HomeMy WebLinkAboutCivTech Inc. - 2022-2023 On-Call Traffic Engineering (#22-008)PROFESSIONAL SERVICES AGREEMENT
2022 W-2023 Traffie Engineering Services On -Call
Agreement No. 22-008
THIS AGREEMENT is made and entered into between the City of Pasco, a Washington
Municipal Corporation, he�einafter referred to as "City", and CivTech, hereinafter referred to as
"Consultant," on the 1 '9' day of r I _, 2022.
RECITALS
WHEREAS, the City desires to have certain services and/or tasks performed as set forth
below requiring specialized skills, training, equipment, and other supportive capabilities; and
WHEREAS, the Consultant represents that it is qualified and possesses sufficient skills,
experience, equipment, and necessary capabilities, including: technical and professional expertise,
when required, to perform the services and/or tasks as set forth in this Agreement upon which the
City is relying; and
WHEREAS, the City has, consistent with RCW 39.80, published an announcement related
to its need for Architectural and Engineering services, evaluated Consultant's current performance
data, and has determined that Consultant is the most highly qualified firm to perform the
Architectural and Engineering services related to the Traffic Engineering Services; and
WHEREAS, the City's Public Works Director finds that the Agreement with Consultant
is both fair and reasonable in light of the duties to be performed, the Consultant's performance
data, and the nature and complexity of the project.
NOW, THEREFORE, in consideration of the mutual covenants, and performances
contained herein, the parties agree as follows:
1. Scone of Services. The Consultant shall perform such services and accomplish such tasks,
including the furnishing of all labor, materials, facilities and equipment necessary for full
performance thereof, as identified and designated as Consultant's Responsibilities
throughout this Agreement, and as more particularly described in Scope of Work detailed
in Exhibit A, attached hereto and incorporated herein (the "Project").
2. Term. This Project shall begin on the execution date listed above and promptly be
completed by 12/31/2023.
3. Compensation and Payment.
3.1 Payment for services provided hereunder shall be made following the performance
of such services. Such payment shall be full compensation for work performed or
services rendered, and for all labor, materials, supplies, equipment, and incidentals
necessary to complete the Project.
Professionai Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page l of 9
3.2 No payment shall be made for any services rendered by the Consultant except for
services identified and set forth in this Agreement except as may be authorized by
a written supplemental agreement approved by the City.
3.3 The City shall pay the Consultant for work, performed under this Agreement upon
timely submitted invoices detailing work performed and expenses for which
reimbursement is sought. The City shall approve all invoices before payment is
issued. Payment shall occur within thirty (30) days of receipt and approval of an
invoice.
3.4 The City shall pay the Consultant for all wort, performed and expenses incurred
under this Agreement, as follows.
® Hourly (Multiple Rate): Such rates as identified on Exhibit B, plus actual
expenses incurred as provided under this Agreement, but not to exceed a
total of $500 000.00 without the prior written authorization by the City.
4. Reports and Inspections.
4.1 The Consultant at such times and in such forms as the City may require, shall
furnish to the City such statements, records, studies, surveys, reports, data, and
information as the City may request pertaining to matters covered by this
Agreement.
4.2 The Consultant shall, at any time during normal business hours and as often as the
City or the Washington State Auditor may reasonably deem necessary, make
available for examination all of its records and data with respect to all matters
covered, directly or indirectly, by this Agreement and shall permit the City, or its
designated authorized representative to audit and inspect other data relating to all
matters covered by this Agreement. The City shall receive a copy of all audit
reports made by the agency or firm as to the Consultant's activities. The City may,
at its discretion, conduct an audit at its expense, using its own or outside auditors,
of the Consultant's activities which relate, directly or indirectly, to this Agreement.
Consultant shall be provided a copy of such reports.
4.3 The Consultant, during the term of this Agreement, shall obtain all permits and
registration documents necessary for the performance of its work and for the
execution of services at its own expense, and shall maintain its validity. Upon
request, the Consultant shall deliver to the City copies of these licenses, registration
documents, and permits or proof of their issuance or renewal.
4.4 Consultant shall maintain books, records and documents, which sufficiently and
properly reflect all direct and indirect costs related to the performance of this
Agreement, and shall maintain such accounting procedures and practices as may be
necessary to assure proper accounting of all funds paid pursuant to this Agreement.
Professional Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 2 of 9
These records shall be subject, at all reasonable times, to inspection, review, or
audit as provided above.
4.5 The Consultant shall retain all books, records, documents or other material relevant
to this Agreement for three (3) years after its expiration. Consultant agrees that the
City, or its designee, shall have full access and right to examine any of said
materials at all reasonable times during this period.
5. Ownership and Use of Documents.
5.1 All research, tests, surveys, preliminary data, information, drawings and documents
made, collected, or prepared by the Consultant for performing the services subject
to this Agreement, as well as any final product, collectively referred to as "work
product," shall be deemed as the exclusive property of the City, including copyright
as secured thereon. Consultant may not use them except in connection with the
performance of the services under this Agreement or with the prior written consent
of the City. Any prior copyrighted materials owned by the Consultant and utilized
in the performance of the services under this Agreement, or embedded in with the
materials, products and services provided thereunder, shall remain the property of
the Consultant subject to a license granted to the City for their continued use of the
products and services provided under this Agreement. Any work product used by
the Consultant in the performance of these services which it deems as
"confidential," "proprietary," or a "trade secret" shall be conspicuously designated
as such.
5.2 In the event of Consultant's default, or in the event that this Agreement is
terminated prior to its completion, the work product of the Consultant, along with
a summary of the services performed to date of default or termination, shall become
the property of the City, and tender of the work product and summary shall be a.
prerequisite to final payment under this Agreement. The summary of services
provided shall be prepared at no additional cost, if the Agreement is terminated
through default by the Consultant. If the Agreement is terminated through
convenience by the City, the City agrees to pay Consultant for the preparation of
the summary of services provided.
6. Public Records.
6.1 Consultant acknowledges that the City is an agency subject to Chapter 42.56 RCW
"Public Records Act." All preliminary drafts or notes prepared or gathered by the
Consultant, and recommendations of the Consultant are exempt prior to the
acceptance by the City or public citation by the City in connection with City action.
6.2 If the Consultant becomes a custodian of public records of the City and request for
such records is received by the City, the Consultant shall respond to the request by
the City for such records within five (5) business days by either providing the
records, or by identifying in writing the additional time necessary to provide the
Professional Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 3 of 9
records with a description of the reasons why additional time is needed. Such
additional time shall not exceed twenty (20) business days unless extraordinary
good cause is shown.
6.3 In the event the City receives a public records request for protected work product
of the Consultant within its possession, the City shall, prior to the release of any
protected work product or as a result of a public records request or subpoena,
provide Consultant at least ten (10) business days prior written notice of the pending
release and to reasonably cooperate with any legal action which may be initiated
by the Consultant to enjoin or otherwise prevent such release.
7. Independent Contractor Relationship.
7.1 The parties intend that an independent contractor relationship is created by this
Agreement. The City is interested primarily in the results to be achieved; subject
to the scope of services and the specific requirements of this Agreement, the
implementation of services will lie solely with the discretion of the Consultant. No
agent, employee, officer or representative of the Consultant shall be deemed to be
an employee, agent, officer, or representative of the City for any purpose, and the
employees of the Consultant are not entitled to any of the benefits or privileges the
City provides for its employees. The Consultant will be solely and entirely
responsible for its acts and for the acts of its agents, employees, officers,
subcontractors or representatives during the performance of this Agreement.
7.2 In the performance of the services provided in this Agreement, Consultant is an
independent contractor with full authority to control and direct the performance of
the details of the work, however, the results of the work contemplated herein must
meet the approval of the City and shall be subject to the City's general rights of
inspection and review to secure the satisfactory completion thereof.
7.3 The Consultant shall comply with all State and Federal laws including, but not
limited to:
7.3.1 The definition requirements of RCW 50.04.140 (Employment Security).
7.3.2 RCW 51.08.195 (Industrial Insurance).
7.3.3 Obtain a City of Pasco business license.
7.4 The City may, at its sole discretion, require the Consultant to remove any employee,
agent or servant from employment on this Project who, in the City's sole discretion,
may be detrimental to the City's interest.
8. Indemnification.
Professional Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 4 of 9
8.1 The Consultant shall defend, indemnify, and hold harmless 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 resulting from the
acts, errors or omissions of the Consultant in performance of this Agreement,
except for injuries and damages caused by the sole negligence of the City.
8.2 However, 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 Consultant, and the City, its officers, officials,
employees, and volunteers, the Consultant's liability, including the duty and cost
to defend, hereunder shall be only to the extent of the Consultant's negligence. It is
further specifically and expressly understood that the indemnification provided
herein constitutes the Consultant's waiver of immunity under Industrial Insurance,
Title 51 RCW, solely for purposes of this indemnification. This waiver has been
mutually negotiated by the parties. The provisions of this section shall survive the
expiration or termination of this Agreement.
8.3 No liability shall attach to the City by reason of entering into this Agreement except
as expressly provided herein.
8.4 This indemnification shall include damages, penalties and attorney fees sustained
as a result. of Consultant's delayed or failed performance of Section 6 above.
9. Insurance. The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons of damage to property which may arise
from or in connection with the performance of the work hereunder by the Consultant, its
agents, representatives, employees, or subcontractors. The Consultant's maintenance of
insurance as required by the Agreement shall not be construed to limit the liability of the
Consultant to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity.
9.1 Minimum Sebe of Insurance. Consultant shall obtain insurance of the types and
coverage described below:
9.1.1 Automobile Liability insurance covering all owned, non -owned, hired and
leased vehicles. Coverage shall be at least as broad as Insurance Services
Office (ISO) form CA 00 01.
9.1.2 Commercial General Liability insurance shall be at least as broad as ISO
occurrence form CG 00 01 and shall cover liability arising from prernises,
operations, stop -gap independent contractors and personal injury and
advertising injury. The City shall be named as an additional insured under
the Consultant's Commercial General Liability insurance policy with
respect to the work performed for the City using an additional insured
endorsement at least as broad as ISO endorsement form CG 20 26.
Professional Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 5 of 9
9.1.3 Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
9.I.4 Professional Liability insurance appropriate to the Consultant's profession.
9.2 Minimum Amounts of Insurance. Consultant shall maintain the following
insurance limits:
9.2.1 Automobile Liability insurance with a minimum combined single limit for
bodily injury and property damage of $1,000,000 per accident.
9.2.2 Commercial General Liability insurance shall be written with limits no less
than:
N $2,000,000 each occurrence; and
N $2,000,000 general aggregate;
9.2.3 Professional Liability insurance shall be written with limits no less than:
N $2,000,000 per claim; and
N $2,000,000 policy aggregate limit;
9.3 Other Insurance Provision. The Consultant's Automobile Liability, Professional
Liability, and Commercial General Liability insurance policies are to contain, or be
endorsed to contain that they shall be primary insurance as respect the City. Any
insurance, self-insurance, or self-insured pool coverage maintained by the City
shall be excess of the Consultant's insurance and shall not contribute with it.
9.3.1 The Consultant's insurance shall be endorsed to state that coverage shall not
be cancelled by either party, except after thirty (30) days prior written notice
by certified mail, return receipt requested, has been given to the City.
9.4 _Acceptability of Insurers. Insurance is to be placed with insurers with a current
A.M. Best rating of not less than A: VII.
9.5 Verification of Coverage. Consultant shall furnish the City with original
certificates and a copy of the amendatory endorsements, including, but not
necessarily limited to, the additional insured endorsement, evidencing the insurance
requirements of the Agreement before commencement of the work.
9.6 Notice of Cancellation. The Consultant shall provide the City with written notice
of any policy cancellation within two (2) business days of their receipt of such
notice.
Professional Services Agreement— CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 6 of 9
9.7 City Full Availability of Consultant Limits. If the Consultant maintains higher
insurance limits than the minimums shown above, the City shall be insured for the
full available limits of Commercial General and Excess or Umbrella liability
maintained by the Consultant, irrespective of whether such limits maintained by the
Consultant are greater than those required by this Agreement or whether any
certificate of insurance furnished to the City evidences limits of liability lower than
those maintained by the Consultant.
9.8 Failure to Maintain Insurance. Failure on the part of the Consultant to maintain the
insurance as required shall constitute a material breach of contract, upon which the
City may, after giving five (5) business days notice to the Consultant to correct the
breach, immediately terminate the Agreement or, at its discretion, procure or renew
such insurance and pay any and all premiums in connection therewith, with any
sums so expended to be repaid to the City on demand, or at the sole discretion of
the City, offset against funds due the Consultant from the City.
10. Nondiscrimination. In the performance of this Agreement, the Consultant will not
discriminate against any employee or applicant for employment on the grounds of race,
creed, color, national origin, sex, marital status, age or the presence of any sensory, mental
or physical handicap; provided that the prohibition against discrimination in employment
because of handicap shall not apply if the particular disability prevents the proper
performance of the particular worker involved. The Consultant shall ensure that applicants
are employed, and that employees are treated during employment in the performance of
this Agreement without discrimination because of their race, creed, color, national origin,
sex, marital status, age or the presence of any sensory, mental or physical handicap.
Consultant shall take such action with respect to this Agreement as may be required to
ensure full compliance with local, State and Federal laws prohibiting discrimination in
employment.
It. Covenant Against Contingent Fees. The Consultant warrants that it has not employed
nor retained any company, firm, or person, other than a bona fide employee working
exclusively for the Consultant, to solicit or secure this Agreement; and that it has not paid
or agreed to pay any company, person or firm, other than a bona fide employee working
exclusively for the Consultant, any fee, commission, percentage, brokerage fee, gift, or
other consideration contingent upon or resulting from the award or malting of this
Agreement. For breach or violation of this warranty, the City shall have the right to
terminate this Agreement.
12. Assi mment and Subcontracti.
12.1 The City has awarded this Agreement to the Consultant due to its unique
qualifications to perform these services. The Consultant shall not assign (or
subcontract other than as specifically identified in Exhibit A) its performance under
this Agreement or any portions of this Agreement without the prior written consent
of the City, which consent must be sought at least thirty (30) days prior to the date
of any proposed assignment.
Professional Services Agreement — CivTech Agreement No. 22-008
2022 — 2023 Traffic Engineering Services On -Call Page 7 of 9
12.2 Any work or services assigned or subcontracted hereunder shall be subject to each
provision of this Agreement including Section 6, Public Records; Section 10,
Nondiscrimination; proper bidding procedures where applicable; and all local, State
and Federal statutes, ordinances and guidelines.
12.3 Any technical or professional service subcontract not listed in this Agreement, must
have prior written approval by the City.
13. Termination.
13.1 Termination for Convenience. Either party may terminate this Agreement for any
reason upon giving the other party no less than ten (10) business days written notice
in advance of the effective date of such termination.
13.2 Termination for Cause. If the Consultant fails to perform in the manner called for
in this Agreement, or if the Consultant fails to comply with any other provisions of
this Agreement and fails to correct such noncompliance within five (5) business
days of written notice thereof, the City may terminate this Agreement for cause.
Termination shall be effected by serving a notice of termination on the Consultant
setting forth the manner in which the Consultant is in default. The Consultant will
only be paid for services and expenses complyingwith theterms of this Agreement,
incurred prior to termination.
14. General Provisions.
14.1 For the purpose of this Agreement, time is of the essence.
14.2 Notice. Notice provided for in this Agreement shall be sent by:
14.2.1 Personal service upon the Project Administrators; or
14.2.2 Certified mail to the physical address of the parties, or by electronic
transmission to the e-mail addresses designated for the parties below.
14.3 The Project Administrator for the purpose of this Agreement shall be:
For the City:
Steve M. Worley, P.E., or designee
Public Works Director
525 North 3r1
PO Box 293
Pasco WA 99301
WorleyS pasco-wa.goy
(e-mail address)
Professional Services Agreement — CivTech
2022 — 2023 Traffic Engineering Services On -Call
For the Consultant:
Sean Messner, P.E., or designee
Project Manager
10605 N Hayden Rd, Unit 140
Scottsdale, AZ 85260
SMessneraciytech.com
(e-mail address)
Agreement No. 22-008
Page 8 of 9
15.
Dispute Resolution.
15.1 This Agreement has been and shall be construed as having been made and entered
into and delivered within the State of Washington and it is agreed by each party
hereto that this Agreement shall be governed by the laws of the State of
Washington.
15.2 In the event of a dispute regarding the enforcement, breach, default, or
interpretation of this Agreement, the Project Administrators, or their designees,
shall first meet in a good faith effort to resolve such dispute. In the event the dispute
cannot be resolved by agreement of the parties, said dispute shall be resolved by
arbitration pursuant to RCW 7.04A, as amended, with both parties waiving the right
of a jury trial upon trial de novo, with venue placed in Pasco, Franklin County,
Washington. The substantially prevailing party shall be entitled to its reasonable
attorney fees and costs as additional award and judgment against the other.
16. Nonwaiver. Waiver by the City of any provision of this Agreement or any time limitation
provided for in this Agreement shall not constitute a waiver of any other similar event or
other provision of this Agreement.
17. Inte ration. This Agreement between the parties consists in its entirety of this document
and any exhibits, schedules or attachments. Any modification of this Agreement or change
order affecting this Agreement shall be in writing and signed by both parties.
18. Authorization. By signature below, each party warrants that they are authorized and
empowered to execute this Agreement binding the City and the Consultant respectively.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the
date first written above.
CITY OF PASCO, WASHINGTON CONSULTANT
Stev_ M. WfS'ley, P.E.
Public Works Director
ATTEST:
�l �L
Debra C. Barham, City Clerk
Professional Services Agreement — CivTech
2022 — 2023 Traffic Engineering Services On -Call
APPROVgV4kS TO FORM:
Kerr Ferguson aw, PLLC, City Attorney
Agreement No. 22-008
Page 9 of 9
CHECKLIST. FOR WATER
TO 3466 @
New Water Lines
P/W Engineer
Contractor
Date Completed
Sign Off Sign Off
Sign Off
Water Line Loaded
Date & Time Scheduled:
Waterline Flushed &
Bacterial Sample Taken
Date & Time Scheduled:
Bacterial sample passed &
pressure test
Request for water line to be
placed in service
Date & Time Scheduled:
Taps
Contractor Sign Off
Date Completed
Excavation per trenching/
shoring requirements
Tapping Saddle & tapping
valve installed
Date & Time Scheduled:
Water Shut Downs
Contractor Sign Off
Date Completed
Customer Notification
Made
Date & Time Scheduled:
Contractor:_ Rotschy Inc.
Contact: Joe Robles (509) 539-9850
Project: Sandy Flats Duplexes
Notes: Contractor would like the COP to conduct an 8"x 8' hot tap on Bedford St on Friday morning
April 1, 2022 at 8:00 am.
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�� R� CERTIFICATE OF LIABILITY INSURANCE
DATE MM/DD/YYYY
03/28/22
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:
CONTACT WENDI S REED
NAME:
PHONE 623465-5300 FAX(AIC 623465-5933
PROFESSIONAL INSURANCE BROKERS, INC.
(A/C. No.
EMAIL
ADDRESS: condi@pibinc.com
PM 857, 515 E. CAREFREE HWY
PRODUCER
CUSTOMERID:
PHOENIX, ARIZONA 85085-8839
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED:
INSURERA: RLI INSURANCE COMPANY, INC.
13056
INSURER B: HARTFORD FIRE INSURANCE COMPANY
19682
CIVTECH, INC.
INSURERC:
10605 N. HAYDEN ROAD
INSURERD:
BUILDING G, SUITE 140
INSURERE:
1INSURERF:
SCOTTSDALE, ARIZONA 85260
COVERAGES: CERTIFICATE NUMBER: 437 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.
CO
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVO
POLICY NUMBER
POLICY EFF.
DATQMM/DDMn
POLICY EXP.
DATF(MMDDr"
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
X
X
PSB0001543
05/12/21
05/12/22
EACH OCCURRENCE $
1,000,000
DAMAGE TO RENTED PREMISES $
1,000,000
(Ec occurtence)
X BROAD FORM PROPERTY DAMAGE
MED EXP I Any one Derson1 $
10,000
X CONTRACTUAL LIABILITY
PERSONAL &ADV INJURY $
1,000,000
GEHL AGGREGATE LIMITAPPLIES PER
GENERAL AGGREGATE $
2,000,000
PRODUCTS.COnvP/OPAGG $
2,000,000
POLICY X7 PROJECTF__]LOC
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT (EC $
ANY AUTO
SCHEDULED
Accident)
ALL
OWNED
AUTOS
HIRED
AUTOS
NON
OWNED
BODILY INJURY (Par person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE (Per accident) $
AUTOS
AUTOS
A
X
UMBRELLA LAB
x
x
PSE0001351
05/12/21
05/12/22
EACH OCCURRENCE $
4,000,000
AGGREGATE $
4,000,000
EXCESS LIAB
$
BOCCUR
CLAIMS-MADE
$
DED RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY ANY Y/N
PROPRIETOR/PARTNER EXECUTIVE
OFFICERIMEMBER EXCLUDED? (Mandatory N
WA
X
PSW0001441
05/12/21
05/12/22
X
PER STATUTE OTHER
E.L. EACH ACCIDENT $
1,000,000
E.L. DISEASE -EA EMPLOYEE $
11000,000
in NH) R yes, describe under DESCRIPTION
OF OPERATIONS BELOW
E.L. DISEASE-POLICY LIMB $
1,000,000
OTHER
EACH CLAIM / AGGREGATE
B
X PROFESSIONAL LIABILITY
x
OH 03987192101
08/29/21
08/29/22
2,000,000 / 2,000,000
A
X VALUABLE PAPERS
PSB0001543
05/12/21
05/12/22
$100,000
DESCRIPTION OF OPERATIONS /LOCATION SNEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Traffic Engineering On-Call Contract #22-008
As required by the written contract, City of Paco Washington, its Departments, directors, officers, and employees are Additional Insured, on a
primary and non-contributory basis, as respects the General Liability policy. Blanket endorsement form PPB3040212 attached.
Umbrella follows form. Waiver of Subrogation applies to all listed policies per the written contract. Workers Compensation blanket
waiver form WC000313 attached. 30 Day Notice of Cancellation applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN
City of Pasco Washinqton
ACCORDANCE WITH THE POLICY PROVISIONS.
525 North 3`d. PO Box 293
AUTHORIZED REPRESENTATIVE Seauf
Pasco, WA 99301
U "I!Jbd-LU 14 AUUKU UUK LU I IUN. WI r19n6 reS r�u.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD.
Policy Number: PSB0001543 RLI Insurance Company
Named Insured: Civtech, Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® FOR PROFESSIONALS
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM - SECTION II — LIABILITY
1. C. WHO IS AN INSURED is amended to include as
an additional insured any person or organization that
you agree in a contract or agreement requiring
insurance to include as an additional insured on this
policy, but only with respect to liability for "bodily
injury", "property damage" or "personal and
advertising injury" caused in whole or in part by you
or those acting on your behalf:
a. In the performance of your ongoing operations;
b. In connection with premises owned by or rented
to you; or
c. In connection with "your work" and included
within the "product -completed operations
hazard".
2. The insurance provided to the additional insured by
this endorsement is limited as follows:
a. This insurance does not apply on any basis to
any person or organization for which coverage
as an additional insured specifically is added by
another endorsement to this policy.
b. This insurance does not apply to the rendering
of or failure to render any "professional
services".
c. This endorsement does not increase any of the
limits of insurance stated in D. Liability And
Medical Expenses Limits of Insurance.
3. The following is added to SECTION III H.2. Other
Insurance — COMMON POLICY CONDITIONS
(BUT APPLICABLE ONLY TO SECTION II —
LIABILITY)
However, if you specifically agree in a contract or
agreement that the insurance provided to an
additional insured under this policy must apply on a
primary basis, or a primary and non-contributory
basis, this insurance is primary to other insurance
that is available to such additional insured which
covers such additional insured as a named insured,
and we will not share with that other insurance,
provided that:
a. The "bodily injury" or "property damage" for
which coverage is sought occurs after you have
entered into that contract or agreement; or
b. The "personal and advertising injury" for which
coverage is sought arises out of an offense
committed after you have entered into that
contract or agreement.
4. The following is added to SECTION III K. 2.
Transfer of Rights of Recovery Against Others to
Us — COMMON POLICY CONDITIONS (BUT
APPLICABLE TO ONLY TO SECTION II —
LIABILITY)
We waive any rights of recovery we may have
against any person or organization because of
payments we make for "bodily injury', "property
damage" or "personal and advertising injury" arising
out of "your work" performed by you, or on your
behalf, under a contract or agreement with that
person or organization. We waive these rights only
where you have agreed to do so as part of a
contract or agreement with such person or
organization entered into by you before the "bodily
injury" or "property damage" occurs, or the "personal
and advertising injury" offense is committed.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
PPB 304 02 12 Page 1 of 1
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any person or organization that you have agreed with in a written contract to provide this agreement.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 05/12/2021
Insured
Civtech, Inc
Insurance Company
RLI Insurance Company
WC 00 0313
(Ed. 4-84)
0 1983 National Council on Compensation Insurance.
Policy No. Endorsement No.
PSW0001441 Premium
Countersigned by
CUSTOMER NUMBER: 1303370
DOUG BELL
4545 E SHEA BLVD STE 209
PHOENIX, AZ 85028
CITY OF PASCO WASHINGTON
PO BOX 293
PASCO, WA 99301-0293
Certfcate Copy
RUN DATE: 03-28-22
Cl CW A02 1011
CERTIFICATE OF INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have
been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify
coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions
of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard-
less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits
shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits.
Certificate Holder:
CITY OF PASCO WASHINGTON
PO BOX 293
PASCO, WA 99301-0293
Named Insured:
CIVTECH, INC
10605 N HAYDEN RD STE 140
SCOTTSDALE AZ 85260-5595
Automobile Liability
Insurer Name: Allstate Insurance Company
Poli
Number. 648757198
1 -Any Auto
4 - Owned Autos Other Than Priv.
Pass. Autos Only
2 - Owned Autos Only
5 - Owned Autos Subject to No
I Fault
3 - Owned Priv. Pass. Autos Only
6 - Owned Autos Subject to a Compulsory UM Law
X
7 -Specifically Described Autos
X
1 8 -Hired Autos Only
X
9 - Non -owned Autos Only
PolicVy Effective Date: 05-06-2021 Policy Expiration Date: 05-06-2022
Limits Of
$ 1,000, 000 Combined Single Limit (each accident)
Insurance:
BI Per Person BI PerAccident
PD Per Accident
Description of Operations/ LocationslVehicles/Endorsements/Special Provisions
TRAFFIC ENGINEERING ON-CALL CONTRACT #22-008
I Interested Party Type: ADDITIONAL INSURED - OTHER I
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF TH IS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Producer:
DOUG BELL
Authorized Representative:
Date: 03-28-22
Includes copyrighted material of Insurance Services Office, Inc., with its permission
Cl CW A02 10 11 Allstate Insurance Company
Certificate Copy
Page 1 of 1
DM CW 12 0110
Policy Number
648757198
SCHEDULE OF FORMS AND ENDORSEMENTS
Allstate Insurance Company
Named Insured CIVTECH, INC Effective Date: 05-06-21
12:01 A.M., Standard Time
Name DOUG BELL
COMMON POLICY FORMS AND ENDORSEMENTS
DM
CW
02
01-10
COMMON POLICY DECLARATIONS
XM
CW
13
02-15
IMPORTANT PAYMENT INFORMATION
AM
CW
02
11-09
WITNESS CLAUSE
DM
CW
12
01-10
SCHEDULE OF FORMS AND ENDORSEMENTS
DM
CW
25
01-10
SCHEDULE OF TAXES, SURCHARGES OR FEES
IL
00
17
11-98
COMMON POLICY CONDITIONS
*IL
00
21
09-08
NUCLEAR ENERGY LIABILITY EXCLUSION ENDT
*IL
00
03
09-08
CALCULATION OF PREMIUM
AUTOMOBILE
FORMS AND ENDORSEMENTS
AA
CW
01
10-12
AMENDATORY ENDORSEMENT
*AA
CW
06
10-11
AMENDATORY ENDORSEMENT
AA
CW
40
10-11
WAIVER OF TRNSFR OF RECOVERY
DA
CW
01
10-13
BUSINESS AUTO COVERAGE FORM DECLARATIONS
*CA
00
01
10-13
BUSINESS AUTO COVERAGE FORM
*CA
23
84
10-13
EXCLUSION OF TERRORISM
*CA
23
94
10-13
SILICA/SILICA-RELATED EXCL FOR COVRD AU
*CA
01
75
10-13
ARIZONA CHANGES
*CA
02
05
05-14
ARIZONA CHANGES - NONRENEWAL
AA
CW
23
09-14
PRIMARY AND NON-CONTRIBUTORY ENDT
*AA
CW
20
10-11
BUSINESS AUTO ENHANCEMENT ENDORSEMENT CW
CA
21
39
10-13
AZ UNINSURED MOTORIST COVERAGE
CA
21
40
10-13
AZ UNDERINSURED MOTORISTS COVERAGE
CA
20
48
10-13
DESIGNATED INSURED
*CA
23
01
10-13
EXPLOSIVES
*CA
23
45
11-16
PUBLIC LIVERY & ON -DEMAND DELIVRY EXCL
*CA
99
03
10-13
AUTO MEDICAL PAYMENTS COVERAGE
* These forms are part of this policy but are not printed
DM CW 12 01 10
Allstate Insurance Company
Insured Full Copy
POLICY NUMBER: 6 4 8 7 5 719 8 COMMERCIAL AUTO
AA CW 40 10 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF THE
TRANSFER OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
SCHEDULE
Designated Person or Organization:
Contract Number:
Description of Project:
Location of Project:
The following is added to the Transfer of Rights of Recovery Against Others To Us Condition:
We waive any right of recovery we may have against the person or organization designated in the above
Schedule because of payments we make for injury or damage arising out of work you perform under a
contract with the above designated person or organization. The waiver applies only to the above
designated person or organization and the work you perform must be under the contract, and for the
project and location designated in the above Schedule.
AA CW 40 10 11 Allstate Insurance Company Page 1 of 1
Insured Full Copy