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12-077.00 David N Randall: Bettman/Dickey - 14th to 11th Storm ConveyanceAGREEMENT FOR PROFESSIONAL SERVICES David N. Randafl, Civil Engineer THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and David N. Randall. Civil Engineer, hereinafter "Consultant," 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 Consultant 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 Consultant. Prior to commencement of work, Consultant 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, Consultant 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 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 Services. No substitutions of agreed -upon personnel shall be made without the prior written consent of the City. Consultant 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. 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. Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed by professional consultants engaged in the same profession, and 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 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 as determined by the City. Consultant shall complete its work within 90 days of execution of this Agreement, unless the time for performance is extended in writing by the Parties. Ageement for Professional Services Page 1 of 6 C,,otP,0 -77 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 mason by ten days' written notice to the Consultant. In the event of termination without breach, the City shall pay the Consultant for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. The City agrees to pay the Consultant $8.360.00 as full compensation for everything done under this Agreement. Consultant 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 Consultant shall be paid monthly upon presentation of an invoice to the City. Applications for payment shall be sent to the City Clerk at the below stated address. The City reserves the right to withhold payment under this Agreement which is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the Scope of 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 CONSULTANT: Name: Christine Bainbridge, City Clerk Name: David N. Randall, Civil Engineer Phone Number. (509) 921 -1000 Phone Number: (509) 245 -3402 Address: 11707 East Sprague Ave, Suite 106 Address: 521 W. Cameron Road Spokane Valley, WA 99206 Spangle, WA 99031 6. Auplicable Laws and Standards. The Parties, in the performance of this Agreement, agree to comply with all applicable federal, state, and local laws and regulations. Consultant 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 Consultant 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 Consultant. Any and all employees who provide services to the City under this Agreement shall be deemed employees solely of the Consultant. The Consultant shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 8.Ownershiu of Documents. All drawings, plans, specifications, and other related documents prepared by the Consultant under this Agreement are and shall be the property of the City, and may be subject to disclosure pursuant to RCW 42.56 or other applicable public record laws. The written, graphic, mapped, photographic, or visual documents prepared by Consultant 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, distribute and otherwise use, in whole or in part, any reports, data, drawings, images or other material prepared under this Agreement, provided that the Consultant shall have no liability for the use of the Consultant's work product outside of the scope of its intended purpose. Agreement for Professional Services Page 2 of 6 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 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 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, employees or subcontractors. A. Minimum Scope of Insurance. Consultant 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 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 with respect to 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. Consultant shall fax or send electronically in .pdf format a copy of insurer's Agreement for Professional Services Page 3 of 6 cancellation notice within two business days of receipt by Consultant. D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANH. E. Evidence of Coverase. As evidence of the insurance coverages required by this Agreement, the Consultant shall furnish acceptable insurance certificates to the City at the time the Consultant 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 Consultant shall be financially responsible for all pertinent deductibles, self- insured retentions, and/or self-insurance. 11. Indemnification and Hold Harmless. The Consultant shall, at its sole expense, defend, indemnify and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs, attorney's fees and costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of the services provided by Consultant, Consultanfs agents, subcontractors, subconsultants and employees to the fullest extent permitted by law, subject only to the limitations provided below. Consultants duty to defend, indemnify and hold harmless City shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees. Consultanfs duty to defend, indemnify and hold harmless City against liability for damages arising out of such services caused by the concurrent negligence of (a) City or City's agents or employees, and (b) Consultant, Consultants agents, subcontractors, subconsultants and employees, shall apply only to the extent of the negligence of Consultant, Consultants agents, subcontractors, subconsultants and employees. Consultanfs duty to defend, indemnify and hold City harmless shall include, as to all claims, demands, losses and liability to which it applies, City's personnel - related costs, reasonable attorneys' fees, and the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for collection, and all other claim- related expenses. Consultant specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that Consultant's waiver of immunity by the provisions of this Addendum extends only to claims against Consultant by City, and does not include, or extend to, any claims by Consultanfs employees directly against Consultant. Consultant hereby certifies that this indemnification provision was mutually negotiated. 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 Agreement for Professional Services Page 4 of 6 any of the provisions of this Agreement or to rewire 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 Consultant shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of the City. 15. Confidentiality. Consultant may, from time to time, receive information which is deemed by the City to be confidential. Consultant shall not disclose such information without the prior express written consent of the City or upon order of a court of competent jurisdiction. 16. Jurisdiction and Vence. This Agreement is entered into in Spokane County, Washington. Disputes between the City and Consultant shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Consultant 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 Consultant's services under this Agreement. Consultant further agrees that the Arbitrator(s) decision therein shall be final and binding on Consultant 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 supersedes 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. Severabrlity. 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. E Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates Agreement for Professional Services Page 5 of 6 The Parties have executed this A ent this greem of , 20 / �'-- CITY F-SPOKANE VALLEY Mike Jackson, ity Manager ATTEST- Christine ainbridge, City Clerk Consultant: By: Its: Authorized Representative APPROVED AS TO FORM: Office of tfiq City Attorne Agreement for Professional Services Page 6 of 6 David N. Randall, Civil Engineer 521 W. Cameron Road Spangle, Washington 99031 Ph /Fax: (509) 245 -3402 Cell: (509) 951 -7411 April 25, 2012 City of Spokane Valley 11707 East Sprague Avenue, Suite 304 Spokane Valley, Washington 99206 Attn: Art Jenkins, P.E. Re: Engineering Services Proposal — Bettman /Dickey Storm Conveyance, Storage and Treatment Improvements from 14th Avenue to 11th Avenue. Art, This proposal is to finalize the desi n of conveyance, storage and treatment facilities for stormwater from 14th Avenue to 11 Avenue. This work is associated with tasks completed under City Agreement #08 -036. This Proposal consists of two Phases. Phase 1 includes the finalization of the design of conveyance facilities for stormwater at the above referenced site. Phase 2 includes the preparation of the design of a stormwater storage and treatment swale at the southeast corner of the intersection of Dickey Road and 11th Avenue. The proposed Engineering Services in Phase 1 of the work consist of: (1) A detailed topographic survey, (2) Preliminary design of a conveyance option that incorporates the use of a system of ditches and culverts for stormwater flows from 14th Avenue to 11th Avenue, (3) Preliminary design of a conveyance option that makes use of underground piping from 14th Avenue to 11th Avenue, and (4) Preparation of final bid documents for the construction of the selected conveyance option. The proposed Engineering Services in Phase 2 of the work consist of: (1) Preparation of a detailed tree survey at the proposed storage and treatment swale site, (2) Coordination with the City of Spokane Valley and Budinger & Associates for drywell testing and soil borings, (3) Preparation of final bid documents for the construction of the storage and treatment swale, and (4) Coordination with the City of Spokane Valley through the permitting process. The Engineering Services fee for Phase 1 of the above scope will be $6,400.00 and the Engineering Services fee for Phase 2 of the above scope will be $1,960.00. 1 hope that this information is helpful. Please let me know how you would like to proceed. If you have any questions, please give me a call. Sincerely, David Randall, P.E. RANDDA1 OF ID: CR ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05123/12 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 509- 928 -2121 Starr 8: Brown Insureco, Inc 509 - 928 -8379 219 N Pines Rd Spokane, WA 99206 Kirby D Brown NAME: aco "N Ext : FAX No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Insurance Cos LIMITS INSURED David Randall, Civil Engineer 521 W Cameron Rd Spangle, WA 99031 INSURER B: INSURER C: INSURER D: INSURER E: $ 1,000,00 INSURER F: $ 300,00 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 11707 E SPRAGUE SUITE 106 POLICY NUMBER MM /DDY/YYYY MM /DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 LpREMMIUSlESTU occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY X 680- 7643M727 10/15/11 10/15/12 CLAIMS -MADE 7 OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ X POLICYFI PRO LOC AUTOMOBILE LIABILITY (CEO SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE RY LA IT ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If Yes, describe under DESCRIPTION OF OPERATIONS below A TRAVELERS INSURANC X 105240386 03112112 03/12/13 PROF LIAB 1M /2 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED IN REGARDS TO THE OPERATIONS OF THE NAMED INSURED. CFRTIFICATF 41A1 nFR CANCELLATION ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SPOKANE VALLEY ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E SPRAGUE SUITE 106 AUTHORIZED REPRESENTATIVE SPOKANE VALLEY, WA 99206 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� ® CERTIFICATE OF LIABILITY INSURANCE °05 /23v` 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 policypes) 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). NTACT PRODUCER Darren Young Insurance Agency Inc NAME Darren Young, Agent _ - FAX PHONE 2308E 57th #2 ;.5os-624 -7890 (A1c NNol_5Q - 624-7717 E-MAIL MAIL Spokane WA 99223 ADCigESS: darren&dg erryoung.org ift- _ INSURER(S) AFFORDING COVERAGE -_ii-_ _ nC07 INSURED David Randall 521 W Cameron Rd Spangle, WA 99031 A: State Farm Mutual Automobile Insurance Company.. _ C: -- D: DGVICIAM IJIIMRFZR- 5�. �. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AD�BR POLICY NUMBER MIDD EFF ` Mp10 DCY EXP LIMITS LTR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN GENERALLIABIIJTY ❑. ACCORDANCE WITH THE POLICY PROVISIONS. _EACH OCCURRENCE S A AUTHORIZED RE', SEv - DAMfCET0-REN7E6— S j ,- COMMERCIAL GENERAL LIABILITY 1 `- PREMISE$ Ee ocamence r1 nl�owTlflAl wp � nMfc rn�nrvoti CLAIMS -MADE �� OCCUR I • MEO EP {pny one person) S PERSONAL & AD V INJURY GENERAL AGGREGATE E GEN'L AGGREGATE LIMIT APPLIES PER; PRODUC'S - COMRIOP AGG E _ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY Y � 070 3154 - 622-47 02!2212012 $ • COMBINED SINGLE LIMIT 0812212012 4E9 acddentl -- _b . BODILY INJURY (Per person) 5 1,000,000 ANY AUTO ALL OWNED x SCHEDULED BODILY INJURY (Per ecddeni) S 1 _ 000,000 AUTOS NON -0WNED i PR6PERTY DAMAGE S 1,000,000 rPeracddJ __.. HIRED AUTOS AUTOS — .. S UMBRELLALIAB J OCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE 5 - 5 DED RETENTIONS WC STATU- OTH- WORKERS COMPENSATION TORY LIMIT5 -, . _. _ AND EMPLOYERS' LIABILM ANY PROPRIETORIPARTNERiEXECUTIVE YIN OFFICE'MEMBER EXCLUDED? ❑ NIA E.L EACH ACGDENT $ DISEASE • EA EMPLOYS E.L. E (Mandatory In NH) .. It yes, describe under OF OPERATIONS below E.L. DISEASE. POUCY LIMIT' $ OPqrRIPTION DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) Vehicle Description: 1985 Toyota 4 Runner Sport Wagon, Vin * JT4RN61D9F5083470 CERnrwAltrlVLL1C1< - - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk Christine Bainbridge ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave, Ste 106 A AUTHORIZED RE', SEv Spokane Valley, WA 99206 j ,- 1 `- r1 nl�owTlflAl wp � nMfc rn�nrvoti ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01 -2012