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15-022.01 Northwest Roof Consultants: CenterPlace Roof Repairs CONTRACT AMENDMENT FOR THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND NORTHWEST ROOF CONSULTANTS, INC. Contract #15-022.01 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the Northwest Roof Consultants, Inc. mutually agree as follows: 1. Purpose: This Amendment is for the Contract for professional consulting services related to the CenterPlace Roof Repair Project by and between the Parties, executed by the Parties on February 3, 2015, and which terminates on June 1, 2015. Total compensation under the Original Contract is not to exceed $5,448.00. 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 3, 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 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. Extend term of contract to December 31, 2015. 4. Compensation Amendment History: This is Amendment#1 of the Original Contract and the history of amendments to the Northwest Roof Consultants, Inc. compensation is as follows: Date Compensation Original Contract Amount 2/3/15 $5,448.00 Amendment#1 6/23/15 $0.00 Total Amended Compensation $5,448.00 1 The parties have executed this Amendment to the Original Contract this 1/ day of July 2015. CITY OF SPOKANE VALLEY: CONSULTANT : X‘c' Mike Jacks; By: Brent Cornelison City Manager Its: President ATTEST: APPROVED AS TO FORM: '1A-;1 - AL44 (AA,Ct Christine Bainbridge, City Cle Off e of the City Attorney 2 ® DATE(MM/DD/YYYY) AC► CERTIFICATE OF LIABILITY INSURANCE 6/13/2015 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). AME: TCheri Robbins PRODUCER I MONT ISU Insurance Service RECEIVED PHONE (208)664-9783 FAX (208)664-9870 LAIC.No.Ext): (AIC,Nol: Haddock & Associates )ty _(� [- ADDRIEss:cherir@isu-haddock.com 1311 Northwood Center Court • !til_ C 15 INSURER(S)AFFORDING COVERAGE NAIC# Coeur d'Alene ID 83814 !INSURER A:Ohio Security i INSURED PARKS&RECREATION DEPT(INSURER B Mutual Of Enumclaw 14761 BC Engineers, Inc. INSURER C:Ohio Casualty DBA: Northwest Roof Consultants INsuRERD:State Insurance Fund 8680 N Wayne Drive, Suite A INSURER E:Travelers Hayden ID 83835 INSURER F: COVERAGES CERTIFICATE NUMBER:2015 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 WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 1,000,000 A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) X PD Dedt/Claim $250 X BKS56588653 6/1/2015 6/1/2016 MED EXP(Any one person) $ 15,000 PERSONAL Si ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 WA-Stop Gap $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1,000,000 (Ea accident) BODILY INJURY(Per person) $ B ANY AUTO — ALL OWNED X SCHEDULED BAP0002889 1/22/2015 1/22/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NON-OWNEDUTO (Per accident) $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 C DED RETENTIONS ESO56588653 6/1/2015 6/1/2016 $ D WORKERS COMPENSATION X PERTUTE R ETTHH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE 624032 1/1/2015 1/1/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Professional Liability 105551099 1/22/2015 1/22/2016 For Each Claim $1,000,000 Claims-made form For All Claims $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The certificate holder is hereby named as additional insured with respect to all operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2426 N. Discovery Place ACCORDANCE WITH THE POLICY PROVISIONS. Spokane Valley, WA 99216 AUTHORIZED REPRESENTATIVE R Haddock (HA1)/CR J •‘ er--0 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(7ntantl