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23-203.01InlandAsphaltLocalAccessPreservationServices CONTRACT AMENDMENT#1 TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND INLAND ASPHALT COMPANY Spokane Valley Contract#23-203.01 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the Contractor mutually agree as follows: 1. Purpose: This Amendment is for the Contract for Local Access Preservation Services by and between the Parties,executed by the Parties on April 10,2024,and which terminates on December 31,2024. 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:This Amendment is subject to the following amended provisions,which are either as follows, or 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. The contract amount is increased to$1,292,600.00 4. Compensation Amendment History: This is Amendment #%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 April 10,2024 $1,124,000.00 Amendment#1 September,2024 $ 168,600.00 Total Amended Compensation $1,292,600.00 ETcPE The parties have executed this Amendment to the Original Contract this 7' day of-Septurrt er,2024. CITY OF SPOKANE VALLEY: CONTRACTOR: J n Hohman By:Tony Via l City Manager Its: Project Manager/Estimator APP OVED S O FORM: Off o the ty Attorney 1 APPENDIX"A" 1.Paragraph 8(Compensation)of the Original Contract is hereby amended to change the total compensation paid from $1,124,000.00, to $1,292,600.00. Paragraph 8 of the Original Contract is amended to read as follows: In consideration of Contractor performing the Work,City a Ces to pay Contractor in accordance with the Contract Documents the sum not to exceed$1,292,600.00,which includes Washington State Sales Tax,based on the Schedule of Unit Prices submitted by Contractor(Exhibit B),and as may be adjusted in accordance with Contract Documents. 2 CERTIFICATE OF LIABILITY INSURANCE DAT,o/1/Zo24YY) ACORO 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 NAME: Valerie Reece Liberty Mutual Insurance Co. National Insurance East HONJo.Ext): 513-867-3822 FAX No): 500 N 3rd St, Suite 300 E-MAIL Wausau,WI 54403 ADDRESS: Oldcastle.certs@LibertyMutual.com INSURER(S)AFFORDING COVERAGE NAIC# www.LibertyMutual.com INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B: Liberty Insurance Corporation 42404 CPM Development Corporation (120-CPM) dba Inland Asphalt Company INSURERC: 5111 E. Broadway Avenue INSURER D: Spokane WA 99212 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 82220367 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 LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A v/ COMMERCIAL GENERAL LIABILITY i / TB2-C81-004095-114 9/1/2024 9/1/2025 EACH OCCURRENCE $2,000,000 DAMAGE RENTE CLAIMS-MADE ,/ OCCUR PREMISESO(Ea occur ence) $300,000 XCU Coverage Included ✓ Primary/Non-Contributory MED EXP(Any one person) $50,000 ✓ Separation of Insured PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY ✓ ✓ AS2-C81-004095-124 9/1/2024 9/1/2025 E0aBcideetSINGLELIMIT $2,000,000 ANY AUTO BODILY INJURY(Per person) $ A ✓ OWNED SCHEDULED AS2-C81-054502-524 9/1/2024 9/1/2025 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS Physical Damage only: HIRED NON-OWNEDAUTOS ONLY AUTOS ONLY Comprehensive Ded$10,000 PROPERTYP rr accident) Collision $ Collision Ded$10,000 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION / WA7-C8D-004095-024 9/1/2024 9/1/2025 1 STATUTE EORH AND EMPLOYERS'LIABILITY Y/N All except OH, ND,WA,WY ANYPR PRIET REXCLUDEE ECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 OFFICEB (Mandatory in NH) WC7-C81-004095-014 9/1/2024 9/1/2025 E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below WI, MN E.L.DISEASE-POLICY LIMIT $1,000,000 A Washington Stop Gap i / TB2-C81-004095-114 9/1/2024 9/1/2025 BI Each Accident $3,000,000 Employers Liability Coverage BI Aggregate Limit $3,000,000 BI Each Employee $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Local Access Preservation Services-2024/Contract 23-203. City of Spokane is listed as additional insured with regards to the general liability and automobile liability policies,on a primary and non-contributory basis,where required by written contract Waiver of subrogation is included in favor of the additional insured,where required by written contract,and where applicable by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10210 E Sprague Ave ACCORDANCE WITH THE POLICY PROVISIONS. Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE Valerie Reece ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 82220367 18-004095 1 09.24-09.25 Standard 10-2 WA Stop Gap Excess AUTO 1 Erin Celing 110/1/2024 11:31:16 AM (CDT) 1 Page 1 of 14