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24-046.01Western StatesFireProtectionInspections CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND WESTERN STATES FIRE PROTECTION Spokane Valley Contract# 24-046.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the Western States Fire Protection mutually agree as follows: 1. Purpose: This Amendment is for the Contract for by and between the Parties,executed by the Parties on February 20, 2024, and which terminates on December 31, 2029. 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: The Original Contract is subject to the following amended provisions, which are 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. 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 Feb. 20,2024 $10,975.00 Amendment#1 to be executed $3,200.00 Total Amended Compensation $14,175.00(plus any applicable sales tax) The parties have executed this Amendment#1 to the Original Contract this Z S "' day of LT-1 LY 2024. CITY OF SPOKANE VALLEY: WESTERN STATES FIRE PROTECTION: Tracy Gordon �«°ems< oWaw_.ms,- ohn Hohman By: Tracy Gordon City Manager Its: Authorized Representative APPROVED AS TO FORM: O ce o the t Atto ey 1 APPENDIX"A" 1. Paragraph 3 (Compensation) of the Original Contract is hereby amended to change the total compensation paid from$10,975.00,to $14,175.00. Paragraph 3 of the Original Contract is amended to read as follows:City agrees to pay Consultant a flat fee of$10,975.00(not including Washington State which will be added as applicable to invoices),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. The City agrees to pay up to $_14,175.00 as full compensation for everything furnished and done under this contract,in accordance with the provisions outlined in the scope of work,as previously and/or presently amended. 2. The Scope of Services/Fee Schedule,(Exhibit A)of the Original Contract,is hereby amended to include the additional tasks and/or services as outlined in Attachment 1 to this Appendix A. 2 IWestern States exhibit A Fire Protection Co. Amendment 1 to 24-046.01 Platect y 1'eue4 eurd PnaAettgy POWERED BYAPi GROUP INSPECTION AGREEMENT City of Spokane Valley June 21, 2024 Attn: Deanna Horton, dhorton(a�spokanevalleywa.gov, 509-720-5301 Re: Walleroo's Building Deanna, I am pleased to provide you with a quote to complete the Annual Backflow Testing located at The Walleroo's Building in Spokane Valley, WA. All of our inspections and testing are performed in accordance with the national standard NFPA addressing each inspection. Upon completion of our inspection, you will be provided with a complete set of electronic reports that detail the results. Walleroo's Building—12614 E Sprague (aka 12624) Spokane Valley, WA 99216 Annual Backflow Testing.. $590 Equipment Count : (2) Backflows in Vault Exclusions & Notes: *Inspections &testing must be completed during normal business hours. *Normal Business Hours— 7am—4:30pm Monday—Friday. *Excludes annual fire sprinkler inspection (if applicable). (ll IQ AAICCIrIAI•rll IAI ITV Crll I ITIrIAIC c(1D TI-Ic DD( Tc('TI(1 AI inc 1 I\/cc AAIf DQr1DCOTV DQrI\/Ifllwl(_ AM c Vrc DTIrI AI AI \/AI I IC Tr)fll IQ('1 ICTr1 A C PC Attachement A I Western States Fire Protection Co. Plaectua9 4cue4 acid Pnl iettry POWERED 8YAPj GROUP INSPECTION AGREEMENT Billing Schedule— Total Per Year—4% Locked Rate Annually. Year 1 Annuals : $590 Year 2 Annuals : $614 Year 3 Annuals : $639 Year 4 Annuals : $665 Year 5 Annuals : $692 FULL CONTRACT VALUE : $3,200 TERM LENGTH: Multi-Year term agreements include a fixed budget for the entirety of the term. ❑ Five Year(5) $3,200 Billing Note— Inspections are invoiced upon completion of the inspection on an annual basis. Terms are Net 30. We appreciate the opportunity to provide you with a quote. We hope that this meets with your approval, and we look forward to working with you! Should you have any questions or concerns, please feel free to contact me. For proposal acceptance, please choose term length and sign below. Proposal Submitted By: Shantel Claar, Inspections Account Manager 509-724-3884 Shantel.Claarwsfp.us (II ID AAICCIrIN•rll IAl ITV Cr,I I ITIrIAIC C(-ID TLlI DDr-,TCr'TI( MM(IC I I\/CC AAIfI DDC DCDTV DDrI\/Ir,im AM CV(-ripTI(1AIAI \/AI I IC Tr)fll ID ri ICT(IAADC Page 1 of 2 ATE ACE 21 CERTIFICATE OF LIABILITY INSURANCE D 02/07/2024Y) 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 Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd PHONE 1-877 945 7378 FAX 1 688 467 2378 (A/C,No,Ext): (A/C,No): P.O. Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535 INSURED INSURER B: Western States Fire Protection Company 2309 N. McKinzie Lane INSURER C: _ Suite 105 INSURER D: Liberty Lake, WA 99019 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W32645215 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 EFF POLICY EXP LTR JNSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR DAMAGETO RENTED PREMISES(Ea occurrence) $ 2,000,000 A X Contractual Liability 10,000 MED EXP(Any one person) $ GLO 8902940-04 12/31/2023 12/31/2024 PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO- POLICY LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED BAP 8488453-04 12/31/2023 12/31/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION v PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 5,000,000 OFFICER/MEMBEREXCLUDED? No N/A WC 8902941-04 12/31/2023 12/31/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 5,000,000 If yes,describe under 5,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Voids and Replaces Previously Issued Certificate Dated 01/09/2024 WITH ID: W32406540. Stop Gap Employers Liability for the Monopolistic States of North Dakota, Ohio, Washington and Wyoming is provided under Workers' Compensation policy, however, Statutory coverage for the Monopolistic states is not. The City of Spokane valley is included as an Additional Insured as respects to General Liability when required by 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 AUTHORIZED REPRESENTATIVE 10210 East Sprague Avenue l%�yGl tr. Spokane Valley, WA 99206 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 25407725 BATCH: 3323588 AGENCY CUSTOMER ID: LOC#: ACoRD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Midwest, Inc. Western States Fire Protection Company 2309 N. McKinzie Lane POLICY NUMBER Suite 105 See Page 1 Liberty Lake, WA 99019 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance written contract, executed prior to the loss. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 25407725 BATCH: 3323588 CERT: W32645215 Additional Insured - Owners, Lessees Or Contractors - Scheduled Person Or ZURICH Organization THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8902940-04 Effective Date: 12/31/2023 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE MAN001 Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Blanket when required by written contract, All projects or locations where required by agreement, or permit and is executed prior to written contract. loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, but only to the extent of liability for"bodily injury", "property damage" or "personal and advertising injury"caused, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to"bodily injury" or"property damage"occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance, or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms, conditions, provisions and exclusions of this policy remain the same. M-GL-5733-A CW(11/23) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Additional Insured - Owners, Lessees Or Contractors - Completed Operations ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 8902940-04 Effective Date: 12/31/2023 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part SCHEDULE MAN 002 Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations Blanket when required by written contract, agreement All projects or locations where required by written or permit and is executed prior to loss. contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only to the extent of liability for"bodily injury" or"property damage"caused by your negligent acts or omissions in the completion of"your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". All other terms, conditions, provisions and exclusions of this policy remain the same. M-GL-5735-A CW(11/23) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission.