18-063.02 AM Landshaper: CenterPlace West Lawn Ph 1 CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND AM LANDSHAPER,INC.
Spokane Valley Contract#18-063.02
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 the CenterPlace West Lawn—Phase 1 Project by and
between the Parties, executed by the Parties on April 9, 2018, and which terminates on June 1, 2018.
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$147,057.34
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.
Amendment#1 added light poles and fixtures and extended the completion time until July 6.2618:
-Amendment#2 will extend time of completion until September 1.2018. This is due"to the electrical
components(light poles and fixture)are on back order from the supplier;
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 4/9/18 $147,057.34
Amendment#1 5/7/18 $ 12,809.02
Amendment#2 7/6/18 $ 0.00
Total Amended Compensation $159,866.36
The parties have executed this Amendment to the Original Contract this day of July,2018.
CITY OF SPOKANE VALLEY: CONTRACTOR:
1/914 (APIA
Mark Calhoun By:
City Manager Its: Sez• —.� s""
A Sir APPROVED TO FORM:
It \ 4
Christine Bainbridge,City Clerk Offi f the Ci ttomey
1
A.11/1
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LANDSHA . R
Contractors AMLAND*971 DO
8004 N. Market Spokane,WA 99217
PHONE (509)468-4335 FAX(509)468-4
June 19, 2018
Change Order Proposal
Project — Center Place West Lawn Phase I
City of Spokane Valley Parks and Recreation
To — Michael Terrell, Landscape Architect
Work Scope — Request for contract time extension. Previous finish date of July
6, 2018 to September 1, 2018.
Reason for request— Electrical components (light poles and fixtures) on back
order from supplier.
There is no request for monetary addition.
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Thank you
/529-2-f-‘---
Tye C. McGee
AM Landshaper, Inc.
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I ,
�,1 AMLANDS-01 MOWER.i CCWO"
DATE(MMIDDIYYYY)
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CERTIFICATE OF LIABILITY INSURANCE 04/0512018
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.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on i
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Spokane Office PHONE
(AIC,ENo,Ext):(509)8384501 I r i.Ne):(509)838.3511
Pa newest Insurance,Inc. Mass:
501 N.Riverpoint Blvd.,Ste 403 ADD Fss:
Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAICif
INSURERA:The Cincinnati Insurance Company 10677
INSURED t INSURER B:
A.M.Landshaper,Inc. INSURER C: • •
Mark Albin INSURER D:
8004 North Market
Spokane,WA 99217 INSURER E:
INSURER F: •
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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 OTF(ER 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.
(NSRA00ICY EXP LIMITSLIMITSTYPE OF INSURANCE ,L i , POLICY NUMBER „„ ,,►uu „ i
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
CLAIMS-MADE n OCCUR X X EPP0128051 02/24/2018 02124/2019 DAMAi S(Ea NTED 500,000
PREMISES(Ea oaurreneel S 10,000
MED EXP(Any one person) S
•
PERSONAL&ADV INJURY S 1,000,000
GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER 2,000,000
POLICY ED ye Ti LOC PRODUCTS-COMP/OP AGG $
WA STOP GAP g 1,000,000
I OTHER: CO COMBINED
EDS INGLELIMIT $ 1,000,000
A AUTOMOBILE LIABILITY (Ea
X ANY AUTO X X EBA0128051 02/24/2018 02/24/2019 BODILY INJURY(per person) $
OWNED —SCHEDULED BODILY INJURY(Per aaidenl) $
_AUTOS ONLY _AUTOS BpODPE��7NyJ DAMAGE
HIRRED NON-OWNED (Peracddent}
AUTOS ONLY --�AUTOS ONLY
A X UMBRELLA UAB $
X OCCUR EACH OCCURRENCE $ 1,000,000
EXCESS:JAB CLAIMS-MADE EPP0128051 02/24/2018 02/24/2019 AGGREGATE ,$
DED X RETENTIONS 0 S
WORKERS COMPENSATION PEATlJ7E I 01H-
AND
R
AND EMPLOYERS'LIABILITY
ANYPROPRIETORIPARTNERMECUTIVE Yui EL EACH ACCIDENT $
OFFICER/MEMBEREXCLUDED? I ( N/A
(Mandatory In NH) EL DISEASE-EA EMPLOYEE S
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(ryes,describe under EL DISEASE-POLICY LIMIT S
A Equipment F
DESCRIPTION OFloater EPP0128051 OPERATIONS below 02/24/2018 02/24/2019 Leased and Rented 250,000
A Equipment Floater EPP0128051 02/2412018 02124/2019 Deductible 1,000 .
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required)
RE:Centerplace West Lawn-Phase I Project/Project No.18-063.00
City of Spokane Valley is additional insured as per the attached forms.Coverage is primary and non contributory.Waiver of subrogation and per project
aggregate applies per attached forms.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS.
Attri:Christine Bainbridge,City Clerk
10210 East Sprague AVe
Spokane,WA 99206 AUTHORIZED REPRESENTATIVE
6/a141.144-a`G
_I_ n 1988-2015 ACORD CORPORATION.All rights reserved.
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li+pa5usl Cartad 'Search L&I I '
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1 Washington State Department of
Labor & Industries
IA M LANDSHAPER INC
8004 N.MARKET
Owner or tradesperson SPOKANE,WA 99217
Principals 509.468-4335
ALBIN,MARK C,PRESIDENT SPOKANE County
MCGEE,TYE CYRIL,SECRETARY
Doing business as
A M LANDSHAPER INC
WA UBI No. Business type
601 701 273 Corporation
Governing persons
MARK
C
ALBIN
TYE C MC GEE;
ILicense
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.
AMLANI*971D0
Effective—expiration
0312012003—04/12/2020
Bond
North American Spec Ins Co $12,000.00
Bond account no.
2181927 •
Received by LSI Effective date
07/16/2014 09/24/2014
Expiration date
Until Canceled
RLI INS CO $12,000.00 -
Bond account no.
SSB397618
•
Received by L8,1 Effective date
10/02/2009 09/24/2009 •
Expiration date
Until Canceled
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Insurance
J j t.
..j. I
' Gt '•
Cincinnati Ins Co $1,000,000.00
Policy no.
EPP225013
Received by L&I Effective date
02/22/2018 02/24/2012
Expiration date
0212412019
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&I 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
No license violations during the previous 6 year period.
IWorkers' 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.
816,368.01
Doing business as
A M LANDSHAPER INC
Estimated workers reported
Quarter 4 of Year 2017"11 to 20 Workers"
L&I account contact
TO!KRISTI LINN(360)902-4620-Email:LINB235@ini.wa.gov
IPublic 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.
IWorkplace safety and health
No inspections during the previous 6 year period.
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