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20-218.00 TDS Metrocom: Cable Franchise Lo /1( CITY OF SPOKANE VALLEY SPOKANE COUNTY,WASHINGTON ORDINANCE NO.20-015 AN ORDINANCE OF THE CITY OF SPOKANE VALLEY, SPOKANE COUNTY, WASHINGTON, GRANTING A NON-EXCLUSIVE CABLE FRANCHISE TO TDS METROCOM, LLC TO CONSTRUCT, MAINTAIN AND OPERATE CERTAIN FACILITIES WITHIN THE PUBLIC RIGHTS-OF-WAY OF THE CITY OF SPOKANE VALLEY, AND OTHER MATTERS RELATING THERETO. WHEREAS, RCW 35A.47.040 authorizes the City to grant, permit, and regulate "nonexclusive franchises for the use of public streets, bridges or other public ways, structures or places above or below the surface of the ground for railroads and other routes and facilities for public conveyances, for poles, conduits, tunnels, towers and structures, pipes and wires and appurtenances thereof for transmission and distribution of electrical energy, signals and other methods of communication, for gas, steam and liquid fuels,for water,sewer and other private and publicly owned and operated facilities for public service;"and WHEREAS, RCW 35A.47.040 further requires that "no ordinance or resolution granting any franchise in a code city for any purpose shall be adopted or passed by the city's legislative body on the day of its introduction nor for five days thereafter,nor at any other than a regular meeting nor without first being submitted to the city attorney,nor without having been granted by the approving vote of at least a majority of the entire legislative body,nor without being published at least once in a newspaper of general circulation in the city before becoming effective;"and WHEREAS,this Ordinance has been submitted to the City Attorney prior to its passage; and WHEREAS,the Council finds that the grant of franchise contained in this Ordinance,subject to its terms and conditions and chapter 3.65 SVMC, is in the best interests of the public, and protects the health, safety,and welfare of the citizens of this City. NOW, THEREFORE, the City Council of the City of Spokane Valley, Spokane County, Washington,ordains as follows: Section 1. Grant of Franchise. The City hereby grants to the TDS Metrocom,LLC,(hereinafter"Grantee"), a non-exclusive franchise authorizing the Grantee to construct, maintain, and operate a cable system in the rights-of-way such facilities and other related property or equipment as may be necessary or appurtenant for the deployment of cable television services in the City pursuant to this Franchise and according to the Cable Act. The term of this franchise and all its rights, privileges, obligations, and restrictions shall be 10 years from the effective date. However, upon the fifth year anniversary date of the Franchise term, the Grantee has the option to provide written notice to the City opting out of the remaining five years given a change in federal or State law which negatively impacts the City's ability to regulate this Franchise. To exercise the option,the Grantee shall give the City such written notice at least six months prior to the fifth year anniversary date of the Franchise term. Section 2. Franchise Renewal. Any renewal of this Franchise shall be governed by and comply with the provisions of the Cable Act(47 U.S.C. § 546)as amended. Section 3. City ordinances and regulations, subsequent amendments. Nothing herein shall be deemed to direct or restrict the City's ability to adopt and enforce all necessary and appropriate ordinances regulating the performance of the conditions of this franchise, including any reasonable ordinances made in the exercise of its police powers in the interest of public safety and for the welfare of the public. In the event Ordinance 20-015 TDS Metrocom, LLC,Cable Television Franchise Page 1 of 4 the City amends chapter 3.65 SVMC during the term of this franchise such that it conflicts with this franchise,the terms of the franchise shall control unless otherwise agreed in writing by the City and Grantee. Section 4. Adoption by reference of chapter 3.65 Spokane Valley Municipal Code. This franchise specifically adopts by reference as if fully set forth herein the entire chapter 3.65 SVMC relating to regulation of cable television providers. Section 5. Severability. If any section, sentence, clause or phrase of this Ordinance should be held to be invalid or unconstitutional by a court of competent jurisdiction, such invalidity or unconstitutionality shall not affect the validity or constitutionality of any other section,sentence,clause or phrase of this Ordinance. In the event that any of the provisions of the franchise are held to be invalid by a court of competent jurisdiction,the City reserves the right to reconsider the grant of the franchise and may amend,repeal,add, replace or modify any other provision of the franchise,or may terminate the franchise. Section 6. Notice. Any notice or information required or permitted to be given by or to the parties under this franchise may be sent to the following addresses unless otherwise specified, in writing: City: City of Spokane Valley Attn: City Clerk 10210 East Sprague Spokane Valley, WA 99206 Grantee: TDS Metrocom, LLC Attn: Legal Department 525 Junction Road Madison, WI 53717 With a copy to: Stephen P. Fitzell, Esq. Sidley Austin LLP 1 South Dearborn Street Chicago, IL 60603 Section 7. Choice of Law. Any litigation between the City and Grantee arising under or regarding this franchise shall occur, if in the state courts, in the Spokane County Superior Court, and if in the federal courts, in the United States District Court for the Eastern District of Washington. Section 8. Non-Waiver. The City shall be vested with the power and authority to reasonably regulate the exercise of the privileges permitted by this franchise in the public interest. Grantee shall not be relieved of its obligations to comply with any of the provisions of this franchise by reason of any failure of the City to enforce prompt compliance,nor does the City waive or limit any of its rights under this franchise by reason of such failure or neglect. Section 9. Entire Agreement. This franchise, including adoption by reference of the terms contained in chapter 3.65 SVMC relating to regulation of cable television providers,constitutes the entire understanding and agreement between the parties as to the subject matter herein and no other agreements or understandings, written or otherwise, shall be binding upon the parties upon execution and acceptance hereof. This franchise shall also supersede and cancel any previous right or claim of Grantee to occupy the City roads as herein described. Section 10. Acceptance. Not later than 60 days after passage of this Ordinance, Grantee shall accept the franchise herein by filing with the City Clerk an unconditional written acceptance thereof and provision of Ordinance 20-015 TDS Metrocom,LLC,Cable Television Franchise Page 2 of 4 the performance bond pursuant to SVMC 3.65.280. Failure of Grantee to so accept this franchise within said period of time shall be deemed a rejection thereof by Grantee, and the rights and privileges herein granted shall, after the expiration of the 60-day period,absolutely cease unless the time period is extended by subsequent ordinance passed for that purpose. Section 11. Effective Date. This Ordinance shall be in full force and effect at least five days after publication of the Ordinance or a summary thereof occurs in the official newspaper of the City of Spokane Valley as provided by law,and following acceptance by Grantee pursuant to Section 10. PASSED by the City Council this 13'1'day of October,2020. & 'J1 Ben Wick, Mayor AT E ., _ ./}\_4 141 Christine Bainbridge, City Clerk Approved as to Form: Jc — w Office o ie Ci oiney Date of Publication: /O - - ; gd� Effective Date: / Cl - 2 ,7 L-7d Ordinance 20-015 TDS Metrocom, LLC,Cable Television Franchise Page 3 of 4 Accepte by TDS Metro LLC By: Ate l I/ '�t�� oelUDoh eier,Director,Government&Reg. Affairs Y / " The Grantee,TDS Metrocom,LLC a limited partnership company,for itself,and for its successors and assigns, does accept all of the ter s and conditions of the foregoing Franchise. IN WITNESS WHEREOF, has signed this_day of , 2020. Subscribed and sworn before me this/41 y of NVIOD , 2020. •JODETTE L FRIEDRICH ` k otary Public • an for the State of I Z Notary Public l residing in 4 ,(,QA�O ',,> // State of Wisconsin I My commis on expires L9/ „��oc2T` Ordinance 20-015 TDS Metrocom,LLC,Cable Television Franchise Page 4 of 4 DocuSign Envelope ID:7585967F-EC63-4CE2-85F4-D7B60EF55B74 V.ocikt, Liberty r► Mutual SURETY PERFORMANCE BOND Bond 285064466 KNOW ALL BY THESE PRESENTS,That we, TDS Metrocom 525 Junction Road Madison,WI 53717 (hereinafter called the Principal),as Principal,and Liberty Mutual Insurance Company ,a corporation duly organized under the laws of the State of Massachusetts (hereinafter called the Surety),as Surety,are held and firmly bound unto City of Spokane Valley 10210 E.Sprague Ave.Spokane Valley,WA 99206 (hereinafter called the Obligee), in the sum of Two Hundred Fifty Thousand&00/100 ( $250,000.00 )Dollars,for the payment of which sum well and truly to be made, we, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. Signed and sealed this 26th day of October 2020 WHEREAS,said Principal has entered into a written Contract with said Obligee, Operation of Cable Television Franchise in the City,and All Other Matters Relating Thereto in accordance with the terms and conditions of said Contract,which is hereby referred to and made a part hereof as if fully set forth herein: NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION IS SUCH,That if the above bounden Principal shall well and truly keep, do and perform each and every, all and singular, the matters and things in said contract set forth and specified to be by said Principal kept, done and performed, at the times and in the manner in said contract specified, or shall pay over, make good and reimburse to the above named Obligee,all loss and damage which said Obligee may sustain by reason of failure or default on the part of said Principal so to do,then this obligation shall be null and void;otherwise shall remain in full force and effect. NO SUIT, ACTION OR PROCEEDING by the Obligee to recover on this bond shall be sustained unless the same be commenced within two(2)years following the date on which Principal ceased work on said Contract. TDS Metrocom notuwanc by. II Principal ,�Dt,t, VetkAiut.r 11/2/2020 I 12:33 PM MST By` 45125DD6EFBC4DO_. Liberty Mutual Insurance Company BYA/Ger--402G�/ Aaron D.Griffin Attorney-in-Fact LMS-10757 10199 DocuSign Envelope ID:7585967F-EC63-4CE2-85F4-D7B60EF55B74 or- ..... This Power of Attorney limits the acts of those named herein,and they have no authority to '' t Lib erty be bind the Company except In the manner and to the extent herein stated. r► Mutual. Liberty Mutual Insurance Company SURETY The Ohio Casualty Insurance Company Certificate No:e201331 West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Aaron D.Griffin all of the city of Chicago ,state of Illinois each individually if there be more than one named,its true and lawful attorney-in-fact,with full power and authority hereby conferred to sign,execute and acknowledge the above-referenced surety bond. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 30th day of May,2019. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company tNSUft 0Y INBvRr 1148UD /////J a~, oM�1e J`s`°*►�''to mac+ it,� °te s�y^�4/D � �1911919c 4 1991 c By: "7 l rtt���Gcau+ o hAs,V�1.gr r+, 'Mout� +8 to .1) * 1• 44 * [. 3M * p.. David M.Carey,Assistant Secretary in STATE OF PENNSYLVANIA ss au)) ui COUNTY OF MONTGOMERY a) On this 30th day of ,2019,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company,The c`o Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes therein contained c co by signing on behalf of the corporations by himself as a duly authorized officer. co o 0 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. o — = —co0 �SPo+rv.F r(F� COMMONWEALTH OF PENNSYLVANIA j�tl l d > �e �` Notarial Seal ifteill) Ea� 7 ~ or T r Teresa Pastelle,Nolery Puhllc -p a Upper Merionlwp.,Montgomery County By. SO M C-y yycrO My Commission Expires March 28,2021 Q v. Al 0 �rq Teresa Pastella,Notary Public 4- 0 1W Member,Pennsylvania Association of Wades 0 17 C ai`o This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual m m C Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o 11 b ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o co an ur Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the ;c rn ca E President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act In behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety c t c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney, o o o• shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such v- ui instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the -co -25 iv provisions of this article maybe revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. >o .2 6 ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. to-N > act Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, E 00 t ' shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, co Zbonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall have full power to bind c 0O the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding o o as if signed by the president and attested by the secretary. o fD t-,- Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys- infect as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,of Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 26th day of October , 2020 oriel/ �SY INS d Mkt. = 1972 1919 „In W 1991 .,017.6.411.44P--• a o a By: rd,�e'4ewv a o „Art rya et*.Ab Renee C.Llewellyn,Assistant Secretary ) * t• a'4 * t• M * 1.1. DocuSign Envelope ID:7585967F-EC63-4CE2-85F4-D7B60EF55B74 Aaron Griffin Senior Fulfillment Specialist M MARSH Marsh USA Inc. 540 W.Madison Street 11th Floor Chicago, IL 60661 3146276366 Aaron.Griffin@Marsh.com www.marsh.com October 26, 2020 Kathleen Davis TDS Telecom 30 Nobscot Road, Unit 13 Sudbury, MA 01776 Subject: New Bond Principal: TDS Metrocom Obligee: City of Spokane Valley Bond Description: Permit to Regulate Franchises for the use of Public Right of Ways Bond Amount: $250,000.00 Bond Number: 285064466 Surety Name: Liberty Mutual Insurance Company Dear Kathleen: In response to the request dated 10/26/2020, I am pleased to enclose the above-referenced bond document that is based on the information we received with the request. Prior to filing with City of Spokane Valley the following items need to be completed: 1. Signed by authorized officer 2. Officer's name and title inserted below signature 3. Corporate seal affixed (if applicable) As always, the bond document should be re-checked for accuracy before filing with City of Spokane Valley. If you have any questions, please feel free to contact me. Thank you for allowing Marsh to service your surety needs. Sincere , Aaron Griffin Senior Fulfillment Specialist Enclosure • DATE(MM/DD/YYYY) ACC012 o® CERTIFICATE OF LIABILITY INSURANCE 10/27/2020 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 CONTACT MARSH USA INC. NAME' PHONE FAX 540 W.MADISON (A/C.No,Ext): (A/C,No): CHICAGO,IL 60661 E-MAIL Attn:Chicago.CertRequest@marsh.com I Fax:212-948-0770 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Sentry Casualty Company 28460 INSURED INSURER B:Sentry Insurance A Mutual Company 24988 TELEPHONE AND DATA SYSTEMS,INC. UNITED STATES CELLULAR CORPORATION INSURER C:ACE Property and Casualty Insurance Company 20699 AND TDS TELECOMMUNICATIONS CORPORATION INSURER D: 30 N LASALLE ST,STE 4000 CHICAGO,IL 60602 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-009577862-01 REVISION NUMBER: 3 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) B X COMMERCIAL GENERAL LIABILITY 90-02578-11 01/01/2020 01/01/2021 EACH OCCURRENCE $ 2,000,000 DAMAGE RENTE CLAIMS-MADE X OCCUR PREMISESO(Ea occur ence) $ 2,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY 90-02578-04 01/01/2020 01/01/2021 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) C X UMBRELLA LIAB X OCCUR XEU G71770588 001 01/01/2020 01/01/2021 EACH OCCURRENCE $ 8,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 8,000,000 DED X RETENTION$25,000 $ B WORKERS COMPENSATION 90-02578-01(DED)(AOS) 01/01/2020 01/01/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N 90-02578-02 01/01/2020 01/01/2021 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A MA,NY,WI,ND,OH,WA,WY (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 I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Spokane Valley,Washington is/are included as additional insured(except workers'compensation)as respects operations performed by or on behalf of the named insured as required by written contract. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley,Washington SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10210 East Sprague THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Spokane Valley,WA 99206 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD EBUF!)NN0EE0ZZZZ* DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF 12/30/2020 UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS OBNF; MARSH USA INC. GBY QIPOF )B0D-!Op*; )B0D-!Op-!Fyu*; 540 W. MADISON F.NBJM CHICAGO, IL 60661 BEESFTT; Attn: Chicago.CertRequest@marsh.com | Fax: 212-948-0770 JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ 28460 JOTVSFS!B!;Sentry Casualty Company JOTVSFE 24988 JOTVSFS!C!;Sentry Insurance A Mutual Company TELEPHONE AND DATA SYSTEMS, INC. 20699 JOTVSFS!D!; ACE Property and Casualty Insurance Company UNITED STATES CELLULAR CORPORATION AND TDS TELECOMMUNICATIONS CORPORATION JOTVSFS!E!; 30 N LASALLE ST, STE 4000 JOTVSFS!F!; CHICAGO, IL 60602 JOTVSFS!G!; CHI-009577862-073 DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCS JOTSQPMJDZ!FGGQPMJDZ!FYQ UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS MUS)NN0EE0ZZZZ*)NN0EE0ZZZZ* JOTEXWE B 01/01/2022 DPNNFSDJBM!HFOFSBM!MJBCJMJUZ 01/01/2021 X90-02578-11 2,000,000 FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE X 2,000,000 DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* 10,000 NFE!FYQ!)Boz!pof!qfstpo*% 2,000,000 QFSTPOBM!'!BEW!JOKVSZ% 4,000,000 HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. X4,000,000 QPMJDZMPDQSPEVDUT!.!DPNQ0PQ!BHH% KFDU % PUIFS; DPNCJOFE!TJOHMF!MJNJU 90-02578-0401/01/2021 B 01/01/2022 BVUPNPCJMF!MJBCJMJUZ% 5,000,000 )Fb!bddjefou* BOZ!BVUP X CPEJMZ!JOKVSZ!)Qfs!qfstpo*% PXOFETDIFEVMFE CPEJMZ!JOKVSZ!)Qfs!bddjefou*% BVUPT!POMZBVUPT OPO.PXOFE IJSFEQSPQFSUZ!EBNBHF % )Qfs!bddjefou* BVUPT!POMZBVUPT!POMZ % C XEU G71770588 002 8,000,000 VNCSFMMB!MJBC 01/01/2022 X X 01/01/2021 FBDI!PDDVSSFODF% PDDVS FYDFTT!MJBC 8,000,000 DMBJNT.NBEFBHHSFHBUF% X % EFESFUFOUJPO%25,000 QFSPUI. 01/01/2021 01/01/2022 B XPSLFST!DPNQFOTBUJPO 90-02578-01 (DED) X TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O A01/01/202101/01/2022 90-02578-02 1,000,000 BOZQ!SPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O!0!B N PGGJDFS0NFNCFS!FYDMVEFE@ (MA,NY,WI,ND,OH,WA,WY) 1,000,000 )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs 1,000,000 F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* City of Spokane Valley, Washington is/are included as additional insured (except workers’ compensation) as respects operations performed by or on behalf of the named insured as required by written contract. DFSUJGJDBUF!IPMEFSDBODFMMBUJPO City of Spokane Valley, Washington TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF 10210 East Sprague UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO Spokane Valley, WA 99206 BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ BVUIPSJ\[FE!SFQSFTFOUBUJWF pg!Nbsti!VTB!Jod/ Nbobtij!Nvlifskff ª!2:99.3127!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE EBUF!)NN0EE0ZZZZ* DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF 12/14/2021 UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS Marsh | U.S. Operations OBNF; MARSH USA INC. GBY QIPOF 866-966-4664212-948-0770 )B0D-!Op*; )B0D-!Op-!Fyu*; 540 W. MADISON F.NBJM CHICAGO, IL 60661 Chicago.CertRequest@marsh.com BEESFTT; JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ 24988 JOTVSFS!B!;Sentry Insurance Company JOTVSFE 28460 JOTVSFS!C!;Sentry Casualty Company TELEPHONE AND DATA SYSTEMS, INC. 20699 JOTVSFS!D!; ACE Property and Casualty Insurance Company UNITED STATES CELLULAR CORPORATION AND TDS TELECOMMUNICATIONS CORPORATION JOTVSFS!E!; 30 N LASALLE ST, STE 4000 JOTVSFS!F!; CHICAGO, IL 60602 JOTVSFS!G!; CHI-009577862-103 DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCS JOTSQPMJDZ!FGGQPMJDZ!FYQ UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS MUS)NN0EE0ZZZZ*)NN0EE0ZZZZ* JOTEXWE A 01/01/2023 DPNNFSDJBM!HFOFSBM!MJBCJMJUZ 01/01/2022 X90-02578-004 2,000,000 FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE X 2,000,000 DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* 10,000 NFE!FYQ!)Boz!pof!qfstpo*% 2,000,000 QFSTPOBM!'!BEW!JOKVSZ% 4,000,000 HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. X4,000,000 QPMJDZMPDQSPEVDUT!.!DPNQ0PQ!BHH% KFDU % PUIFS; DPNCJOFE!TJOHMF!MJNJU 90-02578-003 (AOS)01/01/2022 A 01/01/2023 BVUPNPCJMF!MJBCJMJUZ% 5,000,000 )Fb!bddjefou* A 90-02578-005 (VA)01/01/202201/01/2023 BOZ!BVUP X CPEJMZ!JOKVSZ!)Qfs!qfstpo*% PXOFETDIFEVMFE CPEJMZ!JOKVSZ!)Qfs!bddjefou*% BVUPT!POMZBVUPT OPO.PXOFE IJSFEQSPQFSUZ!EBNBHF % )Qfs!bddjefou* BVUPT!POMZBVUPT!POMZ % C XEU G71770588 003 8,000,000 VNCSFMMB!MJBC 01/01/2023 X X 01/01/2022 FBDI!PDDVSSFODF% PDDVS FYDFTT!MJBC 8,000,000 DMBJNT.NBEFBHHSFHBUF% % EFESFUFOUJPO% QFSPUI. 01/01/2022 01/01/2023 A XPSLFST!DPNQFOTBUJPO 90-02578-001 (AOS) X TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O B01/01/202201/01/2023 90-02578-002 1,000,000 BOZQ!SPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O!0!B N PGGJDFS0NFNCFS!FYDMVEFE@ (MA,NY,WI,ND,OH,WA,WY) 1,000,000 )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs 1,000,000 F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* City of Spokane Valley, Washington is/are included as additional insured (except workers’ compensation) as respects operations performed by or on behalf of the named insured as required by written contract. DFSUJGJDBUF!IPMEFSDBODFMMBUJPO City of Spokane Valley, Washington TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF 10210 East Sprague UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO Spokane Valley, WA 99206 BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ BVUIPSJ\[FE!SFQSFTFOUBUJWF ª!2:99.3127!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE EBUF!)NN0EE0ZZZZ* DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF 12/22/2022 UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS Marsh | U.S. Operations OBNF; MARSH USA INC. GBY QIPOF 866-966-4664212-948-0770 )B0D-!Op*; )B0D-!Op-!Fyu*; 540 W. MADISON F.NBJM CHICAGO, IL 60661 Chicago.CertRequest@marsh.com BEESFTT; JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ 24988 CN102261185-STND-GAWU-23-24 Sentry Insurance Company JOTVSFS!B!; JOTVSFE 28460 Sentry Casualty Company JOTVSFS!C!; TELEPHONE AND DATA SYSTEMS, INC. 20699 JOTVSFS!D!;ACE Property and Casualty Insurance Company UNITED STATES CELLULAR CORPORATION AND TDS TELECOMMUNICATIONS CORPORATION JOTVSFS!E!; 30 N LASALLE ST, STE 4000 JOTVSFS!F!; CHICAGO, IL 60602 JOTVSFS!G!; CHI-009577862-135 DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCS JOTSQPMJDZ!FGGQPMJDZ!FYQ UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS MUS)NN0EE0ZZZZ*)NN0EE0ZZZZ* JOTEXWE A 01/01/2024 DPNNFSDJBM!HFOFSBM!MJBCJMJUZ 01/01/2023 X90-02578-003 2,000,000 FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE X 2,000,000 DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* 10,000 NFE!FYQ!)Boz!pof!qfstpo*% 2,000,000 QFSTPOBM!'!BEW!JOKVSZ% 4,000,000 HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. X4,000,000 QPMJDZMPDQSPEVDUT!.!DPNQ0PQ!BHH% KFDU % PUIFS; DPNCJOFE!TJOHMF!MJNJU 90-02578-004 (AOS)01/01/2023 A 01/01/2024 BVUPNPCJMF!MJBCJMJUZ% 5,000,000 )Fb!bddjefou* A 90-02578-005 (VA)01/01/202301/01/2024 BOZ!BVUP X CPEJMZ!JOKVSZ!)Qfs!qfstpo*% PXOFETDIFEVMFE CPEJMZ!JOKVSZ!)Qfs!bddjefou*% BVUPT!POMZBVUPT OPO.PXOFE IJSFEQSPQFSUZ!EBNBHF % )Qfs!bddjefou* BVUPT!POMZBVUPT!POMZ % C XEU G71770588 004 8,000,000 VNCSFMMB!MJBC 01/01/2024 X X 01/01/2023 FBDI!PDDVSSFODF% PDDVS FYDFTT!MJBC 8,000,000 DMBJNT.NBEFBHHSFHBUF% % EFESFUFOUJPO% QFSPUI. 01/01/2023 01/01/2024 A XPSLFST!DPNQFOTBUJPO 90-02578-001 (AOS) X TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O B01/01/202301/01/2024 90-02578-002 (OH, MA, ND, NY, 1,000,000 BOZQ!SPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O!0!B N PGGJDFS0NFNCFS!FYDMVEFE@ WA, WI, WY) 1,000,000 )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs 1,000,000 F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* City of Spokane Valley, Washington is/are included as additional insured (except workers’ compensation) as respects operations performed by or on behalf of the named insured as required by written contract. DFSUJGJDBUF!IPMEFSDBODFMMBUJPO City of Spokane Valley, Washington TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF 10210 East Sprague UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO Spokane Valley, WA 99206 BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ BVUIPSJ\[FE!SFQSFTFOUBUJWF ª!2:99.3127!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE ACbR o® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/20/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA L-C. 540 W. MADISON CONTACT NAME: Marsh I U.S. Operations PHONNo,E 866-966-4664 FVExt)C No): 212-948-0770 E-MAIL ADDRESS: Chicago.CertRequest@marsh.com CHICAGO, IL 60661 INSURERS AFFORDING COVERAGE NAIC /1 INSURER A: Sentry Insurance Company 24988 CN102261185-STND-GAWU-24-25 INSURED TELEPHONE AND DATA SYSTEMS, INC. UNITED STATES CELLULAR CORPORATION INSURER B : Sent Casualt Com an 28460 INSURER C : ACE Property and Casualty Insurance Company 20699 INSURER D : AND TDS TELECOMMUNICATIONS CORPORATION 30 N LASALLE ST, STE 4000 CHICAGO, IL 60602 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-009577862-14 REVISION NUMBER: 5 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 MMIDDfYYYY POLICY EXP MMIDD//YYYY LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE Fx_1 OCCUR 90-02578-004 01/01/2024 01/01/2025 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED (E. occurrence) PREMISESccurence)$ 2,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT PRO ❑ LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 90-02578-003 01/01/2024 01/01/2025 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE G71770588004 01/01/2024 01/01/2025 EACH OCCURRENCE $ 8,000,000 N AGGREGATE $ 8,000,000 DED I I RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTNER/EXECUTIV E OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 90-02578-001 (AOS) 90-02578-002 (OH,MA,ND,NY,WA, ,Wi, WI,WY) / 01/01/2024 0110112025 01/01/2025 X PER I OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Spokane Valley, Washington is/are included as additional insured (except workers' compensation) as respects operations performed by or on behalf of the named insured as required by written contract. t^FRTIFIrATF i4ni nFR CANCELLATION City of Spokane Valley, Washington SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10210 East Sprague THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Spokane Valley, WA 99206 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lwlnz k' .LL1�i © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD