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14-065.00 Power City Electric: Police Precinct Electrical Project CONSTRUCTION AGREEMENT Power City Electric Contractors THIS CONSTRUCTIONAGREEMENT (the "Agreement") is made by and between the City of Spokane Valley, a code City of the State of Washington ("City") and Power City Electric Contractors, ("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 Electrical 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 the execution of this Agreement and shall complete the Work within 10 working days. 3. Compensation. In consideration of Contractor performing the Work, City agrees to pay Contractor in accordance with the Contract Documents the sum of$1,224.78,plus Washington State Sales Tax of$106.55, for a total of$1,331.33,based on the bid submitted by Contractor,and as may be adjusted in accordance with the Contract Documents. 4.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. 5. Notice. Notice other than applications for payment shall be given in writing as follows: Construction Agreement Page 1 of 6 C01LI-0(105 TO THE CITY: TO THE CONTRACTOR: Name: Christine Bainbridge, City Clerk Name: Power City Electric Contractors Phone: (509)921-1000 Phone: (509) 535-8500 Address: 11707 East Sprague Ave, Suite 106 Address: 3327 E. Olive Spokane Valley, WA 99206 Spokane, WA 99202 6.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. 7. Certification Regarding 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 three-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. 8.Prevailing Wages 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&P'). 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: A. State of Washington prevailing wage rates applicable to this public works project,published by L&I are located at the L&I website address: Construction Agreement Page 2 of 6 https://fortress.wa.gov/Ini/wagelookup/prvWagelookumaspx 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 and 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. 9.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. 10.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. 11.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. 12.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 fmal 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. 13. 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. 14. 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 form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. Construction Agreement Page 3 of 6 2.Commercial general liability insurance shall be written on ISO occurrence form CG 0001 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 A:VII. 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 fmancially responsible for all pertinent deductibles,self-insured retentions, and/or self-insurance. 15. 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, Construction Agreement Page 4 of 6 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. 16. 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. 17. 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. 18. 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. 19.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. 20. Subcontractor Responsibility. As required by RCW 39.06.020, Contractor shall verify responsibility 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 Construction Agreement Page 5 of 6 by chapter 70.87 RCW. This verification requirement must be included in every subcontract of every tier. 21.Jurisdiction and Venue. This Agreement is entered into in Spokane County,Washington. Venue shall be in Spokane County, State of Washington. 22. 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. 23. 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. 24.Business Registration. Prior to commencement of Work under this Agreement,Contractor shall register with the City as a business. 25.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. 26. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Work /"_lVil /,///A 2. Insurance Endorsements I'� The Parties have executed this Agreement this i day of:961;2014. CITY OF SPOKANE VALLEY: Contractor: POWERCITY ELECTRIC, INC. Leiff„,-, .c .,,, Aga,;fie c I. A r�.n, Manager Owner 8 . President ATTEST/ APPPPROVED AS TO FORM:/ / istine Bainbridge, arty Clerk f Oti the Citj'�rney Construction Agreement Page 6 of 6 _ J A I j p t 1 i a ®•,g © p �_ E. 3327 OLIVE ".. r- son a op SPOKANE, WA 99202 r PHONE: (509) 535-8500 FAX: (509) 535-4665 CONTRACTORS PROPOSAL PROPOSAL SUBMITTED TO DATE City of Spokane Valley 4/18/2014 STREET JOB NAME 2426 N.Discovery Place Small Works Projects CITY,STATE,AND ZIP CODE JOB LOCATION Spokane Valley,WA 99216 12710 E. Sprague Ave. ATTN: PHONE: Michael Stone,Director of Parks & Rec. 509-720-5400 SCOPE: Provide all appurtenances for the install of four new duplex receptacles by extending existing circuits with MC cable in the area,two in each interview rooms 1 & 2,also install one double duplex receptacle in the holding area interview room plus a'/a raceway stub up and junction box for future communications next to the double duplex receptacle. We were asked to include an adder for the installation of two cat-5 cables only (no terminations) pulled from the server room out to the holding area interview room. Base Bid: $1,022.71 +Taxes RECEIVED Adder#1: $ 202.07 APR 18 2014 INCLUSIONS: PARKS&RECREATION DEPT. • Labor, material,tools &equipment • Electrical permit EXCLUDES: • Moving equipment or furniture • Overtime hours • Saw cutting asphalt or concrete • Sales Tax This proposal is based upon a mutually agreed upon subcontract and schedule. This proposal is good for 30 days unless specified otherwise. Terry Farmer, Small Works Department Proposal Acceptance: Authorized Customer Signature Printed Name Date "Complimentary design assistance, scope/budget development, and estimates for electrical systems are proprietary not intended to be shared without the expressed permission of Power City Electric" POWECIT-03 SSTROH ACC:PREY CERTIFICATE OF LIABILITY INSURANCE DAT5/2/2014 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 pplicies 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: Spokane Valley Office PHONE 509 455-6767 FAX PayneWest Insurance,Inc. EMARo.Ea):( ) (A/c,No): 7903 E.Broadway ADDRESS: Spokane,WA 99212 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Phoenix Insurance INSURED INSURER B;Travelers Property Casualty Co of America 25674 Power City Electric,Inc. INSURER C: P.O.Box 2507 INSURER D: Spokane,WA 99220-2507 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INCE) WVD POLICY NUMBER (MMIDD/YYYY) imwooYYYY) UNITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR X X DTCO1122P508PHX13 11/01/2013 11/0112014 DAMAGE IO RENTED PREMISES(Ea occurrence) E 300,000 X PD Deductible:1000 MED EXP(Any one person) _S 10,000 PERSONAL&ACV INJURY S 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X jEa LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: WA Stop Gap S 1,000,000 AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) • B X ANYAUTO DT8101122P508TIA13 11/01/2013 11/01/2014 BODILY INJURY(Per person) S • ALL OWNED X SCHEDULED BODILY INJURY(Per accident) S AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 5,000,000 g EXCESSLIAB CLAIMS-MADE DTSMCUP1122P508TIL13 11!0112013 11/01/2014 AGGREGATE E 5,000,000 DED X RETENTIONS 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABIUTY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVENIA EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Spokane Valley Police Precinct City of Spokane Valley is included as additional insured for ongoing and completed operations as per attached forms.Coverage is primary/non-contributory and includes waiver of subrogation. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CityOf$Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave Suite 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a "written contract requiring insurance" "property damage" caused by "your work" to include as an additional insured on this Cover- and included in the "products-completed op- age Part, but: erations hazard" unless the "written contract a) Only with respect to liability for"bodily injury", requiring insurance" specifically requires you "property damage"or"personal injury"; and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract - which the "written contract requiring insur- requiring insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III— Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- "other insurance". But the insurance provided to sured does not apply "bodilyhinjury", the additional insured by this endorsement still is pp y ' j ry", "prop- excess over any valid and collectible "other in- erty damage" or "personal injury" arising out surance", whetherprimary, of the rendering of, or failure to render, any excess, contingent addi- professional any other basis, that is available ttoo thedi- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- i. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- - 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove, drawings and specifications; and notice as soon as practicable of an "occur- rence"ii. Supervisory, inspection, architectural or or an offense which may result in a engineering activities. claim. To the extent possible, such notice should include: CG D2 46 08 05 ©2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY i. How, when and where the "occurrence" any provider of"other insurance"which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover under this endorsement. However, this persons and witnesses; and condition does not affect whether the insur- ance provided to the additional insured by iii. The nature and location of any injury or this endorsement is primary to "other insur- damage arising out of the"occurrence"or ance" available to the additional insured offense. which covers that person or organization as a b) If a claim is made or"suit" is brought against named insured as described in paragraph 3. the additional insured, the additional insured above. must: 5. The following definition is added to SECTION V. i. Immediately record the specifics of the — DEFINITIONS: claim or"suit"and the date received; and "Written contract requiring insurance" means ii. Notify us as soon as practicable. that part of any written contract or agreement under which you are required to include a The additional insured must see to it that we in- receive written notice of the claim or"suit" as person or organization as an additional soon as practicable. sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- c) The additional insured must immediately curs and the "personal injury" is caused by an send us copies of all legal papers received in offense committed: connection with the claim or"suit", cooperate a. After the signing and execution of the with us in the investigation or settlement of contract or agreement by you; the claim or defense against the "suit", and otherwise comply with all policy olic conditions. b. While that part of the contract or agreement is in effect; and d) The additional insured must tender the de- fense and indemnity any claim or "suit" to c. Before the end of the policy period. Y Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 • • COMMERCIAL GENERAL LIABILITY • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY: CONTRACTORS XTEND ENDORSEMENT , •This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any Injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or ' limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to detemtine rights, duties, and what Is and is not covered. A, Aircraft Chartered With Pilot H. Blanket Additional Insured — Lessors Of Leased B. Damage To Premises Rented To You , Equipment C. Increased Supplementary Payments I. Blanket Additional Insured — States Cr Political Subdivisions—Permits • D. Incidental Medical Malpractice J, Knowledge And Notice Of Occurrence Or Offense E. Who Is An Insured — Newly Acquired Or Formed Organizations K. Unintentional Omission F. Who Is An Insured — Broadened Named Insured L. Blanket Waiver Of Subrogation —Unnamed Subsidiaries M. Amended Bodily Injury Definition G. Blanket Additional Insured — Owners, Managers N. Contractual Liability—Railroads Or Lessors Of Premises PROVISIONS . INJURY AND PROPERTY DAMAGE LI- A. AIRCRAFT CHARTERED WITH PILOT ABILITY: The following is added to Exclusion g., Aircraft, Exclusions c. and g. through n. do not apply • Auto Or Watercraft,in Paragraph 2. of SECTION to "premises damage. Exclusion f.(1)(a) I — COVERAGES — COVERAGE A BODILY IN- does not apply to"premises damage" caused JURY AND PROPERTY DAMAGE LIABILITY: by. This exclusion does not apply to an aircraft that a. Fire; is: b. Explosion; (a) Chartered with a pilot to any Insured; c. Lightning; (b) Not owned by any insured;and d. Smoke resulting from such fire, explosion, I (c) Not being used to carry any person or prop- or lightning;or • erty for a charge. e. Water; . B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion f. of Section I —Coverage A . 1. The first paragraph of the exceptions in Ex- —Bodily Injury And Property Damage Liability clusion j., Damage To Property, in Para- is replaced by another endorsement to this graph 2. of SECTION I — COVERAGES — Coverage Part that has Exclusion —All Pollu- COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex- PROPERTY DAMAGE LIABILITY is deleted, elusion In its title. 2. The following replaces the last paragraph of A separate limit of Insurance applies to Paragraph 2., Exclusions, of SECTION I — "premises damage" as described In Para- COVERAGES - COVERAGE A. BODILY graph 6. of SECTION III - LIMITS OF IN- SURANCE. CG D3 16 11 11 ©2011 The Travelers Indemnify Company.All rights reserved. Page 1 of 6 COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS • TION III—LIMITS OF INSURANCE: 1. The following replaces Paragraph f.b. of ' Subject to 5. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS — COVER- fees Rented To You Limit Is the most we will AGES A AND B of SECTION I — COVER- pay under Coverage A for damages because AGE: of "premises damage" to any one premises. b. Up to $2,500 for the cost of bail bonds r. . The Damage To Premises Rented To You required because of accidents or traffic i Limit will apply to all "property damage" law violations arising out of the use of any proximately caused by the same 'Occur- vehicle to which the Bodily Injury Liability rence",. whether such damage results from; Coverage applies.We do not have to fur- ilre;explosion;lightning;smoke resulting from nish these bonds. such fire, explosion, or lightning; or water; or 2. The following replaces Paragraph i.d. of any combination of any of these causes. SUPPLEMENTARY PAYMENTS — COVER- The Damage To Premises Rented To You AGES A AND B of SECTION I — COVER- Limit will be: AGES: a. The amount shown for the Damage To d. All reasonable expenses Incurred by the Premises Rented To You Limit on the Insured at our request to assist us In the Declarations of this Coverage Part;or Investigation or defense of the claim or b. $300,000 if no amount is shown for the "suit", Including actual loss of earnings up Damage To Premises Rented To You to $500 a day because of time off from Limit on the Declarations of this Coverage work. Part. D. INCIDENTAL MEDICAL MALPRACTICE 4. The following replaces Paragraph a. of the 1. The following is added to the definition of"oo- definition of "insured contract" In the.DEFINI• currence" in the DEFINITIONS Section: TIONS Section: ' "Occurrence" also means an act or omission a. A contract for a lease of premises. How- committed in providing or falling to provide ever, that portion of the contract for a "Incidental medical services", first aid or lease of premises that indemnifies any "Good Samaritan services"to a person. person or organization for "premises 2. The following is added to Paragraph 2.a.(1)of . damage"Is not an "insured contract"; SECTION Il—WHO IS AN INSURED; 5. The following is added to the DEFINITIONS Paragraph (i)(d) above does not apply to Section: "bodily injury" arising out of providing or fail • - "Premises damage" means "property dam- ing to provide: age"to: (i) "Incidental medical services" by any of a. Any premises while rented to you or tarn- • your "employees" who is a nurse practl- porarily occupied by you with permission tioner, registered nurse,licensed practical of the owner;or nurse, nurse assistant, emergency medi- b. The contents of any premises while such cal technician or paramedic;or premises is rented to you, if you rent such (ii) First aid or"Good Samaritan services" by premises for a period of seven or fewerany of your "employees" or "volunteer consecutive days. workers", other than an employed or vol- 6. The following replaces Paragraph 4.b,(1)(b) unteer doctor. Any such "employees" or of SECTION IV-- COMMERCIAL GENERAL "volunteer workers" providing or failing to LIABILITY CONDITIONS: provide first aid or "Good Samaritan ser- • (b) That Is insurance for "premises damage"; vices" during their work hours for you will or be deemed to be acting within the scope 7. Paragraph 4.b.(1)(c) of SECTION IV — of their employment by you or performing COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your buss- ' DITIONS Is deleted. ness. Page 2 of 6 0 2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 5. of 4. Any organization you newly acquire or form, SECTION III—LIMITS OF INSURANCE: other than a partnership, joint venture or lira- Forthe purposes of determining the app Ilea- ted liability company, of which you are the ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma- omissions committed in providing or failing to Jerky ownership interest, will qualify as a provide "incidental medical services", first aid Named Insured if there is no other Insurance or"Good Samaritan services"to any one per- which provides similar coverage to that Or- son will be deemed to be one "occurrence". ganization. However: 4. The following exclusion is added to Para- a. Coverage under this provision is afforded graph 2., Exclusions, of SECTION I —COV- only: ERAGES—COVERAGE A BODILY INJURY (1) Until the 180th day after you acquire or • AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the Sale Of Pharmaceuticals policy period, whichever Is earlier, if you "Bodily injury" or "property damage" arising do not report such organization in writing out of the willful violation of a penal statute or to us within 180 days after you acquire or ordinance relating to the sale of pharmaceuti- form It; or • cats committed by, or with the knowledge or (2) Until the end of the policy period, when consent of, the Insured. that dale is later than 180 days after you 5. The following is'added to the DEFINITIONS acquire or form such organization, If you Section: report such organization In writing to us "Incidental medical services"means: within 180 days after you acquire or form a. Medical, surgical, dental, laboratory,x-ray it, and we agree in writing that It will con- tinue to be a Named Insured until the end or nursing service or treatment, advice or of the policy period; instruction, or the related furnishing of • food or beverages;or b. Coverage A does not apply to "bodily Injury" b. The furnishing or dispensing of drugs or or "property damage" that occurred before medical, dental, or surgical supplies or you acquired or formed the organization;and appliances. c. Coverage B does not apply to "personal In- "Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an gency medical services for which no compen- offense committed before you acquired or sation Is demanded or received. formed the organization. 6. The following is added to Paragraph 4.b., Ex- F. WHO IS AN INSURED — BROADENED NAMED cess Insurance, of SECTION IV — COM- INSURED—UNNAMED SUBSIDIARIES MERCIAL GENERAL LIABILITY CONDI• Tha following is added to SECTION II —WHO IS TIONS; AN INSURED: I • The Insurance is excess over any valid and Any of your subsidiaries, other than a partnership, sured,whetherble otheprimary, excess,available to the Io- joint venture or limited liability company, that is sured, primary, contingent or on any other basis, that is available to any of not shown as a Named Insured In the Declare- your "employees" or "volunteer workers" for tions is a Named Insured if you maintain an own- "bodily injury" that arises out of providing or ership interest of more than 50% In such subsidi- I failing to provide "incidental medical ser- ary on the first day of the policy period. vices", first aid or "Good Samaritan services" No such subsidiary is an Insured for"bodily injury" to any person to the extent not subject to or "property damage" that occurred, or "personal Paragraph 2.a.(1) of Section II — Who Is An injury" or "advertising injury" caused by an of- Insured. - tense committed after the date, If any, during the E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an OR FORMED ORGANIZATIONS ownership interest of more than 50%in such sub- The following replaces Paragraph 4. of SECTION sidiary. II—WHO IS AN INSURED: I CG D3 1611 11 02011 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 COMMERCIAL GENERAL LIABILITY • G. BLANKET ADDITIONAL INSURED —OWNERS, H. BLANKET ADDITIONAL INSURED —LESSORS MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT The following Is added to SECTION II —WHO IS The following Is added to SECTION II—WHO IS AN INSURED: AN INSURED: Any person or organization that Is a premises Any person or organization that Is an equipment owner, manager or lessor and that you have lessor and that you have agreed in a written con- agreed In a written contract or agreement to in- tract or agreement to Include as an Insured on • dude as an additional insured on this Coverage this Coverage Part is an Insured,but only with re- Part Is an insured, but only with respect to liability spect to liability for "bodily Injury", "property dam- , for "bodily injury", "property damage", "personal age", "personal injury"or"advertising injury"that: j • injury"or"advertising injury"that; a. Is 'bodily Injury" or "property damage" that a. Is "bodily Injury" or "property damage" that ' occurs, or is "personal Injury" or"advertising occurs, or is "personal injury" or "advertising injury" caused by an offense that Is commit- tad, subsequent caused ty o offense that ofIs that coi- fed, subsequent to the execution of that con- ted, t;the execution con- tract or agreement; and tract or agreement; and b. Is caused, In whole or in part, by your acts or b. Arises out of the ownership, maintenance or use in the maintenance, operation or of that part of any premises leased to you. use of equipment leased to you by such equipment lessor. • The Insurance provided to such premises owner, The insurance provided to such equipment lessor . manager or lessor is subject to the following pro- is subject to the following provisions: I • • visions: • a. The limits of insuranceprovided to such a. The limits of insurance provided to such I equipment lessor will be the minimum limits premises owner, manager or lessor will be which you agreed to provide in the written the minimum limits which you agreed to pro- contract or agreement, or the limits shown on . vide In the written contract or agreement, or the Declarations,whichever are less. j the limits shown on the Declarations, which- ever are less. b. The insurance provided to such equipment .• b. The insurance provided to such premises lessor does not apply to any "bodily Injury"or • • owner, manager or lessor does not apply to: property damage" that occurs, or "personal injury"or"advertising injury"caused by an of • • - (1) Any "bodily injury" or "properly damage" Tense that Is committed, after the equipment . that occurs, or"personal Injury"or"adver- lease expires. tising Injury" caused by an offense that is c. The insurance provided to such equipment committed, after you cease to be a tenant lessor is excess over any valid and collectible in that premises;or other insurance available to such equipment (2) Structural alterations, new construction or lessor, whether primary, excess, contingent demolition operations performed by or on or on any other basis, unless you have behalf of such premises owner, lessor or agreed in the written contract or agreement manager. that this insurance must be primary to, or c. The insurance provided tosuch premises non-contributory with, such other Insurance, owner, manager or lessor is excess over any In which case this insurance will be primary valid and collectible other Insurance available to, and non-contributory with, such other in- to such premises owner, manager or lessor, surance. whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED — STATES any other basis, unless you have agreed In OR POLITICAL SUBDIVISIONS—PERMITS the written contract or agreement that this in- surance must be primary to, or non- The following is added to SECTION II —WHO IS AN INSURED: contributory with, such other insurance, in which case this Insurance will be primary to, Any state or political subdivision that has Issued a and non-contributory with, such other insur- permit in connection with operations performed by ante. you or on your behalf and that you are required Page 4 of 6 ©2011 The Travelers Indemnity Company.All rights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to Include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company; or an Insured, but only with respect to liability for (III)An executive officer or director of "bodily Injury", "property damage", "personal in- any other organization; Jury"or"advertising injury" arising out of such op- that is your partner, joint venture orations. member or manager;or The Insurance provided to such state or political (b) Any "employee" authorized by such subdivision does not apply to: partnership, joint venture, limited II- a. Any "bodily injury," "property damage," "per- ability company or other organization sonal injury"or "advertising Injury" arising out to give notice of an "occurrence" or of operations performed for that state or po- offense. litical subdivision; or (3) Notice to us of such "occurrence"or of an b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as cluded in the "products-completed operations soon as practicable if it is given in good hazard". faith as soon as practicable to your work- J, KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies RENCE OR OFFENSE only if you subsequently give notice to us The following is added to Paragraph 2., Duties In of the "occurrence"or offense as soon as The Event of Occurrence, Offense; Claim or practicable after any of the persons de- Suit, of SECTION IV — COMMERCIAL GEN- scribed In Paragraphs e. (1) or(2) above • ERAL LIABILITY CONDITIONS: discovers that the"occurrence"or offense may result in sums to which the Insurance e. The following provisions apply to Paragraph provided under this Coverage Part may a. above, but only for the purposes of the in- apply, surance provided under this Coverage Part to However, if this Coverage Part includes an en- you or any insured listed in Paragraph 1.or 2. dcrsement that provides limited coverage for of Section II—Who Is An Insured: "bodily injury" or "property damage" or pollution (1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es- tense must be given as soon as practica- cape of"pollutants"which contains a requirement ble only after the "occurrence" or offense that the discharge, release or escape of "pollut- is known by you (if you are an individual), ants" must be reported to us within a specific — any of your partners or members who Is number of days after Its abrupt commencement, an individual (If you are a partnership or this Paragraph e. does not affect that require- Joint venture), any of your managers who ment. is an individual (if you are a limited liability K. UNINTENTIONAL OMISSION company), any of your "executive offi- cers"or directors (if you are an organize- The following Is added to Paragraph 6., Repre- tion other than a partnership,joint venture sentatfons, of SECTION IV -- COMMERCIAL or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS: ployee" authorized by you to give notice The unintentional omission of, or unintentional of an"occurrence"or offense. error in, any information provided by you which (2) If you are a partnership, joint venture or we relied upon in issuing this policy will not preju- • limited liability company, and none of your dice your rights under this insurance. However, partners, Joint venture members or man- this provision does not affect our right to collect agers are individuals, notice to us of such additional premium or to exercise our rights of "occurrence" or offense must be given as cancellation or nonrenewal in accordance with soon as practicable only after the "occur- applicable Insurance laws or regulations. rence"or offense Is known by: L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: The following is added to Paragraph 8., Transfer (I) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or Joint venture; of SECTION IV — COMMERCIAL GENERAL Lk ABILITY CONDITIONS: CO 03 1611 11 ©2011 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 COMMERCIAL GENERAL LIABILITY If the insured has agreed In a contract or agree- 3. "Bodily injury" means bodily Injury, mental ment to waive that insured's right of recovery anguish, mental Injury,shock,fright, disability, humiliation, sickness or disease sustained by againsttoany personyagainst organization,superson we waive izo - a person, including death resulting from any right of recovery such or organize- of�these at any time. tion, but only for payments we make because of: N. CONTRACTUAL LIABILITY—RAILROADS a. "Bodily injury" or "property damage" that oc- 1. The following replaces Paragraph c. of the cPrs;ordefinition of "insured contract" in the DEFINI- i b. "Personal injury" or "advertising injury" TIONS Section: caused by an offense that is committed; c: Any easement or license agreement; gbequent to the execution of that contract or Paragraph f.(1) of the definition of "insured agreement. 2contract" in the DEFINITIONS Section Is de- M. AMENDED BODILY INJURY DEFINITION leted. The following replaces the definition of "bodily Injury" In the DEFINITIONS Section: Page 6 of 6 ©2011 The Travelers Indemnity Company.Al!Tights reserved. CG D3 16 11 11 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Project Designated Project(s): General Aggregate(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, IN GENERAL AGGREGATE A WRITTEN CONTRACT WHICH IS IN EFFECT DURING LIMIT SHOWN ON THE THIS POLICY PERIOD, TO PROVIDE A SEPARATE DECLARATIONS GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. • A. For all sums which the insured becomes legally 3. Any payments made under COVERAGE A. obligated to pay as damages caused by "occur- for damages or under COVERAGE C. for rences" under COVERAGE A. (SECTION I), and medical expenses shall reduce the Desig- for all medical expenses caused by accidents un- nated Project General Aggregate Limit for der COVERAGE C (SECTION I), which can be that designated "project". Such payments attributed only to operations at a single desig- shall not reduce the General Aggregate Limit nated"project"shown in the Schedule above: shown in the Declarations nor shall they re- 1. A separate Designated Project General Ag- duce any other Designated Project General gregate Limit applies to each designated"pro- Aggregate Limit for any other designated jest", and that limit is equal to the amount of "project"shown in the Schedule above. the General Aggregate Limit shown in the 4. The limits shown in the Declarations for Each Declarations, unless separate Designated Occurrence, Damage To Premises Rented Project General Aggregate(s) are sched- To You and Medical Expense continue to uled above. apply. However, instead of being subject to 2. The Designated Project General Aggregate the General Aggregate Limit shown in the Limit is the most we will pay for the sum of all Declarations, such limits will be subject to the damages under COVERAGE A., except applicable Designated Project General Ag- damages because of "bodily injury" or"prop- gregate Limit erty damage" included in the "products- B. For all sums which the insured becomes legally completed operations hazard", and for medi- obligated to pay as damages caused by "occur- cal expenses under COVERAGE C, regard- rences" under COVERAGE A. (SECTION I), and • less of the number of: for all medical expenses caused by accidents un- a. Insureds; der COVERAGE C. (SECTION I), which cannot be attributed only to operations at a single desig- b. Claims made or"suits"brought; or nated"project'shown in the Schedule above: c. Persons or organizations making claims or bringing"sults". CG D2 11 01 04 Copyright,The Travelers Indemnity Company,2004 Page 1 of 2 • COMMERCIAL GENERAL LIABILITY 1. Any payments made under COVERAGE A. vided, any payments for damages because of for damages or under COVERAGE C. for "bodily injury" or "property damage" included in medical expenses shall reduce•the amount the "products-completed operations hazard" will available under the General Aggregate Limit reduce the Products-Completed Operations Ag- or the Products-Completed Operations Ag- gregate Limit, and not reduce the General Aggre- gregate Limit,whichever Is applicable;and gate Limit nor the Designated Project General 2. Such payments shall not reduce any Desig- Aggregate Limit. nated Project General Aggregate Limit. E. For the purposes of this endorsement the Defini- C. Part 2.of SECTION III—LIMITS OF INSURANCE tions Section is amended by the addition of the is deleted and replaced by the following: following definition: 2. The General Aggregate Limit is the most we "Project" means an area away from premises • will pay for the sum of: owned by or rented to you at which you are per- forming operations pursuant to a contract or a. Damages under Coverage B;and agreement. For the purposes of determining the b. Damages from "occurrences" under applicable aggregate limit of insurance, each COVERAGE A (SECTION I) and for all "project" that includes premises involving the medical expenses caused by accidents same or connecting lots, or premises whose con- under COVERAGE C (SECTION I)which nection is interrupted only by a street, roadway, cannot be attributed only to operations at waterway or right-of-way of a railroad shall be a single designated"project"shown in the considered a single"project". SCHEDULE above. F. The provisions of SECTION III — LIMITS OF D. When coverage for liability arising out of the INSURANCE not otherwise modified by this en- "products-completed operations hazard" is pro- dorsement shall continue to apply as stipulated. • Page 2 of 2 Copyright,The Travelers Indemnity Company,2004 CG D2 11 01 04 POWER CITY ELECTRIC INC Page 1 of 4 coWashington State Department of Labor & Industries POWER CITY ELECTRIC INC Owner or tradesperson E 3327 OLIVE AVE Aga, Dan SPOKANE,WA99202 509-535-8500 Principals SPOKANE County Aga, Dan, PRESIDENT Thompson, Colin, TREASURER ELEVEN FOURTEEN INC, AGENT MORELAN, BRUCE D JR, CHIEF EXECUTIVE OFFICER (End: 01/10/2013) LONGAN, JIM, CHIEF OPERATING OFFICER (End: 01/10/2013) WOLFF, LES, CHIEF OPERATING OFFICER (End: 01/10/2013) Doing business as POWER CITY ELECTRIC INC WA UBI No. Business type 601 766 181 Corporation Parent company SPOKANE ELECTRICAL SERVICES CO License Verify the contractor's active registration/license/certification (depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. P0WERCE994BA Effective—expiration 01/01/2001—01/01/2015 Designated administrator Active. AGA, DANIEL K Meets current requirements. License type License no. 1 Master Electrician AGA"DK9630Z Bond TRAVELERS CAS&SURETY CO $4,000.00 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601766181&LIC=POWERCE994BA&SAW=False 5/7/2014 • POWER CITY ELECTRIC INC Page 2 of 4 Bond account no. 103959087 Received by L&I Effective date 11/22/2002 11/01/2002 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EHUDR00235 Satisfied Violation date RCW/WAC 02/07/2011 19.28.101 RCW Violation city Violation amount Spokane $250.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-900(10)(a),effective after 12/30/2008 see WAC 296-46B-901(10)(a). Infraction no. EHUDR00234 Satisfied Violation date RCW/WAC 02/07/2011 19.28.101 RCW Violation city Violation amount Spokane $1,000.00 Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901(3)(6). Infraction no. EHE W 00309 Satisfied Violation date RCW/WAC 10/30/2008 19.28.101 RCW Violation city Violation amount Spokane $250.00 Type of violation https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601766181&LIC=POWERCE994BA&SAW=False 5/7/2014 POWER CITY ELECTRIC INC Page 3 of 4 ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6). Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 591,819-08 Doing business as POWER CITY ELECTRIC INC Estimated workers reported Quarter 1 of Year 2014"Greater than 100 Workers" L&I account representative T2/MATT PEDERSEN (360)902-5476-Email: PEDM235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Citation issue date 07/26/2012 Violations Inspection no. 316257914 Location Pole#1206 Kahlotus,WA 99335 Citation issue date 11/24/2010 No violations Inspection no. 314599747 Location Vantage Hwy.and Fox Rd. Vantage,WA 99220 Citation issue date 09/29/2010 No violations Inspection no. 314536483 Location Olympia Ave and Forest Way Pullman,WA 99163 https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601766181&LIC=POWERCE994BA&SAW=False 5/7/2014 POWER CITY ELECTRIC INC Page 4 of 4 • Citation issue date 07/13/2010 Violations Inspection no. 314478082 Location 2140 S. Lawson Street Airway Heights,WA 99001 Citation issue date 0711412008 No violations Inspection no. 312160963 Location 8125 Argent Rd Pasco,WA 99301 ®Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. �' Access S\Wshingtono ntcIa151ae rk.,.ernmml Wth.lte • https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601766181&LIC=POWERCE994BA&SAW=False 5/7/2014