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19-162.02 Poe Asphalt: Street & Stormwater Maintenance & Repair CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND Poe Asphalt Paving Inc. Spokane Valley Contract 19-162.02 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged,City and the Poe Asphalt Paving Inc.mutually agree as follows: 1.Purpose:This Amendment is for the Contract for additional street maintenance for Cataldo widening and paving project(Western States facility) by and between the Parties, executed by the Parties on 08/03/21, and which terminates on 12/31/21. 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. The amount authorized to be expended for 2021 only is increased by an additional $188.855.33 to provide for additional street maintenance for Cataldo widening and paving(Western States facility),for a total 2021 expenditure of up to$1,704,295.28. 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 12/20/20 $1,515,439.95 Amendment#1 08/03/21 $ 188,855.33 Total Amended Compensation $1.704,295.28 The parties have executed this Amendment to the Original Contract this day of August 2021. CITY OF SPOKANEVALLEY: POE ASPHALT PAVING INC. /6-i- ark Calhoun By: Mark Poe City Manager Its:President APP'OVED • . • FORM: O 'ice o' 1 e Cityi• om- • i 1 ��••� POEASPH-01 DALLEN DATE(MMIDD/YY YY) ACORO' CERTIFICATE OF LIABILITY INSURANCE `..•• 11/24/2020 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 ACT Stonebraker McQuary PHONE I(A/C,No):(509) 616 5th St. (AIC,No,Eat):(509)758-5529 FAX 758-5311 PO Box 9 1-Mss:CustomerService@stonebrakermcquary.com Clarkston,WA 99403 INSURER(S)AFFORDING COVERAGE NAIC H INSURER A:Phoenix Insurance Company 25623 INSURED INSURER e:Travelers indem,Co of Conn 25682 Poe Asphalt Paving,Inc. INSURER cpTravelers Property Casualty Insurance Company-Main 36161 PO Box 449 INSURER D:SIF _.__. 36129 Lewiston,ID 83501 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER IMMIDD/YYYY1 IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ 1,000,000 CLAIMS-MADE X OCCUR D-CO-1537P996-PHX-20 11/1/2020 11/1/2021 PREMISES(Ea occurrence) $ X Contractual MED EXP(Any one person) $ 10,000 X XCU,Sep of Insured PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ 2,000,000 POUCY I X I JECT I I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER:$1,000 PD Deductible Stop Gap Liab ; 1,000,000 B AUTOMOBILE LIABILITY CO accideNEDD SINGLE LIMIT nt) ; 1,000,000 X ANY AUTO X X 810-0L841684-20-26-G 11/1/2020 11/1/2021 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRREE�� ONLY AUTOSpNN Dp BODILY INJURY(Per accident) $ X AIM ONLY X AUTOY (PeOeccidentDAMAGE-- $_—_ $ C _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE y 4,000,000 X EXCESS LIAB CLAIMS-MADE CUP-7H492823-20-26 11/1/2020 11/1/2021 AGGREGATE ; 4,000,000 DED X RETENTIONS 10,000 $ D WORKERS COMPENSATION X STATUTE OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X 578551 10/1/2020 10/1/2021 E.L.EACH ACCIDENT $ 500,000 FFICER/MEMMER EXCLUDED? Y N/A 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ _ If yes,desuibe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 2020-2021 Street and Stormwater Contract CERTIFICATE HOLDER CANCELLATION 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 City of Spokane Valley 10210 E Sprague Ave -at---.oei..OLy-- ISpokane Valley NA 99206 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /1\1\ASPHALT PAVING INC. Alillik poeasphalt.com To: CITY OF SPOKANE VALLEY Bill Date: 07/25/21 10210 E.SPRAGUE AVE Invoice#: 46793 ATTN: ACCOUNTS PAYABLE Due Date: 08/24/21 SPOKANE VALLEY,WA 99206 Terms: NET 30 DAYS Customer : 40886 Payment Request: 1 Reference: 195081- COSV ST. &STORMWATER MAINTENANCE 2021 ITEM#2343 ASPHALT REPAIR*PAVEMENT REMOVAL 188,855.33 CATALDO AVENUE LABOR=$42,058.51 EQUIP= $32,084.05 MATL'S=$69,896.45 EQUIPMENT USED NOT ON BID: PACWESTMACHINERY @$1,019.38 10%PROFIT=$101.94 SUNBELT RENTALS @$277.92 10%PROFIT=$27.79 SUN RENTAL VALLEY @$245.57 10%PROFIT=$24.56 MATERIALS USED NOT ON BID: CANNON HILL INDUSTRIES @$624.00 10%PROFIT=$62.40 CDA READY MIX @$1,099.89 10%PROFIT=$109.99 WHITE BLOCK COMPANY @$143.41 10%PROFIT=$14.34 SUBS USED NOT ON BID: AAA SWEEPING @$1,663.00 10%PROFIT=$166.30 LAND SURVEYORS INC.@$1,717.50 10%PROFIT= $171.75 INLAND FENCE @$5,649.16 10%PROFIT=$564.92 NORTH STAR ENTERPRISES @$16,123.51 10%PROFIT=$1,612.35 PAVEMENT RECYCLING @$5,350.00 10%PROFIT=$535.00 CAD OF SPOKANE @$1,151.25 10%PROFIT=$115.13 • AMC TRUCKING LLC @$883.75 10%PROFIT=$88.38 • LINCOLN EXCAVATING INC.@$3,747.50 10%PROFIT=$374.75 • POE ENTERPRISES, INC.@$1,046.25 An Equal Opportunity Employer 10%PROFIT=$104.63 CLARKSTON DIVISION GRANGEVILLE DIVISION POST FALLS DIVISION PULLMAN DIVISION P.O.BOX 449 Lewiston,ID 83501 P.O.BOX 449 Lewiston,ID 83501 2732 N.Beck Road Post Falls,ID 83854 P.O.Box 784 Pullman,WA 99163 Ph:509.758.5561 Fax:509.758.1754 Ph:509.758.5561 Fax:509.758.1754 Ph:208.777.0498 Fax:208.777.0499 Ph:509.334.6400 Fax:509.334.6464 ASPHALT PAVING INC. 411k poeasphalt.com To: CITY OF SPOKANE VALLEY Bill Date: 07/25/21 10210 E. SPRAGUE AVE Invoice#: 46793 ATTN: ACCOUNTS PAYABLE Due Date: 08/24/21 SPOKANE VALLEY,WA 99206 Terms: NET 30 DAYS Customer : 40886 Payment Request: 1 Reference: 195081-COSV ST. & STORMWATER MAINTENANCE 2021 SPOKANE VALLEY, WA WORK COMPLETED THROUGH 7.25.2021 188,855.33 Total: 188,855.33 Plus Sales Tax: 0.00 Less Retainage: 9,442.77 08/24/21 Total Amount Due: 179,412.56 Remit to: POE ASPHALT PAVING, INC. P 0 BOX 449 LEWISTON, ID 83501 509-758-5561 WE APPRECIATE YOUR BUSINESS AND PROMPT PAYMENT CITY OF SPOKANE VALLEY Invoice#: 46793 An Equal Opportunity Employer CLARKSTON DIVISION GRANGEVILLE DIVISION POST FALLS DIVISION PULLMAN DIVISION P.O.BOX 449 Lewiston,ID 83501 P.O.BOX 449 Lewiston,ID 83501 2732 N.Beck Road Post Falls,ID 83854 P.O.Box 784 Pullman,WA 99163 Ph:509.758.5561 Fax:509.758.1754 Ph:509.758.5561 Fax:509.758.1754 Ph:208.777.0498 Fax:208.777.0499 Ph:509.334.6400 Fax:509.334.6464