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13-202.00 Valley Glass: Precinct Window ReplacementCONSTRUCTION AGREEMENT CRJW Enterprises, Inc. DB /A Valley Glass THIS CONSTRUCTIONAGREEMENT (the "Agreement ") is made by and between the City of Spokane Valley, a code City of the State of Washington ( "City ") and Valley Glass, ( "Contractor ") jointly referred to as (the "Parties "). IN CONSIDERATION of the terms and conditions contained herein the Parties agree as follows: 1. Work to Be Performed. Contractor shall do all work and furnish all labor, supervision, tools, materials, supplies and equipment and other items necessary for the construction and completion of the Police Precinct Window Replacement Project (the "Work ") in accordance with documents described in Exhibit 1 and in accordance with this Agreement (which are by this reference incorporated herein and made part hereof (the "Contract Documents ")), and shall perform any changes in the work in accordance with the Contract Documents. The terms and provisions in this Agreement shall control over any inconsistent or incompatible terms in any other Contract Document. Contractor shall, for the amount set forth in paragraph 4, below, assume and be responsible for the cost and expense of all work required for constructing and completing the Work and related activities provided for in the Contract Documents to City's satisfaction, within the time limits prescribed in the Contract Documents. The City Manager, or designee, shall administer and be the primary contact for Contractor. Upon notice from City, Contractor shall promptly commence work, complete the same in a timely manner, and cure any failure in performance under this Agreement. Unless otherwise directed by City, all work shall be performed in conformance with the Contract Documents, and all City, State and federal standards, codes, ordinances, regulations and laws as now existing or as may be adopted or amended. 2. Time for Performance. Contractor shall commence the Work within 10 days of execution of this Agreement and shall complete the Work within the times specified in the Contract Documents, as may be extended in accordance with this Agreement and the Contract Documents. 3. Liquidated Damages. N/A 4. Compensation. In consideration of Contractor performing the Work, City agrees to pay Contractor in accordance with the Contract Documents the sum of $758.00, plus Washington State Sales Tax of $65.95, for a total of $823.95, based on the bid submitted by Contractor, and as may be adjusted in accordance with the Contract Documents. 5. Payment. Contractor may elect to be paid in monthly installments, upon presentation of an application for payment in a form satisfactory to City. Applications for payment shall be sent to the City Finance Department at the below stated address. Pursuant to Chapter 60.28 RCW, five percent of the compensation due Contractor shall be retained by City. City reserves the right to withhold payment under this Agreement which is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the Contract Documents, City standards, City Code, and federal or state standards. Construction Agreement Page 1 of 6 coI ? -129-0L 6. Notice. Notice other than applications for payment shall be given in writing as follows: TO THE CITY: Name: Christine Bainbridge, City Clerk Phone: (509) 921 -1000 Address: 11707 East Sprague Ave, Suite 106 Spokane Valley, WA 99206 TO THE CONTRACTOR: Name: Valley Glass Phone: (509) 924 -4900 Address: 222 South Pines Road Spokane Valley, WA 99206 7. Applicable Laws and Standards. The Parties, in the performance of this Agreement, agree to comply with all applicable federal, state, and local laws, codes and regulations. 8. Certification Regardinp_ Debarment, Suspension, and Other Responsibility Matters — Primary Covered Transactions. A. By executing this Agreement, the Consultant certifies to the best of its knowledge and belief, that it and its principals: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; 2. Have not within a three -year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (A)(2) of this certification; and 4. Have not within a 3 -year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. B. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this Agreement. 9. Prevailina Wales on Public Works. Contractor, any subcontractor, or other person doing work under this Agreement, shall comply with the requirements of RCW 39.12, and shall pay each employee an amount not less than the Prevailing Rate of Wage, as specified by the Industrial Statistician of the Washington State Department of Labor and Industries ( "L &I "). If employing labor in a class not shown, Contractor shall request a determination of the correct wage rate for the class and locality from the Industrial Statistician. Contractor shall provide a copy of any such determinations to City. Before commencing, during, and upon completion of the work, Contractor shall file all forms and pay all fees required by L &I and shall indemnify and hold City harmless from any claims related to its failure to comply with RCW 39.12. The following information is provided pursuant to RCW 39.12.030: Construction Agreement Page 2 of 6 A. State of Washington prevailing wage rates applicable to this public works project, published by L &I are located the L &I website address: https:Hfortress.wa.gov /lni/wa elg ookup /prvWa elg_ookup.aspx B. This Project is located in Spokane County. C. The effective prevailing wage date is the same date as the bid due date as referenced in the original request for bids as may be revised by addenda. A copy of the applicable prevailing wage rates is also available for viewing at the offices of City located at 11707 East Sprague, Suite 106, Spokane Valley, WA 99206. Upon request, City will mail a hard copy of the applicable prevailing wages for this project. 10. Relationship of the Parties. It is understood, agreed and declared that Contractor shall be an independent contractor, and not the agent or employee of City, that City is interested in only the results to be achieved, and that the right to control the particular manner, method and means in which the services are performed is solely within the discretion of Contractor. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 11. Ownership of Documents. All drawings, plans, specifications, and other related documents prepared by Contractor under this Agreement are and shall be the property of City, and may be subject to disclosure pursuant to RCW 42.56 or other applicable public record laws. 12. Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Contractor's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit, examine and make excerpts or transcripts from such records and to make audits of all contracts, invoices, materials, payrolls and record of matters covered by this contract for a period of three years from the date final payment is made hereunder. 13. Warranty. Unless provided otherwise in the Contract Documents, Contractor warrants that all Work and materials performed or installed under this Agreement are free from defect or failure for a period of one year following final acceptance by City, unless a supplier or manufacturer has a warranty for a greater period, which warranty shall be assigned or transferred to City. In the event a defect or failure occurs in work or materials, Contractor shall, within the warranty period, remedy the same at no cost or expense to City. This warranty provision shall not be construed to establish a period of limitation with respect to Contractor's other obligations under this Agreement. 14. Contractor to Be Licensed And Bonded. Contractor shall be duly licensed, registered and bonded by the State of Washington at all times this Agreement is in effect. 15. Insurance. 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 performance of the work hereunder by Contractor, its agents, representatives, or employees. A. Minimum Scope of Insurance. Contractor shall obtain insurance of the types described below: 1. Automobile liability insurance covering all owned, non - owned, hired, and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute Construction Agreement Page 3 of 6 form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2. Commercial general liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products - completed operations, stop gap liability, personal injury and advertising injury, and liability assumed under an insured contract. The commercial general liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. There shall be no endorsement or modification of the commercial general liability insurance for liability arising from explosion, collapse or underground property damage. City shall be named as an insured under Contractor's commercial general liability insurance policy with respect to the work performed for City using ISO Additional Insured endorsement CG 20 10 10 01 and Additional Insured - Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing equivalent coverage. 3. Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. B. Minimum Amounts of Insurance. Contractor shall maintain the following insurance limits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial general liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate, and a $2,000,000 products - completed operations aggregate limit. C. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the following provisions for automobile liability, professional liability and commercial general liability insurance: 1. Contractor's insurance coverage shall be primary insurance with respect to City. Any insurance, self - insurance, or insurance pool coverage maintained by City shall be excess of Contractor's insurance and shall not contribute with it. 2. Contractor shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Contractor. D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than ANII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Contractor shall furnish acceptable insurance certificates to City at the time Contractor returns the signed Agreement. The certificate shall specify all of the parties who are additional insureds, and will include applicable policy endorsements, and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested, complete copies of insurance policies shall be provided to City. Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions, and /or self - insurance. Construction Agreement Page 4 of 6 16. Indemnification and Hold Harmless. Contractor shall, at its sole expense, defend, indemnify and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs, attorney's fees and costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts, errors or omissions in the services provided by Contractor, Contractor's agents, subcontractors, subconsultants and employees to the fullest extent permitted by law, subject only to the limitations provided below. Contractor's duty to defend, indemnify and hold harmless City shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees. Contractor's duty to defend, indemnify and hold harmless City against liability for damages arising out of such services caused by the concurrent negligence of (a) City or City's agents or employees, and (b) Contractor, Contractor's agents, subcontractors, subconsultants and employees, shall apply only to the extent of the negligence of Contractor, Contractor's agents, subcontractors, subconsultants and employees. Contractor's duty to defend, indemnify and hold City harmless shall include, as to all claims, demands, losses and liability to which it applies, City's personnel- related costs, reasonable attorneys' fees, and the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for collection, and all other claim- related expenses. Contractor specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that Contractor's waiver of immunity by the provisions of this paragraph extends only to claims against Contractor by City, and does not include, or extend to, any claims by Contractor's employees directly against Contractor. Contractor hereby certifies that this indemnification provision was mutually negotiated. 17. Waiver. No officer, employee, agent or other individual acting on behalf of either party has the power, right or authority to waive any of the conditions or provisions of this Agreement. No waiver in one instance shall be held to be waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law, shall be taken and construed as cumulative, and in addition to every other remedy provided herein or by law. Failure of either party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other party of any provision hereof shall in no way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any part thereof. 18. Assignment and Delegation. Neither party shall assign, transfer, or delegate any or all of the responsibilities of this Agreement or the benefits received hereunder without first obtaining the written consent of the other party. 19. Confidentiality. Contractor may, from time to time, receive information which is deemed by City to be confidential. Contractor shall not disclose such information without the prior express written consent of City or upon order of a Court of competent jurisdiction. 20. Disputes. All disputes arising under or related to this Agreement that cannot be resolved through informal discussion and negotiations shall be resolved by litigation filed in the Superior Court for Spokane County, unless otherwise required by applicable federal or state law. 21. Subcontractor Responsibility. As required by RCW 39.06.020, Contractor shall verify responsibility Construction Agreement Page 5 of 6 criteria for each first tier subcontractor and its subcontractors of any tier that hires other subcontractors shall verify responsibility criteria for each of its subcontractors. Verification shall include that each subcontractor, at the time of subcontract execution, meets the responsibility criteria listed in RCW 39.04.350(1) and possesses an electrical contractor license, if required by chapter 19.28 RCW, or an elevator contractor license if required by chapter 70.87 RCW. This verification requirement must be included in every subcontract of every tier. 22. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Venue shall be in Spokane County, State of Washington. 23. Entire Agreement. This Agreement constitutes the entire and complete agreement between the parties and supercedes any prior oral or written agreements. This Agreement may not be changed, modified or altered except in writing signed by the Parties. 24. Anti - kickback No officer or employee of City, having the power or duty to perform an official act or action related to this Agreement shall have or acquire any interest in this Agreement, or have solicited, accepted or granted a present or future gift, favor, service or other thing of value from any person with an interest in this Agreement. 25. Business Registration. Prior to commencement of Work under this Agreement, Contractor shall register with the City as a business. 26. Severability. If any section, sentence, clause or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other section, sentence, clause or phrase of this Agreement. 27. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Work �� 2. Insurance Endorsements The Parties have executed this Agreement this /1 day of 2013. gT Y , OF SPOKANE VALLEY: Construction Agreement Contractor: Oj1�r 6/4-1.5 caner APPROVED AS TO FORM: Office Vthe City A o y Page 6 of 6 CRJR' Enterprises, Inc. DIBIA .� CLE WSS Valley Glass Se ,p.,kane s „cr r,46 222 South Pines Rd. Spokane, WA 99206 Phone: (509) 924 -4900 — Fax: (509) 924 -5674 Contractor Registration No.; VALLEGS934Q6 Page 1 of 1 PROPOSAL Quote Date: 10/25/2013 Proposal Submitted to: City of Spokane Valley Job Name: Glass Replacements Attention: Brian Job Address: 12710 East Sprague Phone: 720 -5406 Fax: 688 -0188 Date of Plans: Architect: Addenda Noted: 0 Furnish and Install: 2- 42 -1 /2 "x 42 -1/2" x 1" insulated lass replacement units into the customer's liollow metal frames. The new insulated units will consist of /" Solarban 70 low E 92 annealed //t" clear annealed. The Solarban 70 low E will work very well to minimize the solar heat gain from the afternoon westerly sun. $758.00 + tax EXCLUSIONS: Sales tax, final cleaning, night or weekend work, building modifications, %vindow film. Authorized Signature; Valley Glass Position I t 1—l", ra.,n linfice that this ouotation Is Acceotuble and notice to proceed is authorized. Customer Authorization to Proceed: Signature Payment Method: Title / Position IP,Pa r., , ,. t• „aoliLe manner accordine to standard practices. Any alteration or deviation from above nu weLUE'd. ,� �„n,,,�,,,,,,,, ,,, ,,,,—..,,..,............- ---- -- -- -- - - -� -- specification involving extra cost will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our control. owner to carry necessary insurance(s). Our workers are rally covered by Workman's Compensation Insurance. 'I' Ids proposal may be withdrawn by us if not accepted within thirty (30) days. VT -01 MILLER ACOR© 1`,,.� CERTIFICATE OF LIABILITY INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DATE (MM /DD/YYYY) 10/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does certificate holder in lieu of such endorsement(s). IS WAIVED, subject to not confer rights to the PRODUCER Moloney, O'Neill, Corkery & Jones Inc 818 W Riverside #800 Spokane, WA 99201 CONTACT NAME: POLICY MMDD/YYYY PHONE (509) 325 -3024 264 A/c No Ext a/c No : (509) 325 -1803 ADDRESS: GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Houston Specialty Insurance CO EACH OCCURRENCE INSURED CRJW Enterprises, Inc. dba Valley Glass 222 South Pines Road Spokane, WA 99206 INSURER B: Ohio Security Insurance CO X COMMERCIAL GENERAL LIABILITY INSURER C: Century Surety Co TEN12772 7/1/2013 INSURER D: DAMA PREMISES Ea occurrence $ 100,00 INSURER E : CLAIMS -MADE I J OCCUR 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 LTR TYPE OF INSURANCE INSR SUER POLICY NUMBER POLICY MMDD/YYYY MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY TEN12772 7/1/2013 7/1/2014 DAMA PREMISES Ea occurrence $ 100,00 CLAIMS -MADE I J OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY X PRO- CT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B AN Y AUTO 55169123 7/1/2013 7/1/2014 ALLOWNED SCHEDULED AUTOS AUTOS JX BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 C X EXCESS LIAB CLAIMS -MADE CCP827234 7/1/2013 7/1/2014 DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y/N TEN12772 7/1/2013 7/1/2014 STATU- OTH- TOR WC Y LIMITS I I ER EL EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? F-1 (Mandatory in NH) N/A EL DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: City of Spokane Valley Police Precinct 12710 E Sprague Ave, Spokane Valley, WA. City of Spokane Valley is named as Additional Insured under the General Liability for Ongoing and Completed Operations of the Named Insured per forms attached. UtK 1 IFIUA It t1ULU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valle City Finance Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty P y' ty P ACCORDANCE WITH THE POLICY PROVISIONS. Christine Bainbridge, City Clerk 11707 E Sprague Avenue, Suite 106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY-NUMBER. TEN12772 COMPAERC ,14L GENE ' f(AtLIABILITY ,00 .26 fd d! b4 THIS, r=NDORSEIVIENT CHAUGES THE POLICY. PLEASE READ ilr-CAREPULLY., ADDITIONAL 114SURED, OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This ehdorsorhent modifies insurance prOvi C3,0' MM RCIALGtENERAI:LIABILrr,ecoVERAGE,PAR,T SCHEDULE Nathe Of.A401iflartal Inured Person(s) Loaa!lon*(s�). Qf Covered. Operatlb�ns As by written contract, Jinformation requkol. lo, Corr plete this Schedule, if'n6t shown a qvq, will be shown in ther 136daratibns, A. Section 11 —Who, Is An InsuroriS amended lo, Include as .1h adiihio�ai. insured lbp'pQrson(§) or _Prganlzalion'(s) iliowm 'in the Sch6dOle, bat arty with 'resoct.6 llbwify for "bodity f. ur��', "propo ty d' " ' - I' 0 r ­P. e rsofiol and 44V. 0�sli g injury" oRusqd W j in hqfe ©r In part, by* 14. Ybur,aots or omissions; or ,2; The acts or otnisslohs,bf those acting .an your . behalf,, in N5 performance of your ongoing operations for the additional msumd(z) 61 the locetion(6) desig- nated above. 9. With respect to the insurance- afford0d. to these ad u the 11 ei nal exclu- Wfilonal rods a fqlldvyi� g dotio stons"apply: This ,insurance ,does not apply,, to "b"Wily i6j.ury' or "Pfoperty 40mage ocoprring :Offer: j.. All work_, jrnt[,Adjng matt�50!s, ports or dquip- rrjont fpO-Ished Inconrieciiinn With such worK, 0n the project (other, than or repairs) to be j),wf.pr.ln6d. by 0 on, b6ba ' If of the ad ftiianal ihsVred(s) at 'the i0cation of covered oper atioris has-been completed; or 2; That portion, of llyourworWl :out of mtfth the irijory o'f dsrnagEe arises has,. been put to its in- tended ,use by an.y: person' or organization either than snottier contractor or sdbooniracf& en- 'ga'ged in performing ooefttk5ns for ;a, ptinciPal as a part of the esamo'0r6jeetl' CG 20 10 07.04 (b 1,5b P.ropetflepi 2004 Page 9 of I ❑ pot icier4vMRER: TEN12772 OOMMERCUL GENERAL LIA131MYY CG 370 (.)4' THIS 8'NWOEMENT CHANG5.$ THE, POLICY, E LE4$E;R5.ADiTiCARF.P:tUL'LY; ADDITIONAL I.NSURED -!OWNERS.., LESSEES OR CONTRACTOR COMPLETED OPE-RATIONS. This endetrsetnbtit'modifes Insorande provided underthei COMMERdAL. GENERAL LIABILITY COV R.A'05 PAiRr SCHEWLE Name Of Addltlor*J Insured Persoin(v) Or. Or Locatigo-And Desorlptl6n As requested by writt,4en con.t.racft, inforg . Vation r6quired to oortiptete this .Schedule k'not shown above, %wIllbe sho%-jn In the. SVqt!bh U — Who Is- An' Insured 16 amended, to. IncladO . .as -an ad . ditionol insured thepirson(s) or ckrijanlzaflon](e) 91hown in the, SdfiedOlei, Wt-only:wifh r*aO to liability tdr lbodily*�JWY` or p�r'qp6,4r dam 0ge?" :caused, ;in vhQle, or iii part;; by 1' bur work" :at 'the,406ation designatutt and �iescriaed. it ' the sched- ule of tW&,endbreenient performed for. tha '2dr!6 rial lo4ed •add I , ncloded in the operations hazard. CG,2037 07,04 -Inc., 20041 Paps 9 of 1 13 Verify Workers' Comp Premium Status - Employer Liability Certificate Washington State Department of Labor and Industries Department of Labor and Industries Employer Liability Certificate Date: 11/07/2013 UBI #: 602 738 034 Business Name: VALLEY GLASS SPOKANE Legal Business Name: CRJW ENTERPRISES INC Account #: 146,902 -00 'Doing Business As' Name: VALLEY GLASS SPOKANE Page 1 of 1 Employer Liability Certificate Estimated Workers Reported: Quarter 3 of Year 2013 11 to 20 Workers" (See Description Below) Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? License: Expire Date: Yes VALLEGS934Q6 11/26/2015 Account Representative: T2 / CINDY MORGAN (360)902 -4825 - Email: MOCI235 @lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). https: // fortress. wa. gov/ lni/ crpsi /AcctlnfoPrint.aspx ?AccountId= 14690200 &AccountManag... 11/7/2013 CRJWENT-01 RHAWLEY ACORO` DATE(MM/DO/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Moloney,O'Neill,Corkery&Jones Inc PHONE (509)325-3024 FAX 509 325-1803 818 W Riverside#800 (A/C,No,Ext): (A/C,No):(509) Spokane,WA 99201 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Burlington Insurance Co INSUREDINSURER B:Ohio Security Insurance Co CRJW Enterprises,Inc.dba Valley Glass INSURER c:National Union Fire Insurance Co Pittsburgh PA 222 South Pines Road INSURER D: Spokane,WA 99206 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 SUER POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR HGL0038770 07/01/2014 07/01/2015 pREM SES(Ea occu encs) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: EMPLOYERS LIABI $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BAS55169123 07/01/2014 07/01/2015 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X AUT-0WNED (Perraccident) ROPERTY DAMAGE-- $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 C X EXCESS LIAB CLAIMS-MADE 6E017545846 ! 07/01/2014 07/01/2015 AGGREGATE $ 2,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE I H ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N HGL0038770 07/01/2014 07/01/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE,$ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:City of Spokane Valley Police Precinct 12710 E Sprague Ave,Spokane Valley,WA. City of Spokane Valley is named as Additional Insured under the General Liability for Ongoing and Completed Operations of the Named Insured per forms attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cityof Spokane Valley"CityFinance Department ACCORDANCE WITH THE POLICY PROVISIONS. Christine Bainbridge,City Clerk 11707 E Sprague Avenue,Suite 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE a rik 044,0042-,- ©1988-2014 44,0042-r'©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Co 13- 202 POLICY NUMBER:HGL0038770 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s)Of Covered Operations Any person or organization for whom you are Any and all covered locations performing operations, but only if you have agreed, in a written contract, to add such person or organization as an additional insured on your policy for that location or part thereof, provided such a written contract is fully executed prior to an "occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury, "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed;or 2. Thatortion of "Your work" out of which the P injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 D POLICY NUMBER: HGL0038770 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Any owner, lessee or contractor with whom you Any and all of your completed operations. have agreed, in a written contract,that such person or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an "occurrence"in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 13