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22-074.00 North Fork Enterprises: Wilbur Sidewalks Boone to Mission Contract This agreement is entered into this L3iay of J `1 , 20 between the City of Spokane Valley("City")and North Fork Enterprises ("Contrac or"), pursuant to Title 35 RCW, as adopted or amended. In consideration of the terms and conditions contained herein and attached and made a part of this agreement,the parties agree as follows: I. The Contractor shall do all work and furnish all tools,materials,and equipment for: Wilbur Road Sidewalk: Boone to Mission#0318 Contract 22-074 in accordance with and as described in the project plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work, and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City. II. The City hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself,and for his/hers heirs,executors,administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City by reason of entering onto this contract, except as provided herein. V. The project was awarded for the bid amount of$715,813.50 IN WITNESS WHEREOF,the Contractor has executed this instrument,on the date below, and the City has caused this instrument to be executed on the date stated above. Wilbur Road Sidewalk: Boone to Mission Date Contract#22-074—North Fork Enterprises Page 2 Executed by Contractor J J"t '3 0 , 2024 Date , -e. ° �r C.a�+ ` .� Printed Name «a-S: da-"- " Title Sign ure City of Spokane Valley Printed Name City Manager Title Sig/Kn City of Spokane Valley Wilbur Sidewalk Project an,of pane BOND NO: 4101772 CONTRACTOR'S PERFORMANCE BOND to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to North Fork Enterprises, LLC (Contractor),as Principal,a contract for the construction of the project designated as Wilbur Road Sidewalk: Boone to Mission Project No. 0318 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a performance bond in accordance with chapter 39.08 Revised Code of Washington(RCW). The Principal, and Great American Insurance Company (Surety), a corporation, organized under the laws of OH and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts,U.S.Treasury Dept.,are jointly and severally held and firmly bound to the City of Spokane Valley,as Obligee,in the sum of$715,813.50 "' total Contract amount(including Washington State sales tax),subject to the provisions herein. -Sewn Nwln.Moen Thousand E9M Hundred TM."and H W Dolan This performance bond shall become null and void, if and when the Principal,its heirs,executors,administrators,successors,or assigns shall well and faithfully perform all of the Principal's obligations under the Contract and fulfill all the terms and conditions of all duly authorized modifications,additions,and changes to said Contract that may hereafter be made, at the time and in the manner therein specified;shall warranty the work as provided in the Contract and shall indemnify and hold harmless the Obligee from any defects in the workmanship and materials incorporated into the work for the period identified in the Contract;and if such 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 of time, alteration or addition to the terms of the Contract, the specifications accompanying the Contract,or to the work to be performed under the Contract shall in any way affect its obligation on this bond,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 the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two 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 of attorney for the officer executing on behalf of the surety. PRINCIPAL(CONTRACTOR) North Fork`Enterprises,LLC SfluiA/W& Great.Americannsurance Company 115 i June 30th,2022 Principal Signature Date S Signature Date -��✓-'. r Qa_r %-t Melissa Wolf Printed Name Printed Name (mace s4 e.rk.-k Attorney-In-Fact Title Title Name,address,and telephone of local office/agent of Surety Company is: PayneWest Insurance 501 N Riverpoint Blvd Ste 403,Spokane,WA 99202 509-838-3501 0111»k ne jValley. BOND NO: 4101772 CONTRACTOR'S PAYMENT BOND(FEDERALLY FUNDED PROJECT) to City of Spokane Valley,Washington The City of Spokane Valley, Washington, in Spokane County, has awarded to North Fork Enterprises, LLC (Contractor), as Principal, a contract for the construction of the project designated as Wilbur Road Sidewalk: Boone to Mission, Project No. 0318 in Spokane Valley, Washington, and said Principal is required under the terms of the Contract to furnish a payment bond in accordance with chapter 39.08 Revised Code of Washington(RCW)and chapter 60.28 RCW. The Principal, and Great American Insurance Company (Surety), a corporation organized under the laws of off and licensed to do business in the State of Washington as surety and named in the current list of"Surety Companies Acceptable in Federal Bonds"as published in the Federal Register by the Audit Staff Bureau of Accounts, U.S. Treasury Dept., are jointly and severally held and firmly bound to the City of Spokane Valley, as Obligee, in the sum of$715,813.50 .,, total Contract amount, subject to the provisions herein. This payment bond shall cover any and all taxes incurred pursuant to Titles 50 and 51 RCW, taxes imposed on the Principal pursuant to Title 82 RCW, and any additional sales taxes. —Seven Hundred Fifteen Thousand Eight Hundred I baleen and 50/100 Dollars This payment bond shall become null and void, if and when the Principal, its heirs, executors, administrators, successors, or assigns shall pay all persons in accordance with chapters 39.08, 39.12, and 60.28 RCW, including all workers, laborers, mechanics, subcontractors, and materialmen, and all persons who shall supply such contractor or subcontractor with provisions and supplies for the carrying on of such work; shall pay all taxes due pursuant to Titles 50, 51, and 82 RCW; and shall indemnify and hold harmless the Obligee from all loss, cost or damage which Obligee may suffer by reason of the failure of Principal to make such required payments; 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 of time, alteration or addition to the terms of the Contract,the specifications accompanying the Contract, or to the work to be performed under the Contract shall in any way affect its obligation on this bond, except as 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 the Contract that increase the total amount to be paid the Principal shall automatically increase the obligation of the Surety on this bond and notice to Surety is not required for such increased obligation. This bond may be executed in two 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 of attorney for the officer executing on behalf of the surety. PRINCIPAL(CONTRACTOR) North Fork Enterprises,LLC SUR Y Gre tAmeric.pn Insuran Company —; I€:)1 2,b1.2— e 30th,2022 Principal Signature Date Surety Signature Date `A.2- 4---: �.2_f----4' Melissa Wolf inted Name Printed Name �.c S.d¢ �-� Attorney-In-Fact 'laic Title Name.address,and telephone of local office/agent of Surety Company is: PayneWest 509-838-3501 501 N Riverpoint Blvd Ste 403,Spokane,WA 99202 City of Spokane Valley Wilbur Sidewalk Project GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than 1 Bond No.4101772 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio.does hereby nominate,constitute and appoint the person or persons named below its true and lawful attorney-in- fact.for it and in its name,place and stead to execute on behalf of the said Company,as surety,the specific bond,undertaking or contract of suretyship referenced herein:provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.The bond number on this Power of Attorney must match the bond number on the bond to which it is attached or it is invalid. Name Address Limit of Power Melissa Wolf 501 N. Riverpoint Blvd., Suite 403 $1oo,000,000.00 Spokane,WA 99202 Principal: North Fork Enterprises, LLC Obligee: City of Spokane Valley IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 30th day of June,2022. Attest GREAT AMERICAN INSURANCE COMPANY40!".1t, gix4 Assistant Secretary I hr,rroiwi.k'n,,r 1 irr Pros,kni STATE OF OHIO,COUNTY OF HAMILTON-ss: MARK VICARIO(877-377-2405) On this 30th day of June , 2022 belbremepersonally appeared MARK VICARIO.tome known. being duly sworn,deposes and says that he resides in Cincinnati,Ohio.that he is a Divisional Senior Vice President of the Bond Division of Great American insurance Company,the Company described in and which executed the above instrument:that he knows the seal of the said Company:that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto by like authority. SUSAN A KOHORST 474 Notary Publichio uRi� ''"`C/� ' State Of Ohio My Comm.Expires May 18,2023 This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American insurance Company by unanimous written consent dated June 9,2008. RESOL 1 ED.: That the Divisional President,the several Divisional Senior lice Presidents,Divisional lice Presidents and Divisonal Assistant lice Presidents,or any one of them.be and hereby is authorised from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company as surety:any and all bonds.undertakings and contracts of suretyship,or other written obligations in the nature thereof to prescribe their respective duties and the respective limits of their authority:and to revoke any such appointment at any time. RESOL 1 ED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond,undertaking,contract of suretyship, or other written obligation in the nature thereof such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I.STEPHEN C.BERAHA.Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of June 9.2008 have not been revoked and are now in full force and effect. Signed and sealed this 30th day of June,2022. ft.Ws e • Assistant.Secretary S11e4E(05n0) ,,,,....-.1114, NORTFOR-22 MNEIGHBORS A -'RQ /Y CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYY) 7/1/2022 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 Jim Majeskey Spokane Office PayneWest Insurance,a Marsh McLennan Agency LLC Company (NC,No,Ext):(509)789-7430 FAX No): 501 N.Riverpoint'Blvd.,Ste 403 Miss:Jmajeskey@paynewest.com Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAIC It INSURER A:Western National Mutual Insurance Co 15377 INSURED INSURER B:Idaho State Insurance Fund 36129 North Fork Enterprises,LLC INSURER C: PO Box 208 INSURER D: Kingston,ID 83839 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DWYYYY1 (MMIDD/YYYY) 1'900'909 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 CLAIMS-MADE X OCCUR CPP 1274062 00 1/1/2022 1/1/2023 DAMAGES( RENTED 50,000 X XPREMISES(Ea occurrence) S MED EXP(Any one person) S 1,000 PERSONAL&ADV INJURY S 1,000,000 • GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: WA Stop Gap S 1,000,000 A AUTOMOBILE LIABILITY COMBINED Ea acc den SINGLE LIMIT S 1,000,000, X ANY AUTO X x CPP 1271669 00 1/1/2022 1/1/2023 BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S AIRED NON-OWNED NEY PROPERTY P r acEciide t DAMAGE S AUTOS ONLY _____ AUTOS ONLY S A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000, EXCESS LIAB CLAIMS-MADE X x UMB 1047049 00 1/1/2022 1/1/2023 AGGREGATE S 1,000,000 DED X RETENTIONS 10,000 S B WORKERS ND EMPLOYERS LIAABILITY X PER ERH Y/N 673365 7/1/2022 7/1/2023 1,000,000 ANY ICEOPRIET PROPRIR ETOR/PARTNER/EXECUTIVE ECUTIVE N/A E.L.EACH ACCIDENT S (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Wilbur Road Sidewalk:Boone to Mission#0318/Contract 22-074 City of Spokane Valley Community&Public Works Department Is additional insured,on a primary/non-contributory basis,including waiver of subrogation,in accordance with the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. Community&Public Works Department 10210 E Sprague Avenue Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD