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10-188.00 Otis Elevator: CenterPlace Elevator Maintenance V R ./ 0 OTIS DATE: 11/10/2010 ♦♦AA VI TO: FROM: Cenerplace@ Mirabeau Park Otis Elevator Company C/O City of Spokane Valley 510 E North Foothills Drive 11707 E Sprague Ave.Suite106 Spokane,WA 99207 Spokane Valley,WA 99206 EQUIPMENT LOCATION: TCS CENTERPLACE AT MIRABEAU P Dustin Enevold 1'1 2426 N DISCOVERY PL Phone:(509)483-7328 ext 11 SPOKANE,WA 99023 Fax:(509)483-7273 PROPOSAL NUMBER: DXE101110123443 EQUIPMENT DESCRIPTION: Number of Manufacturer Equipment Machine Numbers Units Type 1 OTIS ELEVATOR HYDRAULIC 443994 COMPANY OTIS SERVICE We propose to furnish Otis Service on the equipment("Units") described above. Otis Service is preventive maintenance service designed to extend equipment life. OTIS MAINTENANCE MANAGEMENT SYSTEM.. We will use the Otis Maintenance Management System'preventive maintenance program to deliver service tailored to your specific building needs. Equipment type, component life, equipment usage, and building environment will be taken into account by the OMMS®scheduling system,which will be used to plan maintenance activities in advance. The Units will be provided with devices to monitor equipment usage. We will use OMMS® standard work processes developed and continuously improved by Otis. Under this Contract, we will maintain the Units on the following terms and conditions: PERFORMANCE MAINTENANCE We will maintain the Units using trained personnel directly employed and supervised by us. The maintenance will include inspection,lubrication,and minor adjustment of the following parts: • Controllers, selectors and dispatching equipment,relays, solid-state components,transducers, resistors, condensers, power amplifiers,transformers,contacts, leads, dashpots,timing devices,computer and microcomputer devices, steel selector tapes,mechanical and electrical driving equipment,signal lamps,and position indicating equipment. ■ Door operators,car door hangers,car door contacts,door protective devices,load weighing equipment,car frames,car safety mechanisms,platforms,car and counterweight guide shoes including rollers and gibs,and emergency car lighting. ■ Hoistway door interlocks and hangers,bottom door guides,and auxiliary door closing devices. ■ Machines,worms,gears,thrust bearings,drive sheaves,drive sheave shaft bearings,brake pulleys,brake coils,contacts, linings,and component parts. • Motors,motor generators,motor windings,rotating elements,commutators,brushes,brush holders,and bearings. ©OTIS ELEVATOR COMPANY,2010 All Rights Reserved LiNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 1 of 7 10= t � c � , • Governors,governor sheaves and shaft assemblies,bearings,contacts,governor jaws, deflector or secondary sheaves, car and counterweight buffers, car and counterweight guide rails, car and counterweight sheave assemblies,top and bottom limit switches,governor tension sheave assemblies,and compensating sheave assemblies. • Pumps,pump motors,operating valves,valve motors,leveling valves,plunger packings,exposed piping,above ground plungers and cylinders,and hydraulic fluid tanks. ID In addition,if conditions or usage warrant,we will repair or replace the following parts: • Motor brushes,operating-switch and relay components,plug-in relays,special lamps for car and hall fixtures,special lamps for emergency car lighting,and fuses(except main line disconnect). This Contract includes emergency minor adjustment callback services during our regular working hours. ♦� EXCLUSIONS V/ Services,repairs and/or parts not listed above are specifically excluded.This Contract does not cover inspection,lubrication, adjustment or cleaning that requires disassembly. If you later request any of these services,you agree to pay extra at our regular billing rates. RELIABILITY CS T PARTS INVENTORY '11 We will during the term of this Contract maintain,either in the elevator machine room or as part of our examiner's mobile inventory, a supply of frequently used replacement parts and lubricants selected by Otis to meet the specific routine requirements of the Units. Any parts replaced under this Contract will be with new parts manufactured or selected by Otis or with parts refurbished to Otis standards. Replacement parts stored in the machine room remain our property until installed in the Units. We will furnish replacement parts in exchange for the parts replaced. We further agree to maintain a supply of routine replacement parts in our local parts warehouse inventory and/or the Otis Service Center,available for express delivery in case of emergencies. QUALITY CONTROL We will periodically conduct field audits of our personnel and the Units to maintain quality standards. Otis field engineers will provide technical assistance,technical information,and Code consultation to support our maintenance organization. RESPONSIVENESS 24-HOUR DISPATCHING We will, at your request, provide you with access to e*Service via Otis.com and our OTISLINE® 24-hour,year-round dispatching service. In the event a Unit malfunction occurs between regular examinations,you will be able to place a service call on e*Service or thru an OTISLINE®customer service representative,who will,at your request,dispatch an examiner to perform emergency minor adjustment callback service. COMMUNICATION CUSTOMER REPRESENTATIVE An Otis representative will be available to discuss with you your elevator needs in the areas of modernization,traffic handling ability,recommendations and requirements of code authorities,proper use and care of the Units,and the OMMS®program. REPORTS—e*SERVICE We will use the OMMS®program to plan and record completion of maintenance procedures.We will,at your request,provide you access to e*Service via Otis.com. You will be able to access repair,completed maintenance procedure and service call history for the Unit(s).You will be responsible for obtaining Internet access to use e*Service. SAFETY AND ENVIRONMENT SAFETY TESTS — TRACTION ELEVATORS We will periodically examine safety devices and governors of the Units and conduct an annual no load test. Code requires a full load, full speed test of safety mechanisms, overspeed governors, and car buffers and counterweight buffers at each fifth year.This test is not included in the Contract.You agree to conduct and pass a five year,full load test on the Units and that this is a material duty.You agree to keep a record of such test and to provide this record to Otis. SAFETY TESTS — HYDRAULIC ELEVATORS We will conduct an annual no load test and annual pressure relief valve test. ©OTIS ELEVATOR COMPANY,2010 All Rights ReservedLiNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 2 of 7 , FIREFIGHTERS' SERVICE TEST If the equipment has firefighters'service,you assume responsibility for performing and keeping a record of any Code required tests and for the maintenance and functioning of the smoke and/or heat detectors. SAFETY TRAINING We will instruct our personnel to use appropriate personal protection equipment and follow safe work practices. 0 ENVIRONMENTAL PROTECTION "."1 Otis endeavors to reduce generation of waste materials,to minimize risks to the environment,customers,the general public and Otis employees, and to comply with all federal and state environmental laws and regulations. Material Safety Data Sheet V/ (MSDS)Manuals are available for review at your request. `A You assume responsibility for removal of wastes,including but not limited to hydraulic oil,spoils,asbestos,etc.,as it is not V/ part of this Contract. MAINLINE DISCONNECTS You agree to engage a qualified electrician to service at least once annually the elevator mainline disconnects located in the letel elevator equipment room. SHARED RESPONSIBILITY 1" You agree to provide us unrestricted ready and safe access to all areas of the building in which any part of the Units are located and to keep all machine rooms and pit areas free from water,stored materials,and debris.You agree to provide a safe work place for our personnel, and to remove and remediate any waste or hazardous materials in accordance with applicable laws and regulations. If any Unit is malfunctioning or is in a dangerous condition,you agree to immediately notify us using the 24-hour OTISLINE® service.Until the problem is corrected,you agree to remove the Unit from service and take all necessary precautions to prevent access or use. You agree to properly post, maintain,and preserve any and all instructions or warnings to passengers in connection with the use of any Units. WORK SCHEDULE NORMAL HOURS All maintenance procedures and repairs will be performed during our regular working hours of our regular working days for the examiners who perform the service. All lamp and signal replacements will be performed during regular examinations. For purposes of this Contract,a Callback is a response by Otis to a request for service or assistance made(a)by the customer or customer representative,(b)by the building or building representative;(c)by emergency personnel;(d)through the ADA phone line,and/or (e)through REM®monitoring system,for service or assistance,on an as needed basis,excluding regularly scheduled maintenance. Regular working hours:8:00 AM—4:30 PM. Regular working days:Monday—Friday excluding holidays. OVERTIME Callbacks outside of regular working hours will be billed at standard overtime rates. OWNERSHIP AND LICENSES WIRING DIAGRAMS You agree to provide us with current wiring diagrams reflecting all previously made changes for Units covered by this Contract to facilitate proper maintenance of the equipment. We shall maintain the wiring diagrams so that they properly reflect any changes made by Otis to the equipment. These diagrams will remain your property. OTIS SERVICE EQUIPMENT Any counters,meters,tools,remote monitoring devices, or communication devices which we may use or install under this Contract remain our property, solely for the use of Otis employees. Such service equipment is not considered a part of the Units. You grant us the right to store or install such service equipment in your building and to electrically connect it to the Units. You will restrict access to the service equipment to authorized Otis personnel. You agree to keep the software resident in the service equipment in confidence as a trade secret for Otis. You will not permit others to use,access,examine,copy, disclose or disassemble the service equipment or the software resident in the service equipment for any purpose whatsoever. If the service is terminated for any reason,we will be given access to your premises to remove the service equipment,including the resident software,at our expense. ©OTIS ELEVATOR COMPANY,2010 All Rights ReservedLlNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 3 of 7 OTIS SOFTWARE Software owned by Otis may be embedded in parts or otherwise provided by Otis as part of this maintenance agreement. You have the right to use this software only for operation of the units for which the part was provided. You may also make a backup or archival copy of the software,provided you reproduce the copyright notice and any other legend of ownership on the copy. You may not otherwise copy, display,adapt,modify, distribute,reverse assemble, reverse compile,or otherwise . translate the software. You will not transfer possession of the software except as part of a transfer of ownership of the Units and the assumption of the rights and obligations under this agreement by the transferee. NON-OTIS SOFTWARE VI You retain your rights to any software not provided by Otis contained in the Units and agree to allow Otis to make one backup or archival copy for you. V J THE UNITS rn It is agreed that we do not assume possession or control of the Units,that such Units remain yours solely as owner and operator, lessee, or agent of the owner or lessee, and that you are solely responsible for all requirements imposed by any federal,state,or local law,Code,ordinance or regulation. CLARIFICATIONS 0 This Contract does not cover car enclosures (including,but not limited to, wall panels, door panels, car gates, plenum rn chambers,hung ceilings,lighting, light diffusers, light tubes and bulbs,handrails,mirrors and floor coverings),rail alignment, hoistway enclosures,hoistway gates,hoistway inserts and brackets,mainline disconnect switches,doors,door frames,sills, swing door hinges and closing devices, below ground or unexposed hydraulic cylinders and plungers,buried or unexposed piping,escalator balustrades,escalator lighting or wedge guards. Without affecting our obligation to provide service under this Contract,you agree to permit us to train our personnel on the Units. This Contract does not cover computer and microcomputer devices, such as terminal keyboards and display units, that are not exclusively dedicated to the elevator system. This Contract does not cover telephones installed by others, intercoms, heat sensors, smoke sensors, communications equipment,or safety signaling equipment,or instructions or warnings in connection with use by passengers. We will not be required:(i)to make any tests other than that as specifically set forth herein,(ii)to make any replacements with parts of a different design or type,(iii)to make any changes in the existing design of the Units,(iv)to alter,update,modernize or install new attachments to any Units,whether or not recommended or directed by insurance companies or by governmental authorities,(v)to make repairs or replacements necessitated by failures detected during or due to testing of the Units or buried or unexposed hydraulic cylinders or piping and(vi)to make any replacements, renewals, or repairs necessitated by any obsolete or discontinued part of the Unit(s)or by reason of any cause beyond our control(except ordinary wear and tear) including,but not limited to,fire,explosion,theft,floods,water,weather,earthquake,vandalism,misuse,abuse,mischief,or repairs by others. You assume responsibility for the cost of correcting all Elevator Code violations existing on the date we enter into this Contract. If such Code violations or other outstanding safety violations are not corrected in accordance with this Contract, Otis may with respect to the equipment not meeting Code requirements cancel this Contract without penalty by providing thirty(30)days written notice. Neither party shall be liable for any loss,damage or delay due to any cause beyond our reasonable control including,but not limited to,acts of government,strikes,lockouts,other labor disputes,fire,explosion,theft,floods,water,weather,earthquake, riot,civil commotion,war,vandalism,misuse,abuse,mischief,or acts of God. We shall indemnify and hold you harmless from damages or losses sustained by you due solely to personal injury or property damage occurring during the performance of the Work and only to the extent directly caused by our negligence or the negligence of our employees,agents or subcontractors. We shall maintain worker's compensation and employers' liability insurance covering our liability for injury or death sustained by our employees,and comprehensive general liability insurance. You shall insure that all risk insurance upon the full value of the Work and material delivered to the job site is maintained at no cost to us.If either party so requires, in writing,the other party shall furnish certificates of insurance evidencing the above insurance coverages. Notwithstanding any other agreement or provision to the contrary,under no circumstances will either party be liable for any indirect,special or consequential damages of any kind. You agree to provide us unrestricted ready and safe access to all areas of the building in which any part of the Units are located,to keep all machine rooms and pit areas free from water,stored materials,and debris,to provide a safe work place for our personnel,to remove and remediate any waste or hazardous materials in accordance with applicable laws and regulations, and to provide a grounded, 3-prong electrical system and proper lighting in the machine rooms and pits. We shall not be obliged to perform until such unsafe condition has been remedied. If any Unit is malfunctioning or is in a dangerous condition,you agree to notify us as soon as possible using the 24-hour OTISLWE®service. Until the problem is corrected, you agree to remove the Unit from service and take all necessary precautions to prevent access or use. ©OTIS ELEVATOR COMPANY,2010 All Rights ReservedLiNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 4 of 7 1 You will provide written notice within twenty-four hours after occurrence of any accident in or about the elevator(s)and/or escalator(s)to us and if required by law,to any local authorities. You further agree to preserve replaced parts. Escalator Units are designed only for transporting passengers. For escalator Units,you agree to take all necessary measures to prevent other items from being conveyed,so that features designed to protect passengers and prevent property damage are not damaged. When stationary,escalators are to be properly barricaded and not to be used as steps. You agree to properly post,maintain,and preserve any and all instructions or warnings to passengers in connection with the use of any Units. ♦♦A Cf ALTERATIONS t^ You will not allow others to make alterations,additions,adjustments,or repairs to the equipment. VI m SPECIAL PROVISIONS Nonperformance You may by written notice to Otis,terminate the Contract if we materially fail to perform any of the substantive m obligations under the Contract,and do not cure such failure within ninety(90)days after receipt of such written notice specifying in detail such failure. Contract number will stay SR 4008 Price Adjustments There is to be.no price adjustment until 03/2012. As of 03/2012,annual adjustments may not exceed 5%. The billing cylcle is to remain the same as current. Contract Term The contract terms is to be 5T. Contract will not automatically renew at the end of the term. Customer and Otis have the option to renegotiate terms together after each year of the agreement. CONTRACT PRICE AND TERM CONTRACT PRICE One hundred twenty dollars ($120.00) per month PRICE ADJUSTMENT The Contract Price will be adjusted annually to reflect increases or decreases in the labor cost. The original Contract Price will be increased or decreased by the percent increase or decrease in the straight time hourly labor cost for the price adjustment month compared with such straight time hourly labor cost on 01/01/10 which was $70.00. The phrase "straight time hourly labor cost"means the sum of the straight time hourly labor rate plus the hourly cost of fringe benefits paid to elevator examiners in the locality where the equipment is to be maintained. TERM The Commencement Date will be 11/01/10.The Term of this Contract will be for five(5)years beginning on the Commencement Date.The Contract will automatically be renewed at each five(5)year anniversary for an additional five(5)years term unless terminated by either party by giving written notice to the other party at least ninety(90)days,but no more than 120 days prior to the end of the then current five(5)year term. In the event that you sell the building or your interest is terminated prior to the expiration of the Contract,you agree to assign the Contract to the new owner or successor and to cause the new owner to assume your obligations under this agreement. If the new owner or successor fails to assume your obligations under the Contract,then you agree to pay to Otis all sums due for the unexpired Term. ©OTIS ELEVATOR COMPANY,2010 All Rights ReservedLiNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 5 of 7 V PAYMENTS Payments will be made on a annual basis,due on or before the last day of the month prior to the billing period,beginning on the Commencement Date. The method of payment will be by check. The workrhalljbe perform`difor the agreed price plus any applicable sales,excise or similar taxesiasire`quired•byglawmIn addition to the agreed price,you shall pay to us any future applicable tax imposed on us,our suppliers or you in connection with the performance of the work described. You agree to pay a late charge from the date such sums become due of one and one-half percent(1.5%)per month,or theCn highest legally permitted rate,whichever is less,on any balance past due for more than thirty(30)days,together with all costs (including,but not limited to,attorneys'fees)incurred by us to collect overdue amounts. Failure to pay any sum due by you within sixty(60)days will be a material breach.We may at our option declare all sums due or to become due for the unexpired term immediately due and payable as liquidated damages,and until the same are paid be discharged from further obligations under the contract. m ©OTIS ELEVATOR COMPANY,2010 All Rights Reserved LiNX Form MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 6 of 7 • L , ACCEPTANCE This proposal, when accepted by you below and approved by our authorized representative, will constitute the entire and exclusive contract between us for the services to be provided and your authorization to perform as outlined herein. All prior or contemporaneous oral or written representations or agreements not incorporated herein will be superseded. Any purchase order issued by you in connection with the services to be provided will be deemed to be issued for your administrative or billing identification purposes only, and the parties hereto intend that the terms and conditions contained herein will exclusively govern the services to be provided. We do not give up rights under any existing contract until this proposal is fully executed. This Contract may not be changed, modified,revised or amended unless in writing signed by you and an authorized representative of Otis. Further,any manual changes to this form will not be effective as to Otis unless initialed in CI) the margin by an authorized representative of Otis ♦A THIS QUOTATION is valid for ninety(90)days from the proposal date. VTI Submitted by: Dustin Enevold Title: Account Manager () Accepted in Duplicate rn CUSTOMER Otis Elevator Company Approved by Authorized Representative Approved by Authorized Representative Date: 11/3o/tW Date: re_ is Signed: Signed: Air Print Name: ',l<GIwL cuJE Print Name: Jason Bar,es a. Title: geQQ'Q PAWS it Rel. /QV Title: General Manager E-mail: 04443Zge § V. Name of Company: Goy o= Rowe. vAtLey 0 Principal,Owner or Authorized Representative of Principal or Owner 0 Agent: (Name of Principal or Owner) ©OTIS ELEVATOR COMPANY,2010 All Rights ReservedLlNX Fomi MNT-OS(01/26/09)Proposal#:DXE101110123443 Page 7 of 7 limm I ... 1 12645 ® DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 03/21/2015 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: MARSH USA INC. PHONE FAX 20 CHURCH STREET (A/C,No,Ext): (NC,No): HARTFORD,CT 06103 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B:National Union Fire Insurance Company of Pittsburgh,PA 19445 OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD INSURER C:New Hampshire Insurance Company 23841 FARMINGTON,CT 06032 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:78R4X7LB REVISION NUMBER: I 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 NUMBER (MM/POLDD//YYYY) (MY EFF M LICY EXP LTR INSR WVD /DD/YYYY) LIMITS A GENERAL LIABILITY 02CSET10004 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 AMAGE[0 RENTED X COMMERCIAL GENERAL LIABILITY $2,000,000 general aggregate per PREM SES(Ea occurrence) $ 300,000 location/project 10,000 CLAIMS-MADE X OCCUR $10,000,000 policy general aggregate MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 —I POLICYn JECT PRO Ti LOC $ A AUTOMOBILE LIABILITY 02CSET10000(A/O) 04/01/2015 04/01/2016 COMBINED SINGLE LIMIT 1,000,000 02CSET10019(HI) (Ea accident) $ X ANY AUTO Hartford Underwriters Ins BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ A X UMBRELLA LIAB X OCCUR 02HUT10021 04/01/2015 04/01/2016 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ .$ B WORKERS COMPENSATION CT WC(SIR 2.5MM)EX COV-9883956 04/01/2015 04/01/2016 x TWC ORY LAM-0TH C AND EMPLOYERS'LIABILITY Y/N MULTI-017731557, ER ANY PROPRIETOR/PARTNER/EXECUTIVE MULTI-017731558,CA-017731559, E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A FL-017731560,MULTI-017731561, 1,000,000 (Mandatory in NH) MA-017731562,MN-017731563, E.L.DISEASE-EA EMPLOYEE $ If yes,describe under NJ-017731564,PA-017731565, 1,000,000 DESCRIPTION OF OPERATIONS below MULTI-017731566 E.L.DISEASE-POLICY LIMIT $ A Owners'and Contractors'Protective 02CSET31000 04/01/2015 04/01/2016 Occurrence $ 2,000,000 Aggregate $ 2,000,000 $ $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This certificate only applies to SR 04008 Centerplace at Mirabeau Park,2426 N Discovery PI.,Spokane,WA Center Place at Mirabeau Park C/O City of Spokane Valley is named insured on the OCP and the insurance policies include a waiver of subrogation,both to the extent required by contract with OTIS ELEVATOR COMPANY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone AUTHORIZED REPRESENTATIVE r ����� 11707 Sprague Ave Suite 106 y�,taw.•r.t1 Spokanee Valley,WA 99206 (t Jj Page 1 of 2 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1 b_I,SS 12646 OWNERS AND CONTRACTORS PROTECTIVE LIABILITY CERTIFICATE OF COVERAGE OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE is provided by the insurance company of the Hartford shown below; is provided on behalf of the Designated Contractor scheduled hereon;and consists of: A. This Certificate of Coverage. B. Owners and Contractors Protective Liability Coverage Form;and C. Any Endorsements issued to be a part of the Owners and Contractors Protective Liability Coverage Form and listed below: Insurer: Hartford Fire Insurance Company Policy Number:02CSET31000 HARTFORD, CT 06115 Previous Policy Number:RENEWAL Issued to Named Insured and Mailing Address: Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone 11707 E. Sprague Ave Suite 106 Spokane Valley, WA 99206 Designated Additional Insureds: Coverage Period: 04/01/2015 to 04/01/2016 12:01 a.m.,standard time at your mailing address shown above. (Coverage Period means the period beginning with the inception date coverage is provided for the project specified herein and ending with the earlier of cancellation of coverage,expiration of coverage or completion of the project) Designated Contractor and Mailing Address: OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 Location of Covered Operations: Centerplace at Mirabeau Park 2426 N Discovery Pl . Spokane, WA Contract Number: SR 04008 LIMIITS OF INSURANCE The Limits of Insurance,subject to all the terms of this Owners and Contractors Protective Liability Coverage Form that apply,are: Each Occurrence Limit 2 , 0 0 0, 0 0 0 Aggregate Limit 2, 0 0 0, 0 0 0 Premium: Included as part of the total Coverage Part premium, which is the responsibility of the Designated Contractor. Form Numbers of Coverage Forms, Endorsements and Schedules that are part of this Owners and Contractors Protective Liability Coverage Form: Issue Date: 03/21/2015 Form HS 78 71 01 00 (c)2001,The Hartford 78R4X7LB Page 2 of 2 10-l4S ` . DATE(MM/DD/YYYY) ARD® CERTIFICATE OF LIABILITY INSURANCE 03/23/2016 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). PRODUCER CONTACTNAME: MARSH USA INC. PHONE FAX 20 CHURCH STREET j (A/C.No.Ext): HARTFORD,CT 06103 RECEIVED I E-MAIL ADDRESS: APRINSURER(S)AFFORDING COVERAGE NAIC# APR (�V `) 2016 INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B:National Union Fire Insurance Company of Pittsburgh,PA 19445 OTIS ELEVATOR COMPANY23841 ONE FARM SPRINGS ROAD PARKS & RECREATION DEPT. INSURER C:New Hampshire Insurance Company FARMINGTON,CT 06032 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:3JSKATTK REVISION NUMBER: THIS IS TO THE INSURED NAMED ABOVE FOR THE PERIO INDICATED.CNOTPOLICIESIFY THAT THE NOTWITHSTANDING ANYREQUIREME T,TERM OR CONDITIONTO HAVE BEEN ISSUED POLICY OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W ICH 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. INSRADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1,000,000 $2,000,000general aggregate DAMAGE TO RENTED 300,000 CLAIMS-MADE X OCCURperPREMISES(Ea occurrence) $ location/ 6 ct 10,000 $10,000,,00000 policy general aggregate MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY X IM: LOC PRODUCTS-COMP/OP AGG $$ OTHER: A AUTOMOBILE LIABILITY 02CSET10000 A/O) 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT 1,000,000 02CSET10019(HI) (Ea accident) $ X ANY AUTO Hartford Underwriters Ins BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNEDUTOS (Per accident) HIRED AUTOS _ $ A X UMBRELLA LIAR XOCCUR 02HUT10021 04/01/2016 04/01/2017 EACH OCCURRENCE $ 10,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE $ 10,000,000 $ DED RETENTION$ B WORKERS COMPENSATION CT WC(SIR 2.5MM)EX COV-6583040 04/01/2016 04/01/2017 X OTH- STAPER RUTE TR C AND EMPLOYERS'LIABILITY Y/N MULTI-015519203, 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE MULTI-015519204,CA-015519205, E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A FL-015519206,MULTI-015519207, E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) MN-015519208,NJ-015519209, If yes,describe under PA-015519210,MULTI-015519211, E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below MA-015519212 $ 2,000,000 A Owners'and Contractors'Protective 02CSET31000 04/01/2016 04/01/2017 Occurrence $ 2,000,000 Aggregate $ $ S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This certificate only applies to SR 04008 Centerplace at Mirabeau Park,2426 N Discovery PI.,Spokane,WA Center Place at Mirabeau Park C/O City of Spokane Valley is named insured on the OCP and the insurance policies include a waiver of subrogation,both to the extent required by contract with OTIS ELEVATOR COMPANY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone AUTHORIZED REPRESENTATIVE Ave., 11707 Sprague Ave Suite 106 Spokanea Valley,WA 99206 ! (7?)--- Page 1 of 2 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD OWNERS AND CONTRACTORS PROTECTIVE LIABILITY CERTIFICATE OF COVERAGE OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE is provided by the insurance company of the Hartford shown below;is provided on behalf of the Designated Contractor scheduled hereon;and consists of: A. This Certificate of Coverage. B. Owners and Contractors Protective Liability Coverage Form;and C. Any Endorsements issued to be a part of the Owners and Contractors Protective Liability Coverage Form and listed below: Insurer: Hartford Fire Insurance Company Policy Number:02CSET31000 HARTFORD, CT 06115 Previous Policy Number:RENEWAL Issued to Named Insured and Mailing Address: Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone 11707 E. Sprague Ave Suite 106 Spokane Valley, WA 99206 Designated Additional Insureds: Coverage Period: 04/01/2016 to 04/01/2017 12:01 a.m.,standard time at your mailing address shown above. (Coverage Period means the period beginning with the inception date coverage is provided for the project specified herein and ending with the earlier of cancellation of coverage,expiration of coverage or completion of the project) Designated Contractor and Mailing Address: OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 Location of Covered Operations: Centerplace at Mirabeau Park 2426 N Discovery P1. Spokane, WA Contract Number: SR 04008 LIMIITS OF INSURANCE The Limits of Insurance,subject to all the terms of this Owners and Contractors Protective Liability Coverage Form that apply,are: Each Occurrence Limit 2, 000, 000 Aggregate Limit 2, 000, 000 Premium: Included as part of the total Coverage Part premium,which is the responsibility of the Designated Contractor. Form Numbers of Coverage Forms,Endorsements and Schedules that are part of this Owners and Contractors Protective Liability Coverage Form: Issue Date:0 3/2 3/2 016 Form HS 78 71 01 00 (c)2001,The Hartford 3JSKATTK Page 2 of 2 -4110- / 88. 03 DATE(MMlDD/YY1'1� Amo CERTIFICATE OF LIABILITY INSURANCE 03/27/2017 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(les)must have ADDITIONAL INSURED provisions or 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 suchcoendorsement(s). PRODUCER TACT • NAME: FAX MARSH USA INC. PHONE IX (AFA ,No): 20 CHURCH STREET (NC.No.Extl: HARTFORD,CT 06103 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE • NAIC# INSURER A:Hartford Fire Insurance Company 19682 INSURED INSURER B:National Union Fire Insurance Company of Pittsburgh,PA 19445 OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD INSURER C:American Home Assurance Company 19380 FARMINGTON,CT 06032 INSURER D:New Hampshire Insurance Company 23841 INSURER E: INSURER Ft. COVERAGES CERTIFICATE NUMBER:F8JFZ9VX REVISION NUMBER: THIS IS TO THE IND CATED.CNOTWITHSTANDING ANYIREQUI EMENT,TERM OR CONDITION HAVETO POLICY THE INSURED NAMED ABOVE FOR THE OF INSUNCE LISTED ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH 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. INSRADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) 1,000,000 A 02CSET10004 04/01/2017 04/01/2018 EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY DAMAGE 10 HEN IhD 300,000 CLAIMS-MADE E OCCUR $2,000,000 general aggregate per PREMISES(Ea occurrence) $ location/project MED EXP(Any one personL $ 10,000 $10,000,00 policy general aggregate 1,000,000 — PERSONAL&ADV INJURY $ — GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY a jECT E LOC PRODUCTS-COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY 02CSET10000 A/O) 04/01/2017 04/01/2018 (Ee COMBINED LIMI 1,000,000 02Cfo d Underwriters f(HI) BODILY INJURY(Per person) $ X ANY AUTO Hartford Underwriters Ins OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ — HIRED NON-OWNED (Per accident) AUTOS ONLY _- AUTOS ONLY $ 02HUT10021 04/01/2017 04/01/2018 EACH OCCURRENCE $ 10,000,000 A X UMBRELLA UAB X OCCUR 10,000,000 EXCESS LIAB CUUMS-MADE AGGREGATE $ $ DED RETENTION$ X I pER I IOTH- B WORKERS COMPENSATION CT WC(SIR 2.5MM)EX COV-6583040 04/01/2017 04/01/2018 STATUTEERTH C AND EMPLOYERS'LIABILITY CA-015519205 1,000,000 ER D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N FL-015519206,MA-015519212 E.L.EACH ACCIDENT $ 5519204 (Mandatory In ER EXCLUDED? NIA MULTI-0155 9207,MULTI1015519211 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) 1,000,000 If yes,describe under EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below _ $ 2,000,000 A Owners'and Contractors'Protective 02CSET31000 04/01/2017 04/01/2018 Aggregate $ 2,000,000 $ • $ DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) This certificate only applies to SR 04008 Centerpiece at Mirabeau Park,2426 N Discovery Pl.,Spokane,WA Center Place at Mirabeau Park C/O City of Spokane Valley is named insured on the OCP and the insurance policies include a waiver of subrogation,both to the extent required by contract with OTIS ELEVATOR COMPANY. • CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Center Place at Mirabeau Park C/O City of Spokane Valley vti AUTHORIZED REPRESENTATIVE Mike Stone ` t � r llf r� 11707 E.Sprague Ave Suite 106 J Spokane Valley,WA 99206 9-- •070200/2--S 0--B 0—D 000200 Page 1 of 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ti 044314:-: OWNERS AND CONTRACTORS PROTECTIVE LIABILITY CERTIFICATE OF COVERAGE OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE is provided by the insurance company of the Hartford shown below;is provided on behalf of the Designated Contractor scheduled hereon;and consists of: A. This Certificate of Coverage. B. Owners and Contractors Protective Liability Coverage Form;and C. Any Endorsements issued to be a part of the Owners and Contractors Protective Liability Coverage Form and listed below: Insurer: Hartford Fire Insurance Company Policy Number:02CSET31000 HARTFORD, CT 06115 Previous Policy Number:RENEWAL Issued to Named Insured and Mailing Address: Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone 11707 E. Sprague Ave Suite 1.06 Spokane Valley, WA 99206 Designated Additional Insureds: Coverage Period: 04/01/2017 to 04/01/2018 12:01 a.m.,standard time at your mailing address shown above. (Coverage Period means the period beginning with the inception date coverage is provided for the project specified herein and ending with the earlier of cancellation of coverage,expiration of coverage or completion of the project) Designated Contractor and Mailing Address: OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 • • Location of Covered Operations: Centerplace at Mirabeau Park 2426 N Discovery P1. Spokane, WA Contract Number: SR 04008 LIMIITS OF INSURANCE The Limits of Insurance,subject to all the terms of this Owners and Contractors Protective Liability Coverage Form that apply,are: Each Occurrence Limit 2, 000, 000 Aggregate Limit 2, 000, 000 Premium: Included as part of the total Coverage Part premium,which is the responsibility of the Designated Contractor. Form Numbers of Coverage Forms, Endorsements and Schedules that are part of this Owners and Contractors Protective Liability Coverage Form: Issue Date: 03/27/2017 Form HS 78 71 01 00 (c)2001,The Hartford F8JFZ9VX Page 2 of 2 a. a • R 10 (sg 1 ® DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 03/22/2018 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 have ADDITIONAL INSURED provisions or 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 rig(Its tq_the_GQrpT[Gate i 1tte(ln lieu of such endorsement(s). PRODUCER I 146 a ..7.Y V 3__L../ 'I CONTACT MARSH USA INC. FAX I 20 CHURCH STREET PHONE 7 E-MAILo.Extl: (AIC,No): HARTFORD,CT 061031-11 �� I t1 h"O �f (� 2(31U ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# PARKS & RECCEATI:,U CEPT. INSURER A:Hartford Fire Insurance Company 19682 RED I —`--`- r INSURED COMPANY INSURER B:National Union Fire Insurance Company of Pittsburgh,PA 19445 OTISONE FARM SPRINGS ROAD INSURER C:American Home Assurance Company 19380 FARMINGTON,CT 06032 INSURER D:New Hampshire Insurance Company 23841 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:5M4FDJRH 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 POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD MD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY 02CSET10004 04/01/2018 04/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR $2,000,000 general aggregate per DAMAGE TO REN I ED 300,000 location/project PREMISES(Ea occurrence) s $10,000,000 policy general aggregate MED EXP(Any one person) 5 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 —1 POLICY n PRO n LOC -PRODUCTS-COMP/OP AGG S 2,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY 02CSET10000(A/O) 04/01/2018 04/01/2019 COMBINED SINGLE LIMIT 02CSET10019(HI) (Ea accident) S 1,000,000 X ANY AUTO Hartford Underwriters Ins BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY _ AUTOS ONLY (Per accident) _ $ A X UMBRELLA LIAB XOCCUR 02HUT10021 04/01/2018 04/01/2019 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE 5 10,000,000 DED RETENTION 5 $ B WORKERS COMPENSATION CT WC(SIR 2.5MM)EX COV- 04/01/2018 04/01/2019 X P._ OTH- C AND EMPLOYERS'LIABILITY Y/N 6583040 SATUTE FR D ANY PROPRIETOR/PARTNER/EXECUTIVECA-015519205 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N/A FL-015519206,MA-015519212 (Mandatory in NH) MN-015519208,MULTI-015519204 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 II yes,describe under vl ULTI-015519207,MULTI- 1,000,000 DESCRIPTION OF OPERATIONS below 015519211 E.L.DISEASE-POLICY LIMIT S A Owners'and Contractors'Protective 02CSET31000 04/01/2018 04/01/2019 Occurrence 5 2,000,000 Aggregate $ 2,000,000 $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This certificate only applies to SR 04008 Centerpiece at Mirabeau Park,2426 N Discovery PI.,Spokane,WA Center Place at Mirabeau Park C/O City of Spokane Valley is named insured on the OCP and the insurance policies include a waiver of subrogation,both to the extent required by contract with OTIS ELEVATOR COMPANY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone ` AUTHORIZED REPRESENTATIVE - � � Sprague Ave Suite 106 Spokane { a 7 ,. Valley,WA 99206 ar- '005105/2--S 0--B O--D 005105 Page 1 of 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD OWNERS AND CONTRACTORS PROTECTIVE LIABILITY CERTIFICATE OF COVERAGE OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE is provided by the insurance company of the Hartford shown below;is provided on behalf of the Designated Contractor scheduled hereon;and consists of: A. This Certificate of Coverage. B. Owners and Contractors Protective Liability Coverage Form;and C. Any Endorsements issued to be a part of the Owners and Contractors Protective Liability Coverage Form and listed below: Insurer: Hartford Fire Insurance Company Policy Number:02CSET31000 HARTFORD, CT 06115 Previous Policy Number:RENEWAL Issued to Named Insured and Mailing Address: Center Place at Mirabeau Park C/O City of Spokane Valley Mike Stone 11707 E. Sprague Ave Suite 106 Spokane Valley, WA 99206 Designated Additional Insureds: Coverage Period: 04/01/2018 to 04/01/2019 12:01 a.m.,standard time at your mailing address shown above. (Coverage Period means the period beginning with the inception date coverage is provided for the project specified herein and ending with the earlier of cancellation of coverage,expiration of coverage or completion of the project) Designated Contractor and Mailing Address: OTIS ELEVATOR COMPANY ONE FARM SPRINGS ROAD FARMINGTON, CT 06032 Location of Covered Operations: Centerplace at Mirabeau Park 2426 N Discovery P1 . Spokane, WA Contract Number: SR 04008 LIMIITS OF INSURANCE The Limits of Insurance,subject to all the terms of this Owners and Contractors Protective Liability Coverage Form that apply,are: Each Occurrence Limit 2, 0 0 0, 0 0 0 Aggregate Limit 2, 000, 000 Premium: Included as part of the total Coverage Part premium,which is the responsibility of the Designated Contractor. Form Numbers of Coverage Forms,Endorsements and Schedules that are part of this Owners and Contractors Protective Liability Coverage Form: Issue Date: 03/22/2018 Form HS 78 71 01 00 (c)2001,The Hartford 5M4FDJR14 Page 2 of 2