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06-041.00 Tetra Tech: Swale Evaluation0** ,- " p6Wane ,;,o0Va11ey 11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhatt@spokanevalley.org April 25, 2006 David Moss, PE Tetra Tech/KCM, Inc. 1235 North Post Street, Suite 101 Spokane, Washington 99201 rhas document contains confidential tax information and een r edacted pursuant to RCW 82.32.330. You may petition for a review of our findings pertaining to any redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. Re: Addendum to Professional Services Contract executed June 27, 2005. Dear Mr. Moss, The City of Spokane Valley would like to execute an addendum with KCM Inc. dba Tetra Tech/KCM Inc., to that agreement executed by the parties on June 27, 2005. The City proposes amending the Contract by requesting both parties sign this letter. Upon execution, this letter will serve as the Amendment to the contract stated below: Swale Evaluation Study — Topsoil Mix Design The City agrees to pay Consultant for $6,600.00 in additional services as in the attached scope of services. These services will be tracked and billed on a lump sum basis, and are subject to all of the conditions set forth in the original agreement. The City also agrees to pay Consultant for $1,100.00 for each Additional Optional Task, as in the attached scope of services. The services covered by Subtasks 3.3 and 3.4 are optional and will be performed at the request of the City of Spokane Valley. These Subtasks will be tracked individually and billed on a lump sum basis, per each, and are subject to all of the conditions set forth in the original agreement. IN WITNESS WHEREOF, the parties have executed this Agreement this day of 2006. CITY OF SPOKANE VALLEY: Consu nt: KCM I . dba etra Tech/KCM, Inc. David Mercier, ity Manager . David Moss, PE ATTEST: Christine Bainbridge, City Clerk Tax ID No.: - REDACTED APPROVED AS TO FORM: C' y Attorney e/l C06 -41 TETRA TECH%KCM AGREEMENT FOR PROFESSIONAL SERVICES AMENDMENT NO. 1 Client: City of Spokane Valley TdKCM Job #: 3540035 Project: Swale Evaluation Study — Topsoil Mix Design Additions to Existing Tasks — Subtask 2.2 — Soil characteristics and topsoil mix designs for testing Stan Miller: 3 extra hours to develop and review mix designs $360 Subtask 2.3 — Laboratory testing of physical properties Stan Miller: 3 extra hours to review lab data for additional mix designs $360 GeoEngineers: Perform lab analysis for 3 additional mix designs $1,500 Subtask 2.4 — Laboratory evaluation of chemical properties Stan Miller: 3 extra hours to review lab data for additional mix designs $360 GeoEngi.neers: Perform lab analysis for 3 additional mix designs $1,500 Subtask 2.5 — Describe engineered topsoil manufacture and availability Stan Miller: 2 extra hours to expand memorandum for additional nix designs $240 Addition of New Tasks — Task 3.0 — Supplemental Support Subtask 3.1 — Incorporate into the Spokane Regional Stormwater Manual the findings of this Topsoil Study and evaluate the recommendations from the previous Swale study. Stan 1A4 ller: 6 hours to review and submit suggested edits to Manual $720 Subtask 3.2 — Special Bio- Infiltration Swale Sizing for Lower Permeability Subsoil Stan 'Miller: 8 hours to prepare and submit technical memorandum $960 Stan Miller: $3,000 GcoEngineers: $3,000 10% Markup $600 Lump Sum Fec :tncrease: $6,600 Additional Fee for Optional Tasks — Subtask 3.3 — Perfomt lab testing of physical and chemical properties for one additional mix design (scope of ivork per Subtasks 2.3 & 2.4) $1,100 Subtask 3.4 — Perform lab testing of physical and chemical properties for one additional mix design (scope of ivorkper Subtasks 2.3 & 2.4) $1,100 TtIxC,V 01106 ACORD f CERTIFIC� OF ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ,,, i-E LIABILITY INSURANCE page 1 of 2 10,10/2006 PRODUCER 877 -945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willia North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY EFFECTIVE POLICY EXPIRATION M, / P. O. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#t INSURED Tetra Tech, Inc. INSURER ACE American Insurance Company 122667-012 721 S Packard Kansas City, KS 66105 INWAERB;American International S ecialty Linos In 26883 -001 INSURER C: AIAE RCIALGEXERALLIABILITY [G�E ;ERAL CLAWS MADE DOCCUR INSURER 0: OAMAC,ETORENTED REMISES r INSURER E: MEOEXPIAnycnoperson) I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPEOFINSURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION M, / LIMITS A LIABFUTY HDO02059214A 10/1/2006 10/1/2007 EACH OCCURRENCE S 1,000 000 AIAE RCIALGEXERALLIABILITY [G�E ;ERAL CLAWS MADE DOCCUR OAMAC,ETORENTED REMISES r $ 1.000,000 MEOEXPIAnycnoperson) S 100,000 PERSONAL SADVIXJIURY S 1 000, 000 X Contract Liab. H X X,C,U Coveraoo GENERALAGGREGATE S 2.000,000 GEM_ AGGREGATE LIMIT APPLIES PER: PROOUCTS - COdPMP AGG S 2 000 0 0 0 POLICY X PRO X LOC AUTOMOBILELIABILITY I ANY AUTO COJJ.SINED SINGLE LIMIT (Eaacddenq $ BODILY INJURY (Pe! person) S AILOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Pet ambenl) S HIRED AUTOS NON4 W NED AUTOS PROPERTY DAMAGE (Per aeciden0 S OARAGELIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EAACC S ANY AUTO S AUTO ONLY: AGO A EXCESS LIABILITY X I OCCUR CLAIMS MADE XOOG23714966 10/1/2006 10/1/2007 EACHOCCURRENCE $ 5,000,000 AGGREGATE 5 5.000,000 S S DEDUCTIBLE P Xd RETENTION S 50,000 S • W40RKERSco?APENSAnONAND EMPLOYERS' LIABILITY AIDS WLRC44465279 10/1/2006 10/1/2007 g V�'csTATU• OTH E.L. EACH ACCIDENT $ 1,000 000 • A NYPROPAIETOPJPARTNEROEXECUTIVE WI SCFC44465280 10/1/2006 10/1/2007 E.L. DISEASr- • EA EMPLOYEE 5 1,000,000 OFFICE.RIMEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT S 1 000.000 B oTHER 1952583 10/l/2006 10/1/2007 $5,000,000. Each Claim I Prof.Pollution Legal Liab $5,000,000. Aggregate Contractors Pollu.Liab $ 250,000. Retention Claim Nnx. Clain dur'pq policy year DESCRIPTION OF OPERATIONS40CATIONS (VEHICLEMXCLUSIONS ADDED BY ENDORSEMENTBPECIAL PROVISIONS This certificate Voids and Replaces any and all previously issued certificates All States Covered, except Only "Stop Gap" in OH, ND, WA, WV, WY, PR, USVI CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPFRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of 3pokaao Valley IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Christine Bainbridge, City Clerk gEPR ENI#TIVW 11707 Bast Sprague Avenue, Suite 106 AUTH ESENTarnvE� Spokane, WA 99206 ACID RD 25(2001/08) Coll:1770665 Tn1:549428 Cert:7928421 MAC&RDICORPORATION 1988 �1% -y� Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) Co11:1770665 Tp1:549428 Cert:7928421 A(;OR0 CERTIFIC OF LIABILITY INSURANCE INSRADD'u -_•.,E page 1 of 3 09/30DATE /2006 PRODUCER 877_945_7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POLICYEXPIRATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willie North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. o. Box 305191 10/1/2007 EACHOCCURRENCE Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC## INSURED KCN., Inc dba Tetra Teeh /KCM, Inc. Avenue, suite 600 Seat Seattle, W Seat tle, W A 98101 INSURERA;ACE American Insuranco CEmpany 22667 -012 erna ona IXSURERS:American International Specialty Linea In P 26883 -001 INSURER C; NX Contract Liab. INSURER O: X X,C,U Coverage INSUR ER E: $ 2.000, 000 I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'u TYPEOFINSURANCE POLICY NUMBER ( POLICY EFFECTIVE POLICYEXPIRATION LIMBS A X I♦ GENERALLIABIUTY X CC>/J/ERCIALGENERAJ LWBILIiY CLAIMS MADE OCCUR HDOG2059214A 10/1/2006 10/1/2007 EACHOCCURRENCE S 1,000,000 PRENJTO LNa,� nco 5 1 000 1-0 00 MEDEX? (Anyone person) S 100,000 PERSONAL aADVINJURY S 1 000 000 NX Contract Liab. X X,C,U Coverage GENERALAGGREGATE $ 2.000, 000 PRODUCTS • COMPIOP AGO S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POD ICY P ][ LGC A X LIABILITY ANY AUTO ISAH08222629 10/1/2006 10/1/2007 c COMBINED, „INGLE LIMIT (EaacddcnQ S 1,000,000 NAUTOMOSILE BODILY INJURY (Par person) $ ALL OVINED AUTOS SCHE-DIP AUTOS X Hln^EDAUTOS NON-OWNED AUTOS 6001 Y INJURY (Paracddenl) $ X PROPERTY DAMAGE (Per a: clWni) $ • 1� GARAGE LIABILITY ANY AUTO AUTO ONLY• EA ACCIDENT $ OTHER THAN EA ACC S S I AUTOONLY: AGG A EXCESSLIABIUTY 7X OCCUR CLAIMSMA,DE XOOG23714966 10/1/2006 10/1/2007 EACHOCCURRENCE $ 2,000,000 AGGREGATE S 2,000,000 S E DEDUCTIBLE X 9 R_+ENTIOV S so.-000 S S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AIDS WLRC44465279 10/1/2006 10/1/2007 X 11ITATU• 07et E.L. EACHACCIDEnT $ 1,0001000 A ANY PROPRIETOPIPARTNER(EXECUTIVE OFFICE•RIMEMBER EXCLUDED? WI SCFC44465280 10/1/2006 10/1/2007 E.L,DISEA— .EAEMPLOYEE S 1,000,000 B It yes, describo under SpECIAL PROVISIONS below OTHER Prof.Pollution Legal Liab Contractors Pollu.Liab 1952583 10/1/2006 10/1/2007 E.L. DISEASE - POLICY LIMIT Is ], 000 000 $1,000,000. Each Claim $1,000,000. Aggrogate $ 250,000. Retention Claim M x, Claim during olio as DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS AOOED BY ENDORSEMENTISPECIAL PROVISIONS All States Covered, except Only "Stop Gap" in OH, ND, WA, WV, WY, PR, USVI Auto Physical Damage: Policy: ISAH08222629 Effective: 10/1/06 - 10/1/07 Carrier: ACE American Insurance Company $5,000.00 Comp. Deductible $5,000.00 Coll. Deductible ++vw SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Spokane Valley IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IITS AGENTS OR Attn: Christine Bainbridge, City Clerk RDRE`$ENj#TIVW 11707 Bast Sprague Avenue, Suite 106 AVTHO ESENTl1TIVE Spokane, WA 99206 ACORD 25 (2001108) Coll:1760490 Tpl:543318 Cert:7821 OS 6��^,/ ©�ACORD ORPORATION19RA Wiflis CERTIFIC',...,'E OF LIABILITY INSURA' 'WCE 1 - page 2 of 3 09130DATE /2006 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Sox 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED RCM, Inc dha Totra Tech /KCM, Inc. 1420 Fifth Avenue, Suite 600 Seattle, W A 98101 IxSURERA:ACE American Inaurance Company 22667 -012 IYSUREAE:American International Spocialty Lines InII26883 -001 INSURER C: INSUR ER D: INSURER E: I UtOUnlr I IUN Ur LFFLKA I► UNWLUCA>IIUn5rvEKICLE&EXCLUSIONS ADDED BY ENDORSEIAENTISP£CIAL PROVISIONS RE: Swale Topsoil Mix Design Study ( #3540035) Certificate Holder is named as Additional Insured as respects General Liability and Automobile Liability, as required by contract. 1:011:1 /6U4`JU 7'pi:S4.$jlU cart:7821805 Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. #4%,Vnvca%4uvuva) 4.:011:1 /bU49U TPi:543318 Cert:7821805 , ACORD,Y CERTIFICA�<s-:t OF LIABILITY INSUR�,�;� : Epage 1 of 3 1 10/01/2007 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis north America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 305191 Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# INSURED XCM, Inc. dba Tetra Tech Infrastructure Group INSURERA:ACE American Insurance Ccmpany 22667 -012 1420 Fifth Avenue, Suite 600 INSUR£RS:American International Specialty Lines In 26883 -001 Seattle, WA 98101 I.V SURER C: INSURER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OA MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADVII TYPE OF INSURANCE POLICY NUMBE14 POLICY EFFECTIVE POLICY EXPIRATION LIMITS • x GENERALLIABILMY HDOG23734825 10/1/2007 10/1/2008 EACH 0C URREVCE S 1,000,000 PREMISES = EN1:D S 1 OOO OOO X��OO{M{MERCIALGENERALLIABILITY '' �I CLAIMSMADE Fxl DCCUR - MEDEXP{Any.op0,i66j S 100 000 PERSONAL aADVDJURY S 1, 000 000 H Contract Liab. GENERAL AGGREGATE S 2,000,000 X, C, U Coverage GEN'1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP ACifl 5 2 0 0 0 O O 0 M I FX Pte- ?0LICY I X LOC • X AUTOMOBILE LIABILITY ISAH08238431 10/1/2007 10/1/2008 COIAaWEDSINGLELIMIT $ 2,000,000 X AtIY AUTO - (Es 8= 4y ll X EADILYL11JUlRY S ALL OVINED AUTOS SCHEDULED AUTOS. 'r (Parpo=nj X BODILY I.\ I.IRY S HIREDAUTOS ,, X LYON -OWNEDAUTDS (Poroccident) PROPERTYDAMAGE 5 _ II (Perecddeni) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT EA ACC ( S ANY AUTO 0THERT. -.AN S H AUTOONLY: AGG A EXCESSIUMBRELLOU XOOG23886005 10/1/2007 10/1/2008 EACHOCCURRE.VCE S 2,000,000 AGGREGATE S 2,000,000 I—ALIABILITY X ODR l� CLAIMS MADE S $ DEDUCTIBLE S X A= TENTION S 50,000 A WORKERS COMPENSATION AND - AOS WLRC44479886 10/1/2007 10/1/2006 X WCSTATU• oTH• -� E.L. EACH ACCIDENT $ 11000,000 A EM PLOYERS' UA 131UTY ANY PROPRIE70R1PAgTNER1EXECUTIVE WI SCFC44479898 10/1/2007 10/1/2006 E.L. DISEASE • EA EMPLOYEE S 11000,000 OFFICERJMF-VZER EXCLUDED? It and L P ibe and JNS bebw 11 VeS, IAL PROVISIONS ISIO E.L. DISEASE - POLICY LIMIT I S 1,000,000 B OTHER 1952583 10/l/2007 10 1 2008 $5,000,000. each Claim Professional Liability $5,000,000. Aggregate Iroch Contractor'a Pollution $250,000 Deductible Liabilitv claim DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLESIEXCLUSIONS ADDED BY ENDORSEM.ENTISPECIAL PROVISIONS Stop Gap coverage for the following states: OH, ND, WA, WV, WY, PR, USVI Auto Physical Damage: Policy Number: ISAH08238431 Effective: 10/1/07 - 10/1/08 Issuing Carrier: Ace American Insurance Company $5,00Q.00 Camp. Deductible .$5.000.00 Coll. Deductible r'COTICIrATC uni ncD rAWf FI I ATWIN ACORD 25 (2001/08) Coll:2126994 Tpl:684301 Cert:9596743 GIAGUHUL;UHYUHAIIUN 79tSS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Spokane Valley Attn: Christine Bainbridge, City Clerk REPR - EN7#TIV00. AUTIIO ESENTNTIVE 11707 Eant Sprague Avenue, Suite 106 Spokane, WA 99206 ACORD 25 (2001/08) Coll:2126994 Tpl:684301 Cert:9596743 GIAGUHUL;UHYUHAIIUN 79tSS W11115 CERTIFIC °E OF LIABILITY INSUR,', ICE Page 2 of 3 10/01%2007 PRODIJUR 877_945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ?. 0. Box 305191 NaDhville, TN 372305191 INSURERS AFFORDING COVERAGE NAIL# INSURED RCM, Inc. dba Tetra Tech Infrastructure Group INSURFRA:ACE American Insurance Ccmoany 22667 -012 1420 Pifth Avenue, Suite 600 II,°gURERB;American International Specialty Linea lnl26883 -001 Seattle, WA 98101 L'ISURER C: 1 1 INSURER D: 1 DESCRIPTION OF OPERATIONS ILOCATIONSNERICLESIEXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVIMONS RE: Swale Topsoil Mix Design Study (#3540035) Certificate Holder is named as Additional insured as respects General Liability and Automobile Liability, as required by contract. Coll:2126994 Tpl:684301 Cert:9596743 �. Page 3 of 3 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may - require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) C011:2126994 TD1:684301 Cert:9596743 ACORD,M CERTIFIC? :'E OF LIABILITY INSUR:; ICE page 1 of 2 F10101/2007 PRODUCER 677- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES. BELOW. INSURERS AFFORDING COVERAGE NAIC# P. O. Box 305191 Nashville, TN 372305191 INSURED Tetra Tech, Inc. INSURERA ACE American Insurance Company 22667 -012 INSURERS: American International SpecialtX Linon In 26883 -001 3475 East Foothill Blvd. Pasadena, CA 91107 EACHOCCURRENCE S 1, 000, 000 QA 6VTED rPs Mt orwmnrni INSURER C: MEDEX.DIAnyone person) INSURER D: PERSONAL &ADVINJURY S 1,000,000 INSURER E: I PnVLDAlSFC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTV.111THSTANDING ANY REOUIREMENT, 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L� TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A Valley GENERAL LIABILITY T OOMMERCVkL GENERAL LIABILITY CLAIMSMADE XI OCCUR HDOG23734825 10/1/2007 10/1/2008 EACHOCCURRENCE S 1, 000, 000 QA 6VTED rPs Mt orwmnrni 1 000,000 MEDEX.DIAnyone person) S 100,000 PERSONAL &ADVINJURY S 1,000,000 X Contract Liab. X X,C,U Covoraoe GENERALAGGREGATE S 2,000,000 GEN I AGGREGATE LIVJf APPLIES PER: PRODUCTS- GOMPIOPACG 5 2 000,000 POLICY FD I{ I ?Ra X LOC AUTOMOBILE LIA.BI LITY ANY AUTO COMBINED SINGLE LIMIT {Ea aocidar.,1 S BODILY INJURY Werperson) S ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY {Pereccltl�t) S HIKED AUTOS NOS- ONlYED AUTOS PROPERTYDAMAGE er {P awitlent) IS GAR AGE LIABILITY AUTO ONLY - EAACCLDENT Is OTH'RTHA.N EA ACC AUTO OM -Y_ AGG $ ANY AUTO I S A I EXCESSIUMBREII LIABILITY XOOG23886005 10/1/2007 10/1/2008 EACHOCCURRENCE I S 5,000,000 AGGREGATE S 5,000,000 p� OCCUR FI CLA!MS MADE S S DEDUCTIBLE Is X I RETENTION S 50,OOQ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROFnIETORIPARTN= TVEXECVTIVE AOS WLRC44479886 WI SCFC44479898 10/1/2007 10/1/2007 10/1/2008 10/1/2008 X VJ[STATtI� ( IO7RH-I E.L EACH ACCLDENT s 1,_000,000 E.L. DIS EASE • EA EMPLOYEE S 11000,000 OFFICER/MEMBER EXCLUDED? II XEs. descrtoe unoer SF= CIAIPROVIMNSbdbw E.L. DISEASE • POLICY LIMIT S 1,000,000 B OTHER 1952583 10/1/2007 10/1/2008 $5,000,000. Each claim Professional Liability $5,000,000. Aggregate Contractor's Pollution $250,000 Deductible LiA�Iity Each claim DESCRIPTION OF OPHRATIONSILOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENWSPECIAL PROVISIONS Stop Gap coverage for the following states: OH, ND, WA, WV, WY, PR, USVI rcorlrlrwrc unl ncD CANCFI I ATInN ACORD 25 (2001/08) Coll:2126670 Tp1:686293 Cert:9585%50 L9 AGUHUL:UHYUHAIIUNIV013 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SMALL City of Spokane Valley IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: Chriat£ne Bainbridge, City Clerk 11707 East Sprague Avenue REPR ENI#TIVW. AUTHO ESENTVVE Suite 106 Spokane Valley, WA 99206 ACORD 25 (2001/08) Coll:2126670 Tp1:686293 Cert:9585%50 L9 AGUHUL:UHYUHAIIUNIV013 Page 2 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Co11:2126670 Tp1:686293 Cert:9585650 ACORD ,, ERTIFI r:,�E F LIABILITY I 11R i� I EPage 1 of 2 1010i1aoo PPODUCER 877_945_7378 Willis North AmoriC*L. inn. 26 century Blvd. P- 0- Hox 305191 Nashville r TN 372305191 THIS CEATIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON! THE CERTIFIGATH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# INSWICD Tetra Tpah, Inc- 3975 631eG CA Bled. Paus�$Onsi, C3+ 9i1U3 n INVJ -gRRA! ACE Amarican I00uZaA04 C An 22697-012 �INShJatR3!Ameriaun ZaLernatimtal & OCi6Lli I4ncui In 26983 -L}Q1 IN9Ja ER C. HDOG23734825 IN5UR ER 10/,1/2006 INSURER E: S 1 000 000 COVFRAnFS THE POUCIES 4F IM$1J RAN CE LISTED 8ELOW HAVE 8EEN ISSUED TO 7HE INSURED NAMED ABOVE FOR Td I; POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMEWr, TEAM OA CONDITION OP ANY CONTFIACT OA OTME9 DOCILUENT WITH R =SPECT TO WI-IIC» THIS CERTIFICATE MAY SE ISSUED OA MAY PERTAIN, THE IHSU PLAN CE AFFORDED ay THI; FGLICIE$ DESCRIBEO HEilElN' 13 SUBJECT TO ALL THE TEEMS" EXCLUSIONS AND CONDITION$ OF 5UCH POLICIES. AGGREGATE LIMITS SHOWN NAY HAVE SEEN REDUCED BY PAID CLAIMS. IrlSA ;a[I D "U TYPE 4F IN5UFArJG E LTF, POLICY NUMBe3i I POLrCY kFFF_CTIUE u POLICY E1{PIRATI4N 41M1 j ceNEAALLIABILITY HDOG23734825 10/1/21307 10/,1/2006 EACH OCCURRENCE S 1 000 000 MI ente PRESES Ego EreX S 21000,000 CO AERIALCENERALLIABILITY II CL NEAS MAOq [i] OOGUA MED EXP (Anyone person 5 100 0 0 0 P?RSJN5L&AvDVINJ'JRY S 1 000 000 X Contract List. X X r C r 4 Coverage G ENERAL AGGREGATE S 21 000, 000 GF?A AGGREGATE LIMIT APPLIES PER' PRODUCTS - COMPMPAGG S 2 00.000 Y POLICY I P $ LrJG 1� p AU7aa,0e11-E LIABILITY ANY AUTO COUZINZr $INCI<5 laMIT (EeaoDItl6n0 �I�II BODILYLNJ'JRY (Ferpersoa) 8 ALL OWNED WMS SCHEDULED AUTOS - p HIRED AI.R05 �- Oa- O- NED1,IMS BODILY INJURY (Porocodar1) S P90PERTY DAM40E (Fer ecddem7 6 1 GARAGE LIABILITY AIYN ONLY - Ex, ACMDEio7 S I IIIIANYAUTO I CTHERT.iRN EAACC S S AUTOONLY' AGG A I EXCESWURBRELLALIABILTI-V XOOG23666005 10/l/2007 10/1/2008 EACHOCCLJRREVC;E S 51 000 000 t X u OCCUR Q A-E .S MADE AGG a4GATE S 5 000 000 I 5 A D�fi�U4"TIeLE 8 X REiEh riOy S 50,00 9 s A A WORKERS COMPENS4TLOF#AND EMPLOYERS'LrAVILM ANY P PME70WPARTNENEXECUTYVE AO$ WLRC44479886 WT SCFC44479696 10/112007 10/1/2007 10 /11200$ 10/1/2008 T W A lJ 11- - EX. EACH A=DEr,*Y 5 11000, 000 E -L DISEASE - E4 EMPLOYEE 5 IL 1 0 0 0 0 0 0 WACEFIMEmBER ExCLu]ED? 11 yo*, dixwrU4 Ure14r $P IAL PaOVISIONS bolgw Lt. CISEASE -POLICY LIMIT 6 JL 0 0 0 0 0 0 8 OTHER 1952563 10/.1/2007 10/1/2008 $5r000r000, Bnoh Claim Profusuior l Liability $5,044.000, Aggragato Contractor "n Pollution $250,OOU Deductible Liability 3ach claim D95CRI PTPDNOFOPER4T14N51L4C4F1431Sf ,+EJ,ICLES +EkGLUS14H5AtIfIV)EY Er4D8R9 @MeN7JSPECIALPROVISHiNS Stop Gap coverage for the following Btatea : OH, NA, WA, WV, Wy. PR, USVT GERTIF1GATE HOLDER CANCELLATION ACORD25(2001f413) Ca11.2126670 Tp1:666293 Cert:3585%51 (0ACOF9DICpRPORATION1988 EHOLrLD AMY OFTH2 ABOV2 De9CRlal3D P,DLICIES BE CANCELLED BEFQFIETHE EXPIRATION DATE T}iEREOF. THE ISSUIN4 IN5UfJ!I1R WILL CNtIr ;AWOA TO n,AIt 30 DAYS WRITTEN NCiTlOr; TO THE CERT7PJCATE HOLDER 14AME6 TO THE LEFT, BUT FAILURE TO 00 50 SHALL 'IMPOSE NO OBLIGATION OR UABILITY OF ANY KJND UPON 71-1E WSUREF, 17$ AOLQ r7S pp City of Spokane Attn: cbrlotlAo Valley saJ Lx nc$Ldge, City Clerk REPR E T1v ALITH eseraTAFTIVE 11707 Baet Sprague Avenue, Suite 106 Spokane Valley, WA 99204 ACORD25(2001f413) Ca11.2126670 Tp1:666293 Cert:3585%51 (0ACOF9DICpRPORATION1988 Page 2 of 2 IMPORTANT- if the cartifi+.ate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed_ A slatemenl on this Certificate does nol Confer rights to the cerlIficale holler in lieu of such endorsements )_ If SUBROGATION IS WAIVED, subject to the lerms and conditions of the pollcy, cerlalrn policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- DISCLAIMER The Certificate of Insurance on the reverse side of this forrrn does not constllute a conlracl between the Issuing insurer(s), aulhorlxed representalive or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the covarage afforded by Ine policies lisled thereon. ACORD25(20alfaBl Collt2126570 Tul:585293 Cert:3585551 ACORD Page l of 2 :,_ 3.01 01/2007 PRODUCER 877- 945 -7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Willis North America, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# P. O. Box 3DS191 Nashville, TN 372305191 INSURED Tetra Toch, Inc. INSURERA: ACE American Insurance Company 22667 -012 INSURERS; American International Specialty Lines in 26883 -001 3975 East Foothill Blvd. Paaadona, CA 91107 S 1 OOO 000 MEDEXP Anyone elsorl S 100,000 INSURER C: S 11000,000 INSURERD: GENERALA„GREGATE S 2,000,000 INSURER E: PRODUCTS • COMRUP AGG S 2 000 -00 rrn►Iraaracc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR OONDITION 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. INSR /1.00'L° TYPE OP INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR GENERAL LIABILITY �n,CLAIMSNIADE MERCLALGENERALLLABILITY O OCCUR X Contract Liab. HDOG23734825 10/1/2007 10/1/2008 EACH OCCURRENCE Is 1,000.000 A MGET 6wcumn «e S 1 OOO 000 MEDEXP Anyone elsorl S 100,000 PERSONAL& ADV INJU19Y S 11000,000 X X,C,U Coveraao GENERALA„GREGATE S 2,000,000 Gc-Nt AGGREGATE LIMIT APPLIES PER: I POLICY I X I ?R I X LOC PRODUCTS • COMRUP AGG S 2 000 -00 AUTOMOBILE LIABILITY ANY AUTO J ALL OPINED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-MliNED AUTOS COMBINED SINGLE UV.IT (Ee eccdenQ S BODILY INJURY (Per cerscnl SOOLLY INSURY (Peraceojenl) I e PROPE:RTYOAMAGE Wer eacleent) I $ GTGE LIABILITY AlY AUTO I AUTO ONLY • EAACC104NT $ I OTHERTHAN EA ACC AUTO ONLY: AGG IS I S A EXCESSIUMBRELLA LIABILITY X I OCCUR CLAIMS MADE DEDUCTIBLE x RETENTION S 50,000 XOOG23886005 10/1/2007 10 /1/2008 I EACH OCCURRENCE Is 5,000,000 AGGREGATE S 5,000,000 5 is s A A WORKERS COMPENSATION AND EAIPLOYERS' LIABILITY ANYFROPRIETORIPARTNERIEXECLMV= OFFICER/MEMBER EXCLUDED? 11 yes, din-cri7o u W ar SPECIAL PROVISIONS bellow AIDS WLRC44479886 WI SCFC44479898 10/1/2007 10/1/2007 10/1/2008 10/1/2008 X I ORSTATI u- o"I- E! EACH ACCIDENT s 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1, 0 0 0 0 0 0 E.L. 01SEASE . POLICY LIMIT S 11000,000 B OTHER Professional Liability Contractor's Pollution Liability 1952583 10 1 2007 110/1/2008 $5,000,000. Each Claim $5,000,000. Aggregate $250,000 Deductiblo Heigh leim DESCRIPTION OF OPERATIONS ILOCATIONS(VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENmPECIAL PROVISIONS Stop Gap coverage for the following states: OH, ND, WA, WV,-WY, PR, USVI rFaTlclr_ATC wnl nFa CANCELLATION ACORD 25 (2001/08) Coll:2126670 Tp1:686293 Cert:95851652 (9ACORD-CURPORATION1958 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Spokane Valley Attn: Christino Bainbridge, City Clerk REPR rn . RUTH ESENTA�TIVE X�b4i �i= 11707 Eact Sprague Avenue, Suite 106 Spokane, WA 99206 ACORD 25 (2001/08) Coll:2126670 Tp1:686293 Cert:95851652 (9ACORD-CURPORATION1958 Page 2 of 2 IMPORTANT It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108) Coll:2126670 Tp1:686293 Cert:9585652 __ }j�j 1/ + 1/ i �7 ■/�. ��.y }��y 1 g/ e 1�y[ - rye y:yy ��Ir �, �} I��. TI OATS �}kL�i X111 ?ff Y {Y�Y¢Y). / ■ V V i1L 7 Lr 111\ AL: -1b . :ARILI L �J SUR iNC]. _ - 09/F 4l/ LV V4 PF4015UCEII 1 , Aon Risk Insurance SerViC25 WeSt, I11C. 'I'll l$' C,' E-WfI ICA'fE IS ISSUED AS r1 1�,1�7FUR OF JiN FOR KATION ONLY fka son Disk Services, Zrlc, of 5 CA AN1)C)( NTC 1" 1tSN OAfCHTS UPON TII.EC:ERT11'ICA,i —K MOLD ER.'1'1US 707 wi l shi re Boulevard CERTIFICATE DOP,.S N(YI A117M,N11, EIfE] U OLD Air'ilrk TIYL� suite 2600 COVERAGE AFFORDED FLY TFIFPO1.l('II:SHKL.OW- LOS Angeles C4 900)7 -0460 USA ENSURERS Af FORMING COVURAG1: Ale- # FHQj' Fi (866 283 -77,22 Flex- 847 953-5390 INSURLLf INSURER A: National Union Fire zns CO 4)f Pitt5burgh 19445 IN'1IJK11?KH; Insurance Company of the State of PA ],9429 Tetra Tech, Inc. 3475 E_ Foothill RDUlevard j N'SLRERC: Lexington Insurance Company 19437 Pasadena CA 913.07 -6024 USA I,SURrR1). American International Specialty Lines 26883 IJ'ISLjL{I;K �'; 713E POLICIGS OF LNSURANCE LiST1:1) DEU)W HAvE 81jr-`] I55 1jI11] IX) TI-I11 ENSURED NAMED AROVE FOR THE P01.1cY INTRIOID I N I)ICAI'I!L)- NOT WITH TAH01NG ANY RI; Q1J11d EMI-: Yr, TI_I¢ n,i OR CO3%A) VON O1� ANY CONI'RA0r OR OTHER D0C;1AMrN I' v� rn 3 IiL•'` m1 CT CO WFLICH MAS CaTFF ICATE MAY BE ISSUED OR MAY }'ERTr1N, 1TiG 4LJSUJ ANCE AFFOJRUIT} BY'n117 110E.1 1Y,' S r]E.CiuniM HEREIN 15 SUBJECT TO ALL 17E" 1ER MS,'iXC1.i141OrdS , AU COM)CTIONS 0r' SUCH 1'OLIC1R3. AGGRI-T.n'LL 1- vAri'S SHO1110 r.SAY HA`I13 BEEN REiDUCED BY FAIn C;J.A[Nl& LIMITS 51-I0vuN ARC 115 IXEQUE87'ED IN51{ 1; f1} ;IFIF' Ijti l {Il T5'I'I; 01' I, �UlirliSCE j'f}I,1(;5',YIJ, \k141 ?H P1]],I{,YF,III;4,1'IYfy DA- 1.1745151%1}IriYS'] 1'LII,1(;5'};,k PlHri'J'IIJ,Y Im'1't={5151LI.AV ] I,Itil1'I'y rrxFn,u.51r11�n.ns GLi982536 L6/41f68 1) %41fL} EAL'JIC{:LUJIILENCH 11..0001000 Uh:aAUI: TO REh r1i1} +IXV ARa ocu'�ca} � :L , ON. 000 COSLmERC[AL GL7?rlL +1- LIAWLITY OrAINISMA11P JE IM,'`,Ijx iLlx 1;,1 I' {rx„v uuu nc,3U „1 AEI1 sific. 6[}6 X 1€,f „U CWCra9C Ih:RS+3NA1.e:ADk'WJUILY S1,00ar006 GENMV. GE L141 nCC]al'C1.Tr L[Ai1T AI71.IES 17sH: - PRODUars -C I%IPMP A(3G 32 , 0013.000 ❑ POLICY I'KO- ❑ 4Vr JEC1' A AU'1'0,1OHIIX1.1A1311,1TV CAS263140 10/01/68 1001,/09 COMB[R rd S[HCLE LIMIT X ANY AMO (Eanddent) BODILY WlUKY ALL OWFTE0 AUTOS SLHEDULMI AUTUS (Pur pt-wn) BODILY R'lURY j( 14IRFI3 nlll'Cn5 'ON 01VRED .AUTOS (Po a' -iftl) PROP@!%? DAMAGE CAFLAGELIAIJIL AUTOG LY- FAA00DEYT ALNYAUr6 ()TI]ERTILS}' L+'ACC H AVTO ONLY : AGG C ;:SM31nRrl.LAUAMHa'rti' 2213731 YOIOJ,f08 Ol 0 EACJIOCCV%Kg..ICS OCCUR CLUNIS MADE AGGEkEGATE 3 S , 000 , 00D 6 6 WORKERS C0.51 PENSAT10N AND FRTIpLAYEI ;S' 1,IARrE1'rV WC4990695 WC4990697 14/01!48 10/01/09 X %vc sTAru. \I 0TH. R E.C. EACH ACCIGF74'I' fill' PRUFF IEIVR f RAR'IWER 1 rNHOYI'IVt OFt•JCEKmVmBVRPXCLUDElp E.L,DISEASF -EA i1'Wt'E.E 311000,00) 1(1W.&Sff14C o,1dCr SPECIAIr PFOVISIOI` S P-L. DISEASE - POLICY LIMIT 51, 000, 400 Crt1M'f U 01MER {OF51952583 vrof /Poll Liab �.6 p1/08 Each Cl,;o 35,)44,000 AgggregSCe 55,000,6611 €ahzra €zor Prof Dedu €zible 5250,000 U2 klI'T10:!GT OPI-RA IONS'LOCAnONFr%rR dICLFgMXCLUSIGlS ADDED BY ENDOR315ME DSPIPULA1, PKOVISIOj s . Stop Gap coverage for the following States' QH, ND, IAIA, WV, WY, PR, USVI. C:l:;lit'1'1F'- LC:ALTI;' H{?IDI;'li ANIFF.1.1,ATION City Of Spokane Valley SH{ Attn: Christine Bainbridge, City Clerk DATE 11707 East Sprague Avenue, suite 106 3[ Spokane /JA � DS USA Ellrr p (jPAr4,e 11J7SlAt; S' 4R7 '1CrA00 }'[DL4CR]6E0POL[C]E36EGA {;r11EDL3PtalkE , rIfEEXP11L4nO : l 11{EKEkVjT1I� r=Pr40 INSOREK WELL PiN'DEAVORTO %ARIL I DAYS WRITTEN NOnCETO THE C:FR71F1(:q'1-PH(IrDPk NAM EDTOTIAP1 -1trr. FAILURE�TO DO SO SIV1L I NASENO 08L1(jA -n0rq CV UA13ILIT ' K1Nb IJPON 741E 1. 5U[dLR- ITS AGENTS OR REPRESE.NTATEVES- AUTHORIZEDREP HF`,$E,ti1',5'1'1VF' % JL ►F �i�AF FI�P�[YJ A - RD 25 t AX 108) CORD[ }IYAT2 { }1:'I ;JtiN e •c 'Fl O o] n O O O 0 42 r. e� W E L C_1