11-111.01 Sunset Outdoor Advertising - Bus BenchesCONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND MUD LLC, DBA SUNSET OUTDOOR ADVERTISING
Spokane Valley Contract # 11-111.01
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the
Contractor mutually agree as follows:
1. Purpose: This Amendment is for the Contract for placement of bus benches in the City rights -of -way
by and between the Parties, executed by the Parties on August 16, 2011, and which terminates upon
notice by one of the Parties. Said contract shall be referred to as the "Original Contract" and its terms are
hereby incorporated by reference. Total compensation under the Original Contract is not to exceed $40
per bus bench placed by Contractor per year, payable in advance.
2. Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of
the Original Contract 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
attached hereto as Appendix "A". All such amended provisions are hereby incorporated by reference
herein and shall control over any conflicting provisions of the Original Contract, including any previous
amendments thereto.
4. Compensation Amendment History: This is Amendment 91 of the Original Contract. The history of
amendments to the compensation on the Original Contract, and all other amendments, is as follows:
Date Compensation
Original Contract Amount August 16, 2011 $40 per bench per year
Amendment #1 February 2016 unchanged
Total Amended Compensation $40 per bench per year
The parties have executed this Amendment to the Original Contract this 17 — day of February, 2016.
CIAi
NE LLEY:
MCi
CONTRACTOR:
APPROVE AS TO FORM:
if,of th Attorney
APPENDIX "A"
Section 3 (Compensation) of the Original Contract is hereby amended to add another paragraph at the
end of the Section regarding the obligation of Contractor to pay the 12.84; e sehold tax required
by chapter 82.29A RCW, to read as follows: Contractor hereby acknowledges that this Anent is
subject to the leasehold excise tax pursuant to chapter 8229A RCW as adopted or hereafter amended, and shall pay
the City 12 84% ofthe leasehold amount due along with each quarterly statement.
ACORO® CERTIFICATE OF LIABILITY INSURANCEF��
DATE (MM/DD/YYYY)
08/24/2023
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).
PRODUCER
d'Alene Insurance
1801 N. Government Way#1
CONTACoeur
NAME: Maria VanSkyock
PHONE N Ext : (208)667-9421 qlc No : (208)765-9433
E-MAIL Maria@idahoinsurance.com
ADDRESS:
Coeur d'Alene, ID 83814
INSURERS AFFORDING COVERAGE
NAIC #
License #: AB03100
INSURER A : EMPLOYERS MUTUAL CASUALTY COMPANY
21415
INSURED
MHD, LLC
DBA Emerald Outdoor Advertising, Sunset Outdoor Advertising
INSURER B : EMPLOYERS MUTUAL CASUALTY COMPANY
25186
INSURER C :
PO Box 14686
INSURER D :
INSURER E :
Spokane Valley, WA 99214-0686
INSURER F :
COVERAGES CERTIFICATE NUMBER: 00008460-134681 REVISION NUMBER: 19
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
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
Y
5D74953
09/01/2023
09/01/2024
EACH OCCURRENCE
$ 1 000 000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 500OOO
GEN'L
X
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
5E74953
09/01/2023
09/01/2024
CMBINE
Ea acccdeDIINGLE LIMITS
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
5J74953
09/01/2023
09/01/2024
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
DED X RETENTION $ 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
City of Spokane Valley is named Additional Insured
L.tK I II -It -A I t MULUtK I.;ANI:tLLA I IUN
City of Spokane Valley
10210 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
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
(MAV)
n 19RR-2015 AC Rn CORPnRATION_ All rinhtc rPSPNPri
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by MAV on O8/24/2023 at 10:19AM
-ill -Ill
ACORa CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08/07/2024
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
Coeur d'Alene Insurance
CONTACT
NAME: Mafia VanSkyoCk
PHCNE Ext: (208)667-9421 A,C No: (208)765-9433
1801 N. Government Way #1
E-MAIL Marla@idahoinsurance.com
ADDRESS:
Coeur d'Alene, ID 83814
INSURERS AFFORDING COVERAGE
NAIC#
License #: AB03100
INSURER A: Employers Mutual Casualty Company
25186
INSURED
INSURER B : EMPLOYERS MUTUAL CASUALTY COMPANY
25186
MHD,LLC
BA
DBA Emerald Outdoor Advertising, Sunset Outdoor Advertising
INSURERC: EMPLOYERS MUTUAL CASUALTY COMPANY
21415
PO Box 14686
INSURER D :
INSURER E:
Spokane Valley, WA 99214
INSURER F
COVERAGES CERTIFICATE NUMBER: 00008460-134681 REVISION NUMBER: 23
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.
ILTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
EFF
MMIDDPOLICYIYYYY
MMIDDY/YYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
5D74953
09/01/2024
09/01/2025
EACH OCCURRENCE
$ 1 000 000
PREMISES Ea occurrence)
$ 500,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1 000 000
GEN'L
�(
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO-
JECT LOG
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMPIOPAGG
$ 2,000,000
1
$
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
5E74953
09/01/2024
09/01/2025
COMBINED
(Ea accidentSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
ccident
Per accident)
$
$
C
X
UMBRELLALIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
5J74953
09/01/2024
09/01/2025
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
DED I X I RETENTION $ 10,000
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
I PER OTH-
STATUTE I I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Spokane Valley is named Additional Insured
%,Cr%1 Irl%,M I C r1ULUCI[ I,ANI..t_LLA I IUN
City of Spokane Valley
10210 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
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
\,/ctIQ 1CKZ IX MAV)
n 1988-2015 AC RD CORPORATION_ All rights rPCPrvPr1
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by MAV on 08/07/2024 at 09:54AM