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23-158.00 Ridgemont Estates Stormwater Improvements Contract No.23-158 AGREEMENT FOR PROFESSIONAL SERVICES Osborn Consulting Incorporated THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and Osborn Consulting Incorporated, hereinafter "Consultant,"jointly referred to as"Parties." IN CONSIDERATION of the terms and conditions contained herein, the Parties agree as follows: 1. Work to Be Performed. Consultant shall provide all labor, services, and material to satisfactorily complete the Scope of Services, attached as Exhibit A. A. Administration. The City Manager or designee shall administer and be the primary contact for Consultant. Prior to commencement of work, Consultant shall contact the City Manager or designee to review the Scope of Services, schedule,and date of completion. Upon notice from the City Manager or designee, Consultant shall commence work, perform the requested tasks in the Scope of Services,stop work,and promptly cure any failure in performance under this Agreement. B. Representations. City has relied upon the qualifications of Consultant in entering into this Agreement. By execution of this Agreement, Consultant represents it possesses the ability, skill, and resources necessary to perform the work and is familiar with all current laws, rules, and regulations which reasonably relate to the Scope of Services. No substitutions of agreed-upon personnel shall be made without the prior written consent of City. Consultant represents that the compensation as stated in paragraph 3 is adequate and sufficient for the timely provision of all professional services required to complete the Scope of Services under this Agreement. Consultant shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Consultant shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City-furnished information. C. Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed by professional consultants engaged in the same profession, and performing the same or similar services at the time such services are performed. D. Modifications. City may modify this Agreement and order changes in the work whenever necessary or advisable. Consultant shall accept modifications when ordered in writing by the City Manager or designee, so long as the additional work is within the scope of Consultant's area of practice. Compensation for such modifications or changes shall be as mutually agreed between the Parties. Consultant shall make such revisions in the work as are necessary to correct errors or omissions appearing therein when required to do so by City without additional compensation. 2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in effect until completion of all contractual requirements have been met as determined by City. Consultant shall complete its work by December 31, 2024, unless the time for performance is extended in writing by the Parties. Agreement for Professional Services(with professional liability coverage) Page 1 of 8 Contract No.23-158 Either Party may terminate this Agreement for material breach after providing the other Party with at least 10 days'prior notice and an opportunity to cure the breach. City may,in addition,terminate this Agreement for any reason by 10 days' written notice to Consultant. In the event of termination without breach, City shall pay Consultant for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. City agrees to pay Consultant an agreed upon hourly rate up to a maximum amount of $ 379,397.00 as full compensation for everything done under this Agreement, as set forth in Exhibit A. Consultant shall not perform any extra, further, or additional services for which it will request additional compensation from City without a prior written agreement for such services and payment therefore. 4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for payment shall be sent to the City Finance Department at the below-stated address. 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 Scope of Services, City standards, City Code,and federal or state standards. 5. Notice. Notices other than applications for payment shall be given in writing as follows: TO THE CITY: TO THE CONSULTANT: Name: Marci Patterson, City Clerk Name: Tarelle Osborn Phone: (509) 720-5000 Phone: (425)451-4009 Address: 10210 East Sprague Avenue Address:1800 112th Ave. NE, Suite 220E Spokane Valley, WA 99206 Bellevue,WA 98004 6. Applicable Laws and Standards. The Parties, in the performance of this Agreement, agree to comply with all applicable federal, state, and local laws and regulations. Consultant states that its designs, construction documents, and services shall conform to all federal, state, and local statutes and regulations. 7. 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 Agreement for Professional Services(with professional liability coverage) Page 2 of 8 Contract No. 23-158 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. 8. Relationship of the Parties. It is understood and agreed that Consultant shall be an independent contractor and not the agent or employee of City, that City is interested in only 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 Consultant. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Consultant. The Consultant shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 9. Ownership of Documents. All drawings, plans, specifications, and other related documents prepared by Consultant 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. The written, graphic, mapped, photographic, or visual documents prepared by Consultant under this Agreement shall, unless otherwise provided, be deemed the property of City. City shall be permitted to retain these documents, including reproducible camera-ready originals of reports,reproduction quality mylars of maps,and copies in the form of computer files, for the City's use. City shall have unrestricted authority to publish, disclose, distribute, and otherwise use,in whole or in part,any reports,data,drawings,images,or other material prepared under this Agreement, provided that Consultant shall have no liability for the use of Consultant's work product outside of the scope of its intended purpose. 10.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 Consultant'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. 11.Insurance. Consultant shall procure and maintain for the duration of the Agreement,insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by Consultant,its agents,representatives,employees,or subcontractors. A. Minimum Scope of Insurance. Consultant's required insurance shall be of the types and coverages as stated 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 independent contractors and personal injury, and advertising injury. City shall be named as an additional insured under Consultant's commercial general liability insurance policy with respect to the work performed for the City using an additional insured endorsement at least Agreement for Professional Services(with professional liability coverage) Page 3 of 8 Contract No. 23-158 as broad as ISO CG 20 26. 3. Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. 4. Professional liability insurance appropriate to Consultant's profession. B. Minimum Amounts of Insurance. Consultant shall maintain the following insurance limits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. 2. Commercial general liability insurance shall be written with limits no less than $2,000,000 each occurrence, and$2,000,000 general aggregate. 3. Professional liability insurance shall be written with limits no less than $2,000,000 per claim and$2,000,000 policy aggregate limit. C. Other Insurance Provisions. The Consultant's policies are to contain,or be endorsed to contain, the following provisions for automobile liability and commercial general liability insurance: 1. Consultant's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or self-insured pool coverage maintained by City shall be in excess of Consultant's insurance and shall not contribute with it. 2. Consultant shall provide City and all additional insured for this work with written notice of any policy cancellation within two business days of their receipt of such notice. 3. If Consultant 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 Consultant, irrespective of whether such limits maintained by Consultant 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 Consultant. 4. Failure on the part of Consultant to maintain the insurance as required shall constitute a material breach of the Agreement, upon which the City may, after giving at least five business days' notice to Consultant to correct the breach, immediately terminate the Agreement, or at its sole discretion,procure or renew such 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 Consultant from the City. D.Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, Agreement for Professional Services(with professional liability coverage) Page 4 of 8 Contract No. 23-158 evidencing the insurance requirements of the Agreement before commencement of the work. 12. Indemnification and Hold Harmless. Consultant shall, at its sole expense, defend, indemnify, and hold harmless City and its officers,agents, and employees,from any and all claims,actions, suits, liability, loss, costs, attorney's fees, costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts, errors, or omissions in the services provided by Consultant, Consultant's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. 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 Consultant and the City,its officers, officials, employees, and volunteers, the Consultant's liability, including the duty and cost to defend, hereunder shall be only to the extent of the Consultant's negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Consultant's waiver of immunity under Industrial Insurance, Title 51, RCW, solely for the purpose 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. 13.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. A waiver in one instance shall not be held to be a 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. 14. 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 prior written consent of the other Party. 15. Subcontracts. Except as otherwise provided herein, Consultant shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of City. 16. Confidentiality. Consultant may, from time-to-time,receive information which is deemed by City to be confidential. Consultant shall not disclose such information without the prior express written consent of City or upon order of a court of competent jurisdiction. 17. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Disputes between City and Consultant shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Consultant agrees that it may, at City's request, be joined as a party in any arbitration proceeding between City and any third party that includes a claim or claims that arise out of, or that are related to Consultant's services under this Agreement. Consultant further agrees that the Arbitrator(s)' decision therein shall be final and binding on Consultant and that judgment may be entered upon it in any court having jurisdiction thereof. 18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation(including expert witness fees). Agreement for Professional Services(with professional liability coverage) Page 5 of 8 Contract No.23-158 19. Entire Agreement. This written Agreement constitutes the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed, modified, or altered except in writing signed by the Parties hereto. 20. 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. 21. Business Registration. Consultant shall register with the City as a business prior to commencement of work under this Agreement if it has not already done so. 22. Assurance of Compliance with Applicable Federal Law. During the performance of this Agreement, the Consultant, for itself,its assignees,and successors in interest agrees as follows: A. Compliance with Regulations. Consultant shall comply with the federal laws set forth in subsection G, below ("Pertinent Non-Discrimination Authorities") relative to non-discrimination in federally-assisted programs as adopted or amended from time-to-time, which are herein incorporated by reference and made a part of this Agreement. B. Non-discrimination. Consultant,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. Consultant 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 Consultant 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 Consultant of Consultants'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. Consultant 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 Consultant is in the exclusive possession of another who fails or refuses to furnish the information, Consultant 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 Consultant'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 Consultant under the Agreement until Consultant complies; and/or Agreement for Professional Services(with professional liability coverage) Page 6 of 8 Contract No. 23-158 2. Cancelling, terminating,or suspending the Agreement,in whole or in part. F. Incorporation of Provisions. Consultant shall include the provisions of paragraphs of these Contract Clauses in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, regulations and directives issued pursuant thereto. Consultant 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 noncompliance. Provided, that if Consultant becomes involved in, or is threatened with litigation by a subcontractor or supplier because of such direction, Consultant may request that the City enter into any litigation to protect the interests of the City. In addition,Consultant 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 Consultant 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;and 49 Part 26; 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 U.S.C. §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 Depai liuent of Transportation regulations at 49 C.F.R.parts 37 and 38; Agreement for Professional Services(with professional liability coverage) Page 7 of 8 Contract No.23-158 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; 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.). 23. 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. 24. Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Services and Summary of Fees B. Insurance Certificates The Parties have executed this Agreement this 2 v m day of SFpre...eel , 20.23. CITY OF SPOKANE VALLEY Consultant: Jo n Hohman, City Manager By: Tarelle Osborn Its: Authorized Representative APPROVED AS TO FORM: .iA6-4011CV*---- f e of the City Attorney Agreement for Professional Services(with professional liability coverage) Page 8 of 8 Exhibit A City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work SCOPE OF WORK Project: City of Spokane Valley Ridgemont Estates Stormwater Improvements Project PRIME Consultant: Osborn Consulting, Inc. Contract No.: Background The City of Spokane Valley (City) selected Osborn Consulting to complete the Ridgemont Estates Stormwater Improvements Project.The project area limits are identified in Figure 1 and include those street and stormwater elements contributing to the City-owned infrastructure. Area limits for specific tasks are identified in Figure 2. The initial goal of the project is to evaluate surface runoff, shallow subsurface flow, and the performance and capacity of the existing stormwater system.This evaluation will be provided by conducting hydrologic, hydraulic, and geotechnical analysis. The subsequent goal of the project is to identify the necessary improvements required for a sustainable stormwater system and street pavement design for the project area. It is suspected that surface runoff,shallow subsurface flow,and the performance and capacity of the existing stormwater system all contribute to the pavement damage along South Vera Crest Drive, South Conklin Road, South Ridgemont Drive,20th Court,22' Avenue,and Sonora Drive. In addition,these conditions are most likely contributing to flooding nuisances and, in the winter months, icy street conditions. There are significant signs of pavement failure,which include alligator cracking and rutting. Osborn Consulting and our subconsultants GeoEngineers and Simpson Engineers will support the City in completing the following tasks,which are described in detail in the following sections. • Task 1: Project Management • Task 2A: Data Review • Task 2B: Public Outreach • Task 2C: Topographic Survey • Task 3A: Hydrogeologic Data Review • Task 3B: Geotechnical Field Work • Task 4A: Modeling Development and Assessment • Task 4B: Alternatives Analysis lIPage City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work :i. F. 4.1 Y .mac t ti �'l ° !° r Main ,}' City/County m` ,.l .i:,,k:ySt7*o4L,$R,. —1k r. I',_ r z5ii tr'r ° Pond 1 Municipal ,F ,, ;. Bounday(Red) irtexisill 4 'i ?:'5,t,t, trvilit*,.. i-,,r ,,,,... , 4,./,-.' . ; , , '.-r- 1'', .. 4, , - 4.***4 `ter} �"s*r .. 7 ", , B ' Radco ;S "�' ''' "1"z` tecet ti 3r r Pond - ..w. LS "£ ,t. , ''- ` '. 11. -a "p t +nth*c' :' � k.. F t fii * 4` ikt nrllt7i, f.•ii�� 4.. .a�:�, ... F 1141;1247-Cl'a Pjt r •�a `�Vli( r r,.;1:,,, • 47ya g 4 = L1m1tS �a€�k11i: � t • n a , a , "ta e ¢ ;: (Black) ca��'4 2 t, �. � L .atr, i .. ..F `�,eke, «� �- .. f j ffi -7 _ 4 ` #lEUf<€ i11.4., ? i, &' fid �1 } '' 62 a S fY�''g .' r wMt gs..� i^Rf... 14 . �1 � 3 �` .yam fir;+3 4 � vl $n' �.� �' 2' ii )'f`4 j�, �11�9 S '... wt0,. „...,-- .,.., , - P'1. .."../4 l - t to yA,4 #' ry'q '' + t ,. V' a Kam + . 4 s yes .1; . A. c a { r i t t- .tom. ... Y ,,,... -s, r40 a El ffi!b 7-s , , JYa ' `��2s�k sIS'< mm i tall': 7. t1�f4r�' ,,,, tua_ C'ti 4 .s ';4 r � . � �1 ¢ > Neighborhood �e ' c , E ; ; r � * ,gyp Ap t�` Y ?: ' e� .,.tu: 4 . detention ponds — ., ....- (7(YP) Figure 1: Project Limits 21Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work C f s,ti Y� aft_ -�,t :fir ,'.'�{', t t '> _ _ milt"i:i a �,.. --2A Data Review -- - -\, _ _ Overall : -, (Black) - 1r i 1 _4 \ lerr;:<4r project area t@, i P _ 101 - < / p 4. ri lk ff C . ' _, - r."13Itliiikfkilaft .. r •-, - Outreach(Green) fi� , ' 1� ' tr.is ,A'€ tr, 44 %,I . -. r (�s�'q, , v — ��;',�' ! r;�"]. ',r r �: I'°c�$i4,4%�«>�'.4 * x fi.f 2C TopO Survey � ��!1��T� ��„ t"<c„i-.�1 a '`l U , h a n<,rt +rst,} K. %t' >t �� ' ram, �-�� ti a s a� a:. t ,+ { g .�; s, (Orange) t \�> , v AN• it {v♦� a tti it vs 47 i\ �.. . k.y, ,fy c 4,r�t .e,,,kr a �' r_�',ye! fw �.„ s r,y .� h • � 1r� ! r `l tit , -a *. �,"a sT a..Flea .,`{ir:,E:ro% 'A./ \ l- ,1rt.g r - .<t�T . ° ., �..t. set ' $ g ea.� Q3 it►. '` ' - �I/ i ,> �`<'- r.* .4*,. a ay �c ,r� <� ♦' :t� b ti>lf -, in r c> r�> .u.^.^+�r!� r�',�* LA r414.:�nr t, i 2- ti • !�i Oiqu/, tGQ' sue.,6r'�r , tMt u �' t�id�' " `�`:>+�" �r �' ��*, �,t �,; ,�. Bil MIa.aa.ac • 44 . sb t� _ � 't 4.�'4,� 1r �,, ,,sat x ,;ijr , :� d* i,,,�►sett°��wb` it � ' -, i`� s j/�'�_,. ��a1 ' t �y ,. rp , mwa• �• , . �' . 4 w0*a,M,2,tp t,�_. t. L i ' 4�IN`i�� <- , '�'1 .J',•?.,n .� r: i y r6 i° r'�e f�' r'`@; / 4 0Sibosi ' I Q 1 , 1- t�4 �, Fly C' err InY e.t..l:,' 4 r ; r r1 {it r-- *•♦ • ✓ -J ti erc u�, r F�� 4Er ! � an�,,�y - I'�,is- . i �' _, _ul ul- tto a .,,- '� i... �` c f' � ;' l.Li 1 �0 n e 1 L 1 1.1 -eve: > #> tra ,v , i 9r ��- �•,� v` t{ i S $ efYt X�� '� ^i �. ii .I�.�f#�yggyBG��'�.pe��.�7f1 � •+�� s < i,k� .t T J._-� 3A H ld o solo c �� r� I �, — 4A Lumped I _�,- i � , 1-'11 An Alternatives `. �r� - Analysis(Brown) — Data Revew(Black) '--j �' Model(Green) ,~ y - 1 V - _ 1 i - I- 38 Geotechnical y,� / Field Work(Red) a �® ▪/�4, ',' I t i_� - ► 41111111. �, ^ 4 w�All _!1 , --i 'rd1 — 4A Detailed �C i ��/�� ! 1. '7 I �^ r 4 s a 'At. it fir,, T i Model(Blue) 9 7r ,st°s+iv,; ��`,1 ►1kiile.`. 14, _ t Ate ,. t i s r �ir�► , 1. -r ` 4) �0, t,% „ z \ �� i t �7^ '"'' Ai s \ L ? �A i .s ♦♦ 1 ITI�I� t`,.' _• 4.07.=\itl li A -—,'-- I ' �\> a ', r s ` �,4111* `• e 1 t r-a ♦tram ,',�34�� sv 1r�� JI • V > . nr ,r�►J�s r� Ne { tr �1',r\o i® m/ 'i J 7, , t.o .., li„. Figure 2: Approximate Limits for Each Task(See text for more details) 31Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Task 1: Project Management Objective: This task covers the management, administration, and coordination of the work by the Consultant Team. Consultant Services • General project coordination o Set up and close out the consultant contract and sub-consultant contracts o Coordinate and manage the project team in successful completion of the scope of work tasks. o Set up and maintain SharePoint site for file transfers with the City and Spokane County. o Prepare and manage the project schedule. o Prepare and manage logs for tracking issues,decisions,risks, and comment review/resolution. o Develop project-specific Quality Control Plan. o Prepare amendments to this contract if needed. • Progress Reporting o Prepare and electronically submit monthly progress reports with attached monthly status reports describing the following: • Services completed during the month • Services planned for next month • Scope/Schedule/Budget issues, if applicable • Schedule update and financial status summary(including a table with task name,total task budget, past billing, this month's billing, total billing, percent of budget used — which includes this month's billing, and percent remaining) • Project Meetings o Prepare for and attend monthly check-in meetings with City Staff and Consultant Team for the duration of the project. o Materials to be developed for these meetings include an agenda, visuals, meeting notes in bulleted format, and an action item list. o Bi-Weekly Project Management Meetings will be scheduled between City PM and Consultant PM Client Responsibilities • Process payment of progress reports within 30 calendar days. • Attend all meetings. Assumptions • The project duration will be twelve(12)months starting after the contract is executed. • Progress Reports will be the Consultant Team standard invoice format, submitted electronically. Budget assumes (12) status reports over the project duration. • Up to twelve(12)Monthly project check-in meetings will be held as needed at key milestones and may be held either in person or via virtual meeting. 41Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work • Monthly PM check-in virtual meetings will be held between the Osborn and City project managers and will be 30 minutes in duration,up to 12 meetings. Deliverables • Monthly Progress Report(email PDF). • Project Schedule and Schedule updates (email PDF). • Meeting agendas,notes, and list of action items for monthly check-in meetings (PDF) • Shared logs for issues, decisions, risks, and comment review/resolution(Excel, SharePoint) Task 2: Data Collection & Public Outreach Objective: This task focuses on collecting and evaluating existing data, including both technical data and feedback from residents and stakeholders through public outreach, as well as identifying any new data collection needs. See Figure 2 for a map of areas where this task applies. Task 2A Data Review Consultant Services • Data Collection and Review: The Consultant Team will compile the data needed for this project, including but not limited to the following items. Data will be reviewed to develop a summary of existing conditions and to be used as a baseline for developing solution alternatives. Data sources include the City, Spokane County and other sources as discovered. o GIS data: Collect and review available GIS layers for the project area. Identify any gaps/abnormalities that need to be confirmed during site visits. Corrections made during the project will be confirmed/provided to the City for incorporation into the project/City GIS layers. o Drainage Complaint Information: Review City drainage complaint records and document new complaint information collected as part of this project for inclusion into the City's records database. o Maintenance Information: Collect and review City maintenance information and records. This is expected to include meeting and coordinating with City Maintenance Staff. o Drainage System Data: Collect and review existing system drainage reports and record drawings as needed to verify existing conditions (including whether ponds are documented as lined or not). o Data Inventory: an inventory of all data collected will be developed in a table format. • Identify whether data gaps exist by comparing the inventory of existing data to project goals/objectives. • If data gaps are identified, OCI will develop recommendations for collecting the data and review with the City to decide how to proceed. • Site Visits: Conduct site visits to the project area to collect the following information: o General Information: Visually investigate drainage patterns, high points, sprinkler and watering impacts, flow paths, and problem areas. This will include walking all drainage channels that convey runoff from the neighborhood drainage system to the main infiltration pond and the Radco pond. Drainage channels and ponds will be documented with photos and notes at key locations. 51Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Client Responsibilities • Provide requested data within the agreed upon schedule. • Coordinate Rights of Entry (ROE's) for all private property access prior to Consultant Team's scheduled field visits. • Attend at least one(1) site visit to discuss problem areas with the Consultant Team. Assumptions • The process and results for the work conducted during this task will be summarized in the Alternatives Analysis Report(Task 4). Deliverables • Data Inventory(PDF and Excel) • Copies of data and documents not already held by the City • GIS Shapefiles with updated drainage assets documenting surveyed information generated from task 2C, location,type, size, condition, depths, etc. Task 2B Public Outreach Consultant Services • Public Involvement Plan: The Consultant Team will collaboratively develop a Public Involvement Plan with the City that: provides key messages about the project; identifies key stakeholders; describes outreach methods, roles and responsibilities for conducting them; and provides a schedule for implementing them. The Consultant Team will produce a draft plan for review and a final plan for approval. • Public Outreach Event: Prepare for and attend up to two (2)public meetings or open house style events to collect feedback from residents including their surface water and groundwater concerns and experiences and also to inform residents about the project and its progress. Materials to be developed by the Consultant Team will be based on the Public Outreach Plan and may include PowerPoint presentations,printed presentations, flyers, mailers,and/or posters. • City Council Meetings:Prepare for(including creating presentations)and attend up to two(2)city council meetings to share project status and outcomes. One meeting is anticipated near the conclusion of the public outreach process. A second meeting is anticipated near the end of the project when concept designs are identified. • Public Involvement Database: Develop and maintain a database of all public contacts (public meetings, site tours, briefings, interviews, etc.), comments, and issues. Update the database and generate reports at key milestones and as requested. • Support City Outreach Lead: Support the City's Project Manager and Communications Officer by preparing technical content related to the project. This may include survey questions, written content, data, and/or figures to be posted online or in physical mailers. Client Responsibilities • Advertise online and submit newspaper announcements for the public outreach events. • Organize, schedule, and provide a location for in-person public outreach events. • Post event materials online and post links to the online survey. 61Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work • Develop a list of residents living in the project area and develop,print and send physical mailers to residents. Provide feedback received via physical mail to the Consultant Team. • Prepare general meeting notes including outcomes and resulting tasks. • Review and provide comments on the Consultant Team deliverables. • If required,create Project Page within the City's website. • If required,host public survey website and compile results. Assumptions • Public Involvement Plan will be limited to two (2) pages documenting decisions and outreach schedule with City Project Manager and Communications Officer • Public Outreach Events 1 and 2 will be attended by the Consultant Team Project Manager and three additional staff members. • Work for public outreach events and supporting the City Communications Officer will be limited to the hours provided in the fee estimate. During development of the Public Involvement Plan,the Consultant Team will work with the City to determine how to best use available hours to support public involvement efforts. Deliverables • Draft and Final Public Involvement Plan(Word) • Attendance at up to two(2)public outreach events for four(4)members of the Consultant Team • Support City Outreach Lead(specific deliverables to be identified in the Public Involvement Plan) • Public Involvement Database(Excel) Task 2C Topographic Survey Consultant Services • Survey: Topographic survey for the project area, referencing datum NAVD88, will include the following: o Inlets/Catch Basins—confirm location, structure and grate type. Collect grate elevation. o Pipes—Collect invert elevations. Document inlet and outlet conditions,pipe size and type. o Channels — Collect alignment and cross-section geometrics and grade elevation. Document channel condition,vegetation, and roughness. o Ponds, including main infiltration pond, Radco pond, and neighborhood detention ponds — survey pond topography, document condition,vegetation, inlet and outlet structures. o Detention control structures — survey elevations and sizes for orifices, weirs, risers, or other flow control structures. o Drywells—Confirm location and document structure depth and condition. o Roadways — Survey curb, flowline, centerline, driveway limits, back of sidewalk, and other street elements within the street section. o Significant trees, fences,retaining walls. • Easements, Property/Access Documents — Consultant team will review plat language and easements within the project limits to confirm the City's GIS database accuracy and identify limitations,constraints,and opportunities. A summary memo will be prepared(Maximum four(4) pages). 71Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Client Responsibilities • Review and approve Survey Request • Provide Rights-of-Entry notification for all private properties located within the survey limits if not already acquired as part of Task 2A. Assumptions • Consultant team will provide a list of easements not included in the City's GIS database, but will not be required to update the database. • Legal interpretation of easements will not be provided. • Research of title reports will not be required. Deliverables • Detailed Survey Request(PDF) • Topographic Survey(CADD and PDF formats) • Tech Memo with Drainage Easement Summary Task 3: Hydrogeologic Investigation Objective: This task includes evaluation of geology and groundwater conditions for the project area. See Figure 2 for a map of areas where this task applies. Task 3A Hydrogeologic Data Review Consultant Services • Hydrogeologic Data Review o Compile and review existing geotechnical and hydrogeologic information for the project area. Existing information could include: • Previous reports conducted contained in GeoEngineers files. • Previous geotechnical reports and/or other subsurface data for the project area provided by the City and the County. • Geologic/hydrogeologic maps and reports published by state and/or federal agencies and readily available within the public domain. • Water well and resource protection well reports on file with the Washington State Department of Ecology. o Review drainage complaint information or other information regarding homeowner-installed groundwater mitigation for the project area (collected in Task 2B), to the extent provided by the City. o Tabulate existing geotechnical/hydrogeologic data that are pertinent to stormwater infiltration, and groundwater. This data will inform an understanding of the geologic controls of groundwater conditions and stormwater infiltration,such as depth to groundwater,thickness of underlying permeable sediments, and/or depth to low-permeability aquitard. o Create two to three maps of the project area summarizing existing geotechnical/hydrogeologic data and,if allowed by the existing dataset,drainage complaints locations and/or density.Maps 81Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work may include illustrations such as depth to groundwater, depth to bedrock, thickness of permeable sediments, or other relevant geotechnical information. o Create one to two cross sections across the project area showing anticipated hydrogeologic conditions and potential geologic controls on stormwater infiltration and associated perching conditions. o Based on compiled data and mapping, identify any problem drainage areas within the project area. o Conduct a field reconnaissance of the project area and, specifically, the above-identified problem drainage areas, if applicable. o Recommend locations for subsurface explorations and testing to be conducted during Task 3B. This will include locations for the following: • Drilling exploration • Monitoring well installation and groundwater level monitoring • Test pit explorations and pilot infiltration testing location Client Responsibilities • Provide existing data within the project boundary and directly adjacent. • Arrange for access to existing facilities if City staff is required to be present during field visits. • Decision regarding additional data collection (if needed). • Review and provide comments on the Consultant Team deliverables. Assumptions • Final copies of all maps will be included the Technical Memorandum. Deliverables • Inventory of collected data(Excel) • Maps and a short final technical memorandum summarizing geotechnical/hydrogeologic data, observations and findings • Cross section(s) Task 3B Geotechnical Field Work Consultant Services • Drilling Exploration: GeoEngineers will conduct drilling and sampling operations using GeoEngineers' in-house drill rig.We anticipate that the exploration locations will be accessible to our conventional rubber-tired, hollow-stem auger rig. The number and locations of drilling explorations will be based on results of Task 3A and determined in consultation the City.We anticipate two general types of borings/explorations: (1) shallow borings for the purpose of evaluating pavement and subgrade conditions; and(2) deeper borings for the purpose of evaluating hydrogeologic conditions. Tasks related to drilling exploration will consist of the following: o Arrange for a public utility locate of the exploration locations. o Coordinate with the City to obtain applicable permitting regarding work conducted in City right-of-way. We assume the City will waive right-of-way permit fees. 91Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work o Arrange for temporary traffic control during field work.The type of traffic control will depend on site-specific conditions and coordination with the City,and could vary from signs and cones, to flaggers, to temporary road closures. Traffic control requiring flaggers will be provided by a traffic control company under subcontract to GeoEngineers. o Shallow Borings—At each selected shallow boring location, drill one soil boring to a depth of about 5 to 10 feet using a truck-mounted hollow-stem auger drill rig. Thickness of existing pavement and underlying base course will be measured. Following removal of pavement and base course, a dynamic cone penetration (DCP) test will be conducted to evaluate subgrade parameters.The boring will then be advanced and soil samples will be collected at approximate 2.5-foot depth intervals using split barrel samplers. Groundwater levels will be documented. At the conclusion of drilling,the boring will be backfilled and patched with cold patch asphalt. o Deep Borings -At each selected deep boring location, drill one soil boring using hollow-stem auger drilling methods.Borings will be drilled to a depth of 25 feet below ground surface(bgs), until the presence of basalt/granitic bedrock is confirmed, or drilling progress is refused, whichever is shallowest. A detailed log of the exploration will be recorded by GeoEngineers' field engineer or geologist. Soil samples will be collected using split-barrel samplers,typically at 2.5-to 5-foot sampling intervals. o Conduct laboratory testing of up to one selected soil sample from each shallow soil boring and up to three selected soil samples from each deep soil boring. Laboratory testing will consist of gradation analyses completed in accordance with ASTM International(ASTM)Method C 136. Up to four additional bulk subgrade soil samples will be tested for California Bearing Ratio (CBR) or R-value. • Monitoring Well Installation and Monitoring: We anticipate that zones of relatively shallow perched groundwater are present beneath the study area and perched upon fine-grained glaciolacustrine deposits and rock layers associated with the Latah Formation and/or Columbia River Basalt Group. Perched groundwater levels generally are highly sensitive to seasonal fluctuations in groundwater recharge and short-term precipitation events. These zones of perched groundwater, if present, are likely to be a primary driver of the groundwater impacts that the City has observed throughout the study area. Monitoring wells will be installed in key locations for the purpose of monitoring groundwater response to storms and seasonal fluctuations in precipitation. Monitoring well installation activities will consist of the following: o Construct monitoring well(s) using 2-inch-diameter, Schedule 40, polyvinyl chloride (PVC) casing and well screen and protective, flush-mount, steel monuments. Monitoring wells generally will be completed to a depth equal to or a short distance below the top of the perching layer. One of the monitoring wells will be drilled and constructed in proximity to the pilot infiltration test described below, to monitor for groundwater level increase, if any, associated with infiltration testing. o Develop the monitoring well(s)using a combination of surging and bailing/pumping to develop an efficient hydraulic connection between the well screen and adjacent aquifer. o Install pressure transducers/dataloggers within selected monitoring well(s). Program the dataloggers for measurement of groundwater levels on a 2-to 4-hour interval. o Download data from the installed transducers on a 3-month interval and conduct associated data reduction/analysis activities. • Main Infiltration Pond Test Pit Exploration o Identify four (4) test pit exploration locations within the footprint of the existing infiltration pond located near Limerick Drive and East 16'Avenue in consultation with the City. o GeoEngineers will subcontract and oversee the work of a qualified excavation contractor. We anticipate that use of a tracked excavator will be required to access the exploration locations. 101Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Three (3) test pits will be excavated to a depth of approximately 10 feet bgs. One (1) test pit will be approximately 75 to 100 square feet in area and excavated to a depth of approximately 5 feet bgs,and subsequently used for pilot infiltration testing.A detailed log of the explorations will be recorded by GeoEngineers' field geologist or engineer. o Conduct laboratory testing of a total of up to three (3) selected soil samples from each test pit exploration.Laboratory testing will consist of gradation analyses completed in accordance with ASTM Method C 136. • Pilot Infiltration Testing and Analysis o Within the test pit exploration planned for pilot infiltration testing at the existing main infiltration pond, install a temporary 2-inch-diameter PVC piezometer and backfill with pea gravel or equivalent. o Coordinate with the local water purveyor to secure a water source for testing and route water to the test sites. We assume that the City will assist with securing access from the water hydrant to the pond testing location as applicable. o Conduct a pilot infiltration test within the test pit excavation in general compliance with the 2019 Stormwater Management Manual for Eastern Washington. For cost estimating, we assume a 6-hour constant-head test period and 2-hour falling-head period. Depending on site conditions,we might ultimately recommend a longer constant-head test period. o Monitor groundwater elevations in the installed monitoring well during a 2-hour pre-test period, the constant-head period, and the falling-head period. o Analyze the infiltration test data for infiltration rate and hydraulic conductivity. • Full-Scale Drywell Infiltration Testing o Conduct drywell exfiltration testing for up to two(2)selected drywells.Tasks related to drywell testing will consist of the following: • Coordinate with the local water purveyor to secure a water source for testing and route water to the test sites. We assume that the City will assist with securing access from the water hydrant to the drywell testing locations as applicable. • Arrange for temporary traffic control where needed. • Conduct drywell exfiltration testing within the selected existing drywells in general compliance with the 2019 Stormwater Management Manual for Eastern Washington and the 2008 Spokane Regional Stormwater Manual. • Analyze drywell exfiltration test data for normalized and design outflow rate. • Preliminary Infiltration Feasibility and Reporting o Create a cross section demonstrating interpreted hydrogeologic conditions along a northeast- southwest trending transect beneath the main infiltration pond. o Using analytical (spreadsheet-based) methods, estimate the extent of groundwater mounding that can be anticipated to occur during infiltration. Our analysis will be based on assumed constant infiltration rates, infiltration durations of 72 hours, and a conservative baseline groundwater elevation. o Based on results of pilot infiltration testing,soil conditions encountered during site exploration, and results of groundwater mounding analyses, develop a recommendation regarding the design stormwater infiltration rates for the main infiltration pond and whether more detailed groundwater mounding (numerical modeling) analysis is required to evaluate whether increased stormwater infiltration at the existing pond location could impact adjacent properties and/or basements. o Prepare a draft technical memorandum summarizing findings and conclusions. 111Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work o Incorporate mutually-agreed-to changes and submit our final technical memorandum. • Pavement Recommendations o Evaluate the feasibility of rehabilitation and reconstruction alternatives. We will provide thickness designs including: criteria for HMA, base course, and subbase (if applicable) thickness. We also will provide recommendations for pavement underdrains if applicable. Client Responsibilities • Provide input on drilling and monitoring well locations. • Provide applicable permits for work conducted in City right-of-way. • Assist with securing any required access from the water hydrant to the testing locations as applicable. Assumptions • Drilling Exploration Budget: The drilling exploration program will be designed to conform to a project drilling exploration budget rather than a pre-assigned number of explorations. Fees required to complete an individual boring likely will vary based on site conditions, access constraints, traffic control requirements, and subsurface conditions encountered at a particular boring location. For a rough order of magnitude estimate, we anticipate being able to complete approximately 4 to 5 deep borings and 6 shallow borings within this budget. • Monitoring Well Budget: The monitoring well testing program will be designed to conform to a project testing budget rather than a pre-assigned number of tests. The fees required to complete an individual monitoring well installation and monitoring likely will vary based on site conditions,access constraints,traffic control requirements,and subsurface conditions encountered at a particular boring location. For a rough order of magnitude estimate,we anticipate being able to complete about 3 to 4 monitoring wells within this budget. • Traffic Control: Traffic control fees are included in the costs for drilling exploration and monitoring wells assuming traffic control will consist of subcontracted traffic control services consisting of flaggers for single lane closures, and drilling and monitoring well installation will require 6 days to complete. Deliverables • Summary of drilling exploration,monitoring well construction,and borehole permeability tests(PDF) • Summary of laboratory testing of soil samples from each soil boring(PDF) • Water level monitoring data if monitoring wells are installed(Excel) • Summary of test pit exploration and pilot infiltration testing results (PDF) • Normalized outflow rates from drywell exfiltration tests. • Draft and Final Technical Memorandum summarizing geotechnical field work and analyses and providing recommendations for improving stormwater facility functions and infiltration, and pavement thickness recommendations(PDF) • Updated maps and geology cross-sections based on geotechnical field work will be included as an appendix to the Technical Memorandum. • GIS shapefile of boring, monitoring wells and test locations including brief test descriptions, groundwater levels 121Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Task 4: Modeling Development& Alternatives Analysis Objective: This task includes hydrologic and hydraulic modeling using AutoCAD Storm and Sanitary Analysis (SSA) to document and assess the existing drainage systems and contributing drainage basins. The task also includes developing and evaluating alternative solutions for drainage problems, preparing an Alternatives Analysis Report, and selecting a preferred alternative for design. See Figure 2 for a map of areas where this task applies. Task 4A Modeling Development and Assessment Consultant Services • Develop SSA Model for the project area. The model will be created using topographic survey data, GIS data,and record drawings to confirm the model represents existing conditions. Field visits(Task 2) will be completed to verify any parameters missing from the data, such as high points that create basin boundaries and key pipe invert depths and sizes.The model will be built assuming the following level of detail: o Subcatchment Delineation: Subcatchments will be delineated based on the area that drains to each catch basin,inlet,drywell,conveyance channel,flow monitoring station,and BMP.There are expected to be approximately 50 to 75 subcatchments. o Small Stormwater BMPs: Hydrology for small stormwater BMPs (e.g. roadside bio- infiltration swales) will be modeled by adjusting model parameters for directly connected impervious areas. Individual BMPs will not be explicitly modeled. o Ponds and Regional Facilities: Detention ponds are located in the upper parts of the drainage basin and southwest of the main infiltration pond. Ponds and their control structures will be lumped together for the areas contributing to each drainage channel. o Conduits: SSA conduits will include all pipes, open channels, and gutters that convey flow within the subcatchment areas. Pipe and channel geometry will be developed based on topographic survey, record drawings, and/or field measurements. o Junctions: SSA junctions will include all manholes, inlets, and catch basins. Rim and invert elevations will be based on topographic survey,record drawings, and/or field measurements. o Drywells: Drywells will be represented as SSA storage nodes. Drywell infiltration will be approximated by developing infiltration rates using the Spokane 200 method from the SRSM based on soil gradation data collected during the hydrogeologic investigation(Task 3). o Groundwater: Groundwater will be modeled using constant inflows to estimate groundwater contributions to the storm conveyance system. Aquifer parameters will be based on groundwater levels identified during the hydrogeologic investigation (Task 3) and flow monitoring data. o Flow Monitoring: Install flow monitors at up to three (3) locations and maintain flow monitoring equipment for twelve(12)months. This will include the following tasks: • Install monitors in an existing culvert or storm drain that can be regularly accessed for maintenance and does not require confined space entry. • Complete monthly maintenance including one (1) site visit to collect flow data and retrieve flow monitors to recharge flow monitor batteries, and one (1) site visit to reinstall flow monitors and clear any debris that may interfere with the flow measurements. • Retrieve flow monitors at the end of the flow monitoring period. 13IPage City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work o Model Validation: Adjust model hydrology and groundwater parameters to produce a runoff response that matches flow monitor data more closely. Adjustments will be completed based on a visual comparison of model and flow monitoring hydrographs and will not be based on statistical analysis. • Modeling Assessment: Once the model development is complete,OCI will use the model to calculate flow rates and volumes for different design storms per requirements of the Spokane Regional Stormwater Manual and/or the Ecology Stormwater Management Manual for Eastern Washington. This will include the following tasks: o Assess Surface Hydrology and Hydraulics • For the 10-, 25-, and 50-year 3-hour storm hydrographs: • Evaluate hydraulics at each system component,including: • Inlets/catch basin—flow, interception, spread width,bypass • Pipes, channels,roadside ditches—flow depths, velocities,HGL • Detention ponds—inflow hydrograph, hydrograph routing through the basin, outflow control structures,water surface elevations,outflow hydrograph. • Drywells — flow interception using expected flow capacity based on soil characteristics. • Roadways—curb line velocities, spread, and ponding extent. • Infiltration pond by Limerick Drive — for the 10-, 25-, 50-, and 100-year Regional Type 1 A storm hydrographs - inflow hydrograph, infiltration capacity,water surface elevation. • Evaluate the existing systems' overall performance by identifying ponds and conduits over capacity and junctions with surcharging or flooding. • Evaluate the existing systems' impact on the degradation of the roadway surfaces in the project area by identifying junctions with flooding and gutter conduits with excess spread width. • Evaluate the existing systems' impact on groundwater conditions by identifying areas with ponding that may lead to increased infiltration. • Evaluate for potential improvements of the existing systems. o Assess Groundwater Hydrology • Evaluate groundwater impacts on existing stormwater system by determining the approximate ratio of groundwater flow to total flow in areas where the model shows flooding junctions and gutter conduits with excess spread width. • Evaluate the approximate magnitude of groundwater inflow based on groundwater levels identified during the hydrogeologic investigation(Task 3). This will be used for required roadway sections and underdrain systems to mitigate groundwater impacts to roadway. o Assess Infiltration Capacity: Infiltration capacity for the infiltration pond will be assessed by modeling flows during the 10-year, 25-year and 100-year Regional Type 1 A 24-hour event. Results will be used to determine whether the pond has capacity for any additional flows. o Evaluate Alternatives: Up to six (6) alternatives will be evaluated including two (2) alternatives for groundwater collection, two (2) alternatives for conveyance system improvements, and two(2)alternatives for improvements to the existing infiltration pond. See Task 4B for additional details. 14IPage City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Client Responsibilities • Review and provide feedback on model parameters and results. Assumptions • Groundwater modeling will be limited to what can be accomplished in SSA. A separate groundwater model will not be created. • Model updates will be documented in the Alternatives Analysis Report(Task 4A) Deliverables • Modeling output for existing conditions and alternatives evaluated(PDF). • AutoCAD and SSA model files. • Detailed comprehensive summary documenting the development and execution of the model. Summary to include, at least, description of the area, project and stormwater systems, input parameters,assumptions,Geotech information used, execution,results and discussion of results.This report will enable the City, in the future, to duplicate the results and modify the model to reflect system revisions and new developments. The summary will be part of the Alternatives Analysis Report(Task 4B). Task 4B Alternatives Analysis Consultant Services • Develop Concept Designs: For the project area, up to six (6) concept design alternatives will be developed and will be documented as type/size/location sketches on GIS maps and planning-level cost estimates. Concept designs are anticipated to include the following: o Concepts for Groundwater Collection: Up to two(2)concept design alternatives to intercept and collect groundwater from problem areas. These may include French drain systems or other methods of capturing groundwater. o Concepts for Conveyance System Improvements: Up to two(2)concept design alternatives to improve or reroute portions of the existing conveyance system. These may include new storm drains or drainage channels. o Concepts for Infiltration Pond Improvements: Up to two (2)concept design alternatives to improve the existing infiltration pond to accommodate additional flows. These may include maintaining the current infiltration basin design but adding drywells to increase infiltration or converting the pond into a runoff treatment facility with stormwater treatment BMPs such as bioretention or proprietary treatment BMPs and additional drywells or infiltration BMPs such as infiltration trenches, underground infiltration chambers, or similar facilities to increase infiltration capacity. • Alternative Selection Workshop. The Consultant will lead a workshop with City staff to review/discuss the Alternatives Analysis findings and suggest a preferred alternative. OCI will develop a supplemental write-up to the Alternative Analysis Report to document the decision process. • Develop an Alternatives Analysis Report that summarizes the alternatives analysis, modeling results, and final recommendations. OCI will develop a draft and final report, integrating comments from the City. 151Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Client Responsibilities • Review and provide feedback on concept design alternatives and the draft Alternatives Analysis Report • Participate in Alternatives Selection Workshop Assumptions • The Alternatives Analysis Report will document work completed in Tasks 2 and 4A.Work completed by GeoEngineers under Task 3 will be documented in a separate technical memorandum included as an appendix to the Alternatives Analysis Report. Deliverables • Draft and Final GIS-developed maps for concept design alternatives (PDF) • Draft and Final planning level cost estimates (Excel and PDF) • Draft and Final Alternatives Analysis Report 161Page City of Spokane Valley Ridgemont Estates Stormwater Improvements Project Scope of Work Schedule The proposed project schedule is listed below in Table 1. Table 1: Proposed Project Schedule Task Schedule Task 1: Project Management Sep 2023—Aug 2024 Task 2A: Data Review Sep—Oct 2023 Task 2B: Public Outreach Oct 2023—Jul 2024 Task 2C: Topographic Survey Sep—Oct 2023 Task 3A: Hydrogeologic Data Review Sep—Oct 2023 Task 3B: Geotechnical Field Work Sep 2023—Aug 2024 Task 4A: Modeling Development and Assessment Nov 2023—Apr 2024 Task 4B: Alternatives Analysis Feb—Aug 2024 171Page 8/24/2023 Fee Estimate Osborn Consulting-City of Spokane Valley Ridgemont Estates Stormwater Project Osborn GeoEngineers Simpson Total Expenses Mileage Task Cost Task Cost Task Cost Cost Hours Project Tasks Estimate' Task 1:Project Management&Quality Control/Quality Assurance(QA/QC) General project coordination 38 Progress reporting 24 Project meetings 36 Total Hours 98 $ - $0 $19,608 $ - $ - $ 19,608 Task 2:Data Collection&Public Outreach Task 2A Data Review Data Collection and Review 40 Site Visits -40 80 Data Inventory 3 GIS Shapefiles 36 Task 2B Public Outreach - Public Involvement Plan 10 Public Outreach Event 20 City Council Meetings 20 Public Involvement Database 20 Support City Outreach Lead 26 Task 2C Topographic Survey - Survey Request 7 Survey - $ 75,000 Easements,Property/Access Documents Tech Memo 11 $ 10,000 Total Hours 233 $ $53 $35,665 $ $ 85,000 $ 120,665 Task 3:Hydro geologic Investigation Task 3A Hydrogeologic Data Review - Hydrogeologic Data Review - $ 23,000 Task 3B Geotechnical Field Work - Drilling Exploration - $ 31,000 Monitoring Well Installation and Monitoring - $ 28,300 Infiltration Pond Test Pit Exploration - $ 7,400 Pilot Infiltration Testing and Analysis - $ 11,100 Full Scale Drywell Infiltration Testing $ 5,000 Preliminary Infiltration Feasibility and Reporting - $ 7,100 Pavement Recommendations $ 2,300 Total Hours 0 $ - $0 $0 $ 115,200 $ - $ 115,200 Task 4:Modeling&Alternatives Analysis Task 4A Modeling Assessment - Develop SSA Model - Hydrology:Subcatchment Delineation,Ponds and Regional Facilities, 64 Small Stormwater BMPs Hydraulics:Conduits,Junctions,Drywells 62 Groundwater 32 Flow Monitoring 192 Model Validation 42 Modeling Assessment - Assess Surface Hydrology and Hydraulics 22 Assess Groundwater Hydrology 22 Assess Infiltration Capacity 22 Evaluate Alternatives 52 Task 4B Alternatives Analysis - Develop Concept Designs - Concepts for Groundwater Collection 28 Concepts for Conveyance System Improvements 28 Concepts for Infiltration Pond Improvements 28 Alternative Selection Workshops 24 Alternatives Analysis Reeport 152 _ Total Hours 770 $ - _ $0 $113,914 $ $ - $ 113,914 Total Project Hours 1101 1.A mark-up of 5%is applied to Osborn's expenses which include printing and mileage for site visits. Osborn Subtotal: $ 169,187 GeoEngineers Subtotal: $ 115,200 Simpson Subtotal: $ 85,000 Subconsultant Markup(5%) $ 10,010 Total Cost Estimate $ 379,397 1 Client#: 1985872 OSBORCON2 M ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE( MM/ YYY) /DDMDDK 9/O 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAppMEACT See below USI Insurance Services NW PR rk18.10.Exo:206 441-6300 FAX 601 Union Street,Suite 1000 EAIL (A/c,No): -M 610-362-8530 ADDREss: Seattle.PLCertRequest@usi.com Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIL It INSURER A:Travelers Indemnity Co of America 25666 INSURED INSURER B:Travelers Property Cas.Co.of America 25674 Osborn Consulting,Inc. Surety Co.of Amer 31194 Travelers Casualty& INSURER C: Attn: Megan Isaacks INSURER D:Travelers Casualty Ins Co of America 19046 1800 112th Avenue NE,Suite 220E Bellevue,WA 98004 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. LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP JNSR WVD POLICY NUMBER (MM, D/YYYY) (MM/DD/VYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 6806T82776A2347 07/28/2023 07/28/2024 pEACH�OECCCpURRENCE $1,000,000 CLAIMS-MADE n PREMISES(OCCUR EaEopcTurrence) $1,000,000 X WA Stop Gap/EL MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- X POLICY JECT ri LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Stop Gap/EL $1,000,000 D AUTOMOBILE LIABILITY X X BA6T8302042347G 07/28/2023 07/28/2024 COMBINED SINGLE LIMIT (ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ $ B X UMBRELLA LIAB X OCCUR X X CUP6T8299362347 07/28/2023 07/28/2024 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE (Follow form) AGGREGATE $2,000,000 DED X RETENTION$10000 $ B WORKERS COMPENSATION X UB7T5635132347G 07/28/2023 07/28/2024 X (STATUTE I 10TH AND EMPLOYERS'LIABILITY Y/NFR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional X 106565360 07/28/2023 07/28/2024 $2,000,000 per claim Liability $5,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) RE: Project#Contract#23-158(OCI#30-230010),City of Spokane Valley Ridgemont Estates Stormwater Improvements. The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder,only when there is a written contract that requires such status,and only with regard to work performed by or on behalf of the named insured.The (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10210 East Sprague Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE/, ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S41755997/M40998826 SDCZP DESCRIPTIONS (Continued from Page 1) General Liability,Automobile Liability,Workers Compensation and Professional Liability policies include an endorsement providing that 30 days notice of cancellation will be given to the Certificate Holder by the Insurance Carrier. Umbrella Liability follow form. SAGITTA 25.3(2016/03) 2 of 2 #S41755997/M40998826 Policy:6806T82776A2347 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR ARCHITECTS, ENGINEERS AND SURVEYORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Non-Owned Watercraft—75 Feet Long Or Less H. Blanket Additional Insured — Governmental B. Who Is An Insured—Unnamed Subsidiaries Entities — Permits Or Authorizations Relating To Premises C. Who Is An Insured—Retired Partners, Members, Directors And Employees I. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To D. Who Is An Insured — Employees And Volunteer Operations Workers — Bodily Injury To Co-Employees, Co- Volunteer Workers And Retired Partners, J. Incidental Medical Malpractice Members, Directors And Employees K. Medical Payments— Increased Limit E. Who Is An Insured— Newly Acquired Or Formed L. Amendment Of Excess Insurance Condition — Limited Liability Companies Professional Liability F. Blanket Additional Insured—Controlling Interest M. Blanket Waiver Of Subrogation—When Required G. Blanket Additional Insured — Mortgagees, By Written Contract Or Agreement Assignees, Successors Or Receivers N. Contractual Liability—Railroads PROVISIONS uses or is responsible for the use of a A. NON-OWNED WATERCRAFT — 75 FEET watercraft that you do not own that is: LONG OR LESS (1) 75 feet long or less; and 1. The following replaces Paragraph (2) of (2) Not being used to carry any person Exclusion g., Aircraft, Auto Or Watercraft, or property for a charge; in Paragraph 2. of SECTION I - B. WHO IS AN INSURED - UNNAMED COVERAGES - COVERAGE A - BODILY SUBSIDIARIES INJURY AND PROPERTY DAMAGE The following is added to SECTION II -WHO IS LIABILITY: AN INSURED: (2) A watercraft you do not own that is: Any of your subsidiaries, other than a partnership (a) 75 feet long or less; and or joint venture, that is not shown as a Named (b) Not being used to carry any person Insured in the Declarations is a Named Insured or property for a charge; if: 2. The following replaces Paragraph 2.e. of a. You are the sole owner of, or maintain an SECTION II—WHO 15 AN INSURED: ownership interest of more than 50% in, such e. Any person or organization that, with subsidiary on the first day of the policy your express or implied consent, either period; and CG D3 79 02 19 ©2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY b. Such subsidiary is not an insured under Unless you are in the business or occupation similar other insurance. of providing professional health care No such subsidiary is an insured for "bodily services, Paragraphs (1)(a), (b), (c) and (d) injury" or "property damage" that occurred, or above do not apply to "bodily injury" arising out of providing or failing to provide first aid "personal and advertising injury" caused by an offense committed: or"Good Samaritan services" by any of your retired partners, members, directors or a. Before you maintained an ownership interest "employees", other than a doctor. Any such of more than 50% in such subsidiary; or retired partners, members, directors or b. After the date, if any, during the policy period "employees" providing or failing to provide that you no longer maintain an ownership first aid or "Good Samaritan services" during interest of more than 50%in such subsidiary. their work hours for you will be deemed to be acting within the scope of their employment For purposes of Paragraph 1. of Section II—Who by you or performing duties related to the Is An Insured, each such subsidiary will be conduct of your business. deemed to be designated in the Declarations as: a. A limited liability company; (2) "Personal injury": b. An organization other than a partnership, (a) To you, to your current or retired joint venture or limited liability company; or partners s (f you are a partnershipp orr joint oint venture), to your c. A trust; current or retired members (if you are a as indicated in its name or the documents that limited liability company), to your other govern its structure. current or retired directors or "employees" while in the course of his or C. WHO IS AN INSURED—RETIRED PARTNERS, her employment or performing duties MEMBERS, DIRECTORS AND EMPLOYEES related to the conduct of your business, The following is added to Paragraph 2. of or to your other "volunteer workers" SECTION II—WHO IS AN INSURED: while performing duties related to the Any person who is your retired partner, member, conduct of your business; director or"employee"that is performing services (b) To the spouse, child, parent, brother or for you under your direct supervision, but only for sister of that current or retired partner, acts within the scope of their employment by you member, director, "employee" or or while performing duties related to the conduct "volunteer worker" as a consequence of of your business. However, no such retired Paragraph(2)(a)above; partner, member, director or "employee" is an insured for: (c) For which there is any obligation to share damages with or repay someone (1) "Bodily injury": else who must pay damages because of (a) To you, to your current partners or the injury described in Paragraph (2)(a) members (if you are a partnership or or(b)above; or joint venture), to your current members (d) Arising out of his or her providing or (if you are a limited liability company) or failing to provide professional health care to your current directors; services. (b) To the spouse, child, parent, brother or (3) "Property damage"to property: sister of that current partner, member or (a) Owned, occupied or used by; or director as a consequence of Paragraph (1)(a) above; (b) Rented to, in the care, custody or control (c) For which there is any obligation to of, or over which physical control is sharebeing exercised for any purpose by; damages with or repay someone else who must pay damages because of you, any of your retired partners, members the injury described in Paragraph (1)(a) or directors, your current or retired or(b)above; or "employees" or "volunteer workers", any (d) Arisingout of his or her providingor current partner or member (if you are a partnership or joint venture), or any current failing to provide professional health care member (if you are a limited liability services. company)or current director. Page 2 of 6 ©2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY D. WHO IS AN INSURED — EMPLOYEES AND organization will be deemed to be VOLUNTEER WORKERS — BODILY INJURY designated in the Declarations as: TO CO-EMPLOYEES, CO-VOLUNTEER a. A limited liability company; WORKERS AND RETIRED PARTNERS, b. An organization other than a partnership, MEMBERS, DIRECTORS AND EMPLOYEES joint venture or limited liability company; The following is added to Paragraph 2.a.(1) of or SECTION II—WHO IS AN INSURED: c. A trust; Paragraphs (1)(a), (b) and (c) above do not as indicated in its name or the documents apply to "bodily injury" to a current or retired co- that govern its structure. "employee" while in the course of the co- "employee's" employment by you or performing F. BLANKET ADDITIONAL INSURED — duties related to the conduct of your business, or CONTROLLING INTEREST to "bodily injury" to your other "volunteer 1. The following is added to SECTION II — workers" or retired partners, members or directors while performing duties related to the WHO IS AN INSURED: conduct of your business. Any person or organization that has financial control of you is an insured with respect to E. WHO IS AN INSURED—NEWLY ACQUIRED liability for "bodily injury", "property damage" OR FORMED LIMITED LIABILITY COMPANIES or "personal and advertising injury" that The following replaces Paragraph 3. of arises out of: SECTION II—WHO IS AN INSURED: a. Such financial control; or 3. Any organization you newly acquire or form, b. Such person's or organization's other than a partnership or joint venture, and ownership, maintenance or use of of which you are the sole owner or in which premises leased to or occupied by you. you maintain an ownership interest of more than 50%, will qualify as a Named Insured if The insurance provided to such person or there is no other similar insurance available organization does not apply to structural to that organization. However: alterations, new construction or demolition operations performed by or on behalf of such a. Coverage under this provision is person or organization. afforded only: 2. The following is added to Paragraph 4. of (1) Until the 180th day after you acquire SECTIO N II—WHO IS AN INSURED: or form the organization or the end of This paragraph does not apply to any the policy period, whichever is premises owner, manager or lessor that has earlier, if you do not report such financial control of you. organization in writing to us within 180 days after you acquire or form it; G. BLANKET ADDITIONAL INSURED — or MORTGAGEES, ASSIGNEES, SUCCESSORS (2) Until the end of the policy period, OR RECEIVERS when that date is later than 180 days The following is added to SECTION II —WHO IS after you acquire or form such AN INSURED: organization, if you report such Any person or organization that is a mortgagee, organization in writing to us within assignee, successor or receiver and that you 180 days after you acquire or form it; have agreed in a written contract or agreement b. Coverage A does not apply to "bodily to include as an additional insured on this injury" or "property damage" that Coverage Part is an insured, but only with occurred before you acquired or formed respect to its liability as mortgagee, assignee, the organization; and successor or receiver for"bodily injury", "property damage" or "personal and advertising injury" c. Coverage B does not apply to "personal that: and advertising injury" arising out of an offense committed before you acquired a. Is "bodily injury" or "property damage" that or formed the organization. occurs, or is"personal and advertising injury" caused by an offense that is committed, For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such CG D3 79 02 19 ®2017 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY subsequent to the signing of that contract or openings, sidewalk vaults, elevators, street agreement; and banners or decorations. b. Arises out of the ownership, maintenance or I. BLANKET ADDITIONAL INSURED — use of the premises for which that GOVERNMENTAL ENTITIES — PERMITS mortgagee, assignee, successor or receiver OR AUTHORIZATIONS RELATING TO is required under that contract or agreement OPERATIONS to be included as an additional insured on The following is added to SECTION II —WHO IS this Coverage Part. AN INSURED: The insurance provided to such mortgagee, Any governmental entity that has issued a permit assignee, successor or receiver is subject to the or authorization with respect to operations following provisions: performed by you or on your behalf and that you a. The limits of insurance provided to such are required by any ordinance, law, building code mortgagee, assignee, successor or receiver or written contract or agreement to include as an will be the minimum limits that you agreed to additional insured on this Coverage Part is an provide in the written contract or agreement, insured, but only with respect to liability for or the limits shown in the Declarations, "bodily injury", "property damage" or "personal whichever are less. and advertising injury" arising out of such b. The insurance provided to such person or operations. organization does not apply to: The insurance provided to such governmental (1) Any "bodily injury" or "property damage" entity does not apply to: that occurs, or any "personal and a. Any "bodily injury", "property damage" or advertising injury" caused by an offense "personal and advertising injury" arising out that is committed, after such contract or of operations performed for the agreement is no longer in effect; or governmental entity; or (2) Any "bodily injury", "property damage" or b. Any "bodily injury" or "property damage" "personal and advertising injury" arising included in the "products-completed out of any structural alterations, new operations hazard". construction or demolition operations J. INCIDENTAL MEDICAL MALPRACTICE performed by or on behalf of such mortgagee, assignee, successor or 1. The following replaces Paragraph b. of the receiver. definition of "occurrence" in the H. BLANKET ADDITIONAL INSURED — DEFINITIONS Section: GOVERNMENTAL ENTITIES — PERMITS OR b. An act or omission committed in AUTHORIZATIONS RELATING TO PREMISES providing or failing to provide "incidental medical services", first aid or "Good The following is added to SECTION II —WHO IS Samaritan services" to a person, unless AN INSURED: you are in the business or occupation of Any governmental entity that has issued a permit providing professional health care or authorization with respect to premises owned services. or occupied by, or rented or loaned to, you and 2. The following replaces the last paragraph of that you are required by any ordinance, law, Paragraph 2.a.(1) of SECTION II — WHO IS building code or written contract or agreement to AN INSURED: include as an additional insured on this Coverage Part is an insured, but only with Unless you are in the business or occupation respect to liability for "bodily injury", "property of providing professional health care damage" or "personal and advertising injury" services, Paragraphs (1)(a), (b), (c) and (d) arising out of the existence, ownership, use, above do not apply to "bodily injury" arising maintenance, repair, construction, erection or out of providing or failing to provide: removal of any of the following for which that (a) "Incidental medical services" by any of governmental entity has issued such permit or your "employees" who is a nurse, authorization: advertising signs, awnings, nurse assistant, emergency medical canopies, cellar entrances, coal holes, technician, paramedic, athletic trainer, driveways, manholes, marquees, hoist away audiologist, dietician, nutritionist, Page 4 of 6 ©2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY occupational therapist or occupational that is available to any of your "employees" therapy assistant, physical therapist or for "bodily injury" that arises out of providing speech-language pathologist; or or failing to provide "incidental medical (b) First aid or "Good Samaritan services" services" to any person to the extent not by any of your"employees" or"volunteer subject to Paragraph 2.a.(1) of Section II — workers", other than an employed or Who Is An Insured. volunteer doctor. Any such "employees" K. MEDICAL PAYMENTS—INCREASED LIMIT or"volunteer workers" providing or failing to provide first aid or "Good Samaritan The following replaces Paragraph 7. of services" during their work hours for you SECTION III—LIMITS OF INSURANCE: will be deemed to be acting within the 7. Subject to Paragraph 5. above, the Medical scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of "bodily injury" sustained by any 3. The following replaces the last sentence of one person,and will be the higher of: Paragraph 5. of SECTION III — LIMITS OF a. $10,000; or INSURANCE: For the purposes of determining the b. The amount shown in the Declarations of applicable Each Occurrence Limit, all related this Coverage Part for Medical Expense acts or omissions committed in providing or Limit. failing to provide "incidental medical L. AMENDMENT OF EXCESS INSURANCE services", first aid or "Good Samaritan CONDITION—PROFESSIONAL LIABILITY services" to any one person will be deemed to be one"occurrence". The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — 4. The following exclusion is added to COMMERCIAL GENERAL LIABILITY Paragraph 2., Exclusions, of SECTION I — CONDITIONS: COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE This insurance is excess over any of the other LIABILITY: insurance, whether primary, excess, contingent or on any other basis, that is Professional Sale Of Pharmaceuticals Liability or similar coverage, to the extent the "Bodily injury" or "property damage" arising loss is not subject to the professional services out of the violation of a penal statute or exclusion of Coverage A or Coverage B. ordinance relating to the sale of pharmaceuticals committed by, or with the M. BLANKET WAIVER OF SUBROGATION — knowledge or consent of the insured. WHEN REQUIRED BY WRITTEN CONTRACT 5. The following is added to the DEFINITIONS OR AGREEMENT Section: The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, "Incidental medical services" means: of SECTION IV — COMMERCIAL GENERAL a. Medical, surgical, dental, laboratory, x- LIABILITY CONDITIONS: ray or nursing service or treatment, If the insured has agreed in a written contract or advice or instruction, or the related agreement to waive that insured's right of furnishing of food or beverages; or recovery against any person or organization, we b. The furnishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization, but only for payments we make appliances. because of: 6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV — occurs; or COMMERCIAL GENERAL LIABILITY CONDITIONS: b. "Personal and advertising injury" caused by This insurance is excess over any valid and an offense that is committed; collectible other insurance, whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis, agreement. CG D3 79 02 19 ©2017 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY N. CONTRACTUAL LIABILITY—RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. Page 6 of 6 ©2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - "PROFESSIONAL SERVICES" - ARCHITECTS, ENGINEERS OR SURVEYORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to Paragraph 2., Exclu- 3. The following is added to the DEFINITIONS Sec- sions, of SECTION I —COVERAGES—COVER- tion: AGE A BODILY INJURY AND PROPERTY "Professional services" means any service requir- DAMAGE LIABILITY: ing specialized skill or training including the fol- Professional Services lowing: "Bodily injury" or "property damage" arising out of a. The preparing, approving, or failing to prepare the rendering of or failure to render any "profes- or approve, maps, shop drawings, opinions, sional services". reports, surveys, field orders, change orders 2. The following is added to Paragraph 2., Exclu- or drawings and specifications; and sions, of SECTION I —COVERAGES—COVER- b. Supervisory, inspection, architectural or engi- AGE B PERSONAL AND ADVERTISING IN- neering activities. JURY LIABILITY: Professional Services "Personal injury" or"advertising injury" arising out of the rendering of or failure to render any "pro- fessional services". CG D4 18 11 09 ©2009 The Travelers Indemnity Company Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER 6806T82776A2347 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 30 WHEN WE DO NOT RENEW(Nonrenewal): Number of Days Notice: 30 PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS B. If we do not renew this policy for any legally A. If we cancel this policy for any legally permitted permitted reason other than nonpayment of reason other than nonpayment of premium, and a premium, and a number of days is shown for number of days is shown for Cancellation in the When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of Schedule above, we will mail notice of cancellation to the person or organization shown nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the in such Schedule. We will mail such notice to the address shown in the Schedule above at least the address shown in the Schedule above at least the number of days shown for Cancellation in such number of days shown for When We Do Not Schedule before the effective date of cancellation. Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. IL T4 00 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Policy Number: BA6T8302042347G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT—INCREASED LIMIT C. EMPLOYEES AS INSURED I. WAIVER OF DEDUCTIBLE—GLASS D. SUPPLEMENTARY PAYMENTS — INCREASED J. PERSONAL PROPERTY LIMITS K. AIRBAGS E. TRAILERS—INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT A. BLANKET ADDITIONAL INSURED performing duties related to the conduct of The following is added to Paragraph A.1., Who Is your business. An Insured, of SECTION II—COVERED AUTOS 2. The following replaces Paragraph b. in B.S., LIABILITY COVERAGE: Other Insurance, of SECTION IV — BUSI- Any person or organization who is required under NESS AUTO CONDITIONS: a written contract or agreement between you and b. For Hired Auto Physical Damage Cover- that person or organization. that is signed and age, the following are deemed to be cov- executed by you before the "bodily injury" or ered"autos"you own: "property damage" occurs and that is in effect during the policy period, to be named as an addi- (1) Any covered "auto" you lease, hire, tional insured is an "insured" for Covered Autos rent or borrow; and Liability Coverage, but only for damages to which (2) Any covered "auto" hired or rented by this insurance applies and only to the extent that your "employee" under a contract in person or organization qualifies as an "insured" an "employee's" name, with your under the Who Is An Insured provision contained permission, while performing duties in Section II. related to the conduct of your busi- B. EMPLOYEE HIRED AUTO ness. 1. The following is added to Paragraph A.1., However, any "auto" that is leased, hired, ented or borrowed with a driver is not a Who Is An Insured, of SECTION II — COV- covered"auto". ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while C. EMPLOYEES AS INSURED operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is under a contract or agreement in an "em- An Insured, of SECTION II—COVERED AUTOS ployee's" name, with your permission, while LIABILITY COVERAGE: CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO Any "employee" of yours is an "insured" while us- (2) An adjustment for depreciation and physical ing a covered"auto"you don't own, hire or borrow condition will be made in determining actual in your business or your personal affairs. cash value in the event of a total "loss". D. SUPPLEMENTARY PAYMENTS — INCREASED (3) If a repair or replacement results in better LIMITS than like kind or quality, we will not pay for the 1. The following replaces Paragraph A.2.a.(2) of amount of betterment. SECTION II—COVERED AUTOS LIABILITY (4) A deductible equal to the highest Physical COVERAGE: Damage deductible applicable to any owned (2) Up to $3,000 for cost of bail bonds (in- covered"auto". cluding bonds for related traffic law viola- (5) This Coverage Extension does not apply to: tions) required because of an "accident" (a) Any "auto" that is hired, rented or bor- we cover. We do not have to furnish rowed with a driver; or these bonds. bor- 2. The followingreplaces Paragraph A.2.a. 4 of (b) Any "auto" that is hired, rented or P ( ) rowed from your"employee". SECTION II—COVERED AUTOS LIABILITY G. PHYSICAL DAMAGE — TRANSPORTATION COVERAGE: EXPENSES—INCREASED LIMIT (4) All reasonable expenses incurred by the The following replaces the first sentence in Para- "insured" at our request, including actual graph A.4.a., Transportation Expenses, of loss of earnings up to $500 a day be- SECTION III — PHYSICAL DAMAGE COVER- cause of time off from work. AGE: E. TRAILERS—INCREASED LOAD CAPACITY We will pay up to $50 per day to a maximum of The following replaces Paragraph C.1. of SEC- $1,500 for temporary transportation expense in- TION I—COVERED AUTOS: curred by you because of the total theft of a cov- 1. "Trailers" with a load capacity of 3,000 ered "auto" of the private passenger type. pounds or less designed primarily for travel H. AUDIO, VISUAL AND DATA ELECTRONIC on public roads. EQUIPMENT—INCREASED LIMIT F. HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b. of SECTION III — PHYSICAL The following is added to Paragraph A.4., Cover- DAMAGE COVERAGE is deleted. age Extensions, of SECTION III — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS DAMAGE COVERAGE: The following is added to Paragraph D., Deducti- Hired Auto Physical Damage Coverage ble, of SECTION III — PHYSICAL DAMAGE If hired "autos" are covered "autos" for Covered COVERAGE: Autos Liability Coverage but not covered "autos" No deductible for a covered "auto" will apply to for Physical Damage Coverage, and this policy glass damage if the glass is repaired rather than also provides Physical Damage Coverage for an replaced. owned "auto", then the Physical Damage Cover- J. PERSONAL PROPERTY age is extended to "autos" that you hire, rent or The following is added to Paragraph A.4., Cover- borrow subject to the following: age Extensions, of SECTION III — PHYSICAL (1) The most we will pay for "loss" to any one DAMAGE COVERAGE: "auto" that you hire, rent or borrow is the Personal Property Coverage lesser of: We will pay up to $400 for "loss" to wearing ap- (a) $50,000; parel and other personal property which is: (b) The actual cash value of the damaged or (1) Owned by an"insured"; and stolen property as of the time of the (2) In or on your covered"auto". "loss"; or This coverage only applies in the event of a total (c) The cost of repairing or replacing the theft of your covered"auto". damaged or stolen property with other No deductibles apply to Personal Property cover- property of like kind and quality. age. Page 2 of 3 ©2015 The Travelers Indemnity Company.All rights reserved. CA T4 20 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO K. AIRBAGS (2) Any: The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the sions, of SECTION III — PHYSICAL DAMAGE time of the"loss"; COVERAGE: Exclusion 3.a. does not apply to "loss" to one or (b) Financial penalties imposed under a PP Y lease for excessive use, abnormal wear more airbags in a covered "auto"you own that in- and tear or high mileage; flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but (c) Security deposits not returned by the les- only: sor; a. If that "auto" is a covered "auto" for Compre- (d) Costs for extended warranties, Credit Life hensive Coverage under this policy; Insurance, Health, Accident or Disability b. The airbags are not covered under any war- Insurance purchased with the loan or ranty; and lease; and c. The airbags were not intentionally inflated. (e) Carry-over balances from previous loans We will pay up to a maximum of $1,000 for any or leases. one"loss". M. BLANKET WAIVER OF SUBROGATION L. AUTO LOAN LEASE GAP The following replaces Paragraph A.5., Transfer The following is added to Paragraph A.4., Cover- Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: TIONS: Auto Loan Lease Gap Coverage for Private 5. Transfer Of Rights Of Recovery Against Passenger Type Vehicles Others To Us In the event of a total "loss"to a covered "auto" of We waive any right of recovery we may have the private passenger type shown in the Schedule against any person or organization to the ex- or Declarations for which Physical Damage Cov- tent required of you by a written contract exe- erage is provided, we will pay any unpaid amount cuted prior to any "accident" or "loss", pro- due on the lease or loan for such covered "auto" vided that the"accident"or"loss"arises out of less the following: the operations contemplated by such con- (1) The amount paid under the Physical Damage tract. The waiver applies only to the person or Coverage Section of the policy for that "auto"; organization designated in such contract. and CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER: BA6T8302042347G THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE 30 CANCELLATION: Number of Days Notice: 30 WHEN WE DO NOT RENEW(Nonrenewal): Number of Days Notice: PERSON OR ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OR NONRENEWAL OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. PROVISIONS B. If we do not renew this policy for any legally A. If we cancel this policy for any legally permitted permitted reason other than nonpayment of reason other than nonpayment of premium, and a premium, and a number of days is shown for number of days is shown for Cancellation in the When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of Schedule above, we will mail notice of cancellation to the person or organization shown nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the in such Schedule. We will mail such notice to the address shown in the Schedule above at least the address shown in the Schedule above at least the number of days shown for Cancellation in such number of days shown for When We Do Not Schedule before the effective date of cancellation. Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. IL T4 00 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 R4(00)- 001 POLICY NUMBER: UB7T5635132347G NOTICE OF CANCELLATION OR NONRENEWAL TO DESIGNATED PERSONS OR ORGANIZATIONS The following is added to PART SIX—CONDITIONS : Notice Of Cancellation Or Nonrenewal To Designated Persons Or Organizations If we cancel or non-renew this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation or non-renewal to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organization before the cancellation or nonrenewal is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below. If we cannot mail or deliver a notice of cancellation or nonrenewal to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation or nonrenewal. SCHEDULE Name and Address of Designated Persons or Organizations: Number of Days Notice: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT 30 NOTICE OF CANCELLATION OF THIS POLICY WILL BE GIVEN, BUT ONLY IF: 1. YOU SEND US A WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OF THIS POLICY, AND 2. WE RECEIVED SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST FROM YOU TO US. All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium$ Insurance Company Countersigned by ST ASSIGN: Page 1 di m 2013 The Travelers Indemnity Company.All rights reserved.