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25-032.01CustomEnergyConsultantsEnergyEfficiencyRetrofitsCenterPlace
Public Works Department Spokane\111111111.11kEngineering Division Valley 10210 E Sprague Ave • Spokane Valley WA 99206 509.720.5075 ♦ Fax: 509.720.5075 • cityhall®spokanevalley.org Change Order Memorandum Date: 2/20/25 To: Gloria Mantz, City Services Administrator From: Glenn Ritter, Senior Engineer Re: Change Order#1 for CEC Construction Contract at Centerplace Energy Retrofit-EE024 Budget Account No. CX594750 562002 CEC - Contract No. 25-032 This change order will pay for a couple of items of work that were not part of the scope of the original contract and are not reimbursable under the Commerce EE0254 Grant. The building's emergency lighting is currently connected to a backup power supply (inverter) in the basement. Facilities maintenance staff stated that this is problematic and expensive to maintain. CEC proposed to provide emergency lamps (ballasts) for the existing emergency light fixtures and replace the stairway emergency lighting. They will also bypass the backup power supply. Additionally, the Great Room lighting currently has dimming capability, albeit somewhat limited. Operations staff confirmed that full dimming capability is needed for room rental users. The new LED lighting retrofit bulbs will not work properly with dimming so new fixtures are needed and rewiring is required. The maximum Not to Exceed cost (including sales tax) for this Change Order work is $44,997.95 paid for by City of Spokane Valley out of the "CP Mnt Capital-Rec Facilities— Building Improvements" budget. Original Contract Amount (includes sales tax): $ 262,000.00 Previous Change Order Cost: $ 0.00 Change Order#1 Cost (includes sales tax): $ 44,997.95 Project Cost including Change Order#1: $ 306,997.95 City Manager's Contract authority ($350,000.00) $350,000.00 Contract plus Change Order Cost to date: $306,997.95 Remaining City Manager's Contract Authority after CO #1 $43,002.05 cc: Finance Department Clerk's office Spoke l0Valley. CHANGE ORDER NO: 1 ENGINEERING DIVISION CONSTRUCTION CONTRACT NO: 25-032 PROJECT: EE024-Centerplace Energy Retrofit CONTRACT DATE: 2/13/2025 PRIME CONTRACTOR: HE Solutions, LLC dba Custom Energy Consultants CIP NO: n/a DESCRIPTION OF CHANGES Additional Electrical work at Centerplace-NOT funded by Commerce Grant Item No. Description Unit Quantity Unit Price Total COP#01 Emergency Lighting Improvements 1 LS $ 17,445.51 $ 17,445.51 COP#02 Great Room Dimming 1 LS $ 23,874.92 $ 23,874.92 Subtotal $ 41,320.43 8.9%Sales Tax $ 3,677.52 Total Amount of this Change Order(incl.Tax): $ 44,997.95 VERBAL APPROVAL AND JUSTIFICATION Independent Justification on File Yes Verbal Approval Yes Verbal Approval by Glenn Ritter TERMS AND CONDITIONS THIS CHANGE ORDER DOES NOT CHANGE THE TERMS AND CONDITIONS OF THE ORIGINAL CONSTRUCTION CONTRACT EXCEPT FOR THE TOTAL CONTRACT AMOUNT AS SHOWN BELOW CONTRACT AMOUNT THESE CHANGES RESULT IN THE FOLLOWING ADJUSTMENTS OF TOTAL CONTRACT AMOUNT: ORIGINAL TOTAL CONTRACT AMOUNT $ 262,000.00 TOTAL PRIOR CONTRACT CHANGE ORDER AMOUNT . 0.00 TOTAL CONTRACT AMOUNT PRIOR TO THIS CHANGE ORDER $ 262,000.00 NET THIS CHANGE ORDER $ 44,997.95 TOTAL CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER $ 306,997.95 CONTRACTOR ACCEPTANCE: DATE: 2/13/2025 RECOMMENDED BY: DATE: 02/14/25 Project anager APPROVED BY: , c Q t. j G DATE: lit City Services Administrator APPROVED BY: _9/ \ / 7 Mi0/4-"fl- DATE: Z 2-0 Z S City Manage ATTACHMENTS: CEC Chan e Order Proposals#01  Distribution: ORIGINAL TO: City of Spokane Valley Clerk's Office COPIES TO: Contractor, PW Project File, Finance Department COSV Form 9/5/2014 • • • CUSTOM ENERGY CONSULTANTS Change Order Proposal#1 City of Spokane Valley—CenterPlace Event Center CenterPlace EE024—Construction Agreement COP #1 To Glenn Ritter, P.E. City of Spokane Valley 10210 East Sprague Avenue Spokane Valley WA 99206 RE Emergency Lighting Improvements Date Description Quantity Rate Amount 2/6/2025 Arctic bid proposal (see attached) 1 $13,098.49 $13,098.49 2/6/2025 Credit from Arctic (see attached) 1 $ Included $ Included 2/6/2025 Bond 1 $ 515.00 $ 515.00 2/6/2025 CEC Markup (15%) 1 $ 2,042.02 $ 2,042.02 2/6/2025 CEC Project Management 8 $ 175.00 $ 1,400.00 2/6/2025 CEC Project Development 2 $ 195.00 $ 390.00 2/6/2025 Total Change Order (CEC) $ 17,445.51 2/6/2025 Sales Tax $ 1,552.65 2/6/2025 Total Change Order $ 18,998.16 1I _ Proposal 0- Weehem 7210 E. Nora Spokane Valley, WA 99212 Phone (509) 533-9350 Fax (509) 533-9353 ARCTILE930DG February 6, 2025 Mikael James Custom Energy Consultants Subject: Center Place Mike, The following is the change order for installing emergency lighting in lieu of fixing the inverter at the Center Place project while we are retrofitting the rest of the building. 25-4' TLED emergency lamps in the 2x4 fixtures and in the mechanical spaces, we will just use one 1 lamps for this the other lamp will be a standard LED lamp. 6- sconce lights will be removed and replaced with a stairwell strip light with motion sensor and emergency battery. This will really brighten the stairwells as well as provide the emergency illumination that is required. 2-2x2 fixtures will have an emergency kit installed with a battery back up LED board for the illumination 17-can lights will have battery packs installed Materials cost $9,350.00 Labor 24 x$85 $2,040.00 OH and P 15% $1,708.49 Bid for this change order: $13,098.49 Thank you.. UJ2 � 7. Brian D. Chapman President • liit and e�rcItom •zed 2307 North Woodruff Spokane Valley, WA 99206 Breakdown Phone 509-533-9350 Fax 509 533 93530 ARCTILE930DG Date: February 6,2025 Contractor: Custom Energy Consultant Attention: Greg or Mike Project: Center Place COS V Document ID: Subject: Center Place EM lamp proposal Materials: $8,167.42 Labor Hours 39.00 Labor per Hour Direct $66.10 w/Burden $82.63 $3,222.57 Direct Supervision 15%Labor w/o Burden $0.00 Safety 2%Labor w/Burden $0.00 Small Tools 5%Labor w/o Burden $0.00 Subtotal: $11,389.99 Overhead and Profit on Labor and Material cost: 15.00% $1,708.50 Subtotal: $13,098.49 Subcontractor Portion: Overhead and Profit: $65,000.00 $0.00 Subtotal: $0.00 Subtotal: $13,098.49 Bond: $0.00 Total: $13,098.49 Sincerely, Brian D. Chapman President 2 (_.../ ette 4glitinl and Wee i b 2307 North Woodruff Spokane Valley, WA 99206 Phone 509-533-9350 Fax 509-533-9353 ARCTILE930DG Material Quantity Unit Cost Extension Labor Unit Extension deduct 4' lamps $7.00 ($175.00) 0.250 (6.25) deduct sconce retrofit $15.00 ($90.00) 0.250 ( 1.50) deduct can lights 6" non em $33.00 ($561.00) 0.500 (8.50) $0.00 0.00 Adds- $0.00 0.00 keystone EM lamp with battery 25.00 $130.00 $3,250.00 0.750 18.75 new em lights for stairwells 6.00 $400.00 $2,400.00 1.500 9.00 2x2 em fulham em kit 2.00 $89.86 $179.72 1.000 2.00 6" emergency cans RAB 17.00 $186.10 $3,163.70 1.500 25.50 $0.00 _ 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 _ 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 _ 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 _ 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 Totals: $8,167.42 39.00 2 • • • CUSTOMNERGY CONSULTANTS Change Order Proposal#2 City of Spokane Valley— CenterPlace Event Center CenterPlace EE024— Construction Agreement COP #2 To Glenn Ritter, P.E. City of Spokane Valley 10210 East Sprague Avenue Spokane Valley WA 99206 RE Common Area/Great Room Dimming Date Description Quantity Rate Amount 2/6/2025 Arctic bid proposal (see attached) 1 $ 18,494.28 $ 18,494.28 2/6/2025 Credit from Arctic (see attached) 1 $ Included $ Included 2/6/2025 Bond 1 $ 710.00 $ 710.00 2/6/2025 CEC Markup (15%) 1 $ 2,880.64 $ 2,880.64 2/6/2025 CEC Project Management 8 $ 175.00 $ 1 ,400.00 2/6/2025 CEC Project Development 2 $ 195.00 $ 390.00 2/6/2025 Total Change Order (CEC) $ 23,874.92 2/6/2025 Sales Tax $ 2,124.87 2/6/2025 Total Change Order $ 25,999.79 1t Proposal c-jseti, Ceketiele 7210 E. Nora Spokane Valley, WA 99212 Phone (509) 533-9350 Fax (509) 533-9353 ARCTILE930DG February 6,2025 Mikael James Custom Energy Consultants Subject: Center Place Mike, The following is the change order for installing dimming fixtures in the Great Room/Common Room and installing 3-wall dimmers to control the 0-10v dimming system. Remove the existing lamps and install new LED lamps that will have the ability to dim with 0-10 control. This is for the 15 globe lights in the great room, and for the small globe lights in the entry of that space to the east 7 smaller units. The whole fixture will now dim not just the top or the bottom. We are going to rewire to make work with the existing wiring. We will install 3 switches in the existing room that will be labeled so the staff will know which one to use on dimming. Materials $13,532.00 Labor 30 hours X $85.00 $ 2,550.00 Subtotal $16,082.00 OH and P 15% $2,412.28 Bid for this change order: $18,494.28 Thank you, th a. - Tom. CAa Brian D. Chapman President c*I-dire, ([lidce 1X Itemized 2307 North Woodruff Spokane Valley, WA 99206 Phone 509-533-9350 Breakdown Fax 509-533-9353 ARCTILE930DG Date: February 6, 2025 Contractor: Custom Energy Consultant Attention: Greg or Mike Project: Center Place COS V Document ID: Subject: Center Place Change order 2-Dimming in the commons room- Materials: $10,628.40 Labor Hours 66.00 Labor per Hour Direct $66.10 w/Burden $82.63 $5,453.58 Direct Supervision 15%Labor w/o Burden $0.00 Safety 2%Labor w/Burden $0.00 Small Tools 5%Labor w/o Burden $0.00 Subtotal: $16,081.98 Overhead and Profit on Labor and Material cost: 15.00% $2,412.30 Subtotal: $18,494.28 Subcontractor Portion: Overhead and Profit: $0.00 Subtotal: $0.00 Subtotal: $18,494.28 Bond: $0.00 Total: I $18,494.28 Sincerely, Brian D. Chapman President 2 n c %Ittin3 and Vketiele 2307 North Woodruff Spokane Valley, WA 99206 Phone 509-533-9350 Fax 509-533-9353 A RCTILE930DG Material Quantity Unit Cost Extension Labor Unit Extension credit 15 globe lights Type I k 15.00 $72.00 ($1,080.00) 1.000 15.00) Credit 7 small globes type I 1 (7.00) $56.00 ($392.00) 0.750 (5.25) $0.00 0.00 $0.00 0.00 Dimming add $0.00 0.00 15 fixtures 135.00 $71.00 $9,585.00 0.300 40.50 2'retrofit lamp Remphos $0.00 0.00 connection and jumper cables 135.00 $8.04 $1,085.40 0.100 13.50 $0.00 0.00 small globes 2 per globe 14.00 $55.00 $770.00 0.500 7.00 $0.00 0.00 Dimmers 0-10 3.00 $85.00 $255.00 1.000 3.00 conduit and boxes for dimmers 3.00 $25.00 $75.00 0.750 2.25 wire 3.00 $10.00 $30.00 0.350 1.05 $0.00 0.00 rewire lights for dimming 1.00 $300.00 $300.00 18.000 18.00 $0.00 0.00 dimming panel- 1.00 $0.00 0.950 0.95 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 _ $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 0.00 Totals: $10,628.40 66.00 2 GENERAL SURETY RIMER To be attached and form a part of Type of Bond: Performance & Payment Bonds Bond No.: YCN7470408 Dated effective: February 11, 2025 (MONTH, DAY, YEAR) executed by: HE Solutions, LLC dba Custom Energy Consultants, as Principal, (PRINCIPAL) and by: Old Republic Surety Company , as Surety, (SURETY) and in favor of : City of Spokane Valley (OBLIGEE) In consideration of the mutual agreements herein contained the Principal and the Surety hereby consent to changing INFORMATION Bond Number FROM YCN7470408 TO YCN7470409 Bond Amount $262,000.00 $306,997.95 Nothing herein contained shall vary, alter or extend any provision or condition of this bond except as he expressly stated. This rider is effective February 14, 2025 (MONTTI, DAY, YEAR) Signed and Sealed February 14, 2025 (MONTH, DAY, YEAR) HE Solutions, LLC dba Custom Energy Consultants PRINCIPAL TT L Old Republic Surety Company SURE.—*.' BY: :zy=- Travis Long, torney-in-Fact Surety Phone No. 509-747-3121 * OLD REPUBLIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and appoint: Craig S. Jones, Travis Long, Christine Larson. Shelby Groth, Daniel Stowe, Erin L. Repp, H. Keith McNally, Sydney Schmidt of Spokane, WA its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds), as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds: and said officers may remove any such attorney -in -fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant secretary; or (ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney -in -fact or agent; or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, affixed this 28th OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be _ day of _ February 2024 „uumn'rnn„ W ;' Go♦PO♦ITt \cp SEAL `> Assi..,an"Secreta -- STATE OF WISCONSIN, COUNTY OF WAUKESHA- SS OLD REPUBLIC SURETY COMPANY /04- V President On this 28th day of _ February 2024 , personally came before me, Alan PaVIIC and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. TA Notary Public OF�NSO My Commission Expires: September 28, 2026 CERTIFICATE (Expiration of notary's commission does not invalidate this instrument) I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin. (;or, .oraron, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney, are now in force. 4-b �'. r°♦R �r1 11- 787820 g SEAL ORSC 22262 (3-06) HUB Int'I Northwest LLC Signed and sealed at the City of Brookfield. WI this I4th February 2025 .tic,c Assis..,.it Secreta •ul HESOLUT-01 CWHEE 11312D/vrvY) [TE 813/2025 CERTIFICATE OF LIABILITY INSURANCE 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 Acrisure West Insurance Services, LLC 1950 W Corporate Way #1 Anaheim, CA 92801-5373 CONTACT NAME: PHONE FAX (A/C, No, Ext): A/C, No): -MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Palomar Excess and Surplus Insurance Company 16754 INSURED INSURER B : Underwriters at Lloyd's, London NAIC#:32727 32727 INSURERC: H E Solutions, LLC DBA Custom Energy INSURER D : 19769 E Caufield Ave Liberty Lake, WA 99016-7000 INSURERE: INSURER F : COVERAGES CERTIFICATE NIIMRFR- IRI=VISInN NII IIIARPR• 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 NUMBER POLICY EFF POLICY EXPILTR LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR PES-GL-01-1634 8/9/2025 8/9/2026 EACH OCCURRENCE $ 1,000,000 pR MGE TO REot�T�ED n $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY D PRO- ❑ LOC JECT GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 WA STOP GAP 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acciden $ BODILY INJURY Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PeOracEcZt AMAGE $ AUTOS ONLY AUUTOOSONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE PES-XS-01-6280 8/9/2025 8/9/2026 DED I X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINSTMUTE ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under NIA PER OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below B Professional Liab PS00240463183 8/8/2025 8/8/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Spokane Valley is additional insured. Coverage Is primary and non-contributory and waiver of subrogation applies. City of Spokane Valley 10210 E Sprague Ave Spokane, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Aw ACURU 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HESOLUT-01 CWHEELER ACORO CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 8/13/213/2025 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 Acrisure West Insurance Services, LLC 1950 W Corporate Way #1 Anaheim, CA 92801-5373 CONTACT ME: PHONE FAX A/C, No, Ext): (,vC, No): ADDRE INSURERS AFFORDING COVERAGE NAIC # INSURER A : Palomar Excess and Surplus Insurance Company 16754 _. INSURED INSURERS: Underwriters at Lloyd's, London NAIC#:32727 32727 INSURER C : H E Solutions, LLC DBA Custom Energy INSURER 0: 19769 E Caufield Ave Liberty Lake, WA 99016-7000 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF M POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR PES-GL-01-1634 8/9/2025 8/9/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE ERENTEDnce $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY DJECIj-� LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 WA STOP GAP 1,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ (Per PROPERTYAMAGE $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PES-XS-01-6280 8/9/2025 8/9/2026 EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 DED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE XFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ISTERUTE OTH- ATER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT B Professional Liab PS00240463183 8/8/2025 8/8/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) Evidence of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HESOLUT-01 CWHEELER ACORD' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YVYY) 8/13/2025 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 Acrisure West Insurance Services, LLC 1950 W Corporate Way #1 Anaheim, CA 92801-5373 CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Palomar Excess and Surplus Insurance Company 16754 INSURED INSURER B : Underwriters at Lloyd's, London NAIC#:32727 32727 INSURER C : H E Solutions, LLC DBA Custom Energy INSURERD: 19769 E Caufield Ave Liberty Lake, WA 99016-7000 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR PES-GL-01-1634 8/9/2025 8/9/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE TORENTEDREMoccurrecel $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 WA STOP GAP 11000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PPeoacEciRdent AMAGE $ AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE PES-XS-01-6280 8/9/2025 8/9/2026 DED X RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ FICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N / A PER OTH- T T T E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below B Professional Liab PS00240463183 8/8/2025 8/8/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: The Holley Mason Boiler Upgrade Contract #25-92701-030 Owner: Holley Mason-20, LLC, 827 W 2nd Ave, Spokane, WA 99201 The Certificate Holder and Owner are included as additional insured as required by written contract. RenCorp Realty Attn: Timmi Short 827 W 2nd Ave Spokane, WA 99201 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ;Ifto/O&W ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HESOLUT-01 CWHEELER ,acoRO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYY) 8/13/2025 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 Acrisure West Insurance Services, LLC 1950 W Corporate Way #1 Anaheim, CA 92801-5373 CONTACT NAME: PHONE FAX A/C, No, Ext): (A/C, No): E-MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Palomar Excess and Surplus Insurance Company 16754 _. INSURED INSURERS: Underwriters at Lloyd's, London NAIC#:32727 32727 INSURERC: H E Solutions, LLC DBA Custom Energy INSURER 0: 19769 E Caufield Ave Liberty Lake, WA 99016-7000 INSURER E INSURER F : COVERAGES CERTIFICATE NIIMRFR- RFVI¢InM IVI IIIARFR• 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. IL SR TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP AMIDDAnrM LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r X] OCCUR PES-GL-01-1634 8/9/2025 8/9/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE ITORENTEO orcurrencelMED $ 100,000 EXP (Any oneperson) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY wcC LOG GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,600 IWASTOP GAP $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY AMAGE Per accident $ HIRED NpN-OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE PES-XS-01-6280 8/9/2025 8/9/2026 DIED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in If ys, describe under eer and NIA PER OTH- TAT T E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT B Professional Liab PS00240463183 8/812025 8/8/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Grant No. 25-92701-040 - North Town Office Energy Retrofit State of Washington, its agents, officers, and employees are included as additional insureds. All policies are primary and non-contributory. 30-Day Notice of Cancellation applies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Washington State Department fo Commerce THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Representative: Derek Cockle 1011 Plum Street SE Olympia, WA 98504-2525 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HESOL HT-n1 CWHFFLFR ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/13/2025 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 Acrisure West Insurance Services, LLC 1950 W Corporate Way #1 Anaheim, CA 92801-5373 CONTACT NAME: PHONE FAX (A/C, No, Ext): (A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Palomar Excess and Surplus Insurance Company 16754 INSURED INSURER B : Underwriters at Lloyd's, London NAIC#:32727 32727 INSURER C : H E Solutions, LLC DBA Custom Energy INSURER D : 19769 E Caufield Ave Liberty Lake, WA 99016-7000 INSURER E INSURER F : COVERAGES CERTIFICATE NHMRER- RFVISInN NIIMRFR- 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 NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PES-GL-01-1634 8/9/2025 8/9/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMI E Ea o rr nce 100,000 $ MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PES LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 WA STOP GAP 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per person $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY IX AUMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 EXCESSLIAB CLAIMS -MADE PES-XS-01-6280 8/9/2025 8/9/2026 DED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STAT TE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liab PS00240463183 8/8/2025 8/8/2026 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Grant No. 25-92701-047 - Rockwood South Hill Retrofit State of Washington, its agents, officers, and employees are included as additional insureds. All policies shall be primary to any other valid and collectable insurance. 30-Day Notice of Cancellation applies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Washington State Department fo Commerce THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 p ACCORDANCE WITH THE POLICY PROVISIONS. Representative: Derek Cockle 1011 Plum Street SE Olympia, WA 98504-2525 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD