12-157.00 Michael Terrell: West Gateway SignageCONTRACT AMENDMENT FOR THE AGREEMENT
BETWEEN THE CITY OF SPOKANE VALLEY AND Michael Terrell —
Landscape Architect
Contract # C012 -064
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged,
City and the Michael Terrell — Landscape Architect mutually agree as follows:
1. Purpose:
This Amendment is for the Contract for consultant services for the West Gateway Signage
Project by and between the Parties, executed by the Parties on May 4, 2012, and which
terminates upon completion of the contractual requirements. Total compensation under the
Original Contract is not to exceed $10,755.00. Said contract shall be referred to as the "Original
Contract" and its terms are hereby incorporated by reference.
2. Original Contract Provisions:
The Parties agree to continue to abide by those terms and conditions of the Original Contract,
dated May 4, 2012, and any amendments thereto, which are not specifically modified by this
Amendment.
3. Amendment Provisions:
This Amendment is subject to the following amended provisions, which are attached hereto as
Appendix "A ". All such amendment provisions are hereby incorporated by reference herein and
shall control over any conflicting provisions of the Original Contract, including any previous
amendments thereto.
4. Compensation Amendment History
This is Amendment #1 of the Original Contract and the history of amendments to the
Consultant's / Contractor's compensation is as follows:
Date Compensation
Original Contract Amount May 4, 2012 $10,755.00
Amendment #1 October 4, 2012 $ 652.50
Amendment #2 N/A $N /A
Total Amended Compensation $11,407.50
CP Imo- 157
The parties have executed this Amendment to the Original Contract this St day of October,
2012.
CITY OF SPOKANE VALLEY:
�.
uti h� JA��-
ATTEST:
hristine Bainbridge, City Clerk
Pa
MICHAEL TERRELL — LANDSCAPE
ARCHITECT:
By: Michael TeVell
Its: Authorized Representative
APPROVED AS TO FORM:
Offi of the City Attorney
APPENDIX "A"
Paragraph 3 (Compensation) of the Original Contract is hereby amended to
increase the total compensation paid by $652.50. Paragraph 3 of the Original
Contract is amended to read as follows:
"3. The City agrees to pay up to $11,407.50 as full compensation for everything
furnished and done under this contract, in accordance with the provisions outlined in
the scope of work, as previously and / or presently amended."
2. The Scope of Work, (Exhibit 1) of the Original Contract, is hereby amended to
include the following tasks and /or services additions:
a. Consultant has provided additional research and development of alternative
water service concepts that is above the original scope of work. That
additional work requires an increase in the design fee compensation.
AGREEMENT 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 ofthe 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 oftermination 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 ofthis 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 ofthe 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 ANU-
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
Page 4 of 6
Agreement for Professional Services
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 , 2012.
CITY OF SPOKANE VALLEY Contracting Entity:
Agreement for Professional Services Page 5 of 6
WMike Jackso , City Manager
ATTEST•
Christine Bainbridge, City Clerk
Its: Authorized Representative
APPROVED AS TO FORM:
Office of(he City Attorney
Agreement for Professional Services Page 6 of 6
SUMMARY OF :ENSVRANCE
FOR: MICHAEL TERRELL DBA MICHAEL TERRELL
LANDSCAPE ARCHITECT
5312 S CHAPMM RD
GREENACRES WA 99016
Phone:
BY: HOME OFFICE
USAA INSURANCE AGENCY INC /PHS
PO BOX 33015
SAN ANTONIO TX 78265
Phone: (888)242 -1430
_ ACCOUNT POLICY RECAP Policy Number
Spectrum 65 SBA PU5843
Hartford Casualty Ins Co
■ i
Prepared: 03 -28 -2012
FAX:
812846
FAX: (877) 905 -0457
Eff Date Exp Date Premium
01132012. 01132013
POLICY DETAIL
Polic y .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, $250
100
Replacement Cost
STRETCH
Ann to all policy locations
BUS INCOME W/ EXTRA EXPENSE
TERRORISM
IDENTITY RECOVERY COVERAGE
Comm'1 Liabilit Covera es - Applicable 1t000�000o1ic locations
Each Occurrence
Damage to Premises Rented to You $300,000
Medical Expense (Any One Person) $ 10,000
Personal & Advertising Injury $1,000,000 $2,000,000
General Aggregate
Product /Complet Operation P_ggregate $2,000,000
TERRORISM
Code Premium Basis
Class Description Detail
L ation 001 ARCHITECTS & ARCHITECTURE SERV 65761
oc
its attachments provides a high level overview of policy coverages and
This Summary and
does not include its imitations or exclusions. Please refer to the actual
conditions, l
policy forms for detailed coverages, limits and deductibles.
UNITED SERVICES AUTOMOBILE ASSOCIATION
I , (A RECIPROCAL INTERINSURANCE EXCHANGE)
;AA' 9800 Fredericksburg Road - San Antonio, Texas 78288
WASHINGTON AUTO POLICY
RENEWAL DECLARATIONS
(ATTACH TO PREVIOUS POLICY)
MICHAEL D TERRELL
CAPT USN
5312 S CHAPMAN RD
GREENACRES WA 99016 -8832
TRADE NAME I MODEL I BODY TYPE
121 SUBARU . IOUTBK2.51AWL I UTL4X44D
ADDL INFO ON NEXT PAGE PAGE 5
State FP2:b7kPZbj 10 ven POLICY NUMBER
A Terr 00358 99 36U 7104 8
Pnllry PERIOD: (12:01 A.M. standard time)
IDENTIFICATION NUMBER
10000 1 4S4BRBKCXC3219368
i 09e(s)GREENACRES WApr99016 g8832 at the above address unless otherwise sta
-1 10 GREENACRES WA 99016 -8832
This olicy provides ONLY those coverages where a premium is showr
may, too reduced by policy provisions and may not be combined reg
vehicles for which a premium is listed unless specificall authorized else
VEH
OVERAGES LIMITS OF LIABILITY 09 6 -MONTH 10 6 -MONTH
( "ACV" MEANS ACTUAL CASH VALUE D =DED PREMIUM D =DED PREMIUM
MOUNTI $ MOUNT $
IODILY INJURY EA PER $ 500,000
EA ACC $1,000,000
'ROPERTY DAMAGE EA ACC $ 300,000
ZT B - PERSONAL INJURY PROTECTION
AEDICAL BENEFITS -
EA PER $ 10,000
NCOME CONTINUATION -
$200 PER WEEK
_OSS OF SERVICES BENEFITS -
.$40 /DAY MAX, $200 /WK MAX,
$5,000 MAXIMUM TOTAL
=UNERAL EXPENSE - $2,000
�T C - UNDERINSURED MOTORISTS
30DILY INJURY EA PER $ 500,000
EA ACC $1,000,000
DROPERTY DAMAGE EA ACC $ 10,000
T D PHYSICAL DAMAGE COVERAGE
245.30
133.45
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42.31
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SS PAYEE
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VVIIIVCJJ YYIILIx —, ui.. -- --- -
eir Attorney -in -Fact on this date JANUARY 17, 2012
Laura Bishop
UNITED SERVICES AUTOMOBILE ASSOCIATION
m' (A RECIPROCAL INTERINSURANCE EXCHANGE)
r)S° 9800 Fredericksburg Road - San Antonio, Texas 78288
WASHINGTON AUTO POLICY
RENEWAL DECLARATIONS
(ATTACH TO PREVIOUS POLICY)
imed Insured and Address
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MICHAEL D TERRELL
CAPT USN
5312 S CHAPMAN RD
GREENACRES WA 99016 -8832
PAGE 6
State ven I POLICY NUMBER
A cell 00358 99 36U 7104 8
POLICY PERIOD: (12:01 A.M. standard time)
EFFECTIVE FEB 20 2012 TO AUG 20 2012
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VEH 07 - RENTAL REIMBURSEMENT
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.heir Attorney -in -Fact on this date . JANUARY 17, 2012
Laura Bishop
��•� � INSURANCE DATE (MMlDDf(YYI)
CERTIFICATE OF LIABILITY 04/25/2012
iiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT
'FIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT
INSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
PORTANT: 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 a is
licy, certain policies may require an endorsement A—stPrrjentP ggt5i — ific t� does not confer rights to the certificate holder in lieu of such endorsement(s).
RODUCER t— ONTACT.NAME RICH PIVARCYK
i ;_� 0 )jf ij) PHONE (312) 930 -5556 FAX (866) 741 -2778
Leatzow Insurance ;;1J„
300 S. Riverside Plaza, Suite 2 00 EMAILADDRESS rich @Ieatzowinsurance.com
Chicago, IL 60606 PARKS & RECREATION DEP I.I INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: New Hampshire Insurance Company I 23841
ISURED INSURER B:
Michael Terrell- Landscape Architect INSURER C:
5312 South Chapman Road
Greenacres, WA 99016 INSURER D:
INSURER E:
INSURER F:
DGl /ICIn KI NI IRNRFR-
dIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
IDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
ERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
KCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
SR
TR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
(MM /DD /YYYY)
POLICY EXP
(MM /DDIYYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$
COMMERCIAL GENERAL LIABILITY
F1
❑
CLAIMS MADE M 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 Ll PROJECT LOC
AUTOMOBILE LIABILITY
ANY AUTO ❑ Scheduled
Autos
❑ALL OWNED ❑ Non -owned
❑
❑
DOES NOT APPLY
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY Per accident)
$
AUTOS Autos
❑ Hired Autos
PROPERTY DAMAGE
(per accident)
$
UMBRELLA LIAR H OCCUR
EXCESS LIAB CLAIMS -MADE
❑
DOES NOT APPLY
EACH OCCURRENCE
$
AGGREGATE
$
DED ❑ RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR /PARTNER /EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
DOES NOT APPLY
WCSTATU•
TORY LIMITS
OTH-
ER
E.L. EACH ACCIDENT $
E.L. DISEASE- EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
1,000,000 each claim.
A
PROFESSIONAL LIABILITY
El
0
011193337
1/16/2012
1/16/2013
1,000,000 aggregate
)ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addittohal Remarks Schedule, if more space is required)
Re: West Entry Sign Design
;ERTIFICATE HOLDER
CANCELLATION
Dity of Spokane Valley
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'arks and Recreation Department
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
%ttn: Mike Stone
THE POLICY PROVISIONS.
?426 N. Discovery Place
AUTHORIZED REPRESENTATIVE
Spokane Valley, WA 99216
LEATZOW INSURANCE
(9ludi6 -ziu lu keL.UKU L uKrti"uUly. All nynts reserveu.
Tha arrnRn name and loan are registered marks ofACORD
® DA'rF WM!DWYYYY)
�® CERTIFIC TE OF LIABILITY 9NSUR. ICE 1 11 - -30 -2011
THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATEOF 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 WAIVE?, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not ,c3„er 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
INSURED
MICHAEL TERRELL DBA MICHAEL TERRELL
LANDSCAPE ARCHITECT
5312 S CHAPMAN RD
GREENACRES WA 99016
PHONE -
I IA/c.No -Extl: (888) Z42 -1430 (A'c,Na): i8' /7) 905 -C4S71
INSURER(S) AFFORDING COVERAGE
INSURER A: Hartford Casualty Ins
INSURER B
INSURER C
INSURER D
INSURER E
INSURER F
NAIC,
VVVttiHUtJ l.Ln111 IVI-�1 � ,�v..v•�••.
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, TERNI OR CONDITION OF ANY CONTRACT OR OTHER DOCU v1ENT WITH 'I.j -,FECT TO `'` 7'.'iS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER ",/S,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS RI
LTR
A
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE U OCCUR
X General Liab
INSR
X
WVD
POLICY NUMBER
I
65 SBA PU5843 i
POLICY EFF
(MI MI
01/13/2012
POLICY EXP I LIMITS
(MM /DD/YYYY) —_
EACH OCCURRENCE I $ 1, 0 0 0, 0 0 0
DAMAGE TO E9rM - -T_ ,
PREMISES (fa occurrence) S 3 J 0, 0 0 0
LIMED EYP (Any one person) 1 $ 10, 000
01/13/20131 PERSONAL &ADVINJUR.Y� S 1, 000, 000
GENERAL P.GGP.EG ^,TE j S, 0 0 0, 0 0 0
GAIE —
PRODUCTS - CON1� 0? A_GG I $ 2, 00 0 , 0 0 0
GE 'L AGGREGATE LIMIT APPLIES PER:
POLICY U JECT PRO- I _� LOC
--- ! - - - - - --
--
AUTOMOBILE
LIABILITY
ANY AUTO
r - - :: ": --- -
(
- - --
COMBINED SINGLE LIM' -
(Ea accident)
BODILY INJURY (Per oeisonl I $ - --
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
' ''
i
_
BODILY INJURY (per accident) I $
— L — - - -�
PROPERTY D.AP;IP,GE
(Per accident) S
NON -OWNED AUTOS
i
11PAR'
DEPT
- -� - --
UMBRELLA LIAB u OCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS -MADE
I
I
N / A
AGGREGATE j $
$
� S
WC STATUS H-
I I TORY LIMITS! I
-�
DEDUCTIBLE
1 RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y
ANY PROPRIETOR /PARTNEWEXECUTiVE !N j
OFFICER!MEMBEREXCLUDED? u
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
_
E.L. EACH .0 ID'ctiT u
I E.L. DISEASE - EA EMPLOYEE $
- - - --
E.L. DISEASE - POLICY LIMIT ! $
-- —
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Those usual to the Insured's Operations. Re: West Entry Sign. Certificate.
Holder is an Additional Insured per the Business Liability Coverage Form
SS0008,
V L n r is 1 V ra r L,
City of Spokane Valley
Attn Parks & Recreation Dept
2426 N DISCOVERY PL
SPOKANE VALLEY, WA 99216
CAIUCFI I ATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED R PRESENTATIVE
° 1.700�GVV0 MV Vnv VVr,r v,.r....+... r.•. ,.,y..... •......••... -•
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Verify Workers' Comp Premium. ",tatus - Employer Liability Certificate
Washington State Department of�'�
Labor and Industries`
�° }a yl� e
1
(}- J.
Department of Labor and Industries
Employer Liability Certificate
Date: 05/03/2012
UBI #: 601 382 389
Legal Business Name: TERRELL MICHAEL DAVID
Account #: 072,594 -01
Page 1 of 1
Employer Liability
Certificate
'Doing Business As' Name: MICHAEL TERRELL LANDSCAPE ARCH
Estimated Workers Reported: Quarter 1 of Year 2012 "l to 3 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 / FEARAED FEROZE (360)902 -4797 - Email:
FERH235 @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).
r, izi1) ni1)
�r.03
Ef44
Michael Terrell a 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 ■ Landscape Architect Agrees To Perform The Following Scope
of Cnrvio- ac-
Clt of S okane Valley West Entry: i gn ®eslgn
Y P
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 Entry Sign Design
Project #: 11 -016
Client: City of Spokane Valley
„. R
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
V. 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.
$16; 7b5 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 Valley West Entry Sign Design
Project #: 11 -016
Client: City of Spokane Valley