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15-020.05 AAA Sweeping: Street Sweeping Svcs l\111.111% s ty'l.lka are Valle10210 E Sprague Avenue ♦ Spokane Valley WA 99206 v'� Phone: (509)720-5000 •Fax:(509)720-5075 ♦www.spokanevalley.org 440000 �f Email:cityhall@spokanevalley.org 11111111111111111111111111 December 4, 2018 Contract No. 15-020.05 i AAA Sweeping, LLC PO Box 624 Veradale, WA 99037 Re: Implementation of 2019 option year,Agreement for • Street Sweeping Services, Contract number 15-020, executed February 18, 2015. • Dear Mr. Sargent: The City executed an Agreement for provision of Street Sweeping Services on February 18, 2015, by and between the City of Spokane Valley, hereinafter "City", and AAA Sweeping LLC, hereinafter"Contractor" and jointly referred to as "Parties." The original Agreement states that it was for one year, with four optional one-year terms possible if the parties mutually agree to exercise the options each year. This is the fourth of four possible option years that can be exercised and runs through December 31, 2019. The City would like to exercise the 2019 option year of the Agreement. The Compensation as outlined in Exhibit A, 2019 to the Agreement, includes the labor and material cost negotiated and shall not exceed 490,200.00. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount $490,200.00 2016 Renewal $490,200.00 • 2017 Renewal • $490,200.00 2018 Renewal $ 490,200.00 2019 Renewal $490,200.00 All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. ' If you are in agreement with exercising the 2019 option year, please sign below to' acknowledge the receipt and concurrence to perform the 2019 option year. Please return two copies to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. CITY OF SPOKANE VALLEY AAA SWEEPING, LLC )1(iti\ / 1 [t,m Mark Calhoun, City Manager /J 71/9 Mme Title A l"1"ESA"' )34.4' %,(/ Christine Bainbridge,City Clerk • APPROVED AS TO FORM: Off c f the Ci ttorney ^-, AAASWEE-02 CZILBERT ACORLY • CERTIFICATE OF LIABILITY INSURANCE DATE 1/0412 01 9Y) �� • 01/04/2019 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 CONTACT Danielle Neumann Hub International Northwest LLC 999 West Riverside Avenue,Suite 510 (NC,NNo,Ext):(509)319-2917 ja/ c,No): Spokane,WA 99201. nI i ss:danielle.neumann@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# _ • INSURER A:Alaska National Insurance Company • 38733 INSURED INSURER a:Westchester Fire Insurance Company 10030 AAA Sweeping,LLC;O'Leary-Mathis Sweeping,LLC INSURER C: P.O.Box 624 INSURER D: - Veradale,WA 99037 INSURER E: • INSURER F: . COVERAGESCERTIFICATE 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 CLAIMS-MADE X OCCUR18JPS30908 10/19/2018 10/19/2019 DAMAGETORENTED 500,000 X x PREMISES(Ea occurrence) S MED EXP(Any one person) S 15'000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE^$ 2,000,000 POLICY X yoLOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: WA STOP GAP $ 1,000,000 A AUTOMOBILE LIABILITY (Ea a EL )SINGLE LIMI$ 1,000,000 X ANY AUTO 18JAS30908 10/19/2018 10/19/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILYRRINJURY(Per accident) $ _ X HIRED X NONWNED (Pe�acciEentDAMAGE S AUTOS ONLY — AUTO ONLY S . A X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS-MADE 18JLU30908 10/19/2018 10/19/2019 AGGREGATE S 5,000,000 DED X RETENTIONS 10,000 S WORKERS COMPENSATION PERTUTE 0TH- AND EMPLOYERS'LIABIUTY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory n NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Contractors Poll G24330746 10/19/2018 10/19!2019 $5000 Ded AGG- 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Spokane Valley is included as an Additional Insured as required by written contract per form(s)attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 10210 E Sprague Ave Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03). ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AAA SWEEPING LLC Page 1 oft • A I , STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage December 27, 2018 WA.UBI No. • 602 346.432 • L&I Account ID 500,499-04 Legal Business Name AAA SWEEPING LLC • • Doing Business As • • AAA SWEEPING LLC • Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 3 of Year 2018 "21 to 30 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. AAASWL*963CA License Expiration 02/01/2020 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=602346432&LIC=... 12/27/2018 AAA SWEEPING 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=602346432&LIC=... 12/27/2018