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16-015.00 NA Degerstrom: Fancher Bridge #3502
Contract rd This agreement is entered into this23 Ey of /4acck , 2016, between the City of Spokane Valley ("City") and N.A. Degerstrom,Inc. (Contractor"), pursuant to Title 35 RCW, as adopted or amended. In consideration of the terms and conditions contained herein and attached and made a part of this agreement,the parties agree as follows: I.. The Contractor shall do all work and furnish all tools, materials, and equipment for: Fancher Road Bridge Over BNSF Railroad Joint replacement Project#0236 Contract#16-015 in accordance with and as described in the project plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work, and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City. II. The City hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself,and for his/hers heirs,executors,administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City by reason of entering onto this contract, except as provided herein. V. The project was awarded for the bid amount of$102,380.00., IN WITNESS WHEREOF, the Contractor has executed this instrument, on the date below, and the City has caused this instrument to be executed on the date stated above. Executed by Contractor !Vl 4C41 18 , 2016. Date i 'CH .9-1>4(--Eg Printed Name V l.r fiN�ING Title /y t��,.r/"'.'^�l Vl Signature City of Spokane Valley Mark L.A.((vouh Printed Name Ilya kia Title AaAt CrStitit± Signature Revised 1-8-16 • Spokane .Valleyz BOND NO: 23032040 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to N.A. DEGERSTROM,INC. (Contractor), as Principal,a contract for the construction of the project designated as Fancher Road Bridle#3502 Over BNSF Railroad Joint Replacement Project,Project No.0236.in Spokane Valley, Washington,and said Principal is required under the terms of the Contract to furnish a performance bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal,and Liberty Mutual Insurance Company(Surety), a corporation, organized under the laws of MA and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts,U.S.Treasury Dept.,are jointly and severally held and firmly bound to the City of Spokane Valley,as.Obligee,in the sum of 5102380.00 total Contract amount(including Washington State sales tax),subject to the provisions herein. This performance bond shall become null and void,if and when the Principal,its heirs,executors,administrators,successors,or assigns shall well and faithfully perform all of the Principal's obligations under the Contract and fulfill all the terms and conditions of all duly authorized modifications,additions,and changes to said Contract that may hereafter be made,at the time and in the manner therein specified;shall warranty the work as provided in the Contract and shall indemnify and hold harmless the Obligee from any defects in the workmanship and materials incorporated into the work for the period identified in the Contract;and if such performance obligations have not been fulfilled,this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time,alteration or addition to the terms of the Contract,the specifications accompanying the Contract,or to the work to be performed under the Contract shall in any way affect its obligation on this bond,and waives notice of any change,extension of time,alteration or addition to the terms of the Contract or the work performed.The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts,and shall be signed by the parties'duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCIPAL(CONTRACTOR) N.A.Degerstrom,Inc. lL/iberty/ ' rce Company 14. • 3/16/2016 ,�4 ( "3/I 6/2016 Principal Signature Date urety Signature Date <<�fr---"t tA—tdk ACUS yr Diana R.Williams Printed Name Printed Name Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: Wells Fargo Insurance Services USA,Inc. 601 W.First Ave.,Suite 800,Spokane,WA 99201 I.l4.Ig Spokane . Va11ey BOND NO: 23032040 CONTRACTOR'S PAYMENT BOND(NON-FEDERALLY FUNDED PROJECT) to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County,has awarded to N.A. DEGERSTROM, INC. (Contractor), as Principal,a contract for the construction of the project designated as Fancher Road Bridge#3502 Over BNSF Railroad Joint Replacement Project,Project No.0236. in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a payment bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal,and Liberty Mutual Insurance Company (Surety),a corporation organized under the laws MA and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts,U.S.Treasury Dept.,are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee, in the sum of$102,380.00 total Contract amount (including Washington State sales tax),subject to the provisions herein. This payment bond shall become null and void,if and when the Principal,its heirs,executors,administrators,successors,or assigns shall pay all persons in accordance with chapters 39.08 and 39.12 RCW,including all workers,laborers,mechanics,subcontractors, and materialmen,and all persons who shall supply such contractor or subcontractor with provisions and supplies for the carrying on of such work;and shall indemnify and hold harmless the Obligee from all loss,cost or damage which Obligee may suffer by reason of the failure of Principal to make such required payments;and if such payment obligations have not been fulfilled,this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract,or to the work to be performed under the Contract shall in any way affect its obligation on this bond,except as provided herein,and waives notice of any change,extension of time,alteration or addition to the terms of the Contract or the work performed.The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts,and shall be signed by the parties'duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. PRINCIPAL(CONTRACTOR) N.A.Degerstrom,Inc. S r. �j Liberty 'ua1 ns cce Company • 3/16/2016 ' //1 � 1 / �'/��G'^-� �/16/2016 � C° Principal Signature Date urety Signature Date S Diana R.Williams Printed Name Printed Name — asu r Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: Wells Fargo Insurance Services USA,Inc. 601 W.First Ave.,Suite 800,Spokane,WA 99201 11411 304029 AcoR 1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ AE(MM/ D/Y rn Lam' 16 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 Danielle Carroll Commercial Lines NAME:(509)358-3800 PHONEFAX (A/C.No,Extl:(509)3583979 (A/c,No):(866)510-9588 Wells Fargo Insurance Services USA,Inc.-CA Lic#:OD08408 E-MAIL ll i anee.carroll o.com wellsfar ADDRESS: d@ g 601 W.1st Ave,Ste 800 INSURER(S)AFFORDING COVERAGE NAIC# Spokane,WA 99201INSURERA: Alaska National Insurance Company 38733 INSURED INSURER B: National Fire and Marine Insurance Co 20079 N.A.Degerstrom,Inc. INSURER C 3303 N Sullivan Rd INSURER D: Spokane WA 99216 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 10260758 REVISION NUMBER: See below 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. INSRP TYPE OF INSURANCE ANSA WVD POLICY NUMBER (R MM/OD/YYYY) (MM/OLICY EFF DDmYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 15FPS09101 06130/2015 06/30/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ 100,000 X WA/WY Stop Gap$1,000.000 MED EXP(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY n JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: WA/WY Stop Gap $ 1,000,000 A AUTOMOBILE LIABILITY 15FASO91 O1 06/30/2015 06/30/2016 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS — NON-0WNED PROPERTY DAMAGE $ X HIRED AUTOS x AUTOS (Per accident) $ B UMBRELLA LIAR X OCCUR 42-XSF-100017-03 06/30/2015 06/30/2016 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION5 0 $ WORKERS COMPENSATION X A AND EMPLOYERS'LIABILITY 15JWS09101 10/01/2015 10/01/2016 STATUTEER OTH- Y/N1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE I I N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 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:Fancher Road Bridge#3502 Over BNSF Railroad Joint Replacement Project,SVPW Bid No:16-015,Spokane Valley Capital Improvement Project No. 0236 City of Spokane Valley is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Public Works Dept ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave Ste 106 Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE 9— I The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. 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