23-149.00 Otis Elevator Co.Contract No. 23-149.00
AGREEMENT FOR SERVICES
Otis Elevator Co.
THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State
of Washington, hereinafter "City" and Otis Elevator Co., hereinafter "Consultant," jointly referred to as
"Parties."
IN CONSIDERATION of the terms and conditions contained herein, the Parties agree as follows:
1. Work to Be Performed. Consultant shall provide all labor, services, and material to satisfactorily
complete the Scope of Services, attached as Exhibit A.
A. Administration. The City Manager or designee shall administer and be the primary contact for
Consultant. Prior to commencement of work, Consultant shall contact the City Manager or
designee to review the Scope of Services, schedule, and date of completion. Upon notice from the
City Manager or designee, Consultant shall commence work, perform the requested tasks in the
Scope of Services, stop work, and promptly cure any failure in performance under this Agreement.
B. Representations. City has relied upon the qualifications of Consultant in entering into this
Agreement. By execution of this Agreement, Consultant represents it possesses the ability, skill,
and resources necessary to perform the work and is familiar with all current laws, rules, and
regulations which reasonably relate to the Scope of Services. No substitutions of agreed -upon
personnel shall be made without the prior written consent of City.
Consultant represents that the compensation as stated in paragraph 3 is adequate and sufficient for
the timely provision of all professional services required to complete the Scope of Services under
this Agreement.
Consultant shall be responsible for the technical accuracy of its services and documents resulting
therefrom, and City shall not be responsible for discovering deficiencies therein. Consultant shall
correct such deficiencies without additional compensation except to the extent such action is
directly attributable to deficiencies in City -furnished information.
C. Standard of Care. Consultant shall exercise the degree of skill and diligence normally employed
by professional consultants engaged in the same profession, and performing the same or similar
services at the time such services are performed.
D. Modifications. City may modify this Agreement and order changes in the work whenever
necessary or advisable. Consultant will accept modifications when ordered in writing by the City
Manager or designee, so long as the additional work is within the scope of Consultant's area of
practice. Compensation for such modifications or changes shall be as mutually agreed between the
Parties. Consultant shall make such revisions in the work as are necessary to correct errors or
omissions appearing therein when required to do so by City without additional compensation.
2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in
effect until completion of all contractual requirements have been met as determined by City. Consultant
shall complete its work by October 31, 2023, unless the time for performance is extended in writing by the
Parties.
Agreement for Services (without professional liability coverage) Page 1 of 8
Contract No. 23-149.00
Either Party may terminate this Agreement for material breach after providing the other Party with at least
10 days' prior notice and an opportunity to cure the breach. City may, in addition, terminate this Agreement
for any reason by 10 days' written notice to Consultant. In the event of termination without breach, City
shall pay Consultant for all work previously authorized and satisfactorily performed prior to the termination
date.
3. Compensation. City agrees to pay Consultant a flat fee of $2,200.00, (which includes Washington State
Sales Tax if any is applicable) as full compensation for everything done under this Agreement, as set forth
in Exhibit A. Consultant shall not perform any extra, further, or additional services for which it will request
additional compensation from City without a prior written agreement for such services and payment
therefore.
4. Payment. Consultant shall be paid monthly upon presentation of an invoice to City. Applications for
payment shall be sent to the City Finance Department at the below -stated address.
City reserves the right to withhold payment under this Agreement for that portion of the work (if any) which
is determined in the reasonable judgment of the City Manager or designee to be noncompliant with the
Scope of Services, City standards, City Code, and federal or state standards.
5. Notice. Notices other than applications for payment shall be given in writing as follows:
TO THE CITY:
Name: Marci Patterson, City Clerk
Phone: (509) 720-5000
Address: 10210 East Sprague Avenue
Spokane Valley, WA 99206
TO THE CONSULTANT:
Name: Otis Elevator Co.
Phone: (406) 439-6243
Address: 510 E. North Foothills Dr.
Spokane, WA 99207
6. Applicable Laws and Standards. The Parties, in the performance of this Agreement, agree to comply
with all applicable federal, state, and local laws and regulations. Consultant warrants that its designs,
construction documents, and services shall conform to all federal, state, and local statutes and regulations.
7. Certification Regarding Debarment, Suspension, and Other Responsibility Matters — Primary
Covered Transactions.
A. By executing this Agreement, the Consultant certifies to the best of its knowledge and belief
that it and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any federal department or
agency;
2. Have not within a three-year period preceding this proposal been convicted of
or had a civil judgment rendered against them for commission of fraud or a criminal offense
in connection with obtaining, attempting to obtain, or performing a public (federal, state,
or local) transaction or contract under a public transaction; violation of federal or state
antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
Agreement for Services (without professional liability coverage) Page 2 of 8
Contract No. 23-149.00
3. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (A)(2) of this certification; and
4. Have not within a three-year period preceding this application/proposal had one
or more public transactions (federal, state, or local) terminated for cause or default.
B. Where the prospective primary participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this Agreement.
8. Relationship of the Parties. It is understood and agreed that Consultant shall be an independent
contractor and not the agent or employee of City, that City is interested in only the results to be achieved,
and that the right to control the particular manner, method, and means in which the services are performed
is solely within the discretion of Consultant. Any and all employees who provide services to City under
this Agreement shall be deemed employees solely of Consultant. The Consultant shall be solely responsible
for the conduct and actions of all its employees under this Agreement and any liability that may attach
thereto.
9. Ownership of Documents. All drawings, plans, specifications, and other related documents prepared
by Consultant under this Agreement are and shall be the property of City, and may be subject to disclosure
pursuant to chapter 42.56 RCW or other applicable public record laws. The written, graphic, mapped,
photographic, or visual documents prepared by Consultant under this Agreement shall, unless otherwise
provided, be deemed the property of City. City shall be permitted to retain these documents, including
reproducible camera-ready originals of reports, reproduction quality mylars of maps, and copies in the form
of computer files, for the City's use. City shall have unrestricted authority to publish, disclose, distribute,
and otherwise use, in whole or in part, any reports, data, drawings, images, or other material prepared under
this Agreement, provided that Consultant shall have no liability for the use of Consultant's work product
outside of the scope of its intended purpose.
10. Records. The City or State Auditor or any of their representatives shall have full access to and the right
to examine during normal business hours all of Consultant's records with respect to all matters covered in
this Agreement. Such representatives shall be permitted to audit, examine, make excerpts or transcripts
from such records, and to make audits of all contracts, invoices, materials, payrolls, and record of matters
covered by this Agreement for a period of three years from the date final payment is made hereunder.
11. Insurance. Consultant shall procure and maintain for the duration of the Agreement, insurance against
claims for injuries to persons or damage to property which may arise from or in connection with the
performance of the work hereunder by Consultant, its agents, representatives, employees, or subcontractors.
A. Minimum Scope of Insurance. Consultant's required insurance shall be of the types and
coverages described below:
1. Automobile liability insurance covering all owned, non -owned, hired, and leased
vehicles. Coverage shall be at least as broad as Insurance Services Office (ISO) form CA
0001.
2. Commercial general liability insurance shall be at least as broad as ISO occurrence form
CG 00 01 and shall cover liability arising from premises, operations, stop -gap independent
contractors and personal injury, and advertising injury. City shall be named as an
additional insured under Consultant's commercial general liability insurance policy with
Agreement for Services (without professional liability coverage) Page 3 of 8
Contract No. 23-149.00
respect to the work performed for the City using an additional insured endorsement at least
as broad as ISO CG 20 26.
3. Workers' compensation coverage as required by the industrial insurance laws of the
State of Washington.
B. Minimum Amounts of Insurance. Consultant shall maintain the following insurance limits:
1. Automobile liability insurance with a minimum combined single limit for bodily injury
and property damage of $1,000,000 per accident.
2. Commercial general liability insurance shall be written with limits no less than
$2,000,000 each occurrence, and $2,000,000 general aggregate.
C. Other Insurance Provisions. The Consultant's policies are to contain, or be endorsed to contain,
the following provisions for automobile liability and commercial general liability insurance:
1. Consultant's insurance coverage shall be primary insurance with respect to the City.
Any insurance, self-insurance, or self -insured pool coverage maintained by City shall be
in excess of Consultant's insurance and shall not contribute with it.
2. Consultant shall provide City and all additional insured for this work with written notice
of any policy cancellation within two business days of their receipt of such notice.
3. If Consultant maintains higher insurance limits than the minimums shown above, City
shall be insured for the full available limits of commercial general and excess or umbrella
liability maintained by Consultant, irrespective of whether such limits maintained by
Consultant are greater than those required by this Agreement or whether any certificate of
insurance furnished to the City evidences limits of liability lower than those maintained by
Consultant.
4. Failure on the part of Consultant to maintain the insurance as required shall constitute a
material breach of the Agreement, upon which the City may, after giving at least five
business days' notice to Consultant to correct the breach, immediately terminate the
Agreement, or at its sole discretion, procure or renew such insurance and pay any and all
premiums in connection therewith, with any sums so expended to be repaid to City on
demand, or at the sole discretion of the City, offset against funds due Consultant from the
City.
D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating
of not less than A:VII.
E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement,
Consultant shall furnish the City with original certificates and a copy of the amendatory
endorsements, including but not necessarily limited to the additional insured endorsement,
evidencing the insurance requirements of the Agreement before commencement of the work.
12. Indemnification and Hold Harmless. Consultant shall, at its sole expense, defend, indemnify, and
hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability,
loss, costs, attorney's fees, costs of litigation, expenses, injuries, and damages of any nature whatsoever
Agreement for Services (without professional liability coverage) Page 4 of 8
Contract No. 23-149.00
relating to or arising out of the wrongful or negligent acts, errors, or omissions in the services provided by
Consultant, Consultant's agents, subcontractors, subconsultants, and employees to the fullest extent
permitted by law, subject only to the limitations provided below.
However, should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to
property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers,
officials, employees, and volunteers, the Consultant's liability, including the duty and cost to defend,
hereunder shall be only to the extent of the Consultant's negligence. It is further specifically and expressly
understood that the indemnification provided herein constitutes the Consultant's waiver of immunity under
Industrial Insurance, Title 51, RCW, solely for the purpose of this indemnification. This waiver has been
mutually negotiated by the parties. The provisions of this section shall survive the expiration or termination
of this Agreement.
13. Waiver. No officer, employee, agent, or other individual acting on behalf of either Party has the power,
right, or authority to waive any of the conditions or provisions of this Agreement. A waiver in one instance
shall not be held to be a waiver of any other subsequent breach or nonperformance. All remedies afforded
in this Agreement or by law shall be taken and construed as cumulative and in addition to every other
remedy provided herein or by law. Failure of either Party to enforce at any time any of the provisions of
this Agreement or to require at any time performance by the other Party of any provision hereof shall in no
way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any
part thereof.
14. Assignment and Delegation. Neither Party may assign, transfer, or delegate any or all of the
responsibilities of this Agreement or the benefits received hereunder without prior written consent of the
other Party.
15. Subcontracts. Except as otherwise provided herein, Consultant shall not enter into subcontracts for
any of the work contemplated under this Agreement without obtaining prior written approval of City.
16. Confidentiality. Consultant may, from time -to -time, receive information which is deemed by City to
be confidential. Consultant shall not disclose such information without the prior express written consent
of City or upon order of a court of competent jurisdiction.
17. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Disputes
between City and Consultant shall be resolved in the Superior Court of the State of Washington in Spokane
County. Notwithstanding the foregoing, Consultant agrees that it may, at City's request, be joined as a
party in any arbitration proceeding between City and any third party that includes a claim or claims that
arise out of, or that are related to Consultant's services under this Agreement. Consultant further agrees
that an arbitrator's decision therein shall be final and binding on Consultant and that judgment may be
entered upon it in any court having jurisdiction thereof.
18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this
Agreement shall be entitled to its attorney's fees and costs of such litigation (including expert witness fees).
19. Entire Agreement. This written Agreement constitutes the entire and complete agreement between
the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed,
modified, or altered except in writing signed by the Parties hereto.
Agreement for Services (without professional liability coverage) Page 5 of 8
Contract No. 23-149.00
20. Anti -kickback. No officer or employee of City, having the power or duty to perform an official act or
action related to this Agreement shall have or acquire any interest in this Agreement, or have solicited,
accepted, or granted a present or future gift, favor, service, or other thing of value from any person with an
interest in this Agreement.
21. Assurance of Compliance with Applicable Federal Law. During the performance of this Agreement,
the Consultant, for itself, its assignees, and successors in interest agrees as follows:
A. Compliance with Regulations. Consultant shall comply with the federal laws set forth in
subsection G, below ("Pertinent Non -Discrimination Authorities") relative to non-discrimination
in federally -assisted programs as adopted or amended from time -to -time, which are herein
incorporated by reference and made a part of this Agreement.
B. Non-discrimination. Consultant, with regard to the work performed by it during this Agreement,
shall not discriminate on the grounds of race, color, or national origin in the selection and retention
of subcontractors, including procurements of materials and leases of equipment. Consultant shall
not participate directly or indirectly in the discrimination prohibited by the Acts and the
Regulations, including employment practices when the contract covers any activity, project, or
program set forth in Appendix B of 49 CFR Part 21.
C. Solicitations for Subcontracts, Including Procurements of Materials and Equipment. In all
solicitations, either by competitive bidding, or negotiation made by Consultant for work to be
performed under a subcontract, including procurements of materials, or leases of equipment, each
potential subcontractor or supplier shall be notified by Consultant of Consultant's obligations under
this Agreement and the Acts and the Regulations relative to non-discrimination on the grounds of
race, color, or national origin.
D. Information and Reports. Consultant shall provide all information and reports required by the
Acts, the regulations, and directives issued pursuant thereto, and shall permit access to its books,
records, accounts, other sources of information, and its facilities as may be determined by the City
or the WSDOT to be pertinent to ascertain compliance with such Acts, regulations, and instructions.
Where any information required of Consultant is in the exclusive possession of another who fails
or refuses to furnish the information, Consultant shall so certify to the City or the WSDOT, as
appropriate, and shall set forth what efforts it has made to obtain the information.
E. Sanctions for Noncompliance. In the event of a Consultant's noncompliance with the non-
discrimination provisions of this Agreement, the City will impose such contract sanctions as it or
the WSDOT may determine to be appropriate, including, but not limited to:
1. Withholding payments to Consultant under the Agreement until Consultant complies;
and/or
2. Cancelling, terminating, or suspending the Agreement, in whole or in part.
F. Incorporation of Provisions. Consultant shall include the provisions of paragraphs of these
Contract Clauses in every subcontract, including procurements of materials and leases of
equipment, unless exempt by the Acts, regulations and directives issued pursuant thereto.
Consultant shall take action with respect to any subcontract or procurement as the City or the
WSDOT may direct as a means of enforcing such provisions, including sanctions for
noncompliance. Provided, that if Consultant becomes involved in, or is threatened with litigation
Agreement for Services (without professional liability coverage) Page 6 of 8
Contract No. 23-149.00
by a subcontractor or supplier because of such direction, Consultant may request that the City enter
into any litigation to protect the interests of the City. In addition, Consultant may request the United
States to enter into the litigation to protect the interests of the United States.
G. Pertinent Non -Discrimination Authorities: During the performance of this Agreement, the
Consultant agrees to comply with the following non-discrimination statutes and authorities;
including but not limited to:
Title VI of the Civil Rights Act of 1964 (42 U.S.C. §2000d et seq., 78 stat. 252), (prohibits
discrimination on the basis of race, color, national origin); and 49 CFR Part 21; and 49 Part
26;
The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970,
(42 U.S.C. §4601), (prohibits unfair treatment of persons displaced or whose property has
been acquired because of Federal or Federal -aid programs and projects);
Federal -Aid Highway Act of 1973, (23 U.S.C. §324 et seq.), (prohibits discrimination on
the basis of sex);
Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. §794 et seq.), as amended,
(prohibits discrimination on the basis of disability); and 49 CFR Part 27;
The Age Discrimination Act of 1975, as amended, (42 U.S.C. §6101 et seq.), (prohibits
discrimination on the basis of age);
Airport and Airway Improvement Act of 1982, (49 U.S.C. §471, Section 47123), as
amended, (prohibits discrimination based on race, creed, color, national origin, or sex);
The Civil Rights Restoration Act of 1987, (PL 100-209), (Broadened the scope, coverage
and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act
of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition of
the terms "programs or activities" to include all of the programs or activities of the Federal -
aid recipients, sub -recipients and contractors, whether such programs or activities are
Federally funded or not);
Titles II and III of the Americans with Disabilities Act, which prohibit discrimination on
the basis of disability in the operation of public entities, public and private transportation
systems, places of public accommodation, and certain testing entities (42 U.S.C. §§ 12131-
12189) as implemented by Department of Transportation regulations at 49 C.F.R. parts 37
and 38;
The Federal Aviation Administration's Non-discrimination statute (49 U.S.C. §47123)
(prohibits discrimination on the basis of race, color, national origin, and sex);
Executive Order 12898, Federal Actions to Address Environmental Justice in Minority
Populations and Low -Income Populations, which ensures Non-discrimination against
minority populations by discouraging programs, policies, and activities with
disproportionately high and adverse human health or environmental effects on minority
and low-income populations;
Agreement for Services (without professional liability coverage) Page 7 of 8
Contract No. 23-149.00
Executive Order 13166, Improving Access to Services for Persons with Limited English
Proficiency, and resulting agency guidance, national origin discrimination includes
discrimination because of Limited English proficiency (LEP). To ensure compliance with
Title VI, you must take reasonable steps to ensure that LEP persons have meaningful access
to your programs (70 Fed. Reg. at 74087 to 74100); and
Title IX of the Education Amendments of 1972, as amended, which prohibits you from
discriminating because of sex in education programs or activities (20 U.S.C. § 1681 et seq.).
22. Business Registration. Prior to commencement of work under this Agreement, Consultant shall
register with the City as a business if it has not already done so.
23. Severability. If any section, sentence, clause, or phrase of this Agreement should be held to be invalid
for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other
section, sentence, clause, or phrase of this Agreement.
24. Exhibits. Exhibits attached and incorporated into this Agreement are:
A. Scope of Services and Fee Proposal
B. Insurance Certificates
The Parties have executed this Agreement this e S t day of /1..z=Jc T 20 73.
CITY OF SPOKANE VALLEY OTIS ELEVATOR CO.
JqK Hohman, City Manager
APPROVED AS TO FORM:
/�.ra
Oge-8ft_he -City Attorney
By- $/2/z023
Its: Authorized Representative
Gavin Burns - General Manager
Agreement for Services (without professional liability coverage) Page 8 of 8
Otis Service and Repair Order
5/15/2023
CUSTOMER NAME
Centerplace @ Mirabeau Park
2426 N Discovery Place
Spokane, WA 99216
PROJECT LOCATION
CENTERPLACE AT MIRABEAU P
2426 N DISCOVERY PL
SPOKANE, WA 99216
OTIS ELEVATOR COMPANY
E.510 N. FOOTHILLS DRIVE
SPOKANE, WA 99207
PROPOSAL NUMBER
QTE-001656690
OTIS CONTACT
Kimberly Hooper
Phone: +1 (406) 439-6243
Email: Kim.Hooper@otis.com
We propose to furnish the necessary material and labor on the following units:
Unit
Customer Designation
443994
ONLY ELV *ADA*
SCOPE OF WORK
Perform category 5 full load rupture valve test.
5 YEAR FULL LOAD RUPTURE VALVE TEST
With the adoption of ASME A 17.1-2019 code, a new Category 5 test is required for hydraulic elevators with
overspeed valves installed.
Overspeed Valve (aka -rupture valve, seismic valve): A device installed in the pressure piping of a hydraulic
elevator, between the hydraulic machine and the hydraulic jack, that restricts and ceased oil flow from
the hydraulic jack through the pressure piping when such flow exceeds a preset value.
These tests impose much greater stresses on the equipment than those of normal operation. It is agreed
If repairs are necessary to obtain proper
operation of the equipment to meet the requirements of these tests, such work will be an extra to the
Contract.
Material provided shall be installed in accordance with the ASME A17.1 Safety Code for Elevators and
Escalators.
From ASME A 17.1-2019
8.6.5.16 - Periodic Test Requirements - Category 5
8.6.5.16.5 - Overspeed valves, where provided, shall be inspected, and tested to verify that they will stop
the car, traveling down with rated load, within the specified limits of 3.19.4.7.5(a) using a written procedure
supplied by the valve manufacturer or the person or firm maintaining the equipment. If the seal has been
altered or broken, the overspeed valve shall be resealed after successful test (Item 5.15.2).
The above test is required every 5 years.
Page 1 of 5
Material provided shall be installed in accordance with the ASME A17.1 Safety Code for Elevators and
Escalators.
The customer will be responsible for paying local inspection fees if applicable.
A representative will contact you to schedule the work. All work will be performed during regular working
days and hours of the Elevator Trade unless otherwise specified above.
Page 2 of 5
PRICE
$2,200.00
Two thousand two hundred dollars
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Page 3 of 5
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A� " CERTIFICATE OF LIABILITY INSURANCE
DATE 7/2022 "'"''
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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poltcles may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsements .
PRODUCER
MARSH USA, INC.
20 CHURCH STREET, 8TH FLOOR
NT Cl
NCAO A
E FAX
PHONE
Ois.Cwf*uest@marsh.com
NARTFORD, CT 06103E-MAIL
INSURE S AFFORDING COVERAGE
NAIC0
INSURER A. National Union Fire Insurance Co. Of Pittsburgh, PA
19445
CN103059 WO0s-OCP2-22-23
INSURED
OTIS WORLDWIDE CORPORATION
INSURER B r AIU Insurance Co
19399
INSURER C :
OTIS ELEVATOR COMPANY
ONE CARRIER PLACE
FARMINGTON, CT ON32
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: NYC-010554328-08 REVISION NUMBER: 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTVIATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 SHOVvN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
tLTR
TYPE OF INSURANCE
ADDL
BR
POLICY NUMBER
POLICY EFF
POLICY
DEXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
9684109
"(;2,000,000 General Aggregate"
12101/2022
12101/2D23
EACH OCCURRENCE
$ 11000,000
DAMAGE TO NTED
PREMISES (E E000arrronce)
$ 300,000
MED EXP (Any one arson
$ 10,000
-Per Project / Location"
PERSONAL & ADV INJURY
S 11000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
EC
HOTHER:
GENERAL AGGREGATE
$ 2,000,000
-COMP/OAGO
SPOLICYa 2,0D0,0o0
$
B
AUTOMOBILE
LIABILITY
7281055 (AOS)
12A1/2022
1210112D23
COMBINED SINGLE LIMIT
$ 1,0001000
A
ANYAUTO
7281056 (MA)
12101/2022
12/01/2023
BODILY INJURY (Per person)
S
AOW
JX
SCHEDULED
ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
7281057 (VA)
12 II2022
12MI/2023
gtNED
Per
BOY INJURYAUTOS f se Werig
S
PROPF�tTYDAMAGE
asxident
S
S
X
UMBRELLAUAS
X
OCCUR
9584111
12101022
12101/2023
EACH OCCURRENCE
S 10,000,000
AGGREGATE
S 10,000,000
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION
S
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LABILITY Y / N
OFFICERArANYPROP11EMBEREXCLUDED? CUTIVE
(Mandatory in I"
Ir ass, deacrlbe under
DRIPTION OF OPERATKN4S below
N/A
35901953(ADS)
35901954 (CA)
)
3NO1955 (WI)
12/0112022
1210112022
1201/2023
1210IM23
1210112023
X PE TUTS ERA
E.L. EACH ACCIDENT
$ 1,000,000
EL. DISEASE - EA EMPLOYE
$ 'l,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
A
OwnersWonlraclors Protective
901112
12101/2022
12/01/2023
OCC
2,ODO,000
AGG
2,000.0D0
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached N more space Is required)
This certtlicate only applies to SR 04008
Centerpiece at Mtrabeau Park 2425 N Discovery PL, Spokane Valley, WA
Center Place at Mrabeau Park and City of Spokane Valley are named insured on Ite above referenced Owners' & Contracbrs' Protective poky per the a0acched certlflcale of coverage form. and 0e insurance
policies include a waiver of subrogation, both to the extent required by contract with OTIS ELEVATOR COMPANY.
c/o City
Center Place at Mirabeau Park
of Spokane Valley
10210 E Sprague Avenue
Spokane Valley, WA 99206
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
of (Marsh USA Inc
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD
xasi:y,o-� srmeomama,�i
Labor & Industrieas.(https://Ini.wa.goLv/)
Contractors
OTIS ELEVATOR CO
Owner or tradesperson
3315 S. 116th Ave
Principals
Ste 149
POLLARD, BRYAN KEITH, SECRETARY
SEATTLE, WA 98168
206-243-8100
OKSUN, KIM GINNY, SECRETARY
KING County
(End: 03/24/2014)
CARPENTER, HEIDI L, DIRECTOR
(End: 09/2412013)
WEBBE, PEGGY J, SECRETARY
(End: 10/13/2017)
TREMAGLIO, DAVID D, SECRETARY
(End: 10113/2017)
SUIT, IMELDA MARIA, SECRETARY
(End: 10/13/2017)
DAVID, GEORGE A L
(End: 12/29/2011)
FAURE,HUBERT
(End: 12/29/2011)
VAN ROOY, JEAN PIERRE
(End: 12129/2011)
PAGE, STEPHEN F
(End: 12/29/2011)
GROB,BRUNO
(End: 12/2912011)
MILLER, WILLIAM T
(End: 12/29/2011)
STAIT, VERNON K
(End: 12/29/2011)
FOSCHI, PIER LUIGI
(End: 12/29/2011)
SHEERAN, WILLIAM J
(End: 12/29/2011)
Doing business as
OTIS ELEVATOR CO
WA UBI No. Business type
178 000 879 Corporation
Governing persons
CHRIS
BAILEY
KATHERINE M BERTINI;
JULIE BRANDT,
MATTHEW BRODBAR;
CHRISTOPHER BROWN;
VICKY CARRASCO;
JORGE CASTILLO;
MICHAEL CENCI;
ELIZABETH A CHRISTENSEN;
WILLIAM M COATES;
JAMES F CRAMER;
NELSON DACUNHA;
DONALD DAVIS;
ALCIDES DE LIMA;
STEPHANE DE MONTLIVAULT-GUYON;
NICK DI RUBBA;
RICHARD M EUBANKS JR;
MARC J FAFARD;
ROBIN FIALA;
MARCUS GALAFASSI;
JANAINA GAMEIRO;
RAHUL GHAT;
TODD GLANCE;
LAURIE D GRAY;
NEIL GREEN;
LAURIE HAVANEC;
RICHARD F HAVIGHORST;
JAMES R HEBERT,
MICHAEL D HNATH;
RAY HONG;
HAN IM;
DAVID M JONES;
GINNY KIM;
NORA LAFRENIERE;
STACY MARIE LASZEWSKI;
THERESA MACKINNON;
JUDITH F MARKS;
STEPHEN L MARRA;
CHRISTOPHER MOORE;
JULES RICARD MUNOZ;
JEFFREY MYERS;
LINDAA PAPROTNA CUNHA;
ZHENG PEIMING PERRY;
PAUL M PERRON;
STACY L PETROSKY;
BRYAN K POLLARD;
BRYAN K POLLARD;
DENISE RALLS-GAINES;
ALEXANDER REZNIK;
MICHAEL J RUTLEDGE;
WACIAS SHAIKH;
JAMES W STEWART;
MARIA IMELDA SUIT,
MARIA IMELDA SUIT,
RANDI TANGUAY;
BRADLEY G THOMPSON;
DAVID TREMAGLIO;
THOMAS RODNE VINING;
PEGGY J WEBBE;
JASON A WILLIAMS;
JONATHAN ZIESE;
DESPINAAZOEF;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active
...................._......_..............._............
Meets current requirements.
License specialties
GENERAL
License no.
OTISE"377NT
Effective — expiration
08/30/1963— 11/19/2023
Bond
................
Liberty Mutual Ins Co $12,000.00
Bond account no.
015056815
Received by L&I
09/18/2017
Bond history
Insurance
Effective date
09/16/2017
Expiration date
Until Canceled
National Union Fire Ins of PA $1,000,000.00
Policy no.
9584109
Received by L&I Effective date
11/16/2022 12/01/2022
Expiration date
12/01 /2023
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No-lawsufts against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
No L&I 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 T.raini .g.Agent
............
Registered training agent. Check their eligible programs and occupations.
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.
001,582-00
......... .............
Doing business as
OTIS ELEVATOR CO
Estimated workers reported
Pending current quarter filing
L&I account contact
T3 / JAVIER PAREDES (360) 902-5598 - Email: PAJB235@Ini.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.