HomeMy WebLinkAboutSH18-048 Professional Services AgreementPROFESSIONAL SERVICES AGREEMENT
This Agreement is made by and between Kittitas County (hereinafter "the County")
and FCI Custom Vehicles (hereinafter "Contractor"). The County and Contractor agree as
follows:
General Conditions; Exhibit A (Scope of Work); Exhibit B (Compensation);
Exhibit C (Proof of Insurance).
copies of which are attached hereto and incorporated herein by this reference as fully as if
set forth herein.
The term of this Agreement shall commence on January 1, 2018 and continue until
December 31, 2019. This agreement may be renewed annually if both parties are mutually
agreeable to renewal. The original Agreement was initiated on April 1, 2012, and has been
renewed on an annual basis every year since 2012. Any party may terminate this
Agreement by giving thirty (30) days' notice in writing either personally delivered or mailed
postage -prepaid by certified mail, return receipt requested, to the party's last known
address for the purposes of giving notice under this paragraph.
Contractor acknowledges and by signing this Agreement agrees that the
Indemnification provisions set forth in Paragraphs 7 (Independent Contractor), 9 (Taxes),
15 (Defense and Indemnity Agreement), 21 (Patent/Copyright Infringement) and 24
(Confidentiality), are totally and fully part of this Agreement and have been mutually
negotiated by the parties.
Professional Services Agreement (rev, 09/24/2018)
Page 1 of 17
IN WITNESS WHEREOF, the parties have executed this Agreement this day
of , 2018.
FCI CUSTOM POLICE VEHICLES
Signature of Signatory
(Date )
Print Name of Signatory
Contractor Address:
FCI Custom Police Vehicles
45727 SE 140th
North Bend, WA 98045
Contractor Contact:
Alan Bateman (425) 831-5203
COUNTY OF KITTITAS
BOARD OF COUNTY COMMISIONERS
Laura Osiadacz, Chairman
Obie O'Brien, Vice -Chairman
Cory Wright, Commissioner
COUNTY OF KITTITAS
SHERIFF'S Q FICE
Gene Dana, Sheriff
ATTEST:
❑ Clerk of the Board- Julie Kjorsvik
❑ Deputy Clerk of the Board- Mandy
Buchholz
AP P ROV
P~
Contractor Licensing Information:
-Incorporated in Washington State, UBI #
6000534311 TIN 91-0871323
-Washington State Labor and Industries
Account # 845,243-00, DUNS 019245109
Professional Services Agreement (rev. 09/24/2018)
Page 2 of 17
TO FORM:
Douglas R. Mitchell,
Deputy Prosecuting At orney
Project Contact:
Steve Panattoni (509) 962-7525
Kittitas County Sheriff's Office
307 W Umptanum Rd
Ellensburg, WA 98926
GENERAL CONDITIONS
1. Scope of Contractor's Services:
Contractor agrees to provide to the County services and any materials set forth in the
project narrative identified in Exhibit "A" during the Agreement period. No material, labor,
or facilities will be furnished by the County, unless otherwise provided for in the
Agreement.
2. Performance of Work:
Contractor shall perform work in accordance with, and shall comply with, all of the
provisions of this Agreement. All work shall comply with applicable codes and ordinances.
3. Schedule of Performance:
Unless directed otherwise by the County, Contractor shall perform the work in accordance
with any schedules made a part of this Agreement.
4. Definitions:
4.1 "Additional Insureds" means the County, its successors and assigns, and
the respective directors, officers, employees, agents and representatives of
the County and its successors and assigns.
4.2 "Support" means the following: Contractor's directors, officers, employees,
agents and representatives; and sub -Contractors of any tier; the respective
directors, officers, employees, agents and representatives of these sub -
Contractors of any tier; and any other person or entity acting under the
direction or control of, or on behalf of, Contractor or any Contractor's sub -
Contractors of any tier in connection with or incident to the performance of
the Work or this Agreement.
4.3 The "Work" means all of the duties listed in Exhibit A and the performance of
all other obligations, under this Agreement by Contractor or its Support.
5. Accounting and Payment for Contractor Services:
Payment to the Contractor for services rendered under this Agreement shall be as set
forth in Exhibit "B". Where Exhibit "B" requires payments by the County, payment shall be
based upon billings, supported unless otherwise provided in Exhibit "B", by documentation
of units of work actually performed and amounts earned, including where appropriate, the
actual number of days worked each month, total number of hours for the month, and the
total dollar payment requested. Unless specifically stated in Exhibit "B" or approved in
writing in advance by the Kittitas County Board of Commissioners, the County will not
reimburse the Contractor for any costs or expenses incurred by the Contractor in
performance of this Agreement.
Where required, the County shall, upon receipt of appropriate documentation, compensate
the Contractor, no more often than monthly, through the County voucher system, for the
Contractor's service pursuant to the fee schedule set forth in Exhibit "B".
Professional Services Agreement (rev. 09/24/2018)
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6. Assignment and Subcontracting:
No portion of this Agreement may be assigned or subcontracted to any other individual,
firm or entity without the express and prior written approval of the County.
7. Independent Contractor:
The Contractor's services shall be furnished by the Contractor as an independent
Contractor and nothing herein contained shall be construed to create a relationship of
employer-employee or master -servant, but all payments made hereunder and all services
performed shall be made and performed pursuant to this Agreement by the Contractor as
an independent Contractor.
The Contractor acknowledges that the entire compensation for this Agreement is specified
in Exhibit "B" and the Contractor is not entitled to any County benefits including, but not
limited to: vacation pay, holiday pay, sick leave pay, medical, dental, or other insurance
benefits, or any other rights or privileges afforded to Kittitas County employees.
Contractor will defend, indemnify and hold harmless the County, its Additional Insureds,
officers, agents or employees from any loss or expense, including but not limited to
settlements, judgments, setoffs, attorneys' fees or costs incurred by reason of claims or
demands because of breach of the provisions of this paragraph.
8. No Guarantee of Employment:
The performance of all or part of this Agreement by the Contractor shall not operate to
vest any employment rights whatsoever and shall not be deemed to guarantee any
employment of the Contractor or any employee of the Contractor or any sub -Contractor or
any employee of any sub -Contractor by the County at the present time or in the future.
9. Taxes:
The Contractor understands and acknowledges that the County will not withhold Federal
or State income taxes. Where required by State or Federal law, the Contractor authorizes
the County to make withholding for any taxes other than income taxes (i.e. Medicare). All
compensation received by the Contractor will be reported to the Internal Revenue Service
at the end of the calendar year in accordance with the applicable IRS regulations. It is the
responsibility of the Contractor to make the necessary estimated tax payments throughout
the year, if any, and the Contractor is solely liable for any tax obligation arising from the
Contractor's performance of this Agreement. The Contractor hereby agrees to indemnify
the County against any demand to pay taxes arising from the Contractor's failure to pay
taxes on compensation earned pursuant to this Agreement.
The County will pay sales and use taxes imposed on goods or services acquired
hereunder as required by law. The Contractor must pay all other taxes including, but not
limited to: Business and occupation Tax, taxes based on the Contractor's gross or net
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income, or personal property to which the County does not hold title. The County is
exempt from Federal Excise Tax.
10. Regulations and Requirement:
This Agreement shall be subject to all laws, rules and regulations of the United States of
America, and State of Washington, and political subdivisions of the State of Washington,
and to any other provisions set forth herein or in the attached exhibits.
11. Right to Review:
This contract is subject to review by any Federal or State auditor. The County or its
designee shall have the right to review and monitor the financial and service components
of this program by whatever means are deemed expedient by the County. Such review
may occur with or without notice, and may include, but is not limited to, on-site inspection
by County agents or employees, inspection of all records or other materials which the
County deems pertinent to the Agreement and its performance, and any and all
communications with or evaluation by service recipients under this Agreement. The
Contractor shall preserve and maintain all financial records and records relating to the
performance of work under this Agreement for 6 years after contract termination, and shall
make them available for such review, within Kittitas County, State of Washington, upon
request.
12. Modifications:
12.1 Either party may request changes in the Agreement. Any and all agreed
modifications shall be in writing, signed by each of the parties.
12.2 The County may, at any time, by written notice thereof to Contractor
("Change Notice") makes changes in the Work within the general scope of
this Agreement, including, but not limited to: (a) changes in, revisions to,
substitutions for, additions to or deletions of any Work; (b) changes in
schedule; and (c) acceleration, deceleration or suspension of performance
of any Work.
12.3 If any change in the Work causes an increase or decrease on Contractor's
cost of, or the time required for, performance of the Work, an equitable
adjustment in the compensation to Contractor and in the schedule for the
performance of the Work shall be made to reflect such an increase or
decrease.
12.4 Notwithstanding any dispute or delay in arriving at a mutually acceptable
equitable adjustment, Contractor shall proceed in accordance with all
Change Notices. Contractor must, within thirty (30) days after receipt of any
Change Notice that does not set forth any acceptable adjustment, submit to
the County a written statement setting forth any adjustment claimed.
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12.5 If any change results in a decrease in the Work performed, Contractor shall
be entitled to compensation associated with changing the Work, such as
revising design already completed, revising calculations already performed,
and revising documents.
13. Termination for Default:
If the Contractor defaults by failing to perform any of the obligations of the Agreement or
becomes insolvent or is declared bankrupt or commits any act of bankruptcy or insolvency
or makes an assignment for the benefit of creditors, the County may, by depositing written
notice to the Contractor in the U.S. mail, postage prepaid, terminate the Agreement, and at
the County's option, obtain performance of the work elsewhere. If the Agreement is
terminated for default, the Contractor 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 County resulting from such default(s) shall be deducted from any money
due or coming due to the Contractor. The Contractor shall bear any extra expenses
incurred by the County in completing the work, and all damage sustained, or which may be
sustained by the County by reason of such default.
If a notice of termination for default has been issued and it is later determined for any
reason that the Contractor was not in default, the rights and obligations of the parties shall
be the same as if the notice of termination had been issued pursuant to the Termination for
Public Convenience paragraph hereof.
14. Termination for Public Convenience:
The County may terminate the Agreement in whole or in part whenever the County
determines, in its sole discretion that such termination is in the best interests of the
County. Whenever the Agreement is terminated in accordance with this paragraph, the
Contractor shall be entitled to payment for actual work performed at unit contract prices for
completed items of work. In the event of such termination, an equitable adjustment shall
be made in the compensation payable to Contractor.
An equitable adjustment in the contract price for partially completed items of work will be
made, but such adjustment shall not include provision for loss of anticipated profit on
deleted or uncompleted work. Termination of this Agreement by the County at any time
during the term, whether for default or convenience, shall not constitute a breach of
contract by the County.
15. Defense & Indemnity Agreement:
The Contractor agrees to and shall defend, indemnify and hold harmless the County, its
Additional Insureds, appointed and elective officers, agents and employees, from and
against all loss or expense, including but not limited to judgments, settlements, attorney's
fees and costs by reason of any and all claims and demands upon the County, its
Additional Insureds, its elected or appointed officials, agents, or employees for damages
because of personal or bodily injury, including death at any time resulting therefrom,
Professional Services Agreement (rev. 09/24/2018)
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sustained by any person or persons and on account of damage to property including loss
of use thereof, whether such injury to persons or damage to property is due to the
negligence of the Contractor, its sub -Contractors, its elected officers, employees or their
agents, except only such injury or damage as shall have been occasioned by the sole
negligence of the County, its Additional Insureds, appointed or elected officials, agents, or
employees. It is further provided that no liability shall attach to the County by reason of
entering into this contract, except as expressly provided herein.
16. Industrial Insurance Waiver:
With respect to the performance of this Agreement and as to claims against the County, its
Additional Insureds, officers, agents and employees, the Contractor expressly waives its
immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act,
for injuries to its employees and agrees that the obligations to indemnify, defend and hold
harmless provided in this agreement extend to any claim brought by or on behalf of any
employee of the Contractor. This waiver is mutually negotiated by the parties to this
Agreement.
17. Venue and Choice of Law:
In the event that any litigation should arise concerning the construction or interpretation of
any of the terms of this Agreement, the venue of such action of litigation shall be in the
Superior Court of the State of Washington in and for the County of Kittitas. This
Agreement shall be governed by the law of the State of Washington.
18. Withholding Payment:
In the event the Contractor has failed to perform any obligation to be performed by the
Contractor under this Agreement within the time set forth in this Agreement, then the
County may, upon written notice, withhold all monies due and payable to Contractor,
without penalty, until such failure to perform is cured or otherwise adjudicated.
19. Future Non -Allocation of Funds:
If sufficient funds are not appropriated or allocated for payment under this Agreement for
any future fiscal period, the County will not be obligated to make payments for services or
amounts incurred after the end of the current fiscal period. No penalty or expense shall
accrue to the County in the event this provision applies.
20. Contractor Commitments, Warranties and Representations:
The Contractor represents and warrants to the County as follows:
20.1 The Contractor is duly incorporated, validly existing and in good standing
under the laws of the State of Washington, and has all requisite corporate
power and authority to enter into and to perform its obligations under this
Agreement.
20.2 The Contractor has the authority to execute this Agreement, to make the
representations and warranties set forth in it and to perform the
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obligations of the Contractor under this Agreement in accordance with its
terms.
20.3 This Agreement has been validly executed by an authorized
representative of the Contractor and constitutes a valid and legally
binding and enforceable obligation of Contractor.
20.4 The Contractor has or will obtain prior to the commencement date such
licenses, permits and other authorizations from federal, state and other
governmental authorities, as are necessary for the performance of its
obligations under this Agreement.
20.5 The Contractor is not in violation of any applicable law, ordinance or
regulation the consequence of which will or may materially affect
Contractor's ability to perform its obligations under this Agreement. The
Contractor is not subject to any order or judgment of any court, tribunal or
governmental agency which materially and adversely affects its
operations or assets in the State of Washington, or its ability to perform
its obligations under this Agreement.
20.6 None of the representations or warranties in this Agreement, and none of
the documents, statements, certificates or schedules furnished or to be
furnished by Contractor pursuant hereto or in connection with the
performance of the obligations contemplated under this Agreement,
contains or will contain any untrue statement of a material fact or omits or
will omit to state a material fact necessary to make the statements of fact
contained therein not misleading.
21. Patent/Copyright Infringement:
Contractor will defend and indemnify the County f ror 1 any ciair T ped action �, cause or
demand brought against the County; to the extent such action is based on the claim that
information supplied by the Contractor infringes any patent or copyright. The Contractor
will pay those costs and damages attributable to any such claims that are finally awarded
against the County in any action. Such defense and payments are conditioned upon the
following:
21.1 Contractor shall be notified promptly in writing by County of any notice of
such claim.
21.2 Contractor shall have the right, hereunder, at its option and expense, to
obtain for the County the right to continue using the information, in the event
such claim of infringement is made, provided no reduction in performance or
loss results to the County.
22. Disputes:
22.1 General
Differences between the Contractor and the County, arising under and by
virtue of the Agreement Documents shall be brought to the attention of the
County at the earliest possible time in order that such matters may be settled
or other appropriate action promptly taken. Except for such objections as are
Professional Services Agreement (rev. 09/24/2018)
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made of record in the manner hereinafter specified and within the time limits
stated, the records, orders, instructions, and decisions of the Kittitas County
Commissioners shall be final and conclusive.
22.2 Notice of Potential Claims
The Contractor shall not be entitled to additional compensation which
otherwise may be payable, or to extension of time for (1) any act or failure to
act by the County, or (2) the happening of any event or occurrence, unless
the Contractor has given the County a written Notice of Potential Claim
within ten (10) days of the commencement of the act, failure, or event giving
rise to the claim, and before final payment by the County. The written Notice
of Potential Claim shall set forth the reasons for which the Contractor
believes additional compensation or extension of time is due, the nature of
the cost involved, and insofar as possible, the amount of the potential claim.
Contractor shall keep full and complete daily records of the work performed,
labor and material used, and all costs and additional time claimed to be
additional.
22.3. Detailed Claim
The Contractor shall not be entitled to claim any such additional
compensation, or extension of time, unless within thirty (30) days of the
completion of the portion of the work from which the claim arose, and before
final payment by the County, the Contractor has given the Coui ty a detailed
written statement of each element of cost or other compensation requested
and of all elements of additional time required, and copies of any supporting
documents evidencing the amount or extension of time claimed to be due.
23. Ownership of Items Produced:
All writings, programs, data, public records or other materials prepared by the Contractor
and/or its consultants or sub -Contractors, in connection with performance of this
Agreement shall be the sole and absolute property of the County.
24. Confidentiality:
The Contractor, its employees, sub -Contractors, and their employees shall maintain the
confidentiality of all information provided by the County or acquired by the Contractor in
performance of this Agreement, except upon the prior written consent of the Kittitas
County Prosecuting Attorney or an order entered by a court after having acquired
jurisdiction over the County. Contractor shall immediately give to the County notice of any
judicial proceedings seeking disclosure of such information. Contractor shall indemnify
and hold harmless the County, its Additional Insureds, officials, agents or employees from
all loss or expense, including, but not limited to settlements, judgments, setoffs, attorneys'
fees and costs resulting from Contractor's breach of this provision.
Professional Services Agreement (rev. 09/24/2018)
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To the extent that any information obtained by the Contractor is required to be shared with
or provided to others by the terms of the Statement of the Work, this provision is not
breached by such acts.
25. Notice:
Except as set forth elsewhere in the Agreement, for all purposes under this Agreement,
except service of process, notice shall be given by the Contractor to the department head
of the department for whom services are rendered, and to the Kittitas County
Commissioners, 205 W 5th Ave, Suite 108, Ellensburg, WA 98926. Notice to the
Contractor for all purposes under this Agreement shall be given to the address reflected on
the signature page. Notice may be given by delivery or by depositing in the U.S. Mail, first
class, postage prepaid.
26. Severability:
If any term or condition of this Agreement or the application thereof to any person(s) or
circumstances is held invalid, such invalidity shall not affect other terms, conditions or
applications which can be given effect without the invalid term, condition or application. To
this end, the terms and conditions of this Agreement are declared severable.
27. Miscellaneous:
27.1 The County's failure or delay to insist upon strict performance of any of the
provisions of this Agreement or to exercise any rights or remedies under this
Agreement shall not be construed as a waiver or relinquishment to any
extent of its right to assert or rely upon any such provisions, rights or
remedies in that or any other instance; rather the same shall be and remain
in full force and effect.
27.2 This Agreement embodies the entire Agreement between the County and
Contractor, and supersedes any and all prior agreements, regarding the
Work. No change, amendment or modification of any provisions of this
Agreement shall be valid unless set forth in a written instrument signed by
the party to be bound thereby.
27.3 The rights and remedies of the County set forth in any provision of this
Agreement are in addition to and do not in any way limit any other rights of
remedies afforded to the County by any other provisions of this Agreement,
by any of Contractor's Support or by law.
27.4 The headings of sections and paragraphs of this Agreement are for
convenience of reference only and are not intended to restrict, affect or be
of any weight in the interpretation or construction of the provisions of such
sections or paragraphs.
28. Waiver:
Waiver of any breach or condition of this Agreement shall not be deemed a waiver of any
prior or subsequent breach. No terms or conditions of this Agreement shall be held to be
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waived, modified or deleted except by an instrument, in writing, signed by the parties
hereto.
29. Survival:
The provisions of paragraphs 7, 95 111 133 14, 15, 16, 175 18, 19, 20, 215 22, 235 243 28,
307 31, and 32 shall survive, notwithstanding the termination or invalidity of this Agreement
for any reason.
30. Nondiscrimination:
30.1 The County is an equal opportunity employer.
30.2 Nondiscrimination in Employment
In the performance of this Agreement, the Contractor will not
discriminate against any employee or applicant for employment on the
grounds of race, creed, color, national origin, sex, sexual orientation,
marital status, age or the presence of any sensory, mental or
physical handicap; provided that the prohibition against discrimination
in employment because of handicap shall not apply if the particular
disability prevents the proper performance of the particular worker
involved. The Contractor shall ensure that applicants are employed,
and that employees are treated during employment without
discrimination because of their race, creed, color, national origin, sex,
sexual orientation, marital status, age or the presence of any sensory,
mental or physical handicap. Such action shall include, but not be
limited to: employment, upgrading, demotion or transfers, recruitment or
recruitment advertising, layoff or termination, rates of pay or other
forms of compensation, and programs for training including
apprenticeships. The Contractor shall take such action with respect to
this Agreement as may be required to ensure full compliance with
local, state and federal laws prohibiting discrimination in employment.
30.3 Nondiscrimination in Services
The Contractor will not discriminate against any recipient of any services
or benefits provided for in this Agreement on the grounds of race,
creed, color, national origin, sex, sexual orientation, marital status, age or
the presence of any sensory, mental or physical handicap.
30.4 If any assignment and/or subcontracting has been authorized by the
County, said assignment or subcontract shah include appropriate
safeguards against discrimination. The Contractor shall take such
action as may be required to ensure full compliance with the
provisions in the immediately preceding paragraphs herein.
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31. Prevailing Wage:
Contractor shall pay the prevailing rate of wages to all workers, laborers, or mechanics
employed in the performance of any part of the Work in accordance with RCW 39.12
and the rules and regulations of the Department of Labor and Industries. The schedule
of prevailing wages rates for the locality or localities of the Work is determined by the
Industrial Statistician of the Department of Labor and Industries. It is the Contractor's
responsibility to verify the applicable prevailing wage rate. It is understood that the
Contractor is responsible for obtaining and completing all required government forms
and submitting same to the proper authorities.
Disputes regarding prevailing wage rates shall be referred for arbitration to the Director
of the Department of Labor and Industries. The arbitration decision shall be final and
conclusive and binding on all parties involved in the dispute as provided for by RCW
39.12.060.
32. Debarment Certification:
The Contractor certifies that it:
32.1 Is not presently debarred, suspended, proposed for debarment, declared
ineligible or voluntarily excluded from covered transactions by any Federal
department or agency.
32.2 Has not within a three-year period preceding the execution of this contract
with Kittitas County, been convicted of or had a civil judgment rendered
against them for commission of fraud or a criminal offense in connection
with obtaining, attempting to obtain, or performing a public or private
agreement or transaction, violation of Federal or State antitrust statutes or
commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, tax evasion, receiving
stolen property, making false claims, or obstruction of justice.
32.3 Is not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of
the offenses enumerated in paragraph 32.2 of this section.
32.4 Has not within a three-year period preceding the preceding the execution
of this contract with Kittitas County had one or f I IUI e j.JUf�JllU Lid[ 1Z5dUL1V1 15
(Federal, State, or local) terminated for cause of default.
Professional Services Agreement (rev. 09/24/2018)
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EXHIBIT "A"
SCOPE OF WORK
In addition to providing all material and labor, the Contractor shall perform the following:
Contractor shall provide on an as -needed basis the following work:
a. Kittitas County Sheriff's Office vehicle builds; and
b. Service and maintenance on installed vehicle equipment
The County shall:
a. Schedule pickup and delivery of vehicles with Contractor on an as -
needed basis; and
b. Determine the brand and manufacturer of all equipment to be installed.
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FXHIRIT "R"
COMPENSATION
As full compensation for satisfactory performance of the work, the County shall pay
Contractor compensation not to exceed:
As full compensation for satisfactory performance of the work, the County shall pay
Contractor compensation as detailed below. Payments will be based on the "net 30 days"
billing cycle.
Labor cost per hour: $80.00 per hour
Pickup and delivery cost per vehicle: $40.00 round trip
Parts costs:
Whelan products -30% off MSRP
Setina products -20% off MSRP
All other parts -Dealer cost plus 15%
Factory parts for work not covered by manufacturer warranty: Dealer cost plus 15%
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EXHIBIT "C"
PROOF OF INSURANCE
The Contractor shall secure and maintain in effect at all times during performance of the
Work such insurance as will protect Contractor, its Support and the Additional Insureds
from all claims, losses, harm, costs, liabilities, damages and expenses arising out of
personal injury (including death) or property damage that may result from performance
of the work or this Agreement, whether such performance is by Contractor or any of its
Support.
All insurance shall be issued by companies admitted to do business in the State of
Washington and have a rating of A-, Class VII or better in the most recently published
edition of Best's Reports unless otherwise approved by the County. If an insurer is not
admitted, all insurance policies and procedures for issuing the insurance policies must
comply with Chapter 48.15 RCW and 284-15 WAC.
The Contractor shall provide proof of insurance for:
® Commercial General Liability Insurance
Coverage limits not less than:
• $1,000,000 per occurrence
• $2,000,000 general aggregate
• $1,000,000 products & completed operations aggregate
• $1,000,000 personal and advertising injury, each offense
• Certificate Holder — Kittitas County
• The Certificate must name the County as additional insured
• Sixty (60) days written notice to the County of cancellation of the insurance
policy
® Commercial Automobile Liability Insurance (if ANY use of vehicle in performance)
Automobile Liability for owned, non -owned, hired, and leased vehicles (MCS 90
endorsement and a CA 9946 endorsement must be attached if `pollutants' are to be
transported)
■ Coverage limits not less than:
• $1,000,000 combined single limit
■ Thirty (30) days written notice to the County of cancellation
of the insurance policy.
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® Workers' Compensation
Workers' Compensation in amounts required by law
® Stop Gap/Employers Liability
Coverage limits not less than:
• $1,000,000 each accident
• $1,000,000 disease — policy limit
• $1,000,000 disease — each employee
■ Thirty (30) days written notice to the County of cancellation
of the insurance policy.
® Professional Liability
The Contractor and/or its Subcontractor and/or its consultant providing
professional services shall provide evidence of Professional Liability Insurance
covering professional errors and omissions. Such policy must provide the
following minimum limits:
■ $1,000,000 per claim
■ $2,000,000 annual aggregate
■ If insurance is on a claims -made form, its retroactive date, and that of all
subsequent renewals, shall be no later than the effective date of this
Agreement.
❑ Pollution Liability
The Contractor shall provide a Pollution Liability policy, providing coverage for
claims involving bodily injury, property damage (including loss of use of tangible
property that has not been physically injured), cleanup costs, remediation,
disposal or other handling of pollutants, including costs and expenses incurred in
the investigation, defense, or settlement of claims arising out of:
• Contractor's operations related to this project; and/or
• Remediation, abatement, repair, maintenance or other work with lead-based
paint or materials containing asbestos; and/or
• Transportation of hazardous materials away from any site related to this
project
Such Pollution Liability policy shall provide the following minimum coverage:
■ $2,000,000 per claim
■ $5,000,000 annual aggregate
❑ Property Damage
The Contractor shall provide a policy that covers damage to Kittitas County
facilities, including buildings, equipment, grounds, etc. Such policy shall provide
the following minimum coverage:
• $ per occurrence
Professional Services Agreement (rev. 09/24/2018)
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® Umbrella Coverage
Umbrella policies shall provide coverage at least as broad as specified for
underlying coverages (CGL, Auto, Employer's Liability) and cover those insured
in the underlying policies, including additional insured.
• Amount required for this Agreement: $
Contractor shall furnish the County a Certificate of Insurance to include the Policy
Endorsements/Exclusions as evidence that policies providing insurance required by this
Agreement are in full force and effect. Contractor hereby waives all rights of recourse,
including any right to which another may be subrogated, against Kittitas County for
personal injury, including death, and property damage. Contractor's insurance policies
required above shall be primary insurance and shall be non-contributing with any
other insurance maintained by Kittitas County.
The Contractor shall assume full responsibility for all loss or damage from any cause
whatsoever to any tools, Contractor's employee -owned tools, machinery, equipment, or
motor vehicles owned or rented by the Contractor, or the Contractor's agents, suppliers
or contractors as well as to any temporary structures, scaffolding and protective fences.
The Contractor shall have sole responsibility for ensuring the insurance coverage and
limits required are obtained by subcontractors.
NOTE: No contract shall form until and unless a copy of the Certificate of
Insurance with Endorsements/Exclusions, properly completed and in the amount
required, is attached hereto.
Failure of the Contractor to fully comply with the above insurance requirements during
the term of the Agreement shall be considered a material breach of contract and cause
for immediate termination of the Agreement at the County's discretion. Alternatively, the
County may procure and maintain, at the Contractor's sole expense, insurance to the
extent deemed proper up to the amount of the required coverage(s). The County may
offset the cost of such insurance against payment due to the Contractor under this
Agreement.
Professional Services Agreement (rev. 09/24/2018)
Page 17 of 17
.,ENDORSEMENT
SC
OTT UE INSURANC Y1
E COMPAN N: o
ATTACHED TO AND;
FORMING A PART OF"*
ENDO Rsr;;m ENT EFFECTIVE DATE
POLICY NUM Bert
(12:01 A.hl,.STANDARD Tim E)
NAMED INSURED
AOCNTNO.
C G 9 0 0'.4 3 19'9
01/21/2018
-CONSU L T A Nl
FINANCIAL`DINT ER N ATIONAL
46006
THIS ENDORSEMENT CHANGES THE POLICY. -PLEASE READ IT CAREFULLY,
1.....SERV16E OF SUMCLAUSE,
Jt.ls agreed. that in the event of the failure of the Company to pay any amount claimed to be due under this
policy, the Company at the request of the lnsured (or reinsured),,wIll., submit to the jurisdiction of any court
of competent jurisdiction within the United States of America*•and will comply with all requirenients'neces-'
sary.to give the Court jurlsdictlon,.:l�11 matters which Will be'detb M ned In'accord I h' h
r ance w t t p law
and practice of the Court, In a suit instituted against any one of them under this contract, the Company
agrees to abide by the final decision of the Court or of any Appellate Court In the event of an 'a"p''p-e'ai.
Pursuant to any statute of any state, territory or district of the United States of America which makes a
provision, the Company will designate the Superintendent,.Pom-m"issil'on'er . or -Dir . ector of Insuran , ce - or
other officer specified for that purpose in the statute, or his successor or successors In o'ffic.ej as their,.true
and lawful attorney upon whom may be served any lawful prodess In any 'action; sult,-- orpro'ceied Ing insti.
tuted by or on behalf of the Insured (or reinsured) or any beneficiary arising out of this contract of
insurance (or reinsurance).
The officer named below is authorized and directed to accept service of process on behalf of the Com-
pany:
COMMISSIONER- OT-IN8URANCE
wfjo�
--QTiY PIA, WA 98504-0257
Having accepted service of process on behalf of the Company, the officer is authorized to mail the pro-
cess or a true copy to:
AUTHORIZED REPRESENTATIVE CATE
UTS-99 (5-96) INSURED uts9gc. fap
M'A 2 3 2018
Krro,rAS COUNTY SHERIFP
ACCOUNTING
=:3 _ ENDORSEMENT
lt:'J r 1 i. ' l 1 * .'t .. r it •t r: 3R:.
�� } . i � } '!': r,: w � }•,J : e_ . l�t: � of , _ . ..;� J. � �'%� .:� 'T �• 1., ft�r ! � S- _f 5 : �. J. s:� >. • � ..
ATTACHED TO AND
FORMING APAFATOF
SNDORSCMENT EFFECTIVE DATE
(12:01 A.M. STANDARD TIME)
NAMED INSURED
AGENTN01
POLICY NUM DER
"
CGS0043199
01/21/2010
FINANCIAL CONSULTANTS INTERNATIONAL
46006
THIS ENDORSEMENT CH ANG ES TH E POLICY: PLEASE READ IT CAREFULL. ,
...., .......,..MINIIVIQM EARNED CANCELLATION -PREM IU.M ..:y ... Y...::........�_..a
The following provision is added to the Cancellation Conditlon:
If You request Cancellation of this po►lcy, We will retain not less than �..2 �i:•::' of trig original premium. ':.�:-
F•'t 1•.•....,:a:t.,i•..S,R..r:"-n•.r.r..:...as,.._.i: •. •'"-'•'a SilYa:..M .,_. •i >trl: n.:. •J a•I.:tA•.• i..�. ..,.r .. :, .r r•f aa.U./Y.tt.. ..n•J-.: .(•.,fl.. .. 1.. • .•.! t - r rllr v nlr. ✓ * ia> - r i • .}
t'.....:.`s': ...- ... ... '.,r •.. •, .•!• ...• _..,..ir•.•. •. .,-. S _. ... i _-....1.1 � v. .. 7 - ✓r _.. .i. .. .• ... • ... • .... ., •. ,r•a.. i.,-:.T'.a
a... , .•a. :�:.:a 'a ::ll+-. r ':J.: •1..`�' 1. .: t:.• -, � i a.-. 1... _1 ,. .._ .r ..: ../.r_tt. ..1 ..J � r... .•••. •,S
a � .-.1:... .•,:'. .. �_.i ..., ' ..r.. .•I'.•n.. •.._ - .. - r > - r � •• .. a , [• ... •, - j.� ; a ?l, •l .. -'�a .s! - f
'i' -. .. at7t./. ..1:.. .. +X .:.r ... .._ •.. •... .a.. .. .. •tr r'•\'_ rt: ,r.. _. .. v .... [ .._-. ! .. _ ,.. •r. a .. 1. _. ... .•. .. .... .. .. ...
:=
� Y j .. .. .. F .-i, '•J •�. t, •� � £ , .. -. t.. A i, ;Jr _rdf ..- _ i.,_t'!f I:+�.F 1., -g•; t
J
:ti �'�t.':... •� . '', ., : it •! 'y r ` r
a
V.
w ,
{ � ..'•r .. .::!-:_. :. ..: '. - •.:)v '.. ..... �-',a•..... ...._ r• .i,i. ... ... .5:! n 1. i.v .. .. .. ... ...... .-...-.. •�f �_•�J.r••.. .. • _ .... •lr.�z.: •�.,. .r4 !
( : jtt:. �.r r,i •:s .... i •!{•.H, i 3. y.•'1• t• �-.��.F •.. •�•t.:•I j�', 3 i�• � a � i � 'S•.w - 'ti ., ..• E,f �r .�i. -•1' :' - 'a! .
!._ .,_ .a.•. :,.., .J- 5 ..vY:- ...:_y.r.. (•.. _..:i._ ...... .':.':. .. '?: ^ - - • .. r .. - . .. a ._ r - ...
!
'..Y.••... ✓. •. .:: r. ,w-, ...-.. ..:•.. .., .. • ...- .. • ... -. .._+.... l:r ...a., a .•.. . •j•
y
• .. .. _.. ... -• •. ..::a rte: � r.. .:. . ... r. v. ., • _... .. .. ..._ -. .. _.. ... ..> • a. • • ,. a s- ... .. ... :.
UTS-119g (6, 14)
AUTHORIZED REPRESENTATIVE DATE
INSURED utn119g0614a.fap
E E V E L)
MAR 2 3 2018
_ SCOTTSDA.LE INSURANCE COPA
t .
_ .:.................. GARAGE INSURANCE COVERAGE'�P"APTbE-ChARATI' -'NS ... ` .
Policy No.. _ :. _ _"r a Q�.� Effective Date. Q.�.,12, �.?�.......
12:01 A;M,-Standard Time
Named Insured: FjV-8 oQ,..&�... 4VS-ULTANT S INTERNATION7tLAgent No. 6 9�
............. .
Item 1. Business Description: DEALER -
Form of Business., Q Corporation ❑ Limited Liability Company -C1.Individual Partnership
❑ Other:
.IwI.t..ro.N.m.......2...!..... Schedule of Coverages and.Covaie.dAlto S .1 .h- ; i. .
� •%i � • .d j`r t f, . ,.i � _
This policy provides only those coverages where a charge and limit, if applicable•,"are shown in the premium columns be-
low. Each of the "auto" -related coverages will apply only to those "autos" shown as covered "autos." "Autos" are shown as
covered "autos" for the applicable coverages by the entry of-a'ne or`•more of the symbols from Sedtiori'I Covered Autos
Coverages of the Auto Dealers Coverage Form next to the "auto related coverage.
..
Coverages Covered Autos Limit PrerniilI'll
Covered Autos Liability 22, 29 $ 11 000 e 000 Each Accident
General liability Bodily Injury And Property Damage
Liability $ 1 , 0 0 0 , 0 0 0 Each Accident;
��
Damages To Premises Rented To You $ Any One Premises
Personal And Advertising injury liability $ Any One Person Or 2, 921.
organization ........
�$ 2; 0 0 0, 0 0 0 General Liability Agg regate. }
$ 2, 00 0 1000 Prod ucts-Arid Work You
1I M.MMI
Performed Aggregate
locations and Operations Medical Payments $ 5,.000, -Any One Person...•:,.-
$ 69
Acts, Errors Or Omissions Liability $ Aggregate limit'su'bjeot to a $
$ Deductible for each clalm
I M M IIMIIMINIMIM/IMNN1/yNIIIM
Personal Injury Protection (P.I.P.) Separately stated in each P.L.P. endorsement,
(or equivalent No-fault coverage) minus any Deductible shown therein or sched- $
uled elsewhere in the policy.
Added P.I.P. (or equivalent added Separately stated in each added P.1,P. $
No-fault coverage . ....r endorsement.
Auto Medlcal.Payments 22, 29 $ .g, 00'0 Each Insured $ 170
Medical Expense and Income Loss Separately stated in the Medical Ex"pence and
Benefits ,(Virglnla only)Income Loss Benefits Endorsement,
Uninsured Motorists UM ... _.
(...) Separately stated in each UM endorsement..
7.
Underinsured Motorists (UIM) 22 Separately stated in each UIM endorsement.- $ 9 00
when not included in UM Coverage
Includes copyrighted material of ISO Properties, Inc,,with Its permission,
Copyright, ISO Properties, Inc., 2009
CGS -1176 (7-16) Page 1 of 2
INSURED
FRE C E i V E.
4
-MAR-23, 2018
jj
i
SCOTT � .-TNS
�.COMPANY"
QARACE INSURANCE COVERAGE•PART. DEC LARAT.IONS-(continud-). ;'
Policy No.:: c _1 Effective Date: ...:.91
A F12:01 A.M. Standard'Time
Named Insured:r C Nsu1TArr7,s rNTEnNATZONL-Agent No R 0
- _------------- _�.._
Item 2, Schedule o -f Coverages and Covered Autos {continued . } :'
Coverages
----------------
Covered Autos::.
:.:....... ....: Lim It. r...,
PremIuM _
Garagekeepers
Com p re f� en'sive `Cove rage ,................
.... o- ....-� ..,
:..._.
_........, .. _.........._,r,...a..a,:..:.::.:f:,r�:a.:..:a•...:........-- .,i-.._..,:..... ,
See Limlts'of Insu4r1ddAn' the G3 raga Cov:=
,w . _... ,. 01
Garagekeepers Specified
: -
-Causes, of:Loss Coverage :.. . ... :.
.. ..... ...... ..:.. .
erage Part Supplemental Declarations.
_. . - .- ..... ....,:...-e-:-.-:,....,..1: ..-... --.. �.:. •--..:..:�
1.:.:,:::
$
- - ..._.
Garagekeepers. Collision Coverage
3 d
426
l�hy5lcal Damag e - :..
-----------
Comprehensive Coverage
�:
i
See Limits of Insurance .In :.the = Garage '
Coverage Part Supplemental Dt3claratians'
$ 906
Physical Damage Specified ,a .r
a -,..r
Causes -of loss Coverage
and/ or so ie ule of Ad�ditlonai Cove"red'
Autos.. -.., .. _ . _ . ,' ..--• ..�.:-
_
$ +;
......�.,.......
Physical Damage Collision Coverage 31
fit g
Form s -and endorsemenfi s applying -to this covers e_.
c) c�:I50..
Premium for Endo.rsemants•:, ,..:. ,.r,...:,,.;: ,.. -a.:,..:..::
$,• .�,..,;_.,;,....
form. and'made a p'art�-of�this.policy at the time"of issue;
Estimated Total Premium.
See Schedule of Forms and Endorsements
,
his oliG ma be ect to final audik
�, ��
THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY -DECLARATIONS, SUPPLEMENTAL -
DECLARATIONS AND THE FORMS) AND ENDORSEMENT(S), IF ANY, COMPLETE THE POLICY,
...i..r,.-w..v.,.v..._..:•....vw"......"..v�"_.y....-<•....•...w.._.. .. •-.. �.,..:_. -__.........'�..,_�_...:......-,.:..a:a�....:"...--...,.,._.::..:....w.-.1..,..�..w..:r.v.ac-.:..�..>.,....++.....+,-•..........,iw.;<.�.-.w�.,...,�...:,...•n..,s-:_..r,_...a.,.v.�,...... �w...0•«....,, ._:t-. ,..'. u.'.,.n-..1
s
,
= w
_ t •
- .
C
'�... ....... .... . ... ..... ... • a , -. .- • .- .. .._ ... _.._ .. .. _ .... _, � as-..-. :....... ..,, .�...-_... _.. _.. '
Includes copyrighted material of ISO Properties, Inc„ with its permission,
Copyright, ISO Properties, Inc,, 2009
CGS -1170 (7.16) Page 2 of 2
EPaD
BAR 2 3 2 0 18
y
KITTITAS COUNTY SHEMFF
ACr;COUNTINC?
i
'45727 SE.: 1,40TH' ST •:NORT-H..BEND, WA ,98045
/MMM .I'III'IMMI/,./1// IMM MMMN.II.
Item..4.. Llahliity Coverages. -premiums
Lac,:
`N o,
RatingUnits"--De'aler
10111 PP
Rating Units -Non -Dialer-..
.
..,. -_'Premium
»�.
.
200,000 Limitof Insurance.
$
Comprehensive
$ 1, 0 0 0 Deductiblil r*all perils for each "cu'stomer's auto,"
./...//..Ma .......... . .....
49-1
Damage to Rented PreMises :Rersonaland.Advertising Injury: ,.:: :;::`Broadened Caveracje
Prenlum:._,_. Premium. $ Premitam"$
Item B. Garage keeporsCoverages-artird'Premiumrs • <'; �., ,, .
r f t
Garagekeepers Coverage applies on a•Iegal liability basis unless the Direct Primary Insurance option below has been indi-
cated by" cp"
L7 DIRECT PRIMARY INSURANCE: Garagekeepers Coverage is changed to apply without regard to your or any other "in-
• sured's" legal liability for "loss" to a covered "auto" and is primary ;Insurance.
Lo c.
No.'
overages
:.. . ..........................................
.....
Limit of Insurance and Deductible for Each Location
Premium
.
200,000 Limitof Insurance.
Comprehensive
$ 1, 0 0 0 Deductiblil r*all perils for each "cu'stomer's auto,"
./...//..Ma .......... . .....
49-1
$ 5, 000 Maximum Deductib.ie for all "loss"ln anyone. event;I 1P.
1
$ Limit of Insurance,
Specified
Causes of Loss
$ Deductible for all perils for each "customer's auto,"
�. $ Maximum Deductible for all "loss" in any one event,
$ 200, 0 0 0 Limit of insurance, � -
Collision
9 2 6
- � . -
$ 1, a 0 o Deductible for all perils for each "customer`s auto."
AW
$ Limit of Insurance.
Comprehensive
$ Deductible for all perils for.•each "customsr.'s autos"
$ ' Maximum Deductible for "loss"-ln a:ny .one event.-
$ Limit of Insurance.
Specified
Causes of Loss
$
$ Deductible for all perils for each "customer's auto."
Maximum Deductible for all "loss" in any one event.
MMIY.WfWM
$ Limit of Insurance.
Collision
$
$ Deductible for all perils for each "customer's auto.":1
Includes copyrighted material of ISO Propertles, Inc,, with Its parm isslon,
Copyright, ISO Properties, Ina., 2009
CGS -0134 (1Q-16) Page 1 of 4
INSURED
RE E P 7 E ID
BAR 2 3 2010
i�ITT1TAS COUNTY SHERIFF=
Y
Y
• i
SCOUSDALE.-INSUR Mi E
Q.. COMPANY9
GARAGE ]N.SUR,ANCE COVERAGE -:PART SUP.PL.EMENTAL DEC L;ARATIONS.(cgntinued)
PolicyA .............
No.: Effective Date:
' {12:01-A]M. Standard Time)`
Named Instired:'i121 TAY - , ti� Il t 7: tit, i, ;,. nl;t. I Argent No.:
Item 5. Garagekeepers.Coverages and Peemiums.(continu.ed)
.J..1 w.wMMMNMW/M«V/I
Prem.lum.for:All Locations
is
k/JW/MfMANM/NWN _ - //(VNN!d+AW/M
Comprehensive: , .....; : �..;.. Y 4 9 7
Specified Causes of Loss :.]:.
. .. .. . :...::. - NNNNdIIII/iMMNMIII-rr
IM/. rrrLwrM�..../w'N.Mw�MV/NM/Mf.
Collision ... $ 4 2 6
MMMWt/INMJWNNWWMIMIMlW /./'/�//// ..l
.. .. 1 .. l..• •._.... ... -. _.. ,. • , 1 .. .. •.., ]... f. ./.. l•I::'.. ... . ... .. .. .. . .. ... I+IIVI/I/Wt,•NIMr•M -
GARAGEKEEPERS VALUE LINII.TATION.SCHEDULE: The Limit ofInsurance of $35,000 for. "loss" to any one covered "cus-
tomer's auto", shown in the Limits of Insurance sections contained in the. .. CHANGES IN THE AUTO DEALERS COVERAGE
FORM endorsement is changed by completion. of the following (Not applicable to "customer's autos" In Transit);
The'maglmum Limit of Insurance for "loss" to any one -"customer's auto" -is $ 5 0 .0 0 0 ]'t
GARAG EKEEPERSAN TRANSIT: :.. ._, '...... ., t
III/IN/I wrr/IO.WMN
'In Transit Schedule.
Maxim♦urn" _
Minus Deductible for each
Description of„
:Maximum :,,..
(
'
r "customer's auto" f.
tow truck or wrecker
nuinbe� bf..:
' ... F..
merrs
_`
; Itisiranc'e_;:+:.:..
:],_; ., '• :,.::..
F
Auto
tcanspo.:'ing....
autos'
SIC
us o
t m"en's
_ _•
Premium
No.
a covered ...,......:,_.._.
�, „
custo'mer`s auto.:__:_:.:
:._..�.,.-.,...-...:,
transported by :.
♦r....
_.
ylauto: z,.:_ . �s
:,.:. =__.
^.i_•.....
--Collision
5 'ecified
p
<Com re- _:
p
Charge
(Yea r, Make; •
the described;
-transported by
J
--•Causes
hensive
.: ... ,
Madel:and -VI N} ......
#owtruckor-.':
`the:tlescrlbed;.:'
(......
,-.... ,_.:......
wrecker
tow-truck,or=- :
.:
1
�, Ftl2!•�y,t.+w.•... .. w.•r...fcl
�
.Kd _riv-.:.( in.-.ry:++•,J.T.o.r �..rHY�-
,. -
:,f•i YY' -
wrecf�e'rV
::tom ]•t. :I
.. ... ..-. r
'••J:p
i
i
.
r
•//W/
llN/M(IfhV
N
1-
.�NNN/11/ery
. �-.. _ ... ^....
NN
.. :J, '. :., :.. Zr
:..- (:. .... ems":](.. ..•
-�..-rr.rWw�'
_.>.r sir :_ .. •
•• ,
'
J ....'
/M4bINI
Includes copyrighted material of ISO Prop artles,.Ina., with Its permission.
• Copyright, ISO Properties, Inc., 2009
C138-0434 (10-16) Page 2 of 4
- IV IE")
«M A N' 2
3 2018
KITTI` AS C',OUNTY SHERIFF
�' A C'0UJ J T I N Ci'
j
r=
0sCTTSTE IN UI';T Q�1I1�
C Af�AaE �N5U ANCE C VERAGE'PART`'SUPPLEMENTAL'DE'C� ARAT1'4-NS'-(c�nthiucd)
Policy No.; . '.�,� nLu��.�... w�.......,�........., Effective nate:......., . .o
(12:01 A.M. Standard Time)
Named -Insured: _ Agent No.;
Item 8, Physical Damage Coverage For Dealers and Physical Damag'e-Coverage For Non -Dealers
a
Prem ium Basis, Non repo rting _Basis. Stated Limit of Insurance shown below applies.
Each of the following Physical -Damage coverages appliesonly to..the type.W.'autos" and. Interests.indicated_b•e'loW':'., _"Q.".....i
IRI Used Autos Your interest in covered autosyou own a -
........... , ................. .
[IN ow Autos ❑ Your interest and the interest of any creditor -named as loss payee
:d. All Interest In covered "autos "while in -your possession on consignment for sale '
N o,
•�. Coverages
�* Lim it of Insurance and Deductible w- Each"Locatlon '`
Premium
_
$ '2 0 0-, 00 0 . ""Llmlt of Insurance, . .
_ .
Comprehensive
$ .90 6
$ 1, 0 0 0 Ded uctible for all perils for -each. "auto.." �
,. .
$ 5, 000 Maximum Deductible.l:.oraU"Ices" in ariy oris event,:
Specified
limit of jhsurance. . .......
`:.
,
: .:.......:......
$ ,• `i..`...:.... Deductible for all perils.fot each:''auto.". :=.-.:........:-:.
,,.
::....
Causes of Loss.:: -
,
$ Max�mum;Deductible for all "(o'ss" iri any one.event, ;.,�
..•:!- ::._:
$ Limit of Insuran.ce; , I <<?:
Comprehensive
$ ' ,
$ :. Ded uctible r aa for all perils for :c 'h "auto:"
Maxirrium. Qedtctible for;`al1 "loss",inany one event..:
----------------------
$ f LlmItoflnsurance;
Specified
Catses'of Losse $ Ded uctlbla.for-ail.perils.far
,.-.:Maxirnum.Deductible..fora.11."loss"In any,.ana,eyent.
,... .. ..
o. ., =Limit of.lnsuean.ee. .,. K,:
Blanket Colllslon .,$-.2 0.0.-1 0`0 ;.
_
.;,,:.,:.:.,:,,,.:.
{All Locations) i .o a o:: .. ...:. ......., :��_ ......:��...... ----
-• _•- =- ,K. .-,. $. :{.. ,:. _.:, ,..Dei uctlble far_ all perlls:.for:each auto
WOW-
_.....r,
.. .. ..
$
:. n. ,..,.,..: Tofal:Premium ForAll Locations:
.
Our Llrn It of Insurance for "loss" at locations other than those stated in item 3,
$, 50 , 000 Additional locations where you display or store covered "autos."
$ ... • 5 0.e o o. In Tran sit.
There is no coverage if "loss" occurs more than forty-five (45) days after your use of the location begins,
PHYSICAL DAMAGE VALUE LIMITATION SCHEDULE: The Limit of Insurance of $35,000 for "loss" to any one covered
"auto" shown in the Llmits of Insurance sections contained In the CHANGES IN THE AUTO DEALERS COVERAGE FORM
endorsement is changed by completion of the following;
The maximum Limit of Insurance of "loss" to any one covered "auto" is: $ 50,000
.
Loss Payee • Any loss is payable as Interest may appear to you and:
Includes copyrighted material of ISO Prop ertles, Inc., with its permission,
Copyright, ISO Propertles, Inc,, 2009
CGS -0434 (10-16) Page 3 of 4
Co Efto I AV E Dr%
MR 2 3 20'18
GARAGE INSURANCE COVERAGE PART SUPPLEMENTAL DECLARATIONS (continued)
Policy No.., rr, • Efeotive Date: =~ ' '':;;,.
(12:01 A.M. Standard Time)
NamedInsured; ..I�J...,z:;�,.G..► : .. ."Agent No.: :. :..:.....:..
Item 7. Dealers, Non -Dealers And Trailer Dealers 'Soheduis 4f Specifically Described "Autos"
Auto.--
uto,
N
Year, make, Model, Vehicle Identificatldn Number t:.::
Cost/Value
" -.. - .r �1. •• it . 3 :,i• .., : `!i" ,-
7..
--- - - --------
••.«rw•wFrwr.«,ri•u«1,rw •ww«w+-• _ _ _ __ _ _ .w.srwr•.wF«.1 .
Auto
No.
GVW
l' . _....._....
Use .,...
_..Radius
.... .........
Code ..:
.r.
tI•YWF«•
Loss Payee -All Physical Damage loss is
payable to.yo_u:and.the,loss payee named
t ::...below according to their lnterests.ln. the
r:. '•
autd"at the time of the'li ss;
•. r.. . ;i -.
... -
w•w•wwMM•Mr
w •
•
' ..
••. r
.r..t ,. r .,.. :l:t •. ..•.a .. ... ..• s ... ..,. v. ._. ..
COVERAGES (Will apply as indicated
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by entry of a premium),. ;
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Llabllity
Specified Causes
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l -Comprehensive.
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{.-•..CoIlls]on ..,
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Auto
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No
Prom�ium�
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:
Ded.,
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�Pi'emium
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Total
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$
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14
$
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Item 8: ,DrW&4'.Aw y Schedule:(Pick-Up and Deliv84"y" Liability, Dealer"Drive`='Away
The 1 mit of -three hundred (300) miles shown in the Drive -Away exclusions contalhPA;in the CHANGESJIN,JT.HE AUTO DEAL-
` ^r
ERS C-OVERAG E FQ RM 'e6do�semerlt is o'ktended b'y -cornpletio�n of the�following _' ;h `° ;3 •� ` `'
F
7
Extended to miles for an additional premium of _
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Includes copyrighted material of ISO Properties, Inc,, wit tilts perm isslon.
Copyright, ISO Properties, Inc., 2009
CGS -0434 (10-16) Page 4 of 4
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NIA 2 3 2018
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