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17-041.01 Evco Sound & Electronics: CenterPlace AV Upgrade CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND EVCO SOUND & ELECTRONICS,INC. Spokane Valley Contract# 17-041.01 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 CenterPlace AV Upgrade,by and between the Parties, executed by the Parties on April 13,2017, and which terminates on August 1, 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 $15,250.00. 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 set forth below. 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. The term of the Contract set forth in Section 2 shall be amended from August 1,2017 to September 30,2017. 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 April 13, 2017 $ 15,250.00 Amendment#1 July 24, 2017 $ 0.00 Total Amended Compensation $ 15,250.00 it U3 USE The parties have executed this Amendment to the Original Contract this I' day of3uty,2017. CITY OF SPOKANE VALLEY: CO TAN . v ark Calhoun By: City Manager Its: rrefp di-P • S f APPROVED AS TO FORM: ristine Bain fridge, City Clerk Offi e f the ttorney 1 EVCOSOU-01 MMAYNARD ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE/31/2DYYYY) 3/31/2017 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(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). . Amber Comfort,CIC ACSR PRODUCER _ _..__1...--_...._-...'..............._..,.._.-�._. AME: , Alliant Insurance Services Inc. t s...::''.,r!1„3 =,iJ PHONE 509 343-9246 (509)325-1803 Moloney O'Neill e,LU,Ext):( FAX No): 818 W Riverside Ave,Ste 800 I �r ;, -,/ F e ,' i ADDRESS:acomfort@mo-ins.com Spokane,WA 99201 i I':,° j , L ,i s i f INSURER(S)AFFORDING COVERAGE NAIC# (( INsURERA:Continental Western Insurance Company 10804 INSURED L_,.._•_.__.._.-T -',J ijl: DCr'., -,-_-__._...... •INSURER 8 EvcoSound&Electronics Inc JINSURERC: 3511 E Trent INSURER D: Spokane,WA 99202 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGED CLAIMS-MADE X OCCUR X CPA284942728 11/26/2016 11/26/2017 PREMSESO(Ea occurrence)RENI $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO JECT- X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: • $ M AUTOMOBILE LIABILITY COaaB tlED)INGLELIMIT $ 1,000,000 (EA X ANY AUTO CPA284942728 11/26/2016 11/26/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) _ — $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTEPER 00TH H- AND EMPLOYERS'LIABILITY CPA284942728 11/26/2016 11/26/2017 E.L.EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,AddItIonal Remarks Schedule,may be attached If more space Is required) Project:CenterPlace City of Spokane Valley Parks&Rec is additional insured as respects general liability for the ongoing operations of the Named Insured,as required by written contract.See form attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyParks&Rec THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN pACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place • Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE • ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CL CG 04 92 09 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ULTRA PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGE EXTENSIONS Provision .Name Of Coverage Extension Included or Limit of Insurance A. Miscellaneous Additional Insureds Included B. Expected Or Intended Injury Or Damage Included C. Knowledge Of Occurrence Included D. Legal Liability—Damage To Premises Rented To You (Fire, Lightning, $300,000 Explosion, Smoke, Or Leakage From Automatic Fire Protective Systems) $10,000 E. • Medical Payments F. Mobile Equipment Redefined Included G. Newly Formed Or Acquired Organization, Partnership Or Limited Liability Included Company And Extended Period Of Coverage Included H. Who Is An Insured—Amendment I. Non-Owned Watercraft(Increased to maximum length of less than 51 Included feet) J. Supplementary Payments—Increased Limits 1. Bail Bonds $3,000 2. Loss Of Earnings $ 1,000 K. Unintentional Omission Or Unintentional Error In Disclosure Included L. Waiver Of Transfer Of Rights Of Recovery Against Others Included M. Liberalization Clause Included N. Incidental Medical Malpractice Included The above is a summary only. Please consult the specific provisions that follow for complete information on the extensions provided. The provisions of the Commercial General Liability additional insured on your policy, provided Coverage Part apply except as otherwise provided in that: this endorsement. This endorsement applies only if a. The written contract or written agreement such Coverage Part is included in this policy. is: A. MISCELLANEOUS ADDITIONAL INSUREDS (1) Currently in effect or becoming 1. Section Il—Who Is An Insured is amended effective during the term of this to include as an insured any person or policy; and organization (referred to as an additional (2) Fully executed by you and the insured below) described in Paragraphs additional insured prior to the "bodily A.1.c.(1) through A.1.c.(8) below when you injury", "property damage" or "per- and such person or organization have agreed sonal and advertising injury". in writing in a contract or agreement that such person or organization be added as an CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 7 with its permission b. The insurance afforded by this provision performed by or on behalf of does not apply to any person or such additional insured. organization included as an additional (4) Lessor Of Leased Equipment insured by a separate endorsement issued by us and made a part of this Any person(s) or organization(s) policy or coverage part. from whom you lease equipment but only with respect to liability for"bodily c. Only the following persons or organi- injury", "property damage" or "per- zations are additional insureds under this sonal and advertising injury" caused, provision, with coverage for such in whole or in part, by your additional insureds limited as provided maintenance, operation or use of herein: equipment leased to you by such (1) Managers Or Lessors Of Premises person(s)or organization(s). A manager or lessor of premises but A person's or organization's status only with respect to liability arising as an additional insured under this out of the ownership, maintenance or endorsement ends when their written use of that part of the premises contract or written agreement with leased to you and subject to the you for such leased equipment ends. following additional exclusions: This insurance does not apply to any This insurance does not apply to: "occurrence" which takes place after the equipment lease expires. (a) Any 'occurrence which takes placeafter you cease to be a (5) State, Municipality, Governmental tenant in that premises. . Agency Or Subdivision Or Other Political Subdivision — Permits Or (b) Structural alterations, new con- Authorizations Relating To struction or demolition operations Premises performed by or on behalf of such additional insured. Any state, municipality, govern- mental agency or subdivision or (2) Mortgagee, Assignee Or Receiver other political subdivision subject to A mortgagee, assignee, or receiver the following additional provisions: but only with respect to their liability (a) This insurance applies only with as mortgagee, assignee, or receiver respect to: and arising out of the ownership, maintenance, or use of a covered (i) The following hazards for premises by you. which the state, municipality, governmental agency or This insurance does not apply to subdivision or other political structural alterations, new con- subdivision has issued a struction or demolition operations permit or authorization in performed by or on behalf of such connection with premises additional insured. you own, rent or control and (3) Owners Or Other Interests From to which this insurance Whom Land Has Been Leased applies: An owner or other interest from (1.1) The existence, whom land has been leased to you maintenance, repair, but only with respect to liability construction, erection arising out of the ownership, mainte- or removal of adver- nance or use of that part of the land tising signs, awnings, leased to you and subject to the canopies, cellar following additional exclusions: entrances, coal holes, driveways, manholes, This insurance does not apply to: marquees, hoist away (a) Any "occurrence" which takes openings, sidewalk place after you cease to lease vaults, street banners that land. or decorations and similar exposures;or (b) Structural alterations, new con- struction or demolition operations CL CG 04 92 0916 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 7 with its permission (1.2) The construction, erec- The insurance afforded the tion or removal of vendor does not apply to: elevators; or (i) "Bodily injury" or "property (1.3) The ownership, main- damage" for which the tenance or use of any vendor is obligated to pay elevators covered by damages by reason of the this insurance. assumption of liability in a written contract or written (ii) Operations performed by you agreement. This exclusion or on your behalf for which does not apply to liability for the state, municipality, damages that the vendor governmental agency or would have in the absence of subdivision or other political the written contract or written subdivision has issued a agreement; permit or authorization. (ii) Any express warranty unau- (b) This insurance does not apply to thorized by you; "bodily injury", "property dam- age"or"personal and advertising (iii) Any physical or chemical injury" arising out of operations change in the product made performed for the state, munici- intentionally by the pality, governmental agency or vendor; subdivision or other political (iv) Repackaging, except when subdivision. unpacked solely for the (6) Controlling Interest purpose of inspection, demonstration,testing, or the Any person(s) or organization(s)with substitution of parts under a controlling interest in the Named instructions from the manu- Insured but only with respect to their facturer, and then liability arising out of: repackaged in the original (a)Their financial control of you;or container; (b) Premises they own, maintain or (v) Any failure to make such control while you lease or occupy inspections, adjustments, tests or servicing as the these premises. vendor has agreed to make This insurance does not apply to or normally undertakes to structural alterations, new con- make in the usual course of struction or demolition operations business, in connection with performed by or for such person(s) the distribution or sale of the or organization(s). products; (7) Co-Owner Of Insured Premises (vi) Demonstration, installation, servicing or repair opera- A co-owner of a premises co-owned tions, except such operations by you and covered under this performed at the vendor's insurance but only with respect to the premises in connection with co-owner's liability as co-owner of the sale of the product; such premises. (8) Vendors (vii) Products which, after distri- bution or sale by you, have (a) Any person(s) or organization(s) been labeled or relabeled or (referred to as vendor), but only used as a container, part or with respect to "bodily injury" or ingredient of any other thing "property damage" arising out of or substance by or for the "your products" which are vendor; or distributed or sold in the regular course of the vendor's business. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 7 with its permission (viii)"Bodily injury" or "property 3. With respect to the insurance afforded to the damage" arising out of the additional insureds within this Provision A. sole negligence of the Miscellaneous Additional Insureds, the vendor for its own acts or following is added to Section III — Limits Of omissions or those of its Insurance: employees or anyone else The most we will pay on behalf of the acting on its behalf. How- • additional insured is the amount of insurance: ever, this exclusion does not apply to: a. Required by the written contract or written agreement; or (1.1) The exceptions contained in Sub- b. Available under the applicable Limits Of paragraphs (iv) or (vi); Insurance shown in the Declarations; or . whichever is less. (1.2) Such inspections, ad- This endorsement shall not increase the justments, tests or applicable Limits Of Insurance shown in the servicing as the Declarations. vendor has agreed to make or normally B. EXPECTED OR INTENDED INJURY OR undertakes to make in DAMAGE the usual course of Exclusion 2.a. Expected Or Intended Injury of business, in con- Section I — Coverage A — Bodily Injury And nection with the Property Damage Liability is deleted and distribution or sale of replaced by the following: the products. (b) This insurance does not apply to a. Expected Or Intended Injury Or Damage any insured person or organi- "Bodily injury"or"property damage"expected zation, from whom you have or intended from the standpoint of the acquired products, or any insured. This exclusion does not apply to ingredient, part or container, "bodily injury" or "property damage" resulting entering into, accompanying or from the use of reasonable force to protect containing such products. persons or property. 2. With respect to coverage provided by this C. KNOWLEDGE OF OCCURRENCE Provision A. Miscellaneous Additional Paragraph 2.a. Duties In The Event Of Insureds, the following additional provisions Occurrence, Offense, Claim Or Suit of Section apply IV — Commercial General Liability Conditions a. Any insurance provided to an additional is deleted and replaced by the following: insured designated under Paragraphs a. You must see to it that we are notified as not a (1) through A.1.c.(8) above does soon as practicable of an "occurrence" or an not apply: offense which may result in a claim only (1) To "bodily injury" or "property when the "occurrence" or offense is known damage" included within the to:"products-completed (1) You, if you are an individual; operations hazard";or (2) To "bodily injury", "property damage" (2) A partner, if you are a partnership; or "personal and advertising injury" (3) A manager, if you are a limited liability arising out of the sole negligence of company; or such additional insured. (4) An "executive officer" or the "employee" b. The insurance afforded to such additional designated by you to give such notice, if insured only applies to the extent you are an organization other than a permitted by law. partnership or a limited liability company. c. The insurance afforded to such additional To the extent possible, notice should include: insured will not be broader than that (i) How, when and where the "occurrence" which you are required to provide by the or offense took place; written contract or written agreement. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 7 with its permission (ii) The names and addresses of any injured you, or in the case of damage by fire,lightning, explosion, "smoke", or leakage persons and witnesses; and from automatic fire protective systems, (iii)The nature and location of any injury or while rented to you or temporarily damage arising out of the "occurrence" occupied by you with permission of the or offense. owner. D. LEGAL LIABILITY — DAMAGE TO PREMISES This limit will apply to all damageproximately caused by the same event, RENTED TO YOU (Fire, Lightning, Explosion, whether such damage results from fire, Smoke, Or Leakage From Automatic Fire lightning, explosion, "smoke", leakage Protective Systems) If damage to premises rented to you is not from automatic fire protective systems, orother covered causes of loss or any otherwise excluded from this policy or coverage combination thereof. part,then the following provisions apply: 4. Subparagraph b.(1)(a)(ii) of Paragraph 4. 1. Under Section I — Coverage A — Bodily Other Insurance IV — Injury And Property Damage Liability, the CommercialtherI General of Section Conditions paragraph (after the exclusions) is is deleted and replaced by the following: deleted and replaced by the following: Exclusions through n. not apply to dam- (ii) That is fire, lightning, explosion, "smoke" age by fire,, lightning, explosion, or leakage from automatic fire protective"smoke", or leakage from automatic fire protective systems insurance for premises rented to you or temporarily occupied by you with systems to premises while rented to you or permission of the owner; temporarily occupied by you with the permission of the owner. A separate limit of 5. Subparagraph a. of Definition 9. "Insured insurance applies to this coverage as contract" of Section V — Definitions is described in Section III — Limits Of deleted and replaced by the following: Insurance. a. A contract for a lease of premises. 2. The paragraph immediately after Sub- However, that portion of the contract for paragraph j.(6) of Paragraph 2. Exclusions a lease of premises that indemnifies any of Section I — Coverage A — Bodily Injury person or organization for damage by And Property Damage Liability is deleted fire, lightning, explosion, "smoke" or and replaced by the following: leakage from automatic fire protective Paragraphs (1), (3) and (4) of this exclusion systems to premises while rented to you or temporarily occupied by you with do not apply to "property damage" (other lightning, explosion, permission of the owner is not an than damage by fire, "insured contract". "smoke", or leakage from automatic fire protective systems) to premises, including 6. As used in this Provision D. Legal Liability— the contents of such premises, rented to you Damage To Premises Rented To You: for a period of seven or fewer consecutive "Smoke" does not include smoke from days. A separate limit of insurance applies to Damage To Premises Rented To You as agricultural smudging, industrial operations described in Section III — Limits Of or"hostile fire". Insurance. E. MEDICAL PAYMENTS 3. Paragraph 6. of Section III — Limits Of If Coverage C — Medical Payments is not Insurance is deleted and replaced by the otherwise excluded from this policy or coverage following: part, the Medical Expense Limit is changed, 6. Subject to Paragraph 5. above, the subject to the terms of Section III — Limits Of Insurance,to the greater of: greater of: a. $300,000;or a. $10,000; or b. The Damage To Premises Rented b. The Medical Expense Limit shown in the To You Limit shown in the Declarations. Declarations, F. MOBILE EQUIPMENT REDEFINED is the most we will pay under Coverage Subparagraph f.(1) of Definition 12. "Mobile A for damages because of "property equipment"of Section V— Definitions is deleted damage" to premises while rented to and replaced by the following: CL CG 04 92 0916 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 7 with its permission (1) Equipment with a gross vehicle weight of partnership or limited liability company are the same or similar to the operations 1,000 pounds or more and designed primarily of insureds already covered under this for: insurance; (a) Snow removal; (v) Coverage only applies for those limited (b) Road maintenance, but not construction liability companies who have established • or resurfacing; or a date of formation as recorded within (c) Street cleaning; the filed state articles of organization, certificates of formation or certificates of G. NEWLY FORMED OR ACQUIRED ORGANIZA- organization; and TION, PARTNERSHIP OR LIMITED LIABILITY COMPANY AND EXTENDED PERIOD OF (vi) Coverage only applies for those part- COVERAGE nerships who have established a date of formation as recorded within a written Paragraph 3. of Section II —Who Is An Insured partnership agreement or partnership is deleted and replaced by the following: certificate. 3. Any organization you newly acquire or form, H. WHO IS AN INSURED—AMENDMENT other than a joint venture, and over which you maintain ownership or: The last paragraph of Section II — Who Is An Insured is deleted and replaced by the following: a. Majority interest of more than 50% if you are a corporation; No person or organization is an insured with respect to the conduct of any: b. Majority interest of more than 50% as a general partner of a newly acquired or a. Current partnership or limited liability formed partnership; and/orcompany, unless otherwise provided for • under Paragraph 3. of Section II — Who Is c. Majority interest of more than 50% as an An Insured; owner of a newly acquired or formed b. Current joint venture;or limited liability company; will qualify as a Named Insured if there is no c. Past partnership, joint venture or limited other similar insurance available to that liability company; organization. However, for these organiza- that is not shown as a Named Insured in the tions: Declarations. (i) Coverage under this provision is afforded I. NON-OWNED WATERCRAFT only until the next anniversary date of this policy's effective date after you Subparagraph (2) of Exclusion 2.g. Aircraft, acquire or form the organization, Auto Or Watercraft of Section I — Coverage A partnership or limited liability company, —Bodily Injury And Property Damage Liability or the end of the policy period,whichever is deleted and replaced by the following: is earlier; (2) A watercraft you do not own that is: (ii) Section I — Coverage A— Bodily Injury (a) Less than 51 feet long; and And Property Damage Liability does not apply to "bodily injury" or "property (b) Not being used to carry persons or damage" that occurred before you property for a charge. acquired or formed the organization, J. SUPPLEMENTARY PAYMENTS— INCREASED partnership or limited liability company; LIMITS (iii)Section I — Coverage B — Personal Section I — Supplementary Payments — And Advertising Injury Liability does Coverages A And B is changed as follows: not apply to "personal and advertising injury" arising out of an offense 1. The limit shown in Paragraph 1.b. for the committed before you acquired or formed cost of bail bonds is changed from $250 to the organization, partnership or limited $3,000; and liability company; . 2. The limit shown in Paragraph 1.d. for loss of (iv)Coverage applies only when operations earnings because of time off from work is of the newly acquired organization, changed from$250 a day to$1,000 a day. CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 6 of 7 with its permission F K. UNINTENTIONAL OMISSION OR UNINTEN- M. The LIBERALIZATION CLAUSE to Section IV — TIONAL ERROR IN DISCLOSURE The following provision is added to Paragraph 6. Commercial General Liability Conditions: Representations of Section IV — Commercial If we adopt a mandatory attachment form change General Liability Conditions: which broadens coverage under this edition of However, the unintentional omission of, or the Commercial General Liability CG0001 for no unintentional error in, any information given or additional charge, and those changes are provided by you shall not prejudice your rights intended to apply to all insureds under this edition under this insurance. of CG0001, that change will automatically apply to your insurance as of the date we implement This provision does not affect our right to collect the change in your state. This liberalization additional premium or to exercise our right of clause does not apply to changes implemented cancellation or non-renewal. through introduction of a subsequent edition of L. WAIVER OF TRANSFER OF RIGHTS OF the Commercial General Liability form CG0001. . RECOVERY AGAINST OTHERS N. INCIDENTAL MEDICAL MALPRACTICE The following is added to Paragraph 8. Transfer 1. Paragraph 2.a.(1)(d) of Section II — Who Is Of Rights Of Recovery Against Others To Us An Insured does not apply to a physician, of Section IV — Commercial General Liability nurse practitioner, physician assistant, nurse, Conditions: emergency medical technician or paramedic We waive any right of recovery we may have employed by you if you are not in the business or occupation of providing medical, against any person or organization because of aramedical, surgical, dental, x-ray or payments we make for injury or damage arising pnursing services. out of your ongoing operations or your work"and included in the "products-completed operations 2. This provision is excess over any other valid hazard" when you have agreed in a written and collectible insurance whether such contract or written agreement that any right of insurance is primary, excess, contingent or recovery is waived for such person or on any other basis. Any payments by us will organization. This waiver applies only to the follow Paragraph 4.b. of Section IV — person(s) or organization(s) agreed to in the Commercial General Liability Conditions. written contract or written agreement and is subject to those provisions. This waiver does not apply unless the written contract or written agreement has been executed prior to the"bodily injury"or"property damage". However, if any person or organization is separately scheduled on a separate waiver of transfer of rights of recovery which is attached to this policy,then this waiver does not apply. • CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office, Inc., Page 7 of 7 with its permission V 1 !Search 1.8,1w . Washington State Department of Labor & Industries EVCO SOUND & ELECTRONICS INC Owner or tradesperson 3511 East Trent SPOKANE,WA 99202 Principals 509-535-8718 BAUER, DANA L,VICE PRESIDENT SPOKANE County BAUER, KEVIN D,AGENT TUXFORD,THOMAS N (End: 01/04/2016) TUXFORD,JUDY P (End:01/04/2016) BRYANT, CHRIS P (End: 01/04/2016) MCBRIDE, GERALD E (End:01/04/2016) TUXFORD,THOMAS N,AGENT (End: 01/04/2016) .Ding business as EVCO SOUND&ELECTRONICS INC WA UBI No. Business type 600 187 719 Corporation Governing persons JUDY TUXFORD THOMAS TUXFORD; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY HVAC/RFRG • License no. EVCOSEI151BM Effective—expiration • 01/14/1985—08/03/2018 Designated administrator Active. RYANT, CHRISTOPHER P Meets current requirements. License type License no. Master Electrician BRYANCP972QL Bond TRAVELERS CAS &SURETY CO $4,000.00 ' a• 0 12/11/2000 1/0112001 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. nse Violations Infraction no. Satisfied ECHAP01141 Issue date RCW/WAC 06120/2012 19.28.101 RCW Violation amount Violation city $250.00 SPOKANE Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAG 296-46B-900 (3)(6),effective after 12/30/2008 see WAC 296- 46B-901. 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. 227,266-00 Doing business as EVCO SOUND&ELECTRONICS INC mated workers reported %.,darter 4 of Year 2016"51 to 75 Workers" L&I account representative T5/MELISSA VEST(360)902-5613-Email:VESM235@lni.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.