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16-085.05 Clearwater Summit Group: Browns Park Champ Sand Volleyball Court CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND CLEARWATER SUMMIT GROUP INC Spokane Valley Contract#16-085.05 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 Browns Park Championship Sand Volleyball Court Project by and between the Parties, executed by the Parties on May 4, 2016, and which terminates on June 15, 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$51,523.80. 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. -The City agrees to waive liquidated damages in the amount of$3,300.00 in exchange for the additional electrical work including a permit and various repairs and cleaning of the irrigation system due to debris from a water connection. -Because of the sales tax increase to 8.8%on April 1,2017,the City agrees to pay an additional$9.88 in sales tax. -Extend the contract time of performance to November 30, 2017. 4.Compensation Amendment History:This is Amendment#5 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 05/04/16 $ 51,523.80 Amendment#1 06/03/16 $108,359.04 Amendment#2 07/22/16 $ 0.00 Amendment#3 11/07/16 $ 0.00 Amendment#4 04/24/17 $ 0.00 Amendment#5 11/06/17 $ 9.88 Total Amended Compensation $159,892.72 The parties have executed this Amendment to the Original Contract this day of November,2017. CITY OF SPO NE VALLEY: CONT CTO : Y794, tOS7) -- CONT Mark Calhoun By: /7(6* G� , ��:��v City Manager Its: ATif rAPPROVE A FORM: a . ■ _..uV .. O istine Bainbridge, ty Clerk Office the City orney 1 'om:Jill Schilb FaxID:Alliant Ins Svcs Date: 12/22/2016 11 :04 :20 AM Page: 2 of 2 • �,---,,N CLEASUM-02 JSCHILB A�RoY CERTIFICATE OF LIABILITY INSURANCE DATE 1E(MM1DD`s) 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 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 Jill Schilb NAME: Moloney O'Neill/Alliant Insurance Services 1 C. PHONE 509 343-9217 FAX 509 325-1803 818 W.Riverside Ave,Ste 800 RECEIVED /C.No.Ext):( ) (A/C,No):(509) Spokane,WA 99201 IL ADDRESS:jschilb@mo-ins.com DEC 2 IU 2 2016 INSURERAS)AFFORDING COVERAGE NAIC#L) L INSURER A:Union Insurance Company 25844 INSURED INSURER s: PARKS & RECREATION DEPT. Clearwater Summit Group,Inc. -INSURER C: – 4228 E Wellesley INSURER D: Spokane,WA 99217 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR X X CPA6026627 12/22/2016 12/22/2017 pRA MISES EaEoccur encs) S 300,000 MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X JECT n LOC PRODUCTS-COMP/OP AGG S S 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 (Ea accident A ANY AUTO CPA6026627 12/22/2016 12/22/2017 BODILY INJURY(Per person) S — ALL OWNED7—SCHEDULED BODILY INJURY(Per accident) S AUTOS ,AUTOS – X HIRED AUTOS X NON-OWNEDS (Pot aCEGRTY DAMAGE S AUTO S X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 2,000,000 A EXCESS UAB CLAIMS-MADE CPA6026627 12/22/2016 12/22/2017 AGGREGATE S 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION TH- AND EMPLOYERS'LIABILITY STATUTE ER ERA ANYPROPRIETOR/PARTNER/EXECUTIVE Y("� NIA CPA6026627 12/22/2016 12/22/2017 E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Project:Browns Park Championship Sand Volleyball Court City of Spokane Valley is additional insured pertaining to the General Liability per the policy forms.Coverage is primary and non-contributory and includes completed operations.Waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE I ' %Y7" 0r�C7YIGi<r' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Home Espanol Contact Search L&I • SEARCH • A-Z Index Help My L&T Safety&Health Claims&Insurance Workplace Rights Trades&Licensing Ask 4,4 Washington State Department of Labor & Industries CLEARWATER SUMMIT GROUP INC Owner or tradesperson PO BOX 6470 SPOKANE,WA 99217-0908 Principals 509-482-2722 SWEET,TIM P,PRESIDENT SPOKANE County ULLMAN,TY ROBERT,VICE PRESIDENT ULLMAN,LAURA LOUISE,SECRETARY SWEET,ELAINE,TREASURER Doing business as CLEARWATER SUMMIT GROUP INC WA UBI No. Business type 601 450 995 Corporation Governing persons ELAINE SWEET TIMOTHY P SWEET; LAURA ULLMAN; TY R ULLMAN; 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. CLEARSG000KN Effective—expiration 05/15/2000—07/11/2018 Bond TRAVELERS CAS&SURETY CO $12,000.00 Bond account no. 055S103627339BCM Received by L&I Effective date 05/28/2002 07/01/2002 Expiration date Until Canceled Insurance Union Insurance Company $1,000,000.00 Policy no. CPA6026627 Received by L&I Effective date 12121/2016 12/22/2016 Expiration date 1212212017 Help us improve 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&1 Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations Infraction no. ESODA00254 Satisfied Issue date RCW/WAC 06/25/2015 19.28.271 RCW Violation city Violation amount SPOKANE $250.00 Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. ESODA00253 Satisfied Issue date RCW/WAC 06/25/2015 19.28.101 RCW _ Violation city Violation amount SPOKANE $250.00 Type of violation ELECTRICAL CITATION Description Covering or concealing installations prior to inspection. Infraction no. ESODA00252 Satisfied Issue date RCW/WAC 06/25/2015 19.28.041 RCW Violation city Violation amount SPOKANE $500.00 • Type of violation ELECTRICAL CITATION Description Offering to perform,submitting a bid for, advertising,installing or maintaining cables, conductors or equipment that convey or utilize electrical current without having a valid electrical contractor license. • Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. • Active accounts L&I Account ID Account is current. 472,384-01 Doing business as Help us improve CLEARWATER SUMMIT GROUP INC Estimated workers reported Quarter 3 of Year 2017'76 to 100 Workers" L&I account contact • TO/GARY HONC(360)902-4823-Email:HONC235@Ini.wa.gov Track this contractor 0 Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 06/13/2014 Violations Inspection no. 317319408 Location 4228 E Wellesley Spokane,WA 99207-6780 ®Washington State Dept.of labor&Industries.Use of this site is subject to the laws of the state of Washington. Help us improve