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17-066.01 Simpson Engineers: On-Call Surveying OFFICE OF THE CITY ATTORNEY Sj5ökaneCARPP. DRISKELL- CITY ATTORNEY ERIK J. LAMB - DEPUTY CITY ATTORNEY °Y10210 East Sprague Avenue • Spokane Valley, WA 99206 .00.Valle (509)720.5105 • Fax: (509) 720-5095 • cityattorney®spokanevalley.org December 21, 2017 Ed Simpson Simpson Engineers 909 N. Argonne Road Spokane Valley, WA 99212 Re: Implementation of 2018 option year, Agreement for On-Call Surveying for Capital Improvement Projects, #17-066, executed May 16, 2017 Dear Mr. Simpson: The City executed an Agreement for provision of On-Call Surveying for Capital Improvement Projects on May 16, 2017, by and between the City of Spokane Valley, hereinafter"City", and Simpson Engineers, hereinafter"Contractor"and jointly referred to as "Parties." The original Agreement states that it was for one year, with three optional one-year terms possible if the parties mutually agree to exercise the options each year. This is the first of three possible option years that can be exercised and runs through December 31, 2018. The City would like to exercise the 2018 option year of the Agreement. The Compensation as outlined in Exhibit A, 2018 to the Agreement, includes the labor and material cost negotiated and shall not exceed $40,150.00. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount .550,000.00 2018 Renewal $40,150.00 All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. If you are in agreement with exercising the 2018 option year, please sign below to acknowledge the receipt and concurrence to perform the 2018 option year. Please return two copies to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. CITY OF SPOKANE VALLEY SIMPSON ENGINEERS (441( -- - `/ qqq j* Mar Calhoun, City Manager Name / Sec Trctisvr„- Title ATTEST• Christine Bainbridge, City Clerk APPROVED AS TO FORM: 01 Office f the City Attorney BHE DATE(MM/DD/YYYY) '4,4C-4CiSRO CERTIFICATE OF LIABILITY INSURANCE R045 3/30/2017 THIS CERTIFICATE'S 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). PRODUCER CONTACT NAME: ALLIANT INSURANCE SERVICES INC/PHS (NCNe,EMI. (866) 467-8730 FAX (A/C. (888) 443-6112 802465 P: (866) 467-8730 F: (888) 443-6112 ADDRESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NALCO SAN ANTONIO TX 78265 INSURER A: Hartford Casualty Ins Co 29424 INSURED INSURER B: INSURER C: CLARENCE E SIMPSON ENGINEERS INC INSURERD: 909 N ARGONNE RD INSURER E: SPOKANE WA 99212 INSURERF: 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. !SR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN.SR WYD (MM/DO/YYYI) IMMIDD/Y_YYTT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 51, 000, 000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $300, 000 PREMISES(Ea occurrence) A X General Liab X 52 SEA P36656 04/01/2017 04/01/2018 MED EXP(Any one person) 510, 000 PERSONAL&ADV INJURY 51, 000, 000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2, 000, 000 V X JPRO- POLICY LOC PRODUCTS-COMP/OP AGG $2, 000, 0 00 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1, 000, 000 ✓ (Ea accident) X ANY AUTO BODILY INJURY(Per parson) $ A OWNED SCHEDULED 52 UEC UR0799 04/01/2017 04/01/2018 BODILY INJURY(Per accident) $ AUTOS ONLY,—�AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY_ AUTOS ONLY (Per ant) 5 ~• 5 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 51, 000, 000 A EXCESS UAB CLAIMS-MADE 52 SBA PJ6656 04/01/2017 04/01/2018 AGGREGATE 51, 000, 000 DED X RETENTIONS 10,000 5 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS*LIABILITY STATUTE _ER ANY PROPRIETOR/PARTNER/EXECUTIVE YM E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory In NH) I I N/A EL DISEASE-EA EMPLOYEE $ If yes,desvibe under s E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below A EMP STOP GAP 52 SBA PJ6656 04/01/2017 04/01/2018 $1,000,000/$1,000,000/$1,000,000 li DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 10t,Additional Remarks Schedule,may be attached If more apace Is required) Those usual to the Insured' s Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy. Coverage is primary & non-contributory per the Business Liability Coverage Form SS0008, attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley AUTHORIZED REPRESENTATIVE 11707 E SPRAGUE AVE STE 106 7a_ SPOKANE VALLEY, WA 99206 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YY1^() --- -----� asl12/2017 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). PRODUCER COt�TAGT NAME: ASCE Professional Liability Department Pearl Insurance r'NUNt TAA (A/C,No,Ext): 800-322-2488 !A/C.Nop 666-817-9009 1200 East Glen Avenue tJ AA Peoria Heights,IL 61616 ADDRESS: ascecertsipearlInsurance.com INSURER(S)AFFORDING COVERAGE NAIC INSURER A: Underwriters at Lloyd's of London(LAM Best 1085202) AA-1122000 INSURED INSURER B: Clarence E.Simpson Engineers,Inc. INSURER C: 909 N Argonne Rd INSURER D: Spokane Valley,WA 99212-2791 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 ADOLSUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER JMMIDD/VYYY)_(MM/DO/YYYYL LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S UAMAUP_1Unt/T 1[U CLAIMS-MADE 1-1 OCCUR PREMISES(Es ocnrrence) S MED EXP(Any one person) S PERSONAL&ADV INJURY S GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG S OTHER' S AUTOMOBILE UIBIUTY 't.uMuiNtu biNutt,Jr.,I 'S (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL AUTOS SCHEDULED AUTOSBODILY INJURY(Per accident) S NON.OMHEO rn,nn I T Uiwgl.t - HIRED AUTOS AUTOS (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE _ S I DED RETENTIONS S 'WUHRIRS UM 1NSAIIUN PERU IH- AND EMPLOYERS'LIABIUTY YIN STATUTE I ER ANYPROPRIETORIPARTNER/EXECUTIVEE.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? n NIA (Mandatory In NH) E.L DISEASE•EA EMPLOYEE S f yes.descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S A Professional Liability Insurance NA N 2200136-06 01101/2017 ' 01/010016 SI.060.60tr E.d,Coen S1.000.000 Aaare6au,/ Retro Date:01/01/2011 _ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached If more space Is requIred) CERTIFICATE HOLDER CANCELLATION Prod of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AREPRESENTATIVEPearl Insurance 1n P,--e ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CLARENCE E SIMPSON ENGINEERS INC Page 1 of 1 ) STA I E OF WASHINGTON Department of Labor & Industries Certificate of Workers' Compensation Coverage December 22, 201 7 WA UBI No. 600 100 826 L&I Account ID 174,273-00 Legal Business Name CLARENCE E SIMPSON ENGINEERS INC Doing Business As CLARENCE E SIMPSON Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 3 of Year 2017 "7 to 10 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? No 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 RCW 51.12.050 and 51.16.190). htts://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=600100826&LIC=... 12/22/2017 View Details-Entity Overview I System for Award Management Page 1 of 1 Username Password Log In Forgot Username? Forgot Password? Create an Account CLARENCE E SIMPSON ENGINEERS INC 909 N ARGONNE RD SPOKANE,WA,99212-2791, DUNS: 078201563 CAGE Code: SPUF7 UNITED STATES Status:Active DaShbieW Expiration Date:08/08/2018 Entity Registration Purpose of Registration:All Awards Core Data Entity Overview Assertions • Reps&Certs • POCS Entity Registration Summary • Exclusions Name:CLARENCE E SIMPSON ENGINEERS INC Doing Business As:SIMPSON ENGINEERS • Active Exclusions Business Type:Business or Organization Last Updated By:Aaron Simpson • Inactive Exclusions Registration Status:Active Activation Date:08/08/2017 • Excluded Family Expiration Data:08/08/2018 Members RETURN TO SFARCH Sodomise Slemeary Adios lloolweioo ReooNe?No Search Records FAPIIS.gov Data Access Disclaimers GSA.gov/IAE GSA Check Status Accessibility GSA.gov About Privacy Policy USA.gov Help IBM v1.P.7.20171102-1229 WWW5 • 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 are subject to disciplinary action including criminal prosecution. https://www.sam.gov/portal/SAM/?navigationalstate=JBPNS 2-00A13XdcACJqYXZheC... 12/22/2017 Debarred Contractors List Page 1 of 1 Rome Espanol Contact Search L&I SEARCH A-Z Index Help My L&t Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of "Labor & Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name:ISimpson Engineers I WA UBI Number:) I License Number:) Principal:) RCW:IAII v From:IMMJDD/YYYY IToiMMJODJYYYY Penalty Due: All v Wage Due: All v i4pply FiltersiResell Download all debarment data! Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begets Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v]per page Showing 0 records FirstPreviousNextLast Cry Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/debarandstrike/ContractorDebarList.aspx 12/22/2017