17-063.01 Allwest Testing: Geotech Engineering & Material Testing OFFICE OF THE CITY ATTORNEY
Sj'ökane
406°11.\ CARY P.DRISKELL-CITY ATTORNEY
ERIK J. LAMB DEPUTY CITY ATTORNEY
s 10210 East Sprague Avenue♦Spokane Valley,WA 99206
40000Valley
(509)720.5105•Fax:(509)720-5095•cityattorney@spokanevalley.org
December 21,2017
Andy Eliason
Allwest Testing and Engineering
3005 North Industrial Lane,5th Street
Spokane Valley,WA 99216
Re: Implementation of 2018 option year,Agreement for On-Call Geotech Engineering
and Material Testing Services, #17-063, executed June 6, 2017
Dear Mr.Eliason:
The City executed an Agreement for provision of On-Call Geotech Engineering and
Material Testing Services on June 6,2017,by and between the City of Spokane Valley,
hereinafter"City",and Allwest Testing and Engineering,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 $28,838.50. The history of the annual
renewals, including dollar amounts, is set forth as follows:
Original contract amount $40,000.00
2018 Renewal .... $28,838.50
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 ALLWEST TESTING AND
ENGINEERING
Mark Calhoun, City Manager , 6 Name
Title
ATTEST:
Christine Bainbridge, City Clerk e -
APPROVED AS TO FORM:
•
• AA. A
Offi - • the Cflittomey
��.....) ALLWTES-01 PMILLER
ACORO' DATE
it.,-...---- 6/1912017
OF LIABILITY INSURANCE 8/19/2017
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 POUCIES
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 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 Acr Debbie J_ohns_t_on,CPCU,ARM,CIWCS
Alliant Insurance Services Inc. PHGNE --- - — .__—.._..___-.-if--._
Moto O'Neill
208)7T0�844 � . (509)325-1803
818 W Rhmrside Ave,Ste 000 ADOREtt ohnsto mo-ins.com
_ _
Spokane,WA 99201 •
. -----.__._ __— ___ _ __ _._
_.---._._ _...
____._ NSIJRER{-sIAFFORDa1G COVERAGE_ ________ MAIO C• _--
_.---- -.__ _____._..___ _ _----_ ----------------
-_-----____._._ ______._-.-__--NSURERA:Ohio Security Insuran.se Company/___-____-__-24082__-_-_
INSURED _NSURER e:American Fire andCasuaity Company 24068
Aliwest Testing&Engineering,LLC -wsuREa c:Ohio-Casualty Company►__ __--__ 24074___ _
PO Box 3149 INSURER D:.
.__.___-
Hayden,ID 83835 INSURER E: .._------•-.--...__..___.._..-•--_-•_-._-__._....--_--•-----._...._...___
--
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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. AIMS.
UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL
,k1---.-_._._._____W -_. EFF-P �
LTR TYPE OF INSURANCE MOD W VD POLICY NUMBER IMWDDIYYYYI (MMIDON'YW) LrrrT$ --
A 1 X__COMMExc LGENERA`LIABRITY EACH is 1,000.000
Immi IO-RH?E1YEa'--• $ 1,000,000
--^ _�cosAartEI�rA ��o� X BK355122284 00/23/2017 o4/01no1a -pRn� --_....._-.__.-_---- ---
�..-. ------__--•-----------__ - WY.«,. )--'-- - 15,000
--- ----------------.------
IMMORAL a favxrRY_ s_—_ 1,000,0_00
GENT.AGGREGATE LearAPPUES PER: GENERAL AGGREGATE $ 2,000,000
1 poucY�Xi] R°. Ili Loc PRODUCTS-COMP/OP mu s ___..,_.-.Z0_00,000
OTI+ER WA STOP GAP -- $ - -1,000,000
GOWNED siNoLE LIMIT
AIAOMOasFLIASIlrY 15LINEVsN.1 _--__.__._____. .________14!".9.1
B X-
ANY AUTO BAA55122284 06/23/2017 0410112018 BODILY SULRY(Per Nrsaa
-.--ALL OWNED ( SCHEDULED BOOILv I U tY(Fm s-d/aiq=.-.-_.._-__-.-__-....-..
-X AUTOS h X AUTOSNON-OO • .inttommyw1OA '------S--__-------_.-_
---- HIRED AUTOS __ AUTOS "- - -^--_—__
$
UMBRELLAIw -_. OCCUR ' .. 1 OCURRENCE.__ s_.._ -.._____
D4HCE87 UAB CLAIMS-MADE AGGREGATE i
S
_--
.- _DEO RETENTION_- EH ___.-- -{- -R-- -.._l.-O�F1- .-_.. --- ----
WORKERS COMPENSATION X.._LSTAT_VILL_153+_.___._._...__
AND EWLOYER$'LIASI TY
C ANY Y!N XWO56505694 04101/2017 04/0112018 EL.EACH AC_CIENT $ ___ 1,000,000
OFFICER/WIRIER EXCLUDED? n N I A
Plaadatoey yyeers M be under
E.L DISEASE-EA EMPLOYEE 8. --_1,000,000
lDESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT II 1,000,000
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 1St.Addillaaal Rwmb edn0ab.may be stashed N mon awe Is required)
Project City of Spokane Valley-On-Cell Services
City of Spokane Vary Is additional insured with respects to general RabMKty for ongoing operations of the named insured as required by written contract
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
City M Spokane Valley Ave,
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II
11707E Capra Spokane
Ave,Ste 106 ACCORDANCE WITH THE POLICY PROVISIONS.
Spokane Valley,WA 99206
AUTHORIZED REPRESENTATIVE
‘ew.Z tOCA74
I
ID 19882014 ACORD CORPORATION. All rights reserved. •
ACORD 25(2014/01) The ACORD name and logo aro registered marks of ACORD ,
Terra Insurance Company TERRA
(A Risk Retention Group) INSURANCE COMPANY
Two Fifer Avenue, Suite 100
Corte Madera, CA 94925
DATE CERTIFICATE OF INSURANCE
01/01/18 eu,V PUhlic Works
CERTIFICATE HOLDER
City of Spokane Valley DEC 2 y 2017
Attn: Erica Amsden,P.E.
Received
7E Sprague Ave Ste 106
Spokane Valley,WA 99206
This certifies that the"claims made"insurance policy(described below by policy number)written on forms in
use by the Company has been issued. This certificate is not a policy or a binder of insurance and is issued as a
matter of information only,and confers no rights upon the certificate holder. This certificate does not alter,
amend or extend the coverage afforded by this policy.
The policy of insurance listed below has 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 policy described herein is
subject to all the terms,exclusions and conditions of such policy. Aggregate limits shown may have been
reduced by paid claims.
TYPE OF INSURANCE Professional Liability
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
218194 01/01/18 12/31/18
LIMITS OF LIABILITY $1,000,000 EACH CLAIM
$1,000,000• ANNUAL AGGREGATE
PROJECT DESCRIPTION
On-Call Geotech Engineering and Material Testing Services
CANCELLATION: If the described policy is cancelled by the Company before its expiration date,
the Company will mail written notice to the certificate holder thirty(30)days in advance,or ten
(10)days in advance for non-payment of premium. If the described policy is cancelled by the
insured before its expiration date,the Company will mail written notice to the certificate holder
within thirty(30)days of the notice to the Company from the insured.
NAME AND ADDRESS OF INSURED ISSUING COMPANY:
TERRA INSURANCE COMPANY
Allwest Testing&Engineering,Inc. (A Risk Retention Group)
P.O.Box 3149
D2-,01)anair—
Hayden,ID 83835
President
ALLWEST TESTING & ENGINEERING INC Page 1 of 1
-A).
Tv.tit
STATE OF WASHINGTON
Department of Labor& Industries
Certificate of Workers' Compensation Coverage
December 22, 2017
WA UBI No. . 1602 216 413
— - t - - - - -- 1
I L&I Account ID '6766800
--
1 Legal Business Name + 4
ALLWEST TESTING &
ENGINEERING INC I
-- - -- -r
Doing Business As ALLWEST TESTING & 1
, ENGINEERING
+ - — -- - — --I
Workers'Comp Premium Status: Account is current.
Estimated Workers Reported Quarter 3 of Year 2017"11 to 20
(See Description Below) 'Workers"
Account Representative , Employer Services Help Line, (360)
1902-4817
1 Licensed Contractor? - 1 No 1
— - -- —- 1 ---__—
What
—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
51.12.05.0 and 51.16.190).
https://secure.lni.wa.gov/verify/Details/IiabilityCertificate.aspx?UBI=602216413&LIC=... 12/22/2017
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3005 N Industrial Ln
ALLWEST TESTING&ENGINEERING,L.L.C. Spokane Valley,WA,99216-1826,
EntityDUNS: 785707840 CAGE Code: 58N25 UNITED STATES
Status:Active
Dashbearttm
Expiration Date:12/23/2017
Entity Registration Purpose of Registration:All Awards —^
•
Core Data Entity Overview
• Assertions _— __ _. —_ — — — — —,
•
Reos&Certs
s EQCA Entity Registration Summery
r exclusions Name:AILWEST TESTING&ENGINEERING,LLC.
Business Type:Business or Organization
r Active Exclusions test updated By:Erb:Rigby
Repkttredoa Status:Active
s Inactive Exclusions Activation Date:12/27/2016
ExpiretIan Date:12/23/2017
a Excluded Family
Members
R8Ct6"""38AltClt
Exclusion Summary
Active Exclusion Records?No
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