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22-023.00 Rob's Demolition: 4216 N Best Property Cleanup
Contract No. 22-023 CONSTRUCTION AGREEMENT Rob's Demolition THIS CONSTRUCTION AGREEMENT(the"Agreement")is made by and between the City of Spokane Valley, a code City of the State of Washington ("City") and Rob's Demolition, ("Contractor") jointly referred to as the"Parties". IN CONSIDERATION of the terms and conditions contained herein the Parties agree as follows: 1.Work to Be Performed. Contractor shall do all work and furnish all labor,supervision,tools,materials, supplies,and equipment and other items necessary for the construction and completion of the 4216 N.Best Road Property Cleanup Project(the"Work")in accordance with documents described in Exhibit A and in accordance with this Agreement(which are by this reference incorporated herein and made part hereof and referred to as the "Contract Documents"), and shall perform any changes in the work in accordance with the Contract Documents. The terms and provisions in this Agreement shall control over any inconsistent or incompatible terms in any other Contract Document. Contractor shall,for the amount set forth in paragraph 4,below,assume and be responsible for the cost and expense of all work required for completing the Work and related activities to the City's satisfaction, provided for in the Contract Documents,within the time limits prescribed in the Contract Documents. The Project Manager shall administer and be the primary contact for Contractor. Upon notice from City, Contractor shall promptly commence work, complete the same in a timely manner, and cure any failure in performance under this Agreement. Unless otherwise directed by City, all work shall be performed in conformance with the Contract Documents, and all City, state, and federal standards, codes, ordinances, regulations, and laws as now existing or as may be adopted or amended. 2. Time for Performance. Contractor shall commence the Work within 10 days of receipt of a notice to proceed and shall complete the Work within the times specified in the Contract Documents, as may be extended in accordance with this Agreement and the Contract Documents. 3. Liquidated Damages. Time is of the essence for this Agreement. Delays cause inconvenience to the residents of City and cost taxpayers undue sums of money, adding time needed for administration, engineering, inspection, and supervision. It is impractical for City to calculate the actual cost of delays. Accordingly,Contractor agrees to pay liquidated damages for failure to achieve Final Completion which shall be in the amount of$ 250.00 per calendar day. These liquidated damages are not a penalty,but are fixed and agreed upon by and between Contractor and City because of the impracticability and difficulty of fixing and ascertaining the actual damages that City would sustain in the event that the Work is not completed in accordance with the Contract Documents. Liquidated damages may be retained by City and deducted from payments otherwise due to the Contractor. 4. Compensation. In consideration of Contractor performing the Work, City agrees to pay Contractor in accordance with the Contract Documents the sum of$ 98,420.00 , plus Washington State Sales Tax of$ 8,759.38 (if applicable),for a total of$ 107,179.38 , based on the Construction Agreement-4216 N.Best Road Cleanup Page 1 of 9 bid submitted by Contractor (Exhibit C), and as may be adjusted in accordance with the Contract Documents. 5. Payment. Contractor may elect to be paid in monthly installments,upon presentation of an application for payment in a form satisfactory to City. Applications for payment shall be sent to the City Finance Department at the address stated in paragraph 6. Pursuant to chapter 60.28 RCW,five percent of the compensation due Contractor shall be retained by City. 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 Contract Documents,City standards, City Code,state standards, or federal standards. 6. Notice. Notice other than applications for payment shall be given in writing as follows: TO THE CITY: TO THE CONTRACTOR: Name: Christine Bainbridge,City Clerk Name:Rob's Demolition Phone: (509)720-5000 Phone: (509) 534-2970 Address: 10210 East Sprague Avenue Address: 3810 E.Boone Avenue Spokane Valley,WA 99206 Spokane,WA 99202 7.Applicable Laws and Standards. The Parties,in the performance of this Agreement,agree to comply with all applicable federal,state,and local laws, codes,and regulations. 8. 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; 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 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. 9. Prevailing Wages on Public Works. Contractor,any subcontractor, or other person doing work under Construction Agreement-4216 N.Best Road Cleanup Page 2 of 9 this Agreement, shall comply with the requirements of chapter 39.12 RCW, and shall pay each employee an amount not less than the Prevailing Rate of Wage, as specified by the Industrial Statistician of the Washington State Department of Labor and Industries("L&I"). If employing labor in a class not shown, Contractor shall request a determination of the correct wage rate for the class and locality from the Industrial Statistician. Contractor shall provide a copy of any such determinations to City. Before commencing, during, and upon completion of the work, Contractor shall file all forms and pay all fees required by L&I and shall indemnify and hold City harmless from any claims related to its failure to comply with chapter 39.12 RCW. The following information is provided pursuant to RCW 39.12.030: A. State of Washington prevailing wage rates applicable to this public works project,published by L&I,are located at the L&I website address: https://fortress.wa.gov/lni/wagelookup/prvWagelookup.aspx B.This Project is located in Spokane County. C.The effective prevailing wage date is the same date as the bid due date as referenced in the original request for bids and as may be revised by addenda. A copy of the applicable prevailing wage rates is also available for viewing at the City Community&Public Works Department located at 10210 East Sprague Avenue, Spokane Valley, WA 99206. Upon request, City will mail a hard copy of the applicable prevailing wages for this project. 10. Relationship of the Parties. It is understood and agreed that Contractor shall be an independent contractor and not the agent or employee of City,that City is interested only in 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 Contractor. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 11. Ownership of Documents. All drawings,plans,specifications,and other related documents prepared by Contractor 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. 12.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 Contractor'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. 13.Warranty. Unless provided otherwise in the Contract Documents, Contractor warrants that all Work and materials performed or installed under this Agreement are free from defect or failure for a period of one year following final acceptance by City,unless a supplier or manufacturer has a warranty for a greater period, which warranty shall be assigned or transferred to City. In the event a defect or failure occurs in work or materials, Contractor shall,within the warranty period,remedy the same at no cost or expense to City. This warranty provision shall not be construed to establish a period of limitation with respect to Contractor's other obligations under this Agreement. Construction Agreement-4216 N.Best Road Cleanup Page 3 of 9 14.Contractor to Be Licensed and Bonded. Contractor shall be duly licensed,registered,and bonded by the State of Washington at all times this Agreement is in effect. 15.Contractor to Provide Performance and Payment Bonds. Contractor shall provide a payment bond and a performance bond in the full amount of the Agreement on the City's bond forms. Alternatively, Contractor may elect to have the City retain 10% of the Agreement amount in lieu of providing the City with a payment bond and a performance bond,pursuant to RCW 39.08.010(3). 16. Insurance. Contractor shall procure and maintain insurance, as required in this Section, without interruption from commencement of the Contractor's work through the term of the Contract and for 30 days after the physical completion date,unless otherwise indicated herein. A.Minimum Scope of Insurance. Contractor shall obtain insurance of the types described below: 1. Automobile liability insurance covering all owned, non-owned, hired and leased vehicles. Coverage shall be at least as broad as Insurance Services Office(ISO)form CA 00 01. 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 liability, independent contractors, products-completed operations for a period of three years following substantial completion of the work for the benefit of the City, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide a per project general aggregate limit, using ISO form CG 25 03 05 09 or an endorsement providing at least as broad coverage. There shall be no exclusion for liability arising from explosion, collapse or underground property damage. The City shall be named as an additional insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO Additional Insured endorsement CG 20 10 10 01 and Additional Insured-Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing at least as broad coverage. 3. Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. B.Minimum Amounts of Insurance. Contractor 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 then$1,000,000 per accident. 2. Commercial general liability insurance shall be written with limits no less than $2,000,000 each occurrence, $2,000,000 general aggregate,and no less than a$2,000,000 products-completed operations aggregate limit. C. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the following provisions for automobile liability and commercial general liability insurance: 1. Contractor's insurance coverage shall be primary insurance with respect to City. Any insurance, self-insurance, or insurance pool coverage maintained by City shall be excess Construction Agreement-4216 N.Best Road Cleanup Page 4 of 9 of Contractor's insurance and shall not contribute with it. 2.Contractor shall fax or send electronically in.pdf format a copy of insurer's cancellation notice within two business days of receipt by Contractor. 3. If Contractor 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 Contractor, irrespective of whether such limits maintained by Contractor 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 Contractor. 4.Failure on the part of Contractor to maintain the insurance as required shall constitute a material breach of this Agreement, upon which the City may, after giving at least five business days' notice to Contractor to correct the breach, immediately terminate the Agreement, or at its sole discretion, procure or renew 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 Contractor from the City. D.No Limitation. The Contractor's maintenance of insurance,its scope of coverage,and limits as required herein shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. E.Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M.Best rating of not less than A:VII. F. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Contractor shall furnish acceptable insurance certificates to City at the time Contractor returns the signed Agreement,which shall be Exhibit D. The certificate shall specify all of the parties who are additional insureds, and shall include applicable policy endorsements, and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested, complete copies of insurance policies shall be provided to City. Contractor shall be financially responsible for all pertinent deductibles,self-insured retentions,and/or self-insurance. G. Failure to Maintain Insurance. Failure on the part of the Contractor to maintain the insurance as required shall constitute a material breach of contract,upon which the City may,after giving as least five business days' notice to Contractor to correct the breach, immediately terminate the Agreement or,at its discretion,procure or renew such insurance and pay any and all premiums in connection therewith,with any sums so expended to be repaid to the City on demand,or at the sole discretion of the City,offset against funds due Contractor from the City. H. Subcontractor Insurance. Contractor shall cause each and every subcontractor to provide insurance coverage that complies with all applicable requirements of Contractor-provided insurance as set forth herein, except Contractor shall have sole responsibility for determining the limits of coverage required to be obtained by subcontractors. Contractor shall ensure that the City is an additional insured on each subcontractor's Commercial General liability insurance policy using an endorsement as least as broad as ISO CG 20 10 10 01 for ongoing operations and CG 20 37 10 01 for completed operations. Construction Agreement-4216 N.Best Road Cleanup Page 5 of 9 17. Indemnification and Hold Harmless. Contractor shall defend, indemnify and hold the City, its officers,officials,employees and volunteers harmless from any and all claims,injuries,damages,losses or suits including attorney fees,arising out of or in connection with the performance of this Agreement,except for injuries and damages caused by the sole negligence of the City. However, should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City,its officers, officials, employees, and volunteers,the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Contractor's waiver of immunity under Industrial Insurance,Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated by the parties. The provisions of this section shall survive the expiration or termination of this Agreement. 18.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. No waiver in one instance shall be held to be 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. 19. 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 first obtaining the written consent of the other party. 20. Confidentiality. Contractor may, from time-to-time,receive information which is deemed by City to be confidential. Contractor shall not disclose such information without the prior express written consent of City or upon order of a Court of competent jurisdiction. 21. Disputes. All disputes arising under or related to this Agreement that cannot be resolved through informal discussion and negotiations shall be resolved by litigation filed in the Superior Court of the State of Washington for Spokane County,unless otherwise required by applicable federal or state law. 22.Subcontractor Responsibility. As required by RCW 39.06.020,Contractor shall verify responsibility criteria for each first tier subcontractor and its subcontractors of any tier that hires other subcontractors shall verify responsibility criteria for each of its subcontractors. Verification shall include that each subcontractor, at the time of subcontract execution, meets the responsibility criteria listed in RCW 39.04.350(1) and possesses an electrical contractor license, if required by chapter 19.28 RCW, or an elevator contractor license if required by chapter 70.87 RCW. This verification requirement shall be included in every subcontract of every tier. 23. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Venue shall be in Spokane County,State of Washington. 24.Entire Agreement. This Agreement constitutes the entire and complete agreement between the parties and supercedes any prior oral or written agreements. This Agreement may not be changed,modified, or altered except in writing signed by the Parties. Construction Agreement-4216 N.Best Road Cleanup Page 6 of 9 25.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. 26.Assurance of Compliance with Applicable Federal Law. During the performance of this Agreement, the Contractor,for itself,its assignees,and successors in interest agrees as follows: A. Compliance with Regulations: Contractor shall comply with the federal laws set forth in subsection G of this Section 26 ("Pertinent Non-Discrimination Authorities") relative to non- discrimination in federally-assisted programs of the U.S. Department of Transportation, Washington State Department of Transportation(WSDOT), as they may be amended from time- to-time,which are herein incorporated by reference and made a part of this Agreement. B. Non-discrimination: Contractor, 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. Contractor 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 of 49 CFR Part 21. C.Solicitations for Subcontracts,Including Procurements of Materials and Equipment:In all solicitations, either by competitive bidding, or negotiation made by Contractor 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 Contractor of Contractor's obligations under this Agreement and the Acts and the Regulations relative to non-discrimination on the grounds of race,color,or national origin. D.Information and Reports: Contractor 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 Contractor is in the exclusive possession of another who fails or refuses to furnish the information, Contractor shall so certify to the City or the WSDOT, as appropriate,and shall set forth what efforts it has made to obtain the information. E. Sanctions for Noncompliance: In the event of a Contractor's 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: 1. withholding payments to Contractor under the Agreement until Contractor complies; and/or 2.cancelling,terminating,or suspending the Agreement,in whole or in part. F.Incorporation of Provisions:Contractor shall include the provisions of paragraphs one through six of this Section 26 in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, regulations and directives issued pursuant thereto. Contractor 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 Construction Agreement-4216 N.Best Road Cleanup Page 7 of 9 noncompliance. Provided,that if Contractor becomes involved in, or is threatened with litigation by a subcontractor or supplier because of such direction,Contractor may request that the City enter into any litigation to protect the interests of the City. In addition,Contractor may request the United States to enter into the litigation to protect the interests of the United States. G. Pertinent Non-Discrimination Authorities: During the performance of this Agreement, the Contractor 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.C. §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 C.F.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; Construction Agreement-4216 N.Best Road Cleanup Page 8 of 9 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.). 27. Business Registration. Prior to commencement of Work under this Agreement, Contractor shall register with the City as a business if it has not already done so. 28. 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. 29.Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Work B. Proposal C. Insurance Endorsements D.Performance and Payment Bond(If utilized) The Parties have executed this Agreement this 3/sr day of MAethl ,202-4 CITY OF SPOKANE VALLEY: Contrac %In ohn Hohman,City Manager By: 1 Its: Authorized Representative APPROVED AS TO FORM: Office the Ci mey Construction Agreement-4216 N.Best Road Cleanup Page 9 of 9 EXHIBIT A 4216 North Best Road Property Cleanup Project SCOPE OF WORK REMOVALS This contract provides for the removal and disposal of all debris and junk associated with parcel #45022.4817, located at 4216 N. Best Road, Spokane Valley, WA 99216 as directed according to the Alternate Work Method (AWM) Revision 2 supplied by Mountain Consulting Services, dated March 9, 2022, all in accordance with Spokane Regional Clean Air Authority. This work consists of removal and disposal of all debris including, but not limited to, building materials, outbuildings, sheds, tents, junk, a limited amount of concrete building foundation excavation and removal, and backfilling the resultant void along with miscellaneous clearing and grubbing of small trees and shrubs. All fences within the property limits, including steel chain link and wood shall be removed in their entirety including poles and concrete bases, if found. Holes from concrete bases shall be backfilled and compacted to the Project Manager's discretion. Fencing removals include approximately 140 LF of wood fencing and approximately 180 LF of chain link fencing. Existing miscellaneous items such as railroad ties, boulders, car and heavy equipment tires, engines, ladders, pallets, shrubs, stumps, landscaping items including concrete blocks and decorative river rock, boulders shall also be removed entirely from the site. Debris may also include concrete,wood,construction debris, hot tubs,propane tanks,gas cans(metal and plastic),oxygen cylinders, butane cylinders,oil,paints and stains, 55 gallon steel drums (with possible contaminants inside), generators, air compressors, metal and vinyl siding, windows, glass, car batteries, various hand-held power tools and batteries, lawnmowers, snow blowers, edgers, plastic, appliances, lighting systems, if found, including but not limited to, poles, foundations, conduit and wiring shall be removed in their entirety. Existing trees shall remain. There may be hazardous materials on site besides the known asbestos containing materials that are present. All hazardous waste must be dealt with according to local requirements and codes. The number and amount of hazardous materials is unknown. The site does contain a portable air conditioner and car batteries.A freezer and refrigerators have been identified on the site. Flooring adhesive has been found as well. Hazardous materials may include air conditioning equipment, PCB light fixtures and lighting lamps that may contain mercury. Foundations, basement walls, basement floors, bearing walls, concrete steppingstones, concrete walkways, and all other hard surfaces greater than 6" in diameter shall be removed unless so directed by the Project Manager. Prior to the commencement of filling of cavities left by basements and/or foundations the Contractor shall request an inspection to ensure foundations, basement floors, and other hard surfaces have been removed to the satisfaction of the Project Manager. The fill shall match the level surrounding ground. Fill within the building cavity shall be compacted. The property shall be leveled off and tracked to provide a surface that is uniform with the surrounding grade as visually approved by the Project Manager. Final grading limits shall be contained within the existing parcel. Disposal of all demolition material and coordination with utilities will be included in this work. All disposal costs and permit fees as well as dump/transfer station fees shall be included in the cost for clean-up with no additional cost to the city. Prior to beginning work each day,the Contractor shall perform a sweep of the property to ensure the entire work site is not inhabited by transients or other inhabitants. This may be coordinated with Spokane Valley Sheriffs Deputy. The Contractor shall remove any debris, tracking, and mud from city streets and sidewalks at the end of each workday to ensure public safety. The Contractor shall be responsible for dust control during demolition activities. Page 1 of 2 P:\Public Works\Capital Projects\Street Projects\0000-4216 N Best Abatement\SCOPE OF WORK.docx PERMITS Contractor to obtain Demolition Permit from City of Spokane Valley. The Contractor shall also file a Spokane Regional Clean Air Agency(SRCAA)Notice of Intent. The cost is based on the square footage of the clean-up. The Contractor shall coordinate with Russ Neumiller of SRCAA. He may be reached at 477-4727, ext. 104. All debris shall be disposed in a legal manner. The Contractor shall arrange to dispose of waste at no additional expense to the City of Spokane Valley. WORKING DAYS The project shall be physically completed within*** 17***calendar days.Work shall commence on The Contractor shall secure the site at the end of each work shift to ensure public safety. UTILITIES All utility-owned equipment shall be left intact. The Contractor shall protect all public utilities from damage resulting from the Work.The Contractor shall call the One-Call Locator Service for field locations of existing utilities prior to starting work. Water service lines have been disconnected from the existing structure. The Contractor shall contact Trentwood Irrigation District for field locations of any existing utilities prior to starting work. Contact: Devin Sinsley, 922-7532. Records show a water meter manhole containing the water meter set in concrete outside the old church building. It has not been identified in the field. Electric service has been disconnected at the pole at the far east end of the property. Contact Avista Electric for field locations of any existing utilities prior to starting work. The meter has been removed. Contact: Justin Helm, 495-2976. Gas service has been cut and caped at approximately the west property line by Avista. The Contractor shall contact Avista Gas for field locations of any existing utilities prior to starting work. The meter has been removed. Contact: Robb Goschalk, 280-7383. County sewer is currently stubbed onto property from the Best Road sewer.A Septic tank as-built is available upon request. There is a County owner sanitary sewer manhole at the far east side of the property. All exiting utilities shall be protected as best as possible. PAYMENT "4216 North Best Road Property Cleanup Project", per lump sum shall be full payment for furnishing tools, labor, equipment, and materials required to remove all debris in its entirety as listed in the above description of work. The Contractor shall arrange to dispose of waste at no additional expense to the City of Spokane Valley including any permits. Page 2 of 2 P:\Public Works\Capital Projects\Street Projects\0000-4216 N Best Abatement\SCOPE OF WORK.docx $11.