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20-087.05 Simpson Engineers: Pines Rd Grade Separation Project CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND SIMPSON ENGINEERS Spokane Valley Contract#20-087.05 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and Simpson Engineers, Inc. mutually agree as follows: 1.Purpose:This Amendment is for the Contract for topographic survey and boundary research for the Pines Grade Separation Project by and between the Parties, executed by the Parties on April 29, 2020. Said contract is referred to as the"Original Contract"and its terms are hereby incorporated by reference. 2.Original Contract Provisions:The Parties agree to continue to abide by those terms and conditions of the Original Contract and any amendments thereto which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are either as follows,or attached hereto as Appendix"A". All such amended provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Additional compensation for updated topography of the northside of the east end of Empire Lane not to exceed $2,000 as noted in Exhibit A attached and incorporated into this Amendment#5. 4. Compensation Amendment History: This is Amendment# 5 of the Original Contract. The history of amendments to the compensation on the Original Contract and all amendments is as follows: Date Compensation Original Contract Amount April 29, 2020 $36,598.08 Amendment#1 December 1,2020 $ 2,000.00 Amendment#2 May 3,2021 $ 2,500.00 Amendment#3 December 20, 2021 $ 0.00 Amendment#4 March 21,2022 $ 9,528.75 Amendment#5 To be executed $ 2,000.00 Total Amended Compensation $79.626.83 The parties have executed this Amendment to the Original Contract this A''" day of February,2023. CITY OF SPOKANE VALLEY: SIMPSON ENGIN RS, INC.: ohn Hohman By: City Manager Its: l''�5, �C z-•� APPROVED AS TO FORM: jg:ir Arie e of the City • ttorney 1 a Exhibit A Founded 1946 6impson Engineers, Inc. Civil Engineering. Land Surveying &Land Planning February 8,2023 PinesBNSF Grade Separation Project—Additional Topography Survey-East end of Empire Lane City of Spokane Valley Erica, Below is the proposed fee to complete the tasks related to the additional topography survey information of the Pines/BNSF Grade Separation Project. The proposed scope of work to be completed: Updated Topography of the East end of Empire Lane on the Northside. 1. Complete Additional field topography of the new added fence,driveway,and paving for Parcel#45033.0502. 2. New topography information will be added to previously completed topography drawing for the PinesBNSF Grade Separation Project. We estimate a not to exceed fee of$2,000 to complete the Scope of Work. Let me know if you have any questions. Sincerely, Ed B. Simpson, P.E. 909 N.Argonne Rd., Spokane Valley, WA Phone: (509)926-1322 Fax: (509)926-1323 Email: ed@simpsonengineers.com �...IN SIMPENG-01 CGARRISON DATE(MDD/YYYY) '`� R� MI CERTIFICATE OF LIABILITY INSURANCE 2/13/2023 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 Christian Koethke Basin Pacific Insurance&Benefits PHONE ; ,No): PO Box 940 (NC,No,Ext):(509)765 4785 )766-7857 Moses Lake,WA 98837 ADDRIESS:Christian@basinpacific.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Cincinnati Insurance Company 10677 INSURED INSURER B: Clarence E Simpson Engineers Inc INSURER C: 909 N Argonne Rd INSURER D: Spokane,WA 99212 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 LIMITS LTR INSD WVD IMM/DDIYYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X EPP 0610435 4/1/2022 4/1/2023 PREMISEP(5a occurrence) , $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY S& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE UABWTY (Ea accident) $ X ANY AUTO X EPP 0610435 4/1/2022 4/1/2023 BODILY INJURY(Per person) $ —_ AUTOS ONLY SCHEDULED pBOODILY INJURYD (Per accident) $ AI ONLY teem (Perna dent)AMAGE $ $ A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS UAB CLAIMS-MADE X EPP 0610435 4/1/2022 4/1/2023 AGGREGATE $ 2,000,000 DED RETENTION$ $ I A WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY 1,000,000 ANY YIPRryInNH)OPRIE OR/P RTNER E ECUTIVE Y/N N/A EPP 0610435 4/1/2022 4/1/2023 E.L.EACH ACCIDENT $ (Mandato E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Spokane Valley is an Additional Insured RE:Project:Pines Road/BNSF Grade Separation Project-City of Spokane Valley,Contract#20-087 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 E Sprague Ave Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE Aux.tiktm-, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD •AC� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/6l2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Sarah Fish AssuredPartners of Washington LLC PHONE FAX 19689 7th Avenue NE STE 183, PMB#369 (A/c.No.Ext):360-626-2961 (A/C.No):360-626-2961 Poulsbo WA 98370 ADDRESS: sarah.fish@assuredpartners.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hudson Insurance Company 25054 INSURED CLARESI-01 INSURER B: Clarence E Simpson Engineers Inc 909 North Argonne Road INSURER C: Spokane Valley WA 99212 INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:342161631 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W /Y LIMITS LTR INSD VD POLICY NUMBER (MM/DDYYY) IMM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO $ CLAIMS-MADE OCCUR PREMISES(EaENTED occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab;Claims Made PRB0619115636 1/1/2023 1/1/2024 Per Claim $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured Status is not available on Professional Liability Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Proof of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. 909 N Argonne Rd Spokane Valley WA 99212 AUTHORIZED REPRESENTATIVE United States .. %Wk��,,O� . ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD