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16-057.00 Cameron-Reilly: Indiana/Evergreen Transit Access 6.2 Contract This agreement is entered into this Z`1'*day of iik# , 2016, between the City of Spokane Valley ( Y ) "Cit " and61XYWMIA ' ("Contractor"),pursuant to Title 35 RCW,as adopted or amended. In consideration of the tel s 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: Indiana/Evergreen Transit Access Project#0207 Contract 16-057 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$69,443.00. 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. City of Spokane Valley Contract Forms Transit Access Improvement Project Bid No.: 16-057 .w ,%.- Executed by Contractor /i//Qty' ! ! ,2016. (, ✓ Date 3Bn. adtpon.. Printed Name ,11 • aliggijW Title Signatur City of Spokane hey P ark Ca (ku \ Printed Name AC: ( C.1s Mair Title kaik..._LoAct,b-, Signature Revised 1-8-16 City of Spokane Valley Contract Forms Transit Access Improvement Project Bid No.: 16-057 c . ' Spokane .• ,0k'y e BOND NO: 023010352 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County,has awarded to Cameron-Reilly,LLC (Contractor), as Principal, a contract for the construction of the project designated as Indiana/Everereen Transit Access Improvement Project No.16-057 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 The Ohio Casualty Insurance Company (Surety), a corporation, organized under the laws of New Hampshire 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$69,443.00 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 char extension of time, alteration or addition �. e, 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. PRINCIP (CO CTOR Cameron-Reilly,LLC S The Ohio Casual ijrsurance Company 1 I. 5-17-2016 ins`J,J l�l�OK-5-4-7-2016 '.T.ignature Date Surety Signature Date / ,i ',// Shawn M.Wilson 1�,,�' ame Printed Name 141_:-I - ' Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: moloney+o'neill/Alliant Insurance Services,Inc. 818 W.Riverside Avenue,Suite 800,Spokane,WA 99201 / 509-343-9238 City of Spokane Valley Contract Forms Transit Access Improvement Project Bid No.: 16-057 , rni , .,,.'Valley• BOND NO: 023010352 CONTRACTOR'S PAYMENT BOND(FEDERALLY FUNDED PROJECT) to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to Cameron-Reilly,LLC (Contractor), as Principal, a contract for the construction of the project designated as Indiana/Everereen Transit Access Improvement,Project No.16-057 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)and chapter 60.28 RCW. The Principal, and The Ohio Casualty Insurance Company (Surety), a corporation organized under the laws of New Hampshire 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$69.443.00 total Contract amount, subject to the provisions herein. This payment bond shall cover any and all taxes incurred pursuant to Titles 50 and 51 RCW,taxes imposed on the Principal pursuant to Title 82 RCW,and any additional sales taxes. 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, 39.12, and 60.28 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;shall pay all taxes due pursuant to Titles 50,51,and 82 RCW;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. PRINCIP• CO Y' •CTOR) Cameron-Reilly,LLC S TY The Ohio Casualty Insurance Company t/ 5-17-2016 VW,Wt•( 17-2016 Prim .•� •i: ature Date Surety Signature Date ILL .1 ill Illi Shawn M.Wilson - Print!Name Printed Name 0/11Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: moloney+o neill/Alliant Insurance Services,Inc. 818 W.Riverside Avenue,Suite 800,Spokane,WA 99201 / 509-343-9238 City of Spokane Valley Contract Forms Transit Access Improvement Project Bid No.: 16-057 THIS POWER OF ATTORNEY 1S NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No.6980928 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY ._, KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Cathie Hamlin;Charla M.Boadle;Dan Romain;Jeff O'Neill;Jennifer K.Mendenhall;Mark L.Roff;Melodie L.Pike;Nicholas W.Paget; Patricia M.Wachter;Shawn M.Wilson all of the city of Spokane ,state of WA each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 8th day of May , 2015 : 5 No cAs �SY INSV 4NSU/{ CI in American Fire and Casualty Company�J�St, J,�Jr,00rwi�Nt,�0 n > 1912 0 al Insurance Companyxo an InsuranceCompanJ>S ,4b ��.a�AJS4(1.0 ate' `t. - - = STATE OF PENNSYLVANIA ss - David M.Care ;Assistant Secretary c • LI COUNTY OF MONTGOMERY . . — C dpt On this 8th day of May , 2015, before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of American Fire and v,_ O w Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do, >.W p! execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer, i E 6 > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. 0 0. 4-,T• elP PAS COMMONWEALTH OF PENNSYLVANIA L2. 11 ) Z M Q��'�,onw �F( Notarial Seal ,12 e404) !Teresa Pastella,Notary Public $y; 0 OS 0 OF Plymouth Twp.,Montgomery County Teresa Pastella,Notary Public •y 0 O r• '�j� . My Commission Expires March 28,2017 {� a— C 'f�,"vSYLNP��' Member,Pennsylvania Association of Notaries 0 E qRy P d to c40 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance co a ai.�+ Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: - ". o. C W ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C O ;; to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, % C acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective 'a S E of powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so to co C Isexecuted,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >c the provisions of this article may be revoked at any time by.the Board,,theChairman the President or by the officer or officers granting such-power or authority. t v ▪ >+ :::."V . t_ .`.•. r• . _: - J, i - / i.� ... - —h"l v70▪ - c ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, E > 22i and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, 6.M O 1 seal,acknowledge and deliver as surety and all undertakings,bonds,recognizances and other suretyobligations Such attorneys-in-fact subject to the limitations set forth in their C o0 Z 0 respective powers of attorney,shall have'full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so v e executed such instruments shall be as binding as if signed by the president and attested by,the secretary --f"---:,-3::" F0 I Certificate of Designation-The President of the Company,acting'pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make;'execute,seal acknowledge and deliver as suretyany and all undertakings,bonds,recognizances and other surety ,...7.------- _ obligations. ._., ,- ;--..: ,:,h �-✓.. :. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. - (( `= IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this t day of ( to,20 I . ( 6S\ �A4 _0 0 1919 n 1912 %M a 1991 a - By: �Q� b —yam ct, y �`y a� y 2///))) Gregory W.Davenport,Assistant Secretary "%L+HA,05, 41' 'J+,y HAme,"*�'ab 9)j sAcs,vs ?' * haw, �/ - - _ * 1 * * * / - • 54 of 100 LMS 12873 122013 ' COSV Public Works CAMEREI-01 PMILLER AlCCPRCIrD/YYYY) 410.------. 5/1612016 LIABILITY INSURANCE DATE(MM/D5!16/2016 THIS CERTIFICATE IS ISSUED AS A MAilefeenitatiRMATION 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(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 CONTACT NAME:_Debbie Johnston,C PCU,ARM,CIWCS Moloney O'NeilWAlliant Insurance Services Inc. PnoNE 509 325-3024 FAiz------ — —"`-" 818 W.Riverside,Ste 800 Lo,Ext}::t_ ) -----____---fact Ner ._ --- Spokane,WA 99201 ADDRESS_dhoskins mo-ins.com INSURERS)AFFORDING COVERAGE NAM 4 ____________ —____—__...______.._.____.—_.—_ —.___.INSURERA:Continental Western Insurance Company 110804_ INSURED ' INSURER B._.__—.._.....__ _...._._ ._.._._...-.._. __.._.__. .._--: ......---_—_-I Cameron-Reilly,LLC INSURER C: 309 N Park Rd INSURER D:_---------.----------____-- --___-- Spokane,WA 99212 INSURERS: INSURER F: 1. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 INSURANCEIADDL1sI . 1 LSDITY I WDEYi X{+i I INSO�wvo I POLICY NUMBER !IMMIODIYYYYI;(MWDDlYYYY); LIMITS A 'X COMMERCIAL GENERAL LIABILITY I 1 I EACH OCCURRENCE j$ 1,000,000 " A',GETOREFTED I i I CLAIMS MADE LX j OCCUR X E CPA6023167-201 121311201511213112016(PREMISES{Ea occurrence)— $ 500,000 EI MED EXP(Any one person) ':5 10,000 I 1 I PERSONAL&ADV INJURY 3 5 1,000,000 f r- 1 GENT AGGREGATE LIMIT APPLIES PER: ; ` j I GENERAL AGGREGATE_;S 2,000,000 POLICY i X?'28: —X 1 LOC iI PRODUCTS:COMPIOP AGG 1 5 2,000.000 I OTHER: i I i S I AUTOMOBILE LIABILITY ' 1 f GEOM�B�I,tl tSINGLE LIMIT (sia 1,000,000 A 1 X 1 ANY AUTO CPA6023167-20 i 12/31/2015112/31/2016 i BODILY INJURY(Per person) ?S —1 ALLOWNED r--1 SCHEDULED ! i j BODILY INJURY(Per accident):S — — -- AUTOS I 'AUTOS ! I_ f I-- I NON-OWNED � ! ! TtaPi=12TY bAMi4Gt__._..__.I S.�.----_-..----- HIRED AUTOS ; AUTOS (Peracddentj X 1 UMBRELLA LIAB .X I OCCUR I 1 I 1 EACH OCCURRENCE 1$ 5,000,000 A 1 1 EXCESS LIAR 1 CLAIMS-MADE' CPA6023167-20 12131/2015?12/31/20161 AGGREGATE — _ $— __5,000,000 `—'-�.DED j"X 1 RETENTION 5 01 ! I I S 1 WORKERS COMPENSATION '. j j PER 1?P - IANO TH- IAND EMPLOYERS'LIABILITY Yf N 1 I 1 STAT!DIE . ,E A !ANY PROPRIETOR/PARTNER/EXECUTIVE I CPA6023167-20 12/31/2015 i 12/31/2016 E.L.EACH ACCIDENT___ s 1,000,000 I OFFICERIMEMBER EXCLUDED? 1 N I A s(Mandatary In NH) i i i I— I EL.DISEASE•EA EMPLOYEE S 1,000,000 (If yes.describe under : i 'DESCRIPTION OF OPERATIONS below 1 i !E.L DISEASE-POLICY UMIT i 5 1,000,000 i ! 1 I 1 1 1 I I , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addttlonat Remarks Schedule,may be attached II more apace Is required) Project#:Indiana/Evergreen Transit Access Project#0207 SVPW Contract 16-057 City of Spokane Valley is additional insured under the general liability for ongoing operations of the named Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave,Suite 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE I [fir' / ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014!01) The ACORD name and logo are registered marks of ACORD k k BUSINESS LICENSE i' �� Y yn'iw e • Y STATE OF r 4 , WASHINGTON f Unified Business ID #: 602 633 401 1' Domestic Limited Liability Company Business ID #: 1 , Location: 1 Expires: 07-31-2016 CAMERON - REILLY, L.L.C. I: :; CAMERON-REILLY, L.L.C. . r 309 N PARK RD I; SPOKANE VALLEY WA 99212 1128 TAX REGISTRATION UNEMPLOYMENT INSURANCE • ;1 INDUSTRIAL INSURANCE _ MINOR WORK PERMIT , CITY LICENSES/REGISTRATIONS: KENNEWICK GENERAL BUSINESS ' .' SPOKANE GENERAL BUSINESS #T11049806BUS LIBERTY LAKE GENERAL BUSINESS ;.I SPOKANE VALLEY GENERAL BUSINESS I' RICHLAND SERVICES BUSINESS ; ` A1z DUTIES OF MINORS: s' Shop labor - general shop cleanup, loading lumber ��� LICENSING RESTRICTIONS: ,.- . Minors may not operate or work in close proximity to heavy equipment. WAC 296-125-030 (17) i, 11 Court permission and a variance from L&I is required to hire minors under the age of 14 in non-agriculture jobs. Call 360-902-5316 or email teensafetyatlni.wa.gov for information. ; REGISTERED TRADE NAMES: CAMERON-REILLY, L.L.C. 1 , g fk.1 t 1 1. 11 K r:l. s } Y ',., This document lists the registrations,endorsements,and licenses authorized(or the business named above_Byacceptingthtssth curnent,theli enseecertifiestheinformationort[reapplication �� _ i, was complete,true,and accurate to the best of his or her know ledge,and that business will he ,p conducted in compliance with all applicable Washington state,r.aunty,and city regulations. (ire prop.[Department of Rev nuc