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12-156.00 SPVV Landscape Architects: Sprague Storm Drain EnhancementAGREEMENT FOR PROFESSIONAL SERVICES SPW Landscape Architects SVPW # 12 -041 THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and SPW Landscape Architects, 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 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. City has relied upon the qualifications of 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 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 60 days of execution of this Agreement, unless the time for Agreement for Professional Services Page 1 of 6 (:o I1z -- i 5�l performance is extended in writing by the Parties. Either Party may terminate this Agreement for material breach after providing the other Party with at least ten days' prior notice and an opportunity to cure the breach. 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. Compensation. City agrees to pay Consultant $4000.00 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 City without a prior written agreement for such services and payment therefore. 4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for payment shall be 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: SPVV Landscape Architects Phone: (509) 921 -1000 Phone: 509- 325 -0511 Address: 11707 East Sprague Ave, Suite 106 Address: 621 W. Malon Suite 306 Spokane Valley, WA 99206 Spokane, WA 99201 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. 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 Consultant shall be an independent contractor, and not the agent or employee of 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 and 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, photographic, or visual documents prepared by Consultant under this Agreement shall, unless otherwise provided, be deemed the property of City. 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. 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 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. 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 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. 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 O1 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. 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. 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 it. Agreement for Professional Services Page 3 of 6 2. Consultant shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Consultant. D. Acceptabilfty of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Consultant shall furnish acceptable insurance certificates 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 Harmless. 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 wrongful or negligent acts, errors or omissions in the services provided by Consultant, Consultant's agents, subcontractors, subconsultants 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 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 parry 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 Parry 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 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, Consultant shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of City. 15. Confidentiality. Consultant 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 officer 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 Registration. Prior to commencement of work under this Agreement, Consultant shall register with the City as a business. 21. Severability. If any section, sentence, clause or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other section, sentence, clause or phrase of this Agreement. 22. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates Agreement for Professional Services Page 5 of 6 The Parties have executed this Agreement this %1day of�'� 20 CIT OF SPOKANE VALLEY Consultant: ��ll r By: Kenneth Van Voorhis Its: Authorized Representative AT TEST • / Christine Bainbridge, City Clerk APPROVED AS TO FORM: Office of de City Attoff Vey Agreement for Professional Services Page 6 of 6 LANDSCAPE ARCHITECTS Sprague Ave Storm Drainage Enhancement Project October 9, 2012 Sprague Ave Storm Drainage Enhancement Project Construction Observation Scope of Services: We understand that the scope of work for this project is to provide construction services. These construction services include plant material review, submittal review, see review notes below, field notes to the project manager, field irrigation testing observation, and review of as built drawings. It is our understanding that the field project manager (PM) will call us one working day in advance of field testing or observation. It is also understood that correspondence to the contractor shall be routed through the PM. Participate in a maximum of five project site visits with the project's contractor and /or subcontractor(s) to generally review the progress of construction and to see if the work completed is generally consistent with the intent of Landscape Architect's Construction Documents. Although Landscape Architect may observe and discuss potential problems, these visits are not a guarantee that there will not be construction deficiencies Review required contractor submittals, such as shop drawings and samples, but only to determine if they conform to the Landscape Architect's visual and aesthetic design intent Landscape Architect agrees to provide services during the closeout phase that include construction progress reports, a substantial completion report, final punchlist, and back -check of punchlist. We will also review contractor's Record Drawings for accuracy. Landscape Architect shall render its services as expeditiously as is consistent with professional skill and care. During the course of the Project, anticipated and unanticipated events may impact the Project schedule and /or Project budget. Client acknowledges that significant changes to the Project or construction schedule or budget, or the Project's scope may require Additional Services of the Landscape Architect Sincerely, A00we a �� Kenneth L. Van Voorhis Principal SPW Landscape Architects OP ID: MC '`�`_°RO- CERTIFICATE OF LIABILITY INSURANCE DATE(M11/1YYY) 10/11/12 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 - 624 -3291 Andre - Romberg Ins. Agency, Inc S. 400 Jefferson St., Ste. 333 509 -456 -0294 Spokane, WA 99204 Kenneth D. Kurtz - Ext. 324 CONTACT NAME: HONE FAX (PA/C. No Ext : (A/C. No): E -MAIL ADDRESS: PRODUCER TCSHE -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Sherry Pratt Van Voorhis 621 W Mallon Ave Ste 306 Spokane, WA 99201 INSURER A: American States Insurance 19704 INSURER B : 04/17/13 INSURER C: $ 2,000,000 INSURER D : $ 2,000,00 INSURER E: $ 10,00 INSURER F. $ COVERAGES CERTIFICATE NUIMRER: 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 ADDL SUBR POLICY NUMBER POLICY EFF MM /DD POLICY EXP MM /DD LIMITS • GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR BZS55094569 04/17/12 04/17/13 EACH OCCURRENCE $ 2,000,000 PAMAGE TO RENTED Ea occurrence $ 2,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 4,000,00 $ • AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAS55094569 04/17112 04/17/13 COMBINED SINGLE LIMIT (Ea aident) $ 1,000,000 X L INJURY (Per person) BODILY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED'? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- OTH- T RY LIMITS ER , E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ CITYROF SPOKANE VALLEY IS NAMED ADDITIONAL INSURED al Remarks Schedule, If more space Is required) TE SPOK -38 CITY OF SPOKANE VALLEY PUBLIC WORKS 11707 E SPRAGUE AVE STE 106 SPOKANE VALLEY, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Verify Workers' Comp Premium Status - Employer Liability Certificate Page 1 of 1 Washington State Department of Labor and Industries Department of Labor and Industries Employer Liability Certificate Date: 10/16/2012 UBI #: 601 610 448 Legal Business Name: T C SHERRY & ASSOCIATES P S Account #: 889,345 -01 Employer Liability Certificate 'Doing Business As' Name: SPVV LANDSCAPE ARCHITECTS Estimated Workers Reported: Quarter 3 of Year 2012 "4 to 6 Workers" (See Description Below) Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? No Account Representative: T1 / COLEEN LARRETT (360)902 -4919 - Email: HAIC235 @lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). https: // fortress. wa. gov/ lni/ crpsi lAcctInfoPrint.aspx ?AccountId= 88934501 &AccountMana... 10/16/2012 DATE (MM/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 10/10/2012 HOLDER. THIS CERTIFICATE DOES NOT THISCERTIFICAT OR NEGATIVELY AMEND, EXTEND OR INFORMATION TER HELCOVERAGE AFFORDED GBY THE POLIChIES BELOW. HIS CERTIFICATE OF INSURANCE DOES NOT AFFIRMATIVELY CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. policy, certain policies ma -require r i endorsement, INSURED, the policy(es) must be endorsed. If SUBROGATION IS WAIVED, subjsi tch the terms and conditions oft the IMPORTANT: If the certificate holder Is an ADDIT ' nt. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).' P Y, P y q - -- CONTACT NAME Karen; Bronson _ — PRODUCER ._:. FAx 866' 741 -2778 _. _.. ir— _ - PHONE 312),930 -5556 ( )... _ leI8tzow Insurance 1 ( - " EMAIL ADDRESS karen@leatzowinsurance.com' ' 300.S. Riverside Plaza, . Suite 2100 INSURER(S). AFFORDING COVERAGE NAIC # Chicago, IL 60606 23841 INSURER a: New Hampshire Insurance Company INSURED INSURER B: T.C.Sherry &Associates,P.S. INSURER C: d /b /a: SPVV Landscape Architects INSURER D: 621 West Mallon Avenue INSURER E: #306 Spokane, WA 99201 INSURER F: CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONDITION OF ANY CERTAFICATE MAY NOTWITHSTANDING ORAMAY REQUIREMENT. TERM OR THE INSURANCE AFFORDED BY THE POLICES DES IBED HEREINES SUBJECT TO ALL THE TERMS, THIS REDUCED BY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN POLIC C PAID CLAIMS. Y EFF POLICY EXP LIMITS INSR ADD SUB POLICY NUMBER (MM /DD/YYYYI (MM /DD/YYYY) TYPE OF INSURANCE INSR WVD LTR EACH OCCURRENCE $ GENERAL LIABILITY ❑ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN %,.AGGREGATE LIMIT APPLIES PER: OpOLICY PROJECT LOC :AUTOMOBILE LIABILITY •' ' :.•. ANY AUTO Scheduled Autos ALL AUTOS OWNED ❑ Autos F-1 Hired Autos 7UMBRELLA LIAR [d OCCUR u EXCESS LIAB CLAIMS -MADE DED F RETENTION $ -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A OFFICER/MEMBER EXCLUDED? A I PROFESSIONAL LIABILITY DAMAGE TO RENTED $ PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL AND --ADV INJURY $ :. _ - DOES NOT APP - . ,. • - �•� -' ' ` ` ' ' GENERAL AGGREGAT E PRODUCTS - COMP /OP AGG $ DOES NOT APPLY DOES NOT APPLY DOES NOT APPLY 01 012295386 BINED SINGLE LIMIT..: iccident) ILY INJURY (Per person) $ ILY INJURY (Per accident) $ PERTY DAMAGE $ accident) H OCCURRENCE $ WC STATU- E.L. EACH ACCIDENT z E.L. DISEASE - EA EMPLOYEE 15 E.L. DISEASE - POLICY LIMIT Is 1,000,000 each claim 9/9/2012 9/9/2013 1,000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Miscellaneous Projects Subject to policy terms and conditions CANCELLATION CERTIFICATE HOLDER City of Spokane Valley Parks SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE and Recreation EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Art Jenkins, P.E. 11707 East Sprague Avenue AUTHORIZED REPRESENTATIVE Suite 304 LEATZOW INSURANCE Spokane Valley, WA 99206 ry-�5 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACCORD name and logo are registered marks of ACORD