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12-154.00 Poe Asphalt Paving: 44th & Sundown Pavement RepairF/ CONTRACT THIS AGREEMENT, made and entered into this day of ..70�5' ,2012, between the City of Spokane Valley under and by virtue of Title 35 RCW, as amended and Poe Asphalt Paving Hereinafter called the Contractor. WITNESSETH: That in consideration of the terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant and agree as follows: I. The Contractor shall do all work and furnish all tools, materials, and equipment for: 48TH Avenue and Sundown Court Pavement Repair Project SVPW Contract 12 -036 In accordance with and as described in the attached plans and specification, and the standard specification of the Washington State of Department of Transportation which are by this reference incorporated herein and made part hereof and, shall perform any changes in the work in accord with the Contract Documents. The Contractor shall provide and bear the expense of all equipment, work and labor, of any sort whatsoever that may be required for the transfer of materials and for constructing and completing the work provided for in these Contract Documents except those items mentioned therein to be furnished by the City of Spokane Valley. II. The City of Spokane Valley hereby promises and agrees with the Contractor to employ, and does employ the Contractor to provide the materials and to do and cause to be done the above described work and to complete and finish the same in accord with the attached plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices at the time and in the manner and upon the conditions provided for in this contract. III. The Contractor for himself/herself, and for his/hers heirs, executors, administrators, successors, and assigns, does hereby agree to full performance of all covenants required of the Contractor in the contract. IV. It is further provided that no liability shall attach to the City of Spokane Valley by reason of entering onto this contract, except as provided herein. V. The project was awarded for the bid amount of $131,310.44. C0 1�-- I�(� IN WITNES S WHEREOF, the Contractor has executed this instrument, on the day and year first below written and the City of Spokane Valley has caused this instrument to be executed by and in the name of the said City of Spokane Valley the day and year first above written. Executed by Contractor h O, 6D , 2012. Date Printed Name VI�IV /V Title Signature City V Sp ane Valley ` k-e BOND NO: JQ5R25A16 � CO;VTR,4cToR'S PERFORMANCE AND PAYMENT BOND TO DOTAL OBLTGEF-S K'.NOW ALL, NTEN BY THESE PRESENTS, that Poe Asphalt PaAng,,lnc _:... (Contactor), as Principal, and Travelers Casualty and-Surety.-Company of amedca (Bonding Company_), as stuety, o corporation of. Connecticut whose principa) office is located at 707 W Main Ave., Ste 300 Spokane WA 99201 are f1mily bound unto the State of Washington and the City of Spokane Valley, a political subdhision the State of Washingtoti, as Obligees, to Ralf it die obligations of the Principal and the Surety wider the Contract to which r2ffrtncc is hereafter matt, in the anx unt of$$ 131. 31oaa ---- ----- ----- - .------------ ( includinLWashington State sales ta Y:) for pavmetttwhere0f Principal anti surety mind tliemselves, their heirs. executors, administrators, successors and assigns jointly and severally, firmly by these presents. Similarly, the bond shall cover payment of all taxes incurred on said Contract until Title 50 and 51 Rrvi<cd Code of Washington {RCX%� and all taxes imt)irsed on the Principle intdor Title 82 R.CW. W, M.RFAS, Principal has by )mitten Proposal. dated September 28-2012 offered to enter into a Contract with the City of Spokane Valley for Commct No. ,oina pursuant to the terns aid coudidorts set forth in the Contract Docuruents dated SPptemhpr 28.2012 NOR', THF,RE ORE, the cm.dition of this obligation is such that if the Principal shall faithfully perform all the provisions of die Contract on its part, and pay all laborers, mechanics, SUtAXITATU ors and material suppliers. and all persoD.s who supply such persork or persons or subcontractors with provisions and supplies for the carving, on of such work, iudemDify' and hold hartul.ess the Obligees from till loss, cost or damage which it may sutler by reason of the failure to do a y of the foregoing, and,pay all taxes pursuant to Title 50, 51, and 82 RCW, then this obligation shall be null and void; otherwise it shall remain in. fail force and effect. All persons who have fumishod labor, materials or supplies for use iii. and about the work provided for in the Contract shat) have a direct right of action under dais bond, to the extent and in the manner set forth in RCbV 39,08, The said Surety for value received hereby stipulates -,uid agrees that no change, extension of time, alteration or addition to the terns of the Contract or to the WORD to be perform. d therettndc r or ilre SPECIFICATIONS accompanying the sama shall in arty way affect its obl_igatiou on this BOND, and it. does herul , waive notice of airy such change, extension of time. alteration or addition to the terms of the Contract or to the WORK or to the SPECEFICATfONS. No final settlement between the ()W'N -ER and the CONTRACTOR shall abridge the right of any beneficiary hereunder. whose claitu may be wisatisfied. SIGNED AND SEALED TIES tad— DAY OF October YEAR 21 012 Travelers Cnchslty and Surer Company of America P_oPoha_I SURETY PRINCI7'A Signantic �� — � Signatur. Cheryl Ashby BRAD GRIFFITH Typp,d Tame Typed Name Attorney -in -Fact _ _ DIVISION MANAGER Title (S>=AL) Title Page 1 of 1 LID Doing business.' usiness Register y business Lookup business information Lookup business information Back to search results If "Non- revenue" appears after Tax Registration Number, the account is not registered with the Department of Revenue. However, it may be registered with other agencies in the state. Washington State Department ofReveiine State Business Records Database. Detail TAX REGISTRATION NOd 409018683 ACCOUNT OPENED ;d 04/01/1966 UBI 409018683 ACCOUNT CLOSED: OPEN ENTITY NAME: POE ASPHALT PAYING INC BUSINESS NAME: MAILING ADDRESS: BUSINESS LOCATION: PO BOX 449 302 15TH ST LEWISTON, ID 83501 -0449 CLARKSTON, WA 99403— ENTITY TYPE: CORPORATION RESELLER PERMIT.NO: A16-700613 PERMIT EFFECTIVE: 01/01/2012 NAICS CODE: 23 7310 PERMIT EXPIRES: 12/31 /2013 NAICS DEFINITION: HIGHWAY, STREET, AND BRIDGE CONSTRUCTION (PT) FOR NON-COMMERCIAL USE ONLY 10/11 %2012 2:48 PM If you are unable to find the reseller permit you are looking for, try searching by tax registration /UBI number. http: / /dor.wa.gov/ content / doingbusiness / registermybusiness /brd/Default.aspx 10/11/2012 POEASPH -01 CASHBY . ACORO � CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY) 10/2/2012 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 NAME: PHONE 509 758 -5529 (A IC Ne ; 509 758 -5311 AIC No Ext : ) ) Stonebraker McQuary 616 5th St. PO Box 9 Clarkston, WA 99403 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:State Insurance Fund INSURED INSURER B : PREMISES Ea occurrence INSURERC: Poe Asphalt Paving, Inc. INSURER D: PO BOX 449 INSURERE: Lewiston, ID 83501 INSURER F : CLAIMS -MADE D OCCUR C/7VFRAGFS CERTIFICATE NUMBER- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE D OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ $ POLICY PRO LOC EC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS PROPERTY DAMAGE Peraccident $ NON - OWNED HIREDAUTOS AUTOS UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y IN OFFICER/MEMBEREXCLUDE[ (Mandatory In NH) N/A 578551 10/1/2012 10/1/201 VVCSTATU- OTH- TORY LIMITS X ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEEI $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 48th Avenue & Surdown Court Pavement Repair Project CERTIFICATE HOLDER CANCELLATION City of Spokane Valley 11707 E Sprague Avenue Ste 106 Spokane, WA 99201 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 O 1988- 2010ACORD CURPORAHUN. All rlgnts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POEASPH -01 CASHBY NICE DATE (MM /DD/YYYY) 10/2/2012 UPON THE CERTIFICATE HOLDER. THIS )VERAGE AFFORDED BY THE POLICIES THE ISSUING INSURER(S), AUTHORIZED If SUBROGATION IS WAIVED, subject to tis certificate does not confer rights to the BR WVD Fax A/C, No (509) 758 -5311 POLICY EFF MM /DD/YYYY WING COVERAGE NAIC # Company 25623 o of Conn 25682 :asualty Insurance Company 36161 1111/2012 EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) 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 INSR BR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X DTCO1537P996PHX11 11/1/2011 1111/2012 EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY X JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS X AUTOS AUTOS X DT8101537P9961ND11 11/1/2011 11/1/2012 COEa aMBINcc ident S ED INGLE LIMIT $ 1,000 , 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PerraccidentDAMAGE $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X DTSMCUP1537P996TIL11 11/1/2011 11/1/2012 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DED I X I RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A WC STATU- OTH- TORY LIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: 48th Avenue & Sordown Court Pavement Repair Project The Contracting Agency and its officers, elected officials, employees, agents, and volunteers are additional insureds in regard to contract with insured - coverage is primary and non - contributory. r r- PTIFIrATF "r)i n;:R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valle THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty p y ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague, Ste. 106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE U 1958 -2010 AGURD cUKFUKAI IUN. All rlgnts reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POEASPH -01 CASHBY ACORDs CERTIFICATE OF LIABILITY INSURANCE DATE (iAM1DDIYWY) 10/11/2012 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 1340W. 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 olicies may require ari endorsement. A statement on this certificate does not Confer rights to the lielu cert fcate holder in of such endorsements) PRODUCER- - .. .. .:... .. Stonebraker McQuary 616 5th St.; PO. BOX 9 Clarkston, WA 99403 CONTACT .. NAME:: .. - PHONE - A1C No Ext : (509) 758 -5529 Alc No ; (509) 758 -5311 EMAIL ADDRESS: DTC01537P996PHX11 11/1/2012 - - - - - INSURER(S) AFFORDING COVERAGE NAIC #. INSURERA:Ph00i11X ltlsuran a Company. - 25623 MED EXP (Any one person) _INSURED : ... .. INSURERB :TraVt?Iers,lndem CO Of Cohn 25,682 Poe Asphalt Paving, Inc. INSURER C: Travelers Property Casualty Insurance Company 36161 INSURER D : GEN'LAGGREGATELIMITAPP LIES PER: POLICY I X .PRO- LOC PO BOX 449 Lewiston, ID 83501 I INSURER E: $ INSURERF: AUTOMOBILE . - ..... COVERAGES CERTIFICATE NUMBER;. REVISION NUMBER: THIS IS TO ;CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF. ANY .CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR.,MAY PERTAIN, THE „INSURANCE MAY _BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR - -; - - - - TYPE OF INSURANCE - INSR _ WVD - -- POLICY NUMBER.. POLICY EFF MIDDIYYYY POLICY EXP MMIDDIYYYY - .LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE A OCCUR X DTC01537P996PHX11 11/1/2012 11/1/2013 EACH OCCURRENCE 1;000,00 PREMISES Ea occurrence $ rMlppo MED EXP (Any one person) $ .5,000 PERSONAL & AOV IN URY $. 1,000,000 ©1988 -2010 ACORD CORPORATION. All rights reserved. GENERAL.AGGREGATE _ $ 2,000,00 GEN'LAGGREGATELIMITAPP LIES PER: POLICY I X .PRO- LOC PROOUC.TS- COMP10PAGG $ 2,000,000 $ - B AUTOMOBILE LIABILITY - - ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED,AUTO$ X AUTOS - X - - - DT8101537P9961NDII 11/1/2012 11/1/2013 COMBINED SINGLE LIMIT Ee accident 1,000,000 X BODILYINJURY(Perperson) $ BODILY INJURY (Peraccident) $ X PROPERTY DAMAGE Peracadent N $ - C X UMBRELLA LIAB EXCESS OCCUR CLAIMS -MADE . X -- - - - - DTSMCUP1537P996T1L11 - 11/1/2012 1 /1 /2013 EACH E OCCURRENCE $ 4,000,00 AGGREGATE $ .4,000,000 DED I X I RETENTION $ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY _ Y /N ANY PROPRIE.OR/PARTNER/EXECUTIVE :OFRCER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under .DESCRIPTION OF OPERATIONS below NfA WC RY LIMB S ER STATU- OTH- TO E.L EACH ACCIDENT - $ E.L. DISEASE . EA'EMPLOYEE $ E.L. DISEASE - POLICY LIMIT - $ DESCRIPTION OF OPERATIONSI.LOCATIONS i VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) - - - RE: 48th Avenue & Sordown Court Pavement Repaid. Project The Contracting Agency and its off Cers lected officials, employees, agents, and volunteers are additional insureds in, regard.to contract with insured - covera a is primary and non-epritributory. GtKIIFICATE HOLDEK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE% THEREOF NOTICE WILL BE DELIVERED IN 11707 E Sprague, Ste. 106 ACCORDANCE WITH THE POLICY PROVISIONS. Spokane, WA 99206 - - - - - - - 'AUTHORIZED.REPR S,ENTAT VE awn ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD