07-102.00 Freedman, Tung & Bottomley: Library and City Center Master Plan•
AGREEMENT FOR PROFESSIONAL SERVICES
Sprague /Appleway Subarea Plan.
Library and City Center Master Plan
Freedman, Tung and Bottomley
THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the
State of Washington, hereinafter "City" and Freedman, Tung and Buttomley, 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. The Consultant will provide labor, services and material to
satisfactorily complete the attached Scope of Service.
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 Work, schedule and date of completion. Upon notice front
the City Manager or designee, Consultant shall commence work, perform the requested tasks in the Scope
of Work, stop work and promptly cure any failure in performance under this Agreement.
B. Representations. The City has relied upon the qualifications of the 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 Work. The Consultant represents that all work shall
be performed pursuant to adopted City Standards, policies or as otherwise set forth in this agreement.
Consultant shall perform its services in accordance with the professional standard of care applicable to
consultants providing services similar to those provided under this Agreement. No substitutions of agreed
upon personnel shall be made without the written consent of the City.
Consistent with the professional standard of care, 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 deficiencies are directly attributable to deficiencies in City
furnished information.
C. Modifications. The City may modifj, this agreement and order changes in the
work whenever necessary or advisable. The Consultant will accept modifications when ordered in
writing by the City Manager or designee. Compensation for such modifications or changes shall be as
mutually agreed between the parties. The Consultant shall make such revisions in the work as are
necessary to correct errors or omissions appearing therein when required to do so by the 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.
Either party may terminate this agreement by ten days' written notice to the other Party.
In the event of such termination, the City shall pay the Consultant for all work previously authorized and
satisfactorily performed prior to the termination date.
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C07 -102
• •
3. Compensation. The City agrees to pay the Consultant $40,000 as full compensation for
everything done under this agreement.
4. Pavment. The Consultant shall be paid monthly upon presentation of an invoice to the
City. Applications for payment shall be sent to the City Clerk at the below stated address.
The City reserves the right to withhold payment under this agreement which is
determined in the reasonable judgment of the City Manager or designee to be noncompliant with the
Scope of Work, City Standards, City ordinances and federal or state standards.
Notice. Notice shall be given in writing as follows:
TO THE CITY: TO THE CONSULTANT:
Christine Bainbridge, City Clerk
(509) 921 -1000
11707 East Sprague Ave., Suite 106
Spokane Valley, WA 99206
Michael Freedman, principal
(415) 921 -9455
101 New Montgomery St., 6th Floor
San Francisco, CA 94105
6. Applicable Laws and Standards. The parties, in the performance of this agreement,
agree to comply with the applicable Federal, State, local laws, ordinances, and regulations. .
7. Relationship of the Parties. It is understood, agreed and declared that the Consultant
shall be an independent Consultant and not the agent or employee of the City, that the 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 the Consultant. Any and all employees
who provide services to the City under this agreement shall be deemed employees solely of the
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.
8. Ownership of Documents. All drawings, plans, specifications, and other related
documents prepared by the Consultant under this Agreement shall become the property of the city upon
payment of all fees and expenses owed under this Agreement, and may be subject to disclosure pursuant
to RCW 42.56 or other applicable public record laws.
9. 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 the Consultant's records with respect to all
mattes covered in this contract. Such representatives shall be pennitted to audit, examine and make
excerpts or transcripts from such records and to make audits of all contracts, invoices, materials, payrolls
and record of matters covered by this contract for a period of three years from the date final payment is
made hereunder.
10. Insurance. The Consultant shall procure and maintain for the duration of the agreement,
insurance against claims for injuries to persons or damage property which may arise from or in
connection with the performance of the work hereunder by the Consultant, its agents, representatives or
employees.
No Limitation. Consultant's maintenance of insurance as required by the agreement
shall not be construed to limit the liability of the Consultant to the coverage provided by such insurance,
or otherwise limit the City's recourse to any remedy- available at law or in equity.
1 107410000/647402.2
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•
•
A. Minimum Scope of Insurance. Consultant shall obtain insurance of the types
described below:
1. Automobile Liability insurance covering all owned, non - owned, hired
and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a
substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to
provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent
contractors and personal injury and advertising injury. The City shall be named as an insured under the
Consultant's Commercial General Liability insurance policy with respect to the work performed for the
City.
3. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
4. Professional Liability insurance appropriate to the Consultant's
profession.
B. Minimum Amounts of Insurance. Consultant shall maintain the following
insurance limits:
I . Automobile Liability insurance with a minimum combined single limit
for bodily injury and property damage of $1,000,000 per accident.
2. Commercial General Liability insurance shall be written with limits no
less than $1,000,000 each occurrence, $2,000,000 general aggregate.
3. Professional Liability insurance shall be written with limits no less than
$1,000,000 per claim and $1,000,000 policy aggregate limit.
C. Other Insurance Provisions. The insurance policies are to contain, or be endorsed
to contain, the following provisions for Automobile Liability, Professional Liability and Commercial
General Liability insurance:
1. The Consultant's insurance coverage shall be primary insurance as
respect the City. Any insurance, self - insurance, or insurance pool coverage maintained by the City shall
be excess of the Consultant's insurance and shall not contribute with, it.
2. Cancellation of Consultant's insurance shall be governed by either:
a. the policy shall be endorsed to state that coverage shall not be
cancelled by either party, except after thirty days prior written notice by certified mail, return receipt
requested, has been given to the City, or
b. The Consultant shall provide at least 30 days prior written notice
by certified mail, return receipt requested of a cancellation.
O. Acceptabilily of Insurers. Insurance is to be placed with insurers with a current
A.M. Best rating of not less than ANYL
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0 0
E. Evidence of Cevcrapc. As evidence of the insurance coverages required by this
contract, the Consultant shall furnish acceptable insurance certificates to the City at the time the
Consultant returns the signed contract. The certificate shall specify all of the parties who are additional
insureds, and will include applicable policy endorsements, and the deduction or retention level. insuring
companies or entities are subject to City acceptance. If requested, complete copies of insurance policies
shall be provided to the City. The Consultant shall be financially responsible for all pertinent deductibles,
self- insured retentions, and/or self - insurance.
I l . Indemnification and Hold Harmless. The Consultant shall defend, indemnify and hold
the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries,
damages, losses or suits including attorneys' fees to the extent arising out of or in connection with the
negligent performance or non - performance of this agreement, except for injuries and damages caused by
the sole negligence of the City.
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 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 purposes of this indemnification. This waiver has been mutually
negotiated by the parties. The provisions of this section shall survive the expiration or termination of the
agreement.
12. 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, except by
a writing signed by the party. No waiver in one instance shall be held to be 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 by
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.
13. Assienment and Delegation. Neither party shall assign, transfer or delegate any or all of
the responsibilities of this agreement or the benefits received hereunder without first obtaining the written
consent of the other party.
14. Subcontracts. Except as otherwise provided herein, the Consultant shall not enter into
subcontracts for any of the work contemplated under this Agreement without obtaining prior written
approval of the City, which approval shall not be unreasonably withheld.
15. Confidentiality. Consultant may, from time to time, receive information which is
deemed by the City to be confidential. Consultant shall not disclose such information without the express
written consent of the City or upon order of a Court of competent jurisdiction.
16. Jurisdiction and Venue. This Agreement is entered into in Spokane County,
Washington. Venue shall be in Spokane County, State of Washington.
17. Costs and Attorneys' Fees. In the event a lawsuit is brought with respect to this
agreement, the prevailing party shall be awarded its costs and attorney's fees in the amount to be
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determined by the Court as reasonable. Unless provided otherwise by statute, neither parties attorney fees
payable by the other party shall exceed the total sum paid under this agreement.
18. 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.
19. Anti - kickback. No officer or employee of the 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.
20. Business Reeistration. Prior to commencement of work under this agreement,
Consultant shall register with the City as a business.
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:
1. Scope of Services.
2. Insurance Certificates
IN WITNESS WHEREOF, the parties, have executed this agreement this _-2�) day of
2007.
gCITOF SPOKANE VALLEY:
avid ly cier, City Manager
ATTEST:
Kristine Bainbridge, elty Clerk
APPROVED AS TO FORM:
Office oflhe City Attorney
This document contains confidential tax information and
has been redacted 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.
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PRINCIPALS Miclmel Freedman Gregory Tung Ellen Greenberg Hiroyuki Sasaki
Memorandum
Date: September 10, 2007
To: Mr. Scott Kuhta, Senior Planner
City of Spokane Valley
Cc: Mr. Michael Freedman, Principal
Mr. Erik Calloway, Associate
From: Hiro Sasaki, Principal
Via: Email attachment
Re: Library and City Center Master Plan - Scope of Services (v.t)
Dear Scott:
Attached please find our Scope of Services and corresponding staffing & budget detail covering
the provision of professional services in association with the preparation of the Library and
Center Master Plan. I would like to bring your attention to the following:
• Regarding the meeting dates that you offered, October 2nd and 31, unfortunately I am not
available for either of them. I am available for any day of the week of October-81"for the
meeting.
• Because of the tight schedule for the preparation for the meeting, in order to make it
happen, we need to receive all requested information for site planning (see Scope of
Services, Task 1) from City Staff and Library District Staff by September 18t°
If you have any questions regarding these materials, or require any further modifications or
information, please do not hesitate to call.
Best regards,
Hiro Sasaki, AICP
Principal
Attachments:
1) Scope of Services, v 1 b
2) Staffing & Budget Spreadsheet, v 1 b
101 New Monigornery Street, 6th Floor, San Francisco, CA 94105 T 415.291.9455 F 415.291.9633 vA-AvAburbandesign.com
City of Spokane Valley
Library and City Center Master Plan
Scope of Services
Version 1: September 10, 2007
•
Overview. Assist City Staff, in coordination with the Spokane County Library District, to
determine the location for a new library facility within the plan for a City Center development on
the southwestern quadrant of the site designated in the draft Sprague/Appleway Subarea Plan as
"City Center — Core." To enable the Library District to move forward with planning and
financing for the fmicality, final deliverables will illustrate the location and conceptual layout of a
new library facility both within a future City Center Core area, as well as on the same site without
a City Center development.
.Description of Services. The following specific tasks will be carried out by Freedman
Tung & Bottomley (FTB) under the terms of this agreement:
Task 1. Collect information necessary for site planning.
A. Compile question list and transmit to City Staff, Library Staff, and consultants
1) Question list re: facility requirements for Library
2) Questions list re: facility requirements for City Hall
3) Question list re: property availability for redevelopment at U -City
4) Question list re: Sprague Avenue reconfiguration
B. Teleconference and e-mail follow -up with City, Library & consultants
Task 2. Prepare Preliminary City Center & Library Master Plan Illustrations)
A. Prepare site development master plan concept(s) of City Center with library
B. Prepare site development master plan of library without City Center
C. Prepare site development programs (buildings & parking)
Task 3. Master Plan Review Session with City, Library & Consultants
A. Coordinate meeting logistics with City and prepare for session
B. Attend Review Session - travel to /from SV, setup and attend Session.
Task 4. Revise City Center & Library Master Plan Illustrations
A. Revise site development master plan of City Center with library and prepare site plan
B. Revise site development master plan of library without City Center and prepare site
plan
C. Revise site development programs (buildings & parking)
Task 5. Final details review (via tele- conference) wl City, Library & Consultants
0- 0
A. Transmit revised master plans and programs to City, Library & consultants
B. Attend phone conference w /City, Library & consultants; receive direction re: final
refinements
Task 6. Finalize City Center & Library Master Plan Illustrations
A. Finalize site development master plan of City Center with library
B. Finalize site development master plan of library without City Center
C. Finalize site development programs (buildings & parking)
D. Transmit final plans and data to City (electronic files in PDF format)
Task 7. Update City Center Illustrations as part of Subarea Plan Public Review
Draft Preparation
`Cask S. Project Management (allowance)
DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE
The page entitled "Staffing and Budget Spreadsheet (v.1b)" 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.
ACOR .. CERTIFICATE OF LIABILITY INSURANCE
1128/07
11/12s/o7
PRODUCER LIC #0867768 1 -925- 416 -7852
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IDA Insurance Services
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
POLICY NUA168R
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3875 8opyard Road, Ste. 240
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Pleacanton, CA 94588
Reno Caldwell
INSURED
Freedman Tung 8 Bottomley
INSURER A: Travel ere indemnity Company of Connecticut
INSURER3:ACS American Insurance Co=vany
INSURER C"
101 New Montgomery St, 6th Floor
INSURERD:
San Francisco, CA 94105
I
I INSURER E:
CAVFQAnPQ
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 OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUA168R
POLICY EFFECTIVE
POLICY EXPIRATION
L411R8
A
GENERALLIABII.ITY
680- 3083L769
08/08/07
08/08/08
EACH OCCURRENCE
151,000,000
X COVMERCIALG&MERALLIABILITY
FIRE DAMAGE JAny era fire)
Is 300,000
CLM S MADE I -- I OCC1 R
MED EXP IMy ens person)
Is 5,000
PERSONAL & ADV INJURY
I S1, 000, 000
GENERAL AGGREGATE
S 2,00 ' 000
G&M AGGREGATE LIMIT APPLIES PER
PRODUCTS - COM.PJOP AGG
$ 2, 000 , 000
POLICY X PRP I -I LOC
A
AUTOMOBILELmiuTY
ANY AUTO
680- 3083L769
08/08/07
08/08/08
COMPANEO SINGLE LIWT
(EB acddeK)
$1,000,000
BODILY INJURY
Per Per —)
5
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
{Perecddmrt)
$
X HIRED AUTOS ,
X NON -MINED AUTOS
PROPERTY DAMAGE
{Per acciderd)
S
LIABILITY
AUTO ON-1Y - EA ACCE)ENT
S
OT.iER THAN EA ACC
S
7.O2
NY AUTO
S
AUTO ONLY: AGO
EXCESS LIABILITY
EACH OCCURRENCE
S
OCCUR FI CLAIMS MADE
AGG�-GATE
5
5
S
DEDUCTIBLE
5
RETENTION S
A
WORKERS COMPENSATION AND
OB7127Y04A
09/01/07
09/01/08
X V,1ITATU- OTH
r ER
E.L. EACH ACCIDENT
; 1.000, 000
@MPLOYERS' LIABILITY
E.L. DISEASE-EA FJAPLOYEO
S 1, 000, 000
E.L.DIS ASE.POLMYLIMIT 16
1,000,000
8
OTHER
Professional Liability
N01865407
01/27/07
01/27/08
Per Claim si,000,000
Annual Aggregate 51,000,000
s
DESCRIPTION OF OPERATION SILOCATIOKSIVEHICLESIEXCLUS IONS ADDED BY ENDORSEhIENVSPECIAL PROVISIONS
All operations of the Named Insured including project referenced below, if any.
General Liability: See Additional Insured Endorsement attached.
Workers Compensation: See Waiver of Subrogation attached.
L:tKI1rIL:A1tMULUtK I I ADDMONALWSURED -, INSURER LETT'ER: L.A14"LLAIIUM'lu LAZ.S Avaic.n rVA ur rzu,i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Spokane Valley DATE THEREOF, THE CSSUL40 INSURER VALL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Chriatino Bainbridge IMPOSE NO 08LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
11707 E Sprague Ave
Suite 106 REPRESENTATIVES.
Spokane Valley, WA 99206 AUTHOPMEDREPRESENTATIVE
USA
ACORD 25S (7197) freedmantung Q ACORD CORPORATION 1988
7597044
I
:7
POLICY NUMBER: 6e0- 30e3L759
NAMED INSURED:
Preodman Tung & Hottonley
•
COMMERCIAL GENERAL LIABILITY
DATE ISSUED: 11/28/07
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
1. WHO IS AN INSURED (Section II) is
b. This insurance does not apply to the
amended to include any person or
rendering of or failure to render any
organization that you agree in a "contract
"professional services'.
or agreement requiring insurance" to
include as an additional insured on this
c. The limits of insurance afforded to the
Coverage Part , but:
additional insured shall be the limits
which you agreed to provide in that
a. Only with respect to liability for "bodily
°contract or agreement requiring
injury", "property damage" or "personal
insurance', or the limits shown in the
injury"; and
Declarations for this Coverage Part,
whichever are less. This endorsement
b. If the injury or damage arises out of
does not increase the limits of
the performance, by you or your
insurance stated in the LIMITS OF
subcontractor, of "your work" to which
INSURANCE (Section III) for this
the "contract or agreement requiring
Coverage Part.
insurance" applies. Such person or
organization does not qualify as an
3. The following is added to Paragraph a. of
additional insured with respect to their
4. Other Insurance in COMMERCIAL
independent acts or for "bodily injury',
GENERAL LIABILITY CONDITIONS
.property damage° or 'personal injury"
(Section IV):
for which that person or organization
has assumed liability in a contract or
However, if you specifically agree in a
agreement.
"contract or agreement requiring
insurance" that the insurance provided
2. The insurance provided to the additional
to an additional insured under this
insured by this endorsement is limited as
Coverage Part must apply on a
follows:
primary basis, or a primary and non-
contributory basis, this insurance is
a. This insurance does not apply on any
primary to other insurance that is
basis to any person or organization for
available to such additional insured
which coverage as an additional
which covers such additional insured
insured specifically is added by another
as a named insured, and we will not
endorsement to this Coverage Part.
share with the other insurance,
provided that:
CG D3 8109 06 Includes copyrighted material of Insurance services Office, Inc., with its permission. Page 1 of 2
Copyright, Insurance Senhces Office, Inc., 2001
•
(1) The "bodily injury" or "property
damage" for which coverage is
sought occurs; and
(2) The "personal injury" for which
coverage is sought arises out of
an offense committed;
after you have entered into that
"contract or agreement requiring
insurance ". But this insurance still is
excess over valid and collectible other
insurance, whether primary, excess,
contingent or on any other basis, that
is available to the insured when the
insured is an additional insured under
any other insurance.
4. The following is added to Paragraph 8.
Transfer Of Rights Of Recovery Against
Others To Us in COMMERCIAL
GENERAL LIABILITY CONDITIONS
(Section IV):
We waive any rights of recovery we may
have against any person or organization
because of payments we make for "bodily
injury', "property damage" or "personal
injury' arising out of "your work"
performed by you, or on your behalf,
under a "contract or agreement requiring
insurance° with that person or
organization. We waive these rights only
where you have agreed to do so as part
of the "contract or agreement requiring
insurance" with such person or
organization entered into by you before,
and in effect when, the "bodily injury" or
"property damage" occurs, or the
"personal injury' offense is committed.
5. As respects the insurance provided to the
additional insured by this endorsement,
the following definition is added to
DEFINITIONS (Section V):
"contract or agreement requiring
insurance" means that part of any
•
contract or agreement under which you
are required to include a person or
organization as an additional insured on
this Coverage Part, provided that the
"bodily injury" and "property damage"
occurs, and the "personal injury" is
caused by an offense committed:
a. After you have entered into that
contract or agreement;
b. While that part of the contract or
agreement is in effect; and
C. Before the end of the policy
period.
All other terms of your policy remain the
same.
CG 03 81 09 06 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2
Copyright, Insurance SeMces Office, Inc., 1988
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEA7ENT- CALTFORNIA
This endorsement changes the policy to which it is attached effective on inception date of the policy unless
a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement, effective 12:01 ASR 09/01/07 forms a part of Policy No. OB7127YO4A
Issued to: Freedman Yung a Bottomley
By: Travelers Indemnity Company of Connecticut
Premium: INCL
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will
not enforce our right against the person or organization named in the Schedule. (This agreement applies
only to the extent that you perform work under a written contract that requires you to obtain this ageement
from us).
You must maintain payroll records accurately segregating the remuneration of your employees while
engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 5% of the California workers' compensation
premium otherwise due on such remuneration.
Person or Organization
City of Spokane Valley
Christine Bainbridge
11707 E Sprague Ave
suite 106
Spokane Valley, kA 99206
.Job Description
WC 04 03 06
(Ed. 4 -84)
Schedule
Countersigned by
Authorized Representative