06-077.00 Cat's Eye Excavating: Drywell Improvements.., . I
AGREEi•'IENT FOR CONSTRUCTION OR SERVICES
Cat's Kye Excavating, Inc.
THIS AGREEMENT is made by and between the City of Spokane Valley, a code City of the State. of
Washington, hereinafter "City" and Cat's Eye Excavating, Inc. hereinafter "Contractor," jointly referred to as
"parties."
hN CONS[DERATION of the terms and conditions contained herein the parties agree as follows:
1. Work to Be Performed. The Contractor shall do all work and furnish all labor, tools,
materials, supplies and equipment for the Drywell Improvement Project (hereinafter "work ") in accordance
with, and as described in Exhibit I (laid Documents), and 2006 Standard Specifications for Road, Bridge and
Municipal Construction of the Washington State Department of Transportation, which are by this reference
incorporated herein and made part hereof ("Contract Documents "), and shall perform any changes in the work
in accord with the Contract Documents.
The CONTRACTOR shall, for the amount set forth in the Contractor's bid proposal attached hereto, assume
and be responsible for the cost and expense of all work required for constructing and completing the wort: and
related activities provided for in the Contract Plans and Contract Documents, except those items mentioned
therein to be furnished by the City of Spokane Valley.
The City Manager; or designee, shall administer and be the primary contact for Contractor. Prior to
commencement of work, Contractor shall exercise best efforts to contact the City Manager or designee to
review the scope of work, schedule, and time of completion. Upon notice from the City, Contractor shall
promptly commence work, complete the same in a timely manner, and cure any failure in performance under
this agreement.
Unless otherwise directed by the City, all work shall be performed in conformance with the Contract
Plans, Contract Documents, City and State standards. Contractor acknowledges review of the Contract Plans
and Contract Documents and accepts the same. Contractor shall exercise best efforts, including the selection of
the highest quality materials, so that all work performed shall be in compliance with current related industry
standards.
2. Term of Contract This agreement shall be in full force and effect upon execution and shall
remain in effect until ,Se )ten+beF4', 2007 December 31, 2006 (teleplionically approved by Bryan Woodward on
9/2812006).
The City may terminate this agreement by ten (10) days' written notice to the other party. In the event
Of such termination, the City shall pay the Contractor for all work previously authorized and satisfactorily
performed prior to the tennination date.
Compensation. The City agrees to pay the Cori tractor:
On a time and material basis as set forth in the attached bid up to a maximum fee of $74,01 5.78 as
full compensation for everything furnished and done under this agreement.
4. Payment. The Contractor may elect to be paid in monthly installments, upon presentation of
an invoice to the City, or in a lump sum, upon completion of the work. Applications for payment shall be sent
to the City Clerk at the below - stated address.
Agreement for Construction Services
Page 1 of 5
ty C06 -77
The City reserves the right to withhold payment under this agreement which is determined, in the
reasonable judgment of the City )tanager, to be noncompliant with the Contract Plans, Contract Documents, or
City or State standards.
5. Notice. Notice shall be given in writing as follows:
TO THE CiTY: TO THE CONTRACTOR:
Name: Christine Bainbridge, City Clerk Name: Bryan Woodward
Phone Number: (509) 921-1000 Phone Number: (208) 661 -1536
Address: 11707 East Sprague Ave., Suite 106 Address: 19311 North Amber Court
Spokane Valley; WA 99206 Rathdrum, fD 83858
6. Applicable Laws and Standards. The parties, in the performance of this agreement, agree to
comply with all applicable Federal, State and local laws, and City ordinances and regulations.
7. Prevailinc_- Wales on Public Works. Unless otherwise reyuirW by law, if this contract is for
a "public work" which is defined as "work, construction, alteration, repair or improvement other than ordinary
maintenance executed at the cost of the City," the following provision applies:
This agreement provides for the construction of a public work and a payment of prevailing
wages according to Washington law. All workers, laborers or mechanics shall be paid a
prevailing rate of wage that is set forth in an Exhibit to this agreement.
Before any payment may be made to Contractor a "Statement of Intent to Pay Prevailing
Wages" must be submitted to the City. Following final acceptance of the public works
project, the Contractor and each subcontractor shall submit an "Affidavit of Wages Paid"
before retained funds will be released to the Contractor. The affidavit must be certified by the
industrial statistician of the Department of Labor and Industries.
8. Relationship of the Parties. It is hereby understood, agreed and declared that the Contractor
shall be an independent Contractor and not the agent or employee of the City, that the City is interested in only
the results to be achieved, and that the right to control the particular mariner, method and means of the work is
solely within the discretion of the Contractor. Any and all employees who provide services to the City under
this agreement shall be deemed employees of the Contractor. The Contractor shall be solely responsible for the
conduct and actions of all employees under this agreement and any liability that may attach thereto.
9. Ownership of Documents. All drawings, plans, specifications, and other related documents
prepared by the Contractor under this agreement are and shall be the property of the City, and may be subject
to disclosure pursuant to RCW 42.56 or other applicable public record laws.
10. Records. The City or State Auditor or any of their representatives shall have lull access to
acid the right to examine during normal business hours all of the Contractor's records with respect to all
matters covered in this contract. Such representatives shall be permitted to audit, examine and make excerpts
or trtnscripts from such records and to make audits of all contracts, invoices, materials; payrolls acid record of
matters covered by this contract for a period of three years from the date final payment is made hereunder.
11. Warranty. Unless provided otherwise in the Contract Plans or Contract Documents,
Contractor warrants all work and materials performed or installed under this contract: are free from defect or
Agreement for Construction Services Page 2 of 5
failure for a period of one year following final acceptance by the City, unless a supplier or manufacturer has a
warranty for a greater period, which warranty shall be assigned to the City. In the event a defect or failure
occurs in work or materials, the Contractor shall within the warranty period remedy the same at no cost or
expense to the City.
12. Contractor to .'Be. Licensed And Bonded. The Contractor shall be duly licensed and bonded
by the State of Washington at all times this agreement is in effect.
13. Insurance. The Contractor shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which may arise from or in connection
with the performance of the work hereunder by the Contractor, their agents, representatives, employees or
subcontractors.
No Limitation. Contractor's maintenance of insurance as required by the agreement shall not be construed to
limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity.
A. Minimum Scope of Insurance. Contractor shall obtain insurance of the types
described below:
1. Automobile Liability insurance covering all owned, non - owned; hired and leased
vehicles. Coverage shall be written on Insurance Services Office (ISO) from CA 00
01 or a substitute form providing equivalent liability coverage. if necessary, the
policy shall be endorsed to provide contractual liability coverage.
2. Commercial General Liabili insurance shall be written on ISO occurrence form
CG 00 01 and shall cover liability arising from premises; operations, independent
contractors, products - completed operations, stop gap liability, personal injury and
advertising injury, and liability assumed under an insured contract. The Commercial
General Liability insurance shall be endorsed to provide the Aggregate Per Project
Endorsement iSO form CG 25 03 11 85. There shall be no endorsement or
modification of the Commercial General Liability insurance for liability arising from
explosion, collapse or underground property damage. The City shall be named as an
insured under the Contractor's Commercial General Liability insurance policy with
respect to the work performed for the City using ISO Additional Insured endorsement
CG 20 10 10 01 and Additional Insured - Completed Operations endorsement CG 20
37 10 01 or substitute endorsements providing equivalent coverage.
3. Workers' Compensation coverage as required by the Industrial Insurance laws of
the State of Washington.
B. Afinimwn Amounts of Insurance. Contractor shall maintain the following insurance
limits:
1. Automobile Liability insurance with a minimum combined single limit for bodily
injury and property damage of $1,000,000 per accident.
2. Commercial General Liability insurance shall be written with limits no less that
$1,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000
products - completed operations aggregate limit.
Agreement for Construction Services Page 3 of 5
C. Otherinsurance Provisions. The insurance policies are to contain, or be endorsed to
contain, the following provisions for Automobile Liability and Commercial General Liability
insurance.
1. The Contractor's insurance coverage shall be primary insurance as respect the
City. Any Insurance, self- insurance, or insurance pool coverage maintained by the
City shall be excess of the Contractor's insurance and shall not contribute with it.
2. The Contractors insurance shall be endorsed to state that coverage shall not be
cancelled by either party, except after thirty (30) days prior written notice by certified
mail, return receipt requested, has been given to the City.
D. Acceptability oflnsurers. Insurance is to be placed with insurers with a current A.M.
Best rating of not less than AMT.
E. Verification of Coverage. Contractor shall furnish the City with original certificates
and a copy of the amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of the Contractor
before commencement of the work.
14. Indemnification and Hold Harmless. The Contractor shall defend, indemnify and hold the
City, its officers, officials, employees and volunteers harmless from any and all clauns, injuries, damages,
losses or suits including attorney fees, arising out of or in connection with the performance of this agreement,
except for injuries and damages caused by the sole negligence of the City.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115,
then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused
by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees,
and volunteers, the Contractors liability hereunder shall be only to the extent ofthe Contractor's negligence. It
is further specifically and expressly understood that the indemnification provided herein constitutes the
Contractor's waiver of immunity under Industrial insurance, Title 51 RCW, solely for the purposes of this
indemnification. This waiver has been mutually negotiated by the parties. The provisions of this section shall
survive the expiration or termination of the agreement.
15. Waiver. No officer, employee, agent, or other individual acting on behalf of either party, has
the power, right, or authority to waive any of the conditions or provisions of th isagreement. No waiver in one
instance shall be held to be waiver of any other subsequent breach or nonperformance. All remedies afforded
in this agreement; or by law, shall be taken and construed as cumulative, and in addition to every other remedy
provided herein or by law. Failure of either party to enforce, at any time, any of the provisions of this
agreement, or to require, at any time; performance by the other party of any provision hereof; shall in no way
be construed to be a waiver of such provisions, nor shall it affect the validity of this agreement, or any part
thereof.
16. Assil!nme.nt and Delegation. Neither party shall assign, transfer, or delegate any or all of the
responsibilities of this agreement, or the benefits received hereunder, without first obtaining the written consent
of the other party.
17. Jurisdiction and Venue. This agreement is entered into in Spokane County, Washington.
Venue shall be in Spokane County, State of Washington.
Agreement for Construction Services Page 4 of 5
18. Arbitration. All disputes arising under this agreement shall be resolved through arbitration
pursuant to State law. Rules for arbitration shall be those prescribed by the American Association of
Arbitration.
19. Entire Agreement. This written agreement constitutes the entire and complete agreement
between the parties, and supercedes any prior oral or written agreements. This agreement may not be changed,
modified, or altered, except in writing and signed by the parties hereto.
20. Anti- kickback. No officer or employee of the City, having the power or duty to perform an
official act or action related to this agreement, shall have, or acquire, any interest in this agreement, or have
solicited, accepted, or granted, a present or future gift, favor, service, or other thing of value from any person
with an interest in this agreement.
21. Business Registration. Prior to commencement of work, Contractor shall register with the
City as a business.
22. Severability. If any section, sentence, clause or phrase of this agreement should be held to
be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any
other section, sentence, clause or phrase of this agreement.
23. Exhibits. Exhibits attached and incorporated into this agreement are:
1. Bid Documents;
2. Insurance Certificates.
3. Cat's Eye Excavating, Inc. Bid Proposal dated September 13, 2006.
IN WITNESS WHEREOF, the parties have executed this agreement this 15ffi day ofSeptember, 2006.
CITY OF SPOKANE VALLEY:
f C�
City Manager
ATTEST:
f�-�A
ity Clerk
CONTRACTOR:
A;; 410 C/,6� -
Owne REDACTED
Tax I.D. No.:
APPROVED AS TO FORM:
Office the City Attorney
This document contains confidential tax information and
has been redacted pursuant to RCW 82.32.330.
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
Agreement for Construction Services Page 5 of 5
&Zhne
Valley
11707 E Sprague Ave Suite 106 ♦ Spokane Valley WA 99206
509.921.1000 ♦ Fax: 509.921.1008 ♦ cityhalt@spokanevattey.org
September 8th, 2006
Request for Bids
The City of Spokane Valley (City) is soliciting bids from qualified contractors whom are
on the City's Small Works Roster to provide drainage improvements. Work shall be
completed between September 15th, 2006 and October 25th, 2006.
The work will generally consists of installing drainage structures, removing and replacing
failing structures, and grading swales and ditches.
`f his is a time and materials project. Please refer to Exhibit 2 for a description of
the materials.
A cost estimate to complete this project shall be determined and presented on the attached
documents. This Small Works Project shall not exceed $100,000 (dollars).
Please complete the attached exh -ibits and submit to the City of Spokane Valley by 5 p.m.
September 14th, 2006.
Attachment: See Sample Contract.
If you have any questions regarding this Proposal, please address them to:
Gloria Mantz
Stormwater Engineer
City of Spokane Valley
11707 E. Sprague, Suite 106
Spokane Valley, 99206
(509) 688 -0226
Exhibit #1
Proposal for City of Spokane Valley Drainage Improvements
Proposal of
( "BIDDER "), and existing under the laws of the State of
Doing business as
Valley, (hereinafter called the "Owner ").
(hereinafter called
for the City of Spokane
In compliance with Public Works from the Small Works Roster, BIDDER hereby
proposes to perform all work for Drainage Improvements at different locations
throughout the City of Spokane Valley in strict accordance with the Contract
Documents, until such time that the work-is complete or expenditures near, not to exceed
$100,000 (dollars), and at the Bid Prices stated in 1lxhibit # 4, prices attached hereto and
made a part hereof
By submittal of this Bid, each BIDDER certifies, and the case of a joint Bid, each party
thereto certifies as to its own organization that this ]aid has been arrived at independently,
without consultation, conununication or agreement as to any matter relating to this Bid
with any other BIDDER or with any competitor.
BIDDER hereby agrees to commence work under this contract on or before a date to be
specified in the NOTICE TO PROCEED and to fully complete the work on an as- needed
basis until such time that the work is complete or that expenditures near or meet but do
not exceed $100,000 (dollars).
BIDDER agrees to perform all work . described in the Contract Documents for the Time
and Material Rates shown in Exhibit # 4.
Respectfully submitted:
Signature
Title
License # (if applicable)
Seal: If by Corporation
Address
:Date
:phone Number/ Fax #
EXHUBIT #2
Scope of Services for Drainage Improvements
Measurement and Payment
WD ITEM 91. - TIME-
OSIS for Time shai.l include all labor, fuel, Skill, rnobllizatioin, bond and insurance
costs, transportation, traffic control. and equipment necessary and any other incidental to
provide, these services in accordance with #Lis Request for Bids, 2001 and as amended
Spokane County Standards for Road and Sower Construction; and 2006 W DOT
Standard Plans and Specifications_ No additional compenWicn will be paid for
incidental work or costs_
The BIDDER will provide a crew for installing drainage structures, removing failing
structures, -,x.cavati.ng and replacing drain rock_ The crew hourly rate Shall include. [lie
equipment necessary for installing catchba�;in ,,, dry ells (double and single depth), storm
pipe; the operator(s) and other beip, and all related costs associated Mtb instalRflg these
structures including but not lurrited to sacutting existing pavement, excavating and
disposal of failing drain rock, existing pavement, or native material, drain rock
installation, pipe installation. drywi� ll and eatchbasin installation, or coruiceting to
e i.sti.ng drainage structures_ Hours spent at each work location will be documented for
payment.
Mobilization from and to the site and traffic control shall be built into the hourly rates.
Only actual hours worked will be submitted for payment.
BUD ITEM 92 -MATERIALS:
Materials utiliziud will be dof ume:nt to be pain in the units specified in Exhibit 4. The
13idder wiI I provide bid prices for the following items;
Catchbasin 'type -1 pc:r 2001 Spokane County Standards for Road and Sever
Construction Standard Plan B -4. Disposal costs for material excavated related to
catchbasim i. talIation shall be included irk this bid item_
Tyee A or Tvne 9 d!3MO[s within the road pri5rn with Metal Frank Type 4 and Solid
Cover per 2041 Spokane County Standards for Road and Sewer Construction Standard
Plans 13 -1 and B -15. The bid price shall include all materials necessary for drywell
installation including but not l.imt[ed to d ell barrel, gate a�W fume, drainrock,
concrete cap, and filter fabric. Disposal costs for material excavated related to dry-well
installation shall be included in this bid item.
Type A or Type B drnwells within a swale per 2001 and Metal Frame Type 4 and Grate
Type 4 per Spokane County Standards for Road and Sewer Construction Standard Flans
B -1 A and 13 -15. The bid price shall include all materials necessary for drywell
installation including but not limited to drywell barrel, crone, rings, grate and frame,
drainrock, and filter fabric. Disposal costs for material excavated related to drywell
installation shall be included in this bid item.
Metal frame Type l and metal Grate Type 1 and 3 per Spokane County Standards for
Road and Sewer Construction Standard plans B -10 and B -12 or B -14.
Metal frame Tvne 2 with a hood and metal grate Type 1. or 3 per Spokane County
Standards for Sewer Construction Standard plans R -11 and B -12 or B -14.
Drainrock and Filter Fabric: This is item is applicable for replacement of drain rock in
a failing drain field. Disposal costs for material excavated related drain(ield replacement
shall be included in this bid item. These materials only to be paid when replacing
drainfield and re -using existing structures. BIDDER will provide with tiveigh tickets
for all drain rock needed to repair failing drain.fields.
EXHIBIT #3.
BONDS
Upon award of the contract, the successful Bidder shall furnish a surety bond in
an amount equal to one hundred percent of the annual contract price as security
for the faithful performance of this contract. The aforesaid bond shall be in the
form contained in the contract documents. The bond shall be in effect for one
year from January 1 to December 31 and shall be renewed on an annual basis on
January l of each year. Unless the City has received and approved prior written
notice of delays, the Cit has the option to cancel the award and award to the next
low Bidder when the required bonds has not been furnished within the stipulated
ten days.
All surety bonding companies shall be admitted to do business in the State of
Washington, be authorized to transact surety insurance in the State of
Washington, and must also have assets which exceed their liabilities in an amount
equal to or in excess of the amount of the bond.
EXHIBIT #4
COST SHEET
BID ITEM
QUANTITY
UNIT*
PRICE PER
UNIT
AMOUNT
Bid Item #1— TR TE
SEE EXE BIT #2
Crew Hourly Rate
100
HOURS
Bid Item # 2 — M:ATERIALS
SEE EXHCBIT #2
Catchbasin Tyj2e 1
4
EA
Metal frame Type 1 and metal gate
Tye l or 3
2
EA
Metal frame Type 2 with a hood and
metal grate T e 1 or 3
2
EA
Type A dMvell Nvithin road prism
4
EA
Type A dr well within swale
2
EA
Type B drywell within road prism
4
EA
Type B dr},vell within swale
2
EA
10" PVC storm pipe
300
feet
Drain rock
500
CY
Filter Fabric
500
SQ YD
Excavating and grading Swale or ditch
50
CY
Seeding
5000
SQ FT
Subtotal
Tax 8.6%
TOTAL AM O MT OF BTI)
Sep 13 06 02:3Sp Cat's Eye Exc. Inc 208 -687 -6939 p.2
`'' 1 SEP. 8, 2006 11:54AM QTY SPOKANE VAELEY NO, 747 P. 2/11
Exhibit #t
Proposal for City of Spokane Valley Drainage Improvements
Proposal of C W"!5 EVE EX A L16T(
( "BIDDER"), and existing under the laws of the State o
Doing business as C RT's E XO & UFtT 1 N-G 0 1 NC
Valley, (hereinafter called the "Owner").
(hereinafter called
i7 p n/
the City of Spokane
In compliance with Public works from the Small Works Roster, BIDDER hereby
proposes to perform all work for Drainage Improvements at different locations
throughout the City of Spokane Valley in strict accordance with the Contract
DOCU rents, until such time that the work is complete or expenditures near, not to exceed
$100,000 (dollars), and at the Bid Prices stated in Exhibit m 4, prices attached hereto and
made a part hereof.
By submittal of this Bid, each BIDDER certifies, and the ease of a joint Bid, each party
thereto certifies as to its own organization that this Bid has been arrived at independently,
without consultation, communication or agreement as to any matter relating to this Bid
with any other BIDDER or with any competitor.
BIDDER hereby agrees to commence work under this contract on or before a date to be
specified in the NOTICE TO PROCEED and to fully complete the work on an as- needed
basis until such time that the work is complete or that expenditures near or meet but do
mot exceed $100,000 (dollars).
BIDDER agrees to perform all work described in the Contract Documents for the Time
and Material Rates shown in Exhibit # 4.
Respectfully submitted:
1311 N A
Si ature Address R7"} Rte rr, , --r F-386 a'
Title Date
L 4& RL6 5 08- t 1536 - C� - 49 -35
License # (if applicable) Phone Number/ Fax
Seal: If by Corporation
Sip 13 06 02:3Sp Cat's Eye Exc. Inc
4 str. 1.'UHb 6 :ADAM ' "`JY SYUCAPlE MLEY
E'MBIT #4
208- 687 -6939
W. 709
P. 6
COST SHEET
BID ITEM QUAIIT2TY UNIT PRICE AMOUNT
PER
UNIT
Bid Item €#I — Drainage
Structure Insta[iation
Crew Hourly Rate
75
HOUR
S
S'. p
2 2,3 1'2.25'
Subtotal Bid It ew #I
Bid Item # 2 — Materials
Cathbasin T l—
4
EA
Metal frame Type 1 and metal grate
Type 1 or 3
2
EA
Metal frame Type 2 with a Hood
and metal grate IM 1 or 3
2
EA
Zq`� ,off
S 4.00
fwe wid in road prism
Type A dr
4
EA
2os /,2,t
$' 20,Y,51
Type A drywell within a swale
4
EA.
/ Sy(,�
6 J� 7.,6 d
-Type B drywcU within road prism
4
EA
ZY 76.71
Type B dryweU within a swale
4
FA
:.0a7 , (`j
028 .76
i 0" PVC storm pipe
300
FT
7,731 210101-00
12,112 6 2 /0 ,00
Drain rock
500
CY
Filter Fabric
500
SQ
Excavating and grading swale or
ditch
50
CY
Seeding
5000
SQ FT
, OZ
96 2�
Subtotal Item 42
y e . 9
SUBTOTAL,
TAX 8.6%
S Sg2 97
TOTAL AMOUNT OF BID
i
7 3 C7 1 q 16
-
p.3
NOTICE OF INTENT TO EXTEND EXTRATERRITORIAL COVERAGE
September 8, 2006
DEPARTMENT OF LABOR & INDUSTRIES
PO BOX 44166
OLYMPIA WA 98504 -4166
Re: Certificate No. 178491 WA �® ( DIP
Em !o er: Cat's Eye Excavating, p y y 9�
Legal Entity: Corporation
Type of Business: Excavation
The above named employer has requested extraterritorial coverage for its Idaho
employees working temporarily in your state. The extraterritorial coverage is
effective September 7, 2006 and remains in effect as long as the employer
maintains continuous Idaho coverage.
It is understood that should the employer hire employees to work specifically in
your state, they must be insured under the laws of your state. It is the employer's
responsibility to maintain Idaho workers' compensation insurance coverage
while in your state.
Please indicate your approval by forwarding a copy of your confirmation to this
office, the employer and their Idaho insurance carrier.
Sincerely,
"�
Rachel Parsons
Employer Compliance Department
Cat's Eye Excavating, Inc.
19311 N. Amber Court
Rathdrum, Idaho 83858
Idaho State Insurance Fund
PO Box 83720
Boise, ID 83720 -0044
79/20/2065 1 3:15 12087650909 CALLAHAN IRSURANCE PAGE 01/01
ACORD I DATE (tdJA1D01YYYY)
TfA. CERTIFI(`'..,'rE OF LIABILITY INSURAI, .__:'E J 09/20n006
PRODUCER Ptwnq: (?WjG94 -G72: Pm 20a- ?G$ -WD9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CALLAHAN • KUESPERT INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1103 BEST AVE HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
COEUR D ALENE ID 83814 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURED
CATS EYE EXCAVATING
C/O BRYAN WOODWARD
19311 N AMBER CT
RATHDRUM ID 83858
COVERAGES
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: ' Maryland Casualty _ 19356
INSURER 8:
INSURER, C:
INSURER D:
INSURER E: I
THE POLICIES OF IMSURANCE LISTED BELOW Hove BEEN ISSUED TO THE INSURED NAUED ABO'T FOR TKE POLICY PERIOD INDICATED, NOTWRN,^,TANOINO
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NRTH RESCLICT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
41AY PERTAIN, THE INSURANCE AFFORDED BY THE POIJCIFra DE SCRIBED HEAEW IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIOSS OF SUCH
POLICIES. AGGREGATE LLMITS SHOWN MAY HAVE. BFEtJ REDUCED BY PA113 CLAAVIS•
TYPG OF INDURANCE POLICY NUTAaER PDIdC�' FFFEDTNE POL�cY EICPIRM1TIOaI umas
pQTE MINOR DATE YWODNv
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IWOAKERS COMPENSATION AND I
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DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT1 SPECIAL PROVISIONS
CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR.
c�arlrlcerl_ Llnl nco
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SHOULD ANY Ot THE ABOVE DE3CRIB_0 POLICIES BF CANCEiLED F 8= ORETNQ
CITY OF SPOKANE VALLEY EXPIRATION DATE TifEREOF, TIP ISSUING INSURER VALL MAIL 10 DAYS
1707 E SPRAGUE AVE SUITE 100 NARITTHN NOTICE TO THE CERTDFGCATE HOLDER NAMED TO THE LEFT. BUT FAILURE
TO DO SO SHALL 4KTOSE 100 OBLIGATION OR LIABILITY OF AN'Y KIND UPON TI!P WSURER.
SPOKANE" VALLEY WA 99206 ITS AGENTS OR REPREBENTATNC9,
lAU`rPfOAr7XD AFPRESEN7,4TSVE
Attention: �
�TtD
Gmpson
ACORD 25 (2001108) Certificate # 1908 0 ACORD CORPORATION 1988
'ors, STA,$' . MYASTERt�L'ItCEN SE _-SE RVICE
PO Gox 9 0340 ',.IV 1 50 -'9034 (360) 664 =1400
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® REGI`ST ND LICENSES
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WASHINGTON
Unified- Business ID #:
602-646 869,.
i Business 1D, # :
1
k Location:
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Expires:
09 -30 -2007
CAT' S' EYE 'EXCAVATING, INC
19311 N.AMBER CT
RATHDRUM ID 83858 7923
TAX REGISTRATION
CITY LICENSES /REGISTRATIONS:
,
SPOKANE VALLEY GENERAL BUSINESS
REGISTERED TRADE NAMES:
CAT'S EYE EXCAVATING,INC.
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The licensee named above has been issued the business ro istrations or
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licenses listed. By accepting this document the iicensee.certrfiesinp rnt�o�nia4on .4 -
provided on the applicetio6jor-lheSe li ejises rotas complete .rue' and a" c u' e �
to'the best of his or her t nawledde, and1hat bcsmes4 N'rll =t�ezcotiducted�in� is
11 .n,�,asr.►i _ r y Qiiecte7 �F e i
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