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GRANT AGREEMENT This Agreement is between King County and the Recipient identified below. The County department overseeing the work to be performed in this Agreement is the Department of Natural Resources and Parks (DNRP), Water and Land Resources Division (WLRD). RECIPIENT NAME City of Renton RECIPIENT ADDRESS 1055 S Grady Way Renton, WA 98057 RECIPIENT CONTACT & EMAIL ADDRESS Meara Heubach mheubach@rentonwa.gov PROJECT TITLE Local Hazardous Waste Management Program Grant Funds for 2025 AGREEMENT START DATE January 1, 2025 AGREEMENT END DATE March 31, 2026 AGREEMENT MAXIMUM AMOUNT $25,103.51 EXHIBITS. The following Exhibits are attached and are incorporated into this Agreement by reference: Exhibit A – Scope of Work Exhibit B – Budget Exhibit C – Invoice Template Exhibit D – Certificate/Evidence of Insurance GRA-25-002 1 AGREEMENT FOR AWARD OF LOCAL HAZARDOUS WASTE MANAGEMENT GRANT FUNDS FOR 2025 Between KING COUNTY and the CITY OF RENTON This Agreement for Award of Local Hazardous Waste Management Grant Funds “Agreement”is made by and between King County, a charter county and political subdivision of the State of Washington, acting through its Department of Natural Resources, Water and Land Resources Division and the City of Renton, a municipal corporation of the State of Washington, hereinafter referred to as the “County”and the “City”respectively. The County and City may be referred to individually as a “Party” and collectively as the “Parties.” 1. RECITALS 1.1 The Local Hazardous Waste Management Plan (hereafter referred to as the “Plan”) as updated in 1997, 2010, and 2021, was adopted by the participating agencies (the King County Solid Waste Division, the Seattle Public Utilities, the King County Water and Land Resources Division, and Public Health –Seattle and King County) and the cities located in King County. The Washington State Department of Ecology in accordance with RCW 70A.300.350 subsequently approved the Plan. The City is an active and valued partner in the regional Local Hazardous Waste Management Program (hereafter referred to as the “Program”). 1.2 The Plan authorizes Local Hazardous Waste Management Funds to be provided to partner cities located in King County to help fund those cities’ activities associated with hazardous waste collection and/or educational outreach and educational services. 1.3 King County has received a proposed scope of work and budget from the City and has determined that the scope of work and budget, attached hereto and incorporated herein as Exhibit A (“Scope of Work”) and Exhibit B (“Budget”), respectively, are consistent with the Plan’s and Program’s policies, goals, and objectives. 1.4 King County and the City desire to enter into this Agreement for the purpose of establishing the terms and conditions under which King County will provide an award of Local Hazardous Waste Management Funds to the City. NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the Parties hereby agree to the terms and conditions as follows: 2. AWARD OF GRANT; CONDITIONS OF GRANT 2.1 The Recitals are an integral part of this Agreement and are incorporated herein by this reference. Agreement No. HW 1054 &LW\RI5HQWRQ*5$ $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 2 2.2 King County agrees to grant the City an award of Local Hazardous Waste Management Funds not to exceed $25,103.51 (the “Award”) on a reimbursement basis as described in Section 2.5. The Award shall be used by the City solely for the performance of the activities described in this Agreement. 2.3 The City shall use the grant of Local Hazardous Waste Management Funds to provide hazardous waste collection and/or education services or programs as described in Exhibit A. The total amount of funds available from this grant in 2025 shall not exceed $25,103.51. 2.4 This Agreement provides for distribution of 2025 grant funds to the City. Reimbursement for activities carried out and expenses incurred by the City may predate the execution date of this Agreement provided that (a) the activities have been identified by the City as being within the Scope of Work and have been approved by King County as being within such Scope of Work; (b) the expenses are incurred in carrying out the Scope of Work and are authorized by the Award; and (c) such activities and expenses otherwise comply with all other terms of this Agreement. Reimbursements shall be paid to the City only after this Agreement has been fully executed. 2.5. During this one-year grant program, the City will submit a minimum of two (2), but no more than eight (8), progress reports, which include the City’s reimbursement requests, to the County in a form determined by the County. Reports must be signed by a City official. These reports shall include all of the following: a. A description of each activity accomplished pertaining to the Scope of Work. b. Copies of invoices for expenditures or a financial statement prepared by the City’s finance department. The financial statement should include vendor names, a description of services provided, date paid, and a check or warrant number. c. Reimbursement requests with an Invoice Form and an Invoice Detail Form, which is attached hereto as Exhibit C and incorporated herein by reference, unless the City has a spreadsheet similar to the Invoice Detail Form already in use, in which case the City may use that spreadsheet instead of the Invoice Detail Form. The City will submit the form or similar spreadsheet and submit backup documentation for grant expenses. d. If the City receives funding from sources other than the Local Hazardous Waste Management Program for any of the activities set forth in Exhibit A, then the City’s reimbursement request shall acknowledge these other sources and the reimbursement request to the County shall include only a pro-rata share of the expenses. 2.5.1 If the City chooses to submit up to the maximum of eight (8) progress reports and requests for reimbursement during the one-year grant program, the reports shall be due to the County on the last day of the month following the end of each quarter (April 30, July 31, October 31, January 30), except for the final progress report and request for reimbursement, which shall be due by February 27, 2026. 2.5.2 Regardless of the number of progress reports the City chooses to submit, in order to secure reimbursement, the City must provide in writing to the County by the December 12, 2025, an $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 3 estimate or final invoice for activities completed in that calendar year for which the City has not yet submitted a reimbursement request. 2.5.3 If the City accepts funding through this grant program for the provision of hazardous waste collection or education programs and projects for other incorporated areas of King County, the City shall explain the relationship with the affected adjacent city or cities that allows for acceptance of this funding and the specifics of the proposed programs and projects within the Scope of Work document related thereto. 2.5.4 Within forty-five (45) days of receiving a request for reimbursement from the City, the Program’s contract administrator shall either notify the City of any exceptions to the request which have been identified or shall process the request for payment. If any exceptions to the request are made, this shall be done by written notification to the City providing the reason for such exception. The contract administrator will not authorize payment for activities and/or expenditures which are not included in the Scope of Work and Budget attached as Exhibits A and B unless the scope has been amended according to Section 5 of this Agreement. The contract administrator retains the right to withhold all or partial payment if the City’s report(s) and reimbursement request(s) are incomplete (i.e., do not include proper documentation of expenditures and/or adequate description of each activity described in the scope of work for which reimbursement is being requested), and/or are not consistent with the Scope of Work and/or Budget attached as Exhibits A and B. 2.6 The City shall be responsible for following all applicable federal, state, and local laws, ordinances, rules, and regulations in the performance of the Scope of Work described herein. The City warrants and represents that its procedures are consistent with federal, state, and local laws relating to public contract and bidding procedures. The County neither incurs nor assumes any responsibility for the City’s bid, award, or contracting process. 2.7 The City shall use recycled paper for the production of all printed and photocopied documents related to the fulfillment of this Agreement. The City shall use both sides of paper sheets for copying and printing and shall use recycled/recyclable products wherever practical. 2.8 The City shall maintain accounts and records, including personnel, financial, and programmatic records, and other such records as may be deemed necessary by the County, to ensure proper accounting for all project funds and compliance with this Agreement. All such records shall sufficiently and properly reflect all direct and indirect costs of any nature expended and service provided in the performance of this Agreement. 2.8.1 These records shall be maintained for a period of six (6) years after termination hereof unless permission to destroy them is granted by the Office of the State Archivist in accordance with RCW Chapter 40.14. These accounts shall be subject to inspection, review, or audit by the County and/or by federal or state officials as so authorized by law. 2.8.2 The City shall maintain a record of the use of any equipment that costs more than $1,000 and is purchased with grant funds from King County for a total period of three (3) years. The records shall be compiled into a yearly evaluation report, a copy of which shall be submitted to King County by March 31 of each year through the year 2028. $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 4 2.9 The City agrees to appropriately acknowledge the Program in all media produced –in part or in whole – with Program funds. Where feasible, the City will use the Program’s logo. The intent of this provision is to further strengthen this regional partnership in the public’s mind. 2.9.1 The City agrees to provide the Program with copies of all media material produced for local hazardous waste management events or activities that have been funded by the Program. The City also agrees to allow the Program to reproduce media materials created with Program money provided that the Program credits the City as the originator of that material. 2.9.2 The Program agrees to credit the City on all printed materials provided by the City to the Program, which the Program duplicates, for distribution. Either the City’s name and logo will appear on such materials (including fact sheets, case studies, etc.), or, at a minimum, the Program will credit the City for artwork or text provided by the City as follows: “artwork provided courtesy of the City of Renton” and/or “text provided courtesy of the City of Renton.” 2.9.3 The Program retains the right to share the written material(s) produced by the City, which have been funded through this grant, with other King County cities for them to duplicate and distribute. In so doing, the Program will encourage other cities to credit the City on any pieces that were produced by the City. 2.10 The City designates Meara Heubach; Solid Waste Program Manager; 1055 S. Grady Way, Renton, WA 98057; 425-430-7389;mheubach@rentonwa.gov or designee, as the administrator of this Agreement for the City. 2.11 Questions or concerns regarding any issue associated with this agreement that cannot be handled by the Program’s Contract Administrator should be referred to the Local Hazardous Waste Management Program Director for resolution. 3. DURATION OF AGREEMENT This Agreement shall become effective on either January 1, 2025, or the date of execution of the Agreement by both the County and the City and shall terminate on March 31, 2026. The City shall not incur any new charges after December 31, 2025. However, if execution by either Party does not occur until after January 1, 2025, this Agreement allows for disbursement of grant funds to the City for County-approved programs initiated between January 1, 2025, and the later execution of the Agreement provided that the City complies with the reporting requirements of Section 2.5 of the Agreement. 4. TERMINATION 4.1 King County may terminate this Agreement in whole or in part, for convenience, without cause prior to the termination date specified in Section 3, upon thirty (30) days advance written notice. 4.2 King County may also terminate this Agreement, in whole or in part, for lack of appropriation, upon thirty (30) days prior written notice to the City. In accordance with King County Code 4A.100.070, if King County terminates this Agreement for non-appropriation, then King County’s costs associated $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 5 with such termination, if any, shall not exceed the appropriation for the biennium in which termination occurs. 4.3 This Agreement may be terminated by either Party, in whole or in part, for cause prior to the termination date specified in Section 3, upon thirty (30) days advance written notice. Reasons for termination for cause may include but not be limited to nonperformance, misuse of funds, and/or failure to provide grant related reports/invoices/statements as specified in Section 2.5. 4.4 If the Agreement is terminated as provided in this section: (a) the County will be responsible to reimburse the City only for allowable expenses, in accordance with the terms of this Agreement for expenses incurred prior to the effective date of termination; and (b) the City shall be released from any obligation to provide further services pursuant to this Agreement. 4.5 Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Agreement or law that either Party may have in the event that the obligations, terms, and conditions set forth in this Agreement are breached by the other Party. 5. AMENDMENTS This Agreement may be amended only by written agreement of both Parties. Amendments to scopes of work will only be approved if the proposed amendment is consistent with the most recently adopted Hazardous Waste Management Plan. Amendments will only be approved if the proposed change(s) is (are) consistent with and/or achieves the goals stated in the scope and falls within the activities described in the scope. Funds may be moved between tasks in the Scope of Work, attached as Exhibit A, upon written notification by the City to King County and written approval by the County. 6. HOLD HARMLESS AND INDEMNIFICATION 6.1 The City agrees to indemnify, defend, and hold harmless King County, and its elected or appointed officials, employees and agents, from all suits, claims, alleged liability, actions, losses, costs, expenses (including reasonable attorney’s fees), penalties, settlements and damages of whatsoever kind or nature arising out of, in connection with, or incident to any acts or omissions of the City, its employees, agents, contractors or subcontractors in performing its obligations under this Agreement, except of the County’s sole negligence. 6.2 The City’s obligations under this section shall include, but not be limited to all of the following: (a) The duty to promptly accept tender of defense and provide defense to the County with legal counsel acceptable to the County and at the City’s own expense; (b) Indemnification of claims made by the City’s own employees or agents; and (c) Waiver of the City’s immunity under the industrial insurance provisions of Title 51 R.C.W. but only to the extent necessary to indemnify the County, which waiver has been mutually negotiated by the Parties. In the event it is necessary for the County to incur attorney’s fees, legal expenses, or other costs to enforce the provisions of this section, all such fees, expenses, and costs shall be recoverable from The City. The provisions of this Section 6.2 shall survive the expiration, abandonment, or termination of this Agreement. $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 6 7. INSURANCE 7.1 The City, at its own cost, or its contractor(s)/subcontractor(s) at their own cost, shall procure by the date of execution of this Agreement and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damages to property which may arise from or in connection with performance of work pursuant to this Agreement by the City, its agents, representatives, employees, contractors, and/or subcontractors. The minimum limits of Commercial General Liability insurance shall be $1,000,000 per occurrence and $2,000,000 in the aggregate for bodily injury, personal and advertising injury, and property damage. Such insurance shall include coverage for, but not be limited to, premises liability, ongoing operations, products and completed operations, advertising injury, and contractual liability. The minimum limit of Automobile Liability insurance shall be $1,000,000 combined single limit per accident for bodily injury and property damage. If the work involves the transport of pollutants (as defined by the standard auto policy exclusion of pollution) the auto policy shall be endorsed to include endorsement CA 9948 (or its equivalent) and MCS 90, or auto pollution coverage. The minimum limit of Pollution Liability insurance shall be $1,000,000 per occurrence and in the aggregate to cover sudden and non-sudden bodily injury and/or property damage to include the destruction of tangible property, loss of use, clean-up costs and the loss of use of tangible property that has not been physically injured or destroyed. Coverage shall include non-owned disposal sites. Any deductible or self-insured retention(s) shall be the sole responsibility of the City or its contractor(s)/subcontractor(s). Such insurance shall cover King County, its officials, employees, and agents as additional insured for full coverage and policy limits against liability arising out of activities performed by or on behalf of the City pursuant to this Agreement. A valid Certificate of Insurance and additional insured endorsement is attached to this Agreement as Exhibit D unless Section 7.2 or Section 7.3 (below) apply. Evidence of required coverage maintained by the contractor(s)/subcontractor(s) must be provided to the County prior to the commencement of any work. 7.2 If the Agency is a Municipal Corporation or an agency of the State of Washington and is self- insured for any of the above insurance requirements, a written acknowledgement of self-insurance is attached to this Agreement as Exhibit D. 7.3 If the Agency is a Municipal Corporation or an agency of the State of Washington and is a member of the Washington Cities Insurance Authority (WCIA), a written acknowledgement/certification of current membership is attached to this Agreement as Exhibit D. 8. ENTIRE CONTRACT; NO WAIVER OF DEFAULT This Agreement is the complete expression of the agreement of the County and City hereto, and any oral or written representations or understandings not incorporated herein are excluded. Waiver of any default shall not be deemed to be a waiver of any subsequent default. Waiver of breach of any provision of this Agreement shall not be deemed to be waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of this Agreement unless stated to be such through written approval by the County, which shall be attached to the original Agreement. 9. TIME IS OF THE ESSENCE $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 7 The County and City recognize that time is of the essence in the performance of this Agreement. The Scope of Work set forth in Exhibit A shall be completed by the City no later than December 31, 2025. In the event that the Scope of Work is not completed by this date, then King County shall retain any unexpended Award funds. 10. SEVERABILITY If any section, subsection, sentence, clause, or phrase of this Agreement is, for any reason, found to be unconstitutional or otherwise invalid by a court of competent jurisdiction, such decision shall not affect the validity of the remaining portions. 11. NOTICE Unless otherwise specified in the Agreement, all notices or documentation required or provided pursuant to this Agreement shall be in electronic form and shall be deemed duly given when received at the addresses first set forth below via electronic mail. A copy of any notice shall also be sent via first class mail to the address listed below. Keith Quinata, Contract Administrator, or a provided designee King County Department of Natural Resources and Parks Water and Land Resources Division Hazardous Waste Management Program 201 S. Jackson Street, Suite 5600 Seattle, WA 98104 hazwastegovrelations@kingcounty.gov or kquinata@kingcounty.gov If to the City: Meara Heubach, Solid Waste Program Manager, or a provided designee City of Renton 1055 S. Grady Way Renton, WA 98057 mheubach@rentonwa.gov Either Party hereto may, at any time, by giving ten (10) days written notice to the other Party, designate any other address in substitution of the foregoing address to which such notice or communication shall be given. 12. GENERAL PROVISIONS 12.1 This Agreement shall be binding upon and inure to the benefit of the Parties and their respective successors and assigns. 12.2 Each Party warrants and represents that such Party has full and complete authority to enter into this Agreement and each person executing this Agreement on behalf of a Party warrants and represents that he/she has been fully authorized to execute this Agreement on behalf of such Party and that such Party is bound by the signature of such representative. $JUHHPHQW1R+: &LW\RI5HQWRQ*5$ 8 12.3 None of the funds, materials, property, or services provided directly or indirectly under this Agreement shall be used for any partisan political activity or to further the election or defeat of any candidate for public office. 12.4 This Agreement may be signed in multiple counterparts each of which shall be deemed an original, and all counterparts together shall constitute but one and the same instrument. 12.5 This Agreement is for the benefit of the Parties hereto only and is not intended to benefit any other person or entity, and no person or entity not a party to this Agreement shall have any third-party beneficiary or other rights whatsoever hereunder. 12.6 This Agreement shall be governed by and construed according to the laws of the State of Washington. Actions pertaining to this Agreement will be brought in King County Superior Court, King County, Washington. IN WITNESS WHEREOF this Agreement has been executed by each Party on the date set forth below: City of Renton King County BY______________________________________BY___________________________________ Armondo Pavone, Mayor Maythia Airhart, Environmental Programs Section Manager City of Renton Hazardous Waste Management Program For Dow Constantine, King County Executive _______________________________________________________________________________ Date Date $WWHVW BBBBBBBBBBBBBBBBBBBBBBBBBBBBB -DVRQ$6HWK &LW\&OHUN $SSURYHGDVWR/HJDO)RUPYLD HPDLORQE\ &KHU\O/%H\HU 6HQLRU$VVLVWDQW&LW\$WWRUQH\ FOE 5HYLHZHGE\&LQG\0R\D BBBBBBB HAZARDOUS WASTE MANAGEMENT PROGRAM 2025 GRANT SCOPE OF WORK Emily Morton Sustainability Specialist 425-430-7381 emorton@rentonwa.gov APPLICANT City of Renton 1055 South Grady Way Renton, WA 9805ϳ PROJECT MANAGERS Meara Heubach Solid Waste Program Manager 425-430-7389 mheubach@rentonwa.gov FUNDING REQUESTED $25,103.51 FUNDING SUMMARY Task 1 Choosing Safer Household Products: Engagement and Education Program $24,603.51 Task 2 Social Media Hazardous Waste Education $500.00 __________________________ Meara Heubach Solid Waste Program Manager ____________________________ ([KLELW$ 2025 Hazardous Waste Grant - Renton Page 2 TASK 1 Choosing Safer Household Products: Engagement and Education Program BUDGET $24,603.51 SCOPE OF WORK This project seeks to increase the knowledge of Renton residents about potential chemical exposure risks from common household products and provide them with alternative strategies to help reduce their exposure. In collaboration with a consultant, city staff intend to build on feedback and recommendations received through community engagement activities conducted in 2024 with Renton Housing Authority (RHA) multifamily residents. City staff and the consultant will use this feedback to develop and implement hazardous waste-related outreach and education programming that is tailored to the interests and concerns of Renton residents. Additionally, city staff will also work with the consultant to complete outreach activities while the specific programming described above is being developed. These activities may include tabling at the Renton Famer’s Market and other community events, hosting workshops at multifamily properties with the HWMP Residential Services team, or sending communications related to hazardous waste through social media and other channels. PERFORMANCE OBJECTIVES x Develop hazardous waste programming based on feedback received from Renton residents through 2024 community engagement activities. x Complete outreach activities with Renton residents through event tabling, workshops, and social media communications. IMPACT OBJECTIVES x Help residents reduce their risk of chemical exposure by providing information about safer cleaning product choices and strategies for alternative cleaning methods. x Build on and learn from customer engagement conducted during safer cleaning workshops at Renton Housing Authority properties in 2024. BUDGET DETAIL Contract $23,603.51 Supplies $500.00 City staff $500.00 2025 Hazardous Waste Grant - Renton Page 3 TASK 2 Social Media Hazardous Waste Education BUDGET $500.00 SCOPE OF WORK This task aims to educate customers in Renton via social media about hazardous material disposal and safer product alternatives. PERFORMANCE OBJECTIVES Funding will be used to develop and publish social media messages that promote x Wastemobile events in Renton, x Services provided by the Hazardous Waste Management Program, such as the fixed disposal locations and the home collection program for seniors and residents with disabilities, and x Safer home and garden products. Funding will be used to boost social media posts related to these services and products so that customers are more likely to see these posts in their social media feeds. IMPACT OBJECTIVES x Reduce community members’ risk of chemical exposure by increasing their knowledge about safe disposal options for hazardous materials and safer alternatives to harmful products. BUDGET DETAILS Boosting social media posts $500.00 Agreement # HW1054 EXHIBIT B 2025 BUDGET LOCAL HAZARDOUS WASTE MANAGEMENT PROGRAM City of Renton 1055 S. Grady Way Renton, WA 98057 Component Description 2025 Budget Task 1: Household Hazardous Waste Education & Outreach $24,603.51 Task 2: Social Media Hazardous Waste Education $500 Total $25,103.51 Footnote: Please note that the budget and grant cycle for 2025 will be for one year. ALL FIELDS MUST BE COMPLETED FOR PROMPT PAYMENT PROCESSING Purchase Order # Supplier Name City of Renton Agreement No. HW1054 Supplier # 2248 Exhibit C Supplier Pay Site CITY HALL Period of Performance: 1/1/25-12/31/25 Remit to Address 1055 S. Grady Way Renton, WA 98057 Invoice Date Invoice # Amount to be Paid Requistioner name/phone: Start Date End Date hazwastegovrelations@kingcounty.gov Project 1114016 Please do not enter values in shaded cells. Enter "Previously Billed" and "Current" values only. Materials and quantities collected: Collection event details: Gallons of motor oil Number of collection events Number of motor oil filters Number of participants at collection events Gallons of mixed fuel Gallons of antifreeze Education event details: Pounds of lead acid batteries Number of education events Pounds of dry batteries Number of participants at education events Number of CFC aplliances Number of fluorescent bulbs Other (please specify) Recipient - Print Name Recipient Signature Date DateHaz Waste Program Authorization / Approval Cumulative $0.00 $0.00 $0.00 I, the undersigned, do hereby certify under the laws of the State of Washington penalty of perjury, that this is a true and correct claim for reimbursement services rendered. I understand that any false claims, statements, documents, or concealment of material fact may be prosecuted under applicable Federal and State laws. This certification includes any attachments which serve as supporting documentation to this reimbursement request. $24,603.51 2025 Budget Previously Billed Current $500.00$0.00 $0.00 Task 2 HHW $500.00 $0.00 Task 1 HHW $24,603.51 Submit signed invoice to: 53105 201 South Jackson Street, Suite 6300 Seattle, WA 98104 860000 Invoice for services rendered under this Agreeement for the period of: King County Accounts Payable Information DNRP Water and Land Resources Division 425-430-7389 mheubach@rentonwa.gov Keith Quinata Hazardous Waste Management Program INVOICE City of Renton 1055 S. Grady Way Renton, WA 98057 Invoice Processing Contact: Meara Heubach Amanda Miller 206-477-1649 Total $0.00 $25,103.51$25,103.51 $0.00 $0.00 Expenditure Item Organization Expend Acct Balance Task Amount 001 CPA Salaries & Wages- List by Employee Hours Rate of Pay/ Hr Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) Subtotal -$ -$ -$ -$ -$ Fringe Benefits Base Rate Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) Subtotal -$ -$ -$ -$ -$ Consultant Costs- Itemize by consultant below Unit of measure Rate Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Subtotal -$ -$ -$ -$ -$ Supplies- Please detail below Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) Subtotal -$ -$ -$ -$ -$ Travel Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) In State Travel Total # of Miles Rate Out of State Travel # of People Rate Per Diem and Lodging # of People # of Units Unit Cost Subtotal -$ -$ -$ -$ -$ Other Costs- Please detail below Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Subtotal -$ -$ -$ -$ -$ Overhead Costs- Please detail below Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ Subtotal -$ -$ -$ -$ -$ Budget Previously Billed Current Expenditure Cumulative (Previous + Current) Balance (Budget less Cumulative) Direct Costs Total -$ -$ -$ -$ -$ -$ -$ -$ -$ Grand Total -$ -$ -$ -$ -$ Notes regarding this Invoice INVOICE DETAIL Invoice Detail Page 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of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³1RW&RYHUHG´IRUVXFK&RYHUDJH3DUW 6&+('8/( &RYHUDJH3DUW V 0RGLILHG%\7KLV(QGRUVHPHQW *(1(5$//,$%,/,7<&29(5$*(3$57 $87202%,/(/,$%,/,7<&29(5$*(3$57 &+$1*('(6&5,37,21 7KLVHQGRUVHPHQWFKDQJHVRQO\WKRVH&RYHUDJH3DUW V OLVWHGLQWKH6&+('8/(DERYH (IIHFWLYHWKHIROORZLQJ(QGRUVHPHQWKDVEHHQDGGHGWRWKH3ROLF\ 3($GGLWLRQDO,QVXUHG6FKHGXOHG&RQWUDFWV $GGHG .LQJ&RXQW\LWVRIILFLDOVHPSOR\HHVDQGDJHQWV (IIHFWLYHWKHIROORZLQJ(QGRUVHPHQWKDVEHHQGHOHWHGIURPWKH3ROLF\ 3($GGLWLRQDO,QVXUHG6FKHGXOHG&RQWUDFWV 'HOHWHG .LQJ&RXQW\'HSDUWPHQWRI1DWXUDO5HVRXUFHVDQG3DUNV 7KHUHLVQRFKDQJHLQSUHPLXP 32/,&<180%(5 ;35 3( 7+,6(1'256(0(17&+$1*(67+(32/,&<3/($6(5($',7&$5()8//< 3( 6DIHW\1DWLRQDO&DVXDOW\&RUSRUDWLRQ 3DJHRI $'',7,21$/,1685('6&+('8/('&2175$&76 7KLVHQGRUVHPHQWPD\EHXVHGWRPRGLI\LQVXUDQFHSURYLGHGXQGHUWKHIROORZLQJ *(1(5$//,$%,/,7<&29(5$*(3$57 $87202%,/(/,$%,/,7<&29(5$*(3$57 /$:(1)25&(0(17/,$%,/,7<&29(5$*(3$57 7KLVHQGRUVHPHQWGRHV127H[WHQGLQVXUDQFHIRUDQ\DERYH&RYHUDJH3DUWLI,WHPRIWKH'HFODUDWLRQV IRUWKLV3ROLF\LQGLFDWHV³1RW&RYHUHG´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eavitt Group Northwest PO Box 833 Auburn WA 98071 CLC (800) 726-8771 (866) 728-9168 Broker Triangle Associates Inc 2825 Eastlake Ave E Ste 300 Suite 300 Seattle WA 98102 West American Insurance Company 44393 Ohio Security Insurance Company 24082 Ohio Casualty Insurance Company 24074 Underwriters at Lloyds of London 15792 24/25 Master A Y Y BKW55302282 10/23/2024 10/23/2025 1,000,000 1,000,000 15,000 1,000,000 2,000,000 2,000,000 B BAS55302282 10/23/2024 10/23/2025 1,000,000 C 10,000 USO55302282 10/23/2024 10/23/2025 3,000,000 3,000,000 A BKW55302282 - WA Stop Gap 10/23/2024 10/23/2025 1,000,000 1,000,000 2,000,000 D Professional Liability Sexual Abuse/Molestation MPL1033805 02/06/2025 07/13/2025 Aggregate 2,000,000 Per Claim 2,000,000 RE: Hazardous Waste Safer Cleaning Program Development and Outreach City of Renton is named additional insured with respects to General Liability on a Primary and Non-Contributory basis including Waiver of Subrogation per form CG8810 04.13, Completed Operations form CG8583 04.13 City of Renton 1055 South Grady Way Renton WA 98057 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY ([KLELW' 73 1 7 0 of 55 3 0 2 2 8 2 00 1 1 2 2 23 5 COMMERCIAL GENERAL LIABILITY CG 85 83 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. BLANKET ADDITIONAL INSURED CONTRACTORS - PRODUCTS/COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGEPART 2013Liberty Mutual Insurance CG 85 83 04 13 Page 1 of 2Includes copyrighted material of Insurance Services Office, Inc.,with its permission . A.Paragraph 2.under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or "property damage": 1.Caused by "your work" performed for that additional insured that is the subject of the written contract or written agreement; and 2.Included in the "products-completed operations hazard". However: a)The insurance afforded to such additional insured only applies to the extent permitted by law; and b)If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b.of Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Conditions. B.With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: 1."Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. 2."Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a.The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b.Supervisory, inspection, architectural or engineering activities. 74 1 7 0 of 2013Liberty Mutual Insurance CG 85 83 04 13 Page 2 of 2Includes copyrighted material of Insurance Services Office, Inc.,with its permission . C.With respect to the insurance afforded by this endorsement, exclusion l. Damage To Your Work of Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: l. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products- completed operations hazard". D.With respect to the insurance afforded to these additional insureds, the following is added to Section II - Limits of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by contract or agreement; or 2.Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. E.With respect to the insurance afforded by this endorsement,Section IV - Commercial General Liability Conditions is amended as follows: 1.The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claims Or Suit: An additional insured under this endorsement will as soon as practicable: a.Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b.Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c.Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d.We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2.Paragraph 4.of Section IV - Commercial General Liability Conditions is amended as follows: a.The following is added to Paragraph a. Primary Insurance: If an additional insured’s policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured’s policy for damages we cover. b.The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. 75 1 7 0 of 55 3 0 2 2 8 2 00 1 1 2 2 23 5 COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGEPART 2013Liberty Mutual Insurance CG 88 10 04 13 Page 1 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY - ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant’s Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU 76 1 7 0 of 2013Liberty Mutual Insurance CG 88 10 04 13 Page 2 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1.It is not owned by any insured; 2.It is hired, chartered or loaned with a trained paid crew; 3.The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4.It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON-OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2)of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2)A watercraft you do not own that is: (a)Less than 52 feet long; and (b)Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY - ELEVATORS 1.Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity,Subparagraphs (3), (4)and (6)of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2.The following is added to Section IV - Commercial General Liability Conditions,Condition 4. Other Insurance,Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant’s Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1.Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a.The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3)and (4)of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (i)Premises rented to you for a period of 7 or fewer consecutive days; or (ii)Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3)and (4)of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. 77 1 7 0 of 55 3 0 2 2 8 2 00 1 1 2 2 23 5 2013Liberty Mutual Insurance CG 88 10 04 13 Page 3 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. b.The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c.through n.do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2.Paragraph 6.under Section III - Limits Of Insurance is replaced by the following: 6.Subject to Paragraph 5.above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a.Any one premise: (1)While rented to you; or (2)While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b.Contents that you rent or lease as part of a premises rental or lease agreement. 