14-005.01 Marketing Solutions NorthwestCONTRACT AMENDMENT FOR THE AGREEMENT
BETWEEN THE CITY OF SPOKANE VALLEY
AND MARKETING SOLUTIONS NORTHWEST
Contract #14-005.01
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged,
City and the Consultant mutually agree as follows:
1. Purpose:
This Amendment is for the Contract for CenterPlace Marketing Services by and between the
Parties, executed by the Parties on January 27, 2014, and which terminates on January 31, 2016.
Total compensation under the Original Contract is not to exceed $6,000.00. 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 January 27, 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.
Scope of Services to include the development of a concept and storyline for 10th Anniversary
video, obtain graphic artist for 10th Anniversary poster and the printing of 200 posters.
4. Compensation Amendment History:
This is Amendment #1 of the Original Contract and the history of amendments to the
Consultant's compensation is as follows:
Original Contract Amount
Amendment #1
Total Amended Compensation
Date Compensation
1/27/14 $6,000.00
9/30/15 $3,500.00
$9,500.00
1
The parties have executed this Amendment to the Original Contract this /‘ ay of October
2015.
CITY OF SPOKANE VALLEY: CONSULTANT:
Mike Jackson
City Manager
ATTEST:
Christine Bainbridge, City Clerk
2
By: Ken Waddle
Its: Authorized Representative
APPROVED AS TO FORM:
A U`�DATE
~ CERTIFICATE OF LIABILITY INSURANCE
(MMIDD!YYYY)
01/16/2015
THIS CERTIFICATE ISISSUED 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 poilcy(les) 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
GARY A BURCHILL INS AGENCY INC
StateFarm 420 N EVERGREEN RD STE 520
(510 SPOKANE VLY,.WA 99216
CONTACT GARY BURCHILL
NAME:
tHONE E,�);508 924-7447 1 p c• No);509-9248433
E•MAR GARY@GARYBURCHILL.COM
ADDRESS;
INSURER(S) AFFORDING COVERAGE
NAICp
INSURER A STATE FARM FIRE AND CASUALTY INS
COMMERCIAL GENERAL UABIUTY
INSURED KENNETH WADDLE
DBA MARKETING SOLUTIONS NORTHWEST
5026 N ARGONNE LN #5
SPOKANE VALLEY, WA 99212
INSURERB:
98 CE 18337
INSURERC:
11/15/2015
INSURERD:
$ 1,000,000
INSURER E:
PREMISES (Ea occurrence)
INSURERF:
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
!NSR
LTR
TYPE OF INSURANCE
ADDL NSD
wvo
POLICY NUMBER
IER MM DDYEFF YYYI
IMMM/DD1YYYY1
u�
A
X
COMMERCIAL GENERAL UABIUTY
Y
98 CE 18337
11/15/2014
11/15/2015
EACH OCCURRENCE
$ 1,000,000
PREMISES (Ea occurrence)
$
CLAIMS -MADE 1 X
OCCUR
MED EXP (Any ane person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE UNIT APPLIES PER:
POLICY ❑ JECT [ LOC
i OTHER:
PRODUCTS • COMP/OP AGG
5 1,000,000
S
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIREDAUTOS
1__
_
SCHEDULED
AUTOS
NON -OWNED
AUTOS
COMBINEDSINGLE LIMIT
cent
$I
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
fPReOPPE TY DAMAGE
1
$
$
UMBRELLA UAB
EXCESS MB
A
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
S
$
DED 1 RETENTIONS
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY Y f N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED'!
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
1 PER I I ERS
El. EACH ACCIDENT
S
E.L. DISEASE • EA EMPLOYE
5
E.L. DISEASE • POLICY LIMIT
S
DESCRIPTION OF OPERATIONS! LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is remdrsd)
NAMED ADDITIONAL INSURED:
CITY OF SPOKANE VALLEY
11707 E SPRAGUE AVE
SPOKANE VALLEY, WA 99206
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCOR ' NCE WITH THE POLICY PROVISIONS.
AUTH• •r 7•RESENTATIVE
-41114ekil
ACORD 25 (2014101)
O
. Ail rights reserved.
The ACORD name and logo are riegis d „Q's of ACORD 1001486 132849.9 02-04-2014
IPEMCO 325 Eastlake Avenue East
PO Box 778
Insurance Seattle, WA 98111-0778
PEMCO Auto Policy
Renewal Declarations
PEMCO Mutual Insurance Company
Policy Number CA 0221847
EFFECTNE DATE. EXPIRATION DATE
01/22/15 01/22/16
12:01 A.M., PACIFIC STANDARD TIME'
Named Insureds:
KENNETH E. WADDLE
JULANN WADDLE
5025 N ARGONNE LN APT 6
SPOKANE WA 99212-4400
Valued Customer Since
1976"
1207
This is your Auto insurance renewal. Your proof -of -insurance
and identification cards are enclosed. Thank you for
choosing PEMCO.
Please verify all information. If there are changes, please call our office.
YOUR VEHICLES
2005 WINNEBAGO 35FT ADVENTURER
COVERAGES
Bodily Injury
Property Damage Liability
Underinsured Motorist Bodily Injury
Underinsured Motorist Property Damage
Personal Injuy'Pretection
Loss of Income
Collision
Comprehensive
Auto Loan/Lease
Towing
Rental Reimbursement
Stereo/Communication Equipment
Customized Equipment
VIN 5B4MP67G453399039
Limits/Deductible
$500;000' eac•h" person/$500,000 each o_ ccurre_ nc_e
$500,000 each occurrence
,$500,000 each" person/$500,000 each o ccurrence
$500,000 each occurrence
$10,000':
$200 max per week/$10,400 max per occurrence each person
Deductible ,$500.' -
Deductible: $200
No Coveroge,
No Coverage
No Coverage
No Coverage
No Coverage
Premium
$145.38
$82.54
• $105.43
$17.37
$37.11
Included
$285.89
$192.74
Vehicle Premium $866.46
2007 KIA SPORTAGE EX/LX AWD
COVERAGES
Bodily Injury
Property Damage Liability
Underinsured Motorist Bodily Injury
Underinsured Motorist Properly Damage
Personal Injury Protection
Loss of Income
Collision
Comprehensive;
Auto Loan/Lease
Towing z
Rental Reimbursement
Stereo/Communication Equipment
Customized Equipment
VIN KNDJE723377350018
Limits/Deductible
$500,000 each person/$500,000 each occurrence
$500,000 each occurrence
$500,000 each person/$500,000 each occurrence
$500,000 each occurrence
$10,000
$200 max per week/$10,400 max per occurrence each person
Deductible: $500
Deductible: $200
No Coverage
No Coverage
No Coverage
No Coverage
No Coverage
Premium
$308.10
$174.93
$107.60
$17:73
$81.03
Included
$251.17
$70:48
Vehicle Premium $1,011.04
2013 SUBARU IMPREZA PREMIUM AWD VIN JF 1 GPAC63D2849166
COVERAGES
Bodily Injury.
Limits/Deductible
$500,000 each person/$500,000 each occurrence
Premium
$234.94
A list of your discounts is shown on the next page.
Questions? Check our Customer Care site at pemco.com, or call 1-800-GO-PEMCO (1-800-467-3626). Auto Declarations 08/10
Page 1 of 3