through the product export mechanisms and can only be accessed via the API services (API -only data). This currently includes comments and images associated with issues and work orders. s the product export mechanisms generate CSV or Excel spreadsheets a the API provides data in JSON or XML format s images are identified via URL in the API responses and accessible via HTTP Upon request and when an account termination is planned or has already occurred, SeeClickFix will make available a complete export of Organizational Data including data that is not included in the product export mechanisms (API -only data). An export request must be made within 90 days of account termination. After 90 days, organizational data may be purged by SeeClickFix and may not be recoverable. The data will be provided in one or more files and in a non-proprietary format (e.g. zip files, CSV files, open -source database dumps). This policy was last updated, 2019-05-03 CivicPlus • 302 S. 4th Street, Suite 500 • Manhattan, KS 66502 • www.GivicPlus.com Toll Free 888-22a-2233 - Accounting Ext. 291- Support Ext. 307 • Fax 785-587-8951 Page 10 Page 1 of 2 ail DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/18/2023 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(i'es) 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 endorsements . PRODUCER NA NTACTWatson Certificate Center c/o126 Century Towers Watson Northeast, Inc, 'PHONE Willis 877 945 7378o _ dwtldl,„1-888 467-2378m E-MAIL willia cam P.O. Box 305191 ADORE;:. omctificaters" _..m __.. ..... .. --------------- .... ..,. .m ..... Nashville, TN 372305191 USA iNSURER(S) AFFORDING COVERAGE NAIC # I INSURERAmerican Casualty � o Y Reading Penne 20427 INSURED INSURERS _ National FireInsurance ComPanY a.of Hrt.forT . 2047E " CivicPlus, LLC and its direct and indirect subsidiaries '.""""`"""` "" -"""""' ......,w"'""" Continental Insurance Company 35289 302 S. 4th Street Suite 500 INSURERC: - . ., ." ...-.._. Manhattan, KS 66502 INSURERD, Endurance American Specialty Insurance Com 41718 COVERAGES CERTIFICATE NUMBER: W28996688 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE At1DL SM BR. � - k'i'voDLICEFE LI m EXP LIMITS V POLICY NUMBER fMMeDDrYYYY � MMrDOCYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR 100,000 �j A ., , r'MED EXP (Any oneaperson) $...__ " -.. L MI E.S L�_ 15, 000 Y 7037146004 05/17/2023 05/17/2024PERSONAL &ADV INJURY I $ 1 000 000 „ .. ....�..._..........— GENI AGGREGATE LIMIT APPLIES PER: '.. ! j GENERAL AGGREGATE $ 2, 000, 000 . X POLICY L� PRODUCTS -COMP/OP AGO $ 2,000,000 .. Jr C Tt l ER, M�a>z CbISINGLE I.IP 1T $ 1 000 000 AUTOMOBILEUABIIJTY ,... ,, X I ANY AUTO i BODILY INJURY (Perr person) " I B _.OWNED SCHEDULED Y 7037146018 05/17/2023 05/17/2024 I)(V ontiYINJURY'oraccicdent) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY "DAMAGE $ AUTOS ONLY AUTOS ONLY (('er, a" 1;1 1 $ UMBRELLA LIAB i Xi OCCUR EACH OCCURRENCE "" $ _. 5,000,000 ", .. C 703714599E OS/17/2023 OS/17/202q AGGREGATE E $_ 5,000,000 X EXCESS,CLAIMS-MADE W, X ETENTION 10, 000 R WORKERS COMPENSATION PER X STATUTE 01 H AND EMPLOYERS' LIABILITY Y / N E L EACH ACCIDENT $ 1, 000, 000 A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? NIA 7037146021 OS/17/2023 05/17/2024" _ 1,000,000 (Mandatory In ) E L DISEASE EA EMPLOYEE $„ 11 yes, ibe under E.L. DISEASE - POLICY LIMIT $ 11000, D00 DES CIdescrON OPERATIONS below D Technology Errors and Omissions PR030018745601 04/30/2023 04/30/2024?Aggregate ;$5,000,000 Deductible $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached i1 more space is required) This Voids and Replaces Previously Issued Certificate Dated 05/15/2023 WITH ID: 11?28971169. Job Project Location: Federal Way, WA Umbrella/Excess Liability follows form. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Federal Way AUTHORIZED REPRESENTATIVE City of Federal Way City Hall 33325 8th Ave S d1' Federal Way, WA 98003 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID; 24158763 BATCH: 2980777 1500: 2 " of 2 AGENCY CUSTOMER ID: LOC # ACC)), ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY--.—.....�.......,�... �....__. .� NAMED INSURED ...... Willis Towers Watson Northeast, Inc, '.CivicPlua, LLC and its direct and indirect subsidiaries 302 S. 4th Street Suite 500 POLICY NUMBER Manhattan, HS 66502 See Page 1 CARRIER See Page 1 NAIC CODE See PageEFFECTIVE � mmmmm1 EFFDATE: See Page I NIiVRII I V I tzuualu I) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID:24158763 BATCH:2980777 CERT: W28996688 1500: 2 of 2 i Page 1 of 1 DATE (MM/DDIYYYY) ACC OR" CERTIFICATE OF LIABILITY INSURANCE 09/01/2020 16.� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Willis Towers Watson Certificate Center PRODUCER NAME Willis Towers Watson Northeast, Inc PHONE 1-877-945-7378 FAX 1-BBB-467-2378 c/o 26 Century Blvd E MAIL Nn- Ext�;_-- _.._ AIC P.O. Box 305191 ADORE55,. certificates@willis. corn Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED CivicPlus 302 S 4th Street, Suite 500 Manhattan. KS 66502 INSURERA: Great Northern Insurance Company 20303 INSURER B : Federal Insurance Company 20281 INSURER C : Westchester Surplus Lines Insurance Compan 10172 ten. w17A969QR 09=\/ICInM M1111%fiRFR• THISISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FNsR AUuL-S IJ DR F'O.ICY EFF I POLICY EXP ! LTR TYPE OF INSURANCE i POLICY NUMBER NiW1 iA Y'YY • 'MlvllDDiYYYY] . LIMITS X COMMERCIAL GENERAL LIABILITY EACHCC::'-1!?I•:E Cc 5 2,000,000 D 1 C '•] t Ea• 2,000,000 CLAIMS -MADE � OCCUR PRF I II _5 10,000 A MED EXP (A.r: one rr !—: i _ Y 3602-53-12 05/17/2020 05/17/2021 PERSONAL & '.L'": INJURY 1,000,000 GENERAL AGU1?EO ;?f_ L AGGREGATE LIMIT APPLIES PER: - 2,000,OOO S 2,000,000 POLICY ERC LOC POTHFR; PRODUCTS-COMP7OPAGG 5 COMBINED SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY ccdd BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) S B OWNED SCHEDULED Y 7358-87-92 05/17/2020 05/17/2021 AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY Per acrid ! $ AUTOS ONLY AUTOS ONLY 5 UMBRELLALIAB OCCUR EACH O6: _IwF'.ENCE - S 5,000,000 B EXCESS LIAB CLAIMS -MADE 7989-49-14 05/17/2020 05/17/2021 X � AC,GP_t,;,;� _ S 5,000,000 DED 1 X RETENTION 0 S WORKERS COMPENSATION X E i-.- - F. �1 _ ,.7F - ' AND EMPLOYERS' LIABILITY YIN _ 1,000,000 B ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA (21) 7174-92-99 OS/17/2020 05/17/2021 E.L. EACH A C .-:IDEI: i OFFICER/MEMBER EXCLUDED? E..L._DIS-AS` -EA EL'.=_::'; r= =. 1,000,000 (Mandatory In NH) Ir yQs, describe under 1,000,000 Cili'.�-!•.E 1'01_I:J1 LIMIT ; DESCRIPTION OF OPERATIONS belalr C Technology Errors and Omissions F15611984 001 05/17/2020 04/30/2021 Aggreoete; ded $5,000,000/$25,00d I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Job Project Location: Federal Way, WA City of Federal Way, its officers, officials, employees, volunteers and agents are hereby added as Additional Insureds per form attached on General liability and Automobile Liability Policies. The General Liability shall be Primary and Non-contributory. Gt,KIIFIGAIt HULUt•K 11V 1 City of Federal Way City of Federal Way City Hall 33325 8th Ave S Federal Way, WA 98003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l.) TWoo-/ U 1 O MUUMLO VIJr%r Vr%1A 11W19. nu I ly n w Icaclvcu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 20034388 BATcH: 1800549 TnT License Information: Entity name: CIVICPLUS, LLC Business name: CIVICPLUS Entity type: Limited Liability Company UBI #: 602-828-967 Business ID: 001 Location ID: 0001 Location: Active Location address: 302 S 4TH ST STE 500 MANHATTAN KS 66502-6410 Mailing address: 302 S 4TH S T STE 500 MANHATTAN KS 66502-6410 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements Endorsements held at this location License # Burien General Business - Non- 06989 Resident Federal Way General Business - iNon-Resident Issaquah General Business - Non - Resident Kirkland General Business - Non- OBL28216 Resident Lacey General Business - Non- 181909 Resident Spokane General Business - Non - Resident Washougal General Business - Non -Resident New search Back to results Count aetari_ Status Expiration date First issuance Active May-31-2021 Jun-18-2008 Active Sep-30-2021 Sep-01-2020 Active May-31-2021 Apr-23-2019 Active May31-2021 Jun-15-2018 Active May-31-2021 Aug-29-2019 Active May-31-2021 Feb-08-2018 Active May-31-2021 Apr-25-2019