3.As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant’s Property Damage) -Paragraph 9.a.of Definitions is replaced with the following: 9.a.A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C - Medical Payments,Subparagraph (b)of Paragraph a.is replaced by the following: (b)The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1.Under Supplementary Payments - Coverages A and B, Paragraph 1.b.is replaced by the following: b.Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2.Paragraph 1.d.is replaced by the following: d.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1.Paragraph 2.under Section II - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a.Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or written agreement; or 78 1 7 0 of 2013Liberty Mutual Insurance CG 88 10 04 13 Page 4 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. b.Premises or facilities rented by you or used by you; or c.The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d.Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1)This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2)This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3)Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a)The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b)The construction, erection, or removal of elevators; or (c)The ownership, maintenance, or use of any elevators covered by this insurance. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a.above, a person’s or organization’s status as an additional insured under this endorsement ends when: (1)All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2)That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b.above, a person’s or organization’s status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c.above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b.of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. 79 1 7 0 of 55 3 0 2 2 8 2 00 1 1 2 2 23 5 2013Liberty Mutual Insurance CG 88 10 04 13 Page 5 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. 2.With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a."Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b."Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c."Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1)The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2)Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d."Bodily injury" or "property damage" occurring after: (1)All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2)That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e.Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a.Required by the contract or agreement; or b.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a.The following is added to Paragraph a. Primary Insurance: If an additional insured’s policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured’s policy for damages we cover. 80 1 7 0 of 2013Liberty Mutual Insurance CG 88 10 04 13 Page 6 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. b.The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1.The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a.Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b.Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c.Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d.We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2.The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1)of Section II - Who Is An Insured is replaced with the following: (1)"Bodily injury" or "personal and advertising injury": (a)To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b)To the spouse, child, parent, brother or sister of that co-"employee" or "volunteer worker" as a consequence of Paragraph (1) (a)above; (c)For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a)or (b)above; or (d)Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a)and (b)above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee’s" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily injury" or "personal and 81 1 7 0 of 55 3 0 2 2 8 2 00 1 1 2 2 23 5 2013Liberty Mutual Insurance CG 88 10 04 13 Page 7 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J.is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3.of Section II - Who Is An Insured is replaced by the following: 3.Any organization you newly acquire or form and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a.Coverage under this provision is afforded only until the expiration of the policy period in which the entity was acquired or formed by you; b.Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c.Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. d.Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions,the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions,the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1.of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V - Definitions,Definition 3.is replaced by the following: 3."Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. 82 1 7 0 of 2013Liberty Mutual Insurance CG 88 10 04 13 Page 8 of 8Includes copyrighted material of Insurance Services Office, Inc.,with its permission. P. EXTENDED PROPERTY DAMAGE Exclusion a.of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions,the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard" provided: 1.You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2.The injury or damage occurs subsequent to the execution of the written contract or written agree- ment.