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19-147-01 MDM Construction Group: On Call Road Graders for Snow Removal CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND MDM Construction Group Inc. Spokane Valley Contract#19-147.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged,City and the MDM Construction Group Inc.mutually agree as follows: 1. Purpose: This Amendment is for the Contract for[Snow Season 2019-2020 On Call Road Grader] by and between the Parties, executed by the Parties on October 16, 2019, and which terminates on April 30,2020. Said contract shall be referred to as the"Original Contract"and its terms are hereby incorporated by reference. Total.compensation under the Original Contract is not to exceed$100,000. 2.Original Contract Provisions:The Parties agree to continue to abide by those terms and conditions of the Original Contract and any amendments thereto which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are either as follows,or attached hereto as Appendix"A". All such amended provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Entity name change from:MDM Construction to MDM Construction Group Inc. )r 4711.--- The parties have executed this Amendment to the Original Contract this 1 z da Y of2020. g C4MDMvk. OF SPO NE VA LEY: Co ctio Gr up Inc ( '_a t M Calhoun By: L4-2v:k ltcdd€r City Manager Its: L)i p e C 4-8 r' A S . APPROVED TO FORM:V '\"--e-• 1.- --h',./i 0 P. . -'2'- Christine Bainbridge,City Clerk Office f the Ci yy orney 1 _— ' MDMCONS-02 CLONGINOTTI ACG7R©' DATE(MMIDD/YYYY) IN.,— CERTIFICATE OF LIABILITY INSURANCE 10/15/2019 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 NAME: Spokane OfficeI FAX PayneWest Insurance,Inc. (A/CC, o,Ext):(509)838-3501 (NC,No):(509)838-3511 E501 N.Rlverpolnt Blvd.,Ste 403 ADDRESS: Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Alaska National Insurance Company 38733 INSURED INSURER B: MDM Construction Inc. INSURER C: dba MDM Excavation PO Box 2006 INSURER D: Hayden,ID 83835 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 191PS08844 9/1/2019 9/1/2020 DAMAGE TO RENTED 500,000 X X PREMISES(Ea occurrence) $ 15,000 MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000,000 POLICY x JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: WA STOP GAP $ 1,000,000 COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO X X 191AS08844 9/1/2019 9/1/2020 BODILY INJURY(Per person) $ AI AUTOS ONLY SCHEDULEDyyNE BODILY INJURY(Per accident) $ AUTOS ONLY AUUTO ONLOY { OaggY tDAMAGE $ I ) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 19ILU08844 9/1/2019 9/1/2020 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION Xy PER STATUTESRH AND EMPLOYERS'LIABILITY 19DWS08844 4/1/2019 4/1/2020 1,000,000 ANY IEE PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schedule,may be attached if more space Is required) Re:On-Call Road Graders for Snow Removal,2019-2020 Snow Season City of Spokane Valley is additional insured as per the attached forms.Coverage is primary and non contributory.Waiver of subrogation and per project aggregate applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City P ACCORDANCE WITH THE POLICY PROVISIONS. Community and Public Works Department 10210 E Sprague Ave Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD