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11-022.00 Poe Asphalt Paving: Street & Stormwater Maint & Repair C[fiF OF T::.; Spokane Vallee 11707 E Sprague Ave Suite 106 •Spokane Valley WA 99206 509.921.1000 • Fax: 509.921.1008 • cityhall®spokanevalley.org January 11, 2010 Poe Asphalt Paving, Inc. 2732 N Beck Road Post Falls, ID 83854 Re: Implementation of 2011 option year, SVPW Contract No. 11-004, for Agreement for Street and Stormwater Maintenance and Repair Services, No. 07-008, executed March 13, 2007 Dear Mr. Griffith: The City executed a contract for provision of Street and Stormwater Maintenance and Repair Services on May 11, 2007. The Request for Proposal states that it was for one year, with 7 optional one year terms possible if the parties mutually agree to exercise the options each year. The City would like to exercise the 2011 option year of the Agreement. The Compensation as outlined in Exhibit A, 2011 Cost Proposal, includes the increases you requested and shall not exceed $1,545,119.00. This is the fourth of seven possible option years that can be exercised, and runs through December 31, 2011. Exhibit"A"-2011 Cost Proposal Exhibit"B"-2011 Insurance Certificates Exhibit"C"-2011 Payment and Performance Bond All of the other contract provisions contained in the original agreement are in place and will remain unchanged in exercising this option year. If you are in agreement with exercising the 2011 option year, please sign below to acknowledge the receipt and concurrence to perform the 2011 option year. Please return two (2) copies to the City for execution.A fully executed original copy will be mailed to you for your files. ,F T ! 3. Direct Cost Rates. 2011 2010 % Increase Labor Hourly Overtime Hourly Overtime Hourly Overtime Superinten $58.60 $72.85 $56.35 $70.05 4% 4% Foreman $43.55 $57.70 $41.85 $55.45 4% 4% Operator $42.55 $56.70 $40.85 $54.45 4% 4% Teamster $42.55 $56.70 $40.85 $54.45 4% 4% Laborer $39.40 $52.40 $37.85 $50.35 4% 4% Equiptment Costs Costs % Increase 38 KW Tractor $60.72 $60.00 1.20% 22 End Dump $60.72 $60.00 1.20% 29 End Dump $60.72 $60.00 1.20% 40 End Dump $60.72 $60.00 1.20% 56 End Dump $60.72 $60.00 1.20% 60 End Dump $60.72 $60.00 1.20% 23 Super $81.47 $80.50 1.20% 24 Super $81.47 $80.50 1.20% 25 Super $81.47 $80.50 1.20% 27 Super $81.47 $80.50 1.20% 28 Super $81.47 $80.50 1.20% 257 Water Truck $45.03 $44.50 1.20% 259 Water Truck $60.72 $60.00 1.20% 205 Tack Truck $45.03 $44.50 1.20% 273 Service Truck $39.47 $39.00 1.20% 230 F250 $16.19 $16.00 1.20% 300 F150 $16.19 $16.00 1.20% 202 F450 $27.07 $26.75 1.20% 208 F450 $27.07 $26.75 1.20% 247 F550 $27.07 $26.75 1.20% 75 Lowbed $37.44 $37.00 1.20% 102 Pup $21.25 $21.00 1.20% 103 Pup $21.25 $21.00 1.20% 187 Pup $21.25 $21.00 1.20% 188 Pup $21.25 $21.00 1.20% 197 Belly Dump Trailei $21.25 $21.00 1.20% 144 Tilt Trailer $26.57 $26.25 1.20% 131 Trailer $15.94 $15.75 1.20% 132 Trailer $15.94 $15.75 1.20% 149 Trailer $15.94 $15.75 1.20% 461 Grade Roller $55.15 $54.50 1.20% 406 DD34 Roller $44.78 $44.25 1.20% 411 Roller $44.78 $44.25 1.20% 418 Roller $65.78 $65.00 1.20% 416 Roller $79.95 $79.00 1.20% 505 Bomag $86.02 $85.00 1.20% 524 Blawknox $177.10 $175.00 1.20% 722 John Deere 210 $50.60 $50.00 1.20% 718 Huber $55.66 $55.00 1.20% 711 Cat 160 $86.53 $85.50 1.20% 828 Broce Broom $55.66 $55.00 1.20% 926 Tack Trailer $16.19 $16.00 1.20% 421 Plate Wacker $5.36 $5.30 1.20% 946 Saw $26.57 $26.25 1.20% Material Costs Costs HMA $59.00 $59.00 0.00% Top Course (5/8) I $6.30 I $6.30 I 0.00% Overhead and Profit F Costs Costs Direct Costs 22% 22% 0.00% Subcontractors I 8% 8% 0.00% ARDATE(MM/DDM/W) D CERTIFICATE OF LIABILITY INSURANCE 1A25i2011 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 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 CONTACT Della Allen NAME: Stonebraker McQuary Agency (A/CNN ). (509)758-5529 (q/C,No): (509)758-5311 616 5th St. niDBess:dallen @stonebrakermcquary.com PRODUCER PO Box 9 CUSTOMER ID#00006937 Clarkston WA 99403 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:PhOeniX Insurance Company 36161 INSURER B:Travelers Indemnity Company Poe Asphalt Paving, Inc. INSURERC:Travelers Property Casualty Co PO Box 449 INSURERD:State Insurance Fund INSURER E: Lewiston ID 83501 INSURER F: COVERAGES CERTIFICATE NUMBER:1-0/11ALL 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ r A CLAIMS-MADE X OCCUR DTCO1537P996PHX10 11/1/2010 11/1/2011 MEDEXP(Anyoneperson) $ 5,000 X Stop Gap Liability PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 1$ 2,000,000 POLICY X JECOT- LOC IS AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000'000 X ANY AUTO B ALL OWNED AUTOS DT8101537P99IND10 11/1/2010 11/1/2011 BODILY INJURY(Per person) $ W BODILY INJURY(Per accident) $ SCHEDULED AUTOS X PROPERTY DAMAGE $ HIRED AUTOS (Per accident) X NON-OWNED AUTOS Medical payments $ Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DEDUCTIBLE $ C X RETENTION $ 10,000 DTSMCUP1537P996TIL10 11/1/2010 11/1/2011 $ WORKERS COMPENSATION WC STATU- OTH- D AND EMPLOYERS'LIABILITY YIN TORY LIMITS X ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? I NIA 578551 10/1/2010 10/1/2011 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This Certificate of Insurance neither affirmatively nor negatively amends, extends, nor alters the coverage afforded by the policy or policies numbered in this certificate. The City of Spokane Valley is additional insured on general liability as respects the 2011 Street & Stormwater Maintenance project #11-004. Insurance is Primary and NonContributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave Ste 106 Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE Della Allen/DELLA tZtl"o° -«° °° 7 ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD PAYMENT BOND TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA (Public Work) Hartford, Connecticut 06183 Bond No.: 105491247 KNOW ALL BY THESE PRESENTS, That we, Poe Asphalt Paving Inc , as Principal, and Travelers Casualty and Surety Company of America, a Connecticut corporation, as Surety, are held and firmly bound unto the City of Sopkane Valley , as Obligee, in the sum of one million, five hundred forty five thousand one hundred nineteen & 00/100 U.S. Dollars ( 1,545,119.00 )for the payment whereof said Principal and Surety bind themselves, jointly and severally, as provided herein. WHEREAS, Principal has entered into a contract with Obligee, dated 01/25/2011 , for 2011 Street & Stormwater Maintenance Ctr#11-004 ("Contract"). NOW, THEREFORE, the condition of this obligation is such that if Principal shall promptly make payment to all Claimants as hereinafter defined for all labor and material actually used, consumed or incorporated in the performance of the construction work to be performed under the Contract, then this obligation shall be void; otherwise to remain in full force and effect, subject, however, to the following conditions: 1. A Claimant is defined as one other than Obligee having a contract with Principal or with a direct subcontractor of Principal to supply labor and/or materials and said labor and/or materials are actually used, consumed or incorporated in the performance of the construction work under the Contract. 2. Principal and Surety hereby jointly and severally agree with Obligee that every Claimant as herein defined who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the last of such Claimant's work or labor was done or performed or materials were furnished by such Claimant, may bring suit on this bond, prosecute the suit to final judgment for the amount due under Claimant's contract for the labor and/or materials supplied by the Claimant which were used, consumed or incorporated in the performance of the work, and have execution thereon; provided, however, that a Claimant having a direct contractual relationship with a subcontractor of Principal shall have a right of action on this bond only if said Claimant notifies Surety in writing of its claim within ninety (90) days from the date on which said Claimant did or performed the last labor and/or materials for which the claim is made. Obligee shall not be liable for the payment of any costs or expenses of any such suit. 3. No suit or action shall be commenced hereunder by any Claimant: a. After the expiration of the earlier of: (1) one year after the day on which Claimant last supplied the labor and/or materials for which the claim is made; or (2) the limitation period set forth in the public works bond statutes, if any, in the location where the construction work is being performed. Any limitation contained in this bond which is prohibited by any law controlling in the state where the suit is filed shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by the law of that state, and said period of limitation shall be deemed to have accrued and shall commence to run on the day Claimant last supplied the labor and/or materials for which the claim is made; and b. Other than in a state court of competent jurisdiction in the county or other political subdivision of the state in which the project, or any part thereof, is situated, or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. Payment Bond-Page 1 of 2 4. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder. Surety's liability hereunder is limited, singly, or in the aggregate,to the penal sum of the bond set forth herein. 5. This bond is provided to comply with a statutory or other legal requirement for performing construction contracts for public owners in the location where the construction work is being performed. Except as provided in paragraph 3 above, all provisions in the bond which are in addition to or differ from those statutory or legal requirements shall be read out of this bond,and all pertinent statutes and other legal requirements shall be read into the bond. This bond is a statutory bond, not a common law bond. Signed this 25 day of Jan , 2011 • Poe Asphalt Paving Ine, (Principal) /.. By: Travelers Casualty and Surety Company of America By: 4St.9� Della J Allen ,Attorney-in-Fact CS-1011-0905 Payment Bond-Page 2 of 2 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERSJ Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-In Fact No. 222277 Certificate No. 0 0 3 5 7 7 2 0 2 KNOW ALL MEN BY THESE PRESENTS:That St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company and St.Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota,that Farmington Casualty Company,Travelers Casualty and Surety Company,and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut,that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Cheryl Ashby,Della J. Allen,James M. Hewitt,Karol J.McBride,Lisa Smith,Phil Stonebraker,Vonda Hall,Robert E. Keller, Sharon Slaybaugh,Roland Thomason,and Susan Rigg of the City of ,State of ,their true and lawful Attorney(s)-in-Fact, Clarkston Washington each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. .... .L IN WITNESS WHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 31st day of March , 2010 Farmington Casualty Company • i St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance`Company '� Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company �SU 1'llv,, "FIRE 6 W -N NSU"y TY qN Y •G /� �.....:rG P•� 'P94.s JP� O d lM' try (� o? Oq��!t � � i PO: •.9 �::.......... ,y'P ra �Q�4 tl o 9¢s jr"—""e1111 � POR n t u FT `F° 6 n �COAFDRgi � m j e111 W.coa arf` s ,� < i 1982 O ` i.9/I - ED•• r •m a t —._ : HARTFORD, .a J i WiRTfORD, 1 ® . 1951 � t SEAL,lo: CONN. n CDNN. £ N : t � oS8RLj3 'W o r q SyLJa gtis s'p gIts ro p ' /q.� �0 '� 1• e`� ' gm��n„�e SN A.., 1s.. ... a bi �,N A 'V*/ State of Connecticut By: City of Hartford ss. Georg Thompson,senior ice President On this the 31st day of March 2010 ,before me personally appeared George W.Thompson,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. t .Terk In Witness Whereof,I hereunto set my hand and official seal. G' e • V My Commission expires the 30th day of June,2011. PuBUO * Marie C.Tetreault,Notary Public 58440-4-09 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER V This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I,Kori M.Johanson,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies'which is in full force and effect and has not been revoked. . ' IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 5 day of 8 120,0.40*.w ,20 L t. V Kori M.Johans Assistant Secretary pi.scz JV 111 6y 'w..�NS(i� "Q�1NSU P�tvANp 40'044' Wit'AMoit r Z'p 9 r OP PO4 f� 4P 9 k9.4' '�` C, !1('�IPoRATED:� m �jL A>Fh WepOaPORATj:;,l� a IW 0 1982 0 119n �.r� �: .� a , z 1951 1. �.SEAL,o°1 �'SEAL:;i ca+N, u R m 1896 r. �y NVECrt as > 1 °4s��uc '}S.AN�� 6I AD b "+/ANt 09 To verify the authenticity of this Power of Attorney,call 1-800-421-3880 or contact us at www.travelersbond.com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..� 10/27/2011 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 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 CONTACT Della Allen NAME: Stonebraker McQuary Agency MIL Fd) (509)758-5529 (A/C,No): (509)758-5311 616 5th St. E-MDREAIL SS: �1d�'dallen @stonebrakermc com AD PO Box 9 INSURER(S)AFFORDING COVERAGE NAIC S Clarkston WA 99403 INSURERA:The Phoenix Ins Co 25623 INSURED INSURERB:Travelers Indem Co of Conn 25682 Poe Asphalt Paving, Inc. INSURERC:Travelers Property Casualty Co 36161 PO Box 449 INSURER D:State Insurance Fund INSURER E: Lewiston ID 83501 INSURER F: COVERAGES CERTIFICATE NUMBER:11/12ALLda 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 300,000 PREMISES(Ea occurrence) A CLAIMS-MADE X OCCUR DTC01537P996PHX11 11/1/2011 11/1/2012 MED EXP(Any one person) $ 5,000 X Stop Gap Liability PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 7 POLICY 13 -1 JFCT LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S 1,000,000, B X ANY AUTO BODILY INJURY(Per person) S ALLOVJNED SCHEDULED DT8101537P996IND11 11/1/2011 11/1/2012 BODILY INJURY(Per accident) S AUTOS AUTOS x NON-OWNED PROPERTY DAMAGE X HIRED AUTOS S AUTOS (Per accident) Medical payments X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 4,000,000 C EXCESS LIAB CLAIMS-MADE AGGREGATE 5 4,000,000 DED X RETENTIONS 10,000 DTSMCUP1537P996TIL11 11/1/2011 11/1/2012 D WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y IN E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? N/A 10/1/2011 10/1/2012 578551 1 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) This Certificate of Insurance neither affirmatively nor negatively amends, extends, nor alters the coverage afforded by the policy or policies numbered in this certificate. The City of Spokane Valley is additional insured on general liability as respects the 2011 Street & Stormwater Maintenance project #11-004. Insurance is Primary and NonContributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave Ste 106 Spokane Valley, WA 99206 AUTHORIZED REPRESENTATIVE Della Allen/DELLA ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD n