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14-208.02 SPVV Landscape Architects: Old Mission Trailhead CONTRACT AMENDMENT FOR THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND SPVV LANDSCAPE ARCHITECTS Contract #14-208.02 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the SPVV Landscape Architects mutually agree as follows: 1. Purpose: This Amendment is for the Contract for design of the Mission Trailhead Project by and between the Parties, executed by the Parties on November 2, 2014, and which terminates on September 1, 2015. Total compensation under the Original Contract is not to exceed $6,600.00. Said contract shall be referred to as the "Original Contract" and its terms are hereby incorporated by reference. 2. Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the Original Contract, dated November 2, 2014, and any amendments thereto, which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are as follows. All such amendment provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Contract completion date has been extended to December 31, 2015 so that construction supervision on this project will be complete. 4. Compensation Amendment History: This is Amendment#2 of the Original Contract and the history of amendments to the SPVV Landscape Architect's compensation is as follows: Date Compensation Original Contract Amount 11/2/14 $6,600.00 Amendment#1 5/29/15 $ 0.00 Amendment#2 8/26/15 $ 0.00 Total Amended Compensation $6,600.00 1 The parties have executed this Amendment to the Original Contract thi//day of Au 2015. CITY OF SPOKANE VALLEY: SPVV LANDSCAPE ARCHITECTS: h.,. q1 % --Vaeilt/ "Oft/ like Jacks. f' By: Thomas Sherry City Mana;.er Its: President ATTEST: APPROVED AS TO FORM: CistlZ)--( ine Bainbri ge, City CTer )._,„,s,,..,_ Office •41 e City'a tto r ey 2 ------,,""11) OP ID:JVI ACaJRO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) moi- 05/27/2015 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 endorsements) P.:(-l=l\//R Ph - CONTACT PRODUCER v` ' NAME: Maegan Chandler-Ext.328 Andre-Romberg Ins.Agency,Inc I_ I iaHc°°."N,Extt:509 624-3291 FAX No):509-456 0294 S.400 Jefferson St.,Ste.333 s j ;_. •,.,, I E-MAIL mchandler andre-romber com Spokane,WA 99204 I ADDRESS: g Kenneth D.Kurtz-Ext.324 i PRODUCER TCSHE-1 IrARKS&RECREATION DEPT i CUSTOMER ID#: )------- ---- INSURER(S)AFFORDING COVERAGE NAIC# INSURED TC Sherry&Associates P.S. INSURER A:Ohio Security Insurance Co 24082 SPW Landscape Architects INSURER 8: . 1908 W.Northwest Blvd,Ste A INSURER c: Spokane,WA 99205 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00C BZS55094569 04/17/2015 04/17/2016 DAMAGE TO RENTED 2,000,00C A COMMERCIAL GENERAL LIABILITY PREMISES{Ea occurrence) $ � CLAIMS-MADE OCCUR MED EXP(Any one person) $ 15,000 X Business Owners PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 —I POLICY JFST fl LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BAS55094569 04/17/2015 04/17/2016 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (PER ACCIDENT) • NON-OWNED AUTOS $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE — $ --- RETENTION $ $ WORKERS COMPENSATION WC YTATU- y OT AND EMPLOYERS'LIABILITY Y/N BZS55094569 04/17/2015 04/17/2016 E.L.EACH ACCIDENT $ 2,000,000 ER A ANY PROPRIETOR/PARTNER/EXECUTIVE N/A OFFICER/MEMBER EXCLUDED? STOP GAP E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe andNH) 2,000,000 DESCRIPTION under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Property BZS55094569 04/17/2015 04/17/2016 BPP 109,272 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Spokane Valley Parks and Req.is listed as additional insured with respects to operations of the named insured. Project: Old Mission Trailhead 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. Parks and Rec. Attn: Patty Bischoff AUTHORIZED REPRESENTATIVE 2426poN. DiscoveryAPlace2 /� // Spokane Valley,WA 99216 �f-�'i1�� �i' 1 ©1988-2009 ACORD CORPORATION. All rights reserved. nrnon ne Mn/1n/nM Ma annRn Hama anti Inn°2ta ranistprpd marks of ACORD Ab�o-- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYTY) 4.-----' 05/27/2015 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). n c:Is.G--I ti C.t,.•) ' CONTACT NAME Karen Bronson PRODUCER n L—. -}r--' PHONE (312)930-5556 FAX (866)741-2778 Leatzow Insurance �, _ 11 s I EMAIL ADDRESS karpn@leatzowinsurance.com 500 W. Madison St.-Suite 3000 j @ Chicago, IL 60661 r INSURERS AFFORDING COVERAGE I NAIC# 11.1f\11'1 t5 cc Fel-(�I;i_i'�l IJN I;f-.;'i.. INSURER(S) INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER B: T.C.Sherry &Associates,P.S. INSURER C: d/b/a: SPVV Landscape Architects 1908 W. Northwest Boulevard INSURER D: Suite A INSURER E: Spokane, WA 99205 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . INSR ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP • LIMITS TYPE OF INSURANCE LTR INSR WVD /Y(MMIDDYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY I I I I DAMAGE TO RENTED $ PREMISES(Ea occurrence) CLAIMS MADE OCCURMED EXP(Any one person) $ DOES NOT APPLY PERSONAL AND ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/0P AGG $ TiPOLICY n PROJECT LOC $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO Scheduled — BODILY INJURY(Per person) $ Autos DOES NOT APPLY ALL OWNED Non-owned BODILY INJURY(Per accident) $ -AUTOS Autos PROPERTY DAMAGE $ Hired Autos (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ — DOES NOT APPLY AGGREGATE $ EXCESS LIAR CLAIMS-MADE DED RETENTION$ $ WORKERS COMPENSATION IWCSTATU- OTH- TORYLIMITS LER AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT Is ANY PROPRIETOR/PARTNER/EXECUTIVEI I N/A DOES NOT APPLY E.L.DISEASE-EA EMPLOYEE 1$ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 each occurrence A PROFESSIONAL LIABILITY I I 020452707 9/9/2014 9/9/2015 1,000,000 aggregate • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: Old Mission Trailhead • • CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Parks and Recreation Department EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH Attn: Patty Bischoff THE POLICY PROVISIONS. 2426 N. Discovery Place - AUTHORIZED REPRESENTATIVE Spokane Valley, WA 99216y_ra LEATZOW INSURANCE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACCORD name and logo are registered marks of ACORD 6/3/2015 SHERRY PRATT VAN VOORHIS Flonic Tnieiocn Espanol Contact Search L&I s A-Z Index Help My Secure Uri Safety Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of l Labor & Industries ISHERRY PRATT VAN VOORHIS 1908 W NORTHWEST BOULEVARD A Owner or tradesperson SPOKANE,WA 99205 Principals 509-325-0511 SHERRY,TOM,PRESIDENT SPOKANE County VANVOURHIS,KEN,VICE PRESIDENT PRATT,TOM,SECRETARY Doing business as SHERRY PRATT VAN VOORHIS WA UBI No. Business type 601 610 448 Corporation Governing persons KENNETH LEE VANVOORHIS THOMAS CRAIG SHERRY; ILicense Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Expired. License holder did not renew. License specialties LANDSCAPING IRRIGATION/SPRINKLING SYSTEMS License no. SHERRPV965BB Effective—expiration 01/02/2004—05/03/2009 Bond DEVELOPERS SURETY&INDEM CO $6,000.00 Bond account no. 852187C Received by L&I Effective date 04/12/2002 04/01/2002 Expiration date Until Canceled Insurance No Nourrcurrent insurance account.See the insurance history. Insurance history Savings s.. •No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts NoL&i...taxde. No L&1 tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. 6/3/2015 SHERRY PRATT VAN VOORHIS License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 889,345-01 Doing business as SPVV LANDSCAPE ARCHITECTS Estimated workers reported Quarter 1 of Year 2015"4 to 6 Workers" L&I account representative T4/CARIE PICKETT(360)902-5592-Email:PICC235@Ini.wa.gov Workplace safety and health No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. "-^- -'---__n„n,_enacana .. — ... nccoon.cntAr-rate. 2/2