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14-169.00 Stone Creek Land Design: Appleway Trail Ph 2A Contract THIS AGREEMENT, made and entered into this — day of 2014, between the City of Spokane Valley under and by virtue of Title 35 CW, as amended and Stone Creek Land Design and Development, LLC Hereinafter called the Contractor. WITNESSETH: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall do all work and furnish all tools, materials, and equipment for: Appleway Trail Phase 2A SVPW Contract 14-047 in accordance with and as described in the project plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City of Spokane Valley. II. The City of Spokane Valley hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself, and for his/hers heirs, executors, administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City of Spokane Valley by reason of entering onto this contract, except as provided herein. City of Spokane Valley 13 Contract Documents Appleway Trail Phase 2A Bid No: 14-047 Co IL(- �� V. The project was awarded for the bid amount of$1,069,082.75. IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and year first below written and the City of Spokane Valley has caused this instrument to be executed by and in the name of the said City of Spokane Valley the day and year first above written. Executed by Contractor , 2014. Date 4 o s I \Ike-t Printed Name Title Sig - e City of Spokane Valley 4K CQf�tou\ Printed Name �J l C hiAci,%er Title O* ASignat re Revised 6.19.13 City of Spokane Valley 14 Contract Documents Appleway Trail Phase 2A Bid No: 14-047 pokane Vailey. BOND NO: DAACSU0659661 CONTRACTOR'S PAYMENT BOND(NON-FEDERALLY FUNDED PROJECT) to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to Stone Creek Land Design and Development, LLC (Contractor), as Principal, a contract for the construction of the project designated as Applewav Trail Phase 2A, Project No. 14-047 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a payment bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal, and International Fidelity Insurance Company (Surety), a corporation organized under the laws of New Jersey and licensed to do business in the State of Washington as surety and named in the current list of Surety Companies Acceptable in Federal Bonds" as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S. Treasury Dept, are jointly and severally held and firmly bound to the City of Spokane Valley,as Obligee,in the sum of$1,069,082.75 total Contract amount(including Washington State sales tax),subject to the provisions herein. This payment bond shall become null and void, if and when the Principal, its heirs, executors, administrators, successors, or assigns shall pay all persons in accordance with chapters 39.08 and 39.12 RCW, including all workers, laborers, mechanics,subcontractors,and materialmen,and all persons who shall supply such contractor or subcontractor with provisions and supplies for the carrying on of such work; and shall indemnify and hold harmless the Obligee from all loss, cost or damage which Obligee may suffer by reason of the failure of Principal to make such required payments; and if such payment obligations have not been fulfilled, this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract, or to the work to be performed under the Contract shall in any way affect its obligation on this bond, except as provided herein, and waives notice of any change, extension of time, alteration or addition to the terms of the Contract or the work performed. The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts, and shall be signed by the parties' duly authorized officers. This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCIP*L ONTRACTOR) SURETY (� /17 9/26/14 . dor\ 9/26/14 natureDate Surety Signature Date Deet /1/(4/-71A) Shawn M. Wilson Printed Name Printed Name A4P45 :Mg /imt Attorney-in-Fact Title / Title Name,address,and telephone of local office/agent of Surety Company is: Nicholas W. Paget. Agent PayneWest Insurance. Inc. 7903 E. Broadway Ave., Spokane Valley, WA 99212 (509) 363-4024 Revised 1.14.13 City of Spokane Valley 15 Contract Documents Appleway Trail Phase 2A Bid No: 14-047 arr of �� spokane .0/0 -ValEeye BOND NO:DAACSU0659661 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to Stone Creek Land Design and Development, LLC (Contractor), as Principal, a contract for the construction of the project designated as Applewav Trail Phase 2A, Project No. 14-047 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a performance bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal, and International Fidelity Insurance Company (Surety), a corporation, organized under the laws of New jersey . and licensed to do business in the State of Washington as surety and named in the current list of "surety' Companies Acceptable in Federal Bonds" as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S. Treasury Dept, are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee, in the sum of$1,069,082.75 total Contract amount(including Washington State sales tax),subject to the provisions herein. This performance bond shall become null and void, if and when the Principal, its heirs, executors, administrators, successors, or assigns shall well and faithfully perform all of the Principal's obligations under the Contract and fulfill all the terms and conditions of all duly authorized modifications, additions,and changes to said Contract that may hereafter be made, at the time and in the manner therein specified; shall warranty the work as provided in the Contract and shall indemnify and hold harmless the Obligee from any defects in the workmanship and materials incorporated into the work for the period identified in the Contract; and if such performance obligations have not been fulfilled,this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract, or to the work to be performed under the Contract shall in any way affect its obligation on this bond, and waives notice of any change, extension of time, alteration or addition to the terms of the Contract or the work performed.The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts, and shall be signed by the parties' duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCIPAL(CONTRACTOR) SURETY f , 9/26/14 � . V�J5� 9/26/14 Principal Date Surety Signature Date �6y /44/ Shawn M. Wilson Printed Name Printed Name � j 1wj j owl- Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: Nicholas W. Paget. Agent PayneWest Insurance. Inc. 7903 E. 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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: Spokane-Downtown Office PHONEFAX Pa newest Insurance,Inc. (A/C,No,Ext):(509)455-6767 (A/C,No): E-MAIL 827 West 1st Avenue Suite 225 ADDRESS: Spokane,WA 99201 INSURER(S)AFFORDING COVERAGE NAIC C INSURER A:Continental Western Insurance Company 10804 INSURED INSURER B:Idaho State Insurance Fund Stone Creek Land Design&Development,LLC INSURER C: 4009 E Francis INSURER D: Spokane,WA 99217 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 ADDL SUER POLICY EFF POUCY EXP LTR TYPE OF INSURANCE MD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X CWP600041223 05/01/2014 05/01/2015 PREMI ESES(Ea S(Ea RENTED occurrence) $ PREMI300,000 MED EXP(My one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X IN LOC PRODUCTS-COMP/OP AGG s 2,000,000 OTHER: Employers Liab $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO X CWP600041223 05/01/2014 05/01/2015 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS - NON-OWNED PROPERTY accident) $ AUTOS S X UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS UAB CLAIMS-MADE CU600041322 05/01/2014 05/01/2015 AGGREGATE $ 4,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YEN 594523 ! 04/01/2014 04/01/2014 E.L.EACH ACCIDENT 5 1,000,000 OFFICER/MEMBER EXCLUDED? N/A I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under , 1,000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) re:Appleway Trail Phase 2A,project tt0176 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,Ste 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE i / ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD .-�..,i,«:;��-r , y �_.. ... ;..f ,,57-i w.�,.'"^'�,-..'^ 7-i'1^-i^ w. "-r`',". ,5 --4 -mr�.••m ma.+• 11 iE I CO o CT LC) 1. 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O. wz Q E 0 o 0 XAa I-- NN (-) v ti:: c ��� '�by �v2i 0 f- o.4. QZ0 H H 3L ca) "0.7 $ Q A N N I- H Z u E , U J "O°du° c Ii- = E �c c °u - ., �.y-!-¢, x'3'.1.... y,+... .... - �_.. t"^y(;��t'�."` -•�''�'� ,.. , -:nr�, �j --"V- R-r �am +moi �:. Tm�-Zh ,•,.., .,,.... F- r� ,mmca ,. � .u°�r N. ,,�.y , m "nte�.�+ ���rti^n��.t,.�z � y c1 -�, , ',.*--T13,27- 7 3 r , _ . „°�- 1 ',3",�M�n'_ ��n '"+"_., env "'` ,,----..N COSV Public Works STONCRE-04 KGEHRS ACOitEYDATE(MM/DD/YYYY) MAY 0 4 ggRTIFICATE OF LIABILITY INSURANCE 4/30/2015 THIS CERTIFICATE IS A�SSwUED,AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NI�1c UVELY 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: Spokane Office PHONE 509 838-3501 FAX 509 838-3511 PayneWest Insurance,Inc. (A/c.No.Ext):t ) (A/C,No): ) 501 N.Riverpoint Blvd.,Ste 403 ADDRESS: Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Fire and Casualty Co 24066 INSURED INSURER B:Ohio Casualty Insurance 24074 Stone Creek Land Design&Development,LLC INSURER C: 4009 E Francis INSURER D: Spokane,WA 99217 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,001 CLAIMS-MADE X OCCUR X BKA56638908 05/01/2015 05/01/2016 PREM SES Ea occu ence) $ 1,000,001 MED EXP(Any one person) $ 15,001 , PERSONAL&ADV INJURY $ 1,000,001 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,001 POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,001 OTHER: WA Stop Gap $ 1,000,001 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,001 (Ea accident) A X ANY AUTO X BAA56638908 05/01/2015 05/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ I AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) l $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 4,000,001 B EXCESS UAB CLAIMS-MADE US056638908 05/01/2015 05/01/2016 AGGREGATE $ 4,000,001 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER 1 AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE �7 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I I N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) WA L&I Account#'s Stone Creek LLC/292,311-00 SCS Spray Service LLC/292,311-01 Zetin Contractors LLC/292,311-02 re:Appleway Trail Phase 2A,project#0176 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,Ste 106 Spokane,WA 99206 AUTHORIZED fREPRESENTATIVE / ?7, t 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD '1 l —i 0 STONCRE-04JHAMPSHIRE DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 4/21/2016 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). CONTACT Jody Hampshire PRODUCER NAME: Spokane Office FAX PHONE (509) 838-3501(509) 838-3511 (A/C, No): (A/C, No, Ext): PayneWest Insurance, Inc. E-MAIL 501 N. Riverpoint Blvd., Ste 403 ADDRESS: Spokane, WA 99202 INSURER(S) AFFORDING COVERAGENAIC # American Fire and Casualty Co24066 INSURER A : Ohio Casualty Insurance24074 INSURED INSURER B : Underwriters at Lloyds15792 INSURER C : Stone Creek Land Design & Development, LLC 4009 E Francis INSURER D : Spokane, WA 99217 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD AX 1,000,000 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED X X BKA5663890805/01/201505/01/2016 1,000,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 15,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ X PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT WA Stop Gap1,000,000 $ OTHER: COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY$ (Ea accident) AX X BAA5663890805/01/201505/01/2016 BODILY INJURY (Per person)$ ANY AUTO ALL OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS (Per accident) AUTOS $ X X 4,000,000 UMBRELLA LIAB EACH OCCURRENCE$ OCCUR B USO5663890805/01/201505/01/2016 4,000,000 EXCESS LIAB CLAIMS-MADEAGGREGATE$ 10,000 X $ DEDRETENTION$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS’ LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below C Professional Liab00155526C05/02/201505/02/2016 Ded $5,000250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) WA L&I Account #’s Stone Creek LLC / 292,311-00 SCS Spray Service LLC / 292,311-01 Zetin Contractors LLC / 292,311-02 RE: Appleway Trail Phase 2A, project #0176 City of Spokane Valley is named as additional insured for ongoing and completed operations. Insurance is primary and waiver of subrogation applies. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave, Ste 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 ky.1(.:7G1 ____.......,41 \NOCKS STONCRE-04 KGEHRS ACORD' ,C DATE(MM/DD/YYYY) `,� Cps��' T O��ATE OF LIABILITY INSURANCE 5/2/2016 THIS CERTIFICATE IS ISSUED aA T R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFI RIVELY. •c egGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF a, _ - .• •OES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,'' a HE 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: Spokane Office PHONE 509 838-3501 FAX 509 838-3511 PayneWest Insurance,Inc. (NC,No,Ext): ) (A/C,No):( ) 501 N.Riverpoint Blvd.,Ste 403 ADDRESS: Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Insurance Companies 10677 INSURED INSURER B: Stone Creek Land Design&Development,LLC INSURER C: 4009 E Francis INSURER D: Spokane,WA 99217 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 VVITH 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. INSRLICY EXP TYPE OF INSURANCE INSD DDL SWVD POLICY NUMBER (MM/DD/YYYY) (MUBR POLICY EFF M/DD //YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X EPP0384852 05/01/2016 05/01/2017 pREM SESO(Ea occE ante) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY _ $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: WA STOP GAP $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ A X ANY AUTO X EPP0384852 05/01/2016 05/01/2017 BODILY INJURY(Per person) $ 1 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS — NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) _ $ I • X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB CLAIMS-MADE EPP0384852 05/01/2016 05/01/2017 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) WA L&I Account#'s Stone Creek LLC/292,311-00 SCS Spray Service LLC/292,311-01 Zetin Contractors LLC/292,311-02 RE:Appleway Trail Phase 2A,project#0176 City of Spokane Valley is named as additional insured for ongoing and completed operations.Insurance is primary and waiver of subrogation applies. 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,Ste 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE ,e/„Zi..,) 7.41 J I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD