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HomeMy WebLinkAbout24-042.02ClearwaterSummitGroupRoadwayWeedControlServicesSai November 10, 2025 Clearwater Summit Group 19208 East Broadway Avenue Spokane Valley, WA 99206 10210 E Sprague Avenue ♦ Spokane Valley WA 99206 Phone: (509) 720-5000 ♦ Fax: (509) 720-5075 ♦ www.spokanevalley.org Email: cityhall@spokanevalley.org Contract No. 24-042.02 Re: Implementation of 2026 option year, Agreement for Roadway Weed Control Services, Contract number 24-042, executed April 22, 2024. Dear Mr. Hatfield: The City executed an Agreement for provision of Roadway Weed Control Services on April 22, 2024, by and between the City of Spokane Valley, hereinafter "City", and Clearwater Summit Group, hereinafter "Contractor" and jointly referred to as "Parties." The original Agreement states that it was for one year, with three optional one-year terms possible if the parties mutually agree to exercise the options each year. This is the second of three possible option years that can be exercised and runs through December 31, 2026. The City would like to exercise the 2026 option year of the Agreement. The Compensation for 2026 has been increased per the original Agreement to account for the 3% increase in CPI for the previous 12 months through September 2025. Compensation shall not exceed $ 48,184. The history of the annual renewals, including dollar amounts, is set forth as follows: Original contract amount ......................................... $ 45,685 2025 Renewal ...................................................... $ 46,781 2026 Renewal ...................................................... $ 48,184 All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. If you are in agreement with exercising the 2026 option year, please sign below to acknowledge the receipt and concurrence to perform the 2026 option year. Please return a copy to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. CITY OF SPOKANE VALLEY J n Hohman, City Manager APPROVED AS TO FORM: Off of the C' y Attorney CLEARWATER SUMMIT GROUP _l/ N'ame /4,1 4ft Cti Title ACC-> �® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/10/2025 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 The IMA Financial Group, Inc. 8200 E 32nd St N Wichita KS 67226 CONTACT PHONE FAx • 316-267-9221 A/C No): 316-266-6254 EIll ADDRESS: clientsupport@imacorp.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Middlesex Insurance Company 23434 INSURED CLEASUM-01 INSURER B : Sentry Insurance Company 24988 Clearwater Summit Group, Inc. 19208 E Broadway Ave INSURER C Spokane Valley, WA 99016-8577 INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 1502843429 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 MMIDD//YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIALGENERALLIABILITY Y Y A0268366002 12/22/2024 12/22/2025 EACH OCCURRENCE $1,000,000 � OCCUR DAMAGE PREM SESOEa occurrence) $ 500,000 _7CLAIMS-MADE MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRO- LOC POLICY JEF PRODUCTS - COMP/OP AGG $2,000,000 WA Stop Gap $1,000,000 OTHER: A AUTOMOBILE LIABILITY A0268366001 12/22/2024 12/22/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR A0268366003 12/22/2024 12/22/2025 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ in nnn $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANYPROPRIETOR/PARTNER/EXECUTIVE A0268366004 2/10/2025 12/22/2025 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Roadway Weed Control. City of Spokane Valley and all other parties required by the contract are included as Additional Insured on the General Liability Policy, if required by written contract or agreement, subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of the Certificate Holder and all other parties required by the contract on the General Liability Policy, if required by written contract or agreement, subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley 10210 East Sprague Ave Spokane Valley WA 99206 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CIS 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 I. 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. 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. 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. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., A0268366 with its permission. Middlesex Insurance Company bde35c43-1835-4979-9689-ecOc99d7Oab2 Page 1 of 5 12/12/2024 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., A0268366 with its permission. Middlesex Insurance Company bde35c43-1835-4979-9689-ecOc99d7Oab2 CG 7125 06 22 12/12/2024 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). 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. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., A0268366 with its permission. Middlesex Insurance Company bde35c43-1835-4979-9689-ecOc99d70ab2 Page 3 of 5 12/12/2024 K. State Or Governmental Agency Or 1) "Bodily injury" or "property damage" for Subdivision Or Political Subdivision - which the vendor is obligated to pay Permits Or Authorizations Relating To damages by reason of the assumption of Premises liability in a contract or agreement. This Any state or governmental agency or exclusion does not apply to liability for subdivision or political subdivision, subject to damages that the vendor would have in the the following additional provision: absence of the contract or agreement; This insurance applies only with respect to the 2) Any express warranty unauthorized by you; following hazards for which the state or 3) Any physical or chemical change in the governmental agency or subdivision or product made intentionally by the vendor; political subdivision has issued a permit or 4) Repackaging, except when unpacked authorization in connection with premises you solely for the purpose of inspection, own, rent or control and to which this demonstration, testing, or the substitution insurance applies: of parts under instructions from the 1) The existence, maintenance, repair, manufacturer, and then repackaged in the construction, erection or removal of original container; advertising signs, awnings, canopies, cellar 5) Any failure to make such inspections, entrances, coal holes, driveways, adjustments, tests or servicing as the manholes, marquees, hoist away openings, vendor has agreed to make or normally sidewalk vaults: street banners or undertakes to make in the usual course of decorations and similar exposures; or business, in connection with the 2) The construction, erection or removal of distribution or sale of the products; elevators; or 6) Demonstration, installation, servicing or 3) The ownership, maintenance or use of any repair operations, except such operations elevators covered by this insurance. performed at the vendor's premises in L. Vendors connection with the sale of the product; 1) Any person(s) or organization(s) (referred to 7) Products which, after distribution or sale throughout this endorsement as vendor), by you, have been labeled or relabeled or but only with respect to liability for "bodily used as a container, part or ingredient of injury" or "property damage" arising out of any other thing or substance by or for the "your products" which are distributed or vendor; or sold in the regular course of the vendor's 8) "Bodily injury" or "property damage" business. arising out of the sole negligence of the However: vendor for its own acts or omissions or those of its employees or anyone else a. The insurance afforded to such vendor acting on its behalf. However, this only applies to the extent permitted by exclusion does not apply to: law; and (1) The exceptions contained in a provided to the vendor is b. If coverage p Subparagraphs d. or f.; or 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: Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 71 25 06 22 A0268366 with its permission. 12/12/2024 Middlesex Insurance Company bde35c43-1835-4979-9689-ecOc99d7Oab2 (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. 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. CG 71 25 06 22 Includes copyrighted material of Insurance Services Office, Inc., A0268366 with its permission. Middlesex Insurance Company bde35c43-1835-4979-9689-ecOc99d7Oab2 Page 5 of 5 12/12/2024 'z,-/-0q2 .00 � ao2 ACQ ® DATE(Idk1�DOlYYYY) C" CERTIFICATE OF LIABILITY INSURANCE DATE DIY 26 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: It the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 Ileu of such endorsement(s). PRODUCER CONTACT NAME: _ The IMA Financial Group, Inc. PHONE_._—- 8200 E 32nd St N 316.267.9221 ac No:316.266-6254 Wichita KS 67226 ADDRESS: cllentsupport(ODimacorp.com INSURED Clearwater Summit Group, Inc. 19208 E Broadway Ave Spokane Valley, WA 99016.8577 CL£ASUM W A I msuRERe: CopperPoint Casualty Insurance Company 1 13210 1 INSURER ID: INSURER E: COVERAGES CERTIFICATF NIIMAFR: 1AIn119RFi) RFViSIr'1N 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 _, .................... ..... ABOLTSUOR — - _. — TYPE OF INSURANCE POLICY EFF -POLICY EXP LIMITS LTR INSO I WVq POLICY NUMBER MM.'DD;YYY MMUDIYYY A X —.._..__._._ I COMMERCIAL GENERAL LIABILITY %� CLAIMS -MADE __.. OCCUR Y Y GL1060873 12/22/2025 12122/2026 EACHOCCURRENCE $I,OD0,000 PREh1iSES-jEa_ocairrencoj $500,000 MED EXP (Any one person) $ 15,000 PERSONAL 8 ADV INJURY 1.00_0,000 _ G_EN'LAGGREGATELIWT APPLIES PER: POLICY F jE o LOG GENERAL AGGREGATE PRODUCTS • COMP/OP AGG - _$ S2,00 52,000,000 0,004 ---......... - -- --- --- WA Stop Gap --------...._,....--- $ 1,000,000 OTHER: A AUTOMOBILE LIABILITY CA1060874 12/22/2025 t2122/2026 COMBINED SINGLE LIMIT (Ea acddenl) $1 000 000 X I ANY AUTO BODILY INJURY (Per person) 5 j OWNED SCHEDULED AUTOS ONLY AUTOS BODILY I�Vcr URY(Peradenl) — $ $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per acP;denlj _ A X UTABRELLALIAB X OCCUR UM1060875 12122/2025 12/22/2026 EACH OCCURRENCE $5,00D,a00 AGGREGATE _ .-.- _-_�.-$ 5,000,000 _______ EXCESS LIAB _ _- _CLAIMS MADE DED RETENTIONS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANYPROPRIETORrPARTNER,EXECUM. OFFICE 114AEMBEREXCLUDED? Ll (ldendetory In NH) If yes, describe under DESCRIPTION OF OPERATIONS befow NfA WC1060841 12122f2025 I 12122/2026 X PER O H• STATUTE ER _ _.....—....--.---.-----._._.._..__---.....-_------._....-_-._._......__.._..-- E.L. DISEASE - EA EMPLOYEE -- - - - E.L. DISEASE • POLICY LIMIT S 1,000.000 ----------.,".......---'-- $ 1,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Roadway Weed Control. Certificate Holder and all other parties required by the contract are included as Additional Insured on the General Liability Policy, if required by Written contract or agreement, subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Certificate Holder and all other parties required by the contract on the General Liability Policy, if required by written contract or agreement, subject to the policy terms and conditions. VC111 Ir [UA 1 C r1ULUM11 liANlitLLA I IUN City of Spokane Valley 10210 East Sprague Ave 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 u� ©1988-2015 ACORD CORPORATION. All rights reserved, ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 131: 2 ' of 10 1 i C 11)OiIIt COVPERROINT . A►ASKANA110NAt THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS' GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following. - COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Coverage Part, SCHEDULE OF COVERAGES ARE SUMMARIZED BELOW 1. Miscellaneous Additional Insureds 13. Blanket Waiver of Subrogation 8 additional insured extensions. Waiver of subrogation where required by written contract or written agreement. Primary and Noncontributory Insurance 2. Damage To Premises Rented to You Limit increased to $500,000. 3. Medical Payments Limits increased to $15,000. Reporting period increased to three years from the date of accident. 4. Non -owned Watercraft Increased to 50 feet. 5. Supplementary Payments Cost of bail bonds increased to $10,000, Daily loss of earnings increased to $500. 6. Newly Formed Or Acquired Organizations Coverage extended to the end of the policy period or the next anniversary of this policy's effective date. 7. Liberalization Clause 8. Unintentional Failure To Disclose Hazards 9. Notice of Occurrence 10. Broad Knowledge of Occurrence 11. Bodily Injury - Extension of Coverage 12. Expected Or Intended Injury Reasonable force - bodily injury or properly damage. 14. In Rem Actions 15. Voluntary Property Damage Limits added: $5,000 occurrence, $10,000 aggregate. 1, MISCELLANEOUS ADDITIONAL INSUREDS Section II Who Is An Insured is amended to include as an additional Insured any person or organization described in Paragraphs 2.a. through 2.h. below whom you are required to add as an additional insured on this policy under a written contract or written agreement. However, the written contract or written agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the `bodily injury", "property damage" or "personal injury and advertising injury", but Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional insureds is limited as provided herein: a. State or Governmental Agency or Subdivision or Political Subdivi- sions GL 1187 CP 03 24 Page 119f: l3 • or 10 CopperPUltlt Any state or governmental agency or d. Mortgagee, Assignee or Receiver subdivision or political subdivision that has issued a permit in connection with A mortgagee, assignee or receiver but operations performed by you or on only with respect to their liability as your behalf and that you are required mortgagee, assignee, or receiver and by any ordinance, law or building code arising out of the ownership, to include as an additional insured on maintenance, or use of a premises by this coverage part is an additional you. insured, but only with respect to liability for "bodily injury', "property This insurance does not apply to darnage", "personal and advertising structural alterations, new construc- injury" arising out of such operations. tion or demolition operations The insurance provided to such state performed by or for such additional or political subdivision does not apply insured. to any "bodily injury", "property darnage" or "personal and advertising e. Owners or Other Interests From injury' arising out of operations Whom Land Has Been Leased performed for that state or political subdivision. An owner or other interest from whom land has been leased by you but only b. Controlling Interest with respect to liability arising out of the ownership, maintenance or use of Any persons or organizations with a that specific part of the land leased to controlling interest in you but only with you and subject to the following respect to their liability arising out of: additional exclusions: (1) Their financial control of you, or This insurance does not apply to: (2) Premises they own, maintain or (1) Any `occurrence' which takes control while you lease or occupy place after you cease to lease that these premises. land; or This insurance does not apply to (2) Structural alterations, new con - structural alterations, new construe- struction or demolition operations tion and demolition operations performed by or on behalf of such performed by or for such additional additional insured. insured. f. Co-owner of Insured Premises c. Managers or Lessors of Premises A co-owner of a premises co -owned A manager or lessor of premises but by you and covered under this only with respect to liability arising out insurance but only with respect to the of the ownership, maintenance or use co -owners liability as co-owner of of that specific part of the premises such premises. leased to you and subject to the following additional exclusions: g. Lessor of Equipment This insurance does not apply to: Any person or organization from whom you lease equipment. Such (1) Any 'occurrence' which takes person or organization is an additional place after you cease to be a insured only with respect to their tenant in that premises; or liability for "bodily injury", "property damage' or "personal and Advertising (2) Structural alterations, new con- injury" caused, in whole or in part, by struction or demolition operations your maintenance, operation or use of performed by or on behalf of such equipment leased to you by such additional insured. person or organization. GL 1187 CP 03 24 Page 2,91. 74 . or 10 1 Qf3Memr,1jf )II i( COP►ERPOWT • ALASKA NATIONAL A person's or organization's status as In the performance of your ongoing an additional insured under this operations or completed operations endorsement ends when their written for the additional insured described in contract or written agreement with you Paragraph 1. or 2, above. for such leased equipment ends. However, the insurance afforded to With respect to the insurance afforded such additional insured described these additional insureds, the above: following additional exclusions apply: a. Only applies to the extent This insurance does not apply: permitted by law; and (1) To any "occurrence" which takes b. Will not be broader than that place after the equipment lease which you are required by the expires; or contract or agreement to provide for such additional (2) To "bodily injury', "property insured. damage", or "personal and advertising injury" arising out of 3. With respect to the insurance the sole negligence of such afforded to these additional additional insured, insureds, the following additional exclusions apply: IT. Owners, Lessees or Contractors — Ongoing Operations and This insurance does not apply to: Completed Operations 1, "Bodily injury", "properly 1. Any person or organization for damage" or "personal and whom you are performing advertising injury" arising out operations or have performed of the rendering of, or the operations when you and such failure to render, any person or organization have professional architectural, agreed in writing in a contract or engineering or surveying agreement that such person or services, including: organization be added as an additional insured on your policy; a. The preparing, approving, and or failing to prepare or 2. Any other person or organization approve, maps, shop drawings, opinions, you are required to add as an reports, surveys, field additional insured under the orders, change orders or contract or agreement described drawings and specifica- in Paragraph 1. above. tions; or Such person(s) or organization(s) is b. Supervisory, inspection, an additional insured only with respect architectural or to liability for "bodily injury", "properly engineering activities. damage" or "personal and advertising injury" caused, in whole or in part, by: This exclusion applies a. Your acts or omissions; or even if the claims againstany insured allege b. The acts or omissions of negligence or other wrongdoing in the those acting on your behalf; or supervision, hiring, c. "Your Work" performed for the employment, training or additional insured described monitoring of others by in Paragraph 1. or 2. above that insured, if the and included in the "products- "occurrence" which completed operations hazard." caused the "bodily injury" GL 1187 CP 03 24 Page 319(. 75 • or 10 r-- II ., VIu t.I L(..,..,'/."11Jt 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. 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. Section III - Limits of Insurance, the following is added: With respect to the insurance afforded to the additional insureds described in Paragraphs a. through h. above, the most we will pay on behalf of such additional insured is the amount of insurance: (1) Required by the contract or agreement; or (2) Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. `'his provision shall not increase the applicable Limits of Insurance shown in the Declaration. 2. Damage To Promises Rentod to You SECTION III — LIMITS OF INSURANCE, Paragraph G. is replaced by the following: 6. Subject to Paragraph 5. above, the Damage to Premises Rented to You Limit GL 1187 CP 03 24 is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. If a limit is shown for Damage to Premises Rented to You the most we will pay under Coverage A for damages because or "property damage" to any one premises is the Limit shown in the Declarations or $500,000, whichever is greater. 3. MEDICAL PAYMENTS A. Section III — Limits of Insurance, Paragraph 7. is replaced by the following Subject to Paragraph 5. above the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. If a limit is shown for Medical Expense in the Declarations the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person is the Limit shown in the Declarations or $15,000, whichever is greater. B. This provision 5. (Medical Payments) does not apply if Section I - Coverage C Medical Payments Is excluded either by the provisions of the Coverage Part or by endorsement. C. Paragraph 1.a.(3)(b) of Section I - Coverage C - Medical Payments, is replaced by the following: (b) The expenses are incurred and reported to us within three years of the date of the accident; and 4. NON -OWNED WATERCRAFT A. If endorsement CG 21 09, CG 21 10, CG 24 50, or CG 24 51 is attached to the policy, Paragraph A. 2. g. (2) (b) is replaced by the following: (b) A watercraft that you do not own that is: Page 419f. 76 - or 10 1 (i) Less than 50 feet long: and (ii) Not being used to carry persons or property for a charge. B. If Paragraph A. does not apply, Paragraph g. (2) of 2. EXCLUSION under SECTION I — COVERAGES, COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: (2) A watercraft that you do not own that is: (a) Less than 50 feet long; and (b) Not being used to carry persons or property for a charge. 5. SUPPLEMENTARY PAYMENTS A. Under Section I - Supplementary Payments - Coverage A and B, Paragraph 1.b., the limit of $250 shown for the cost of bail bonds is replaced by $10,000; B. In Paragraph 1.d., the limit of $250 shown for daily loss of earnings is replaced by $500. 6. NEWLY FORMED OR ACQUIRED ORGANIZATIONS Paragraph 3.a. of Section II - Who Is An Insured is deleted and replaced by the following: Coverage under this provision is afforded only until the end of the policy period or the next anniversary of this policy's effective date after you acquire or form the organization, whichever is earlier. 7. LIBERALIZATION CLAUSE If we adopt a change in our forms or rules which would broaden coverage for contractors under this endorsement without an additional premium charge, your policy will automatically provide the additional coverages as of the dale the revision is effective in your state. 8. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS — Paragraph 6. — Representations is replaced by the following: 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c, We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error In, any information you provided to us which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable laws and regulations. 9. NOTICE OF OCCURRENCE The following is added to Paragraph 2. of Section IV - Commercial General Liability Conditions - Duties In The Event of Occurrence, Offense, Claim or Suit: Your rights under this Coverage Part will not be prejudiced if you fail to give us notice of an "occurrence", offense, claim or "suit" and that failure is solely due to your reasonable belief that the "bodily injury" or "property damage" is not covered under this Coverage Part. However, you shall give written notice of this "occurrence", offense, claim or "suit" to us as soon as you are aware that this insurance may apply to such "occurrence", offense, claim or "suit." 10. BROAD KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. of Section IV - Commercial General Liability Conditions - Duties in The Event of Occurrence, Offense, Claim or Stilt: You must give us or our authorized representative notice of an "occurrence", offense, claim, or "suit" only when the "occurrence", offense, claim or "suit' is known to: (1) You, if you are an individual; GL 1187 CP 03 24 Page 519f.. 71 • or 10 t capperpoint (2) A partner, if you are a partnership; (3) An executive officer or the employee designated by you to give such notice, if you are a corporation; or (4) A manager, If you are a limited liability company. 11. EXPANDED BODILY INJURY Section V - Definitions, the definition of "bodily injury" is changed to read: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the bodily injury, sickness or disease. 12. EXPECTED OR INTENDED INJURY Exclusion a. of Section I - Coverage A - Bodily Injury and Property Damage Liability is replaced by the following: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. 13. BLANKET WAIVER OF SUBROGATION Tile Transfer Of Rights Of Recovery Against Others To Us Condition (Section IV - Commercial General Liability Conditions) is amended by the addition of the following; We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whore 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. GL 1187 CP 03 24 14. IN REM ACTIONS Any action in rem against any vessel owned, operated by or for, or chartered by or for you will be treated in the same manner as though the action were in personam against you. 15. VOLUNTARY PROPERTY DAMAGE The following is added, Section I — Coverage A — Bodily Injury and Property Damage Liability 1., Insuring Agreement: We will pay, at your request, for "property damage" to property of others while in the care, custody or control of an insured, arising out of your business operations away from your insured premises for which this policy is written and occurring during the policy period. However, the "property damage" must be the result of unintentional damage or destruction but does not include disappearance, theft, or loss of use. You agree with us that we shall have no duty to defend any claims and/or "suits" for which the only coverage provided is under this coverage extension. For the purpose of this coverage only, Section I — Coverage A — Bodily Injury and Property Damage Liability 2. Exclusions J. (4.) is deleted. As respects coverage afforded under Voluntary Properly Damage, the following is added to Section III — Limits of Insurance: Regardless of the number of insureds, claims or "suits" brought, or persons or organizations making claims or bringing "suits": 1. Subject to 2. Below, the most we will pay for "property damage" arising from any one "occurrence" arising out of "property damage to property of others caused by you and while in your care, custody or control is $5,000. 2. The most we will pay for the sum of all "property damage" in an annual policy period is $10,000. This amount is part of and not in addition to the General Aggregate Limit described in Paragraph 2, of Section III — Limits of Insurance. Page 619f 7j3 • or 10 1 / A�* CopperPoint This endorsement changes the policy to which It is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured Insurance Company Policy No. Endorsement No. Premium Countersigned by Authorized Representative Includes Copyrighted material of Insurance Services Office, Inc., with its permission Gl_ 1187 CP 03 24 Page 719f 79 � or 10 M I CopperPoil tt COPPIRP04NT . AtASKANATIONAt (2) A partner, if you are a partnership; (3) An executive officer or the employee designated by you to give such notice, if you are a corporation; or (4) A manager, if you are a limited liability company. 11. EXPANDED BODILY INJURY Section V - Definitions, the definition of "bodily injury" is changed to read: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the bodily injury, sickness or disease. 12. EXPECTED OR INTENDED INJURY Exclusion a, of Section I - Coverage A - Bodily Injury and Property Damage Liability is replaced by the following: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. 13. BLANKET WAIVER OF SUBROGATION The Transfer Of Rights Of Recovery Against Others To Us Condition (Section IV - Commercial General Liability Conditions) is amended by the addition of the following: 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. GL 1187 CP 03 24 14. IN REM ACTIONS Any action in rem against any vessel owned, operated by or for, or chartered by or for you will be treated in the same manner as though the action were in personam against you. 15. VOLUNTARY PROPERTY DAMAGE The following is added, Section I — Coverage A — Bodily Injury and Property Damage Liability 1., Insuring Agreement: We will pay, at your request, for "property damage" to properly of others while in the care, custody or control of an insured, arising out of your business operations away from your insured premises for which this policy is written and occurring during the policy period. However, the "property damage" must be the result of unintentional damage or destruction but does not include disappearance, theft, or loss of use. You agree with us that we shall have no duty to defend any claims and/or "suits" for which the only coverage provided is under this coverage extension. For the purpose of this coverage only, Section I — Coverage A — Bodily Injury and Property Damage Liability 2. Exclusions J. (4.) is deleted. As respects coverage afforded under Voluntary Property Damage, the following is added to Section III — Limits of Insurance: Regardless of the number of insureds, claims or "suits' brought, or persons or organizations making claims or bringing "suits": 1. Subject to 2. Below, the most we will pay for "property damage" arising from any one "occurrence" arising out of "property damage to properly of others caused by you and while in your care, custody or control is $5.000. 2. The most we will pay for the sum of all "property damage" in an annual policy period is $10,000. This amount is part of and not in addition to the General Aggregate Limit described in Paragraph 2. of Section III — Limits of Insurance. Page 619f. 7io • or 101