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15-023.01 River City Painting: Precinct Exterior Painting CONTRACT AMENDMENT FOR THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND RIVER CITY PAINTING INC. Contract #15-023.01 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the River City Painting of Spokane Inc. mutually agree as follows: 1. Purpose: This Amendment is for the Contract for Precinct Exterior Painting Project by and between the Parties, executed by the Parties on February 12, 2015, and which terminates on April 30, 2015. Total compensation under the Original Contract is not to exceed $10,016.71. Said contract shall be referred to as the"Original Contract" and its terms are hereby incorporated by reference. 2. Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the Original Contract, dated February 12, 2015, and any amendments thereto, which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are as follows. All such amendment provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Contract date is being extended until June 15, 2015 to accommodate weather and material supply issues. The City is also accepting Change Order#1 for a project increase of$2,668.59 to cover the preparation and painting of the precinct's gutters and downspouts. 4. Compensation Amendment History: This is Amendment#1 of the Original Contract and the history of amendments to the River City Painting of Spokane Inc.'s compensation is as follows: Date Compensation Original Contract Amount 2/12/15 $10,016.71 Amendment#1 5/29/15 $ 2,668.59 1 RitietcWisirraiwipfW Total Amended Compensation $12,685.98 30 E . ® The parties have executed this Amendment to the Original Contract this . day of June 2015. CITY OF SPOKANE VALLEY: RIVER CITY PAINTING INC.: litt),_mikeILGA!„.4-marK Ca.(ka.iK £44y-Manager 31e 4y Civ (4Krter Its: Owner ATTE T: APPROVED AS TO FORM: / rD , �Christine :ainbridge, City C I!: Offic0.-41 f the City tt: ey 2 River City Painting Inc. Change Order Request PO Box 48077 Spokane, WA 99228 Date Estimate# 4/15/2015 2015-918 Name/Address City Of Spokane Valley Parks And Rec. Michael Stone Project COP#1 Description Total PRECINCT EXTERIOR PAINTING COP#1 Exterior Scope to Include the following,per your request. 0.00 Exterior surface prep/scraping/priming and finish painting of gutters and downspouts. 0.00 Total Bid 2,455.00T EXCLUSIONS: 0.00 ITEMS NOT LISTED ABOVE ARE CONSIDERED EXCLUDED FROM THIS BID. No"id"markers,labels,banding,color-coding,or painting any electrical or mechanical items. No wall covering/labor,material. No painting or sealing of the floors. No prep to pre primed items,No painting to pre finished items No major repair to any surfaces. The above change order has been approved for this project. Signature Date Subtotal $2,455.00 Phone# Fax# Sales Tax (8.7%) $213.59 Geoff(509)217-1996 509-487-2903 Total $2,668.59 ,...........,N RIVER-4 OP ID: PS A��RL CERTIFICATE OF LIABILITY INSURANCE DATE 06/12DD/YYYY) 06/12/2015 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). PRODUCERtUtiVC/F..U CONTACT NAME: Patti Sander 200Blasingame Insurance PHONE 509-891-1000 FAic,No):509-891-1430 200 N.Argonne Rd r (AIC,No,Ext): Spokane,WA 99212 i !; IN J a•te. •)01: ADDRESS:Patti@blasingameins.com Dan C.Wareham r� V [[,, INSURER(S)AFFORDING COVERAGE NAIL# IPARKS RECRATILN n--!-i. INSURERA:Cincinnati Insurance Company 10677 INSURED River City Painting I INSURER B PO Box 48077 INSURER C Spokane,WA 99228 INSURER D: 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 POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 REMISESAMAGE TO A X COMMERCIAL GENERAL LIABILITY X X EPP0026264 05/27/2015 05/27/2016 PD (Ea occurrRENTEDence) $ 500,000 CLAIMS-MADE X OCCUR _MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 i GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: _PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY X JFRI° LOC $ CMBINE AUTOMOBILE LIABILITY (Ea accideD SINGLE LIMIT $ 1,000,000 A X ANY AUTO EPP0026264 05/27/2015 05/27/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSAUTOS PROPERTY DAMAGE X HIRED AUTOS X 21-1ZAUTOSWINED WNED (PER ACCIDENT) $ S X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE EPP0026264 05/27/2015 05/27/2016 AGGREGATE _$ ; DED X RETENTION$ 0 $ ' WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X TQRY LIMITS X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N EPP0026264 05/27/2015 05/27/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) WASHINGTON STOP GAP E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Project: City of Spokane Valley Precinct Exterior Painting City of Spokane Valley is named as additional insured. Coverage is primary/non-contributory, per project aggregate, completed operations and waiver of subrogation apply per GA101 and GA233 forms attached to the policy. CERTIFICATE HOLDER CANCELLATION 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. Suite 106 11707 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99206 cid...A.__ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 6/3/2015 RIVER CITY PAINTING INC Home Inicioen Espanol Contact Search L&I CEO A-!Index Help My Secure.L&I Safety Claims&Insurance Workplace Rights Trades&Licensing CoWashington State Department of Labor & industries RIVER CITY PAINTING INC Owner or tradesperson PO BOX 48077 SPOKANE,WA 99228 Principals 509-217-1996 VANDENKOOY, GEOFFREY SPOKANE County LYN, PRESIDENT Doing business as RIVER CITY PAINTING INC WA UBI No. Business type 602 526 620 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. ........................................................................... Meets current requirements. License specialties PAI NTI NGIWALLCOVERI NG License no. RIVERCP957NT Effective—expiration 08/29/2005—08/31/2015 Bond ................. Wesco Insurance Co $6,000.00 Bond account no. 46WB047517 Received by L&I Effective di 05/06/2014 05/26/2014 Expiration i Until Canc Bond history Insurance ' Cincinnati Ins Co $1,000,000.00 Policy no. EPP0026264 Received by L&I Effective date 04/29/2015 05/27/2011 Expiration date 05/27/2016 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax ..... e debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. https://secure.lni.wa.gov/verify/Detail.aspx?U Bl=602526620&LIC=RIVERCP957NT&SAW=False 1/2 6/3/2015 RIVER CITY PAINTING INC License Violations .......................................................... No license violations during the previous 6 year period. 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. 073,299-01 Doing business as RIVER CITY PAINTING Estimated workers reported Quarter 1 of Year 2015"7 to 10 Workers" L&I account representative T3/KENT ANDERSON(360)902-6963-Email:ANDN235@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 05/17/2010 Violations Inspection no. 314391897 Location 417 S Thor St Spokane,WA 99202 ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.lni.wa.gov/verify/Detail.aspx?UB1=602526620&LIC=RIVERCP957NT&SAW=False 2/2