HomeMy WebLinkAbout5.509 Original Contract
irATi 'ARM
.A... State Farm Fire and Casualty Company
.... PO Box 5000
INSURANC Dupont, WA 98327-5000
POLICY NUMBER
98-CQ-2818-7
BUSINESS-OFFICE
5.50Q NOTICE OF
REINSTATEMENT
REINSTATEMENT DATE
MAR 31 2001
DATE PROCESSED
APR 05 2001
AMOUNT PAID
No Amount Due
K-2655-F486 F
THE CITY OF PORT ANGELES
WASHINGTON
321 E 5TH ST
PORT ANGELES WA 98362-3206
u
11.1..1..1...11..11....1.1..11...1.111....11....1.1...111..1.1
PLEASE KEEP FOR YOUR RECORDS
We are pleased to acknowledge receipt of the premium due on this policy. This policy will be continued in force subject to its
printed terms and conditions upon the payment check clearing through your bank.
This policy was out-of-force from 03-21-01 to 03-31-01.
Insured:
TERMA PLANNERS &
ARCHITECTS PLLC
4007 STILLER RD
PORT ANGELES WA 98362-9350
Location:
4007 STILLER RD
PORT ANGELES WA
SFPP No:
0380162715
Agent: STEVE METHNER
Telephone: (360) 457-6456
0180
530-177 11 (o1f3072b) Rev 12-97
M
5.5tJq
AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN THE
THE CITY OF PORT ANGELES
AND
TERMA PLANNERS & ARCHITECTS
RELATING TO: Francis Street Park
~REEMENT IS made ~d entered Into this .11i!!::. day of _
, 199~, by and between THE CITY OF PORT
AN LES, a non-charter code city of the State of Washington,
(hereinafter called the "CITY") and TERMA Planners and Architects
a Washington Corporation (hereinafter called the "CONSULTANT")
WHEREAS, the CITY desires to develop a redesign for Francis Street
Park (hereinafter called the "Park"), and
WHEREAS, the CITY desires to engage the professional services and
assistance of a qualified consulting firm to perform the scope of work as
detailed In SECTION I. SCOPE OF WORK, and
WHEREAS, the CONSULTANT represents that It IS In full compliance
with the statutes of the State of Washington for professional registration
andlor other applicable requirements, and
WHEREAS, the CONSULTANT represents that It has the background,
experience, and ability to perform the required work In accordance with
the standards of the profession, and
WHEREAS, the CONSULTANT represents that It Will provide qualified
personnel and appropriate facilities necessary to accomplish the work,
NOW, THEREFORE, In consideration of the above representations and
the terms, conditions, covenants and agreements set forth below, the
parties hereto agree as follows
SCOPE OF WORK
The scope of professional services to be performed and the results to be
achieved by the CONSULTANT shall Include all services and material
necessary to accomplish the follOWing work
1. CONSULTANT shall develop schematic designs for all Park
structures, including but not limited to, gateway or control pOint
structures, landscaping treatment to the Waterfront Trail and
shoreline enhancements, Improvements for accessibility, parking,
and access road for pedestrians, bicycles and automobiles
2. Additional schematiC design detail
a Develop the schematiC design for Park slgnage
b. Incorporate ADA accessibility compliance Into design
c. Assist the City with Shoreline Permit schematiC design
process as needed
3.
Prepare estimates for construction costs based on schematic
design
The CITY may review the CONSULTANT'S work product, and If It IS not
satisfactory the CONSULTANT shall make such changes as may be
required by the CITY Such changes shall not constitute "Extra Work" as
related In Section XI of thiS Agreement
The CONSULTANT agrees that all services performed under thiS
Agreement shall be In accordance with the standards of the profession
and In compliance with applicable federal, state and local laws
The Scope of Work may be amended upon written approval of both
parties
II OWNERSHIP OF DOCUMENTS
Upon completion of the work, all documents, exhibits, photographic
negatives, or other presentations of the work shall become the property
of the CITY for use Without restriction and Without representation as to
SUitability for reuse by any other party unless specifically verified or
adapted by the CONSULTANT However, any alteration or reuse of the
documents, by the City or by others acting through or on behalf of the
City, Will be at the City's sole risk Promotional or marketing use of
materials or documents by CONSULTANT shall be done upon request,
In Writing, to the CITY
III DESIGNATION OF REPRESENTATIVES
Each party shall deSignate ItS representatives In writing The
CONSULTANT'S representative shall be subject to the approval of the
CITY
IV TIME OF PERFORMANCE
The CONSULTANT may begin work upon execution of thiS Agreement by
both parties The work shall be completed In accordance With the
schedule set forth In the attached Exhibit B.
V PAYMENT
The CITY shall pay the CONSULTANT as set forth In thiS section of the
Agreement Such payment shall be full compensation for work
performed, services rendered, and all labor, materials, supplies,
equipment and inCidentals necessary to complete the work
A
Payment shall be on the baSIS of the CONSULTANT'S cost for
actual labor, overhead and profit plus CONSULTANT'S direct non-
salary reimbursable costs as set forth In the attached Exhibit A.
Labor costs shall be based on the hourly rates shown In
Exhibit A. Hourly rates shall be based upon an individual's
hourly wage, times the total number of hours worked, times a
multiplier of..1 The multiplier shall Include overhead and profit
General clencal time shall be considered an overhead Item,
except where specifiC work Items are Involved that reqUire
one hour or more continued effort, In which case time will be
charged on the baSIS of hours worked
2 The direct non-salary reimbursable costs are those directly
Incurred In fulfilling the terms of thiS Agreement, including, but
not limited to, travel, subSistence, telephone, CADD computer,
reproduction and printing, supplies and fees of outSide services
and consultants Ten percent (10%) overhead and profit may
be added to direct non-salary reimbursable costs
B
The CONSULTANT shall submit inVOiceS to the CITY on a monthly
baSIS InVOices shall detail the work, hours, employee name, and
hourly rate, shall Itemize With receipts and Invoices the non-salary
direct costs, shall Indicate the speCifiC task or activity In the Scope
of Work to which the costs are related, and shall indicate the
cumulative total for each task
C
The CITY shall review the inVOices and make payment for the
percentage of the project that has been completed less the
amounts previously paid
D
The CONSULTANT inVOices are due and payable Within 30 days
of receipt In the event of a disputed billing, only the disputed
portion Will be Withheld from payment
City of Port Angeles - [month and year]
E Final payment for the balance due to the CONSULTANT will be
made upon the completion of the work and acceptance by the
CITY
F Payment for "Extra Work" performed under Section XI of this
Agreement shall be as agreed to by the parties In wntlng
VI MAXIMUM COMPENSATION
Unless otherwise agreed to In wntlng by both parties, the
CONSULTANT'S total compensation and reimbursement under this
Agreement, including labor, direct non-salary reimbursable costs and
outside services, shall not exceed the maximum sum of $ 3.000 .00
VII EMPLOYMENT
Employees of the CONSULTANT, while engaged In the performance of
any work or services under this Agreement, shall be considered
employees of the CONSULTANT only and not of the CITY, and claims
that may anse under the Workman's Compensation Act on behalf of said
employees while so engaged, and any and all claims made by a third
party as a consequence of any negligent act or omiSSion on the part of
the CONSULTANT'S employees while so engaged, on any of the work or
services provided to be rendered herein, shall be the sole obligation and
responsibility of the CONSULTANT
In performing this Agreement, the CONSULTANT shall not employ or
contract with any CITY employee without the City's wntten consent
VIII NONDISCRIMINATION
The CONSULTANT shall conduct ItS bUSiness In a manner which
assures fair, equal and non-dlscnmlnatory treatment of all p~rsons,
Without respect to race, creed or national ongln, and, In particular
A
The CONSULTANT shall maintain open hlnng and employment
practices and Will welcome applications for employment In all
pOSItions, from qualified IndiViduals who are members of mlnontles
protected by federal equal opportunity/affirmative action
requirements, and,
B
The CONSULTANT shall comply With all requirements of applicable
federal, state or local laws or regulations Issued pursuant thereto,
relating to the establishment of non dlscnmlnatory requirements In
hlnng and employment practices and assunng the service of all
persons Without dlscnmlnatlon as to any person's race, color,
religion, sex, Vietnam or veterans's status, disabled veteran
condition, physical or mental handicap, or national ongln
IX SUBCONTRACTS
A
The CONSULTANT shall not sublet or assign any of the work
covered by this Agreement Without the wntten consent of the CITY
B
The CONSULTANT Will be uSing the firms submitted With ItS
proposal as subcontractors Subcontractors other than those listed
shall not be permitted Without the wntten consent of the CITY
C
In all soliCitation either by competitive bidding or negotiation made
by the CONSULTANT for work to be performed pursuant to a
subcontract, including procurement of matenals and equipment,
each potential subconsultant or supplier shall be notified by the
CONSULTANT of Consultant's obligations under this Agreement,
Including the nondlSCnmlnatlon requirements
X
CHANGES IN WORK
Other than changes directed by the CITY as set forth In Section I above,
either party may request changes In the scope of work Such changes
shall not become part of this Agreement unless and until mutually agreed
upon and Incorporated herein by wntten amendments to this Agreement
executed by both parties
XI EXTRA WORK
The CITY may deSire to have the CONSULTANT perform work or render
services In connection With this proJect, In addition to the Scope of Work
set forth In Exhibit A and minor revIsions to satlsfactonly completed work
Such work shall be conSidered as "Extra Work" and shall be addressed
In a wntten supplement to thiS Agreement The CITY shall not be
responsible for paYing for such extra work unless and until the wntten
supplement IS executed by both parties
XII TERMINATION OF AGREEMENT
A
The CITY may terminate thiS Agreement at any time upon not less
than ten (10) days wntten notice to the CONSULTANT Wntten
notice Will be by certified mall sent to the consultant's deSignated
representative at the address prOVided by the CONSULTANT
B
In the event thiS Agreement IS terminated pnor to the completion of
the work, a final payment shall be made to the CONSULTANT,
WhiCh, when added to any payments previously made, shall
compensate the CONSULTANT for the percentage of work
completed
C
In the event thiS Agreement IS terminated poor to completion of the
work, documents that are the property of the CITY pursuant to
Section II above, shall be delivered to and received by the CITY
poor to transmittal of final payment to the CONSULTANT
XIII INDEMNIFICA TION/HOLD HARMLESS
The CONSULTANT agrees to indemnify the CITY from any claims,
damages, losses, and costs, including, but not limited to, attorney's fees
and litigation costs, anslng out of claims by third parties for property
damage and bodily InJUry, including death, caused solely by the
negligence or Willful misconduct of the CONSULTANT, CONSULTANT
employees, affiliated corporations, officers, and subcontractors In
connection With the work performed under thiS Agreement
The CITY agrees to indemnify the CONSULTANT from any claims,
damages, losses, and costs, including, but not limited to, attorney's fees
and litigation costs, anslng out of claims by third parties for property
damage and bodily inJury, including death, caused solely by the
negligence or Willful misconduct of the CITY, CITY's employees, or
agents In connection With the work performed under thiS Agreement
If the negligence or Willful misconduct of both CONSULTANT and CITY
(or a person Identified above for whom each IS liable) IS a cause of such
damage or inJury, the loss, cost, or expense shall be shared between the
CONSULTANT and the CITY In proportion to their relative degrees of
negligence or Willful misconduct and the nght of indemnity shall apply for
such proportion
Should a court of competent Junsdlctlon determine that thiS Agreement IS'
subject to RCW 424 115, then, In the event of liability for damages
anslng 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 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 Industnallnsurance, TItle 51
RCW, solely for the 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 However,
the CONSULTANT expressly reserves ItS nghts as a third person set forth
In RCW 51 24 035
XIV INSURANCE
The CONSULTANT shall procure and maintain for the duration of the
Agreement, Insurance against claims for InJunes to persons or damage
to property which may anse from or In connection With the performance
of the work hereunder by the CONSULTANT, ItS agents, representatives,
employees or subcontractors
The CONSULTANT shall prOVide a Certificate of Insurance eVidenCing
City of Port Angeles - [month and year]
Automobile Llabllltv Insurance With limits no less than $300,000
combined single limit per accident for bodily injury and property damage,
and,
2 Commercial General Llabllitv Insurance wntten on an occurrence basIs
with limits no less than $1,000,000 combined single limit per occurrence
and $2,000,000 aggregate for personal inJury, bodily Injury and property
damage Coverage shall Include but not be limited to blanket
contractual, products/completed operations, broad form property damage,
explosion, collapse and underground (XCU) If applicable, and employer's
liability, and,
3 Professional Llabllitv Insurance with limits no less than $500,000 limit
per occurrence
Any payment of deductible or self Insured retention shall be the sole
responsibility of the CONSULTANT
The CITY shall be named as an additional Insured on the Commercial
General Liability Insurance policy, as respects work performed by or on
behalf of the Consultant and a copy of the endorsement naming the
CITY as additional insured shall be attached to the Certificate of
Insurance The CITY reserves the nght to review a certified copy of all
reqUired Insurance policies In the CONSULTANT's office
The CONSULTANT'S Insurance shall contain a clause stating that
coverage shall apply separately to each Insured against whom claim IS
made or SUit IS brought, except With respects to the limits of the Insurer's
liability
The CONSULTANT'S Insurance shall be pnmary Insurance as respects
the CITY, and the CITY shall be given thirty (30) days pnor wntten notice
of any cancellation, suspension or matenal change In coverage
XV APPLICABLE LAW
This Agreement shall be construed and Interpreted In accordance With the
laws of the State of Washington, and In the event of dispute the venue of
any litigation brought hereunder shall be Clallam County
XVI EXHIBITS AND SIGNATURES
ThiS Agreement, Including ItS exhibits, constitutes the entire Agreement,
supersedes all pnor wntten or oral understandings, and may only be
changed by a wntten amendment executed by both parties The following
exhibits are hereby made a part of thiS Agreement
Exhibit A - Consultant Labor Costs
Exhibit B - Schedule for the Work
In WITNESS THEREOF, the parties hereto have executed thiS
Agreement as of the day and year first wntten above
CONSULTANT
(2, ~j jUt,~
TITLE ARCIf"GG'1
ATTEST
ik~j~A
BECKY UPTO I LERK
PW-0410_01 wpd [rev 5/1/99]
City of Port Angeles - [month and year]
Mar-17-99 05:37P Terma Architects
360-417-8857
P.02
Exhjbit A
_&~.;"~::L..
~Uo
4007 SOUTH TILLER ROAD
PORT ANGELES. WA 98362
(3601417-8857
FAX (360) 417.8857
Michael T. Gentry. Architect
R. Tormocl Hellwig, Architect
HourIV Billing Rates
March 1999
Principal Architect
Hourly Rate
$80/hr.
$451hr.
Category
CADD Draftsperson
Draftsperson
$45/hr.
$3OIhr.
Clerical
04 -.....
Schedule B
I Task Name I I I 5, '99 I May 2, '99 I May 9, '99
10 ., Duration Start Finish MI T ! WIT IF!SlsIMITIWITIF!sl S I M I T I W
1 Site Visit 3 days Wed 4/28/99 Frl4/30/99 \. ~
: :
f----- :
2 ~ Inspect EXisting Conditions 3 days Wed 4/28/99 Fn 4/30/99 H~???~\::<jl
. \
3 Contract for Phase I 2 days Mon S/3/99 Tue S/4/99 .,
4 Sign and Submit con for approv 2 days Mon 5/3/99 Tue 5/4/99 l~~ F;:)) d :
5 Site Analysis S days Mon S/3/99 Fri Snl99 " ~
6 ~ Study Site for Assets and Potentials 5 days Mon 5/3/99 Fri 5/7/99 : Im:;)(f~ i:i~t\;m~m;~\?1
7 m! Meet w/Committee 1 day Wed 5/5/99 Wed 5/5/99 W
:
.
8 Programming 8 days Wed S/S/99 Frl 5/14/99
: T :
~
9 m! Create Program of Needs 6 days Wed 5/5/99 Wed 5/12/99 V:~~~~::::::~~:;;:;:~~~~~~:;:~:)~~~~~(:?: ~~~:~~~;:':'~ ~ .:~~V~::
10 ~ Approval of Program by Parks Dept 3 days Wed 5/12/99 Fn 5/14/99 :
lEI
...
11 Schematic Design 20 days Mon 5/17/99 Fri 6/11/99
.-
12 ~ Synthesize a Schematic Design 10 days Mon 5/17/99 Fn 5/28/99
13 ~ Approval of SO by Parks Dept 3 days Tue 6/1/99 Thu 6/3/99 :
:
14 ~ Estimate Construction Costs 6 days Fri 6/4/99 Fn 6/11/99
15 ~ Completion of Contract 1 day Fri 6/18/99 Fri 6/18/99 :
-'~~~:::L.~ "'u'"
4007 South Tiller Road
Port Angeles, WA 98362
Task 1~\t???;:~.;:}:J Summary \. .J Rolled Up Progress
Project: Francis St. Water! Split Rolled Up Task ~. ....................... -. --I External Tasks r -t:'Iff'~' ,'-';'\i--:;;l
11111 II III III II III :::~:~: ....~:~:~:~:::::::~... : .:..: ;:-<I-':~~<""_~4..!'~ "'':~'',.:sz;;-"p-",-{
Date:May 1999 Progress Rolled Up Split PrOject Summary '" .J
I1II J 1111 t t 11111111
Milestone . Rolled Up Milestone 0
Page 1
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... ......
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. .....
...... ..
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~~~{;~:n:~:mmmm~{~}~~~;}E?~~~~~~~~~~~~f~~~~~{<~?~j?~t:\t~t{tH
Project: Francis St. Waten
Date:May 1999
Task
I:((t/.;:;../Htd
Split
Progress
Milestone
111111 J 11111111/111
.
.,
Wtm{{:i:; ;:/~I
[:~~;;:~~~~~;:{~~r\.F\~{i\t: /~{:}~rF?H
Summary \. ..,
Rolled Up Task ~.;}tW~t>\:~.; :+1
Rolled Up Split , , , , , , , , , , , , , , , , , , ,
Rolled Up Milestone 0
Page 2
Rolled Up Progress
External Tasks
Project Summary T
I
.....
07/11/13 THlT 06:50 FAX
l4J 002
CERTIFICATE OF INSURANCE
~ STATE FARM FIRE AND CASUAL TV COMPANY, Bloomington. Illinois
o STATE FARM GENERAL INSURANCE COMPANY, Bloomington, minols
insures the follOWing policyhOlder ror the coverages indicated below:
Name of policyholder Terma Planners and ArChitects, PLLC
This certifies that
Addren of policyholder
Name and Address of Certificate Holder
The City of Port Angeles, WA
Location of operations
POUCY NUMBER
98-CQ-281.8-7
This insurance includes:
POLICY NUMBER
S58.994 a 2-<<1 Printed In U.S.A.
4007 STiller Rd
Port Angeles, WA 98362
Same
TYPE OF INSURANCE
Comprehensive
Businessliabir 7-5-98 7-5-99
Products - Completed Operations
r&I Contractual liability
~ Underground Hazard Coverage
~ Personal Injury
~ Advertising InjUry
1:&1 Explosion Hazard Coverage
Cia Collapse Hazard Coverage
~ General Aggregate Umit applies to each project
o
Each OCC\.lrrence
$1000000
General Aggregate
\
Products - Completed
Operations Aggregate
$ 2nnnna.a
sn
EXCESS L1ASILITY
o Umbrella
Other
POUCY PERJOD BODILY INJURY AND PROPERTY DAMAGE
Errectlve Date Ex "ration Date (Combined Single Limit)
Each OCC1.Irrence $
A Fi ate $
Part 1 STATUTORY
Part 2 eOOll Y INJURY
Workers' Compensation
and Employers Liaoility
Each Accident $
Disease Each Employee $
Disease - Polic Limit $
LIMITS OF UABILllY
InniJl of Od
TYPE OF IP4SURANCE
POLICY PERIOD
Effective Date lratlon Oate
h9)-" If any of the described pOlicies ~~eled before its
"" <CI (d. ~'" expiration date, state Farm will .,.., maWs Written notice to
~/IU'" the certificate holder 30 days before cancellation. If,
A'YH.7I'1. however, we fail to mail such notice, no obligation or liability
will be imposed on State Farm or itS agents or
representatives.
?;1 fr?-
~: 7"''' ...--...
5/lr/77
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05/1~/99 THlI 12:48 F~~ 206 912 7695
STATE FARM WA FIRE
141 002
AMR Policy No. 98.CO-28J.8-'7
FE-8324
(7188)
ADDITIONAL INSURED ENDORSEMENT
Owners. Lessees or Contractors (Form B)
'....... .....
..
"'_."
Policy No.: .98-CQ-2818-7
Named Insured:
TBRMA PLANNERS & ARCHITECTS PLLC
Name of Pel$on or Organization: "l'HE CITY OF POR.T ANGELES WASHINGTON
32J. PO 5TH
POR'!' ANGELES WA 9936'2
WHO IS AN INSURED, under SECTION 1/ DESIGNATION OF INSUREO, is amended to include as an insured
the person or organi~tion shown above, but only with respect to liability arising out of your work for that insured
by or for you. .':
~~Y;2--~-= SJ1?/71
~?Iu", fU. j1(4it~r'~VlI
"
1fJ:.e324
(7168)
Printed 11'I U.SJ\.
05/14/1999 16:34
541:2969427
HUDSON INSURANCE AGV
Pt\GE en
ACORO. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIOOIYY)
MAY 1499
PROOUCER THIS CERTIFICATe IS ISSUED AS A MATTER O~ 'NF~MATlON O~LY
HUDSON IMSURANCE AGENCY, INC. AND CONFERs NO RIGHTS UPON THE CERTIFICATE HOLDErt. THIS
PO BOX 381 CERTIFICATE oou NOT AMEND. EXU"'D OR A.L.TER THE COVERAGE
THE OALLE$ OR 87058-0381 AfFORDED BY THE POI.lCIES BELOW.
PHONE: 541-296-2268 ~COMPANY A """",,,,~;,::;,~~..,.F-::NG_COYE~E~---=-_
FAX: 541-286-9427
INSURec--~--- -- .--- - __' COMPANYB
TERMA PLANNERS & ARCHITECTS, PLLC COMPANyC--'-- ------- ....,- --- -----,-
4007 STILLER RD r;- -- --- ---- ---- --- --'--.----
PORT ANGELES WA 98362 I~~~::~~,' ~ ---.----- - - --.- - - - ---.-
COVERAGES
HI IS T CERTI THA THE ~OLlCIES OF INSU NC~ LIST BELOW HAVE seEN IS$U D TO THE INSUR 0 NAMED ABOVE FOr<: ifiE POLICY
PERIOD INDICATED NO'TWITHSTANDING ANY ~EaUIRe;MENT TERM OR CONDITION OF ANY CONTRACT OR OTHfR DOCUMENT WITH RESPECT TO
WHICH THIS CER'TlFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCf:lIBED HEReIN IS SUBJECT TO ALL
THE TERMS EXC~USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HA.VE BEEN REDuceD BY PAID CLA,IMS
~T.. '-~NiUiWiC;-- '~!fi=="-I- ----UMITS' ----.-
OENEAAL, UAIlILITY EACI4 OCCURRENCE
i COMMERCIAL GENERAL llA8111lY I I FIRE DAMAGE (Anyone F'''',L _-=-=- =.
F.f~ ] C~IMS MADE I:J OCCUR \ MEO Exl' (Any One Person) IS
I IPERSONAL&AOVI..:NRV rs--' - ---
-'- -.--1 GEN~AAl.AGGR6GATI: -=J$=~=- =-=_
G N'L AG~eGATE LIMIT APPl.IES PER I I'~DUC1'S..coMP'~~_I~_. ____
!!XC"' llAlllUTY
OCCUR 0 CLAIMS MADE
COMelNEO SINGle LIMIT s
(Ea aC<;lQ6I'I1) j
1 BOOIlY 1N:iLiRV- -, --
(Per per$OIl) $
IIBOOILYI~--- -1~- ____n
(f'<lr aa:.den\)
-- ---'-t---..-
I PROPERTY DAMAGE [ $
rUTO ONLY. Ell ACCIOENT S
OTHER~I4:;;-- ---eAACC$ - -- - - -
AUTOONL\' ---;GG- ,--- ----
EACI4 OCCU~NCE J
"GGREGA TE
$
DEDUCl1BLE
RETENTION S
WORKERS COMPEN&AT10N AND
EMPLOV!!"$' UA8llolTY
OTH
E L EACH ACCIDENT
U' OISEASli-EA'MP"OVEE
, E.L. DISEA9E-POLICY LIMIT
s
------
S
SFE114OA9t95
DEe 5 98
DEC 5 01
$500,000 EACH CLAIM
$1,000,000 ANNUAL AGRREGA1E
It LIABILITY
DESCRIPTION OF PERATIONSlL.OCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
ADDITION"L INSlJRtll; IN$uA&1\ I.ETTER:
CANCELLATION
DESCRIBED POLICIES BE CANCaLEO BEFOR.E TI1E
SHOULD ANY OF THE6:g~THE ISSIJING COMPANY WILL MAIL 30 CAYS VlRITTEN
~dil~T1-?~ .f:J'~J~TIFICATe HOU)ER NAMED TO Tl<e LEFT.
CITY OF PORT ANGELES
PARKS & RECREATION DIPT
321 E 5TH STREET
PORT ANGELES, WA 98362
C:~~~~
Attention:
JOHN HICKS
Certificate # 980
AC 0 25-8 (7/97)
Policy Number
98-CQ-2818-7
DECLARATIONS PAGE
AMENDED MAY 61999
STATE FARM FIRE AND CASUALTY COMPANY
4600 25TH AV N EAST, SALEM OR 97313-1000
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
SrAT( 'AI.
A
INSURIINC!
..
2313-F486 K
Named Insured and Mailing Address
TERMA PLANNERS &
ARCHITECTS PLLC
4007 STILLER RD
PORT ANGELES WA 98362-9350
Cov A -Inflation Coverage Index: N/A
BUSINESS POLICY - SPECIAL FORM 3 Cov B - Consumer Pricelndex: 162.5
AUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically
subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will
give you and the Mortgagee/Lienholder written notice in compliance witH the policy provisions or as required by law.
Policy Period: 12 Months The policy penod begins and ends at 12:01 am standard time at the
Effective Date: AUG 5 1998 premises location.
Expiration Date: AUG 5 1999
Named Insured: Partnership
Location of Covered Premises:
4007 STILLER RD
PORT ANGELES WA 98362-9350
Your policy IS amended MAY 61999
ADDL INSURED NAME & ADDRESS ADDED
PREMIUM ADJUSTMENT
Coverages & Property
Section I
A BUildings
B Business Personal Property
C Loss of Income
Limits of Insurance
Occupancy: Offlce
Excluded
$ 5,100
$ Actual loss
Section II
L BUSiness Liability
M Medical Payments
Products-Completed Operations
(pea) Aggregate
General Aggregate (Other
Than PCO)
$ 1,000,000
$ 5,000
Excluded
$ 2,000,000
Deductibles - Section I
$ 500 Basic
Forms, Options, and Endorsements
Special Form 3
WA Amendatory Endorsement
Debns Removal Endorsement
Policy Endorsement
SpecIal Form 3 Endorsement
Policy Endorsement
Glass Deductible Deletion
FP-6103
FE-6247.1
FE-6451
FE-6464
FE-6500
FE-6503
FE-6538 1
In case of loss under this policy, the deductible will be
applied to each occurrence and will be deducted from the
amount of the loss. Other deductibles may apply - refer to
policy.
Endorsement Premium
Increase $ 50.00
Prepared
MAY 12 1999
FP-8030.2C
06/1993
Your policy consists of this page, any endorsements
and the policy form. PLEASE KEEP THESE TOGETHER.
Continued on Reverse Side of Page
OTHER LIMITS AND EXCLUSIO~:~;;:~:d- ';J:5n/Q q~'CY _
AGET ~~v~~~~p Ln LlJlll J:2t ~~
(360) 457-6456
Age nt
{,,1f?17?h\
Policy Number
98-CQ-2818-7
CONTINUED FROM FRONT SIDE
BUSINESS POLICY - SPECIAL FORM 3
Forms,Options,and Endorsements
Amendatory Collapse
1m Attaching Dec Pnntout
Inland Manne Conditions
Products/Operations lIab Excl
Computer Property Form
Prepared
MAY 12 1999
FE -6551
FE-8750
FE-8751
FE-6312
FE-8766
1^1f?171:;:~\
AMR Policy No. 98-CQ-2818-7
FE-6324
(7/88)
ADDITIONAL INSURED ENDORSEMENT
Owners, Lessees or Contractors (Form B)
STATI ...IM
A
INSURANC.
.
Policy No.: 98-CQ-2818-7
Named Insured:
TERMA PLANNERS & ARCHITECTS PLLC
Name of Person or Organization: THE CITY OF PORT ANGELES WASHINGTON
321 E 5TH
PORT ANGELES WA 98362
WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured
the person or organization shown above, but only with respect to liability ariSing out of your work for that Insured
by or for you
FE-6324
(7/88)
Pnnted In USA
May-20-99 03:37P Terma Arch;tects
PAY GPUVER ST~TE FA~M lU:~oU-~~(-UU~V
360-417-8857 P.02
rlMl j"j:J':J ,L-'JV ('CU.VVJ,. I..VA.
UAU ......
70 "P
LD KEY:
HELl,WIG, ROY
./j 00', S 1'1 r.r.F.R RD
POR'l' AIITGELE c:; WA
AU1~ POLICY S~ATUS AGT:7.?'25
(HELLWIG 4007983621 H PHONE;
MUTL Ll1 OJO?'-BZ'/-47A
J'P.G~
1
98362-93')0
1991 PONTIAC rIREDllm
Zl>){
VtN: IG7.PS23E5ML24310B
152-9967
lRG:
TEnR:
CLASS:
ACe FREE:
RIRTU:
7.5
021
lCj010l
AUti-;'7- 9',
MAY-Icl' ~ I
STATtlS :PAIU
AAT DVE:
DUl: DATE: TERM PJ.\TE: TO'1' T'REM:
0.00 OKD:AUG-21"9'7 COy DATE.:SE;i.>-)1-9"' PRJ,;v PREM:
A 100 /300 /100
D250
G500
H
tJNOC/D11.'D
UNOCIi'HYPMG
P-~R1NT POLICIF.~ O-PREV ~CREEN
AUTO-PFl (2) FIRE-NONF.
LIFE-NON" IlL'Eli-NONE
SH'l'-NONE 1-l'F.NDING
2 -CHANGIo.s 4-LTR CJ(l:;1\TE
~.FIC ~-AaQ
7-APP 6-PAY.MlN'l'S
9-MSTR R~C 10- LOSS REPRT
ACCF.PT OR A PF KEY
AMT PAID: DATE PAl~: FEB-22-39
GRP 08/27/91, MCD 41.10, ODM 50024 08-91.
PRESS
)
.'
06/09/99 WED 09:14 FAX 360 452 1701
CALLIS INSURANC!L. _
, AUTO
Pol# H1615809
AUTO COVERAGE CONFIRMATION
This is not a contract of insurance but attests that a policYI
as identified below1 has been issued and is in force.
GENERAL INSURANCE COMPANY OF AMERICA QUALITY SELECT AUTO
Period covered 06~09-99 to 08-26-99
Insured MICHAEL T &/OR CAROL L GENTRY Agent
923 E 10TH ST Agent
PORT ANGELES WA 98362-8018
continued
Da..te 06-09-99
Veh# 2 1996 MAZD VIN 1YVGE22C1T5525394
Liability:
COMBINED S/L $300,000,
Br & PD
PERSONAL INJURY
UNSRD MTRST/BI
BASIC
$300,000/$300,000
CALLIS & ASSOCIATES INC
phone 360 452 2314
Veh prerniullL $
Policy premium $
Insured phone 360 457
Physical damage~
* COMPREHENSIVE $50
* COLLISION $200
* UNSRD MTRST/PD SlO,OO~
* TOW Y
373.20
1435.30
8698
*
*
Loss Payee WHIDBY ISLAND SAVINGS DEALER CENTER
PO BOX 990
OAK HARBOR Aut:~ri~:~7;epresentative ~~~:~ ~~
- F' --