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BLD1996-0266 MISC DOCSI'WVace lhc.Isg"' CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering April 9, 1999 Mr. Philip Ruggiero 16010 75th Place West Edmonds, Washington 98026 RE: Homeowner Insurance Coverage for Meadowdale Development BARBARAFAHEY MAYOR As you may recall, development of your home was subject to Edmonds Community Development Code (ECDC) Chapter 19.05.050 which regulated construction and insurance coverage requirements for all designated Meadowdale Landslide Hazard Area development. The purpose of this letter is to inform you that the Edmonds City Council has enacted a change which effects your homeowners policy that was required by this ordinance. If you recall you were required to post a one million dollar homeowner policy in order for your home to be granted final occupancy. Please be advised, the City Council has repealed this requirement effective April 16, 1999. In lieu of this policy the City Council will be holding future public hearings to determine alternate coverage methods to ensure that the intent of ECDC 19.05.050 are still met. Please contact the City Clerk if you are interested in attending these meetings. You may wish to consult your insurance professional to determine the proper amount of insurance coverage necessary to meet your specific needs. Since the insurance requirement is repealed the City no longer requires to be informed of your coverage or be provided with a copy of your current policy. Please feel free to contact me if you have any questions at 771-0220. Thank you, 041114WA41� Jeannine L. Graf Building Official • Incorporated August 11, 1890 • Sister City - Hekinan, Japan _: ACORD ERTlFlC of /Y DATE (MM/DDY) L11,001L TY INS.U N( ID C2 UGGPHI 12/10/97 PRODUCER THIS CERTIFICATE ISqWSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Unity Group - Lynnwood P.O. Box 36608 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lynnwood WA 98036 COMPANIES AFFORDING COVERAGE Christina Anthony Phone No. 425-774-5622 FaxNo.425-776-5998 COMPANY A C N A INSURED COMPANY B COMPANY Philip J. Ruggiero C 19605 27th Ave. NW Shorelline WA 98177 COMPANY D COVERAGES 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 POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 50 0 , 0 0 0 A Comp Pers Liah US 145304886 06/26/97 06/26/98 X FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident)ri $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ $ 1 , 000 , 00 0 AGGREGATE $ A X UMBRELLA FORM US 145304886 06/26/97 06/26/98 $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU• OTH- TORY LIMITS I I ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ R!NCL PARTNERS/EXECUTIVE OFFICERS ARE. EXCL I . EL DISEASE - EA EMPLOYEE $ OTHER A Homeowners US145304886 06/26/97 06/26/98 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Single family home located at 16010 75th Pl W, Edmonds, WA 98020. City of Edmonds also listed as additional insured GERTIF..ICATE HOLDER::; ; CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL City of Edmonds _g_0,-'DS WR TTEN NOTICE TO THE CERTIFICATE HPLDER NAMED TO THE LEFT Building Department 250 5th Ave N A Edmonds WA 98020 ----""-- AUTHORIZED REPRESENTATIVE ACORD:;25S (1195) ` OACORD GORPORl1Ti01>�988' Date: To: From: Subject: MEMORANDUM December 3, 1997 Charles Kee @ Unity Building Department, City of Edmonds Original Insurance Policy for Ruggiero @ 16010 75th PI W This note is to inform you that as of today, we have not received the original policy (we have on ly the faxed copy) for this project. Please forward a hard copy to us as soon as possible. Thank you for your cooperation. City of Edmonds c�q Community Services oul'. -1 b' 9 l V1,H) 15 : � 8 Y. UU1 October 16) 1997 City of Edmonds Attn,; Lara Knaak - Permit Coordinator 121 Sth Ave N Edmonds, wA 98020 RE: Ynaurance policy for Ruggierc Residence Dear Ms. Rnaak: Re®panding to your letter to me dated 10-1497 regarding General Liability insurance on the property at 16010 75th PL W, Edmonds, WA 98020 for Mr, Ruggiero, We are unable to obtain the coverage that you have requested from any of the insurance companies we represent and we represent all the major insurance companies licensed to do business in the state of Washington, The wording thatis unacceptable to our carriers is: "Loss arising from or out of, the City°s invOlvemegt is the permitting process f6f the project," Please respond as soon as possible as Mr. Ruggiero is attempting to close on this .home this afternoon - Thank you for your time. Sincerely, X), Charles Kee / MELLMRAM P.C. na. a :lo vn,:y i,—. ��n;nth�, WA V-1227-„n- (sa0) 047-90011 rvx t3601na-SAWS LYNVWOOD P.O. Uox 36MA I9OD9 53rd.Ave W., Suite 3n5 Uvwwwd, WA 9A036_IsfIR (425) 774.5622 " (<}.53 776-5F99 EVE OTT '''732 Hruodway. Suite 10i Fvr u. 0.A 91201-2222 (425) Vill-D002. FAX,425) 239.0)xm aUMXNa7f3LIJ rea• ,:aa a+a q. w;,,R„gran s).d. Hu.)).ymn, wA M:13.9290 taaa; 731•1294 MAL (500) 717-e73s FRIDAY I• MOR P•U. @vn 575 2 M Nicl)ole Sux6( Priddy Hadw, WA 9825D.D575 (160) S" 1h7) FAX i36M M-5036 EASTSOLND FUG @9a 759 LoarFn W vil[Agu Mail Hucuoupd, HA 96245-D75? (hot 3%31tv FAX (36D) 376-5096 1 CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Inc.1891, Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant October 14, 1997 The Unity Group -Lynnwood Attn: Charles Kee PO Box 36608 Lynnwood, WA 98036 Re: Insurance Policy for Ruggiero Residence This letter is to inform you that the City of Edmonds is in receipt of the policy for Mr. Ruggiero and that some changes need to be made to this policy. Please see the enclose copy of the policy requirements. The policy must be for general liability. If you are unable to provide general liability, we must have a letter from you explaining why it is not possible. If you have any questions, please call me at 771-0220. Sincerely, k", UaL Lara Knaak Permit Coordinator ® Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 FAX (206) 771-0221 Inc. 1890 June 13, 1997 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering Philip Ruggerio 19609 27th Ave NW Shoreline, Wa 98177 Re: Home Owners Insurance Policy As a reminder, the Meadowdale Earth Subsidence Landslide Area Ordinance requires homeowners to post and maintain a policy of general public liability insurance. This insurance is required for a period of not more than 10 years from the date of final approval. A certificate evidencing such insurance shall be filed with the Building Official and must be continually maintained throughout the 10 year period. It has been our experience that this process can take 3-4 weeks for some insurance companies. For your information, the policy must be for general public liability insurance naming the City as additional named insured against personal injury, death, property damage and/or loss arising from, or out of, the City's involvement in the permitting process for the project in the amount of one million dollars. The policy shall also state that the City will be notified 30 days in advance of policy cancellation. Note, this requirement of insurance is transferable to any and all owners within the 10 year period. We are reminding you of this at this time to help make the process as smooth as possible for you. Thank you for your cooperation and if you have any questions, please feel free to call us at 771-0220. Thank you, r� OL Lara Knaak Permit Coordinator cc: Building Official e Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan Date: May 1, 1996 To: Sandy Chase, City Clerk From: Sharon Nolan, Permit Coordinator Subject: RECORD DOCUMENTS Enclosed are the originals and copies of the NOTIFICATION OF COVENANT INDEMNIFICATION & HOLD HARMLESS for three (3) Meadowdale projects: Fenton, Dean & Ruggiero. Please record with Snohomish County and send the copies back, with recording number, to the Building Department. Once the originals have been returned, please send them to the Building Department also. Thanks City of Edmonds CQ Community Services D I RGM 25634529 1 02197549 1 150 0003778446-001-00001 ANNUAL BRANCH 42 SEATTLE NEW BUSINESS EFF 06/01/1995 ASSURANCE COMPANY OF AMERICA \' SPECIALTY CONTRACTORS POLICY - COMMON DECLARATIONS RESIDENTIAL GENERAL CONTRACTORS PROGRAM This policy consists of the declarations as well as the coverage forms and endorsements listed on the Forms and Endorsements Applicable List. NAMED INSURED AND MAILING ADDRESS SNARE CONSTRUCTION RONALD G. SNARE, DBA: 1127 148TH ST. N.E. ARLINGTON WA 98223-9655 BRANCH NAME AND ADDRESS SEATTLE 1601 5TH AVE STE 1101 SEATTLE WA 98101 (206) 622-1101 BUSINESS ENTITY: INDIVIDUAL AGENCY NAME AND MAILING ADDRESS HBIS/STANELY T. SCOTT & CO., INC. 2312 EASTLAKE AVENUE E. SEATTLE WA 98102-3396 (206) 323-3931 POLICY PERIOD FROM TO 06/01/1995 O6/O1/1996 12:01 am 12-01 am POLICY PREMIUMS In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts. This premium may be subject to adjustment. PREMIUM COMMERCIAL GENERAL LIABILITY COVERAGE PART $ 1,122.00 b�E'CJZr APR0g TOTAL POLICY PREMIUM $ 1,122.00 Countersigned by _ _ & Jay`'?- 5-Authorized Representative Date Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMONCopyright, Insurance Services Office, Inc., 1984. Copyright, Maryland Casualty Company, 1993. 76000E Ed. 10-93 INSURED'S COPY 05/25/1995 743 .0. T I I D I RGM 25634529 1 02197549 1 150 0003778446-001-00001 ANNUAL ' BRANCH 42 SEATTLE NEW BUSINESS EFF 06/01/1995 SPECIALTY CONTRACTORS POLICY COMMERCIAL GENERAL LIABILITY DECLARATIONS RESIDENTIAL GENERAL CONTRACTORS PROGRAM This coverage part consists of this declarations form, the common policy conditions, and the coverage forms and endorsements indicated as applicable on the forms list. Some of these coverages are sublimits or are subject to aggregate limits. Refer to your policy to determine how they apply. GENERAL AGGREGATE $2,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE $2,000,000 EACH OCCURRENCE $1,000,000 MEDICAL EXPENSES - EACH PERSON $ 10,000 PERSONAL INJURY AND ADVERTISING INJURY $1,000,000 EMPLOYERS LIABILITY (STOP GAP) - BODILY INJURY BY DISEASE - AGGREGATE $1,000,000 EMPLOYERS LIABILITY (STOP GAP) - BODILY INJURY BY DISEASE - EACH EMPLOYEE $1,000,000 EMPLOYERS LIABILITY (STOP GAP) - BODILY INJURY BY ACCIDENT $1,000,000 NON -OWNED AND HIRED AUTOMOBILE LIABILITY $1,000,000 LIMITED CARE, CUSTODY OR CONTROL (EACH LOSS) $ 1,500 LIMITED CARE, CUSTODY OR CONTROL (POLICY AGGREGATE) $ 3,000 FIRE DAMAGE LIABILITY $ 50,000 THE FOLLOWING ADDITIONAL EXCLUSIONS AND LIMITATIONS APPLY ----------- ABSOLUTE ASBESTOS EXCLUSION LIMITED CARE, CUSTODY OR CONTROL DEDUCTIBLE - PER CLAIM $ 250 PROPERTY DAMAGE LIABILITY DEDUCTIBLE - EACH CLAIM $ 250 COMMERCIAL GENERAL LIABILITY 760201 Ed. 10-93 INSURED'S COPY 05/25/1995 7748 3.1.1 CSt. 189V CITY OF EDMONDS 250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering March 26, 1996 Philip Ruggiero 6126 140th Ct. NE Redmond, WA 98052 RE: MEADOWDALE APPLICATION - PLAN CHECK NO. 95-175 BARBARA FAHEY MAYOR The City has completed review of the plans for your single family residence and approved same as having met the minimum requirements for issuance as a permit, based on Ordinance 2661 and Edmonds Community Development Code Chapter 19.05. The permit may be issued on May 1, 1996 subject to submittal of the site restoration bond, verification of the contractor's state license and insurance, and payment of fees. Sincerely, _ � A Sharon olan Permit Coordinator cc: Vince Ojalla i.A C Z/3 S 7 So G� OKMEAD. DOC/TEMP/BLDG • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan CITY CLERIC .RECEIVED CITY OF EDMONC I I _J�J 505 BELL STREET may 7 91996 EDMONDS, WA 98020 EDMONDS CITY CLERK COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS Under the review procedures established pursuant to the State Building Code, incorporating amendments promulgated by the City of Edmonds, and as a prerequisite to the issuance of a building permit for the construction of a residential structure and attendant facilities, the undersigned OWNERS of property do hereby covenant, stipulate and promise as follows: a Cub • L 1• �eS..��',}�-=Cis CF = %yv� �iv�ei a�.i+ Tails coV�nQn` notification and indemnification/hold harmless relates to a tract of land at the street address of 16010 7��1.44f klieSr (insert street address), Edmonds, Snohomish County, Washington and legally described as: /14 C ��i0 - PLI / X /4 7 %W4,OL 5131-'b3V6VV-0Cu3 { kn CD R 2. Notification and. Covenant of Notification. The above referenced site (hereinafter "subject site") lies within an area which has been identified by the City of Edmonds as having a potential for earth subsidence or landslide' hazard. The risks associated with development of the site have been evaluated by technical consultants and engineers engaged by the applicant as a part of the -process to obtain a building permit for the subject site. The results of the consultant's reports and evaluations of WSS52079A/0006.040.034 -1- t•+SS/klt 02/08/90 VOL. 315 9 PA 2;'_ Q BUILDING FEB9-1"0 the risks associated with development are. contained in building permit file number � r (insert number) on file with the City of Edmonds Building Department. Conditions, limitations, or prohibitions on development may have been imposed in accordance with the recommendations of the consultants in the course of permit issuance. The conditions, limitations, or prohibitions may require ongoing maintenance on the part of any owner or lessee or may require modifications to the structures and earth stabilization matters in order to address future or anticipated changes in soil or other site conditions. The statements and conditions proposed by the OWNERS' geotechnical engineer, geologist, architect and/or structural engineer are hereby incorporated by reference from the contents of the file as fully as if herein set forth. Any future purchaser, lessee, lender or any other person acquiring or seeking to acquire an interest. in the property is put on notice of the existence of the content of the file and the City urges review of its contents. The file may be reviewed during normal business hours or copies obtained at. m the Planning Department., City of Edmonds, 505 Bell Street', Edmonds, Washington 98020. 3. Indemnification and Hold Harmless. The undersigned OWNERS hereby waive any and all liability associated with - development, stating that they have fully informed themselves of all risks associated with development of the property and do` therefore waive and relinquish any and all causes of action against the City of Edmonds, its officers, agents and employees WSS52079A/0006.040.034 -2- WSS/klt 02/08/90 ()50803 VOI. 31.59 PAGE 2 5 5 4 arising from and out of such development. In addition, the OWNERS on behalf of themselves, their successors in iriterest, heirs and .assignees, do hereby promise to indemnify and hold harmless the City of Edmonds, its officers, agents and employees from any loss, claim, liability .or damage of any kind or nature to persons or property either on or off the site resulting from or out of earth subsidence or landslide hazard, arising from or out of the issuance of any permit:(s) authorizing development of the site, or occurring or arising out of any false, misleading, or inaccurate information provided by the OWNERS, their employees, or professional consultants in the course of issuance of the building permit. 4. Insurance Requirement.. In addition to any bonding which may be required during the course of development, the Community Services Director has/�(s Xt (strike one) specifically required the maintenance of an insurance policy for public liability coverage in the amount and for the time set forth below in -order to provide for the financial responsibilities established through the indemnification and hold harmless agreement above: ewr /mmew 64 /.R-111T4W4©hey , ce ,sir!% 'by%%G PWIWI - f aj� /o0 ex e evlrevl C'a/oY 0/,/1titIlysul -1-M& .slay//.4e Z,'u ttm/r/p0er_ri/oeda,tW [insertinsurance requirements and if any --if no insurance required, so state.) WSS52079A/0006.040.O34 -3- WSS/klt 02/08/90 VOL. 3 15 9 PAGE 2 5 5 5 s 5. Covenant to Touch and Concern the Land. This covenant of notification and indemnification/hold harmless touches and concerns the subject tract and shall run with the land, binding, obligating and/or inuring to the benefit of future owners, heirs; successors and interests or any other person or entity acquiring an interest in property, as their interest may appear. This provision shall not be interpreted to require a mortgagor or lender to indemnify the City except to the extent of their loss nor to obligate such persons to maintain the insurance .above required. / DONE this 12-4k day of cam✓ , 199+ a OWNERS) M By: STATE OF WASHINGTON ) ) ss: COUNTY OF ,ei► 6' ) I certify y� that I know or have satisfactory evidence that �e; �,�_ 1C d� ��b.� signed this instrument and acknowledged, WSS52079A/0006.040.034 WSS/klt 02/08/90 a -4- voL. 315 9 PAGE 2 5 5 6 + f it to be (his/her) free and voluntary act for the pjaY- ldilss mentioned in this instrument.�� DATED this ( i day of ta�� , 199V. NOTARY PUBLIC My commission expires:-7 STATE OF WASHINGTON ) ) ss: COUNTY OF ) I certify that I know or have satisfactory evidence that signed this instrument and acknowledged it to be (his/her) free and voluntary act for the purposes mentioned in this instrument. DATED -this day of STATE OF WASHINGTON ) ) ss: COUNTY OF ) , 199_. NOTARY .PUBLIC My commission expires: I certify that I know or have satisfactory evidence that signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the (title) of (name of party on behalf of whom instrument was executed)- to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument. DATED this day of 199_. NOTARY PUBLIC My commission expires: WSS52079A/0006.040.034 -5- WSS/klt 02/08/90 0 VOL. �1s9mi255"1 0