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HomeMy WebLinkAboutWTR272890(7)ACORD CERTIFICATE OF LIABILITY INSURANCRID EG DATE(MM/DD/YY) RCCO-2 09/06/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE USI Northwest HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S. , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kent WA 98032 INSURERS AFFORDING COVERAGE Phone:206-695-3100 Fax:206-682-8494 INSURED INSURERA: The Travelers Indem Co of. Amer INSURERB: The Travelers Indem Co of IL Archer Construction, Inc. INSURERC: Scottsdale Insurance Co 7855 So 206th St INSURERD: Kent WA 98032 INSURER E: ? ' !`l111F0AnP4z 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fiire) $ 300,000 A X COMMERCIAL GENERAL LIABILITY DT88C0348K144ATIA00 04/01/01 04/01/02 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 X WA Stop Gap GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS RECEIVED X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ SEP12 20 1 eeJJ GARAGE LIABILITY CITY OF RENTON AUTO ONLY - EA ACCIDENT $ ANY AUTO UTILITY SYSTEMS EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 110 0 0, O O 0 B X OCCUR CLAIMS MADE DSMCUP348K144ATIL00 04/01/01 04/01/02 AGGREGATE $ 1, 000, 000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND I TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER C Excess Liability XLS0010389 04/01/01 04/01/02 Per Occur 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers, Seattle Public Utilities and Boeing Commercial Airplane Co are additional insured as respects work performed by the named insured on the above project. Waiver of Subrogation applies. UER I II IL;A I It: FIULUtK Y I ADDITIONAL INSURED; INSURER LETTER: L;ANUt:LLA I IUN CITRE - 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA DATE THEREOF, THE ISSUING INSURER WILL EN30MMIM MAIL 45 DAYS WRITT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU City of Renton Planning/Building/Public Works Dept. 1055 South Grady Way Penton WA 98055 Becky Winbauer ACORD 25-S (7/971 RD CORPORATION Producer: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI` ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Phone: ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fax: INSURERS AFFORDING COVERAGE Insured INSURER A INSURER B INSURER C INSURER D INSURER E 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, DESCRIBED HEREIN IS SUBJECT T HE INSURANCE AFFORPOLICIES DED BY THE TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS BEEN RECUED BY PAID CLAIMS. OF SUCH POLICIES, LIM ITS SHOWN MAY HAVE r Type of Insurance Policy Number Policy Effective Policy Expiration General Liability Date (MM/DD/YY) Date (MM/DD/YY) A ® Commercial General Liability 000 I,050, Eaiig Fir$ 00❑ ❑ Claims Made ® Occur Me$ ❑ Owners & Contractors prot 5,000 ❑ Personal & adv Injury $ 1000 000 -Aggregate Gen'I Aggregate Applies Per General $ 2,000,000 ❑ Policy ❑ Project n Loc Products —Comp/Op Agg $ I,000,000 ® Any Auto ❑ All Owned Autos ❑ Scheduled Autos ❑ Hired Autos ❑ Non -Owned Autos ❑ Any Auto I N/A (Ea accident) g (Per person) dilyElnjury E dily (Per accident) $ Property Damage (Per accident) $ Auto Only — Ea Accident $ Other than Each Accident Auto Only Aggregate $ $ ❑ Occur ❑ Claims Made ❑ Deductible ❑ Retention Workers Compensation and Employers Liability � 11 vww IcuceAggregate $ ❑ th_ toryWC Statu- O WC limits EL Each Accident $ EL Disease — EA Employee Ei. Iliceace — 5.1' , r 7 :r $ e City of Renton is named as an additional insured City of Renton Attn: 1055 South Grady Way Renton WA 98055 Should any of the above described policies be cancelled before the expiration thereof, the issuing insurer will mail 45* days written notice to the certificate holder named to the left. riuuwnzea Kepresentatrve Q:\DATA_Center\Forms\City\Contracts\ACORD3.doe ACORD.DOT l 1/99 bh ACORo., CERTIFICATE OF LIABILITY INSURANC D EG DATE (MM/DD/YY) - CCO-2 05/31/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kent WA 98032 Phone: 206-695-3100 Fax: 206-682-8494 INSURERS AFFORDING COVERAGE INSURED INSURER A: The Travelers Indem Co of Amer INSURER B: The Travelers Indem Co of IL Archer Construction, Inc. INSURERC: Scottsdale Insurance Co 7855 So 206th St INSURERD: Kent WA 98032 - INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION _ -- - - - -- LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88C0348K144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 3ADV INJURY $ 1 , 000 , 000 X WA Stop Gap GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s2,000,000 POLICY k PRO- JECT LOC B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) E1,000,000 X BODILY INJURY (Per person) b ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS RECEIVE BODILY INJURY (Per accident) b X PROPERTY DAMAGE (Per accident) b JUN — 4 2001 GARAGE LIABILITY ANY AUTO CITY OF RENTON UTILITY SYSTEMS AUTO ONLY - EA ACCIDENT b OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B X OCCUR n CLAIMSMADE DSMCUP34BK144ATIL00 04/01/01 04/01/02 AGGREGATE $ 1,000,000 E b DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY W(; b LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER C Excess Liability XLS0010389 04/01/01 04/01/02 Per Occur 3,000,000 Acrqre ate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers, Seattle Public Utilities and Boeing Commercial Airplane Co are additional insured as respects work performed by the named insured on the above project. Waiver of Subrogation applies. IrlI+ I nVLUCm i I AUUI IIUNAL I NJUKtU; INJUKLK LL I I LH: I+HIVI.CLLA I IVIV CITRE-8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION a5�10 CSCy Y\tJ-� DATE THEREOF, THE ISSUING INSURER WILL MAIL 45 DAYS WRITTEN City of Renton NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Planning/Building/Public Works Dept. 1055 South Grady Way J ��"' i Renton WA 98055 [BeckyWinbau r `„r ACORD 25-S (7/97) Cc�ACORD CORPORATION 19RR POLICY NUMBER: DT88C0348K144ATIA COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER RIGHTS OF RECOVER AGAINST OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Name of Person i or Organization: City of Renton, Planning/Building/Public Works Dept., their elected or appointed officers, officials, employees, sub consultants, volunteers Seattle Public Utilities Boeing Commercial Airplane Co. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of "your work" done under a contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule. CG 24 04 11 85 Copyright, Insurance Services Office, Inc., 1984 0 ACORD CERTIFICATE OF LIABILITY INSURANCD EG CCO-2 1 DATE(MM/DD/YY) 05/31/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Kent WA 98032 Phone: 206-695-3100 Fax:206-682-8494 INSURED INSURER A: The Travelers Indem Co of Amer INSURER B: The Travelers Indem Co of IL Archer Construction, Inc. 7855 So 206th St Kent WA 98032 INSURE RC: Scottsdale Insurance Co" INSURERD: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 A X COMMERCIALGENERAL LIABILITY DT88C034BK144ATIA00 04/01/01 04/01/02 CLAIMS MADE x OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X WA Stop Gap GENERAL AGGREGATE $2,000,000 rG7'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PRO LOC JECT B AUTOMOBILE LIABILITY ANY AUTO DT81034BK144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS RECEIVE X PROPERTY DAMAGE (Per accident) $ J U N - 4 2001 GARAGE LIABILITY ANY AUTO CITYOF ENT OTILITY SYSTEMS AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B X OCCUR CLAIMSMADE DSMCUP34BK144ATIL00 04/01/01 04/01/02 AGGREGATE $1,000,000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C LoEsLiability XLS0010389 04/01/01 04/01/02 Per Occur 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers, Seattle Public Utilities and Boeing Commercial Airplane Co are additional insured as respects work performed by the named insured on the above project. Waiver of Subrogation applies. la_K I IFIGA I t HVLUCK Y ADDITIONAL INSURED; INSURER LETTER: l.At'4%-CLLA I IVN f^ CITRE- 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION as�I cs (U r \O- DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Renton IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Planning/Building/Public Works REPRESENTATIVES. Dept. 1055 South Grady Way 5 �' enton WA 98055 � Beckv Winbau r^`' 25-S (7/971 ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCkID EG CCO-2 DATE(MM/DD/YY) 05/08/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kent WA 98032 Phone: 206-695-3100 Fax:206-682-8494 INSURERS AFFORDING COVERAGE INSURED INSURER A: The Travelers Indem Co of Amer (� ( INSURER B: The Travelers Indem Co of IL INSURERC: Scottsdale Insurance Co Archer Construction, Inc. Y J C - INSURERD: 7855 So 206th St Kent WA 98032 --- INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POCY EFFECTIVE DATELIMMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88CO34BK144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 5 , 000 PERSONAL BADVINJURY $1,000,000 X WA Stop Gap GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s2,000,000 1-1 POLICY X PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO DT81034BK144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per Person) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS RECEIVED MAY10 2001 $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY UTILITY SYSTEMS AUTO ONLY - EA ACCIDENT $ $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $1,000,000 B X I OCCUR nCLAIMSMADE DSMCUP348K144ATIL00 04/01/01 04/01/02 AGGREGATE $1,000,000 S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER C Excess Liability XLS0008413 04/01/01 04/01/02 Per Occur 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers and Boeing Commercial Airplane Co are additional insured as respects their interest in work performed by the Named Insured on the above project. Waiver of Subrogation applies CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION CITRE-8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ✓ ff �.t� �O DATE THEREOF, THE ISSUING INSURER WILLKNE100Sd00M MAIL 45 DAYS WRITTEN h I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU SHALL City Of Renton Planning/Building/Public Works 6`DIMPOSE N0BLIGATION ORLL&IWkH F ANY KIND UPON THE INSURER, fTS AGENTS OR Dept. REPRESENTATWES. 1055 South Grady Way Renton WA 98055 -Becky Winbauer ACORD 25-S (7/97) ©ACORD CORPORATION 1988 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY — CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended tion with the general supervision of "your to include any person or organization you are re- work". quired to include as an additional insured on this e) This insurance does not apply to "bodily in - policy by a written contract or written agreement jury" or "property damage" arising out of "products in effect during this policy period and executed "your work' included in the - prior to the occurrence of any loss. completed operations hazard" unless you are The insurance provided to the additional insured required to provide such coverage by written 2. contract or written agreement and then only is limited as follows: for the period of time required by the contract a) The person or organization is only an addi- and in no event beyond the expiration date of tional insured with respect to liability arising the policy. out of "your work" for that additional insured. f) This insurance does not apply to any person b) In the event that the limits of liability stated in or organization for whom you have procured the policy exceed the limits of liability re- separate liability insurance while such insur- quired by the written contract or written once is in effect, regardless of whether the agreement, the insurance provided by this scope or limits of insurance in this policy ex- endorsement shall be limited to the limits of ceed those of such other insurance or liability required by the written contract. This whether such other insurance is valid or col - endorsement shall not increase the limits lectable. _ stated in Section III — LIMITS OF m— 3. Subpart (1)(a) of the Pollution exclusion under ,-- INSURANCE. Paragraph 2., Exclusions of Bodily Injury and c) The insurance provided to the additional in- Property Damage Liability Coverage (Section I — "_ sured does not apply to "bodily injury", Coverages) does not apply to you if the "bodily m .property damage", "personal injury" or injury" or "property damage" arises out of "your "advertising injury' arising out of an archi- work" performed on premises which are owned or �= tect's, engineer's or surveyor's renderina of or rented by the additional insured at the time "your failure to render any professional services work" is performed. including: _ 4. Any coverage provided by this endorsement to an I. The preparing, approving or failing to additional insured shall be excess over any other prepare or approve maps, shop drawings, valid and collectible insurance available to the opinions, reports, surveys, field orders, additional insured whether primary, excess, con - change orders, or drawings and specifi- tingent or on any other basis unless a written cations: and contract or agreement specifically requires that II. Supervisory or inspection activities per- this insurance apply on a primary or contributory formed as part of any related architec- basis. c_ tural or engineering activities. 5. As soon as practicable, each additional insured d) Except when required by written contract or must give us prompt notice of any "occurrence" — written agreement, the coverage provided to which may result in a claim, forward all legal pa - the additional insured by this endorsement pers to us, cooperate in the defense of any ac- does not appiy to "bodily injury" or "property tions, and otherwise comply with policy condi- damage" arising out of acts or omissions of tions. the additional insured other than in connec- _, I ACORD CERTIFICATE OF LIABILITY INSURANCkD EG CCO-2 DATE(MM/DD/YY) 1 05/08/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kent WA 98032 Phone: 206-695-3100 Fax: 206-682-8494 INSURERS AFFORDING COVERAGE INSURED INSURER A: The Travelers Indem Co of Amer �j / INSURER B: The Travelers Indem Co of IL �� Archer Construction, Inc. t Y 7855 So 206th St Kent WA 98032 INSURERC: Scottsdale Insurance Co INSURERD: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88C034BK144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE 1XI OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 X WA Stop Gap GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s2,000,000 POLICY X IRO - JECT B AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO DT81034BK144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B X I OCCUR CLAIMS MADE DSMCUP348K144ATIL00 04/01/01 04/01/02 AGGREGATE $1,000,000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER C Excess Liability XLS0008413 04/01/01, 04/01/02 Per Occur 3,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers and Boeing Commercial Airplane Co are additional insured as respects their interest in work performed by the Named Insured on the above project. Waiver of Subrogation applies CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION CITRE-8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLMKIMMSrOMM MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTXMIMULMIRMIMM SHALL City of Renton Planning/Building/Public Works IMPO"NOOBLIGATIOMZLtti>t46ilYTY©FM4WYNNDUPQ*0 EEff#S R GENTS OR Dept. REPRESENTATIVES. ��,�� 1055 South Grady Way Renton WA 98055 Beck Winbau ACUKU 25-5 (7/97) ©ACORD CORPORATION 1988 CUMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY — CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended tion with the general supervision of "your to include any person or organization you are re- work". quired to include as an additional insured on this e) This insurance does not apply to "bodily in - policy by a written contract or written agreement jury" or "property damage" arising out of "products in effect during this policy period and executed "your work" included in the - prior to the occurrence of any loss. completed operations hazard" unless you are The insurance to the additional insured required to provide such coverage by written 2. provided contract or written agreement and then only is limited as follows: for the period of time required by the contract a) The person or organization is only an addi- and in no event beyond the expiration date of tional insured with respect to liability arising the policy. out of ,your work" for that additional insured. f) This insurance does not apply to any person b) In the event that the limits of liability stated in or organization for whom you have procured the policy exceed the limits of liability re- Separate liability insurance while such insur- quired by the written contract or written ance is in effect, regardless of whether the agreement, the insurance provided by this scope or limits of insurance in this policy ex- endorsement shall be limited to the limits of ceed those of such other insurance or liability required by the written contract. This whether such other insurance is valid or col - endorsement shall not increase the limits lectable. stated in Section III — LIMITS OF m- 3. Subpart (1)(a) of the Pollution exclusion under INSURANCE. Paragraph 2., Exclusions of Bodily Injury and c) The insurance provided to the additional in- Property Damage Liability Coverage (Section I — sured does not apply to "bodily injury", Coverages) does not apply to you if the "bodily "property damage", "personal injury' or injury" or "property damage" arises out of "your ° "advertising injury" arising out of an archi- ,,,pork" performed on premises which are owned or tect's, engineers or surveyors rendering of or rented by the additional insured at the time "your failure to render any professional services work" is performed. N including: _ 4. Any coverage provided by this endorsement to an _ I. The preparing, approving or failing to additional insured shall be excess over any other prepare or approve maps, shop drawings, valid and collectible insurance available to the opinions, reports, surveys, field orders, additional insured whether primary, excess, con - change orders, or drawings and specifi- tingent or on any other basis unless a written cations: and contract or agreement specifically requires that II. Supervisory or inspection activities per- this insurance apply on a primary or contributory formed as part of any related architec- basis. tural or engineering activities. 5. As soon as practicable, each additional insured c- d) Except when required by written contract or must give us prompt notice of any "occurrence" — written agreement, the coverage provided to which may result in a claim, forward all legal pa - the additional insured by this endorsement pers to us, cooperate in the defense of any ac- does not apply to "bodily injury" or "property tions, and otherwise comply with policy condi- damage" arising out of acts or omissions of tions. the additional insured other than in connec- ,. , " AcoRQ. CERTIFICATE OF LIABILITY INSURANCkD EG CCO-2 DADD 5/08/01 05/O PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Kent WA 98032 Phone:206-695-3100 Fax:206-682-8494 INSURERS AFFORDING COVERAGE INSURED RUISED INSURER A: The Travelers Indem Co of Amer INSURER B: The Travelers Indem Co of IL -- INSURERC: Scottsdale Insurance Co Archer Construction, Inc. INSURERD: 7855 So 206th St Kent WA 98032 — ---- - - INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88C0348K144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE F]X�11 OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 X WA Stop Gap GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS $ X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) - $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $1,000,000 B X OCCUR CLAIMS MADE' DSMCUP34BK144ATIL00 04/01/01 04/01/02 AGGREGATE $1,000,000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER C ,Excess Liability XLS0008413 : 04/01/01 L 04/01/02 Per Occur 3,000,000 i Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. The certificate holder, their elected or appointed officers, officials, employees, subconsultants, volunteers and Boeing Commercial Airplane Co are additional insured as respects their interest in work performed by the Named Insured on the above pro3ect. Waiver of Subrogation applies CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION City of Renton Planning/Building/Public Works Dept. 1055 South Grady Way ,Renton WA 98055 LITRE-8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP DATE THEREOF, THE ISSUING INSURER WILLHDMMUCZ= MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU SMA6k IMPQSLAQ_QFArWA;SONfO8LTl=a%&Pj.QfiAN*"TDUPON ' -WSURER;iT"GENTSOR REPRESENTATTVES. /2 r Becky Winba e J'C4. ACORD 25-S (7/97) Arnpn rOPPORATIOKI 1ARR COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY — CONTRACTORS COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended tion with the general supervision of "your to include any person or organization you are re- work". quired to include as an additional insured on this e) This insurance does not apply to "bodily in - policy by a written contract or written agreement jury" or "property damage" arising out of in effect during this policy period and executed "your work" included in the "products - prior to the occurrence of any loss. completed operations hazard" unless you are 2. The insurance provided to the additional insured required to provide such coverage by written is limited as follows: contract or written agreement and then only a) The person or organization is only an addi- for the period of time required by the contract and in no event beyond the expiration date of tional insured with respect to liability arising the policy. out of "your work" for that additional insured. b) In the event that the limits of liability stated in f) This insurance does not apply to any person or organization for whom you have procured the policy exceed the limits of liability re- separate liability insurance while such insur- quired by the written contract or written ance is in effect, regardless of whether the agreement, the insurance provided by this scope or limits of insurance in this policy ex - endorsement shall be limited to the limits of ceed those of such other insurance or liability required by the written contract. This whether such other insurance is valid or col- endorsement shall not increase the limits lectable. stated in Section III — LIMITS OF �— INSURANCE. 3. Subpart (1)(a) of the Pollution exclusion under c) The insurance provided to the additional in- Paragraph 2., Exclusions of Bodily Injury and "bodily Property Damage Liability Coverage (Section I — sured does not apply to injury", "personal Coverages) does not apply to you if the "bodily "property damage", injury" or injury" or "property damage" arises out of "your " advertising injury" arising out of an archi- work" performed on premises which are owned or �— tect's, engineer's or surveyor's rendering of or rented by the additional insured at the time "your failure to render any professional services work" is performed. including: I. The approving or failing to 4. Any coverage provided by this endorsement to an preparing, additional insured shall be excess over any other prepare or approve maps, shop drawings, valid and collectible insurance available to the opinions, reports, surveys, field orders, additional insured whether primary, excess, con - change orders, or drawings and specifl- tingent or on any other basis unless a written o cations; and contract or agreement specifically requires that II. Supervisory or inspection activities per- this insurance apply on a primary or contributory formed as part of any related architec- basis. 0 tural or engineering activities. 5. As soon as practicable, each additional insured d) Except when required by written contract or must give us prompt notice of any "occurrence" m written agreement, the coverage provided to which may result in a claim, forward all legal pa- -- the additional insured by this endorsement pers to us, cooperate in the defense of any ac- does not apply to "bodily injury" or "property tions, and otherwise comply with policy condi- damage" arising out of acts or omissions of tions. the additional insured other than in connec- CG D2 09 07 98 Copyright, The Travelers indemnity Company, 1998 Page 1 cr 1 Rt�6 Jesse Tanner, Mayor MEMORANDUM CITY OF RENTON Office of the City Attorney Lawrence J. Warren To: Laszlo Csuha, Water Utility From: Lawrence J. Warren, City Attorney Date: May 9, 2001 Subject: CAG 01-043 Relocation of 10" Water Meters for Boeing Renton Plant The contract is approved as to legal form. Lawrence J. W rren LJW:tmj cc: Jay Covington RECEIVED MAY 10 2001 CITY OF RENTON UTILITY SYSTEMS Post Office Box 626 - 100 S 2nd Street - Renton, Washington 98057 - (425) 255-8678 9 This paper contains 50 % recycled material, 20 % post consumer April 23, 2001 Renton City Council Minutes Page 132 Renton's Centennial Parade float debuted at the Tacoma Daffodil Parade on April 21 st and received the Board of Director's Award for Best Float. CONSENT AGENDA Items on the consent agenda are adopted by one motion which follows the listing. Council Minutes of April 16, Approval of Council minutes of April 16, 2001. Council concur. 2001 Appointment: Airport Mayor Tanner recommended that 33 representatives, representing the Advisory Committee Kennydale, Highlands, Talbot Hill, North Renton, South Renton, West Hill, and Renton Hill Neighborhoods; Airport Leaseholders; Airport -at -Large; Boeing; Aircraft Owner's and Pilot's Association; City Council Transportation Committee; City staff; WSDOT Aviation Division and the Federal Aviation Administration; be appointed to the newly created Airport Advisory Committee. The initial terms for all voting members are staggered by one, two and three year terms; and subsequent terms shall be for three years. Refer to Community Services Committee. Appointment: Library Board Mayor Tanner reappointed Cynthia Columbi, 1013 N. 31st St., Renton, 98056, to the Library Board for a five-year term expiring 06/01/2006. Council concur. Appointment: Park Board Mayor Tanner reappointed Ronald J. Regis, 824 Jefferson Ave. NE, Renton, 98056, and Timothy J. Searing, 4510 NE 19th St., Renton, 98059, to the Park Board for four-year terms expiring on 06/0112005. Council concur. CAG: 01-043, Boeing Renton City Clerk reported bid opening on 04/18/2001 for CAG-01-043, Relocation of Plant 10" Water Meters 10-inch Water Meters for Boeing Renton Plant; eight bids; project estimate to award the contract to the Relocation, Archer Construction Inc $146,363.20; and submitted staff recommendation low bidder, Archer Construction, Inc., in the amount of $123,344.38. Council concur. Community Services: Ivar's Community Services Department recommended allocation of this year's annual Seafood Bar Contract Fund payment in the amount of $20,000 required in the Ivar's Seafood Bar contract Allocation for Community for community events and activities toward the following programs: Events & Activities Communities in Schools Mentor Recognition and Benefit Dinner, Summer Concert Series, and the City's annual Ivar's Clam Lights Festival. Council concur. Court Case: City of Tukwila, Court Case filed in King County Superior Court by Stephen R. King on behalf Tukwila, that the City show cause why an Order of CRT-01-003 of the City of requesting Public Use and Necessity for property to be acquired through eminent domain should not be issued in favor of Tukwila for the purpose of constructing the South 180th Street Grade Separation project. Refer to City Attorney and Insurance Services. EDNSP: Right -of -Way Use Economic Development, Neighborhoods and Strategic Planning Department Amendment recommended approval of City Code amendment authorizing permanent structures to be located in the unused portions of the City rights -of -way. Refer to Planning & Development Committee. Transportation: Logan Ave Transportation Systems Division recommended approval of an agreement with Transportation for the Logan Ave. Bridge Bridge Seismic Retrofit, Washington State Department of Seismic Retrofit project in the amount of $31,000; $24,800 grant funding, WSDOT Grant $6,200 City portion. Council concur. (See page 134 for resolution.) April 23, 2001 Renton City Council Minutes Page 133 Utility: Maplewood Wellfield Utility Systems Division recommended approval of a consultant agreement Water Improvements, with Economic and Engineering Services in the amount of $204,984 to Economic and Engineering complete a pre -design of treatment improvements for the Maplewood wellfield Services to improve the quality of treated water to eliminate problems with taste, odor and staining. Council concur. Responding to Councilmember Persson's inquiry regarding the lawsuit by the City of Tukwila, City Attorney Larry Warren stated that he has been in communication with the City of Tukwila and has confirmed that the City's easement located on the affected property will be protected. Councilwoman Keolker-Wheeler requested that the Community Services Committee verify residency of the representatives to be appointed to the Airport Advisory Committee. Councilwoman Keolker-Wheeler pointed out that according to the contract with Ivar's Seafood Bar, the Park Board is required to review the allocation of the annual payment of $20,000 and make its recommendation to Council. Mayor Tanner suggested that Council approve the allocation as presented and in the future, the matter will be go before the Park Board. MOVED BY CLAWSON, SECONDED BY NELSON, COUNCIL APPROVE THE CONSENT AGENDA AS PRESENTED. COUNCIL CONCUR. OLD BUSINESS Transportation (Aviation) Committee Chair Persson presented a report Transportation (Aviation) regarding the Airport Pavement Preventative Maintenance Management Committee Program. The Committee recommended: Airport: Pavement 1. That the City Council approve the contract with Pavement Consultants, Inc. Management System Study, for the preparation of a Pavement Maintenance Management Program for Pavement Consultants Inc the Renton Municipal Airport at a lump sum cost of $71,080., and 2. That the City Council authorize the Mayor and City Clerk to execute the contract. MOVED BY PERSSON, SECONDED BY NELSON, COUNCIL CONCUR IN THE COMMITTEE REPORT. CARRIED. Finance Committee Finance Committee Chair Parker presented a report recommending that the Legal: Legal Services Mayor and City Clerk be authorized to execute the contract for City Attorney Contract, Warren, Barber & services with Warren, Barber and Fontes, P.S. MOVED BY PARKER, Fontes, PS SECONDED BY NELSON, COUNCIL CONCUR IN THE COMMITTEE REPORT.* Councilman Persson stated that he did not sign the committee report, not because he opposes the contract, but because he felt that the contract should receive outside legal review. Councilmembers Parker and Clawson commented that they understood Councilman Persson's concern but felt that the contract went though the appropriate review processes. City Attorney Larry Warren noted that he had encouraged the City to seek outside legal review of the contract. *MOTION CARRIED. Community Services: Capital Finance Committee Chair Parker presented a report recommending authorizing Projects Coordinator (Fire the Administration to hire one limited term project management employee to Station #12 Construction), manage the design and construction of the new Highlands Fire Station (Fire Temporary Hire Station #12). Due to the nature of the project, it is also recommended that the position of Capital Projects Coordinator be hired at a Grade 25 with a term not to exceed 30 months. Funds in the amount of $215,000 from the Fire *INV CITY OF RENTON HUMAN RESOURCES & RISK MANAGEMENT DEPARTMENT MEMORANDUM DATE: May 2, 2001 c TO: =Webby, a, Utility Systems RECFIVcD MAY �FROM: BR & RM Administrator CST 5 2001 SUBJECT: Ins. Review/CAG-0 1 -043 -Archer Construction UT l C o S�S EM N I have reviewed the Certificate of Insurance renewal for the above referenced contract. The insurance coverage, provided for this project, will meet the City's risk management requirements when the following items have been provided for: • The City requires an unqualified notice of cancellation or non -renewal of insurance policies. Thus, the cancellation language should read: "Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavver- to mail 45 days written notice to the certificate holder named to the left. But failtir-e to mail seh notice shall Please provide the revised certificate to HR when received ACORD CERTIFICATE OF LIABILITY INSURANCkID JN DATE(MM/DD/YY) CCO-2 04/27/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hurley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Kent WA 98032 IPhone:206-695-3100 Fax:206-682-8494 INSURERS AFFORDING COVERAGE NSURED INSURERA: The Travelers Indem Co of Amer INSURER B: The Travelers Indem Co of IL Archer Construction, Inc. INSURERC: 7855 So 206th St INSURERD: Kent WA 98032 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY E TIVE DATE MMIDD/YY POLICY EXPIRATI DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88CO348K144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Any one fire) $ 300,000 CLAIMS MADE FX] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X WA Stop Gap GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROECT LOC J B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X Hired Auto $50,000 LIMIT; 500 DED COMP & $500 DED COLL X PROPERTY DAMAGE (Per accident) $ X Physic 1 Damage GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 1, O O O, O O O B X OCCUR CLAIMSMADE DSMCUP348K144ATIL00 04/01/01 04/01/02 AGGREGATE $ 1,000,000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATION SIVEHIC LES/EXCLUSIONS ADDED BY EN DORSEMENT/SPECIAL PROVISIONS RE: Relocation of 10" Water Meters for Boeing Renton Plant CAG 01-043. City of Renton, their elected or appointed officers, officials, employees, and volunteers are added as additional insureds as respects Isub-consultants, their interest in work performed by the Named Insured on the above project. Waiver of Subrogation applies. City of Renton Planning/Building/Public Works Dept. 1055 South Grady Way Renton WA 98055 CITRE - 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL HKIX@G9IZICINX00 MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT)F74"RHX0MVW SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, ACORD 25-S (7/97) :UXKd:7go] ZTr00a ACORD,., CERTIFICATE OF LIABILITY INSURANCFD _TN DATE(MM/DD/YY) CCO-2 04/27/0, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Turley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 20415 72nd Ave. S . , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cent WA 98032 Phone: 206-695-3100 Fax:206-682-8494 INSURERS AFFORDING COVERAGE NSURED Archer Construction, Inc. 7855 So 206th St Kent WA 98032 OVERAGES INSURER A: The Travelers Indem Cc of Amer INSURERS: The Travelers Indem Co of IL INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY P LI Y EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY DT88CO348K144ATIA00 04/01/01 04/01/02 FIRE DAMAGE (Anyone fire) $ 300,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 X WA Stop Gap GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY ' X PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X Hired Auto $50, 000 LIMIT; 500 DED COMP & $500 DED COLL X PROPERTY DAMAGE (Per accident) $ X Physical Damage GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B X OCCUR �'� CLAIMS MADE DSMCUP348K144ATIL00 04/01/01 04/01/02 AGGREGATE $ 1, 000, 000 $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 2E: Relocation of 1011 Water Meters for Boeing Renton Plant CAG 01-043. �ity of Renton, their elected or appointed officers, officials, employees, Isub-consultants, and volunteers are added as additional insureds as respects their interest in work performed by the Named Insured on the above project. Waiver of Subrogation applies. CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: A CITRE-8 City of Renton Planning/Building/Public Works Dept. 1055 South Grady Way Renton WA 98055 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL H611I49SLIM}ID MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTXXK3IRHXBMM= SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ to ACORD 25-S (7/97) ©ACORD CORPORATION 1988 TE A0 CCO-2 4/2 _CORQM CERTIFICATE OF LIABILITY INSURANC D JN DA4/2DD/01 7/1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Turley, Atkins & Stewart, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR >0415 72nd Ave. S. , Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cent WA 98032 Phone: 206-695-3100 Fax:206-682-8494 INSURERS AFFORDING COVERAGE NSURED INSURER A: The Travelers Indem Co of Amer INSURERB: The Travelers Indem Co of IL Archer Construction, Inc. INSURERC: 7855 So 206th St INSURERD: Kent WA 98032 -- INSURER E: :OVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X WA Stop Gap DT88CO348K144ATIA00 04/01/01 04/01/02 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PROECT LOC J PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO DT810348K144ATIL00 ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS. NON -OWNED AUTOS �,, Hired Auto $50,000 LIMIT; 500 DED Ph sical Damage COMP & $500 DED COLL 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ X GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ - $ B EXCESS LIABILITY X OCCUR %� CLAIMS MADE DEDUCTIBLE RETENTION $ ''i DSMCUP348K144ATIL00 04/01/01 '', 04/01/02 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1, 000, 000 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIO NS/LOCATIONSN EH ICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Relocation of 101, Water Meters for Boeing Renton Plant CAG 01-043. City of Renton, their elected or appointed officers, officials, employees, Isub-consultants, and volunteers are added as additional insureds as respects their interest in work performed by the Named Insured on the above project. Waiver of Subrogation applies. CERTIFICATE HOLDER y ADDITIONAL INSURED; INSURER LETTER; CITRE-8 City of Renton Planning/Building/Public Works Dept. 1055 South Grady Way Renton WA 98055 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL HOM79S1Y' = MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT)Ex"1tHXC1XInISO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. _ 4CORD 25-S (7/97) ACORD CORPORATION 1988 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS MEMORANDUM DATE: May 8, 2001 TO: Larry Warren, City Attorney `e FROM: Laszlo Csuha, Water Utility SUBJECT: CAG 01-043 Relocation of 10" Water Meters for Boeing Renton Plant Please review the enclosed document as to legal form. Please return the contract to me at your convenience. cc: Abdoul Gafour H:\DMSION.S\UTILYrIE.S\DOCS\2001\2001-257.doc\LC\tb CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS MEMORANDUM DATE: April 8, 2001 TO: Michael Webby, Administrator Human Resources & Risk Management FROM: Laszlo Csuha, (ext. 7207) L C Water Utility SUBJECT: Insurance Documents for CAG 01-043 Relocation of Water Meters for Boeing Plant For your review, attached is a copy of the contract including the required certificate of insurance. Under this contract in the amount of $146,363.20, the contractor Archer Construction, Inc., will relocate two water meter vaults, which serve the Boeing Renton plant. We are asking the contractor's insurance company to provide us with a revised certificate of insurance to include the Boeing Company and Seattle Public Utilities as additional insured to comply with our contract requirements (Section 1-07.18(2), page 3 of the Special Provisions). We will provide you with the revised certificate for your records upon receipt. Please call me at x. 7207 if you have any questions. Thank you. I have reviewed the Certificate of Insurance submitted for the above referenced contract. The insurance coverage provided for this project meets the City's risk management requirements subject to the following: • Add the Boeing Company and Seattle Public Utilities as additional insured on the Certificate of Insurance. Michael Webby, Administrator Human Resources & Risk Management Division DATE: H:\DIVISION. S\UTILITIE.S\DOCS\2001\2001-258.doc\LC\tb