Loading...
21-042.01 Ibex Commercial Flooring: CenterPlace Sr Center Reception & Rm 212 Carpet CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND IBEX COMMERCIAL FLOORING, LLC Spokane Valley Contract 21-042.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the Contractor mutually agree as follows: I. Purpose: This Amendment is for the Contract for the CenterPlace Senior Center Reception Carpet Replacement and Room 212 Repair project by and between the Parties,executed by the Parties on June 14, 2021,and which terminates on June 30,2021. Said contract is referred to as the"Original Contract" and its terms are hereby incorporated by reference. 2.Original Contract Provisions:The Parties agree to continue to abide by those terms and conditions of the Original Contract and any amendments thereto which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are either as follows,or attached hereto as Appendix"A". All such amended provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Extend the Time for Performance date to complete the work to July 31.2021 4. Compensation Amendment History: This is Amendment #1 of the Original Contract. The history of amendments to the compensation on the Original Contract and all amendments is as follows: Date Compensation Original Contract Amount 06/14/2021 $859.71 Amendment#1 06/28/2021 E___:0- Total Amended Compensation S859.71 The parties have executed this Amendment to the Original Contract this day of June,202I. Y OF SP K E VALLEY: IBEX COMMERCIAL FLOORING,LLC: 1 ctu.4, ILIA. Mark Calhoun By: t hi; - " . City Manager Its: Metiw� . APP OVED A FORM: • Office o t1 e City A to ley 1 �•� IBEXFLO-01 BJAYA AC—ORE, DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/24/2021 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Hub International Northwest LLC PHONE 509 747-3121 I FAX ) PO Box 3144 (A/c,No,Exe):( ) (a/C,Noy(509 623-1073 E-MAI nows kinfo hubinternatIonal.com Spokane,WA 99220 ADDR �;; � _� INSURER{AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Casualty ____ 28665 INSURED INSURER B:Westchester Surplus Lines Insurance Co. 10172 IBEX Flooring LLC INSURER Cq- PO Box 7538 INSURER D: Spokane,WA 99207 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DD/YYYY1 (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR EPP0547117 8/2/2020 8/2/2021 DAMAGETORENTED 1,000,000 X X PREMISES(Ea occurrence) S MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ._- $ 2,000,000 POLICY[X J 78,, I I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accidgn9 $ X ANY AUTO EBA0547117 8/2/2020 8/2/2021 BODILY INJURY Ter person) AUTOS EOS ONLY SCHEDULED SSVUvLNEEDp BODILY INJURY(Per accident) X AUTOS ONLY X AUUTOS ONLY (Perraecidenl)AMAGE----- S - -- —�--- _ ... A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE EPP0547117 8/2/2020 8/2/2021 AGGREGATE $ 2,000,000 DEG X RETENTIONS 10,000 WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANY� ndatory in NH)PROPRIETOR/PARTNER/EXECUTIVEg E.L.EACH ACCIDENT OFa $ EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A WA Stop Gap EPP0547117 8/2/2020 8/2/2021 $1 M/$1 M I$1 M B Contractor Pollution G28372103001 1/15/2021 1/15/2022 $2,500 Ded/Condition 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:Contract#21.042.00,Center Place,Senior Center Reception Carpet Replacement and Room 212 Repair Project. City of Spokane Valley is included as Al per attached policy forms,coverage is Primary and Non-Contributory and Waiver of Subrogation applies per the attached forms/endorsements.Per Project Aggregate applies to General Liability policy per attached form/endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P ACCORDANCE WITH THE POLICY PROVISIONS. 10210 East Sprague Avenue Spokane,WA 99206 AUTHORIZED REPRESENTATIVE VW/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WWryMiu4 d{urvaad Labor&Industries j ps://Ini.wa.gQy) IBEX FLOORING LLC Owner or tradesperson PO BOX 7538 SPOKANE,WA 99207 Principals 509-327-3331 MYERS,NATHAN SPOKANE County BENJAMIN.PARTNER/MEMBER MYERS,ASHLI CATHRYN,PARTNER/MEMBER Doing business as IBEX FLOORING LLC WA UBI No. Business type 602 653 391 Limited Liability Company Governing persons ASHLI CATHRYN MYERS NATHAN BENJAMIN MYERS; License Verify the contractor's active registration I license/certification(depending on trade)and any past violations. Construction.Contractor Active Meets current requirements. License specialties GENERAL License no. IBEXFFL944Q9 Effective—expiration 12/06/2006-12/06/2022 Bond CBIC $12,000.00 Bond account no. FB4044 Received by L&I Effective date 11/19/2010 11/16/2010 Expiration dale Until Canceled Insurance Cincinnati Ins Co $1,000,000.00 Policy no. EPP0547117 Received by L&I Effective date 07/28/2020 08/02/2020 Expiration date 08/02/2021 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings Na lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&l tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oiogon ftuieau of Labor&Industrio: or Morrtana Department of Labor Inclor,try to verify if this business has apprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 969,461-02 Doing business as IBEX FLOORING LLC Estimated workers reported Quarter 1 of Year 2021"31 to 50 Workers" L<I account contact T3/SYDNEY RAVES(360)902-4659-Email:RAVS235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period.