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059-17 - Express Septic Service - ContractCITY OF PORT ORCHARD ORDINARY MAINTENANCE AGREEMENT THIS Agreement is made effective as of the 25th day of August, 2017, by and between the City of Port Orchard, a municipal corporation, organized under the laws of the State of Washington, whose address is: i !CITY OF PORT ORCHARD, WASHINGTON (hereinafter the “CITY”) 216 Prospect Street Port Orchard, Washington 98366 Contact: Mayor Robert Putaansuu I i Phone: 360.876.4407 Fax: 360.895.9029 and Express Septic Service a corporation (describe the type of organization, whether corporation, sole proprietorship, etc.), organized under the laws of the State of Washington, doing business at: EXPRESS SEPTIC SERVICE (hereinafter the “VENDOR”) PO Box 1938 Port Orchard, WA 98366 Contact: Randy Oxier, President Email: expressseptic@hotmail.com Phone:360.895.5412 for ordinary maintenance services performed in connection with the following: Sidney Glen Elementary School Annual Pumping TERMS AND CONDITIONS 1.Services by Vendor. The Vendor shall perform the services described in the Scope of Work attached to this Agreement as Exhibit "A." The services performed by the Vendor shall not exceed the Scope of Work without prior written authorization from the City. A. The City may from time to time require changes or modifications in the Scope of Work. Such changes, including any decrease or increase in the amount of compensation, shall be agreed to by the parties and incorporated in written amendments to the Agreement. B. This Agreement shall commence on August 28, 2017, (“Commencement Date”) and shall terminate December 31st, 2017, unless extended or terminated in writing as provided herein. Additionally, the City reserves the rights to review the Agreement at regular intervals to assure the quality of services provided by the Vendor and to offer two (2) one-year extensions prior to contract expiration to retain the Vendor’s services. C. Unless otherwise specified in the attached Scope of Work, all tools, equipment, supplies, chemicals or any other materials necessary for the completion of the services described in the Scope of Work shall be provided by the Vendor. D. City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SEWER\Sidney Glen Pumping & Marymac\SIDNEY GLEN\2017\MASTER Ordinary Maint SEC 6.24.16.doc 1 of 9 The Vendor shall report any damage or potential hazard involving City property immediately to the City of Port Orchard Public Works Department or in the case of an emergency by calling 911. Hazardous conditions shall be immediately remedied or secured by the Vendor to prevent further damage and/or to protect the public from injury. E. Any incidents, accidents, or altercations with members of the public or with City staff shall be immediately reported to the City of Port Orchard Public Works Department. The City’s Public Works Director may require a written report describing the incident or accident. F. The Vendor shall remedy, in a timely manner, and at its expense, any damage to City property due to the negligence of the Vendor or the Vendor’s employees. G. 2.Schedule of Work. The Vendor shall perform the services described in the scope of work in accordance with the Schedule attached to this contract as Exhibit “A.” If delays beyond the Vendor's reasonable control occur, the parties will negotiate in good faith to determine whether an extension is appropriate. A. The Vendor is authorized to proceed with services upon receipt of a written Notice toB. Proceed. 3.Compensation. LUMP SUM. Compensation for these services shall be a Lump Sum of $1596.85. TIME AND MATERIALS NOT TO EXCEED. Compensation for these services shall not exceed $ expenses attached hereto as Exhibit “”. TIME AND MATERIALS. Compensation for these services shall be on a time and material basis according to the list of billing rates and reimbursable expenses attached hereto as Exhibit X □without written authorization and will be based on billing rates and reimbursable □ □OTHER. 4.Payment. The Vendor shall maintain time and expense records and provide them to the City monthly after services have been performed, along with monthly invoices in a format acceptable to the City for work performed to the date of the invoice. A. All invoices shall be paid by City warrant within thirty (30) days of receipt of a proper invoice. If the City objects to all or any portion of any invoice, it shall so notify the Vendor of the same within fifteen (15) days from the date of receipt and shall pay that portion of the invoice not in dispute, and the parties shall immediately make every effort to settle the disputed portion. B. The Vendor shall keep cost records and accounts pertaining to this Agreement available for inspection by City representatives for three (3) years after final payment unless a longer period is required by a third-party agreement. Copies shall be made available on request. C. City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SEWER\Sidney Glen Pumping & MarymaciSIDNEY GLEN\2017\MASTER Ordinary Maint SEC 6.24J6.doc 2 of 9 If the services rendered do not meet the requirements of this Agreement, the Vendor will correct or modify the work to comply with this Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement. D. 5.Discrimination and Compliance with Laws The Vendor agrees not to discriminate against any employee or applicant for employment or any other person in the performance of this Agreement because of race, creed, color, national origin, marital status, sex, age, disability, or other circumstance prohibited by federal, state, or local law or ordinance, except for a bona fide occupational qualification. A. Even though the Vendor is an independent contractor with the authority to control and direct the performance and details of the work authorized under this Agreement, the work must meet the approval of the City and shall be subject to the City’s general right of inspection to secure the satisfactory completion thereof. B. The Vendor agrees to comply with all federal, state and municipal laws, rules and regulations, including but not limited to all health and safety regulations applicable to the work that are now effective or become applicable within the term(s) of this Agreement to the Vendor’s business, equipment and personnel engaged in operations covered by this Agreement or accruing out of the performance of such operations. The Vendor shall comply with all federal and state laws applicable to independent contractors, including, but not limited to, the Washington State Worker’s Compensation and Unemployment Insurance laws, and maintenance of a separate set of books and records that reflect all items of income and expenses of the Vendor’s business, pursuant to Revised Code of Washington (RCW) 51.08.195, as required by law, to show that the services performed by the Vendor under this Agreement shall not give rise to an employer-employee relationship between the parties, which is subject to Title 51 RCW, Industrial Insurance. C. The Vendor shall comply with prevailing wage requirements under Washington law. See, Prevailing Wage Addendum to this Agreement. D. The Vendor shall obtain a City of Port Orchard business license prior to receipt of writtenE. Notice to Proceed. Violation of this Paragraph 5 shall be a material breach of this Agreement and grounds for cancellation, termination, or suspension of this Agreement by the City, in whole or in part, and may result in ineligibility for further work for the City. F. Relationship of Parties. The parties intend that an independent contractor-client relationship will be created by this Agreement. As the Vendor is customarily engaged in an independently established trade which encompasses the specific service provided to the City hereunder, no agent, employee or representative of the Vendor shall be or shall be deemed to be the employee, agent or representative of the City. In the performance of the work, the Vendor is an independent contractor with the ability to control and direct the performance and details of the work, the City being interested only in the results obtained under this Agreement. None of the benefits provided by the City to its employees, including but not limited to compensation, insurance, and unemployment insurance, are available from the City to the employees, agents or representatives of the Vendor. The Vendor will be solely and entirely responsible for its acts and for the acts of its agents, employees, representatives and sub-consultants during the 6. City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SEWER\Sidney Glen Pumping & Marymac\SlDNEY GLEN\2017\MASTER Ordinary Mamt SEC 6,24 16.doc 3 of 9 performance of this Agreement. The City may, during the term(s) of this Agreement, engage other independent contractors to perform the same or similar work that the Vendor performs hereunder. Suspension and Termination of Agreement7. Termination without cause. This Agreement may be terminated by the City at any time for public convenience, for the Vendor’s insolvency or bankruptcy, or the Vendor’s assignment for the benefit of creditors. A. Termination with cause. The Agreement may be terminated upon the default of the Vendor and the failure of the Vendor to cure such default within a reasonable time after receiving written notice of the default. B. Rights Upon Termination.C. Upon termination for any reason, all finished orWith or Without Cause. unfinished documents, reports, or other material or work of the Vendor pursuant to this Agreement shall be submitted to the City, and the Vendor shall be entitled to just and equitable compensation for any satisfactory work completed prior to the date of termination, not to exceed the total compensation set forth herein. The Vendor shall not be entitled to any reallocation of cost, profit or overhead. The Vendor shall not in any event be entitled to anticipated profit on work not performed because of such termination. The Vendor shall use its best efforts to minimize the compensation payable under this Agreement in the event of such termination. Upon termination, the City may take over the work and prosecute the same to completion, by contract or otherwise. 1. Default. If the Agreement is terminated for default, the Vendor shall not be entitled to receive any further payments under the Agreement until all work called for has been fully performed. Any extra cost or damage to the City resulting from such default(s) shall be deducted from any money due or coming due to the Vendor. The Vendor shall bear any extra expenses incurred by the City in completing the work, including all increased costs for completing the work, and all damage sustained, or which may be sustained, by the City by reason of such default. 2. Suspension. The City may suspend this Agreement, at its sole discretion. Any reimbursement for expenses incurred due to the suspension shall be limited to the Vendor's reasonable expenses, and shall be subject to verification. The Vendor shall resume performance of services under this Agreement without delay when the suspension period ends. D. Notice of Termination or Suspension. If delivered to the Vendor in person, termination shall be effective immediately upon the Vendor’s receipt of the City’s written notice or such date as stated in the City’s notice of termination, whichever is later. Notice of suspension shall be given to the Vendor in writing upon one week's advance notice to the Vendor. Such notice shall indicate the anticipated period of suspension. Notice may also be delivered to the Vendor at the address set forth in Section 15 herein. E. City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SEWER\Sidney Glen Pumping & Marymac\SIDNEY GLEN\2017\MASTER Ordinary Maint SEC 6.24.16.doc 4 of 9 8.Standard of Care.; The Vendor represents and warrants that it, and the Vendor’s employees, have the requisite training, skill and experience necessary to provide the services under this Agreement and are appropriately accredited and licensed by all applicable agencies and governmental entities. Services provided by the Vendor and the Vendor’s employees under this Agreement will be performed in a manner consistent with that degree of care and skill ordinarily exercised by members of the same profession currently practicing in similar circumstances. j The Vendor and the Vendor’s employees shall conduct themselves in a professional manner at all times when on site. The Vendor’s employees shall wear clothing and/or a uniform which clearly identifies them as an employee of the Vendor. The Vendor further represents and warrants that it shall provide proper supervision for any employees utilized to perform the services herein and shall ensure that all employees are properly trained and qualified. The Vendor shall ensure that all workplace safety requirements of state or federal law are strictly observed at all times. The Vendor warrants that all employees have been trained to comply with state and federal standards (including but not limited to standards for handling chemicals, WISHA and OSHA) relevant to the duties to be performed in accordance with the Scope of Work.] Ownership and Use of Documents. All records, files, documents, drawings, specifications, data or information, regardless of form or format, and all other materials produced by the Vendor in connection with the services provided to the City, shall be the property of the City whether finished or not and also whether the project for which they were created is executed or not. 9.; Work Performed at the Vendor’s Risk. The Vendor shall take all precautions necessary and shall be responsible for the safety of its employees, agents and representatives in the performance of the work hereunder, and shall utilize all protection necessary for that purpose. All work shall be done at the Vendor’s own risk, and the Vendor shall be responsible for any loss or damage to materials, tools, or other articles used or held by the Vendor for use in connection with the work. 10. Indemnification. The Vendor shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorneys' fees, arising out of or in connection with the performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. The City's inspection or acceptance of any of the Vendor’s work when completed shall not be grounds to avoid any of these covenants of indemnification. Nothing in this Agreement shall be construed as creating a liability or right of indemnification in any third party. 11. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Vendor and the City, its officers, officials, employees, agents and volunteers, the Vendor's liability hereunder shall be only to the extent of the Vendor's negligence. The provisions of this section shall survive the expiration or termination of this Agreement. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SEWER\Sidney Glen Pumping & Marymac\SIDNEY GLEN\2017\MASTER Ordinary Main! SEC 6.24.16.doc 5 of 9 OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. THE VENDOR'S WAIVER OF IMMUNITY UNDER THE PROVISIONS OF THIS SECTION DOES NOT INCLUDE, OR EXTEND TO, ANY CLAIMS BY THE VENDOR’S EMPLOYEES DIRECTLY AGAINST THE VENDOR. 12. Insurance. The Vendor shall procure and maintain for the duration of this Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Vendor, its agents, representatives, or employees. A. Minimum Scope of Insurance Vendor shall obtain insurance of the types described below:; 1. Automobile Liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage.! 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 or a substitute form providing equivalent liability coverage and shall cover liability arising from premises, operations, independent contractors and personal injury and advertising injury. The City shall be named by endorsement as an additional insured under the Vendor’s Commercial General Liability insurance policy with respect to the work performed for the City. ! 3. Workers’ Compensation coverage as required by the Industrial Insurance laws of the State of Washington. 4. Professional Liability insurance appropriate to the Vendor’s profession if applicable. B. Minimum Amounts of Insurance Vendor shall maintain the following insurance limits: 1. Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate.i ; 3. Workers’ Compensation Employer’s Liability each accident $ 1,000,000. Employer’s Liability Disease each employee $1,000,000, and Employer’s Liability Disease - Policy Limit $1,000.00. 4. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions : The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability, Professional Liability and Commercial General Liability insurance: City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 UAENGINEERlNG\SEWER\Sidney Glen Pumping & MarymadSlDNEY GLEN\20I7\MASTER Ordinary Maint SEC 6.24.16.doc 6 of 9 The Vendor’s insurance coverage shall be primary insurance as respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant’s insurance and shall not contribute with it. 1. The Vendor’s insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 2. The City will not waive its right to subrogation against the Vendor. The Vendor’s insurance shall be endorsed acknowledging that the City will not waive its right to subrogation. The Vendor’s insurance shall be endorsed to waive the right of subrogation against the City, or any self-insurance, or insurance pool coverage maintained by the City. 3. If coverage is written on a “claims made” basis, then a minimum of a three (3) year extended reporting period shall be included with the claims made policy, and proof of this extended reporting period provided by the City. 4. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage The Vendor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Vendor before commencement of the work. 13. Assigning or Subcontracting. The Vendor shall not assign, transfer, subcontract or encumber any rights, duties, or interests accruing from this Agreement without the express prior written consent of the City, which consent may be withheld in the sole discretion of the City. 14. Notice. Any notices required to be given by the City to the Vendor or by the Vendor to the City shall be in writing and delivered to the parties at the following addresses: Robert Putaansuu Mayor 216 Prospect Street Port Orchard, WA 98366 Express Septic Services Attn: Randy Oxier PO Box 1938 Port Orchard, WA 98366 Phone: 360.876.4407 Fax: 360.895.9029 Phone: 360.895.5412 Fax: 360.895.5412 15. Resolution of Disputes and Governing Law. Should any dispute, misunderstanding or conflict arise as to the terms and conditions contained in this Agreement, the matter shall first be referred to the Mayor, who shall determine the term A. City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENCHNEERING\SEWER\Sidney Glen Punping & Marymac\SIDNEY GLEN\20I7\MASTER Ordinary Maint SEC 6.24.16.doc 7 of 9 or provision’s true intent or meaning. The Mayor shall also decide all questions which may arise between the parties relative to the actual services provided or to the sufficiency of the performance hereunder. If any dispute arises between the City and the Vendor under any of the provisions of this Agreement which cannot be resolved by the Mayor’s determination in a reasonable time, or if the Vendor does not agree with the Mayor’s decision on a disputed matter, jurisdiction of any resulting litigation shall be filed in Kitsap County Superior Court, Kitsap County, Washington. B. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. In any suit or action instituted to enforce any right granted in this Agreement, the substantially prevailing party shall be entitled to recover its costs, disbursements, and reasonable attorneys’ fees from the other party. C. 16.General Provisions. Non-waiver of Breach. The failure of either party to insist upon strict performance of any of the covenants and agreements contained herein, or to exercise any option herein contained in one or more instances, shall not be construed to be a waiver or relinquishment of said covenants, agreements, or options, and the same shall be in full force and effect. A. Modification. No waiver, alteration, modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and the Vendor. B. Severability. The provisions of this Agreement are declared to be severable. If any provision of this Agreement is for any reason held by a court of competent jurisdiction to be invalid or unconstitutional, such invalidity or unconstitutionality shall not affect the validity or constitutionality of any other provision. C. Entire Agreement. The written provisions of this Agreement, together with any Exhibits and Addenda attached hereto, shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner whatsoever, the Agreement or the Agreement documents. The entire agreement between the parties with respect to the subject matter hereunder is contained in this Agreement, the Exhibits and Addenda attached hereto, which may or may not have been dated prior to the execution of this Agreement. All of the above documents are hereby made a part of this Agreement and form the Agreement document as fully as if the same were set forth herein. Should any language in any of the Exhibits or Addenda to this Agreement conflict with any language contained in this Agreement, then this Agreement shall prevail. D. IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year set forth above. CITY OF PORT ORCHARD, WASHINGTON VENDOR &f/v vy OX/fAl _________ f&£/>i£A/r_______________ By: Name: Title:IBy: Robert Putaansuu, Mayor City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEERING\SBWER\Sidney Glen Pumping & MarymaCSIDNEY GLENvZOlAMASTER Ordinary Maim SEC 6.24 I6.doc 8 Of 9 1 ATT]!ATE: Bi'Sncfy Rfcearson, CMC City Clerk By: APPROVED AS TO FORM: ) By: son Cates, City Attorney J(J.^ . i 1 f SEAL Jt % ‘.<s> City of Port Orchard and Express Septic Serivces Ordinary Maintenance Contract No.C059-17 U:\ENGINEER1 NGXSE WER'Sidney Glen Pumping & Marymac\SID NE Y GLENX2017\MASTER Ordinary Main! SEC 6.24.16.doc 9 of 9 Express Septic Tank Cleaning Estimate PO BOX 1938 Port Orchard, WA 98366 360-895-5412 Estimate #Date 8/14/2017 468 Name / Address Job Address City Of Port Orchard 216 Prospect St Port Orchard, WA 98366 Sidney Glen Elementry 500 Birch Rd 98367 Description Rate Truck Time- (2) loads @ $395.00 per load to designated site per City of Port Orchard Septic pumping @37.5 Cents per gallon to offsite 790.00 675.00 Subtotal $1,465.00 Sales Tax (9.0%)$131.85 Total $1,596.85 E-mail expressseptic@hotmail.com DATE (MM/DD/YYYY) 8/29/2017/XCORD CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT NAME:Trish FuquaPRODUCER Leavitt Group Northwest 2121 70th Ave West, #B PHONE (A/C. No. Ext): E-MAIL ADDRESS: FAX(253)565-3500 (253)565-7209 (A/C, No):trish-fuqua@leavitt.com INSURER(S) AFFORDING COVERAGE NAIC # University Place WA 98466 insurer a :Ohio Security Insurance Company INSURER B :___________________________________________________ 24082 INSURED Express Septic Service PO Box 1938 INSURERC INSURER D INSURER E Port Orchard WA 98366 INSURERF : CERTIFICATE NUMBER:16/17 GL/AL/SGCOVERAGES REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.ISUBRl WVDA DDL ' INSD 1 INSR POLICY EFF (MM/DD/YYYY)POLICY EXP (MM/DD/YYYY)TYPE OF INSURANCE LIMITSPOLICY NUMBERLTR COMMERCIAL GENERAL LIABILITYX 1,000,000 1,000,000 EACH OCCURRENCE A a DAMAGE TO RENTED PREMISES (Ea occurrence)A CLAIMS-MADE OCCUR S X 15,0009/30/2016 9/30/2017BKS55359866 MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000A 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO­ JECT GENERAL AGGREGATE S □uX 2,000,000 PRODUCTS - COMP/OP AGG $POLICY LOC $OTHER: COMBINED SINGLE LIMIT (Ea accident) _______AUTOMOBILE LIABILITY $1,000,000 BODILY INJURY (Per person)$ANY AUTO ALL OWNED AUTOS HIRED AUTOS A SCHEDULED AUTOS NON-OWNED AUTOS X BODILY INJURY (Per accident) PROPERTY DAMAGE- (Per accident) $9/30/2016 9/30/2017BAS56382604 X X $ $ UMBRELLA LIAB EACH OCCURRENCE AOCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $ ARETENTION SPEP PER x I OTH-WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE m OFFICER/MEMBER EXCLUDED?A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below STATUTE ER Y/N E.L. EACH ACCIDENT $1,000,000□N/A 9/30/2016 9/30/2017BKS55359866 E.L DISEASE - EA EMPLOYEE $1,000,000 WA Stop Gap E.L DISEASE - POLICY LIMIT 1,000,000A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Sidney Glen Elementary City of Port Orchard is additional insured as required by written contract per attached endorsement CG8810 04/13 CERTIFICATE HOLDER CANCELLATION cpalmer@cityofportorchard. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Port Orchard 216 Prospect St. Port Orchard, WA 98366 AUTHORIZED REPRESENTATIVE Brad Bannon/TRFUQU ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INS025 (?01401) The ACORD name and logo are registered marks of ACORD