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HomeMy WebLinkAboutJ&J Kelly Construction LLC - Road 52 Water System Extension AgreementMemo To: Dave Zabell, City Manager From: Kurtis Schliebe, Engineering Tech 111 CC: Dan Ford, City Engineer Dam February 4, 2021 W�'tt/� Rec Road 52 Sewer Extension Erick Water Main extension drawing Two copies of Water System Extension Agreement for Signature Mr. Jeff Kelly, J&J Construction, Inc., is requesting a Water System Extension Agreement, as part of the Road 52 Sewer Extension Project. This water extension was at the request of the City which has no immediate benefit to the development to the north (Black Bella Estates) but made sense with the work in the area and the surfacing. The water extension is for approximately 42' water main extension west on W. Nixon St. The City's reimbursement to the Developer is not to exceed $11,600.00. The attached agreement has been signed by J&J Kelly Construction, Inc. The Water System Extension Agreement has been reviewed by Ken- Law office and confirmed to be acceptable. Please see the attached Agreement for your review and signature. Please contact me if you have any questions. a Page 1 FILED FOR RECORD AT REQUEST OF: City of Pasco WHEN RECORDED RETURN TO: City of Pasco, Washington 525 North 3'd Pasco WA 99301 Tax Parcel No. 119641013 Legal Description: See Exhibit A WATER SYSTEM EXTENSION AGREEMENT THIS WATER SYSTEM EXTENSION AGREEMENT is entered into this day of F -- 6 , 20 'z t , by and between J&J Kelly Construction, Inc., hereinafter referred to as "Developer", and the City of Pasco, Washington, a Municipal Corporation, hereinafter referred to as "City" for the purpose of extending municipal water system improvements for the benefit of future development. WHEREAS, the Developer owns or controls certain real property specifically described in Exhibit A of this Agreement, and said real property is situated within the City of Pasco municipal boundaries; and WHEREAS, the Developer has submitted an application with the City to subdivide the property for residential use; and WHEREAS, the Developer desires to have City water service for domestic use extended to the residential lots resulting from said plat; and WHEREAS, the City currently possesses the capacity to provide domestic water services to the above-mentioned citizens and real properties to be developed; and WHEREAS, adequate and proper water system facilities currently exist nearby and are available to be extended; and WHEREAS, the Developer is willing to construct and install the Improvements described in this Agreement upon the expectation that the City will accept the same and permit them to be connected to the municipal water system, consistent with the terms of this Agreement. The City is willing to accept the Improvements, as defined in Section 1 of the is Agreement, for the project, on the terms and conditions set forth in this Water System Extension Agreement - I Agreement, which the City deems necessary to protect the health, safety and welfare of the public, provided that the costs of constructing the Improvements for the project are shared by the Developer and the City as agreed upon per the terms of this Agreement; and WHEREAS, this Agreement is made upon the basis of the foregoing provisions, and in consideration of the mutual promises and covenants herein, and the mutual benefits to be derived by the parties therefrom. NOW, TBEREFORE, the parties agree as follows: 1. Definitions. The term "Improvements" means domestic potable water pipe and facilities, complete with appurtenances, described as follows: An 8" ductile iron water main in the Road 52 R/W beginning at the existing water main in Road 52 on the east side of Road 52 and extending approximately 42' west, terminating to a 2" blow -off in the R/W of future road W Nixon St between parcel 119641102 (south) and 119641040 (north). 2. Developer Oblieations. A. Developer shall be required to construct certain utility system improvements (the "Improvements') as described above and as further set forth in Exhibit B at its sole cost and expense, with the exception of the contribution by reimbursement from the City as provided in Section 4 of this Agreement. The Developer shall construct the Improvements in conformity with all the City's development standards and specifications. B. Developer shall hire a licensed professional engineer to design the Improvements. Developer shall meet with City staff to review proposed design upon completion of approximately the 60% design level. C. Developer shall hire a licensed contractor for the construction of the Improvements. Developer shall ensure that its contractor obtains all required permits for the project. Developer shall require its contractor to pay current prevailing wage rates for the project. 3. Water Improvements. The Developer agrees to construct and pay all costs of designing, reviewing, permitting, engineering, inspecting and constructing the Sewer Improvements as described in the attached hereto as Exhibit B. The Developer Water System Extension Agreement - 2 shall construct the Sewer Improvements in conformity with all the City's development standards and specifications. 4. City Obligations. The City agrees to reimburse Developer for the water main extension from Road 52 west along W. Nixon St. as an 8" main but in no case will the City's reimbursement obligations under this Section 4 exceed $11,600.00 (ELEVEN THOUSAND SIX HUNDRED AND 00/100) for the entire project. Final completion of the Improvements and acceptance by the City per the provisions of this Agreement shall be required prior to any reimbursement to Developer. Reimbursement from the City shall be in the form of a check. Prior to reimbursement being made by check, Developer agrees to submit an invoice indicating the work completed and the amount to be reimbursed by check along with sufficient evidence that prevailing wages were paid, if required. 5. Approval of Plans. Developer shall not begin construction of the Improvements until the City Engineer has approved the plans and specifications, and until proper permits have been issued. 6. Construction Close -Out. When the Developer has substantially completed the Water Improvements, it shall notify the City of such completion in writing and request a preliminary inspection prior to the City taking ownership of the utility and prior to any further connections to the City water system by the Developer. "Substantial Completion" shall mean that the Improvements can perform their intended function and are ready to be conveyed for that purpose, notwithstanding that certain finish elements of the work such as, but not limited to, final restoration of landscaping and irrigation (if any), may remain for completion subsequent to conveyance. The City shall schedule the inspection to occur within fourteen (14) days of receiving such notice. Within fourteen (14) days after the inspection, the City shall provide the Developer with a written list of any items that need completion or correction to conform to the approved Plans and Specifications and to this Agreement. The Developer shall promptly complete the listed items and re -notify the City that the remaining items are ready for a re -inspection per this Section. Upon the City's inspection and confirmation that all Improvements conform to the approved Plans and Specifications and to this Agreement, the Developer may initiate the conveyance of the Improvements to the City per Section 7 of this Agreement. The failure of the City to act within the time period set forth in this Section shall not alleviate the obligation of Developer to construct the Improvements in accordance with the approved Plans and Specifications, nor constitute a waiver of any rights on the part of the City. 7. Conveyance to the City. Upon completion of the Improvements, and completion of the Construction Close -Out process set forth in Section 6, Developer shall offer to convey ownership of the Improvements to the City through a Bill of Sale. Upon Developer's offer to convey ownership of the Improvements to the City, the City Water System Extension Agreement - 3 shall accept the same by Resolution of the City Council, provided, that before the City shall give final approval to the acceptance of such Improvements, the Developer shall demonstrate the following: A. Developer has conveyed required Rights -of -Way to the City and/or secured and recorded all required easements, in a form acceptable to the City Attorney, providing a warranty that the grantor has the right to grant such easement, and will indemnify and defend the City against all claims that the grantor does not have such right. B. Developer has furnished the City with an affidavit, in a form acceptable to the City, stating that all charges incurred for materials and for labor at prevailing wage rates (if required) have been paid, and there are no liens against the property or Improvements. C. Developer has furnished the City with documents of conveyance of ownership of the Improvements, in a form acceptable to the City Attorney, providing a warranty that the Developer has the right to convey such Improvements and will indemnify and defend the City against all claims that the Developer does not have such right, and further providing that the Improvements will be free of defects in material and workmanship for a period of one (1) year from the date of the City's final acceptance of the Improvements and release of associated performance bonds. If the conveyance includes one or more incomplete work elements subject to completion under a performance bond or bonds issued pursuant to this Agreement, then the conveyance documents shall address for each incomplete element, the timing and criteria for completion and initiating the warranty period. D. Developer has submitted to the City, in a form acceptable to the City Engineer, Final Drawings or "As-Builts" meeting City Development Standards. E. Developer has paid all permit fees, connection charges and all other fees and charges for City costs required to be paid under this Agreement. F. Developer has submitted an itemized written statement to the City of all costs incurred on the Improvements for the Project. S. Connection to City's Public Utility System. After completion, acceptance and conveyance of the Improvements, the City shall permit connection of the Improvements to the City's public utility systems. All public utilities shall be tested per methods established in the City's standards and specifications, WSDOT Standard Specifications, AWWA test methods, and as described in the pre -construction meeting Water System Extension Agreement - 4 minutes. Procedures for and timing of the various tests for different utilities shall be determined in the pre -construction meeting and recorded in the minutes of such meeting. 9. Insurance. The Developer agrees that its contractor or subcontractor, employed by Developer, to complete the construction of the water system shall maintain in full force and effect during the time this Agreement is in effect liability insurance covering bodily injury and property damage, which insurance shall name the City and its employees and contracted consultants as additional insureds. Such insurance shall provide limits of liability of $2,000,000 per person and $2,000,000 per occurrence for bodily injury and $2,000,000 per person and $2,000,000 per occurrence for property damage. 10. Indemnification. The Developer shall defend, indemnify, and hold harmless the City, its officers, officials, agents, employees, and volunteers from any and all claims and causes of action, including, but not limited to, actions of law or administrative proceedings for all injuries to persons or damages to property, and all losses, damages, demands, suits, judgments, including attorney fees, arising out of, or as a result of, or in connection with the work performed under this Agreement, and caused or occasioned in whole or in part by reason of errors, negligent acts or omissions of the Developer or its contractors in the performance of this Agreement, except for injuries and damages caused by the sole negligence of the City, its officers, employees, agents, and volunteers. 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 injuries or damages to property caused by or resulting from the concurrent negligence of the Developer or its contractors, and the City, its officers, employees, agents and volunteers, the Developer's liability and obligation to defend hereunder shall only be the proportionate extent of the Developer's negligence. It is further agreed that the indemnification provided herein constitutes the Developer's waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. No liability shall attach to the City by reason of entering into this Agreement except as expressly provided herein. This waiver has been mutually negotiated by the parties, and the provisions of this section shall survive the expiration or termination of this Agreement. 11. Costs Incurred by the City. The Developer shall pay to the City all costs incurred by the City prior to conveyance that are associated with review and Water System Extension Agreement - 5 approval of the Improvements, including, but not limited to, engineering, legal, and administrative costs, and including costs associated with the creation of this Agreement. In lieu of Developer's payment of said costs under this Section, any said costs incurred by the City may be credited against the amount to be reimbursed by City to Developer under Section 4 of this Agreement. 12. Notices. All notices required to be given under this Agreement shall be in writing and shall be deemed served when mailed via certified mail, return receipt requested, to the attention of the individual or position identified below. The parties may, upon mutual agreement, determine to accept notice via e-mail. City of Pasco: City Engineer 525 North 3rd Pasco, WA 99301 E -Mail: fordd(a�pasco-wa.gov Developer: Jeff Kelly J&J Construction, Inc. 1006 Christopher Lane Pasco, WA 99301 E -Mail: 13. Term. This Agreement shall be effective commencing on the date first entered above and all improvements, conveyances, and obligations of the parties shall be complete on or before twelve (12) months from the effective date. The Agreement shall terminate on twelve (12) months from the effective date or with completion and acceptance of the Improvements, whichever shall occur first. 14. Authority to Atpurove Agreement. The parties represent and warrant that all steps necessary for the approval of this Agreement have been completed by: Water System Extension Agreement - 6 A. Developer: Entity: J&J Construction, Inc. Name: Jeff Kelly Title: Owner B. Com: Entity: City of Pasco, Washington Name: Dave Zabell Title: City Manager The officers signing below are authorized to do so and the execution of this Agreement is valid and binding for all purposes. 15. Dispute Resolution. Should any dispute arise concerning the enforcement, interpretation, breach or any other term of this Agreement, the parties shall first meet in a good faith effort to resolve the dispute. In the event the dispute cannot be resolved by agreement of the parties or by mediation, the dispute shall be resolved by binding arbitration pursuant to RCW 7.04A, as amended, and the Mandatory Rules of Arbitration (MAR), with all parties waiving the right of a jury trial upon de novo review. Venue shall be placed in Franklin County, Washington; the laws of the State of Washington shall apply; and the substantially prevailing party shall be entitled to its reasonable attorney fees and costs. 16. Governing Law. This Agreement is entered into under the laws of the State of Washington, and the parties intend that Washington law shall apply to the interpretation hereof. 17. Severability. In the event a non -material provision of this Agreement is declared invalid, unconstitutional, or otherwise unenforceable, such provisions hereof as are not affected by such declaration, shall remain in full force and effect. 18. Amendment. This Agreement may be modified only by written instrument duly executed by all parties. 19. Binding Effect This Agreement shall be binding upon and inure to the benefit of the parties and their respective successors and assigns. 20. Agreement Construction. This Agreement sets forth the entire understanding and agreement of the parries relating to the subject matter hereof. This Agreement shall be construed as a whole. The captions and headings herein are for convenience only and shall not be relied upon or used to interpret/construe this Water System Extension Agreement - 7 Agreement or any portion thereof. Each party signing this Agreement acknowledges that they participated in the drafting of this Agreement and, as such, this Agreement shall not be presumptively interpreted/construed in favor of nor against any particular party, but rather this Agreement shall be given an objectively fair and reasonable interpretation and construction in light of and in accordance with its express terms and provisions. 21. General Provisions. A. This Agreement constitutes the entire agreement between the parties and no prior oral or written agreement shall be valid. B. For the purpose of this Agreement, time is of the essence. 22. Mutual Cooperation and Further Agreements. When in compliance with the Pasco Municipal Code and State and Federal laws, the parties agree to cooperate in good faith with regard to each and every aspect required for the completion of the construction of the Improvements which are the subject of this Agreement and the transfer of property; and to further sign, when legal requirements are met, all documents, deeds, and permits reasonably necessary to accomplish the purpose of this Agreement. EXECUTED the day and year first above written. CITY OF PASCO: DEVELOP By:By: 'o -Dave Z70�otobtlllian.ager J&J dOfActiod, Inc. ATTEST: I A4, Debra. Barham, CMC City Clerk APPROVED AS TO FORM: err Fer w' PLLC City mey Water System Extension Agreement - 8 STATE OF WASHINGTON) : ss COUNTY OF FRANKLIN ) On this day personally appeared before me DAVE ZABELL, City Manager of the City of Pasco, Washington, described in and who executed the within and foregoing instrument, and acknowledged that he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN under my hand and official seal this k� day of Vcb(ucv�A , 20 ` APRIL CULWELL NOTARY PUBLIC 8208573 STATE OF WASHINGTON COMMISSION EXPIRES JULY 19, 2023 Notary Public in and for the State of Washington Print Name: kM L Cwt WE: 1- L - Residing at PAS C�o My Commission Expires: STATE OF WASHINGTON ) : ss COUNTY OF FRANKLIN ) On this day personally appeared before me JEFF KELLY, Owner of J&J Kelly Construction, Inc., a Washington Corporation, described in and who executed the within and foregoing instrument, and acknowledged that he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN under my hand and official seal this yid dday of 4by-Ro' , 20Q 1& Dzv✓ L� NOTXRY PUBLIC in and for the State of Washington Print Name: I C O e Ny! e S Residing at: i' e o -rt G t,)t P GL, t4) A- . My Commission Expires: T -t 4a �3, ab a� Water System Extension Agreement - 9 EXHIBIT A "Legal Description" THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE. NORTHEAST QUARTER OF SECTION. 