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17-165.00 Sargent Engineers: On-Call Bridge Consulting & Inspection !-1-i c5 AGREEMENT FOR PROFESSIONAL SERVICES Sargent Engineer's,Inc. THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington,hereinafter"City"and Sargent Engineer's, Inc.,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 effect until completion of all contractual requirements have been met as determined by City. Consultant shall complete its work by December 31,2018,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 Agreement for Professional Services(with professional liability coverage) Page 1 of 6 Consultant for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. City agrees to pay Consultant an agreed upon hourly rate up to a maximum amount of$ $25,000.00 as full compensation for everything done under this Agreement,as set forth in Exhibit B. 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 of the 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: Sargent Engineer's, Inc. Phone: (509)720-5000 Phone: (360)867-9284 Address: 10210 East Sprague Avenue Address: 320 Ronlee Lane,NW Spokane Valley, WA 99206 Olympia, WA 98502 6.Applicable Laws and Standards. The Parties,in the performance of this 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 belief that 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 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. Agreement for Professional Services(with professional liability coverage) Page 2 of 6 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 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. 4. Professional liability insurance appropriate to Consultant's profession. 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. Agreement for Professional Services(with professional liability coverage) Page 3 of 6 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. 3. Professional liability insurance shall be written with limits no less than $1,000,000 per claim and$1,000,000 policy aggregate limit. C.Other Insurance Provisions. The 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 o f 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 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. Agreement for Professional Services(with professional liability coverage) Page 4 of 6 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 RC W. 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 of the other Party. 15.Subcontracts. Except as otherwise provided herein,Consultant shall not enter into subcontracts for any of 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 Agreement for Professional Services(with professional liability coverage) Page 5 of 6 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. Fee proposal C. Insurance Certificates �" Z'l I The Parties have executed this Agreement this��day of II� e__(--- - OVek -(— ,20[7- jZ CITY OF SPOKANE VALLEY Consultant: �' i Mark Calhoun, City Manager By: C. Martin, Principal Its: Authorized Representative ATTE L l h. Christine Bainbridge, City Clerk: APPROVED S TO FORM: Offic f the Ciia rney Agreement for Professional Services(with professional liability coverage) Page 6 of 6 Exhibit A Scope of Work 2018 On-Call Structural Bridge Consulting and Bridge Inspection Services Contract Scope of Services On-Call tasks shall be initiated by the City. Each task shall be tracked separately for invoicing. Consultant shall be provided to the City to perform the following duties in conformance with WSDOT Standard Specifications,WSDOT Construction Manual, and Project Contract Specification: • Bridge Engineering consultation, design,analysis,evaluation, inspection,and load rating. • Structural engineering consultation, design,analysis, evaluation,and observation. • Preparation of plans,specifications,and estimates for the above items. • Provide National Bridge Inventory routine, inventory,and safety inspections of the following bridge structures in 2018: o 3502—Fancher Road over BNSF RR,routine inspection(Under Bridge Inspection Truck) o 4507—Sullivan Road southbound over UP RR,routine inspection o 4510—Sullivan Road northbound over UP RR, routine inspection and chain drag o 4522—Dishman-Mica Road over Plouf Creek,routine inspection o 4595—Argonne Road separation under BNSF RR,safety inspection o 5503—Barker Road over Spokane River, routine inspection All inspection work shall be pursuant to current WSDOT and National Bridge Inventory bridge inspection standards and shall be performed prior to their 2018 inspection due dates. All inspection work shall be performed under direct supervision of a professional engineer, licensed in the State of Washington and certified as a bridge inspection Team Leader. All inspection findings and photographs shall be input into the WSDOT Washington State Bridge Inspection System inspection data base. Consultant shall provide the City with hard copies of all inspection reports and photographs for each structure. Sargent Engineers may procure the use of the City of Spokane's Under Bridge Inspection Truck for the inspection of 3502. The City of Spokane Valley's existing equipment lease with the City of Spokane runs through the end of December, 2019. The Cify of Spokane Valley shall provide the necessary traffic control required for the above mentioned inspections. Sargent Engineers shall be responsible to procure any necessary railroad traffic control,as needed,for track time to inspect structures 3502 and 4595. EXHIBIT B SARGENT 2018 Billing Rates Principals $137.00 $206.00 Senior Engineers $124.00 $167.00 Senior Project Engineers $114.00 $167.00 Project Engineers $86.00 $163.00 Design Engineers $71.00 $137.00 Engineering Technician $63.00 $119.00 Engineering Intern $51.00 $94.00 Drafter II $58.00 $109.00 Business Manager $86.00 $152.00 Business Associate $40.00 $104.00 Clerical $40.00 $89.00 Rates good for calendar year 2018. Rates will increase by 5%to 10% in calendar year 2019. SARGENT Sargent Engineers,Inc. 320 Ronlee Lane NW Olympia,Washington 98502 Tel 360 867-9284 Fax 360 867-9318 www.sargentengineers.com November 17, 2017 Mr. Pete Fisch City of Spokane Valley Public Works Department 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RE: City of Spokane Valley 2018 Bridge Inspections. Project No.: A17100.00 Dear Mr. Fisch: The City of Spokane Valley has ten separate structures that will need NBI routine, inventory, and safety inspections in 2018. Sargent Engineers will perform inspections for these structures as follows: • 3502- Fancher Road over BNSF RR—UBIT and Routine • 4507-Sullivan Road SB over UPRR—Routine • 4510-Sullivan Road NB over UPRR—Routine • 4510-Sullivan Road NB over UPRR—Chain Drag • 4522- Dishman-Mica over Plouf Creek—Routine • 4595-Argonne under BNSF RR—Safety • 5503- Barker Road over Spokane River—Routine All inspection work will be per current WSDOT and NBI bridge inspection standards and will be performed prior to their 2018 inspection due dates. Based on due dates for the above listed bridges, we anticipate inspecting all of them during the month of May.All inspection work will be performed under the direct supervision of a Professional Engineer, licensed in the State of Washington and certified as a bridge inspection Team Leader. All inspection findings and photographs will be input into the WSDOT WSBIS inspection data base. We will provide the City with signed hard copies of all inspection reports and photographs for each structure. Sargent Engineers will use the City of Spokane's UBIT services for the inspection of 3502 (COSV will rent UBIT directly from Spokane). Bridge 4510 is also due for a chain drag of the bridge deck which we will take care of. The City will provide the necessary traffic control for our inspections of all of these structures. Sargent Engineers will procure rail road traffic control, as needed, for track time to inspect structure 3502, 4507, and 4510. To complete the Scope of Work as outlined we propose to bill at our current hourly rates to a maximum fee of $17,865.00. Any additions or modifications to the proposed scope of work may require a modification to the maximum proposed fee. SARGENT Page 2 November 17,2017 Please find the attached cost-per-task breakdown for your review. Thank you for this opportunity to be of assistance to you and we look forward to a successful project working with you. Respectfully, Sargent Engineers, Inc. Erik C. Martin, SE, PE Principal ECM P:116Files1A16128.00 COSV On-Call1Proposals'Bridge Inspectlons\Scope.doc SARGENT Mr. Pete Fisch Page 3 November 17,2017 Task 1 - Bridge Inspections Senior Project Project Design Principal Engineer Engineer Engineer Drafter II Clerical Task Cost Rate: $172.00 $140.00 $120.00 $109.00 $89.00 $66.00 Spring 2018: Travel 16 16 $3,664 Correspondence 1 4 $652 Preparation 1 4 $556 Field Inspections: 3502*-Fancher Road over BNSF RR(UBIT+Routine) 8 8 $1,832 4507"*-Sullivan Road SB over UPRR(Routine) 2 2 $458 4510**-Sullivan Road NB over UPRR(Routine) 2 2 $458 4510-Sullivan Road NB over UPRR(Chain Drag) 5 5 $1,145 4522-Dishman-Mica over Plouf Creek(Routine) 2 2 $458 4595-Argonne under BNSF RR(Safety) 2 2 $458 5503-Barker Road over Spokane River(Routine) 2 2 $458 Reporting 6 14 1 $2,312 Total Direct Salary Cost 1.00 0.00 50.00 57.00 0.00 1.00 $12,451 Direct Costs Mileage $481.50 Lodging and Per Diem $1,432.00 *UB IT(3502) $0.00 (rented by COSV from City of Spokane) *Rail Traffic Control(3502) $2,000.00 **Rail Traffic Control(4507&4510) $1,500.00 Total Direct Costs $5,414 Grand Total $17,865 Task 2 - Miscellaneous On-Call Services It is anticipated that additional tasks may amount to the following: Principal- 10 hrs. $206.00 =$2,060.00 Senior Project Engineer- 5 hrs. $167.00 =$ 835.00 Project Engineer- 10 hrs. $163.00 =$1,630.00 Design Engineer- 5 hrs. $137.00 =$ 685.00 Drafter ll 10 hrs. $109.00 =$1,090.00 Clerical 10 hrs. $ 83.50 =$ 835.00 Total =$7,135.00 Total = $25,000.00 ter—, SARGENG-01 DDRAPER 4WRO" DATE(MMIDD/YYYY) �...--- CERTIFICATE OF LIABILITY INSURANCE 11/20/2017 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Albany Office PayneWest Insurance,Inc. (AIC,o,Ext):(541)9264291 FAX No):(541 926-4298 1025 Bain Street SE E-MAILDEESS: Albany,OR 97322 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Co 29424 INSURED INSURER B:Hartford Insurance Co of Sargent Engineers,Inc INSURER C:U.S.Specialty Insurance Co 320 Ronlee Lane NW INSURER D: Olympia,WA 98502 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INS() WVD (MM/()()/YYWI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 52SBAVW7185 02/21/2017 02/21/2018 DAMAGETORENTED 1,000,000 X PREMISES(Ea NTED nce) S MED EXP(Any one person) S 10,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: WA Stop Gap 5 1,000,000 COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) S X ANY AUTO X 52UECIV4082 02/21/2017 02/21/2018 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSEONLY _ AUTOS BODILYRINJURY(Per accident) $ AUTOS ONLY _ NON-OWNEDTS NY (Per acEcIdentDAMAGE $ 5 A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5 2,000,000 EXCESS UAB CLAIMS-MADE 52SBAVW7185 02/21/2017 02/21/2018 AGGREGATE _5 2,000,000 DED X RETENTIONS 10,000 following form 5 B WORKERS COMPENSATION X STATUTE ETH. AND EMPLOYERS'LIABILITY 52WECZ08094 05/01/2017 05/01/2018 1,000,000 AANY PRO vRIETO�FARTNER ECUTIVE YIN N/A E.L.EACH ACCIDENT 5 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 5 C Professional Liab USS1727869 08/16/2017 08/16/2018 Each Claim 2,000,000 C Prof Liability USS1727869 08/16/2017 08/16/2018 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) NOTE:Workers Comp coverage is NOT for State of Washington;it is for Other States re:2018 Bridge On Call Structural Contract City of Spokane Valley is an additional insured on the General and Automobile Liability with respect to the work performed for the City under written contract pursuant to the attached endorsements SS 00 08 04 05&HA 99 16 03 12,which includes primary and non-contributory wording. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 11707 East Sprague Ave,Ste 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE 4 1 WfiNL ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r_i Fde z v. id.*-Eniy _x I,: � * 0 Edk Vt Itsvotites Tools Help tg®SC CU 1.1 Bid Tabs DB M Bridge Acct sit COW PyApp Fscebook apapokanevearyetg QA GeLgs.com ICMA-RC)2 KREM py MethowVaary News 0]Steven CowdyW.Uingt_ QTimeshett .. ' s "Ls'tP' p shUsernatne vPausro% „a 4,4 y _x-CM aua - n atsteseoe mutosud.m2vr Na , ¢'. Nyu y"• �'+y,14 01,p y*Forsot t7aernasne s 'p Forgo[t'asswosd �r�,Creatse'aaAccomCli fi ,'+,'%>: ,; t • x "+•"”' Z�.:u1 taa 1 .` x+:..zk",.,....uL•.r&�s.,,.&«�,w,res".aYr • 'HOVE SEIRCHkECORDS 'DATA ACCESS CHECK STATUS ABOUT .HELY SARGENT EVCDIEEBS LNG' 32n fiO:Rn:LvhZV Entity Dashboard DUNS:i:359.,3o32 C1GECade:IDZW9 • OLYMPLt,IVA,99Sn=9^at, Status Active IJNTn31 STATIS • EL-piranon Datc 03/15,12018 s Entity Overview. Purpose cfR trst All Award., —�" �' AAu3�'r;:.,. .�-.:tit� St`�':.�. .a ��'ii:�,2u»..,�:_§3t.e4�..ayr.o8�•sa',3t�-;':�z�i�td2:.t • .• �4 Corc Data I EntityReststntionSummasp $ene�C.erte t r Name:SAAGE\T VTGE1EERS LSC FSZsa Business Type:Business orOrpoicaaon F�tncinnc Tact Updated 83:Juice Smith Refstratton Status:Acthy keit.FUNLI 0fi Activation Date:o;/OS/tos; InsetaFvetr.t{.1 Expiration Dale:o3/t5/nota . 1-b bed Family iamluu Excusion Summary ''' 1tETDRNTOSLIACIf""'`� Active Exclusion Records?No ... - Search Records Disrlvmcs F1PDS.gm. • • DataAcces Accessibiity GSA.AOv/Lay. View Details-Entity Overview( System for Award Management Page 1 of 1 Usemame Password Log In Forgot Username? Forgot Password? Create an Account — �— 320 RONLEE LN NW SARGENT ENGINEERS INC OLYMPIA,WA,98502-9241, Entity DUNS: 135953032 CAGE Code: 1DZW9 UNITED STATES Status:Active Dash b ._ w l - Expiration Date:03/15/2018 - v Entity Reaistration Purpose of Registration:All Awards Core Data Entity Overview Assertions —— _—.----- -- — —------- Reos&Certs PACS Entity Registration Summary • Exclusions Name:SARGENT ENGINEERS INC Business Type:Business or Organization • Active Exclusions Last Updated By:Janice Smith Registration Status:Active Inactive Exclusions Activation Date:03/15/2017 Expiration Date:03/15/2018 • Excluded Family Members REIURNTO SMIRCH Exclusion Summary Active Exclusion Records?No Search Records FAPIIS.gov• Data Access Disclaimers GSA.gov/IAE GSA Check Status Accessibility GSA.gov About Privacy POlicy USA.gov Help 181.1 v1.P.7.20171502-1229 WWW4 This is a U.S.General Services Administration Federal Government computer system that is"FOR OFFICIAL USE ONLY."This system is subject to monitoring.Individuals found performing unauthorized activities am subject to disciplinary action including criminal prosecution. .. . -..-. . - i... . .. . _ . yr ••• • nur 1 a /1T uru rrra I, 11 Inn les/t1 rr SARGENG-01DDRAPER DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/21/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Albany Office PHONEFAX (541) 926-4291(541) 926-4298 (A/C, No, Ext):(A/C, No): PayneWest Insurance, Inc. E-MAIL 1025 Bain Street SE ADDRESS: Albany, OR 97322 INSURER(S) AFFORDING COVERAGENAIC # Cincinnati Insurance Companies10677 INSURER A : Hartford Insurance Co of INSURED INSURER B : U.S. Specialty Insurance Co Sargent Engineers, Inc INSURER C : 320 Ronlee Lane NW INSURER D : Olympia, WA 98502 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. POLICY EFFPOLICY EXP INSRADDLSUBR TYPE OF INSURANCEPOLICY NUMBERLIMITS (MM/DD/YYYY)(MM/DD/YYYY) LTRINSDWVD A 1,000,000 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ Included DAMAGE TO RENTED X ECP047699102/21/201802/21/2019 CLAIMS-MADEOCCUR X $ PREMISES (Ea occurrence) 10,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ 2,000,000 X PRO- POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ A 1,000,000 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) X EBA047699102/21/201802/21/2019 X ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE XX HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ A 2,000,000 XX UMBRELLA LIAB OCCUR EACH OCCURRENCE$ ECP047699102/21/201802/21/2019 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ B PEROTH- X WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 52WECZO809405/01/201705/01/2018 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ C Professional LiabUSS172786908/16/201708/16/2018 Each Claim2,000,000 C Prof LiabilityUSS172786908/16/201708/16/2018 Aggregate2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Comp coverage listed is for OR and ID. Project: A2016-17 On-Call Bridge & Structural Consulting Services City of Spokane Valley is an additional insured per attached GCP203 0511 and AA288 0116, which includes primary and non contributory wording. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave., Ste 106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD UIJT!FOEPSTFNFOU!DIBOHFT!UIF!QPMJDZ/!QMFBTF!SFBEJU!DBSFGVMMZ/ ¯ DjodjQmvt ¯ CVTJOFTTBVUP!YD, )FYQBOEFE!DPWFSBHF!QMVT* FOEPSTFNFOU Uijt!foepstfnfou!npejgjft!jotvsbodf!qspwjefe!cz!uifgpmmpxjoh; CVTJOFTT!BVUP!DPWFSBHF!GPSN Xjui!sftqfduup!uif!dpwfsbhf!qspwjefecz!uijt!foepstfnfou-!uif!qspwjtjpotpguif!Dpwfsbhf!Gpsn!bqqmz!vomftt npejgjfe!cz!uijt!foepstfnfou/ Uijtqspwjtjpoepftopubqqmzvomfttuif!wbmje! B/Cmbolfu!Xbjwfspg!Tvcsphbujpo xsjuufo!dpousbdu!ibt!cffo; TFDUJPO!JW!.CVTJOFTT!BVUPDPOEJ. 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CinciPak™ COMMERCIALGENERAL LIABILITYBROADENED ENDORSEMENT This endorsementmodifies insurance provided under thefollowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART A.Endorsement- Tableof Contents: Coverage:BeginsonPage: 1.2 EmployeeBenefit Liability Coverage.................................................................................................. 2.7 UnintentionalFailure to DiscloseHazards......................................................................................... 3.7 Medical Payments.............................................................................................................................. 4.7 180 Day Coverage for Newly Formed or AcquiredOrganizations..................................................... 5.7 Waiverof Subrogation....................................................................................................................... 6.8 Automatic Additional Insured- Specified Relationships:.................................................................. • Managers or Lessors of Premises; • Lessor of Leased Equipment; • Vendors;and • State or PoliticalSubdivisions- Permits Relatingto Premises 7.10 Property Damage to Borrowed Equipment...................................................................................... 8.11 Employees as Insureds- Specified Health Care Services:............................................................ • Nurses; • Emergency MedicalTechnicians;and • Paramedics 9.11 Broadened Notice of Occurrence..................................................................................................... B.Limits of Insurance: TheCommercial GeneralLiabilityLimits of Insurance applyto theinsurance provided by this endorsement, exceptas provided below: 1.Employee Benefit LiabilityCoverage Each Employee Limit:$1,000,000 AggregateLimit:$3,000,000 Deductible:$1,000 3.Medical Payments Medical Expense Limit:$10,000 7.Property Damage to Borrowed Equipment Each Occurrence Limit:$10,000 Deductible:$250 GCP 203 05 11Page1 of 11 a) Youdidnothave C.Coverages knowledgeofa claim or "suit"on or 1.Employee Benefit LiabilityCoverage beforethe"firstef- fectivedate"ofthis a.SECTIONI Thefollowingisaddedto endorsement. -COVERAGES:EmployeeBenefit Liability Coverage. Youwillbe (1)Insuring Agreement deemedtohave knowledgeofa (a) Wewillpaythosesumsthat claimor"suit" theinsuredbecomeslegally whenany"author- obligatedtopayas damages izedrepresenta- causedbyanyact,erroror tive"; omissionoftheinsured,or ofanyotherpersonfor i) Reportsall,or whoseactstheinsuredisle- anypart,ofthe gallyliable,towhichthisin- act,erroror suranceapplies.Wewill omissiontous havetherightanddutyto oranyother defendtheinsuredagainst insurer; any"suit"seekingthose ii) Receivesa damages.However,wewill writtenorver- havenodutytodefend baldemandor againstany"suit"seeking damagestowhichthisin-claimfordam- surancedoesnotapply.We agesbecause may,atour discretion, inves- oftheact,er- tigateanyreportofanact, rororomis- errororomissionandsettle sion; and anyclaimor"suit"thatmay b) Thereisnoother result. But: applicableinsur- 1) Theamountwewillpay ance. fordamagesislimited (2)Exclusions SEC- asdescribedin TIONIII-LIMITSOF This insurancedoes not apply to: INSURANCE; and (a)BodilyInjury,Property 2) Ourright and dutyto de- DamageorPersonaland fendendswhenwe AdvertisingInjury haveuseduptheappli- cablelimitofinsurance "Bodilyinjury","property inthepaymentofjudg- damage"or"personaland ments or settlements. advertising injury". Nootherobligationorliability (b)Dishonest,Fraudulent, topaysumsorperformacts Criminalor Malicious Act orservicesiscovered Damagesarisingoutofany unlessexplicitlyprovidedfor intentional,dishonest, underSupplementaryPay- fraudulent,criminalormali- ments. ciousact,errororomission, (b) Thisinsuranceappliesto committedbyanyinsured, damagesonlyiftheact,er- includingthewillfulorreck- rororomission,isnegli- less violation of any statute. gentlycommittedinthe (c)FailuretoPerformaCon- "administration"ofyour"em- tract ployee benefit program"; and Damagesarisingoutoffail- 1) Occursduringthepolicy ureofperformanceofcon- period; or tractby any insurer. 