Loading...
25-060.01HaaseLandscaping2025LawnMowingServicesCityHallPolicePrecinctCONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND HASSE LANDSCAPE, INC. Spokane Valley Contract #25-060.01 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the Haase mutually agree as follows: 1. Purpose: This Amendment is for the Contract for 2025 lawn mowing services at City Hall and Police Precinct by and between the Parties, executed by the Parties on March 3, 2025, and which terminates on December 31, 2025. 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: The Original Contract is subject to the following amended provisions, which are either as follows, and 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. This Amendment No. l is for additional services associated with the 2025 lawn mowing services at City Hall and the Police Precinct as per Appendix A. including weed spraying, fall pruning irrigation winterization tree/shrub insect/disease control. 4. Comnensation Amendment History: This is Amendment #1 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 March 3, 2025 $17,940.49 (plus applicable sales tax) Amendment #1 TBD $ 7.133.35 (plus applicable sales tax) Total Amended Compensation $25,073.84 (plus applicable sales tax) The parties have executed this Amendment to the Original Contract this Zl' �day of May, 2025. CITY OF SPOKANE VALLEY: n Hohman City Manager APPROVED AS TO Office HAASE LANDSCAPING, INC.: Its: Zf-: .Ig r M�'�hc�4 Appendix A ENHANCEMENT / SPECIAL Now SERVICES CITY OF SPOKANE VALLEY Sales: Tony Polione 10210 EAST SPRAGUE AVENUE 10210 East Sprague Avenue -landscape Management SPOKANE VALLEY, WASHINGTON 10210 East Sprague Avenue Spokane Valley, Washington 99206 99206 Est ID: EST3101660 2025-SS Email. deverett@Spokanevalleywa.gov Date: Apr-16-2025 Phone: (509) 867-6657 Extra Seitilcec Visits Billing Type Visit price OK Irrigation-Startup(Valley Precinct) 1 Per Visit $106.25 ❑ Shrub bed pre-emergent+spot spray(Valley 31 Per Visit $150.99 Precinct) Fert+broad leaf spray(Valley Precinct) 3 Per Visit $132.10 Spring,Summer,Fall Irrigation-Startup(City Hall) 1 Per Visit $291.75 : 'I Shrub bed pre-emergent+spot spray(City Per Visit $449.22 Hall) !!! Fert+broad leaf spray(City Hall) 3 Per Visit $483.39 Spring,Summer,Fall Fall Cleanup(City Hall) 1 Per Visit $660.00 ❑ Tree and Shrub Insect/Disease Control 1 Per Visit $212.50 [ (City Hall) Tree and Shrub Insect/Disease Control 1 Per Visit (Valley Precinct) $487.50 [t� k. www,haaselandscape.com • 4: Haase Landscape, Inc. P.5099267950 12202 E. Thorpe Rd. chris.haase@haaselandscape.com . Spokane Valley, Washington 99206 page 1 of 2 I . Tf i xtra Services Fall Cleanup(Valley Precinct) Pruning- Fa ll(City Hall) Pruning-Fall(Valley Precinct) Irrigation-Winterize(City Hall) Irrigation-Winterize(Valley Precinct) Irrigation Repairs and Adjustments (Hourly) Item Name Irrigation Tech dl6llr Pr-4 4A'I^�1 C ; , 9140 Visits Billing Type Visit Price OK? 1 Per Visit $440.00 n 1 Per Visit $1,650.00 1 Per Visit $505.00�/ 1 Per Visit $361.25 1 Per Visit $170.00 i Per Hour/Unit Rate Unit- — -- Estimate authorized by: Tio�� -P.p AV-i 1Ve - w Tony Pollone Signature Date: 05/01/2025 Email: tc>ny@haaselandscape.com Estimate approved by: Signature Date: Haase Landscape, Inc. P-5099267950 12202 E. Thorpe Rd. Spokane Valley, Washington 99206 $85.00 per Hours www.haaselandscape.com chris.haase@haaselandscape.com page 2of2 HAASLAN-01 CWHEEL ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 4k.� 3/27/2025 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 WANED, 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: Acrisure Northwest Partners Insurance Services, LLC HONE 800 442-1281 FAX 19401 40th Ave W, Suite 440 ( � ): ( ) (A/c, No):(425) 291-5100 Lynnwood, WA 98036 ADDRESS: INSURED Haase Landscape Inc. 12202 E. Thorpe Rd. Spokane, WA 99206 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Middlesex Insurance Company 23434 INSURERB:Westchester Surplus Lines Insurance Company 10172 INSURER C : INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER. REVISION N"Ml3FR- 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 LTH TYPE OF INSURANCE ADS L SUBR POLICY NUMBER IMMUCY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ 5 1,000,000 CLAIMS -MADE X OCCUR X X A0230367004 9/1012024 9/10l2025 DAMAGE TO RENTED 1,000,000 PRErrdSEStF-aogcunence)___ MED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE_N'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 POLICY X JET LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: - -- - WA STOP GAP S 1,000,000 A AUTOMOBILE LIABILITY COMa81DNdEDISINGLE LIMIT $ 1,000,000 X ANY AUTO X X A0230367001 9/10/2024 9/10/2025 BODILY INJURY_CPer pwsonL _I OWNED SCHEDULED AUTOS ONLY AUTOS pp BODILY INJURY (Per acddenl). $ AUTOS ONLY __— AUTOSONLV (Per aEciiden[4AMAGE $ A X UMBRELLA LIAR X. OCCUR EACH OCCURRENCE S 2,000,000 EXCESS LIAR CLAIMS -MADE X X A0230367005 9/10/2024 9/10/2025 AGGREGATE $ 2,000,000 DIED RETENTION $ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE — E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) EL. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E_L DISEASE- POLICY LIMIT S B Pollution G70916113 004 9/1012024 9110/2026 Pollution 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Contract No. 25-060 City Hall and Police Precinct Landscaping City of Spokane Valley is included as additional insured for Ongoing and Completed Operations per the attached endorsement #CG7125 0622. Waiver of subrogation per the attached endorsement #CG7125 0622. Primary & non-contributory coverage per the attached endorsement #CG7125 0622. Per Project Aggregate per the attached endorsement #CG7118 0620. Auto Liability additional insured, primary & non-contributory, and waiver of subrogation per the attached endorsement #CA7057 0622. Umbrella Liability additional insured and primary & non-contributory per the attached endorsement #EU7091 0515. Umbrella Liability Waiver of Subrogation per the attached endorsement #EU7101 1219. City of Spokane Valley 10210 E Sprague Avenue 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA 70 57 06 22 SPECIAL BROAD FORM AUTO ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM 1. Broadened Who Is An Insured Under Section II - Covered Autos Liability Coverage, the following is added to Coverage A.1. Who Is An Insured: d. Employees As Insureds Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or personal affairs. e. Newly Acquired Organizations Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: 1. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period; whichever is earlier; and 2. Coverage does not apply to "bodily injury", "property damage" or "covered pollution cost or expense" that occurred before you acquired or formed the organization. f. For Any Covered "Auto": Who Is An Insured is amended to include as 3 an insured any organization or subsidiary thereof which is a legally incorporated entity of which you own a financial interest of more than 50 percent of the voting stock on the effective date of this endorsement. This provision applies only if there is no similar insurance available to the entity described above. 2. Additional Insured by Contract, Agreement or Permit SECTION II - LIABILITY COVERAGE, Paragraph A.1. Who is An Insured is amended to include the following as an "insured": A. Any person or organization, where you have agreed by written contract to add as an additional insured, is an insured but only to CA 70 57 06 22 A0230367 Middlesex Insurance Company 00002 0000000000 23252 0 N the extent that person or organization qualifies as an "insured" under the Who is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto Coverage Form. The insurance afforded under this provision only applies if the "bodily injury" or "property damage" occurs: 1. During the policy period, and 2. After the execution of such written contract, and 3. Prior to the expiration of the period that the written contract requires such insurance to be provided to the additional insured. B. This insurance is primary to and will not seek contribution from any other auto insurance issued to the person or organization in the schedule under your policy provided that: 1. The person or organization is a Named Insured under such other insurance; and 2. Prior to the "accident" you have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the person or organization. Waiver of Transfer of Rights of Recovery The Transfer of Rights of Recovery Against Others to Us Condition does not apply to any person(s) or organization(s) for whom you are required to waive subrogation with the respect to coverage provided under this Coverage Form, but only to the extent that subrogation is waived: A. Under a written contract or agreement with such person(s) or organization(s), and B. Prior to the "accident' or the "loss." 4. Broadened Supplementary Payments Coverage Extension 2.a. Supplementary Payments under Section II - Covered Autos Liability Coverages is amended as follows: A. Paragraph 2.a.(2) is amended to pay up to $3,000 for cost of bail bonds; and Includes copyrighted material of Insurance Services Office, Inc., with its permission. 7679de22-d4f3-43b0-a678-61005519be6e Page 1 of 4 09/09/2023 B. Paragraph 2.a.(4) is amended to pay for loss of earnings up to $500 a day because of time off from work. 5. Fellow Employee Bodily Injury Extension The Fellow Employee exclusion contained in Section II - Covered Autos Liability Coverage does not apply. 6. Accidental Airbag Discharge The following is added to Exclusion B.3.a. under Section III - PHYSICAL DAMAGE: This exclusion does not apply to the accidental discharge of an airbag in a covered auto for a loss that Physical Damage Coverage is shown in the Declarations. 7. Towing We will pay up to the limit shown in the Declarations for towing and labor costs incurred each time a covered "auto" that is a private passenger type, light truck or medium truck is disabled. However, the labor must be performed at the place of disablement. 8. Physical Damage Coverage Extensions The following replaces the Coverage Extensions under Section III - PHYSICAL DAMAGE: a. Transportation Expenses We will pay up to $75 per day to a maximum of $1,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger, truck or van type with a Gross Vehicle Weight of less than 10,000 pounds. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". b. Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or agreement. We will pay for loss of use expense if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,500. 9. Rental Reimbursement A. For any- covered "auto" for which Comprehensive and Collision coverages are provided, we will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". B. We will pay up to the limit shown in the Declarations for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. C. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: 1. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. 2. The number of days shown in the Schedule. D. Our payment is limited to the lesser of the following amounts: 1. Necessary and actual expenses incurred. 2. The maximum payment stated in the Schedule applicable to "any one day" or ,.any one period". E. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. F. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the Physical Damage Coverage Extension. Page 2 of 4 Includes copyrighted material of Insurance Services Office, Inc., CA 70 57 06 22 A0230367 with its permission. 09/09/2023 Middlesex Insurance Company G. Our payment under this coverage extension is excess over any other rental reimbursement coverage available to you. 10. Hired Auto Physical Damage A. If you have Comprehensive or Specified Causes of Loss and Collision Coverages provided on your owned "autos" you may extend Physical Damage Coverage to any "autos" you lease, hire, rent or borrow; provided you have Liability Coverage for hired "autos". B. The hired "auto" must be of like kind and used as the "autos" owned and covered under this Coverage Form. C. The most we will pay for "loss" to any hired "auto" in any one "accident" is the least of the following amounts: (1) $75,000 (2) The actual cash value of the hired "auto" at the time of the "loss" (3) The cost of repairing or replacing the hired auto" with other property of like kind and quality D. The following deductible provisions apply: (1) The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage shown in the Declarations. E. Any "auto." that is leased, hired, rented or borrowed with a driver is not a covered "auto" under this coverage extension. 11. Auto Loan And Lease Gap Coverage Section III - PHYSICAL DAMAGE is amended by the addition of the following: A. In the event of a total "loss" to a covered "auto" shown in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "auto", less: (1) The amount paid under the policy's Physical Damage Coverage; and (2) Any: (a) Overdue or any deferred lease/loan payments at the time of the "loss'; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the lessor; (d) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and CA 70 57 06 22 A0230367 Middlesex Insurance Company 00002 0000000000 23252 0 N (e) Carry-over balances from previous loans or leases. B. This coverage extension applies to covered autos that are loaned or leased for a period of six months or longer and which have been provided Physical Damage Coverage. The "loss" must be caused by damage for which coverage is shown in the Declarations. C. For the purposes of this clause, the following is added to the Other Insurance Condition in the Business Auto Coverage Form: The insurance provided by the Auto Loan and Lease Gap Coverage is excess over any other collectible insurance including but not limited to any coverage provided by or purchased from the lessor or any financial institution. 12. Personal Effects The following is added to A.4. Coverage Extensions under Section III - Physical Damage Coverage: A. We will extend Physical Damage Coverage on a covered "auto" to include personal property owned by you, a relative or an "employee" that is in the covered "auto" at the time of "loss". The "loss" must be caused by damage for which coverage is shown in the Declarations. There must be evidence of forced entry for loss caused by theft. B. The exclusion referring to tapes, records, discs or other similar audio, visual or data electronic devices designated for use with audio, visual or data electronic equipment does not apply. C. The most we will pay for any one "loss" under this coverage extension is $2,000. No Physical Damage Coverage deductible applies to this coverage extension. D. Coverage provided by this Personal Effects extension is excess over any other collectible insurance. E. The coverage extension does not apply to the following property: (1) Any device designed or used to detect speed -measuring equipment such as radar or laser detectors and any jamming apparatus intended to elude or disrupt speed -measurement equipment; (2) Tools; (3) Jewelry, precious metals and loose gems; (4) Money and securities; or Includes copyrighted material of Insurance Services Office, Inc., with its permission. 7679de22-d413A 3b0-a676-61805519be Be Page 3 of 4 09/09/2023 (5) Property specifically insured or covered under the Business Personal Property Coverage of this policy. 13. Glass Deductible Under Section III - PHYSICAL DAMAGE, the following is added to A.3. Glass Breakage - Hitting A Bird Or Animal - Falling Objects Or Missiles Coverage: The Comprehensive Coverage deductible shown in the Declarations does not apply to glass breakage if such glass is repaired rather than replaced. 14. Broad Knowledge Of Accident, Claim, Suit Or Loss Under Section IV - Business Auto Conditions, the following is added to Loss Conditions A.2. Duties In The Event Of Accident, Claim, Suit Or Loss: Knowledge of an "accident", claim, "suit" or "loss" by an agent or "employee" of an insured or receipt of any demand, notice, summons or other legal paper in connection with a claim or "suit" by any agent or "employee" of any insured shall not in itself constitute knowledge of the named insured or receipt of the named insured, unless a partner, member, manager, executive officer or director shall have such knowledge or shall have received such demand, notice, summons or legal paper. 15. Unintentional Failure To Disclose Hazards Under Section IV - Business Auto Conditions, the following is added to General Conditions B.2. Concealment, Misrepresentation Or Fraud: If in your representations to us you unintentionally failed to disclose all hazards and exposures subject to this insurance, we shall not deny all coverage under this policy because of such oversight. 16. Mental Anguish A. The definition of "bodily injury" under Section V - Definitions is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including "mental anguish" or death resulting from any of these at any time. B. The following definition is added to Section V -Definitions: "Mental anguish" means extreme pain or distress inflicted upon an individual's emotional and intellectual condition with regard to the individual's response to the environment. Page 4 of 4 Includes copyrighted material of Insurance Services Office, Inc., CA 70 57 06 22 A0230367 with its permission. 09/09/2023 Middlesex Insurance Company COMMERCIAL GENERAL LIABILITY CG 7125 06 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS BLANKET ADDITIONAL INSUREDS, PRIMARY & NONCONTRIBUTORY, WAIVER OF SUBROGATION This endorsement modifies the coverage provided under the following Coverage Form(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage enhancements are listed below. For details of each coverage, please read the corresponding policy provisions in the body of this endorsement. 1. Additional Insureds - Automatic Status for 13 Additional Insured Types A. Owners, Lessees Or Contractors - Automatic Status When Required In A Written Construction Agreement With You B. Owners, Lessees Or Contractors - Automatic Status When Required In Written Construction Agreement With You (Completed Operations) C. State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations D. Lessor of Leased Equipment E. Owners or Other Interests From Whom Land Has Been Leased F. Manager or Lessor of Premise G. Mortgagee, Assignee, or Receiver H. Controlling Interest 1. Co-owner Of Insured Premises J. Executors, Administrators, Trustees Or Beneficiaries K. State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises L. Vendors M. Grantor of Franchise 2. Primary and Noncontributory - Other Insurance Condition 3. Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. 1. Additional Insureds - Automatic Status for 13 Additional Insured Types Section II - Who Is An Insured is amended to include the following as additional insureds when you have agreed to add that person or organization as an Additional Insured on your policy in a written contract or written agreement with that person or organization, or because of a permit issued by a state or political subdivision; provided the injury or damage occurs subsequent to the execution of the contract or agreement or issuance of the permit and while the contract, agreement or permit remains in effect. CG 7125 06 22 A0230367 Middlesex Insurance Company 00003 0000000000 23252 0 N A. Owners, Lessees Or Contractors - Automatic Status When Required In A Written Construction Agreement With You 1) A person or organization with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. Includes copyrighted material of Insurance Services Office, Inc., with its permission. f563b854-9cda4751-82d8-a970d4a6df1f Page 1 of 5 09/09/2023 A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. 2) With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. b. "Bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. B. Owners, Lessees Or Contractors - Automatic Status When Required In Written Construction Agreement With You (Completed Operations) 1) Any person(s) or organization(s) with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" performed for that additional insured and included in the "products -completed operations hazard", but only when that portion of the "products -completed operations hazard" is not excluded by endorsement. 2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations Any state or governmental agency or subdivision or political subdivision, subject to the following provisions: 1) This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. 2) This insurance does not apply to: Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 7125 06 22 A0230367 with its permission. 09/09/2023 Middlesex Insurance Company a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". D. Lessor of Leased Equipment 1) Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). 2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. E. Owners or Other Interests From Whom Land Has Been Leased 1) Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by you or those acting on your behalf in connection with the ownership, maintenance or use of that part of the land leased to you by the additional insured person(s) or organization(s). 2) With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. Any "occurrence" which takes place after you cease to lease that land; b. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured person(s) or organization(s). CIS 7125 06 22 A0230367 Middlesex Insurance Company 00003 0000000000 23262 0 N F. Manager or Lessor of Premise Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by you or those acting on your behalf in connection with the ownership, maintenance or use of that part of the premises leased to you by the additional insured person(s) or organization(s), subject to the following additional exclusions: This insurance does not apply to: 1) Any "occurrence" which takes place after you cease to be a tenant in that premises. 2) Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. G. Mortgagee, Assignee, or Receiver Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of a premises by you. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional insured person(s) or organization(s). H. Controlling Interest 1) Any person(s) or organization(s) with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2) This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. I. Co-owner Of Insured Premises Any person(s) or organization(s) with respect to their liability as co-owner of a premises co -owned by you and covered under this insurance. J. Executors, Administrators, Trustees Or Beneficiaries Any executor, administrator, trustee or beneficiary of your estate or living trust while acting within the scope of their duties as such. Includes copyrighted material of Insurance Services Office, Inc., with its permission. f583b854-9cda-4751-82d8-a970d4a6df1f Page 3 of 5 09/09/2023 K. State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises Any state or governmental agency or subdivision or political subdivision, subject to the following additional provision: This insurance applies only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection with premises you own, rent or control and to which this insurance applies: 1) The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or 2) The construction, erection or removal of elevators; or 3) The ownership, maintenance or use of any elevators covered by this insurance. L. Vendors 1) Any person(s) or organization(s) (referred to throughout this endorsement as vendor), but only with respect to liability for "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business. However: a. The insurance afforded to such vendor only applies to the extent permitted by law; and b. If coverage provided to the vendor is required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. 2) With respect to the insurance afforded to these vendors, the following additional exclusions apply: a. The insurance afforded the vendor does not apply to: 1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; 2) Any express warranty unauthorized by you; 3) Any physical or chemical change in the product made intentionally by the vendor; 4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; 5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; 6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; 7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or 8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 7125 06 22 A0230367 with Its permission. 09/09/2023 Middlesex Insurance Company (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. b. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. M. Grantor of Franchise Any person(s) or organization(s) with respect to their liability as grantor of a franchise to you. However: 1. The insurance afforded to such additional insureds only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. CG 7125 06 22 A0230367 Middlesex Insurance Company 00003 0000000000 23252 0 N This endorsement shall not increase the applicable limits of insurance. If there is any difference in coverage afforded to an additional insured in this endorsement and that provided under another additional insured endorsement attached to this policy, the broader coverage will apply to that additional insured. 2. Primary And Noncontributory Insurance The following is added to the Other Insurance Condition and supersedes any provision to the contrary: This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 3. Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with its permission. i563b854-9cda-4751-82d8-a970d4a6df1I Page 5 of 5 09/09/2023 COMMERCIAL GENERAL LIABILITY CG71180620 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EACH CONSTRUCTION PROJECT GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Policy Maximum Each Construction Project General Aggregate Limit: Not Applicable Designated Construction Project(s): All construction projects away from premises owned by or rented to the Insured Information required to complete this Schedule if not shown above will be shown in the Declarations. A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I - Coverage C, which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Subject to Paragraph 2. below, a separate Each Construction Project General Aggregate Limit applies to each designated construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. If shown in the Schedule, the Policy Maximum Each Construction Project General Aggregate Limit is the most we will pay for the sum of all damages paid under all Each Construction Project General Aggregate Limits included in this policy. 3. Subject to Paragraph 2. above, the Each Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses under Coverage C regardless of the number of: a. Insureds; CG71180620 A0230367 Middlesex Insurance Company 00001 0000000000 23252 0 N b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 4. Subject to Paragraph 2. above, any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Each Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Each Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 5. Subject to Paragraph 2. above, the limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Each Construction Project General Aggregate Limit. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 494935f9-We-0d 9a-9609-d6bdc84e 15c5 Page 1 of 2 09/09/2023 B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section 1 - Coverage C, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Each Construction Project General Aggregate Limit provided under this policy. C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor any Each Construction Project General Aggregate Limit provided under this policy. D. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., CG 71 18 06 20 A0230367 with its permission. 09/09/2023 Middlesex Insurance Company POLICY NUMBER: A0230367005 COMMERCIAL EXCESS / UMBRELLA EU 70 9105 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF OTHER INSURANCE CONDITION This endorsement modifies the coverage provided under the following: COMMERCIAL EXCESS / UMBRELLA COVERAGE PART With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Person Or Organization: Any Additional Insured as required by written contract or written agreement executed prior to loss (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The following is added to Paragraph H. Other Insurance of Section IV - Conditions: 1. This insurance is primary to and will not seek contribution from any other insurance available to the person or organization shown in the Schedule above, provided that such designated person or organization: a. Is identified as an additional insured in the "underlying insurance"; b. Is a Named Insured under such other insurance; and c. Has agreed with you in a written contract or agreement that: (1) Is signed and effective prior to an "occurrence" to which this insurance applies; (2) This insurance would be primary and would not seek contribution from such other insurance identified in Paragraphs 1.a. and 1.b. above; (4) Affords indemnification and/or defense of the designated person or organization to the extent permitted by law. 2. This condition does not apply to: a. Other insurance, not included in Paragraph 1. above, that may be available to the designated person or organization outside of your written contract or agreement; or b. Liability which: (1) May attach to the designated person or organization and is not assumed by your written contract or agreement; or (2) Is assumed by the designated person or organization under any other written contract assuming the obligations of another. (3) Agrees to indemnify or defend the designated person or organization for liability and damages covered by the "underlying insurance"; and EU 70 9105 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 A0230367 with its permission. 09/09/2023 Middlesex Insurance Company 00001 0000000000 23252 0 N 7a8ac683-6d16449a-852a-c8a7c604fe69 POLICY NUMBER: A0230367005 COMMERCIAL EXCESS/UMBRELLA LIABILITY EU 71 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies the coverage provided under the following: COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE PART SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured under a written contract or written agreement in effect prior to any loss or damage. Information required to complete this Schedule, if not show above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us Condition under Section IV - Conditions is amended by the addition of the following: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Pan:. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. EU 71 01 12 19 A0230367 Middlesex Insurance Company 00001 0000000000 23252 0 N Includes copyrighted material of Insurance Services Office, Inc., with its permission. b73aa613-fac34809-8255-c6971b1dcc07 Page 1 of 1 09/09/2023 3/22/24, 11:33 AM HAASE LANDSCAPE INC STA7E OF WASHINGTON Department of Labor & Industries Certificate of Workers' Compensation Coverage March 22, 2024 WA UBI No. 601 753 257 L&I Account ID 456,544-02 Legal Business Name HAASE LANDSCAPE INC Doing Business As HAASE LANDSCAPE INC Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2023 "31 to 50 Workers" (See Description Below) Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. HAASEL1042R6 License Expiration 01/28/2026 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). https://secure.lni.wa.gov/verify/Details/IiabilityCertifiicate.aspx?U BI=601753257&LIC=HAASEL1042R6&V 10=&SAW--false&ACCT=45654402 1 /1