16-158.01 MDM Construction: On Call Road Graders for Snow Removal CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND MDM CONSTRUCTION INC.
Spokane Valley Contract# 16-158.01
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 On-Call Road Graders for Snow Removal Project by
and between the Parties, executed by the Parties on November,23`d,2016,and which terminates on April
30, 2017. 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$40,000.00.
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.
Additional compensation for hours worked.
4. Compensation Amendment History: This is Amendment# 1 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 November 23,2016 $40,000.00
Amendment#1 January 26,2017 $60,000.00
Total Amended Compensation $100,000.00
(erwar�l
The parties have executed this Amendment to the Original Contract this 3 day o€ ;2017.
CITY QF SPOKANE V LEY: MDM CONSTRUCTION INC.:
yid cq,e
Mark Calhoun y: 'tch Swenson
City Manager Its: President
A AFL.- APPROVED AS 0 FORM:
. . J
istine Bainbridge,City Clerk Office o e City A e
1
COSV Public Works• r� f� 1` , I/, MDMCONS-02 WCHRISTESON
.ACCO CERTIFICATE OF LIABILITY INSURANCE "' DATE(MMroDM'YY)
414.—.—.--- ,. 9/1/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO `I i fi _. _N 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:
Spokane Office PHONE
H Ni q,Exit: (A/C838-3501 ac,xo]:4509)838.3511
Pa neWest Insurance Inc. EMAIL
50I N.Riverpoint Blvd.,Ste 403 ADDRESS:
Spokane,WA 99202
INSURER(S)AFFORDING COVERAGE NAIC 0
INSURER A:Continental Western Insurance Company 10804
INSURED INSURER a:Alaska National Ins.Co. 38733
MOM Construction Inc dba MOM Excavation INSURER C:
P.O.Box 2006 INSURER D:
Hayden,ID 83836 INSURER E:
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
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,
!L SRR TYPE OF INSURANCE ADM SUM POLICY�EF'F POLICY EXP UNITS
INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY)
A X COMMERCIAL GENERALLJABILITY EACH OCCURRENCE S 1,000,000
CLAIMS-MADE El OCCUR X X CPA6025924 09/01/2016 09/01/2017 PDREAMMISES AGE 10 R(EaEN IEDrrence) $ 1,000,000
occu
MED EXP(Any one person) S 15,000
r-- PERSONAL&ADV INJURY S 1,000,000
GENT.AGGREGAATjELIMIT APPLIESPER: GENERAL AGGREGATE S 2,000,000
,...._ POLICY I"(JECT Ei LOC PRODUCTS•COMP/OPAGG S 2,000,000
OTHER: WA STOP GAP S 1,000,000
AUTOMOBILE[ABILITY &M9BIINdE�DISINGLE LIMIT $ 1,000,000
A X ANY AUTO X X CPA6025924 09/01/2016 09/01/2017 BODILY INJURY(Per person) S
— ALL OWNED 9 SCHEDULED BODILY INJURYSPeraccident) S
AUTOS --
NON-OWNED PROP RTY DAMAGE S --'
HIRED AUTOS — AUTOS (Per accident)
$
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 4,000,000
A4 EXCESS LAS CLAIMS•MADE X X CPA6026924 09/01/2016 09/01/2017 AGGREGATE a 4,000,000
DED X RETENTIONS 10,000 S
WORKERS COMPENSATION P ATUTE `FOTTH.
AND EMPLOYERS.'LIABILITY
3 ANY PROPRIETOR/PARTNER/EXECUTIVE Ya N/A 16DWS08844 04/01/2016 04/01/2017 E.L.EACH ACCIDENT S 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.C.DISEASE-EA EMPLOYEE $ 1,000,000
xdesa&:eunder
DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY LIMIT S 1,000,000
,ESCRIP'ION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required)•
a: Project-On call Graders for snow removal.
fty of Spokane Valley Is an additional Insured per policy forms with primary and non-contributory wording. Waiver of subrogation and per project aggregate
tr policy forms.
ERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPTION DATE City of Spokane Valley,Public Works ACCORDANCEIRAWITH THE POLICY PROVIS ONSCE WILL BE DELIVERED IN
11707 East Sprague Ave,Suite 106
Sliokarie Valley,WA 99206 ' •• • •• •• - ••
AUTHORIS D REPRESENTATIVE
Wile (Wolk."
I
0 1988 2014 ACORD CORPORATION. All rights reserved.
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