2) Occurredpriortothe (d)Insufficiencyof Funds "firsteffectivedate"of thisendorsementpro- Damagesarisingoutofan vided: insufficiencyoffundsto GCP 203 05 11Page2 of 11 (j)Employment-RelatedPrac- meetanyobligationsunder tices anyplanincludedinthe "employeebenefit program". Anyliabilityarisingoutof (e)InadequacyofPerform- any: anceofInvestment/Ad- (1) Refusalto employ; viceGivenWithRespect to Participation (2) Terminationofemploy- ment; Any claim basedupon: (3) Coercion,demotion, 1) Failureofanyinvest- evaluation,reassign- ment to perform; ment,discipline,defa- 2) Errorsinprovidingin-mation,harassment, formationonpastper-humiliation,discrimina- formanceofinvestmenttionorotheremploy- vehicles; orment-relatedpractices, acts or omissions;or 3) Advicegiventoany (4) personwithrespecttoConsequentialliability (1),(2) thatperson'sdecisiontoasaresultofor (3) participateornottopar- above. ticipateinanyplanin- Thisexclusionapplies cludedinthe"employee whethertheinsuredmaybe benefit program". heldliableasanemployer or (f)Workers'Compensation inanyothercapacityandto and SimilarLaws anyobligationtosharedam- ageswithorrepaysomeone Anyclaimarisingoutofyour elsewhomustpaydamages failuretocomplywiththe because ofthe injury. mandatoryprovisionsofany (3)Supplementary Payments workers'compensation,un- employmentcompensation SECTIONI-COVERAGES, insurance,socialsecurityor SUPPLEMENTARYPAYMENTS disabilitybenefitslaworany -COVERAGESAANDB also similarlaw. apply to this Coverage. (g)ERISA b.Who is an Insured Damagesforwhichanyin- Asrespects Employee Benefit Liability suredisliablebecauseofli- SECTIONII-WHOISAN Coverage, abilityimposed onafiduciary INSURED isdeletedinitsentiretyand bytheEmployeeRetirement replaced by the following: IncomeSecurityAct of1974, asnoworhereafter (1) IfyouaredesignatedintheDec- amended,orbyanysimilar larations as: federal,state or local laws. (a) Anindividual,youandyour (h)AvailableBenefits spouseareinsureds,but onlywithrespecttothecon- Anyclaimforbenefitstothe ductofabusinessofwhich extentthatsuchbenefitsare you are thesoleowner. available,withreasonable effortandcooperationofthe (b) Apartnershiporjointven- insured,fromtheapplicable ture,youareaninsured. fundsaccruedorothercol- Yourmembers,yourpart- lectibleinsurance. ners,andtheirspousesare alsoinsuredsbutonlywith (i)Taxes, Fines or Penalties respecttotheconductof Taxes,finesorpenalties,in-your business. cludingthose imposedunder (c) Alimitedliabilitycompany, theInternalRevenueCode youareaninsured.Your oranysimilarstateorlocal membersarealsoinsureds, law. butonlywithrespecttothe conductofyourbusiness. Yourmanagersareinsur- GCP 203 05 11Page3 of 11 c.Limits of Insurance eds,butonlywithrespectto theirdutiesasyourmanag- Asrespects Employee Benefit Liability ers. SECTIONIII-LIMITSOF Coverage, (d)INSURANCE Anorganizationotherthanaisdeletedinitsentirety partnership,jointventureorand replaced bythe following: limitedliabilitycompany,you (1) TheLimitsofInsuranceshownin areaninsured.Your"execu- B.LimitsofInsurance, Section tiveofficers"anddirectors 1.EmployeeBenefitLiability areinsureds,butonlywith Coverage andthe rulesbelowfix respecttotheirdutiesas themostwewillpayregardless yourofficersordirectors. of the number of: Yourstockholdersarealso insureds,butonlywithre- (a) Insureds; specttotheirliabilityas stockholders.(b) Claimsmadeor"suits" brought; (e) Atrust,youareaninsured. Yourtrusteesarealsoinsur- (c) Personsororganizations eds,butonlywithrespectto makingclaimsorbringing their duties as trustees. "suits"; (2) Eachofthefollowingisalsoan(d) Acts, errors or omissions;or insured: (e) Benefitsincludedinyour (a) Eachofyour"employees" "employeebenefit program". whoisorwasauthorizedto (2) TheAggregateLimitshownin administeryour"employee B.LimitsofInsurance Section, benefit program". 1.EmployeeBenefitLiability (b) Anypersons,organizations Coverage ofthisendorsementis or"employees"having themostwewillpayforalldam- propertemporaryauthoriza- agesbecauseofacts,errorsor tiontoadministeryour"em- omissionsnegligentlycommitted ployeebenefitprogram"if inthe"administration"ofyour youdie,butonlyuntilyour "employeebenefit program". legalrepresentativeisap- (3) Subjecttothelimitdescribedin pointed. (2) above,theEachEmployee (c) B.Limits Yourlegalrepresentativeif LimitshowninSection youdie, butonlywithrespect ofInsurance1.Employee , todutiesassuch.Thatrep- BenefitLiabilityCoverage of resentativewillhaveallyour thisendorsementisthemostwe rightsanddutiesunderthis willpayforalldamagessus- Coverage Part. tainedbyanyone"employee", includingdamagessustainedby (3) Anyorganizationyounewlyac- such"employee's"dependents quireorform,otherthanapart- and beneficiaries, as a result of: nership,jointventureorlimited liabilitycompany,andoverwhich(a) An act, erroror omission; or youmaintainownershipormajor- (b) Aseriesofrelatedacts,er- ityinterest,willqualifyasa rorsoromissions,regard- NamedInsuredifno other similar lessoftheamountoftime insuranceappliestothatorgani- thatlapsesbetweensuch zation.However,coverageunder acts, errorsor omissions, this provision: negligentlycommittedinthe (a) Isaffordedonlyuntilthe "administration"ofyour"em- 180thdayafteryouacquire ployee benefit program". orformtheorganizationor theendofthepolicyperiod, However,theamountpaidunder whicheveris earlier; and thisendorsementshallnotex- ceed,andwillbesubjecttothe (b) Doesnotapplytoanyact, limitsandrestrictionsthatapply errororomissionthatwas tothepaymentofbenefitsinany committedbeforeyouac- planincludedinthe"employee quiredorformedtheorgani- benefit program". zation. GCP 203 05 11Page4 of 11 (4)Deductible Amount2.DutiesintheEventofan Act,ErrororOmission,or (a) Ourobligationtopaydam- Claim orSuit agesonbehalfofthein- a. suredappliesonlytotheYoumustseetoitthat amountofdamagesinex-wearenotifiedassoon cessofthedeductibleaspracticableofanact, amountstatedintheDecla-errororomissionwhich rationsasapplicabletoEachmayresultinaclaim. Employee.Thelimitsofin-Totheextentpossible, surance shall not be reducednotice should include: bytheamountofthisde- (1) Whattheact,error ductible. oromissionwas (b) Thedeductibleamountandwhenitoc- statedintheDeclarationscurred; and appliestoalldamagessus- (2) Thenamesand tainedbyanyone"em- addressesofany- ployee",includingsuch"em- onewhomaysuf- ployee's"dependentsand ferdamagesasa beneficiaries,becauseofall result ofthe act, er- acts,errorsoromissionsto roror omission. which this insurance applies. b. Ifaclaimismadeor (c) Thetermsofthisinsurance, "suit"isbroughtagainst includingthosewithrespect any insured, you must: to: (1) Immediatelyrecord 1) Ourright and dutyto de- thespecificsofthe fendtheinsuredagainst claimor"suit"and any"suits"seeking thedatereceived; those damages; and and 2) Yourduties,andthedu- (2) Notifyusassoon tiesofanyotherin- as practicable. volvedinsured,inthe eventofanact,erroror Youmustseetoitthat omission, or claim, wereceivewrittenno- ticeoftheclaimor"suit" applyirrespectiveoftheap- as soon aspracticable. plicationofthedeductible amount. c. Youandanyotherin- volved insured must: (d) Wemaypayanypartorall ofthedeductibleamountto (1) Immediatelysend effectsettlementofany uscopiesofany claimor"suit"and,uponno- demands,notices, tificationoftheactiontaken, summonsesorle- youshallpromptlyreimburse galpapersre- usforsuchpartofthede- ceivedinconnec- ductibleamountaswehave tionwiththeclaim paid. or "suit"; d.Additional Conditions (2) Authorizeustoob- tainrecordsand EmployeeBenefitLi- Asrespects other information; abilityCoverage,SECTIONIV- COMMERCIALGENERALLIABIL- (3) Cooperatewithus ITYCONDITIONS isamendedasfol- intheinvestigation lows: orsettlementof the claimordefense (1)2.DutiesintheEventof Item againstthe"suit"; Occurrence,Offense,Claimor and Suit isdeletedinitsentiretyand replaced by the following: (4) Assistus,uponour request,intheen- forcementofany rightagainstany GCP 203 05 11Page5 of 11 personororgani-limitofinsurancetothe zationwhichmaytotalapplicablelimitsof beliabletothein-insuranceofallinsur- suredbecauseofers. anact,erroror c.No Coverage omissiontowhich thisinsurancemay Thisinsuranceshallnot alsoapply. coveranylossforwhich theinsuredisentitledto d. Noinsuredwill,except recoveryunderany atthatinsured'sown otherinsuranceinforce cost,voluntarilymakea previoustotheeffective payment,assumeany dateofthisCoverage obligation,orincurany Part. expensewithoutour consent. e.Additional Definitions (2)5.OtherInsurance Itemisde- EmployeeBenefitLi- Asrespects letedinitsentiretyandreplaced abilityCoverage,SECTIONV- by the following: DEFINITIONS is amended as follows: 5.OtherInsurance (1) Thefollowingdefinitionsare added: Ifothervalidandcollectible insuranceisavailabletothe 1. "Administration" means: insuredforalosswecover underthisCoveragePart,a. Providinginformationto ourobligationsarelimitedas "employees",including follows: theirdependentsand beneficiaries,withre- a.PrimaryInsurance specttoeligibilityforor scopeof"employee Thisinsuranceispri- benefit programs"; c. maryexceptwhen belowapplies.Ifthisin- b. Interpretingthe"em- suranceisprimary,our ployeebenefitpro- obligationsarenotaf- grams"; fectedunlessanyofthe otherinsuranceisalso c. Handlingrecordsin primary.Then,wewill connectionwiththe sharewithallthatother "employeebenefitpro- insurancebythe grams"; or b. methoddescribedin d. Effecting,continuingor below. terminatingany"em- b.Method of Sharing ployee's"participationin anybenefitincludedin Ifalloftheotherinsur- the"employeebenefit ancepermitscontribu- program". tionbyequalshares, we willfollowthismethod However,"administration" also.Underthisap- does not include: proacheachinsurer a. Handlingpayrolldeduc- contributesequal tions; or amounts until it has paid itsapplicablelimitofin- b. Thefailuretoeffector suranceornoneofthe maintainanyinsurance lossremains,whichever oradequatelimitsof comesfirst. coverageofinsurance, includingbutnotlimited Ifanyoftheotherinsur- tounemploymentinsur- ancedoesnotpermit ance,socialsecurity contributionbyequal benefits,workers'com- shares,wewillcontrib- pensationanddisability utebylimits.Underthis benefits. method,eachinsurer's shareisbasedonthe 2. "Cafeteriaplans"means ratioofitsapplicable plansauthorizedbyapplica- GCP 203 05 11Page6 of 11 (2) blelawtoallow"employees"Thefollowingdefinitionsarede- toelecttopayforcertainletedintheirentiretyandre- benefits with pre-tax dollars.placed bythe following: 3.21. "Employeebenefitpro-"Suit"meansacivilproceed- grams"meansaprogram inginwhichmoneydam- providingsomeorallofthe agesbecauseofanact,er- followingbenefitsto"em- rororomissiontowhichthis ployees",whetherprovided insuranceappliesareal- througha"cafeteriaplan"or leged."Suit" includes: otherwise: a. Anarbitrationproceed- a. Grouplifeinsurance; inginwhichsuchdam- groupaccidentorhealth agesareclaimedandto insurance;dental,vision whichtheinsuredmust andhearingplans;and submitordoessubmit flexiblespendingac- with our consent; counts;providedthatno b. Anyotheralternative oneotherthanan"em- disputeresolutionpro- ployee"maysubscribe ceedinginwhichsuch tosuchbenefitsand damagesareclaimed suchbenefitsaremade and to which theinsured generallyavailableto submitswithourcon- those"employees"who sent;or satisfytheplan'seligibil- ity requirements; c. Anappealofacivilpro- ceeding. b. Profitsharingplans, employeesavings 8. "Employee"meansaperson plans,employeestock activelyemployed,formerly ownershipplans,pen- employed,onleaveofab- sionplansandstock senceordisabled,orretired. subscriptionplans,pro- "Employee"includesa videdthatnooneother "leasedworker"."Employee" thanan"employee"may doesnotincludea"tempo- subscribetosuchbene- rary worker". fitsandsuchbenefits aremadegenerally 2.UnintentionalFailuretoDiscloseHaz- availabletoall"employ- ards ees"whoareeligible SECTIONIV-COMMERCIALGENERAL undertheplanforsuch LIABILITYCONDITIONS,7.Representa- benefits; tions isherebyamendedbytheaddition c. Unemploymentinsur- of the following: ance,socialsecurity Basedonourdependenceuponyourrep- benefits,workers'com- resentationsastoexistinghazards,ifun- pensationanddisability intentionallyyoushouldfailtodiscloseall benefits; and suchhazardsattheinceptiondateofyour d. Vacationplans,includ- policy,wewillnotrejectcoverageunder ingbuyandsellpro- thisCoveragePartbasedsolelyonsuch grams;leaveofab- failure. senceprograms,includ- 3.Medical Payments ingmilitary,maternity, family,andcivilleave; TheMedicalExpenseLimitofAnyOne tuitionassistanceplans; PersonasstatedintheDeclarationsis transportationand B. amendedtothelimitshowninSection health club subsidies. LimitsofInsurance3.MedicalPay- , ment of thisendorsement. 4. "Firsteffectivedate"means thedateuponwhichcover- 4.180DayCoverageforNewlyFormedor agewasfirsteffectedina AcquiredOrganizations seriesofuninterruptedre- newalsofinsurancecover- SECTIONII-WHOISANINSURED is age. amendedas follows: GCP 203 05 11Page7 of 11 a.4. Subparagraph of Paragraph is herebytowhichthisinsurance deleted andreplaced by the following:would apply; and a.(b) Insuranceunderthisprovisionisaf-Theyarenotspecifically fordedonlyuntilthe180thdayafternamedasanadditionalin- youacquireorformtheorganizationsuredunderanyotherprovi- ortheendofthepolicyperiod,which-sionof,orendorsement ever is earlier;addedto,thisCoverage Part. 5.Waiver of Subrogation (2) Onlythefollowingpersonsoror- SECTIONIV-COMMERCIALGENERAL ganizationsareadditionalinsur- LIABILITYCONDITIONS,9.Transferof edsunderthisendorsement,and RightsofRecoveryAgainstOthersto insurancecoverageprovidedto Us isherebyamendedbytheadditionof suchadditionalinsuredsislim- the following: ited as provided herein: Wewaiveanyrightofrecoverywemay (a) Themanagerorlessorofa havebecauseofpaymentswemakefor premisesleasedtoyouwith injuryordamagearisingoutofyourongo- whomyouhaveagreedper ing operations or "your work"done under a 6.a.(1) Paragraphaboveto writtencontractrequiringsuchwaiverwith provideinsurance,butonly that personororganizationandincludedin withrespecttoliabilityaris- the"products-completedoperationshaz- ingoutoftheownership, ard".However,ourrightsmayonlybe maintenanceoruseofthat waivedpriortothe "occurrence"givingrise partofapremisesleasedto totheinjuryor damage forwhichwemake you,subjecttothefollowing paymentunderthisCoveragePart.The additional exclusions: insuredmustdonothingafteralosstoim- pairourrights.Atourrequest,theinsuredThisinsurancedoesnotap- willbring"suit"ortransferthoserightstoply to: us and help us enforce those rights. 1) Any"occurrence"which 6.AutomaticAdditionalInsured-Speci- takesplaceafteryou fied Relationships ceasetobeatenantin that premises. a. Thefollowingisherebyaddedto SECTION II - WHOIS AN INSURED2) :Structuralalterations, newconstructionor (1) Anypersonororganizationde- demolitionoperations 6.a.(2) scribedinParagraphbe- performedbyoronbe- low(hereinafterreferredtoas halfofsuchadditional additionalinsured)whomyouare insured. requiredtoaddasanadditional (b) insuredunderthisCoveragePartAnypersonororganization by reasonof:fromwhichyoulease equipmentwithwhomyou (a) Awrittencontractoragree- haveagreedperParagraph ment; or 6.a.(1) abovetoprovidein- surance.Suchperson(s)or (b) Anoralagreementorcon- organization(s)areinsureds tractwhereacertificateof solelywithrespecttotheirli- insuranceshowingthatper- abilityarisingoutofthe sonororganizationasan maintenance,operationor additionalinsuredhasbeen usebyyouofequipment issued, leasedtoyoubysuchper- son(s)ororganization(s). is an insured, provided: However,thisinsurance (a) Thewrittenororalcontract doesnotapplytoany"oc- or agreement is: currence"whichtakesplace aftertheequipmentlease 1) Currentlyineffector expires. becomeseffectivedur- ingthepolicyperiod; (c) Anypersonororganization and (referred to below as vendor) withwhomyouhaveagreed 2) Executedpriortoan 6.a.(1) perParagraphabove "occurrence"oroffense toprovideinsurance,but GCP 203 05 11Page8 of 11 f) onlywithrespectto"bodilyDemonstration,in- injury"or"propertydamage"stallation,servicing arisingoutof"yourproducts"orrepairopera- whicharedistributedorsoldtions,exceptsuch intheregularcourseoftheoperationsper- vendor'sbusiness, subject toformedattheven- thefollowingadditionalex-dor'spremisesin clusions:connectionwiththe saleof the product; 1) Theinsuranceafforded g) thevendordoesnotap-Productswhich,af- ply to:terdistributionor salebyyou,have a) "Bodilyinjury"or beenlabeledorre- "propertydamage" labeledorusedas forwhichtheven- acontainer,partor dorisobligatedto ingredientofany paydamagesby otherthingorsub- reasonoftheas- stancebyorforthe sumptionofliability vendor. inacontractor 2) agreement.ThisThisinsurancedoesnot exclusiondoesnotapplytoanyinsured applytoliabilityforperson or organization: damagesthatthe a) Fromwhomyou vendorwouldhave haveacquired intheabsenceof suchproducts,or thecontractor anyingredient,part agreement; orcontainer,enter- b) Anyexpresswar-inginto,accompa- rantyunauthorizednyingorcontaining by you;such products; or c)b) AnyphysicalorWhenliabilityin- chemicalchangeincludedwithinthe theproductmade"products- intentionallybythecompletedopera- vendor;tionshazard"has beenexcludedun- d) Repackaging, derthisCoverage unlessunpacked Partwithrespectto solelyforthepur- such products. poseofinspection, (d) demonstration,Anystateorpoliticalsubdivi- testing,orthesub-sionwithwhichyouhave stitutionofpartsagreedperParagraph 6.a.(1) underinstructionsabovetoprovidein- fromthemanufac-surance,subjecttothefol- turer,andthenre-lowing additional provision: packagedinthe Thisinsuranceappliesonly original container; withrespecttothefollowing e) Anyfailuretomakehazardsforwhichthestate suchinspections,orpoliticalsubdivisionhas adjustments,testsissuedapermitinconnec- orservicingasthetionwithpremisesyouown, vendorhasagreedrentorcontrolandtowhich tomakeornor-this insuranceapplies: mallyundertakes 1) Theexistence,mainte- tomakeinthe nance,repair,construc- usualcourseof tion,erection,orre- business,incon- movalofadvertising nectionwiththe signs,awnings,cano- distributionorsale pies,cellarentrances, of the products; coalholes,driveways, manholes,marquees, GCP 203 05 11Page9 of 11 hoistawayopenings,thisendorsementshallalso sidewalkvaults,streetbeexcess. banners,ordecorations 7.PropertyDamagetoBorrowedEquip- andsimilarexposures; ment or a. ThefollowingisherebyaddedtoEx- 2) Theconstruction,erec- j.DamagetoProperty clusionof tion,orremovalofele- 2.ExclusionsSEC- Paragraph,of vators; or TIONI-COVERAGES,COVERAGE 3)A.BODILYINJURYANDPROP- Theownership,mainte- ERTY DAMAGELIABILITY. nance,oruseofany elevatorscoveredby (3)(4) Paragraphsandofthisexclu- this insurance. siondonotapplytotoolsorequip- (3) Anyinsuranceprovidedtoanad-mentloanedtoyou,providedtheyare ditionalinsureddesignatedundernotbeingusedtoperformoperations 6.a.(2) ParagraphSubpara-at thetime of loss. (a),(b)(d) graphsanddoesnot b. Withrespecttotheinsurancepro- applyto"bodilyinjury","property videdbythissectionoftheendorse- damage"or"personalandadver- ment,thefollowingadditionalprovi- tisinginjury"arisingoutofthe sions apply: solenegligenceorwillfulmiscon- ductoftheadditionalinsuredor (1) TheLimitsofInsuranceshownin theiragents,"employees"orany theDeclarationsarereplacedby otherrepresentativeoftheaddi- thelimitsdesignatedinSection tionalinsured. B.LimitsofInsurance7. , PropertyDamagetoBorrowed b.SECTIONIV-COMMERCIALGEN- Equipment ofthisendorsement ERALLIABILITYCONDITIONS is withrespecttocoveragepro- hereby amended asfollows: / videdbythisendorsement 5.OtherInsurance ConditionisTheselimitsareinclusiveofand amendedto include:notinadditiontothelimitsbeing . replacedTheLimitsof Insurance (1) Whererequiredbyawrittencon- B.Limitsof showninSection tractoragreement,thisinsur- Insurance7.PropertyDamage , anceisprimaryand/ornoncon- toBorrowedEquipment ofthis tributoryasrespectsanyother endorsementfixthemostwewill insurancepolicyissuedtothe payinanyone"occurrence"re- additionalinsured,andsuch gardless ofthe number of: otherinsurancepolicyshallbe (a) excessand/ornoncontributing,Insureds; whicheverapplies,withthisin- (b) Claimsmadeor"suits" surance. brought; or (2) Anyinsuranceprovidedbythis (c) Personsororganizations endorsementshallbeprimaryto makingclaimsorbringing otherinsuranceavailabletothe "suits". additional insured except: (2)Deductible Clause (a) Asotherwiseprovidedin SECTIONIV-COMMER- (a) Ourobligationtopaydam- CIALGENERALLIABILITY agesonyourbehalfapplies CONDITIONS,5.OtherIn- onlytotheamountofdam- surance,b.ExcessInsur- agesforeach"occurrence" ance ; or whichareinexcessofthe deductibleamountstatedin (b) Foranyothervalidandcol- B.LimitsofInsur- Section lectibleinsuranceavailable ance7.PropertyDamage , totheadditionalinsuredas toBorrowedEquipment of anadditionalinsuredbyat- thisendorsement.Thelimits tachmentofan endorsement ofinsurancewillnotbere- toanotherinsurancepolicy ducedbytheapplicationof thatiswrittenonanexcess such deductible amount. basis.Insuchcase,the coverageprovidedunder GCP 203 05 11Page10 of 11 (b)SECTIONIV-COMMER- inthejurisdictionwherean"occurrence" CIALGENERALLIABILITY oroffensetowhichthisinsuranceapplies CONDITIONS,2.Dutiesin takes place. theEventofOccurrence, 9.Broadened Notice of Occurrence Offense,ClaimorSuit, ap- pliestoeachclaimor"suit" a.SECTIONIV-COM- Paragraphof irrespective of the amount. MERCIALGENERALLIABILITYCONDI- TIONS,2.DutiesintheEventofOccur- (c) Wemaypayanypartorall rence,Offense,ClaimorSuit ishereby ofthedeductibleamountto deleted andreplaced by the following: effectsettlementofany claimor"suit"and,uponno- a. Youmustseetoitthatweare notified tificationoftheactiontaken, assoonaspracticableofan"occur- youshallpromptlyreimburse rence"oranoffensewhichmayresult usforsuchpartofthede- inaclaim.Totheextentpossible,no- ductible amountashasbeen tice should include: paid by us. (1) How,whenandwherethe"oc- 8.EmployeesasInsureds-Specified currence" or offense took place; HealthCare Services (2) The names and addresses of any ItisherebyagreedthatParagraph injuredpersonsandwitnesses; 2.a.(1)(d)SECTIONIIWHOISAN of- and INSURED ,doesnotapplytoyour"em- ployees"whoprovideprofessionalhealth (3) The natureand location of any in- careservicesonyourbehalfasdulyli- juryordamagearisingoutofthe censed: "occurrence" or offense. a. Nurses; Thisrequirementappliesonlywhen the"occurrence"oroffenseisknown b. Emergency MedicalTechnicians; or to an "authorized representative". c. Paramedics, GCP 203 05 11Page11 of 11