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18-166.00 Budget Arbor: Sprague Tree Trimming Mullan to Herald Ig-I10( CONSTRUCTION AGREEMENT Budget Arbor and Logging THIS CONSTRUCTION AGREEMENT (the "Agreement") is made by and between the City of Spokane Valley, a code City of the State of Washington ("City") and Budget Arbor and Logging, ("Contractor")jointly referred to as the"Parties". IN CONSIDERATION of the terms and conditions contained herein the Parties agree as follows: I.Work to Be Performed. Contractor shall do all work and furnish all labor,supervision,tools,materials; supplies,and equipment and other items necessary for the construction and completion of the Tree Trimming Sprague Avenue(Mullan to Herald)Project (the"Work")in accordance with documents described in Exhibit A and in accordance with this Agreement(which are by this reference incorporated herein and made part hereof and referred to as the"Contract Documents"),and shall perform any changes in the work in accordance with the Contract Documents. The terms and provisions in this Agreement shall control over any inconsistent or incompatible terms in any other Contract Document. Contractor shall,for the amount set forth in paragraph 4,below,assume and be responsible for the cost and expense of all work required for constructing and completing the Work and related activities to the City's satisfaction, provided for in the Contract Documents, within the time limits prescribed in the Contract Documents. The City Manager or designee shall administer and be the primary contact for Contractor. Upon notice from City,Contractor shall promptly commence work,complete the same in a timely manner,and cure any failure in performance under this Agreement. Unless otherwise directed by City,all work shall be performed in conformance with the Contract Documents, and all City,state,and federal standards,codes,ordinances,regulations,and laws as now existing or as may be adopted or amended. 2. Time for Performance. Contractor shall commence the Work within 10 days of execution of this Agreementand shall complete the Work within the times specified in the Contract Documents, as may be extended in accordance with this Agreement and the Contract Documents. 3. Liquidated,Damages. Time is of the essence for this Agreement. Delays cause inconvenience to the residents of City and cost taxpayers undue sums of money,adding time needed for administration,engineering, inspection, and supervision. It is impractical for City to calculate the actual cost of delays. Accordingly, Contractor agrees to pay liquidated damages for failure to achieve Substantial Completion(as defined in the Contract Documents)which shall be in the amount of$ 0.00 per day. These liquidated damages are not a penalty,but are fixed and agreed upon by and between Contractor and City because of the impracticability and difficulty of fixing and ascertaining the actual damages that City would sustain in the event that the Work is not completed in accordance with the Contract Documents. Liquidated damages may be retained by City and deducted from payments otherwise due to the Contractor. 4. Compensation. In consideration of Contractor performing the Work, City agrees to pay Contractor in accordance with the Contract Documents the sum of$9,400.00 , plus Washington State Sales Tax of 827.20 (if applicable),for a total of$ 10,22740 ,based on the bid submitted by Contractor(Exhibit B),and as may be adjusted in accordance with the Contract Documents. Construction Agreement—Revised 9-20-18 Page 1 of 7 5.Payment. Contractor may elect to be paid in monthly installments,upon presentation of an application for payment in a form satisfactory to City. Applications for payment shall be sent to the City Finance Department at the address stated in paragraph 6. Pursuant to chapter 60.28 RCW,five percent of the compensation due Contractor shall be retained by City. City reserves the right to withhold payment under this Agreement for that portion of the work(if any)which is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the Contract Documents,City standards,City Code,state standards,or federal standards. 6.Notice. Notice other than applications for payment shall be given in writing as follows: TO THE CITY: TO THE CONTRACTOR: Name:Christine Bainbridge,City Clerk Name:Budget Arbor and Logging Phone:(509)720-5000 Phone: (509)458-0838 Address: 10210 East Sprague Avenue Address:PO Box 30594 Spokane Valley,WA 99206 Spokane,WA 99223 7.Applicable Laws and Standards. The Parties,in the performance of this Agreement,agree to comply with all applicable federal,state,and local laws,codes,and regulations. 8. Certification Regarding Debarment, Suspension, and Other Responsibility Matters — Primary Covered Transactions. A.By executing this Agreement,the Consultant certifies to the best of its knowledge and belief,that it and its principals: I. Are not presently debarred, suspended,proposed for debarment, declared ineligible,or voluntarily excluded from covered transactions by any federal department or agency; 2. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local)transaction or contract under a public transaction;violation of federal or state antitrust statutes or commission of embezzlement,theft,forgery,bribery,falsification or destruction of records,making false statements,or receiving stolen property; 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph(A)(2)of this certification;and 4. Have not within a three-year period preceding this application/proposal had one or more public transactions(federal,state,or local)terminated for cause or default. B. Where the prospective primary participant is unable to certify to any of the statements in this certification,such prospective participant shall attach an explanation to this Agreement. 9.Prevailing Wages on Public Works. Contractor,any subcontractor,or other person doing work under this Agreement, shall comply with the requirements of chapter 39.12 RCW, and shall pay each employee an amount not less than the Prevailing Rate of Wage,as specified by the Industrial Statistician of the Washington Construction Agreement—Revised 9-20-18 Page 2 of 7 • State Department of Labor and Industries("L&I"). If employing labor in a class not shown,Contractor shall request a determination of the correct wage rate for the class and locality from the Industrial Statistician. Contractor shall provide a copy of any such determinations to City. ' Before commencing,during,and upon completion of the work,Contractor shall file all forms and pay all fees required by L&I and shall indemnify and hold City harmless from any claims related to its failure to comply with chapter 39.12 RCW. The following information is provided pursuant to RCW 39.12.030: A. State of Washington prevailing wage rates applicable to this public works project,published by L&I,are located at the L&I website address: https://fortress.wa.gov/Ini/wagelookup/pryWagelookup.aspx B.This Project is located in Spokane County. C.The effective prevailing wage date is the same date as the bid due date as referenced in the original request for bids and as may be revised by addenda. A copy of the applicable prevailing wage rates is also available for viewing at the City Community&Public Works Department located at 10210 East Sprague Avenue,Spokane Valley,WA 99206. Upon request,City will mail a hard copy of the applicable prevailing wages for this project. 10. Relationship of the Parties. It is understood and agreed that Contractor shall be an independent contractor and not the agent or employee of City,that City is interested only in the results to be achieved,and that the right to control the particular manner,method,and means in which the services are performed is solely within the discretion of Contractor. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 11.Ownershin of Documents. All drawings,plans,specifications,and other related documents prepared by Contractor under this Agreement are and shall be the property of City, and may be subject to disclosure pursuant to chapter 42.56 RCW,or other applicable public record laws. 12.Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Contractor's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit,examine,make excerpts or transcripts from such records,and to make audits of all contracts,invoices,materials,payrolls,and record of matters covered by this Agreement for a period of three years from the date fmal payment is made hereunder. 13.Warranty. Unless provided otherwise in the Contract Documents,Contractor warrants that all Work and materials performed or installed under this Agreement are free from defect or failure for a period of one year following final acceptance by City,unless a supplier or manufacturer has a warranty for a greater period,which warranty shall be assigned or transferred to City. In the event a defect or failure occurs in work or materials, Contractor shall,within the warranty period,remedy the same at no cost or expense to City. This warranty provision shall not be construed to establish a period of limitation with respect to Contractor's other obligations under this Agreement. Construction Agreement—Revised 9-20-18 Page 3 of 7 14.Contractor to Be Licensed and Bonded. Contractor shall be duly licensed,registered,and bonded by the State of Washington at all times this Agreement is in effect. 15.Contractor to Provide Performance and Payment Bonds. Contractor shall provide a payment bond and a performance bond in the full amount of the Agreement on the City's bond forms. Alternatively,Contractor may elect to have the City retain 10%of the Agreement amount in lieu of providing the City with a payment bond and a performance bond,pursuant to RCW 39.08.010(3). 16. Insurance. Contractor shall procure and maintain for the duration of the Agreement insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by Contractor,its agents,representatives,or employees. A.Minimum Scope of Insurance. Contractor shall obtain insurance of the types described below: 1.Automobile liability insurance covering all owned,non-owned,hired,and leased vehicles. Coverage shall be written on Insurance Services Office(ISO)form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. 2.Commercial general liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises,operations,independent contractors,products- completed operations, stop gap liability, personal injury, advertising injury, and liability assumed under an insured contract. The commercial general liability insurance shall be endorsed to provide a per project aggregate limit using ISO form CG 25 03 05 09 or an equivalent endorsement. There shall be no endorsement or modification of the commercial general liability insurance for liability arising from explosion, collapse, or underground property damage. City shall be named as an additional insured under Contractor's commercial general liability insurance policy with respect to the work performed for City using ISO Additional Insured endorsement CG 20 10 10 01 and Additional Insured-Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing equivalent coverage. 3.Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. B.Minimum Amounts of Insurance. Contractor shall maintain the following insurance limits: 1.Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of no less than$1,000,000 per accident. 2.Commercial general liability insurance shall be written with limits no less than$1,000,000 each occurrence, $2,000,000 general aggregate, and no less than a $2,000,000 products- completed operations aggregate limit. C.Other Insurance Provisions. The insurance policies are to contain,or be endorsed to contain,the following provisions for automobile liability and commercial general liability insurance: 1. Contractor's insurance coverage shall be primary insurance with respect to City. Any insurance,self-insurance,or insurance pool coverage maintained by City shall be excess of Construction Agreement--Revised 9-20-18 Page 4 of 7 • Contractor's insurance and shall not contribute with it. 2. Contractor shall fax or send electronically in.pdf format a copy of insurer's cancellation notice within two business days of receipt by Contractor. 3.If Contractor maintains higher insurance limits than the minimums shown above,City shall be insured for the full available limits of commercial general and excess or umbrella liability maintained by Contractor,irrespective of whether such limits maintained by Contractor are greater than those required by this Agreement or whether any certificate of insurance furnished to the City evidences limits of liability lower than those maintained by Contractor. 4.Failure on the part of Contractor to maintain the insurance as required shall constitute a material breach of this Agreement, upon which the City may, after giving at least five business days' notice to Contractor to correct the breach, immediately terminate the Agreement, or at its sole discretion,procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to City on demand, or at the sole discretion of the City,offset against funds due Contractor from the City. D.Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M.Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Contractor shall furnish acceptable insurance certificates to City at the time Contractor returns the signed Agreement,which shall be Exhibit C. The certificate shall specify all of the parties who are additional insureds,and shall include applicable policy endorsements,and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested,complete copies of insurance policies shall be provided to City. Contractor shall be financially responsible for all pertinent deductibles,self-insured retentions,and/or self-insurance. F.Subcontractor Insurance. Contractor shall cause each and every subcontractor to provide insurance coverage that complies with all applicable requirements of the Contractor-provided insurance as set forth herein,except Contractor shall have sole responsibility for determining the limits of coverage to be required to be obtained by subcontractors. Contractor shall ensure that the City is an additional insured on each and every subcontractor's commercial general liability insurance policy using an endorsement at least as broad as ISO additional insured endorsement CG 20 38 04 13. 17.Indemnification and Hold Harmless. Contractor shall,at its sole expense,defend,indemnify,and hold harmless City and its officers,agents,and employees,from any and all claims,actions,suits, liability,loss, costs,attorney's fees and costs of litigation,expenses,injuries,and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts,errors,or omissions in the services provided by Contractor, Contractor's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. Contractor's duty to defend,indemnify,and hold City harmless shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees. Contractor's duty to defend,indemnify,and hold City harmless against liability for damages arising out of such services caused by the concurrent negligence of(a)City or City's agents or employees,and(b)Contractor, Construction Agreement—Revised 9-20-18 Page 5 of 7 • Contractor's agents, subcontractors, subconsultants, and employees shall apply only to the extent of the negligence of Contractor,Contractor's agents,subcontractors,subconsultants,and employees. Contractor's duty to defend,indemnify,and hold City harmless shall include,as to all claims,demands,losses, and liability to which it applies,City's personnel-related costs,reasonable attorneys'fees,and the reasonable value of any services rendered by the office of the City Attorney,outside consultant costs,court costs,fees for collection,and all other claim-related expenses. Contractor specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages,compensation,or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that Contractor's waiver of immunity by the provisions of this paragraph extends only to claims.against Contractor . by City,and does not include,or extend to,any claims by Contractor's employees directly against Contractor. Contractor hereby certifies that this indemnification provision was mutually negotiated. • 18.Waiver. No officer,employee,agent,or other individual acting on behalf of either party has the power, right,or authority to waive any of the conditions or provisions of this Agreement. No waiver in one instance shall be held to be waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law shall be taken and construed as cumulative and in addition to every other remedy provided herein or by law. Failure of either party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other party of any provision hereof shall in no way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any part thereof. 19. Assignment and Delegation. Neither party shall assign, transfer, or delegate any or all of the responsibilities of this Agreement or the benefits received hereunder without first obtaining the written consent of the other party. 20.Confidentiality. Contractor may,from time-to-time,receive information which is deemed by City to be confidential. Contractor shall not disclose such information without the prior express written consent of City or upon order of a Court of competent jurisdiction. 21.Disputes. All disputes arising under or related to this Agreement that cannot be resolved through informal discussion and negotiations shall be resolved by litigation filed in the Superior Court of the State of Washington for Spokane County,unless otherwise required by applicable federal or state law. 22. Subcontractor Responsibility. As required by RCW 39.06.020,Contractor shall verify responsibility criteria for each first tier subcontractor and its subcontractors of any tier that hires other subcontractors shall verify responsibility criteria for each of its subcontractors. Verification shall include that each subcontractor,at the time of subcontract execution,meets the responsibility criteria listed in RCW 39.04.350(1)and possesses an electrical contractor license,if required by chapter 19.28 RCW,or an elevator contractor license if required by chapter 70.87 RCW. This verification requirement shall be included in every subcontract of every tier. 23.,Jurisdictlon and Venue. This Agreement is entered into in Spokane County,Washington. Venue shall be in Spokane County,State of Washington. 24.jEntire Agreement. This Agreement constitutes the entire and complete agreement between the parties and supercedes any prior oral or written agreements. This Agreement may not be changed,modified,or altered Construction Agreement—Revised 9-20-18 Page 6 of 7 • • except in writing signed by the Parties. 25.Anti-kickback. No officer or employee of City,having the power or duty to perform an official act or action related to this Agreement, shall have or acquire any interest in this Agreement, or have solicited,' accepted, or granted a present or future gift,favor,service, or other thing of value from any person with an interest in this Agreement. 26.Business Registration. Prior to commencement of Work under this Agreement,Contractor shall register with the City as a business if it has not already done so. 27.Severability. Ifany section,sentence,clause,orphrase of this Agreement should beheld to be invalid for any reason by a court of competent jurisdiction,such invalidity shall not affect the validity of any other section, sentence,clause,or phrase of this Agreement. 28.Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Work B. Cost Statement C. Insurance Endorsements 90041,II__ /� The Parties have executed this Agreement this 4-4 stay of,l c b Lir ,202D CITY OF SPOKANE VALLEY: Contractor: Mark Calhoun,City Manager By: Its: Authorized Representative ATTEST- 2614 ; Christine Bainbridge,City CIerk APPROVED AS TO FORM: Office the Ci torney Construction Agreement—Revised 9-20-18 Page 7 of 7 P.O.�x 30594 Phone: (509) 458-0838 Sp o�ane WA 99223 . BUDCETARBOR Fax: (509)443-6699 r V:' &LOGGING, L.L.C. E-mail:mike@budget-arbor.com uc:BUDGEAL995BB Experience you can trust and affCCord! Website:www.budget-arbor.com ' w 1‘111 TREE SERVICE AGREEMENT , fCustomer: fc 4^� c Billing Address: �1'�tc,/ i I Service Address:�y cJ eiwieV1 ( . �k 1/fliw4C.(,1 Zip Code Telephone: j'1 7`7'')5 � Date work is to be performed:- _� • SERVICES TO BE PERFORMED J n Job Description` /rislAA Z. CIS i/iY1.h 5 t /,€ .4i,.€ k� l,i / eiclrJdl anti S► CAIQ-t rt ih SS-P vett ...Lc et slot.(jL (lmaiAte_ s5vpr i440 CLEAN UP& HAULING it atilt or 1`i,13 , CHARGES It may be necessary to reschedule work due to the unavailability of helpers or breakdown of equipment,another job taking longer than anticipated,weather or other conditions and circumstances beyond the reasonable control of the arborist.If the arborist is unable to do the work on the scheduled day he will,as far in advance as possible,call and reschedule. Price of the work: $ 1 06) The price is payable as follows: State sales tax rate: ] % Deposit: $ Tax Subtotal: : $ 6Z7.4) Total: $ /O t27. . C�tio • $$ The price total above includes labor,equipment,fuel,dump fees&hauling. DISPOSTION OF TIMBER ' If - • includes the cutting down of trees that constitute merchantable timber,the arborist will remove the timber and sell it as his own. The proceeds will belong to Budget Arbor and Logging,L.L.C.as part of the compensation for the work performed. ii,11la .5- 20 g Budget Arbor&Logging,LLC Customer Date , Budget Arbor&Logging,L.L.C.has$2,000,000 In liability Insurance and a$4000 cash bond. We are a member of the Better Business Bureau and Spokane Home Builders Association. Michael Schmetlding is a member4 �' of the International Society of Arboriculture and the National Federation of Small Business. t o zo--. 1.e-Q lie t * Z_ 0 4jnowuea (`"y N SJ _'0 � ,- o 0 E - PleaaHo 0 } 77 I M S1 * 0) 0 �. N "A 0 s o. i' ' .o ct I I Q _ toN o a, InuleM I toco } Isnooi Q I w a } co l'oi °' 1 ' le o M a o - .f o ft ' to e g � i ft s �F� N4. ft - i' I µ y it I' rn It SE t N puepapung o - co 0 m i C,°) rn o "'�— . t *io ( _ t} Q I o i 0 a MOIIIM n 0 v /tel S..f N _ .0.- l __ ,,Ti f§)' soititismi...,,,, -0 jiii At.1 ( lk 0 * E ,..: i : 0E *1 ) ao E CZ -00 e a.) I— C v 0 * N Z ami N rn Z { ilt tt 1_� N JJEd $- uellnW eoiN uewysIQ • DATE(MMfponvrY) R® CERTIFICATE OF LIABILITY INSURANCE 03123!2018 A , NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AF FORDED Y THE POLICIES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR BELOW. THIS OIFICATE OF INSURANCE DOES NOT CONSTITUTE R PRODUCER,AND THE CERTIFICATE HOLDER. A I CONTRACT Nes�musBha BETWEEN ZONAL INSURED provisions or be endorsed. REPRESENTATIVE IMPORTANT: If the cer/iIVED,holder is an ADDITIONAL INSURED,the po Y( If SUBROGATION IS WAIVED,subject to the terms and h conditions lieu the such policy,certain policies may require an endorsement. A statement on this certificate does not confer ri•hts to the certificateONTACT Heidi Wiliou hby�_._ NAM FAX Noll(208__765'9433 PRODUCER PHONE 2pg 667-9421 5 + __�^ j Coeur d'Alene Insurance E-MAIL _ __— _9P9 Ess: Heidi ldahoin�-•sura_nce.com ____ 1801 N.Government Way#1 INSURERS AFFORDING COVERAGE NA1C I! Coeur d'Alene, ID 83814 . t _ a 1,_ License#:AB03100 INSURER B: OH • ECUR jNs RANGE C� P NY INSURED MI 1 INSURER C:,.,_,�_----- r Budget Arbor&Logging,LLC INSURER D: --— 1101 1 12401 E Trent INSURERe: IIINIIIIIMI Spokane Valley,WA 99216 INSURER F: REVISION NUMBER: 2 COVERAGES CERTIFICATE NUMBER: 00000000-206281 ; DESCRIBED HEREIN IS SUBJECT TO ALL THE , REHEAT,TERM OE CONDITION OF ANY CONTRACT TO THEOR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS THIS IS TO CERTIFY THAT THE POLICIES OF;INSURANCE LISTED BELOW HAVE BEEN ISSUED TO INSURED NAMED ABOVE FOR THE POLICY PE INDICATED. NOTWITHSTANDING ANY REQUIREMENT. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES EFF POLICY£XP LIMITS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEDDBY PAID CLAIMS,la S 1 000 000 �'r -��iPOLICY NUMBER OCCURRENCE TYPE OF INSURANCE 03/2312018 03123!2419H O, ` , $ 100 000 ii X COMMERCIAL GENERAL LIABILITYII PIN908285 s _a• - ,nce 5 000 MED EXP(MY one person) S $ ■r CLAIMS-MADE []OCCUR ¢i3 ■ PERSONAL&ADV INJURY $ 1 000 000 ■ s 2 000 000 , 2 000 000 1• PRODUCTS-COMP/OP AGG S I GENt AGGREGATE LIMIT APPLIES PER: { PRO- ❑LOG © POLICY JECT COMBtN£O SINGLE LIMIT S 1 000 NO III OTHER: BA058648487 03123/2018 0312312019 a+cdd nt_------- AUTOMOBILE LIABILITY BODILY INJURY(Perperaon) BODILY INJURY(PeraWdenl)�� ANY AUTO OWNED Il AUTOS ONLY �?SCHEDULED PROPERTY DAMAGE AUTOS moimmoP•r acciden HIRED �i X BEADS O E0 s 1,000,000 X AUTOS ONLY 1 II 0312312018 0312312019 EACH OCCURRENCE 1 000 000 , UMBRELLA UAB © OCCUR AN049754 .©� X EXCESS LVAB • CLAIMS-MAD£ ■ERH- p£p ! RETENTION S ANY P ROP Cp OR/PARTION E.El.EACH ACCIDENT ■ AND EMPLOYERS LIABILITYI Y!N E L.DISEASE-EA EMPLOYE 111111111111111111111111 ANY CEtory In PROPRIETOR/PARTNER/EXECUTIVE E.L DISEASE-POLICY LIMIT OFFICERIMEMBER EXCLUDED? II (Mandatory In NH) IDEf e1PTlON OF OPERATIONS bebvr mif general liability Hty for the ongoingspace operations of the named form CA86 insured, 0 per DESCRIPTION OF OPERATIONS f LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached I!mom space Is require City Spokane ). ois additional insured incr ad respects ats form L815(01117).Holder is additional insured under automobile liability,including waiver of subrogation,p (01/10).Forms attached. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EEXDANCE EXPIRATIONWDATEDA TH EREOF,OLICY NOTIE WILLL BE DELIVERED IN City of Spokane Valley 11707 E.Sprague Suite 106 Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE W 4 HW1) ID p 1988-2015 ACORD •RPORA ION. All rights reserved. ACORD 25(2016/03) The ACORD-name and logo are registered marks of ACORPrinted by 1-1W1 on March 23,2018 at 09:14AM BUDGET ARBOR& LOGGING LLC Page 1 of 2 5 7 Sfrv' STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage October 24, 2018 WA UBI No. 602 036 128 _ L&I Account ID 843,780-02 Legal Business Name BUDGET ARBOR& LOGGING LLC Doing Business As BUDGET ARBOR& LOGGING LLC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2018"11 to 20 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. BUDGEAL995BB License Expiration 03/13/2019 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=60203 6128&LIC=... 10/24/2018 BUDGET ARBOR&LOGGING LLC Page 2 of 2 subrogation (See RCW 51.12.050 and 51.16.190). https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=60203 6128&LIC=... 10/24/2018