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07-011.00 David Evans & Associates: Appleway ReconstructionWashington State`,- - Department of Transportation Supplemental Agreement OrganizationandAdtJfess David :Evans and Associates, Inc - N u m b r 3 908 N. Howard, Su ite 300 -- Spokane, WA 99201 Original Agreement Number 11A.5 911 ( ity Prof - 405 -0016, contract 0.5 -015) Phone: 509- 327 -8697 Pfaject dumber Execution Date Completion Date STPUL -3 842(002) 6/ 1 (2007 Project Title New Maximum Amount Payable Appleway Ave nuc Reconstruction 277,956.28 Descfiption of Work Design work necessary to desigm a concrete intersection at 13arker /AppIoway, Survey Tech swage rate c01Tection; title report cost adjustment and additional work for mvfew of the R W retrauemBrtt survey as required for the Apploway Avenue Reconstruction Project. The Local Agency of City of Spot -ane Valley. WA desires to supplement the agreement entered into with David Evans and Associates, Tile- and executed on 1 118J2005 and identified as Agreement No. 05 -0016, contract 05 -015 All provisions in the basic agreement remain in effect except as expressly modified by this supplement. The changes to the agreement are described ns follows; Section 1, SCOPE OF WORK, is hereby changed to read. 11 Section IV, TIME Fold 8E C31 NNING AND COMFLET10N, is amerlded to change [he number of calendar days for completion of the work to read: pQr SuVplement 92, the r plefinn date is Jnne 1.2(107. III Section V, PAYMENT, shell W amended as follows: ThE! rota I a ithndzed aiT oust for Su p m?nt I iw S77iw 577,040.90 ac described n the Frfimrated Fed aC ;bl d hriS In and acu)rdin- to Fxhihim A R -I R -7 F. -? F as set forth in the attached Exhibit< and by this reference made a park of this supplement. —', 6 - If you concur with this supplement and agree to the changes as stated above, please sign in the appropriate spaces below and return to this office for final action. By'. See Sup IernentaI Signatur page Gonsultani signalure COT Form 140 -063 EF Revised 912005 By, See 9upp leiiienl-al Signature Page Approving Authority Signature Dale 07-11 Supplemental Signature Ca nsuftantlAddressrFele phon e David Evans and Associates, Inc, Page for 908 N. Howard, Suite 300 Standard Consultant Spokane, WA 99201 Agreement Agreement Dumber Projeci Title And Work Description LA5911(C~ity -4 05 -001 G, Contract 05_015) App]cvxa} Avenue Recou sfruaion Project. Five -lane principal arterial for 1.23 miles, Federal Aid Number S`FPUL- 3842(042) Agreement for Supplement 43- Local Agency City of Spokane Valley THIS AGREEMENT, made and entered into this day of , between the Locnl Agency of City of Spokane Valley Washington, hereinafter called the 'AGENCY' , and the above organization hereinafter caIIed the 'C0NSULTANT ", In witness whereof, the parties hereto have exec Lited this AGREEMENIT as of the day and year first above written_ GQNSULTA BY Consultant David Fvans and Associates, Inc. By Consultant DDT FgQm t4M85J T�F Appendix 31.910 Revised 6105 LOCAL ADEN Y By F � C— Agency City of Spokane Vavq, By ,age y 1 SD OT Local Programs By Agency By Agency Exhibit A Projott Nama Appleway Ave nuo RuconMLructlon A, reem e11t No. amity Pruj. R5 -0010, 001 tract 05 -M5 IDEi DaRO 111512605 r, r. 1 SlanU„fo Czr� mint Agreement 0 i nl vdork Dc i n, MlOing Lebo 8 O $1.i0 179.60 $14,573,98 Reimbursabl4s S3.000.00 t Ard n s $0.04 h4RF $15 006.60 C l 't . olel $173,952,38 Cumulslive TntalTntal $173,552 -38 111812006 Su Iomvnt V1 RRI1 Ac ukAOri .SCfvloes $6a'261-00 $6,304.00 $14,308.60 $6.60 $6,00 37G,96 .60 ,'�15 38 V2412007 $upplemen; W2 $leking for Uglides 57,+)Z .130 $839.00 550 -00 $0 -96 30,699,110] $0 -06 X256,915,38 212012907 Su re. IY -t3 ConcMe fntx. dealgn,'rragv vale oentcli0n, tillo rcpOrtCOM adjuslmonL RhId fetmeemen9 (e5earrh 523 503.90 52L612-90 5844 -50 56,00 $0 -00 52r,U46,90 5277.956.24 -1 Cumulati.reTaL'al I 3 X31,943 -90 24,449 -00 515,11) ,50 s 5 6,309 -00 5 277, 56.20 i S06IQne ,;,oOValley 11707 E Sprague Ave Suite 106 ♦Spokane Valley WA 99206 509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhatt @spokanevalley.org February 20, 2007 Exhibit B -1 Scope Summary of Supplement #3 (DEA) Item 91 Concrete Intersection Design (See Exhibit B -2) Item #2 Survey Tee Wage Rate Correction The wage rate in the original contract for a Survey Tech should have been $17.50/11r, not $14.50/hr as shown. The resulting supplement is $3/hr for 40hrs plus overhead and profit. Item #3 Title Report Cost Adjustment The cost in the original contract for Title Reports was $200 /each for five reports. The actual cost was $368.90 /each. The resulting supplement is $168.90 /each for five reports. Item #4 RAW Retracement Survey Work Additional Professional Surveyor time was required to review multiple submittals from Adams & Clark. The resulting supplement is 18 hrs at $35 /hr plus overhead and profit. 8-2 Appleway Avenue Scope of Services - Roadway Design Supplemental #3 (Concrete Intersection) The City of Spokane Valley has requested that the intersection of Apples +gay Avenue and Barker Road be constructed of cement concrete paving, instead of asphalt concrete paving as outlined in the original design contract for this project. This supplemental scope of services covers those activities necessary to develop cement concrete paving plans and incorporate them into the Contract Documents. 1. CEMENT CONCRETE INTERSECTION DESIGN 1.1 Horizontal Layout and Joint Plan DEA will establish the horizontal limits of the cement concrete paving, and will lay out the joints in accordance with WSDOT and PCA guidelines. 1.2 Vertical Layout Elevations for the concrete paving will be designed and shown at the point of intersection of the joints, to facilitate construction in the field. 1.3 Construction Details DEA will prepare construction details for inclusion on the Drawings. These details will address such items as general jointing, dowel bar placement, jointing at fixtures, and cement concrete terminations. 1"he slab thickness shown in the details shall be as provided to DEA. by the City. 2. CEMENT CONCRETE PAVING SPECIFICATIONS 2.1 Preparation of Special Provisions DEA will prepare Special Provisions, as required, for the construction of the cement concrete intersection. This activity may include conducting background research with PCA and local contractors regarding current construction methods or issues relating to concrete construction. Appleway Avenue Scope of Work K/dwbo/Appleway Scope - Concrete Intersection Supplemental.doc Page I o(1 DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled "Exhibit E -1 / Supplement #3 Summary" contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data. A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. 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. DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled "Exhibit E -2 / Estimated Fees" contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data. A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. 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. DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled "Exhibit F / Breakdown of Overhead Cost" contains confidential cost and rate data and is withheld from public disclosure pursuant to 23 USC 112(2)(F). Prenotification; confidentiality of data. A recipient of funds requesting or using the cost and rate data shall notify any affected firm before such request or use. Such data shall be confidential and shall not be accessible or provided, in whole or in part, to another firm or to any government agency which is not part of the group of agencies sharing cost data under this paragraph, except by written permission of the audited firm. If prohibited by law, such cost and rate data shall not be disclosed under any circumstances. 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. ADORD -TI" CERTIFY "_ 7NTE OF LIABILITY IM.",.- _ TRANCE oaie(51 ro °°'YR' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Oregon ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1211 SW 5', #600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Portland, OR 97204 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 630226D1078 1211/06 COMPANIES AFFORDING COVERAGE Phone No: 503 -306 -2856 Betty Weatherman Fax No. 503 - 295 -0923 1,000,000 INSURED David Evans and Associates Inc INSURER A: Travelers Property Casualty Ins CO INSURER B: 320 SW Upper Terrace Drive #200. INSURER C: Bend, OR 97702 INSURER D: GENERAL AGGREGATE INSURER E: a.vvC 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. CO LTR TYPE OF CISURA::CE r'CL;CY .iU?ABcn POLICY EFFECTIVE I QAX—E (?AWDDj POLICY EXPIRATION DATE (MbVDD/YYj LIMITS A GENERAL LIABILITY X COJ%MZRCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR X Stop Gap Liability 630226D1078 1211/06 12/1/07 EACH OCCURRENCE 1,000,000 FIRE DAMAGE (Arty one tire) 300,000 MED EXP (Any one pemn) 10,000 PERSONAL BADV MJURY 1,000,000 GENERAL AGGREGATE LIMIT APPLIESPEit POLICY X PROJECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMWOP AGG 2,000,000 A AUTOIAOSILELIABsurY X ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS Ix NON-MINED AUTOS 810226D1078 12/1/06 12/1/07 _ COMBINED SINGLE LIMIT (EaAaeidaro) 1,000,000 BODILY.MfJURY (Per pawn) BOOILYANJURY (Per oocidwl) PROPERTY DAMAGE (Per aoddent) GARAGE LIABILITY ANY AUTO AUTO ONLY • EA ACCIDENT OTHER THAN EA ACCIDENT AUTO ONLY. AGGREGATE EXCESS LIABILITY OCCURRENCE F] CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS "LIABILITY —� c srnr'u• TORYLII /JTS QT}{ ER EL EACH ACCIDENT EL DISEASE - EA WPLOYEE EL DISEASE - POLICY LIMIT OTHER INLAND MARINE LIMIT DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCAnONS/ VEHICLE SIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL ITEMS Survey Review Services Certificate Holder is an Additional Insured Coverage is primary & non-contributory. �.cn r rrit,H i c nvOUCrt _M"'R_ ,.., u.uvr.ay. n•ovr�cr. 6 CANGELLA I IUN LE'iTER• NAME 8 ADDRESS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL City of Spokane Valley _U__DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Attn: Christine Bainbridge, City Clerk 11707 E Sprague Avenue #106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE Betty L Weatherman `h'" d*jA .kLkMa.A" r,�.vnv 4 4-0 trro(I CDACORD CORPORATION 1988 a Po1 i cy #630226.DI078 COMMERCIAL GENERAL LIABILfIY ' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the followi ing: COiv1MERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY— CONTRACTORS COVERAGE PART 01 2. WHO IS.AN INSURED — (Section II) Is amended to. Indude any person or organization you.ara ro- quired to include as an additional insured on this policy by a written contract or written agreement In affect during this policy period'and signed and .axJecutgd by you prior to the lose for which cover- .pop- Is; sought The person or organization does -hot qualify as on•additional insured titith iespect to the Independent acts or omissions of such person .or orgpnizzitlon. The person or organization Is only an additional Insured with respect to liability caused by "your },voile for that additional insured. The tnsutanca provided to the additional. insured Is limited as follov.,s: a) ,In -69' event that the I*Ita of Ilability stated in• the policy exceed the limits of liability required by a written contract or vaitten agreement in sited during this policy period and signed and executed by you prior to the loss for which coverage Is sought, the insurance provided by this endorsement ahaU' be limited to the limits of liability required by such contract or agreement. This endorsement shell not in- crease the limb stated In Section IU — LIMITS OF INSURANCE. b) The insurance provided 'to the additional In- sured does not apply to "bodily Injury', "prop- erty damage', "personal Injury" or "advertising Injury" edaing out of an architect's, englnesr e or surveyor's rendering of or failure to render any profeselonal-aerviosa Including; I. The ' preparing, approving or failing ' to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or- drawings and speolfb ontiona; and )1. Supervisory or Inspection aotivliles per- formed as part of an related archlteoturel .,or engineering WAIles, c) This Insurance does not anpy to " bodly 10- Jury" or ".property damage" caused by -your, work" Included in the "products - completed operations hazard" unless you are required to provide such coverage for the sddiOonai in- sured by a written contract .or. % witten agre - ment in effecC during this policy period and 'signed and executed by you prior to .6a loss for which- coverage Is sought and then only for tho period of qmo required by such con- -tract or agreement and In na•event beyond the expiration data of the pollcy. •3. Subpart (1)(ra) of the Pollution excMslenc,.uraCWF1%" Ppragraph 2., Excluerons -of Bodily Injury, and . Frgperry Damage Uobllity Coverage (SecUon.t — Coverages) does not apply to you if the•"bodity Injury" or 'Property. damage" arises out of 'your work" performed on premises which are owned-.or rented by the additional Inaured 'at the time `your wort' is performed. 4.. Any coverage provided by this endorsement to an additional insured shall be mWess-over any other valid and collectible insurance. available to that, additional Inaured whether primary, excess, con - tingent or on any other basis u7�eaa a written contract or written agreement In effect during this policy period and signed and executed by you prior to the loss for whloh'coNerage is sought specifically requires that this Insurance apply on A primary. or non- conhibutgry basis. When' this in- surance Is primary and there Is other•Insurence available to the additional Insured from any source, we will share with that other Insurance by the method described In the polloy. 6. As a condition of coverage, each additional Insured must: A.) Give us prompt written notice of any "oocur• rence" or offense whloh may result In a claim. and prompt written notice of "cult", GO b2 46 '10 02 Copyright, The Travelers Indemnity Company, ?002 Page 1 of 2 Page 2 012 Copyflght, The'Travelere Indemnity Company, 2002 00 02 4010 02 COMMERCIAL: GENERAL LIABiII'1Y b.) Immedletely forward eII legal papers to us, requirement, the term Ipsures againar refers cooperate in the Investlgadon or settlement of to any self-insurance and'to any Insurer which• the claim or defense against the "suit;" and. 'Issued a policy of Insurance that may provide otherwise comply with poRdy conditions. coverage for tha loss, regardless of whether a.) the defense and Indemnity of any the additional Insured has actually requested ,Tender claim or "suIr to any other insurer %- ,,hlch also that the Insurer provide the addlfionai Insured Insures against a loss we cover under (his Wth a defense and/or Indemnity under that policy of Insurence. emorsement- Thls Includes, but Is not Ilmited to, ,any Insurer which has Issued a policy of d.) Agree to make available any other lnst rance insurance In which the additional Insured that the additional Insured has for a loss we quolifl0s as an Insured. For purposes of this cover under this endorsement. Page 2 012 Copyflght, The'Travelere Indemnity Company, 2002 00 02 4010 02 1 Policy 96'30226D1078 Jj COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CH � ANGES THE POLICY. PLEASE READ IT ' CAREFULLY. OTHER. INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PAPT PROVISIONS COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), Paragraph 4. (Other Insurance), is amended as follows: �. The following is added to Paragraph a. Primary Insurance: However, if you specifically agree in a written con- tract or written agreement that the insurance pro- vided t,Q an additional insured under this Coverage Part must apply on a primary basis, or a primary and non - contributory basis, this insur- ance is primary to other Insurance that is avail- able to such additional insured which covers such additional Insured as a named insured, and we will not share with that other insurance, provided that: a. The "bodily injury"•or. "property damage" for which coverage is sought occurs; and b. The "personal injury" or "advertising injury" for which coverage Is sought arises out of an of- fense committed subsequent to the signing and execution of that contract or agreement by you. 2- The first Subparagraph (2) of Paragraph b, Ex- cess Insurance regarding any other primary in surance available to you is deleted. 3. The following is added to Paragraph b, Excess Insurance, as an additional subparagraph under Subparagraph (1): That is available to the insured when the •insured is added as an additional insured under any other Policy, including any umbrella or excess policy. }18368 CG DO 37 04 Oh Copyright 2005 The St, Paul Travelers Companies, Inc. All riehis resnmari . ACORD Date(�� DNR) , �/ PRODUCER Aon Risk Services, Inc. of Oregon 1211 SW 51, #600 Portland, OR 97204 Phone No: 503 - 306 -2856 Betty Weatherman Fax No. 503 - 295 -0923 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE INSURED David Evans and Associates Inc 320 SW Upper Terrace Drive #200 Bend, OR 97702 INSURER A: Travelers Property & Casualty Ins Co INSURER B: INSURER C: INSURER D: INSURER E: Mel ►J a:7i[el a.`i 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. CO IV TYPE OF INSUR.*4CE - POLICY OUMSER POLICY F-FFECTYVE DATE MMo`DDr I POLICY EXPIRA770N DATE (MMfDDfYY1 LIMITS GENERAL LIABILITY COM.uERC1A1 GENERAL LIABILITY CLAIMS MADE R OCCUR GENERAL AGGREGATE LIMIT APPLIES PER: POLICY n PROJECT LOC Spokane, WA 99206 AUTHORIZED REPRESENTATIVE Betty L Weatherman EACH OCCURRENCE FIRE DAMAGE (Any one rue) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG AUTOMOBILE LIABILITY ANY AUTO ALL O6". ED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea Accidort) BODILY INJURY (Per person) BODILY INJURY (Per occident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACCIDENT AUTO ONLY; AGGREGATE EXCESS LIABILITY OCCURRENCE ❑ CLAWS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE AGGREGATE A WORKERS COMP;NSATION AND FJ�WLOYERS' LIABJU Y 2260074006 5/1/07 5/1/08 X I WC STATU- TORY LIMBS 0714 ER EL EACH ACCIDENT 500,000 EL DISEASE - EA EMPLOYEE 500,000 EL DISEASE - POLICY LWIT 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSI VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL REMS Survey Review Services %,r-mIl n t%It rIULUtK 1 1 ry " M A GANGtLLAIIUN 1 FTTFR• NAI.(E 8 ADDRESS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL City of Spokane Valley -.LO-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Attn: Christine Bainbridge, City Clerk 11707 E Sprague Avenue #106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE Betty L Weatherman ML'UKU LJ-zl (II'JI) ©ACORD CORPORATION 1988 ACORD TM CERTIF'"ATE OF LIABILITY INS '-- 1RANCE Date (5/4/07 D/YR) 'PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Oregon ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1211 SW 50', #600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Portland, OR 97204 -3799 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone No: 503 =306 -2856 Beaty Weathcman Fax No. 503 - 295 -0923 David Evans and Associates Inc 320 SW Upper Terrace Drive #200 Bend, OR 97702 v W v CrNe%u r-0 COMPANIES AFFORDING COVERAGE A: Lexington Insurance Com B: C: E: 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. CO LTR TYPE OF INSURANCE P POLICY NUMBER POUC Y EFFECTIVE DATE fV -WDDfM POLICY EXPIRATION DATE MMVD0 LMRS GENERAL LUIBILITY COMMERCIAL GENERAL LIABILITY CLADAS MADE r-1 OCCUR Spokane, WA 99206 AUTHORIZED REPRESENTATIVE Betty L Weatherman EACH OCCURRENCE dy k&2 A&Ma.w FIRE DAMAGE (Any one Ilre) MED EXP (Any one person) PERSONAL d ADV INJURY GENERAL AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC GENERAL AGGREGATE PRODUCTS - COPANOP AGG AUTO?DOBILE LIABILITY ANY AUTO ALL 01YNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON•O'NNED AUTOS COMBINED SINGLE LIMIT (Es Acciderd) BODILY INJURY (Per person) BODILY INJURY (Per ac0dam) PROPERTY DAMAGE (Per acddenq GARAGE LIABILITY ANY AUTO AUTO ONLY . EA ACCIDENT OTHERTHAN EAACCIDENT AUTO ONLY: AGGREGATE EXCESS LIABILITY OCCURRENCE ❑ CLAIMS MADE DEOUCTI8LE RETENTION S AGGREGATE \YORKERS COV.PENSATIOdt AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITS OTH- ER EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT A OTHER 1156505 12/1/06 12/1107 Per Claim $1,000,000 Ev— &Qrmrrtim Aggregate $1,000,000 NS DESCRIPTION OF OPERATIOILOCATIONS/ VEHICLE&EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL ITEMS Survey Review Services !•G'�TI�Il�hTC L. nu At , Olio _s..... ......�..vrvr.. — _..__. _.�_..__..___._.__.. —.. h %1M17VG1- 1,/%11llIY NAME & ADDRESS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL City of Spokane Valley —11_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Attn: Christine Bainbridge, City Clerk 11707 E Sprague Avenue #106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE Betty L Weatherman dy k&2 A&Ma.w ,.. ,, ©ACORD CORPORATION 1988