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16-052.02 AM Landshaper: Valley Mission Dog Park PH 2 CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND A.M. LANDSHAPER INC. Spokane Valley Contract#16-052.02 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 the construction of the Valley Mission Pocket Dog Park Phase 2 project by and between the Parties, executed by the Parties on April 18, 2016, and which terminates on June 1, 2016.. 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 $65,963.51. 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 either as follows. 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. Contract completion date is extended until December 31,2016 to allow for fall over seeding. 4. Compensation Amendment History: This is Amendment #2 of the Original Contract. The history of amendments to the compensation on the Original Contract and all amendments is as follows: Date Compensation Original Contract Amount 4/18/16 $ 65,963.51 Amendment#1 6/28/16 $ 0.00 Amendment 14; 8/19/16 $ 0.00 Total Amended Compensation $65,963.5. 1 �, The parties have executed this Amendment to the Original Contract this — day of _ligu 016. CITY OF SPOKANE VALLEY: CONTRACTOR: Mark Calhoun By: Tye C. McGee Acting City Manager Its: Sec/Treasurer ATTES401 APPROVED TO FORM: AdtAL- ristine Bainbridge, City Clerk Offic the Ci orney 1 AMLANDS-01 WCHRISTESON Ac-mo oDATE(MM/DD/YYYY) ' CERTIFICATE OF LIABILITY INSURANCE 4/18/2016 IS THIS RT F CATE DOES NOT AFFIRMATI ELY R NEGATIVELYTAMEND,ATION LEXTEND OR A Y AND CONFERS TER THE COVERAGE AFFORDED BY THE POLICIES BE • 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 art endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: $3$-3511 PHONE 509 838-3501 (509)I(mc,No): Spokane Office -- (/uc.No,EMI: � '�r'� E-MAIL • 501 N.Rive Insurance,,St REG j G I F • ADDRESS: Spokane,Wp992Blvd.,Ste403 INSURER(S)AFFORDING COVERAGE NAIC# WA 99202 R APR 18 20166 INSURER A:The Cincinnati Insurance Co. 10677 INSURED INSURER B: A.M.Landshaper,Inc. PARKS& RECREAT!O1 DEP r. INSURER C: Mark Albin. ..-- — - INSURER D: 8004 North Market INSURER E: Spokane,WA 99217 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CH THIS INDICATED. RT F CATE MAY BEIS SSUED OR MAY PERTAIN, THETINSURANCE AFFORDED BY THE POLIC ES D SCRIBED HEREIN IS SUB ECT O ALLL TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO HE CETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN TYPE /NSD WVD REDUCED BY PAID POLICY SIMS LIMITS INSRLR ADDLSUBR POPOLICY NUMBER (MMIDDIYYYY) (MM/ D/YYYY) OFINSURANCE EACH $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH CU R OCCURRENCE 500,000 X I OCCUR X EPP0128051 02/24/2016 02/24/2017 PREMISE S(Eaoccurrence) $ CLAIMS-MADE MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L LIMIT APPLIES PER PLIEGENERALAGGREGATE $ 2,000,000 POLICY X JlaIILOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: WA STOP GAP $ 1,000,000 AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ 1,000,000 {Ea accident) • EBA0128051 02/24/2016 02/24/2017 BODILY INJURY(Per person) A X ANY AUTO BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS• X NON-APROPERTY DAMAGE IS-AWNED (Per accident) $ • HIRED AUTOS X AUTOS $ EACH OCCURRENCE $ 1,000,000 X UMBRELLALIAB X OCCUR EPP0128051 02/24/2016 02/24/2017 AGGREGATE $ 1,000,000 A EXCESS UAB CLAIMS-MADE $ DED I X RETENTION$ 0 TH WORKERS COMPENSATION STATUTE I 10 AND EMPLOYERS'LIABILITY Y/N ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L E.LEACH EACHDISEAAC-ID EMPLOYEE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-POLICY LIMIT $ If yes,describe under 225,000 DESCpIPTION FF OPeRATIONS below EPP0128051 02/24/2016 02/24/2017 Leased and Rented A Equipment Floater 02/24/2016 02/24/2017 Deductible 1,000 A EPP0128051 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Cincinnati Insurance Company:#10677,A+XV Re: Valley Mission Dog Park Phase 2 City of Spokane Valley is named as Blanket Additional Insured per endorsment#GA233 02/07 including primary and non-contributory and waiver of subrogation,attached. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - - - - --THE EXPIRATION DATE THEREOF,- NOTICE_WILL_BE DELIVERED IN City of Spokane Valley Attn:Mike Stone ACCORDANCE WITH THE POLICY PROVISIONS. 11707 East Sprague Ave. Suite 106 AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99206 Gliti/ I ©1988-2014 ACORD CORPO-1• •`. • rights reset ved. • 4/25/2016 A M LAN DSHAPER INC ti.cr Home PspaiioI Contact Search L&I s.,t,.;:;. j A-Z Index Help My MI Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Washington State Department of _ Labor & Industries A M LANDSHAPER INC Owner or tradesperson 8004 N.MARKET SPOKANE,WA 99217 Principals 509-468-4335 ALBIN,MARK C,PRESIDENT SPOKANE County MCGEE,TYE CYRIL,SECRETARY • Doing business as A M LANDSHAPER INC WA UBI No. Business type 601 701 273 Corporation Governing persons MARK C ALBIN TYE C MC GEE; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties GENERAL License no. AMLANI*971 D0 Effective—expiration 03120/2003—04/12/2018 Bond North American Spec Ins Co $12,000.00 Bond account no. 2181927 Received by L&I Effective date 07/16/2014 09/24/2014 Expiration date Until Canceled RLI INS CO $12,000.00 Bond account no. SSB397618 _—Received by L&I — — —— Effective date -- — -- — 10/02/2009 09/24/2009 Expiration date Until Canceled • Insurance Cincinnati Ins Co $1,000,000.00 4/25/2016 AM LANDSHAPER INC Policy no. EPP225013 Received by L&I Effective date 02/19/2016 02/24/2012 Expiration date 02/24/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&l Tax debts No LEI-Ex-debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Nolicense violations during the previous 6 year period. Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 816,368-01 Doing business as A M LANDSHAPER INC Estimated workers reported Quarter 4 of Year 2015"7 to 10 Workers" L&I account representative TO/CAROLYN CRAWFORD(360)902-4715-Email:CRAI235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington.