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09-043.00 GEO Engineers: Sprague Concrete Intersections at Evergreen/Pines/McDonaldc C 0 f0 E o M X N M M +' N 2 00 � U 4! � o 0 o � H 3 M 3 CL o - 0 u 1 ++ u C M C1 - E L, L V � 0 M t (Q C a 3 o > v co W _ c c ro C Y U M O - O L Q Q) V . o Y C � �h L L O Q O O L 3 > U N O o a� � t c t O *' 3 L Q O ca v E U O � � v C O 0 00 0 ui N 0 Ln U � Ln > N v - 0 U 0 = O _a c _U ro C it z L Z3 AMENDMENT TO AGREEMENT FOR PROFESSIONAL SERVICES Adding Construction Material Testing Services GeoEngineers, Inc COSV Contract # 08 -031 Evergreen/Sprague Intersections Concrete Intersection, CIP 0102 Pines /Sprague Concrete Intersection, CIP 0103 McDonald/Sprague Concrete Intersection, CIP 0104 THIS AMENDMENT No. 1 is made to the Agreement for Professional Services dated April 14, 2009 by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and GeoEngineers, Inc., hereinafter "Consultant" and jointly referred to as "parties." Pursuant to Sections 1C and 18 of the Agreement, the parties hereby agree to amend the Agreement as set forth in the attached Proposal and Detailed Scope of Work. These services will be tracked and billed on time and materials basis, and are subject to all of the conditions set forth in the original Agreement. The City agrees to pay Consultant up to $37,800 for the additional services provided for in this Amendment to the Agreement. Exhibits to this Amendment are as follows: 1. Professional Services Agreement dated April 14, 2009; 2. Material Testing Scope of Work dated April 14, 2009; 3. Task & Fee Proposal for each CIP Project above Original Contract Amount (Geotechnical Engineering Evaluation) $33,000.00 Prior amendments $ Current Amendment Amount $37,800.00 Amended Contract Amount $70,800.00 The remainder of the Agreement will remain unchanged by this Amendment. 0) � 9 f V 7 APIR 14 2009 IN WITNESS WHEREOF, the parties have executed this Agreement this 14 day of April, 2009. CITY OF SPOKANE VALLEY: David 7er er, City Manager ATTEST pristine Bainbridge, rity Clerk Consultant: GEOENGINEERS, Inc. Tax IUD No. REDACTED APPROVED AS TO FORM: �� - i�l - h,�"/ � � Office of 4e City At orney 09 -043 GEOENGINEERS April 14, 2009 City of Spokane Valley 11707 East Sprague Avenue, Suite 106 Spokane Valley, Washington 99206 Attention: Craig Aldworth, PE Senior Engineer/Project Manager Subject: Revised Confirming Agreement Special Inspection and Testing Services Proposed Intersection Reconstruction Projects at Sprague Avenue /Evergreen Road; Sprague Avenue/McDonald Road; and Sprague Avenue /Pines Road Spokane Valley, Washington File No. 11264- 011 -01 INTRODUCTION We are pleased to present this revised confirming agreement to the City of Spokane Valley for special inspection and testing (SI &T) services during the planned reconstruction of three separate intersections located in Spokane Valley, Washington. Those intersections include: Sprague Avenue and Evergreen Road (Task 1); Sprague Avenue and McDonald Road (Task 2); and Sprague Avenue and Pines Road (Task 3). Each of these projects were the subject of a previous geotechnical engineering evaluation by GeoEngineers, the results of which are included in our report dated December 11, 2008. We also conducted review of a subgrade resilient modulus estimation presented to you in our memorandum on January 14, 2009. We understand the reconstruction of the Sprague/Evergreen and Sprague/McDonald intersections include new portland cement concrete (PCC) pavements within the intersection approach de- acceleration lanes, and new hot mix asphalt (HMA) pavements within exit acceleration lanes. However, the planned Sprague/Pines reconstruction is limited to Sprague Avenue because Pines Road (SR 27) is a state highway and, therefore, maintained by the Washington State Department of Transportation ( WSDOT). SCOPE OF SERVICES Our services will be provided in general accordance with the guidelines contained in the American Association of State Highway and Transportation Officials (AASHTO), WSDOT Standard Specifications, the City of Spokane Valley guidelines for arterial urban streets, the American Concrete Institute (AC1) and ASTM International (ASTM) standards, as applicable. Our specific scope of services will include: 1. Geotechnical consultation during construction — We will provide geotechnical engineering consultation during earthwork, including periodic, on -site observation and documentation of the earthwork subcontractor's activities. The results of our findings, conclusions, and recommendations will be presented in technical memoranda, as necessary. Earth Science + Technology 523 East Second Ave telephone 509.363.3125 Spokane, WA 99202 facsimile 509.363.3126 website www.geoengineers.com City of Spokar 'alley April 14, 2005 Page 2 2. Observation during special grading, excavation, and filling (earthwork) — Includes periodic in- place density testing of on -site and imported structural fill at road subgrade, crushed rock surfacing, ballast, backfilling for utility trenches, and during HMA placement. 3. Structural concrete testing and inspection — Includes periodic concrete test cylinder collection, field testing for slump, entrained air and temperature, and continuous inspection during placement of site -cast structural concrete related to PCC road surfacing, curbs and sidewalks. 4. Sample collection — We will collect and transport structural fill samples and concrete cylinders obtained from the project sites to our laboratory in Spokane, Washington. We also will collect samples of HMA and submit to Petroleum Sciences, Inc under subcontract to GeoEngineers. 5. Laboratory testing — Includes laboratory compaction and gradation analyses of structural fill, and unconfined compression testing of concrete cylinders collected during placement. The HMA samples will be analyzed for theoretical Rice determination, aggregate gradation, oil content, volume of air voids (Va), voids in the mineral aggregate (VMA), and voids filled with asphalt (VFA). 6. Daily field reports — DFRs will be prepared by our technicians to document results of field tests, observations and discussions applicable to the project. Laboratory test results will be provided as data is developed. 7. Final report — At the conclusion of our services, we will prepare a brief final letter report that will summarize our test results, general observations and conclusions while we were on site providing the services described above. Copies will be submitted to the City of Spokane Valley. TERMS, CONDITIONS AND FEE ESTIMATE Our services will be completed in accordance with the terms contained in the "Amendment to Agreement for Professional Services ", which was provided in your letter to us dated April 6, 2009. A copy of the agreement is attached. The fee for our services will be determined on a time - and - expense basis using the rates contained in our Schedule of Charges, which also is attached and forms a part of this agreement. Based on our understanding of the project, we estimate that our fee for the services described above will be approximately $37,800. This includes approximately $13,500 for Task 1; $13,500 for Task 2; and $10,800 for Task 3. The basis of our fee estimates are included in the following tables. File No. 11164- 011 -01 GMENGINEERS� DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " Table 1 / Estimate of Fees — Task 1; Task 2 " contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " Table 3 / Estimate of Fees — Task 3 " contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. City of Spoka 'alley April 14, 200 Page 5 We appreciate the opportunity to submit this confirming agreement for SI &T services associated with this project. If you have any questions regarding our interpretation of the project or our cost estimate, please call. We look forward to working with you on this project and appreciate your confidence in our firm. Respectfully submitted, GeoEngineers, Inc. M tthew L. Blankens ip, LG, LEG Associate MLB: tlm Spok: PM1 \11264011 \O1 \Finals \l 126401101revcp.doc Attachments: City of Spokane Valley Amendment to Agreement for Professional Services Schedule of Charges — 2009 Spokane Disclaimer: Any electronic form, facsimile or hard copy of the original document (email, text, table, and/or figure), if provided, and any attachments are only a copy of the original document. The original document is stored by GeoEngineers, Inc. and will serve as the official document of record. Proprietary Notice: The contents of this document are proprietary to GeoEngineers, Inc. and are intended solely for use by our clients and their design teams to evaluate GeoEngineers' capabilities and understanding of project requirements as they relate to performing the services proposed for a specific project. Copies of this document or its contents may not be disclosed to any other parties without the written consent of GeoEngineers. Copyright 2009 by GeoEngineers All rights reserved. File No. 11264- 011 -01 GMENGINEERS .0 DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The two pages entitled " Schedule of Charges - 2009 contain confidential cost and rate data and are withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled " Laboratory Schedule of Charges contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. ACORO® DATE (MM /DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 04/14/2009 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230 -5191 INSURERS AFFORDING COVERAGE NAIC# INSURED GeoSngineers, Inc. INSURERA:Travelers Property Casualty Comp of Am 25674 -003 Debbie Williams INSURERB:Travelers Property Casualty Company of Am 25674 -002 523 East 2nd Avenue Spokane, WA 99202 INSURER C: INSURER D: INSURER E: rnvc0ACCc 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 IN SRO TYPE OF INSURANCE POLICY NUMBER DATE MM /DD TIVE P DATE MM /DDW LIMITS A X GENERAL LIABILITY 660533D1564TIL08 3/31/2009 3/31/2010 EACH OCCURRENCE $ 1 PREMISES Ea occcurence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5 1 000 CLAIMS MADE ® OCCUR PERSONAL &ADV INJURY $ 1 X WA Stop dap X Contractual Liabilit GENERALAGGREGATE S 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JEC LOC B AUTOMOBILE LIABILITY 810533DI564TIL09 3/31/2009 3/31/2010 COMBINED SINGLE LIMIT $ 1,000,000 X ANYAUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC $ ANYAUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR C] CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION TORY LIMITS OTH JER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mand In NH)R EXCLUDED? E.L. DISEASE - POLICY LIMIT $ If yyes, describe under S P ECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 4/13/2009 WITH ID: 12405403 File No. 11264 - 011 -01 Re: Special Inspection and Testing Services, Proposed Intersection Reconstruction Projects at Sprague Avenue /Evergreen Road, Sprague Avenue /McDonald Road and Sprague Avenue /Pines Road, Spokane Valley, Was hington. CERTIFICATE HOLDER CANCE LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL *XffJ b5HXX 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1=XXM XI5tY&ULXXLL �} IG�7i1�6X> ��t, �ilK76�i. XiX�3Qi` lWX3�R3f4�18j[ d�1�8 ?�R�{UI<9tD�}Q'xX�k?bt�G4Ct�C City of Spokane ValleyIiXX Attention: Craig Aldworth 11707 East Sprague Avenue, Suite 106 AUT RESENTA Spokane Valley, WA 99206 ACORD 25 (2009/01) Coll:2670804 Tpl:907065 Cert:12408889 ©1988- 2009ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r - W111IS CE TIFICATE OF LIABILITY INSURANCE Pa g e 2 of 3 04/14 /2009 PRODUCER 877 - 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230 -5191 INSURERS AFFORDING COVERAGE NAIL# INSURED GeoEngineers, Inc. INSURERA:Travelers Property Casualty Company of Am 25674 -003 Debbie Williams INSURERB:Travelers Property Casualty Company of Am 25674 -002 523 East 2nd Avenue Spokane, WA 99202 INSURER C: INSURER D: INSURER E: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS I It is agreed that City of Spokane Valley is included as an Additional Insured as respects to General Liability. Coll:2670804 Tpl:907065 Cert:12408889 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) Co11:2670804 Tp1:907065 Cert:12408889 Named Insured: GeoEng°neers, Inc. Insured City: Spokane ti Terra Insurance Company (A Risk Retention Group) Two Fifer Avenue, Suite 100 Corte Madera CA 94925 DATE 04/23/09 Professional Liability NAME AND ADDRESS OF INSURED GeoEngineers, Inc. 523 East Second Avenue Spokane, WA 99202 K. + r, This certifies that the insurance policy (described below by a policy number) written on forms in use by the Company has been issued. This certificate is not a policy or a binder of insurance and does not alter, amend or extend the coverage afforded by that policy. Notwithstanding any requirement, term or condition of any contract or other document to which this certificate may pertain, the insurance afforded by the policy is subject to all of its terms, exclusions and conditions. TYPE OF INSURANCE POLICY NUMBER 209019 LIMITS OF LIABILITY PROJECT DESCRIPTION CERTIFICATE OF INSURANCE EFFECTIVE DATE EXPIRATION DATE 01/01/09 12/31/09 $1,000,000 EACH CLAIM $1,000,000 ANNUAL AGGREGATE Special Inspection and Testing File No.: 11264 - 011 -01 Proposed Intersection Reconstruction Projects Spokane Valley, Washington CANCELLATION If the described policy is cancelled by the Company before its expiration date, the Company will mail written notice to the certificate holder thirty (30) days in advance, or ten (10) days in advance for non - payment of premium. If the described policy is cancelled by the insured before its expiration date, the Company will mail written notice to the certificate holder within thirty (30) days of the notice to the Company from the insured. CERTIFICATE HOLDER City of Spokane Valley -City Hall Attn: Craig Aldworth, PE -Sr. Engineer/Proj. Mgr. 11707 East Sprague Ave., Suite 106 Spokane Valley, WA 99206 ISSUING COMPANY: TERRA INSURANCE COMPANY (A Risk Retention Group) President Named Insured: GeoEngineers, Inc. Insured City: Spokane ' ° CERTIFICATE I ATE CAF LIABILITY INSURANCE Pa e 1 of 3 04/23/2 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of Seattle, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, 2N 37230 -5191 INSURERS AFFORDING COVERAGE NAIC# INSURED GeoEngineers, Inc. INSURERA:Travelers Property Casualty Company of Am 25674 -003 Debbie Williama INSURERB:7:ravelers Pro arty Casualt Company of Am 25674 -002 523 Bast 2nd Avenue Spokane, WA 99202 INSURER C: Wausau Underwriters Insurance Company 26042 -001 INSURER D: 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 DD'LI NS L a l TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD IDATE POLICY EXPIRATION MM/DD LIMITS A X GENERAL LIABILITY 660533D1564TIL08 3/31/2009 3/31/2010 J EACHO CCU RRENCE $ 1 000 004 PREMISES E. ence $ _ 100 1 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) S 5 1 000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1, 00 0, 0 00 X WA St op Gap X I Contractual L GENERAL AGGREGATE $ 2 PRODUCTS - COMPIOPAGG $ 2 GEN'LAGGREGATELIMITAPPLIES X POLICY FI JECT 71 B AUTOMOBILE LIABILITY 81.0533DI564TIL09 3/31/2009 3/31/2010 COMBINED SINGLE LIMIT +$ 11000,000 (Ea accident) X ANYAUTO ALL OWNED AUTOS BODILY INJURY $ (Perperson) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ I (Per a=1dent) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUIO $ AUTO ONLY. AGG E XCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ - OCCUR F CLAIMS MADE $ DEDUCTIBLE $ RETENTION S C WORKERS COMPENSATION WCJZ91451667019 3/31/2009 3/31/2010 X T Q ER E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y ® E.L. DISEASE EA EMPLOYEE $ 1,0 0 0,00 0 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - POLICY LIMIT $ 000 0 0 0 If yes, desctibe under SPECIAL PROVISIONS bePaw OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 4/14/2009 WITH ID: 12408889 File No. 11264 - 011 -01 Re: Special Inspection and Testing Services, Proposed Intersection Reconstruction Projects at Sprague Avenue /Evergreen Road, Sprague Avenue /McDonald Road and Sprague Avenue /Pines Road, Spokane i7el l eer LT��1- �rrt�r�r� I-IUA II L NUL.UI =K City of Spokane Valley Attention: Craig Aldworth 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 4rM1M4GL6.M � I LJIr SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 1REKZXAX6[MAIL 4 5 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF'Z"XXI = Y&JZX 1V L =X9ff=XMX AUTItCRIZED: RESENTATWe - ` �. ACORD 25 (2009/01) Coll :2680649 Tpl : 907065 Cert :12441484 U'I` 15ti AL.UKLJ UUKrUKAI IUN All rlYnEb reberVeu, The ACORD name and logo are registered marks of ACORD Willis CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 04123 DATE /2009 PRODUCER 877 - 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis of Seattle, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# P. 0. Box 305191 Nashville, TN 37230 -5191 INSURED GeoEngineers, Inc. INSURERA:Travelers Property Casualty Company of Am 25674 -003 INSURERB:Travelers Property Casualty Company of Am 25674 -002 Debbie Williams 523 East 2nd Avenue Spokane, WA 99202 INSURER C: Wausau Underwriters Insurance Company 26042 -001 INSURER D: INSURER E: MCC, MIMTinu n[ nOCO ATInNC/I nrATin1J¢A/F411f I FCIGY('I imirmC Ann RV FNnnRSFMENTISPECIAL PROVISIONS It is agreed that City of Spokane Valley is included as an Additional Insured as respects to General Liability. Coll:2680649 Tp1:907065 Cert:12441484 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) Co11:2680649 Tp1:907065 Cert:12441484