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18-075.00 Black Box Network Svcs: CenterPlace IP Phone Controller 18-016 MAC Quote Form BLACK BOX ,may+ �...{•,. -. -. L ftlioV Calle nit kM;�A,#•.0 k,. �.,: .: ' a :- . zm7=1.13. - :. .. . �tx Customer Name: Choose an nem City of Spokane Valley,City Hall d/b/a Black Box Network Services Customer Location Address: Customer Billing Address: 10210 E Sprague Ave Spokane Valley,WA 99206-3682 The terms of the)agreement shall govern this order. Effective Date of Agreement: 4/16/2018 (quote expiration is 30 days from effective date) - - 00V eo o.i'� �1.' `R :.:.�►� ... wits;a 'G CTPD i` r.' s W s:Q" V :g�G : , ' -4.7 Cabling/Infrastructure/UCC Voice Services: Total Material Price: $5,885.00 Total Labor Price: $1,050.00 Total Price: $ ,35,00** Invoice/Payment Terms: 100%labor&materials due upon delivery* Hourly Rates(if applicable) $150.00 /hour standard time 4/hour non-standard time(nights/weekends/holidays) *Net 30 days from date of invoice. - _ - 44 � � r ww Ct<5•(�%,�1i a (�_ 0 o i� D '►IBXQ l84 ,1 E+___ Z�'e _DNA RED Y Incident/Case#: Material includes 50006731—MXe III Controller 50006431—MXe III RAID Controller Sub-System 50005084—MXe III AC Power Supply 50006489—MXe III SATA HDD 2pk 50006271—Power Cord ***shipping and handling are additional **Labor includes dispatch;plus up to 6 hours labor during regular working hours. Sr iMA.1'. t1L€tet►/I ` t :` m :{ � x .. �.M•aiwrwr I Y�.N % ERMSMI i • .ISL M S �,.0,�` „ , 1,.y, ,;SES. O Ta} tER1VIS CO `Ifl'+I© �..;i*� ,.s � �.>:'� Terms&Conditions: Unless Customer and Black Box have entered into a separate written agreement for the equipment or services set forth in this Statement of Work,the applicable terms and conditions posted at https://www.blackbox.com/en-us/about-us/terms-conditions-of-sale are incorporated herein. ��}�,�+, �� , 7, I^__ _�_\++J►:tiwkin.Ie1'.tl.,ll� ,I .d� $ .'� '4,4:..` .k.. 'a,',-T17:17.41... Customer: Choose an item. d/b/a Black Box Network Services BY: ll, _ n BY: V( Marie Rodriguez (Authorized ignature) (Authorized Signature) NAME: Mor(at nt u. NAME: Marie Rodriguez TITLE: (' ' ,p TITLE: MAC Coordinator DATE: y,/ e I DATE: 4/16/2018 BB National MAC Desk Quote Template 06 30 17 355636 ACCORD® CERTIFICATE OF LIABILITY INSURANCE DA4/1820 8 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 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 CONTACTNAAMBradley Cunic Commercial Lines-(412)765-3510 PHONE FAX r,Uc.No.Exe, 412.430.6042 (Arc,No): (877)808-2136 USI Insurance Services National,Inc. MAIL dl rae cunic ADDRESS: by usi.com @ Four Gateway Center,444 Liberty Avenue,Suite 1500 INSURER(S)AFFORDING COVERAGE NAIC/ Pittsburgh,PA 15222-1233 INSURERA: Travelers Property Casualty Co of America 25674 INSURED INSURER B: Continental Insurance Company 35289 Midwest Communications Technologies,Inc. INSURER C: Phoenix Insurance Company 25623 D/B/A Black Box Network Services INSURER D: Travelers Indemnity Company 25658 255 Enterprise Drive INSURER E: Lewis Center,OH 43035 INSURER F: COVERAGES CERTIFICATE NUMBER: 12958160 REVISION NUMBER: See below 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 _ (?.WIDDLYYYY) (MM!DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X TC2JGLSA-475M2729-18 03/31/2018 03/31/2019DAMAEACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES EaENTED occurrence) $ 1,000,000 X CONTRACTUAL LIAB MED EXP(Any one person) S 10,000 X $10M AGG PERSONAL&ADV INJURY S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JJEECT LOC _PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY TC2J-CAP-475M1536-18 03/31/2018 03/31/2019 COMBINEDSINGLELIMIT cident) $ 2,000,000 CO ac X ANY AUTO BODILY INJURY(Per person) $ OWNED — SCHEDULED _ BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ X HIRED x NON-OWNED PROPERTY DAMAGE s AUTOS ONLY _ AUTOS ONLY (Per accident) _ $ B UMBRELLA UAB x OCCUR 6046308052 03/31/2018 03/31/2019 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE _AGGREGATE $10,000,000 Products& DED RETENTION$ $ C WOAND EMPLOYERS' YERS'LI COMPENSATION TC2N-UB-475M1376-18 03/31/2018 03/31/2019 X PER ERH AND EMPLOYERS'LIABRlTY 1,000,000 D o icEOR/PURIETOR/EXAC UDED?ECUTIVE Yom' NIA TRK-UB-475M1388-18 03/31/2018 03/31/2019 EL.EACH ACCIDENT $ (Mandatory In NH) I �" E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) RE: Mitel Project Quote dated 4/16/2018-Estimated Project End 7/31/2018/City of Spokane is named as additional insured. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10210 E.Sprague Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE 9("441%1.— I ("4, 1.— I The ACORD name and logo are registered marks of ACORD ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) • • Policy Number: ' TC2JGLSA-475M2729-18 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT.CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) • • This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART • 1. The following is added to SECTION II—WHO IS (a).The Additional Insured — Owners, AN INSURED: Lessees or Contractors — Scheduled Any person or organization that: Person or Organization endorsement CO 20 10 07 04 or CG 20 10 04 13, a. You agree in a "written contract requiring In- • the Additional insured — Owners, surance" to include as an additional Insured Lessees or Contractors—Completed on this Coverage Part;and .Operations endorsement CG 20 37 • b. Has not been added as an additional insured 07 04 or CG.20 37 04 13, or both of for the same project by attachment of an en- such endorsements with either of dorsement under this Coverage Part which those edition dates;or Includes such person or organization in the (b) Either or both of the following: the endorsement's schedule; Additional Insured — Owners, Les- is an insured,but sees or Contractors — Scheduled a. Only with respect to liability for"bodily injury", Person Or Organization endorsement "property damage"or"personal injury";and CG 20 10,or the Additional Insured— Owners, Lessees or Contractors — b. Only as described in Paragraph(1), (2)or(3) Completed Operations endorsement • below,whichever applies: CO 20 37, without an edition date of (1) If the "written contract requiring insur- such endorsement specified.; ance" specifically requires you to provide the person or organization is an additional additional insured coverage to that per- insured only if•the Injury or damage is • son_or organization by the use of: caused, in whole or in part, by acts or (a) The Additional Insured — Owners, omissions of you or your subcontractor in Lessees or Contractors — (Form B) the performance of"your work" to which endorsement CG 20 10 11 85;or the "written contract requiring Insurance" (b) Either or both of the following: the applies;or Additional Insured — Owners, Les-. (3) If neither Paragraph(1)nor(2)above ap- sees or Contractors — Scheduled• plies: Person Or Organization endorsement (a) The person or organization is an ad- CO 20 10 10 01,or the Additional In- ditional insured only if, and to the ex- cured—Owners, Lessees or Contrac- tent that, the injury or damage is tors — Completed Operations en- caused by acts or omissions of you.or dorsement CG 20 37 10 01; your subcontractor in the perform- the person or organization is an additional ance of"your work"to which the"writ- ' insured only if the injury or damage arises ten contract requiring insurance" ap- out of "your work" to which the "written plies;and contract requiring insurance"applies; (b) The person or organization does not (2) If the "written contract requiring insur-' qualify as an additional insured with ance" specifically requires you to provide respect to the independent acts or • additional insured coverage to that per- omissions of such person or organs- + son or organization by the use of: zation. CO D6 04 08 13 ®2013 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 • fl • • COMMERCIAL GENERAL LIABILITY 2. The insurance provided to the additional insured and collectible other Insurance,whether primary, by this endorsement is limited as follows: excess, contingent or on any other basis, that Is a. If the Limits of Insurance of this Coverage 'available to the additional insured when that per- Part shown In the Declarations exceed the son or organization is an additional insured, or is • minimum limits of liability required by the ' any otheir insured that does not qualify as a "written contract requiring Insurance", the in- named insured,under such other insurance. • surance provided to the additional insured will 4. As a condition of coverage provided to the addi- be limited to such minimum required limits of tlonal Insured by this endorsement: liability. For the purposes of determining a. The additional insured must give us written whether this limitation applies, the minimum notice as soon as practicable of an "occur- limits of liability required by the "written con- rence" or an offense which may result in a tract requiring in:;urance" will be considered claim. To the extent possible, such notice to include the minimum limits of liability of any should include: Umbrella or Excess liability coverage required when How, and where the "occurrence" for the additional Insured by that"written con- (1) r offtook place; tract requiring insurance". This endorsement will not increase the limits of insurance de- (2) The names and addresses of any Injured • scribed In Section ill—Limits Of Insurance. persons and witnesses;and b. The insurance provided to the additional in- (3) The nature and location of any injury or sured does not apply to"bodily Injury","prop- damage arising out of the"occurrence"or erty damage" or "personal injury" arising out ' offense. of the rendering of, or failure to render, any b. If a claim is made or"suit"is brought against professional architectural, engineering or sur- the additional Insured, the additional insured veying services, Including: must: • (1) The preparing, approving, or failing to (1) Immediately record the specifics of the prepare or approve, maps, shop draw- claim or"suit"and the date received;and ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, (2) Notify us as soon as practicable. approving, or failing to prepare or ap- The additional insured must see to it that we prove,drawings and specifications;and receive written notice of the claim or"suit"as (2) Supervisory, inspection, architectural or soon as practicable. engineering activities. c. The additional insured must Immediately send c. The insurance provided to the additional in- us copies of all legal papers received in con- cured does not apply to "bodily injury" or • nection with the claim or"suit",cooperate with "property damage"caused by"your work"and us In the investigation or settlement of the included in the "products-completed opera- claim or defense against the "suit", and oth- tions hazard" unless the "written contract re- erwise comply with all policy conditions. quiring insurance"specifically requires you to d. The additional insured must tender the de- provide such coverage for that additional In- Tense and Indemnity Of any claim or"suit" to sured during the policy period. any provider of other insurance which would 3. The insurance provided to the additional insured • cover the additional insured for a loss we by this endorsement is excess over any valid and cover under this endOrsement. However, this collectible other insurance, whether primary, ex- condition does not effect whether the incur- cess, contingent or on any other basis, that is ance provided to the additional insured by this available to the additional insured.However,If the endorsement is primary to other Insurance "written contract requiring insurance" specifically available to the additional insured which coy- • requires that this'insurance apply on a primary ere that person or organization as a named • basis or a primary and non-contributory basis,this insured as described in Paragraph 3.above. insurance is primary to other insurance available 5. The following is added to the DEFINITIONS Sec- to the additional insured under which that person tion: or`organization qualifies as a named insured,end we will not share with that other insurance. But "Written contract requiring insurance"means that the insurance provided to the additional insured part of any written contract or agreement under by this endorsement still is excess over any valid which you are required to include a person or or- Page 2 of 3 m 2013 The Travelers Indemnity Company.AK rights reserved. CG D6 04 08 13 W • • • COMMERCIAL GENERAL LIABILITY ganization as an additional Insured on this Cover- a. After the signing and execution of the contract age Part, provided that the "bodily injury" and or agreement by you;and 'property damage" occurs, end the "personal in- b. While that part of the contract or agreement is • jury" is caused by an offense committed, during In effect. the policy period and: • • • • • • • • • • • • • • • • • • • • CG DO 04 08 13 C 2013 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 ••