Loading...
08-079.00 Coffman Engineers: Sullivan Bridge over Trent Inspection & EvaluationAGREEi4IENT FOR PROFESS IONAI. SE + "RVICES Coffman Engineers Inspection and Evaluation of Sullivan Road Bridge (No. 4501) over Trent Contract # 08 -014 THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and Coffman Engineers, Inc. hereinafter "Consultant," jointly referred to as "parties." hr CONSiDERATION of the terms and conditions contained herein the parties agree as follows: 1. Work to Be Performed. The Consultant will provide all labor, services and material to satisfactorily complete the attached Scope of Services. 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. Modifications. The City may modify 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 patty 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 perfortned prior to the termination date. 3. Compensation. The City agrees to pay the Consultant S 15,200: plus reimbursable expenses, as compensation for Phase I services as described in the attached Scope of Work. At the option of the City of Spokane Valley, the consultant will proceed to the Phase 2 work as directed in the Scope of Work; the City of Agreement for Professional Services- Coffman Enl inecrs 4 08 -014 Pa-0 c 1 of 5 C08 -79 Spokane Valley agrees to pay the Consultant $13,400, plus reimbursable expenses, for Phase 2 services. 4. PavmenL 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 Cite 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: Name: Christine Bainbridge, City Clerk Phone Number: (509)92 l -1000 Address: 1 1707 East Sprague Ave, Suite 106 Spokane Valley, WA 99206 TO THE CONSULTANIT: Name: Coffman Engineers Phone Number: 509 328 2994 Address: 10 N. Post Street, Suite 500 Spokane, Washington 99201 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 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. S. Ownership of Documents. All drawings, plans, specifrca[ions, 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 yews from the date final payment is made hereunder. 1.0. 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. No LimiLation. 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 Scope of Insurance. Consultant shall obtain insurance of the types described below: Agreement for Professional Services- Coffman Engineers # 08 -011 Page 2 or 5 I. 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. Connnercial 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: 1. 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 1). 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 AAM... Agreement for Professional Scrvicrs- Coffman Engineers U Oy -014 Page 3 of 5 E. .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. 11. indemnification and Hold Harmless. The Consultant shall defend, indemnify and hold the City, its officers, officials, employees and volunteers har-mless 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 jurisdiction determine that this Agreement is subject to RMY 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 Corisult.ant 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 .Tndust.rial 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. 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 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. Assignment and Delegation. Neither party shall assign, transfer or delegate any or all of the responsibilities of this agreement or the benel its 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 raider this agreement withnut 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 Attorney''s 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 determined by the Court as reasonable. Unless provided otherwise by statute, Consultant's attorney fees payable by the City shall not Agrecmcnt for Professional Services -Cuff inan Engineers N 08-014 Page 4 of 5 exceed the total sum amount paid under this agreement. 18. Entire Agreement. 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. 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. Insurance Certificates 2. Letter dated June 13, 2008 (Consultant's Fee Proposal) IN ZT79S WHEREOF, the parties have executed this agreement this �� day of 2008. CITY OF SPOKANE VALLEY: 441 l� vid 41, City Manager Consultant: Owner Tax ID No._ REDACTED — ATTEST- APPROVED AS TO FORM: hristine Bainbridge, City Clerk Office of the City ttorney 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 Services - Coffman Engineers # 08 -014 Page 5 of 5 June 13, 2008 Mr. Hal Nest City of Spokane Valley 11707 E. Sprague Avenue Spokane Valley, WA 99206 Project: Sullivan Bridge (13R. 'No. 4501) Project Spokane Valley, Washington Subject: Proposal for Professional Engineering Services Dear Mr. West: An OFFMAIV T t� ff NGINEERS I� JUN 1 8 2008 U Structural U nechsnical Y &ctrical Civa Cnrrosi= tontrd Coffman 1ngineers, Inc. would like to thank the City of Spokane Valley for the opportunity to work with you on the Sullivan Bridge project. We look forward to assisting the City in evaluating and moving toward repair of this structure as requested. Our proposal is based on the project criteria as we understand it, the scope of services and deliverables, and assumptions made as described in the following sections of this proposal. Coffman Engineers, Inc. will provide professional civil and structural engineering services as required to perform this work. PROJECT DESCRIPTION The City of Spokane Valley has selected Coffman Engineers; Inc. to inspect, evaluate, and provide the necessary engineering services to assess the possible causes for cracking and de- lamination of a portion of the bearing ledge of pier 2 — located between girders M & N (center pier for the above mentioned bridge). Services will also include assessment of the over - height damage on the east side of the bridge to girders O and 1, span 2 (see attached sketch and photos). Further design and construction administration services will be completed if necessary and approved by the City of Spokane Valley under Phase 2 and as detailed below. PROJECT APPROACH & BASIC SERVICES The project will be completed in two distinct phases as coordinated and detailed in the City of Spokane Valley "Scope of Services" — see attached. Phase 1 work includes providing the necessary traffic control and equipment to inspect the bridge as requested and includes the following: Prepare and submit a traffic control plan for both SR 290 and Sullivan Road to inspect above and below the requested areas of concern (includes both sides of Pier 2). Provide site inspection coordination as necessary (anticipate the site inspection will take approximately one -half day between mobilization, set- up(s), delivery and removal of rental equipment (boom lift), and inspection). 10 H. Post Streit. Suite 500 Anchorage. A" Las Angeles. [aBotraa Seattle, Washington Spokane. Washington 99201 907 276 6664 818 285 2650 206 623 0717 509 328 2994 • fax S09 328 2959 www.cofiman.tom fleogtam and Censtructim Karagement Mr. Hal West City of Spokane Valley June 13, 2008 Page 2 • Perform a thorough site inspection including photographs of existing damage. Inspection notes and photographs will be included in the final written report. • Inspect additional adjacent damaged areas as warranted during the site inspection in coordination with City of Spokane Valley representative. • Determine a repair plan with a cost estimate. • Produce and complete a final report summarizing findings and recommendations. Phase 2 work is optional and shall be performed if requested and approved by the City of Spokane Valley. Phase 2 work includes the following: • Prepare construction drawing(s) for the repair work as detailed in Phase 1. • Prepare construction technical specifications and pre -bid cost estimate for the repair work. • Perform a quality assurance /constructability review of the drawings and specifications. • Review draft 60% and 95% plans with the City of Spokane Valley. Specifications and cost estimate will be provided and reviewed at 95% only. • Answer bidder questions during advertisement. • Provide two site observations visits during construction. DESIGN CRITERIA All work on this structure will be in compliance with applicable and most current AASHTO LRFD Code requirements. SCREDULE Schedule for the completion of Phase 1 work will be coordinated with the City of Spokane Valley afi:er receipt of an executed agreement. Inspection date will be coordinated with affected agencies as required. TEAM MEMEERS In addition to the Coffman Engineers, Inc. team members, two sub- consultants will be utilized to assist in this effort: PROJECT MAINAGER. Tom Arnold, RE STRUCTURAL DISCIPLINE LEAD /QA Craig Lee, P.E., S.E. STRUCTURAL WSPECTIONIDESIGN Duke `turner, P.E., S.E. SUB - CONSULTANTS: Traffic Control Plan & Lane Closures Northstar Enterprises Cost Estimating/Constructibility Review K.uncy Construction ADDITIONAL SERVICES The following services are not included under Basic Services and will be considered Additional Ser.ices to the Agreement: Mr. Hal Vest City of Spokane Valley June 13, 2008 Page 3 1. As -built drawings 2: Review contractor submittals and shop drawings D1 LLVEI;2A US. Doliverables for th.is.project include the following:. Phase 1 - One electronic and three hard copies of the final written report. Phase.2 - One stamped original set of construction. plans and fifteen copies of the plans and technical specifications. Admimstra'tive section of technical specifications will be provided by the City of Spokane Valley. - Ond elcctronic and one hard copy of project pre -bid cost estimate. OWNER FMNISAE, D ITEMS The City of Spokane Valley will provide the following items to.assist in the completion of this work: 1. All existing records, as- built bridge drawings, photographs, and bridge inspections reports will be provided prior to starting Phase 1 work. 2. Administrative specifications will be provided for incorporation into the final set of project specifications by the City of Spokane Valley for Phase 2 work.. ENGINEERING FEES Coffman Engineers. basic services will be based on the lump sum fees listed bslow: Phase 1: $ 15,200 Phase 2: $ 18.400. TOTAL: $ 33,600 �'hNIEURSABLE E"ENS> S Reimbursable �xpcnses are services net included in our Basic Services fee above. Reimbursable Expenses shall include travel expenses,and equipment rentals. Namc .Firm Jung. IT. 2009 Pale 4 Thank you for this opportunity to be of service to you_ J I h i s meets with your approval, please sign and return one coj)y for our files, Please gall if you have any questions_ Sincerely, COFFMAN ENGWEERS, INC. Thomas L. Arnold, P.E. Department Manager — Civil Engineerinti ffiMypist initials EncloFmre= Crai -ee, P_r_, _E. Principal This proposal is acceptable [o the CITY OF ,SPOKANE VALLEY: Authorized Sirmature Date DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE The page entitled "Cost Estimate — City of Spokane Valley — Sullivan Bridge" 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. �i 1 a„�; set he,Qe.�, �rdm►ns Nt i3 195 wo + P 99 A 58� 149 (DIV) L y , j 1 aheelro, P 4 Jam. b! "T AMY �lJ lit ACOFFMAN ZRO-) date �a N G I N E E R S dam dara SULLIVAN ROAD BRIDGE OVER TRENT (SR 290), BR. NO. 4501 November 01, 2007 PIER 2: BEARING SEAT BELOW GIRDERS M N IS CRACKED, DELAMINATING/SPALUNO. 2007 2005 COMPARISON TRANSVERSE REBAR, HAD BEEN PATCHED, NOW SPALLING GIRDER O, SPAN 2, DAMAGED IN 2008. EPDXY COATED REBAR AND STIRRUP BEGINNING TO RUST. location ACORD,. CER i gFICATE OF LIABILITY INSURANCE DATE 7103/08YI PRODUCER CAL# 0531007 Wells Fargo Insurance THIS CERTIFICATE IS ISSUED AS'A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services Northwest, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 91 143 POLICY KUTABER Seattle, WA 98111-9243 INSURERS AFFORDING COVERAGE INSURED Coffman Engineers, Inc. < 10 N Post Street, Suite 500 ' Spokane WA 99201 -0000 I INSURER A: Valley Forge Ins. Co. INSURER B: Continental Casualty Cot pany INSURER C; SeaBright Insurance Company INSURER D: Laxitigton Insurance Company INSURER E: EACH OCCURRENCE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAIAEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIA4ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY KUTABER DATE UCY EFFECTIVE POLICY EXPIR4 PION LIMITS A GENERAL LIABILITY 1082235578 1131/08 1/31/09 EACH OCCURRENCE 6 1000000 FIRE DAMAGE IAny om_ f rel S 300000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR LIED EXP (Any one oeranl $ 5000 PERSONAL%ADVINJVRY $ 1000000 X Stop Gap GEKERAL.AGGREGATE $ 2000000 ri- .-.N'L AGGREGATE LIMIT APPLIES PER: PROVU'CTS - COMPIOP AGO $ 2000000 X POLICY PRO• LOC B OMOBILE LIABIUTY 1078606885 1/31108 1131/09 COMBINED SINGLE LIMIT hXUT Me accident! 6 1000000 ANY AUTO ALL OWNED AUTOS BODILY INJURY - SCHWULED AUTOS (Per person) 6 BODILY INJURY X HIRED AUTOS - ' X NON•OWNEO AUTOS - - - (Per axiaaml PROPERTY DAMAGE tPer mc160nU GARAGE LIABILITY I MUTO ONLY • EA ACCIDENT S OTHER THAN EA ACC 1 $ ANY AUTO 6 AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE I S OCCUR CLAIMS MADE A33111E43ATE 6 IS I$ DEDUCTIBLE 1 $ RETENTION 6 C WORKERS COMPENSATION AND BB30802090 1131/08 1/31 fO9 1VC STATU- OTFf- X T • unlT mss? EMPLOYERS' LIABILITY iUSL &H) I E-L. EACH ACCIDENT �S 1000000 E.L. DISEASE • EA EIaPLOYM $ 1000000 E.L. DISEASE - POLICY LIMIT I $ 1000000 D OTHER 1156868 11/30107 11/30/08 PrefuSSion.Il $1,000,000 Par Claim Liahilit $1 000 000 Agpregate DESCRIPTION OF OPERATIONSJLOCATIONS PJEIICLES=CWSIONS ADDED BY @NDORSEN,ENT/SPECIAL PROVISIONS RE: AGREEMENT NO. 08 -014, CITY OF SPOKANE VALLEY IS PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SVSROGATION UNDER GENERAL LIABILITY AS RESPECTS THEIR INTEREST IN THE INSURED OPERATIONS OF THE NAMED INSURED PER THE ATTACHED ENDORSEMENTS. OJT CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Spokane Valley DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MtdL 30 DAYS WRITTEN Attn: Christine Bainbridge G NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL 11707 E Sprague Ave., Ste 106 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Spokane Valley, WA 99206 ^REVRESEronA�Irnns��'*M ACORD 25 -S (7197) 11.41 V ACORD CORPORATION 1988 Itivitael 'Af_Till 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 endorsementis). 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 endorsementls). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurods), 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 -S M97) s e c CNA G- 17957 -G (Ed. 01101) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUiT. SEE PARAGRAPH C.I. OF THIS ENDORSEMENT FOR THESE DUTIES. ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS- COMPLETED OPERATIONS HAZARD ". SEE PARAGRAPH B.3. OF THIS ENDORSEMENT FOR THIS COVERAGE CHANGE. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY. CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED ENDORSEMENT WITH LIMITED PRODUCTS - COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name of Person or Organization: SCHEDULE Designated Project: (Coverage under this endorsement Is not affected by an entry or lack of entry in the Schedule above.) A. WHO IS AN INSURED (Section II) Is amended to 2. The Limits of Insurance applicable to the include as an insured any person or organization, additional insured are those specified in the including any person or organization shown in the written contract or written agreement or in the schedule above, (called additional insured) whom you Declarations of this policy, whichever is less. are required to add as an additional insured on this These Limits of Insurance are inclusive of, and not policy under a written contract or written agreement; in addition to, the Limits of Insurance shown In the but the written contract or written agreement must be: Declarations. 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily injury; "property damage," or "personal and advertising injury". B. The insurance provided to the additional insured is limited as follows: 1. That person or organization Is an additional insured solely for liability due to your negligence specifically resulting from "your work" for the additional insured which is the subject of the written contract or written agreement. No coverage applies to liability resulting from the sole negligence of the additional insured. G-1 7957-G (Ed. 01/01) 3. The coverage provided to the additional insured by this endorsement and paragraph f. of the definition of "insured contract" under DEFINITIONS (Section V) do not apply to "bodily injury" or "property damage" arising out of the "products- completed operations hazard" unless required by the written contract or written agreement. When coverage does apply to "bodily injury" or "property damage" arising out of the °products - completed operations hazard" such coverage will not apply beyond: a. The period of time required by the written contract or written agreement; or Page 1 of 2 b. 5 years from the completion of "your work" on the project which is the subject of the written contract or written agreement, whichever is less. 4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of an architect's, engineer's, or surveyors rendering of or failure to render any professional services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, or Inspection activities performed as part of any related architectural or engineering activities. C. As respects the coverage provided under this endorsement, SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as follows: 1. The following is added to the Duties In The Event of Occurrence, Offense, Claim or Suit Condition: e. An additional insured under this endorsement will as soon as practicable: G- 17957 -G (Ed. 01/01) G- 17957 -G (Ed. 01/01) (1) Give written notice of an occurrence or an offense to us which may result in a claim or "suit" under this insurance; (2) Tender the defense and indemnity of any claim or "suit" to any other insurer which also has insurance for a loss we cover under this Coverage Part; and (3) Agree to make insurance which has for a loss Coverage Part. available any other the additional insured we cover under this f. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or "suit "'from the additional insured. 2. Paragraph 4.b. of the Other Insurance Condition is deleted and replaced with the following: 4. Other Insurance b. Excess Insurance This Insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing. Page 2 of 2 B 0 G POLICY NUMBER: CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modtges Insurance provided under the following: COWERCiAL. GENERAL LIABIU fY COVERAGE PART SCHEDULE Name of Peraonor Organization: j APdY PERSON OR ORGANIZATION WITH WHOM YOU 1 AGREE I.% WAITING TO WAIVE YOUR RIGHT TO RECOVER AGAI14ST ^sHSM. YOD MtUST AGREE TO j THIS WAIVER PRIOR TO THE DATE Oo LOSS. (If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) The TRANSFER OF RIGHTS OF RECOVERY AGAINST because of payrrants we make for injury or damage arising 'your OTHERS TO US Condition (Seetlon IV - COWMERCIAL out of your ongoing operations or work" done under a that or organization and Included in the i GENERAL LIABILITY CONDITIONS) is amended by the contract with person "produots-aompleted operations hazard." TMs waiver addition of the fclVAAng: appiles any to the person or organization shown In the Wa wahre any right of recovery %vo may have against the Schedule above i person or organization shown In the Schedule above t r CG 24 04 10 93 Copyright, Insurance Services Office, Inc, 1992 °0 CERTIFICATE OF LIABILITY INSURANCE UATE(M 11/30/2010 / Y) 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). - PROD,UCER- -' -- - -- Commercial -Lines - "(206- 892 -9200 ° " - _ -Wells Fargo Insurance Services USA, Inc. - CA Lic #: OD08408 601 Union Street, Suite 1300 - Seattle, WA 98101 -1371 CONTACT - - -' NAME: PHONE - FAX (AIC, No Ext ): A/C No : ADDRESS: PRODUCER COF43302 CUSTOMER ID ' INSURERS AFFORDING COVERAGE NAIC # INSURED Coffman Engineers, Inc. INSURER A : National Fire Insurance Company of Hartford 20478 Continental Casualty Company INSURER B : Y p Y 20443 INSURER C : National Union Fire Ins. Co. of Pittsburgh, PA 19445 10 N Post Street, Ste 500 INSURER D: Lexington Insurance Company 19437 CLAIMS -MADE a OCCUR INSURER E: Spokane, WA 99201 PERSONAL & ADV INJURY INSURER F: COVERAGES CERTIFICATE NUMBER: 2069860 REVISION NUMBER: See below 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDD1YYYY IDD //YYYY MM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1082235578 11/30/10 11/30/11 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,000 X WA Stop Gap X Contractual Liability GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ - .POLICY , X PRO- LOC. B- AUTOMOBILE LIABILITY 2082852003 11/30/10 11/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000' X ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS X X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LB CLAIMS-MADE DEDUCTIBLE $ $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A - WC005226659 Includes WA & AK USL &H 11/30/10 _ - - 11/30/11 X `VJC STATii= - -GTri- TORY LIMITS I - - - - - - -- - -- - -- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liability and 013001506 11/30/10 11/30/11 $1,000,000 Per Claim Pollution Liability $1,000,000. Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: AGREEMENT NO. 08 -014. CITY OF SPOKANE VALLEY IS PRIMARY AND NON - CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION UNDER GENERAL LIABILITY AS RESPECTS THEIR INTEREST IN THE INSURED OPERATIONS OF THE NAMED INSURED PER THE ATTACHED ENDORSEMENTS. DJT GtK I IrIGA I t MULUtK %,ANN CLLR I IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Christine Bainbridge 11707 E Sprague Ave., Ste 106 AUTH ! ORIZED REPRESENTATIVE Spokane Valley, WA 99206 7ati _64,„ f,.,`", ACORD 25 (2009/09) © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1082235578 CNA G- 134802 -8 (Ed. 08/01) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NONCONTRACTOR'S ADDITIONAL INSURED ENDORSEMENT This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. WHO iS AN INSURED (Soc:tibn IQ Is amended to Include as an insured any person or organization (called additional insured) described in paragraphs A.I. through A.7. below whom you are required to add as an additional Insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; or 2. Executed prior to the "bodily injury" -property damage" or "personal injury . and advertising injury," but Only the following persons or organizations. are additional insureds under this endorsement and coverage provided to such additional Insureds is limited as provided herein: 1. ADDITIONAL INSURED — ' STATE OR POLITICAL SUSDi VMIONS — PERMS A state or political subdivision subject to the following provisions: (a) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway opordngs, sldo valk vaulty, atrsst banns or decorations and similar exposures; or (2) The construction, erection, or removal of elevators; or (3) The - or use of any elevators covered by this insurance. (b) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has am issued a permit. This insurance does not apply to "bodily injury; "property damage or "personal and advertising a� injury" arising out of operations performed for the state or municipality. 2. ADDITIONAL INSURED — CONTROLLING INTEREST Any persons or organizations with a controlling Interest in you but only with respect to their liability arising out of: (a) Their financial control of you; or (b) Premises they own, maintain or control while you lease or occupy these premises. This Insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional Insured. 3. ADDITIONAL INSURE — MANAGERS OR LESSORS OF PREMISES A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and- subject to the following additional exclusions: This insurance does not apply to: (a) Any "occurrence' which takes place after you cease to be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. 4. ADDITIONAL INSURED — MORTGAGEE, ASSIGNEE OR RECEIVER A mortgagee, assignee or receiver but only with respect to their iiab ti as modgag", assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations,- new.._- construction- -or -.— demolition operations performed by or for such additional insured. S. ADDITIONAL INSURED — OWNERS OR OTHER INTERESTS FROM WHOM LAND HAS BEEN LEASED An owner or other interest from whom land has been leased by you but only with rasped to liability arising out of the ownership, maintenance or use of that specific part of the land leased to G- 134802 -B Page 1 of 2 (Ed. 06/01) 6. 7. you and subject to the following additional exclusions: This insurance does not apply to: (a) Any "occurrence" which takes place after you cease to lease that land; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. ADDITIONAL INSURED - CO-OWNER OF INSURED PREMISES A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the co-owners liability as co -owner of such premises. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. G- 134802 -B (Ed. 06101) With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This insurance does not apply: (a) To any : "oocurrence' which takes place after the equipment lease expires; or (b) To "bodily injury' or "property damage' arising out of the sole negligence of such additional Insured. Any Insurance provided th an additional Insured designated under paragraphs A.I. throw A.7. above does not apply to 'bodily Injury' or "property damage' Included within the 'products - completed operations hazard." S. As respect.- . the coverage provided under this endorsement, Paragraph '41L SECTION N - COYMERCIAL GENERAL LIABI M CONDITIONS is deleted and replaced with the following: 4. Other Insurance b. Excess Insurance This Insurance Is excess over any other insurance naming the additional Insured as an Insured whether primary, excess, contingent or on any other basis unless a written contract or v w-s= r -tom e�cit�II C requires that.- -- �- this insurance be either primary or primary and noncontributing. G- 134802 -13 Page 2 of 2 (Ed. 06/01) G -1 %957 -G (Ed. 61!01) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C.1. OF THIS ENDORSEMENT FOR THESE DUTIES. ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS- COMPLETED OPERATIONS HAZARD ". SEE PARAGRAPH B.3. OF THIS ENDORSEMENT FOR THIS COVERAGE CHANGE, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED ENDORSEMENT WITH LIMITED PRODUCTS - COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LiASILITY COVERAGE PART SCHEDULE Name of Person or Organization: Designated Project: Coverage under this endorsement Is not affected by an entry or lack of entry in the Schedule above.) 'A. WHO IS AN INSURED (Section 11) Is amended to 2. The Limits of Insurance applicable to the include as an insured any person or organization, additional insured are those specified In the including any person or organization shown in the written contract or written agreement or In the schedule above, (called additional insured) whom you Declarations of this policy, whichever Is less. are required to add as an additional Insured on this These Limits of Insurance are inclusive of, and not policy under a written contract or written agreement, in addition to, the Limits of Insurance shown in the but the written contract or written agreement must be: Declarations. 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily injury," "property damage," or "personal and advertising injury". B. The insurance provided to the addition at Insured is limited as follows: 1. That person or organization Is an additionat insured solely for liability due to your negligence speolfically resulting from "your "work" for the additional insured which Is the subject of the written • contract or written agreement. No coverage applies to liability resulting from the sole negligence of the additional insured. 3. The coverage provided to the additional Insured by this endorsement and paragraph f. of the definition of "insured contract" under DEFINITIONS (Section V) do not apply to "bodily Injury" or property damage' arising out of the "products- completed operations hazard" unless required by the written contract or written agreement. When coverage does apply to "bodily injury" or "property damage" arising out of the "products- completed operations hazard" such coverage will not apply beyond: a. The period of time required by the written contract or written agreement; or G- 17957 -0 Page 1 of 2 (Ed. 01101) a W 6' 0 b. 5 years from the completion of "your work" on the project which is the subject of the written contract or written agreement, whichever Is less. 4. The Insurance provided to the additional Insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or falling to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, or inspection activities performed as part of any related architectural or engineering activities: C. As respects the coverage provided under this endorsement, SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as follows: 1, The following Is added to the Duties in The Event of Occurrence, Offense, Claim or Suit Condition: e. An additional insured under this endorsement will as soon as practicable: Q-1 7957-G (Ed. 01/01) G- 17957 -G (Ed. 01101) (1) Give written notice of an occurrence or an offense to us which may result in a claim or "suit" under this insurance; (2) Tender the defense and Indemnity of any claim or "suit' to any other insurer which also has insurance for a loss we cover under this Coverage fart; and (3) Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. f. We have no duly to defend or indemnify an additional Insured under this endorsement until we receive written notice of a claim or "suit" from the additional insured. ' . 2. Paragraph 4.b. of the Other Insurance Condition is deleted and replaced with the lollowing: 4, Other insurance b, Excess Insurance This Insurance is excess over any other Insurance naming tha additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing._ Page 2 of 2 POLICY NUMBER 1082235578 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US . This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR.ORGANIZATION WITH WHOM THE INSURED HAS AGREED TO WAI «E RIGHTS OF RECOVERY, PRO�TIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV— COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the "productscompleted operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 Pgenre Copy COF43302 ACCOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 12/1/2011 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 CONTACT _NAME: PHONE FAX _(A/C, No. Ext): - (AIC. No): A E -MAIL ADDRESS: Wells Fargo Insurance Services USA, Inc. INSURERS AFFORDING COVERAGE NAIL # 300 E. McBee Street, Suite 303 INSURER A: National Fire Insurance Company Of Hartford 20478 Greenville, NC 29601 INSURED INSURER B: Transportation Insurance Company 20494 INSURER C: Commerce & Industry Ins Co 19410 Coffman Engineers, Inc. INSURER D: Lloyd's of London 10 N Post Street, Ste 500 INSURER E: $ 5,000 PERSONAL & ADV INJURY INSURER F: j Spo;<ane, WA 99201 COVERAGES CERTIFICATE NUMBER: 3580790 REVISION NUMBER: See below TFIS 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDY/YYYY MM /DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1082235578 11/30/11 11130/12 EACH OCCURRENCE $ 1.000.000 IMAGE PREM SES aEoccurrence _ $ 300'000 CLAIMS -MADE I-XI OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000.000 j X WA Stop Gap i X Contractual Liability GENERAL AGGREGATE $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2.000.000 $ POLICY [­X] PRO LOC B AUTOMOBILE LABILITY 2082852003 11130/11 11/30/12 COMBINED SINGLE LIMIT Ea accident) 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ WORKERS COMPENSATION C AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC005226659 Includes WA & AK USL &H 11/30/11 11/30/12 X WC STATU- OTH- R L TER E.L. EACH ACCIDENT $ 1'000'000 E.L. DISEASE - EA EMPLOYE $ 1.000'000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional Liability and 60146LDUSAl104416 11/30/11 11/30/12 $1,000,000 Per Claim Pollution Liability $1,000,000. Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE. AGREEMENT NO. 08 -014. CITY OF SPOKANE VALLEY IS PRIMARY AND NON - CONTRIBUTORY ADDITIONAL INSURED WITH WAIVER OF SUBROGATION UNDER GENERAL LIABILITY AS RESPECTS THEIR INTEREST IN THE INSURED OPERATIONS OF THE NAMED INSURED PER THE ATTACHED ENDORSEMENTS. DJT CERTIFICATE HOLDER CANCELLATION City of Spokane Valley Attn: Christine Bainbridge 11707 E Sprague Ave., Ste 106 Spokane Valley, WA 99206 003968 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 1988 -2010 ACORD CORPORATION. All rights reserved. M101104141 1.WI l a� ;s CHA G- 134802 -B (Ed. 06/01) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NONCONTRACTOR'S ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: . COMMERCIAL GENERAL LIABILITY COVERAGE PART A. WHO IS AN INSURED (Section IQ Is amended to include as an insured any person or organization (called additional insured) described in paragraphs A.1. through A.7. below whom you are required to add as an additional Insured on this policy under a written contract or written agreement; but the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; or 2. Executed prior to the "bodily injury," "property damage" or "personal injury and advertising injury," but Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional insureds is limited as provided herein: 1. ADDITIONAL INSURED — STATE OR POLITICAL SUBDIVISIONS — PERMITS A state or political subdivision subjac to the following provisions: (a) This insurance applies only with respect to the following hazards for which the state or political subdivision has issued a permit in connection with premises you own, rent, or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or (2) The construction, erection, or removal of elevators; or (3) The ownership, maintenance, or use of any elevators covered by this insurance. (b) This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. 2. ADDITIONAL INSURED — CONTROLLING INTEREST Any persons or organizations with a controlling interest In you but only with respect to their liability arising out of: (a) Their financial control of you; or (b) Premises they own, maintain or control while you lease or occupy these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional insured. 3. ADDITIONAL INSURED — ir1ANAGERS OR LESSORS OF PREMISES A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that specific part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (a) Any 'occurrence" which takes place after you cease to be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. 4. ADDITIONAL INSURED — MORTGAGEE, ASSIGNEE OR RECEIVER A mortgagee, assignee or receiver but only with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of a premises by you. This insurance does not apply to structural alterations, - new - construction or—demolition operations performed by or for such additional insured. 5. ADDITIONAL INSURED — OWNERS OR OTHER INTERESTS FROM WHOM LAND HAS BEEN LEASED This insurance does not apply to "bodily injury," An owner or other interest from whom land has "property damage' or "personal and advertising been leased by you but only with respect to Injury* arising out of operations performed for the liability arising out of the ownership, maintenance state or municipality. or use of that specific part of the land leased to G- 134902 -B Page 1 of 2 (Ed. 06/01) 'CYBO1A02/001803/03tt you and subject to the following additional exclusions: This insurance does not apply to: (a) Any "occurrence" which takes place after you cease to lease that land; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. 6. ADDITIONAL INSURED — CO-OWNER OF INSURED PREMISES A co -owner of a premises co -owned by you and covered under this insurance but only with respect to the co- owners liability as co -owner of such premises. 7. ADDITIONAL INSURED — LESSOR OF LEASED EQUIPMENT Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. G-1 34802-B (Ed. 06/01) �-- n G- 134802 -B (Ed. 06/01) With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This insurance does not apply: (a) To any "occurrence" which takes place after the equipment lease expires; or (b) To "bodily\injury' or "property damage' arising out of the sole negligence of such additional insured. Any insurance provided to an additional Insured designated under paragraphs A.1. through A.7. above does not apply to "body Injury' or "property damage" included within the "products- completed operations hazard." B. As respects the coverage provided under this endorsement, Paragraph 4.b. SECTION IV — COMMERCIAL GENERAL LIABK.ITY CONDITIONS Is deleted and replaced with the following: 4. Other kwunw" b. Excess Insurance This Insurance is excess over any other. insurance naming the additional insured as an Insured whether primary, excess, contingent or on any other basis unless a written contract or t this insurance be either primary or primary and noncontributing. Page 2 of 2 G-1 7957-G (Ed. 61/0) IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT .APPLY TO THE ADDITIONAL. INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH CA. OF THIS ENDORSEMENT FOR THESE DUTIES. ALSO, THIS ENDORSEMENT CHANGES THE CONTRACTUAL LIABILITY COVERAGE WITH RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS- COMPLETED OPERATIONS HAZARD ". SEE PARAGRAPH B.3. OF THIS ENDORSEMENT FOR THIS COVERAGE CHANGE. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY. CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED ENDORSEMENT WITH LIMITED PRODUCTS - COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Dame of Person or Organization: Designated Project: (Coverage under this endorsement is not affected by an entry or lack of entry in the Schedule above.) 'A. WHO IS AN INSURED (Section II) is amended to 2. The Limits of Insurance applicable to the include as an insured any person or organization, additional insured are those specified in the including any person or organization shown in the written contract or written agreement or in the schedule above, (called additional insured) whom you Declarations of this policy, whichever Is less. are required to add as an additional insured on this These Limits of insurance are inclusive of, and not policy under a written contract or written agreement; in addition to, the Limits of insurance shown in the but the written contract or written agreement must be: Declarations. 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily injury," "property damage," or "personal and advertising injury". B. The insurance provided to the additional insured is limited as follows: 1. That person or organization Is an additional insured solely for liability due to your negligence specifically resulting from "your work" for the additional insured which is the subject of the written contract or written agreement. No coverage applies to liability resulting from the sole negligence of the additional insured. G- 17957 -G (Ed. 01/01) 3. The coverage provided to the additional Insured by this endorsement and paragraph t. of the definition of "insured contract" under DEFINITIONS (Section V) do not apply to "bodily Injury" or "property damage" arising out of the "products- completed operations hazard" unless required by the written contract or written agreement. When coverage does apply to "bodily injury" or "property damage" arising out of the "products- completed operations hazard" such coverage will not apply beyond: a. The period of time required by the written contract or written agreement; or Page t of 2 to 9 n O b. 5 years from the completion of "your work" on the project which is the subject of the written contract or written agreement, whichever is less. 4. The insurance provided to the additional Insured does not apply to "bodily injury," "property damage," or "personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and b. Supervisory, or inspection activities performed as part of any related architectural or engineering activities. C. As respects the coverage provided under this endorsement, SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as follows: i, The following is added to the Duties in The Event of Occurrence, Offense, Claim or Suit Condition: e. An additional insured under this endorsement will as soon as practicable: Q-1 7957-G (Ed. 01/0i) G- 17957 -G (Ed. 01101) (1) Give written notice of an occurrence or an offense to us which may result in a claim or "suit" under this insurance; (2) Tender the defense and indemnity of any claim or "suit" to any other insurer which also has insurance for a loss we cover under this Coverage Part; and (3) Agree to make available any other Insurance which the additional insured has for a loss we cover under this Coverage Part. f. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a claim or "suit" from the additional insured. • 2. Paragraph 4.b. of the Other Insurance Condition is deleted and replaced with the following: 4, Other Insurance b. Excess Insurance This insurance is excess over any other Insurance naming tha additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or writion agreement specifically requires that this insurance be either primary or primary and noncontributing. Page 2 of 2 POLICY NUMBER: 1082235578 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION WITH WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV— COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the ')products-completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ Ppanrs Copy