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13-074.02 ISS Facility Services: CenterPlace Janitorial Services CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND ISS FACILITY SERVICES Spokane Valley Contract#13-074.02 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and ISS Facility Services mutually agree as follows: 1. Purpose: This Amendment is for the Contract for Janitorial Services at CenterPlace by and between the Parties, executed by the Parties on May 1, 2013, and which terminates on April 30, 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 $85,632.00. 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. Exercise 2°d one-year renewal for the period of May 1,2017 to April 30,2018. Increase the compensation by $8,563.20. 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 5/1/2013 $85,632.00 Amendment#1 1/18/17 $ 0.00 Amendment#2 2/21/17 $ 8,563.20 Total Amended Compensation $94,195.20 The parties have executed this Amendment to the Original Contract this "'C_-( day of 2017. CIN OF SPO E LEY: ISS FACI S !':VICES/CONTRACTOR: Mark alhoun l By: }G oar oy` S v e ( .v City Manager Its: IBJ es t A APP OVED O FORM: -‘14/J istine Bainbridge,City Clerk 0 flee he Ci orney 1 • ACORa® DAT 12/22/2018) �..� CERTIFICATE OF LIABILITY INSURANCE 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. d If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on w this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT 'O NAME: Aon Risk Services Southwest, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 a`) Houston TX Office (NC.No.Ext): (A/C.No.): v 5555 San Felipe --------..--•--•--- --- E-MAIL-DSS: 2 Suite 1500 k"'�;1 °k'"',, ;; "s:P i";i';, Houston TX 77056 USA "i r."1,-_-e & F; 2:a a) INSURER(S)AFFORDING COVERAGE NAIL# INSURED JAN , )1',r�,'` 1 INSURER A: AIG Europe Limited M1120841 /`het) ISS Facility Services. Inc INSURER B: American Guarantee & Liability Ins Co 26247 1019 Central Pkwy N Suite 100 PARKS & RECREATION DEPT.I INSURER C: Zurich American Ins CO 16535 San Antonio TX 78232 USAINSURER D: Greenwich Insurance Company 22322 ._._._—_._._........._.._._.....-_ INSURER E: XL Specialty Insurance Co 37885 INSURER F: COVERAGES CERTIFICATE NUMBER:570064839948 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. Limits shown are as requested INSR ADOL SUER POLICY EFF POLICY EXPLTLIMITS TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIY Y (MM/DD CR X COMMERCIAL GENERALLIABIUTY GL0983574304 01/01/2017 01/01/2018 EACH OCCURRENCE $1,000,000 SIR applies per policy terms & conditions DAMAGE TO RENTED $1,000,000 CLAIMS-MADE 8 OCCUR PREMISES(Ea occurrence) X Per Project Agg$2M MED EXP(Any one person) $10,000 X Per Location Agg$2M PERSONAL&ADV INJURY $1,000,000 W. GEN'L AGGREGATEATLIMIT APPLIES PER: GENERAL AGGREGATE _ $5,000,000 M X POLICY 8 PRO- 8 LOC PRODUCTS-COMP/OPAGG $2,000,000 v MCI ' t0 OTHER: 0 p RAD 943775701 01/01/2017 01/01/2018 COMBINED SINGLE LIMITto AUTOMOBILE LL461LITY (Ea acddenn $1,000,000 .. X ANY AUTO . BODILY INJURY(Per person) O Z OWNED —SCHEDULED BODILY INJURY(Per accident) w AUTOS ONLY AUTOS DAMAGE m X HIRED AUTOS X NON-OWNEDO —ONLY _AUTOS ONLY (Per accident) &= t: at B X UMBRELLA UAB X OCCUR AUC983577404 01/01/2017 01/01/2018 EACH OCCURRENCE $5,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE S5,000,000 DED RETENTION E WORKERS COMPENSATION AND RWD943533505 01/01/2017 01/01/2018 X I PER I 0TH- EMPLOYERS'LIABILITY Y/N Includes the state of NY STATUTE ER ,ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S1,000,000 E OFFICERIMEMBEREXCLUDED? n N/A RWR943533605 01/01/2017 01/01/2018 (Mandatory In NH) WI E.L DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000— A E&0-MPL-Primary FC1640317 11/01/2016 11/01/2017 Crime EE Dishonesty $2,000,000 Crime-Employee Dishonesty Fall DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: Event: City of Spokane valley-2013. Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. Al CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley AUTHORIZED REPRESENTATIVE Center Place ie_.,c Spo6 N. Discovery Place i��sl-es%eed Yew (j, rEJ W Spokane Valley WA 99216 USA �J � ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD %Search L&1 --1 A"CtA j 0 Washington state Department of Labor & Industries ISS FACILITY SERVICES INCORPORATED 1019 CENTRAL PKWY N STE 100 Owner or tradesperson SAN ANTONIO,TX 78232 DARRELL GLOVER Doing business as ISS FACILITY SERVICES INC WA UBI No. Governing persons 602 372 770 DARRELL GLOVER CHRISTI ROHMER; Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. LAI Account ID Account is current. 072,442-00 Doing business as ISS FACILITY SERVICES INC Estimated workers reported Quarter 4 of Year 2016"76 to 100 Workers" L&I account representative T4/JULIE SUR(360)902-4825-Email:SURJ235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 05/10/2016 No violations Inspection no. 317940031 Location 1115 SE 164th Ave. Vancouver,WA 98683 Inspection results date Violations 04/27/2015 Inspection no. 317935970 Location 1115 SE 164th Ave Ste 210 Vancouver,WA 98683 Ci.Washington State Dept nt:.abor&Industrie, t,se Cl this ste a Subect to trio haws or tine state of Washrotor. aJ ,