� 3810 E. BOONE AVENUE SUITE #301 SPOKANE, WA 99202 Robs OFFICE: 509.534.2970 ,= CELL: 509.928928.04310431 DEMOLITION EMAIL: HOUSEWRECK@GMAIL.COM #ROBSDD197ORR March 16,2022 Pete Fisch City of Spokane Valley Via Email:pfisch@spokanevalley.org Dear Pete: We will remove the burnt structure and the shanty structures at 4216 N Best, as you and Cory discussed, for $98,420.00,plus sales tax.We will complete the work in accordance with the following terms and conditions: 1. The following items are included in our demolition price: ❑ Completing the work in accordance with Mountain Consulting's Revision 2 alternate plan ❑ The labor&equipment needed to complete the demolition ❑ A demolition permit ❑ Removing the burnt structure and soil using alternate work means ❑ Disposing of the debris as an asbestos containing material ❑ Asbestos notices ❑ Air monitoring ❑ Removing the shanty structures 2. The following item is not included in our demolition price: ❑ Any hazardous material removal other than asbestos that was identified by Mountain Consulting ❑ Utility disconnects ❑ Providing and placing any fill material 3. All salvage becomes property of Rob's Demolition 4. We are covered by a liability insurance policy and are bonded 5. We agree to conduct this project with as little disturbance as possible and with the utmost regards and consideration to surrounding businesses and residents Please let us know if this proposal is acceptable to you and we will schedule the work. You can reach Cory at 509- 928-0431 or me at 509-534-2970. Thank you. Sincerely, Jay Torge+-$o' Jay Torgerson ALTERNATIVE WORK METHOD FOR THE DEMOLITION AND CLEANUP OF ASBESTOS CONTAINING & CONTAMINATED FIRE-LOSS BUILDING MATERIALS DEBRIS AND ASSOCIATED GROUND SOILS PRESENT ON THE RESIDENTIAL PROPERTY ADDRESSED AT 4216 NORTH BEST ROAD IN SPOKANE VALLEY, WASHINGTON Prepared For: City of Spokane Valley Public Works Department 10210 E. Sprague Avenue Spokane Valley, WA 99206 (509) 720-5007 MCS Project No: 22-009.1 (Revision 2) Prepared By: Mr. Samuel W. Bailey Jr. Project Designer:PDR20220204-01 . s..R . ►J ✓ V March 3, 2022 Nam Date This document will be implemented to protect the environmental and prevent the release of airborne asbestos fibers during project clean-up activities. Mountain Consulting Services 9922 E. Montgomery Drive, Suite 9 Spokane, WA 99206 (509) 924-9236 March 9, 2022 Mountain Consulting Services TABLE OF CONTENTS SECTION TITLE PAGE 1.0 PROJECT DISCUSSIONS 1 1.1 Rational for Alternate Means of Compliance 1 2.0 SITE PERSONNEL AND RESPONSIBILITIES 3 2.1 KEY PERSONNEL 3 2.2 RESPONSIBILITIES 3 2.2.1 PROJECT MANAGER 3 2.2.2 ON-SITE ASBESTOS SUPERVISOR 3 2.2.3 ON-SITE AIR MONITOR 4 2.2.4 ON-CALL ASBESTOS ABATEMENT CONTRACTOR 5 2.3 MINIMUM TRAINING REQUIREMENTS 5 2.4 MINIMUM PPE REQUIREMENTS 6 3.0 ALTERNATE WORK PROCEDURE 6 3.1 ENGINEERING CONTROLS 7 3.2 MATERIAL WETTING 7 3.3 WASTE MANAGEMENT 8 3.4 AIR MONITORING 9 TABLE 1 9 3.5 COMPETENT PERSON 9 3.6 SEPARATION OF MATERIALS 10 4.0 VISIBLE EMISSIONS 11 5.0 RECORD KEEPING 11 APPENDICIES A Site Layout Drawing, Site Location Map &Key Photographs B AHERA Building Inspector& Project Designer Certifications • 4216 N.Best Road-AWM Project No:22-009.1;RVS2 1.0 PROJECT DISCUSSIONS Spokane Regional Clean Air Agency (SRCAA) Regulation Article IX; Section 9.8 Requires: Unless otherwise approved by SRCAA in writing,ALTERNATE MEANS OF COMPLIANCE must be used where "standard asbestos project"work practices as defined in Section 9.06B cannot be utilized to remove asbestos-containing materials (financial considerations aside)prior to renovation or demolition;when asbestos-containing material (ACM) has been disturbed or is otherwise no longer intact(e.g., when demolition has already occurred or a similar situation exists, typically leaving a pile, area of debris, rubble, ash or contaminating soil); or when mechanical methods are anticipated for use for removal. This document is prepared to meet the requirements of SRCAA Regulation Article IX; Section 9.8. This document is not intended to be a standalone asbestos abatement work plan meeting all the applicable asbestos regulations. Other agencies such as WISHA, L&I, OSHA and the EPA do have regulations that must be consulted prior to heightened regulatory asbestos work activities. 1.1 Rational for the Alternate Means of Compliance Work Plan The history of this property over the past decade has resulted with the original site structure (a former single-story church facility of multiple construction ages)being destroyed by fire. The property has been documented by local law enforcement to be frequented by vagrants,petty crime and illegal drug use,ultimately becoming a Nuisance Property to the local community. The fire-loss structure of the site has been rendered into a large debris pile with visible ground-soils ashen-debris contamination with the structure's former foundation area. Initially for this project there were multiple shanty-type structures which were assumed too also be asbestos contaminated. However, at the City of Spokane Valley's request Mountain Consulting returned to the site and perform a good-faith asbestos survey of the shanty structure areas. The survey determined that all shanties except for the NE corner shanty area were of simple wood& metal construction with no suspect building materials present. The NE Corner Shanty is comprised of a 2-room, wood-framed, shanty attached to an 8' x 14' Pick- up Truck Camper Unit that has 2 Regulated (class II, non friable)Asbestos Materials present which were intact at the time of the survey. SRCAA is familiar with this site and has documented the presence of Asbestos-Containing Vinyl Floor Tile &Mastic Materials within the fire-loss large building materials debris pile. Mr. Todd A. Lewis, EPA-Accredited AHERA Building Inspector, Certification BIR20210819-03, Expiration 8-19-2022; and Mr. Samuel W. Bailey Jr., EPA-Accredited AHERA Building Inspector, Certification BIR20210930-12, Expiration 9-30-2022, inspected the site on February 11th of 2022 and have visibly identified assumed Tar-Based Roofing Material Remnants associated with the remaining fire-loss building materials debris pile & soils exposed former foundation areas of the site. March 9,2022 Page 1 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 Mr. Lewis &Mr. Bailey returned to the site on March lst of 2022 to survey the surrounding shanty areas that resulted with all shanty areas except the NE Corner Shanty area Camper Unit as being free of asbestos or being free of no suspect asbestos materials. Refer to the Pre-Demolition "Good- Faith"Asbestos Survey Report prepared by Mountain Consulting on March 2nd of 2022, submitted to the City of Spokane Valley Washington under the same Project Number as this AWM document. Due to the facts that proven& assumed asbestos-containing building materials are present with the remaining building materials ashen-debris field area of this fire-loss site, Mountain Consulting has determined that this site is not safe for attempting Alternate Survey Method SRCAA protocols. For this project,the large fire-loss building materials ashen-debris pile site including the associated former exposed ground soils foundation footprint area are considered to be asbestos-containing and/or asbestos-contaminated. SCOPE OF ASBESTOS AWM DEMOLITION/CLEAN-UP WORK: • The fire-loss building materials debris pile is approximately 40'x 60' in size around 4' deep (estimated to be approximately 350 cubic yards of asbestos containing/contaminated material). • The fire-loss structure, exposed soil-foundation area (to the east of the fire-debris pile running north-south) is approximately 4,400 square feet in size that will require 6" of soil removal due to visible ACM debris presence (approximately 80 cubic yards of soil). • The shanty structure that resides to the north of the large fire-loss debris pile area has a small pile of associated ACM ashen-debris, on the hot-tub deck area that is approximately 3'x 3' in size, around 1' deep (approximately less than 1 cubic yard of debris). • The shanty that resides at the NE Corner of the property also has a small pile of associated ACM ashen-debris, on the ground by the shanty entry courtyard area that is approximately 3'x 3' in size, less than 1' deep (approximately less than 1/2 cubic yard of debris). General Note: The NE Corner Shanty compound areas Pick-up Truck Camper Unit contains 2 intact Regulated ACMs: 1) Green Colored Vinyl Sheet Flooring with ACM Brown Mastic; and, 2)Exterior Metal Roofing System which has an ACM Silver Sealant Present. These materials can either be properly abated by a Qualified Asbestos Abatement Contractor or the Entire Camper unit can be included with the AWM demolition waste-stream materials for disposal. Based upon the fact that Visible Class II,Non-Friable,Regulated ACMs are present with the identified site areas and the requirements detailed in the SRCAA Asbestos Control Standards, Article IX, Section 9.08 (Alternate Means of Compliance) is required. Mountain Consulting's AHERA Project Designer, Samuel W. Bailey Jr, certification PDR20220204-01, expiration 2/4/2023, concludes that this ALTERNATIVE MEANS OF COMPLIANCE Work Plan will be as effective as the work practices detailed within Section 9.06 of the SRCAA asbestos control standard. March 9,2022 Page 2 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 This work plan will be for the controlled cleanup and disposal of the sites Asbestos-Containing& Asbestos-Contaminated remaining fire-loss building debris piles and adjacent foundation ground soils area of the property addressed at 4216 North Best Road in Spokane Valley, Washington 99216. See Appendix A for a copy of the site layout drawing, site location map and key photographs. This work plan must be retained by all identified parties for at least 24 months as required by SRCAA,Article IX, Section 9.08, Sub-sections (A), 6, a. 2.0 SITE PERSONNEL AND RESPONSIBILITIES 2.1 KEY PERSONNEL PROJECT CLEANUP SITE MANAGER: To be Determined by: City of Spokane Valley's Awarded Bidding Contractor ASBESTOS COMPETENT PERSON: To be Determined by: Awarded Bidding Contractor ON-CALL ASBESTOS CONTRACTOR: To be Determined by: Awarded Bidding Contractor On-Site Environmental Air Monitor: To be Determined by: Awarded Bidding Contractor 2.2 PERSONNEL RESPONSIBILITIES 2.2.1 PROJECT MANAGER The Project Manager has the overall responsibility for site safety,project site demolition, cleanup, decontamination, and transportation of debris generated during project site remediation activities. 2.2.2 ON-SITE ASBESTOS SUPERVISOR/COMPETENT PERSON The On-site Asbestos Supervisor/competent person shall be present during all site cleanup activities and has the responsibility to observe, sample and control potential asbestos containing materials within the debris generated during mechanical demolition cleanup/decontamination activities. The On-Site Asbestos Competent Person shall be trained as both an Asbestos Supervisor according to Chapter 296-65,WAC and AHERA Building Inspector according to 40 CFR Part 763, Subpart E,Appendix C. March 9,2022 Page 3 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 THE ON-SITE ASBESTOS COMPETENT PERSON SHALL STOP ALL SITE ACTIVITIES IF ANY OF THE FOLLOWING CONDITIONS ARE DETECTED: • Intact visible suspect Class I, Friable asbestos containing materials are identified in the debris and easily separated/segregated for proper abatement. • Airborne fiber concentration exceeds 0.05 fibers per cubic centimeter of air (f/cc) at either the edge of the regulated work area or with personal samples as counted by the NIOSH Manual of Analytical Methods, Method 7400 (Asbestos and other fibers by PCM) • If the total comparable difference between collected up-wind and down-wind environmental area air monitoring samples exceeds 0.01 fibers per cubic centimeter(f/cc) of air. • If any air sample is determined to be overloaded with dust, immediately stop all demolition/cleanup activities and revise engineering controls to improve dust suppression and notify verbally by telephone SRCAA at(509)477-4727. Additionally,the On-Site Asbestos Supervisor/Competent person shall perform the following: • Observe the loading of debris into transport vehicles for proper disposal. • Ensure through on-site inspections that engineering controls are functioning properly and that employees are using proper work practices and PPE. • Set up site barriers, demarcation warning tape& signs, and control entry& exit from the regulated work area(s). NOTE: The On-Site Asbestos Supervisor may be the Site Air Monitor provided he has successfully completed the NIOSH 582 Course for sampling and evaluating airborne asbestos dust or an equivalent course or has a thorough understanding of monitoring principals and procedures and can demonstrate proficiency in sampling techniques as per Chapter 296-62-07709(4)(b)WAC. 2.2.3 ON-SITE AIR MONITOR Collect and submit for analysis personal and area air samples during the manual and/or mechanical cleanup, decontamination and handling of the ACM site debris. Table 1 details the collection frequency and locations of the required air samples. Air monitoring shall be conducted during all activities associated with the abatement of the debris stream generated by the site demolition/remediation clean-up activities. March 9,2022 Page 4 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 Samples will be counted or analyzed as soon as feasible possible (within 24 hours for personal and environmental area air samples) and results will be immediately reported to the On-Site Asbestos Supervisor and the Project Manager. Immediately notify both the Project Manager and On-site Asbestos Supervisor of any samples determined to be overloaded with dust. 2.2.4 ON-CALL ASBESTOS ABATEMENT CONTRACTOR An Asbestos Abatement Contractor shall be on-call and shall respond to the site within 4 hours to properly abate or package any "readily separable"friable asbestos containing materials encountered for inclusion into the cleanup waste stream. "Readily Separable" is typically defined as large sections of TSI Insulation and/or Surfacing Materials (asbestos Class I materials) that maybe uncovered during demolition/remediation operations that can be separated,handled and disposed by standard asbestos abatement methods. 2.3 MINIMUM TRAINING REQUIREMENTS All personnel involved with the site clean-up/decontamination project, equipment operators, vehicle drivers, laborers and supervisory personnel shall be provided with a minimum of 16 hours (Class III,AHERA O&M) of training in the proper handling of suspected friable Class I asbestos containing building materials according to Chapter 296-62-07722(4) (b)prior to arriving on the site and shall include the following: The training program must be conducted in a manner which employees are able to understand and shall include the following: • The health effects associated with asbestos exposure. • The relationship between smoking and exposure to asbestos producing lung cancer. • Methods to recognizing asbestos,potential release conditions, and the specific nature of operations that could result in exposure to airborne asbestos fibers. • The specific procedures implemented to protect employees from exposure to asbestos such as appropriate work practices,housekeeping, hygiene, storage and site operations which could result in asbestos exposure. • The purpose,proper use, and limitations of protective clothing. • The purpose,proper use and limitations of respiratory protection. • The requirement for posting regulated work area demarcation signs, and affixing labels and the meaning of the required legends for such signs and labels, and • Site Specific Hands on the Job Training (OJT). Initial and/or annual refresher training shall have been completed within the previous twelve (12)month period. March 9,2022 Page 5 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 Personnel trained to standards of Chapter 296-65 as certified asbestos workers or certified asbestos supervisor are considered to have training that exceeds the above training requirements. 2.4 MINIMUM PPE REQUIREMENTS In accordance with Chapter 296-62-07709 (3) (b)the following respiratory protection,personal protective clothing, decontamination area(s) and hygiene facility shall be required to meet the following: Respiratory protection must be provided in compliance with WAC 296-62-07715. Minimum respiratory protection shall be a half face negative pressure air purifying respirator equipped with P100 HEPA filters for the duration of site clean- up/decontamination activities. Disposal Tyvek Coveralls shall be provided in compliance with Chapter 296-62- 07717,WAC and shall be worn by all site personnel within the regulated work area for the duration of the site clean-up/decontamination activities. Construct a decontamination zone/area consisting of an area of sufficient size to accommodate the cleaning of equipment and removal of protective work clothing without spreading contamination beyond the work area. Protective work clothing shall be cleaned with a HEPA vacuum before it is removed. A hygiene facility consisting of a hand& face washing station shall be provided, and the hygiene station shall be provided with adequate water, cleansing agents and towels to permit employees to wash their hands and face prior to removal of respiratory protection and upon exiting the regulated area. A boot washing station may also be required. This demolition cleanup/remediation work plan or method of operation is required by WAC 296-155-775(2) and shall be required to be on-site always. Dust suppression with water as identified in WAC 296-155-775(18). All heavy equipment operator(s) will keep all windows and doors closed during the demolition/clean-up site activities. (If applicable) 3.0 ALTERNATIVE WORK PROCEDURES The following work procedures shall be implemented during all demolition, cleanup/remediation activities associated with the properties remaining fire-loss structure large debris pile and associated adjacent ground soils building foundation area assumed to contain&be contaminated with asbestos addressed at 4216 North Best Road in Spokane Valley,Washington 99216. March 9,2022 Page 6 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 The demolition/abatement contractor will most likely utilize mechanical removal methods for all visible remaining fire-loss building debris and associated ground soil foundation areas to include the removal of 6 inches of impacted-associated soil present with the property site. The site ACM debris will be placed into double-layered polyethylene sheeting lined disposal trailers with proper transportation labeling for delivery to Graham Road Landfill for proper asbestos disposal. 3.1 CONTROLED AREA: The following engineering controls will be implemented to protect the environmental and prevent the release of airborne asbestos fibers during project clean-up activities: • A Certified Asbestos Supervisor shall be present at the work site during all site clean-up activities and decontamination of the work area(s). • The asbestos project shall be conducted in a controlled regulated work area, clearly marked by barriers and asbestos warning signs/demarcations tapes. Access to the controlled area shall be restricted to authorized personnel only. • The regulated area shall be demarcated in any manner that minimizes the number of persons within the work area and protects persons outside the area from potential exposure to airborne asbestos fibers. • The regulated area barriers shall be properly remained and remain in place throughout the duration of demolition/clean-up project activities. • The regulated area will include a location and procedure to efficiently decontaminate the waste transport vehicle(s)prior to leaving the work area. 3.2 MATERIAL WETTING: • Handle all debris in a wet condition. The debris must be sufficiently wet to prevent visible dust emissions. The debris must be damp but not overly wet as to allow potentially contaminated water to escape from the transport vehicle(s). • Absorbent materials shall be saturated with liquid wetting agent(s)prior to removal. Wetting shall continue until all the material is permeated with the wetting agent. Any unsaturated surfaces exposed during the removal process shall be wetted immediately. • Nonabsorbent materials shall be continuously coated with a liquid wetting agent on any exposed surface prior to and during the removal. They shall be wetted after removal, as necessary,to assure they are wet when sealed in the disposal containers. Any dry surfaces exposed during the removal process shall be wetted immediately. March 9,2022 Page 7 Mountain Consulting Services ' 4216 N.Best Road-AWM Project No:22-009.1;RVS2 • Freezing Conditions. If weather conditions are such that the wetting agent(s) may freeze to a point where either the effectiveness of the wetting agent is eliminated or a significant safety hazard is created, then the cleanup shall be suspended until the air temperature allows the effective use of the wetting agent. If the cleanup activities must be conducted during freezing conditions, then SRCAA shall be consulted for appropriate guidance and this work plan must be modified to reflect those changes. • Should any water accumulate or pool it shall be filtered through a combination 30-micron and 5-micron water filtration unit (portable shower filtration pump system)before it is disposed of into the local sewer system. Excess water may also be used to wet the asbestos containing materials prior to and during disposal. • Water from the decontamination hygiene station shall be filtered through a combination 30-micron and 5-micron water filtration unit prior to releasing the water to the local sewer system,used as a source of dust suppression water, or properly containerized for disposed as asbestos waste. Any water from the hygiene station shall be identified as non-potable water. 3.3 WASTE MANAGEMENT: • All clean-up debris other than properly cleaned steel and concrete materials shall be considered asbestos-containing/contaminated and must therefore be properly labeled for transportation and disposal requirements. • All debris shall be placed directly into double-layer lined(reinforced plastic sheeting is required)transport container(s)and shall be covered with an impervious air tight cover prior to transporting the debris to the asbestos landfill. • Identifiable and easily separable Class I asbestos-containing building materials as defined above shall be separated and sealed or wrapped with 6-mil polyethylene sheeting and hand loaded into the transport vehicle for disposal. • A minimum of Six (6)Inches of Soil present under contaminated debris piles, with the former fire-loss structure foundation-soil area and at any material load- out areas associated with the site shall be removed and disposes of as regulated contaminated asbestos waste. This process should eliminate the asbestos ground contamination issue,because of asbestos mineral fibers washed into the soil by dust suppression water streams. • All (bagged or burrito wrapped) waste shall be removed from the site as soon as possible after removal,but no later than the end of each work shift(s). • All areas used to load asbestos debris shall be kept to the minimum size necessary to load the debris without creating excessive handling of the material. March 9,2022 Page 8 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 • The debris loading areas shall be cleaned of all debris at the end of each work shift. The transport vehicle shall be properly decontaminated prior to leaving the work zone. • The on-site asbestos supervisor/competent person shall observe the loading of all debris for disposal. 3.4 AIR MONITORING Air monitoring will be performed to document that airborne asbestos fibers are not being released during the demolition/clean-up project. Perform daily air monitoring as indicated in Table 1. TABLE 1 AIR MONITORING SAMPLING AND FREQUENCY Sample Description Sample Minimum Maximum Flow rate Frequency Sample Volume Sample Volume Personal Sampling Daily 180 Liters per 1,200 Liters per 1.5 to 2.5 1pm (8-hr TWA)(Note 1) sample sample Personal Sampling Daily 75 Liters 90 Liters 2.5 to 3.0 1pm (STEL) Upwind Area(Note 2) Daily 560 Liters per 1200 Liters per 2.5— 10.0 Within 25 feet from sample sample 1pm the base of operations Downwind Area(Note 2) Daily 560 Liters per 1200 Liters per 2.5 — 10.0 Within 25 feet from sample sample 1pm the base of operations Note 1: A sufficient number of samples will be collected to accurately document exposures during the entire work shift. Note 2: Wind direction shall be observed hourly and samples shall be repositioned accordingly. A sufficient number of samples will be collected to accurately document exposures during the entire work shift. Should any down-wind environmental area air monitoring results exceed 0.01 fibers per cubic centimeter net difference from the up-wind area sample then all work activities shall stop and engineering controls re-evaluated. 3.5 COMPETENT PERSON: The On-site Competent Person shall be present during all site clean-up activities and has the responsibility to observe, sample and control potential asbestos containing materials within the debris generated during clean-up/decontamination activities. March 9,2022 Page 9 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 The On-Site Competent Person shall be trained as either an Asbestos Supervisor according to Chapter 296-65,WAC and/or successfully completed the AHERA Building Inspector Course according to 40 CFR Part 763, Subpart E,Appendix C. THE ON-SITE COMPETENT PERSON SHALL STOP ALL SITE ACTIVITIES IF ANY OF THE FOLLOWING CONDITIONS ARE DETECTED: Intact visible suspect Class I friable asbestos-containing materials identified in the debris and easily separated/segregated for proper abatement. Airborne fiber concentration exceeds 0.05 fibers per cubic centimeter of air (fIcc) at either the edge of the regulated work area or on personal samples as counted by the NIOSH Manual of Analytical Methods, Method 7400 (PCM) If the total comparable difference between collected up-wind and down-wind environmental area air monitoring samples exceeds 0.01 fibers per cubic centimeter (f/cc) of air. If any air sample is determined to be overloaded with dust, immediately stop all demolition activities and revise engineering controls to improve dust suppression and notify verbally by telephone SRCAA at(509)477-4727. Additionally,the On-Site Competent Person shall perform the following: • Set up and control entry and exit from the work area(s). • Observe the loading of debris into transport vehicles for proper disposal and ensure the vehicles are free of debris prior to leaving the control area. • Ensure through on-site inspections that engineering controls are functioning properly and that employees are using proper work practices,PPE and decontamination procedures. 3.6 SEPERATION OF MATERIALS: If the project involves separation of cleaned non-porous materials (steel or concrete) from the asbestos containing/contaminated property debris site,the following procedures apply: On-Site Cleaning of Materials: Only non-porous materials such as steel, concrete or masonry materials may be considered as candidates for onsite cleaning. • The non-porous materials shall be thoroughly washed with the wetting agent to remove all visible debris. March 9,2022 Page 10 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 • The onsite Competent Person shall ensure that materials being diverted from the asbestos-containing waste material stream are free of asbestos-containing materials and/or contamination. • The "clean materials"shall be placed in a clean area outside the regulated controlled work area and protected to ensure they remain free of asbestos contamination until removed from the site. 4.0 VISABLE EMISSIONS No Visible Emissions shall be allowed during this project. If any visible emissions are identified, the Competent Person shall stop of project site activities and engineering controls shall be revised to eliminate the visible emissions. 5.0 RECORD KEEPING A copy of this Alternate Work Method-Work Plan shall be kept at the work site for the duration of the project activities and made available to the SRCAA upon request. The property owner and/or the owner's agent and the AHERA Project Designer that prepared this AWM shall retain a complete copy of this work plan for at least 24 months as required by SRCAA, Article IX, Section 9.08, Sub-sections (A), 6, a. March 9,2022 Page 11 Mountain Consulting Services 4216 N.Best Road-AWM Project No:22-009.1;RVS2 APPENDIX A SITE LAYOUT DRAWING; SITE LOCATION MAP & KEY PHOTOGRAPHS NORTH BEST ROAD 0 �0 3 saP 1/1 3 4\\ n N n l\`\ 3SN — hK N 3 N C -3 D U 3 P P a a L P n m 3 /i o reed Garbage/Recyclable,e, i 3(0 v O N ; Pled Gerleae/eecyduGes h O -5 " I 3 n > -13 a l C— o w nn 0 S R. 3 3 h 7 z .+ s< (0 o h n LZ Z p O 3 C 7p{ Q5$ 3 a N l n o 3 3 ro n 1.5 D 3 Z -3 q 0 0 E ° P y3 �F to C h II Z o (1)(n 43 RI - C3 C� g ri 3- A) p 3 Al 0 3 p I .'OX 3 hQ- 3 -30 3 aZ OD t7 _3 =P D P .+ 0 C .+p,} 0 IA '0 N 3 N hP 3 NN 3 (0 N '') Q (n 3 Or 57+tJ Ni\N '0U n) Po n oo o r D p Q. n 3 P U G.' n al' oTmI IT cal c1 l eF o u N y 3 U nl,� C L\ N 9 0 01 O N -0O D �\\ . N �} ,01 0 „F-3 3 10 c).-' O w •,.}N P a-F 3 0 3 >< )C 0 Ol P h n C O r 0 F N P 0 3 y N 3 3 h o 3 C rl a Z a •1 h j r�F a Z s z E r 3 --- '5 in ci F° 3 3 3 S I ` a J reed Ger/eae/Wcydolle. r1 QI- _ IP� 3 I 3 D 1/ I _ P /El V) I P I ro 1 Pd- I A Adjacent Commercial Property -3 3 4Z. ‘ a ASBESTOS ALTERNATE WORK METHOD (AVM)) SITE LAYOUT INFORMATIONAL t. DRAWING No. "NMI � DRAWINGI 4216 N, BEST RD, SPOKANE VALLEY, WASHINGTON, 99216 1 % OF 9922 E.Montgomery Drive, Suite 9 DRAWN BY. CHECKED BY: PROJECT NO. 1 DRAWING NOT TO SCALE DRAWINGS Spokane Valley, VA 99206 S. BAILEY R. KNUTSON 22-009.1 (RVS1) ` Telephone 509-924-9236 f • Go: gle Maps 4216 N Best Rd E Rockwell Ave Z Z m F poc‘"'c Py . Vall421ey6 NWT t R21d,6 Spokane • , 9 6mndrive-home z O RMH Electronics 9 9 Cabinet Systems United States Z TreeHouse Clul 9Clean-A-Auto Postal Service } 9 Ro:I. r_^ ,Lc E Trent Ave 2,0 Google Map data©2022 100 ft I•408041 Jr.44 4216 N Best Rd Building O O O Directions Save Nearby Send to your Share phone Q 4216 N Best Rd,Spokane Valley,WA 99216 Photos Go gle Maps 4216 N Best Rd • •i Z ! I• ,L 1.1 r Z ir• (.A) 1 to .:t; ' ., 'ipie*,, ,,..'.4 '. • • It: as z RMH Electro ics Cabinet stems ia ;, Ile t_ ' Google 4' ... r � Imagery©2022 Maxar Technologies,U.S.Geological Survey,Map data©2022 20 ft '� C ', 6 i ii 4' ... =' `• ' ::mow. 4 G� a y!�"" _`k.{.c `� 7. _ •� ', v n `-'�.. _ 1 '\.i ;SRC+. ,...,. : `� - : J i s� .ram- ¢�j� -� 1 -\� <{`�', cam. '•! I � S _.e`\ \ . .. %' , Aerial View of the Fire-Loss Old Church Piled Close-up View of the Main Fire-Impacted Building Debris&Surrounding Shanty Structures Site Building Materials Debris Pile (Central Property at 4216 N. Best Road in Spokane Valley,WA; That Area)Contaminated with Asbestos. will be Abated-Cleaned up by AWM Protocols. , _ _. ,4)1M,t: � Iwo, ,/ >�r- V" a-�* ''"" - /.- ,,,,ys. Mom. `,[ !p' , + 1 -..;` / -`-N-t—R. ',. - =',..+.�... • Another View of the ACM Containing & View of the Soil Exposed Former Foundation Contaminated Building Materials Central Area of the Fire Loss Church; Ground Soils Area Debris Pile of the Site. is Contaminated with ACM Remnants. � :'-'4:14. .....n• Ai **4, • „...4 II r , - - 4046410400400 c , \.' t , . . , I i k ,Y _ r. I rjy View of the VFT&Mastic Materials Proven by View of the North Central Shanty-Type Structure SRCAA to be Regulated for Asbestos; Present of;the Site Notice the Fire-Debris Pile; Looks Throughout the Sites Fire-Loss Debris Piles. Like Occupants were Sifting Through Fire Waste. at* t f _ r � 4 s" .. r fvc y r y A 0 S! ., A ' -. 4„ 7pyy� �'. f - � _it �' • it t--: `t" View of Tar-Based Roofing Materials Also Central Property Area View of the Site Present with the Fire-Loss Structure Looking West Across ehe Site. Debris Piles of the Site. rA .1 .. A ..... •f View of the Typical Surrounding Shanty View of the Shanty Structure&Junk Debris with Structures &Junk Debris that were Surveyed the NW Corner Property Area of the Site. and Determined to Not Contain Suspect Asbestos Materials. y4--- t 1 Y11-' T1LZ � / t 2,} ' T 4. i _. __ ,,,„ ..,N pm,11 � aIr- c � Apr. Ice y ra . View of the Shanty Structures &Junk Debris View of the Shanty Structures&Junk Debris with with the SE Corner Property Area of the Site. the NE Corner Property Area of the Site. V, 1 1 r�� A.,.. E i;, 1 �7 r- ��� y+� r '6L s Rs--- 1111 d??, View of SE Corner of the Property that Extends Anther Central Property Area View of the Site to the South;A Large Truck Full of Junk is Looking SE Across The Main ACM Present that is Included with this Project. Contaminated Building Materials Debris Pile. i A ' I-: s �`_� ,', • !!� . ,a . r/, ....,....;„, Ar t Si" goil View of a Mobile Trailer at the Western Entry View of a NE Corner Shanty-Attached Camper; Parking Lot Property Area by Best Road; The the Camper Contains 2 Intact Regulated ACMs; Trailer Contains ACM Ashen-Debris &Ashen- Green-VSF & Mastic& Ext. Silver Metal Roof Debris is on the Adjacent Ground Area. Sealant; Can be Abated or Included w/AWM. tiliiii�� - ...44.4.9 - - i View of the NE Corner Shanty Compound Areas, Small Ashen-Debris Pile on the Ground; Also Slated to be Included with the AWM Project. 4216 N.Best Road-AWM Project No:22-009.1;RVS2 APPENDIX B AHERA BUILDING INSPECTOR & PROJECT DESIGNER CERTIFICATIONS V!C ,-, ■— E = M 8 N 0 ■� CD * N 0 Ca L o 0 0 Gi O Y 0 . M o Cc) o� 3 . ,� �- � Co - .Q r ..iJ co • CL c_ w CO a (1) c n 1-1 cp cl'i Lm C) CCI ..;:c W to Z W -cp W LLE W O _ L ¢ ' - 4CO3 o°°03 0 0 II 11.11111m :a_ WU = a� o N , o N ONoinn LO ‘,..1...4 cx3 = _L. a o >I. 0 cn N - ~ 0 o °' row coCNI = o __Ci) u) C.) I : rn 4- CZ o c. o Y C9C5 - O W °' E � � �cL vC.) � n Oi • � E _C Y a 14 � - CU CD >-% 0 a cn O O O ;mil (113 U.1 CD_ � N U CI CD a) CO ___ c2,_ ¢ O ,.„4 u).,ca_ 0 .....*= co N o0 I 4.. z o I co N O E O 0 CO r Cr) C 4 X o C WI -• _ •— •— •_ 03 MM g 721.-1 oci L4.4 �, Q Z E -t; I . 3 a MD L = _ .,_ _ co G1 ■_ q v' 03 0 o o S W ..2, N O (�V U � ._ � _= o � o � o • Q oto Oi u Cillii ; t 4:11) _ i) u c N w Cr ‘'"I •1 a i u O 0 cusi_ . .' a� Q a, 4 > m 0- 0 W— u - Ccu GO - u a) Imo- E o s ' C0 Qs 4 01 3 ar,; <IC Ce - te. > = uC CO �� _ •= 09 s L L b Cu c f` a •'� I L CID E W p T < cu 0 0 T Om ,O N v — all) 1 C U VI II �. CD m N Y oi � + c� Z �y 0 N H O i q 0 01) D) ',I1 _� •~ N. C ■~ III BIM. pt., M 03 rn ti 03 11111 n 6 ° 3 Z t' '. a 'il �W � i u,�:;:'Y'''': 0 .... al e. w g . . �o 0 it. u . .. _z fg.r k.4.-( Z . ai . ., < .. (..., n u . . N 0t„ a) h. , ,..-E. ,,,c 0 girl II) ‘L.I/i -:' 2 i •,' >111 x iji4M rd wu LC Ig �) U C wVtilill) .� E � , < 0:1) i 8. 1 1 0 T I U m U I Of 0 + a z 1 0 r ® DATE 03/28/20222 Y) ACORE) CERTIFICATE OF LIABILITY INSURANCE 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 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: Parker,Smith&Feek,Inc. PHONE 425-709-3600 FAX 425-709-7460 2233 112th Avenue NE E E-MAIL (a/c,No): Bellevue,WA 98004 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Crum&Forster Specialty Insurance INSURED INSURER B: Alaska National Ins.Co. Rob's Demolition 3810 E Boone Avenue INSURER C: Spokane,WA 99202 INSURER D: 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 ADDLTYPE OF INSURANCE INSR WVDSUBR POLICY NUMBER (MMIDDPOLICYM/ EFF POLICY EXP LTR INSR YDYY) (MM/DD//YYYY) LIMITS A GENERAL LIABILITY EPK137960 12/10/2021 12/10/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY X PREMISES(Ea occurrence) $ 50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X JE LOC $ B AUTOMOBILE LIABILITY 21LAS31976 COMBINED SINGLE LIMIT 1,000,000 12/10/2021 12/10/2022 (Ea accident) $ X ANY AUTO BODILY INJURY(Per person) $ X ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS x AAUTO-SWNED (Peraccident) PERTY DAMAGE $ $ A UMBRELLA LIAB X OCCUR EFX119374 12/10/2021 12/10/2022 EACH OCCURRENCE $ 4,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED RETENTION$ $ WORKERS COMPENSATION EPK137960 WC STATU- X OTH- A AND EMPLOYERS'LIABILITY 12/10/2021 12/10/2022 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N **WA STOP GAP E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 4216 N Best Road Property Cleanup Project. City of Spokane Valley is an additional insured on the general liability policy per the attached endorsement/form... (See Attached Description) 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 10210 East Sprague Avenue AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99206 // ^-- Al ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1 of 5 (TT001) 3 CR U M&FORSTER' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)or Organization(s) Blanket when specifically required in a written contract with the named insured. SECTION III —WHO IS AN INSURED within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but only with respect to liability caused, in whole or in part, by your work"for that insured which is performed by you or by those acting on your behalf. ALL OTHER-TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0111-0211 Page 1 of 1 CRU M & FORSTER' A.416FAK C '..IPAM•. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL CHANGE ENDORSEMENT Policy Change Number A POLICY NUMBER POLICY CHANGES COMPANY EPK137960 EFFECTIVE Crum and Forster Specialty _12LiDl202L_. , nsurance.Como anv I NAMED INSURED Rob's Demolition, Inc. COVERAGE PARTS AFFECTED COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGES AGGREGATE LIMITS OF INSURANCE PER PROJECT Under the Common Provisions, Section IV—LIMITS OF INSURANCE AND DEDUCTIBLE, item 2. is amended by the addition of the following: The General Aggregate Limit applies separately to each of your projects away from premises owned by or rented to you. It is further agreed that the Policy Aggregate Limits of insurance per project MI be capped at $5,000,000. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED —1 Authorized Representative Signature EN0137-0211 Page 1 of 1 4of5 (1T001) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Bouten Construction P.O. Box 3507 Spokane, WA 99220-3507 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an additional insured the person(s) or organization(s) indicated in the Schedule shown above, but solely with respect to "claims" caused by "your work" for that person or organization performed by you, or by those acting on your behalf. This insurance shall be primary and non-contributory. B. We waive any right of recovery we may have against the person(s) or organization(s) indicated in the Schedule shown above because of payments we make for "damages" arising out of "your work" performed under a designated project or contract with that person(s) or organization(s). C. This Endorsement does not reinstate or increase the Limits of Insurance applicable to any "claim" to which the coverage afforded by this Endorsement applies ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. EN0347-0217 Page 1 of 1 5 of 5 (TT001) Last updated by Cory Carper on Nov 24,2021 at 05:39 PM ROB'S DEMOLITION,INC. JSAMeov® ROB'S DEMOLITION, INC. DUNS Unique Entity ID SAM Unique Entity ID CAGE/NCAGE 089930473 GB1 WG6W1 R989 3H9S1 Purpose of Registration Registration Status Expiration Date All Awards Active Nov 24,2022 Physical Address Mailing Address 3810 E Boone AVE STE 301 3810 E Boone AVE STE 301 Spokane,Washington 99202-4561 Spokane,Washington 99202-4561 United States United States Doing Business as Division Name Division Number (blank) (blank) (blank) Congressional District State/Country of Incorporation URL Washington 05 Washington/United States (blank) Registration Dates Activation Date Submission Date Initial Registration Date Nov 29,2021 Nov 24,2021 Sep 12,2003 Entity Dates Entity Start Date Fiscal Year End Close Date Mar 1,1977 Dec 31 Immediate Owner CAGE Legal Business Name (blank) (blank) Highest Level Owner CAGE Legal Business Name (blank) (blank) Executive Compensation Registrants in the System for Award Management(SAM)respond to the Executive Compensation questions in accordance with Section 6202 of P.L.110-252,amending the Federal Funding Accountability and Transparency Act(P.L.109-282).This information is not displayed in SAM.It is sent to USAspending.gov for display in association with an eligible award.Maintaining an active registration in SAM demonstrates the registrant responded to the questions. Proceedings Questions Registrants in the System for Award Management(SAM)respond to proceedings questions in accordance with FAR 52.209-7,FAR 52.209-9,or 2.C.F.R.200 Appendix XII.Their responses are not displayed in SAM.They are sent to FAPIIS.gov for display as applicable.Maintaining an active registration in SAM demonstrates the registrant responded to the proceedings questions. Exclusion Summary Active Exclusions Records? No SAM Search Authorization I authorize my entity's non-sensitive information to be displayed in SAM public search results: Yes a: Business Types Entity Structure Entity Type Organization Factors Corporate Entity(Not Tax Exempt) Business or Organization Subchapter S Corporation Profit Structure For Profit Organization hops://sam.gov/entity/089930473/coreData?status=Active Page l of 2 • Last updated by Cory Carper on Nov 24,2021 at 05:39 PM ROB'S DEMOLITION,INC. Socio-Economic Types Check the registrant's Reps&Certs,if present,under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern.Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the SBA supplemental pages during registration. Accepts Credit Card Payments Debt Subject To Offset No No EFT Indicator CAGE Code 0000 3H9S1 Points of Contact w, Electronic Business 3810E Boone AVE Cory Carper STE 301 Spokane,Washington 99202 United States Jay Torgerson 8420 E.Woodland Park Drive Spokane,Washington 99217 United States Government Business 3810E Boone AVE Cory Carper STE 301 Spokane,Washington 99202 United States Jay Torgerson 8420 E.Woodland Park Drive Spokane,Washington 99217 United States a^c r 4_�t',q 3,..7-4' `k,5tk,,a , .; ..._,...,4.. .e.i ._^?�"' ... z s. f2"✓r �. ?`.. ,.. -... -. NAICS Codes Primary NAICS Codes NAICS Title Yes 238910 Site Preparation Contractors 562910 Remediation Services Product and Service Codes PSC PSC Name F109 Environmental Systems Protection-Leaking Underground Storage Tank Support F999 Other Environmental Services P400 Salvage-Demolition Of Buildings Disaster Response This entity does not appear in the disaster response registry. hops://sam.gov/entity/089930473/coreData?status=Active Page 2 of 2 uti go n 'L.'. a , 'C_ 01 0 w to c .Elu. a Lou C . ... u- -11 iN N O c0 r 4 w ecv .0 F. c 't- .l 113 0 ro w 3 6 O a G ao 1Z1 .", ei Z M T RI !((.fi�r 4 v c. �} .. W C j .....l C�" r Uo r til C w W � N .41 ..� 4_• W m W C R �- , �.. .N LIJ 7 5 0 a:cc u M w 0 {' 4O ou v pu VI a VI _ l_ .. co t- �C y c f4 IA A :a O C1 .�; .c ,� -0 o 3_I. v °) w J 'x i d m a E so �.. tG_ :+ n T p l0 Olt w A N ' y IO c7. C A ,i') "' a < c .oio0 v1 Cam ' ..c :, ',0 C a s ra co D 2 c I- IA n c u O try „i r_ r iv r 4- 4- QJ ro' 4 0 .� ni ' p ,. 'n to E I v Z c I- r c p Z Z n w tf, 0 0 I co 4-. � u 2? 4.1 O_I o o 1 0 ai c O c o yy..,, .LA q. A om o L . . W C In rC�� C �1 .(r,�7 V1 J " .j w}C+�'9 pp C. & P n A (J x C M 9J Ali !gyp tU U a O I "0' Q1 ;C.t "' u W v o t°�o d C U - j N �y? «, WI c m 6' 0 'A 03 rN a �-. tU tli ea �' C p I < amov� v ' m ccoow r ri W o �. 0 �w)I fi Z ti u W A d 'k <4 GO qQ cU V N �j ~! ¢ 3 gi u, o-V G c E m ti c 1 `m Q I �, m d Z s;4 a m a P in 4rt1 13 •r V act u M a ehwa>CC > . .s • • f L- 0 0 9] u F C C g On in on c cil =? 9) CL .0 01.., 011 ;- O .i:' C m a c w w W GREASPO-02GKUMAR DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/12/2022 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). CONTACT PRODUCER NAME: PHONEFAX Hub International Northwest LLC (509) 747-3121(509) 623-1073 (A/C, No, Ext):(A/C, No): PO Box 3144 E-MAIL nowspkinfo@hubinternational.com Spokane, WA 99220 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # Philadelphia Indemnity Insurance Company18058 INSURER A : INSURED INSURER B : INSURER C : Greater Spokane, Inc. 801 W Riverside Ave, Ste. 200 INSURER D : Spokane, WA 99201 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 1,000,000 CLAIMS-MADEOCCUR X PHPK24349888/15/20228/15/2023 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 X POLICYLOC PRODUCTS - COMP/OP AGG$ JECT WA Stop Gap1,000,000 OTHER:$ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO PHPK24349888/15/20228/15/2023 BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED XX (Per accident)$ AUTOS ONLYAUTOS ONLY $ 3,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ PHUB8223988/15/20228/15/2023 3,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ 10,000 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Professional LiabiliPHPK24349888/15/20228/15/2023 1,000,000 A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Spokane Valley is listed as an Additional Insured. CERTIFICATE HOLDERCANCELLATION 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 E Sprague Avenue Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD