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22-076.00 Pacific Office Automation: Finance Copier ServicePACIFIC OFFICE AUTOMATION — F'ROBLEM 19OLVEO — City of Spokane Valley Q NSTOMER NAME 1021DESprague Ave F— BILLING ADDRESS Spokane Valley WA 99206 CITY STATE ZIP O ( 509 )720-5000 _ TELEPHONE ATTENTION Equipment/Service and Supply Contract No. 41 -000(14c) Same CUSTOMER NAME OSHIPPINGADDRESS aTY STATE ZIP to TELEPHONE KEY OPERATOR ORDER DATE PO4 ORDERED BY SOLD BY 4/19/202, Kaser QTY ITEM TYPE DESCRIPTION UNIT PRICE TOTAL 1 C5840i New Canon ImageRunnerDX C5840i $4,555.00 -High Capacity paper feed unit $756.00 -Staple Finisher $1334.00 -2/3 Hole punch $445 00 -Buffer pass Unit -Pt $170.00 Minimum Monthly Payment (plus applicable taxes) $ __ Term_ Months M nlce gement Service/SupplyAgreement Monrnryease Images Monthly Base Charges Overages Overages Btlifn g Cycle Term of Contract Automated Meter Reading Monochrome 0 $0.00 $0.005 la Monthly ❑ Quarterly ❑ Seml-Annual ❑ Annual ® ❑ 13 ❑ O 60 months 48 months 39 months 36 months Other Auto Taner Replenishment_ Color 0 $0.00 $0.04 Advanced Scanning Security MFP Network support Power Fllter CONDITIONS OF SALE, CONTINGENCIES OR COMMENTS aeltuery POA to pickup and dispose of current copier at no charge to customer. Subtotal $7,260.00 Salos Tay $646.14 Total $7,906.14 .r —y,,,,,y "— wawrnrr u6RrlVwleuyCs anU o91CC5: (a/ in15 C.Onlracr 15 1VU1V-LAIVLL`LA13U; (a) oil terms and conditions on the reverse side are an integral part of this Contract; (c) to fully understand all terms and conditions stated herein; and (d) this Contract is the entire Agreement between Customer and Pacific Office Automation relating to the equipment and services described herein, and can be changed only by written agreement signedby both parties. Customer Authorization —Approved by Pacific Office Automation TITLE rDATE "u.- 20 2Z. DATE PDA Vs 4po SERVICE/SUPPLY AGREEMENT TERMS AND CONDITIONS As consideration for Customer's payment as set forth on the front of the Contract, Pacific Office Automation ("POA") agrees to provide the listed supplies, pads and labor service for the covered equipment pursuant to the terms and conditions contained herein. • Replacement of all parts found defective or worn as a result of normal equipment use. • Labor to repair and properly maintain the equipment. • All preventative maintenance done at intervals specified by the manufacturer, • Loaner equipment in the event the equipment requires shop work to repair. Replacement of photoconductors and heater rollers found defective or worn as a result of normal use, • Replacement of black and color toner, black developer, brushes, and filters. Factory recommended retrofits and improvements inthe equipment. If toner is included in the Service/Suppty Agreement, the toner will be supplied within the cost per copy charge based upon published and commercially reasonable expectations of supply and consumables consumption, At its discretion, POA, may perform an audit of supply/consumables consumption and equipment usage data to detemune consumption levels. In lire event actual consumption levels exceed standard toner coverages (10% Mono, 35% Color), POA reserves the right to invoirx for excess consumption. Cowxage under the One Rate program assumes the device will be operated within manufacturer specifications using standard loner coverages. Not included in the ServicelSupply Agreement are paper, staples, and network support. Service calls by POA covered under the Service/Supply Agreement will only be made during the hours of S am. to 5 p,m., Monday through Friday, excluding holidays. Service billed at any other time will be bitted at standard overtime rates Costomm agrers to pay POA the base and overage charges agreed to on the front of the Contract and Agrees that excess images over the allotted base amount will be billed to Customer at the agreed to rate for overages. if not noted, overages will be charged at PDA's book rates. If the Service/Supply Agrecurent oombines two or more pieces of equipment of different operating costs, POA reserves the right to adjust image allocation and pricing to fairly reflect actual usage should the actual usage rate of the equipment vary by more than 101% from the expected usage rates. Qutomer agrees thnt POA may increase the Minimum Monthly Payment and image charges each yearduring any term of the Service/Supply Agreement by an amount not to exceed 10%nf such charge. Service may include reasonable use of Customer's Image allatments and materials. Customer's failure to abide by all payment obligations may result in termination of service. This Service)Supply Agreement shall continue for the term stated on the front of the Contract. The Service/Supply Agreement shall automatically renew for successive one (1) year teens, unless either party provides written notice to the other party of their intent to terminate prior to thirty (30) days before the expiration of the original term o€any subsequent renewal tcon. ---------- GUAItANTEES POA extends to Customer the following express limited guarantees under the Service/Supply Agreement. 1. STANDARD LIMITED WARRANTY: POA warrants 3. RESPONSE TIME WARRANTY: POA guarantees foto equipment to be flee of defect in materials and hour average response time for emergency services for worlurranvhip for a period of 90 days from installation. This equipment that is within fifty miles of POA branch offices, warranty does not extend to replacement of supply items or If PDA does not perform guaranteed response time for a cwnsunrables, Including, but not limited to photo conductors, period of one year, upon written request, Customer will heater rollers, fuser, cleaning kits, toner, developer, or receive a 5% credit towards Cuslomer's next service or paper. For purposes of this paragraph, New equipment shall supply purchase from POA. be defined as equipment with usage up to 5,000 copies. Used equipment wil I receive a 30-day warranty. 4. UPGRADE, TRADE-IN LIMITED GUARANTEE: For all New equipment purchased hereunder continuously 2 LIFETIME POWER PROTECTION GUARANTEE: covered under a POA Service/Supply A i PP Y Agreement, POA will If a POA Power Filter is included in the Service/Supply Y guarantee strode -in value on New equiprrmait sold by POA Agreement, repairs of damage to covered equipment caused up to 90% during the first 36 months after acquisition and a by power surges and/or lightning will be covered, minimum guaranteed trade-in value of 10%thereafter. GENERAL TERMS & CONDITIONS (1) Unless provided, the terms of sale arc ten (10) days net. in the event ofpartial or staged delivery of any equipment, product, or services, POA reserves the right to charge customer interim rental and usage charges until such time as complete delivery, acceptance and commencement of the initial lease term. The interim rental fee shall be charged on a percentage basis of delivered equipment; interim usage charges will be billed on the same terms set forth hereht. (2) POA agrees to provide teasonablc assistance to Customer in its efforts to finance the purchase or lease or the equipment and/or Service/Supply, Agreement; however, Customer understands and acknowledges such financing cannot be guaranteed by POA. Customer shall be ultimately responsible for payment of the purthasc price ofoquipment sold or leased If not provided, the purchase price is the Manufacturer's Suggested Retail Price of the equipment and/or solutions plus the cost of any lease buyouts, delivery .barges, installation charges, and the total Service/Supply Agreement. (3) If customer defaults in the payment of the purchase price or any other obligation as provided herein, Customer agrees to pay to POA a service charge of 1.5%per month and al l of POA's related attorney's fees and collection costs, even if no suit or action is filed, This Contract shall be governed by the internal taws of the State of Oregon. Customer hereby submits and consents to jurisdiction and vrnue in Multnomah County, Oregon. (4) The sales price herein includes the initial installation of the manufactmer's software onto Customer's computers. POA shall not be liable for loss or damage of any kind to data or equipment as a result of the installation of the manufacturer's software. Customer shall be solely responsibl a for the cost of any cables or additional hardwme required to connect equipment to a network. POA shall not be responsible for any updates or problems arising after the initial 'installation due to a change In the Customer's computers and/or N etwork. (5) POA MFP Network Service solely provides coverage for services related to the connectivity between the covered equipment and the Customer's Network. MFP Network Service does not provide coverage for services for the Customer's Network itself. (b) DISCLAIMER: EXCEPT AS SPECIFICALLY PROVIDED 14IIIN, POA DISCLAIMS ALL WARRANIMS, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ALL IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. EQUIPMENT IS SUBJECT TO A MANUFACTURER'S WARRANTY. UNDER NO CIRCUMSTANCES WILL POA BE RESPONSIBLE FOR ANY CONSEQUENTIAL OR INCIDENTAL DAMAGES, (7) POA may provide options for date removal and protection, Customer is solely responsible for selecting an appropriate data removal standard that meets Customer's business needs, POA is not liable fur damages arising from Customer's failure to fully remove and protect PACIFIC OFFICE AUTOMATION PROBLEM SOLVED' — CUSTOMER # 692936 PURCHASE ORDER DATE ORDER 4/26/2022 I Order # 69-0001140 REPRESENTATIVE Ran Kaser INVOICE # 120493 INVOICE DATE 5/5/2022 ORDERED PKG SHIPPED DESCRIPTION UNIT PRICE AMOUNT 1 1 1 Canon imageRUNNER DX C5840i $ 4,555.00 $ 4,555.00 1 1 1 High capcity feeding unit $ 756.00 $ 756.00 1 1 1 Staple finisher $ 1,334.00 $ 1,334.00 1 1 1 2/3 hole punch $ 445.00 $ 445.00 1 1 1 Buffer Pass unit $ 170.00 $ 170.00 Installation & Delivery of above equipment $ - Subtotal $ 7,260.00 WA Sales Tax 8.9% $ 646.14 Check #57157 applied 7/8/2022 $ (7,906.14) Please contact Erin with any questions: erin.mclaughlinepacificoffice.com TOTAL BALANCE DUE: $0.00 Shipped To: City of Spokane Valley Comments 10210 E Sprague Ave Thank you! Spokane Valley, WA 99206 PLEASE PAY FROM THIS INVOICE OVERDUE ACCOUNTS WILL BE CHARGED A LATE PAY- 69-0001140 MENT FEE OF 1.5% PER MONTH (ANNUAL RATE 18%) TERMS: Net 10 Days 19 Please provide check upon delivery or remit prior to install. PACIFIC OFFICE AUTOMATION — PROBLEM SOLVED' — INVOICE NO. 120493 CUSTOMER NO. 692936 AMOUNT DUE $0.00 AMOUNT ENCLOSED Bill To: City of Spokane Valley 10210 E Sprague Ave Spokane Valley, WA 99206 Please make check(s) payable to: Pacific Office Automation 14747 NW Greenbrier Pkwy Beaverton, OR 97006 Phone: 503-641-2000 A Q® CERTIFICATE OF LIABILITY INSURANCE DATE (YYYI') 4/19/2019/2022 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 JD Fulwiler & Co Insurance 5727 S Macadam Ave Portland OR 97239 CONTACT NAME: Holly Pfister PHONE 503-293-8325 a Ne : 503-293 5418 EMAIL ADDRESS: h fister 'dfulwiler.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Travelers Property Casualty Co of America 25674 INSURED PACIOFF-01 Pacific Office Automation, Inc. 14747 NW Greenbrier Pkwy Beaverton OR 97006 INSURER B : The Travelers Indemnity of America 25666 INsuRERc: Travelers Indemnity Co of CT 25682 INSURERD: The Phoenix Insurance Company 25623 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:132752045 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. INSIICY LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYYI EXP MMLDD/YYYV LIMITS B X COMMERCIALGENERALLIABILITY 6303R105957 10/1/2021 10/1/2022 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FX I OCCUR DAMAGE TO RENTED REMSES Ea occurrence) -PREMISESccurence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- LOC Rx"OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ Contract C AUTOMOBILE LIABILITY 8103R105785 10/1/2021 10/1/2022 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IX BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accdent $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAR X OCCUR CUP3R29524A 10/1 /2021 10/1/2022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ n $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN UB3R2931772013G 10/1/2021 10/1/2022 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED9 N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A EmployersLiability/WA Stop Gap CUP3R29524A 10/1/2021 10/1/2022 Limit 1,000,000 A A Profession al Liability Cyber Liability ZPL71NO5748 ZPL71NO5748 10/1/2021 10/1/2021 10/1/2022 10/1/2022 omit Limit 10,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Crime/Employee Dishonesty Coverage: Policy #105712268, Traveler's, Eff Date 10/1/2021-10/1/2022, Limit $3,000,000 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. City of Spokane Valley 10210 E. Sprague Avenue Spokane Valley CA 99206 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/3/2022 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 JD Fulwiler & Co Insurance 5727 S Macadam Ave OR 97239 CONTACT NAME: Holly Pfister PHONE FAX A/C No Ext : 503-977-5854 A/c, No): 503-977-5854 E-MPortland ADDRESS: hpfister@jdfulwiler.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Property Casualty Co of America 25674 INSURED PACIOFF-01 Pacific Office Automation, Inc. 14747 NW Greenbrier Pkwy INSURER B: The Travelers Indemnity of America 25666 INsuRERc: Travelers Indemnity Co of CT 25682 INSURERD: The Phoenix Insurance Company 25623 Beaverton OR 97006 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1101278434 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS B X COMMERCIAL GENERAL LIABILITY 6303R105957 10/1/2022 10/1/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � ECT � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 X $ OTHER: Contract C AUTOMOBILE LIABILITY 8103R105785 10/1/2022 10/1/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR CUP3R29524A 10/1/2022 10/1/2023 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $ 1 n nnn $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N UB3R293177 10/1/2022 10/1/2023 X PER OTH- STATUTEI ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? FN] N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Employers Liability/WA Stop Gap 6303R105957 10/1/2022 10/1/2023 Limit 1,000,000 A A Professional Liability Cyber Liability ZPL71NO5748 ZPL71NO5748 10/1/2022 10/1/2022 10/1/2023 10/1/2023 Limit Limit 10,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Crime/Employee Dishonesty Coverage: Policy #105712268, Travelers, Eff Date 10/1/2022-10/1/2023, Limit $3,000,000 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. City of Spokane Valley 10210 E. Sprague Avenue Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 22-0'7L, / 1 ® ACORN CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/5/2023 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 JD Fulwiler & Co Insurance 5727 S Macadam Ave Portland OR 97239 CONTACT NAME: HollyPfister PHONE FAX 503-977-5854 A/C No): 503-977-5854 nooRess: hpfister@jdfutwiler.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Co of America 25674 INSURED PACIOFF-01 INSURER B: The Travelers Indemnity of America 25666 Pacific Office Automation, Inc. 14747 NW Greenbrier Pkwy Beaverton OR 97006 INSURER C : Travelers Indemnity Co of CT 25682 INSURER D : The Phoenix Insurance Company 25623 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:1132551433 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDPOLICY /YYYYI- (MM/DD/YYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY 6303R105957 10/1/2023 10/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE Fx_� OCCUR DAMAGE TO RENTI=-U-- PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 FXJ JPRO- POLICY LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ X OTHER: Contract C AUTOMOBILE LIABILITY 8103R105785 10/1/2023 10/1/2024 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR CUP3R29524A 10/1/2023 10/1/2024 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I X IRETENTION $ In nnn Follow Form $ GL & Auto D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE U63R2931772213G 10/1/2023 10/1/2024 X PER O H- STATUTE ER E.L. EACH ACCIDENT $1,000,000 GFF ICER/MEMBEREXCLUDED9 ❑ N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 B Employers Liability/WA Stop Gap 6303R105957 10/1/2023 10/1/2024 Limit 1,000,000 A A Professional Liability Cyber Risk Liability ZPL71NO5748 ZPL71NO5748 10/1/2023 10/1/2023 10/1/2024 10/1/2024 Limit Limit 10,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Crime/Employee Dishonesty Coverage: Policy #105712268, Travelers, Eff Date 10/1/2023-10/1/2024, Limit $3,000,000; Cargo Coverage/Property In Transit, Policy# 6303R105957, Travelers, Eff Date 10/1/2023-10/1/2024, Limit $250,000 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. City of Spokane Valley 10210 E. Sprague Avenue Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD