23-036.09GarcoConstructionCityHallPhase3RepairsPDBSCommunity & Public Works Department
10210 E Sprague Avenue ♦ Spokane Valley WA 99206
Phone: (509) 720-5000 ♦ Fax: (509) 720-5075
Valley - www.spokanevalleywa.gov
CHANGE ORDER
CITY OF SPOKANE VALLEY
Contract Change Order
City of Spokane Valley Design -Builder:
Garco Construction, Inc.
4114 E. Broadway Ave.
Spokane, WA 99202
Project Name: City Hall Remediation / Repairs
Change Order #: 09
PCO#
Description of Change
Change in
Contract Time
Change in
GMP
PCO023
CE 056 — Not to Exceed Design, Construction Management Services
200,000
Total w/o WSST
$200,000.00
Original Guaranteed Maximum Price GMP
$ 349,999.00
Net change by previous authorized Change Orders
$ 3,692,654.80
Total net [check one] Increase / ❑ Decrease in the GMP by this Change
Order
$217,800
New GMP including this Change Order
$3,910,454.80
The new Contract Time including this Change Order is:
Phase 1 & 2 Substantial Completion Date August 31, 2024
Phase 3 Substantial Completion Date July 31, 2025
Final Completion Date August 31, 2025
The changes in the GMP and Contract Time identified in this Change Order include all costs and time extensions
associated with performing the changes set forth herein.
City of Spokane Valley
By: G�
Signature
Design -Builder: G- -, Construction, Inc.
By.
Signature
John Hohman
Title: City Manager
Date: y - Zg -25
Scott Battaglia
Title: Project Manager
Date: 04/15/2025
"GARCO
PCCO #009
Garco Construction, Inc. Project: 230200 - City Hall Remediation Project
4114 E Broadway Ave 10210 E Sprague Ave
Spokane, Washington 99202 Spokane Valley, Washington 99206
Phone: (509) 535-4688 Phone: 509-720-5018
Fax: (509) 535-1384
Prime Contract Change Order #009: Owner Change Order 09
TO: City Of Spokane Valley FROM: Garco Construction Inc
10210 East Sprague Avenue 4114 E Broadway Ave
Spokane Valley, Washington 99206 Spokane, Washington 99202
DATE CREATED: 4/08/2025
CONTRACT STATUS: Pending - In Review
DESIGNATED REVIEWER:
DUE DATE:
INVOICED DATE:
SCHEDULE IMPACT.
CONTRACT FOR:
DESCRIPTION:
Owner Change Order 09
ATTACHMENTS:
CREATED BY:
REVISION:
REVIEWED BY:
REVIEW DATE:
PAID DATE:
EXECUTED:
SIGNED CHANGE ORDER
RECEIVED DATE:
Brea LaRue (GarcoConstructionInc)
0
No
230200 - SPOVAL0000:230200 Prime TOTAL AMOUNT: $200,000.00
Contract
POTENTIAL CHANGE ORDERS IN THIS CHANGE ORIIFR-
PCO #
Title
Schedule Impact
Amount
PCO 023
CE #056 - Phase 3 NTE Design and Pre-Con/CM Services,
Supervision, and Support Staff
$200,000.00
Total:
$200,000.00
CHANGE ORDER LINE ITEMS:
PCO # PCO 023[ CF #O5R - Phaca 3 NTF nocinn nnfl Pro-r—ir' 1A Snniirnc Cnr.nr..ioi.... --A Q......-. essa
#
Budget Code
Description
Amount
1
20001-032 P3 INDIRECTS.Indirect
Project Executive (105 Hrs @ $225)
$23,625.00
2
20001-032 P3 IND]RECTS.Indirect
Support Staff (125 Hrs @ $80)
$10,000.00
3
01070-031 P3 PROJECT MANAGER.Labor
Project Manager (210 Hrs @ $150)
$31,500.00
4
01060-031 P3 PROJECT ENGINEER.Labor
Project Engineer (310 Hrs @ $100)
$31,000.00
5
01011-031 P3 SUPER[ NTENDENT.Labor
Field Supervision (400 Hrs @ $140)
$56,000.00
6
01001-031 P3 GARCO DESIGN SERVICES.Labor
Design Department Manager (110 Hrs @ $200)
$22,000.00
7
01001-03.1- P3 GARCO DESIGN SERVICES.Labor
Design Assistance -Draftsman (207 Hrs @ $125)
$25,875.00
Grand Total:
$200,000.00
The original (Contract Sum)
Net change by previously authorized Change Orders
The contract sum prior to this Change Order was
The contract sum would be changed by this Change Order in the amount of
The new contract sum including this Change Order will be
The contract time will not be changed by this Change Order.
$321,395.00
$3,069,472.59
$3,390,867.59
$200,000.00
$3,590,867.59
Garco Construction, Inc. Page 1 of 2 Printed On: 4/23/2025 11:42 AM
CE #056 - Phase 3 NTE Design and Pre-
GARCO Con/CM Services, Supervision, and
Support Staff
PCO #PCO 023
Project: 230200 - City Hall Remediation Project
10210 E Sprague Ave
Spokane Valley, Washington 99206
Phone: 509-720-5018
TO:
City Of Spokane Valley
FROM:
Garco Construction Inc
10210 East Sprague Avenue
4114 E Broadway Ave
Spokane Valley Washington, 99206
Spokane Washington, 99202
PCO NUMBER/REVISION:
PCO 023 / 0
CONTRACT:
230200 - SPOVAL0000 - 230200 Prime
Contract
REQUESTED BY:
CREATED BY:
Brea LaRue (Garco Construction Inc)
STATUS:
Pending - In Review
CREATED DATE.
4/8/2025
SCHEDULE IMPACT:
PRIME CONTRACT
#009 - Owner Change Order 09
CHANGE ORDER:
PAID IN FULL:
No
TOTAL AMOUNT:
$200,000.00
PCO TITLE: CE #056 - Phase 3 NTE Design and Pre-Con/CM Services, Supervision, and Support Staff
CHANGE REASON: Client Request
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #056 - Phase 3 NTE Design and Pre-Con/CM Services Supervision and Support Staff
Not -to -Exceed Costs
The not -to -exceed costs encompass Design, Preconstruction and Construction Management Services, Staff Support and Site Supervision (ONLY) for
the following Tasks:
• Glu Lam Repairs
• HVAC Harmonics (Power Study)
• East Entry Repairs
• Doors and Walls Repairs
• Access Control
• Lobby Permit Counter Remodel
• Storefront Repairs/Replacement
ATTACHMENTS:
#
Cost Code
Description
Type
Amount
1
20001-03 - P3 INDIRECTS
Project Executive (105 Hrs @ $225)
Indirect
$23,625.00
2
20001-03 - P3 INDIRECTS
Support Staff (125 Hrs @ $80)
Indirect
$10,000.00
3
01070-03 - P3 PROJECT MANAGER
Project Manager (210 Hrs @ $150)
Labor
$31.500.00
4
01060-03 - P3 PROJECT ENGINEER
Project Engineer (310 Hrs @ $100)
Labor
$31.000.00
5
01011-03 - P3 SUPERINTENDENT
Field Supervision (400 Hrs @ $140)
Labor
$56,000.00
6
01001-03 - P3 GARCO DESIGN SERVICES
Design Department Manager (110 Hrs @ $200)
Labor
$22,000.00
7
01001-03 - P3 GARCO DESIGN SERVICES
Design Assistance -Draftsman (207 Hrs @ $125)
Labor
$25,875.00
Grand Total:
$200,000.00
Garco Construction, Inc. page 1 of 1 Printed On: 4/23/2025 11:44 AM
INCREASE PENALTY RIDER
BOND AMOUNT $3,692,654.80 BOND NO. 107749033
To be attached and form a part of Bond No. 107749033 dated the 2nd Day of
February, 2023, executed by Travelers Casualty and Surety Company of America as
surety, on behalf of Garco Construction, Inc. as current principal of record, and in
favor of City of Spokane Valley, as Obligee for City Hall Remediation - Progressive
Design Build, Spokane Valley Capital Improvement Project No. 0322-2, and in the
amount of Three Million Six Hundred Ninety Two Thousand Six Hundred Fifty Four
Dollars and 80/100 ($3,692,654.80).
In consideration of the agreed premium charged for this bond, it is understood and
agreed that Travelers Casualty and Surety Company of America hereby consents that
effective from the 16th Day of April, 2025, said bond shall be amended as follows:
THE BOND PENALTY SHALL BE INCREASED:
FROM: Three Million Six Hundred Ninety Two Thousand Six Hundred Fifty Four
Dollars and 80/100 ($3,692,654.80)
TO: Three Million Nine Hundred Ten Thousand Four Hundred Fifty Four Dollars and
80/100 ($3,910,454.80)
The INCREASE of said bond penalty shall be effective as of the 16th Day of April,
2025, and does hereby agree that the continuity of protection under said bond
subject to changes in penalty shall not be impaired hereby, provided that the
aggregate liability of the above mentioned bond shall not exceed the amount of
liability assumed by it at the time the act and/or acts of default were committed
and in no event shall such liability be cumulative.
Signed, sealed and dated this 16th Day of April, 2025
Travelers Casualty and Surety Company of America
'' �(� SURETY
BY (�► '^--V�' U JUISa�
Shawn M. Wilson, ATTORNEY -IN -FACT
THE ABOVE BOND IS HEREBY AGREED TO AND ACCEPTED BY:
BY
City of Spokane Valley
OBLIGEE
TITLE
Travelers Casualty and Surety Company of America
AM Travelers Casualty and Surety Company
TRAVELERS
St. Paul Fire and Marine Insurance Company
Farmington Casualty Company
POWER OF ATTORNEY
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, St. Paul Fire and Marine Insurance Company, and
Farmington Casualty Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"),
and the Companies do hereby make, constitute and appoint Shawn M. Wilson of
Spokane, WA , their true and lawful Attomey(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds,
recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing
the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 4th day of March,
2024.
�D SUR(�B� YY AN p MAR1yG
SEAL �: 6EAL ;}�,^
fib! *.....
v
State of Connecticut
By:
City of Hartford ss. Bryce Grissom, Senior Vice President
On this the 4th day of March, 2024, before me personally appeared Bryce Grissom, who acknowledged himself to be the Senior Vice President of each
of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on
behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2026
MJTtM
►�svo Anna P. Nowik, Notary Public
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,
which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign
with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of
a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and
revoke the power given him or her, and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duty attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if
required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any
Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any
Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in-Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or
certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified
by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to
which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct
copy of the Power of Attorney executed by said Companies, which remains in full force and effect.
Dated this April 16, 2025
{I%,p SURfr, -t IY_A_ND MAR/�
...... . .. {r, ,�0... Nor o�GASUA<!L
E�';:• �.� •.•$ w: .� ..,�< Lam' �.� W. Vf� �.� '':O
ti .� '•.¢�+ i. Lo
SEAL i w SEAL �: SEAL :S SEAL 1:
�.�...
Kevin E. Hug es, Assistant Secretary
To verity the authenticity of this Power ofAttorney, please call us at 1-800-421-3880.
Please refer to the above -named Attorey(s)-in-Fact and the details of the bond to which this Power of Attorney is attached.
INCREASE PENALTY RIDER
BOND AMOUNT $169,543.38 BOND NO. 107749034
To be attached and form a part of Bond No. 107749034 dated the 2nd Day of
February, 2023, executed by Travelers Casualty and Surety Company of America as
surety, on behalf of Garco Construction, Inc. as current principal of record, and in
favor of City of Spokane Valley, as Obligee for RETENTION Bond, City Hall
Remediation - Progressive Design Build, Spokane Valley Capital Improvement Project
No. 0322-2, and in the amount of One Hundred Sixty Nine Thousand Five Hundred
Forty Three Dollars and 38/100 ($169,543.38).
In consideration of the agreed premium charged for this bond, it is understood and
agreed that Travelers Casualty and Surety Company of America hereby consents that
effective from the 16th Day of April, 2025, said bond shall be amended as follows:
THE BOND PENALTY SHALL BE INCREASED:
FROM: One Hundred Sixty Nine Thousand Five Hundred Forty Three Dollars and
38/100 ($169,543.38)
TO: One Hundred Seventy Nine Thousand Five Hundred Forty Three Dollars and
38/100 ($179,543.38)
The INCREASE of said bond penalty shall be effective as of the 16th Day of April,
2025, and does hereby agree that the continuity of protection under said bond
subject to changes in penalty shall not be impaired hereby, provided that the
aggregate liability of the above mentioned bond shall not exceed the amount of
liability assumed by it at the time the act and/or acts of default were committed
and in no event shall such liability be cumulative.
Signed, sealed and dated this 16th Day of April, 2025
Travelers Casualty and Surety Company of America
� SURETY
BY
Shawn M. Wilson, ATTORNEY -IN -FACT
THE ABOVE BOND IS HEREBY AGREED TO AND ACCEPTED BY:
City of Spokane Valley
OBLIGEE
BY
TITLE
Travelers Casualty and Surety Company of America
Aim Travelers Casualty and Surety Company
TRAVELERSJ St. (Paul Fire and Marine Insurance Company
Farmington Casualty Company
POWER OF ATTORNEY
Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, SL Paul Fire and Marine Insurance Company, and
Farmington Casualty Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies"),
and the Companies do hereby make, constitute and appoint Shawn M. Wilson of
Spokane, WA , their true and lawful Altomey(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds,
recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing
the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any
actions or proceedings allowed by law -
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 4th day of March,
2024.
�osu�ty Trtivo C M1!R[,yF �ASU�[ may.• _-,-•,co -=._...,.toq mod.• °�,,...., t`
�,n
�? SEAL Es w SEAL �= SEAL ai SEAL
State of Connecticut
By:
City of Hartford ss. Bryce Grissom, Senior Vice President
On this the 4th day of March, 2024, before me personally appeared Bryce Grissom, who acknowledged himself to be the Senior Vice President of each
of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on
behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal. ��H t /�� My Commission expires the 30th day of June, 2026 / NQTR1•
if � r.
`\ ruwc Anna P. Nowik, Notary Public
C
This Power of Attomey is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies,
which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any
Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and
Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign
with the Company's name and seal with the Company's seal bonds, recognizanc:es, contracts of indemnity, and other writings obligatory in the nature of
a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and
revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation
is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional
undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any
Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any
Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if
required) by one or more Attomeys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one
or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any
Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any
Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in-Fact for
purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or
certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified
by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to
which it is attached -
I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct
copy of the Power of Attorney executed by said Companies, which remains in full force and effect -
Dated this April 16, 2025
�osuffety r�xw� "o ri►glp` �-crAsu�i v ,
W� E
7 SEAL w SEAL ;; „ SEAL s: =E SEAL
'4� (1;.r /�
Kevin E- Hug es, Assistant Secretary
To verify the authenticity of this Power ofAttomey, please call us at 1-800-421-3880.
Please refer to the above -named Attomey(s)-in-Fact and the details of the bond to which this Power ofAttomey is attached.
C;APrrnm_n3 RSIMPSnN1
ACORO'
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
1l2/2025
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 INSURERS), 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
Hub International Northwest LLC
PO Box 3144
Spokane, WA 99220
CONTACT Glgl Draggoo
PHONE FAX
(A/C, No, Ext): (509) 462-7896 AIC, No):(509) 623-1073
EDDRIESS: gigi.draggoo@hubinternational.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A:LIbe Mutual Fire Insurance Company
23035
INSURED
INSURER B: LibertyInsurance Corporation
42404
INSURER C: Indian Harbor Insurance Company
36940
Garco Construction, Inc.
INSURER D :
P.O. Box 2946
Spokane, WA 99220
INSURER E
INSURER F :
COVERAGES CERTIFICATE Nt1MBFR! RFVI1RInN NI IMRFR-
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
X
X
TB2Z914699540024
12/31/2024
12/31/2025
EACH OCCURRENCE
$ 2,000,000
DAEMFIR SESO R NT ante
$ 100,000
MED EXP (Any oneperson)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'LAGGREGATE
LIMIT APPLIES PER:
POLICY F JECT LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OPAGG
$ 4,000,000
WA STOP GAP
$ 1,000,000
OTHER:
I
B
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
2,000,000
$
X
BODILY INJURY Perperson)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLYNAUTOS
X
X
AS7Z91469954014
12/31/2024
12/31/2025
BODILY INJURY Per accident
$
X
Pe�acEcitlentDAMAGE
$
AUTOS ONLY NON-OWNED
ONLY
B
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
EXCESS LIAR
CLAIMS -MADE
X
X
TH7Z91469954034
12/31/2024
12/31/2025
DED I X I RETENTION $ O
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
N I A
PER OTH-
TAT TE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
A
WA STOP GAP
EL2Z91469954044
12/31/2024
12/31/2025
EMP LIABILITY Limit
1,000,000
C
Prof/Poll Liability
X
X
CE0742089709
12/31/2024
12/31/2025
$2MM EA OCC/$6MM AGG
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
PROJECT NO. 0322-2
PROJECT DESCRIPTION: CITY HALL REMEDIATION -PROGRESSIVE DESIGN BUILD - SPOKANE VALLEY CAPITAL IMPROVEMENT
CITY OF SPOKANE VALLEY, WASHINGTON, THEIR OFFICERS, DIRECTORS AND EMPLOYEES ARE ADDITIONAL INSUREDS AS IT RELATES TO GENERAL &
AUTO LIABILITY & WAIVER OF SUBROGATION IS GRANTED AS IT RELATES TO GENERAL AUTO LIABILITY FOR ON -GOING AND COMPLETED
OPERATIONS IN ACCORDANCE WITH TERMS AND CONDITIONS OF THE POLICIES. UMBRELLA FOLLOWS FORM AS IT RELATES TO ADDITIONAL
INSUREDS. THE ABOVE COVERAGE IS PRIMARY AND NONCONTRIBUTORY WHERE REQUIRED BY WRITTEN CONTRACT.
CITY OF SPOKANE VALLEY, WASHINGTON
10210 E SPRAGUE AVENUE
SPOKANE VALLEY, 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
ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD