18-063.03 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#18-063.03
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
either as follows,or attached hereto as Appendix"A". 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.
,A.mendment/l added lightpold and fixtures and extended the completion time until July 6.2018':-
-Amertdment#2 will extend time,of'completion Until September 1.2018. This is duetb the electrical
components(light poles and fixtures)are on backorder from the supplier.
-Amendment#3 will.I • the ti e••f com•Teti•n until •tember 8 2018 •ue t•the • la in receivin•
the light fixtures.
4. Compensation Amendment History: This is Amendment#3 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 040/9/18 $147,057.34
Amendment#1 05/07/18 $ 12,809.02
Amendment#2 07/06/18 $ 0.00
Amendment#3 08/27/18 $ 0.00
Total Amended Compensation $159,866.36
The parties have executed this Amendment to the Original Contract this z9 day of August,2018,
CITY OF SPOKANE VALLEY: CONTRACTOR: A.M.LANDSHAPER,INC.
oun By:
City Manager Its: ES t p `I—
A :.A0 APPRO ' AS TO FORM:
hristine Bainbridge,City ••Cler 071111,- -j
- - Attorney
1
•
' AMLANDS-01 BSOUDER
.' DaTEi(MMlDDriYYY)
�1` .,..n CERTIFICATE OF LIABILITY INSURANCE 04/052018
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
NAME:
Spokane Office PHONE
(ATC,E Exl):(509)8383501 I(16.No):(509)8384511
Pa neWest Insurance,Inc. EanAD F�L
501 N.Riverpoint Blvd.,Ste 403 ADss:
Spokane,WA 99202
INSURER(S)AFFORDING COVERAGE NAICX
INsuRERA:The Cincinnati Insurance Company 10677
INSURED s INSURER B:
A.M.Landshaper,Inc. INSURER C: • '
Mark Albin INSURER D:
8004 North Market -
Spokane,WA 99217 INSURERS:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE TERM
OR
CONDITIONW AVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OROTITER DOCUMENT WITH RE PECTTO WHICH THIS
INDICATED. ED ABOVE FORME POLICY PERIOD
ANOTWITHSTANDING ANY REQUIREMENT,
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. MKS ADDL SUER POLICY EFF POLICY EXP
OF INSURANCE
TYPENSD WVD POUCYNUMBER (MMIDDIYYYY) ihIMIDDIYYYY! '),000,000
A X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE S
02124/2018 02/2412019 PREMISES(Ea o �nee) S 500,000
CLAIMS MADE n OCCUR X �( EPP0128051 10,000
MED EXP(Anyone Person) $ ,000,000
• PERSONAL&ADV INJURY S 1 1,000,000
GENERAL AGGREGATE S
GEN'LAGGREGATE LIMITAPPLIES PER: 22,000,000
PRO- PRODUCTS-COMP/OP AGG S
PoucY n JECT n Loc WA STOP GAPs 1,000,000
OTHERCOMBINED
a deD8INGLEUMrT $ 1,000,000
A AUTOMOBILEUABILiiY (Ea
X ANYAUTO X x EBA0128051 0212412018 02/24/2019 BODILY INJURY(Per person) $
—OWNED --'SCHEDULED BODILY INJURY(Per aeddeM S
;UFOs ON
_ AUTOS PROPE YDAMAGE
yy����EE Pera ent! $
—AUTOS ONLY —gUiOSON Y $
EACH OCCURRENCE $ 1,000,000
A X EXCESSUABUMBRELLA u OCCUR 0212412018 0212412019
UAB n CLAIMS-MADE EPP0128051AGGREGATE f $
DEO I X I RETENTIONS 0 I PER I I OW. S
AND
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N EL EACH ACCIDENT $
ANY PROPRIETOR(PARTNERIMECUTA(E ❑
(Mandat
(Mandatory EXCLUDED? N/A E.L DISEASE-EA EMPLOYEE$
Ityes,describe under E1 DISEASE-POLICYlNIIf 3
DESCRIPTION
ment OF FloaterOPERATIONS befow EPP0128051 0212412018 02/2412019 Leased and Rented 250,000
A Equipment Floater .
A Equipment Floater EPP0128051 02/2412018 0212412019 Deductible1,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe atlached If more space Is required)
RE:Centerpiece 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
CED EXPIRATION WITH THE POLICY
DATE THER
NOTICE WILL BE•DELIVERED IN
City of Spokane Valley ACCORDANCE
IONS.
Attn:Christine Bainbridge,City Clerk
-
10210 East Sprague AVe
AUTHORIZED REPRESENTATIVESpokane,WA 99206 a -le . a.
•
+ T; f
Male S+lnlsug Cont»et
(Search L&l I t " 1
• =l,Indra ileip My 1.&I
Safety&Health Claims&Insurance Workplace Rights Trades&Licensing
Washington State Department of
,. Labor & Industries
1 •A 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'971DO
Effective—expiration
0312012003—04112/2020
Bond
North American Spec Ins Co $12,000.00
Bond account no.
2161927 •
Received by L&1 Effective date
07/16/2014 09/2412014
Expiration date
Until Canceled
RL!INS CO $12,000.00
Bond account no.
SSB397618
Received by L&I Effective date
10/02/2009 09/24/2009
Expiration date
Until Canceled
irnnrrll2
.-, t•
Cincinnati Ins Co $1,000,000.00
Policy no.
EPP225013
Received by L&I Effective date
02122/2018 02/2412012
Expiration date
02/24/2019
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lair/suits against the bond or savings accounts during the previous 6 year period.
L&i Tax debts
No L&l 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.
•
Workers' comp
•
Do you know lithe business has employees?If so,verify the business is up-to-date on workers'comp premiums.
Account is current.
LAI Account lD
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.
0 Washington State Dept.of Labor&industries.Use of this site is subject to the laws of the state of Washington.