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19-019.00 HDR: On-Call Services for Federal Grants Contract No. 19-019 AGREEMENT FOR PROFESSIONAL SERVICES HDR Engineering,Inc. THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington, hereinafter"City"and HDR Engineering, 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 request modifications and orders for work whenever necessary or advisable. Any such modifications are subject to mutual approval from both Parties. Consultant shall not unreasonably deny any request from the City for changes in the work 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 31,2019,unless the time for performance is extended in writing by the Parties Agreement for Professional Services with professional Liability coverage) Page I of 9 Contract No. 19-019 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 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$ 7,000 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 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 shall pay all undisputed amounts within 30 days following receipt of Consultant's invoice. 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: Scott Marshall,P.E., Transportation Lead Phone:(509)720-5000 Phone. (509)343-8500 Address: 10210 East Sprague Avenue Address: 835 N.Post Street, Suite 101 Spokane Valley, WA 99206 Spokane, WA 99201 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's 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; Agreement for Professional Services(with professional liability coverage) Page 2 of 9 Contract No. 19-019 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 within the state of Washington 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. 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 Scone 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 Agreement for Professional Services(with professional liability coeerage) Page 3 of9 Contract No. 19-019 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. 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 and commercial general liability insurance: I.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 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 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, Agreement for Professional Services(with professional liability coverage) Page 4 of9 Contract No. 19-019 Consultant shall famish acceptable insurance certificates to the City Clerk at the time Consultant returns the signed Agreement,which shall be Exhibit B. 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, redacted (personal information only)copies of insurance policies shall be provided to City,as allowed by law. 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. 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, Consultants 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 maybe granted it under the Washington State Industrial Insurance Act,Title 51 RCW. 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 Consultants 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 Agreement for Professional Services(with professional habilit) coverage) Page 5 of9 Contract No. 19-019 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 1' 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. En tire 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 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. Proposal for Services (Letter to Adam Jackson dated April 22,2019) B. Insurance Certificates C. Assurance of compliance with applicable federal law Agreement for Professional Services(with professional liability coverage) Page b of 9 Ay [[( Contract No.19-019 `" The Parties have executed this Agreement this b day of / " 7 ,2019. CITY OF SPOKANE VALLEY Co et: Mark Calhoun,City Manager By: PAULA FflQttt Vice hass*USt Its: Authorized Representative ATTEST: cif. 'K, Christine Bainbridge,City Clerk: APPRO ) AS TO FORM: Office of a- City Attorney Agreement for Professional Services(with professional liability coverage) Page 7 of 9 fix . April 22, 2019 City of Spokane Valley 10210 E. Sprague Avenue Spokane Valley, WA 99206 Attn:Adam Jackson, P.E., Engineer—Planning 8 Grants Re: Pines Road Grant Updates for CRISI and BUILD As discussed, HDR has prepared the following work plan to update the existing Pine Road benefit- cost analysis and supplemental technical documentation in support of future City's application to various federal funding programs such as INFRA and BUILD funding programs It is understood that the City wishes to apply for BUILD funding with applications due on July 15, 2019 Scope Update Benefit-Cost Analysis: This task will include updating the most recent BCA to meet current USDOT requirements, as well as reviewing cost information, base and forecast horizon years and anticipated implementation schedules Update Technical Documentation—The existing BCA technical document will be updated with BCA model outcomes. Schedule—The final BCA for BUILD will be completed by June 30, 2019. BCA updates for other funding programs will have a final completion date determined as necessary. Budget As discussed,the City wishes to enter into a contract billed on an hourly basis with a not-to-exceed amount As it is uncertain as to the number of grant applications the City wishes to apply for as well as the level of effort required for each update,we propose a not-to-exceed amount of$7,000 for calendar year 2019. It is understood that this budget amount is anticipated to only cover the costs for the BUILD program and that future budget amendments to this contract may be necessary for additional updates required by other funding programs.The following hourly rates would apply: Resource Name Role Hourly Rate Scott Marshall Principal in Charge $214.59 Fred Kramer Prolect Manager,Principal Economist $267 68 Serguei Kouznetsov Principal Economist,QA/QC $181.02 Victor Brinic Senior Economist $93 98 Shannon Meszaros Report Production/Graphics $81.80 Mclane Mahone Protect Controls $128.00 hdrinc.cam 1401 E Trent AvenueSuite 1015pokane,WA 99202-2902 (509)343-8500 Please contact me if you have any questions or wish to discuss our proposal further. We look forward to working with you again. Si rely, H ��/g.,�'�j rneeri Paul A.Ferrier Vice President Manc.com 1401 E Trent AvenueSulte 101 Spokane,WA 99202-2902 (509)343-8500 ACORO® CERTIFICATE OF LIABILITY INSURANCE RATE®IM®"""" Li 6/1/2019 1/17/2019 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: N the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 Lockmn Companies NAME 444 W 47th Street,Suite 900 PHONE FAX INC No Eva INC.Nm Kansas City MO 64112-1906 &LAIL (816)960-9000 ADDRESS INSURER(S)AFFORDING COVERAGE NAIC _ - INSURERA Lexington Insurance Company 19437_ INSURED HDR ENGINEERING,INC. INSURERS 1429583 1917 SOUTH 67TH STREET INSURER C OMAHA,NE 68106 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER. 15833999 REVISION NUMBER: XXXXXXX 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 IXSR ADEL SUER - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE 'NW WYL POUCY NUMBER INM®DIYWYI IMINDIHYYYYI UNITS COMMERCIAL GENERAL LABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX CLAIMSMADE OCCUR PREMISES $ XXXXXXX - _ MED EXP(Any one person) $ XXXXXXX PERSONAL ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S XXXXXXX _ POLICY I JECT LOC I PRODUCTS-COMPIOP AGO $ XXXXXXX OTHER $ AUTOMOBILE LIABILITY NOT APPLICABLE OOMBIN€D SINGLE LIMIT (Ea el $ XXXXXXX ANY AUTO BODILYLY INJURY Polson) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per $ AUTOS ONLY AUTOS ( XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY (Per ew0en1) $ XXXXXXX UMBRELLA LIAR _ OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LMB CLAIMS-WOE AGGREGATE $ XXXXXXX OED RETENTION$ S XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER 0Th. AND EMPLOYERS'LIABILITYT.IN STATUTE ER _ ANYPROPRIETOB?ARTNER/EXECIRIVE E L EACH ACCIDENT $ XXXXXXX OFFIdE ry10 NMHN )EXCIUOEOt n N/A (MeMNo In E L DISEASE-EA EMPLOYEE $ XXXXXXX unde DESSRmrnEN OFPOLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS below E L DISEASE- A ARCH&ENG N N 061853691 6/112018 6/1/2019 PER CLAIM $1,000,000 PROFESSIONAL AGGREGATE SI,000,00O LIABILITY $ XX)attached ROAD BCA UPDATE CERTIFICATE HOLDER CANCELLATION 15833999 CITY OF SPOKANE VALLEY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN:ADAM JACKSON THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10210 E SPRAGUE AVENUE ACCORDANCE WITH THE POLICY PROVISIONS SPOKANE VALLEY WA 99206 AUTHORIZED REPRESExTAm��"/p/f ',(°(//',✓0`�' ®19880L4 15 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 2 A� CERTIFICATE OF LIABILITY INSURANCE 071/17//20 9Yl 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). PRODUCER NAME PHME Willie Towers Watson Midwest, Inc fka Willis of Minnesota, Inc c/o 26 Century Blvd p(AF.No.Falb 1-877-945-737 FINAY No) 1-BBB-<6]-23]B MAIL P 0 Box 305191 ADDDRESS oertafacatea@wallae.cam Nashville, TN 372305191 USA _ INSURER(5)AFFORDING COVERAGE HNC/I INSURERA Liberty Mutual Fire Insurance Company 23035 INSURED INSURERS Liberty Insurance Corporation 42404 HMI Engineering, Inc -- -- 1917 South 67th Street INSURER C (#eba, NE 68106 INSURERS INSURERS INSURERF COVERAGES CERTIFICATE NUMBER.W9947830 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 ADDLBBURR POLICY EFF POLICY EXP LTR INso o POLICY NUMBER (MMDD/YYYY) IMMIDONYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 2,000,000 DAMAGOCCURRENCE ENTE D CLAMS-MADE X OCCUR PREMISES(Es occurrence-) 1,000,000 PREMISESEXP(Any eparsn A X Contractual Inability MED (Pnymepercon) 10,000 Y y TB2-641-444950-038 06/01/2018 06/01/2019 PERSONAL ADV INJURY 2,000,000 GENA AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 4,000,000 POLICY X PEX LCC PRODUCTS-COMP/OP AGE 4,000,000 OTHER AUTOMOMLELIABILITY COMBINEOBINGLE LIMIT 2,000,000 (Ea swear) X ANY AUTO BODILY INJURY(Per pemon) A OWNED SCHEDULED Y Y AS2-641-444950-048 06/01/2018 06/01/2019 BODILY INJURY AUTOS ONLY AUTOS ( accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY IPer accident) - E X UMBRELLAIIIAB X OCCUR EACH OCCURRENCE 5,000,000 EXCESS LMB CLAIMSMADE Y TH7-641-444950-068 06/01/2018 06/01/2019 AGGREGATE 5,000,000 DED I I RETENTION$ WORKERSCOMPAND EMPLOYERS'LLIABIUTY y/X X STATUTE ERH B ANYPROPRIETOB.PARTNEWEXECIRIVEEL EACH ACCIDENT 1,000,000 OFFICERMEMBEREXCWCEm No N/A' Y WA7-64D-444950-018 06/01/201B 06/01/2019 (Mandatory In NH) E L DISEASE-EA EMPLOYEE) 1,000,000 N yes.describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATORS/LOCATIONS/VEHICLES(ACORD 101.AddIllonal Remar(sScbeduN,may Ica attached II nwre specs Is amused) Certificate Bolder isdb amed as Additional Insured on General Liability, Automobile Liability and Urella/Excess Liability ona Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies General Liability, Automobile Liability, Umbrella/Excess Liability and Workers) Coupeneation where required by written contract. Umbrella/Excess policy 1S Follows Form over General Liability, Auto Liability and Zmployere Liability. Project: Pines Road BCA Update. 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 Attn: Adam Jackson AUTHORIZED REPRESENTATIVE 10210 E Sprague Avenue 62. ,vi.�gtvaik4 Spokane Valley, WA 99206 "" --� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SP In- 17918632 !cacti 1030951 AGENCY CUSTOMER ID: LOC# Acorn:, ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Inc Wallas Towers Watson Midwest, Inc [Ea wallas of wnceaota, lac PER engineering, 1917 South 67th Street POLICY NUMBER Omaha, NE 68106 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance additional Insured' City. Employers Liability for the Monopolistic States of ND, OH, WA E ITT is provided in the Workers Compensation policy. ACORD 101 (2008101( ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 17418632 BATCH: 1030951 CERT' W9947830 Policy Number:T82.641.444950.038 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): All locations owned by or rented to the Named Insured Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. For all sums which the insured becomes legally b. Claims made or"suits"brought, or obligated to pay as damages caused by "occur- c. Persons or organizations making claims or renes" under Section I —Coverage A, and for all bringing"suits". medical expenses caused by accidents under Section I — Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated "Iota- damages or under Coverage C for medical tion"shown in the Schedule above expenses shall reduce the Designated Loca- tion A separate Designated Location General General Aggregate Limit for that desig- 1. Aggrepata Limit applies to each designated nated "location" Such payments shall not re- "lggregat, and that limit is equal to the duce the General Aggregate Limit shown in amount of the General Aggregate Limit the Declarations nor shall they reduce any shown in the Declarations. other Designated Location General Aggre- gate Limit for any other designated "location" 2. The Designated Location General Aggregate shown in the Schedule above Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A. except damag- Occurrence, Damage To Premises Rented To es because of "bodily injury" or 'property You and Medical Expense continue to apply damage" included in the "products-completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Decla- under Coverage C regardless of the number rations, such limits will be subject to the appli- of cable Designated Location General Aggre- a. Insureds, gate Limit CG 25 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tnbuted only to operations at a single designated reduce the Products-completed Operations Ag- "location"shown in the Schedule above. gregate Limit, and not reduce the General Ag- 1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gen- damages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defi- under the General Aggregate Limit or the nitions Section is amended by the addition of Products-completed Operations Aggregate the following definition Limit,whichever is applicable, and "Location" means premises involving the same or 2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit, interrupted only by a street, roadway, waterway or right-of-way of a railroad E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated Page 2 of 2 ©Insurance Services Office. Inc , 2008 CG 25 04 05 09 Policy Number.TB2-641-444950-038 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All construction projects not located at premises owned,leased or rented by a Named Insured Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical renes" under Section I —Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above. shall they reduce arty other Designated Con- 1. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen- completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of a. Insureds, b. Claims made or"suits"brought:or c. Persons or organizations making claims or bringing"suits" CG 25 03 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 0 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit,whichever is applicable;and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- jest gate Limit E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated Page 2 of 2 ©Insurance Services Office, Inc , 2008 CG 26 03 05 09 POLICY NUMBER- TB2-641-444950-036 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only work, on the project (other than service, with respect to liability for"bodily injury', "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury' on behalf of the additional insured(s) at the caused, in whole or in part, by- location of the covered operations has been 1. Your acts or omissions,or completed,or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf, injury or damage arises has been p ut to its in the performanceof yourongoing operations for intended use by any person or organization the additional insured(s) at the location for other than another contractor or subcontractor desigated above engaged in performing operations for a principal as a part of the same project However. C. With respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III- Limits Of Insurance: law, and If coverage provided to the additional insured is 2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a c ontract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured amount of insurance will not be broader than that which you are 1. Required by the contractor agreement,or required by the contract or agreement to provide for such additional insured. 2. Available under the applicable Limits of B. With respect to the insurance afforded to these Insurance shown in the Declarations, additional insureds, the following additional whichever is less. exclusions apply- This endorsement shall not increase the This insurance does not apply to "bodily injury" or applicable Limits of Insurance shown in the "property damage" occurring after Declarations. CG 20 10 0413 ©ISO Properties, Inc,2012 Page 1 of 2 ❑ SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations Any person or organization with whom you have Any location where you have agreed,through agreed,through written contract,agreement or written contract,agreement or permit,to provide permit to provide additional insured coverage. additional insured coverage Information required to complete this Schedule, if not shown above,will be shown in the Declarations. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 2 of 2 POLICY NUMBER- TB2-641-444950-038 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization to whom or to which Any location where you have agreed,through you are required to provide additional insured written,contract,agreement or permit,to provide status in a written contract,agreement or permit additional insured coverage for completed except where such contract or agreement is operations. prohibited. Information required to complete this Schedule, if not shown above,will be shown in the Declarations A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds,the following is added to Section organization(s) shown in the Schedule, but only III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement, or hazard". 2. Available under the applicable Limits of However Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less insured only applies to the extent permitted This endorsement shall not increase the applicable by law, and Limits of Insurance shown in the Declarations 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured CG 20 37 0413 ©Insurance Services Office, Inc,2012 Page 1 of 1 Policy Number TB2-641-444950-038 Issued by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT- SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART Schedule Person or Organization: Where required by written contract. If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person or organization shown in the Schedule of this endorsement that qualifies as an additional insured on this policy, this policy will apply solely on the basis required by such written agreement and Paragraph 4 Other Insurance of Section IV - Conditions will not apply If the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4 Other Insurance of Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same"occurrence",claim or"suit" LC 24 20 02 13 ©2013 Liberty Mutual Insurance All rights reserved Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.with its permission POLICY NUMBER. AS2-641-444950-048 COMMERCIAL AUTO CA 20 48 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following. AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s)who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Persons)Or Organization(s): As required by written contract Information required to complete this Schedule, if not shown above,will be shown in the Declarations Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 1013 ©Insurance Services Office, Inc ,2011 Page 1 of 1 policy Number A52-541-440950-048 Issued by.Interty Mutual Fire Snsusance Co THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED•NONCONTRIBUTING This endowment mallflee Insurance govded under Me IolM.nnP BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to r1HNage provided by Mm endorsement, Me povisions W the Coverage Form apply unless modified by This endorsement. This endorsement ioentigea parson(s) or organization(s) who era Insureds under the Who Is An Insured Proton of to Coverage Form.The endorsement does not atter coverage provided In The Coverage form, Schedule Name of Person(s)or Organ1t tIoMle): contract toincludeoachan where the Hatted ai Sated tles w4reed by es It ten e m person or organ Regarding Designated Contractor Prole l: My Eam person or cfganlzadon sheen in the Schedule of them endorsement man Insured'frLratildy Coverage,but only to Me extent that person or orgy iizahon quahlles as an'Inaum d"WON Me Who 18 An Insured PmwNon conamed in Semon II of Me Coverage From The fallaSnq Is added to she Other Insurance Condlilon: If you have agreed in a wntlen agreement Mat Mls policy will be primary and without nght of contribution from any insurance in force for an AddNonel Insured for Iehllrly adsmg out of your operations,and the agreement was executed prior to We TOMIy Injury or"property damage",Men 1*insurance hill be pommy and we win not seek cmMbution tram such Insurance. AC 84 MSS 11 ©2010Uterly Mutual Group at Companies, All Tema reserved Page of t Ir ludee copyrighted materiel or Insurance SeMEes Officer Ina —de permission_ POLICY NUMBER TB2-641-444950-038 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization:As required by written contract or agreement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done un der a contract with that person or organization and included in the "products- completed operations hazard" This waiver applies only to the person or organization shown in the Schedule above CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER- AS2-641-444950-048 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement SCHEDULE Name(s)Of Person(s)Or Organization(s): Any person or organization for whom you perform work under a written contract of the contract requires you to obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s)shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a c ontract with that person or organization CA 04 44 10 13 ©Insurance Services Office, Inc.,2011 Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy We will not enforce our right against the person or organization named in the Schedule (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us ) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss Issued by For attachment to Policy No WA7-64D-444950-018 Effective Date 6/01/2018 Premium Issued to WC 00 03 13 ©1983 National Council on Compensation Insurance, Inc Page 1 of 1 Ed.4/1/1984 Policy Number T82-641-444950-038 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies Insurance provided under the following. BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): Per Schedule on File 30 A If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage,we will notify the persons or organizations shown in the Schedule above We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective In no event does the notice to the third party exceed the notice to the first named insured B This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged LIM 99 04 03 14 ©2014 Liberty Mutual Insurance All nghts reserved Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc,with its permission Policy Number AS2-641-444950-048 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): Per Schedule on File 30 A If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown In the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective In no event does the notice to the third party exceed the notice to the first named insured B This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged LIM 99 04 03 14 02014 Liberty Mutual Insurance All rights reserved Page 1 of 1 Includes copynghted material of Insurance Services Office, Inc,with its permission THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF MATERIAL CHANGE We will not make changes that reduce the insurance afforded by this policy until written notice of such reduction has been delivered to those scheduled below at least 30 days before the effective date of the material change to the insurance afforded by this policy Our failure to provide notice under this endorsement will not affect the validity of the changes except as it relates to the person or organization listed below NAME ADDRESS Per Schedule on file In no event will the notification be less than the minimum days required for notification by state statute Notification will be provided to all parties in a manner as required by state statute, if any. This endorsement is executed by the Liberty Insurance Corporation Premium Effective Date 6/1/2018 Expiration Date 6/1/2019 For attachment to Policy No WA7-64D441950-018 ` d e- e�4 _ /J p e- Countersigned by C !'r7�.itT'T r/�.��G1 Authonzed Representative End Sena!No WC 99 20 15 Page 1 of 1 Ed 09/01/2010 Copyright 2010 Liberty Mutual Group of Companies All Rights Reserved WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 20 74 (Ed. 12-16) NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below by email as soon as practical after notifying the first Named Insured. B. This advance email notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy SCHEDULE Name of Other Person(s) / Organization(s) Per Schedule on file with Company 30 Days All other terms and conditions of this policy remain unchanged. Issued by For attachment to Policy No. WA7-64D-444950-018 Effective Date 6/01/2018 Premium$ Issued to C Contract No. 19-019 Exhibit C—Assurance of Compliance with Applicable Federal Law During the performance of this Agreement,the Consultant,for itself, its assignees,and successors in interest(hereinafter referred to as the"Consultant")agrees as follows: 1.Compliance with Regulations:The Consultant shall comply with the federal laws set forth in Section 7 of this Exhibit("Acts and the Regulations")relative to non-discrimination in federally-assisted programs of the U S.Department of Transportation,Washington State Department of Transportation(WSDOT I,as they may be amended from time-to-time,which are herein incorporated by reference and made a part of this Agreement 2.Non-discrimination:The Consultant,with regard to the work performed by it during this Agreement,shall not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The Consultant shall not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity,project.or program set forth in Appendix B of49 CFR Part 21. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding,or negotiation made by the Consultant for work to be performed under a subcontract,including procurements of materials,or leases of equipment,each potential subcontractor or supplier shall be notified by the Consultant of the Consultant's obligations under this Agreement and the Acts and the Regulations relative to non-discrimination on the grounds of race,color, or national origin. 4.Information and Reports:The Consultant shall provide all information and reports required by the Acts, the Regulations,and directives issued pursuant thereto,and shall permit access to its books,records,accounts, other sources of information,and its facilities as may be determined by the City or the WSDOT to be pertinent to ascertain compliance with such Acts, Regulations, and instructions. Where any information required of Consultant is in the exclusive possession of another who fails or refuses to furnish the information, the Consultant shall so certify to the City or the WSDOT, as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance:In the event of a Consultants noncompliance with the non-discrimination provisions of this Agreement,the City will impose such contract sanctions as it or the WSDOT may determine to be appropriate, including,but not limited to: a.withholding payments to the Consultant under the Agreement until the Consultant complies;and/or b.cancelling,terminating,or suspending the Agreement,in whole or in part. 6.Incorporation of Provisions: The Consultant shall include the provisions of paragraphs one through six of this Exhibit in every subcontract, including procurements of materials and leases of equipment,unless exempt by the Acts, the Regulations and directives issued pursuant thereto. The Consultant shall take action with respect to any subcontract or procurement as the City or the WSDOT may direct as a means of enforcing such provisions,including sanctions for noncompliance. Provided,that if the Consultant becomes involved in,or is threatened with litigation by a subcontractor or supplier because of such direction,the Consultant may request that the City enter into any litigation to protect the interests of the City. In addition,the Consultant may request the United States to enter into the litigation to protect the interests of the United States. Agreement for Professional Sen ices(with professional liability coverage) Page 8 of 9 Contract No. 19-019 7. Pertinent Non-Discrimination Authorities. During the performance of this Agreement,the Consultant agrees to comply with the following non-discrimination statutes and authorities;including but not limited to: Title VI of the Civil Rights Act of 1964(42 U.S.C.§2000d et seq.78 stat.252),(prohibits discrimination on the basis of race,color, national origin);and 49 CFR Part 21: The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. §4601),(prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects); Federal-Aid Highway Act of 1973,(23 U.S.C.§324 et seq.),(prohibits discrimination on the basis of sex). Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. §794 et seq.), as amended, (prohibits discrimination on the basis of disability);and 49 CFR Part 27; The Age Discrimination Act of 1975,as amended,(42 U.S.0 §6101 et seq.),(prohibits discrimination on the basis of age); Airport and Airway Improvement Act of 1982. (49 USC §471. Section 47123).as amended,(prohibits discrimination based on race, creed, color, national origin,or sex); The Civil Rights Restoration Act of 1987.(PL 100-209),(Broadened the scope,coverage and applicability of Title VI of the Civil Rights Act of 1964,The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973,by expanding the definition of the terms"programs or activities"to include all of the programs or activities of the Federal-aid recipients, sub-recipients and contractors,whether such programs or activities are Federally funded or not); Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of disability in the operation of public entities,public and private transportation systems, places of public accommodation,and certain testing entities(42 U.S.C.§§12131-12189)as implemented by Department of Transportation regulations at 49 CT R.parts 37 and 38; The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123) (prohibits discrimination on the basis of race,color,national origin,and sex); Executive Order 12898,Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations,which ensures Non-discrimination against minority populations by discouraging programs,policies,and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; Executive Order 13166,Improving Access to Services for Persons with Limited English Proficiency,and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency(LEP).To ensure compliance with Title VI,you must take reasonable steps to ensure that LEP persons have meaningful access to your programs(70 Fed. Reg. at 74087 to 74100);and Title IX of the Education Amendments of 1972,as amended,which prohibits you from discriminating because of sex in education programs or activities(20 U.S.C. §1681 et seq.). Agreement for Professional Services(wnh professional liability coNerage) Page 9 of 9 Page 1 of 2 EBUF!)NN0EE0ZZZZ* DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF 05/17/2019 UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS OBNF; Willis Towers Watson Midwest, Inc. fka Willis of Minnesota, Inc. GBY QIPOF 1-888-467-2378 1-877-945-7378 )B0D-!Op*; )B0D-!Op-!Fyu*; c/o 26 Century Blvd F.NBJM certificates@willis.com P.O. Box 305191 BEESFTT; Nashville, TN 372305191 USA JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ 23035 Liberty Mutual Fire Insurance Company JOTVSFS!B!; 24074 Ohio Casualty Insurance Company JOTVSFE JOTVSFS!C!; HDR Engineering, Inc. Liberty Insurance Corporation 42404 JOTVSFS!D!; 1917 South 67th Street Omaha, NE 68106 JOTVSFS!E!; JOTVSFS!F!; JOTVSFS!G!; W11281589 DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCSQPMJDZ!FGGQPMJDZ!FYQ JOTS UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS )NN0EE0ZZZZ*)NN0EE0ZZZZ* MUS JOTEXWE DPNNFSDJBM!HFOFSBM!MJBCJMJUZ 2,000,000 FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE 1,000,000 DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* 10,000 Contractual Liability A NFE!FYQ!)Boz!pof!qfstpo*% YY TB2-641-444950-03906/01/201906/01/2020 2,000,000 QFSTPOBM!'!BEW!JOKVSZ% 4,000,000 HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. 4,000,000 QPMJDZMPDQSPEVDUT!.!DPNQ0PQ!BHH% KFDU % PUIFS; DPNCJOFE!TJOHMF!MJNJU 2,000,000 BVUPNPCJMF!MJBCJMJUZ % )Fb!bddjefou* BOZ!BVUP CPEJMZ!JOKVSZ!)Qfs!qfstpo*% YY A PXOFETDIFEVMFE AS2-641-444950-04906/01/201906/01/2020 CPEJMZ!JOKVSZ!)Qfs!bddjefou*% BVUPT!POMZBVUPT OPO.PXOFE IJSFEQSPQFSUZ!EBNBHF % )Qfs!bddjefou* BVUPT!POMZBVUPT!POMZ % 5,000,000 VNCSFMMB!MJBC FBDI!PDDVSSFODF% PDDVS B YYEUO(20) 5791936306/01/201906/01/2020 5,000,000 FYDFTT!MJBC DMBJNT.NBEFBHHSFHBUF% % EFESFUFOUJPO% QFSPUI. XPSLFST!DPNQFOTBUJPO TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O 1,000,000 C F/M/!FBDI!BDDJEFOU% No Y O!0!B WA7-64D-444950-01906/01/201906/01/2020 5555555555555555555555555555555B PGGJDFS0NFNCFS!FYDMVEFE@ 1,000,000 )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs 1,000,000 F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written contract. Umbrella/Excess policy is Follows Form over General Liability, Auto Liability and Employers Liability. Project: Pines Road BCA Update. DFSUJGJDBUF!IPMEFSDBODFMMBUJPO TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ City of Spokane Valley BVUIPSJ\[FE!SFQSFTFOUBUJWF Attn: Adam Jackson 10210 E Sprague Avenue Spokane Valley, WA 99206 ª!2:99.3127!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE 17984041 1204863 SR ID: BATCH: BHFODZ!DVTUPNFS!JE; MPD!$; BEEJUJPOBM!SFNBSLT!TDIFEVMF Qbhf!!!!!!!!!!!pg 22 BHFODZOBNFE!JOTVSFE HDR Engineering, Inc. Willis Towers Watson Midwest, Inc. fka Willis of Minnesota, Inc. 1917 South 67th Street QPMJDZ!OVNCFS Omaha, NE 68106 See Page 1 DBSSJFSOBJD!DPEF See Page 1See Page 1 FGGFDUJWF!EBUF;See Page 1 BEEJUJPOBM!SFNBSLT UIJT!BEEJUJPOBM!SFNBSLT!GPSN!JT!B!TDIFEVMF!UP!BDPSE!GPSN- 25Certificate of Liability Insurance GPSN!OVNCFS;GPSN!UJUMF; Additional Insured: City. 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BHBJOTU!PUIFST!UP!VT! ! ! TDIFEVMF! ! Obnf!Pg!Qfstpo!Ps!Pshboj{bujpo;!Bt!sfrvjsfe!cz!xsjuufo!dpousbdu!ps!bhsffnfou! 9/!Usbotgfs!Pg! Sjhiut!Pg!Sfdpwfsz!Bhbjotu!Puifst!Up!Vt Tfdujpo!JW!!Dpoejujpot; DH!35!15!16!1:!Qbhf!2!pg!2!! DPNNFSDJBM!BVUP! DB!15!55!21!24! UIJT!FOEPSTFNFOU!DIBOHFT!UIF!QPMJDZ/!!QMFBTF!SFBE!JU!DBSFGVMMZ/! XBJWFS!PG!USBOTGFS!PG!SJHIUT!PG!SFDPWFSZ!! BHBJOTU!PUIFST!UP!VT!)XBJWFS!PG!TVCSPHBUJPO*! ! ! TDIFEVMF! ! Obnf)t*!Pg!Qfstpo)t*!Ps!Pshboj{bujpo)t*; Usbotgfs!Pg!Sjhiut!Pg!Sfdpwfsz!Bhbjotu! Puifst!Up!Vt DB!15!55!21!24!Qbhf!2!pg!2! XBJWFS!PG!PVS!SJHIU!UP!SFDPWFS!GSPN!PUIFST!FOEPSTFNFOU ! XD!11!14!24!!!!!!!!!!!!!!!!!! Fe/!50202:95!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Policy Number TB2-641-444950-039 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): As required by written contract or As required by written contract or written 30 written agreement agreement A.If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B.This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy Number AS2-641-444950-049 Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): Per Schedule on File 30 A.If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B.This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 © 2014 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. UIJT!FOEPSTFNFOU!DIBOHFT!UIF!QPMJDZ/!!QMFBTF!SFBE!JU!DBSFGVMMZ/ OPUJDF!PG!NBUFSJBM!DIBOHF! OBNF!BEESFTT! !! XD!::!31!26! ! ! quired by written contract 30 Days or written agreement !