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12-033.00 Simpson Engineers: 2012 Stormwater Small Works ProjectsLast Updated July 20, 2011 AGREEMENT FOR PROFESSIONAL SERVICES Simpson Engineers, Inc. THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and Simpson Engineers, Inc., hereinafter "Contracting Entity," jointly referred to as "parties." IN CONSIDERATION of the terms and conditions contained herein the parties agree as follows: 1. Work to Be Performed. The Contracting Entity shall 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 Contracting Entity. Prior to commencement of work, Contracting Entity shall contact the City Manager or designee to review the Scope of Services, schedule and date of completion. Upon notice from the City Manager or designee, Contracting Entity shall commence work, perform the requested tasks in the Scope of Services, stop work and promptly cure any failure in performance under this Agreement. B. Representations. The City has relied upon the qualifications of the Contracting Entity in entering into this Agreement. By execution of this Agreement, Contracting Entity 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 Services. No substitutions of agreed -upon personnel shall be made without the prior written consent of the City. Contracting Entity represents that the compensation as stated in paragraph 3 is adequate and sufficient compensation for its timely provision of all professional services required to complete the Scope of Services under this Agreement. Contracting Entity shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Contracting Entity shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City furnished information. C. Standard of Care. Contracting Entity shall exercise the degree of skill and diligence normally employed by architects, professional engineers or consultants performing the same or similar services at the time such services are performed. D. Modifications. The City may modify this Agreement and order changes in the work whenever necessary or advisable. The Contracting Entity 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 Contracting Entity 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 Agreement for Professional Services Page I of 6 CIO ►�,_ -033 Last Updated July 20, 2011 in effect until completion of all contractual requirements have been met as determined by the City. Contracting Entity shall complete its work within 25 working days of execution of this Agreement, unless the time for performance is extended in writing by the parties. Either party may terminate this Agreement for material breach after providing the other party with at least ten days' prior notice and an opportunity to cure the breach. The City may, in addition, terminate this Agreement for any reason by ten days' written notice to the Contracting Entity. In the event of termination without breach, the City shall pay the Contracting Entity for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. The City agrees to pay the Contracting Entity $21,715.00 as full compensation for everything done under this Agreement. Contracting Entity shall not perform any extra, further or additional services for which it will request additional compensation from the City without a prior written agreement for such services and payment therefore. 4. Payment. The Contracting Entity 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 Services, City standards, City Code, and federal or state standards. 5. Notice. Notice shall be given in writing as follows: TO THE CITY: TO THE CONTRACTING ENTITY: Name: Christine Bainbridge, City Clerk Name: Simpson Engineers, Inc. Phone Number: (509) 921 -1000 Phone Number: (509) 926 -1322 Address: 11707 East Sprague Ave, Suite 106 Address: 909 N. Argonne Rd. Spokane Valley, WA 99206 Spokane Valley, WA 99206 6. Applicable Laws and Standards. The parties, in the performance of this Agreement, agree to comply with all applicable federal, state, and local laws and regulations. Contracting Entity warrants that its designs, construction documents, and services shall confirm to all federal, state and local statutes and regulations. 7. Relationship of the Parties. It is understood, agreed and declared that the Contracting Entity shall be an independent contractor, 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 Contracting Entity. Any and all employees who provide services to the City under this Agreement shall be deemed employees solely of the Contracting Entity. The Contracting Entity shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 8. Ownership of Documents. All drawings, plans, specifications, and other related documents prepared by the Contracting Entity 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. The written, graphic, mapped, photographic, or visual documents prepared by Contracting Entity under this Agreement shall, Agreement for Professional Services Page 2 of 6 Last Updated July 20, 2011 unless otherwise provided, be deemed the property of the City. The City shall be permitted to retain these documents, including reproducible camera -ready originals of reports, reproduction quality mylars of maps, and copies in the form of computer files, for the City's use. The City shall have unrestricted authority to publish, disclose, distribute and otherwise use, in whole or in part, any reports, data, drawings, images or other material prepared under this Agreement, provided that the Contractor shall have no liability for the use of the Contractor's work product outside of the scope of its intended purpose. 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 Contracting Entity's records with respect to all matters covered in this Agreement. 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 Agreement for a period of three years from the date final payment is made hereunder. 10. Insurance. The Contracting Entity 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 Contracting Entity, its agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance. Contracting Entity shall obtain insurance of the types described below: 1. Automobile liability insurance covering all owned, non - owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial general liability insurance shall be written on ISO occurrence form CG 00 O1 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 Contracting Entity'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 Contracting Entity's profession. B. Minimum Amounts of Insurance. Contracting Entity 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 Agreement for Professional Services Page 3 of 6 Last Updated July 20, 2011 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 Contracting Entity's insurance coverage shall be primary insurance with respect to the City. Any insurance, self - insurance, or insurance pool coverage maintained by the City shall be excess of the Contracting Entity's insurance and shall not contribute with it. 2. Contracting Entity shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Contracting Entity. D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, the Contracting Entity shall furnish acceptable insurance certificates to the City at the time the Contracting Entity returns the signed Agreement. 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 Contracting Entity shall be financially responsible for all pertinent deductibles, self - insured retentions, and/or self - insurance. 11. Indemnification and Hold Harmless. The Contracting Entity 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, subject only to the limitations provided below: Contracting Entity's duty to indemnify shall not apply to liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the sole negligence of the Contracting Entity, or its agents or employees. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contracting Entity, its agents or employees, and the City, its officers, officials, employees, or volunteers, the Contracting Entity's duty to indemnify hereunder shall be only to the extent of the Contracting Entity's negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Contracting Entity's waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. Contracting Entity's obligation to defend, indemnify and hold the City harmless shall include, but not be limited to, the City's attorney and expert fees, court costs, and all other claim - related expenses. 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 Agreement for Professional Services Page 4 of 6 Last Updated July 20, 2011 one instance shall be held to be a 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 benefits received hereunder without first obtaining the written consent of the other party. 14. Subcontracts. Except as otherwise provided herein, the Contracting Entity shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of the City. 15. Confidentiality. Contracting Entity may, from time to time, receive information which is deemed by the City to be confidential. Contracting Entity shall not disclose such information without the prior 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. Disputes between the City and Contracting Entity shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Contracting Entity agrees that it may, at the City's request, be joined as a party in any arbitration proceeding between the City and any third party that includes a claim or claims that arise out of, or that are related to Contracting Entity's services under this Agreement. Contracting Entity further agrees that the Arbitrator(s) decision therein shall be final and binding on Contracting Entity and that judgment may be entered upon it in any court having jurisdiction thereof. 17. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation (including expert witness fees). 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, Contracting Entity 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. Agreement for Professional Services Page 5 of 6 Last Updated July 20, 2011 22. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates The parties have executed this Agreement thi day of 20 �. i CITY O F SPO VALLEY Contracting Entity: Mike Jackson, Ci Manager By: �, Its: Authorized Representative ATTES APPROVED AS TO FORM: istine ainbrtdge, City Clerk Office offJhe City Attorney Agreement for Professional Services Page 6 of 6 Simpson Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS 909 N. Argonne Road • Spokane, WA 99212 (509) 926 -1322 • Fax: (509) 926 -1323 Scope of Work Project: 2012 Stormwater Projects — City of Spokane Valley Scope of Work: Simpson Engineers will provide field topography drawings for the targeted locations: -8823 N. Sargent Road -311 S. Dishman -Mica -13618 E. 4th Avenue - Sprague Avenue, I -90 to Park Road The survey work shall include all areas of right -of -way. Sargent Road, Dishman -Mica, and 4th Avenue project limits as shown on the provided exhibits. Sprague Avenue survey limits will be provided as shown on the provided exhibit and as listed below: -Begin 50' west of concrete /asphalt pavement junction on east side of I -90 overpass. -50' north/south beyond curb returns of adjacent streets. -End 50' east of Park Road intersection curb return. The scope of services consists of providing surveying field crew, equipment and office calculations for the following tasks: Task 1 Task 1 will be to establish benchmarks for each individual project location. Simpson Engineers will tie data to the Washington State Plane coordinate system (2 point minimum) and a vertical datum based on NAVD 88. Task 1 work will begin within 7 working days after the City executes a Contract Agreement and will be completed by March 31St, 2012. Task 2 Task 2 will be to provide 1 -foot topographic mapping for each individual project location. Simpson Engineers will obtain topographic survey data in the areas shown on the provided exhibits. The following data will be shown on the completed drawings: -Grade breaks within specified areas of survey, street cross -slope and gutter grades within specified survey areas. - Existing sanitary sewer structures and piping. Elevations will include rims and pipe inverts. Verify and show pipe type and size. - Existing stormwater structures and piping. Elevations will include rims, pipe inverts, and catchbasin/inlet bottoms. Verify and show pipe type and size. - Existing watermains, valves, hydrants, and meter vaults. - Automatic sprinkler heads located immediately behind street curbs or sidewalks. - Existing driveways, including type (concrete, gravel, etc.) and edge locations. - Existing trees larger than 4 inches in diameter. Note location, diameter, and species of each tree. - Existing fencing located within the right -of -way. Simpson Engineers will coordinate with utility companies for location of existing utilities, to include surface and subsurface pipe and/or structures. Located utilities shall be incorporated into surveyed data and drawings. Simpson Engineers will be responsible for all traffic control. Simpson Engineers will prepare and submit a Traffic Control Plan for review and approval to the City of Spokane Valley Traffic Engineer 5 working days prior to starting work. A ROW Construction Permit is not required from the City of Spokane Valley. Simpson Engineers will 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 breaklines. Consultant also shall include 24" x 36" bond copies at a I " =30' scale, signed and dated by a Professional Land Surveyor licensed in Washington and be suitable for the development of final design plans. Show existing property and right -of -way lines on the completed topo map. 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. Simpson Engineers will incorporate the new City of Spokane Valley NCS drafting standard. Simpson Engineers will obtain a template from the City of Spokane Valley to be used for associated drawings. Autocad elements shall be placed on approved layers. Task 2 work shall begin within 7 working days after the City executes a Contract Agreement and shall be completed by March 3 1 s`, 2012. Founded 1946 impson Engineers, Inc. Civil Engineering, Land Surveying & Land Planning February 20, 2012 Scope of Surveying Services 2012 Stormwater Small Works Projects City of Spokane Valley Ryan Broadwater, Simpson Engineers is pleased to offer a proposal to provide surveying field crew, equipment and office calculations for Tasks 1 and 2 per the "Request for Scope of Surveying Services" dated February 13, 2012. Our costs to complete tasks 1 and 2 for each intersection and streets are listed below: 1. 8823 N. Sargent Road = $2,025.00 2. 311 S. Dishman -Mica = $2,000.00 3. 13618 E. 0 Avenue = $1,890.00 4. Sprague Avenue, I -90 to Park Road = $15,800.00 Total Estimate Cost for all 4 items listed above = $21,715. 00 We are planning on handling traffic control with survey signs and cones for all locations except for Sprague. For Sprague we anticipate utilizing a tow behind trailer with directional arrows to protect workers in the roadway in addition to survey signs and cones. Please don't hesitate to contact us with any questions or concerns you may have. We look forward to hearing from you. Sincerely, Charles E. Simpson, P.E. & P.L.S. President Aaron C. Simpson, P.E. Vice - President 909 N. Argonne Rd., Spokane Valley, WA Phone: (509) 926 -1322 Fax: (509) 926 -1323 Email: aaron @simpsonengineers.com EVIDENCE OF INSURANCE CIVIL ENGINEERS; PROFESSIONAL LIABILITY INSURANCE POLICYHOLDER - ISSUED TO THE POLICY NO. NAC 101711 AMERICAN SOCIETY OF CIVIL ENGINEERS EVIDENCE NO. 2200136 - 01 ITEM 1: NAMED INSURED: EFFECTED WITH Clarence E. Simpson Engineers, Inc. UNDERWRITERS AT-LLOYD'S OF :LONDON ITEM 2: (NOT INCORPORATED) MAILING ADDRESS OF NAMED INSURED: LLOYD'S ILLINOIS, INC. 909 N Argonne Rd 181 W. MADISON STREET Spokane Valley, WA 99212 -2791 SUITE 3870. CHICAGO, IL 60602 -4541 ITEM 3: COVERAGE PERIOD: BOTH DAYS AT 12:01 A.M.LOCAL STANDARD INCEPTION: 01/01/2012 EXPIRATION: 01/01/2013 TIME AT THE MEMBERS MAILING ADDRESS ITEM 4: RETROACTIVE DATE: 01/01/2011 ITEM 5: LIMIT OF LIABILITY: A) LIMIT IN ALL (INCLUDING COSTS, $1,000,000 CHARGES AND E)0ENSES) IN RESPECT OF EACH CLAIM B) .LIMIT IN THE AGGREGATE (INCLUDING $1,000,000 COSTS, CHARGES AND EXPENSES) FOR EACH ANNUAL PERIOD ITEM 6: DEDUCTIBLE EACH CLAIM: ITEM 7: _ TOTAL PREMIUM: ITEM 8: ENDORSEMENTS AT COVERAGE PERIOD INCEPTION DATE: AIF 2385 (07/08) N.M.A. 1256 N.M.A. 1477 • AIF265T(I0/05) THIS DOCUMENT (EVIDENCE OF INSURANCE) IS ISSUED AS NOTICE OF INSURANCE FOR INFORMATION ONLY. IT DOES NOT CONSTITUTE A LEGAL CONTRACT OF INSURANCE. THE MASTER POLICY AND THE APPLICATION OF THE INSURED, IF ANY, FORM THE ENTIRE CONTRACT. THIS EVIDENCE WHICH IS FURNISHED IN ACCORDANCE WITH, AND IN ALL RESPECTS IS SUBJECT TO, THE TERMS OF THE MASTER POLICY, A COPY OF WHICH IS ATTACHED HERETO FOR INFORMATION PURPOSES ONLY AND REPLACES ANY OTHER EVIDENCE PREVIOUSLY ISSUED COVERING THE INSURANCE DESCRIBED HEREIN. AIF 2385 E (08/06) A je%nOn CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDff" 11/29/2011 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 Moloney, O'Neill, Corkery & Jones, Inc. 818 West Riverside Suite 800 Spokane, WA 99201 CONTACT NAb1E: PcNcE : (509)325 -3024 AICNe:(509)325 -1803 EMAIL ADDRESS: cusroL, -L-K : INSURERS) AFFORDING COVERAGE NAIC C $ 1,000,000 INSURED Clarence E Simpson Engineers Inc INSURER A: Hartford Casualty Insurance CO INSURER B: 909 N Argonne Rd INSURER C: MED EXP (Any one person) Spokane, WA 99212 INSURER D: INSURER E : INSURER F: $ 1,000,000 COVERAGES CERTIFICATE NUMBER: 11/12 GL and Auto REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR TYPEOFINSURANCE LTR A DL INSR U WVD POUCYNUMBER WDp rf" LIC (MMIDDYYYYl LIMrIS GENERAL LIABILITY 525BAP36656 04101/2011 04101/2012 EACH CCCLRRENCE $ 1,000,000 X COMMERCIAL G- V= RALLIABILITY CLAIMS -MADE F-;�] OCCUR pE GET RENTED ercel $ 300,000 MED EXP (Any one person) $ 10,0()0 A PERSONAL & ACV INJJRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 3EML AGGREGATE L MIT APPLIES PER PP.ODUC -S - COVF /OP A.GG $ 2,000,000 POLICY PEa 7 LOC $ AUTOMOBILE X LIABILITY ANY .A-To 52SBAP36656 04101/2011 04/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJUR" :Per pe-E_on) $ A X ALL OWNED AUTOS SCHEDULED NJrOS HIRED AUTOS BODILY INJUR" ;Per ac- ident) $ PROPERTY DA A6,3E (-sr accident) $ X NON -CVVNED AUTCS $ UMBRELLA UAB OCCUR EACH OCCLRRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGA -E $ DEDUCTIBLE $ $ RETENTION J MWAXXN BILrfY YIN AND A 0 FICER/MEM30R1PA TNEEEEX.ECUTIVE (Mandatory in NH) N!A 52SBAPJ6656 04/0112011 0410112012 TORY L ,T% ER E L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLDYEE $ 1,000,000 D -5vRIPTION OF OPERA —IONS belcw E.L. DISEASE - POLICY LIM T $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) City of Spokane Valley is Additional Insured with respect to General Liability per form SS0008 (04/05) CERTIFICATE HOLDER CANCELLATION City of Spokane Valley 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 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 Tim Bri ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ACORD,*, CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 03/29/2012 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 Moloney, O'Neill, Corkery & Jones, Inc. 818 West Riverside Suite 800 Spokane, WA 99201 CONTACT NAME: A/CONN E #:(509)325 -3024 n/cNe:C509)325 -1803 A DD E-MAIL RESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Clarence E Simpson Engineers Inc 909 N Argonne Rd Spokane, WA 99212 INSURERA: Hartford Casualty Insurance CO $ 10,000 INSURER B: $ 1,000,000 INSURERC: GENERAL AGGREGATE INSURER D: INSURER E: INSURER F: .,...�� CERTIFICATE NUMBER- 1 2113 Cl and Auto REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR LTR A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ADDL INSR SUBR WVD POLICY NUMBER SZSBAPJ665604101/2012 POLICY EFF MM /DD/YYYY POLICY EXP MM /DDIYYYY 04/01/2013 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED PREMISES S ( Ea occurr$ ..c.) 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 o nnnn cannon rnooAD ATInN All r1f1t1+C r'CCPNPf1_ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY 52SBAPJ6656 04/01/2012 04/01/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS A SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ X $ X w - UMBRELLA LIAR EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE WC STATU- OTH- TORY LIMITS ER $ A RETENTION $ I Q )0x%*x10x AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 52SBAPJ6656 04/01/2012 04/01/2013 E.L. EACH ACCIDENT $ 1,000,00 0 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Spokane Valley is Additional Insured with respect to General Liability per form SS0008 (04/05) Vt=tt I IrwH I c nV�u�rc —• °- - - - -- -- - - -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley AUTHORIZED REPRESENTATIVE__ ZZ 11707 E Sprague Ave, Suite 106 Sp kane Valley, WA 99206 ITim Brinson /]DH o nnnn cannon rnooAD ATInN All r1f1t1+C r'CCPNPf1_ ACORD 25 (2009/09) W -i V00_4VVa VV.'. v., —.... The ACORD name and logo are registered marks of ACORD Coif -a��