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25-024.02CameronReillyGreenacresParkPhase2CIP#0360Spokane ,,;oOValley ENGINEERING DIVISION CHANGE ORDER NO: 2 CONSTRUCTION CONTRACT NO: 25-024.02 PROJECT: Greenacres Park Phase 2 CONTRACT DATE: 2/11/2025 PRIME CONTRACTOR: Cameron Reilly, LLC CIP NO: 360 for electrical i Item No. Description CO #2.1 Added electrical work for future CCTV Independent Justification on File Yes Verbal ADDroval Yes Original Contract Working Days: 110 ................. Revisions by Prior Change Orders: 0 re Unit Quanti Unit Price Total 1 LS $ 7,890.40 $ 7.890.40 Total Amount of this Change Order: $ 7,890.40 8.9% Sales Tax $ 702.25 ............................... Verbal Approval by Glenn Ritter Revision By This Change Order: 0 .......... I .......... Total Revised Contract Workinq Days: 110 ESE CHANGES RESULT IN THE FOLLOWING ADJUSTMENTS OF TOTAL CONTRACT AMOUNT: ORIGINAL TOTAL CONTRACT AMOUNT ........................................................................................................................ $ 1,177,500.00 TOTAL PRIOR CONTRACT CHANGE ORDER AMOUNT (through C0#1) ........................................................... $ 53,982.41 TOTAL CONTRACT AMOUNT PRIOR TO THIS CHANGE ORDER $ 1,231,482.41 NET THIS CHANGE ORDER $ 7,890.40 TOTAL CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER .... $ 1,239,372.81 CONTRACTOR ACCEPTANCE.- DATE: The contractor hereby accepts this adjust nt under the terms of Section 1-04.4 of the original contract. RECOMMENDED BY:WLI_DATE: 5/5/25 Project Manager APPROVED BY: �p��_ DATE: 7v j PW Director APPROVED BY: �^--� DATE: City Manager ATTACHMENTS: Change Order Description Distribution: ORIGINAL TO: City of Spokane Valley Clerk's Office COPIES TO: Contractor, PW Project File, Project Inspector, Finance Department C_I Spokane ,,, f Valley THE CONTRACT IS MODIFIED AS FOLLOWS: WORK TO INCLUDE Background: Change Order No: 2 Construction Contract No: 25-024.02 This change order pays for extra work that was not anticipated at bid time and added for the additional electrical infrastructure needed so the City can install CCTV in the future on an existing and/or new park light pole. Description of Change: This change order pays for the following added work: • Remove existing conductors from the conduit serving the existing light poles. • Add a new 120v circuit from Panelboard L1 or L2 in the existing conduit. Re -install existing conductors serving light poles. Install (2) pole mounted enclosures with receptacles. Specification: See attached plan markup for the above work. Plans: See attached plan markup for the above work. Time: Working days are not affected by this change order. Measurement: No specific measurements for the new lump sum items. Payment: New item #2.1 "Added electrical work for future CCTV", lump sum The lump sum item "Added electrical work for future CCTV", shall be full pay for labor, materials and equipment to remove existing conductors, provide a new 120v circuit, reinstall existing conductors and install pole mounted enclosures as shown on the attached plan. (E) PANEL L1 1 T 1 (E) Add enclosure on new light pole (E) L1-2 VIA TIME SWITCH 1 RC" F \ (E) 970 278 318 Enclosure existing light pole ELECTRICAL SITE PLAN SCALE t._v.-0. i I� 1'C-2#10,1#10G z ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 2/20/2025 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 Parker Smith & Feek Insurance LLC 2233 112th Ave NE CONTACT NAME: PHONE 425-709-3600 ac No ADDRIESS: Bellevue WA 98004 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 License#: PC-1719201 INSURED CAMELLC-03 Cameron -Reilly, LLC 309 N Park Rd INSURER B : American Guarantee and Liability Insurance 26247 INSURER C : INSURERD: Spokane WA 99212 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER! 7R13r19RR7 RFVISI[1N 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 LTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y Y GL0394676301 3/1/2025 3/1/2026 EACH OCCURRENCE $1,000,000 DAMAGE S(RENTED ccurrence)$ PREMISES Ea occurrence) 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECTF�j LOC GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: e AUTOMOBILE LIABILITY Y BAP394676401 3/1/2025 3/1/2026 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS tid Per accident) BODILY INJURY ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ B UMBRELLA LIAB X OCCUR Y SXS394676601 3/1/2025 3/1/2026 EACH OCCURRENCE $5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N GL0394676301 3/1/2025 3/1/2026 PER X OTH- STATUTE ER WA Stop Gap E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ N/A E.L. DISEASE- EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project No.: 0360; Description: Greenacres Park - Ph 2; Job Location: Spokane Valley; Sidewalks & Driveways, Curb & Gutters, Approaches, Splash Pad, Sports Court, Excavation. City of Spokane Valley, officers, elected officials, employees, agents, and volunteers are included as Additional Insured on the General Liability, Auto Liability and Excess Liability Policies, if required by written contract or agreement, subject to the policy terms and conditions. This Insurance is Primary & Non -Contributory on the General Liability, Auto Liability and Excess Liability Policies, if required by written contract or agreement, subject to the policy terms and conditions. A Waiver of Subrogation Is provided on the General Liability Policy, if required by written contract or agreement, subject to the policy terms and conditions. General Liability Coverage includes 30 day notice of cancellation, subject to the terms and conditions of the policy. Per project aggregate on the See Attached... City of Spokane Valley 10210 E Sprague Ave Spokane Valley WA 99206 LOY-10 Lh a 4 111IF_1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUUTTH�ORIZ�E-}D' REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD