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09-013.00 Dardan Enterprises: Precinct Shop Drain ConstructionJ d 11 ca LVVY IV LIMlyl IN MY F L R , AGREEMNT FOR CO U OR SXR39CE Darden Enterprises, Inc Sheriff Precinct -Shop Dram Construction Contract #OS -037 THIS AGREEMENT is made by and between the City of Spokane Malley, a code City of the State of Washington, hereinafter "City" and Dardan Enterprises, Inc, hereinafter "Contractor," Jointly referred to as 'parties)) IN CONSIDERATION of the terms and conditions contained herein the parties agree as follows 1 Work to Be Performed The Contractor shall do all work and furnish all labor, tools, materials, supplies and equipment for the Sheriff Precinct -Shop Dram Construction Protect ( hereuiafter "work ") and shall perform any changes in the work in accord with the Contract Documents The CONTRACTOR shall, for the amount set forth in the Contractor's bid proposal attached hereto, assume and be responsible for the cost and expense of all work required for constructing and completing the work and related activities provided for in the Contract Plans and Contract Documents, except those items mentioned therein to be furnished by the City of Spokane Valley The City Manager, or designee, shall administer and be the prunary contact for Contractor prior to commencement of work, Contractor shall exercise beet efforts to contact the City Manager or designee to review the scope of work, schedule, and time of completion Upon notice from the City, Contractor shall promptly commence work, complete the same in a timely manner, and cure any failure in performance under this agreement Unless otherwise directed by the City, all work shall be performed in conformance with the Contract Plans, Contract Documents, City and State standards Contractor acknowledges review of the Contract Plans and Contract Documents and accepts the same Contractor shall exercise best efforts, including the selection of the highest quality materials, so that all work performed shall be in compliance with current related industry standards 2 Term of Con ract Thts agreement shall be in full force and effect upon execution and shall remain in effect until completion of the contractual requirements have been met. The City may terminate thus agreement by ten days' written notice to the other party In the event of such termination, the City shall pay the Contractor for all work previously authorized and satisfactorily performed prior to the termination date 3 Compensation The City agrees to pay the Contractor a fee not to exceed of $22,500 00 for the work, as full compensation for everything furnished and done under this agreement. 4 pa_ yrnent The Contractor may elect to be paid in monthly installments, upon presentation of an invoice to the City, or in a lump sum, upon completion of the work Applications for payment shall be sent to the City Clerk at the below- stated address Agreement for Construction Semces Page 1 of 5 C09 -013 01 -06 -2009 11 35 DARIN MEEKS (208)773 -8036 PAGE2 Jan 6 2009 9 38 No 0678 P 3 The City reserves the right to withhold payxaent under this agreement which is detemined, to the reasonable judgment of the City Manager, to be noncompliant with the Contract Plans, Contract Documents, or City or State standards NO Notice shall be given in writing as follows 10 DM CITY Name, Christine Bainbridge, City Clerk Phone Number (509) 921 -1000 Addiesse 11707 East Sprague Ave,, Suite 1 06 Spokane Valley, WA 99206 Name Dardan Enterprises, Inc Phone Number 208 - 773 5418 Mobile 509 998 0911 Address 2356'7'x' Hwy 53 Post Palls, ID 83854 A tic a Standards. The pities, in the performance of this agreement agree to comply with all applicable Federal, State and local laws, and City ordinances and regulations, 7 Prevalll n is Wor Unless otherwise required by law, ifthis contract is for a " publie work" which is defined as "work, construction, alteration, repair or improvement other than ordinary maintenance executed at the cost of the City," the following provision applies This agreement provides for the construction of a public work and a payment of pizv oiling wages according to Washington law All workers, laborers or mechanics shall be paid a prevailing rate of wage that is set forth in an l�xhi to this agreement Before any payment may be made to Contractor a "Statement of Intent to Pay Prevailing 'ages" must be submitted to the City Following firW acceptance of the public works project, the Contractor and each subcontractor shall submit an "Af idavit of Wages Paid" before .retained funds will be released to the Contractor 'The affidavit must be certified by the industrial statistician of the Department of Labor and Industries. 8 &Iptionship of the Parties It is hereby understood, agreed and declared that the Contractor shall be an independent Contractor acid not the agent or employee ofthe City, that the City is interested in only the results to be achieved, and that the right to control the particular mawier, method and means of the work is solely within the discretion of the Contractor Any and all employees who provide services to the City under this agareement shall be deemed employees of the Contractor The Contractor shall be solely responsible for the conduct and actions of all its employees under this agreement and any liability that may attach thereto O ►ne ah'n gLk pznents All drawings, plans, specifications, and other related documents prepared by the Con tractor under Hits agreement are and shall be the property of the City, and may be sub to disclosure pursuant to RCW 42 56 or other applicable public recoid laws 10 Mor&, The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of the Contractor's records with respect to all matters covered in this contract Such representatives shall be permitted to audit, examine and make excerpts or transcripts from such records and to make audits of all contracts, invoices, materials, payrolls and record of matters covered by this contract for a period of three years from the date final payment is made hereunder, Agr meat for Cansnoticn Services Page 2 of 5 01 -06 -2009 10 46 DARIN MEEKS (209)773 -603e PAGE3 Jan b 2009 9 39AM No 0678 P 4 11 Warran Unless provided otherwise in the Contract Flans of Contract Documents, Contractor warrants all work and materials performed or installed under this contract are lice from defect or failure for a period of one year following final acceptance by the City, unless a supplier or manufacturer has a warranty for a greater period, which warranty shall be assigned to the City, In the event a defect or failure occurs in work or materials, the Contractor shall vathin the warranty period ternedy the same at no oast or expense to the City 12 Contactor to n , The Contiactor shall be duly licensed and bonded by the Mate ofWashmgton at all tunes this agreement is ill effect 13 Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for miunes to ,persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors No Limitation. Contractor's maintenance ofiiisuranee as required by the agreement shall not be construed to limit the liability of the Contractor to the coveiage provided by such insurance, or otherwiso limit the City's recouise to any remedy available at law or can equity A Minimum caps of Insurance Contractor shall obtain insurance of the types described below 1 Automobile Liability insurance covering all owned, non- owned, hired and leered vehicles. Coverage shall be wntten on Insurance Services Office (BO) from CA 00 01 of a substitute form providing equivalent liability coverage if necessary, the policy ,Mall be endorsed to provide contractual liability coverage 2 Commmial. General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, opeiations, independent contractors, products - completed operations, stop gap liability, personal wjury and advertising mjury, and liability assumed under an insured contract The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement YSO form CO 25 03 11 85 There shall be no endorsement or modification of the Commercial General Liability insurance for liability arising from explosion, collapse or undergivund property damage The City shall be named as an insured under the Contiactofs Commercial General Liability insurance policy with respect to the work performed for the City using ISO Additional Insured endorsement CO 20 10 10 01 and Additional Insured-Completed Operations endorsement CO 20 37 10 01 or substitute endorsements providing equivalent coverage. 3. 3yvrkers' CoMansation coverage as required by the Industrial Insw ance laws of the State of Washington. B Minimum Amounts ofInsurance Contractor shall maintain the fallowing insurance limits 1 Automobile Liability insurance with a rnimmuin combined single limit for bodily injury and property damage of $1,000,000 per accident. 2 Commercial General Liability insurance shall be written with limits no less that $1,000,000 each occurrence, $2,000,000 general aggregate imd a $2,000,040 products- completed operations aggregate limit Agreement for Construction Services Fade 3 of 3 01 -06 -2009 10 47 DARIN MEEKS 0208)773 -8038 PAGE4 Jan 6 2009 9 39AM No 0678 P 5 C Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following pi ovisions foi Automobile Liability and Commercial General Liability insurance 1 The Contractor's insurance coverage shall be primary insurance as respect the City. Any Insurance, self- insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it 2 Cancellation of Consultant's insurance shall be governed by either a the policy shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty days prior written notice by certified mail, return receipt requested, has been given to the City, or b the Consultant shall provide at least 30 days prior written notice by certified mail, return receipt requested of a cancellation I) Acceptability of1murers Insurance is to be placed with insurers with a current AM Best rating of not less than A V11 E Evidence o, f Coverage As evidence of the insurance coverage's required by this contract, the Contractor shall furnish acceptable insurance certificates to the City at the trine the Contractor returns the signed contract The certificate shall specify all of the parties who are additional insureds, and will include applicable policy endorsements, and the deduction or retention level Insuring companies or entities are subject to City acceptance If requested, complete copies of insurance policies shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self- insured retentions, and/or self - insurance 14 Indemnification and Hold Hairmless The Contractor shall defend, indernmfy and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, ii1juries, damages, losses or suits including attorney fees, arising out of or in connection with the performance of this agreement, except for injuries and damages caused by the sole negligence of the City, Should a court of competent jurisdiction determine that this Agreement is subject to RC'W' 4.24 115 then, in the event of liability for damages arising out of bodily Injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, and volunteei s, the Contractor's liability hei eunder shall be only to the extent of the Contractor's negligence It is /lather specifically and expressly understood that the indemnification provided herein constitutes the Contractor's waiver of immunity under Industrial Insurance. Title 51 RCW solely for the purposes of this indemnification. This waiver has been mutually negotiated by the parties The provisions of this section shall survive the expiration or termination of the agreement 15. Waiver. No officer, employee, agent, or other individual acting on behalf of either party, has the power, right, or authority to waive any of the conditions or provisions of this agreement No waiver in one instance shall be held to be waiver of any other subsequent breach or nonperformance. All remedies afforded in this agreement, or by law, shall be taken and construed as cumulative, and in addition to every other remedy provided herein or by law Failure of either patty to enforce, at any time, any of the provisions of this agreement, or to require, at any time, performance by the other party of any provision hereof, shall in no way be construed to be a waiver of such provisions, nor shall it affect the validity of this agreement, or any part thereof Agrcc=t for Construction Smicos Page 4 of 5 01 -06 -2009 10 47 DARIN MEEKS (208)773 -8038 PAGES 16. Assianm eat and Delegation Neither parry shall assign, transfer, or delegate any or all of the responsibilities of this agreement, or the benefits received hereunder, without first obtaining the written consent of the other patsy. 17. Jurisdiction and Venue This agreement is entered into in Spokane County, Washington. Venue shall be in Spokane County, State of Washington. 18. Arbitration All disputes arising under this agreement shall be resolved through arbitration pursuant to State law, Rules for arbitration shall be those prescribed by the American Association of Arbitration. 19. Entire Aereement This written agreement constitutes the entire and complete agreement between the parties, and supercedes any prior oral or written agreements. This agreement may not be changed, modified, or altered, except in writing and signed by the parties hereto. 20. Anti - kickback No officer or employee of the City, having the power or duty to perform an official act or action related to this agreement, shall have, or acquire, any interest in this agreement, or have solicited, accepted, or granted, a present or future gift, favor, service, or other thing of value from any person with an interest in this agreement. 21. ' Business Registration Prior to commencement of work, Contractor shall register with the City as a business, 22. Severability If any section, sentence, clause or phrase ofthis agreement should be held to be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other section, sentence, clause or phrase of this agreement. 23. Exhibits. Exhibits attached and incorporated into this agreement are: 1. Contract provisions for the Sheriff Precinct -Shop brain, Contract Number 08.037. 2. Insurance Certificates and Bid Response Documents, WITNESS WIREOP, the parties have executed this agreement this - 42 — " ztay of 2009. CI OF SP O NE VALLEY: CONTRACTOR:� i—) Aclw L w j F � 5 axzT -s' pl ATTEST- '7 ✓l U- 1 Clerk REDACTED APPROVED AS TO FORM: O ce ofthe City Attorney This document contains confidential tax information and has been redacted pursuant to RCW 82.32.330. Agreement for 1 You may petition for a review of our findings pertaining to any Pages of redacted or withheld documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. 01 -06 -2009 10:47 DRRIN MEEKS C208)773 -8038 PAGE6 A, 41 t.. w o w- 4�KnWain alleV 4M ow 335852P CONTRA M.IR*S PERFO M&NCE AMP-PAYMENT IRONO TO YAKY,, OPT TOTP -Mg XT.101 ��s uvrr%=avFM= Z"� ts�.,t Dardan Enterprises, Inc ��- . (Cam w;Wr), asPrindpg, wane! Developers Surety and Indemnity Company (gig C=p W), as Surety, a cntporatIon of I owa . ,whose jvinoipal office U located at 9750 Third Ave NE, Suite 305, Seattle, WA 98115 , a ,.a f9rmty bamd unto die bbts of Washisaton imd the Cif ► of Spokane Valley, a teal mb&vW= dw State of Wubbgt s, as Obltgm, to litttllt the obligations of the Principel and the Surety under the Cualmet to which refererwce S nrxeafter roak M um auwwjL U $ Twenty -Two Thousand Five HOndred and 00/100 (kgdh,g wash stage aalos tax) forpaymaut W5M fPrmcipal and Surety hind thems elves, their holrb, =6L.- atulb, 4danLulbU91U44, 4UILA saM a Lid = W;J iII1 y :tau cover aLV AY' q ay U103 PrO50M WHEREAS, PaluclpaJhas l�,,r 14'ritt pr�l +�qa1 f34tA$ ofl t , ed UP aide m3Tu a C iratra Riiu to C* of Spok m Valley for C omtnct No 08 037 - ----- - pMuent to the tea= aud mndigm set fvtth in tha CaWniot Doo=v* dated NOW TF1MMMIM th"ondition ofthis obligstloar Is snch that if the %IndW 9WH fif"ft Pat= all tha prodsians of the Contract on Ita port, W pay W1 MOM. mechanics, subcoAtTactars end moteusl sppphw, W all parsons who supply such Person or parerute or sub=*=tws wA provxtons and supplies for the cutrymg on of such work, and iadann* and hold humless tb,e Obltgeea $om. all Jose, Cost or dwage wWch it maey n5r by reason of the failure to do on of dw foregoing, clues dw o*adi shall be nuH and Vold, ottcwisa k abell romata t4 ta face and ef3feot. ,. s 1P All parsons who havo Amdsh @d labor, mstariAh a Stipp I= for in and about the wo rk piuvLdecl fw u1 fhe Gwlua at shall have s direct rJ& ofacdon wider this bond, to the exlent and in the m=ar at forth In RCW 39.06 the Sala hasty forvaiuo rand hoteby 14*tes =a ages tttatno change, rx,teusic►n ui Lwic, wLwaimin or addaf an to tho tams of who Contract or but to WOM to be pabowd itunmader a the 9PECip M ION8 4*vmpmying tha saaan A14 in anyway s i 'i lis oUggaucin on taw B+Jltiw a` i a coos id ray Waivo wince of ary such cht,'km i[Mttion or Add mon ic ;µm W= of the Contract or to the WOM ar to gm SPB€'.IFICATiON&, No fal soWament Wvm the OWNER and the CONTRACTOR A411 atuidga = rcgnt of = nculct 4nry binder, whose claim may be umadAed fiit3N)M AM SgAM THIS 9th DAYQP January YtAR20 09 , D evelopers Surety and Indemnity Company Dardan Enterpnse, c STY P ��Wze- Slgnetura S a Joh L Green Z - - � Dan n Meeks Typed Name Name Attorney -i -F act Secretary Title T (SEAL) . J` PO%VLR OF Al I ORNE1 FOR DL% LLOPERS SURL 1'1 AND INDLMN1 IV COMPANY INDEMNITY COI%IP4NYOFCILIFORNIa 1 1311\ 19725 IR\ INI ( A 92021 (949) 263 1300 KNOW ALL MLN 131 1 HOSE I'RI SL N FS th it LxLLpt Js c\p1LS,1\ limned DI- vrLOPLRS SURETY AND INDI MNI rl' COMI' \t\1' Ind INDI -MNI rl COMPANI' OF C \LIFORNIA do WLII IlLrcby III tLL Lon,tllutL and Ippoint ** *John L Green, Jim Dinneen, Karen Fournier, Jointly or severally * ** I, thus IruL and lawtul AttoinLy(,) ni F ILL Io nIIkL L \LLUIL (IL IIVLr and dLkno%kILdgL forand an bthalt tit said LOITIOIauun, J, ,UrLuL, bonds undLItIkin and con itacib Of SUILtv,hlp giving and gtantin, milo slid Viol nLV(J) Ill F iCI fttll PO \3 (1 and author try L nn L to do and to pt. L\Lm act nLCSLatti requlbI(L Ot p1upL1 to bL dont In uulliLLtion IhLrtwith as LaLh of , lid corporations Could do but rLCt,r\ nlg to L iLh of said LOt poration , tull PowLr of Sub,tituuon and rL%OLJIIUn tnd all of tht, JLI, of wtd Auol in pursuant tO ihL,L prL,Lni, art, hLiLh\ ratitlLd and Lonhnn(d I hlc Power of AnorncN is graniLd and I% %ignLd by IJC,II11dL Under and by authotny of thL fallowing recoluuom adoplLd by thL IL,peCU\e Bo ird of Dimciors of Df \r f LOPLRS SURF I 1 AND INDI MNI I Y COMPANY and INDI N1NI I 1 ( OMPAN'r OF ( ALII ORNI \ LthLtivL a, of NuvLmbu 1 2000 ItCSOLVt D that till. Chatnn In of the Board thL I'rLVdLnt ind illy VILC Pre,ldent of thL Lotrurauon bL Ind that L iLh of Chun herLbv I, -IuthmtiLd ro L\LLUIL 1'0wLr, Of Attrn quahtv►ng thL atiolntv(,) naniLd In till. PowLr, (ifAitonILy to LXLLUIL on bLhali tit till. Ltirpol Icon, bond% undLrt tkinp and LoIItrJLI, of ,Uruyship vld ihzt thL SeLroary or vtv A,slstant SCCrLI i r\, of tht. Lorpolation, be Ind each of them hut,b\ IS aotlIOlvLd to atILSI thL CXCLUUOII Of any buch POwLI of Attornev 1(1 SOLVED FLR 1 HI R Ilvit IhL sign nine, of such otfi(ers Ili iy bL afh\Ld to any mit h PowLi of Attorney (it to any CLrtihl.atL relating thLrL tO by IJLsirnik and any ,uLh Po%%Lr of \UolnLy or LL bLJtrlig,uLII fANIIn 11L ,lgna►u1L „ hill bL \Jhd and binding upon thL LOt>xn iuun whLn w aH1sLd and to the hntim \kith le-;pcct to am bond undcttahnig Ol Lontrad of bUILI\,hlp to \\htch It I, Jllicht d IN WITNI SS WHl - RLOF Df \ rLOPI RS SURI rlr AND INDFMNI r) COMPANY and INDI MNI rN COMPANN Of C 1LIFt)RNIA ha\L ,t\Lrilly L ut,Ld thL,L pre,t,nt to bL,I,nLL1 by thUr ILSpl.ctl\e t xtcuti\e VicL Prl.sldeni Intl anebttd by then re,peul\L SLcmlwn this I %I dly of DeLUnber 200 By , �����.• AND ��''•• � Dt\Id 11 Rho&, I uulu\l. VILL Pw -id, By Walter A (.ro%Lll Se(rt,tar) S I AI L OF CALL ORNI N COUN I Y OF ORANG! .. �( N yJ�`��LPOR,9l�F?�y:i GOaPO��T<C1( 2 ° OCT Z OCT 5 '' - " t ' 10 0 W 1967 :0 1936 °' b S o qC /FoRk �OWp da On DL-.ember 1 200S before mz (mini L (memLr Nol -iiv PubhL (hero InsUt name and utiL at the ofimt r1 personJlly JppLarLd DJ\ id H Rhode% Jnd \ \'ah(r 1 Crowell personally kno\kn to me (or ptovLd to nie on thL basis (if,Jtl,tactor\ c\iden(c) to be till. pU \khu,L namL(b) is'att utb,cnbed to the within in,trunll.nl and JLknowll.d"Ld io nlL th it hl./,hLJihLv trLLUtLd thl. ,JmL UI 111„1unthLir JuthoniLd Lapautv(IL,) and that by ht,'hLr'thLir,tgnaturL(,) on the In,lrumLnt IhL person(,) or thL entity upon bl.halt of which the pLi%on(t) at,ted e\Lcuted the tmtninient WI I NESS my hand and official meal tur St�nJ L _ 621a GINA L GARNER N COMM # 1569561 SEAL 2 NOTARY PUBLIC CALIFORNIA 3 ORANGE COUNTY w CF RI IFIC1rF ThL undLt,Igned a,Asst,tant SLLrt,tJty of DI \-I LOPrRS SUI(Cl ) AND INDFMI\I I Y COMPANY and INDLNINI rY (OMPANY OF CALIFORNIA do(-, htrl.bv LLntt) that lilt, totLgotng PowLr of AttomLv rUli 1111h In lull forLL Jnd h t, not bt(n rL\OkLd and tulthtnnorL that till. pro\ tswn, of tIlL rL,olutlonb of the rl.spcl.tt\C BoJtd, of Dlr(Ltors of bald corlwl icons set forth to thL 1'0\% of AuarneN are ill fo1Le as of the datL Of lhl, CetllflLJ1L rh1, CLnthLatt, t, L\LLUILd in thL C uy of In tilt California th( 9 th day of January 200 L 13y — AlhLrt HIIILbrand Ass1,t int StLrettry II) 11W (Rev 12 05) Fii / 6 r 2063 L i 0i 5 094563432 IN LRND INS PAGE 0 NMI C ' W,. CERTIFI ATE PRODUCER - 1509) 4+56 -2648 FAX. (5019) 456-3432 Inland insurance Inc. Sv1 LA A i Sookans alley rise& 5 INSURED Dardan 123567 W. Highway 53 Post Falls ID 83854 = i i qw :��°.� c sc �� s � � C....� 7�•� pn� £'. Saar. ¢ . �f'i .... .q .. o..-. , ON AND CONFERS - NO RIGHTS UPON THE CERTIVICA 'E HO THIS CERTIFICATE DOES NOT AMEND EXTEND OR _ ., ,. �. • Yr��ne•Pa my rue 92^1 if-16C clot AUV i aai..Wre a�9C 4ei.tii3iiM5L7Cr /ten a �ea�� _� - - -- - - -- .► .'EE.dHCmme Flt r%.fr%LF;N v vPV va se'�r`.va s= r INSURER E T HE PC)LIClE OR INS URAR E #STED BEL W HAVE SEEN ISSUED TO THB I►�$1,IRED NAMED ABOVE OR THE POLICY PERIOD INDIC I CLr REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, . �. ...... .�rnenV rav a Q4 tBtt f1RtQGRIRF_D NI�REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, ai'i� aiCdir f'1F" au - 4di a3 a _ � i i L TYPE OF INSURANCE I G PNERAL VASIL"y X CO MMERCIAL GENERAL LIABILM CLAIMS MADE L OeCU Lj 13EML AWREGATE LIMIT APPLIES PEI 1 oon 17 I I �Y "yi�sarac arrimr FiiiV I EMPLOYER- i.I f;a LOTY ANY PROPRIETORIPARTNERIEXECLITIVE ..�e��res�e►reco ev�� � IRCA7 .w • fA AAA Q IAA IAA d 1 i 1 x nn AAA) 7eR T Eiawn�wt is 300, 10 008 * / 2 .000.000 I I IaESCRIPTION of DPERATI I?NS&OCA'nCNarANICLESI"CLU$ION'S IADDEO BY END0R$9MHNT18P90IAL PROV11MON8 r6 shesaf£ PrecisiCt Shop Dt"n Constmotion f tt 1 ya � � ...+warwr..arr uAl l�C� CAN T IO y. �.r�rr• r�r- r��e 1 (509)921-10015 Czty of Spokans Valley rise. inesl~ 11707 Z Sprague Avlanue Suite 106 Spokane VallW t WA 99206 A CORD 25 W0'11tlS) O'! :0 -PROCI 17 1? nQPTN MFFICR rP RR) - R03R r.A1aeFLL915 eBFOR9 THE '��i1,F�ti fipi7 iii" or% Mcs+szt,. ara..:m moan r- •• -..•- •• - - 1 EXPiR DATE THEReDF, THE BSUINGr IN$URER VALL OMEAVOR TO MAat- 7 n �..,.. .n,.r..•u ., nis rwl" RICATR "OLDER NAMED TO THE LEFT, BUT J P� RE TO DO ,80 $HALL IMI'Wg NO OBLIGATION OR UAL11UTY OT AT>IY YImD UPON 'UHF 1 ii4wicam ,TS M.FNTA OR REPRESENTATIVE3,- AI,ITHOR= REPRESENTATIVE ''-Apr John Green /KATA SO Pap i of P0rF 1 BID PROPOSAL PROJECT NUMBER 08 -037 PROJECT TITLE Sheriff Precinct -Shop Drain Construction NAME OF FIJI SUBMITTING 131D Each bid shall constitute an offer to the City of Spokane Valley as outlined herein and no bidder may withdraw ]us bid after the hour set for the bid closing except under the conditions explained in the Information to Bidders Section THE TO COMPLETE: The contract shall be completed in thuty (30) working days from the date of commencement stipulated m a Notice to Proceed The undersigned hereby certifies that (he /they) (has/have) personally examined the location and construction details of work as outlined in the Scope of Services for the above project and (has/have) read thoroughly and understands the Scope of Services and contract governing the work embraced in this improvement and the method by which payment will be made for said work and hereby proposes to undertake and complete the work embraced in this improvement m accordance with said plans, specifications, and contract and at the following schedule ofrates and prices (Note Unit prices for all items, all extensions, and total amount of bid must be shown ) All prices shall be in legible figures (not words) written in ink or typed Name Signa Title Date Sheriff Precinct Building Page 2 of 4C Bid Response Document TOTAL ITEM ## ITEM DESCRIPTION UNITS QUANTITY PRICE /UNIT AMOUNTS 1 SHERIFF PRECINCT L.S. L.S. L.S. 7o SHOP DRAIN CONSTRUCTION SALES TAX @ 8.7% 0 0 TOTAL Z 215 O Name Signa Title Date Sheriff Precinct Building Page 2 of 4C Bid Response Document R ai® CERTIFICATE OF LIABILITY INSURANCE OP ID KA DATE (MM /DD/YYYY) 05/24/10 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 NAME: Inland Insurance Inc. 9016 E Indiana Ave., Suite A Spokane Valley WA 99212 Phone:509- 456 -2648 Fax:509- 456 -3432 INSURED Dardan Enterprises Inc. 23567 W. Highway 53 Post Falls ID 83854 rrn11C0Ar_-cc r'FRTIFIrATF NIIMRFR- ADDRESS: LTR TYPE OF INSURANCE PRODUCER CUSTOMER ID #: DARDA - 1 POLICY NUMBER (MM /DD/YYYY) INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Alaska National Insurance Comp 38733 INSURER B: Alaska National Insurance Comp 38733 INSURER C: EACH OCCURRENCE $ 1,000,000 INSURER D: Alaska National Insurance Comp 38733 INSURER E: PERSONAL & ADV INJURY $ 1,000,000 INSURER F: $1,000 pd ded. GENERAL AGGREGATE $2,000,000 REVISION NUMBER: PRODUCTS - COMP /OP AGG 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Dx� OCCUR SPOKANE VALLEY WA 99206,� 10EPS32037 05/24/10 05/24/11 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occu $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 $1,000 pd ded. GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X J COT LOC PRODUCTS - COMP /OP AGG s2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 10EAS32037 05/24/10 05/24/11 COMBINED SINGLE LIMIT (Ea accident) $.1 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ H OCCUR AGGREGATE $ DEDUCTIBLE RETENTION $ .__ — $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVES OFFICER /MEMBER EXCLUDED? u (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below /A 10EPS32037 05/24/10 05/24/11 TORY A TU- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) re: Sheriff Precinct Shop Drain Construction Additional insured status as granted by the policy �COTICWIATC I1r11 r1CG C:ANC=FLLAI IUN ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SPOK147 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF SPOKANE VALLEY AUTHORIZED REPRESENTATIVE 11707 E SPRAGUE, STE 106 SPOKANE VALLEY WA 99206,� ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD f o Al aSKa National INSURANCE COMPANY DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All Projects. IS, (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard ", and for medical expenses under COVERAGE C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits ". 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such CG 25 03 03 9� Producer Copy payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products - Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. Page 1 of 2 4 k� A /asKa National INSURANCE COMPANY C. When coverage for liability arising out of the "products- completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard" will reduce the Products - Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. E. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Insured Countersigned By C114 i Policy No. OQ E PS3 © ISO Properties, Inc., 1996 Endorsement No. 15 CG 25 03 03 97 Producer Copy Page 2 of 2 rc s AWSKaivauonai INSURANCE COMPANY BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART We waive any right of recovery we may have against The waiver applies only to the person or organization any person or organization because of payments we you contracted with and then only if the contract make for injury or damage arising out of "your work" requires you to obtain this agreement from us. done under a written contract with that person or organization. _ This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Policy No. O C L P S 2 S Insured Endorsement No. 10 Countersigned By ANIC GL 702 05 95 Producer Copy dxi-E� AMSKa National INSURANCE COMPANY ADDITIONAL INSURED (CONTRACTORS) - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1k This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Who Is An Insured (Section II) is amended to include as an insured any person or organization (herein referred to as an additional insured), but only if you are required to add that person or organization as an insured to this policy by a written contract that is in effect prior to the "bodily injury", "property damage ", or "personal and advertising injury'. 2. The insurance provided to the additional insured is limited as follows: a. That person or organization is only an additional insured if, and only to the extent that, the injury or damage is caused by negligent acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract applies. The person or organization does not qualify as an additional insured with respect to injury or damage caused in whole or in part by independent negligent acts or omissions of such person or organization. b. The insurance provided to the additional insured does not apply to "bodily injury', "property damage ", or "personal and advertising injury' arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: ii. supervisory, inspection, or engineering services. the preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, design or specifications; and ANIC GL 1061 03 08 Producer Copy c. The insurance provided to the additional insured, referred to in paragraph 1. of this endorsement, does not cover "bodily injury" or "property damage" caused by your negligent acts and omissions in the performance of "your work" that occurs within the "products - completed operations hazard," unless the written contract, referred to in paragraph 1. of this endorsement, contains a specific requirement that you procure completed operations coverage or coverage within the "products- completed operations hazard" for the additional insured. However, even if coverage within the "products- completed operations hazard" is required by the written contract, such coverage is available to the additional insured only if the "bodily injury" or "property damage" occurs prior to the end of the time period during which you are required by the written contract to provide such coverage or the expiration date of the policy, whichever comes first. 3. If other valid and collectible insurance, whether on a primary, excess, contingent or any other basis, is available to the additional insured for a loss we cover under this endorsement, then the insurance provided by this endorsement is excess over that other insurance. However, the insurance provided by this endorsement will be primary to other insurance on which the additional insured is a named insured for the covered loss, if the written contract, referred to in paragraph 1. of this Page 1 of 2 AW Ala sKa Nationai INSURANCE COMPANY endorsement, contains a specific requirement that this insurance be primary or primary and non- contributory. In that case we will not share with that other insurance on a pro -rata or other basis. If the other insurance available to the additional insured, whether on a primary, excess, contingent or any other basis, is coverage for which it has been named as an additional insured, then the coverage provided by this endorsement is excess over that other insurance. IN This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Insured Policy No. C) C � \ J 3 zo S � Countersigned By Endorsement No. 11 ANIC GL 1061 03 08 Producer Copy Page 2 of 2 OP ID: KA ,4coRO CERTIFICATE OF LIABILITY INSURANCE E(M19 /11YYY) DATE 05/19/11 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 509 -456 -2648 Inland Insurance Inc. 456 9016 E Indiana Ave., Suite A 509 --3432 Spokane Valley, WA 99212 John L Green CONTACT NAME: PHONE AIC Ell: A/C No E-MAIL ADDRESS: PRODUCER DARDA -1 CUSTOMER ID #: INSURERS AFFORDING COVERAGE NAIC # INSURED Dardan Enterprises, Inc. ID #579269 23567 W. Highway 53 Post Falls, ID 83854 INSURER A: Alaska National Insurance Comp 38733 INSURER a: Alaska National Insurance Comp 38733 INSURERC: INSURER D: Alaska National Insurance Comp 38733 INSURER E' P Ea occu ante INSURER F A Y 1 C0'r=!t`A TC ul UQ=0a 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MMIDD /YYYY POLICY EXP MM /DD /YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 ,00 0 , 000 P Ea occu ante $ 100,000 A X COMMERCIAL GENERAL LIABILITY 11 EPS32037 05124/11 05/24/12 MED EXP (Any one person) $ 5,000 CLAIMS -MADE 1 7X OCCUR PERSONAL & ADV INJURY $ 1,000,000 $1,000 pd ded. GENERAL AGGREGATE $ 2 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B ANY AUTO 11 EAS32037 05/24111 05/24/12 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE $ SCHEDULED AUTOS X HIRED AUTOS (Per accident) X $ NON- OWNEDAUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION T M T D AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE Y/❑N 11EPS32037 05/24/11 05/24/12 E. L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER /MEMBER EXCLUDED? N / A (Mandatory In NH) E.L. DISEASE - POLICY LIMIT $ 1,000,00( If yes, describe under DESCRIPTION OF OPERATIONS below A Installation Float 11EPS32037 05/24111 05/24/12 All Risk 154,00 Deductibl 1,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) re: Sheriff Precinct Shop Drain Construction Additional insured status as granted by the policy CERTIFICATE HOLDER I+Ai%L r-LLA I IVN SPOK147 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, STE 106 SPOKANE VALLEY, WA 99206 AUTHORIZED REPRESENTATIVE L fp„ i r .Gm DlnneeN Pmident U 19th$ -LUUV AL;UKU tUKYVKA I IVM. An ngnis reserveu. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD On O' AlasKa Narlonal INSURANCE COMPANY DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All Projects. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. A separate Designated Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard ", and for medical expenses under COVERAGE C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits ". 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such CG 25 03 03 9� Producer Copy payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 1), which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products - Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. Page 1 of 2 AlasKa warlonai INSURANCE COMPANY C. When coverage for liability arising out of the "products- completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard" will reduce the Products - Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. E. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Insured Countersigned By C 1,414 / v Policy No. © ISO Properties, Inc., 1996 Endorsement No. 15 CG 25 03 03 97 Producer Copy Page 2 of 2 V Hfias MU10" Ka � INSURANCE COMPANY BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART We waive any right of recovery we may have against The waiver applies only to the person or organization any person or organization because of payments we you contracted with and then only if the contract make for injury or damage arising out of "your work" requires you to obtain this agreement from us. done under a written contract with that person or organization. This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Policy No. D C � Q S Insured r Endorsement No. 10 Countersigned By ANIC GL 702 05 95 Producer Copy INSURANCE COMPANY ADDITIONAL INSURED (CONTRACTORS) - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Who Is An Insured (Section II) is amended to include as an insured any person or organization (herein referred to as an additional insured), but only if you are required to add that person or organization as an insured to this policy by a written contract that is in effect prior to the "bodily injury', "property damage ", or "personal and advertising injury'. 2. The insurance provided to the additional insured is limited as follows: That person or organization is only an additional insured if, and only to the extent that, the injury or damage is caused by negligent acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract applies. The person or organization does not qualify as an additional insured with respect to injury or damage caused in whole or in part by independent negligent acts or omissions of such person or organization. The insurance provided to the additional insured does not apply to "bodily injury', "property damage ", or "personal and advertising injury' arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any professional services including: i. the preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, design or specifications; and ii. supervisory, inspection, or engineering services. c. The insurance provided to the additional insured, referred to in paragraph 1. of this endorsement, does not cover "bodily injury" or "property damage" caused by your negligent acts and omissions in the performance of "your work" that occurs within the "products - completed operations hazard," unless the written contract, referred to in paragraph 1. of this endorsement, contains a specific requirement that you procure completed operations coverage or coverage within the "products- completed operations hazard" for the additional insured. However, even if coverage within the "products- completed operations hazard" is required by the written contract, such coverage is available to the additional insured only if the "bodily injury" or "property damage" occurs prior to the end of the time period during which you are required by the written contract to provide such coverage or the expiration date of the policy, whichever comes first. If other valid and collectible insurance, whether on a primary, excess, contingent or any other basis, is available to the additional insured for a loss we cover under this endorsement, then the insurance provided by this endorsement is excess over that other insurance. However, the insurance provided by this endorsement will be primary to other insurance on which the additional insured is a named insured for the covered loss, if the written contract, referred to in paragraph 1. of this ANIC GL 1061 03 08' Producer Copy Page 1 of 2 . � Nrasrca rvarrvnar INSURANCE COMPANY endorsement, contains a specific requirement that this insurance be primary or primary and non- contributory. In that case we will not share with that other insurance on a pro -rata or other basis. If the other insurance available to the additional insured, whether on a primary, excess, contingent or any other basis, is coverage for which it has been named as an additional insured, then the coverage provided by this endorsement is excess over that other insurance. This endorsement changes the policy to which it is attached and, unless otherwise stated, is effective on the date issued at 12:01 A.M. standard time at your mailing address shown in the policy. The information below is required only when this endorsement is issued subsequent to commencement of the policy. Endorsement Effective Insured Policy No. () C( � P S J 'Zb15 Countersigned By Endorsement No. 11 ANIC GL 1061 03 08 Producer Copy Page 2 of 2