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18-207.00 Senske Lawn & Tree Care: Emergency Traffic Control SvcsContract No. 18-207 AGREEMENT FOR SERVICES Senske Lawn and Tree Care THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter"City" and Senske Lawn and Tree Care, 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 commencementof 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 ofthis Agreement, Consultant represents it possesses the ability, skill, and resources necessary to perform the work aid 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 Cityfurnished information. C. Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed by professional consultants engaged in the same p rofessi on, and perform ing 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 will 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 whenrequired to do so by City witbut 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 niet as determ ined by City. Consultant shall complete its work by December3 1, 2019 unless the time for performance is extended in writing by the Parties. Agreement for Services (without professional liability coverage) Page 1 of 6 Contract No. 18-207 Either Party may term inateth is 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, terminatethis Agreement for any reason by 10 days' written notice to Consultant. In the event of termination without breach, City shall pay Consultant for all work previously authorized and satisfactorily performecfrior to the termination date. 3. Compensation City agrees to pay Consultant anagreed upon hourly rate up to a maximum amountof $ 10,000 as full compensation for everything done under this Agreement, as set forth in Exhibit A. 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 paymentherefore. 4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for payment shall be sentto 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 applicationsfor payment shall be given in writing as follows: TO THE CITY: Name: Christine Bainbridge, City Clerk Phone: (509) 720-5000 Address: 10210 East Sprague Avenue Spokane Valley, WA99206 TO THE CONSULTANT: Name: Senske Lawn and Tree Care Phone: (509) 893-3183 Address: 7115 E Cataldo Avenue Spokane Valley, WA 99212 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 ail federal, statg 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. I -lave 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 poperty; 3. Are not presently indicted for or otherwisecriminallyor 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 Agreement for Services (without professional liability coverage) Page 2 of 6 Contract No. 18-207 4. Have not within a three-year period preceding this application/proposalhad 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 explaation to this Agreement. 8. Relationship of the Parties. It is understood and agreed that Consultant shall be an independent contractor and not the agent or employee of City, that City is interested in only the results to be achieved, and that the right to control the particular manner, method, and means in wh ich 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 thisAgreement 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 Iaws. 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 quaI ity 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 inpart, any reports, data, drawings, images, or other material prepared under this Agreement, provided that Consultant shall have no Iiabilityfor the use of Consultant's work product outside of the scope of its intendedpurpose. 10. Records. The City or State Auditor or any of their representativesshal l have full access to and the right to examine during normal business hours all ofConsultant's records with respect to all matters covered in this Agreement Such representativesshal) 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 hereunc . 11. Insurance. Consultant shall procure and maintainfor the duration of the Agreement, insuranceagainst claims for injuries to persons or damage to property which may arise from or in connection with the performance ofthe 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 ora 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 advertisinginjury. 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 ofthe State Agreement for Services (without professional liability coverage) Page 3 of 6 Contract No. 18-207 of Washington. B. Minimum Amounts of Insurance. Consultant shall maintain the following insurancelimits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage ofno less than $1,000,000 per accident. 2. Commercialgeneral liability insurance shall be written with limits no less than $1,000,000 for each occurrence, and $2,000,000 for general aggregate. C. Other Insurance Provisions. The policies are to contain, or be endorsed to contain, the following provisions for automobile 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 maintainsh igher insurance limits than the minimums shown above, City shall be insured for the full available limits of commercial general and excess or umbrella liability maintained by Consultant, irrespective of whether such limits maintained by Consultant are greater than those required by this Agreement or whether any certificate of insurance furnished to the City evidences limits of I iability 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, immediatelyterminatethe 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 dueConsultant from the City, D. Acceptabilityof 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'sfees, 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, Agreement for Services (without professional liability coverage) Page 4 of 6 Contract No. 18-207 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 liabilityfor damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees pursuant to RCW 4.24.115. Consultant's duty to defend, indemnify, and hold City harmless against liability for damages arising out of such services caused by the concurrent negligence of (a) City or City's agents or employees, and (b) Consultant, Consultant's agents, subcontractors, subconsultants and employees, shall apply only to the extent of the negligence of Consultant,Consultant's agents, subcontractors subconsultants, and employees. Consultant's duty to defend, indemnify, and hold City harmless shall include, as to all claims, demands, losses, and liability to which it applies, City's personnel -related costs, reasonable attorneys' fees, the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for collection, and all other claim -related expenses. Consultant specifieallyand expressly waives any imrnunitythat may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. These indemnificationobligationsshall not be limited in anyway by any limitation on the anount 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 employes 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 thisagreement. 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 Iaw. Failure of either Party to enforce at any time any of the provisions of this Agreement or to require at any time performanceby 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 validityof this Agreement or any part thereof. 14. Assignment and Delegation. Neither Party may assign, transfer, or delegate any or all of the responsibilitiesofthis 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 un .br this Agreement without obtainingprior 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. Notwithstandingthe foregoing, Consultant agrees that it may, at City's request, be joined as a party in Agreement for Services (without professional liability coverage) Page 5 of 6 Contract No. 18-207 any arbitration proceeding between City and any third party that includes a claim or claims that arise out of, or that are related to Consultant's services under this Agreement. Consultant further agrees that the Arbitrator(s)' decision therein shall be final and binding on Consultant and that judgment may be entered upon it in any court having jurisdiction thereof. 18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation (including expert witness fees). 19. Entire Agreement. This written Agreement constitutes the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed, modified, or altered except in writing signedby 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. Prior to commencementof work under this Agreement, Consultant shall register with the City as a business 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 inval idity shall not affect the validity ofany other section, sentence, clause or phrase of this Agreement. 23. Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Services/ Fee Proposal B. Insurance Certificates The Parties have executed this Agreement thi day of �\ X2C47 , 20 L� CITY OF SPOKANE VALLEY Mari: Calhoun, City Manager ATTE hristine Bainbridge, City Clerk 1 - APPROVED AS TO ORM: Office q the Ci ney Consultant: Authori . d Re . rsentative / Agreement for Services (without professional liability coverage) Page 6 of 6 Spokane Valley Community & Public Works Department 10210 E Sprague Avenue ♦ Spokane Valley WA 99206 Phone: (509) 720-5000 • Fax: (509) 720-5075 • www.spokanevalley.org December 14, 2018 EXHIBIT A — SCOPE OF WORK 2019 EMERGENCY TRAFFIC CONTROL SERVICES Senske Lawn and Tree Care, Inc. (hereinafter referred to as the CONTRACTOR) shall provide traffic control support for the City of Spokane Valley (City) from January 1, 2019 to the end of the day December 31, 2019. This work is on-call, at the City's request, and will normally take place outside of the City's posted business hours. The CONTRACTOR shall receive dispatches via cell phone and communicate with Emergency Services (911) and/or the City to assist in incident management. The CONTRACTOR shall be required to have a member of its personnel arrive at dispatched locations within the City no later than 60 minutes after first notification. Typically, the initial response will be to incidents that would pose a significant hazard to the traveling public if the hazard is left unattended or not properly guarded with traffic control. It is anticipated that the CONTRACTOR would need to only dispatch one person and one truck per incident. After arrival on the incident scene, the CONTRACTOR's personnel shall: 1. Make an assessment of the situation 2. Provide adequate traffic control or road closures accordingly per the most recent MUTCD standards and applicable Washington Administrative Codes. 3. Report back to City Public Works personnel via phone on what has occurred, how it was handled, and to possibly receive further instruction. 4. Document the completed traffic control through digital photo and/or hand sketch plan. Examples of emergency traffic control events include, but are not limited to: • Trees, limbs, or other debris that fall onto roadways and cannot be readily removed. • Flooding of City roadways requiring "WATER OVER THE ROAD" signage. • Responding to other hazards on the City roadway system such as sink holes. The CONTRACTOR shall only dispatch personnel with current Washington State Flagger Certification, with a truck sized and rigged to safely and efficiently assist in the performance of traffic control. The truck shall be able to adequately carry traffic control signage,materials and equipment to close roads or divert traffic around the various hazards or events. The City shall provide to the CONTRACTOR traffic control signage, cones, and other materials to adequately provide the traffic control, which items shall be returned to the City at the end of the contract term. SCOPE OF SERVICES - 2019 Emergency Traffic Control Services Page 1 of 2 CONTACT INFORMATION The CONTRACTOR shall provide a cellular numbers for at least three contacts and list the name of the contact associated with the number. The CITY shall provide the CONTRACTOR's contact information to 911 Emergency Services for dispatch of the services described in this document. The CITY shall provide to the CONTRACTOR a CITY contact and phone number list for the CONTRACTOR's responder(s) to communicate during and after emergency response events. MEASUREMENT AND PAYMENT Hourly rates for time, materials and equipment, as noted in below shall include all labor, material, skill, traffic control, transportation and equipment necessary and/or incidental to respond to roadway incident emergencies when called on by the City to respond. The work shall consist of providing an initial response to street and storm drainage emergencies, on-call and at the City's request. Work includes responding and arriving to the dispatched incident location within 60 minutes after notification, making an initial assessment of the situation, providing adequate traffic control or road closures per the most recent Manual on Uniform Traffic Control Devices (MUTCD) standards and applicable Washington Administrative Codes, coordinating with the City Public Works personnel regarding the incident and response by the contractor, and providing digital photos and documentation of the traffic control set-up. CONTRACTOR shall record the personnel time for each response event, rounded up to the nearest one-half hour, starting from the time that the CONTRACTOR's personnel receives the first dispatch notification for incident response until the CONTRACTOR completes all responses to dispatches received during an event. An event response shall include multiple dispatched call -outs when dispatches are continuously received within 60 minutes of each other. The minimum call - out time for an event response shall be two hours. The following agreed-upon daily and hourly rates for "Time and Materials" to complete this work are as follows: TIME AND MATERIAL RATES 1. Monthly not -to -exceed stand-by cost for CONTRACTOR personnel and truck: $488/month 2. Hourly rate for a CONTRACTOR personnel and truck: $88.00/hour 3. 25 percent mark-up allowed for materials on CITY approved force account work SCOPE OF SERVICES - 2019 Emergency Traffic Control Services Page 2 of 2 LAW -01 RESLINGER 7 ACORE," iilme CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 02/06/2018 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(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 Richland Office Paynewest Insurance, Inc. 390 Bradley Blvd. Richland, WA 99352 CONTACT NAME: FAX �A/Hc°O,No, Ext): (509) 946-6161 1No(866) 2154862 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Cincinnati Insurance Companies 10677 INSURED Senske Lawn & Tree Care, Inc 400 North Quay Street Kennewick, WA 99336 INSURER B :One Beacon EPP0177069 (WA/ID/UT)01/28/2018 INSURER C : 01/28/2019 INSURER D : $ 1,000,000 INSURER E : $ 500,000 INSURER F : VISION NUMBER: THIS IS TOvCERTIFY 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRINSD TYPE OF INSURANCE ADDL SUBR w VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP IMM/DD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY X EPP0177069 (WA/ID/UT)01/28/2018 01/28/2019 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED PREMISES (Ea occurrence) $ 500,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES J0 PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 WA STOP GAP $ 1,000,000 A AUTOMOBILE X X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRTOS ONLY X SCHEDULED AUTOS AON-O ILI EBA0177069 (WA/ID/UT) 01/28/2018 01/28/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EPP0177069 (WA/ID/UT) 01/28/2018 01/28/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBERtEXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A STATUTEPER EOTH R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A B EQUIPMENT FLOATER Commercial Pollution EPP0177069 (WA/ID/UT) 7930017960002 01/28/2018 01/28/2018 01/28/2019 01/28/2020 RENTED/LEASED EQUIP POLICY LIMIT 110,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SNOW REMOVAL LIABILITY- Gemini Insurance Company Policy Term 1/28/118 to 1/28/19 Policy Number #VCGP023495-Liability Limit- $1,000,000 Occurrence with $2,000,000 Aggregate EMPLOYEE DISHONESTY COVERAGE- $25,000 with $500 Ded. RE: Maintenance, Snow Removal, Emergency Traffic Control, Roadway Landscaping Services City of Spokane Valley is named as additional insured. Cityof Spokane Valle Parks &Recreation p YACCORDANCE Public Works Dept. 11707 E Sprague #106 Spokane Valley, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -40.%\0 . Wly ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SENSKE LAWN AND TREE CARE INC Page 1 of 2 STATE OF WASHINGTON Department of Labor & Industries Certificate of Workers' Compensation Coverage December 14, 2018 WA UBI No. L&I Account ID Legal Business Name Doing Business As Workers' Comp Premium Status: Estimated Workers Reported (See Description Below) Account Representative Licensed Contractor? License No. License Expiration 600 124 706 156,937-00 SENSKE LAWN AND TREE CARE INC SENSKE LAWN & TREE CARE INC Account is current. Quarter 3 of Year 2018 "Greater than 100 Workers" Employer Services Help Line, (360) 902-4817 Yes SENSKLT117PT 01/30/2019 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each, quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of https://secure. ini.wa. gov/verify/Details/liabilityCertificate.aspx?UBI=600124706&LI C=S... 12/14/2018 SENSKE LAWN AND TREE CARE INC Page 2 of 2 subrogation (See RCW 51 .12.050 and 51.16.190). https://secure.lni.wa. gov/verify/Details/liabilityCertificate.aspx?UBI=600124706&LIC=S... 12/14/2018