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16-044.03 Michael Terrell: Browns Park Splash Pad & Champ Volleyball Court I t CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND MICHAEL TERRELL LANDSCAPE ARCHITECTURE PLLC I 4 Spokane Valley Contract#16-044.03 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the Consultant mutually agree as follows: 1. Purpose: This Amendment is for the Contract for the development of plans and specifications for the construction of a championship volleyball court and splash pad at Browns Park by and between the Parties, executed by the Parties on February 20,2016,and which terminates on July 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$15,160.00. 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 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. -Extend contract completion date to June 15,2017. This is to allow for project oversight for the closing out of the project and the initial start-up in the spring. 4. Compensation Amendment History: This is Amendment #3 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 2/20/16 $ 15,160.00 Amendment#1 6/28/16 $ 0 Amendment#2 11/7/16 $ 0 Amendment#3 4/24/17 $ 0 Total Amended Compensation $ 15,160.00 The parties have executed this Amendment to the Original Contract this 30 day of April,2017. CITY OF SPO NE VALLEY: CO►,:. ' A I I )1/*/1 15/15/1 i Mark Calhoun By: Michael Terrell City Manager Its: Owner A Eif APPROVE IP • S TO FORM: 40 0 hristine Bainbri•ge,City Clerk Office 1 the City Attorney 1 I .ACCW(4P® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCEI 12/17/2016 THIS CERTIFICATEIS 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 AFFORDEDBYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREI (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. 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 I NAME USAA INSURANCE AGENCY INC/PHS PHONE (AIC.Nu.Ex* (888) 242-1430 (AX A/C.No): (888) 443-6112 812846 P: (888) 242-1430 F: (888) 443-6112 ADDRESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIce SAN ANTONIO TX 78265 - - INSURERA: Hartford Casualty Ins Co i INSURED tl IL g...I ' '•""-'INSURERS: t MICHAEL TERRELL- LANDSCAPE DEC ! , INSUR RC: y tJ i..l� d. �ii!!1i f ARCHITECTURE, PLLC INSURERD: a 5312 S CHAPMAN RD PARKS & RECRE8TI'I" ; INSURER E: , GREENACRES WA 99016 ---�- 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 WIT)-I 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. INSR ADDL SUBR POLICY NUMBER FOLIC TEFF POLICY EXP LIMITS TPPE OFINSURANCE LTR NV WM OfM/DD/YYYY) IMMIDD/YYYYJ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2, 000,000 DAktAGE TO CLAIMS-MADE X OCCUR PREM SES(Ea occurrence) $300, 000 A X General Liab X 65 SBA PU5843 01/13/2017 01/13/2018 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4, 000, 000 POLICY PRO- X LOC PRODUCTS-COMP/OP AGG $4, 0 0 0, 000 SECT OTHER: $ COMBINED SINGLE LIMIT $2, 000, 000 AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A AWNED SCHEDULED 65 SBA PU5843 01/13/2017 01/13/2018 BODILY INJURY(Per accident)$ • — AUTOS ONLY�— AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ • EXCESS LIAB CLAIMS-MADE AGGREGATE $ S DEC RETENTION S PER OTH- r ND EMPLOYERS STATUTE ER .4ND EdPlAPERS'LL48U177 $ ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? AV — $ (Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE If yes,describe underE.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OFOPERA77ONS/LOCATIONS/VEHIC(.M9ORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Browns Park ' DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Mike Stone AUTHORIZED REPRESENTATIVE 2426 N DISCOVERY PL -7A-, _ e ' SPOKANE, WA 99216 ©1988-2015 ACORD CORPORATION.All rights reserve ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Aco- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CETIFICATE DOES BELNOT OW THIS CERTIFICATEINSURANCE OF DOES NOT CONSTITUTE COVERAGEEND,EXTEND OR ALTER THE ITUTE A CONTRACT BETWEEN THE IUIGAFFORDED 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 VI(AIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does nbt confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAMACT Tracey Donohue CorRisk Solutions PHONE 631-756-3000 FAXX.No, a 631-756-2500 (NC.TI,,Ext); 1 Huntington Quadrangle Suite 4N20 E-MAIL o Eaa: traceyd@corrisksolutions.com Melville, NY 11747 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER B: Michael Terrell – Landscape Architecture, PLLC INSURER C: 5312 South Chapman Road INSURER D: Greenacres, WA 99016 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 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 RESPECTITO 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. INSR AMYL SUER POLICY NUMBER POLICY EFF POLICY EXP " LIMITS LTR TYPE OF INSURANCE INSRD WVD WMIDOYMO (MMMEWONY) a GENERAL LIABILITY EACH OCCURANCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occu2ancel CLAIMS MADE OCCUR MED EXP(Any one pLrson) DOES NOT APPLY PERSONAL&AND INJURY ~— GENERAL AGGREGTE GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG, 7 POLICY n PROJECT n LOC CUMAINtU BINDLE uMl I(Ea AUTOMOBILE LIABILITY accident/ S F ANY AUTO BODILY INJURY(Per pTon) ALL OWNED SCHEDULED— DOES NOT APPLY BODILY INJURY(Per aident) — AUTOS —AUTOS PROPERTY DAMAGE(Per ccident) NON-OWNED a — HIRED AUTOS ---AI ITnC UMBRELLA LIAB OCCUR EACH OCCURANCE, ^–EXCESS LIAB CLAIMS MADE DOES NOT APPLY AGGREGATE , DED RETENTION$ WORKERS COMPENSATIONWC STATU- OTHER AND EMPLOYERS'LIABILITY TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICE/MEMBER EXCLUDED? Y/N N/A DOES NOT APPLY b L.UISNSAL-to (Mandatory in NH) PLOYEE M If yes,describe under DESCRIPTION OF E.L.DISE M P- YEECY LIMIT OPERATIONS below 069991268- Per Occurrence: $1,000,000 A Professional Liability 01/16/17 01/16/18 O1 Annual Aggregate: $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACCORD 101,Additional Remarks Schedule,if more space is required) Park Projects i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE City of Spokane Valley Parks and Recreation THEREOF,NOTICE WLL BE DELIVERED IN ACCORDANCE WTH TI-/B POLICY PROVISIONS. DepartmentAttention: Mike Stone 2426 N. Discovery Place AUTHORIZED REPRESENTATIVE Spokane Valley, WA 99216 67t a'...— ©1988-2010 ACORD CORPORATION.Allrights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD IA Search L&1 ft- IA u e11' CI)Washington state Department of Labor & Industries IMICHAEL TERRELL LANDSCAPE ARCHITECTURE PLLC 5312 S CHAPMAN RD Owner or tradesperson GREENACRES,WA 99016-8832 MICHAEL TERRELL Doing business as MICHAEL TERRELL LANDSCAPE WA UBI No. Governing persons 603 368 643 MICHAEL D TERRELL KARA L TERRELL; 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. 072,594-02 Doing business as MICHAEL TERRELL LANDSCAPE Estimated workers reported Quarter 4 of Year 2016"1 to 3 Workers" L&I account representative T3/KENT ANDERSON(360)902-6963-Email:ANDN235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. (s7 Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state if Washington, ,fit.