Loading...
24-061.01RevivalGeneralContractingRightOfWayMaintenance Spokane Valley® Phone: (509)720-10210 E Sprague Avenue♦Spokane Valley WA 99206 40005000 ♦Fax:(509)720-5075 ♦www.spokanevalley.org Email:cityhall@spokanevalley.org December 6,2024 Contract No. 24-061.01 Revival General Contracting 1804 West Broadway Avenue Spokane, WA 99201 Re:Implementation of 2025 option year, Agreement for Right of Way Maintenance Services, Contract number 24-061, executed May 9, 2024. Dear Mr.Allen: The City executed an Agreement for provision of Right of Way Maintenance Services on May 9, 2024,by and between the City of Spokane Valley,hereinafter"City", and Revival General Contracting,hereinafter"Contractor"and jointly referred to as"Parties." The original Agreement states that it was for one year, with three optional one-year terms 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 $ 150,000. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount ..$ 150,000 2025 Renewal .... ....$ 150,000 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. i CITY OF SPOKANE VALLEY REVIVAL GENERAL CONTRACTING G/C)-- - 50/L-GgL(Zat-- Jo• Hohman, City Manager Name Title APPROVED AS TO FORM: f of the Ci Attorney 1 1 GENEAAL CGt1 CTInG, 1 6 "fi '� 1864 WestBroadway Avenue Spokane,WA 99201 Construction Bid Contract TIME AND MATERIALS DATE 1/01/2024 LABOR RATES Labor categories are subject to change based on consideration of Project Manager.Truck and trailer costs do not include dump fees or other associated non-travel expenses. LABOR CODE COST PROFICIENCY Labor $47.00 per hour Labor II $34.00 per hour Labor III $31.00 per hour Training Labor $28 per hour General Laborer Prevailing Wage. $60 per hour Truck and Trailer $150.00 per clay+dump fees Truck $125 daily ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) ‘..----' 09/24/2024 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(les)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 NAMEACT Anthonie Barnes Anthonie Barnes Agency(79-34-6K) c No EXD: 509-467-5127 1 aC,No): 509-468-2022 9507 N Division St Ste.J E-MAIL abarnes2 farmersa ent.com ADDRESS: g INSURER{S)AFFORDING COVERAGE NAIC A Spokane WA 99218 INSURER A: ATLANTIC CASUALTY INSURANCE CO. 42846 INSURED INSURER B: Revival General Contracting LLC INSURER C: 1804 W Broadway Ave INSURER D: INSURER E: SPOKANE WA 99201 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 ADDL SUEREFF LTR TYPE OF INSURANCE INSD,END POLICY NUMBER (MM/DD(POLICY VYI1NYY POLICY EXPlYYW) LIMITS }-(MMf00 , X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000.000 CLAIMS-MADE Xi OCCUR DAMAGE TO RENTED 300,000 PREMISES(Ea ocamenne) S MED EXP(Any one person) $ 5,000 L125004289-4 08/05/2024 08/05/2025 PERSONAL&ADV INJURY 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY L__,.PET L_LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABIUTY I COMBINED NGLE LIMIT I s (Ea ac�dert)SI ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY ._�AUTOS _AUTOS (Pet acad�t) S NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accide $ nt S UMBRELLA LIAB OCCUR EACH OCCURRENCE S _ —EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTIONS S WORKERS COMPENSATION I PERTUTE I ER OTH- AND EMPLOYERS'LIABILITY YIN STA ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ( J N I A $ - (MandatoryInNH) E.L.DISEASE-EA EMPLOYEE S If yes.descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED PER FORM CG2033(1001) 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 E SPRAGUE AVE. AUTHORIZED EPRESE SPOKANE VALLEY WA 99201 I © -2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AkiccpariDATE(MM/DD/YYYY)�^ ,.•-' CERTIFICATE OF LIABILITY INSURANCE 02/17/2024 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 OE 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 poli cy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the poll cy,certain polides 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 a�— ANTHONIE BARNES (79-34-36K ) NAME: PHONE FAX 9507 N Division St#j (A/C,NO,EXT):(509)467-5127 (A/C,NO): 509 468 2022 Spokane,WA99218 E-MAIL ADDRESS:a ba rn eS 2Q fa r me rsag e n t.CO n1 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Truck Insurance Exchange 21709 REVIVAL GENERAL CONTRACTING INSURER B: Farmers Insurance Exchange 21652 INSURER c: Mid Century Insurance Company 21687 1804 W BROADWAY AVE INSURER D: Fire Insurance Exchange 21660 SPOKANE,WA 99201-1820 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAME ABOVE FORT HE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY R EQUIREM ENT,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 ': ADDTL SUER POLICYEFF POLICYEXP LTR TYPEOFINSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) b LIMITS COMMERCIAL GENERAL LIABILITY EACH CY'r l/RRFECF S ! ItIII DAMAGE"ORFN-FD CLAIMS-MAD OCCUR PRFMISFS(FaOccu"ence) $ MEDFXP(Anyone Person) $ ` (y I l PERSONA!&ADV INJURY $ GEI.'L AGGREGATE UMI-APPLIES PER: GENERAL AGGREGATE S 1 I POLICY PROJECT n IOC PRODUC'S-COMP/OPAGG $ OTHER: s AUTOMOBILE LIABILITY COMBINED SINGLE LIMITS 1 0000,000 (EaaccidrrU ANY AUTO BODILY INJURY(Peperson) $ D OWNED YEDAUTOS XAUTOS S HHFDUIFD I Y i I Y I 606791923 04/30/2024 04/30/2025 BODIIYINjL V(Pe a cidert)$ X HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ON Y (Per xcidcrt) UMBRELLALIAB OCCUR CACI I OCCURRENCE. S i EXCESSLIAB C1AIMS-MADE AGGREGATE $ I --- I OFD I RFTFN"ION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY S A- OM AR S I j ANYPROPRIE'OR/PAR-NER/ Y/ E.L.E.L .... _...; EACH ACCIDEh- S 4 EXECUTIVE OFFICER/MEMBER ( E.LDISEASE-EAEMPLOYEE $ EXCLUDED.(Mandatory in NH) It yes,desc-oe under DESCRIPTION,OF OPERATIONS below F.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addition al Remarks Schedule,may be attar edifmore space is required) CERTIFICATE HOLDER CANCELLATION CITY OF SPOKANE VALLEY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ITH THE POLICY PROVISIONS. 10210 E SPRAGUE AVE AUTHORIZED REPRES ATIVE _SPOKANE VALLEY WA 992063682,vv,_-__ ACORD 25(2016/03) • (c)1988- 015 ACORD CORPORATION.All Rights Reserved 31-1769 11-15 • The ACORD nameand logo are registered marks of ACORD STATE OF WASHINCTON Department of Labor&Industries Certificate of Workers' Compensation Coverage December 6, 2024 WA UBI No. 604 476 221 L&I Account ID 699,874-00 Legal Business Name REVIVAL GENERAL CONTRACTING LLC Doing Business As REVIVAL GENERAL CONTRACTING LL Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 3 of Year 2024"11 to 20 Workers" (See Description Below) Account Representative Employer Services Help Line, (360)902-4817 Licensed Contractor? Yes License No. REVIVGC814NG 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).