19-041.00 Inland Asphalt: Mission Sidewalks & Preservation University to East of Union Contract n
THIS AGREEMENT, made and entered into this �1 A day of Nirl ( 2019,
between the City of Spokane Valley under and by virtue of Title 35 RCW, as amended and
Inland Asphalt Company
Hereinafter called the Contractor.
WITNESSETH:
That in consideration of the terms and conditions contained herein and attached and made a part
of this agreement, the parties hereto covenant and agree as follows:
The Contractor shall do all work and furnish all tools, materials, and equipment for
Mission Avenue Sidewalk& Preservation Project
University to 160' East of Union
SVPW Contract#19-041
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 of Spokane
Valley.
II. The City of Spokane Valley 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 descnbed 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. It is further provided that no liability shall attach to the City of Spokane Valley by
reason of entering onto this contract, except as provided herein.
CITY OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK B PRESERVATION PROJECT 20 BID NO 19-041
V. The project was awarded for the bid amount of$1,194,194.00.
IN WITNESS WHEREOF, the Contractor has executed this instrument, on the day and
year first below written and the City of Spokane Valley has caused this instrument to be
executed by and in the name of the said City of Spokane Valley the day and year first
above written.
Executed by Contractor April 5 , 2019.
Date
Tony Via
Printed Name
Construction Manager
Title A?
/ ✓ a
Signature
City of Spokane Valley
Printed Name
OEPvey city M!1•g-79cs7._
Title
SI ure Revised e 19 13
CITY OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK&PRESERVATION PROJECT 21 BID NO 19-041
•
nno ram
4000 Valley
. BOND NO: 9314326
CONTRACTOR'S PERFORMANCE BOND
to City of Spokane Valley,Washington
The City of Spokane Valley, Washington, in Spokane County, has awarded to
CPM Deveiopmetcorpoeadw dba intend Asphalt Company (Contractor),as Principal,a contract for the construction of the project
designated as Mission Avenue Sidewalk& Preservation Project–University to 160' East of Union Project No.
19-041 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a
performance bond in accordance with chapter 39.08 Revised Code of Washington(RCW)
The Pnncipal, and Fidelity and Deposit Company of Maryland (Surety), a
corporation,organized under the laws of Illinois 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,US.Treasury Dept, are jointly and severally held and firmly bound to
the City of Spokane Valley,as Obligee,in the sum of$119419400 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 authonzed modifications,additions,and changes to said Contract that may hereafter
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 work
for the period identified in the Contract; and if such performance obligations have not been fulfilled, this bond shall
remain in full force 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 change,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 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
CPM Development Corporation dba Inland Asphalt Company Fidelity and Deposit Company of Maryland
PRINCIPAL(CONTRACTOR) SURE
"2/4 50:6 �I� 4/5/2019
PrincipalSignatureD e Air-Signature Date
�enoy , 4 Linda Nipper
Pnnted Name Printed Name
/.na-`S> cTTD.J M 4.-W-GF.? Attorney-in-Fact
Title Title
Name,address,and telephone of local office/agent of Surety Company is
Marsh USA Inc
15 W South Temple,Suite 700,Salt Lake City,UT 84101 801-533-3629
CITY OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK&PRESERVATION PROJECT 22 RID NO.19-041
01 `nom
�
BOND NO: 031432B
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
CNN Development Corporation din Inland Asmadco„P.„y (Contractor),as Principal,a contract for the construction of the project
designated as Mission Avenue Sidewalk&Preservation Proiect—University to 160' East of Union Project No.
19-041 in Spokane Valley, Washington, and said Pnncipal is required under the terms of the Contract to furnish a
payment bond in accordance with chapter 39.08 Revised Code of Washington(RCW).
The Principal, and Fidelity and Deposit Company of Maryland (Surety), a
corporation organized under the laws Illinois 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$1.'9019490 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 for the carrying on of such work;and shall indemnify and hold harmless the
Obligee from all loss, cost or damage which Obligee may suffer by reason of the failure of Principal to make such
required payments;and if such payment obligations have not been fuffilled,this bond shall remain in full force 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,except as provided herein,and waives notice of any change,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 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
CPM Development Corporation dba Inland Asphalt Company Fidelity and Deposit Company of Maryland
PRINCIPAL(CONTRACTOR) SURETY
`V /' 4/5/2019
Pnncipal Signature ate %. -ty Signature Date
TM 144 Linda Nipper
Pnnted Name \\ Printed Name
4.+5'r12✓—rs a.J Iy11-444CF2 Attorney-in Fact
Title Title
Name,address,and telephone of local office/agent of Surety Company is:
Marsh USA Inc
15 W South Temple,Suite 700,Salt Lake City,UT 84101 801-533-3629
CIN OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK&PRESERVATION PROJECT 23 BID NO 19401
State of UT
County of Salt Lake ss:
On April 05.2019 ,before me,a Notary Public in and for said County and State,residing
therein,duly commissioned and sworn,personally appeared
Linda Nipper
known to me to be Attorney-in-Fact of Fidelity and Deposit Company of Maryland
the corporation described m and that executed the within and foregoing instrument and known to me to be the person who executed
the said instrument m behalf of the said corporation,and he duly acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal,the day and year stated in this cenifiratr above.
My Commission Expires 3/13/2023 , ////JJJJ
' Lisa ll Notary Public
LIState
HALL
Notary Pubbo
of Utah
r Myrmission Commission 2023ires Marth 13,a
Number 704271
Commissionm
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York,the COLONIAL AMERICAN CASUAL TY AND SURETY COMPANY,a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of bard Companies.which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate.constitute,
and appoint Tina Davis,Lira Hall,Lindsey Plattner and Linda Nipper,all of Salt Lake City,Utah,EACH,its true and lawful agent and
Attorney-In-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed any and all bonds and
undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as
fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York.New York.,the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURE FY COMPANY at its office in Owings Mills, Maryland,and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills.Maryland,in their own proper persons.
The said Vice President does hereby certify'that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8.of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this B^day of March.A D 2019
asn.ay n
isTh
3!re Ft
G) (SUL3
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By Robert D Murray
Ike PreWent JJ
By Dawn E Brown
Serremry
State of Maryland
County of Baltimore
On this 6th day of March, A D 2019, before the subscriber,a Notary Public of the State of Maryland dub commissioned and quail fed.Robert O.
Murray,Vice President and Oawa E.Bruins Secretary of the Companies,to me personally known to be the Individuals and officers described in and who
executed the preceding instrument.and acknon ledges the execution of same,and being by me duly sworn,deposeth and Nath that he/she is the said office!of
the Company aforesaid,and that the seals affixed to the preceding instrument a the Corporate Seals of said Companies.and that the said Corporate Seals and
the signature as such officer w ere duly affised and subscribed to the said instrument by the authority and direction of the said Corporations
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year
f�rfirs�t above'soften
s4.4.ytvIs
a1.
mos. Constance A Dunn,Notary Public
My Commission Expires July 9,2019
ontionto Y xx.
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8,Attorneys-in-Fact. The Chief Executne Officer,the President.or any Executive Vice President or Vice President
may. by w-ritten instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recognizances.stipulations,undertakings, or other like instruments on behalf of the Company,and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of re'oke any such appointment or authority at any
time"
CERTIFICATE
I. the undersigned. Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY
AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing
Power of Attorney is still in full force and eflect on the date of this certificate,and I do further certify that Article V.Section 8,of the By-
Laws of the Companies is mill in force,
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998
RESOLVED "That the signature of the President or a Vwe President and the attesting signature nfa Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the I0th day of May,1990
RESOLVED "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President.Secretary,or Assistant Secretary of the Company.whether made heretofore or hereafter, where'er appeanng upon a
certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect
as though manually affixed
IN TESTIMONY WHEREOF,I have hereunto subscnbed my name and affixed the corporate seals of the said Companies,
this 5th day of April .2019
000
By Brian M Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND.PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
www.reportsfclaimsfrnzurichna corn
800-626-4577
BOND NO: 9314327
CONTRACTOR'S RETAINAGE BOND
to City of Spokane Valley,Washington
The City of Spokane Valley,Washington, in Spokane County, has awarded to
CPM Development Corporation dba Inland Asphalt Company ("Contractor"), as
Principal, a contract for the construction of the project designated as Mission Avenue Sidewalk&
Preservation Project— University to 160' East of Union Project No. 19-041 (the "Contract") in
Spokane Valley,Washington.
The Principal, existing under and by virtue of the laws of the State of Washington and authorized to
do business in the State of Washington, and
Fidelity and Deposit Company of Maryland organized and existing under the
laws of the State of Illinois 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 60.28 RCW, in the penal sum of 5% of the Contract, which is
Rey Nine Thousand Seven Hundred Nine and 70/100 dollars ($ 59.709 70 ), 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 of work.
WHEREAS, on the 3rd 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 earned retained funds.
WHEREAS, the Principal has requested that the Obligee accept a bond in lieu of earned retained
funds as allowed under chapter 60.28 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 60.28 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 benefiaaries of the trust fund created by chapter 60.28 RCW and their
respective heirs,executors,administrators,successors and assigns.
CITY OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK B PRESERVATION PROJECT 24 BID NO:19-041
3. My suit under this bond must be instituted within the time provided by applicable law.
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 it it is accompanied by a fully executed and
original power of attorney for the officer executing on behalf of the surety.
CPM Development Corporation dba Inland Asphalt Company Ftdelity and Deposit Company of Maryland
PRINCIPAL(CONTRACTOR) SUR
/� V(// -- Z 4/5/2019 019
Principal Signature D666te urety SignatuDate
--C-1 IA4
Lnda Nipper
Printed Name Printed Name
4-3S & trzoi M4..+acG? Attorney-in-Fact
T11te Title
Name,address,and telephone of local office/agent of Surety Company is:
Marsh USA Inc
15 W South Temple, Suite 700,Salt Lake City,UT 64101 801-533-3629
CITY OF SPOKANE VALLEY CONTRACT
MISSION AVENUE SIDEWALK&PRESERVATION PROJECT 25 BID NO:19-041
State of UT
County of Salt Lake 1 ss:
On April 05,2019 ,before me,a Notary Public in and for said County and State,residing
therein,duly commissioned and sworn,personally appeared
Linda Nipper
known to me to be Attorney-in-Fact of Fidelity and Depose Company of Maryland
the corporation described m and that executed the within and foregoing instnunenL and known to me to be the person who executed
the said instrument in behalf of the said corporation,and he duly acknowledged to me that such corporation executed the same.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal the and year stated in this certificate above.
Lisa Hall Notary Public
+••``•,,, '2- LISA HALL
ris
tip Notary PublicState of Utah
- ..My Commission Expires March 13,2023
Commission Number 704231
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARY LAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS'That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois therein collectively called the "Companies'k by
Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are
set forth on the reaerse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute,
and appoint Tina Davis,Lisa Hall,Lindsey Plattner and Linda Nipper,all of Salt Lake City,Utah,EACH,its true and lawful agent and
Attorney-in-Fact, to make,execute, seal and deli ec for, and on its behalf as surety, and as its act and deed. any and all bunds and
undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies.as
fully and amply, to all intents and purposes.as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York,the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the
FIDELITY AND DEPOSI I COMPANY OF MARYLAND at its office in Owings Mills,Maryland,In their own proper persons
The said Viec President does hereby certify that the extract set forth on the rmerse side hereof is a true copy of Article V,Section 8.of
the By-Laws of said Companies,and is now in force
IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
fl
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 6"day of March,AD 2019,
Y6`ut�P
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By Ruben D Murray--�_ _--
Vice Prendent
I JQ{t>L
Cr Loa fx__—
Br Dawn E Brown
Se,retort
State of Maryland
County of Baltimore
On this fith day of March A D 2019, before the subscriber,a Notary Public of the State of Maryland.duly commissioned and quail Fled,Robert D.
Murray.Vice President one Dawn K Brown,Secretary of the Companies,to me personal!) known to be the individuals and officers described in and who
executed the preceding instrument.and acknowledged the execution of came,and being by me dubs m.deposeth and earth that he/she is the said officer of
the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies.and That the said Corporate Seals and
the signature as such officer were duly affixed and subsenbed to the said instnunent by the authority and direction of the said Corporations
IN l ES1IMONY WHEREOF,I have hereunto set my hand and afford my Official Seal the da and year tir tt above w nnen�
° tif
01
S.?DWi'>^� 'wPSL.Q.t-u4WY✓
Thti
pr
j, iyi.Ag ys9 Constance
omm A Dunn,E. Notary Public
,> jnb"'re My Commission Expires-fub 0.2019
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8,Attorneys-in-Fact The Chief Executive Officer,the President.or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recoxmizances. stipulations, undertakings,or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto,and may with or w ithout cause modify of revoke any such appointment or authority at any
time"
CERTIFICATE
I, the undersigned, Secretary of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY
AND SURETY COMPANY_ and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing
Power of Attorney is still in full force and effect on the date of this certificate:and I do further certify that Article V.Section 8.of the By-
Laws of the Companies is still m force
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998
RESOLVED. "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney Any such Power or any certificate thereof beanng such
facsimile signature and seal shall be valid and binding on the Company"
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May,1990.
RESOLVED "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a
certified copy of any power of attorney issued by the Company.shall he valid and binding upon the Company with the same force and effect
as though manually affixed
IN TESTIMONY WHEREOF,I have hereunto subscnbed my name and affixed the corporate seals of the said Companies.
this 5th day of Aoril 2019
00 €
By Brian M Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND.THE BOND NUMBER.AND YOUR CONTACT
INFORMATION TO;
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
Nv wieportsfelaimsQ zurichna coin
800-626-4577
A�oe CERTIFICATE OF LIABILITY INSURANCE DATE
MO s fl
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(les)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).
PRODUCERCONTACT Valerie Reece
Liberty.Mutual Insurance Co. National Insurance East NAME;
2000 Westwood Dr. PHONE FAX
Wausau,WI 54401 EMAIL Exit 513x6]-3822 INC NM:
ADD la SS• CMeCenPmduction@libertymutual.cam
INSURER(SIAFFORDING COVERAGE NAICft
www.LiberlyMulual.com INSURER A• Liberty Mutual Fire Insurance Company 23035
INSURED Inland Asphalt Company INSURER • Liberty Insurance Corporation 42404
CPM Development Corporation dba INSURER c.
PO Box 3366 INSURER G:
Spokane,WA 99220-3366 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 43943019 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 CONDRION 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.
MSR ADDL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WMD POLICY NUMBER -I MIODMYY1 LIMB
A / COMMERCIAL GENERAL LIABILITY TB2-C81-004095-178 9/1/2018 9/1/2019 EACH OCCURRENCE $2,000,000 /
DAMAGE TO RENTED
CLAIMS-MADE i ✓I OCCUR PREXCU Coverage Included
rES(Ea mammal PrimaryMMED EX $
on-Conirlbutory ✓ ✓ MED EXP(Any one parson) 550.0000
✓ Separation of Insured PERSONAL a ALV INJURY 52,000,000
GEN.AGGREGATE LIMIT APPLIES� PER _GENERAL AGGREGATE 52.000,000 /
POLICY I7& iLOC PRODUCTS•COMP/OP AEG 52,000,000 .//
OTHER 5
A AUTOMOBILE LIABILITY AS2-C81-004095-128 9/1/2018 9/1/2019 fle:DINEDSINGLE LIMIT 52000,000
✓ ANY AUTO BODILY INJURY(Pe,person) $
OWNED — SCHEDULED YY 5/ A52-C81-054502-528 9/1/2018 9/1/2019 RppnYINJURY(Pee ecxdrN) 5
AUTOS ONLY _ AUTOS Physical Damage on
HIRED NON-OWNED AUTOS ONLY _ AUTOS ONLY Comprehensive Den Moon (Pe,aw�DAMAGE 5
Collision Ded$10,000 5
UMBRELLA LMB H OCCUR EACH OCCURRENCE 5
EXCESSLUIB CLAIMS-MADE AGGREGATE S
DED RETENTIONS -. 5
B WORKERS COMPENSATION WA7-C8D-004095-028 9/1/2018 9/1/2019 ✓ P WNTE ERµ
AND EMPLOYERS'LIABILITY YIN All except OH,ND,WA,WY
PN ROPRIETOPPARTNETEXECUTNE EL EACH ACCIDENT 51,000,000 /
OFFICERMEM EREXCLUDED? n NIA ✓
(Mandetayln NH) WC7-C81-004095-018 9/1/2018 9/1/2019 EL DISEASE-EA EMPLOYEE $1 000 OW
Nye dasmlM er
D Washington
Stop pWN34e1W1 WIT6 MN E.L DIEach
Accident
c-dent-LICY LIMIT $1,000,000
A Employers
nStop Gap TB2-C81-W4W5-118 9/1/2018 9/1/2019 BI Aggrgate Lunt-$1,0000
Employers Liability Coverage BI Aggregate Limit $1,000,000. /
BI Each Employee-$1,OW,WO
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101,Additional Rems,La Smmies%may be attached U more space le repulnd)
RE: Mission Avenue Sidewalk and Preservation Project, CIP No. 0267
City of Spokane Valley is additional insured with respect to the above referenced project. Coverage is
primary and non-contributory. Waiver of subrogation applies.
