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17-066.03 Simpson Engineers: On-Call Surveying 10210 E Sprague Avenue♦ Spokane Valley WA 99206 Phone: (509)720-5000•Fax:(509)720-5075♦www.spokanevalley.org 44000Valle3r Email:cityhall@spokanevalley.org November 18,2019 Contract No. 17-066.03 Ed Simpson Simpson Engineers 909 N.Argonne Road Spokane Valley, WA 99212 Re: Implementation of 2020 option year,Agreement for On-Call Surveying for Capital Improvement Projectsl 7-066, executed May 16, 2017 Dear Mr. Simpson: The City executed an Agreement for provision of On-Call Surveying for Capital Improvement Projects on May 16, 2017, by and between the City of Spokane Valley, hereinafter"City", and Simpson Engineers, hereinafter"Contractor" and jointly referred to as"Parties." The original Agreement states that it was for one year,with three optional one-year terms possible if the parties mutually agree to exercise the options each year. This is the third of three possible option years that can be exercised and runs through December 31,2020. The City would like to exercise the 2020 option year of the Agreement. The Compensation includes the labor and material cost negotiated and shall not exceed $6,784.82. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount • $50,000.00 2018 Renewal $40,150.00 (remaining funds) 2019 Renewal $26,927.13 (remaining funds) 2020 Renewal ..$ 6,784.82(remaining funds) All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. If you are in agreement with exercising the 2020 option year, please sign below to acknowledge the receipt and concurrence to perform the 2020 option year. Please return two copies to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. CITY OF SPOKANE VALLEY SIMPSON EN' INEERS Mark Calhoun,City Manager /1-piS ZO Name v Title ATTES . • \h. sej--vt;44/ Christine Bainbridge, City Clerk APPROVED AS TO FORM: Offi of th ' Attorney Ak or.a° CERTIFICATE OF LIABILITY INSURANCE DATE TE(MMI20 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CItRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POCK? S 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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statementon this certificate does not confer eights to the certificate holder in lieu of such endorsement(s). PRODUCER? CONTACT ALLIANT INSURANCE SERVICES INC/PHS NAME: 52802465 PHONE (866)467-8730 FAX (888)443-6112 (A/C,No,Ext): (NC,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78265 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: The Hartford Casualty Insurance Company 29424 CLARENCE E SIMPSON ENGINEERS INC INSURER B: 909 N ARGONNE RD SPOKANE WA 99212-2791 INSURER C INSURER D: INSURER E: INSURER F: COVERAES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS tO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT-TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS . LTR INSR WVD (MM/DD/YYYY) (WOW WY) C9MMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 ]CLAIMS-MADE?X ?OCCUR DAMAGE TO RENTED $300,000 PREMISES(Ea occurrence) X General Liability MED EXP(Any one person) $10,000 A X 52 SBA PJ6656 04/01/2019 04/01/2020 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT PRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) ~ A ALL OWNED SCHEDULED 52 UEC UR0799 04/01/2019 04/01/2020 BODILY INJURY(Per accident) _AUTOS _AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) — UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 EXCESS LIAR DES A52 SBA PJ6656 04/01/2019 04/01/2020 AGGREGATE $1,000,000 DEB X RETENTION$10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER_ ANY YIN E.L.EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE NI.A 52 SBA PJ6656 04/01/2019 04/01/2020 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 (MandaEory In NH) If yes,describe under E.L DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES $5,000 52 SBA PJ6656 04/01/2019 04/01/2020 LIABIA.ITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Those usual to the Insured's Operations.City of Spokane Valley,11707 E.Sprague Ave.,Ste.106,Spokane Valley,WA 99206.RE:Contract Agreement1No.17-066,Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 10210 E SPRAGUE AVE BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED SPOKANE WA 99206-3682 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ..f u®�L„Of Ca.az t ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Debarred Contractors List Page 1 of 1 Q ,$ome online services are currently unavailable.See a list of service outages.(httos://ini.wa.00v/aoencv/system-statusl Labgr&Industries 'Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter thislist using the options presented below. C4 mpany NameiSimpson Engineers W UBI Number:I Li ense Number Principal 1 R(W:All v From:IMM/DD/YYYY ITo:IMM/DD/YYYY I Pe alty Due: W4ge Due: Al v lA plv FilterstResel1 Download all debarment data@+ Show 25 v per page Sii,wing 0 records FiristPreviousN extLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due T re are no records that match your search criteria. Slow 25 v per page Showing 0 records FirstPrevlo usNextLast https://secure.lni.wa.gov/debarandstrike/ContractorDebarList.aspx 1/2/2020