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20-236.03 Horrocks Engineers: On Call Surveying Svcs likane 10210 E Sprague Avenue♦ Spokane Valley WA 99206 Phone: (509)720-5000 • Fax:(509)720-5075 •www.spokanevalley.org 4•00017alliely• Email:cityhall@spokanevalley.org October 13, 2022 Contract No.20-236.03 Brian Belsby Horrocks Engineers, Inc. 1325 W. 1st Avenue, Ste. 204 Spokane Valley, WA 99201 Re: Implementation of 2023 option year, Agreement for Surveying Services for Capital Improvement Projects, 20-236, executed January 11, 2021 Dear Mr. Belsby: The City executed an Agreement for provision of for Surveying Services for Capital Improvement Projects on January 11, 2021, by and between the City of Spokane Valley, hereinafter "City", and Horrocks 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 second of three possible option years that can be exercised and runs through December 31, 2023. The City would like to exercise the 2023 option year of the Agreement. The Compensation as outlined in Exhibit A, 2023 to the Agreement, includes the labor and material cost negotiated and shall not exceed $30,546.23. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount ...$50,000.00 2022 Renewal $15,096.23(rernaining funds) Agreement Amendment No. 1 —add'l funds $45,096.23(remauung funds) 2023 Renewal $30,546.23(remainmg funds) All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. If you are in agreement with exercising the 2023 option year, please sign below to acknowledge the receipt and concurrence to perform the 2023 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 HORROCKS ENGINEERS, INC. lVe -5 . 73 j j.„1/4 J n Hohman, City Manager Name ?gin) c,pfl 6___ Title APPROVED AS TO FORM: edi Office of e City Attorney DOCUMENTS REQUIRING THIRD-PARTY NOTIFICATION PRIOR TO PUBLIC DISCLOSURE This page has been inserted in place of the page(s) entitled "2023 Schedule of Hourly Engineering Fees" of a contract document which sets forth the rates charged by the contracting entity. Pursuant to the Washington Public Records Act (RCW 42.56), the City has determined that this record may be available for disclosure upon request for review by a third party. However, pursuant to RCW 42.56.520 and RCW 42.56.540, the City has determined it is appropriate to provide the contracting entity notification of any request for this record to allow them time to determine if they wish to seek to obtain a court order requiring the record to be withheld. Please contact the City Public Records Officer at (509) 720-5000 or visit our website at www.spokanevalley.org to complete a Public Record Request to receive a copy of this record. �...141 HORRENG-01 AGALLAHER ACORO- DATE(MM/DD/YYYY) `----- CERTIFICATE OF LIABILITY INSURANCE 6/17/2022 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). PRODUCER CONTACT Ashley Gallaher American Insurance&Investment Corp. 448 South 400 East (A//CC,Nr o,Est):(801)364-3434 625 I in,No(801)355-5234 Salt Lake City,UT 84111 nt o"R'Ess:Ashley.Gallaheracamerican-ins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Co. 19682 INSURED INSURER B:Hartford Casualty Insurance Co 29424 Horrocks Engineers,Inc. INSURER C:Hartford Ins Co of The Midwest 37478 2162 W Grove Pkwy,Ste 400 INSURER D XL Specialty Insurance Company 37885 Pleasant Grove,UT 84062 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP UMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 34UUNOZ0016 7/1/2022 7/1/2023 DAMAGETORENTED 1,000,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X YE& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILnY COMBINED SINGLE LIMIT 1,000,000 ():a accident) $ X ANY AUTO 34UENOZ0028 7/1/2022 7/1/2023 BODILYINJURY(Perperson) $ OWNED - SCHEDULED AUTOS ONLY _ AUTOS W�� p BODILYO INJURYD (Per accident) $ _ AIUT S ONLY _ OS Otji ((Perr acodenU AMAGE $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESSLIAB CLAIMS-MADE 34XHUOZ0017 7/1/2022 7/1/2023 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY 34WEOK8HOL 7/1/2022 7/1/2023 1,000,000 ANY AFFICER/MEMBOEREEXCLUDED IECUTIVE YNN N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof Liab Claim Made DPR9994645 7/1/2022 7/1/2023 Per Claim 10,000,000 D Retro Date 1/1/1965 DPR9994645 7/1/2022 7/1/2023 Aggregate 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Professional Liability Deductible$200,000 Re: Contract Number:20-236.01/On Call Surveying Svcs City of Spokane Valley is named as additional insured,per written contract,with regards to the General Liability,coverage is primary.30 days'notice of cancellation is provided. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 10210 East Sprague Ave Spokane,WA 99206 AUTHORIZED REPRESENTATIVE I 7eW,410.. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD