17-092.01 T-O Engineers: Argonne Rd Preservation Project CONTRACT AMENDMENT No. 1 TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND T-O Engineers,Inc.
Spokane Valley Contract#17-092.1
For good and valuable consideration,the legal sufficiency of which is hereby acknowledged,City and T-0
Engineers,Inc. mutually agree as follows:
• I. Purpose: This Amendment is for the Contract for ROW Survey Services by and between the Parties,
executed by the Parties on July 13,2017,and which terminates on December 31,2018.. Said contract shall
be referred to as the "Original Contract" and its terms are hereby incorporated by reference. Total
compensation under the Original Contract is not to exceed 7,400.00.
2.Original Contract Provisions:The Parties agree to continue to abide by those terms and conditions of the
Original Contract and any amendments thereto which are not specifically modified by this Amendment.
3.Amendment Provisions:This Amendment is subject to the following amended provisions,which are as
follows. All such amended provisions are hereby incorporated by reference herein and shall control over
any conflicting provisions of the Original Contract, including any previous amendments thereto.
Contract time is extended to December 31.2019.
4. Compensation Amendment History: This is Amendment # 1 of the Original Contract. The history of
amendments to the compensation on the Original Contract and all amendments is as follows:
Date Compensation
Original Contract Amount July 13,2017 $7,400.00
v 71
Amendment#1 � 01h $ 0.00
Total Amended Compensation $7,400.00
The parties have executed this Amendment to the Original Contract this 17tday of December,
2018.
CITYRF SPOKA VAL EY: T-O Engineers, Inc.:
9 AL . 9 2.�/
Mark Calhoun By. 4 an+(5 2. No4 VLLL
City Manager Its:_tg r+.✓H[ /Nq.,.q 4P<
A + •
\\ APPROV s :S TO FORM:
'gine Bainbridge,City Clerk IP- Offiobbe i ttomey
CI lentil:54126 TOENGIN
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(RMODIYYYY)
12/21/2018
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER 192MEp"r Trudy Henry
Greyling Ins.Brokerage/EPIC PHHOON o,.E,u:770.552.4225 17,.—cm„), 866.550.4082
3780 Mansell Rd.Suite 370 ea1Aa Crud hen re Im com
ADOREss. Y ry@9 Y
Alpharetta,GA 30022
INSURER(S)AFFORDING COVERAGE NAIC
INSURER A:Hartford Accident&Indemnity company 22357
INSURED F INSURER B:Twin City Fire Insurance Co. 29459
T-O Engineers,Inc. INSURER c:Sentinel Insurance Company 11000
2471 S.Titanium PI.
INSURER D:
Meridian,ID 83642
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 18-19 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.
OLTP TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
fNSR WVD POLICY NUMBER (MMIDDMYY) (MMNDIYYYY) LIMITS
p X COMMERCIAL GENERRrALLIABILITY 20SBWZK7113 10/01/201810/01/2019 EACH OCCURRENCE $1,000,000
CLAIMS-MADE I X1 OCCUR PREN"Mi3W?ErTNTrEr?enoe) $1,000,000
MED EXP(Any one Person) $10,000
PERSONAL SADV INJURY $1,000,000
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000
POLICY X JET LOC I PRODUCTS.COMP/OP AGG $2,000,000
OTHER $
C AUTOMOBILE LIABILITY 20UEGNM3472 10/01/201810/01/2019 (EoaenildeDSINGLE LIMIT $1,000,000
X ANY AUTO i BODILY INJURY(Per person) $
AUTOS ONLY ._SCHEDULED •
• BODILY INJURY(Pre accident) $
X AUTOS ONLY X AUTOS ONLYY i PROPTY(PerreER nt)AMAGE
A x UMBRELLA LIAD X OCCUR � 20SBWZK7113 10/01/201810/01/2019 EACH OCCURRENCE $5,000,000_
EXCESS LIAS CLAIMS-MADE AGGREGATE S5 ocif 0OO
DED X RErENTON$10000 $
B WORKERS COMPENSATION 2OWBGAB6WO9 10/01/201810/01/2019 X METE Y/N STATUTE R
ANY PROPRIELOWPARTNENEXECUTIVE E.L.EACH ACCIDENT $500,000
OF IGER/MEMBER EXCLUDED? N NIA
(MandatorylnNN) E.L.DISEASE-EA EMPLOYEE $500,000
if yes.describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $500,000
•
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached II more space Is required)
Re: 170209 Argonne Rd Preservation.City of Spokane Valley is named as an Additional Insured on the above
referenced liability policies with the exception of workers compensation where required by written
contract.The above referenced liability policies with the exception of workers compensation and umbrella
are primary 8 non-contributory where required by written contract.Waiver of Subrogation is applicable
where required by written contract 8 allowed by law.
(See Attached Descriptions)
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
10210 E.Sprague Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Spokane,WA 99206
AUTHORIZED REPRESENTATIVE
.esN
ID 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
651342683/M1313080 KTRUI
Client#: 10130 TOENG
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY)
12/26/2018
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:Nelle 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 CONTACT
NAME: Kim Ward
Moreton&Company-Idaho PHONE 208 208321-2024 "Ix xq: 208-321-0101
P.O.Box 191030 (sic,Not ADDRESS. kward@moreton.com _
Boise,ID 83719 INSURER(S)AFFORDING COVERAGE _... . NAIC
208321-9300 II INSURER A:Ena.,anc.AmMnnsPeabdyln 41718
INSURED INSURER B:
T-O Engineers,Inc.
INSURER c:
2471 S.Titanium Place
INSURER D:
Meridian, ID 83642-2088
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 CONTRACTOR 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 INSRL WV!) POLICY NUMBER SUBR POLICY POLICY EXP LIMITS
mOLICIYEFFn (POLICIYEXP
COMMERCIAL GENERAL LIABILITY EACHpprdp OCCURRENCEETpq� _ $
CLAIMS-MADE OCCUR PREMI ESIEa MF.',ee) $
MED EXP 5(IAny one person) $
PERSONAL P.ADV INJURY $
GUM AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE
POLICY PI JET LOC I PRODUCTS COMP/OPAGG $
OTHER: $
AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT
(Ea INJURY
°
$
ANY AUTO •BODILY INJURY(Par parson) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED 'PenAGE
RED AUTOS AUTOS (Per scodml) --
$
UMBRELLA LIAB OCCUR 'I EACH OCCURRENCE
EXCESS LIAR JI CLAIMS-MADE AGGREGATE $ _
DED RETENTIONS $
WORKERS COMPENSATION PERRTUIF EOTRH-
AND EMPLOYERS'UABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE YIH EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $
If yes.desthbe under I E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
A Professional OPL10012817000 04/04/2018 04/04/20191 $5,000,000 Limit
Liability '' $50,000 Retention
DESCRIPTION OF OPERATIONS Jr LOCATIONS/VEHICLES(ACORD 101,Add Mona!Remelt;Schedule,may be attached II more space is required)
Pharmer Engineering has merged with T-0 Engineering effective 04/01/2017
T-0 Job 170209 Argonne Rd Preservation
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
10210 E.Sprague Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Spokane,WA 99206
AUTHORIZED REPRESENTATIVE
®1988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S1112138/M1031151 SAROT
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