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23-038.05CameronReillyBalfourParkExpansion Spokane jVal ley CHANGE ORDER NO: 5 ENGINEERING DIVISION CONSTRUCTION CONTRACT NO: 23-038.05 PROJECT: Balfour Park Expansion CONTRACT DATE: 2/7/2023 PRIME CONTRACTOR: Cameron Reilly, LLC CIP NO: 316 DESCRIPTION OF CHANGES Additional work for soccer mini pitch fencing/goal installation reimbursed/provided by RAVE Foundation. Item No. Description Unit Quantity Unit Price Total ONSITE-SCHEDULE A CO#5.1 RAVE Foundation fencing and goal post installation 1 LS $ 16,005.36 $ 16,005.36 Subtotal $ 16,005.36 8.9% Sales Tax $ 1,424.48 Subtotal Schedule A $ 17,429.84 Total Amount of this Change Order(incl.Tax): $ 17,429.84 VERBAL APPROVAL AND JUSTIFICATION Independent Justification on File Yes Verbal Approval Yes Verbal Approval by Glenn Ritter PHYSICAL COMPLETION Original Contract Working Days: 121 Revision By This Change Order: 0 Revisions by Prior Change Orders: 59 Total Revised Contract Working Days: 180 CONTRACT AMOUNT THESE CHANGES RESULT IN THE FOLLOWING ADJUSTMENTS OF TOTAL CONTRACT AMOUNT: ORIGINAL TOTAL CONTRACT AMOUNT $ 3,810,723.87 TOTAL PRIOR CONTRACT CHANGE ORDER AMOUNT(through CO#4) $ 228,684.29 TOTAL CONTRACT AMOUNT PRIOR TO THIS CHANGE ORDER $ 4,039,408.16 NET THIS CHANGE ORDER $ 17,429.84 TOTAL CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER $ 4,056,838.00 CONTRACTOR ACCEPTANCE: G DATE: T 4 2V The contractor hereby accepts this adjustor nt un e�e terms of Section 1,04.4 of the original contract. RECOMMENDED BY: DATE: 7/8/24 / Pr j t M ger l� APPROVED BY: DATE: 07•0,,ix PW lY actor APPROVED BY: DATE: 7--//-Zy City Manager ATTACHMENTS: Change Order Description and Exhibits Distribution: ORIGINAL TO: City of Spokane Valley Clerk's Office COPIES TO: Contractor, PW Project File, Project Inspector, Finance Department Spokane ��Valley Change Order No: 5 Construction Contract No: 23-038.05 THE CONTRACT IS MODIFIED AS FOLLOWS: WORK TO INCLUDE Background: This change order pays for extra work that was added on behalf of the RAVE Foundation to complete their soccer mini pitch. The work includes installation of permanent site fencing and two goals provided by RAVE. Description of Change: This change order pays for the following added work: • Installation of 4' tall and 6' tall black chain link fencing around some of the soccer mini pitch • Installation of two soccer goals provided by the RAVE foundation • Restoration of site landscaping as disturbed by the above construction and access Specification: See attached plan for fencing and goal installation. Plans: See attached plan for fencing and goal installation. Time: As this work will be completed after substantial completion has been granted,no additional time is needed. Measurement: No specific measurements for the new lump sum item. Payment: Payment for new item#5.1 "RAVE Foundation fencing and goal post installation." The lump sum Contract price for item#5.1 shall be full pay for labor,materials and equipment as listed in this change order. In i1. O R ,,.....TATTLE 'w■ I T _= BALFOUR ...n....,w. ... '.I ...w Imo, ...,. ..m.. �..,. EXPANSION ■ POST PAVES .l. H TH 1111 11 ill ,ine�alley 1111 J.x..�.ni�,..�rt.9 3 • ca.flt.MEMO Mx'l.in BOlaflp SW +� ramp. 0 fieraxLMft ..o. ..,e...��....o. w.�a .. CONFORMED SET I ' .. .. NOT USED I '� NOT USED l ill § El E ti ,...w, I l l ...w.Ewrew.w.oe. e ,w. LLiJL S SNO � 1ILL II il w®w� ,v.T 11! WAIT PPP TYPICAL BLACK VINYL-COATED CHAIN LINK FENCE DETAILS "`'O MINI PITCH-ENLARGED LAYOUT PLAN us tan BIS ILII.:" . :. i . OTOPOIPOPIMPOSO*100.0.1 inoussmor. our alsozoommemonmassAsnoPtemonotok .._.. ®IIkwIKGOAL" FOOTING OETw .--_"=.• .. ... 2p2a, p PULES) .�.... .� > MINI-PITCH LAYOUT :..�.. ems—... ..d...e. \.I 811 oV, EX-MP Know what's below. Call n.m,....nm. A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/28/2024 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 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: Parker,Smith&Feek Insurance,LLC. PHONE 425-709-3600 FAX 425 709 7460 2233 112th Avenue NE IA/C.No.Ext): (A/C,No): E-MAIL Bellevue,WA 98004 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# _ INSURER A: Zurich American Insurance Co. INSURED INSURER B: American Guarantee&Liability Ins. Cameron-Reilly,LLC 309 N Park Rd INSURER C: Spokane,WA 99212 INSURER D: 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) A GENERAL LIABILITY GL0394676300 03/01/2024 03/01/2025 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 X X PREMISES(Ea occurrence) $ CLAIMS-MADE K OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X J2T X LOC $ B AUTOMOBILE LIABILITY BAP394676400 03/01/2024 03/01/2025 (EOa aBcideDn SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) B UMBRELLA LIAB X occuR SXSA394676600 03/01/2024 03/01/2025 EACH OCCURRENCE $ 1,000,000 )[ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ A WORKERS COMPENSATION GL0394676300 WC TU- K TH . AND EMPLOYERS'LIABILITY Y/N **WA Stop GapLiability 03/01/2024 03/01/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project No.:0316;Project:Balfour Park Expansion;Job Location:Spokane Valley. Per project aggregate applies on general liability per the attached endorsement/form.Schedule of Underlying over the general liability policy per the attached endorsement/form.Notice of Cancellation for the general liability policy applies per the attached form... (See Attached Description) 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 AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99206 jatuiviljto. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1 of 13 (NK000) DESCRIPTIONS (Continued from Page I ) City of Spokane Valley is an additional insured on the general liability policy per the attached endorsement/form. Coverage is primary and non-contributory on the general liability policy per the attached endorsement/form. Waiver of subrogation applies on the general liability policy per the attached endorsement/form. 2 of 1 ,N1K090,