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20-006.01 Sargent Engineers: On Call Bridge Consulting & Inspection Svcs ��i ' Community&Public Works Department Spokane 10210 E Sprague Avenue♦ Spokane Valley WA 99206 40 Val ley Phone: (509)720-5000 ♦Fax:(509)720-5075 ♦www.spokanevalley.org' December 29, 2020 Contract No.20-006.01 Erik Martin 320 Ronlee Lane,NW Olympia, WA 98502 Re: Implementation of 2021 option year, Agreement for On-Call Structural Bridge Consulting and Bridge Inspection Services Contract, #20-006, executed January 9, 2020. Dear Mr. Martin: The City executed an Agreement for provision of Structural Bridge Consulting and Bridge Inspection Services on January 9, 2020, by and between the City of Spokane Valley, hereinafter "City", and Sargent Engineers Inc., 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 first of three possible option years that can be exercised and runs through December 31, 2021. The City would like to exercise the 2021 option year of the Agreement. The Compensation as outlined in Exhibit A,2021 to the Agreement, includes the labor and material cost negotiated and shall not exceed$35,000.00. The history of the annual renewals, including dollar amounts, is set forth as follows: Original 2020 Contract amount $25,000.00 2021 Contract Renewal $35,000.00 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 2021 option year, please sign below to acknowledge the receipt and concurrence to perform the 2021 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 SARGENT ENGINEERS INC. A./M Calhoun, City Manager Erik Martin Principal Title APPROVED AS TO FORM: Office f the City Attorney � l ®AW o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/28/2020 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 CONTACT NAME: Sarah Fish Hall&Company PHONE 19660 10th Ave NE (A/C.No.Ext): 360-626-2961 FAX No):360-626-2961 Poulsbo WA 98370 ADDRESS: sfish@hallandcompany.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:US Specialty Insurance Company 29599 INSURED SARGENG-02 INSURER B:The Travelers Indemnity Company 25658 Sargent Engineers Inc 320 Ronlee Lane NW INSURER C:The Travelers Indemnity Company of America 25666 Olympia WA 98502 INSURER D:Travelers Property Casualty Company of America 25674 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:149101380 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 SUBR POLICY EFF POLICY EXP/Y LIMITS LTR INSD WVD POLICY NUMBER (MM/DDYYY) IMM/DD/YYYYI C X COMMERCIAL GENERAL LIABILITY Y 6801N687340 2/21/2020 2/21/2021 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) - $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X LOC PRODUCTS-COMP/OP AGO $4,000,000 OTHER: $ B AUTOMOBILE LIABILITY BA1 N689369 2/21/2020 2/21/2021 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) D X UMBRELLA LIAB X OCCUR CUP1N690983 2/21/2020 2/21/2021 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 6801N687340 2/21/2020 2/21/2021 PER STATUTE X ER H WA Stop Gap AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liab;Claims Made USS2031031 8/16/2020 8/16/2021 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is an additional insured per the attached. Project:2021 On-Call Bridge Consulting and Bridge Inspection Services City of Spokane Valley is/are an Additional Insured on the Commercial General Liability and Auto Liability when required by written contract or agreement regarding activities by or on behalf of the Named Insured.The Commercial General Liability insurance is primary insurance and any other insurance maintained by the Additional Insured shall be excess only and non-contributing with this insurance.A waiver of subrogation applies to the Commercial General Liability, Auto Liability,Umbrella/Excess Liability and Workers Compensation/Employers Liability in favor of the Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. 10210 East Sprague Avenue Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE USA eilfatt-5°1114X"' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE BA1N689369 Sargent Engineers Inc COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any"accident" or"loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated in such contract. against any person or organization to the extent CA T3 40 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following is added to the Paragraph A.1.c., Who occurs and that is in effect during the policy period, to Is An Insured, of SECTION II• COVERED AUTOS be named as an additional insured is an "insured" for LIABILITY COVERAGE: Covered Autos Liability Coverage, but only for dam- Any person or organization who is required under a ages to which this insurance applies and only to the written contract or agreement between you and that extent that person or organization qualifies as an "in- person or organization, that is signed and executed sured" under the Who Is An Insured provision con- by you before the"bodily injury" or"property damage" tained in SECTION II. CA T4 37 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. 6801 N687340 Sargent Engineers Inc COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS h. This insurance does not apply to "bodily AN INSURED: injury" or"property damage" caused by "your Any person or organization that you agree in a work" and included in the "products "written contract requiring insurance"to include as completed operations hazard" unless the an additional insured on this Coverage Part, but: "written contract requiring insurance" specifically requires you to provide such a. Only with respect to liability for"bodily injury", coverage for that additional insured, and then "property damage"or"personal injury";and the insurance provided to the additional b. If, and only to the extent that, the injury or insured applies only to such "bodily injury" or damage is caused by acts or omissions of "property damage"that occurs before the end you or your subcontractor in the performance of the period of time for which the "written of "your work" to which the "written contract contract requiring insurance" requires you to requiring insurance" applies, or in connection provide such coverage or the end of the with premises owned by or rented to you. policy period, whichever is earlier. The person or organization does not qualify as an 2. The following is added to Paragraph 4.a. of additional insured: SECTION IV — COMMERCIAL GENERAL c. With respect to the independent acts or LIABILITY CONDITIONS: omissions of such person or organization; or The insurance provided to the additional insured d. For "bodily injury", "property damage" or is excess over any valid and collectible other "personal injury" for which such person or insurance, whether primary, excess, contingent or organization has assumed liability in a on any other basis, that is available to the additional insured for a loss we cover. However, if contract or agreement. you specifically agree in the "written contract The insurance provided to such additional insured requiring insurance" that this insurance provided is limited as follows: to the additional insured under this Coverage Part must apply on a primary basis or a primary and e. This insurance does not apply on any basis to non-contributory basis, this insurance is primary any person or organization for which to other insurance available to the additional coverage as an additional insured specifically insured which covers that person or organizations is added by another endorsement to this as a named insured for such loss, and we will not Coverage Part. share with the other insurance, provided that: f. This insurance does not apply to the (1) The "bodily injury" or "property damage" for rendering of or failure to render any which coverage is sought occurs; and "professional services". In the event that the Limits of Insurance of the (2) The "personal injury" for which coverage is 9 sought arises out of an offense committed; Coverage Part shown in the Declarations exceed the limits of liability required by the after you have signed that "written contract "written contract requiring insurance", the requiring insurance". But this insurance provided insurance provided to the additional insured to the additional insured still is excess over valid shall be limited to the limits of liability required and collectible other insurance, whether primary, by that "written contract requiring insurance". excess, contingent or on any other basis, that is This endorsement does not increase the available to the additional insured when that limits of insurance described in Section III — person or organization is an additional insured Limits Of Insurance. under any other insurance. CG D3 81 09 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office,Inc.,with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer 4. The following definition is added to the Of Rights Of Recovery Against Others To Us, DEFINITIONS Section: of SECTION IV — COMMERCIAL GENERAL "Written contract requiring insurance" means that LIABILITY CONDITIONS: part of any written contract under which you are We waive any right of recovery we may have required to include a person or organization as an against any person or organization because of additional insured on this Coverage Part, payments we make for "bodily injury", "property provided that the "bodily injury" and "property damage" or "personal injury" arising out of "your damage" occurs and the "personal injury" is work" performed by you, or on your behalf, done caused by an offense committed: under a "written contract requiring insurance"with that person or organization. We waive this right a. After you have signed that written contract; only where you have agreed to do so as part of b. While that part of the written contract is in the "written contract requiring insurance" with effect; and such person or organization signed by you before, and in effect when, the "bodily injury" or c. Before the end of the policy period. "property damage"occurs, or the"personal injury" offense is committed. Page 2 of 2 ©2015 The Travelers Indemnity Company.All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office,Inc.,with its permission 12/29/2020 SARGENT ENGINEER INC Labor&Industries(hops://Ini.wa.gov) SARGENT ENGINEER INC Owner or tradesperson JANICE SMITH 320 RONLEE LANE NW Doing business as OLYMPIA,WA 98502 SARGENT ENGINEERS INC WA UBI No. Governing persons 600 560 818 JANICE K SMITH MONTE JAY SMITH; ERIK MARTIN; JESSICA SOWARD; Certifications & Endorsements OMWBE Certifications Small Business Enterprise(SBE) Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account Is current. 202,111-00 Doing business as SARGENT ENGINEERS INC Estimated workers reported Quarter 3 of Year 2020"11 to 20 Workers" L&I account contact T2 I DALE RIUTTA(360)902-4834-Email:RIUD235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—.Effective July 1,2019 Completed the training on 11/21/2019 Contractor Strikes .................................................... No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been Issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600560818&LIC=&SAW= 1/1 Exhibit A Scope of Work 2021 On-Call Structural Bridge Consulting and Bridge Inspection Services Contract Scope of Services Amendment 1 On-Call tasks shall be initiated by the City of Spokane Valley(City). Tasks may be completed on a time and material basis as requested or through an approved scope and fee by the City. Each task shall be tracked separately for invoicing. Consultant staff will be provided to the city for performing the following duties in conformance with WSDOT Standard Specifications, WSDOT Construction Manual and Project Contract Specification: • Bridge Engineering consultation, design, analysis, evaluation, inspection and load rating. • Structural engineering consultation, design, analysis, evaluation and observation. • Preparation of plans, specifications,and estimates(PS&E)for the above items. • Ten separate bridge structures will need NBI routine and safety inspections in 2021. They are listed below: o SPOKV-4421 Thorpe Road over Chester Creek—Short Span Inspection o SPOKV-4501 Sullivan Road over Trent Road, SR 290—Routine Inspection o SPOKV-4502 Sullivan Road over BNSF RR—Routine Inspection o SPOKV-4508 Sullivan Road over Spokane River—SB—Routine Inspection o SPOKV-4509 Steen Road over Saltese Creek—Short Span Inspection o SPOKV-4511 Sullivan Road over Spokane River—NB—Routine Inspection (UBIT 2023) o SPOKV-4518 Evergreen Road/Mission Avenue U-Xing—Routine Inspection o SPOKV-4520 Sands Road over Chester Creek—Routine Inspection o SPOKV-4593 Park Road under UP RR—Safety Inspection o SPOKV-4594 Dishman Road U-Xing/Sprague Avenue—Safety Inspection All inspection work shall be pursuant to current WSDOT and NBI bridge inspection standards and shall be performed prior to their 2021 inspection due dates. All inspection work shall be performed under direct supervision of a professional engineer, licensed in the State of Washington and certified as a bridge inspection Team Leader. All inspection findings and photographs shall be sent to the WSDOT WSBIS inspection database. Consultant shall provide the City with hard copies of all inspection reports and photographs for each structure as well as an inspection summary for each. The City shall provide the necessary traffic control, including railroad traffic control for the above mentioned inspections.The City will also provide a co-inspector for all the bridge inspections.