CERTIFICATE HOLDER CANCELLATION
City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
10210 E. Sprague Ave.
THE
PIRATION DATE THEREOF,ANCE WITH THE POLICY PROVISIONS. WILL BE DELIVERED IN
Spokane Valley, WA 99206
AUT ORIZED REPRESENTATIVE
Valerie Reece
)1441/-71.71,mat
®1988-2015 AGGRO CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
43943019 1131_a 1491111-9/19 - Standard :p a/nn Stop GRP 1 tonna S11440 10 161301801$ 6,40 19 an ICOt I 9°9° 1 of 1
POLICY NUMBER:7B2-C81-004095-1 18 CON ERCIAL GENERAL LIABILITY
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the follovring:
COMMERCIAL GENERAL UABILITYCOVERAGE PART
A. Section I — Who Is An Insured is amended to 1. All work Includfrg materials, parts kr
include as an additional insured the person(s) or equipment furnished n connection with such
organhation(s) shown In the Schedule, but only wth worth on the project (other than service,
respect to Ilablly for 'bodily Injury". "property maintenance or repairs) to be performed by or
damage' or 'personal and advertising Injury on behalf of the additional insured(s) at the
caused,in whole or In part,by: location of the covered operations has been
1. Your acts or omissions:or completed;or
2. The acts or omissions of those acting on your 2. That portion of your world' out of witch the
hahalt Injury or damage arises has been put to is
In the performance of your ongoing operations for
Mended use by any person or organization
the addrfomi performance
s) at the lationsnfor ether than another contractor or subcontractor
designated above. engaged n performing operations for a
principal as a part of the same project
However. C With respect to the insurance afforded to these
1. The insurance afforded to such additional additional insureds, the following is added to
insured only applies to the extent permitted by Section III—Limits Of Insurance:
law:and If coverage provided to the additional Insured is
2. If coverage provided to the additional Insured is required by a contract or agreement,the most we
required by a contract or agreement the will pay on behalf of the additional insured b the
Insurance afforded to such addtional toured wit amount of insurance:
not be broader than that which you are required 1. Required by the contract or agreement or
by the contract or agreement to provide for such
additional insured. 2. Available under the applicable Lints of
B. With respect to the insurance afforded to these insurance shown in the Declarations:
additional insureds, the following addhional whichever is less.
exclusions apply: This endorsement shall not increase the
This Insurance does not apply to 'body blur? or app&able Limb of insurance shown it the
'property damage occurrtig after. Declarations.
SCHEDULE
Name Of Additional Insured Person(s) Location(s)Of Covered Operations
Or Organizatlen(s):
My owner,lessee,or contractor for whom you have Arm location listed in such agreement
agreed in wrong prior to a loss to provide IMbihy
insurance
Information required to complete this Schedule,if not shown above, will be shown in the Declarations.
CC 2010 0413 ®Insurance Services Office, Inc,2012 Page 1 of 1
Policy Number T132-C814)04095-118
Issued by LIBERTY MUTUAL FIRE INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASEREAD IT CAREFULLY.
OTHER INSURANCE AMENDMENT—SCHEDULED ADDITIONAL INSURED
This endorsement modifies insurance provided under thefollowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
Schedule
Person or Organization: Any person or organization for which such caverns Is required by written contract
with the named Insured
If you am obligated under a written agreement to provide liability Insurance on a printery,excess,cardingent,or
any other basis for any person or organization shown in the Schedule of this endorsement that qualifies as an
additional Mewed on this policy,this policy will apply solely on the basis required by such vnitten agreement and
Paragraph 4.Other Insurance of Section IV-Conciliates win not apply. If The applicable written agreement does
not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of
Sector IV-Conditions will govern. However,this Insurance Is excess over any other Insurance available to the
additonal Insured for which It is also covered es an additional Insured by attachment of an endorsement to
another policy providing coverage fortre earns°ocwrtence",claim or"eult".
LC 2420 a2 13 02018 Liberty Mutual Insurance.All lire reserved. Page l of t
Includes copyrUmed material of Insurance Services Office,Ind,with ii permission.
POLICY NUMBER TB2-C81-004095.1 18 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILIIYCOVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following Is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV—Conditions:
Mre waive any right of recovery we may have against
the person or organization shown in the Schedule
below because of payments we make for injury or
damage arising out of your ongohg operations or
your work'done under a contract with that person
or organization and Included h the 'products-
completed operations hazard'.This waiver applies
only to the person or organization shown in the
Schedule below.
SCHEDULE
Name Of Person Or Organization:
As required by written contract or agreement entered into prior to loss.
Information required to complete this Schedule,f notshown above, Ml be shown In the Declarations.
CC 24 04 05 09 0 Insurance Services Office,Inc„2008 Page 1 of 1