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19-181.00 Fire Control Sprinkler Systems: 5-Yr Inspection of Fire Sprinkler System 11/-11 FIRE CONTROL &PRIMMER SYSTEMS INC. October 30,2019 City of Spokane Valley Finance Office 10210 E.Sprague Avenue Spokane Valley,WA 99206 RE: 2019 Five-Year Inspection with Visual Inspection or Back Flush the FDC Line,Internal Pipe Inspection of the Fire Sprinkler System at CenterPlace Regional Event Center,2496 N.Discovery Place,Spokane Valley,WA 99216 Atm.William Hunt,CenterPlace Facility Maintenance This is Fire Control Sprinkler System Co.Inc.'s inspection and maintenance agreement for your five-veer fire sprinkler inspection service.With this agrecment you will automatically be put on our schedule for a reminder of your next inspection.You m cancel our service at am time.Please review the details below for the inspection service we will be providing gin-Year Inspection with Visual Inspection or Back Fink the FDC Line and Internal Floe Inspection of the Fire sSprInkkr System includes: • Inspection of two(2)Wet Fire Sprinkler Systems at CenterPlace Regional Event Center,24%N.Discovery Place,Spokane Valley,WA 99216. • "Our Inspector will need access to all rooms and with Sprinkler Heads to view the Sprinkler Heads at this fire sprinkler Inspection.Fire Control will have to charge for a return trip to view any that we could not access at this Fire Sprinkler Inspection. • The completion of this inspection does not guarantee a passing report. • Testing will meet NFPA 25,2011 Edition,requiemem as indicated on our report • Complete report of system's condition will be issued to you. give-Year Inspection with Visual Inspection or Back Flub the FDC Line and Internal Pipe Inspection of the Fire Sorinkler System does not include: • Any and all electrical testing or fire alarm testing. $rakdownof your Five-Year Inspection with Visual Inspection or Back Flash the FDC Line and Internal Phe Inspection of the Fire Sorlakker System: • Jasoection of:two(2)Wet Fire Sprinkler Systems at CenterPlace Regional Event Center,2496 N.Discovery Place, Spokane Valley,WA 9921& • 'Mat of:S 944.00 pia 8.9%sales tax and$17.99 for the City of Spokane Valley's IROL Inspection Fling Fee. "trees*slea this amemat below and recon to Fire Control Sprinkler Systems Co.Inc.Thank voik SIGNATURE IN!) C�PPB,OVAL OF ABOVE PRICING AND TERMS: SIGNATURE 11 CC ��( �j�f.P}en DATE I V/Rt Should you have any questions,please feel free to contact me at 509-489-1444. Sincerely. ei�,fi -/ George F. Lot President Na COMMIX ImNma fYSTMS Inc A COWMEN NAt WINCE ansa SNIVELER COMPANY aRAING: Design,kWalWan,alardon,krpsena ane cOMP109 24 POW 1099199945 amts P.O.nes 7204 2130 N Hogan Spolww,WA 99207 PR(5a)489-1444 9-n(509)419-1499 ----"Th FIRECON-01 WJOHNDROW A��R� CERTIFICATE OF LIABILITY INSURANCE DAT1/1/20te THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such O endorsement(s). PRODUCER NAIj ACT Jenna Wolter Agent insurance Services,Inc PHONE FAIL 818 W Riverside Ave Ste 800 LAIC,No,Fal (509)6244291 I pic,Nel_(509)456-0294 Spokane,WA 99201 Etta"jenna,wolfer@alliantcomT INSURERISI AFFORDING COVERAGE I NAICII INSURER A'Everest Indemnity In$IunanCe Company 10851 INSURED IINSURER B Ohio Security Insurance Company _ 24082_ - FIRECONTROLSPRINKLERSYSTEMSCOINC /INSURER C. PO BOX 7204 IFINSURER0• SPOKANE,WA 99207-0204 I INSURERS 'INSURER F, I 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 INDECATED 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 /NSR', ADDLSUBR ' POUCH EFF POUCH ESP ' LFR TYPE OF INSURANCE !PAD'MD POUCY NUMBER IMWODITTYl IMMlDOIYYYl li LIMITS A I X COMMERCIAL GENERAL LIABIUTY '� ' EACH OCCURRENCE 1.000,000 CLAIMS.MADE I XJ OCCUR j( 510L014307-191 4/1/2019 4/1/2020 I pDreM$ES IEeENT rFe 100,000 r 1 5.000 MED EXP(Any one person) __ _ ____ ___ PERSONAL S.ADV INJURY 1.000.dgo 'GEN'L AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE 2,000,000 POLICY l X i PRLPR _ Loc _ 2,000,000 JE PRODUOTS-COMPpP ACG OTHER B AUTOMOBILE LIABILITY tee accident,En SINGLE LIMIT 1,000;000 _ (Se I XJ ANY AUTO BAS55934772 4/1/2019 4/1/2020 BODILY INJURY(Per pal_1' 'OWNED I 'SCHEDULED __AUTOS ONLY 'A�UTTO�SVrNE BODILY INJURY(Per acu]en0 I X IALa ONLY X PUTPS ONLP' _PROPEERTI'IDAMAGE A X UMBRELLA Una ' X OCCUR1 5,000,000 EACHGGREGATE OCCURRENCE _ __ EXCESS X RETENTIONS CLAIMS-MADE 51CC00519T-091 4/1/2019 4/1/2020 AGGREGATE-_ - - 5'000'OOO 10,000 I A IWORKERS CO P NSAFON i PERI •0TH- ANDEMPLOYERS'UABILIIY T.IN __ STATUTE/AER_ gOPRIETOR,PAMTNERIEXECUTIIE _ 51GL01/30]-181 4/1/201914/1/20201 E L EACH ACCIDENT 1a 1,000,000 anCb:ron /EXCLUDED' -_—IN/A _ - __ 1.000,000 tyea describe under I 'EL DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below ' EL DISEASE-POLICY LIMIT 5 1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Rama dm may be attached It more apace(a required) Project.CenterPlace Regional Event Center CenterPlace Regional Event Center and City of Spokane Valley are Additional Insured with respect to General Liability for Ongoing Operations of the Named Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE CenterPlace Regional Event Center ACCORDANCE WITH THE POLLIICYRROVISIONSCE WILL BE DELIVERED IN 2426 N Discovery Place Spokane Valley,WA 99218 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ObIsstaor&Industries(hilts//Ira wa goo) Contractors FIRE CONTROL SPRNKL SYS CO INC Owner or tradesperson PO BOX 7204 Pnncrpals SPOKANE,WA 99207-0204 CHEROKE.GEORGE FRANKLIN,PRESIDENT 509-089-0444 SPOKANE County CHEROKE,KAY THERESE.VICE PRESIDENT SPRING,AMY LOUISE,SECRETARY Doug business au FIRE CONTROL SPRNKL SYS CO INC WA UBI Na Butewas type 600 160 259 Corporation Governing persons GEORGE F E KAY T CH KAY T CHEROKE, License Verify the contractor's active registration I license I certification(depending on trade)and any past violations Construction Contractor Active Meets current requirements. License vpecialtes GENERAL teens no FIRECSS120R1 Eflearve—er prrahon 12121/1988-04/0112020 Bond TRAVELERS CAS&SURETY CO $12,000 00 Bund account no 103568036 Robe ved by L&1 Effective dale 03129/2002 0410112002 ExVo aeon date Until Canceled Insurance Everest Indemnity Ins Co $1000,000 00 Policy no 5101014307191 Pecewed by L&I Etret two date 03/28/2019 04101/2019 Expiration dnto 04/02)2020 Gotham Ins Co $1,000,000.00 Poles.ne GL2014F5C00855 Received by LSI Efrectru Ante 03/05/2019 04/0112014 E.puntion date 04101/2020 Insurance history Savings No savings accounts during the previous 6 year period Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. LAI Tax debts No L81 tax debts are recorded for this contractor license during the previous 6 year period.but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No achve certifications exist for his business Apprentice Training Agent Registered training agent tier 9 .unit • nwora i tirriations Workers' comp 0o you know if the business has employees',If so,verify the business is up-to-date on workers comp premiums LAI Account ID Account is current 344,720-00 Doing ousiness as FIRE CONTROL SPRINKLER SYSTEMS Estrrated workers iepnnen Quarter 2 of Year 2019'31 to 50 Workers" L&I account contact T4l CASSANDRA SMITH(360)9025632-Email SMCA235@Inl.wa.gov Public Works Requirements verify the contractor is eligible to perform work on public works projects Required Training-Effective July 1,2019 Exempt from this requirement Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for InspeiAmn result date No violations02/17/2015 Inspecuor no 317934909 ¢IIinn 231 Wild flower St Ne Royal City,WA 99357 Inspechov results date No violations 06122/2014 Inspection no 317306462 Location 6017 N.Milton Spokane,WA 99205 Inepachp"results date. No violations 03/20)2014 Inspection no 316988882 Location 601012,3 52 Pasco,WA 99207