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24-092.01TrailheadTreeServiceTreeRemovalTrimmingServices Sökane 10210 E Sprague Avenue♦ Spokane Valley 40V p a ey WA 99206 ells Phone: (509)720-5000 •Fax:(509)720-5075 ♦www.spokanevalley.org Email:cityhall@spokanevalley.org November 22,2024 Contract No. 24-092.01 Trailhead Tree Service 6916 West Deno Road Spokane, WA 99224 Re: Implementation of 2025 option year, Agreement for Tree Removal and Trimming Services, Contract number 24-092, executed May 23, 2024. Dear Mr. Schulte: The City executed an Agreement for provision of Tree Removal and Trimming Services on May 23, 2024, by and between the City of Spokane Valley, hereinafter "City", and Trailhead Tree Service,hereinafter"Contractor"and jointly referred to as"Parties." The original Agreement states that it was for one year, with three optional one-year Willis possible if the parties mutually agree to exercise the options each year. This is the first of three possible option years that can be exercised and runs through December 31,2025. The City would like to exercise the 2025 option year of the Agreement. The Compensation shall not exceed $ 15,000. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount .$ 15,000 2025 Renewal $ 15,000 All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year_ If you are in agreement with exercising the 2025 option year, please sign below to acknowledge the receipt and concurrence to perform the 2025 option year. Please return two copies to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. CITY OF SPOKANE VALLEY John H vnan, Ci ' a e r � Name %vice> `-' Title APPRO ED AS TO FORM: ffice the Ci Attorney 6 DATE(MM/DD/YYYY) Ac oRo CERTIFICATE OF LIABILITY INSURANCE 05/14/2024 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 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 All Lines Insurance dba All Lines Associates, Inc. NAME: Kimberley Brouwer Mat.Extl: (509)327-1658 FAX No): (509)326-5567 6404 N Monroe St E-MAIL Spokane, WA 99208-4122 ADDRESS: kim@alllinesinsure.com License#: 180705 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Evanston Insurance Co INSURED Trailhead Tree Service LLC INSURER B: United Financial Casualty 11770 DBA Trailhead Tree Service INSURER C: 6916 W Deno Rd INSURER D: Spokane, WA 99224 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 00048859-310780 REVISION NUMBER: 7 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. ADDL SUBR POLICY EFF POLICY EXP INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 2AA392077 09/27/2023 09/27/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY 02903654-1 06/01/2023 06/01/2024 (EeaBccideDnSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ I AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THIS CITY OF SPOKANE VALLEY IS LISTED AS ADDITIONAL INSURED 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. 10210 EAST SPRAGUE AVENUE Spokane Valley,WA 99206 AUTHORIZED{r REPRESENTATIVE I l'ti1'J^/u &G(fir.-d (KJB) c 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by KJB on 05/14/2024 at 08:42AM s_Arr gin STATE OF WASHINGTON Department of Labor&Industries Certificate of Workers' Compensation Coverage November 22, 2024 WA UBI No. 604 812 106 L&I Account ID 611,753-00 Legal Business Name TRAILHEAD TREE SERVICE LLC Doing Business As TRAILHEAD TREE SERVICE Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 3 of Year 2024"1 to 3 Workers" (See Description Below) Account Representative Employer Services Help Line, (360)902-4817 Licensed Contractor? Yes License No. TRAILTS796RC License Expiration 12/08/2025 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190).