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19-074.00 Wm Winkler: Wilbur Sidewalks Broadway to Boone C ( Contract This agreement is entered into this 2,-)--day of , 2019, between the City of Spokane Valley ("City")and Win. Winkler Company("Contractopursuant to Title 35 RC W,as adopted or amended. In consideration of the terms and conditions contained herein and attached and made a part of this agreement,the parties agree as follows: I. The Contractor shall do all work and furnish all tools, materials,and equipment for: Wilbur Road Sidewalk Project-Broadway to Boone#0278 Contract#19-074 in accordance with and as described in the project plans and specification,and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and,shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work, and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City. II. The City hereby promises and agrees with the Contractor to employ,and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself, and for his/hers heirs, executors, administrators, successors,and assigns,does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. Itis further provided that no liability shall attach to the City by reason of entering onto this contract,except as provided herein. V. The project was awarded for the bid amount of$371,520.00 (Three hundred seventy one thousand five hundred twenty dollars). IN WITNESS WHEREOF,the Contractor has executed this instrument,on the date below, and the City has caused this instrument to be executed on the date stated above. City of Spokane Valky 1 Contract a19-074 Wilbur Road Sidewalk—Broadway to Boone Executed by Contractor April 18 ,2019. Date Brian 1. Winkler Printed Name President Title Signature City of Spokane Valley Mark Calhoun Printed Name City Manager Title l Signature City of Spokane Valley 2 Contract 419-074 Wilbur Road Sidewalk-Broadway to Boone Wiane ' BOND NO: 107058275 CONTRACTOR'S PAYMENT BOND(NON-FEDERALLY FUNDED PROJECT) to City of Spokane Valley,Washington The City of Spokane Valley,Washington,in Spokane County,has awarded to Wm.Winkler Company(Contractor),as Principal,a contract for the construction of the project designated as Wilbur Road Sidewalk-Broadway to BooneProiectNo.0278 in Spokane Valley,Washington,and said Principal is required under the terms of the Contract to Banish a payment bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal, and Travelers Casualty and Surety Company of America (Surety), a corporation organized under the laws CT and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S.Treasury Dept,are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee,in the sum of $371320.00 Mame hundred seventy one thousand five hundred twenty dollars) total Contract amount (including Washington State sales tax),subject to the provisions herein. This payment bond shall become null and void,if and when the Principal,its heirs,executors,administrators,successors,or assigns shall pay all persons in accordance with chapters 39.08 and 39.12 RCW,including all workers,laborers,mechanics,subcontractors, and materialmen,and all persons who shall supply such contractor or subcontractor with provisions and supplies forth('carrying on of such work;and shall indenmify and hold harmless the Obligee from all loss,cost ordamage with Obligee may suffer by reason of the failure of Principal to make such required payments;and if such payment obligations have not been fulfilled,this bond shall remain in Rel force and effect. The Surety for value received agrees that no change,extension of time, alteration or addition to the terms of the Contact, the specifications accompanying the Contract,or to the work to be performed under the Contract shall in any way affect its obligation on this bond,except as provided herein,and waives notice of any change,extension of time,alteration or addition to the terns of the Contract orthe work performed.The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two original counterparts,and shall be signed bytes parties'duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the Mtn Wm.Winkler Company Travelers Casualty and Surety Company of America P AL(CON'TR'ACTOR) 4/18/19 • , J4 4118/19 Princ' Signature Date Signature Date Brian J. Winkler Thomas V A Davis Printed Name Printed Name President Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: PayneWest Insurance,Inc. 501 N.Riverpoint Blvd.,Suite 403; Spokane,WA 99202 509-755-9338 Rmiscd 1.14 13 City of Spokane Valley Contract 1119-074 Wilbur Road Sidewalk—Broadway to Boone siikan''e BOND NO: 107058275 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley,Washington The City of Spokane Valley,Washington,in Spokane County,has awarded to Wm.Winkler Company(Contractor),as Principal,a contract for the construction of the project designated as Wilbur Road Sidewalk-Broadway to Boone Protect No.0278 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to finish a performance bond in accordance with chapter 39.08 Revised Code of Washington(BCW), The Principal, and Travelers Casualty and Surety Company of America (Surety), a corporation, organized under the laws of CT and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts,U.S.Treasury Dept,arejointly and severally held and firmly bound to the City of Spokane Valley,as Obligee,in the sum of 8371520.00 (Three hmldred seventy one thousand five hundred twenty dollars) total Contract amount (including Washington State sales tax),subject to the provisions herein. This performance bond shall become null and void,if and when the Principal,its heirs,executors,administrators,successors,or assigns shall well and faithfully perform all of the Principal's obligations under the Contract and fulfill all the terms and conditions of all duly authorized modifications, addition,and changes to said Contract that may bereafter be made,at the time and in the manner therein specified;shall warranty the work as provided in the Contract and shall indemnify and hold harmless the Obligee from any defects in the workmanship and materials incorporated into the weak for the period identified in the Contract and if such performance obligations have not been fulfilled,this bond shall remain in fitll farce and effect The Surety for value received agrees that no change,extension of time, alteration or addition to the terms of the Contract,the specifications accompanying the Contract,or to the work to be performed under the Contract shall in any way affect its obligation on this bond,and waives notice of any clung;extension of time,alteration or addition to the terms of the Contract or the work performed.The Surety agrees that modifications and changes to the terms and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be aecuted in Iwo original counterparts,and shall be signed by the parties'duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attomey for the officer executing on behalf of the surety. Win.Winkler Company Travelers Casualty and Surety Company of America P' �reNTRACTOR) SUtic /4/18/2019 4/18/19 Priem DateSuretySignature Brian T Winkler Thomas V A Davis Printed Name Printed Name ]'resident Attorney-in-Fact Tule Title Name,address,and telephone of local office/agent of Surety Company is: PavneWest Insurance,Inc. 501 N.Riverpoint Blvd., Suite 403; Spokane WA 99202 509-755-9338 utthed I W I City ofSpokane Valley Contract a19-074 Wilbur Road Sidewalk—Broadway to Boone Travelers Casualty and Surety Company of America TRAVELERST Travelers Casualty and Surety Company St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Thomas V A Davis,of Spokane,Washington,their true and lawful Attorney-in-Fact to sign,execute, seal and acknowledge any and all bonds, recognlzances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted In any actions or proceedings allowed by law. IN WITNESS WHEREOF,the Companies have caused this Instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. seek per weZ State of Connecticut By City of Hartford ss Robert L Raney,Se or Vice President On this the 3rd day of February,2017,before me personally appeared Robert L. Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company,and St Paul Fire and Monne Insurance Company,and that he,as such,being authonzed so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authonzed officer In Witness Whereof, I hereunto set my hand and official seal My Commission expires the 30th day of June,2021 _ MOAt..l. C. ZAN eltlas1 a Mae C.Tetreault,Notary Public This Power of Attorney is granted under and by the authonty of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St.Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect,reading as follows RESOLVED,that the Chairman,the President.any Vice Chairman, any Executive Vice President,any Senior Vice President,any Vice President. any Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-In-Fact and Agents to act for and on behalf of the Company and may give such appointee such authonty as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,end any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or hen and it is FURTHER RESOLVED, that the Chairman, the President,any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation Is in writing and a copy thereof Is filed in the office of the Secretary,and it is FURTHER RESOLVED,that any bond, recognizance, contract of indemnity,or wilting obligatory in the nature of a bond, recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary,or(b)duly executed(under seal,if required)by one or more Attorneys-In-Fact and Agents pursuant to the power prescnbed In his or her certificate or heir certificates of authority or by one or more Company officers pursuant to a wntten delegation of authonty,and it is FURTHER RESOLVED,that the signature of each of the following officers President,any Executive Vice President,any Senior Vice President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretanes or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other wnbngs obligatory in the nature thereof,and any such Power ofAttomey or certificate beanng such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which It is attached I, Kevin E. Hughes. the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company,and St.Paul Fire and Marine Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in full force and effect Dated this 10th day of Ardi . 2019 fw i . s 1Yunnamr� 7�//!✓ C. Kevin E Hughes,As ant Secretary To verify the authenticity of this Power of Attorney,please ca//us at1-800-421-3880. P/ease refer to the above-named Attorney-in-Fact and the details of the bond to which the power is attached. BOND NO: 107058276 CONTRACTOR'S RETAINAGE BOND to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to Wm. Winkler Company ("Contractor"), as Principal, a contract for the construction of the project designated as Wilbur Road Sidewalk-Broadway to Boone Proieet No.0278(the"Contracfl in Spokane Valley,Washington. The Principal,existing under and by virtue of the laws ofthe State of Washington and authorized to do business in the State of Washington,and Travelers Casualty and Surety Company of America organized and existing under the laws of the State of CT and authorized to transact business in the State of Washington as Surety, are jointly and severally held and bound unto the City of Spokane Valley, hereinafter called Obligee,and are similarly held and bound unto the beneficiaries of the trust fund created by chapter 6028 RCW, in the penal sum of 5% of the Contract, which is Fifteen Thousand Five Hundred Seventy Six and 00/100 dollars($ 15,576.00 ),plus 5% of any increases in the Contract amount that have occurred or may occur, due to change orders, increases in the quantities,or the addition of any new item ofwork. WHEREAS,on the 18th day of April 2019,the said Principal and Obligee herein executed and entered into the Contract. WHEREAS,said Contract and chapter 60.28 RCW require the Obligee to withhold from the Principal the sum of 5%from monies earned by the Principal on estimates during the progress of the construction,hereinafter referred to as tamed retained fluids. WHEREAS,the Principal has requested that the Obligee accept a bond in lieu of earned retained funds as allowed under chapter 6028 RCW. NOW THEREFORE,the condition of the obligation is such that the Principal and Surety are held and bound unto the beneficiaries of the trust fund created by chapter 6018 RCW in the aforesaid sum. This bond, including any proceeds therefrom,is subject to all claims and liens and in the same manner and priority as set forth for retained percentages in chapter 60.28 RCW. The condition of this obligation is also such that if the Principal shall satisfy all payment obligations to persons who may lawfully claim under the trust fund purposes of chapter 60.28 RCW to the Obligee, and indemnify and hold the Obligee harmless from any and all loss, costs,and damages that the Obligee may sustain by release of the earned retained funds to the Principal,then upon notification of such satisfaction and release of the Surety by the Obligee,this obligation shall be null and void. PROVIDED HOWEVER,that 1. The Surety shall be liable under this obligation as Principal. The Surety will not be discharged or released from liability for any act, omission or defenses of any kind or nature that would not also discharge Principal. 2. This obligation shall be binding upon and inure to the benefit of the Principal,the Surety,the Obligee, the beneficiaries of the trust fund created by chapter 60.28 RCW and their respective heirs,executors, administrators,successors and assigns. 3. Any suit under this bond must be instituted within the time provided by applicable law. City of Spokane Valley Contact#19-014 Wilbur Road Sidewalk—Broadway to Boone • This bond may be executed in two original counterparts,and shall be signed by the parties'duly authorized officers.This bond will only be accepted if it is accompanied by a fully executed and original power of attorney for the officer executing on behalf of the surety. Wm.Winkler Company Travelers Casualty and Surety Company of America PRINFCfO 4/18/2019 sits 4/18/2019 Principal 3Date SuretySignature Date Brian J.Wielder Thomas V A Davis Printed Name Printed Name President Attorney-in-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: PavneWest Insurance.Inc.501 N Riverpoint Blvd.,Suite 403; Spokane,WA 99202 509-155-9338 1411 Cay of Spokane Valley Contract a19-074 Wilbur Road Sidewalk—Broadway to Boone Travelers Casualty and Surety Company of America JIAx Travelers Casualty and Surety Company TRAVELERS J St. Paul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS.That Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Manna Insurance Company are corporations duly organized under the laws of the State of Connecticut(herein collectively called the "Companies"),and that the Companies do hereby make,constitute and appoint Thomas V A Davis,of Spokane,Washington,their true and lawful Attorney-in-Fact to sign, execute, seal and acknowledge any and all bonds,recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies In their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law IN WITNESS WHEREOF,the Companies have caused this instrument to be signed,and their corporate seals to be hereto affixed,this 3rd day of February, 2017. sneak cAtitti di I '1/4 tiari State of Connecticut By City of Hartford ss Robert L.Raney,Se or Vice President On this the 3rd day of February,2017,before me personally appeared Robert L. Raney,who acknowledged himself to be the Senior Vice President of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,and that he,as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authonzed officer In Witness Whereof,I hereunto set my hand and official seal ‘nry My Commission expires the 30th day of June,2021 s i�?1; Oar.JL C y{Nt[D.Laa ' W+4 Mane C Tetreault,Notary Public This Power of Attorney is granted under and by the authonty of the following resolutions adopted by the Boards of Directors of Travelers Casualty and Surety Company of America,Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company,which resolutions are now in full force and effect,reading as follows' RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President, any Senior Vice President,any Vice President any Second Vice President,the Treasurer, any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances,contracts of indemnity, and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her,and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in wnting and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond, recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President, any Second Vice President,the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authonty or by one or more Company officers pursuant to a written delegation of authonty,and it is FURTHER RESOLVED,that the signature of each of the following officers President,any Executive Vice President,any Senior Vice President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretanes or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and otherwntings obligatory in the nature thereof,and any such Power of Attorney or certificate beanng such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company In the future with respect to any bond or understanding to which it is attached I, Kevin E. Hughes. the undersigned, Assistant Secretary of Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company,and St.Paul Fire and Marine Insurance Company,do hereby cerci y that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which remains in kill force and effect. Dated this 18th day of April , 2019 tar) #1,a .ywtra ` of • Kevin E Hughes,Ass ant Secretary To verify the authenticity of this Power of Attorney,please call us at1-800-421-3888 Please refer to the above-namedAttomey-in-Fact and the details of the bond to which the power Is attached. A CERTIFICATE OF LIABILITY INSURANCE °"04/79/2°19"1 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 pollcyoes) must 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 NAME: Parker,Smith&Feek. Inc PHONE-M Ern,425-709-3600 I rya1.425-709-7460 2233112th Avenue NE EMAIL Bellevue,WA 98004 ADDRESS INSUREMS)AFFORDING COVERAGE NAICN INSURER A. Phoenix Insurance Company INSURED INSURER B' Travelers Indemnity Co of America Wm Winkler Company PO Box 430 INSURER C' Newman Lake,WA 99025 INSURER D' INSURER E: INSURER F: 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 IADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE i INSR WVD POUCY NUMBER IMMIDDIYWY) IMMDDIY YY) LIMITS A GENERAL LIABILITY I DTCO6F734249PHX19 04/01/2019 04/01/2020 EACH OCCURRENCE $ 1.000.000 X COMMERCIAL GENERAL LIABILITY X D DAMAGE cES(Ea ocurrence) $ 500,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) s 10,000 X PD Ded $1,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POUCY X IS LOC S B AUTOMOBILE LIABILM 8108M609105192G 04/01/2019 04/01/2020 (CEEaM ItlEASINGLE LIMIT $ 1,000,000 X ANY AUTO X BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _AUTOS HIRED AUTOS AUTO-0OWNED S PROPERTY ) UMBRELLA LIAR _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAMS-MADE AGGREGATE 5 DED RETENTIONS S A WORKERS COMPENSATION DTCO6F734249PHX19 WCYTATU- % 0T ANO EMPLOYERS'LIABILITY Y/ry ++)(LI(L Gap/Employers 04/01/2019 04/01/2020 1.000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA StopE L EACH ACCIDENT $ OFTICER/INEMBER EXCLUDED? Liability 1,000,000 (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ [Vella under 1,OOg000 DESCRIPTION OF OPERATIONS EeMv ELDISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N mon space Is required) Wilbur Road Sidewalk Project(Broadway to Boone)Capital Improvement Project No.0278 City of Spokane Valley and the contracting agency and Its officers,elected officials,employees,agents,and volunteers are additional insureds on the general liability and automobile policies per the attached endorsements/forms (See Attached Description) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 E Sprague Avenue AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99206 Ce ' @1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 3 of 16 (CNB001 • DESCRIPTIONS (Continued from Page 1 ) Coverage is primary and non-contributory on the general liability and automobile policies per the attached endorsements/forms 5 of 16 (CNB00) COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II —WHO IS AN (a) The Additional Insured — Owners, Les- INSURED: sees or Contractors— Scheduled Person Any person or organization that. or Organization endorsement CG 20 10 a. You agree in a written contract or agreement to 07 04 or CG 20 10 04 13, the Additional include as an additional insured on this Coverage for — — Owners, Lessees or Comrse- endorse- Part; and tors — Completed0707 4 Operations 207 1 b. Has not been added as an additional insured for ment bothCof 2ch en or CG s0 with 0 i her or such endorsements either the same project by attachment of an endorse- of those edition dates;or ment under this Coverage Part which includes Addi- such person or organization in the endorsement's Ib) Either or both of the following: the schedule; tional Insured—Owners, Lessees or Con- schedule; tractors — Scheduled Person Or Organi- is an insured,but: ration endorsement CG 20 10, or the Ad- a. Only with respect to liability for "bodily injury" or ditlonal Insured — Owners, Lessees or "property damage" that occurs, or for "personal Contractors — Completed Operations en- injury" caused by an offense that is committed, dorsement CG 20 37, without an edition subsequent to the signing of that contract or date of such endorsement specified; agreement and while that part of the contract or the person or organization is an additional in- agreement is in effect;and sured only if the injury or damage is caused, b. Only as described In Paragraph (1), (2) or(3) be- in whole or in part, by acts or omissions of low, whichever applies: you or your subcontractor in the performance (1) If the written contract or agreement specifical- of"your work"to which the written contract or ly requires you to provide additional Insured agreement applies; or coverage to that person or organization by (3) If neither Paragraph(1)nor(2)above applies: the use of: (a) The person or organization is an addi- (a) The Additional Insured — Owners, Les- tional insured only if, and to the extent sees or Contractors— (Form B) endorse- that, the injury or damage is caused by ment CG 20 1011 85; or acts or omissions of you or your subcon- (b) Either or both of the following: the Addi- tractor in the performance of "your work" tional Insured—Owners, Lessees or Con- to which the written contract or agree- tractors — Scheduled Person Or Organi- meat applies; and nation endorsement CG 20 10 10 01, or (b) Such person or organization does not the Additional Insured—Owners, Lessees qualify as an additional insured with re- or Contractors — Completed Operations spect to the independent acts or omis- endorsement CG 20 3710 01; sions of such person or organization. the person or organization is an additional In- The insurance provided to such additional insured is sured only if the injury or damage arises out subject to the following provisions: of"your work"to which the written contract or a. If the Limits of Insurance of this Coverage Part agreement applies; shown In the Declarations exceed the minimum (2) If the written contract or agreement specifics,- limits required by the written contract or agree- ly requires you to provide additional insured merit,the insurance provided to the additional in- coverage to that person or organization by sured will be limited to such minimum required the use of: limits. For the purposes of determining whether CG DS 04 02 19 @ 9017 The Travelers Indemnity Company.M rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY this limitation applies,the minimum lim1s required result in a claim. To the extent possible, such by the written contract or agreement will be con- notice should include: sidered to include the minimum limits of any Um- (a) How, when and where the "occurrence" brella or Excess liability coverage required for the or offense took place; additional insured by that written contract or (b) The names and addresses of any injured agreement. This provision will not increase the persons and witnesses; and limits of insurance described in Section III—Limits Of Insurance. (c) The nature and location of any injury or b. The insurance provided to such additional insured damage arising out of the "occurrence" or does not apply to: offense. (1) Any "bodily injury", "property damage" or (2) If a claim is made or "suit" is brought against "personal injury" arising out of the providing, the additional insured or failure to provide, any professional archi- (a) Immediately record the specifics of the tectural, engineenng or surveying services, claim or"suit"and the date received;and including: (b) Notify us as soon as practicable and see (a) The preparing, approving, or failing to to it that we receive written notice of the prepare or approve, maps, shop draw- claim or"suit" as soon as practicable. Ings, opinions, reports, surveys, field or- (3) Immediately send us copies of all legal pa- ders or change orders, or the preparing, pers received in connection with the claim or approving, or failing to prepare or ap- "suit", cooperate with us in the investigation prove,drawings and specifications; and or settlement of the claim or defense against (b) Supervisory, inspection, architectural or the"suit", and otherwise comply with all policy engineering activities. conditions. (2) Any "bodily injury' or "property damage" (4) Tender the defense and indemnity of any caused by "your work" and included in the claim or "suit" to any provider of other insur- "products-completed operations hazard" un- ance which would cover such additional in- less the written contract or agreement specifi- sured for a loss we cover. However,this con- cally requires you to provide such coverage dition does not affect whether the insurance for that additional insured during the policy provided to such additional insured is primary period. to other insurance available to such additional c. The additional insured must comply with the fol- insured which covers that person or organize- lowing duties: tion as a named insured as described in Par- (1) Give us written notice as soon as practicable agraph 4., Other Insurance, of Section IV — of an "occurrence" or an offense which may Commercial General Liability Conditions. Page 2 of 2 02017 The Travelers Indemnity Company Ail rights reserved. CG DO 04 0210 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: ISSUE DATE: 04-18-18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DESIGNATED PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Project Designated Project(s): General Aggregate(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, GENERAL AGGREGATE IN A WRITTEN CONTRACT WHICH IS IN EFFECT LIMIT SHOWN ON THE DURING THIS POLICY PERIOD. TO PROVIDE A DECLARATIONS SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED AND EXE CUTE BY YOU BEFORE THE "BODILY INJURY' OR "PROPERTY DAMAGE' OCCURS. A. For all sums which the Insured becomes legally 3. Any payments made under COVERAGE A. obligated to pay as damages caused by "occur- for damages or under COVERAGE C. for rences" under COVERAGE A. (SECTION I), and medical expenses shall reduce the Desig- for all medical expenses caused by accidents un- nailed Project General Aggregate Limit for der COVERAGE C (SECTION I), which can be that designated "project". Such payments attributed only to operations at a single desig- shall not reduce the General Aggregate Limit nated"project"shown in the Schedule above: shown in the Declarations nor shall they re- n. A separate Designated Project General Ag- duce any other Designated Project General gregate Umit applies to each designated "pro- Aggregate Limit for any other designated jecr, and that limit is equal to the amount of "Project"shown in the Schedule above. the General Aggregate Limit shown in the 4. The limits shown in the Declarations for Each Declarations, unless separate Designated Occurrence, Damage To Premises Rented Project General Aggregate(s) are sched- To You and Medical Expense continue to uled above. apply. However, instead of being subject to 2. The Designated Project General Aggregate the General Aggregate Limit shown in the Limit is the most we will pay for the sum of all Declarations, such limits will be subject to the damages under COVERAGE A., except applicable Designated Project General Ag- damages because of "bodily injury" or "prop- gregate Umit. erty damage" included In the "products- B. For all sums which the insured becomes legally completed operations hazard", and for medi- obligated to pay as damages caused by "occur- cal expenses under COVERAGE C, regard- rences" under COVERAGE A. (SECTION I), and less of the number of: for all medical expenses caused by accidents un- a. Insureds; der COVERAGE C. (SECTION I), which cannot b. Claims made or"suits" brought; or be attributed only to operations at a single desig- nated "project"shown in the Schedule above: c. Persons or organizations making claims 1. Any payments made under COVERAGE A. or bringing"suits". for damages or under COVERAGE C. for medical expenses shall reduce the amount CG D2 11 11 03 Copyright,The Travelers Indemnity Company,2003 Page 1 of 2 COMMERCIAL GENERAL UABILITY available under the General Aggregate Limit gregale Limit, and not reduce the General Aggre- or the Products-Completed Operations Ag- gate Limit nor the Designated Project General gregate Limit, whichever is applicable; and Aggregate Limit. 2. Such payments shall not reduce any Desig- D. For the purposes of this endorsement the Defini- nated Project General Aggregate Limit, tions Section is amended by the addition of the C. When coverage for liability arising out of the following definition: "products-completed operations hazard" is pro- "Project" means all work performed by or for you vided, any payments for damages because of pursuant to a separate written contract, "bodily injury" or "property damage" included in E. The provisions of SECTION III — LIMITS OF the "products-completed operations hazard" will INSURANCE not otherwise modified by this en- reduce the Products-Completed Operations Ag- dorsemeM shall continue to apply as stipulated mew •a rttt� I -sem >� "r! a E a alg Page 2 of 2 Copyright,The Travelers Indemnity Company, 2003 CG D2 11 11 03 viten COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following. BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.S., Other 1. The following is added to Paragraph A.f.c., Who Insurance of SECTION IV — BUSINESS AUTO Is An Insured, of SECTION II — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part 5.Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement between you and that person or applicable other insurance under which an organization, that is signed by you before the additional insured person or organization is the "bodily injury" or "property damage" occurs and first named insured when the written contract or that Is in effect during the policy period, to name agreement between you and that person or as an additional insured for Covered Autos organization, that is signed by you before the Liability Coverage, but only for damages to which "bodily injury" or "property damage" occurs and this insurance applies and only to the extent of that is in effect during the policy period, requires that person's or organization's liability for the this insurance to be primary and non-contributory. conduct of another Insured". • CA T4 74 02 16 02016 The Travelers Indemnity Company.AN rights reserved. Page 1 of 1 Includes copyrighted nwtenal of Insurance Services Offices Inn.with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.5., Other 1. The following is added to Paragraph A.1.c., Who Insurance of SECTION IV — BUSINESS AUTO Is An Insured, of SECTION II — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part 5.Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement between you and that person or applicable other insurance under which an organization, that is signed by you before the additional insured person or organization is the "bodily injury" or "property damage" occurs and first named insured when the written contract or that is in effect during the policy period, to name agreement between you and that person or as an additional insured for Covered Autos organization, that is signed by you before the Liability Coverage, but only for damages to which "bodily injury" or "properly damage" occurs and this insurance applies and only to the extent of that is in effect during the policy period, requires that person's or organization's liability for the this insurance to be primary and non-contributory. conduct of another"insured". CA T4 74 6216 ®2016 The Travelers Indemnity Company.AN rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc with as permission.