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11-061.00 CLC Associates: Indiana Ave Extension c 1 i C 0 PV ii AMENDMENT No.7 TO AGREEMENT FOR_PROFESSIONAL SERVICES, Construction Surveying Services CLC Associates,Inc COSV Contract#09-048 Indiana Avenue Extension Project,CIP 0112 THIS AMENDMENT No.7 is made to the Agreement for Professional Services dated October 20,2009 by and between the City of Spokane Valley,a code City of the State of Washington, hereinafter"City" and CLC Associates,Inc., hereinafter"Consultant" and jointly referred to as"parties." Pursuant to Section 1.0 Modifications of the Agreement for Professional Services, the parties hereby agree to amend the Agreement for Construction Survey Services on a Time and Materials Basis. These services will be tracked and billed on time and materials basis,and are subject to all of the conditions set forth in the original Agreement. The City agrees to pay Consultant up to $3,000 for the additional services provided for in this Amendment to the Agreement. Exhibits to this Amendment are as follows: 1. Professional Services Agreement dated October 20,2009, 2. CLC 2011 Hourly fee Schedule Original Contract Amount $24,024.00 Prior amendments $15,223.00 Current Amendment Amount $ 3.000.00 Amended Contract Amount $42,247.00 The remainder of the Agreement will remain unchanged by this Amendment. IN WITNESS WHEREOF,the parties have executed this Agreement this/ day oO ( `l ,2011. CITY OF SPOKANE VALLEY: Cons t: CL Associates,Inc. ' , ./ -C, -- -, ..-8:2----------- Ail 1 Mike :c so• ity Manager Tax Is 0. d ATTES APP e V III; TO FORM: Kristine Bainbridge,City Clerk Office of I- City Atto ey 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. I C.,01 ( - ()col DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled "Schedule of Fees and Charges" 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. T (� DATE(MM/DDIYYYY) A ° CERTIFICATE OF LIABILITY INSURANCE 1/31/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:ACTMable Griest Van Gilder Insurance Corp. PHONE FAX 1515 Wynkoop, Suite 200 (AICANo,Ext):303-837-8500 (A/C,No):303-831-5295 Denver CO 80202 ADDRESS: mgriest @vgic.com PRODUCER CUSTOMER ID#:CLC INSURER(S)AFFORDING COVERAGE NAIC# — INSURED INSURER A:Travelers Insurance 0 CLC Associates, Inc. INSURERB:National Union Fire Ins Co of 0 12730 E. Mirbeau Parkway, #210 Spokane WA 99216 INSURERC:Hudson Insurance Company INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1574189951 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY Y Y 68067601987 12/21/2010 12/21/2011 EACH OCCURRENCE $1,000,000 DAMAGE PREMISES TO RENTED X (Ea occurrence) $1,000,000 COMMERCIAL GENERAL LIABILITY PREM CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 —1 POLICY X IFCOT LOC $ A AUTOMOBILE LIABILITY Y Y BA6757L252 12/21/2010 12/21/2011 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILYINJURY(Perperson) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ B g UMBRELLA LIAB X OCCUR Y Y 520034248281 12/21/2010 12/21/2011 EACH OCCURRENCE —$8,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $8,000,000 DEDUCTIBLE -$ RETENTION $ $ WORKERS COMPENSATION Y WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C Professional Liability Y Y AEE7257100 12/21/2010 12/21/2011 Per Claim $2,000,000 Claims Made Annual Aggregate $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under See Attached. . . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 11707 E. Sprague Avenue Suite 106 AUTHORIZED REPRESENTATIVE ��,/� Spokane Valley WA 99206 �C' � -"/'4041& iL. I ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CLC LOC#: AE ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMED INSURED Van Gilder Insurance Corp. CLC Associates, Inc. 12730 E. Mirbeau Parkway, #210 POLICY NUMBER Spokane WA 99216 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Umbrella/Excess Liability. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Workers Compensation coverage does not apply to employees who are hired or reside in the States of North Dakota, Ohio, Washington, and Wyoming. Employers Liability Stop Gap coverage applies to the States of North Dakota, Ohio, Washington, and Wyoming. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD