The URL can be used to link to this page

15-095 Fatbeam Telecommunications Franchise CITY OF SPOKANE VALLEY SPOKANE COUNTY,WASHINGTON ORDINANCE NO. 15-014 AN ORDINANCE OF THE CITY OF SPOKANE VALLEY,SPOKANE COUNTY, WASHINGTON,GRANTING A NON-EXCLUSIVE FRANCHISE TO FATBEAM TO CONSTRUCT,MAINTAIN AND OPERATE TELECOMMUNICATIONS FACILITIES WITHIN THE PUBLIC RIGHTS-OF-WAY OF THE CITY OF SPOKANE VALLEY,AND OTHER MATTERS RELATING THERETO. WHEREAS, RCW 35A.47.040 authorizes the City to grant, permit, and regulate "nonexclusive franchises for the use of public streets, bridges or other public ways, structures or places above or below the surface of the ground for railroads and other routes and facilities for public conveyances, for poles, conduits, tunnels, towers and structures, pipes and wires and appurtenances thereof for transmission and distribution of electrical energy, signals and other methods of communication, for gas, steam and liquid fuels, for water, sewer and other private and publicly owned and operated facilities for public service;" and WHEREAS, RCW 35A.47.040 further requires that "no ordinance or resolution granting any franchise in a code city for any purpose shall be adopted or passed by the city's legislative body on the day of its introduction nor for five days thereafter, nor at any other than a regular meeting nor without first being submitted to the city attorney, nor without having been granted by the approving vote of at least a majority of the entire legislative body,nor without being published at least once in a newspaper of general circulation in the city before becoming effective;"and WHEREAS,this Ordinance has been submitted to the City Attorney prior to its passage;and WHEREAS,the Council finds that the grant of the Franchise contained in this Ordinance,subject to its terms and conditions, is in the best interests of the public, and protects the health, safety, and welfare of the citizens of this City. NOW, THEREFORE, the City Council of the City of Spokane Valley, Spokane County, Washington,ordains as follows: Section 1. Definitions. For the purpose of this Ordinance,the following words and terms shall have the meaning set forth below: "City Manager"means the City Manager or designee. "construction" or "construct" shall mean constructing, digging, excavating, laying, testing, operating, extending, upgrading, renewing, removing, replacing, and repairing a facility. "day"shall mean a 24-hour period beginning at 12:01 AM. If a thing or act is to be done in less than seven days, intermediate Saturdays, Sundays and legal holidays shall be excluded in the computation of time. "franchise area" shall mean the entire geographic area within the City as it is now constituted or may in the future be constituted. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 1 of 14 "hazardous substances"shall have the same meaning as RCW 70.105D.020(10). "maintenance,maintaining or maintain"shall mean the work involved in the replacement and/or repair of facilities, including constructing, relaying, repairing, replacing, examining, testing, inspecting, removing, digging and excavating, and restoring operations incidental thereto. "overbuilding"shall mean adding additional fiber capacity to an existing conduit housing fiber optic cable. "overlashing" shall mean the act of lashing new fiber optic cable to an existing aerial fiber optic cable. "permittee" shall mean a person or entity who has been granted a permit by the permitting authority. "permitting authority"shall mean the City Manager or designee authorized to process and grant permits required to perform work in the rights-of-way. "product"shall refer to the item,thing or use provided by the Grantee. "public property"shall mean any real estate or any facility owned by the City. "Public Works Director"shall mean the Spokane Valley Public Works Director or his/her designee. "relocation" shall mean any required move or relocation of an existing installation or equipment owned by Grantee whereby such move or relocation is necessitated by installation, improvement, renovation or repair of another entity's facilities in the rights- of-way,including Grantor's facilities. "right-of-way" shall refer to the surface of and the space along, above, and below any street, road, highway, freeway, lane, sidewalk, alley, court, boulevard, parkway, drive, Grantee easement,and/or public way now or hereafter held or administered by the City. "streets" or "highways" shall mean the surface of, and the space above and below, any public street, road, alley or highway, within the City used or intended to be used by the general public,to the extent the City has the right to allow the Grantee to use them. "telecommunications facilities" shall mean any of the plant, equipment, fixtures, appurtenances, antennas, and other facilities necessary to furnish and deliver telecommunications services, including but not limited to poles with crossarms, poles without crossarms, wires, lines, conduits, cables, communication and signal lines and equipment, braces, guys, anchors, vaults, and all attachments, appurtenances, and appliances necessary or incidental to the distribution and use of telecommunications services. The abandonment by Grantee of any telecommunications facilities as defined herein shall not act to remove the same from this definition. Section 2. Grant of Franchise. The City of Spokane Valley, a Washington municipal corporation (hereinafter as"City"or"the City"),hereby grants unto Fatbeam(hereinafter"Grantee"),a franchise for a period of 10 years, beginning on the effective date of this Ordinance, to install, construct, operate, Ordinance 15-014 Fatbeam Telecommunications Franchise Page 2 of 14 maintain,replace and use all necessary equipment and facilities to place telecommunications facilities in, under, on,across,over,through, along or below the public rights-of-way and public places located in the City of Spokane Valley,as approved under City permits issued pursuant to this franchise(hereinafter the "franchise"). This franchise does not permit Grantee to use such facilities to provide cable services as defined by 47 C.F.R. § 76.5(ff). Section 3. Fee. No right-of-way use fee is imposed for the term of this franchise. Any such right-of-way use or franchise fee that may be imposed by subsequent ordinance would apply to any subsequent franchise,if any,between the parties. Section 4. City Use. The following provisions shall apply regarding City use. A)Grantee agrees to reserve to the City the right to access four dark fiber strands(two pair)along the route identified in Exhibit A as adopted or amended, within the boundaries of the City, for sole and exclusive municipal, non-commercial use or designation (the "City Reserved Fibers"). Grantee can currently only reserve one pair of dark fiber for City use due to capacity limitations • in its legacy system. Grantee anticipates installing additional capacity through overlashing in the future, and shall affirmatively notify the City when a second pair of dark fiber is available for potential use as City Reserved Fiber in any portion of the franchise area where any such overlashing has occurred. City agrees that it shall not use the City Reserved Fibers as a public utility provider of telecommunications business service to the public. B)The City has the right to access by connection to the City Reserved Fibers at existing Grantee splice points or reasonably established access points within the City limits; provided that all splicing shall be the sole responsibility of Grantee. The City shall provide at least 30 days' written notice of intent to access the City Reserved Fibers. Upon any access or use of the City Reserved Fibers, City shall pay Grantee a recurring monthly charge of$20.00 per fiber pair per mile in use by the City (the "City Fiber Rate") unless otherwise specifically agreed by both the parties in writing and shall negotiate and enter into a "Fiber License Agreement" which shall govern the terms and conditions for use of the City Reserved Fibers, except cost, which is set forth herein. Said recurring monthly charge shall not be imposed until such time as the fiber is put into use by the City. C) In the event the City Reserved Fibers are the last fibers remaining in Grantee's fiber bundle, then the following shall apply: 1) If the City is using the fibers,then the rate the City shall pay Grantee will change from the City Fiber Rate to Grantee's standard commercial rate. 2)If the City is not using the fibers,the City shall have the option of abandoning the City Reserved Fibers in lieu of paying Grantee's standard commercial rate. If Grantee installs additional fiber capacity, the City's right to use four dark fiber stands as set forth in subsections 1 and 2,immediately above,shall again be in effect. D) All access, interconnection and maintenance to and on the City Reserved Fibers shall be performed by Grantee. The City shall pay all costs associated with such work to the City Reserved Fibers. The City Reserved Fibers shall have a term that matches the duration of this franchise Ordinance. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 3 of 14 E) Consistent with and subject to RCW 35.99.070, at such time when Grantee is constructing, relocating, or placing ducts or conduits in public rights-of-way, the Public Works Director may require Grantee to provide the City with additional duct or conduit and related structures, at incremental cost, necessary to access the conduit at mutually convenient locations. Any ducts or conduits provided by Grantee under this section shall only be used for City municipal, non- commercial purposes. 1)The City shall not require that the additional duct or conduit space be connected to the access structures and vaults of the Grantee. 2) This section shall not affect the provision of an institutional network by a cable television provider under federal law. 3) Grantee shall notify the Public Works Director at least 14 days' prior to opening a trench at any location to allow the City to exercise its options as provided herein. Section 5. Recovery of Costs. Grantee shall reimburse the City for all costs of one publication of this franchise in a local newspaper,and required legal notices prior to any public hearing regarding this franchise, contemporaneous with its acceptance of this franchise. Grantee shall be subject to all permit and inspection fees associated with activities undertaken through the authority granted in this franchise or under City Code. Section 6. Non-Exclusivity. This franchise is granted upon the express condition that it shall not in any manner prevent the City from granting other or further franchises or permits in any rights-of-way. This and other franchises shall, in no way, prevent or prohibit the City from using any of its rights-of-way or affect its jurisdiction over them or any part of them. Section 7. Non-Interference with Existing Facilities. The City shall have prior and superior right to the use of its rights-of-way and public properties for installation and maintenance of its facilities and other governmental purposes. The City hereby retains full power to make all changes, relocations, repairs, maintenance, establishments, improvements, dedications or vacation of same as the City may deem fit, including the dedication, establishment, maintenance, and improvement of all new rights-of-way, streets, avenues, thoroughfares and other public properties of every type and description. Any and all such removal or replacement shall be at the sole expense of Grantee, unless RCW 35.99.060 provides otherwise. Should Grantee fail to remove, adjust or relocate its telecommunications facilities by the date established by the Public Works Director's written notice to Grantee and in accordance with RCW 35.99.060, the City may cause and/or effect such removal, adjustment or relocation, and the expense thereof shall be paid by Grantee. The owners of all utilities, public or private, installed in or on such public properties prior to the installation of the telecommunications facilities of Grantee,shall have preference as to the positioning and location of such utilities so installed with respect to Grantee. Such preference shall continue in the event of the necessity of relocating or changing the grade of any such public properties. Grantee's telecommunications facilities shall be constructed and maintained in such manner as not to interfere with any public use, or with any other pipes, wires, conduits or other facilities that may have been laid in the rights-of-way by or under the City's authority. If the work done under this franchise damages or interferes in any way with the public use or other facilities, Grantee shall wholly and at its own expense make such provisions necessary to eliminate the interference or damage to the satisfaction of the Public Works Director. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 4 of 14 Section S. Construction Standards. All work authorized and required hereunder shall comply with all generally applicable City Codes and regulations. Grantee shall also comply with all applicable federal and state regulations, laws and practices. Grantee is responsible for the supervision, condition, and quality of the work done,whether it is by itself or by contractors, assigns or agencies. Application of said federal, state,and City Codes and regulations shall be for the purposes of fulfilling the City's public trustee role in administering the primary use and purpose of public properties, and not for relieving the Grantee of any duty, obligation, or responsibility for the competent design, construction, maintenance, and operation of for the supervision,condition,andqualityof the its telecommunications facilities. Grantee is responsiblep work done,whether it is by itself or by contractors,assigns or agencies. • If Grantee shall at any time be required, or plan, to excavate trenches in any area covered by this franchise,the Grantee shall afford the City an opportunity to permit other franchisees and utilities to share such excavated trenches, provided that: (1) such joint use shall not unreasonably delay the work of the Grantee;and(2)such joint use shall not adversely affect Grantee's telecommunications facilities or safety thereof. Joint users will be required to contribute to the costs of excavation and filling on a pro-rata basis. Section 9. Protection of Monuments. Grantee shall comply with applicable state laws relating to protection of monuments. Section 10. Tree Trimming. Grantee shall have the authority to conduct pruning and trimming for access to Grantee's telecommunications facilities in the rights-of-way subject to compliance with the City Code. All such trimming shall be done at Grantee's sole cost and expense. Section 11. Emergency Response. Grantee shall, within 30 days' of the execution of this franchise, designate one or more responsible people and an emergency 24-hour on-call personnel, and the procedures to be followed when responding to an emergency. After being notified of an emergency, Grantee shall cooperate with the City to immediately respond with action to aid in the protection of the health and safety of the public. In the event Grantee refuses to promptly take the directed action or fails to fully comply with such direction,or if emergency conditions exist which require immediate action to prevent imminent injury or damages to persons or property, the City may take such actions as it believes are necessary to protect persons or property,and Grantee shall be responsible to reimburse the City for its costs and any expenses. Section 12. One-Call System. Pursuant to RCW 19.122, Grantee is responsible for becoming familiar with, and understanding, provisionsWashington's tandin the of One-Call statutes. Grantee shall comply with the terms and conditions set forth in the One-Call statutes. Section 13. Safety. All of Grantee's telecommunications facilities in the rights-of-way shall be operational condition. Grantee shall follow all safety and maintained in a safe and codes and other applicable regulations in the installation, operation, and maintenance of the telecommunications facilities. Section 14. Movement of Grantee's Telecommunications Facilities for Others. Whenever any third party shall have obtained permission from the City to use any right—of-way for the purpose of moving any building or other oversized structure, Grantee, upon at least 14 days' written notice from the City, shall move, at the expense of the third party desiring to move the building or structure, any of Grantee's telecommunications facilities that may obstruct the movement thereof; provided,that the path for moving such building or structure is the path of least interference to Grantee's telecommunications facilities, as determined by the City. Upon good cause shown by Grantee, the City may require more than 14 days' notice to Grantee to move its telecommunications facilities. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 5 of 14 Section 15. Acquiring New Telecommunications Facilities. Upon Grantee's acquisition of any new telecommunications facilities in the rights-of-way, or upon any addition or annexation to the City of any area in which Grantee retains any such telecommunications facilities in the rights-of-way, Grantee shall submit to the City a written statement describing all telecommunications facilities involved, whether authorized by franchise or any other form of prior right, and specifying the location of all such facilities. Such facilities shall immediately be subject to the terms of this franchise. Section 16. Dangerous Conditions - Authority of City to Abate. Whenever excavation, installation, construction, repair, maintenance, or relocation of telecommunications facilities authorized by this franchise has caused or contributed to a condition that substantially impairs the lateral support of the adjoining right-of-way, road, street or other public place, or endangers the public, adjoining public or private property or street utilities, the City may direct Grantee, at Grantee's sole expense, to take all necessary actions to protect the public and property. The City may require that such action be completed within a prescribed time. In the event that Grantee fails or refuses to promptly take the actions directed by the City,or fails to fully comply with such directions, or if emergency conditions exist which require immediate action,the City may enter upon the property and take such actions as are necessary to protect the public, adjacent public or private property, or street utilities, or to maintain the lateral support thereof, and all other actions deemed by the City to be necessary to preserve the public safety and welfare; and Grantee shall be liable to the City for all costs and expenses thereof to the extent caused by Grantee. Section 17. Hazardous Substances. Grantee shall comply with all applicable federal, state and local laws, statutes, regulations and orders concerning hazardous substances relating to Grantee's telecommunications facilities in the rights—of-way. Grantee agrees to indemnify the City against any claims, costs,and expenses,of any kind,whether direct or indirect,incurred by the City arising out of the release or threat of release of hazardous substances caused by Grantee's ownership or operation of its telecommunications facilities within the City's rights-of-way. Section 18. Environmental. Grantee shall comply with all environmental protection laws, rules, recommendations, and regulations of the United States and the State of Washington, and their various subdivisions and agencies as they presently exist or may hereafter be enacted, promulgated, or amended, and shall indemnify and hold the City harmless from any and all damages arising,or which may arise,or be caused by, or result from the failure of Grantee fully to comply with any such laws, rules, recommendations, or regulations, whether or not Grantee's acts or activities were intentional or unintentional. Grantee shall further indemnify the City against all losses, costs, and expenses (including legal expenses) which the City may incur as a result of the requirement of any government or governmental subdivision or agency to clean and/or remove any pollution caused or permitted by Grantee,whether said requirement is during the term of the franchise or subsequent to its termination. Section 19. Relocation of Telecommunications Facilities. Grantee agrees and covenants,at its sole cost and expense, to protect, support, temporarily disconnect, relocate or remove from any street any of its telecommunications facilities when so required by the City in accordance with the provisions of RCW 35.99.060, provided that Grantee shall in all such cases have the privilege to temporarily bypass, in the authorized portion of the same street upon approval by the City, any section of its telecommunications facilities required to be temporarily disconnected or removed. If the City determines that the project necessitates the relocation of Grantee's then- existing telecommunications facilities,the City shall: Ordinance 15-014 Fatbeam Telecommunications Franchise Page 6 of 14 A) At least 60 days' prior to the commencement of such improvement project, provide Grantee with written notice requiring such relocation;and B) Provide Grantee with copies of pertinent portions of the plans and specifications for such improvement project and a proposed location for Grantee's telecommunications facilities so that Grantee may relocate its telecommunications facilities in other City rights-of-way in order to accommodate such improvement project. C) After receipt of such notice and such plans and specifications, Grantee shall complete relocation of its telecommunications facilities at no charge or expense to the City so as to accommodate the improvement project in accordance with RCW 35.99.060(2). Grantee may, after receipt of written notice requesting a relocation of its telecommunications facilities, submit to the City written alternatives to such relocation. The City shall evaluate such alternatives and advise Grantee in writing if one or more of the alternatives are suitable to accommodate the work which would otherwise necessitate relocation of the telecommunications facilities. If so requested by the City, Grantee shall submit additional information to assist the City in making such evaluation. The City shall give each alternative proposed by Grantee full and fair consideration. In the event the City ultimately determines that there is no other reasonable alternative, Grantee shall relocate its telecommunications facilities as otherwise provided in this section. The provisions of this section shall in no manner preclude or restrict Grantee from making any arrangements it may deem appropriate when responding to a request for relocation of its telecommunications facilities by any person or entity other than the City, where the telecommunications facilities to be constructed by said person or entity are not or will not become City owned, operated or maintained facilities,provided that such arrangements do not unduly delay a City construction project. If the City or a contractor for the City is delayed at any time in the progress of the work by an act or neglect of the Grantee or those acting for or on behalf of Grantee, then Grantee shall indemnify, defend and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries,damages, losses or suits including attorney fees to the extent arising out of or in connection with such delays, except for delays and damages caused by the City. This provision may not be waived by the parties except in writing. Section 20. Abandonment of Grantee's Telecommunications Facilities. No facility constructed or owned by Grantee may be abandoned without the express written consent of the City,which consent shall not be unreasonably withheld. The City has discretion and authority to direct Grantee to remove a facility abandoned by Grantee (whether or not the entity had permission to abandon the facility) and restore the rights-of-way to their pre-removal condition when: (a)a City project involves digging that will encounter the abandoned facility; (b) the abandoned facility poses a hazard to the health, safety, or welfare of the public;(c)the abandoned facility is 24 inches or less below the surface of the rights-of-way and the City is reconstructing or resurfacing a street over the rights-of-way;or(d)the abandoned facility has collapsed, broke,or otherwise failed. Grantee may, upon written approval by the City, delay removal of the abandoned facility until such time as the City commences a construction project in the rights-of-way unless(b)or(d) above applies. When (b)or(d)applies, Grantee shall remove the abandoned facility from the rights-of-way as soon as weather conditions allow,unless the City expressly allows otherwise in writing. The expense of the removal, and restoration of improvements in the rights-of-way that were damaged by the facility or by the removal process, shall be the sole responsibility of the Grantee. If Grantee fails to Ordinance 15-014 Fatbeam Telecommunications Franchise Page 7 of 14 remove the abandoned facilities in accordance with the above, then the City may incur costs to remove the abandoned facilities and restore the rights-of-way, and is entitled to reimbursement from Grantee for such costs, including reasonable attorney's fees and costs. Section 21. Maps and Records Required. Grantee shall provide the City,at no cost to the City: A) A route map that depicts the general location of the Grantee's telecommunications facilities placed in the rights-of-way. The route map shall identify telecommunications facilities as aerial or underground and is not required to depict cable types, number of fibers or cables, electronic equipment,and service lines to individual subscribers. Grantee shall also provide an electronic map of the aerial/underground telecommunications facilities in relation to the right-of-way centerline reference to allow the City to add this information to the City's Geographic Information System ("GIS") program. The information in this subsection shall be delivered to the City by December 1, annually. B)In connection with the construction of any City project,Grantee shall provide to the City,upon the City's reasonable request, copies of available drawings in use by Grantee showing the location of such telecommunications facilities. Grantee shall field locate its telecommunications facilities in order to facilitate design and planning of City improvement projects. C) Upon written request of the City, Grantee shall provide the City with the most recent update available of any plan of potential improvements to its telecommunications facilities within the franchise area; provided, however, any such plan so submitted shall be deemed confidential and for informational purposes only, and shall not obligate Grantee to undertake any specific improvements within the franchise area. The information in this subsection shall be delivered to the City by December 1,annually. D) In addition to the requirements of subsection 1 of this section,the parties agree to periodically share GIS files upon written request, provided Grantee's GIS files are to be used solely by the City for governmental purposes. Any files provided to Grantee shall be restricted to information required for Grantee's engineering needs for construction or maintenance of telecommunications facilities that are the subject of this franchise. Grantee is prohibited from selling any GIS information obtained from City to any third parties. E) Public Disclosure Act. Grantee acknowledges that information submitted to the City may be subject to inspection and copying under the Washington Public Disclosure Act codified in chapter 42.56 RCW. Grantee shall mark as "PROPRIETARY/CONFIDENTIAL" each page or portion thereof of any documentation/information which it submits to the City and which it believes is exempt from public inspection or copying. The City agrees to timely provide Grantee with a copy of any public disclosure request to inspect or copy documentation/information which the Grantee has provided to the City and marked as "PROPRIETARY/CONFIDENTIAL" prior to allowing any inspection and/or copying as well as provide the Grantee with a time frame, consistent with RCW 42.56.520, to provide the City with its written basis for non-disclosure of the requested documentation/information. In the event the City disagrees with the Grantee's basis for non-disclosure, the City agrees to withhold release of the requested documentation/ information in dispute for a reasonable amount of time to allow Grantee an opportunity to file a legal action under RCW 42.56.540. Section 22. Limitation on Future Work. In the event that the City constructs a new street or reconstructs an existing street, Grantee shall not be permitted to excavate such street except as set forth in the City's then-adopted regulations relating to street cuts and excavations. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 8 of 14 Section 23. Reservation of Rights by City. The City reserves the right to refuse any request for a permit to extend telecommunications facilities. Any such refusal shall be supported by a written statement from the Public Works Director that extending the telecommunications facilities, as proposed, would interfere with the public health,safety or welfare. Section 24. Remedies to Enforce Compliance. In addition to any other remedy provided herein,the City reserves the right to pursue any remedy to compel or force Grantee and/or its successors and assigns to comply with the terms hereof,and the pursuit of any right or remedy by the City shall not prevent the City from thereafter declaring a forfeiture or revocation for breach of the conditions herein. Section 25. City Ordinances and Regulations. Nothing herein shall be deemed to direct or restrict the City's ability to adopt and enforce all necessary and appropriate ordinances regulating the performance of the conditions of this franchise, including any reasonable ordinances made in the exercise of its police powers in the interest of public safety and for the welfare of the public. The City shall have the authority at all times to control by appropriate regulations the location, elevation, and manner of construction and maintenance of any telecommunications facilities by Grantee, and Grantee shall promptly conform with all such regulations,unless compliance would cause Grantee to violate other requirements of law. In the event of a conflict between the Municipal Code and this franchise,City Code shall control. Section 26. Vacation. The City may vacate any City road, right-of-way or other City property which is subject to rights granted by this franchise in accordance with state and local law. Any relocation of telecommunications facilities resulting from a street vacation shall require a minimum of 180 days' notice as provided in section 37. In the event of a street vacation, the City shall include in the vacation ordinance a reserved easement for the continued location of Grantee's facilities. Section 27. Indemnification. A)Grantee hereby covenants not to bring suit and agrees to indemnify,defend and hold harmless the City, its officers, employees, agents and representatives from any and all claims, costs, judgments, awards or liability to any person arising from injury, sickness or death of any person or damage to property of any nature whatsoever relating to or arising out of this franchise agreement; except for injuries and damages caused solely by the negligence of the City. This includes but is not limited to injury: 1) For which the negligent acts or omissions of Grantee, its agents, servants, officers or employees in performing the activities authorized by a franchise are a proximate cause; 2)By virtue of Grantee's exercise of the rights granted herein; 3) By virtue of the City permitting Grantee's use of the City's rights-of-ways or other public property; 4)Based upon the City's inspection or lack of inspection of work performed by Grantee, its agents and servants, officers or employees in connection with work authorized on the facility or property over which the City has control,pursuant to a franchise or pursuant to any other permit or approval issued in connection with a franchise; 5) Arising as a result of the negligent acts or omissions of Grantee, its agents,servants, officers or employees in barricading, instituting trench safety systems or providing other Ordinance 15-014 Fatbeam Telecommunications Franchise Page 9 of 14 adequate warnings of any excavation,construction or work upon the facility, in any right- of-way, or other public place in performance of work or services permitted under a franchise;or 6) Based upon radio frequency emissions or radiation emitted from Grantee's equipment located upon the facility, regardless of whether Grantee's equipment complies with applicable federal statutes and/or FCC regulations related thereto. 13) Grantee's indemnification obligations pursuant to subsection 1 of this section shall include assuming liability for actions brought by Grantee's own employees and the employees of Grantee's agents, representatives, contractors and subcontractors even though Grantee might be immune under RCW Title 51 from direct suit brought by such an employee. It is expressly agreed and understood that this assumption of potential liability for actions brought by the aforementioned employees is limited solely to claims against the Cityarising by virtue of Grantee's exercise of the rights set forth in a franchise. The obligations of Grantee under this subsection have been mutually negotiated by the parties,and Grantee acknowledges that the City would not enter into a franchise without Grantee's waiver. To the extent required to provide this indemnification and this indemnification only,Grantee waives its immunity under RCW Title 51. C) Inspection or acceptance by the City of any work performed by Grantee at the time of completion of construction shall not be grounds for avoidance of any of these covenants of indemnification. Provided,that Grantee has been given prompt written notice by the City of any such claim,said indemnification obligations shall extend to claims which are not reduced to a suit and any claims which may be compromised prior to the culmination of any litigation or the institution of any litigation. The City has the right to defend or participate in the defense of any such claim,and has the right to approve any settlement or other compromise of any such claim. D) In the event that Grantee refuses the tender of defense in any suit or any claim, said tender having been made pursuant to this section,and said refusal is subsequently determined by a court having jurisdiction (or such other tribunal that the parties shall agree to decide the matter), to have been a wrongful refusal on the part of Grantee,then Grantee shall pay all of the City's costs for defense of the action, including all reasonable expert witness fees, reasonable attorney fees, the reasonable costs of the City of recovering under this subsection. E) Grantee's duty to defend, indemnify and hold harmless City against liability for damages caused by the concurrent negligence of(a) City or City's agents, employees,or contractors, and (b) Grantee or Grantee's agents, employees, or contractors, shall apply only to the extent of the negligence of Grantee or Grantee's agents,employees,or contractors. In the event that a court of competent jurisdiction determines that a franchise is subject to the provisions of RCW 4.24.115, thep arties agree that the indemnity provisions hereunder shall be deemed amended to conform to said statute and liability shall be allocated as provided herein. F)Notwithstanding any other provisions of this section,Grantee assumes the risk of damage to its telecommunication facilities located in the rights-of-way and upon City-owned property from activities conducted by the City, its officers, agents, employees and contractors, except to the extent any such damage or destruction is caused by or arises from any willful or malicious action or gross negligence on the part of the City, its officers,agents,employees or contractors. Grantee releases and waives any and all such claims against the City, its officers, agents, employees or contractors. Grantee further agrees to indemnify, hold harmless and defend the City against any claims for damages, including, but not limited to, business interruption damages and lost profits, brought by or under users of Grantee's facilities as the result of any interruption of service due to Ordinance 15-014 Fatbeam Telecommunications Franchise Page 10 of 14 damage or destruction of Grantee's facilities caused by or arising out of activities conducted by the City, its officers, agents, employees or contractors, except to the extent any such damage or destruction is caused by or arises from the sole negligence or any willful or malicious actions on the part of the City,its officers,agents,employees or contractors. G) The provisions of this section shall survive the expiration, revocation or termination of this franchise. Section 28. Insurance. Grantee shall procure and maintain for the duration of the franchise, insurance against claims for injuries to persons or damages to property which may arise from or in connection with the exercise of the rights,privileges and authority granted hereunder to Grantee, its agents,representatives or employees. Grantee's maintenance of insurance as required by this franchise shall not be construed to limit the liability of the Grantee to the coverage provided by such insurance, or otherwise limit the City's recourse to any remedy available at law or in equity. A) Automobile Liability insurance with limits no less than $1,000,000 Combined Single Limit per accident for bodily injury and property damage. This insurance shall cover all owned, non- owned, hired or leased vehicles used in relation to this franchise. 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; and B) Commercial General Liability insurance shall be written on Insurance Services Office (ISO) occurrence form CG 00 01,or a substitute form providing equivalent liability coverage acceptable to the City, and shall cover products liability. The City shall be named as an insured under Grantee's Commercial General Liability insurance policy using ISO Additional Insured-State or Political Subdivisions-Permits CG 20 12 or a substitute endorsement acceptable to the City providing equivalent coverage. Coverage shall be written on an occurrence basis with limits no less than$1,000,000 Combined Single Limit per occurrence and$2,000,000 general aggregate for personal injury,bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual;products/completed operations; broad form property; explosion, collapse and underground(XCU);and Employer's Liability. The insurance policies are to contain,or be endorsed to contain,the following provisions for Commercial General Liability insurance: A)Grantee's insurance coverage shall be primary insurance with respect to the City as outlined in the Indemnification section of this franchise. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be in excess of Grantee's insurance and shall not contribute with it. B)Grantee's insurance shall be endorsed to state that coverage shall not be cancelled,except after 30 days' prior written notice has been given to the City. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. Grantee shall furnish the City with original certificates and a copy of any amendatory endorsements, including the additional insured endorsement, evidencing the insurance requirements of the Grantee prior to the adoption of this Ordinance. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 11 of 14 Any failure to comply with the reporting provisions of the policies required herein shall not affect coverage provided to the City,its officers,officials,employees or volunteers. Section 29. Performance Bond Relating to Construction Activity. Before undertaking any of the work, installation, improvements, construction, repair, relocation or maintenance authorized by this franchise, Grantee,or any parties Grantee contracts with to perform labor in the performance of this franchise,shall, upon the request of the City,furnish a bond executed by Grantee or Grantee's contractors and a corporate surety authorized to operate a surety business in the State of Washington, in such sum as may be set and approved by the City,not to exceed$25,000,as sufficient to ensure performance of Grantee's obligations under this franchise.The bond shall be conditioned so that Grantee shall observe all the covenants,terms and conditions and shall faithfully perform all of the obligations of this franchise,and to repair or replace any defective work or materials discovered in the City's road,streets,or property. Said bond shall remain in effect for the life of this franchise. In the event Grantee proposes to construct a project for which the above-mentioned bond would not ensure performance of Grantee's obligations under this franchise, the City is entitled to require such larger bond as may be appropriate under the circumstances. Section 30. Modification. The City and Grantee hereby reserve the right to alter, amend or modify the terms and conditions of this franchise upon written agreement of both parties to such alteration, amendment or modification. Section 31. Forfeiture and Revocation. If Grantee willfully violates or fails to comply with any of the provisions of this franchise, or through willful or unreasonable negligence fails to heed or comply with any notice given Grantee by the City under the provisions of this franchise, and an adequate opportunity to cure the violation or non-compliance has been given in writing to Grantee, then Grantee shall, at the election of the City, forfeit all rights conferred hereunder and this franchise may be revoked or annulled by the City after a hearing held upon reasonable notice to Grantee. The City may elect, in lieu of the above and without any prejudice to any of its other legal rights and remedies,to obtain an order from the Spokane County Superior Court compelling Grantee to comply with the provisions of this franchise and to recover damages and costs incurred by the City by reason of Grantee's failure to comply. Section 32. Assignment. This franchise may not be assigned or transferred without the written approval of the City,except that Grantee can assign this franchise without approval of, but upon notice to the City from any parent, affiliate or subsidiary of Grantee or to any entity that acquires all or substantially all the assets or equity of Grantee,by merger,sale,consolidation or otherwise. Section 33. Acceptance. Not later than 60 days after passage of this Ordinance,Grantee shall accept the franchise herein by filing with the City Clerk an unconditional written acceptance thereof. Failure of Grantee to so accept this franchise within said period of time shall be deemed a rejection thereof by Grantee, and the rights and privileges herein granted shall, after the expiration of the 60-day period, absolutely cease,unless the time period is extended by ordinance duly passed for that purpose. Section 34. Survival. All of the provisions,conditions and requirements of sections: 5, 6, 7, 13, 16, 17, 18, 19,20,27,28, 29,37, 38 and 39 of this franchise shall be in addition to any and all other obligations and liabilities Grantee may have to the City at common law, by statute,by ordinance,or by contract, and shall survive termination of this franchise, and any renewals or extensions hereof. All of the provisions, conditions, regulations and requirements contained in this franchise shall further be binding upon the heirs, successors, executors, administrators, legal representatives and assigns of Grantee and City and all privileges, as well as all obligations and liabilities of Grantee shall inure to their respective heirs, successors and assigns equally as if they were specifically mentioned herein. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 12 of 14 Section 35. Severability. If any section,sentence,clause or phrase of this Ordinance should be held to be invalid or unconstitutional by a court of competent jurisdiction,such invalidity or unconstitutionality shall not affect the validity or constitutionality of any other section, sentence, clause or phrase of this Ordinance. In the event that any of the provisions of the franchise are held to be invalid by a court of competent jurisdiction,the City reserves the right to reconsider the grant of the franchise and may amend, repeal,add,replace or modify any other provision of the franchise,or may terminate the franchise. Section 36. Renewal. Application for extension or renewal of the term of this franchise shall be made no later than 180 days of the expiration thereof. hi the event the time period granted by this franchise expires without being renewed by the City, the terms and conditions hereof shall continue in effect until this franchise is either renewed or terminated by the City. Section 37. Notice. Any notice or information required or permitted to be given by or to the parties under this franchise may be sent to the following addresses unless otherwise specified,in writing: The City: City of Spokane Valley Attn:City Clerk 11707 East Sprague Avenue,Suite 106 Spokane Valley,WA 99206 Grantee: Fatbeam Attn: Kim Devlin 2065 West Riverstone Drive, Suite 105 Coeur d'Alene,ID 83814 Phone:(509)344-1008 Facsimile:(509)344-1009 Section 38. Choice of Law. Any litigation between the City and Grantee arising under or regarding this franchise shall occur, if in the state courts, in the Spokane County Superior Court, and if in the federal courts,in the United States District Court for the Eastern District of Washington. Section 39. Non-Waiver. The City shall be vested with the power and authority to reasonably regulate the exercise of the privileges permitted by this franchise in the public interest. Grantee shall not be relieved of its obligations to comply with any of the provisions of this franchise by reason of any failure of the City to enforce prompt compliance, nor does the City waive or limit any of its rights under this franchise by reason of such failure or neglect. Section 40. Entire Agreement. This franchise constitutes the entire understanding and agreement between the parties as to the subject matter herein and no other agreements or understandings, written or otherwise, shall be binding upon the parties upon execution and acceptance hereof. This franchise shall also supersede and cancel any previous right or claim of Grantee to occupy the City roads as herein described. Section 41. Effective Date. This Ordinance shall be in full force and effect five days after publication of the Ordinance or a summary thereof occurs in the official newspaper of the City of Spokane Valley as provided by law. Ordinance 15-014 Fatbeam Telecommunications Franchise Page 13 of 14 PASSED by the City Council this 28th day of July,2015. Dean Grafos,Mayor A S Christine Bainbridge,City Clerk Approved a. • Form: O o the Ci f*Z1( Date of Publication:August 7,2015 Effective Date:August 12,2015 Accepted by Fatb By: Name and o a acityy?;�345 The Grantee, Fatbeam, for itself, and for its successors and assigns, does accept all of the terms and conditions of the foregoing franchise. IN WITNESS WHEREOF, L1?.G ( -e- i, Pra-c- c-►.. has signed this b day of 2015. Subscribed and sworn before me this J day of ,2015. ooluuniii%i `\ 011 N /7. D.cp,RY s Notary Public in and for the State of h i+o .\C, E JG residing in k--co-r&%340 C.o�y��Y or. My commission expires !l is"(2-t. "I,,, STATE O��' '��III 11 11I1�� Ordinance 15-014 Fatbeam Telecommunications Franchise Page 14 of 14 : � txr•� -. t s .�#%Ss • r-i , ,. * - --.--.. li.,;,.1 4• i•,&•,' i o-,,',1`.t...1 .;...,:°- ...T.i,- ,. -,. --..-e,„,„--, .i.*. f,,. e „,,,,,,, ,- -'— ' .. ' '-- -- ' ''' 3' +"� vrt - r i ai � 1 ,.,01-.',-.':,`,-:;,`,•.:1:- - p '-'''''''i;:: .,, ,,,,,: „,,. ..... ,, .. 4'..T: . it, ''-. 4 i L • (3 . ," , = .6 � [[1. � ' • ‘iit • jjj '`;71`Y sz.„,. .-r. ' .q : '3'�Wi.-„'1 � , 4--.-i'4-4;, ''r e } 1 Fk ' , --11,1. ..-- p{ '''''C'' �F4 . �yDb Av +' ( tat1 , ' x"` _ � :4 :-.----77,1 ..'; 1 t . ':.i. �`i' de y �' ' 4:‘,:-.;-.17-i- 45 + "' '' Y• ,...,'..',1'.:;' # t.y . .,+ .s g sP ✓tkl: •wt. + r' -{ 3y -.' � tJi qF'°—,i,: *.-: ._,-,_',' •t • .+ i 3 v iYi sxr ' ', 1f '`hy } x ' . . t -F t'R� s -.154•:;.,:;V:".. ,$ F' 4'f••.';':'rx. P''.:'••--44-'.4..„-i-.- Vsa+ :" i!tr.x I 7i i � F:”{'b5s � I4.e 4,..,,,,,,:,-,..,,,,.,,,.-/:‘,. e�^tr . $:.,,..,1,,y.,, •ti,.lq.4a??ea ` ,„;;,1_,..,-;;...4 ..--;,4-,.., t ,; y -r . Y� t " . "t q + :4> % Ny3 ` 3 f � w 244 ` t1i i, .:,-(-41;:;-j-- k ` sY ,. 7,,.t. '6yP '1 omai - ' . f " -,i;111;:....-'3:,-.... ,.a + ` 444 :.,;„• ••• •i. f s y iZ _>f,� '0-71 it •r}': !. H- .,e..." ti.�:a T ., ',1 +'X 4 lykti .iYtit 33iC+e '' �t } z t' tx� iiW1 '� 'r t1 ,,,..A.,,,,,,;%,.., i✓ µ . ~ tty ' '' t ra '-, : - • s_'yy, ' r- a6 'S r 4r ' • •ywiIxatnan' '1.3.';'44-%•=•-11^' # '— t-i 4 -`• =s.isN'1 s • ..... ,. .• .. : • • 2 -*-7? ,: rr '.' .ry 3'S454� - 't • • •}4t•# ' 1 F. ` r , P,c> ".ma . F'ma �x' `�` 1::- : � 7 ,ti liP$ :,:t; _ . :=' r1+-, .3v f v' r4 -- y p �i,`!T1w. . .hx.rf' . * ,:.:4,.....,?......p '^f .,,,:.:if',.....-7,2-,i- J.,...,:' ,a. q. S a.,s: ei,„,,,,,,,,... .,. k4d Y � f „ ` `.� a§ ,s � ?xYomf,1 B r wQ14rH' i 'x" .,; ,°S ,.r .L _ E..:'Z' ''',' .f ;,..R.- x : -- ~ fi z4.t 45,1 � . ts }max . Xasi' kr t � ��. -- :,-i.,.:. t- 6 R r_' � 4i . r .'-',.:.,,,-;-,1,-;.--,:''' ',.M- 'L ., .4 M'* t i " sal ., qy ; - � ,r' * R""*.-412114:7-1-4,- De t t x't..4.- t v5' i � 3- 3 - , ,...., „, •s�,pr •n5'"" vr" : i ( t1 , • .• ."3 , Viiii.4. .:w✓'i�7 ' 4a _ ry n � .i.e-V4.; 3u` 4r�•� zcD. .�- -;1-', . �. • •$.14..,---.., C, a "'. 4 � ,"r 9 r+ t 11.14.t i ) " t` k ..•` _ y '• ' s. 4.Xc }t +, r.yy't`� ' •yL1 . > � J �'ais; ' ..--„,.,,„...,,i,,,,,,,.�I b " „.4,,,,..0y}, ry gpiEtYtr..1 .‘44.•."'"14....3.....6- ,. € }:Q N ' ` : ';`,4",..' ° Sr '. 7'l "' '.sEr, tTi "5 s , ,�.q",',.`. r� ts ; 1s+.J �' a } ft4" L. • • tic V's i i i;,. -� �r:t • W � '* _ .s. .,,- ,-111...., ' ?I .' '.i.;-:‘,#i'tti,, i777 n1, -a Fi ., tLL...`~t ” tr` 1,,-.0;.•:::--:y. ' �:. :'".^=7:!;- ..a .� Q 1ttti tJt_ -4.- - x s • IZ. i C! �i 'tit.-p_ 1.11 ill ,••..41 FATBLLC-01 JKLEIN '41YY) �. CERTIFICATE OF LIABILITY INSURANCE DATE 7/31/201(AUNDO5 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). PRODUCERNAONMTT CT Kim Johanson,CIC Moloney O'Neiil/Alliant Insurance Services Inc. PHONE325-3024 I FAX 818 W.Riverside Ste 800 1A .NEXt) o. :mos) to : Spokane,WA 991 /C 01 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC if INSURER A:Travelers Property Casualty Co of Amer 25674 INSURED INSURER 8:Travelers Indemnity Company 25658 Fatbeam LLC INSURER C: 2065 W Riverside#105 INSURER 0: Coeur D Aiene,ID 83814 INSURERE: INSURER F: I 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 UNITS LTR TYPE OF INSURANCE INS() WVDI POLICY NUMBER (MM/DD/YYYY) (MM/DO/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Is 1,000,000 X ZLP91M139821415 09/01/2014 09/01/2015 D €aTEO s 300,000 CLAIMS-MADE OCCUR X PREMISES(Ea occurrence) I MED EXP(Any one person) I(i3 10,000 PERSONAL&ADV INJURY Is 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$ 2,000,000 POUCY X INN I I LOC PRODUCTS-COMP/OP AGG I s 2,000,000 OTHER: I$ AUTOMOBILE LIABILITY CO BINEq I NGLE LIMIT s 1,000,000 B X ANY AUTO BA9E81338014 09/01/2014 09/01/2015 BODILY INJURY(Per person) s X ALLOOWNED —SCHEDULED BODILY INJURY(Per accident) S DAMAGE X HIRED AUTOS X AUTOS ED 1Perr accident)TY S x Auto EnhancementI�X / .530310 Al S UMBRELLA LIAB ^S78OCCUR EACH OCCURRENCE s EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ s WORKERS COMPENSATION PER I WH- AM)EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECl1TIVE 1!NI N 1 A EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EL.DISEASE-EA EMPLOYEd S H yes,describe DESCRIPTION OF OPERATIONS below _ EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom apace Is required) RE:Ordinance#15-014 City of Spokane Valley Is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured. Coverage is Primary/Non-Contributory. See forms attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 11707 E Sprague Ave,Suite 106 Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE 01988-2014 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. TECHNOLOGY XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, cover- age 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 coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Reasonable Force Property Damage - J. Blanket Additional Insured - Lessors Of Exception To Expected Or Intended In- Leased Equipment jury Exclusion B. Non-Owned Watercraft Less Than 75 K. Blanket Additional Insured - Persons Or Feet Organizations For Your Ongoing Opera- tions As Required By Written Contract Or Agreement C. Aircraft Chartered With Pilot L. Blanket Additional Insured - Broad Form Vendors D. Damage To Premises Rented To You M. Who Is An Insured - Unnamed Subsidi- aries E Increased Supplementary Payments N. For Con- ductt Of Unnamed Partnerships ho Is An insured - iOr Joint Ventures F. Who Is An Insured - Employees And 0. Medical Payments - Increased limits Volunteer Workers - First Aid G. Who Is An Insured - Employees - Su- p, Contractual Liability - Railroads pervisory Positions it Who Is An Insured - Newly Acquired Or Q, Knowledge And Notice Of Occurrence Formed Organizations Or Offense I. Blanket Additional Insured - Owners, R. Unintentional Omission Managers Or Lessors Of Premises S. Blanket Waiver Of Subrogation PROVISIONS age" expected or intended from the A. REASONABLE FORCE PROPERTY DAMAGE - standpoint of the insured. This exoy- EXCEPTION TO EXPECTED OR INTENDED or does not apply to "bodily Injury" or "property damage" resulting from INJURY EXCLUSION the use of reasonable force to protect The following replaces Exclusion a, Ex- any person or property. petted Or Intended Injury, in Paragraph 2., B. NON-OWNED WATERCRAFT LESS THAN 75 of SECTION I - COVERAGES - COVERAGE FEET A BODILY INJURY AND PROPERTY DAMAGE The following replaces Paragraph l21 of LIABILITY: Exclusion g., Aircraft, Auto Or Watercraft, in a. Expected Or Intended Injury Or Damage Paragraph 2. of SECTION I - COVERAGES - "Bodily injury" or "property dam- COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: CG 044 17 01 12 O 2012 The Travelers Indemnity Company. All rights reserved Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. (2) A watercraft you do not own that a. The amount shown for the is: Damage To Premises Rented To and You Limit on the Declarations (a) Less than 75 feet long; of this Coverage Part; or OA Not being used to carry any per- b. $300,000 if no amount is shown son or property for a charge. for the Damage To Premises C. AIRCRAFT CHARTERED WITH PILOT Rented To You Limit on the Declarations of this Coverage The following is added to Exclusion g., Part. Aircraft, Auto Or Watercraft, in Paragraph 4. The following replaces Paragraph a. of C. of SECTION I - COVERAGES - COVERAGE A BODILY INJURY AND the definition of "insured contract" in PROPERTY DAMAGE LIABILITY: the DEFINITIONS Section: This exclusion does not apply to an a A contract for a lease of premises. aircraft that is: However, that portion of the con- tract for a lease of premises that (a) Chartered with a pilot to any in- indemnifies any person or organize- sured; tion for "premises damage" is not (6) Not owned by any insured; and an "insured contract"; 5. The following is added to the (c) Not being used to carry any person DEfNimONS Section: or property for a charge. D. DAMAGE TO PREMISES RENTED TO YOU "Premises damage" means "property damage" to: 1. The first paragraph of the excep- a Any premises while rented to you tions in Exclusion j., Damage To or temporarily occupied by you Property, in Paragraph 2. of SECTION I with permission of the owner; or COVERAGES - COVERAGE A BODILY The contents of any premises while INJURY AND PROPERTY DAMAGE such premises is rented to you, if LIABILITY is deleted. you rent such premises for a pe- t The following replaces the last Hod of seven or fewer consecutive paragraph of Paragraph 2., Exdu- days. dons, of SECTION I - COVERAGES - 6. The following replaces Paragraph COVERAGE A BODILY INJURY AND 4.1t.(10) of SECTION N - COMMERCIAL PROPERTY DAMAGE LIABILITY: GENERAL LIABILITY CONDITIONS: Exclusions C., 9. and h., and Para- (b) That is insurance for "premises graphs (1), (3) and (4) of Exclusion j., damage"; or do not apply to "premises damage". Exclusion fd1)(a) does not apply to 7. Paragraph 4.b.(1)(C) of SECTION IV - "premises damage" caused by fire COMMERCIAL GENERAL LIABILITY unless Exclusion f. of Section I - CONDITIONS is deleted. Coverage A - Bodily Injury And E. INCREASED SUPPLEMENTARY PAYMENTS Property Damage Liability is re- placed by another endorsement to 1. The following replaces Paragraph 1.b. this Coverage Part that has Exclu- of SUPPLEMENTARY PAYMENTS - sion - All Pollution Injury Or Dam- COVERAGES A AND B of SECTION I - age or Total Pollution Exclusion in COVERAGES: its title. A separate limit of insur- ance applies to "premises damage" b. Up to $2,500 for cost of bail as described in Paragraph 6. of Sec- bonds required because of acci- tion III - Limits Of Insurance. dents or traffic law violations aris- 3. The followingreplaces Paragraph 6. ing out of the use of any vehicle of SECTI - LIMITS to which the Bodily Injury Liability Coverage INSURANCE: to furnish theses do not have bods. 6. Subject to 5. above, the Damage 2. The following replaces Paragraph 1.d. To Premises Rented To You of SUPPLEMENTARY PAYMENTS - Limit is the most we will pay COVERAGES A AND B of SECTION I - under Coverage A for damages COVERAGES: because of "premises damage" to any one premises. d. All reasonable expenses incurred by The Damage To Premises Rented the insured at our request to assist Toh You Limit will be: us in the investigation or defense Page 2 of 6 0 2012 The Travers Indemnity Company. All ridits reserved. CG 04 17 01 12 of the claim or "suit", including G. WHO IS AN SOURED - EMPLOYEES - actual loss of earnings up to SUPERVISORY POSITIONS $500 a day because of time off The following is added to Paragraph 2.a(1) from work. of SECTION II - WHO IS AN INSURED: F. WHO IS AN INSURED - EMPLOYEES AND VOLUNTEER WORKERS - FIRST AID Paragraphs {1ue), Ib) and (c) above do not apply to "bodily injury" or "personal in- 1. The following is added to the def i- jury" to a co-"employee" in the course of nition of "occurrence" in the the co-"employee's" employment by ,you DEFNmONS Section: arising out of work by any of your '-em- Unless you are in the business or ployees" who hold a supervisory position. occupation of providing professional H. WHO IS AN INSURED - NEWLY ACQUIRED OR health care services, "occurrence" FORMED ORGANIZATIONS also means an act or omission committed by any of your "em- The following replaces Paragraph 4. of ployees" or "volunteer workers", SECTION I - WHO IS AN INSURED of the other than an employed or volunteer Commercial General Liability Coverage doctor, in providing or failing to Form, and Paragraph 3. of SECTION II - provide first aid or "Good Semari- WHO IS AN INSURED of the Global Corn- tan services" to a person. panion Commercial General Liability Cov- erage2 The followingis added to Paragraph Form, to the extent such coverage forms are part of your policy: 2.a.(1) of SECTION II - WHO IS AN INSURED: Any organization you newly acquire or form, other than a partnership or joint Unless you are in the business or venture, of which you arethe sole owner occupation of providing professional or in which you maintain the majority health care services, Paragraphs (1 ownership interest, will qualify as a He), (Ii), (c) and {d) above do not ap- Named Insured if there Is no other insur- ply to "bodily injury" arising out of once which provides similar coverage to providing or failing to provide first that organization. However. aid or "Good Samaritan services" by any of your "employees" or a forded Coverage under this provision is af- "volunteer workers", other than an r. employed or volunteer doctor. Any (1) Until the 180th day after you ac- of your "employees" or "volunteer quire or form the organization or workers" providing or failing to the end of the policy period, provide first aid or "Good Samara- whichever is earlier, if you do not tan services" during their work report such organization in writing hours for you will be deemed to be to us within 180 days after you acting within the scope of their acquire or form it; or employment by you or performing duties related to the conduct of (21 Until the end of the policy period, your business. when that date is later than 180 3. The followin is added to Paragraph days after you acquire or form 5. of SECTION III - LIMITS OF such organization, if you report such organization in writing to us INSURANCE within 180 days after you acquire For the purposes of determining the or form it, and we agree in writing applicable Each Occurrence Limit, all that it will continue to be a Named related acts or omissions commit- Insured until the end of the policy ted by any of your "employees" or period; "volunteer workers" in providing or b. Coverage A does not apply to "bodily failing to provide first aid or "Good injury" or "property damage" that oc- Samaritan services" to any one per- curred before you acquired or formed son will be deemed to be one "ac- the organization; and currence". s added to the c. Coverage B does not apply to "per- 4. TheDFINITIONS following Section: sonal injury" or "advertising injury" arising out of an offense committed "Good Samaritan services" means before you acquired or formed the or- any emergency medical services for ganizetion. which no compensation is demanded or received. CG D4 17 01 12 C 2012 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 t..-ILLI..•. -wN.wl,th$ d -.M"A.t .., tww..,..www Cw...i..nw A,E.... i,.. ...i,i. Nw .....ww.w..i.... 1 BLANKET ADDITIONAL INSURED - OWNERS, and executed that contract or agree- MANAGERS OR LESSORS OF PREMISES ment; and The following is added to SECTION II - II. Is caused, in whole or in part, by your WHO IS AN INSURED: acts or omissions In the performance or organization that is a of your ongoing operations to which Any person9 that contract or agreement applies or premises owner, manager or lessor is the acts or omissions of any person an insured, but only with respect to li- or organization performing such opera- ability arising out of the ownership, tions on your behalf. maintenance or use of that part of any premises leased to you. The limits of insurance provided to such The insurance provided to such prem- insured will be the limits which you agreed to provide in the written contract ises owner, manager or lessor doesor agreement, or not apply to: Declarations,swhicheveriaresshown in the less. t a. Any "bodily injury" or "property L BLANKET ADDITIONAL INSURED - BROAD damage" caused by an "occurrence" FORM VENDORS jury" takes place, or "personal in- jury" or "advertising injury" caused The following is added to SECTION II - by an offense that is committed, WHO IS AN INSURED: after you cease to be a tenant in that premises; or Any person or organization that is a ven- b. Structural alterations, new construe- dor and that you have agreed in a written tion or demolition operations per- contract or agreement to include as an P additional insured on this Coverage Part formed by or on behalf of such is an insured, but only with respect to Ii- premises owner, manager or lessor. ability for "bodily injury" or "property .L BLANKET ADDITIONAL INSURED - LESSORS damage" that: OF LEASED EQUIPMENT a. Is caused by an "occurrence" that takes The following is added to SECTION 11 - place after you have signed and exe- WHO IS AN INSURED: cuted that contract or agreement; and Any person or organization that is an b: Arises out of "your products" which equipment lessor is an insured, but only are distributed or sold in the regular with respect to liability for "bodily in- course of such vendor's business. jury", "property damage", "personal in- The insurance provided to such vendor is jury" or "advertising injury" caused, in subject to the following provisions: whole or in part, by your acts or omis- sions in the maintenance, operation or a. The limits of insurance provided to use by you of equipment leased to you such vendor will be the limits which by such equipment lessor. you agreed to provide in the written The insurance provided to such equipment contract or agreement, or the limits lessor does not apply to any "bodily In- shown in the Declarations, whichever ,fury' or "property damage" caused by an are less. occurrence that takes place, or per- b. The insurance provided to such vendor sonal injury" or "advertising injury" does not apply to: caused by an offense that is committed, after the equipment lease expires. (1) Any express warranty not author- K. BLANKET ADDITIONAL INSURED - PERSONS ized by you; OR ORGANIZATIONS FOR YOUR ONGOING (2) Any change In "your products" OPERATIONS AS REQUIRED BY WRITTEN made by such vendor; CONTRACT OR AGREEMENT (3) Repackaging, unless unpacked The following is added to SECTION II - solely for the purpose of inspec- WHO IS AN INSURED: tion, demonstration, testing, or the or organization that is not substitution of parts under Instruc- An t person9 tions from the manufacturer, and otherwise an insured under this Cover- then repackaged in the original con- age Part and that you have agreed in a tainer; written contract or agreement to in- clude as an additional insured on this (4) Any failure to make such inspec- Coverage Part is an insured, but only tions, adjustments, tests or servic- with respect to liability for "bodily in- ing as vendors agree to perform or jury" or "property damage" that: normally undertake to perform in a. Is caused by an "occurrence" that the regular course of business, in takes place after you have signed connection with the distribution or sale of "your products"; Page 4 of 6 e 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 (5) Demonstration, installation, ser- rent or past partnership or joint venture Acing or repair operations, ex- that is not shown as a Named Insured in cept such operations performed the Declarations. This paragraph does not at such vendor's premises in apply to any such partnership or joint connection with the sale of venture that otherwise qualifies as en in- "your products"; or sured under Section 5 - Who Is An In- (6) "Your products" which, after dis- cured. tribution or sale by you, have 0. MEDICAL PAYMENTS — INCREASED LIMITS been labeled or relabeled or The following replaces Paragraph 7. of d gradient of any oot her thing or gas a containpart for SECTION UI — LIMITS OF INSURANCE t substance by or on behalf of 7. Subject to 5. above, the Medical Ex- such vendor. pense Limit is the most we will pay Coverage under this provision does not under Coverage C for all medical ex- apply to: penses because of "bodily injury" sus- tained by any one person, and wilt be a. Any person or organization from the higher of: whom you have acquired "your products", or any ingredient, part or (a) $10,000; or container entering into, accompany- tb) The amount shown on the Declare- ing or containing such products; or tions of this Coverage Part for b. Any vendor for which coverage as Medical Expense Limit. an additional insured specifically is p CONTRACTUAL LIABILITY — RAILROADS scheduled by endorsement. M. WHO IS AN INSURED — UNNAMED 1. The following replaces Paragraph C. of SUBSIDIARIES the definition of "insured contract" in the DEFINITIONS Section: The following is added to SECTION II — c. Any easement or license agree- WHO IS AN INSURED: ment; Any of your subsidiaries, other than a 2. Paragraph f.(1) of the definition of "in- partnership or joint venture, that is not sured contract" in the DEFINITIONS Sec- shown as a Named Insured in the Dec- tion is deleted. larations is a Named Insured if: a You maintain an ownership interest Q KNOWLEDGE AND NOTICE OF OCCURRENCE OR ENSE of more than 60% in such subsidi- ary on the first day of the policy The following is added to Paragraph 2., period; and Duties In The Ever of Occurrence. Offense, b. Such subsidiary is not an insured Claim or Suit, of SECTION IV — COMMERCIAL under similar other insurance. GENERAL LIABILITY CONDITIONS: No such subsidiary is an insured for e. The following provisions apply to "bodily injury" or "property damage" Paragraph a. above, but only for the that occurred, or "personal injury" or purposes of the insurance provided "advertising injury" caused by an of- under this Coverage Part to you or Tense committed: any insured listed in Paragraph 1. or 2. a Before you maintained an ownership of Section II - Who Is An Insured: Interest of more than 50% in such (1) Notice to us of such "occurrence" subsidiary; or or offense must be given as soon b. After the date, if any, during the as practicable only after the "oc- licperiod thatyou no longer currence or offense is known to policy g you (if you are an individual), any maintain an ownership interest of of your partners or members who more than 50% in such subsidiary. is an individual {if you are a part- N. WHO IS AN INSURED — LIABILITY FOR nership or joint venture), any of CONDUCT OF UNNAMED PARiN4ERSHIPS OR your managers who is an individual AIM' VENTURES (if you are a limited liability com- pany), any of your trustees who is The following replaces the last para- an individual (if you are a trust), graph of SEN iI — WHO IS AN any of your "executive officers" or INSURED: directors (if you are an organiza- No person or organization is an insured tion other than a partnership, joint with respect to the conduct of anycur- venture,r' limited liability company or' trust) or any "employee" author- ° CG 04 17 01 12 C 2012 The Travelers Indemnity Company. All rights reserved. Page 6 of 6 Iww/.-Iww www...i..Mw.1 ww../wi wi wf In....,. .,. C ^Irons Mw ...:41. I,w ww.w..wwiwen ized by you to give notice of an However, if this policy includes an en- "occurrence" or offense. dorsement that provides limited cover- age for "bodily injury" or "property (2) If you are a partnership, joint damage" or pollution costs arising out venture, limited liability company of a discharge, release or escape of or trust, and none of your part- "pollutants" which contains a require- ners, joint venture members, ment that the discharge, release or es- managgers or trustees are Indi- cape of "pollutants" must be reported viduais notice to us of such of � to us within a specific number "occurrence" or offense must bet days after its abruptcommencement, y given as soon as practicablethis Paragraph e. does not affect that "occurrence" only after the or requirement. offense is known by: (a) Any individual who is: R UNINTENTIONAL OMISSION G) A partner or of The following is added to Paragraph 6., oinRepresentations, of SECTION IV any partnership member venture; COMMERCIAL GENERAL LIABILITY CONDITIONS: qD A managerof limited The unintentional omission of, or uninten- any tional error In, any information provided liability company; by you which we relied upon in issuing (lID A trustee of any trust; or this policy will not prejudice your rights under this insurance. However, this pro- (Iv) An executive officer or vision does not affect our right to collect director of any other or- additional premium or to exercise our ganization; rights of cancellation or nonrenewal in that is your partner, joint accordance with applicable insurance laws venture member, manager or or regulations. trustee; or S. BLANKET WAVER OF SUBROGATION (h) Any "employee" authorized The following is added to Paragraph 8., by such partnership, joint Transfer Of Rights Of Recovery Against Oth— venture, limited liability corn- ars To Us. of SECTION IV COMMERCIAL pany, trust or other organize- GENERAL LIABILITY CONDITION& tion to give notice of an "occurrence" or offense. If the Insured has agreed in a contract or agreement to waive that insured's right of (3) Notice to us of such "occur- recovery against any person or organize- rence" or offense will be tion, we waive our right of recovery deemed to be given as soon as against such person or organization, but practicable if it is given in good only for payments we make because of: faith as soon as practicable to your workers' compensation in- a. "Bodily injury" or "property damage" surer. This applies only if you caused by an "occurrence" that takes subsequently give notice to us place; or of the "occurrence" or offense perssonsonsdescribedafter in any "Personal injury" or "advertising in- of the p as soon practicablejury" caused by an offense that is Paragraphs e. (1) or (2) above committed; discovers that the "occurrence" subsequent to the execution of the con- or offense may result in sums tract or agreement. to which the insurance provided under this Coverage Part may apply. Page 6 of 6 8 2012 The Travelers Indemnity Cogr a iv.All rights reserved. CG D4 17 01 12 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4. a, named insured, and we will not share with �insurance, of SECTION w — that other insurance, provided that L GENERAL LIABILITY CONDITIONS: CO The "bodily injury" or "property damage" However, if you specifically agree in a writ- for which coverage is sought is caused ten contract or agreement that the insurance by an "occurrence that takes place; and afforded to an additional insured under this (2) The "personal injury" or "advertising in- Coverage Part must apply on a primary ba- jury" for which coverage is sought arises sis, or a primary and non-contributory basis, out of an offense that is committed; this insurance is primary to other insurance that is available to such additional insured subsequent to the signing and execution of which covers such additional insured as a that contract or agreement by you. CG D4 25 07 08 0 2008 The Travelers Companies, Inc. Page 1 of 1 tx-nfS /.� FATBLLC-01 JKLEIN DATE(MM/DDIYYYY) '`��R�� CERTIFICATE OF LIABILITY INSURANCE 9/8/2015 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: Kim Johanson,CIC Moloney O'Neill/Alliant Insurance Services Inc. PHONE 509 325-3024 FAX 818 W.Riverside,Ste 800 (AIC.No,Ext):( ) (A/C,No): Spokane,WA 99201 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:Travelers Property Casualty Co of Amer 25674 INSURED INSURER B: Fatbeam LLC INSURER C: 2065 W Riverside#105 INSURER D: Coeur D Alene,ID 83814 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 EFF POLICY EXP TYPE OF INSURANCE INSD DDL SWVD POLICY NUMBER (MM/DDUBR Y/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X ZLP61M39980 09/01/2015 09/01/2016 PRE MSES EaEoNccu ante) $ 300,000 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 AGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BA8F565992 09/01/2015 09/01/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 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) RE:Ordinance#15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured. Coverage is Primary/Non-Contributory. See forms attached. 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. 11707 E Sprague Ave,Suite 106 Spokane Valley,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. TECHNOLOGY 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 determine rights,duties,and what is and is not covered. A. Reasonable Force Property Damage—Ex- K. Blanket Additional Insured—Persons Or Or- ception To Expected Or Intended Injury Ex- ganizations For Your Ongoing Operations As clusion Required By Written Contract Or Agreement B. Non-Owned Watercraft Less Than 75 Feet L. Blanket Additional Insured—Broad Form C. Aircraft Chartered With Pilot Vendors D. Damage To Premises Rented To You M. Who Is An Insured—Unnamed Subsidiaries E. Increased Supplementary Payments N. Who Is An Insured—Liability For Conduct Of Unnamed Partnerships Or Joint Ventures F. Who Is An Insured—Employees And Volun- teer Workers—First Aid O. Medical Payments—Increased Limits G. Who Is An Insured—Employees—Supervi- P. Contractual Liability—Railroads sory Positions Q. Knowledge And Notice Of Occurrence Or Of- H. Who Is An Insured—Newly Acquired Or fense Formed Organizations R. Unintentional Omission I. Blanket Additional Insured—Owners, Manag- S. Blanket Waiver Of Subrogation ers Or Lessors Of Premises J. Blanket Additional Insured—Lessors Of Leased Equipment PROVISIONS B. NON-OWNED WATERCRAFT LESS THAN 75 A. REASONABLE FORCE PROPERTY DAMAGE— FEET EXCEPTION TO EXPECTED OR INTENDED IN- The following replaces Paragraph(2)of Exclusion JURY EXCLUSION g., Aircraft,Auto Or Watercraft, in Paragraph 2. • The following replaces Exclusion a., Expected Or of SECTION I — COVERAGES—COVERAGE A Intended Injury, in Paragraph 2., of SECTION I— BODILY INJURY AND PROPERTY DAMAGE COVERAGES — COVERAGE A BODILY IN- LIABILITY: JURY AND PROPERTY DAMAGE LIABILITY: (2) A watercraft you do not own that is: a. Expected Or Intended Injury Or Damage (a) Less than 75 feet long;and "Bodily injury" or "property damage" expected or (b) Not being used to carry any person or intended from the standpoint of the insured. This property for a charge. exclusion does not apply to "bodily injury" or C. AIRCRAFT CHARTERED WITH PILOT "property damage" resulting from the use of rea- sonable force to protect any person or property. The following is added to Exclusion g., Aircraft, Auto Or Watercraft,in Paragraph 2.of SECTION CG D4 17 01 12 ©2012 The Travelers Indemnity Company. All rights reserved. Page 1 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY I — COVERAGES — COVERAGE A BODILY IN- 4. The following replaces Paragraph a. of the JURY AND PROPERTY DAMAGE LIABILITY: definition of"insured contract" in the DEFINI- This exclusion does not apply to an aircraft that TIONS Section: is: a. A contract for a lease of premises. How- (a) Chartered with a pilot to any insured; ever, that portion of the contract for a (b) Not owned by any insured;and lease of premises that indemnifies any person or organization for "premises (c) Not being used to carry any person or prop- damage"is not an"insured contract" erty for a charge. 5. The following is added to the DEFINITIONS D. DAMAGE TO PREMISES RENTED TO YOU Section: 1. The first paragraph of the exceptions in Ex- "Premises damage" means "property dam- clusion J., Damage To Property, in Para- age"to: graph 2. of SECTION I — COVERAGES — a. Any premises while rented to you or tern- COVERAGE A BODILY INJURY AND porarily occupied by you with permission PROPERTY DAMAGE LIABILITY is deleted. of the owner;or 2. The following replaces the last paragraph of b. The contents of any premises while such Paragraph 2., Exclusions, of SECTION I — premises is rented to you, if you rent such COVERAGES — COVERAGE A BODILY IN- premises for a period of seven or fewer JURY AND PROPERTY DAMAGE LIABIL- consecutive days. ITY: 6. The following replaces Paragraph 4.b.(1)(b) Exclusions c., g. and h., and Paragraphs (1), of SECTION IV—COMMERCIAL GENERAL (3) and (4) of Exclusion j., do not apply to LIABILITY CONDITIONS: "premises damage". Exclusion f.(1)(a) does not apply to "premises damage" caused by (b) That is insurance for"premises damage"; fire unless Exclusion f. of Section I — Cover- or age A — Bodily Injury And Property Damage 7. Paragraph 4.b.(1)(c) of SECTION IV — Liability is replaced by another endorsement COMMERCIAL GENERAL LIABILITY CON- to this Coverage Part that has Exclusion -All DITIONS is deleted. Pollution Injury Or Damage or Total Pollution E. INCREASED SUPPLEMENTARY PAYMENTS Exclusion in its title. A separate limit of insur- ance applies to "premises damage" as de- 1. The following replaces Paragraph 1.b. of scribed in Paragraph 6. of Section III—Limits SUPPLEMENTARY PAYMENTS — COVER- Of Insurance. AGES A AND B of SECTION I — COVER- 3. The following replaces Paragraph 6. of SEC- AGES: TION III—LIMITS OF INSURANCE: b. Up to $2,500 for cost of bail bonds re- quired because of accidents or traffic law 6. Subject to 5. above, the Damage To violations arising out of the use of any Premises Rented To You Limit is the vehicle to which the Bodily Injury Liability most we will pay under Coverage A for Coverage applies. We do not have to fur- damages because of"premises damage" nish these bonds. to any one premises. 2. The following replaces Paragraph 1.d. of The Damage To Premises Rented To SUPPLEMENTARY PAYMENTS — COVER- You Limit will be: AGES A AND B of SECTION I — COVER- a. The amount shown for the Damage AGES: To Premises Rented To You Limit on d. All reasonable expenses incurred by the the Declarations of this Coverage insured at our request to assist us in the Part;or investigation or defense of the claim or b. $300,000 if no amount is shown for "suit", including actual loss of earnings up the Damage To Premises Rented To to $500 a day because of time off from You Limit on the Declarations of this work. Coverage Part. Page 2 of 6 ©2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 1' Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY F. WHO IS AN INSURED — EMPLOYEES AND your "employees" who hold a supervisory posi- VOLUNTEER WORKERS—FIRST AID tion. 1. The following is added to the definition of"oc- H. WHO IS AN INSURED — NEWLY ACQUIRED currence"in the DEFINITIONS Section: OR FORMED ORGANIZATIONS Unless you are in the business or occupation The following replaces Paragraph 4. of SECTION of providing professional health care services, II — WHO IS AN INSURED of the Commercial "occurrence" also means an act or omission General Liability Coverage Form, and Paragraph committed by any of your "employees" or 3. of SECTION II —WHO IS AN INSURED of the "volunteer workers", other than an employed Global Companion Commercial General Liability or volunteer doctor, in providing or failing to Coverage Form, to the extent such coverage provide first aid or"Good Samaritan services" forms are part of your policy: to a person. Any organization you newly acquire or form, other 2. The following is added to Paragraph 2.a.(1)of than a partnership or joint venture, of which you SECTION II—WHO IS AN INSURED: are the sole owner or in which you maintain the Unless you are in the business or occupation majority ownership interest, will qualify as a • p Named Insured if there is no other insurance of providing professional health care services, which provides similar coverage to that organiza- Paragraphs (1 )(a), (b), (c) and (d) above do tion. However: not apply to "bodily injury" arising out of pro- a. Coverage under this provision is afforded viding or failing to provide first aid or "Good Samaritan services" by any of your "employ- (1) ees" or "volunteer workers", other than an (1) Until the 180th day after you acquire or employed or volunteer doctor. Any of your form the organization or the end of the "employees" or "volunteer workers" providing policy period, whichever is earlier, if you or failing to provide first aid or"Good Samari- tan services" during their work hours for you to us within 180 days after you acquire or will be deemed to be acting within the scope form it;or of their employment by you or performing du- (2) Until the end of the policy period, when ties related to the conduct of your business. that date is later than 180 days after you acquire or form such organization, if you 3. The following is added to Paragraph 5. of report such organization in writing to us SECTION III—LIMITS OF INSURANCE: within 180 days after you acquire or form For the purposes of determining the applica- it, and we agree in writing that it will con- ble Each Occurrence Limit, all related acts or tinue to be a Named Insured until the end omissions committed by any of your"employ- of the policy period; ees" or "volunteer workers" in providing or b. Coverage A does not apply to"bodily injury" failing to provide first aid or"Good Samaritan or "property damage" that occurred before • services"to any one person will be deemed to you acquired or formed the organization; and be one"occurrence". c. Coverage B does not apply to "personal in- 4. The following is added to the DEFINITIONS jury" or "advertising injury" arising out of an Section: offense committed before you acquired or "Good Samaritan services" means any emer- gencyformed the organization. medical services for which no compen- I. BLANKET ADDITIONAL INSURED—OWNERS, sation is demanded or received. MANAGERS OR LESSORS OF PREMISES G. WHO IS AN INSURED — EMPLOYEES — SU- The following is added to SECTION II —WHO IS PERVISORY POSITIONS AN INSURED: The following is added to Paragraph 2.a.(1) of Any person or organization that is a premises SECTION II—WHO IS AN INSURED: owner, manager or lessor is an insured, but only with respect to liability arising out of the owner- Paragraphs(1)(a), (b)and(c)above do not apply ship, maintenance or use of that part of any prem- to "bodily injury" or "personal injury" to a co- ises leased to you. "employee" in the course of the co-"employee's" The insurance provided to such premises owner, employment by you arising out of work by any of manager or lessor does not apply to: CG D4 17 01 12 ©2012 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY a. Any "bodily injury" or "property damage" L. BLANKET ADDITIONAL INSURED — BROAD caused by an "occurrence'' that takes place, FORM VENDORS or "personal injury" or "advertising injury" The following is added to SECTION II —WHO IS caused by an offense that is committed, after AN INSURED: you cease to be a tenant in that premises; or Any person or organization that is a vendor and b. Structural alterations, new construction or that you have agreed in a written contract or demolition operations performed by or on be- agreement to include as an additional insured on half of such premises owner, manager or les- this Coverage Part is an insured, but only with re- sor. spect to liability for "bodily injury" or "property J. BLANKET ADDITIONAL INSURED—LESSORS damage"that: OF LEASED EQUIPMENT a. Is caused by an"occurrence"that takes place The following is added to SECTION II —WHO IS after you have signed and executed that con- AN INSURED: tract or agreement;and Any person or organization that is an equipment b. Arises out of "your products" which are dis- lessor is an insured, but only with respect to liabil- tributed or sold in the regular course of such ity for "bodily injury", "property damage", "per- vendor's business. sonal injury" or "advertising injury" caused, in The insurance provided to such vendor is subject whole or in part, by your acts or omissions in the to the following provisions: maintenance, operation or use by you of equip- ment leased to you by such equipment lessor. a. The limits of insurance provided to such ven- dorpro- The insurance provided to such equipment lessor will be the limits which you agreed to r does not apply to any "bodily injury" or "property the in the shownwren contractDl or agreement, - damage" caused by an "occurrence" that takes the everlimits in the Declarations,which place, or "personal injury" or "advertising injury" are less. caused by an offense that is committed, after the b. The insurance provided to such vendor does equipment lease expires. not apply to: K. BLANKET ADDITIONAL INSURED—PERSONS (1) Any express warranty not authorized by OR ORGANIZATIONS FOR YOUR ONGOING you; OPERATIONS AS REQUIRED BY WRITTEN (2) Any change in"your products"made by CONTRACT OR AGREEMENT such vendor; The following is added to SECTION II —WHO IS AN INSURED: (3) Repackaging,unless unpacked solely for the purpose of inspection, demonstration, Any person or organization that is not otherwise testing,or the substitution of parts under an insured under this Coverage Part and that you instructions from the manufacturer, and have agreed in a written contract or agreement to then repackaged in the original container; include as an additional insured on this Coverage Part is an insured, but only with respect to liability (4) Any failure to make such inspections,ad for"bodily injury"or"property damage"that: justments,tests or servicing as vendors agree to perform or normally undertake to a. Is caused by an"occurrence"that takes place perform in the regular course of business, after you have signed and executed that con- in connection with the distribution or sale tract or agreement;and of"your products"; b. Is caused, in whole or in part, by your acts or (5) Demonstration,installation,servicing or omissions in the performance of your ongoing repair operations,except such operations operations to which that contract or agree- performed at such vendor's premises in ment applies or the acts or omissions of any connection with the sale of"your prod- person or organization performing such op- ucts"; or erations on your behalf. (6) "Your products"which, after distribution The limits of insurance provided to such insured or sale by you, have been labeled or re- will be the limits which you agreed to provide in labeled or used as a container, part or in- the written contract or agreement, or the limits gredient of any other thing or substance shown in the Declarations,whichever are less. by or on behalf of such vendor. Page 4 of 6 ©2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 Includes copyrighted material of Insurance Services Office.Inc.with its permission. COMMERCIAL GENERAL LIABILITY Coverage under this provision does not apply to: (b) The amount shown on the Declarations of a. Any person or organization from whom you this Coverage Part for Medical Expense have acquired"your products", or any ingre- Limit. dient, part or container entering into, accom- P. CONTRACTUAL LIABILITY—RAILROADS panying or containing such products;or 1. The following replaces Paragraph c. of the b. Any vendor for which coverage as an addi- definition of"insured contract" in the DEFINI- tional insured specifically is scheduled by en- TIONS Section: dorsement. c. Any easement or license agreement; M. WHO IS AN INSURED — UNNAMED SUBSIDI- 2. Paragraph f.(1) of the definition of "insured ARIES contract" in the DEFINITIONS Section is de- The following is added to SECTION II —WHO IS leted. AN INSURED: Q. KNOWLEDGE AND NOTICE OF OCCUR- Any of your subsidiaries, other than a partnership RENCE OR OFFENSE or joint venture, that is not shown as a Named In- The following is added to Paragraph 2., Duties In sured in the Declarations is a Named Insured if: The Event of Occurrence, Offense, Claim or a. You maintain an ownership interest of more Suit, of SECTION IV — COMMERCIAL GEN- than 50% in such subsidiary on the first day ERAL LIABILITY CONDITIONS: of the policy period; and e. The following provisions apply to Paragraph b. Such subsidiary is not an insured under simi- a. above, but only for the purposes of the in- lar other insurance. surance provided under this Coverage Part to No such subsidiary is an insured for"bodily injury" you or any insured listed in Paragraph 1.or 2. of Section II—Who Is An Insured: or "property damage" that occurred, or "personal injury" or "advertising injury" caused by an of- (1) Notice to us of such "occurrence" or of- fense committed: fense must be given as soon as practica- a. Before you maintained an ownership interest ble only after the "occurrence" or offense of more than 50% in such subsidiary; or is known to you (if you are an individual), any of your partners or members who is b. After the date, if any, during the policy period an individual (if you are a partnership or that you no longer maintain an ownership in- joint venture), any of your managers who terest of more than 50%in such subsidiary. is an individual(if you are a limited liability N. WHO IS AN INSURED — LIABILITY FOR CON- company), any of your trustees who is an DUCT OF UNNAMED PARTNERSHIPS OR individual (if you are a trust), any of your JOINT VENTURES "executive officers"or directors(if you are The following replaces the last paragraph of an organization other than a partnership, SECTION II WHO ISAINSURED: joint venture, limited liability company or trust) or any "employee" authorized by No person or organization is an insured with re- you to give notice of an "occurrence" or spect to the conduct of any current or past part- offense. nership or joint venture that is not shown as a (2) If Named Insured in the Declarations. This para- you area partnership, lim- Named joint venture, graph does not apply to any such partnership or ited liability company or trust, and noneeof your partners, joint venture members, joint venture that otherwise aualifies as an in managers or trustees are individuals, no sured under Section II—Who Is An Insured. tice to us of such "occurrence" or offense O. MEDICAL PAYMENTS—INCREASED LIMITS must be given as soon as practicable only The following replaces Paragraph 7. of SECTION after the"occurrence"or offense is known III—LIMITS OF INSURANCE: by: 7. Subject to 5. above, the Medical Expense (a) Any individual who is: Limit is the most we will pay under Coverage C for all medical expenses because of"bodily (i) A partner or member of any part- injury" sustained by any one person, and will nership or joint venture; be the higher of: (II) A manager of any limited liability (a) $10,000;or company; CG D4 17 01 12 ©2012 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY (iii)A trustee of any trust;or abrupt commencement, this Paragraph e. (iv)An executive officer or director of does not affect that requirement. any other organization; R. UNINTENTIONAL OMISSION that is your partner, joint venture The following is added to Paragraph 6., Repre- member, manager or trustee;or sentations, of SECTION IV — COMMERCIAL (b) Any "employee" authorized by such GENERAL LIABILITY CONDITIONS: partnership, joint venture, limited li- The unintentional omission of, or unintentional er- ability company, trust or other organi- ror in, any information provided by you which we zation to give notice of an "occur- relied upon in issuing this policy will not prejudice rence"or offense. your rights under this insurance. However, this (3) Notice to us of such "occurrence" or of- provision does not affect our right to collect addi- fense will be deemed to be given as soon tional premium or to exercise our rights of cancel- as practicable if it is given in good faith as lation or nonrenewal in accordance with applica- soon as practicable to your workers' ble insurance laws or regulations. compensation insurer. This applies only if S. BLANKET WAIVER OF SUBROGATION you subsequently give notice to us of the The following is added to Paragraph 8., Transfer occurrence" or offense as soon as prac- Of Rights Of Recovery Against Others To Us, ticable after any of the persons described of SECTION IV— COMMERCIAL GENERAL LI- in Paragraphs e. (1) or(2) above discov- ABILITY CONDITIONS: ers that the "occurrence" or offense may result in sums to which the insurance If the insured has agreed in a contract or agree- provided under this Coverage Part may ment to waive that insured's right of recovery apply. against any person or organization, we waive our right of recovery against such person or organiza- However, if this policy includes an endorse- tion, but only for payments we make because of: ment that provides limited coverage for"bod- ily injury" or "property damage" or pollution a. "Bodily injury" or "property damage" caused costs arising out of a discharge, release or by an"occurrence"that takes place; or escape of "pollutants" which contains a re- b. "Personal injury" or "advertising injury" quirement that the discharge, release or es- caused by an offense that is committed; cape of "pollutants" must be reported to us subsequent to the execution of the contract or within a specific number of days after its agreement. Page 6 of 6 ©2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4. a., Primary (1) The"bodily injury"or"property damage"for which Insurance, of SECTION IV — COMMERCIAL GEN- coverage is sought is caused by an "occurrence" ERAL LIABILITY CONDITIONS: that takes place; and However, if you specifically agree in a written contract (2) The "personal injury" or "advertising injury" for or agreement that the insurance afforded to an addi- which coverage is sought arises out of an offense tional insured under this Coverage Part must apply on that is committed; a primary basis, or a primary and non-contributory basis,this insurance is primary to other insurance that subsequent to the signing and execution of that con- is available to such additional insured which covers tract or agreement by you. such additional insured as a named insured, and we will not share with that other insurance, provided that: • • CG D4 25 07 08 ©2008 The Travelers Companies,Inc. Page 1 of 1 /SI FATBLLC-01 BBAER ACORO" CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 8//18/218/2016 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 CONTACT Debbie Johnston,CPCU,ARM,CIWCS Moloney O'Neill/Alliant Insurance Services Inc. PHONE 208 770-3844 FAX (509)325-1803 818 W.Riverside,Ste 800 (A/c,No,Ext):( ) (A/C,No): Spokane,WA 99201 E-MADDRESS:djohnston@mo-ins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co of Amer 25674 INSURED INSURER B:Travelers Indemnity Company 25658 Fatbeam LLC INSURER C: 2065 W Riverside#105 INSURER D: Coeur D Alene,ID 83814 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. ILICY EXP TR TYPE OF INSURANCE INSD SUBR POLICY NUMBER (MM/DD/YYYY) (MPOLICY EFF M/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X ZLP61M39980 09/01/2016 09/01/2017 PREM SES(Ea occurcDence) $ 300,000 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 jET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BA8F565992 09/01/2016 09/01/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 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) RE:Ordinance#15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured. Coverage is Primary/Non-Contributory. See forms attached. • 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 Valley,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 I THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY. TECHNOLOGY XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: $ COMMERCIAL GENERAL LIABILITY COVERAGE PART I- § GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, cover- age 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 coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of * this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. 0 A. Reasonable Force Property Damage - J. Blanket Additional Insured - Lessors Of o Exception To Expected Or Intended In- Leased Equipment jury Exclusion ta 2 B. Non-Owned Watercraft Less Than 75 K. Blanket Additional Insured - Persons Or et Feet Organizations For Your Ongoing Opera- et tions As Required By Written Contract o Or Agreement n C. Aircraft Chartered With Pilot L Blanket Additional Insured - Broad Form * Vendors 0. Damage To Premises Rented To You M. Who Is An Insured - Unnamed Subsidi- aries E. Increased Supplementary Payments N. Who Is An Insured - Liability For Con- o n= duct Of Unnamed Partnerships Or Joint Ventures I_ F. Who Is An Insured - Employees And 0. Medical Payments - Increased limits aaaai Volunteer Workers - First Aid G. Who Is An Insured - Employees - Su- p, Contractual Liability - Railroads pervisory Positions g H. Who Is An Insured - Newly Acquired Or Q. Knowledge And Notice Of Occurrence Formed Organizations Or Offense NMI L Blanket Additional Insured - Owners, R. Unintentional Omission Managers Or Lessors Of Premises an▪ams Emma S. Blanket Waiver Of Subrogation omit MIME mom PROVISIONS age" expected or intended from the standpoint of the insured. This exclu- ni s A. REASONABLE FORCE PROPERTY DAMAGE -111 sion does not apply to "bodily injury" EXCEPTION TO EXPECTED OR INTENDED NMI or "property damage" resulting from INJURY EXCLUSION the use of reasonable force to protect The following replaces Exclusion a., Ex- any person or property. petted Or Intended Injury, in Paragraph 2., B. NON-OWNED WATERCRAFT LESS THAN 75 of SECTION I - COVERAGES - COVERAGE FEET A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: The following replaces Paragraph (2) of Exclusion g., Aircraft, Auto Or Watercraft, in a. Expected Or Intended Injury Or Damage Paragraph 2. of SECTION I - COVERAGES - "Bodily injury" or "property dam- COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: CG D4 17 01 12 0 2012 The Travelers Indemnity Company. All rights reserved Page 1 of 6 Includes copyrighted material of Insurance Services Office. Inc. with its permission. (2) A watercraft you do not own that a The amount shown for the is: Damage To Premises Rented To (a) Less than 75 feet long; and You Limit on the Declarations of this Coverage Part; or (b) Not being used to carry any per- b. $300,000 if no amount is shown son or property for a charge. for the Damage To Premises C. AIRCRAFT CHARTERED WITH PILOT • Rented To You Limit on the Declarations of this Coverage The following is added to Exclusion g., Part. Aircraft, Auto Or Watercraft, in Paragraph 4. The following replaces Paragraph a of 2. of SECTION I — COVERAGES COVERAGE A BODILY INJURY AND the definition of "insured contract" in PROPERTY DAMAGE LIABILITY: the DEFINITIONS Section: This exclusion does not apply to an a A contract for a lease of premises. aircraft that is: However, that portion of the con- tract for a lease of premises that (a) Chartered with a pilot to any in- indemnifies any person or organiza- sured; tion for "premises damage" is not (b) Not owned by any insured; and an "insured contract (c) Not being used to carry any person 5. The Sec ions added to the or property for a charge. D. DAMAGE TO PREMISES RENTED TO YOU daremises damage" means "property damage" to: 1. The first paragraph of the excep- tions in Exclusion a Any premises while rented to you or temporarily occupied by you Pr arty, in Paragraph 2. Q To of SECTION I with permission of the owner; or DVERAGES — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE b. The contents of any premises while LIABILITY is deleted. • such premises is rented to you, if you rent such premises for a pe- 2. The following replaces the last riod of seven or fewer consecutive paragraph of Paragraph 2., Exclu— days. sloes, of SECTION I — COVERAGES — 6. The following replaces Paragraph COVERAGE A BODILY INJURY AND 41.(1)(b) of SECTION IV — COMMERCIAL PROPERTY DAMAGE LIABILITY: GENERAL LIABILITY CONDITIONS: Exclusions c., g. and h.. and Para- (b) That • is insurance for "premises graphs (1), (3) and (4) of Exclusion j„ damage"; or do not apply to "premises damage". Exclusion f.i1Na) does not apply to 7. Paragraph 4.b.(1)(c) of SECTION IV — "premises damage" caused by fire COMMERCIAL GENERAL LIABILITY unless Exclusion 1. of Section I - CONDITIONS is deleted. Coverage A - Bodily Injury And E. INCREASED SUPPLEMENTARY PAYMENTS Property Damage Liability is re- placed by another endorsement to 1. The following replaces Paragraph 1.b. this Coverage Part that has Exclu- of SUPPLEMENTARY PAYMENTS — sion - All Pollution Injury Or Dam- COVERAGES A AND B of SECTION I — age or Total Pollution Exclusion in COVERAGES: its title. A separate limit of insur- ance applies to "premises damage" b. Up to $2,500 for cost of bail as described in Paragraph 6. of Sec- bonds required because of acci- tion III - Limits Of Insurance. dents or traffic law violations aris- ing out of the use of any vehicle 3. The following replaces Paragraph 6. to which the Bodily Injury Liability of SECTION III — LIMITS OF. Coverage applies. We do not have INSURANCE: to furnish these bonds. 6. Subject to 5. above, the Damage 2. The following replaces Paragraph 1.d. To Premises Rented To You of SUPPLEMENTARY PAYMENTS — Limit is the most we will pay COVERAGES A ANO B of SECTION I — under Coverage A for damages COVERAGES: because of "premises damage" to any one premises. d. All reasonable expenses incurred by The Damage To Premises Rented the insured at our request to assist g us in the investigation or defense To You Limit will be: Page 2 of 6 C 2012 The Travelers Indemnity Company. All rights reserved CG D4 17 01 12 Int-Auden er nvrinhtrd rnstrriai of Ine,iranrr Carvirre Off ira In with ite narmieeinn. CD CD m 0 of the claim or "suit", including G. WHO IS AN INSURED - EMPLOYEES - o actual loss of earnings up to SUPERVISORY POSITIONS u $500 a day because of time off from work. The following is added to Paragraph 2.a.(1) F. WHO IS AN INSURED - EMPLOYEES AND of SECTION II - WHO IS AN INSURED: VOLUNTEER WORKERS - FIRST AID Paragraphs (1)(a), (b) and (c) above do not 1. The is added to the deft- apply to "bodily injury" or "personal in- 0 following jury" to a co-"employee" in the course of nition of "occurrence" in the the co-"employee's" employment by you DEFINITIONS Section: arising out of work by any of your "em- o Unless you are in the business or ployees" who hold a supervisory position. occupation of providing professional H. WHO IS AN INSURED - NEWLY ACQUIRED OR health care services, "occurrence" FORMED ORGANIZATIONS o also means an act or omission committed by any of your "em- The following replaces Paragraph 4. . of g ployees" or "volunteer workers", SECTION II - WHO IS AN INSURED of the other than an employed or volunteer Commercial General Liability Coverage co doctor, in providing or failing to Form, and Paragraph 3. of SECTION II - o provide first aid or "Good Samari- WHO• IS AN INSURED of the Global Com- o tan services" to a person. panion Commercial General Liability 2. The following is added to Paragraph Cov- erage Form, to the extent such coverage ® 2.a.(1) of SECTION H - WHO IS AN forms are part of your policy: M INSURED: Any organization you newly acquire or z form, other than a partnership or joint 1 m Unless you are in the business or venture, of which you are the sole owner N occupation of providing professional or in which you maintain the majority o health care services, Paragraphs (1 ownership interest, will qualify as a 0 )(a), (b), (C) and (d) above do not ap- Named Insured if there is no other insur- co ply to "bodily injury" arising out of ance which provides similar coverage to • providing or failingto provide first ' that organization. However. P 9 aid or "Good Samaritan services" g by any of your "employees" or a Coverage under this provision is af- "volunteer workers", other than an forded only: employed or volunteer doctor. Any (1) Until the 180th day after ac- of your "employees" or "volunteer you momworkers" providing or failing to quire or form the organization or iii= whichever first aid or "Good Samari- the end of the policy period, INE tan services" during their work whichever is earlier, if you do not hours foryou will be deemed to be report such organization in writing to us within 180 days after you = acting within the scope of their acquire or form it; or employment by you or performing i! • duties related to the conduct of (2) Until the end of the policy period, ® your business. when that date is later than 180 aims 3. The following is added to Paragraph days after you acquire or form momsuch organization, if you report imam 5. of SECTION III - LIMITS OF such organization in writing to us i INSURANCE: within 180 days after you acquire For the purposes of determining the or form it, and we agree in writing Q applicable Each Occurrence Limit, all that it will continue to be a Named I related acts or omissions commit- Insured until the end of the policy mom ! ted by any of your "employees" or period;Elm= "volunteer workers" in providing or b. Coverage A does not apply to "bodily NM= failing to provide first aid or "Goodinjury" damage" Samaritan services" to anyone per- or "property that oc- curred before you acquired or formed � son will be deemed to be one "oc- the organization; and = currence". f 4. The followingis added to the c. Coverage B does not apply to "per- 4. sonal injury" or "advertising injury DEFINITIONS Section: arising out of an offense committed "Good Samaritan services" means before you acquired or formed the or- any emergency medical services for ganization. which no compensation is demanded or received. • CG D4 17 01 12 o 2012 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office. Inc. with its permission. I - 1 L BLANKET ADDITIONAL INSURED - OWNERS, and executed that contract or agree- MANAGERS OR LESSORS OF PREMISES ment; and The following is added to SECTION II - b. Is caused, in whole or in part, by your WHO IS AN INSURED: acts or omissions in the performance Any person or organization that is a of your ongoing operations to which premisesthat contract or agreement applies or owner, manager or lessor is an insured, but only with respect to li- the acts or omissions of any person opera- ability arising out of the ownership, or organization performing such maintenance or use of that part of any tions on your behalf. premises leased to you. The limits of insurance provided to such The insurance provided to such prem- insured will be the limits which you ises owner, manager or lessor does agreed to provide in the written contract not apply to: or agreement, or the limits shown in the Declarations, whichever are less. a Any "bodily injury" or "property L BLANKET ADDITIONAL INSURED - BROAD damage" caused by an "occurrence" FORM VENDORS that takes place, or "personal in- jury" or "advertising injury" caused The following is added to SECTION II - by an offense that is committed, WHO IS AN INSURED: after you cease to be •a tenant in that premises; or Any person or organization that is a ven- dor and that you have agreed in a written b. Structural alterations, new construc- tion or demolition operations per- contract or agreement to include as an formed bon behalf of such additional insured on this Coverage Part is an insured, but only with respect to Ii- premises owner, manager or lessor. ability for "bodily injury" or "property J. BLANKET ADDITIONAL INSURED - LESSORS damage" that: OF LEASED EQUIPMENT a. Is caused by an "occurrence" that takes • The following is added to SECTION II - place after you have signed and exe- WHO IS AN INSURED: cuted that contract or agreement; and • Any person or organization that is an b. Arises out of "your products" which ' equipment lessor is an insured, but only are distributed or sold in the regular with respect to liability for "bodily in- course of such vendor's business. jury", "property damage", "personal in- The insurance provided to such vendor is • jury" or "advertising injury" caused, in subject to the following provisions: whole or in part, by your acts or omis- sions in the maintenance, operation or a. The limits of insurance provided to use by you of equipment leased to you such vendor will be the limits which by such equipment lessor. you agreed to provide in the written The insurance provided to such equipment contract or agreement, or the limits lessor does not apply to any "bodily in- shown in the Declarations, whichever jury" or "property damage" caused by an are less. "occurrence" that takes place, or "per- b. The insurance provided to such vendor sonal injury" or "advertising injury" does not apply to: caused by an offense that is committed, after the equipment lease expires. (1) Any express warranty not author- IL BLANKET ADDITIONAL INSURED - PERSONS ized by you; OR ORGANIZATIONS FOR YOUR ONGOING (2) Any change in "your products" OPERATIONS AS REQUIRED BY WRITTEN made by such vendor; CONTRACT OR AGREEMENT (3) Repackaging, unless unpacked The following is added to SECTION 0 - solely for the purpose of inspec- WHO IS AN INSURED: tion, demonstration, testing, or the Any person or organization that is not substitution of parts under instruc- otherwise an insured under this Cover- tions from the manufacturer,original and con- age Part and that you have agreed in a then repackaged in the original written contract or agreement to in- clude tainer, as an additional insured on this (4) Any failure to make such inspec- Coverage Part is an insured, but only tions, adjustments, tests or servic- with respect to liability for "bodily in- ing as vendors agree to perform or jury" or "property damage" that: normally undertake to perform in a, Is caused by an "occurrence" that the regular course of business, in takes place after you have signed connection with the distribution or sale of "your products"; Page 4 of 6 0 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 Innln"IMe wnnwinhfai,f nftefarisl of 16.e.s•snwa Gara,iwa- Affiwa Inw s.,+h ife nar.vaiesie.n CD CO CD o R b (5) Demonstration, installation, ser- rent or past partnership or joint venture 0 vicing or repair operations, ex- that is not shown as a Named Insured in U cept such operations performed the Declarations. This paragraph does not at such vendor's premises in apply to any such partnership or joint connection with the sale of venture that otherwise qualifies as an in- "your products"; or sured under Section II - Who is An In- (6) "Your products" which, after dis- sured. 8 tribution or sale by you, have O. MEDICAL PAYMENTS - INCREASED LIMITS been labeled or relabeled or '- used as a container, part or in- The following replaces Paragraph 7. of gradient of any other thing or SECTION III - LIMITS OF INSURANCE substance by or on behalf of 7. Subject to 5. above, the Medical Ex- ;; such vendor. pense Limit is the most we will pay o Coverage under•this provision does not under Coverage C for all medical ex- apply to: penses because of "bodily injury" sus- i • tained by any one person, and will be * a. Any person or organization from the higher of: an whom you have acquired "your o products", or any ingredient, part or (a) $10,000; or container entering into, accompany- (b) The amount shown on the Declara- ing or containing such products; or tions of this Coverage Part for o3 b. Any vendor for which coverage as Medical Expense Limit. . al al an additional insured specifically is P. CONTRACTUAL LIABILITY - RAILROADS x scheduled by endorsement. ; M. WHO IS AN INSURED - UNNAMED 1. The following replaces Paragraph C. of the definition of "insured contract" in o SUBSIDIARIES 0 the DEFINITIONS Section: The following is added to SECTION iI - "' WHOIS AN INSURED: c. Any easement or license agree- ment; Any of your subsidiaries, other than a 2. Paragraph f.(1) of the definition of "in- . partnership or joint venture, that is not sured contract" in the DEFINITIONS Sec- shown as a Named insured in the Dec-• tion is deleted. larations is a Named Insured if: a You maintain an ownership interest O. KNOWLEDGE AND NOTICE OF OCCURRENCE OR of more than "50% in such subsidi- OFFENSE Min ary on the first day of the policy The following is added to Paragraph 2., amin iiiMi period; and Duties In The Event of Occurrence, Offense, b. Such subsidiary is not an insured Claim or Suit, of SECTION IV - COMMERCIAL 1111• under similar other insurance. GENERAL LIABILITY CONDITIONS: MUM iimi No• such subsidiary is an insured for e. The following provisions apply to II "bodily injury" or "property damage" Paragraph a. above, but only for the that occurred, or "personal injury" or purposes of the insurance provided Mieil "advertising injury" caused by an of- under this Coverage Part to you or ® fense committed: any insured listed in Paragraph 1. or 2. a. Before you maintained an ownership of Section Ii - Who Is An Insured: MIME interest of more than 50% in such (1) Notice to us of such "occurrence" subsidiary; or or offense must be given as soon iim as practicable only after the "oc- � I. After the date, if any, during the .• = policy period that you no longer you (if or offense is known to maintain an ownershipinterest of you (if you are an individual), any MIMI of your partners or members who Nom more than 50% in such subsidiary. is an individual (if you are a part- W. N. WHO IS AN INSURED - LIABiLITY FOR nership or joint venture), any of III CONDUCT OF UNNAMED PARTNERSHIPS OR your managers who is an individual JOiNT VENTURES (if you are a limited liability com- pany), any of your trustees who is The following replaces the last para- an individual (if you are a trust), graph of SECTION H - WHO IS AN any of your "executive officers" or INSURED: directors (if you are an organiza- tionersan or organization is an insured other than a partnership, joint No P 9 venture, limited liability company with respect to the conduct of any cur- or trust) or any "employee" author- CG D4 17 01 12 0 2012 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ized by you to give notice of an However, if this policy includes an en- "occurrence" or offense. dorsement that provides limited cover- agepartnership, joint for "bodily injury" or "property (2) If you are a damage" or pollution costs arising out venture, limited liability company of a discharge, release or escape of or trust, and none of your part- "pollutants" which contains a require- ners, joint venture members, ment that the discharge, release or es- managers or trustees are indi- cape of "pollutants" must be reported viduals, notice to us of such to us within a specific number of "occurrence" or offense must be days after its abrupt commencement, given as soon as practicable this Paragraph e. does not affect that only after the "occurrence" or offense is known by: requirement. (a) Any individual who is: R. UNINTENTIONAL OMISSION (i} A partner or of of The following is added to Paragraph 6, • any partnership member jointRepresentations, of SECTION IV venture; COMMERCIAL GENERAL LIABILITY CONDITIONS: (ii} A manager of any limited The unintentional omission of, or uninten- liabilitycompany; tional error in, any information provided by you which we relied upon in issuing (iii) A trustee of any trust; or this policy will not prejudice your rights under this insurance. However, this pro- (Iv) An executive officer or vision does not affect our right to collect director of any other or- additional premium or to exercise our ganization; rights of cancellation or nonrenewal in that is your partner, joint accordance with applicable insurance laws venture member, manager or or regulations. trustee; or S. BLANKET WAIVER OF SUBROGATION (b} Any "employee" authorized The following is added to Paragraph 8., by such partnership, joint Transfer Of Rights Of Recovery Against Oth— venture, limited liability corn- ems To Us, of SECTION IV — COMMERCIAL pany, trust or other organize- GENERAL LIABILITY CONDITIONS: tion to give notice of an "occurrence" or offense. If the insured has agreed in a contract or agreement to waive that insured's right of (3) Notice to us of such "occur- recovery against any person or organiza- rence" or offense will be tion, we waive our right of recovery deemed to be given as soon as against such person or organization, but practicable if it is given in good only for payments we make because of: faith as soon as practicable to your workers' compensation in- a. "Bodily injury" or "property damage" surer. This applies only if you caused by an "occurrence" that takes subsequently give notice to us place; or of the "occurrence" or offense `. "Personal injury" or "advertising In- as soon as practicable after any of the persons described in jury" caused by an offense that is Paragraphs e. (1) or (2) above committed; discovers that- the "occurrence" subsequent to the execution of the Con- or offense may result in sums tract or agreement. to which the insurance provided under this Coverage Part may apply. Page 6 of 6 © 2012 The Travelers Indemnity Company- All rights reserved. CG D4 17 01 12 Includes cnovriahtad mf,terisl of Insuring-41i Rwrvingic Clffinie Inn_ with its n.rminsinn. o COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. v OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE g This endorsement modifies insurance provided under the following: ~ COMMERCIAL GENERAL LIABILITY COVERAGE PART I The following is added to Paragraph 4. a, named insured, and we will not share with �Prii Insurance, of SECTION IV — that other insurance, provided that: CIAL GENERAI. LU181LITY CONDITIONS: (1) The "bodily injury" or "property damage" However, if you specifically agree in a writ- for which coverage is sought is caused ten contract or agreement that the insurance by an "occurrence" that takes place; and cafforded to an additional insured under this (2) The "personal injury" or "advertising in- Coverage Part must apply on a primary ba- jury" for which coverage is sought arises sis, or a primary and non-contributory basis, out of an offense that is committed; this insurance is primary to other insurance to that is available to such additional insured subsequent to the signing and execution of which covers such additional insured as a that contract or agreement by you. 2 Cl 0 • 0 V N _ MEM = MOO MEE_ I- M NUM II_ immo nom Min a NM. IMME CG D4 25 07 08 0 2008 The Travelers Companies, Inc. Page 1 of_1 /CD 9� FATBLLC-01 PMILLER '`��/CP. CERTIFICATE OF LIABILITYDA8/10 201TE 7rn INSURANCE 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). CONT PRODUCER NAMEACT Debbie Johnston,CPCU,ARM,CIWCS Alliant Insurance Services Inc. PHONE 208 770-3844 FAX 509 325-1803 818 W.Riverside Ave,Ste 800 (Arc,No,Ext): ) (IOC,No): ) Spokane,WA 99201 a DRESS :debbie.johnston@alliant.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Property Casualty Co of Amer 25674 INSURED INSURER B:Travelers Indemnity Company 25658 Fatbeam LLC INSURER C: 2065 W Riverside#105 INSURER D: _ Coeur D Alene,ID 83814 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X ZLP61M39980 09/01/2017 09/01/2018 PREM SES Ea oc urrelp nce) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BA8F565992 09/01/2017 09/01/2018 BODILYINJURY(Perperson) $ ALL OWNED SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIREDSAUTOS X NAON SWNED PROPERTY DAMAGE(Pe ) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER H AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEN/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) RE:Ordinance#15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured. Coverage is Primary/Non-Contributory. See forms attached. 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 ACCORDANCE WITH THE POLICY PROVISIONS. 11707E Sprague Ave,Suite 106 Spokane Valley,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 o COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 8 TECHNOLOGY XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: $ COMMERCIAL GENERAL LIABILITY COVERAGE PART I- 8 GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, cover- age 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 0 or limited by such an endorsement. The following listing is a general coverage description • only. Limitations and exclusions may apply to these coverages. Read all the provisions of • this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. e 0 C4 - A. Reasonable Force Property Damage - J. Blanket Additional Insured - Lessors Of $ Exception To Expected Or Intended In- Leased Equipment W jury Exclusion B. Non-Owned Watercraft Less Than 75 K. Blanket Additional Insured - Persons Or t0 Feet Organizations For Your Ongoing Opera- o tions As Required By Written Contract O Or Agreement C4• C. Aircraft Chartered With Pilot L Blanket Additional insured - Broad Form • Vendors D. Damage To Premises Rented To You M. Who Is An Insured - Unnamed Subsidi- aries E. Increased Supplementary Payments N. Who Is An Insured - Liability For Con- n= duct Of Unnamed Partnerships Or Joint 'tee Ventures Nom F. Who Is An insured - Employees And 0. Medical Payments - Increased limits Volunteer Workers - First Aid ® G. Who Is An Insured - Employees - Su- p, Contractual Liability - Railroads pervisory Positions H. Who Is An Insured - Newly Acquired Or 0, Knowledge And Notice Of Occurrence ® Formed Organizations Or Offense ® Blanket Additional Insured - Owners, a Unintentional Omission SIM= Managers Or Lessors Of Premises S. Blanket Waiver Of Subrogation PROVISIONS age" expected or intended from the A. REASONABLE FORCE PROPERTY DAMAGE — standpoint of the insured. This exclu- MIEN EXCEPTION TO EXPECTED OR INTERNED sion does not apply to "bodily injury" INJURY EXCLUSION or "property damage" resulting rom the use of reasonable force to protect The following replaces Exclusion a., Ex— any person or property. petted Or Intended Injury, in Paragraph 2., D. NON—OWNED WATERCRAFT LESS THAN 75 of SECTION I — COVERAGES — COVERAGE FEET A YY INJURY AND PROPERTY DAMAGELIABILThe following replaces Paragraph (2) of Exclusion g., Aircraft, Aute Or Watercraft, in a. Expected Or Mended Injury Or Damage Paragraph 2. of SECTION I — COVERAGES — "Bodily injury" or "property dam- COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: C13 D4 17 01 12 . © 2012 The Travelers Indemnity Company. All ruts reserved Page 1 of 8 Includes copyrighted material of insurance Services Office. inc. with Its permission (2) A watercraft you do not own that a The amount shown for the is: Damage To Premises Rented To • and You Limit on the Declarations (a) Less than 75 feet long; of this Coverage Part; or (b) Not being used to carry any per- b. $300,000 if no amount is shown son or property for a charge. for the Damage To Premises C. AIRCRAFT CHARTERED WITH PILOT • Rented To You Limit on the Declarations of this Coverage The following is added to Exclusion g., Part. Aircraft, Auto Or Watercraft, in Paragraph 4. The following replaces Paragraph e. of 2. of SECTION I - COVERAGES the definition of "insured contract" in COVERAGE A BODILY INJURY AND the DEFINITIONS Section: PROPERTY DAMAGE LIABILITY: This exclusion does not apply to an a A contract for a lease of premises. that is: However, that portion of the con- aircraft ' tract for a lease of premises that (a) Chartered with a pilot to any in- Indemnifies any person or organize- sured; tion for "premises damage" is not (b) Not owned by any insured; and an "insured contract"; The(c) Not being used to carry any person S. DEFINITIONS Sec ions added to the or property for a charge. D. DAMAGE TO PREMISES RENTED TO YOU daremises damage" means "property damage" to: 1. The first paragraph of the excep- a. Any premises while rented to you tions in ExclusionDamage To or temporarily occupied by you Pr , in Paragraph 2. of SECTION I with permission of the owner; or - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE b. The contents of any premises while LIABILITY is deleted. • such premises is rented to you, if you rent such premises for a pe- 2. The following replaces the last riod of seven or fewer consecutive paragraph of Paragraph 2., Exclu- days. sloes, of SECTION I - COVERAGES - 6. The following replaces Paragraph COVERAGE A BODILY INJURY AND 4.13.(1)(b1 of SECTION IV - COMMERCIAL PROPERTY DAMAGE LIABILITY: GENERAL LIABILITY CONDITIONS: Exclusions c., g. and h., and Para- (b) That • is insurance for "premises graphs (1), (3) and ($) of Exclusion j., damage"; or do not apply to "premises damage . Exclusion t(Oa) does not apply to 7. Paragraph 4.b.(1Hc) of SECTION IV - "premises damage" caused by fire COMMERCIAL GENERAL LIABILITY unless Exclusion f. of Section I - CONDITIONS Is deleted. Coverage A - Bodily Injury And E. INCREASED SUPPLEMENTARY PAYMENTS Property Damage Liability Is re • - placed by another endorsement to 1. The following replaces Paragraph 1.h. this Coverage Part that has Exclu- of SUPPLEMENTARY PAYMENTS - slon - All Pollution Injury Or Dam- COVERAGES A AND B of SECTION I - age or Total Pollution Exclusion In COVERAGES: its title. A separate limit of insur- ance applies to "premises damage" b. Up to $2,500 for cost of ball as described in Paragraph 6. of Sec- bonds required because of sect- tion IIi - Limits Of Insurance. dents or traffic law violations arcs • - 3. The followingreplaces Paragraph fi. Ing out of the use of any vehicle ofh SECTION IIe1 - LIMITS D. to which the Bodily Injury Liability INSURANCE Coverage applies. We do not have to furnish these bonds. S. Subject to S. above, the Damage 2. The followin replaces Paragraph 1.d. To Premises Rented To YouAEY PAYMENTS - Limit is the most we will pay ofVERAGES A AND B .of SECTION i - under Coverage A for damages COVERAGES: because of "premises damage" to any one premises. i All reasonable expenses incurred by o aSsist The Damage To Premises Rented thesinsthe dInvesat tigr ation orst t defense • To You Limit will be: Page 2 of 6 0 2012 The Travelers Indemnity Company. All rights reserved CO D4 17 01 12 Includes copyrighted material of Insurance Services Office+ kVc. with its permission • . m m 2 of the claim or "suit", including G. WHO IS AN INSURED - EMPLOYEES - 6 actual loss of earnings up to SUPERVISORY POSITIONS o $500 a day because of time off from work. The following is added to Paragraph 2.a.(1) F. WHO IS AN INSURED - EMPLOYEES AND of SECTION II - WHO IS AN INSURED: VOLUNTEER WORKERS - FIRST AID Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" or "personal in- jury"1. The following is added to the defi- jury" to a co-"employee" in the course of nition of "occurrence" in the • the co-"employee's" employment by you DEFINITIONS Section: arising out of work by any of your "em- Unless you are in the business or ployees" who hold a supervisory position. occupation of providing professional H. WHO IS AN INSURED - NEWLY ACQUIRED OR m health care services, "occurrence" FORMED ORGANIZATIONS o also means an act or omission committed by any of your "em- The following replaces Paragraph 4. . of s ployees" or "volunteer workers", SECTION Il - WHO IS AN INSURED of the other than an employed or volunteer Commercial General Liability Coverage CO doctor, in providing or failing to Form, and Paragraph 3. of SECTION II - o provide first aid or "Good Samari- WHO. IS AN INSURED of the Global Com- ci tan services" to a person. panlon Commercial General Liability Cov- 2. The following is added to Paragraph erage Form, to the extent such coverage o 2.a.(1) of SECTION II - WHO IS AN forms are part of your policy: of INSURED: Any organization you newly acquire or z form, other than a partnership or joint to Unless you are in the business or venture, of which you are the sole owner• N occupation of providing professional or in which you maintain the majority o health care services, Paragraphs (1 ownership interest, will qualify as a o Ra), (b), Cc) and (d) above do not ap- Named Insured if there is no other insur- N ply to "bodily injury" arising out of ance which provides similar coverage to • providing or failing to provide first ' that organization. However aid or "Good Samaritan services" by any of your "employees" or a. Coverage under this provision is af- "volunteer workers", other than an forded only: employed or volunteer doctor. Any (1) Until the 180th day after you ac- of your "employees" or "volunteer „ quire ar form the organization or workers" providing or failing to the end of the olie ® provide first aid or "Good Samari- whichever is earlier, if you dorino limut tan services" during their work report such organization in writing • hours for you will be deemed to be to us within 180 days after you acting within the scope of their acquire or form It; or Mil employment by you or performing . duties related to the conduct of (2) Until the end of the policy period, your business. when that date is later than 180 3. The following is added to Paragraph days after you acquire or form 5. of SECTION 111 - LIMITS OF such organization, if you report INSURANCE: For the purposes of determining the such organization in writing to us within 180 days after you acquire or form It, end we agree in writing applicable Each Occurrence Limit, all related acts or omissions commit- Insured until the end of the policy period; 6, Coverage A does not apply to "bodily injury" or "property damage" that oc- ted by any of your "employees" or "volunteer workers" in providing or failing to provide first aid or "Good Samaritan services" to any one per- curred before you acquired or formed son will be deemed to be one the organization; and "oc- currence". that it will continue to be a Named 4. The following is added to the Coverage Bdoes not apply to "peri • DEFINITIONS S®ctione sonal injury" or "advertising Injury arising out of an offense committed • "Good Samaritan services" means before you acquired or formed the or- any emergency medical services for ganization. which no compensation Is demanded • . or received. Ca D4 17 01 12 • 2012 The Travelers indemnity Company. Ail rights reserved Page 8 of 0 Includes copyrighted maternal of kisurancs Ssrbiees Office. Inc. With Its permission L BLANKET ADDITIONAL INSURED - OWNERS, and executed that contract or agree- MANAGERS OR LESSORS OF PREMISES ment; and The following-is added to SECTION II - b. is caused, in whole or in part, by your WHO IS AN INSURED: acts or omissions in the performance fto Any person or organization that is a thatyour contract 000rg agrreementsapplies fch or premises owner, manager or lessor is the acts or omissions of any person an insured, but only with respect to ii- or organization performing such opera- ability arising out of the ownership, tions on your behalf. maintenance or use of that part of any premises leased to you. The limits of insurance provided to such The insurance provided to such prem- insured will be the limits which you ises owner, manager or lessor does agreed to provide in the written contract not apply to: or agreement, or the limits shown in the Declarations, whichever are less. a. Any "bodily injury" or "property L. BLANKET ADDITIONAL INSURED - BROAD damage" caused by an "occurrence' M VENDORS that takes place, or "personal in- jury" or "advertising injury" caused The following is added to SECTION 11 - by an offense that Is committed, WHO IS AN INSURED: after you cease to be •a tenant In that premises; or Any person or organization that Is a ven- dor and that you have agreed in a written b. Structural alterations, new construc- demolition operations per- contract or agreement to include as an tion or formed bon behalf of such additional insured on this Coverage Part oris an insured, but only with respect to II- premises owner, manager or lessor. ability for "bodily injury" or "property .1. BLAM(ET ADDITIONAL INSURED - LESSORS damage" that: OF LEASED EQUIPMENT a. Is caused by an "occurrence" that takes • The following is added to SECTION II - place after you have signed and exe- WHO IS AN INSURED: cuted that contract or agreement; and • Any person or organization that is an Is. Arises out of "your products" which ' equipment lessor is ah insured, but only are distributed or sold in the regular with respect to liability for "bodily in- course of such vendor's business. jury", "property damage", "personal in- The insurance provided to such vendor is • jury" or "advertising injury" caused, in subject to the following provisions: whole or in part, by your acts or omis- sions in the maintenance, operation or a. The limits of insurance provided to use by you of equiment leased to you such vendor will be the limits which by such equipment lessor. you agreed to provide in the written The insurance provided to such equipment contract or agreement, or the limits lessor does not apply to any "bodily in- shown in the Declarations, whichever jury" or "property damage" caused by an are less. "occurrence" that takes place, or per- b. The insurance provided .to such vendor sonal injury" or "advertising injury" does not apply to: caused by an offense that is committed, after the equipment lease expires. CO Any express warranty not author- , K. BLANKET ADDITIONAL INSURED - PERSONS ized by you; ' OR ORGANIZATIONS FOR YOUR ONGOING (2) Any change in "your products" OPERATIONS AS REOURED BY WRITTEN made by such vendor; CONTRACT OR AGREEMENT (3} Repackaging, unless unpacked The following is added to SECTION II - solely for the purpose of lnspec- WHO IS AN IiNSURED: tion, demonstration, testing, or the Any person or organization that Is not substitution of parts Under instruc- otherwise an Insured under this Cover- tions from the manufacturer, and age Part and that you have agreed In a then repackaged in the original con- written contract or agreement to in- clude con- tainer;as en additional insured on this (4) Any failure to make such lnspec- Coverage Part is an Insured, but only tions, adjustments, tests or servic- with respect to liability for "bodily in- ing as vendors agree to perform or jury" or "property damage" that: normally undertake to perform In a. is caused by an "occurrence" that the regular course of business, in takes place after you have signed connection with the distribution or gale of your products"; . Page 4 of 8 O 2012 The Travelers indemnity Company. All rights reserved. CG D4 17 01 12 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. W CO e, . o . (5) Demonstration, installation, ser- rent or past partnership or joint venture o Acing or repair operations, ex- that Is not shown as a Named Insured in V cept such operations performed the Declarations. This paragraph does not . at such vendor's premises in apply to any such partnership or joint connection with the sale of venture that otherwise qualifies as an in- "your products"; or sured under Section II Who Is An in- sured. (6) "Your products" which, after dis- tribution or sale by you, have 0. MEDICAL PAYMENTS - INCREASED LIMITS been labeled or relabeled or The following replaces Paragraph 7. of § gradientd of any other thingor gas a container, part In- SECTION III - LIMITS OP INSURANCE ZS substance by or on behalf of 7. Subject to 5. above, the Medical Ex- . such vendor. pense Limit is the most we will pay • o Coverage under•this provision does not under Coverage C for all medical" sus- i ex- apply to: • tainedsbecause of " dily by any one person, and ywill be a. Any person or organization from the higher of: in whom you have acquired "your 6 products", or any ingredient, part or {a) $10,000; or container entering into, accompany- (b) The amount shown on the Declare- ing or containing such products; or tions of this Coverage Part for m b. Any vendor for which coverage as Medical Expense Limit. . 01 an additional insured specifically is P. CONTRACTUAL LIABILITY - RAILROADS a: scheduled by endorsement. N AA. WHO IS AN INSURED - UNNAMED 1. The following replaces Paragraph c. of o SUBSIDIARIES the definition of "insured contract" in o the DEFINITIONS Section: n The following is added to SECTION i - ,. WHO 1S AN INSURED: c. Any easement or license agree- * ment; Any of your subsidiaries, other than a 2. Paragraph f.(1) of the definition of "in- . partnership or joint venture, that is not sured contract" In the DEFINITIONS Sec- shown as a Named Insured in the Dec- tion is deleted. larations is a Named insured if: aYou maintain an ownership Interest O. KNOWLEDGE AND NOTICE OF OCCURRENCE OR of more than "50% in such subsidi- ary on the first day of the policy The following is added to Paragraph 2, period; and Duties In The Event of' Occurrence, Offense, ISIBIIIII b. Such subsidiary is not an Insured Claim or Suit, of SECTION IV - COMIVERCIAL Munder similar other insurance. GENERAL LIABILITY CONDITIONS: No' such subsidiary is an insured for e. The following provisions apply to "bodily injury" Or "property damage" Paragraph a above, but only for the that occurred, or "personal injury" or purposes of the Insurance provided "advertising injury" caused by an of- under this Coverage Part to you or fense committed any insured listed in Paragraph 1. or 2. a. Before you maintained an ownership of Section II - Who Is An Insured: interest of more than 50% in such (1) Notice to us of such "occurrence" subsidiary; or or offense must be given as soon as practicable only after the "oc- b. After the date, if any, during the currence" or offense is known to policy period that you no longer you (if you are an individual), any maintain an ownership interest of of your partners or members who • more than 50% in such subsidiary. is an individual (it you are a part- N. WHO IS AN INSURED - LIABILITY FOR nership or joint venture), any of NM COU CT PARTNERSHIPS OR your managers who Is an individual VENTURES (if you are a limited liability com- pany), any of your trustees who is . The following replaces the last pare- an individual (if you are a trust), graph of SECTION h - WHO IS AN any of your "executive officers" or INSURED: directors (if you are an organize- . tion or organization Is an insured tion other than a partnership, joint No persongventure, limited liability company with respect to the conduct of any cur- or trust) or any "employee" author- CG D4 17 01 12 0'2012 The Travelers Indemnity Company. AU rights reserved. Page 5 of 6 . Includes copyrighted material of Instranco Services Off ice, Inc. with Its permission . .ized by you to give notice of an However, if this policy includes an en- "occurrence" or offense. dorsement that provides limited cover- agejoint for "bodily injury" or "property (2) If you are a partnership, j damage" or pollution costs arising out venture, limited liability company of a discharge, release or escape of or trust, and none of your part- pollutants which contains a require- ners, joint Venture members, went that the discharge, release or es- managers or trustees are Indi- cape of "pollutants" must be reported viduals, notice to us of such to us within a specific number of "occurrence" or offense must be days after its abrupt commencement, given as soon as practicable this Paragraph e. does not affect that only after the "occurrence" or requirement. offense is known by: (a) Any individual who is: R. UNINTENTIONAL OMISSION (U A partner or of The following is added to Paragraph 6,, • y partnership member jointof Representations, of SECTION IV an venture; COMMERCIAL GENERAL LIABILITY CONDITIONS: Iii) A manager of any limited The unintentional omission of, or uninten- liability company; bonal y you error which ewe reliedanr upon nine issuingg (iii) A trustee of any trust; or thispolicy will not prejudice your right under this insurance. However, this pro- (iv) An executive officer or vision does not affect our right to collect director of any other or- additional premium or to exercise our ganization; rights of cancellation or nonrenewal in that is your partner, joint accordance with applicable insurance laws venture member, manager or or regulations. trustee; or S. BLANKET WAIVER OF =ROGATION Qi) Any "employee" authorized The following is added to Paragraph 8., by such partnership, joint Transfer Of Rights Of Recovery Against 0th- venture, limited liability corn- ers To Us, of SECTION IV - COMMERCIAL pany, trust or other organize- GENERAL LIABILITY ( TIONS: tion to give notice of an "occurrence" or offense. If the insured has agreed in a contract or (3) Notice to us of such "occur- agreement to waive that insured'S right of ranccor offense will" be recovery against any person or organize- to givennas be tion, we waive our right of recovery rdeemedabto be Itiv given in soon as against such person or organization, but ponly for payments we make because of: faith as soon as practicable to your workers' compensation in- a. "Bodily injury" or "property damage" surer. This applies only if you caused by an "occurrence" that takes subsequently give notice to us place; or of the "occurrence" or offense as soon as practicable after any .� "Personal injury" or "advertising In- of the persons described In jury" caused by an offense that is Paragraphs e. (i) or (2above committed; discovers that- the "occurrence" subsequent to the execution of the con- or offense may result in sums tract or agreement. to which the insurance provided under this Coverage Part may apply. • • • Page 8 of 6 0 2012 The Travelers Indemnity Company. Ali rights reserved. CO D4 17 01 12 Includes copytlghted material of Insurance Services Office. Inc. with Its permission Q, o co COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE 8 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART • The following is added to Paragraph 4. a, named insured, and we will not share with o Primary IsSurance, of SECTION IV - that other insurance, provided that: COMMERCIAL GENERAL LIABILITY CONDITIONS: (1) The "bodily injury" or "property damage" s However, if you specifically agree in a writ- for which coverage is sought is caused ten contract or agreement that the Insurance by an "occurrence' that takes place; and afforded to an additional insured under this (2) The "personal injury" or "advertising in- 'A Coverage Part must apply on a primary ba- jury" for which coverage is sought arises sis, or a primary and non-contributory basis, out of an offense that Is committed; this Insurance is primary to other insurance LB that Is available to such additional insured subsequent to the signing and execution of e which covers such additional Insured as a that contract or agreement by you. n 0 0 U • •N MEM Immo MEN CG D4 25 07 08 a 2008 The Travelers Companies, Inc. Page I of.I I�.� FATBLLC-01 PMILLER AREr DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/02/2018 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(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 such endorsement(s). PRODUCER ACT Debbie Johnston,CPCU,ARM,CIWCS Alliant Insurance Services,Inc. PHONE 208 770-3844 I FAx ) 818 W Riverside Ave Ste 800 (ac,No,Ext):(208) (NC,No):(509 325-1803 Spokane,WA 99201 Mean:SS:debbie.johnston@alliant.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A Travelers Property Casualty Company of America 25674 INSURED INSURER B:Travelers Indemnity Company 25658 Fatbeam LLC INSURER C: 2065 W Riverside#105 INSURER D: Coeur D Alene,ID 83814 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZLP61M39980 09/01/2018 09/01/2019 DAMAGETORENTED 300,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (COMBINEDiSINGLE LIMIT $ 1,000,000 X ANY AUTO BA8F565992 09/01/2018 09/01/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSEONLY AUTOS WN p BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOcS ONLY F*FiggrAAGE UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER ETH - AND EMPLOYERS'LIABIUTY 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 I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Excluded officers: Gregory Green and Shawn Swanby RE:Ordinance#15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured. Coverage is Primary/Non-Contributory. See forms attached. 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 Valley,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD l5- z0Vs /--, FATBLLC-01 JGRAU A�R� CERTIFICATE OF LIABILITY INSURANCE DAT9/3/2019YYI 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debbie Johnston,CPCU,ARM,CIWCS NAME.- Alllant Insurance Services,Inc. PHONE 208 770-3844 FAX818 W Riverside Ave Ste 800 (A/C,No.Ext) ( ) _ (AK,No)(509)325-1803 Spokane,WA 99201 E-MAILDSS.debbie.johnston@alliant.com _ - - INSURERISIAFFORDING COVERAGE NAICM INSURER A•Travelers Property Casualty Company of America 25674 INSURED INSURER Charter Oak Fire Insurance Company 25615 Fatbeam LLC ,INSURER Idaho State Insurance Fund 136129 2065W Riverside#105 INSURER D _ Coeur 0 Alone,ID 83814 INSURER E I 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 TYPE OF INSURANCE AODL BURR POLICY NUMBER M'POLICY EFF POLICY EXP LIMITS LTRINSD WVOIMMIDP/YYYYI IMMIDYYYI A X COMMERCIAL GENERAL LIABILITYD 1,000,000 EACH OCCURRENCE $ 1 CLAIMS-MADE `XJ OCCUR X IZLP61 M39980 9/1/2018 8/1/2020 PREMISES TO occcurrrence) $ 300,000 MED EXP(Any one person $ 10,000 — PERSONAL&ADV INJURY $ 1.000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRp POLICY .7 POLICY IPRODVCTS-LOMPIOP AGG_ $ 2,000,000 OTHER 1 !EBL EACH EMPLOY $ 1,000,000 B li AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ 11 X ANY AUTO BA4N268568 9/1/2019 9/1/2020 sooty rtoURVLPerperso] s_ ' OVMED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per acndentl $ _X_ AUTOS ONLY X AUTOS ONLYYI IRPY(Oa¢iEen DAMAGE $ A X UMBRELLA LIAR X OCCUR14,000,000 EACH OCCURRENCE $ EXCESS LMB CLAIMS-MADE CUP9K781029 9/1/2019 9/1/2020 AGGREGATE $ 14,000,000 OED X RETENTION$ 10,000 $ C WORKERS COMPENSATION x I PER OTR AND EMPLOYERS'LIABILITY _ .STATUTE ER YIN 632831 1/1/2019 1/1/2020 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEEL EACH ACCIDENT $ 1O''F'FICERIMEM ETCLUDED'i V NIA R yes, eascrlce� er _EL pISEASE DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1.000'000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached If more space Is required) Excluded officers: Gregory Green and Shawn Swanby City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of SpokaneTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Vdlley o0 E. anueAvenue ACCORDANCE WITH THE POLICY PROVISIONS 102Spokane,WA 99206 AUTHORIZED REPRESENTATIVE - s='� ACORD 25(2016/03) ©1986-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR TECHNOLOGY 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 coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Non-Owned Watercraft - 75 Feet Long Or H. Blanket Additional Insured - Controlling Less Interest B. Who Is An Insured - Unnamed I. Blanket Additional Insured - Mortgagees, Subsidiaries Assignees, Successors Or Receivers C. Who Is An Insured - Employees - J. Blanket Additional Insured - Governmental Supervisory Positions Entities - Permits Or Authorizations 0. Who Is An Insured - Newly Acquired Or Relating To Premises Formed Limited Liability Companies K. Blanket Additional Insured - Governmental E. Who Is An Insured - Liability For Entities - Permits Or Authorizations Conduct Of Unnamed Partnerships Or Relating To Operations Joint Ventures L. Medical Payments - Increased Limit F. Blanket Additional Insured - Persons Or M. Blanket Waiver Of Subrogation Organizations For Your Ongoing N. Contractual Liability - Railroads Operations As Required By Written Contract Or Agreement O. Damage To Premises Rented To You G. Blanket Additional Insured - Broad Form Vendors PROVISIONS consent, either uses or is A. NON-OWNED WATERCRAFT - 75 FEET responsible for the use of a LONG OR LESS watercraft that you do not own that is: 1. The following replaces Paragraph (2) (1) 75 feet long or less; and of Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of (2) Not being used to carry any SECTION I - COVERAGES - COVERAGE person or property for a charge. A - BODILY INJURY AND PROPERTY B. WHO IS AN INSURED - UNNAMED DAMAGE LIABILITY: SUBSIDIARIES (2) A watercraft you do not own The following is added to SECTION II - that is: WHO IS AN INSURED: (a) 75 feet long or less; and _ Any of your subsidiaries, other than a (b) Not being used to carry any partnership or joint venture, that is not person or property for a shown as a Named Insured in the charge; Declarations is a Named Insured if: 2. The following replaces Paragraph a You are the sole owner of, or maintain 2.e. of SECTION II - WHO IS AN an ownership interest of more than INSURED: 50% in, such subsidiary on the first day of the policy period; and e. Any person or organization that, with your express or implied CG D4 17 02 19 ® 2017 The Travelers Indemnity Company. All rights reserved Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc with its permission COMMERCIAL GENERAL LIABILITY h. Such subsidiary is not an insured the policy period, whichever is under similar other insurance. earlier, if you do not report such No such subsidiaryis an insured for organization in writing to us within 180 days after you "bodily injury" or "property damage" acquire or form it; or that occurred, or "personal and advertising injury" caused by an 121 Until the end of the policy offense committed: period, when that date is later a. Before you maintained an ownership than 180 days after you acquire interest of more than 50% in such or form such organization, if subsidiary; or you report such organization in writing to us within 180 days b. After the date, if any, during the after you acquire or form it; policy period that you no longer b. Coverage A does not apply to maintain an ownership interest of "bodily injury" or "property more than 50% in such subsidiary. damage" that occurred before you For purposes of Paragraph 1. of acquired or formed the organ- Section II - Who Is An Insured, each ization; and such subsidiary will be deemed to be C. Coverage B does not apply to designated in the Declarations as: "personal and advertising injury" a. A limited liability company; arising out of an offense committed before you acquired or formed the b. An organization other than a organization. partnership, joint venture or limited For the purposes of Paragraph 1. of liability company; or Section II - Who Is An Insured, each C. A trust; such organization will be deemed to be as indicated in its name or the designated in the Declarations as: documents that govern its structure. a A limited liability company; C. WHO IS AN INSURED - EMPLOYEES - b. An organization, other than a SUPERVISORY POSITIONS partnership, joint venture or limited The following is added to Paragraph liability company; or 2.a(1) of SECTION II - WHO IS AN C. A trust; INSURED: as indicated in its name or the Paragraphs (1)(a), (b) and (c) above do documents that govern its structure. not apply to "bodily injury" to a co- E. WHO IS AN INSURED - LIABILITY FOR "employee" while in the course of the CONDUCT OF UNNAMED PARTNERSHIPS OR co-"employee's" employment by you JOINT VENTURES arising out of work by any of your "employees" who hold a supervisory The following replaces the last paragraph position. of SECTION II - WHO IS AN INSURED: D. WHO IS AN INSURED - NEWLY ACQUIRED No person or organization is an insured OR FORMED LIMITED LIABILITY COMPANIES with respect to the conduct of any current The following replaces Paragraph 3. of or past partnership or joint venture that is SECTION II - WHO IS AN INSURED: not shown as a Named Insured in the Declarations. This paragraph does not 3. Any organization you newly acquire apply to any such partnership or joint or form, other than a partnership or venture that otherwise qualifies as an joint venture, and of which you are insured under Section II - Who Is An the sole owner or in which you Insured. maintain an ownership interest of F. BLANKET ADDITIONAL INSURED - PERSONS more than 50%, will qualify as a OR ORGANIZATIONS FOR YOUR ONGOING Named Insured if there is no other OPERATIONS AS REQUIRED BY WRITTEN similar insurance available to that CONTRACT OR AGREEMENT organization. However: a. Coverage under this provision is The following is added to SECTION II - afforded only: WHO IS AN INSURED: (1) Until the 180th day after Any person or organization that is not you acquire or form the otherwise an insured under this Coverage organization or the end of Part and that you have agreed in a written Page 2 of 5 ® 2017 The Travelers Indemnity Company. All rights reserved CG D4 17 02 19 Includes copyrighted material of Insurance Services Office, Inc with its permission. COMMERCIAL GENERAL LIABILITY contract or agreement to include as an manufacturer, and then repackaged in additional insured on this Coverage Part the original container; is an insured, but only with respect to liability for "bodily injury" or "property (4) Any failure to make such damage" that: inspections, adjustments, tests or servicing as vendors agree to a. Occurs subsequent to the signing of perform or normally undertake to that contract or agreement; and perform in the regular course of business, in connection with the b. Is caused, in whole or in part, by distribution or sale of "your your acts or omissions in the products"; performance of your ongoing operations to which that contract or (5) Demonstration, installation, servicing agreement applies or the acts or or repair operations, except such omissions of any person or operations performed at such organization performing such vendor's premises in connection operations on your behalf. with the sale of "your products"; or The limits of insurance provided to IB) "Your products" that, after such insured will be the minimum distribution or sale by you, have limits that you agreed to provide in the been labeled or relabeled or used written contract or agreement, or the as a container, part or ingredient of limits shown in the Declarations, any other thing or substance by or whichever are less. on behalf of such vendor. G. BLANKET ADDITIONAL INSURED - BROAD Coverage under this provision does not FORM VENDORS apply to: The following is added to SECTION II - a Any person or organization from whom WHO IS AN INSURED: you have acquired "your products", or or organization that is a any ingredient, part or container Any person9 entering into, accompanying or vendor and that you have agreed in a containing such products; or written contract or agreement to include as an additional insured on this b. Any vendor for which coverage as an Coverage Part is an insured, but only additional insured specifically is with respect to liability for "bodily scheduled by endorsement. injury" or "property damage" that: H. BLANKET ADDITIONAL INSURED - CONTROLLING a. Occurs subsequent to the signing of INTEREST that contract or agreement; and 1. The following is added to SECTION II - h. Arises out of "your products" that WHO IS AN INSURED: are distributed or sold in the regular course of such vendor's business. Any person or organization that has financial control of you is an insured The insurance provided to such vendor with respect to liability for "bodily is subject to the following provisions: injury", "property damage" or "personal a The limits of insurance provided to and advertising injury" that arises out °f' such vendor will be the minimum limits that you agreed to provide in a Such financial control; or the written contract or agreement, person'sanization's b. Such or or or the limits shown in the9 Declarations, whichever are less. ownership, maintenance or use of b. The insurance provided to such premises leased to or occupied by you. vendor does not apply to: The insurance provided to such person (1) Any express warranty not or organization does not apply to authorized by you or any structural alterations, new construction distribution or sale for a or demolition operations performed by purpose not authorized by you; or on behalf of such person or (2) Any change in "your products" organization. made by such vendor; 2. The following is added to Paragraph 4. (3) Repackaging, unless unpacked of SECTION II - WHO IS AN INSURED: solely for the purpose of This paragraph does not apply to any inspection, demonstration, testing, premises owner, manager or lessor that or the substitution of parts has financial control of you. under instructions from the CG D4 17 02 19 ® 2017 The Travelers Indemnity Company All rights reserved Page 3 of 5 Includes copyrrghted material of Insurance Services Office. Inc. with its permission COMMERCIAL GENERAL LIABILITY I. BLANKET ADDITIONAL INSURED - J. BLANKET ADDITIONAL INSURED - GOVERNMENTAL MORTGAGEES, ASSIGNEES, SUCCESSORS OR ENTITIES - PERMITS OR AUTHORIZATIONS RECEIVERS RELATING TO PREMISES The following is added to SECTION II - The following is added to SECTION II - WHO IS AN INSURED: WHO IS AN INSURED: Any person or organization that is a Any governmental entity that has issued a mortgagee, assignee, successor or permit or authorization with respect to receiver and that you have agreed in a premises owned or occupied by, or rented written contract or agreement to or loaned to, you and that you are include as an additional insured on this required by any ordinance, law, building Coverage Part is an insured, but only code or written contract or agreement to with respect to its liability as include as an additional insured on this mortgagee, assignee, successor or Coverage Part is an insured, but only with receiver for "bodily injury", "property respect to liability for "bodily injury", damage" or "personal and advertising "property damage" or "personal and injury" that: advertising injury" arising out of the a Is "bodily injury" or "property existence, ownership, use, maintenance, damage" that occurs, or is repair, construction, erection or removal of any of the following for which that "personal and advertising injury" governmental entity has issued such caused by an offense that is permit or authorization: advertising signs, committed, subsequent to the awnings, canopies, cellar entrances, coal signing of that contract or holes, driveways, manholes, marquees, agreement; and hoist away openings, sidewalk vaults, b. Arises out of the ownership, elevators, street banners or decorations. maintenance or use of the premises K. BLANKET ADDITIONAL INSURED - for which that mortgagee, assignee, GOVERNMENTAL ENTITIES - PERMITS OR successor or receiver is required AUTHORIZATIONS RELATING TO OPERATIONS under that contract or agreement to be included as an additional insured The following is added to SECTION II - on this Coverage Part. WHO IS AN INSURED: The insurance provided to such Any governmental entity that has issued a mortgagee, assignee, successor or permit or authorization with respect to receiver is subject to the following operations performed by you or on your provisions: behalf and that you are required by any a. The limits of insurance provided to ordinance, law, building code or written such mortgagee, assignee, successor contract or agreement to include as an or receiver will be the minimum additional insured on this Coverage Part is limits that you agreed to provide in an insured, but only with respect to the written contract or agreement, liability for "bodily injury", "property or the limits shown in the damage" or "personal and advertising Declarations, whichever are less. injury" arising out of such operations. b. The insurance provided to such The insurance provided to such person or organization does not governmental entity does not apply to: apply to: a. Any "bodily injury", "property damage" (1) Any "bodily injury" or "property or "personal and advertising injury" arising out of operations performed for damage" that occurs, or any "personal and advertising injury" the governmental entity; or caused by an offense that is b. Any "bodily injury" or "property committed, after such contract damage" included in the "products- or agreement is no longer in completed operations hazard". effect; or L. MEDICAL PAYMENTS - INCREASED LIMIT (2) Any "bodily injury", "property damage" or "personal and The following replaces Paragraph 7. of advertising injury" arising out of SECTION III - LIMITS OF INSURANCE: any structural alterations, new 7. Subject to Paragraph 5. above, the construction or demolition Medical Expense Limit is the most we operations performed by or on will pay under Coverage C for all behalf of such mortgagee, medical expenses because of "bodily assignee, successor or receiver. injury" sustained by any one person, Page 4 of 5 © 2017 The Travelers Indemnity Company. All nghts reserved. CG D4 17 02 19 Includes copyrighted material of Insurance Services Office, Inc with its permission COMMERCIAL GENERAL LIABILITY and will be the higher of: N. CONTRACTUAL LIABILITY - RAILROADS a $10,000; or 1. The following replaces Paragraph c. of b. The amount shown in the the definition of "insured contract" in Declarations of this Coverage the DEFINITIONS Section: Part for Medical Expense Limit. c. Any easement or license agreement; M. BLANKET WAIVER OF SUBROGATION 2. Paragraph f.(1) of the definition of The following is added to Paragraph 8., "insured contract" in the DEFINITIONS Transfer Of Rights Of Recovery Against Section is deleted. Others To Us, of SECTION IV - 0. DAMAGE TO PREMISES RENTED TO YOU COMMERCIAL GENERAL LIABILITY CONDITIONS: The following replaces the definition of If the insured has agreed in a contract "premises damage" in the DEFINITIONS or agreement to waive that insured's Section: right of recovery against any person or organization, we waive our right of "Premises damage" means "property recovery against such person or damage" to: organization, but only for payments we a Any premises while rented to you or make because of: temporarily occupied by you with a. "Bodily injury" or "property permission of the owner; or damage" that occurs; or b. The contents of any premises while Ii. "Personal and advertising injury" such premises is rented to you, if you caused by an offense that is rent such premises for a period of committed; seven or fewer consecutive days. subsequent to the execution of the contract or agreement. CG D4 17 02 19 a 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc with its permission. DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/20/2020 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Tracy Abbott NAME: FAX PHONE UNITEL(402) 434-7200(402) 434-7272 (A/C, No): (A/C, No, Ext): E-MAIL 1128 Lincoln Malltabbott@unitelinsurance.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGENAIC # LincolnNE68508National Farmers Union P & C16217 INSURER A : INSURED Cincinnati Insurance Co.10677 INSURER B : Fatbeam, LLC INSURER C : 2065 W Riverstone Dr, Ste 202 INSURER D : INSURER E : Coeur D'AleneID83814 INSURER F : 20/21 ALL LINES 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 COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ ARUI000014209/01/202009/01/20211,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED ARUI000014209/01/202009/01/2021 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB 10,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB 1CB966231209/01/202009/01/202110,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Each Occurrence$4,000,000 Excess Umbrella BEXS058742009/01/202009/01/2021Aggregate$4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Ordinance # 15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract. General Liability coverage is Primary Non-Contributory. See forms attached. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane ValleyWA99206 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/30/2021 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Tracy Alexander NAME: FAX PHONE UNITEL(402) 434-7200(402) 434-7272 (A/C, No): (A/C, No, Ext): E-MAIL 1128 Lincoln Malltabbott@unitelinsurance.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGENAIC # LincolnNE68508National Farmers Union P & C16217 INSURER A : INSURED Cincinnati Insurance Co.10677 INSURER B : Fatbeam, LLC INSURER C : 2065 W Riverstone Dr, Ste 202 INSURER D : INSURER E : Coeur D'AleneID83814 INSURER F : 21/22 ALL LINES 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 COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ ARUI000014209/01/202109/01/20221,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED ARUI000014209/01/202109/01/2022 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB 10,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB 1CB966231209/01/202109/01/202210,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Each Occurrence$4,000,000 Excess Umbrella BEXS058742009/01/202109/01/2022Aggregate$4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Ordinance # 15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract. General Liability coverage is Primary Non-Contributory. See forms attached. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane ValleyWA99206 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/30/2021 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Tracy Alexander NAME: FAX PHONE UNITEL(402) 434-7200(402) 434-7272 (A/C, No): (A/C, No, Ext): E-MAIL 1128 Lincoln Malltabbott@unitelinsurance.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGENAIC # LincolnNE68508National Farmers Union P & C16217 INSURER A : INSURED Cincinnati Insurance Co.10677 INSURER B : Fatbeam, LLC INSURER C : 2065 W Riverstone Dr, Ste 202 INSURER D : INSURER E : Coeur D'AleneID83814 INSURER F : 21/22 ALL LINES 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 COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ ARUI000014209/01/202109/01/20221,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED ARUI000014209/01/202109/01/2022 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB 10,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB 1CB966231209/01/202109/01/202210,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Each Occurrence$4,000,000 Excess Umbrella BEXS058742009/01/202109/01/2022Aggregate$4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Ordinance # 15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract. General Liability coverage is Primary Non-Contributory. See forms attached. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane ValleyWA99206 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/04/2023 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Tracy Alexander NAME: FAX PHONE UNITEL(402) 434-7200(402) 434-7272 (A/C, No): (A/C, No, Ext): E-MAIL 1128 Lincoln Malltabbott@unitelinsurance.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGENAIC # LincolnNE68508National Farmers Union P & C16217 INSURER A : INSURED Accident Fund INSURER B : SDC FB Holdings, LLCCincinnati Insurance Co.10677 INSURER C : 2065 W Riverstone Dr, Ste 202 INSURER D : INSURER E : Coeur D'AleneID83814 INSURER F : 22/23 ALL LINES 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 COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ ARUI000014209/01/202209/01/20231,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED ARUI000014209/01/202209/01/2023 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB 10,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB 1CB966231209/01/202209/01/202310,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ B N / A 10008759801/01/202309/01/2023 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Excess Umbrella Limit$4,000,000 Excess Umbrella CEXS058742009/01/202209/01/2023 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Spokane Valley is listed as an Additional Insured with respect to General Liability as required per written contract. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane ValleyWA99206 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/04/2023 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Tracy Alexander NAME: FAX PHONE UNITEL(402) 434-7200(402) 434-7272 (A/C, No): (A/C, No, Ext): E-MAIL 1128 Lincoln Malltabbott@unitelinsurance.com ADDRESS: Suite 200 INSURER(S) AFFORDING COVERAGENAIC # LincolnNE68508National Farmers Union P & C16217 INSURER A : INSURED Accident Fund INSURER B : SDC FB Holdings, LLCCincinnati Insurance Co.10677 INSURER C : 2065 W Riverstone Dr, Ste 202 INSURER D : INSURER E : Coeur D'AleneID83814 INSURER F : 22/23 ALL LINES 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 COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ ARUI000014209/01/202209/01/20231,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTOBODILY INJURY (Per person)$ OWNEDSCHEDULED ARUI000014209/01/202209/01/2023 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB 10,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB 1CB966231209/01/202209/01/202310,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ B N / A 10008759801/01/202309/01/2023 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Excess Umbrella Limit$4,000,000 Excess Umbrella CEXS058742009/01/202209/01/2023 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Ordinance # 15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract. General Liability coverage is Primary Non-Contributory. See forms attached. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane ValleyWA99206 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MMID0IYYYY) 08/31/2023 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 such endomement(s). PRODUCER CONTACT NAME: Tracy Alexander UNITEL PHONE (402)434-7200 402)434-7272 A1C No): ADORESS: tabbott@unitelinsurance.com 1128 Lincoln Mall Suite 2DO INSURE 9 AFFORDING COVERAGE NAIC A Lincoln NE 68508 INSURERA: Phoenix Insurance Co 25623 INSURED INSURER B : St. Paul ProteCliVe Fatbeam Holdings, LLC INSURER c : Accident Fund Insurance Co. 10166 2065 W Riverstone Dr, Ste 202 INSURER D : Travelers Property Casualty Company or America INSURER E : Coeur D'Alene ID 83814 INSURER F : COVERAGES CERTIFICATE NUMBER: 23/24ALLLINES REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR TYPE OF INSURANCE INSD YWD I POLICY NUMBER MIDDIYYYY) (MMIDDIYYYYJ LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR EACH OCCURRENCE 1.000,000 S PREMISES Es occurrence S 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 A ZLP-61N69525 09/01/2023 09101/2024 GENL AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 S OTHER: AUTOMOBILE LIABILITY Ea acc ED SINGLE LIMIT $ 1,000.000 BODILY INJURY (Per person) $ ANY AUTO g OWNED SCHEDULED AUTOS ONLY ALTOS BA-1X490995 09/01/2023 09/01/2024 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 70FRT7MMAGE$ Per accident $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 14,000,000 D EXCESS UAB CLAIM&MADE CUPAX883361 09/01/2023 09/01/2024 AGGREGATE $ 14,000,000 DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERTLIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA lJB-1X495432 09/01/2023 09l01 /2024 STATUTE OT ER E.L. EACH ACCIDENT 1,000,000 $ 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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) City of Spokane Valley is listed as an Additional Insured with respect to General Liability as required per written contract 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. 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane Valley WA 99206 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD J ACa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `,....-- 8/29/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Tracy Alexander UNICO Group PHONE NN exn: (402)434-7200 FAX No): 1128 Lincoln Mall,Suite 200 E-MAIL ADDRESS: teexander@unitelinsurance.com Lincoln,NE,68508 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: The Phoenix Insurance Company 25623 INSURED INSURER B: Farmington Casualty Company 41483 Fatbeam Holdings,LLC Travelers Property CasualtyCo of America 25674 2065 W Riverstone Dr,Ste 202 INSURER C: p Y Coeur D'Alene,ID,83814 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1724931300263 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY ZLP-61N69525 9/1/2024 9/1/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 A MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ECT LOC2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY BA-1X490995 9/1/2024 9/1/2025 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS ONLY _ AUTOS ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR CUP-1X883361 9/1/2024 9/1/2025 EACH OCCURRENCE $ 14,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE $ 14,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION UB-1X495432 9/1/2024 9/1/2025 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Ordinance#15-014 City of Spokane Valley is Additional Insured with respect to General Liability for the Ongoing Operations of the Named Insured as required by written contract.General Liability coverage is Primary Non-Contributory.See forms attached. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10210 E Sprague Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Spokane Valley,WA,99206 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD