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17-091.00 Devries Moving: City Hall Moving Services 17-09 AGREEMENT FOR PROFESSIONAL SERVICES Devries Moving and Storage 112 N Haven Street,Suite B Spokane,WA. 99202 THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington,hereinafter"City"and Devries Moving and Storage,hereinafter"Consultant,"jointly referred to as"Parties." IN CONSIDERATION of the terms and conditions contained herein,the Parties agree as follows: 1.Work to Be Performed. Consultant shall provide all labor,services,and material to satisfactorily complete the Scope of Services,attached as Exhibit A. A. Administration. The City Manager or designee shall administer and be the primary contact for Consultant. Prior to commencement of work,Consultant shall contact the City Manager or designee to review the Scope of Services, schedule, and date of completion. Upon notice from the City Manager or designee,Consultant shall commence work,perform the requested tasks in the Scope of Services,stop work,and promptly cure any failure in performance under this Agreement. B. Representations. City has relied upon the qualifications of Consultant in entering into this Agreement. By execution of this Agreement,Consultant represents it possesses the ability,skill,and resources necessary to perform the work and is familiar with all current laws,rules,and regulations which reasonably relate to the Scope of Services. No substitutions of agreed-upon personnel shall be made without the prior written consent of City. Consultant represents that the compensation as stated in paragraph 3 is adequate and sufficient for the timely provision of all professional services required to complete the Scope of Services under this Agreement. Consultant shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Consultant shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City-furnished information. C.Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed by professional consultants engaged in the same profession,and performing the same or similar services at the time such services are performed. D. Modifications. City may modify this Agreement and order changes in the work whenever necessary or advisable. Consultant shall accept modifications when ordered in writing by the City Manager or designee, so long as the additional work is within the scope of Consultant's area of practice. Compensation for such modifications or changes shall be as mutually agreed between the Parties. Consultant shall make such revisions in the work as are necessary to correct errors or omissions appearing therein when required to do so by City without additional compensation. 2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in Agreement for Professional Services(with professional liability coverage) Page 1 of 7 effect until completion of all contractual requirements have been met as determined by City. Consultant shall complete its work by September 30, 2017, unless the time for performance is extended in writing by the Parties. Either Party may terminate this Agreement for material breach after providing the other Party with at least 10 days'prior notice and an opportunity to cure the breach. City may,in addition,terminate this Agreement for any reason by 10 days'written notice to Consultant. In the event of termination without breach,City shall pay Consultant for all work previously authorized and satisfactorily performed prior to the termination date. 3.Compensation. City agrees to pay Consultant$21,150.00,(which includes Washington State Sales Tax if any is applicable) as full compensation for everything done under this Agreement, as set forth in ExhibitA. Consultant shall not perform any extra, further, or additional services for which it will request additional compensation from City without a prior written agreement for such services and payment therefore. 4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for payment shall be sent to the City Finance Department at the below-stated address. City reserves the right to withhold payment under this Agreement for that portion ofthe work(if any)which is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the Scope of Services, City standards, City Code, and federal or state standards. 5.Notice. Notices other than applications for payment shall be given in writing as follows: TO THE CITY: TO THE CONSULTANT: Name: Christine Bainbridge, City Clerk Name:Devries Moving and Storage Phone: (509)921-1000 Phone: (509)924-6000 Address: 11707 East Sprague Ave., Suite 106 Address: 112 N Haven Street, suite B Spokane Valley, WA 99206 Spokane, WA. 99202 (After September 1,2017: 10210 East Sprague Avenue Spokane Valley, WA 99206) 6.Applicable Laws and Standards. The Parties,in the performance ofthis Agreement,agree to comply with all applicable federal,state,and local laws and regulations. Consultant warrants that its designs,construction documents, and services shall conform to all federal,state,and local statutes and regulations. 7. Certification Regarding Debarment, Suspension, and Other Responsibility Matters — Primary Covered Transactions. A.By executing this Agreement,the Consultant certifies to the best of its knowledge and beliefthat it and its principals: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; 2. Have not within a three-year period preceding this proposal 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 (federal, state, or local)transaction or contract under a public transaction;violation of federal or state antitrust Agreement for Professional Services(with professional liability coverage) Page 2 of 7 statutes or commission of embezzlement,theft,forgery,bribery,falsification or destruction of records,making false statements, or receiving stolen property; 3. Are 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(A)(2)of this certification;and 4. Have not within a three-year period preceding this application/proposal had one or more public transactions(federal,state, or local)terminated for cause or default. B. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this Agreement. 8.Relationship of the Parties. It is understood and agreed that Consultant shall be an independent contractor and not the agent or employee of City,that City is interested in only the results to be achieved,and that the right to control the particular manner,method,and means in which the services are performed is solely within the discretion of Consultant. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Consultant. The Consultant shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 9. Ownership of Documents. All drawings,plans,specifications,and other related documents prepared by Consultant under this Agreement are and shall be the property of City, and may be subject to disclosure pursuant to chapter 42.56 RCW or other applicable public record laws. The written, graphic, mapped, photographic, or visual documents prepared by Consultant under this Agreement shall, unless otherwise provided, be deemed the property of City. City shall be permitted to retain these documents, including reproducible camera-ready originals of reports,reproduction quality mylars of maps,and copies in the form of computer files, for the City's use. City shall have unrestricted authority to publish, disclose,distribute,and otherwise use, in whole or in part,any reports,data,drawings, images,or other material prepared under this Agreement,provided that Consultant shall have no liability for the use of Consultant's work product outside of the scope of its intended purpose. 10.Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Consultant's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit,examine,make excerpts or transcripts from such records,and to make audits of all contracts,invoices,materials,payrolls,and record of matters covered by this Agreement for a period of three years from the date final payment is made hereunder. 11. Insurance. Consultant shall procure and maintain for the duration of the 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 Consultant, its agents,representatives,employees,or subcontractors. A. Minimum Scope of Insurance. Consultant 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. 2. Commercial general liability insurance shall be at least as broad as ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, stop-gap independent Agreement for Professional Services(with professional liability coverage) Page 3 of 7 • contractors and personal injury,and advertising injury. City shall be named as an additional insured under Consultant's commercial general liability insurance policy with respect to the work performed for the City using an additional insured endorsement at least as broad as ISO CG 20 26. 3.Workers'compensation coverage as required by the industrial insurance laws of the State of Washington. __ _ . .. .. '. I . . . •• • •Z"7-�7 •CPA 6` B. Minimum Amounts of Insurance. Consultant shall maintain the following insurance limits: 1.Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of no less than$1,000,000 per accident. 2.Commercial general liability insurance shall be written with limits no less than$1,000,000 for each occurrence,and$2,000,000 for general aggregate. • - • - : - - Lpt b C. Other Insurance Provisions. The policies are to contain,or be endorsed to contain,the following provisions for automobile liability,professional liability,and commercial general liability insurance: 1.Consultant's insurance coverage shall be primary insurance with respect to the City. Any insurance,self-insurance,or insurance pool coverage maintained by City shall be in excess of Consultant's insurance and shall not contribute with it. 2. Consultant shall fax or send electronically in.pdf format a copy of insurer's cancellation notice within two business days of receipt by Consultant. 3.If Consultant maintains higher insurance limits than the minimums shown above,City shall be insured for the full available limits of commercial general and excess or umbrella liability maintained by Consultant,irrespective of whether such limits maintained by Consultant are greater than those required by this Agreement or whether any certificate of insurance furnished to the City evidences limits of liability lower than those maintained by Consultant. 4. Failure on the part of Consultant to maintain the insurance as required shall constitute a material breach of the Agreement,upon which the City may,after giving at least five business days'notice to Consultant to correct the breach,immediately terminate the Agreement,or at its sole discretion, procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to City on demand,or at the sole discretion of the City,offset against funds due Consultant from the City. 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. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Consultant shall furnish acceptable insurance certificates to the City Clerk at the time Consultant Agreement for Professional Services(with professional liability coverage) Page 4 of 7 returns the signed Agreement,which shall be Exhibit C. The certificate shall specify all of the parties who are additional insureds,and shall include applicable policy endorsements,and the deduction or retention level.Insuring companies or entities are subject to City acceptance. If requested,complete copies of insurance policies shall be provided to City. Consultant shall be financially responsible for all pertinent deductibles,self-insured retentions, and/or self-insurance. 12.Indemnification and Hold Harmless. Consultant shall,at its sole expense,defend,indemnify,and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs,attorney's fees,costs of litigation,expenses,injuries,and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts, errors, or omissions in the services provided by Consultant, Consultant's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. Consultant's duty to defend,indemnify,and hold City harmless shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees pursuant to RCW 4.24.115. Consultant's duty to defend,indemnify,and hold City harmless against liability for damages arising out of such services caused by the concurrent negligence of(a)City or City's agents or employees, and(b)Consultant, Consultant's agents, subcontractors, subconsultants, and employees shall apply only to the extent of the negligence of Consultant, Consultant's agents,subcontractors, subconsultants, and employees. Consultant's duty to defend,indemnify,and hold City harmless shall include,as to all claims,demands,losses, and liability to which it applies,City's personnel-related costs,reasonable attorneys'fees,the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for collection, and all other claim-related expenses. Consultant specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages,compensation,or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that Consultant's waiver of immunity under this provision extends only to claims against Consultant by City,and does not include, or extend to,any claims by Consultant's employees directly against Consultant. Consultant hereby certifies that this indemnification provision was mutually negotiated. 13. Waiver. No officer, employee,agent,or other individual acting on behalf of either Party has the power, right, or authority to waive any of the conditions or provisions of this Agreement. A waiver in one instance shall not be held to be a waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law shall be taken and construed as cumulative and in addition to every other remedy provided herein or by law. Failure of either Party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other Party of any provision hereof shall in no way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any part thereof. 14. Assignment and Delegation. Neither Party shall assign, transfer, or delegate any or all of the responsibilities of this Agreement or the benefits received hereunder without prior written consent ofthe other Party. 15.Subcontracts. Except as otherwise provided herein,Consultant shall not enter into subcontracts for any of Agreement for Professional Services(with professional liability coverage) Page 5 of 7 the work contemplated under this Agreement without obtaining prior written approval of City. 16. Confidentiality. Consultant may,from time-to-time,receive information which is deemed by City to be confidential. Consultant shall not disclose such information without the prior express written consent of City or upon order of a court of competent jurisdiction. 17. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Disputes between City and Consultant shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing,Consultant agrees that it may,at City's request,be joined as a party in. any arbitration proceeding between City and any third party that includes a claim or claims that arise out of,or that are related to Consultant's services under this Agreement. Consultant further agrees that the Arbitrator(s)' decision therein shall be final and binding on Consultant and that judgment may be entered upon it in any court having jurisdiction thereof. 18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation(including expert witness fees). 19. Entire Agreement. This written Agreement constitutes the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed,modified,or altered except in writing signed by the Parties hereto. 20. Anti-kickback. No officer or employee of City, having the power or duty to perform an official act or action related to this Agreement shall have or acquire any interest in this Agreement, or have solicited, accepted, or granted a present or future gift, favor, service, or other thing of value from any person with an interest in this Agreement. 21. Business Registration. Consultant shall register with the City as a business prior to commencement of work under this Agreement if it has not already done so. 22.Severability. If any section,sentence,clause,or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction,such invalidity shall not affect the validity of any other section, sentence,clause, or phrase of this Agreement. 23. Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Services B. Insurance Certificates The Parties have executed this Agreement this day of ,20/2 CITY OF SPOKAANN VALLEY Consulta eyries Moving%tel 4,-(4-4 �and Storage arMa Calhoun,City Manager By: Its: Authorized Representative ATTEST: Agreement for Professional Services(with professional liability coverage) Page 6 of 7 'stifle Bainbridge, tity Clerk: APPROVE P • S TO FORM: / Offices the Ci ey • Agreement for Professional Services(with professional liability coverage) Page 7 of 7 • Project # . , Attachment"A" CSV PE RM!-!- CENTER . BUSINESS STATEMENTS1 i s fit` ---� i.j .`/ rt ,-- • ; Please complete and strbniit with your response. 1. Name of business: b E I/P'../_c /�e cit �ti ��r o.e 4 e 2. Business address: //a 4/, /`/19t' ,LJ S T. Sieo,eAA}cI &%'. `j 9a02 3. Phone:5 09 Business fax: e-mail: . 4. Business classification(check all that apply): • Individual Partnership Corporation i/ 5. Federal tax number(UBI number): REDACTED 6. Name of owner: — ,6 e-e-, ,i ES • 7. Does the company maintain insurance in amounts specified by the City contract: -• Yes: 1/ No: (General liability insurance of at least$1,000,000 per occurrence; i $2,000,000 aggregate, Combined Single Limit(CSL);Automobile liability of at least$1,000,000 per accident CSL;Professional Liability,if applicable, of at least $1,000,000. If no,describe the differences: • 8. Are there claiins pending against this insurance policy? Yes: No: 1/ If yes,please explain-the nature of the claims: _ . 9. Has the company or anybody in the company ever been disqualified or terminated by any public agency? Yes: No: 10. Proposal offers shall be good and valid until the city completes the award or rejects the proposals. • Failure to concur with thisf ondition mayretiilt in rejection of the offer. Does the firm accept this _-. condition? Yes: 1/, No: .. _. _ ... I certf y that to the best of my knowledge, the information contained in this proposal is accurate and . complete, and that I fray' e legal authority to c omit thi c,ompony to a contractual agreement SIGNATURE: _ - Date: V4 y/ / 07 ) . PRINT NAME AND TITLE OF SIGNER: o ii:1, ? ;. b.,./4 G 4. S / Air-fa-0e C/A ^ SEe6,?6,�--s' ./v4.e i Request for.Proposals-I'rpfesssonal Moving Services I , Spokane Valley,WA This document contains confidential tax information and April 3,2017 has been redacted pursuant to RCW 82.32.330. 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. ///DeVries Moving Packing Storage DeVries Moving Packing Storage was established in 1932 as a transfer company located in Hillyard, Washington. Originally known as Jim's Transfer, Inc., the primary function was the transportation of concrete throughout eastern Washington, including the Grand Coulee Dam project. In the following years, the company relocated to the Spokane valley and acquired additional hauling authority, allowing for the company's diversification. In 1981, Jim's Transfer was purchased by the DeVries family and changed the companies' name to DeVries Moving Packing Storage. An agent for Atlas Van Lines for over 35 years, the company now provides relocation and transportation services to all 50 states and throughout the world. DeVries Moving Packing Storage currently has 18 long haul drivers. Eight of these drivers are dedicated to the 11 western states and the remainder, travel all 50 states. The unique self- haul/self pack program allows us to provide the ultimate in customer satisfaction because our services' begin and end with DeVries employees. DeVries Moving Packing Storage is located in Spokane, Washington. Our 65,000 square foot facility provides services for the relocation, transportation, and storage of commercial products and household goods. Our warehouse is a government approved storage facility and has received the highest rating possible by the Atlas corporate quality inspection team. Since 1982, the company has been involved in assisting facility managers and local furniture dealerships in the receiving, installation, and storage of new products. Over the years we have worked on many sizable relocations and reorganization projects within the areas we serve, whether we are assisting an office of five people or 500+, we have been involved in the installation of free standing furniture and/or systems, as well as, the relocation of the complete offices. Our commercial division provides a variety of facility services to local companies. This division is available to receive new products, warehouse, and inventory all items. Our experienced • furniture technicians provide project management services for furniture systems reconfiguration and installations, site receiving, staging, demountable walls, touch-up, upholstery, and move management assistance__ • DeVries Moving Packing Storage is dedicated to providing quality services pertaining to the relocation, transportation, and storage of commercial and household possessions. We are committed to provide growth and stability for our employees while being progressive and proactive as a business in the communities we serve. Assisting such organizations as the Economic Development Council, the Eagles, Rotary, the local Food Bank, local schools, Boy Scouts, Blooms Day and many others. Our company is also a member of the Better Business Bureau„ Chamber of Commerce, BOMA, and American Moving and Storage Association. i I Le. i . - A .77;7 • I /t?a /.7) 77? e/7-s-• L.57e '4/4.7- 1/416 C-Ze e",e. r e - 1,yet.a,e 27.:2 -7 ,11,7I±III • • 1 • • , . . . . , . . . . • • • _ . • .I • !I . .1 !I 11 i ___ g.i..._ Tr4 _,Z6- _ iei&-.....5 Wi- /-er, • We..c_ /7s,006.-e..72r _ ! • 1 ,:9 ecl#--r 6--,e_e/.47 e- /1:?--'0 E&•"--si 4 a---,L,7-e,,,9c. "--X,,, ,,r..,a , 1 . ._...._..._........ _ I cr2c.,..e. 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G9c,re . /?' r We c tc-,/ diar4 C r tY - e vs. /I -3;w ,e,..,6-4 6--,0 97..1.2 S'-S•Voc I --...1 09 SW /(1/TeN Ct. -s'e,7- 65-7r - • do Ai z 4 a 4 -s.'re--1/4-A../ 4•0./.he.t., --509-3/3^5- 4 02 ,:.::. 1 • .1 i 1 • _ . •! • be./4,7, V- II . .. . , y As 7-A, ey— es 4 s-2- /1 ,---*/ /e_ /7/4z- s- c o S ‘211,6", - s. e..F.-Co&-S. . ,s-- ,../e).13 2. A-47.5 //e- 0 -6 ids" Zt." A/c-- y A- . 77/ /se a.o (14.4r, rct-.6 a X/47.eox,r-ex4 7t-t 4/0 ist...rgieolo /" ,i, c1 dr- s. ,4s z� Jz e ./e re'ry Ze4- 6' 'S g e"--A• /1 • 77-7 Ld',6 ea, ea.?. coo, ev 0 / 1577ZZ.41-6-7 "le yr3 Le--//7/71 LC; -7-;:-/As- A• 20,ei /is 71-6 ey . / • • A C-0 e • • 10 JIMS TRANSFER INC Page 1 of 1 ST.�Jf E1*Wk4HING.FON Department of Labor& Industries Certificate of Workers' Compensation Coverage April 24,2017 WA UBI No. 328 028 324 L&I Account ID 445,372-00 Legal Business Name JIMS TRANSFER INC Doing Business As DEVRIES MOVING PACKING STORAGE Workers'Comp Premium Status: 'Account is current. • . Estimated Workers Reported .Quarter 4 of Year 2016"31 to 50 (See Description Below) :Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. DEVRIMP876BB License Expiration . :01/02/2019 •What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed,and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RQ& 51.12.050 and 51.16.190). . I https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=328028324&LIC=D... 4/24/2017 Client#: 146291 JIMSTRAN E(MM/D ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 7 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). PRODUCER NAMEACT Amy Augustine i Propel Insurance PHONE 800 499 0933 FAX 866 577-1326 Seattle Commercial Insurance Earn No,Ext): (ac,NB): ADDRESS: amy.augustine@propelinsurance.com 925 4th Ave,Suite 3200 i Seattle,WA 98104 INSURER(S)AFFORDING COVERAGE NAIL a INSURER A:Transguard Insurance Company of 28886 INSURED INSURER B: DeVries Moving Packing Storage 112 N Haven Ste.B INSURER C Spokane,WA 99202 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WPOLICY NUMBER (AIMIDDIYYYY) (MOD/TM) A X COMMERCIAL GENERAL UABILITY X X TCP000041703 12/03/2016 12/03/2017 EACH OCCURRENCE $1,000,000 pNen ) $1X0,0)0CLAIMS-MADE n OCCUR PREMSS _ X Medical Expenses for MED EXP(Any one person) s5,000 Temp WOrkers:$50K PERSONAL&ADV INJURY S1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 ' X POLICY JET n LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER $ A AUTOMOBILE LIABILITY X TCP000041703 12/03/2016 12/03/2017 IFa aBcieeD SINGLE LIMIT 51,000,00() _i ANY AUTO • BODILY INJURY(Per person) S ALL OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS _ X HIRED AUTOS �( NON-0WNED PROPERTY DAMAGE S AUTOS (Per accident) - X Trlr Intchg' '$50,000 Lmt S A X UMBRELLA LIAB X OCCUR TCU000037103 12/03/2016 12/03/2017 EACH OCCURRENCE $5,000,000 ' EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED X RETENTIONS10,000 S WORKERS COMPENSATION PER DTH- A TCP000041703 12/03/2016 12/03/2017 (STATUTE IX VI- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYIN WA Stop Gap/ L.EACH ACCIDENT s1,000,000 OFFICER/MEAIBEREXCLUDED? Q E. NIA (MyandatoryInNH) Employer's Liab E.L DISEASE.EA EMPLOYEE S1,000,000 _DEdescribe under SCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1,000,000 It A Cargo Legal Liab TCP000041703 12/03/2016 12/03/2017 $250,000 Any One Loss $5,000 Ded $500,000 Agg in Transit Whse Legal,lab" Cargo&Wrh-ge— SE-E-WHRSE1NPO-BEf:OW ' DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) '*Warehouse'Locations&Limits: 112 N.Haven,Spokane,WA:$600,000 limit 25 N.Fisk,Spokane,WA:$600,000 limit • City of Spokane Valley is included as additional insured per the attached. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 11707 E.Sprague Ave.Suite 106 ACCORDANCE WITH THE POLICY PROVISIONS. Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE i1 I "vi'c c.9 -'-'- ©1988.2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2679464/M2528714 TMT00 DEVRIES MOVING PACKING STORAGE Page 1 of 2 tinlur ri.pnrnd t n+l,:i t .search L&I r'• ="'y} !t-z Reif' iti'lp �Iyi\I Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Ottit Washington State Department of Labor & Industries DEVRIES MOVING PACKING STORAGE Owner or tradesperson 112 N HAVEN STE B Principals SPOKANE,WA 99202 509-924-6000 DEVRIES,MICHAEL B,PRESIDENT SPOKANE County DEVRIES,REBECCA L.SECRETARY Doing business as DEVRIES MOVING PACKING STORAGE WA UBI No. Business type 328 028 324 Corporation Parent company Governing persons JIM'S TRANSFER INC MICHAEL B DEVRIES WILLIAM DEVRIES; REBECCA L DEVRtES; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. • License specialties Cabinets,Millwork and Finish Carpentry License no. DEVRIMP876BB Effective—expiration 01/02/2013—01/02/2019 • Bond Lexon Ins Co $6,000.00 _ Bond account no. 9814702 Received by L&I Effective date 01/02/2013 12/28/2012 Expiration date Until Canceled Insurance TRANSGUARD INSURANCE COMPANY 0 $1,000,000.00 Policy no. TCP000041703 Received by LEI Effective date 11/28/2016 12/03/2016 Expiration date 12/03/2017 Insurance history Savings jI No savings accounts during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=328028324&LIC=DEVRIMP876BB&SAW= 4/24/2017 DEVRIES MOVING PACKING STORAGE Page 2 of 2 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No.Lad tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No'i(t:enie-iiioiations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verily the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 445,372-00 Doing business as DEVRIES MOVING PACKING STORAGE Estimated workers reported Quarter 4 of Year 2016"31 to 50 Workers" (` L&I account representative TO!KRISTINE HATHAWAY(360)902-4811-Email:HATK235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. .c Washington Stale Dept of Labor 8 industries.Use of this site is sublact to the laws of the slate of Washington. II Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=328028324&LIC=DEVRIMP876BB&SAW= 4/24/2017