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12-173.00 Aztech Electric: Pines Rd ITSContract THIS AGREEMENT, made and entered into this 1st day of November 2012, between the City of Spokane Valley under and by virtue of Title 47 RCW, as amended and Aztech Electric, Inc. 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: Pines Rd ITS Project — CIP #0061 SVPW Contract 12 -026 in accordance with and as described in the project 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. I1. 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 project plans and specification and the terms and conditions herein contained and hereby contracts to pay for the same according to the referenced 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. Ill. The Contractor for himselPherself, 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. c O Z -- � V. The project was awarded for the bid amount of $949,160.78 IN WITNESS 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 Andrew R. Dahlman Printed Name President Title Signature City of Spokane Valley November 1 Date , 2012. 11iintedName / ///z S store AZTEELE -01 JKRUSE DATE (MMIDD/YYYY) A °' CERTIFICATE OF LIABILITY INSURANCE 11/1212012 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) mustbe 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 Beu of such endorsement(s). PRODUCER Western States insurance Agency of Spokane Western States Insurance Agency, Inc. PHONE .,,,, (5091838 -3501 ( IV. No): (509) 838 -3511 Spokane, WA 99202 INSURER A .Travelers Indemni. Co of Conn INSURED INSURER B:Travelers Casualty Ins Co Of A INSURER C Aztech Electric, Inc. PO Box 11795 INSURER D: Spokane, WA 99211 -0795 INSURER E- INSURER F . COVERAGES CERTIFICATE NUMBER: 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. IL,sRR LIMITS TYPEOFINSURANCE pOLICYNUMBER MMlD MMJDD 1000,000 EACH OCCURRENCE $ + GENERAL LIABILITY A 300,000 A X COMMERCIAL GENERAL LIABILITY X X TC034TK7501TCT12 4/1/2012 4/112013 PREMISES e000urrenoe S MED EXP (Any one person 6,00 cLUMS -MADE �X occuR _L_ X Employer Liab PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,0 PRODUCTS - COMPIOPAGG $ 2,000,00 GEM& AGGREGATE LIMIT APPLIES PER: $ POLICY X PRO- L0C COMeBINNEDD I LIM $ 1,000,00 AUTOMOBILE LIABILITY Me X 4T810347K1601TCT12 4/1/2012 4M12013 BODILY INJURY (Per person) $ A ANYAUTO ;ED WNED SCHEDULED BODILY INJURY $ S AUTOS PROPERTYDAMAG $ NON -OWNED ERACCID AUTOS AUTOS $ ELLA LIAR X OCCUR EACH OCCURRENCE $ 4 +000,00 B sLIAB CWMS -MADE 4TSMCUP347K1601i1L12 4!112012 411!2013 AGGREGATE $ X RETENTION S 10,000 S WC STATU• OTH- WORKERB COMPENSATION AND EMPLOYERS LIABILITY YIN E,L EACH ACCIDENT $ OOFFlCERMIEMBEREXCUDEDD77EC��� NIA E.L DISEASE -EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (Attach ACORD Jai, Additional Remarks Schedule, if more space is required) volunteers additional Insuredsllper atttached form CGD246 8 05 as resper� to: Pines Rd ITS P oject Contract Noc 21-026 CIP -y006 Coverage is primary and added as non - contributory Cont Ext End. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley 11707 E. Sprague Ave, Suite 106 Spokane, WA 99206 AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010106) reserved. COMMERCIAL GENERAL LIABILITY THIS .ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY • ' • • BLANKET ADDITIONAL INSURED . (CDIUTRAGTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section lq is amended to include any person or organization that you agree in a "written contract requiring insurance" ,to Include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by apes or omissions of you or your subcontractor In the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additionai insured by this endorsement Is limited as follows: a) In the event that the Limits of insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the 'Written contract requiring Insurance ", the In- surance provided to-the additional insured shall pe limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described-in Section III — Limits Of insurance. b) The insurance provided to the additional in sured does not apply to "bodily injury", "prop- erty damage" or "personal injuiy" arising out of the rendering of, or failure to render,. any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw - Ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and. speclficatlons; and il: Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed op- erations hazard" unless the• "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional Insured by this enddrsement is excess over any valid and collectible "other insurance ", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non - contributory basis, this Insurance. is primary to 'other insurance" available to the additional insured which covers • •that person or organization as a. named insured for such loss,. and we will not share with that "other insurance ". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether primary, excess, contingent or . on any other basis; that is available to the addi- tional insured when that. person or organization is an additional insured under such "other insur- ance". 4. As a conditiorl of coverage provided to the additional insured by this endorsement: a), The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a clalm.' To the extent possible, such notice should Include: CG D2 46 08 05 © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE -READ IT CAREFULLY. CONTRACTORS XTE ND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DEsCRiPTION OF, COVERAGE — Provisions A.-H. and J. -N. of this endorsement broaden coverage, and provision 1, of this endorsement may limit coverage. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages.. Read all the PROVISIONS of this endorsement carefully to determine tights, duties, and what-is and is not covered, A. Broadened Named Insured B. Extension of Coverage -- Damage To Premises Rented To You H. Additional Insured —State or Political Subdivisions I. Other Insurance Condition J. Perils office, explosion, lightning, smoke, water " Limit increased to $300,000 C. Blanket Waiver of Subrogation K. D. Blanket Additional Insured —Managers or Lessors of Premises E. Incidental Medical Malpractice F. Extension of Coverage —Bodily Injury G. Contractual Liability— Railroads PROVISIONS A. BROADENED NAMED INSURED 1. The Named Insured in Item 1. of the Declara- tions is as follows: The person or' organization named in Item 1. of the Declarations and any organization, other than a partnership, joint venture or lim- ited liability company, of which you maintain ownership or In which you maintain the major- ity interest on the effective date of the policy. However, coverage for any such additional organizOtion will cease as of the date, if any, during the .policy period, that you. no longer maintain ownership of, or the majority interest ip, such organization. 2. WHO IS-AN INSURED (Section In Item 4.a. is deleted and replaced by the following: a. Coverage under thls'provision is afforded only until the 180th day after you acquire 'or form the organization or the end of the policy peHod,•whicheveris earner. L. Increased Supplementary Payments. J° Cost of bail bonds increased to $2,500 Loss of eamings.inereased to $500 per day Knowledgo and Notice of Occurrence or Offense Unintentional Omission M. Personal injury- Assumed by Contract N. • Blanket Additional insured — Lessor of Leased Equipment 3. This Provision A. does not apply to any per- son or organization for•whlch coverage is ex- cluded by endorsement. B. EXTENSION OF COVERAGE — DAMAGE TO PREMISES RENTED TO YOU 1. The last paragraph of COVERAGE A. BOD- ILY-INJURY AND PROPERTY DAMAGE LI- ABILITY (Section I — Coverages) is deleted and replaced. by the following: Exclusions c. through n. do not apply to dam. ago to premises while rented to you, or tem- _porarily occupied by you with permission of the owner, caused by: a. Fire; b. Explosion; c. Lightning; d. Smoke resulting from such fire, explosion, or lightning; or e. • Water. A separate limit of insurance applies to this coverage as described in Section III Limits Of Insurance. ' CG D316 0 7 04 Copyright, The Travelers Indemnity Company, 2004 Page 1 of 6 COMMERCIAL GENERAL LIA131LITY . 1. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and ill, The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a, claim is made or "suit" Is brought against the additional insured, the additional insured must: I. Immediately record the specifics of the claim or "suit" and the date received; and U. Notify us as soon as practicable. The additional Insured must see to it that we receive written notice of the claim or "suit' as soon as practicable.. c) The additional insured must immediately send us copies of all legal papers received In connection with the claim or "suit ", cooperate with us in the investigation or settlement of the ciairn or defense against the "suit ", and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit" to C r. c any provider of "Other insurance -which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this -endorsement is primary to "other Insur- ance" available to the additional insured which covers that person or organization as a named Insured as described in paragraph .3. above. 5. The following definition is added to 'SECTION V. DEFINITIONS: "Written contract requiring Insurance" means that part'of any written contract or agreement under which you are required to Include a person or organization as an additional in- sured on this Coverage fart, provided that the "bodily Injury" and "property damage" oc, curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement Is In effect; and c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 45 08 06 omai i` i� w 1.= XIRWR COMMERCIAL GENERAL LIABILITY 2. This Insurance does not-apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a. Rupture, bursting, or operation of Ares- sure relief devices; b. Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from wa- ter, c. Explosion. of steam boilers, steam pipes, steam engines, or steam turbines. 3. Paragraph S. of .LIMITS OF INSURANCE (Section ill) is deleted and replaced by the following: Subject to S. above, the Damage To Prem- ises Rented To You Limit is the most we will pay under COVERAGE A. for the sum of all damages because of "property damage" to any one premises while rented to you, or temporarily occupied by you with permission of the owner, caused by. fire; explosion; light- ning; smoke resulting from such fire, explo- sion, or lightning; or water. The Damage To Premises Rented To You Limit will apply to all "property damage" proximately caused by the same "occurrence ",. whether such damage results from: fire; explosion;. lightning; smoke resulting from such fire, explosion, or light ning; .or water; or any combination of any of these causes. The Damage To Premises Rented To You Limit wIll be the higher of a. $300,000; or b. The amount shown on the Declarations for Damage To Premises Rented To You Limit. 4. Paragraph a..of the definiflon of "Insured con- tract" (DEFINiTIONS -- Section V) Is deleted and replaced by the following: a. A contract for a lease of premises. How - ever, 'that portion of the contract for a lease of premises that indemnifies any. person or organization for damage to premises while rented. to you, nr tempo- rarily occupied by you with permission of the owner; .caused by: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water, i5 not an - "insured contract "; 6. This Provision B; does not apply if coverage for Damage To Premises Rented To You of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIA$ILITY (Section I — Coverages) is excluded by endorsement. C. BLANKET• WAIVER oP SUBROGATION We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of. premises owned or occupied by or rented or loaned to ydu; ongoing operations performed by you or on your behalf, done under a contract with that person or organization; "your work ; or "your products ". We waive this right where you have agreed to do so as part of a written contract, executed. by you before the "bodily injury" or. "property damage" occurs or the "personal injury" or "advertising Injury" offense is committed. D. BLANKET ADDITIONAL INSURED -- MANAG- ERS OR LESSORS OF PREMISES . WHO IS AN INSURED (Section 11) is amended to include as an Insured any person or organization (referred to below as' "additional insured°) with whom you have agreed in a written contract, exe- cuted before.-the "bodily Injury" or "property dam - age" occurs or the "personal injury" or "advertis- ing inJury" offense is committed, to name as an additional insured, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises leased to you, subject to the following provisions: 1. Limits of insurance. The limits of insurance afforded to the additional Insured shall be the limits which you agreed to provide in the writ ten contract, orthe.limits shown on the Decla- rations, whichever are less. 2. The insurance afforded to the. additional in- sured does not apply to: a. Any !bodily injury" or "property damage" that occurs, or "personal injury" or "adver- tising injury' caused by an offense which Is committed, after you cease to be a ten- ant iri that premises; !i. Any premises for which coverage is .ex cluded by endorsement; or c. Structural alterations, new construction or demolition operations performed by or on . behalf of such additional insured. . 3. The Insurance afforded .fo the additional in- sured Is excess over any valid and collectible- Page 2 of ii Copyright, The Travelers Indemnity Company, 2004 CG D3 46 0704 COMMERCIAL GENERAL LIABILITY "other insurance" available to such additionai together with all related acts or omissions in insured, unless you have agreed in the writ- the furnishing of the services described in ten that this insurance must be pri- paragraph 1. above to any one person will be ,contract mary to, or non - contributory with, such "other deemed one "occurrence ". Insurance ". S. This Provision E. does not apply if you are in E. INCIDENTAL MEDICAL MALPRACTICE .the business or occupation. of providing any of 1. The following is added to paragraph 1. Insur- the services described in paragraph 1. above. Ing Agreement of COVERAGE A. — BODILY 6. The insurance provided by this Provision E. INJURY AND PROPERTY DAMAGE LIABIL- shall be excess over any valid and collectible ITY (Section I— Coverrages): "other insurance" available to the insured, "Bodily Injury" arising out of the rendering of, whether primary, excess, contingent or on or, failure to render, the following will be any other basis, except for Insurance that you deemed to be caused by an "occurrence ": bought specifically to apply in excess of the Limits of insurance shown on the Declara- a. Medical, surgical, dental, laboratory, x-ray lions of this Coverage ParL or nursing service, advice or instruction, or the related furnishing of food or bever- F EXTE=NSION OF COVERAGE — BODILY IN- JURY ages; b. The furnishing or dispensing of drugs or The definition of "bodily. injury" (DEFINITIONS — , medical, dental, or surgical supplies or Section V) is deleted and replaced by the follow -. appliances; ing: c. First aid; or "Bodily Injury" means bodily injury, mental an- guish, mental injury, shock, fright, disability, hu -. d. "Good Samaritan services." As used in molation, sickness br disease sustained by a per. this Provision E., "Good Samaritan ser- son; including death resuiiirig.from any of these at vices" are those medical services ren- any time. dered or'provided In an emergency and G. CONTRACTUAL UA131LITY -- RAILROADS for which no remuneration is demanded or received. 1. Paragraph c. of the definition of "insured con- 2. Paragraph 2.a.(1)(d) of WHO IS AN IN- tract" (DEFINITIONS — Section V) is deleted _ SURER (Section 11) does not apply to any and replaced by the following: registered nurse, licensed practical nurse; c. Any easement or license agreement; emergency medical technician or paramedic 2, paragraph f.(1) of the definition of "Insured employed by you, but only while performing contract" (DEFINITIONS — Section V) is de- the services described In paragraph 1. above leted. - and while acting within the scope of their em- ployment by you. Any "employees" rendering H. ADDITIONAL INSURED — .STATE OR POLITI- "Good Samaritan services" will be deemed to CAL SUBDIVISIONS — PERMITS be aoting within the scope of their employ- WHO IS AN INSURED (Section 10 -is amended to ment by you. Include as an insured any state or politicai'subdi- 3. The following exclusion is added to paragraph vision, subject to the following provisions: 2. Exclusions of COVERAGE A,• — BODILY 1. ,This insurance applies only when required to INJURY AND PROPERTY. DAMAGE LIABiL- be provided by you by an ordinance, law or ITY (Section I —Coverages): building code and only With respect to opera - (This insurance does not apply to:) "Bodily in, lions performed by you or on your behalf for Jury" or "property damage" arising out of the which the state or political subdivision has is- willful violation of a penal statute or ordinance sued a permit• relating to the sale of pharmaceuticals com- 2. This insurance does not apply to: mitted by or with the knowledge or consent of a. "Bodily injury," "property damage," "per - the insured. sonal injury" or "advertising Injury" arising 4. For the purposes of determining the applica- out of operations performed for the state ble limits of insurance, any act or omission or political subdivision; or CG. Da 16 07 04 Copyright, The Travelers lndemnity Company, 2004 Page 3 of 6 i; i 018693 COMMERCIAL GENERAL LIABILITY b, "Bodily injury" or %property damage" in- cluded in the "products - completed opera- tions hazard ". 1. OTHER INSURANCE CONDITION A. COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section Iv), paragraph 4. (Other insurance) is deleted and replaced by the fol- lowing: 4, Other Insurance If valid and collectible "other insurance" is available to the Insured for a loss we cover under Coverages A or 8 of this Coverage Part, our obligations are limited as follows: a. Primary Insurance ,This . insurance is primary except when b, below applies. If this insur- ance is primary, our obligations are not affected unless any of the "other insurance" is also primary. Then, we will share with all that "other insur- ance" by the method described In c. below. b. Excess Insurance This Insurance is excess over any of the "other Insurance ", whether pd- mary, excess, contingent or on any other basis: . . (1) That Is Fire, Extended Coverage, Builder's Risk, Installation Risk, or similar coverage for "your work'; (2) That is )"ere Insurance for prem- ises rented to you or temporarily occupied by you with permission- of the owner, (3) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or tempo- rarily occupied by you Vdifi. per- mission of the owner; or (4) If the lass arises out of the main- tenance or use of aircraft, "autos ", or watercraft to the ex- tent not subject to Exclusion •g. of Section I:— Coverage A -- Bodily injury And Property Damage LI- ability; or (6) That is available to the Insured when the insured is an additional insured under any other policy, including any umbrella or excess Policy. When this insurance Is excess, we will have no duty under Coverages A or B to defend the insured against any "sgft" if any provider of "other in- surance" has a duty to defend the in- sured against that "suit". If no pro- vider of "other Insurance" defends, we will undertake to do so, but we will be entitled to the Insured's rights against all those providers of "other Insurance". When this insurance is excess over "other insurance ", we will pay only our share of the amount of the loss, if any, that exceeds the.sum of (1) The total amount that all such "other insurance" would pay for the loss in the absence of this in- surance; and (2) The total of all deductible and . self insured amounts under that "other insurance ". We will share the remaining loss,• If any, with any "other insurance" that is not described In this Excess Insur- ance provision. c. Method Of Sharing if all of the "other insurance" permits contribution by equal shares, we will follow this method also.. Under this approach each provider of insurance contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains; which- ever comes first. if -any of the "other insurance" does not permit contribution by equal shares, we -will contribute by limits. Under this method, the share of each provider of insuranca is based on the ratio of its applicable limit of insur- ance to the total applicable limits of • insurance of all providers of insur- ance. B. The following.defmition is added to DEFINITIONS (Section U): "Other insurance ": a. Means Insurance, or the funding of losses, that is provided by, through or on behalf of Page 4 of 6 Copyright, The Travelers Indemnity Company, 2004' CG D316 07 04 (1) Another insurance company; (2) Us or any of our affiliated insurance com- panies, except when the Non cumulation of Each Occurrence Limit section of Paragraph 5 of LIMITS OF INSURANCE (Section 111) or the Non cumulation of Per- sonal and Advertising injury Ilmit sections of Paragraph 4 of LIMITS OF INSUR- ANCE (Section 19) applies; (3) Any risk retention group; (4) Any self- insurance method or program, other than any funded by you and over which this Coverage Part applies; or (5) Any similar risk transfer or risk manage- ment method. b. Does not include umbrella insurance, or ex- cess insurance, that you bought specifically to apply in excess of the Limits of Insurance shown on the'Declarations of this Coverage Part. J. INCREASED SUPPLEMENTARY PAYMENTS Paragraphs 1.b. and 1.d. of SUPPLEMENTARY PAYMENTS -- COVERAGES A AND B (Section I — Coverages) as amended as follows; 1. in paragraph 1.b., the amount we will pay for the cost of bail bonds Is Increased to $2500. 2. In paragraph 1.d., the amount we will pay for loss of earnings is lhoreased to $500 a day. K. KNOWLEDGE AND NOTICE OF OCCUR- RENCE OR OPPENSI= 1. The following Is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV), paragraph -2. (Duties In The Event of Oc- currence, Offense, Claim or Suit). Notice of an "occurrence" or of an offense which may result in *a claim must be given as soon as practicable after knowledge of the "occurrence" or offense has been reported to you, one -of your "executive officers" (if you are a corporation), one of your.partners who Is an individual (if you are a partnership), one of your managers ('rf you are a 1mited liability. company), organ "employee" (sucti as an in- surance, loss control or risk manager or ad- ministrator) designated by you to give such notice. Knowledge by any other "employee" of an "occurrence" or offense ddes not Imply that you also have such knowledge. COMMERCIAL GENERAL LIABILITY 2. Notice of an "occurrence" or of an offense which may result in a claim will be deemed to be given as soon as practicable to us if it is given In good faith as soon as practicable to your workers' compensation Insurer. This ap- piies only if you subsequently give notice of the "occurrence" or offense to us as soon as practicable after you, one of your "execytive. officers" (d you are a corporation), one of your partners who Is an Individual (if you are a partnership), one of your managers (if you are a limited liabifity company), or an "employee" (such as an insurance, loss control or risk manager or administrator) designated by you to give such notice discovers that the "occur- rence" or offense may Involve this policy. S. This Provision K. does not apply as aspects the specific number of days within which you are required -to notify us In writing of the abrupt commencement of a discharge, re- lease or escape of "pollutants" Alhat causes "bodily Injury" or "property damage" which may otherwise be covered underthis policy. L. UNINTENTIONAL OMISSION The following Is added to COMMERCIAL GEN- ERAL LIABILITY CONDITIONS (Section IV), paragraph 6. (Representations): The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in Issuing this policy shall not prejudice your rights under this insurance. How= ever, this Provision L. does not affect our right to collect additional premium or to exercise our right of cancellation or nonrenewal in accordance with applicable state Insurance laws, codes or regula- tions. M: PERSONAL INJURY -- ASSUMED BY CON - TRACT 1. The following Is added to Exclusion e, (1). of Paragraph Z,. Exclusions of Coverage 8, Personal Injury, Advertising Injury, and Web Site Injury Liability of the Web.XTF_ND Liability endorsement: Solely for the purposes of liability assumed in an "Insured contract", reasonable attomeq fees and necessary litigation expenses in- curred by or for a party other than an insured are deemed to -be damages because of "per- sonal injury" provided: (a) Liability to such party for, or for the cost of, that party's defense has also been as- CG D316 07 04 Copyright, The Travelers Indemnity Company, 2004 Page 5 of 5 COMMERCIAL GENERAL LIABILITY sumed in' the same "Insured contract'; and (b) Such attorney fees and litigation ex- penses are for defense of that party against a civil or altemative dispute reso- lution proceeding in which damages to which this insurance applies.are alleged. 2. Paragraph 2.d. of SUPPLEMENTARY. PAY- MENTS —.COVERAGES A ANi] B (Section 1 — Coverages) is deleted and replaced by the following: d. The allegations in the "suit" and the in- formation we know about the "occur- rence" or offense are such that no conelct appears to exist between the interests of the insured and the interests of the in- demnitee; S. .The third sentence of Paragraph 2. of SUP- PLEMENTARY PAYMENTS — COVERAGES A AND B (Section I — Coverages) is deleted and replaced by the failawing: Notwithstanding the provisions of Paragraph 2.b.(2) of Section 1— Coverage A — Bodily In- -jury And Property Damage liability, or the provisions of Paragraph 2.e.(1) of Section I — Coverage 0 — Personal Injury, Advertising In- jury And Web Site Injury Liability, such pay- ments will not be deemed to be damages for "bodily injury" and "property damage",, or damages for "personal injury", and will not re- duce the rmlts of insurance. 4. This provision. M. does not apply if coverage for "personal Injury" liability Is excluded by endorsement. i.= a a� N. BLANkET ADDITIONAL INSURED -- LESSOR OF LEASED EQUIPMENT WHO IS AN INSURED (Section 1i) is amended to Include as an insured any person or organization (referred to below as "additional insured') with Whom you have agreed in a written contract, exe- cuted before the "bodily injury" or "property dam- age" occurs or the "personal injury" or' "advertis- ing injury" offense is committed, to name as an additional insured, but only with respect to their li- ability for "bodily injury", "property damage", "per- sonal injury" or "advertising injury" caused, in whole or in pars, by your acts or omissions in the maintenance, operation or use of equipment leased to you by such additional insured, subject to the following provisions: -1. Limits of insurance. The limits 'of insurance afforded to the additional insured shall be the limits which you agreed to provide in the writ- tan contract, orihe limits shown on the Decla- rations, whichever are less. 2. The insurance afforded to the additional. in- sured doss not apply to any "bodily injury" or "property damage" that occurs, or "personal injury" or "advertising injury" caused by an of- fense which is committed, afterthe equipment lease expires. 3. The insurance afforded to the additional In- sured is excess over any valid and collectible "other Insurance" available to such additional Insured, unless you have agreed in the writ- ten contract that this insurance must be pri- mary to, or non - contributory with, spch "other Insurance ". Page 6 of 6 Copyright, The Travelers. indemnity Company, 2044 CG D316 07 04 018824 S PiM)ne ,;oOValley- BOND NO: 0163259 CONTRACTOR'S PERFORMANCE AND PAYMENT BOND TO DUAL OBLIGEES KNOW ALL MEN BY THESE PRESENTS, that Aztec Electric, Inc. (Contractor), as Principal, and Berkley Regional Insurance Company (Bonding Company), as Surety, a corporation of Delaware , whose principal office is located at 11201 Douglas Avenue, Urbandale, IA 50322 , are firmly bound unto the State of Washington and the City of Spokane Valley, a political subdivision the State of Washington, as Obligees, to fulfill the obligations of the Principal and the Surety under the Contract to which reference is hereafter made, in the amount of $ 949,160.78 (including Washington State sales tax) for payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns jointly and severally, firmly by these presents. WHEREAS, Principal has by written Proposal dated 10/16/12 offered to enter into a Contract with the City of Spokane Valley for Contract No. 12 -026 pursuant to the terms and conditions set forth in the Contract Documents dated _.11 NOW, THEREFORE, the condition of this obligation is such that if the Principal shall faithfully perform all the provisions of the Contract on its part, and pay all laborers, mechanics, subcontractors and material suppliers, and all persons who supply such person or persons or subcontractors with provisions and supplies for the carrying on of such work, and indemnify and hold harmless the Obligees from all loss, cost or damage which it ma suffer by reason of the failure to do any of the forecoing, then this obligation shall be null and void: otherwise it shall remain in full force and effect. All persons who have furnished labor, materials or supplies for use in and about the work provided for in the Contract shall have a direct right of action under this bond, to the extent and in the manner set forth in RCW 39.08. The said Surety for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or to the WORK to be performed thereunder or the SPECIFICATIONS accompanying the same shall in any way affect its obligation on this BOND, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the Contract or to the WORK or to the SPECIFICATIONS. No final settlement between the OWNER and the CONTRACTOR shall abridge the right of any beneficiary hereunder, whose claim may be unsatisfied. SIGNED AND SEALED THIS 14TH DAY OF NOVEMBER YEAR 2012. Berkley Regional Insurance Company SU E -- Sgn_te Kristy M. Konte Typed Narne Attorney -In -Fact Title (SEAL) Aztec Electric, Inc. PRINCIPAL Signature Typed Name PRESIDENT Title - No. 8061a POWER OF ATTORNEY BERKLEY REGIONAL INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company "), a ° corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa, Phas made, constituted and appointed, and does by these presents make, constitute and appoint: Kelly Michael Layman, Kristy M. MKonte, Jay A. Miley, James K. Brady, Kirk C. Leadbetter, Katie Booher or Glen Lopez of Marsh & McLennan Agency, LLC of ct Anchorage, AK its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00 /100 U.S. Dollars ((J.S.$50,000,000.00), to the same extent as if such bonds r, had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own Cr proper persons. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware,. 0.2 without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following N � resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000: 95 "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and' ° > qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations °J on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; and further 3 RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney -in -fact named; and ° further RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any 0 on power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any _3 person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued." o ¢' b IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this day of 2012. , Attest: _ Berkley Regional Insurance Company O U cd (Seal) By By Ira S. ederman J Hafter o o WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE " BERKLEY" SECURITY PAPER. U � o a� STATE OF CONNECTICUT) L SS. o COUNTY OF FAIRFIELD ) Sworn to before me, a Notary Public in the State of Connecticut, this K— day of Le 2012, by Jeffrey M. Halter and = - Ira S. Lederman who are sworn to me to be the Senior Vice President, and the Senior Vice President and Secretary, respectively, of Berkley Regional Insurance Company. al EILEEN KILLEEN NOTARY PUBLIC. STATE OF CONNECTICUT Notary Public, State of Connecticut c MY COMMISSION EXPIRES JUNE 30, 2017 °— CERTIFICATE Z I, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the '-:2 foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked d 5 or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this 3 Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and seal of the Company, this day of (Seal) Andre a i Search Results Excluded By Firm, Entity, or Vessel : Aztech Firm, Entity, or Vessel : Aztech Electric Firm, Entity, or Vessel : Aztech Electric, Inc. as of 23- Oct -2012 10:57 AM EDT Your search returned no results. Verify Workers' Comp Premium Status - Employer Liability Certificate Washington State Department of Labor and Industries enactment of Labor and Ind us ries Employer Liability Certificate Date: 11/19/2012 UBI #: 328 054 758 Business Name: fl1'G�1'EC ' E EC+TRI Legal Business Name: AZTECH ELECTRIC INC Account #: 267,780 -00 'Doing Business As' Name: AZTECH ELECTRIC INC Page 1 of 1 Employer Liability Certificate Estimated Workers Reported: Quarter 3 of Year 2012 "31 to 50 Workers" (See Description Below) Workers' Comp Premium Statu ccount is o rren .Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes License: Multiple Active Licenses Account Representative: T4 / BAC -NAM DO (360)902 -4724 - Email: BACN235 @lni.wa.gov What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.12J0. https: // fortress. wa. gov/ lni/ crpsi lAcctInfoPrint.aspx ?AccountId= 26778000 &AccountMana... 11/19/2012 AW CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4111. 10/01/2013 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 Marsh&McLennan Agency LLC NAME: 1031 W.4th Ave,Suite 400 PHONE FAX (A/C,No.Ext): (A/C,No): Anchorage,AK 99501 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 101890-KT-GAWU0-13-14 INSURER A: Evanston Insurance Company 35378 INSURED. ^ INSURER B:Zurich American Insurance Co 16535 . Aztech Electric,Inc. .. P.O.Box 11795 INSURER c: Navigators Specialty Insurance Company 36056 Spokane,WA 99211 INSURER D: N/A N/A INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002390258-07 REVISION NUMBER:3 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 ADDL SUER LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY 13PKGWE00232 10/01/2013 10/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 X Contractors Pollution Liab$1 M PERSONAL&ADV INJURY $ 1,000,000 X Professional Liability$1M GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 7 POLICY X LOC B AUTOMOBILE LIABILITY BAP9319142-02 10/01/2013 10/01/2014 COMBINED SINGLE LIMIT 1,000,000 1 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X NON-OWNED PROPERTY DAMAGE HIRED AUTOS x AUTOS (Per accident) $ $ C UMBRELLA LIAB X OCCUR SF13EXC739009IC 10/01/2013 10/01/2014 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Re:Pines Rd ITS Project Contract No.12-026 CIP-0061 7 Where required by written contract,City of Spokane Valley,Spokane County,The State of WA and all their officers,elected officials,employees,agents and volunteers are Additional Insureds on all policies except Workers Compensation,subject to the terms,conditions and limitations of said policies and the additional insured endorsement. It is further agreed that,where required by written contract,such insurance as is afforded the Certificate Holder shall be primary and non-contributory with any other insurance in force for or which may be purchased by the Named Insured. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 11707 E.Sprague Ave,Suite 106 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Spokane,WA 99206 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kirk C.Leadbetter - ._C'- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Coil—173 AGENCY CUSTOMER ID: 101890 LOC#: Anchorage ACC■R o® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh&McLennan Agency LLC Aztech Electric,Inc. P.O.Box 11795 POLICY NUMBER Spokane,WA 99211 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance This is evidence of insurance procured and developed under the Alaska Surplus Lines Law,As 21.34. It is not covered by the Alaska Insurance Guaranty Association Act,AS 21.80. This insurance was placed through the following Surplus Lines Brokers: Worldwide Facilities,Inc.regarding Company A&C Only. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADVERTISEMENT FOR BIOS CITY OF SPOKANE VALLEY PUBLIC WORKS DEPARTMENT BID #12 -026 PINES RD ITS PROJECT Notice is hereby given that the City of Spokane Valley, Spokane County, Washington will accept sealed bids for the PINES RD ITS PROJECT. The project consists of installing Intelligent Trans- portation System (ITS) equipment along a portion of N Pines Rd. The project includes providing and installing trunk -line conduit, fiber optic cable, CCTV cameras, Ethernet switches, a vehicle count station, pull boxes, junction boxes and other work. Copies of the bid packet including specifications and plans may be obtained in PDF format by downloading from the Spokane Valley FTP site. Contact Darla Arnold, Spokane Valley Public Works, at 509 - 720 -5003 or by email at darnoId @soakanevaIIev.ara Monday through Friday from 8:00 a.m. to 5:00 p.m. for instructions and to be added to the Planholder's list. If a potential bidder is unable to reproduce the packet from the FTP site, a hard copy with half -size plans may be obtained from the City for a non- refundable fee of $50. Any addenda to this project will be sent only to those on the Planholder's list. All bids must be accompanied by a bid deposit in the form of a surety bond, postal money order, cash, cashier's check, or certified check in an amount equal to five percent (5 %) of the amount of the bid proposed. Failure to furnish a bid bond in compliance with the City's bid deposit surety bond form shall make the bid non- responsive and cause the bid to be rejected. Bids must be submitted in sealed envelopes addressed to the City Clerk of the City of Spokane Valley, 11707 E. Sprague Avenue, Suite 106, Spokane Valley, Washington, 99206, and received not later than 10:00 a.m. PDT Friday, 0ct0he 12. 2012. Bid openings will be held immediately thereafter and read aloud in the City Council Chambers, Suite 101. The City of Spokane Valley reserves the right to waive any irregularities or informalities and to reject any or all bids. No bidder may withdraw his bid after the time announced for the bid opening, or before the award and execution of the contract, unless the award is delayed for a period exceeding sixty (60) days. The City of Spokane Valley in accordance with Title VI of the Civil Rights Act of 1964, 78 Stat. 252, 42 U.S.C. 2000d to 20004 -4 and Title 49, Code of Federal Regulations, Department of - Transportation, subtitle A, Office of the Secretary, Part 21, nondiscrimination in federally assisted programs of the Department of Transportation issued pursuant to such Act, hereby notifies all bidders that it will affirmatively insure that in any contract entered into pursuant to this advertisement, disadvantaged. business enterprises as. defined at 49 CFR Part 26 will be afforded full opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color national origin, or sex in consideration for an award. Christine Bainbridge, MMC Spokane Valley City Clerk SR25064 'Federal Tax ID No. 68- 0617327 AFFIDAVIT OF PUBLICATION STATE OF WASHINGTON County of Spokane} ss Name: City of Spokane Valley Client ID: PO No. SR25064 No. Lines: Total Cost: $909.94 Order No. 42365 107 101648 I, Ruth Sullivan do solemnly swear that I am the Principal Clerk of The Spokesman- Review, a newspaper established and regularly published, once each day in the English language, in and of general circulation in the City of Spokane County, Washington; and in the City of Coeur d'Alene, Kootenai County, Idaho; that said newspaper has been so established and regularly published and has had said general circulation continuously for more than six (6) months prior to the 23rd day of July, 1941; that said newspaper is printed in an office maintained at its place of publication in the City of Spokane, Washington; that said newspaper was approved and designated as a legal newspaper by order of the Superior Court of the State of Washington for Spokane County on the 23rd day of July, 1941, and that said order has not been revoked and is in full force and effect; that the notice attached hereto and which is a part of the proof of publication, was published in said newspaper two time(s), the publication having been made once each time on the following dates: September 21 & 28, 2012 That said notice was published in the regular and entire issue of every number of the paper during the period of time of publication, and that the notice was published in the newspaper proper and not in a supplement. Subscribed and sworn to before me at the City of Spokane, this 1st day of October 2012. �� >r VI/1/ ` �Q SION,C F A� NOTARY 9m N) PUBLIC a N t ry Public in and for the State of Washington, BER �1� residing at Spokane County, Washington OFWAS,�\ \� Notary Stamp W Paper Affidavits