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17-058.04 Intermountain Materials Testing: On-Call Geotech Svcs Tprvkane 10210E Sprague Avenue • Spokane Valley WA 99206 4000.01F Valley. Phone: (509)720-5000 ♦ Fax:(509)720-5075 • www.spokanevalley.org Email:cityhall@spokanevalley.org November 18,2019 Contract No. 17-058.04 Kyle L. Sanford Intermountain Materials Testing& Geotechnical 9401 E. Appleway Blvd. Spokane Valley, WA 99206 Re: Implementation of 2020 option year,Agreement for Geotech Engineering and Material Testing Services, #17-058, executed May 11, 2017 Dear Mr. Sanford: The City executed an Agreement for provision of Geotech Engineering and Material Testing Services on May II, 2017 by and between the City of Spokane Valley, hereinafter "City", and Intermountain Materials Testing & Geotechnical, 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 $18,468.03. The history of the annual renewals, including dollar amounts, is set forth as fol lows: Original contract amount $40,000.00 2018 Renewal $28,641.40 (remaining funds) 2019 Renewal $21,210.76 (remaining funds) Agreement Amendment No. I —add'I funds ..$71,210.76 (remaining funds) 2020 Renewal ..$18,468.03 (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 INTERMOUNTAIN MATERIALS TESTING& GEOTECHNICAL 4411 eaaert,,_ ';' ' ' Mark Calhoun, City Manager /—/U Afdd Kyl . Sanford Vice President Title ATTES • .,---• iL /- 11r4;4 Christine Bainbridge, City Clerk -- APPROVED AS TO FORM: Office he City Attorney I i • DOCUMENTS REQUIRING THIRD-PARTY NOTIFICATION PRIOR TO PUBLIC DISCLOSURE This page has been inserted in place of the page(s) entitled "2020 On-Call Rage List" of a contract document which sets forth the rates charged by the contracting entity. Pursuant to the Washington Public Records Act (RCW 42.56), the City has determined that this record may be available for disclosure upon request for review by a third party. However, pursuant to RCW 42.56.520 and RCW 42.56.540, the City has determined it is appropriate to provide the contracting entity notification of any request for this record to allow them time to determine if they wish to seek to obtain a court order requiring the record to be withheld. Please contact the City Public Records Officer at (509) 720-5000 or visit our website at www.spokanevalley.org to complete a Public Record Request to receive a copy of this record. ACOATE(MM/DD/YYYY) ® D 9 CERTIFICATE OF LIABILITY INSURANCE 11/20/2019 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: 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 JMS Insurance LLC CNAME.CT Kim Taylor,CIC 4206 W 24th Avenue PHONE Fzty (509)735-4703 FAX Ne),(509)735-4357 WC.Suite A 104 n-NiAlL S• kim@jms-ins.com Kennewick WA 99338 INSURER(SI AFFORDING COVERAGE NAIC# INSURER A:American Fire and Casualty Company INSURED INSURER B:Argonaut Insurance Company Waltek II Inc The Ohio CasualtyInsurance Company 24074 Intermountain Materials Testing INsuRERc: P Y PO Box 2801 INSURER D: Pasco WA 99302- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE won wvn POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY X X BKS53727166 04/01/2019 04/01/2020 EACH OCCURRENCE $ 1,000,000 DAAGERENTED CLAIMS-MADE X OCCUR PRFM SESO(Ea occurrence) $ 300,000 X WA Stop Gap-incl MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X X BAA53727166 04/01/2019 04/01/2020 cOM(F ar9.rldeD)SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PRPOPPERTY DAMAGE $ —AUTOS ONLY —AUTOS ONLY (P ) C X UMBRELLA LIAB X OCCUR US053727166 04/01/2019 04/01/2020 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY YYY///NNN STATI ITF FORH ANY PROPRIETOR/PARTNER/EXECUTWE N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ B Architects,Engineers,Surveyors 121AE000433600 06/24/2019 06/24/2020 Each $1,000,000 Consultants Construction Managers Aggregate $2,000,000 Professional Liability-Claims Made Deductible $30,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Spokane Valley is additional insured per attached. Contract#17-058 On-Call Geotechnical Engineering&Material Testing Services CERTIFICATE HOLDER CANCELLATION Al 032925 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 10210 E Sprague Ave Spokane Valley WA 99206- AUTHORIZED REPRESENTATIVE A-d tea✓ I I ©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 Some online services are currently unavailable.See a list of service outages.mttos:nlni.Wa.gov/aoencv/system-statusl waaymnd. ..d Labor&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 this list using the options presented below. Company Namefintermountain Materials 1 WA UBI Number: License Number Principal 1 RCWiAll From:IIMM/DD/YYYY To:IMM/DD/YYYY Penalty Due: All v Wage Due: All V IAppiy FiltersiRese1 Download all debarment data® Show 25 v per page Showing 0 records Fi rstP revs o u s N e xt Last • Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records Fi rs t P re vl o u s N e xt Las t https://secure.lni.wa.gov/debarandstrike/ContractorDebarList.aspx 1/2/2020 WALTEK II INCORPORATED Page 1 of 2 STATE:OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage January 9, 2020 TWA UBI No. j 602 814 708 L&I Account ID 1 154,075-00 Legal Business Name !WALTEK II INCORPORATED I Doing Business As INTERMOUNTAIN MATERIALS TESTIN j Workers' Comp Premium Status: Account is current. I Estimated Workers Reported Quarter 3 of Year 2019"11 to 20 [(See Description Below) ,Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. INTERMT926MG j License Expiration 09/14/2020 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.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=602814708&LIC=IN... 1/9/2020