08-031.00 Thomas, Dean & Hoskins: Sprague Bowdish PCC Intersection Survey Svcs• •
AGRE, EMEND` FOR PROFESSIONAL SERYI_C'ES
Thomas, Dean R Hoskins, Inc.
Surveying Services-
Sprague Avenue / Bowdish Road Portland Cement Concrete Intersection
Contract *08 -011
THIS AGRirBMI N'I' is made by and between the City of Spokane Valley, a code City of the State of
Washington, hereinafter " City" and Thomas, Dean & Hoskins, Inc., hereinafter "Consultant," jointly referred
to as "parties."
IN CONSIDERATION of the terms and conditions contained herein the parties agree as follows:
1. Rork to Be Performed. The Consultant will provide all labor, services and material to
satisfactorily c =plete the attached Scope of Services entitled Sprague Avenue f Bowdish Road Portland
Cement Concrete Intersection Scope of Service,5 -,Topographic Survey Proposal for Sprague/Bowdish
Concrete Intersection — Project W092, dated February 27, 2008.
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 from 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. No substitutions of agreed upon personnel shall be made
without the written consent of the City.
Consultant shall be responsible for the technical accuracy of its services and documents
resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Consultant shall
correct such deficiencies without additional compensation except to the extent such action is directly
attributable to deficiencies in City furnished information.
C. Modificationk. The City may modify this agreement and order changes in the work
whenever necessary or advisable. The Consultant will accept modification..; 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.
C08 -31
I Compensation. The City agrees to pay the Consultant on a time and mater basis, not to
exceed $9,100.00 for Professional Surveying Services as described in the attached proposal. A 10%
Management Reserve Fund in the amount of 5910.00 is also hereby established for a total contract amount of
$10,010.00 as full compensation for everything done under this agreement.
4. Payment, 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.
5. Notice Notice shall be given in writing as follows:
TO THE CITY: TO THE CONSULTANT:
Name: Christine Bainbridge, City Clerk Name: Clifton W. Morey, TD &H, Inc
Phone Number: (509)927 -1000 Phone Number: (509) 622 -2888
Address: 11707 East Sprague Ave, Suite 106 Address: 303 East Second Avenue
Spokane Valley, WA 99206 Spokane, WA 99202
6. Applicable Laws and Standards. The parties, in the performance of this agreement, agree
to comply with all 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 tine 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. Rocum.ents. All drawings, plans, specifications, and other related documents
prepared by the Consultant under this agreement are and shall be the property of the City, 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
matters covered in this contract. Such representatives shall be permitted 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 to property which may arise from or in connection
with the performance of the work hereunder by the Consultant, its agents, representatives, or employees.
Agrcernmi for Professional Surveying Services- T &I-I Bowdish/Spraguc PCC Intersection 90092
Page 2 of 6
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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.
A. Minimum Scone of Insurance. Consultant shall obtain insurance of the types
described below:
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 Ol and shall cover liability arising from premiers, 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.
Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
Professional Liability insurance appropriate to the Consultant's profession.
B. Minimum Amounts of Insurance. Consultant shrill maintain the following insurance
limits:
Automobile friability insurance with a minimum combined single limit for
bodily injury and property damage of SI, 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 S1, 000, 000 policy aggregate limit.
C. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to
contain, thv following provisions for Automobile Liability, Professional Liability and
Commercial General Liability insurance:
1. IMe Consultant's insurance coverage shall be primary insurance a.5 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.
Agreement for Professional Surveying Services- TD&EI Bowdish/Sprague PCC Intersection #0092
Page 3 of 6
0 - 0
2. Cancellation of Consultant's insurance shall be governed by either:
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.
D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M.
Best rating of not less than A:Vll.
)evidence of Coverage. 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.
H. 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 attorney fees, arising out of or in connection with the performance of this agreement,
except for injuries and damages caused by the sole negligence of the City.
Should a court of competent j urisdiction determine that this Agreement is subject tie RC W 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 R.CW, 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. Waive r. 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. 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 of either party to enforce at anytime any ofthe 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. Assignment and Delegation. Neither party shall assign, transfer or delegate any nor all ofthe
responsibilities of this agreement or the benefits received hereunder without first obtaining the written consent
of the other party.
AVv=ent for Professional Surveying Services- TD&H Bowdish /Spnrguc ACC intersection #0092
Page 4 of 6
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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.
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. Cost and Attornev's Fees. In the event a lawsuit is brought with respect to this agreeient,
the prevailing party shall be awarded its costs and attorney's fees in the amount to be determined by the Court
as reasonable. Unless provided otherwise by statute, Consultant's attorney fees payable by the City shall not
exceed the total sum amount paid under this a&,- =mcnt.
18. Entire Aereement. This written agreement constitutes the entire and complete agreement
between the parties and supercedes 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 Registration. Prior to commencement of work under this agreement, Consultant
shall register with the City as a business.
21. Severabillty. 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
Ag=mcnt for Profcssiona l Surveying Services - T D&H flow dish/S®raguc PCC Intersection #0092
Page 5 of 6
IN WITNESS WHEREOF, the parties have executed this agreement this
l , 2008.
CIT>WF VALL
David Mercier, ity anager
ATTEST:
Christine Bainbridge, City Clerk
Cons Apart:
°ax ID No REDACTED -
APPROVED AS TO FORM:
ro�' 2 1 71�) *' -
Office Aie 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.
Agreement for Professional Surveying Services - TD &H Bowdish/Sprague PCC Intersection #0092
Page 6 of 6
day of
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S
,;OOValley
February 27, 2008
Mike khodes, PLS.
Survey Manager
Thomas, Dean & Hoskins, Inc.
303 East Second Avenue
Spokane, WA 99202
•
11707 E Sprague Ave Suite 106 1 Spokane Valley WA 99206
509.921.10DD ♦ Fax: 509.921.1008 ♦ cityhalt @spokanevalley.crg
RE: Scope of Services — Topographic Survey Proposal for Sprague/Bowdish
Concrete Intersection — Project #0092
This scope replaces the previous scope dated Feb. 18, 2008. Changes are in italics.
The City of Spokane Valley plans to repave the intersection of Sprague Avenue and
Bowdish Road with Portland Cement Concrete. The Sprague Avenue approach will be
reconstructed 375 feet on either side of the Bowdish intersection CL with PCC on the
approach lanes and 14MA on the exit lanes from the intersection. The Bowdish Road
approach will be reconstructed 2.50 feet on either side of the Sprague Avenue CL with
PCC on the approach lanes and HMA on the exit lanes from the intersection.
This scope of services consists of providing surveying field crew, equipment and office
calculations to provide topographic data for the entire intersection including an additional
400' east and west and 275 feet north and south. (See map)
Surveyor to locate centerline, flow line at outside edge -of concrete gutter (next to the
asphalt and away from the curb), top face of curb and back of walk at a maximum of 25-
30 foot intervals. Within the intersection itself we would need the same, TIN shots
roughly every 25 -30 feet. Also where the roadway is over 50 feet wide we would need
quarter -crown TIN shots also. Survey limits, will extend 10 feet beyond back of walk or
to existing fences where found. Property and right-of-way lines will need to be
established at all four eorners of the intersection along with the centerlines of Sprague
Avenue and Bowdish Road.
Include all utilities (gas, power, water, San. sewer, storm sewer, tv, etc) and iron within
the intersection and within 10 feet of back of walk. Include storm sewer invert
elevations.
The Consultant to be responsible for coordinating utility locates prior to conducting the
survey. The Consultant shall also be responsible for all traffic control and shall obtain a
ROW Construction Permit from the City of Spokane Valley.
r mchedf roadway 0067 — Scope of Surveying Scrviocs 1 of 2
Data to be tied to Washington State Plane coordinate system (2 point minimum) and a
vertical datum. based on NAVD 88. Include both horizontal and vertical control and a
bench mark. The Section Corner monument in the Sprague✓ University intersection will
be tied into the survey to provide a basis of stationing for the project.
Consultant to provide data collector files, ASCII point file, copies of all field notes, an
electronic drawing in AutoCAD, version 2005 or later, relevant project data and drawing
files such as TINS, DTM's, alignments, and break-lines. Consultant also to include 24" x
36" bond copies at a 30 scale, signed and dated by a Professional Land Surveyor licensed
in Washington and be suitable for the development of final road design plans.
Electronic copies of the AutoCAD version 2005 or later drawing file(s) in accordance
with City of Spokane Valley standards shall be provided to the City upon completion of
the survey drawing.
A CD of a City of Spokane Valley prototype drawing, Mth the appropriate files, v"rith a
read -me document, will be provided prior to this survey being conducted. The read -me
file will explain the location of certain files so point descriptions and line types will
match the provided code sheet.
Work shall begin within 7 working days after the City executes a Contract Agreement and
will complete work within 37 working days.
If you have any questions please call me.
Sine rely,
Cr ' Aldworth, RE
S 'or Engineer
City of Spokane Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PR (509) 688 -0247
FX: (509) 921 -1008
Fencher/Broadway .40067 — Soope of Suweying Services 2 of 2
Verify Workers' C4F Premium Status - Account Information 0 Page 1 of 1
Verify Workers' Comp Premium Status: Account information
Did you know ...
...that under Washington State law', you may be liable for the unpaid workers' compensation
(industrial insurance) premiums of any business you hire or contract with? ('See RCw 51..1�,0jq)
In the construction industry, you can protect yourself from liability for your subcontractor's unpaid
premiums. Click ht,,Lr��o sea whAtyStsCI13Y t2d9_
LRI will track a contractor for you and tell you if their status changes.
If this Is a contractor whose premiums and license are current, a "Submit Contractor Tracking
Request" link will appear in the certificate below. Click it to fill out a Tracking Request. if the
contractor falls to pay workers' comp premiums or renew their contractor registration or if their
electrical contractor license is suspended or revoked within one year of the start -date on your
tracking regUcii., LEll will send you a notification letter.
Department of Labor and Industries
Employer Liability Certificate
Date: 03/06/2008
U81 A: 60L0149099 CklccttlolCa�ctiY.�D_eG3rt�►ent ot:.B.eYe1weJaa j
count,., .I
Legal Business Naine: THOMAS DEAN Q HOSKINS INC I
Account #: 145,678 -00 {
•Doing Business As Name: THOMAS DEAN & HOSKINS INC
Estimated Workers Reported: Quarter 4 of Year 2007 "1i to 20 Workers"
(See Description Below)
Workers' Comp Premium Status. Account 15 current. firm has voluntarily reported and paid
r their premiums.
Licensed Contractor? No i
Risk Classification: G - It 0sk classjfJca.L1rj0_in..f.
Experience Factor: Get cx crierZce.fec>o[_biSW.CL
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Account Representative: T6 / BACNAM DO (360)902.4724 • Email: BACN235fti.wa.gov
What does "Estimated Workers Reported" mean?
Estimated workers reported represents the number of full time position requiring at least 480 hours
of work per calendar quarter. A single 480 hour position may be filled by one person, or several part
tune workers.
Industrial Insurance Information
Employers report and pay premiums each quarter based on hours of employee work already
performed, and are liable for premiums found later to be due. Industrial insurance accounts have no
policy periods, cancellation dates or limitations of coverage. (See B!Z K51A2j1}50 and 51.16.190.)
About Lai I Find a fob at L @I 1 Informaci6n en espaAol I Site Feedback l 1. 800.547•
8367
ii Wnzhbiptrn r,tatc Dept. or tabor ant! Indunnes. via of rids site is subject to thv laws or tbc sutra of Washington.
acrml Asre-,,m -nc i Vrivney nne accurrty :rntement I Into xled eaeleln tef:,al colitent t olity 15taff only 11nk
Visit aaess.wa.goc
hops:/ /fortress. wa.govAnilc> psi/ Acctlnfo. aspx? Accountld= 1459,o2c678- 00 &Businessld= 601... 3/6/2008
PRGaucFk (406)453 -1464
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THIS ENDOR EN1ENT CHANGES THE POLICY. PLEASE READ IT DARE Ut L Y.
ADDITIONAL INSURED - OWNERS, LESSEES
CONTRACTORS - SCHEDULED PERSON
ORGANIZATION
This endorsement modifres insurance provided under the following;
COMMEROIAL GENERAL LIABILITY CO ERAGE PART
9CHERULE
Name Of Add Itioha I Insured Aerson(s)
Or Organization (8),
I-ocatiors s OFCovereJ p 'eP tions
Information re uired to com l6lete this Schedule, if not shown above will be shown in the Deckarations.
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include as an ad"Ul 011' iKgotbd IK} 06r 6hTa -J'6r
wganization(s) shown in the Stihedule, but only
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in the perlbrmanre of your ongoing operations far
the additional Insured {s) at the lacation(s) desig-
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B. With respect to the Insumnce afforded to these
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than another contractor or subcantraetor en-
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CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page's of 1 13
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IMPORTANT
•
If the certificate holder is an ADDITIONAL INSURED, the pollcy(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)
• �� CERUEICATE OF LIABILITY INSURANCE AM
DATE (M.- AMDWYYY)
L03/06/2008
PRODUCeR (406)453 -1464 qW FAX (406)453 -0073
Flynn Insurance Agency
100 Park Drive South
P.O. Box 711
Great Falls, MT 59403
THIS CERTIFICATE IS ISSUED AWMATTPR C INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLIC IES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Thomas Dean & Hoskins, Inc
1200 25th St So
Great Falls, MT S9405
INSURERa Continental Casualty Company
POLICY EFFECTIVE
DATE
INSURER Fl;
LIMITS
EALIH OCCUPFemcC 8
IN'AIRFR C:
INSURER 0:
INSURER E;
COVERAGES
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 MMICH 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
D'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE
POLICY EXPIRATION
LIMITS
EALIH OCCUPFemcC 8
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
OF.NAGE TO RENTED
IFA
5
CLAMS MADE Q OCCUR
MEd E Arty 7uA D*30n)
9
P9- tSCNAL d ADV INJURY
S
OENERALAGGRECATE
S
GEML AGGREGATE WAIT APPLIES PER
PRODUCTS - CW/F1OP AGO
5!
POLICY n 1 o- I LOC
A1JTOM0ML4UAML►TY
ANY AUTO
COMDINF.D :INC-LE LIMB
(Ea aseld� VI)
5
BODILY INJURY
[PerPerws)
6
ALL OLVNED AUTOS
SCNEDULEOAUTOS
BODILY INJURY
(Pei oczwnq
S
HIRED AUTOS
NQV- OV.'1.E0 AUTOS
PROPERTY DA14%G&
IP91 awlonq)
S
GARAGE LIAMLITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
S
ANY AUTO
$
H
AUTO ONLY. AGO
EXCEASAWSRELLA UAP4UTY
EACH OCCURRENCE
S
OCCUR CLAIUS MASE
AG!?RF,GATF.
1
s
'
3
•�— •�••••.•,
0:(IUCTIBL?
_
RETENTION S
S'.'-
V90AXER9 COMPENSATION AND
EMPLOYER7 LIABILITY
ANY PROPRLtTOfL ?AATNBR/FJIECUTM1'E
VJC STf•TU OTH-
11��N�
E.L. EA¢N ACCIDENT
S
E.L. UM SE - EA EMPLOYE!
S
OFFICERNE`bSER EXCLUDED?
If a dAKALDo L11dPI
SPECIAL PROVISIONS below
£,L, 0ISkA, ^,E - POLICY LIMIT
3
A
�roVessional liability
AEH113825009
09/01/2007
09/01/2008
!S1,000,000 per claim
ig1,000,000 aggregate
$75,000 deductible
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VERICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROMIONS
E: Surveying services for Sprague /Bowdish intersection
I
SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORP THE
EXPIRATION DATE THEREOF. THE ISSLNNG W SURER VOLL ENBEAVOR TO MAIL
City of Spokane Valley 30 DAYS WAITTEN NOTICE TO TITS CERTIFICATE MOLDER NAMED TO THE LEFT,
Attn: Craig Al dworth , PE PUT FAILURE TO MAIL SUCH NOTICE, SMALL IMPOSE NO OBLIGATION OR LIABILITY
11707 E Sprague Ave Suite 106 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Spokane Valley, (VIA 99206 AUTHORIZED REPRESENTATIVE.
Tom Sidor RT m-
ACORD 2s (2001!08) FAX: C509)921 -1008 QACORD CORPORATION 1988
• . 0
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. pollcles listed thereon.
ACORD 26 (2001108)
Fax Server 3/10/2008 3:57:15 PM PAGE 1/002 Fax Server
crtrravw. +arrnl:n7u
(q]����
;CEnsinG Fax Alert
Date /time: Monday, March 10, 2008 3:51:38 PM No. of pages: 02
(includes cover sheet)
To: Craig Aldworth
Company:
Fax Number: 1- 509 -688 -0261 Voice Phone:
Copy To:
From: Master License - Business & Professions Div.
Fax Number: (360) 570-7875 Voice Phone: (360) 664 -1414
Regarding:
DOL- 200.030 FAX ALERT (R/5 /00)E The Department of Licensing has a policy of providing equal access to its services.
If you need special accommodation, please call (360) 664 -1414 or TTY (360) 664 -8665.
Fax Server 3/10/2008 3:57:15 PM PAGE 2/002 Fax Server
i 0
r scAZ�
A
—
�'�
STATE OF
WASHINGTON
MASTER LICENSE SERVICE
PO Box 9034 • Olympia, Washington 98507 -9034 • (360) 6641400
REGISTRATIONS AND LICENSES
Foreign Profit Corporation
THOMAS DEAN 5 HOSKINS, INC.
303 E 2ND AVE
SPOKANE WA 99202
TAX REGISTRATION
CITY LICENSES / REGISTRATIO S:
SPOKANE VALLEY GENERAL U I E,
Unified Business ID #: 601 014 909
rusiness ID #: 1
Location: 2
Expires: 03 -31 -2009
The licensee named above has been issued the business registrations or licenses
listed. By accepting this document the licensee certifies die information `G�"G (/ ►- ��.
provided on the application for these licenses was complete, true, and accurate
to the best of his or her knowledge, and that business will be conducted in Dire r, Department of Licensing
compliance with all applicable 1Vashingtoa state, county, and city regulations.
Client#: 133535
25THODEAN
ACORD. CERTIFICATE OF LIABILITY INSURANCE!
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hub Int'I. Mountain States Ltd
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
100 Park Drive South
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Great Falls, MT 59403
406 453 -1464
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: American Hallmark Ins Co
INSURED
Thomas Dean & Hoskins Inc
INSURERS:
1200 25th St So
INSURER C:
Great Falls, MT 59405
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
IS SUBJECT TO ALL THE TERMS, EXCLUSIONS'IAND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
HEREIN
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
SR D
LTR NSR TYPE OF INSURANCE POLICY NUMBER
DD
$1000000
"77W IRATION LIMITS
/� GENERAL LIABILITY 44CL45596902
11 EACH OCCURRENCE
DAMAGE TO RENTED $100 000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
MED EXP (Any one person) $5.000
PERSONAL k ADV INJURY $1 000 000
GENERAL AGGREGATE s2,000,000
PRODUCTS COMP/OP AGG s.2,00-0,00-0
GEN L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOG
44CL45596902
09/01/2010 09/0112011 COMBINED SINGLE LIMIT $1,000,000
A AUTOMOBILE LIABILITY
(Ea acoident)I
X ANY AUTO
I
BODILY INJt1RY
ALL OWNED AUTOS
$
(Per person)
SCHEDULED AUTOS
X HIRED AUTOS
BODILY INJURY $
(Per accident
X NON -OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY' - EA ACCIDENT $
GARAGE LIABILITY
1. EA ACC $ '
ANY AUTO
OTHER THAN
AUTO ONLYj AGG $
EACH OCCURRENCE $
EXCESS / UMBRELLA LIABILITY
OCCUR FI CLAIMS MADE
AGGREGATE $
DEDUCTIBLE
'
RETENTION $
WC STATU- OTH-
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
ANY CPROPRIIEETgOER /PARTNER/EXECUTIVE
W. id gM In NHg EXCLUDED?
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
I
I
I
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: Surveying services for Sprague /Bowdish intersection
Certificate holder is additional insureds as their interest may occur.
I
i
CANCELLATION 10 Days for Non-Payment
CERTIFICATE HOLDER
BE CANCELLED BEFORE THE EXPIRATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Qn DAYS WRITTEN
City of Spokane Valley
NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
attn: Craig Aldworth PE
NOTICE TO THE CERTIFICATE HOLDER
OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
11707 E Sprague Ave Suite 106
IMPOSE NO OBLIGATION
Spokane Valley, WA 99206
REPRESENTATIVES.
A HD REPRESENTATIVE ;
O
O 1988 -2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009101) 1 of 2 #S159175/M157505
logo are registered marks of ACORD 'RTY
The ACORD name and `
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 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.
I
i
i.
I
I
i
I
�I
ACORD 25 (2009/01) 2 of 2 #S159175/M157505
i
rE (MWDD/YYYY)
4/2010
RATION
1TE
ID OR
3ELOW.
JAIC #
\IVY GRMV GJ
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, EXCLUSIONSI AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
S
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD
POLICY EXPIRATION
DATE MM D
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
Y
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES (E occurrence)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYF_j JEa LOC
PRODUCTS
1 COMP /OP AGG
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED
(Ea accident)!
SINGLE LIMIT
$
BODILY INJURY
(Per person)
$
I
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY- EA ACCIDENT
$
1 EA ACC
OTHER THAN
AUTO ONLY: AGG
$
$
EXCESS / UMBRELLA LIABILITY
OCCUR 0 CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATIL
$
i
$
$
1
$
_
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY CCPROPRIIEETgOER /PARTNER/EXECUTIVE
lan atcry In NH� CLUDED?
If yes, describe under
SPECIAL PROVISIONS below
WC STATU- OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
A
OTHER Professional
AEH113825009
09/01/2010
09/01/2011
$1,000,000 per claim
$1,000,000 aggregate
$125,000 deductible
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE: Surveying services for Sprague /Bowdish intersection
I
City of Spokane Valley
Craig Aldworth, PE
11707 E Sprague Ave Suite 106
Spokane Valley, WA 99206
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 10 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
AD REPRESENTATIVE
n�ewt�nwi wu ..hf► . .verl
ACORD 25 (2009/01) 1 of 2 #S159273/M157508 C 1w00-&wu7 .0___
The ACORD name and logo are registered marks of ACORD RTY
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 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 (2009101) 2 of 2 #S159273/M157508