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18-103.01 US Linen & Uniform: Maintenance Shop Uniforms I$-IQJ .o1 and Service Proposal Uniform 7 IN Proposal Information Proposal Under Washington State Contract#01715 Proposal Prepared By: Delivery Frequency: City of Spokane Valley- Maintenance Greg Rudolph, Regional Sales Manager Weekly Item Price Inventory Delivery Cost Garage Towel-Blue $ 0.1200 120 60 $ 14.40 100%Cotton,Fisher Stripe Coverall-Mike 50LN $ 0.3500 11 11 $ 3.85 Laundry Bag,Industrial $ 0.1500 2 1 $ 0.30 Total $ 18.55 Minimum Stop Charge$10.00 +Sales Tax(if applicable) AAL__ (V[itt__,-- 34 rel aira_06r Signature Title 1 ,_,K VYl Q.V-K Ott h adt (0 _ g- i Printed Name Date When you do business with U.S. Linen&Uniform,you get... Non-Garment Inventory 100%Repenished Each Delivery ,,,,, "`° -_ BILLIN6t \ Consistent Billing-No Unintentional Loss or Damage Charges I X' " No Charge for Standard Sublimated Name&Company Emblems , r 1106 Harding Street,Richland,WA 99352 509 946.6125 * 888 USLINEN(875.4636) uslinen.com 8.15 USLINEN-01 RESLINGER ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDPYYYY) `..�------ 06/18/2018 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NOtNTACT Richland Office PHAONEE 509 946-6161 FAX PayneWest Insurance,Inc. (Eaic,No,Ext):( ) �(A/C,No):(866)215-4862 390 Bradley Blvd. ADDRESS: Richland,WA 99352 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B: _ U.S.Linen&Uniform Inc.dba U.S.Linen&Uniform dba INSURER C: Sunwest Sportswear 1106 Harding INSURER D: Richiand,WA 99352 -INSURERE: INSURER F: — _—.,._... d— 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDD/YYYY1 (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _$ 1,000,000 CLAIMS-MADE X OCCUR X BKS56144286 10/01/2017 10/01/2018 PREMISES(�Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _$ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG _$ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BAA56144286 10/01/2017 10/01/2018 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSEONLY AUTOSBODILYBODILY INJURYp (Per accident) $ X AUTOS ONLY X room (Peri accident)AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS-MADE USO56144286 10/01/2017 10/01/2018 AGGREGATE 2,000,000 DED X RETENTION$ 10,000 Prod/Comp Ops $ 2,000,000 A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y!N X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE pXECUTIVE Nom---_ BKS56144286 10101/2017 10/01/2018 FL..rvACH,ACCIDSNT-� 1,000'000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Spokane Valley Is named as Additional Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TION DATE City of Spokane Valley ACCORDANRCE WITH THE POLICY P OVIS ONSCE WILL BE DELIVERED IN ATTN:Deanna Horton 10210 E.Sprague Avenue Spokane,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD !8-to-3 USLINEN-01 A C DATO/YYYY) 9/27/227/2022 ACORD� CERTIFICATE OF LIABILITY INSURANCE 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 this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER C jACT Ana Scott Richland Office PaYneWest Insurance, a Marsh McLennan Agency LLC Company 390 Bradley Blvd. Richland, WA 99352 PHONE FAX A/C, No, Ext): (509) 946-2164 A/C, No): E IE , ascott@paynewest.com INSURE S AFFORDING COVERAGE NAIC # INSURER A : LibertV Mutual Fire Insurance Company 23036 INSURED INSURER B : Liberty Insurance Corporation 42404 U.S. Linen & Uniform Inc. dba U.S. Linen & Uniform dba Sunwest Sportswear INSURERC: 1106 Harding INSURER D : INSURER E : Richland, WA 99352 INSURER F : COVERAGES CERTIFICATE NIIMRFR• RFVISION NIIMRFR- 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 NUMBER POLICY EFF POLICY EXPJOIL LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X X TB2-Z91-475153-032 10/1/2022 10/1/2023 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED $ 500,000 MED EXP (Any oneperson) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY[XI PRO- � LOC OTHER: Employer's Liability GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 WA STOP GAP 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS WN AUTOS ONLY AUTOS ONLDY X S2-Z91-075153-022 10/1/2022 10/1/2023 COMBINED SINGLE LIMIT (Ea a dent)X $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PParr accident AMAGE $ B X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE TH7-Z91-475153-062 10/1/2022 10/1/2023 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE —] �IAaFodaWry In NH) EXCLUDED? (Ma nnl If yes, describe under DESCRIPTION OF OPERATIONS below N / A C2-Z91-475153-012 10/1/2022 10/1/2023 PER E OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1 000'000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule may be attached if more space is required1 City of Spokane Valley is an additional insured. Policy forms included: Additionai Insured Enhancement - For Wholesalers LC 20 60 01/17; Additional Insured - Owners, Lessees Or Contractors - Completed Operations CG 20 3712/19; Designated Construction Project Or Designated Location LC 2519 01/15; Washington Auto Enhancement AC 84 94 11/17 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley ATTN: Deanna Horton THE EXPIRATION DATE THEREOF, ACCORDANCE NTH THE POLICY PROVISIONSCE WILL BE DELIVERED IN 10210 E. Sprague Avenue AUTHORIZED REPRESENTATIVE Spokane, WA 99206 ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD