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12-064.00 Michael Terrell: West Gateway SignageAGREEMENT FOR PROFESSIONAL SERVICES Michael Terrell — Landscape Architect West Gateway Signage Project THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and Michael Terrell, Landscape Architect, 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 in Agreement for Professional Services Page 1 of 6 effect until completion of all contractual requirements have been met as determined by the City. 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 $ 10,755.00 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 therefor. 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: Name: Christine Bainbridge, City Clerk Phone Number: (509) 921 -1000 Address: 11707 East Sprague Ave, Suite 106 Spokane Valley, WA 99206 TO THE CONTRACTING ENTITY: Name: Michael Terrell, Landscape Architect Phone Number: (509) 922 -7449 Address: 5312 South Chapman Road Greenacres, WA 99016 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, 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, Agreement for Professional Services Page 2 of 6 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 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 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 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: Agreement for Professional Services Page 3 of 6 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:VH. 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 City, 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 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 Agreement for Professional Services Page 4 of 6 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. 22. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates The parties have executed this Agreement this�day of CITY OF SPOKANE VALLEY Agreement for Professional Services Contra Mike Jackso , 1 Manager ATTES : istine Bainbridge, ity Clerk Agreement for Professional Set Its: Authorized Representative APPROVED AS TO FORM: (1-1 P7�411jl r� Office of thi City Atto .. .... ....... Michael Terrell ■ Landscape Architect 5312 South Chapman Road Greenacres, WA 99016 Date: April 23, 2012 Client: City of Spokane Valley, WA Phone: (509) 720 -5400 Contact: Mr. Mike Stone Fax: (509) 688 -0188 Address: 2426 N. Discovery Place Spokane Valley, Washington 99216 Project: City of Spokane'Valley West Entry Sign Design Address: Spokane Valley, Washington Michael Terrell N Landscape Architect Agrees To Perform The Following Scope of Services: City of Spokane.VaHey West Entry; Sign Desigilt Tasks Fees I. Final Design 1. Review comments received on preliminary design and revise plans and details to reflect comments and budget. 2. Develop revised Final Construction documents for sign construction and site development to include site plan, construction details, Irrigation and planting. 3. Deliverables: a. Final Construction Drawings and specifications. City to provide contract and all frontal documents. b. Revised estimate of sign and site development. 4. Meetings: a. Meet with city staff to review Final Plans. 5. Make corrections, clarifications and revisions as necessary to documents. 6. Submit plans for required permits and make changes as required. Deliver one copy of signed drawings, Technical Specifications (Division 1, 2 and 3) and one electronic copy to City of Spokane Valley staff for bidding. Phase II Subtotal $2,400.00 - - -- — -- - - - - - -- - - -- III. Bidding - - 1. Provide Owner with two (2) sets of finalized, stamped construction drawings and specifications. 2. Respond to Inquiries from bidders. Prepare and Issue addenda. PROPOSAL, Project: City of Spokane Valley West Envy Sign Design Project k: 11 -016 Client: City of Spokane Malley 3. Participate in one (1) Owner conducted pre -bid conference. 4. Review /respond to requests from bidders for product substitutions. 5. Printing, issuing, updating and receiving bid documents to /from contractors to be provided by the City. City to maintain plan holders list. Printing and mailing of bid documents is not included. 6. Total Meetings: Pre -bid conference. 7. Review submitted bids, tabulate, clarify Issues with contractors as necessary and prepare recommendation. Phase III: Subtotal $875.00 IV. Survey, Civil and Electrical Sub- Consultant . 1. Provide survey, civil and electrical consulting per the attached scope of work. USKH subcontracting to MTLA. Sub - consultant fees are cost +15 %. Phase IV: Subtotal $5,950.00 Ve Construction :Observation 1. Attend one (1) pre - construction meeting. 2. Review/ process Contractor's submittals and other documents that include, but are not limited to: shop drawings, product and material data and requests for information /clarifications (RFI's). Services shall include providing responses to Contractor as necessary, review of Owner - prepared change order proposal forms, and reviewing Contractor's proposed costs of Owner - approved changes in the work. 3. Conduct a maximum of three (3) site visits to review the progress of the Work, attend project meetings and observe pressure tests as requested by the Owner. Task shall include preparing a written report of each site visit and issuing copies to all concerned parties. a. Conduct one (1) site visit to prepare a separate `punch list' of incorrect and /or incomplete work. Transmit `punch list' to Contractor for review, correction and comment. 4. Review record documents prepared by the Contractor. Task 4 Subtotal: $1,530.00 Total Fees: $10,755.00 NOTE: The above fee is based on an estimate of hours to complete the proposed Scope-of Services at-our-current hourly rates: _The- actual - fee may vary, - -- but- - should -be- - - within 10% of this estimate. For services not listed as optional or included in this proposal see "Extended Services ". PROPOSAL Project: City of Spokane Malley West Entry Sign Design Project N: 11 -016 Client: City of Spokane Malley MA,T A� °� CERTIFICATE OF LIABILITY INSURANCE R045 04- 30.201)2 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 SUBROGATIONIS 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 USAA INSURANCE AGENCY INC /PHS 812846 P:(888)242-1430 F• (877) 905 -0457 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE FAX Ext): (888)242 -1430 (A/C No): (877) 905 -0457 MAILo PRODUCER CUSTOMERID #: INSURER(S) AFFORDING COVERAGE NAIC# INSURED MICHAEL TERRELL DBA MICHAEL TERRELL LANDSCAPE ARCHITECT INSURER A: Hartford Casualty Ins CO EACH OCCURRENCE INSURER B COMMERCIAL GENERAL LIABILITY 5 312 S CHAPMAN RD INSURER C DAMAGE TO 1,NI PREMISES (EaRoccuEence) GREENACRES WA 99016 INSURER D CLAIMS -MADE N OCCUR X General Liab INSURER E 65 SBA PU5843 INSURER F 01/13/2013 MED EXP (Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE /NSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP (MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO 1,NI PREMISES (EaRoccuEence) I S 300,000 A CLAIMS -MADE N OCCUR X General Liab 65 SBA PU5843 01/13/2012 01/13/2013 MED EXP (Any one person) I $ 10,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000, 0 0 0 POLICY [::] PRO- ECT N LOC J $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANYAUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) S $ NON -OWNED AUTOS S UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE F DEDUCTIBLE S $ RETENTION $ WORKERS COMPENSAT ION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional RemanFs Schedule, d more space is requited) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Spokane Valley Parks BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Attn • West Entry Sign • DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR /ZED REPRESENTATIVE ` 2426 N DISCOVERY PL SPOKANE VALLEY, WA 99216 © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SUM ARY OF INSURANCE FOR: MICHAEL TERRELL DBA MICHAEL TERRELL LANDSCAPE ARCHITECT 5312 S CHAPMAN RD GREENACRES WA 99016 Phone: BY: HOME OFFICE USAA INSURANCE AGENCY INC /PHS PO BOX 33015 SAN ANTONIO TX 78265 Phone: (888)242 -1430 FAX: 812846 V u it Prepared: 03 -28 -2012 FAX: (877)905 -0457 ACCOUNT POLICY RECAP Policy Number Eff Date Exp Date Premium .Spectrum 65 SBA PU5843 01132012. 01132013 Hartford Casualty Ins Co POLICY DETAIL policy Spectrum Property Coverages - Special Form Limit Deductible Location 001 Building 001 1421 N MEADOWWOOD LANE STE 150 LIBERTY LAKE, WA 99019 BUSINESS PERSONAL PROPERTY $14,100 $250 Replacement Cost STRETCH Property Add'1 Policy Coverages - Applicable to all policy locations EQUIPMENT BREAKDOWN COVERAGE BUS INCOME W/ EXTRA EXPENSE TERRORISM IDENTITY RECOVERY COVERAGE Comm'1 Liability Coverages - Applicable to all policy locations Each Occurrence $1,000,000 Damage to Premises Rented to You $300,000 Medical Expense (Any One Person) $10,000 Personal & Advertising Injury $1,000,000 General Aggregate $2,000,000 Product /Complet Operation Aggregate $2,000,000 TERRORISM Class Description Detail Code Premium Basis Location 001 ARCHITECTS & ARCHITECTURE SERV 65761 This Summary and its attachments provides a high level overview of policy coverages and does not include all conditions, limitations or exclusions. Please refer to the actual policy forms for detailed coverages, limits and deductibles. --S AUTOMOBILE ASSOCIATION ADDL INFO ON NEXT PAGE PAGE 5 - (A RECIPROCAL INTERINSURANCE EXCHANGE) RA tate 09 10 Ven POLICY NUMBER USAW 9800 Fredericksburg Road - San Antonio, Texas 78288 0250251 Ter, 00358 99 36U 7104 8 WASHINGTON AUTO POLICY POLICY PERIOD: (12:01 A.M. standard time) RENEWAL DECLARATIONS EFFECTIVE FEB 20 2012 TO AUG 20 2012 ATTACH TO PREVIOUS POLICY Named Insured and Address MICHAEL D TERRELL CAPT USN 5312 S CHAPMAN RD GREENACRES WA 99016 -8832 Descri tion of Vehicle(s) VEH USE* 1 WORKISCHOOL VEH YEAR TRADE NAME MODEL BODY TYPE MILEAGE IDENTIFICATION NUMBER SYM Miles Way ay Days Per Week 09 98 TOYOTA 4RUNNERSR5 UTIL 4X4 5000 JT3HN86R7W0155361 P 10 12 SUBARU OUTBK2.51AWL UTL4X44D 10000 4S4BRBKCXC3219368 B The Vehicle(s) described herein is princieeall ara ed at the above address unless otherwise stated WIC= WorWSchool; B= Business; F= Farrn;P= Pleasure VEH 09 GREENACRES WA 99U1�8832 VEH 10 GREENACRES WA 99016 -8832 This ppolicy provides ONLY those, coverages where a premium is shown below. The limits shown maX be reduced by policy provisions and may not be combined regardless of the number of vehicles for which a premium is listed unless specifically authorized elsewhere in this po licy. COVERAGES LIMITS OF LIABILITY 09 6 -MONTH 10 6 -MONTH ( "ACV" MEANS ACTUAL CASH VALUE) D =DED PREMIUM D =DED PREMIUM D =DED PREMIUM D =DED PREMIUM MOUNT $ MOUN $ MOUN $ MOUNT $ BODILY INJURY EA PER $ 500,000 EA ACC $1,000,000 245.30 104.83 PROPERTY DAMAGE EA ACC $ 300,000 133.45 59.26 PART B - PERSONAL INJURY PROTECTION MEDICAL BENEFITS - EA PER $ 10,000 INCOME CONTINUATION - $200 PER WEEK LOSS OF SERVICES BENEFITS - $40 /DAY MAX, $200 /WK MAX, $5,000 MAXIMUM TOTAL FUNERAL EXPENSE - $2,000 28.36 12.58 PART C - UNDERINSURED MOTORISTS BODILY INJURY EA PER $ 500,000 EA ACC $1,000,000 42.31 50.77 PROPERTY DAMAGE EA ACC $ 10,000 5.11 6.14 PART D - PHYSICAL DAMAGE COVERAGE COMPREHENSIVE LOSS ACV LESS D10001 42.84 1000 32.73 COLLISION LOSS ACV LESS D1000 156.76D1000 117.31 TOWING AND LABOR 4.00 4.00 TOTAL PREMIUM - SEE FOLLOWING PAGE(S) LOSS PAYEE EH 10 SUBARU OF KENNESAW - PKWY NW, KENNESAW GA E E H H E E H H In WITNESS WHEREOF, the Subscribers at UNITED SERVICES AUTOMOBILE ASSOCIATION have their Attorney -in -Fact on this date JANUARY 17, 2012 President, 5000 U 07 -11 53461 -07 -11 caused these presents to be signea Dy Laura Bishop USAA Reciprocal Attomey -in -Fact, Inc. PAGE UNITED SERVICES AUTOMOBILE ASSOCIATION (A RECIPROCAL INTERINSURANCE EXCHANGE) ® USAA 9800 Fredericksburg Road - San Antonio, Texas 78288 State Veh rerr POLICY NUMBER 00358 99 36U 7104 8 WASHINGTON AUTO POLICY POLICY PERIOD: (12:01 A.M. standard time RENEWAL DECLARATIONS EFFECTIVE FEB 20 2012 TO AUG 20 201)2 ATTACH TO PREVIOUS POLICY Named Insured and Address MICHAEL D TERRELL CAPT USN 5312 S CHAPMAN RD GREENACRES WA 99016 -8832 Descri tion of Vehicle(s) VEH USE' SYM WORKISCHOOL MileD On W er �:;k VEH YEAR TRADE NAME MODEL BODY TYPE MILEAGE IDENTIFICATION NUMBER 'garaged The Vehicle(s) descri a ereln Is principally at e a ove address un ess otherwise stated. r W/aworwSaml; B =Business; F= Fann;P= Pleasure This ppolicy provides NLY those. coverages may be reduced by policy provisions and vehicles for which a premium is listed unless ere a premium is shown below. The limits shown may not be combined regardless of the number of specifically authorized elsewhere in this policy. COVERAGES LIMITS OF LIABILITY VEH VIEH VEH VEH ( "ACV" MEANS ACTUAL CASH VALUE) D =DED MOUNT PREMIUM $ D =DED I AMOUNT1 PREMIUM $ D =DED PREMIUM AMOUNT $ D =DED PREMIUM MOUNT $ VEHICLE TOTAL PREMIUM 658.13 387.62 6 MONTH PREMIUM $ 1788.08 EARNED ACCIDENT FORGIVENESS APPLI S WITH FIVE YEARS CLEAN DRIVING WITH USIA. HE PREMIUM ON YOUR RENEWING POLICY IS $ 92.46 LESS THAN ON YOUR EXPIRING POLICY. HE FOLLOWING COVERAGE(S) DEFINED III THIS POLICY ARE NOT PROVIDED FOR: VEH 05 - COMPREHENSIVE, COLLISIO , RENTAL REIMBURSEMENT VEH 06 - RENTAL REIMBURSEMENT VEH 07 - RENTAL REIMBURSEMENT VEH 08 - COMPREHENSIVE, COLLISIO , RENTAL REIMBURSEMENT VEH 09 - RENTAL REIMBURSEMENT VEH 10 - RENTAL REIMBURSEMENT THIS POLICY INCLUDES ENDORSEMENT P155 F IF DRIVEN, BODILY INJURY AND PROPERTY DAMAG IN YOUR LOCATION. COLLISION COVERA E ON R VEHICLE( E LI ITS APPLI S I F ) 05 08 RE THE MINI UM LIMITS EQUIRED THERE S A OSS P EE T WHICH E PAY THE LESSER OF ACV, LOAN AMO NT 0 COST T RE AIR. E E E E In WITNESS WHEREOF, the Subscribers at UNI I Eu SERVICES AUTOMOBILE UMOBILE AJJULIA 1 IVIV nave their Attomey -in -Fact on this date JANUARY 17, 2012 5000 U 07 -11 President, 53461 -07 -11 Gauseu Urese Nresemb w UU aiyncu Uy !/ f Laura Bishop USAA Reciprocal Attomey -in -Fact, Inc. LI W INSURANCE DATE (MM /DD/YYYY) 04/25/2012 RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT D BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT NTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. -sed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the er rights to the certificate holder in lieu of such endorsement(s). r NAME RICH PIVARCYK (312) 930 -5556 FAX (866) 741 -2778 )DRESS rich @leatzowinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # R A: New Hampshire Insurance Company 23841 R B: LIMITS R C: INSR R D: ADD R E: POLICY NUMBER R F: POLICY EXP REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM /DD/YYYYI (MMIDD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑ ❑ DAMAGE TO RENTED $ PREMISES (Ea occurrence) CLAIMS MADE 1:1 OCCUR MED EXP (Any one person) $ DOES NOT APPLY PERSONAL AND ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY PROJECT E LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ —1 (Ea accident) BODILY INJURY (Per person) $ El ANY AUTO ❑ Scheduled Autos F] DOES NOT APPLY ❑ALL OWNED ❑ Non -owned BODILY INJURY (Per accident) $ AUTOS Autos PROPERTY DAMAGE $ ❑ Hired Autos (Per accident) UMBRELLA LIAB OCCUR ❑ ❑ EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE B DOES NOT APPLY AGGREGATE $ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? N/A DOES NOT APPLY - WC STATU- TORY LIMITS I OTH- ER E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 each claim A PROFESSIONAL LIABILITY 011193337 1/16/2012 1/16/2013 1,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: West Entry Sign Design CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Parks and Recreation Department EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Attn: Mike Stone THE POLICY PROVISIONS. 2426 N. Discovery Place Spokane Valley, WA 99216 AUTHORIZED REPRESENTATIVE )GA_ LEATZOW INSURANCE @ 1988 -2010 (#CORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACCORD name and logo are registered marks of ACORD CERTIFIC TE OF LIABILITY INSUR SCE THIS CERTIFICATEIS ISSUED AS 'A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEF CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY:AMEND, EXTEND OR. ALTER THE COVERAGE AFF,O BELOW. THIS CERTIFICATEOF INSURANCE DOES NOT-CONSTiTUTE A CONTRACT BETWEEN THE ISSUINGIP REPRESENTATIVE OR PRODUCER, AND -THE CERTIFICATE HOLDER. _�• IMPORTANTi .If the; certificate holder Is in ADDITIONALINSURED, tlle;:policy(ies) must be endorsed. If SUBROGATI' the terms and conditions of the pollcy, certain Policies Wray require an endorsement. A s4aten anton this cer:tif cateslc 1. certificate holder In lieu of such endorsenient(s): PRODUCER: NAME•CT USAA INSURANCE AGENCY INC /PHS PHONE PHO No ExtJ: (888)212-1430 812846. P: (888) 242 -1430 F; (8'77} 905 -0457 ADDRESS: PO BOX 33015 C iI SAN ANTONIO TX 78265 cusTOrEe1R:: —_ INSURER(S) AFFORDING. COVERAGE INSURED INSURER A: Hartford Casualty In MICHAEL TERRELL DBA MICHAEL TERRELL INSURER. :a : LANDSCAPE ARCHITECT INSURER C`: 5312 S CHAPMAN RD INSURER- 0 >: GREENACRES WA 9 9016 INSURER E - - - .. _ _ - _. . -`. Q'C \!1 $Jl3hJ All lilA R�Q•. DATE (.V:NiDDiYYYY) 1-30 -2011 X'► E HOLDER. THIS BY THE POLICIES R(SL AUYHORIZED IS WAIVtD, subject to notcanyor rights to the 377 )9C5 -C45 NAIL r COVERAGES: THIS IS TO CERTIFY THAT THE POLICIES OF c �vvlvt INSURANCE uLn. LISTED, BELOW HAVE BEEN ISSUED TO — - - - THE INSURED NAMED ABOVE FOR THE POLY Y PERIOD y -ntl T.tii! INDICATED. CERTIFICATE EXCLUSIONS hJOTV1!ITHSTANDItVG ANY REQUIREMEN MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH PERTAIN, POLICIES. I TERM OR CO VDI -1 ibri OF THE INSURANCE AFFORDED LIMITS SHOWN MAY HAVE BEEN A14Y.CONTRACT BY THE POLICIES REDUCED BY OR OTHER L)C+itiivlEi, .41T 1 i, :FCCT ri DESCRIBED HEREIN IS SUBJECT TO ALL HE T. ERMS, PAID CLAIMS. — IN ! LTR I TYPE OF INSURANCE INSR s WVD I POLICY NUh18ER POI-1 IMM(DDrYYYYI P - LIMITS -_. -- 1MM7OD/YYYYJ —._ GENERAL LlA81.LITY I COMMERCIAL GENERAL LIABILITY: i j EACH OCCURRENCC i s .� , O O O, O O.O MIM)f i PREMISES IEs u .urreme! _ s 3 O 0, `O O O N1ED EXP,Any a_. Person 1 S 1 MOO �I CLAIMS MARE LX OCCUR Al X General I,iab -_ X 65 SBA: PU5843 101/13/2012 01j13;jb013jPERSONAL &ADVINJURY ;57,LO ©:00 .GENERAL AGGREGATE t2,00 ��J,r OQ 0 l' — I,PRODUCTS- COYSa JF AGG S z , C U,O , O O.O �GEN,'L- AGGREGTE LIMIT APPLIES PER; I -- — -- S I � I PRO -: { X POLICY L—t JECT L& LOC I _ I — - �-----"— COMBINED SINGLE LIi" i AUTOMOBILE LIABILITY IEfE.a ac�cid -�rlt1 I =— ANY AUTO L "n! J t I:.:. 1 - -- ' INJURY (Pzv, BODILY. '. -- T v ALL OWNED AUTOS n - ! i BODILY INJURY iPer'acudentl� S — — — ^ - -- I SCHEDULED AUTOS r I I'. It+ a= I) PROPERTY DAMAGE ; S (Per ac cidentl HIRED AUTOS" ._ c:= S — NON- OWNED AUTOS - -- -- -- --- --= EACH OCCURRENCE r 1 UMBRELLA LIA8 i 0.000R f J EXCESS LIAR CLAIMS,MADE ! I I_AG GREGATE S I DEDUCTIBLE F] RETENTION S I 5 WORKERS COMPENSATION AND EMPLOYEAS` LaABILITY { ii E I ss If ORSTATU OTN 1 i t TORY LIMITS � II Ytf. ANY PROPRIETOR-PARTNERiEXECUTIVE^ u i NIAI E.L. cAO F� 4c 3? OFFICERIMEMBEREXCLUDEWl' (Mandatory in:NHl I 1 E.L. DISEASE EA EMPLOYEE' S It yes, describe under DESCRIPTION OF OPERATIONS - below � E.L. DISEASE - POLICY LIMIT 1 $ —' -- — " - -- DESCRIPTION OF OPEAATIDNS I LOCATIONS / VEHICLES (Allech:ACORD 101, Additional Remarks Schedule, It more space 7e squired) Those usual to the Insured's operations. Re West Entry Sign. Certificate Holder is an Additional Insured per the Business' Liability Coverage 1Fex:m S:S 0.:0 0 8 . U City of Spokane Va ey At.tn Parks & Recreation Dept 2426 N DISCOVERY PL SPOKANE VALLEY, WA 99216 SHOULD ANY. OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF;; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRONASIONS. UTHONIZE IR PRESENTATIVE v` 1988.2009 ACORD "CORPORATION. All rights reserved ACORD 25 (2009/09) The- ACORD`name and IOgo:are registered: marks of ACORD Verify Workers' Conip Premium , Status.- Eii ploye Liability Certificate Page 1 of 1 Washington State Depa_iI iehl of Labor and Indilstries Dep Irtinent of Labor and "Industries. Employer Liability Certificate Date: 05/03/2012. UBI #: 601 382 389 Legal Business Nan w'.. TERRELL MICHAEL DAVID ,Account #: 072,594-.0,1 E, niployer Liability Certificate Doing Business As' Name: MICHAEL TERRELL LANDSCAPE ARCH Estimated Workers Reported: Quarter l of Year 2012 "1. to; 3 Workers" (See Description B,elotiv)'. Workers' Conip Preiinium Status: Account is current. Firm has voluntarily reported and paid their premiums, Licensed Contractor? No Account representative: T 1. / FEARAED FEROZE (3. 60)902 -4797 - :Email: FERH235 ct Ini,wa:;gov What does "Estimated Workers Reported." mea. Estimated workers reported represents the number of full time position requiring at lea8t -480, hours of work per calendar quarter:. A single. 480 hour position iiiay be filled by one person, or several part tinge workers. Industrial Insurance Information Einployers report and pay p emniii s each quarter based on Hours of employee work already performed, and ate liable for premiums found later"to be, due. Industrial insurance accounts Have no policy periods, cancellation dates, liiilitatiois of coverage or waiver of subrogation (See. RCG1� 51.12.050 and 51.16.1'90)