Loading...
19-161.00 AAA Sweeping: Street Sweeping SvcsContract No. 19-161 AGREEMENT FOR SERVICES AAA Sweeping, LLC THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State of Washington, hereinafter "City" and AAA Sweeping LLC, hereinafter "Consultant," jointly referred to as "Parties." IN CONSIDERATION of the terms and conditions contained herein, the Parties agree as follows: 1. Work to Be Performed. Consultant shall provide all labor, services, and material to satisfactorily complete the Scope of Services, attached as Exhibit A. A. Administration. The City Manager or designee shall administer and be the primary contact for Consultant. Prior to commencement of work, Consultant shall contact the City Manager or designee to review the Scope of Services, schedule, and date of completion. Upon notice from the City Manager or designee, Consultant shall commence work, perform the requested tasks in the Scope of Services, stop work, and promptly cure any failure in performance under this Agreement. B. Representations. City has relied upon the qualifications of Consultant in entering into this Agreement. By execution of this Agreement, Consultant represents it possesses the ability, skill, and resources necessary to perform the work and is familiar with all current laws, rules, and regulations which reasonably relate to the Scope of Services. No substitutions of agreed -upon personnel shall be made without the prior written consent of City. Consultant represents that the compensation as stated in paragraph 3 is adequate and sufficient for the timely provision of all professional services required to complete the Scope of Services under this Agreement. Consultant shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Consultant shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City -furnished information. C. Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed by professional consultants engaged in the same profession, and performing the same or similar services at the time such services are performed. D. Modifications. City may modify this Agreement and order changes in the work whenever necessary or advisable. Consultant will accept modifications when ordered in writing by the City Manager or designee, so long as the additional work is within the scope of Consultant's area of practice. Compensation for such modifications or changes shall be as mutually agreed between the Parties. Consultant shall make such revisions in the work as are necessary to correct errors or omissions appearing therein when required to do so by City without additional compensation. 2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in effect until completion of all contractual requirements have been met as determined by City. Consultant shall complete its work by December 31,2020, unless the time for performance is extended in writing by the Parties. AAA Sweeping — Sweeping — 2020 Page 1 of 9 Contract No. 19-161 The City may extend the contract for up to four additional one year terms, which will commence on or about January 1 or each year and end on December 31 of that year. The City will give the contractor written notice of its intent to extend the contract at least 60 days before the contract term expires. The total duration of the Contract shall not exceed five years. Either Party may terminate this Agreement for material breach after providing the other Party with at least 10 days' prior notice and an opportunity to cure the breach. City may, in addition, terminate this Agreement for any reason by 10 days' written notice to Consultant. In the event of termination without breach, City shall pay Consultant for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. City agrees to pay Consultant an agreed upon hourly rate up to a maximum amount of $560,000. as full compensation for everything done under this Agreement, as set forth in Exhibit B. Consultant shall not perform any extra, further, or additional services for which it will request additional compensation from City without a prior written agreement for such services and payment therefore. 4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for payment shall be sent to the City Finance Department at the below -stated address. City reserves the right to withhold payment under this Agreement for that portion of the work (if any) which is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the Scope of Services, City standards, City Code, and federal or state standards. 5. Notice. Notices other than applications for payment shall be given in writing as follows: TO THE CITY: TO THE CONSULTANT: Name: Christine Bainbridge, City Clerk Name: AAA Sweeping LLC Phone: (509) 720-5000 Phone: 509-922-1363 Address: 10210 East Sprague Avenue Address: PO Box 624 Spokane Valley, WA 99206 Veradale, WA 99037 6. Applicable Laws and Standards. The Parties, in the performance of this Agreement, agree to comply with all applicable federal, state, and local laws and regulations. Consultant warrants that its designs, construction documents, and services shall conform to all federal, state, and local statutes and regulations. 7. Certification Reizardine Debarment, Suspension, and Other Responsibility Matters — Primar Covered Transactions. A. By executing this Agreement, the Consultant certifies to the best of its knowledge and belief that it and its principals: 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; 2. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust AAA Sweeping — Sweeping — 2020 Page 2 of 9 Contract No. 19-161 statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (A)(2) of this certification; and 4. Have not within a three-year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. B. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this Agreement. 8. Relationship of the Parties. It is understood and agreed that Consultant shall be an independent contractor and not the agent or employee of City, that City is interested in only the results to be achieved, and that the right to control the particular manner, method, and means in which the services are performed is solely within the discretion of Consultant. Any and all employees who provide services to City under this Agreement shall be deemed employees solely of Consultant. The Consultant shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 9.Ownership of Documents. All drawings, plans, specifications, and other related documents prepared by Consultant under this Agreement are and shall be the property of City, and may be subject to disclosure pursuant to chapter 42.56 RCW or other applicable public record laws. The written, graphic, mapped, photographic, or visual documents prepared by Consultant under this Agreement shall, unless otherwise provided, be deemed the property of City. City shall be permitted to retain these documents, including reproducible camera-ready originals of reports, reproduction quality mylars of maps, and copies in the form of computer files, for the City's use. City shall have unrestricted authority to publish, disclose, distribute, and otherwise use, in whole or in part, any reports, data, drawings, images, or other material prepared under this Agreement, provided that Consultant shall have no liability for the use of Consultant's work product outside of the scope of its intended purpose. 10. Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Consultant's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit, examine, make excerpts or transcripts from such records, and to make audits of all contracts, invoices, materials, payrolls, and record of matters covered by this Agreement for a period of three years from the date final payment is made hereunder. 11. Insurance. Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by Consultant, its agents, representatives, employees, or subcontractors. A. Minimum Scope of Insurance. Consultant shall obtain insurance of the types described below: 1. Automobile liability insurance covering all owned, non -owned, hired, and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. 2. Commercial general liability insurance shall be at least as broad as ISO occurrence form AAA Sweeping — Sweeping — 2020 Page 3 of 9 Contract No. 19-161 CG 00 01 and shall cover liability arising from premises, operations, stop -gap independent contractors and personal injury, and advertising injury. City shall be named as an additional insured under Consultant's commercial general liability insurance policy with respect to the work performed for the City using an additional insured endorsement at least as broad as ISO CG 20 26. 3. Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. B. Minimum Amounts of Insurance. Consultant shall maintain the following insurance limits: 1. Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of no less than $1,000,000 per accident. 2. Commercial general liability insurance shall be written with limits no less than $1,000,000 for each occurrence, and $2,000,000 for general aggregate. C. Other Insurance Provisions. The policies are to contain, or be endorsed to contain, the following provisions for automobile liability and commercial general liability insurance: 1. Consultant's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by City shall be in excess of Consultant's insurance and shall not contribute with it. 2. Consultant shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Consultant. 3. If Consultant maintains higher insurance limits than the minimums shown above, City shall be insured for the full available limits of commercial general and excess or umbrella liability maintained by Consultant, irrespective of whether such limits maintained by Consultant are greater than those required by this Agreement or whether any certificate of insurance furnished to the City evidences limits of liability lower than those maintained by Consultant. 4. Failure on the part of Consultant to maintain the insurance as required shall constitute a material breach of the Agreement, upon which the City may, after giving at least five business days' notice to Consultant to correct the breach, immediately terminate the Agreement, or at its sole discretion, procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to City on demand, or at the sole discretion of the City, offset against funds due Consultant from the City. D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Consultant shall furnish acceptable insurance certificates to the City Clerk at the time Consultant returns the signed Agreement, which shall be Exhibit C. The certificate shall specify all of the parties who are additional insureds, and shall include applicable policy endorsements, and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested, complete AAA Sweeping — Sweeping — 2020 Page 4 of 9 Contract No. 19-161 copies of insurance policies shall be provided to City. Consultant shall be financially responsible for all pertinent deductibles, self -insured retentions, and/or self-insurance. 12. Indemnification and Hold Harmless. Consultant shall, at its sole expense, defend, indemnify, and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs, attorney's fees, costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts, errors, or omissions in the services provided by Consultant, Consultant's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. Consultant's duty to defend, indemnify, and hold City harmless shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees pursuant to RCW 4.24.115. Consultant's duty to defend, indemnify, and hold City harmless against liability for damages arising out of such services caused by the concurrent negligence of (a) City or City's agents or employees, and (b) Consultant, Consultant's agents, subcontractors, subconsultants and employees, shall apply only to the extent of the negligence of Consultant, Consultant's agents, subcontractors, subconsultants, and employees. Consultant's duty to defend, indemnify, and hold City harmless shall include, as to all claims, demands, losses, and liability to which it applies, City's personnel -related costs, reasonable attorneys' fees, the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for collection, and all other claim -related expenses. Consultant specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages, compensation, or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that Consultant's waiver of immunity under this provision extends only to claims against Consultant by City, and does not include, or extend to, any claims by Consultant's employees directly against Consultant. Consultant hereby certifies that this indemnification provision was mutually negotiated. 13. Waiver. No officer, employee, agent, or other individual acting on behalf of either Party has the power, right, or authority to waive any of the conditions or provisions of this Agreement. A waiver in one instance shall not be held to be a waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law shall be taken and construed as cumulative and in addition to every other remedy provided herein or by law. Failure of either Party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other Party of any provision hereof shall in no way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any part thereof. 14. Assignment and Delegation. Neither Party may assign, transfer, or delegate any or all of the responsibilities of this Agreement or the benefits received hereunder without prior written consent of the other Party. 15. Subcontracts. Except as otherwise provided herein, Consultant shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of City. AAA Sweeping — Sweeping — 2020 Page 5 of 9 Contract No. 19-161 16. Confidentiality. Consultant may, from time -to -time, receive information which is deemed by City to be confidential. Consultant shall not disclose such information without the prior express written consent of City or upon order of a court of competent jurisdiction. 17. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Disputes between City and Consultant shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Consultant agrees that it may, at City's request, be joined as a party in any arbitration proceeding between City and any third party that includes a claim or claims that arise out of, or that are related to Consultant's services under this Agreement. Consultant further agrees that the Arbitrator(s)' decision therein shall be final and binding on Consultant and that judgment may be entered upon it in any court having jurisdiction thereof. 18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation (including expert witness fees). 19. Entire Agreement. This written Agreement constitutds the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed, modified, or altered except in writing signed by the Parties hereto. 20. Anti -kickback. No officer or employee of City, having the power or duty to perform an official act or action related to this Agreement shall have or acquire any interest in this Agreement, or have solicited, accepted, or granted a present or future gift, favor, service, or other thing of value from any person with an interest in this Agreement. 21. Business Registration. Prior to commencement of work under this Agreement, Consultant shall register with the City as a business if it has not already done so. 22. Severability. If any section, sentence, clause, or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other section, sentence, clause, or phrase of this Agreement. 23. Exhibits. Exhibits attached and incorporated into this Agreement are: A. Scope of Services B. Fee proposal C. Insurance Certificates D. Assurance of compliance with applicable federal law The Parties have executed this Agreement thi� d-ay� of , 2020 CITY OF SPOKANE VALLEY Consultant: ar Calhoun, City Manager By: bfett 5i g nt Its: Auttl0fized Representative AAA Sweeping — Sweeping — 2020 Page 6 of 9 Contract No. 19-161 ATTE T: / Christine Bainbridge, City Clerk APPROVED AS TO FORM: 01 rice the Ci Attorney AAA Sweeping — Sweeping — 2020 Page 7 of 9 SCOPE OF SERVICES The Contractor shall sweep streets in accordance with the City's latest Sweeping Action Plans, which are included within this specification by reference. The Action Plans outline the purposes, responsibilities, service areas, and approaches to the work. Currently, the City employs Arterial, Spring, and Fall Sweeping Action Plans. The Sweeping Action Plans may be updated as deemed necessary by the City and in consultation with the Contractor prior to the update. Most updates reflect adjusting priorities of areas to sweep and when to sweep. Schedule: At the Contractor's discretion, curb lines in industrial and commercial areas may be swept overnight. When necessary, center and left turn lanes shall be swept between 10 p.m. and 7 a.m. Residential areas shall only be swept between the hours of 7 a.m. and 7 p.m. Street sweeping shall be scheduled to avoid events such as holidays and events that may cause traffic peaks and associated congestion. Dust Abatement: Street sweeping equipment shall be equipped with a watering system to control dust. A water truck may be required when the watering system of the sweeper is not sufficient to control dust. The Contractor shall make all necessary arrangements to obtain and pay for water necessary for the operation. Dust abatement is required. Dust shall not interfere with traffic flow. When dust is not properly controlled, operations shall cease and may not re -commence until adequate correction has been achieved. Dust abatement measures shall be continued until the Contractor is relieved of further responsibility by the City. Leaving a dust/silt trail after sweeping is completed is prohibited. In all cases, water use shall be minimized to reduce or eliminate gutter flows to storm drains from sidewalk cleaning and dust abatement activities. Foreman: The Contractor shall provide a foreman during heavy operation times to provide added management of the Contractor's sweeping crews, to verify streets that need sweeping or may not need sweeping, move advance notification signage (provided by the City), and to address quality control issues brought up by the City. The Contractor shall provide a vehicle for the foreman's use. It is anticipated that the foreman would be limited to 10 hours a week (or two hours a day) during Spring and Fall sweeping periods. The Contractor's foreman may also be a sweeper operator during other times of the day while heavy sweeping operations are underway. The use of a foreman is at the sole discretion of the City. Transporting street sweepingdebris: ebris: When directed by the City, the Contractor shall be transport sweeping debris temporarily stored at transfer station(s) to the approved location. The currently -approved location for disposal of solid debris is the Waste Management - Graham Road Landfill located at 1820 S. Graham Road, Medical Lake, WA 99022. The City maintains an open account with Waste Management. Landfill fees shall be paid by the City directly to the landfill. An alternate disposal location may be identified in the future. If so, a different handling/transporting cost may be negotiated. SVPW # 19-161 — Attachment D, PRICE PROPOSAL STREET SWEEPING SERVI RECE�V�D 0 E C .13 ", C ry of Spokane Valley City Clerk Having carefully examined the Request for Bid and Specifications, the ttrt1'dmipwd-prepeses-ta-fumish Street Sweeping Services and meet all other terms and conditions of this Request for Bid and referenced Specifications within (30) days of full execution of such Agreement for unit price amounts set forth below. Task/Item ntv Unit Unit Price Bid Sweeping, Mechanical Type 60 Hours i' -s --' $ 99-� �4 Regenerative Air 2400 Hours 165" $3772ao TypeSweepmg, Sweeping, High Efficiency 100 Hours �2 $ .5 q-2 --'" Vacuum Type Water Truck or Truck- 500 Hours �/23 00 Mounted Power Washer Foreman 200 Hours �8 3 = 00 $ % 6 72 Dump Truck 200 Hours /23 $ 2 V,- d92 0 Loader 35 Hours 711 $ 4/Z2 '30 Total Annual Bid: a $ S26 The undersigned individual represents and warrants that he or she is duly authorized to execute the bid on behalf of any partnership, joint venture or corporation. Company Name: AAA ..Sec, r c -, L L C Street Address: 2I?0 8 A' S. /l,'vu., f ©� � l�u, `lc� , � � /D 7-- li City, State, & Zip Code: s� m �c l� ���,� �, 9j,7 Signature: Printed Name & Title: 7Y' sk, Phone Number: 4-0 -' -7 2 2-- /3 6 3 Email Address: 4, /Q q a G scu a p. Date: / Z 17. A A AS:WFF-n4 Mt4FYN ACORN° �� CERTIFICATE OF LIABILITY INSURANCE MMIDNY MMfDOn'YYY) t1012212019 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 endorsements . PRODUCER Inland Insurance, Inc. 9016 E Indiana, Suite A Spokane Valley, WA 99212 co TACT Michelle Heyn PHONE 609 456-2648 (A//CC.No: 509 456-3432 (/vc, No Ext ` ( ) ) E pA'L : michelle.heyn@inlandlils.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Alaska National Ins Co 38733 INSURED AAA Sweeping, LLC PO BOX 624 Veradale, WA 99037 INSURER B : INSURER C : INSURERD: INSURER E INSURER F . rnvooer_Ge r`GGTICIrATF NI IMRFR• RFVLSIrTN NIIMRFR! 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 CONTRACTOR 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 ADD SUB POLICY NUMBER POLICY EFF POLICY EXPLTR DIYYM LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 19JPS30908 10/19/2019 10/19/2020 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED S 500,000 rX MED EXP (Any onePerson) $ 16,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [XI jPCOJ LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS -COMPIOPAGG $ 2,000,000 WA Stop Gap- $ 1,000,000 A AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS ED AUTOS ONLY AUTO ONLY X X 19JAS30908 10/19/2019 10/19/2020 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Par accident $ �2e08E�Rt GE $ a A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 19JLU30908 10/19/2019 10/19/2020 EACH OCCURRENCE S 5,000,000 AGGREGATE $ 6,000,006 DED I X I RETENTIONS 10,000 S WORKERS COMPENSATION AND EMPLOYERS' LIABILF Y Y I N ANY PERERRO//PMMRIIEMTOERRIPARTNERIEXECUTIVE ❑ (r1FISE ory In B EXCLUDED? �n H) If yes describe under DESCRIPTION OF OPERATIONS below N / A PERTLrrE OTH- ER A ER E.LEACH ACCIDENT $ EL DISEASE -EA EMPLOYE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS % VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mores ace 13 required) City of Spokane Valley is Additional Insured as Respects Operations of the Named Insured. Coverage is Primary, Non -Contributory. Waiver of Subrogation is Included. City of Spokane Valley Public Works Dept. 10210 East Sprague Ave Spokane Valley, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD s r STATE OF wASHINGTON Department of Labor & Industries Certificate of Workers' Compensation Coverage February 3, 2020 WA UBI No. 1602346432 L&I Account ID 1 500,499-04 Legal Business Name AAA SWEEPING LLC Doing Business As Y ( AAA SWEEPING LLC� _ �— Workers' Comp Premium Status: Account is current. 1 Estimated Workers Reported I Quarter 3 of Year 2019 "21 to 30 Workers" (See Description Below) -� --- — Account Representative -- Employer Services Help Line, (360) 902-4817 Licensed Contractor? - --- Yes — — License No. I AAASWL*963CA License Expiration-----__ --. -_.- •Y • � 02/01I2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial Insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51,12.050 and 51.16.190). Contract No. 19-161 Exhibit D — Assurance of Compliance with Applicable Federal Law During the performance of this Agreement, the Consultant, for itself, its assignees, and successors in interest (hereinafter referred to as the "Consultant") agrees as follows: 1. Compliance with Regulations: The Consultant shall comply with the federal laws set forth in Section 7 of this Exhibit ("Acts and the Regulations") relative to non-discrimination in federally -assisted programs of the U.S. Department of Transportation, Washington State Department of Transportation (WSDOT), as they may be amended from time -to -time, which are herein incorporated by reference and made a part ofthis Agreement. 2. Non-discrim ination: The Consultant, with regard to the work performed by it during this Agreement, shall not discriminate on the grounds of race, color, or national origin in the selection and retention of subcontractors, including procurements of materials and leases of equipment. The Consultant shall not participate directly or indirectly in the discrimination prohibited by the Acts and the Regulations, including employment practices when the contract covers any activity, project, or program set forth in Appendix B of49 CFR Part 21. 3. Solicitations for Subcontracts, Including Procurements of Materials and Equipment: In all solicitations, either by competitive bidding, or negotiation made by the Consultant for work to be performed under a subcontract, including procurements of materials, or leases of equipment, each potential subcontractor or supplier shall be notified by the Consultant of the Consultant's obligations under this Agreement and the Acts and the Regulations relative to non-discrimination on the grounds of race, color, or national origin. 4. Information and Reports: The Consultant shall provide all information and reports required by the Acts, the Regulations, and directives issued pursuant thereto, and shall permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the City or the WSDOT to be pertinent to ascertain compliance with such Acts, Regulations, and instructions. Where any information required of Consultant is in the exclusive possession of another who fails or refuses to furnish the information, the Consultant shall so certify to the City or the WSDOT, as appropriate, and shall set forth what efforts it has made to obtain the information. 5. Sanctions for Noncompliance: In the event of a Consultant's noncompliance with the non-discrimination provisions of this Agreement, the City will impose such contract sanctions as it or the WSDOT may determine to be appropriate, including, but not limited to: a. withholding payments to the Consultant under the Agreement until the Consultant complies; and/or b. cancelling, terminating, or suspending the Agreement, in whole or in part. 6. Incorporation of Provisions: The Consultant shall include the provisions of paragraphs one through six of this Exhibit in every subcontract, including procurements of materials and leases of equipment, unless exempt by the Acts, the Regulations and directives issued pursuant thereto. The Consultant shall take action with respect to any subcontract or procurement as the City or the WSDOT may direct as a means of enforcing such provisions, including sanctions for noncompliance. Provided, that if the Consultant becomes involved in, or is threatened with litigation by a subcontractor or supplier because of such direction, the Consultant may request that the City enter into any litigation to protect the interests of the City. In addition, the Consultant may request the United States to enter into the litigation to protect the interests of the United States. 7. Pertinent Non -Discrimination Authorities: During the performance of this Agreement, the Consultant AAA Sweeping — Sweeping — 2020 Page 8 of 9 Contract No. 19-161 agrees to comply with the following non-discrimination statutes and authorities; including but not limited to: Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin); and 49 CFR Part 21; The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. §4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal -aid programs and projects); Federal -Aid Highway Act of 1973, (23 U.S.C. §324 et seq.), (prohibits discrimination on the basis of sex); Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. §794 et seq.), as amended, (prohibits discrimination on the basis of disability); and 49 CFR Part 27; The Age Discrimination Act of 1975, as amended, (42 U.S.C. §6101 et seq.), (prohibits discrimination on the basis of age); Airport and Airway Improvement Act of 1982, (49 USC §471, Section 47123), as amended, (prohibits discrimination based on race, creed, color, national origin, or sex); The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of the terms "programs or activities" to include all of the programs or activities of the Federal -aid recipients, sub -recipients and contractors, whether such programs or activities are Federally funded or not); Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing entities (42 U.S.C. § § 12131-12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37 and 38; The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123) (prohibits discrimination on the basis of race, color, national origin, and sex); Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low -Income Populations, which ensures Non-discrimination against minority populations by discouraging programs, policies, and activities with disproportionately high and adverse human health or environmental effects on minority and low-income populations; Executive Order 13166, Improving Access to Services for Persons with Limited English Proficiency, and resulting agency guidance, national origin discrimination includes discrimination because of Limited English proficiency (LEP). To ensure compliance with Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access to your programs (70 Fed. Reg. at 74087 to 74100); and Title IX of the Education Amendments of 1972, as amended, which prohibits you from discriminating because of sex in education programs or activities (20 U.S.C. § 1681 et seq.). AAA Sweeping — Sweeping — 2020 Page 9 of 9 u::d °�,'s ,,,,„ " %, "spa„„r m rr„'v") � '��2u' AAARWFF-01 MWILLIAMS CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/16/2020 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 Inland Insurance, Inc. 9016 E Indiana, Suite A Spokane Valley, WA 99212 NAME CT Morgan Williams _ PHONE 509 456-264$ FAAic, Nol:(509 456-3432 (wc, No, Ext): ( ) ( ) aDORIESS: morgan.williams@inlandins.com INSURERS) AFFORDING COVERAGE _- NAIC # INSURERA:Alaska National Ins Co 38733 INSURED AAA Sweeping, LLC PO Box 624 Veradale, WA 99037 INSURER B : INSURER C : INSURER D : INSURER E INSURER F ^Mn ICIf'ATC An InnDCD. RFVIRION NUMBER' %1VVr-M/AUGJ v""1 I1lvl`11 nvlrlu�l�. .___._..___ ____-____-- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F-ylX OCCUR X X 20JPS30908 10/19/2020 10/19/2021 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 15,000 MED EXP An one person)$ 1,000,000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY X JE� LOC PRODUCTS - COMP/OP AGG $ WA STOP GAP 1,000,000 OTHER: Ea acccideDISINGLE LIMIT $ $ 1,000,000 A AUTOMOBILE LIABILITY BODILY INJURY Per erson $ X ANY AUTO X X 20JAS30908 10/19/2020 10/19/2021 BODILY INJURY Per accident , $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000 $ EXCESS LIAB CLAIMS -MADE 20JLU30908 10/19/2020 10/19/2021 AGGREGATE $ S,000,Q00 DIED X RETENTION $ 10,000 $ PER I OTH- WORKERS COMPENSATION STATUTE ER _ AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NHj EXCLUDED? ❑ N / A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equip 20JIA30908 10/19/2020 10/19/2021 Limit 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required City of Spokane Valley is Additional Insured as Respects Operations of the Named Insured. Coverage is Primary, on -Contributory. Waiver of Subrogation is Included. r`AAI(`FI 1 ATI(1N Loll Ir'II.+H 1 C r1VLVCR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Dept. 10210 East Sprague Ave Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) O 1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TRAVELERS RIDER To be attached to and form part of Bond No. 1062081 Travelers Casualty and Surety Company of America License No. Issued on behalf of AAA sweeping, LLC as Principal, and in favor of City of Spokane valley, Washington as Obligee. It is agreed that: ❑ 1. The Surety hereby gives its consent to change the Name: from: to: ❑ 2. The Surety hereby gives its consent to change the Address: from: to: ❑X 3. The Surety hereby gives its consent to change the Contract No. & Increased Contract Amount from: Contract #16-012 Contract Price to: Contract #19-161.01 Contract Price $567 This rider shall become effective as of 12/31/2020 PROVIDED, however, that the liability of the Surety under the attached bond as changed by this rider shall not be cumulative. Signed, sealed and dated 12/23/2020 Accepted: City of Spokane Valley, Washington Obligee LON S-4111 (8/66) Travelers Casualty and Surety Company of America By: i r L_. Cryst 1 Viehman Atto y-in-Fact Or AAA Sweeping, LLC Principal By: Travelers Casualty and Surety Company of America AW 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 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 Crystal A Viehman 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 17th day of January, 2019. ■u 0061q��•� J*�tY Ahpe .Ole A . s w 9� CDtVM�' ? m NCOMM COTr�� o sm m .y S State of Connecticut City of Hartford ss. By: Robert L. Rane , Senior Vice President On this the 17th day of January, 2019, 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 said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. `' k '� }1 ++aY My Commission expires the 30th day of June, 2021 Anna P. Nowik, Notary Public This Power of Attorney is granted under and by the authority 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 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 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 authority or by one or more Company officers pursuant to a written delegation of authority; 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 Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing 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 23rd day of December , 2020 Cis. '"t 6!1 HAR Q`14.„%J�l� w COHti. o VA Kevin E. Hughes, Assistant Secretary To verify the autthentici€y of this Power of Attorney, please ca// us at 1-800-421-3880. Please refer to the above-nalned.Attorney-in-Fact and the details of the bond to which this Power of Attorney is attached. Alftk Travelers Casualty and Surety Company of America TRAVELERS) License No. RIDER To be attached to and form part of Bond No. 106208109 Issued on behalf of AAA Sweeping, LLC as Principal, and in favor of City of Spokane Valley, Washington as Obligee. It is agreed that: ❑ 1. The Surety hereby gives its consent to change the Name: from: to: ❑ 2. The Surety hereby gives its consent to change the Address: from: to: ❑X 3. The Surety hereby gives its consent to change the Contract No. & Increased Contract Amount from: Contract #16-012 Contract Price $490,200 to: Contract #19-161.01 Contract Price $567,840 This rider shall become effective as of 12/31/2020 PROVIDED, however, that the liability of the Surety under the attached bond as changed by this rider shall not be cumulative. Signed, sealed and dated 12/23/2020 Accepted: City of Spokane Valley, Washington Obligee S-4111 (8/66) Travelers Casualty and Surety Company ofAmeriaa By: L Cryst I Viehman Alto y-in-Fact or AAA Sweeping, LLC Principal By: Travelers Casualty and Surety Company of America A111111111111► 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 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 Crystal A Viehman 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 17th day of January, 2019. ?' MM1P0lb, 040W 00M SIX o State of Connecticut City of Hartford ss. 01 By: Robert L. Rane enior Vice President On this the 17th day of January, 2019, 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 said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2021 �Z—W)) AW N�Anna P. Nowik, Notary Public This Power of Attorney is granted under and by the authority 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 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 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 authority or by one or more Company officers pursuant to a written delegation of authority; 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 Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing 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 23rd day of December , 2020 M•�Y o'�tr •/vp 00M, cr (0 WINS Kevin E. Hughes, Assi tant Secretary To verify Me authenticity of this Power of Attorney, please call us at 1-800-411-3880. Please refer to the above-nawed.4 ftorney-in-Fad and the details of the bond to which this Power of Attorney is attached. CI ient#: 1926592 AAASW E2 ACORDT.� CERTIFICATE OF LIABILITY INSURANCE D12/152021ATE YY) 12/15/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mike Miller USI Insurance Services NW PHONE 509-456-2648 FAX 509-456-3432 A/C, No, Ext : A/C, No 9016 E. Indiana Ave., Suite A E-MAIL j• ADDRESS: mike.j.miller@usi.com Spokane Valley, WA 99212 INSURER(S) AFFORDING COVERAGE NAIC # 509 456-2648 Alaska National Insurance Company INSURER A : p Y 38733 INSURED INSURER B : Navigators Insurance Company 42307 AAA Sweeping, LLC PO Box 624 INSURER C Veradale, WA 99037 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 21 J PS30908 10/19/2021 10/19/2022 EACH OCCURRENCE $1 ,000,OOO CLAIMS -MADE 4 OCCUR PREMISES (ERENTED rrrence)$100,000 X MED EXP (Any one person) $ 5,000 PD Ded:1 ,000 PERSONAL & ADV INJURY $1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY X X 21 JAS30908 10/19/2021 10/19/202 (CEO, aMBIccideNEDnt SINGLE LIMIT 1> > 000 000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB OCCUR X X 21 J LU30908 10/19/2021 10/19/2022 EACH OCCURRENCE s5,000,000 N AGGREGATE s5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $1 O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 21 JPS30908 WA STOP GAP 10/19/2021 10/19/202 STATUTE X OTRH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1 ,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 ,000,000 A L/R/H Equip 21JPS30908 10/19/2021 10/19/2022 $100,000 B Excess Liability 21 EXCZOOQJBIC 10/19/2021 10/19/2022 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Spokane Valley, only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured. The General Liability policy contains a special endorsement with Primary and Noncontributory wording, when required by written contract. The General Liability policy includes a Waiver of Subrogation endorsement in favor of City of Spokane Valley as referenced above. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley Public Works Dept. 10210 East Sprague Ave. Spokane Valley, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 1 #S34306820/M33780215 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SDCZP Client#: 1926592 AAAS W E2 ACORDTFI CERTIFICATE LIABILITY INSURANCE =022 D/YYYY) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Danielle Neumann USI Insurance Services NW AIc° No Ext:206-441-6300 FAX 9016 E. Indiana Ave., Suite A E-MAIL A/c, No : 610-362-8530 Spokane Valley, WA 99212 ADDRESS: danielle.neumann@usi.com 509 456-2648 1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED AAA Sweeping, LLC PO Box 624 Veradale, WA 99037 COVERAGES rFRTIFIr'ATF MI1UPPIP- INSURER A: Alaska National Insurance Company 38733 INSURER B : Navigators Specialty Insurance Co. 36056 INSURER C : Illinois Union Insurance Company 27960 INSURER D : INSURER E : DC\/ICIl1P1 G1119111'Y 1�11. 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 CONTRACTOR 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. SR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYW LIMITS A X COMMERCIAL GENERAL LIABILITY X X 22JPS30908 10/19/2022 10/19/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence _ $100,000 CLAIMS -MADE JX OCCUR t X MED EXP (Any one person) $5,000 PD Ded:1,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 x JECT F POLICY LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: _ A AUTOMOBILE LIABILITY X X 22JAS30908 10/19/2022 10/19/202 COMBINED SINGLE LIMIT (Eaa cident �_ $ 1,000,000 X BODILY INJURY (Per person) - $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) -- $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB X OCCUR x SE22EXCZOOQJBIC 10/19/2022 10/19/202 EACH OCCURRENCE $10 000 000 X AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X 22JPS30908 -- 10119/202210/19/202 -���-�--�" ��- -"—' PER I ToTH Y/ N ANY PROPRIETOR/PARTNER EXECUTIVE — OFFICER/MEMBER EXCLUDED? a NIA WA STOP GAP _STAT_USE E L EACH ACCIDENT __ - $1,000 OOO E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A L/R/H 22JPS30908 10/19/2022 10/19/2023 $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Spokane Valley, only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured. The General Liability policy contains a special endorsement with Primary and Noncontributory wording, when required by written contract. The General Liability policy includes a Waiver of Subrogation endorsement in favor of City of Spokane Valley as referenced above. City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10210 East Sprague Ave. Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S37816024/M37811459 LBSZP 00001'� S06rane 'BOND NO: 106208109 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley, Washington The City of Spokane Valley, Washington, in Spokane County, has awarded N AAA Sweeping, L.L.C. (Contractor), as Principal, a contract for the construction of the project designated as Contract #19-161.03 Street Sweeping Services , Project No. 19-161 in Spokane Valley, Washington, and said Principal is required to furnish a bond for performance of all obligations under the Contract. The Principal, and organized under Um|avmoythm8tate^[Wash|ngtomaud)bcnncdNdo6uoiooxointhoStateoyWaoh|n8tonanmuretyandnamedin \hm current list of"Surety Companies Aomcptah\o in Federal Bonds" as published in the Federal Register bythe Audit Staff Bureau nCAccn D� Dc ' 'nUvund xmUvhuN dfirmly bound <nthe City o[ Spokane VaUe�|nthe oumof —� --- — ---san- — --- —'` ---'----' US Dollars Total Contract Amount, subject to the provisions herein. Tile statutory performance bond shall become null and void, iCand when the Principal, its heirs, executors, odmini»trators, ouuouoaxy o,assigns shall well and faithfully perform all ofthe Principal's obligations under the Contract and fillfill all the terms and conditions of all duly authorized modifications, additions, and changes to said Contract that may hereafter 6e made, atthe time and in the manner therein oyooificd; and iysuch 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 oCtime, alteration maddition to the terms of tile Contract, tile specifications accompanyingthe Contract, ormthe work k`6cperformed under tile Contract shall in any way affect its obligation onthis bond, and waives notice oyany change, extension wCtime, alteration mraddition (nthe terms mf the Contract or the work perfon-ncd, The Surety agrees that modifications and changes to tile terrns and conditions of the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety nnthis bond and notice toSurety iumorequired for such increased obligation. This bond may b*executed intwo CD original counterparts, and shall be signed bvtile parties' duly authorized officers. This bond will only be accepted if it is accompanied by a fully executed and originalpnvmrofn%umoy6x the officer executing on behalf of the surety, PRINCIPAL AAA Sweeping, LLC. 7�-Sr� Printed Name SURETY - %f��;HAg Travelers Casualty and Surety Company of An I /10 Surety Signature Date RoxenaPa|arioa Printed Name Title Surety Phone No. 206-441-6300 Name, address, and telephone oflocal office/agent oySurety Company is: U8| Holdings Corporation 801 Union Approved as to forni: City of Spokane Valley Attorney, County of Spokane Date BOND NO. 106208109 CONTRACTOR'S NOIV-F--rDERAL PAYMENT BOND to City of Spokane Valley, Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to AAA Sweeping, L.L.C. (Contractor), as Principal, a contract for the construction of the project designated as Contract #19-161.03 Street Sweeping Services Project No.1 9-161 in Spokane Valley, Washington, and said Principal is required under the tenris of ontract to flurnish a payment bond in accord with Title 39.08 Revised Code of Washington (RCW), The Principal, and Travelers Casualty and Surety Company of America (Surety), a corporation organized under tile laws of tile State or Washington and licensed to do business in the State of Washington as surety and tint-ned in the current list of "Surety Companies Acceptable in Federal Bonds�'as published in tile Federal Register by tile Audit Staff Bureau of Accounts, V.�'. Trcasu �,ejojqtly and S verafly held and firmly bound to the City of Spokane Valley, in the surn of 66/166 US Dollars ($602,422.00 ),Total Contract Amount, subject to the provisions herein. The statutory payment bond shall become md| and void, if and when the Principal, its heirs. executors, administrators. successors, or assigns shall pay all persons in accordance with RCW 39.08 and 39.12 including all workers, laborers, mechanics, subcontractors, nndmateria|mcn,undo||peomnuwhodmUsupp|ymudhcontmnkxor subcontractor with provisions and supplies for (lie carryingono[such work, and all (axes incurred mnsaid Contract under Title 50 and 51 KCVV and all tuxes imposed on the Principal under Title 82 RCVV and if such payment obligations have not been fulfilled, this bond shall remain in full force and effect. The Surety for value received agrees that no change, extension oytime, alteration oraddition to the terms of tile Contract. the specifications accompanying the Contract, or to tile work to be perfonned under theCmt shall i any way affect its obligation oil this bond, except is 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 (lie Contract that increase the total amount to be paid tile Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is no required lor such increased obligation. This bond may be executed in two (2) 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 orattomey for the officer executing on behalf orthe surety. �,ioiif PRINCIPAL AAA Sweeping, L.L.C. Printed Name SURETY Travelers Casualty and Surety Company of A,�16 HAOWFOAM I Surety Signature Date Printed Name Surety Phone No. 206-441-6300 Name, address, and telephone of local oySurety Company is: UB| Holdings Corporation 601 Union Street, Suite 1000, Seattle, WA 98101 Approved as to form: City of Spokane Valley Attorney, County oy Spokane Date —Travelers Casualty and Surety Company of America A WTravelers Casualty and Surety Company TRAVELEM St. Paul Fire and Marine Insurance Company Fnirminni-nn Casualty Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, St. Paul Fire and Marine Insurance Company, and Farmington Casualty 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 Roxana Palacios Of Seattle WA their true and lawful Attorney(s)- i n- Fact to sign, execute, seal and acknowledge the following bond: Surety Bond No.: 106208109 Principal: AAASweeping,L.L.C, OR Obligee: The City of Spokane Valley Project Description: Contract #19-161.03 Street Sweeping Services IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, 2021. yRIFrl •y A.0 GNSU& I0tHAccNORD'to N0 1982 o C-1 b 4ox A ... . ...... State of Connecticut City of Hartford ss. Robert Raney, Senior Vice President On this the 21stday of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2026 P VJW "y oos,N Anna P. Nowik, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, 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 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 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 authority or by one or more Company officers pursuant to a written delegation of authority; 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 Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing 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 1, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, 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 January , 2023, ��P�,YY Ava 1HA I HFOR,OTDHA C Wt4. 9 82 0 Kevin E. HuglTes, Assistant Secretary To verity the authenticity of this Power of Attorney, please call us at 1-800-421-3880. Please refer to the above -named Attorney(s)-in-Fact and the details of the bond to which this Power of Attorney is attached. (•_ramie- 4Q9asQ9 AAASWF2 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 1 10/19/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER USI Insurance Services NW CONTACT NAME: Sage Ryan-Wutherich PHONE 208-917-5692 ac No): 610-362$530 A/C No Ext E-MAIL ADDRESS: sage-ryan-wutherich@usi.com sag e. an-wutherichusi.com 9016 E. Indiana Ave., Suite A INSURER(S) AFFORDING COVERAGE NAIC S Spokane Valley, WA 99212 INSURER A: Alaska National Insurance Company 38733 509 456-2648 INSURED AAA Sweeping, LLC PO Box 624 Veradale, WA 99037 INSURER B : Westchester Surplus Lines Insurance Co. 10172 INSURER C : Navigators Specialty Insurance Co. 36056 INSURER D INSURER E INSURER F : rnVFRAr_Fc rr-RTIFIrATF NIIMIRFR- 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. �TRR TYPE OF INSURANCE IN R y vD POLICY NUMBER MMdLDIDY MM/DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 23JPS30908 0/19/2023 10119/2024 EEAACMHq�OECTCURRENCE $1 000 000 NTED 'T...) MIME.rence $100 000 CLAIMS -MADE �X OCCUR X MED EXP (Any one Person) $5 000 PD Ded:1,000 PERSONAL 3 ADV INJURY $1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 RO POLICY � JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 WA Stop Gap $1,000,000 OTHER: A AUTOMOBILE LIABILITY X X 23JAS30908 0/19/2023 10/19/202 EOMaBIN Bn SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAS X OCCUR X X 23JLU30908 0/19/2023 10/19/2024 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A L/R/1H 23JPS30908 0/19/202310/19/202 $100,000/$5,000ded B Pollution G24330746012 0/19/2023 10/1912024 $1,000,000/$5,000ded C Excess SE23EXCZ000JBIC 10/19/2023110/19/2024 $5 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Spokane Valley, only when there is a written contract that requires such status, and only with regard to work performed by or on behalf of the named insured. The General Liability policy contains a special endorsement with Primary and Noncontributory wording, when required by written contract. The General Liability policy includes a Waiver of Subrogation endorsement in favor of City of Spokane Valley as referenced above. BE City of Spokane Valley THE SHOULD EXANY OF THEPIRATION DATE V THEREOF, NOTICEDESCRIBEDIEELLED WILL CBE CDELIVEREDO N Public Works Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10210 E. Sprague Avenue Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE .e. /pert_ 01988-2015 ACORD CORPORATION. All rights reserves. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S42339826/M42337176 BXFZP