27, TOWNSHIP 9 NORTH, RANGE 29 EAST W M, FRANKLIN COUNTY, WASHINGTON EXCEPT THAT PORTION DESCRIBED AS FOLLOWS, COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION 27; THENCE SOUTH 01'17'18" WEST, ALONG THE EAST LINE OF SAID SECTION 27, A DISTANCE OF 1312.88 FEET, THENCE NORTH 89036'14" WEST A DISTANCE OF 25.00 FEET TO THE TRUE POINT OF BEGINNING. ALSO BEING THE SOUTHEAST CORNER OF SAID LOT 3, SHORT PLE4T 79-28; THENCE NORTH 89"36'14" WEST A DISTANCE OF 642.66 FEET; THENCE SOUTH 010'17"57" WEST A DISTANCE OF 348.54 FEET, THENCE SOUTH 89043' 16" EAST A DISTANCE 642.75 FEET; THENCE NORTH 010'17'18" EAST A DISTANCE OF 347.22 FEET TO THE TRUE POINT OF BEGINNING. AND ALSO EXCEPT THAT PORTION THEREOF DESCRIBED AS FOLLOWS: COMMENCING AT THE EAST QUARTER CORNER OF SAID SECTION 27; THENCE ALONG THE EAST LINE OF SAID SECTION 27 NORTH 010 17'18" WEST FOR 663.95 FEET TO THE NORTH LINE OF THE NORTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 27; THENCE ALONG SAID NORTH LINE NORTH 89°35'08" WEST FOR 631.65 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING NORTH 89035'08" WEST FOR 36.14 FEET TO THE NORTHWEST CORNER OF THE NORTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 27; THENCE ALONG THE WEST LINE THEREOF NORTH 01017'56" EAST FOR 0.70 FEET THENCE SOUTH 88028 `22" EAST FOR 36.14 FEET TO THE TRUE POINT OF BEGINNING, TOGETHER WITH THAT PORTION OF THE NORTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 27. TOWNSHIP, 9 NORTHI RANGE 29 EAST, W M FRANKLIN COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS COMMENCING AT THE EAST QUARTER CORNER OF SAID SECTION 27, THENCE ALONG THE EAST LINE OF SAID SECTION 27 NORTH 0101 1 7' 18" WEST FOR 663.95 FEET TO THE NORTH LINE OF THE NORTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 27; THENCE ALONG SAID NORTH LINE NORTH 89035 `08" WEST FOR 171.02 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 01017'18" WEST PARALLEL WITH THE WEST LINE OF SAID SECTION 27, FOR 165.97 FEET TO THE SOUTH LINE OF THE NORTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE Water System Extension Agreement - 10 SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 27; THENCE ALONG SAID SOUTH LINE NORTH 89034 `51" WEST FOR 313.50 FEET; THENCE NORTH 01053 `23" EAST FOR 163.09 FEET; THENCE NORTH 88028'22" WEST FOR 148.83 FEET TO THE NORTH LINE OF THE NORTH HALF OF HE NORTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SEC DON 27; THENCE ALONG SAID NORTH LINE SOUTH 89035'08" EAST FOR 460.83 FEET TO THE TRUE POINT OF BEGINNING. Water System Extension Agreement - 11 "Improvements" Site Maps, Engineering Drawings and Other Project Details Required by City Water System Extension Agreement - 12 J&JKELL-01 CMO RE ACORO" CERTIFICATE OF LIABILITY INSURANCE D 11/20TE /2020 Y) 11 /20/2020 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(les) 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). PRODUCER CONTACT Richland Office PHONE Paynewest Insurance, Inc. (A/C, No, Ext): (509) 946-6161 A/c, No :(866) 215-4862 390 Bradley Blvd.�iS°li�ss: Richland, WA 99352 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Western World Insurance Company 13196 INSURED INSURER B: Ohio Security Insurance Company 24082 J&J Kelly Construction Inc INSURER C: 1006 Christopher Lane INSURER D: Pasco, WA 99301 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF PMMIDDfYYYYI OLICDY EXPLTR fYYM LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 5111OCCUR NPP8750261 11/19/2020 11/19/2021 DAMAGE TO RENTED 100,000 PREMIE E occurrenc $ MED EXP (Any oneperson) $ 5'000 PERSONAL & ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 21000,000 PRODUCTS -COMP/OPAGG $ Included POLICY [X] JECT F] LOC WA STOP GAP $ 1,000,000 OTHER: B AUTOMOBILE LIABILITY EO aBCN eD SINGLE LIMIT $ 1 r000�000 BODILY INJURY Per erson $ ANY AUTO BAS57884970 3/17/2020 3/17/2021 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY X AUTOS ROPERTY DAMAGE Per accident $ AUTOS ONLY AUUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYY/N PER OTH- TAT TE I I ER ANY ECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED' F7N (Mandatory in NH) / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE J&J Kell Construction IncTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 1006 Christopher Lane Pasco, WA 99301 AUTHORIZED REPRESENTATIVE &0/ mx� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD