HomeMy WebLinkAboutTestcomm, LLC - PSA for Air Carrier Testing Services at Tri City Animal Shelter (��'"o'�
PROFESSIONAL SERVICES
AGREEMENT
Testcomm LLC
THIS AGREEMENT is entered by and between the City of Pasco and Testcomm LLC
z•efened to as Contractor for the purpose of contracting for professional services in the capacity
to provide commission' g and air barrier testing services for the Tri Gity Animal Shelter.
10�z�1�zz.
RECITALS
WH�REAS, the City desires to have certain services and/or tasks performed as set foi�th
below requuing specialized skills,training, equipment, and other supportive capabilities; and
WHEREAS, the Contractor represents that it is qualified and possesses suf�icient skills,
experience,equipment,and necessary capabilities,including:technical and professional expertise,
when required,to perform the services and/or tasks as set foi�th in this Agreement upon which the
City is relying.
NOW, THEREFORE, in consideration of the mutual covenants, and performances
contained herein,the parties agree as follows:
1. Scone of Services. The Contractor shall perform such services and accomplish such tasks,
including tke furnishing of all labor, materials, facilities and equipment necessary for full
perfoimance thereof, as identified and designated as Contractor Responsibilities
tlu•oughout this Agreement, and as more particularly described in Scope of Work detailed
in [E�chibit A], attached hereto and incorporated herein(the"ProjecY').
2. Term. This Praject shall begin on the execution date listed above and pramptly be
completed by 12/31/2023.
3. Comnensatian and Pavment.
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
necessa.iy to complete the Project.
3.2 No payment shall be made for any services render�d by the Contractor 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 Contractor for work performed under this Agreement upon
timely submitted invoices detailing wark performed and expenses for which
reimbursement is sought. The City shall approve all invoices before
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payment is issued. Payment shall occur within thirty (30) days of receipt and
approval of an invoice.
3.4 The City shall pay the Contractor for all work performed and expenses incui�ed
under this Agreement, as follaws.
❑ Fixed Sum: A total of$13 3Q0
4. Rer�orts and Inspections.
4.1 The Contractor 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 Contractor shall, at any time during normal business hours and as often as the
City or the Washington State Auditor rnay 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 Ciiy shall receive a copy of all audit
reports made by the agency or firm as to the Contractor activities. The City may,at
its discretion, conduct an audit at its expense, using its own or outside auditors, o£
the Contractor activities which relate, directly or indirectly, to this Agreement.
Contractor shall be provided a copy of such reports.
4.3 The Cont�actor, during the term of this Agreement, shall obtain all peiynits and
registration documents necessary for the performance of its work and for the
execution of services at its own expense, and sha11 maintain its validity. Upon
request,the Contractor shall deliver to the City copies of these licenses,registration
documents, and permits or proof of their issuance or renewal.
4.4 Contractor shall maintain books, records and documents, which sufficiently and
properly reflect all direct and indirect costs related to the
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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. These records shall be subject, at all reasonable times, to
inspection,review, or audit as provided above.
4.5 The Contractor shall retain all books,records, documents or other material relevant
to this Agreement for three (3)years after its expiration. Contractor 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. Ownershin and Use of Documents.
5.1 All research,tests,surveys,preliminary data,information,drawings and documents
made, collected, or prepared by the Contractor for performing the services subject
to this Agreement, as well as any final product, collectively refened to as "work
product,"shall be deemed as the exclusive property of the City, including copyright
as secured thereon. Contrac#or 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 matet7als owned by the Cont�actor and utilized
in the performance of the services under this Agreement, or embedded in with the
materials,products and seivices provided thereunder, shall remain the property of
the Contractor 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 Contractor 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 Contractor default, or if this Agreement is terminated prior to its
completion, the work product of the Contractor, along with a summary of the
services perfoi�ned to date of default or te�mination, 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 summaiy of services provided shall be
prepared at no additional cost, if the Agreement is terminated through default by
the Contractor. If the Agreement is terminated through convenience by the City,
the City agrees to pay Contractor for the preparation of the summary of services
provided.
6. Public Records.
6.1 Cont�actor 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 Contractor, and recommendations of the Contractor are exempt
prior to the acceptance by the City or public citation by the City in connection with
City action.
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6.2 If the Contractor becomes a custodian of public records of the City and request for
such records is received by the City,the Contractor 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 wititing the additional time necessary to provide the
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 Contractor 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 Contractor 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 Contractor to enjain or otherwise prevent such release.
7. Inde endent Contractor Relationshi .
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 Cont�actor. No
agent, employee, officer or representative of the Contractor sha11 be deemed to be
an employee, agent, officer, or representative of the City for any purpose, and the
employees of the Cont�actor are not entitled to any of the benefits or privileges the
City provides for its employees. The Contractor will be solely and entirely
responsible for its acts and for the acts of its agents, employees, off'icers,
subcontractors or representatives during the performance of this Agreement.
7,2 In the performance of the se2vices provided in this Agreement, Contractor 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 Contractor shall comply with all State and Federal laws including, but not
limited to:
7.3.1 The definition requirements of RCW SO.Q4.140 (Employment Security).
7.3.2 RCW 51.08.195 {Industrial Insurance).
73.3 Obtain a City of Pasco business license.
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7.4 The Gity may,at its sole discretion,require the Contractor 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.
7.5 Contractor as an independent contractor and not an employee shall not be entitled to
any employee benefits including but not limited to vacation time, sick leave, paid
time off, or paid holidays.
8. Indemnification.
8.1 The Contractor 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,en•ors or omissions of the Contractor 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 Conhactor, and the City, its officers, officials,
employees, and volunteers, the Contractor liability, including the duty and cost to
defend, hereunder shall be only to the extent of the Contractor negligence. It is
further specifically and expressly understood that the indemnification provided
herein constitutes the Contrac�or waiver of immunity under Industrial Insurance,
Title
51 RCW, solely for purposes of this indemnification. This waiver has been
muivally negotiated by the parties. The provisions of this section shall survive the
expiration or ternlination 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 caused by
Contractor delayed or failed perfoi�rnance of Section 6 above.
9. Insurance. The Contractor 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 pei�ormance of the work hereunder by the Cont�actor, its
agents, representatives, emplo3�ees, or subcontractors. The Cont�•actor maintenance of
instuance as required by the Agreement shall not be eonstrued to limit the liability of the
Contractor to the coverage provided by such insurance, or otherwise limit the Ciry's
recpurse to any remedy available at law or in equity.
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9.1 Minimum Scope of Insurance. Contractor shall obtain insurance of the types and
coverage desci7bed 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 O1 and shali cover liabiliiy arising from premises,
operations, stop-gap independent contractors and personal injuty and
advertising injury. The City shall be named as an additional insured under
the Contractor Commercial Generai 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.
9.1.3 Workers' Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
9.1.4 Professional Liability insurance appropriate to the Contractor profession.
9.2 Minimum Amounts of Insurance. Contractor sha11 maintain the following
insurance limits:
9.2.1 Automobile Liability insurance with a minimum cambined 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:
� $2,000,000 each occurrence; and
� $2,00�,000 general aggregate;
9.2.3 Professional Liability insurance shall be written with limits no less than:
� $2,000,000 per claim; and
� $2,000,000 policy aggregate limit;
9.3 Other Insurance Provision. The Contractor's Automobile 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
Contractor insurance and shall not contribute with it.
9.3.1 The Conhactor insurance shall be endorsed to state that coverage shall not
be cancelled by eithei•par�ty,except after thi�-ty(30)days
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prior written notice by certified mail, return receipt requested, has been
given to the City.
9.4 Acce�tability of Insurers. Insurance is to be placed with insurers with a cuirent
A.M. Best rating of not less than A: VII.
9.5 Verification of Covera�e. Contractor 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 Contractor shall provide the City with written notice
of any policy cancellation within two (2) business days of their receipt of such
notice.
9.7 City Full Availability of Consultant Limits. If the Contractor maintains higher
insurance Iimits 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 Contractor,irrespective of whether such limits maintained by the
' Contractor 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 Contractor.
9.8 Failure to Maintain Insurance. Failure on the part of the Contractor 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 Contractor to coi7ect 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 Contractor from the City.
10. Nondiscrimination. In the performance of this Agreement, the Contractor 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
pei�formance of the particular worker involved. The Contractor 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.
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11. Covenant A ainst Contin ent Fees. The Contractor wat�ants that it has not ernployed nor
retained any company, firm, or person, other than a bona fide employee warking
exclusively for the Contractor,to solicit or secure this Agreement; and that it has not paid
or agi•eed to pay any company, person or firm, other than a bona fide employee working
exclusively for the Contractor, any fee, commission, percentage, brokerage fee, gift, or
other consideration contingent upon or resulting from the award or making of this
Agreement. For breach or violation of this warranty, the City shall have the right to
terminate this Agreement.
12. Assi�nment and Subcontractin�.
12.1 The City has awarded this Agreement to the Contractor due to its unique
qualifications to perform these seivices. The Contractor shall not assign (or
subcontract other than as specifically identified in E�ibit A)its perfoi�nance under
this Agreement or any por�ions of this Agreement without the prior written consent
of the City,which consent must be sought at least thir•ty (30)days prior to the date
of any proposed assignment.
12.2 Any work or seivices 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 Agi•eement 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 Tei7nination for Cause. If the Contractor fails to perform in the manner called for
in this Agreement, or if the Contractor 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 affected by serv�ng a notice of termination on the Contractor
setting foi�th the manner in which the Contractor is in default. The Cont�actor will
only be paid for services and expenses complying with the tei�rns of this Agreement,
incui7ed prior to tei�nination.
14. General Provisions.
14.1 For the purpose of this Agreement,time is of the essence.
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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:
14.3.1 For the City: N. Zach Ratkai, or his designee
525 N. 3rd Ave
Pasco, WA 99301
raticaiz@pasco-wa.gov
14.3.2 For the Contractor: Jerry Ensminger, or hislher designee
2211 E. Sprague Avenue
Spokane, VVA 99202
15. Di�ute 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�f 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 effoi�t to resolve such dispute. In the event the dispute
cannot be resolved by agreement of the parties, said dispute shall be resolved by
arbitration pursuantto 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 substan#ially prevailing party shall be entitled to its reasonable
attoiney 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 shaIl be in wx•iting and signed by both parties.
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18. Authorization. By signature below, each party warrants that they are authorized and
empowered to execute this Agreement binding#he City and the Contractor respectively.
IN WITNESS WHEREOF,the parties have caused this Agreement to be executed on the
date first written above.
CITY OF PASCO,WASHINGTON CONSULTAN
. Zach R ai,ACS Director erald Exisminger,Test LLC
ATTEST:
� f(
L 1�""�� 1���f -
Debra C. Barham, City Clerk
APPROVED AS TO FORM:
�
Kerr Fexgu aw,PLLC, City Attorney
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/L�/LL!%7%7���
2211 E. Sprague Ave. ♦Spokane, WA 99202
Phone: (509) 533-0498
June 4, 2022
To: City of Pasco—N. Zach Ratkai, Admin& Community Services Director
Subject: Tri-Cities Animal Control Facility
Fee Pro osal to Provide Commissionin Services
Fee Pronosal to Provide Air Barrier Testin�
TESTCOMM, LLC is pleased to offer this fee proposal and scope of work to provide
commissioning services and air barrier testing services at the above referenced project in
Pasco, WA.
Commissioning is a process that ensures the systems selected for testing are installed in
accordance with the plans and specifications and to ensure that the systems operate as
intended. A quality assurance process that verifies the installer's work is per the design
documents and the designer's work is proper for the facility.
The Commissioning Authority coordinates and manages all commissioning activities;
observes system installations; creates, schedules, and conducts functional performance
test procedures; assembles required documentation; and advises the owner on the
acceptability of commissioning tests.
TESTCOMM offers the services of Jerry Ensminger as the Commissioning Authority and
Consultant. Mr. Ensminger is a Certified Commissioning Professional (CCP)by the
Building Commissioning Association. Mr. Ensminger is a LEED accredited professional
by the US Green Building Council. He is also NEBB certified in various related
disciplines. Mr. Tom Gould (CCP), or other qualified staff, will assist with the functional
performance testing.
Commissioning improves the quality of the project and assures the owner that the facility
will operate properly immediately upon acceptance.
TESTCOMM has extensive experience in the testing and commissioning of systems
similar to those installed on this project. TESTCOMM offers to bring this experience to
the performance of the work outlined below.
Sco��e of Commissionin�;Work:
1. Complete all commissioning testing and documentation as required by the 2018
Washington State Energy Code.
2. Provide commissioning specifications.
Tri Cifies Anima/Contro!Facility�� Commissioninc� Proposal _ TESTCOMM. LLC
3. Review the construction documents. Provide formal comment on items
pertaining to the proper commissioning of equipment and systems.
4. Prepare the commissioning plan.
5. Integrate the commissioning schedule into the master construction schedule.
6. Include a minimum of two site visits during construction to observe progress and
meet with the commissioning team. Provide site visit reports documenting items
observed during project walk-through. Items to be inspected include:
a. Installation conformance to contract documents and submitted information
b. Quality of construction
c. Accessibility of equipment
d. Maintainability
e. Proper control system installations, locations and functions
7. Prepare equipment start-up and functional performance test procedures and data
forms. The procedures and data forms used on this project will be project specific
and thorough to ensure proper systems operation.
8. Document equipment start-ups.
9. Witness, perform and document functional performance tests on specified
equipment and systems. Functional performance testing will generally occur after
the construction finishes are completed, including HVAC testing, adjusting, and
balancing.
10. Provide test equipment necessary to perform functional performance testing
outside of contractor's stated scope of work.
11. Document all deficiencies found during the commissioning process.
12. Assist in troubleshooting non-performing systems.
13. Deficiencies found will be corrected by the responsible contractor. The building
construction will not be accepted until the commissioning is completed and
accepted.
14. Ensure proper review of operation and maintenance manuals and record drawings
for completeness.
15. Ensure adequate owner training by overseeing contractor training program.
16. Prepare the final commissioning report. Include in the report a summary of the
commissioning process, all test procedures and data forms, an evaluation of the
systems operation, noted discrepancies, resolutions, and any unresolved items.
17. Complete Commissioning Certificate of Compliance per WA state energy code
requirements.
18. Perform seasonal commissioning.
Sv stems Included:
1. HVAC systems complete
2. Service hot water system complete
3. Electrical Systems
a. Lighting and lighting control
b. Controlled receptacles
c. Emergency power
4. Architectural
a. Air barrier(building envelope) system
- 2 -
Tri Cities Animal Control Facilitv Commissioninc,� Proposal TESTCOMM. LLC
Sco e of Air Barrier Buildin�� Envelo e Testin 7 & Commissionin �:
Perform field quality control of the air barrier installation by performing quantitative air
leakage testing of the entire facility in accordance with ASTM E779 and/or E1186. This
testing meets the air barrier leakage test requirements of the 2018 Washington State
Energy Code, section C402.5.1.2.
1. Provide expert personnel and test equipment necessary to perform the work in
accordance with ASTM and/or code official accepted methods.
2. Include one site visit during initial air barrier installation to observe details.
3. Inspect the air barrier installation for compliance with code requirements.
4. Provide materials and equipment to temporarily seal building penetrations as
required to perform the building envelope test.
5. Quantify the amount of leakage at the stated test pressure using portable blower
doors to pressurize the buildings.
6. Assist with locating air leakage areas if the spaces fail to meet the air tightness
standard. This may include thermographic scan, localized smoke patterns, or
physical observation.
7. Provide a full, certified report with all findings and recommendations.
Fee Proposal:
TESTCOMM offers to perform the above stated scope of work on a lump sum, fixed fee
basis.
Our combined building commissioning and air barrier testing fee is �13,_300 (thirteen
thousand three hundred dollars).
Our terms are net 30 days from receipt of invoice. We expect progress payments as our
work proceeds.
We will provide a schedule of values prior to submitting the first payment request. The
cost for any additional work outside of the proposed scope will be negotiated.
We hope this proposal meets your needs and look forward to working with you on this
exciting project.
Jerry Ensminger
Manager
TESTCOMM, LLC
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�� TESTLLC-01 KC REA
'4��Ro� CERTIFICATE OF LIABILITY INSURANCE DA12I9/20 1rr'
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 have ADDITIONAL INSURED provisions or 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).
CONTACT
PRODUCER NAME:
Wheat&Associates Insurance
PO Box 3548 i,v"c°,"N,eXs�:(509)922-2937 �,vc,No�:(509)922-4103
Spokane,WA 99220 a�DR�ESS:
INSURER[S]AFFORDING COVERAGE NAIC#
�r,suReR,a:The Cincinnati Casualty Compa�
�NsuReo iNsuRER s:Cincinnati Specialty UW Ins Co _ 13037
Testcomm LLC INSURER C:
Gerald Ensminger
2211 E Sprague Ave INSURER D:
Spokane,WA 99202 iNsuReR e: _
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO UIMICH 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 TYPE OF INSURANCE ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS
7R M ! YY MlDDlYYYY
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ �,OOO,OOO
, CLAIMS-MADE � OCCUR EPP0046251 11l1/2021 'I'I/'I/ZOL2 DAMAGE TO RENTED SOO,QO�
PREMISE$fEa occurrence} $
MED EXP�Any one person $ ��,���
PERSONAL&ADV INJURY $ ��OOO�OOO
GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 2,000,000
POLICY a jECT � LOC PRODUCTS-COMPIOP AGG $ Z,OOO,OOO
OTHER: $
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 'I,OOO,OOO
(Ea accident} $
X ANY AUTO EPP0046251 11I1/2021 �1I112�22 BODILY INJURY{Per person) _$
OUVNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accitlenti, $
AUTOS ONLY AU�TOS ONLY PROPERTY DAMAGE
fPeraccidenU $
$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ Z�OOO�OOO
EXCESS LIAB CLAIMS-MADE EPP0046251 1111l2021 11/1/2022 AGGREGATE $ 2,���,���
DED X RETENTION$ 0 $
A WORKERS COMPENSATION STA UT� _ X ERH
AND EMPLOYERS'LIABILITY EPP0046251 1111l2021 11/1/2022 1�0��,0�0
OFFICERlMEMBER/EXCLUDED?ECUTIVE Y❑ N�A E.L.EACH ACCIDENT , $
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,���,���
If yes,describe under 1�000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
B Prof.Errors 8 Omiss CSU0051543 10/1/2021 10l1/2022 Ea Occur • 1,000,000
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 701,Addklonal Remarks Schedule,may be attached if more space is required)
Operations of the named insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
For Information Pur oses Onl THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
p Y ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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