25-094.00RomneyFinancialForensicsProfessionalServices-ForensicsContract No. 25-094.00
AGREEMENT FOR PROFESSIONAL SERVICES
Romney Financial Forensics, LLC
THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of
Washington, hereinafter "City" and Romney Financial Forensics, LLC, 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 October 31, 2025 unless the time for performance is extended in writing by the
Parties.
Agreement for Professional Services (with professional liability coverage) Page I of 7
Contract No. 25-094.00
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 of $400.00 USD per hour up
to a maximum amount of $10,000.00 USD 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 marked confidential and sent to the City Finance Department, attention Sarah Farr,
Accounting & Finance Program Manager, at the below -stated address, or through email to
accountspayable@spokanevalleywa.gov.
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:
Name: Marci Patterson, City Clerk
Phone: (509) 720-5000
Address: 10210 East Sprague Avenue
Spokane Valley, WA 99206
TO THE CONSULTANT:
Name: Lenore D. Romney, CPA, CFE, CVA
Phone: 509-850-9632
Address: P.O. Box 30656
Spokane, WA 99223
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;
Agreement for Professional Services (with professional liability coverage) Page 2 of 7
Contract No. 25-094.00
3. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (A)(2) of this certification; and
4. Have not within a three-year period preceding this application/proposal had one
or more public transactions (federal, state, or local) terminated for cause or default.
B. Where the prospective primary participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this Agreement.
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
0001.
2. Workers' compensation coverage as required by the industrial insurance laws of the
State of Washington.
Agreement for Professional Services (with professional liability coverage) Page 3 of 7
Contract No. 25-094.00
3. 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 $600,000 per accident.
2. Professional liability insurance shall be written with limits no less than $1,000,000 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,
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
Agreement for Professional Services (with professional liability coverage) Page 4 of 7
Contract No. 25-094.00
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 or arbitration (including expert
witness fees).
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.
Agreement for Professional Services (with professional liability coverage) Page 5 of 7
Contract No. 25-094.00
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. 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.
22. Exhibits. Exhibits attached and incorporated into this Agreement are:
A. Scope of Services and fee proposal B. Insurajnce gertificates
The Parties have executed this Agreement this AP day of a , 20
CITY OF SPOKANE VALLEY Consultant:
. ofk;�—
John Holtman, City Manager
APPROVED AS TO FORM:
ZX, /'0*/A0;1__
Offi of the ty Attorney
UMIX"laym
By:
Its: Authorized Representative
Agreement for Professional Services (with professional liability coverage) Page 6 of 7
Contract No. 25-094.00
Exhibit A — Scope of Services and Fees
The scope of work shall include professional services to investigate Reclaim Project Recovery's
potential mismanagement of grant and other funds under Contracts No. 23-166.00, 23-166.01,
and 23-166.02 and Revival Contracting under Contracts No. 24-061.00 and 24-061.01 including
but not limited to reviewing the pertinent financial documents, reimbursement requests, and
other grant and financial documentation. The Consultant will
• collaborate with City finance staff to identify records relevant to the investigation;
• examine records provided by the finance staff through an electronic portal;
• review and evaluate reimbursement requests, searching for discrepancy within the
records; and
• report to the City on potential areas of fraud, missing information, or misuse of funds.
Consultant shall coordinate with the Accounting & Finance Program Manager and staff to
identify and procure records for review. A final, written report containing any discrepancies,
fraud, or material issues of concern shall be presented to City staff by October 31, 2025.
City will promptly provide, upon request, all financial and non -financial information and
documentation reasonably deemed necessary or desirable by Consultant in connection with the
services in order to complete the objectives. The City will make available all personnel whose
assistance is requested in order for Consultant to complete the objectives.
Fees: Services will be furnished and billed on an hourly basis. Hourly rate: $400.00 USD; up to a
maximum amount of $10,000.00 USD as full compensation for everything done under this
Agreement. Consultant shall be paid monthly upon presentation of an invoice which shall be
submitted electronically to accountspa ableC&spokanevalleywa.gov; Attn: Sarah Farr,
Accounting and Finance Program Manager. Payment shall be made no later than 30 days of
receipt of invoice. If additional financial resources are needed to complete the investigation,
then the Parties may mutually agree to modify the maximum allowed compensation, but only by
a written agreement signed by both Parties.
Agreement for Professional Services (with professional liability coverage) Page 7 of 7
DECLARATIONS
ACCOUNTANTS PROFESSIONAL LIABILITY POLICY
--'----- --------- —--- -------- ------------ —--------------- ---- INSURANCE IS PROVIDED BY
PRODUCER BRANCH PREFIX POLICY NUMBER CONTINENTAL CASUALTY COMPANY
151 N. Franklin Street, CHICAGO, IL 60606
003613 970 APL 625793220 A STOCK INSURANCE COMPANY
—"---'-'---------- ------------------------------------------------- REFERRED TO IN THIS POLICY AS WE, US, OR OUR.
1. Named Insured and Mailing Address
* * * * NOTICE * * * *
Romney Financial Forensics, LLC Po Box 30656 THIS IS A CLAIMS -MADE AND REPORTED POLICY AND COVERS
Spokane, WA 99223-3010 ONLY CLAIMS FIRST MADE AGAINST AN INSURED AND REPORTED
IN WRITING TO THE COMPANY DURING THE POLICY PERIOD.
PLEASE READ THIS POLICY CAREFULLY AND DISCUSS THE
COVERAGE WITH YOUR INSURANCE AGENT.
2. POLICY PERIOD: FROM: 6/15/25 TO: 6/15/26 at 12:01 A.M.
Standard time at your address shown above.
3. PRIOR ACTS DATE: 6/15/17 at 12:01 A.M.
4. DEDUCTIBLE: Per Claim Deductible or Aggregate Deductible $0
5. LIMITS OF LIABILITY: (INCLUDES CLAIM EXPENSES UNLESS AMENDED BY ENDORSEMENT)
$1, 000, 000 PER CLAIM
$2, 000, 000 AGGREGATE
6. FOR NON -RENEWAL: 0 days notice will be given you in accordance with policy conditions
7. PRINTED ENDORSEMENTS ATTACHED AT POLICY ISSUANCE INCLUDE:
G-127136-A(1/16) Policy CNA8751OXX CPA NetProtect Endorsement
G-127137-A(7/12) Declarations Page
G-127157-A(6/97) Nuclear Energy & Pollution Excl
G-127164-A46(6/97) Amend Termination Provisions - WA
G-127165-A46(12/12) Amendatory Endorsement - WA
CNA87547XXC Sole Own/Disabil Ext Cims Rptg Per
G-141584-A(6/03) Policyholder Notice
CNA90673XX-(11/17) Amend Limits of Liability Endorsement
G-127152-AC(5/06) Claim Expenses Outside Limits
G-127137-A(Ed. 7/12) 0 CNA All Rights Reserved Page 1 of 2
8. $1, 183 . 00 ANNUAL PREMIUM
9. WHO TO CONTACT TO REPORT A CLAIM OR POTENTIAL CLAIM:
Director of Claims
Accountants Professional Liability
CNA Insurance Companies
151 N. Franklin Street
Chicago, IL 60606
APLNewLoss@CNA.com
THIS POLICY IS NOT VALID UNTIL SIGNED BY OUR AUTHORIZED REPRESENTATIVE.
Authorized Representative
G-127137-A(Ed. 7/12) 0 CNA All Rights Reserved Page 2 of 2
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NETZ AGENCY LLC
12904 E NORA AVE D
SPOKANE VALLEY, WA99216
FARMERS
INSURANCE
Auto Insurance Vehicle Replacement
Your Farmers Policy
GD65A250710 004666
Ki
Policy Number: 18911-78-52
ROBERT K ROMNEY
Effective 7/10/2025 12:01 AM
LENORE D ROMNEY
Expiration: 10/12/202512:01 AM
4822 S MYRTLE ST
SPOKANE WA99223-7879
Your Farmers Agent
Netz Agency LLC
12904 E Nora Ave D
7/11/2025
Spokane Valley, WA99216
(509) 535-3033
Dear Robert K Romney and Lenore D Romney,
dnetz@farmersagent.com
Thank you for giving us the opportunity to serve your auto insurance needs. This packet
To file a claim log on to Farmers.com
reflects recent changes made to your policy,
or the Farmers® MobileApp or call
1-800-435-7764
A summary of your premium and policy change information is shown below.
Premium at -a -glance .............................................
Did you know?
Full -term Premium (excluding fees) $970,00
�®
Manage Your Policy Online
Prorated Premium (7/10/2025 - 10/12/2025) $233.22
Log onto farmers.com to pay your
10► Total for this Transaction $233.22
ill, get insurance ID cards, view
policy documents, and more! Plus,
access your account anytime using
This is not a bill.
the Farmers Mobile App! Text
Your bill with the amount due will be mailed separately.
GETAPP to 29141 to download it
today'.
Summary of Changes
f Go Paperless
Previous Current
Save stamps, time and trees .... Go
2010 Audi A4 Quatt V:735 Covered Not Covered
Paperless! You can choose to
2025 Audi A5 Quatt V:731 Not Covered Covered
receive your Farmers policydocuments and/or billing statement
Mileage 0
electronically. Enroll atfarmers.com
and choose the paperless options!
If you have any questions or would like to learn more about our other insurance products
and services, please contact your agent.
We appreciate your business.
Sincerely,
Farmers Insurance Group(D
farmers.com
01 25.8164 1-14
FARMERS
Auto Insurance Declaration Page INSURANCE
Policy Number: 18911-78-52
Effective: 8/24/2025 12:01 AM
Expiration: 10/12/2025 12:01 AM
Namedlnsured(s): Robert K Romney
Lenore D Romney
4822 S Myrtle St
Spokane, WA 99223-7879
Underwritten By: Farmers Insurance Company of Washington
3120 139th Avenue SE Suite 300
Bellevue, WA 98005
Household Drivers
Premiums
.....................................................
Full -term Premium (excluding fees) $970.00
Prorated Premium (7/10/2025 - 10/12/2025) $233.22
0" Total for this Transaction
This is not a bill.
Your bill with the amount due will be mailed separately.
Information on this declaration is effective 7/10/2025.
$233.22
Are there drivers not listed below who either reside in your household (even if temporarily away from home) or are guests staying in your
home for more than 90 days? If so, please contact us or your agent. If you have purchased coverage for loss to your insured car (for
example, Collision Coverage), your deductible could increase to $5000 for a loss to your car (or an attached trailer) because your car was
being operated by one of those unlisted drivers at the time of the loss. Details regarding this higher deductible can be found in your
policy documents.
Name Driver Status Name Driver Status
Lenore D Romney Covered Robert K Romney Covered
Vehicle Information
Veh. # Year/Make/Model/V►N
1 2025 Audi A5 Quattro 4D 4Wd 2.OT Pr
WAU3BCFU6SNO46731
Vehicle Level Coverage Items
Limits
Coverage (applicable to all vehicles)
Bodily Injury Liability $500,000 each person
$500,000 each accident
Property Damage Liability $100,000 each accident
Personal Injury Protection $35,000 each person
Comprehensive
Collision
Underinsured Motorist
Property Damage
Towing and Road Service
Loss of Use
$100,000 each accident
K5: $50 per day/ $1,000
max
Coverage Deductible Limit
Comprehensive: $100
Collision: $500
Premiums by Vehicle
Vehicle 1
$122.70
$70.40
$24.30
$127.30
$450.80
$91.20
$9.50
$73.80
farmers.com Policy No. 18911-78-52 Questions? Manage your account:
Call your agent Netz Agency LLC at Go to www.farmers.com to access
(S09) 535-3033 or email your account any time:
ON.
dnetz@farmersagent.com
56-6176 2nd Edition 1-22 7/11/2025Page 1 of 3
Declaration Page (continued)
Policy level Coverage Items
Limits
Coverage (for all vehicles) Per Policy
Underinsured Motorist $500,000 each person Covered
Bodily Injury $500,000 each accident
100' Full -term Premium $970.00
Discounts
Discount Type
Auto/Home
EFT
Applies toVehicle(s) Discount Type
1 Multiple Car
1 Auto/Specialty
Other Policy Features and Benefits
• Accident Forgiveness - prevents one accident from impacting your premium
• Incident Forgiveness - protects your premium from increases due to minor traffic violations
Policy and Endorsements
Applies to Vehicle(s)
This section lists the policy form number and any applicable endorsements that makeup your insurance contract Any endorsements
that you have purchased to extend coverage on your policy are also listed in the coverages section of this declarations document.
56-5045 3rd ed.; J6284 1 st ed.; J6491 1 st ed.; J6674 1 st ed.; J6936A 1 st ed.; WA026 1 st ed ; WA027 1 st ed., WA028 1 st ed.; WA030A
2nd ed.; WA033 1 st ed.; WA034 2nd ed ; WA035 4th ed.; WA038 1 st ed.; WA039 1 st ed.; WA047A 2nd ed.; WA050A 1 st ed.; WA052
1st ed.; WA0552nd ed.; WA0562nd ed.; WA058 1st ed.; WA064 1st ed.
Other Information
• Vehicle i - Deductible waived if glass repaired rather than replaced.
• Your policy provides Towing and Road Service Coverage for selected vehicles as shown in the Coverage Information section of your
Declarations Page. Towing and Road Service Coverage is outlined in tree policy, and it extends for the duration of the policy period.
This coverage will be removed from any vehicle upon renewal of your policy if three (3) or more Roadside claims are submitted on
the same vehicle, or any vehicle that replaces it during the policy term, within a rolling 12-month period. If you have any questions,
please contact Farmers customer service at 1-888-327-6335.
• Go Green by logging onto Farmers com or contacting your Farmers Agent.
• Contact your agent for a Farmers Friendly Review®to learn more about policy discounts, coverage options, and other products you
may qualify for. Farmers has a newer Auto product that may be available to you.
farmers.com Policy No. 18911-78-52 Questions? Manage your account:
all your agent Netz Agency LLC at Go to www. farmers, com to access
(509) 535-3U33 or email your account ary time:
dnetz@farmersagent.com
56-6176 2nd Edition 1.22
Page 2 of 3
Declaration Page (continued)
*Information on Additional Fees
The "Fees" stated in the "Premium/Fees" section on Pagel apply on a per -policy, not an account basis. The following additional fees
also apply:
Service Charge per installment (in consideration of our
agreement to allow you to pay in installments):
For Automatic Bank Payment plans also enrolled in online
billing (paperless): $0.00 (applied per account)
For other Automatic Bank Payment plans: $2.00 (applied
per account)
For Automatic Debit Card plans: $3.00 (applied per
account)
For Automatic Credit Card plans: $5.00 (applied per
account)
For all non -automatic payment plans: $7.00 (applied per
account)
If this account is for more than one policy, changes in these fees are
not effective until the revised fee information is provided for each
policy.
Countersignature
Authorized Representative
2. Late Fee: $15.00 (applied per account)
3. Returned Payment Charge: $20.00 (applied per check,
electron transaction, or other remittance which is not
honored by your financial institution for reasons including,
but not limited to, insufficient funds or a closed account)
4. Reinstatement Fee: $25.00 (applied per policy)
One or more of the fees or charges described above maybe
deemed apart of premium under applicable state law.
farmers.com Policy No. 1891 1-78-52 Questions?
Call your agent Net- Agency LL at
(509) 535-3033 or email
dnetzQfarmersagent.com
56-6176 2nd Edition 1-22
,s
Manage your account:
G. to www.farmers.com to access
your account any time.
Page 3 of 3
Policy Endorsements
Important Information About Your Policy
FARMERS
INSURANCE
The following provides you with information regarding your auto policy. This endorsement WA047 2nd edition - Endorsement Adding
Property Damage to Underinsured Motorist Coverage, has been revised to include a new available Limit of Liability ($250,000). If you
wish to revise your Limits of Liability, please contact your Farmers' agent.
This message is provided for informational purposes only. It is not a part of your policy and does not affect or provide coverage, in and of
itself. Since the policywith all of its endorsements are your contract with us, they take precedence over this message. For a more
detailed description of your coverage, please refer to your policy and to its endorsements.
Endorsement Adding Property Damage to Underinsured Motorist Coverage -
Washington (WA047A-2nd Edition)
This coverage appliesonly to the vehicles)l for which this endorsement is listed on the Declarations page.
For an additional premium, Underinsured Motorist Coverage is amended to include the following:
We will pay damages for property damage which an insured person is legally entitled to recover from the owner or operator of an
underinsured motorvehicle. The property damage must be causec by accident and arise out of the ownership, maintenance, or use
of the underinsured motorvehicle.
As used in this endorsement, property damage means physical injury or destruction of: 1) your insured car or 2) property contained in
your insured car which is owned by an insured person.
Limit of liability
The property damage liability limit shall be the limit shown in the schedule below and designated in the Declarations. The total
damages shall be reduced by the amount available from any party held liable for the accident.
Coverage Designation
Limit
P1
$ 10,000
P8
$ 15,000
P2
$ 20,000
P3
$ 25,000
P4
$ 40,000
P5
$ 50,000
P6
$ 100,000
P 10
$ 250,000
P7
$ 500,000
P9
$ 1,000,000
A deductible of three hundred dollars will apply to property damage caused by a hit-and-run or phantom vehicle.
A deductible of one hundred dollars will apply for property damage caused by all other underinsured motor vehicles.
This coverage applies to property damage arising from an accident with a hit-and-run or phantom vehicle which does not make
physical contact with you or your insured car or your insured vehicle, provided that:
farmers -corn Policy No. 1891 1-78-52 (Continued Next Page)
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II
Policy Endorsements (continued)
a) The facts of the accident can be verified by someone other than you or another person having an underinsured motorist claim
from the same accident, and
b) you or someone on your behalf reports the accident to the police within seventy-two hours.
94-2752 2nd Edition 12-12 This endorsement is part of your policy. It supersedes and controls anything to the contrary.
It is otherwise subject to all other terms of the policy.
farmers.com Policy No. 1891 1-78-52
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