12-123.00 Allwest Testing: Sprague Ave UIC EliminationAGREEMENT FOR PROFESSIONAL SERVICES
Allwest Testing & Engineering
THIS AGREEMENT is made by and between the City of Spokane Valley, a 'code City of the
State of Washington, hereinafter "City" and Allwest Testing& En 'nom eerina, 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. 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. The Scope of
Services is attached hereto as Exhibit 1. Upon notice from the City Manager or designee,
Consultant shall com1ence work, perform the requested tasks in the Scope of Services, stop work
and promptly cure any failure in performance under this Agreement.
B. Representations. City has relied upon the qualifications of Consultant in enteringinto 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.n.ade without the prior written consent of 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. City may modify this Agreement and order changes in the work whenever
necessary or advisable. 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. Consultant shall make such revisions in the work as are necessary to
correct errors or omissions appearing therein when required to do so by 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 City.
Consultant shall complete its work within l . year of execution of this Agreement, unless the time for
performance is extended in writing by the Parties.
Agreement for Professional Services
Page 1 of 6
L./V Z -1 2
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. City .may, in addition, terminate this
Agreement for any reason by ten days' written notice to Consultant. in the .event of termination without
breach, City shall pay Consultant for.all work previously authorized and satisfactorily performed prior to
the termination date.
3..Comnensation.:City agrees to pay Consultant $14,912 as full :compensation for all work done under
this Agreement, A Management Reserve Fund amount (MRF) not to exceed 10% ($1,491) of the original
contract price may be. utilized upon written authonzati.on from the City. Consultant shall not perform any
extra, further or additional services for. which it will request additional compensations from the City
without a prior written agreement for such services and payment therefore.
4. Payment. Consultant . shall be paid monthly upon presentation ofan invoice to City. Applications for
payment shallbe sent to the City Finance Department at the Below stated address.
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. Notices other than applications for payment shall be given in writing as follows:
TO THE CITY: TO THE CONSULTANT:
Name: Christine Bainbridge, City Clerk Name: Allwest Testing & Engineering
Phone: (509) 921 -1000 Phone: (509) 534 -4411
Address: 11707 East Sprague Ave, Suite _106 Address: 12928 E. Indiana Avenue ##1
Spokane Valley, WA 99206 Spokane Valley, 'WA 99216
6. Applicable Laws and Standards. The Parries, in the performance of this Agreement, agree to comply
with all applicable federal, state, and local laws and regulations. Consultant Wan-ants 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 Consultant shall be an
independent contractor, and not the agent or employeeof City, that 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 Consultant. Any aril all employees who provide services
to City under this Agreement shall be deemed employees solely of Consultant. The Consultant shall be
solely responsible for the conduct and actions of all its employees under this Agreement and any liability
that may attach thereto.
8. Ownership of Documents. All drawings, plans, specifications, and other.related documents prepared
by Consultant under this Agreement are and shall be the property of City, and may be subject to
disclosure pursuant to RCW 42,56 or other applicable public record laws. The written, graphic, mapped,
oto a hi
p . h ..,gr.p_ 'c; or visual documents prepared by Consultant under this Agreement shall, unless otherwise
provided, be deemed the property of City., City shalt be permitted to retain these documents, including
reproducible camera-ready originals of reports, reproduction quality in ars of maps, and copies in the
form of computer files, for the City's use. City shall have unrestricted authority to publish, disclose,
distribute and otherwise use in whole .or 'in part, an y reports, data, drawings, images or other material
prepared under this Agreement, provided that Consultant shall have no liability for the use of
Agreement for Professional Services Page 2 of 6
Consultant's work product outside of the scope of its intended .purpose.
4. 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 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 fro_ m the date final payment is
made hereunder.
10. Insurance. 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 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. City shall be named as an insured under
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 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.
I 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. Consultant's insurance coverage shall be primary insurance with respect to City. Any
insurance, Self- insurance, or insurance pool coverage maintained by City shall be in
excess of Consultant's insurance and, shall not contribute with lt.
Agreement for Professional Services Page 3 of 6
2. Consultant shall fax or send electronically in Tdf format a copy of insurer's
: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 AXII.
E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement,
Consultant shall furnish acceptable insurance certifcates to the City Clerk at the time 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 City. Consultant shall be financially responsible for all
pertinent deductibles, self- insured retentions, and/or self - insurance.
11. Indemnification and Hold Harniless. 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, attomey's fees and costs of litigation, expenses, injuries, and damages of any nature
whatsoever relating to or arising out of the wrongful or negligent acts, errors or omissions in the services
provided by Consultant, Consultant's agents, subcontractors, subconsultents and employees to the fullest
extent permitted by law, subject only to the limitations provided below.
Consultant's 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.
Consultant's 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, Consultant's agents, subcontractors, subconsultants and employees, shall apply only to the
extent of the negligence of Consultant, Consultant's agents, subcontractors, subconsultants and
employees.
Consultant's 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 imitiuriity 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 under this provision extends only to claims against
Consultant by City, and does not include, or extend to, any claims by Consultant's 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
Agreement for Professional. Services Page 4 .of 6
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 Marty 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 fist obtaining the written
consent of the other Party.
14. Subcontracts. Except as otherwise provided herein, Consultant shall not enter into subcontracts for
any of the work contemplated under this Agreement without obtaining prior written approval of City.
15, Confidentiality lConsultant may, from time to time, receive information which is deemed by City to
be :confidential. Consultant .shall not disclose such information without the prior express written consent
of 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 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, City's request, be
joined as a party in any arbitration proceeding between 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 ofl?cer or employee of 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 Reg=istration. Prior to commencement of work under this Agreement, Consultant shall
register with the City as a business.
21: Severability. If any section, sentence, clause or phrase of this Agreement should be held to be invalid
for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any
other section, sentence, clause or phrase of this Agreement.
22. Exhibits. Exhibits attached and incorporated into this Agreement are:
1. Scope of Services
2. insurance Certificates
Agreement for Professional Services Page 5 of 6
The Parties have executed this Agreement this I day of 4E& v. Sy' , 20j
ITY O 'E VALLEY
1�1 ke Jackso City Manager
ATTEST:
hristine Bainbridge, City Clerk
Consultant:
cn
By:
Its: Authorized Representative
APPROVED AS TO FORM:
Office of City Att
Agreement for Professional Services Page 6 of 6
ALLWEST
Testing & Engineering
August 31, 2012.
Project No. PS212 7218
Mr. Ryan Brodwater
City of Spokane Valley
11707 E. Sprague Avenue, Suite 106
Spokane Valley, Washington 99206
Materials Testing
Geotechnical, Engineering
Environmental Services
RE: Revised Cost Estimate for Construction Materials Testing
Sprague Avenue UIC Elimination Project
Thierman Road to Park Road
Spokane Valley, Washington
Dear Mr. Aldworth:
ALLWEST Testing & Engineering is pleased to provide you With our revised cost
estimate for construction materials testing for the Sprague Avenue UIC Elimination
Project from Thierman Road to Park ,Road, in Spokane Valley, Washington. Based on a
review of the available information, wb are -confident that our firm will provide the
necessary testing services in .a cost effective, timely, and professional manner. This
cost estimate summarizes our unit prices and our estimated fees to provide our
services. Comments provided to us by the Coty of Spokane Valley have been
incorporated into this revised cost estimate letter.
PROJECT DESCRIPTION
We understand that the proposed project consists of reducing the width of Sprague
Avenue between Thierman Road and Park Road to upgrade sto"rmwater management
facilities and resurface as concrete pavement (ACP.) along the corridor. The
project has two separate funding mechanisms.. The Stormwater facility upgrades and
curb and sidewalk portion (Schedules A and B) will be partially funded through a
stormwater grant by the Washington State Department of Ecology. The ACP portion of
the project (Schedule C) will be funded through the City .of Spokan. e Valley. Therefore,
we have separated our cost estimate to reflect the different funding mechanisms as you
have requested.
O 690 W. Capstone Court o Hayden, ID 838.35 a (208) 762 -4721 o Fax (208) 762 -0942
® 12928 E. Indiana Avenue #1 • Spokane Valley, WA 99216 . (509) 534 - 44'11 o Fax (509) 534 -9326
0 2127 2nd Avenue N. o Lewiston, ID 83501 9 (208) 743 -5710 9 Fax (208.) 743 -8270
Cost Estimate for Construction Materials Testing
Sprague Avenue UIC Elimination Project
Spokane Valley, Washington
Proposal No. P$212 -218
Page 2
In general, the construction activities will include subgrade and base aggregate
preparation in new sidewalk, curb, and driveways. Asphalt surface milling followed by
overlaying of the asphalt surface with new asphalt pavement will conclude the project if
funding allows. Specifically, construction activities for the three proposed Schedules will
include the following work:
Schedules A and B
For Schedule "A" the existing curbs, sidewalks and driveways between Thierman and
Park Roads will be removed. Following demolition the subgrade will be compacted and
Crushed Surfacing Top Course (CSTC) will be placed and compacted. Approximately
3,000 feet of sidewalk, 5,000 feet of curbing and 40 new driveways will be placed.
Concurrent with sidewalk and curbing, new bio- infiltration 'swales with drywells will be
placed on .both sides of Sprague Avenue.
Schedule C
Following Schedules "A" & "B" and if funding allows, an asphaltic :concrete "overlay from
Thierman to Park Roads will be placed. The overlay will be two and one quarter inch in
depth and be approximately 50 feet wide. We have estimated_ the tonnage to be.
approximately 2,000 tons,
ALLWEST anticipates our materials testing services will consist of in -place subgrade,
crushed surfacing top course (CSTC), and hot -mix. asphalt (HMA) density testing,
testing of fresh concrete for slump, air - entrainment, temperature, and unit weight, along
with compressive strength cylinders, and accompanying laboratory testing services for
soils, aggregate, concrete, and HMA. We understand that the project will commence in
late summer-2012. Inspection of drywell installation is not pa. rt of this cost estimate as
we understand this service is not needed..
QUALIFICATIONS AND PERSONNEL
ALLWEST employs a staff of qualified enginee- rs, inspectors, and technicians in our five
offices located in Hayden, Post Falls, Lewiston and Meridian Idaho and Spokane,
Washington. These include six registered professional engineers and over twenty
inspectors and technicians. Our Spokane office maintains a national accreditation
through -American Association for Laboratory Accreditation (A2LA -
htfp: / /www.A2LA.Org /scopepdf /2491- 01`.pdf) and state accreditation through the
Washington Association of Building Officials. (WABO -
and WABO certified, technicians and inspectors. Ad(
technicians maintain WAQTC and ACl certifications.
ALLWEST
Testing & Engineering
All of our offices employ ]CC
sally, our inspectors and
also provide Non - Destructive
Materials Testing
Geotechnical Engineering
Environmental Services
Cost Estimate for construction Materials Testing
Sprague Avenue UIC.Elimination Project
Spokane Valley, Washington
Proposal No.: PS212 -218
Page 3
Testing (NDT) to Level 11 and III ASNT practices. Our Spokane office also employs PCI
(Precast/Prestressed Concrete Institute) Quality Control Personnel Certification
Technician Level 1.
SCOPE OF SERVICES
ALLWEST's services will be performed on a time and expense basis. Our scope of
services will include the following items:
1. Earthwork Testing and Observations Associated with Sidewalk, Curb and
driveway construction:
We will provide an engineering technician to perform density tests on fill placed
and to observe and evaluatethe soils at subgrade elevations. In addition, we. will
provide a technician for CSTC density testing and sampling. Our testing services
will include the following:
• Density tests on subgrade and CSTC using a nuclear densometer.
• Laboratory Proctor, Gradation, Fracture Face, and Sand Equivalenttests.
• Evaluation of subgrade soils prior to placing structural fill.
• Documenting removal of existing structures and foundations, including
subexcavation and oversizing, if necessary.
2. Concrete Testing:
We will provide an engineering technician to observe placement of concrete and
for testing of concrete during placement. Our services will include the following:
• Verify mix specifications including slump, air content, unit weight and
temperature.
• Cast compressive strength cylinders as required.
3. Asphalt Pavements;
We will provide an engineering technician to perform density tests on asphalt
placed and to obtain samples for laboratory testing. Our testing services will
include the following:
• Density tests on asphalt during placement using 'a nuclear densometer.
• Assist the contractor in establishing a roller pattern to achieve density.
• Obtain bulk samples for testing of approved mix parameters.
4. Geotechnical Engineering:
We will provide geotechnical engineering consultation. as .needed.
ALLWEST Materials Testing
Testing & Geotechnicat Engineering
Environmental Services
DOCUMENTS EXEMPT FROM PUBLIC DISCLOSURE
The two pages entitled "Cost Estimate for Construction Materials Testing" contain confidential
cost and rate data and are withheld from public disclosure pursuant to 23 USC 112(2)(F).
Prenotification; confidentiality of data. A recipient of funds requesting or using the cost
and rate data shall notify any affected firm before such request or use. Such data shall be
confidential and shall not be accessible or provided, in whole or in part, to another firm or to any
government agency which is not part of the group of agencies sharing cost data under this
paragraph, except by written permission of the audited firm. If prohibited by law, such cost and
rate data shall not be disclosed under any circumstances.
You may petition for a review of our findings pertaining to any redacted or withheld documents
pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
Cost Estimate for Construction Materials Testing
Sprague Avenue UIQ Elimination Project
Spokane valley, WasFiington
Proposal No.; PS212 -216
Page 6
REMARKS
We appreciate the opportunity to submit this cost estimate., and we look forward to
Serving your materials testing needs. For your convenience, we have submitted two
copies of this cost estimate letter. Having an appropriate representative sign and return
one copy of the attached Agreement for Professional Services can authorize our
services. Please understand that the authorizing organization assumes ultimate
responsibility for payment of our services. If you have any questions or need additional
information, please do not hesitate to call us at (509) 534 -4411.
Sincerely,
ALLWEST Testing & Engineering, LILC
Tyson Schroeder
Project M, anager
Andy J. Eliason, P.E.
Project Engineer/ Materials Testing .Manager
Attachment: Professional Services Agreement
��Ld V Materials Testing
Testing & Engine,erIng Geotechnical Engineerittg
Environmental Services
ALLWTES -01 DJOHNSTON
CERTIFICATE OF LIABILITY INSURANCE
1 DATD/YYYY)
9/112/212 /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, Coll & Jones Inc. CDA
7950 Meadowlark Way, Ste A
Coeur d'Alene, ID 83815
CONTACT
NAME:
PHONE (208) 292 -1751 FAX No): (509) 325 -1803
Eft (208)
IL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC #
6123/2013
INSURERA:Ohio Security Insurance Co
$ 1,000,000
PREMISES Ea occurrence
INSURED
INSURER B: American Fire and Casualty Co
$ 15,000
Allwest Testing 8r Engineering LLC
INSURER C:ID State Insurance Fund
INSURER D :
GENERAL AGGREGATE
PO Box 3149
Hayden, ID 83835
INSURER E :
$ 2,000,000
INSURER F:
$
B
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
POLICYNUMBER
POLICY EFF
MM /DD/YYYY
POLICY EXP
MM/DD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_x1 OCCUR
X
BKS55722284
612312012
6123/2013
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 15,000
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ECOT- LOC
PRODUCTS - COMP /OP AGG
$ 2,000,000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS NON OWNED
X HIREDAUTOS X AUTOS
X
BAASS122284
612312012
612312013
COMBI
Ea accNED ident SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per. accident
$
UMBRELLA LIAB
EXCESS LIAB
HOCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y /N
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
581522
411/2012
4/112013
X WC STATU- OTH-
ER
__ITORYLIMIT
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Project: 212 -190T Sprague Avenue UIC Elimination Project
Certificate holder is Additional Insured with respects to General Liability
rFRTIFICATF FIC11 r1FR CANCELLATION
01988 -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
City of Spokane Valle
ty p y
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
11707 E Sprague Ave, #106
Spokane Valley, WA 99216
AUTHORIZED REPRESENTATIVE
01988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Terra Insurance Company
(A Risk :Retention Group)
Two fifer Avenue, Suite 100
Corte Madera to 94925
CERTIFICATE: OF INSURANCE
DATE
09/06/12
NAME AND ADDRESS OF INSURED
Allwest Testing 8r. Engineering, LLC
12928 E. Indiana Avenue
Spokane Valley, WA 99216
ta �A:
w
This certifes that the "Claims made' insurance_ pohcy.(descnbed below by policy number) written on forms in
use by the. Company has been issued. This certificate is not a policy or a binder of insurance and is issued as
a matter .of information only, and confers no rights upon the certificate holder. This certificate does not alter,
amend or extend the coverage afforded by this policy.
The policy of :insurance listed below has 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 ormay pertain, the insurance afforded by the policydescribed herein is
subject to.ali the terms, exclusions and conditions of such policy. Aggregate limits shown may have been
reduced by paid claims.
TYPE OF INSURANCE Professional Liability
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
212194 01101%12 12/31/12
LIMITS OF LIABILITY $1;0002000, EACH CLAIM
$1,000,000 ANNUALAGGREGATE
PROJECT DESCRIPTION
212 -190T Sprague Avenue UIC Elimination Project
CANCELLATION if the described policy is cancelled by the.Company before its
expiration date; the Company will mail written notice to the certificate holder thirty (30)
days in advance, or ten (l0) days in advance for non- payment of 'premium. If the
described policy is cancelled by the insured before its expiration date, the "Company will
mail ;written notice to the certificate holder within thirty (30) days of the notice to the
Company from the insured.
CERTIFICATE HOLDER ISSUING COMPANY:
City of Spokane Valley
11707 E. Sprague, Suite #106
Spokane Valley, WA 99206
TERRA INSURANCE COMPANY
(A Risk,Reiention Group)
President