13-004.00 Northern Territory Construction: Precinct Awning Replacement CONSTRUCTION AGREEMENT
Northern Territory Construction LLC
THIS CONSTRUCTIONAGREEMENT (the "Agreement") is made by and between the City of
Spokane Valley, a code City of the State of Washington("City")and Northern Territory Construction LLC,
("Contractor")jointly referred to as (the"Parties").
IN CONSIDERATION of the terms and conditions contained herein the Parties agree as follows:
1. Work to Be Performed. Contractor shall do all work and furnish all labor, supervision,tools,materials,
supplies and equipment and other items necessary for the construction and completion of the Police Precinct
Awning Replacement Project (the "Work") in accordance with documents described in Exhibit 1 and in
accordance with this Agreement(which are by this reference incorporated herein and made part hereof(the
"Contract Documents")), and shall perform any changes in the work in accordance with the Contract
Documents. The terms and provisions in this Agreement shall control over any inconsistent or incompatible
terms in any other Contract Document.
Contractor shall, for the amount set forth in paragraph 4, below, assume and be responsible for the cost and
expense of all work required for constructing and completing the Work and related activities provided for in
the Contract Documents to City's satisfaction, within the time limits prescribed in the Contract Documents.
The City Manager,or designee,shall administer and be the primary contact for Contractor. Upon notice from
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 City,all work shall be performed in conformance with the Contract Documents,
and all City,State and federal standards,codes,ordinances,regulations and laws as now existing or as may be
adopted or amended.
2. Time for Performance. Contractor shall commence the Work within 10 days of receipt of a notice to
proceed [or execution of this Agreement] and shall complete the Work within the times specified in the
Contract Documents, as may be extended in accordance with this Agreement and the Contract Documents.
3. Liquidated Damages. N/A.
4. Compensation. In consideration of Contractor performing the Work, City agrees to pay Contractor in
accordance with the Contract Documents the sum of four thousand nine hundred twenty dollars and
seventy-seven cents ($ 4,920.77), which includes Washington State Sales Tax, based on the bid submitted
by Contractor, and as may be adjusted in accordance with the Contract Documents.
5.Payment. Contractor may elect to be paid in monthly installments,upon presentation of an application for
payment in a form satisfactory to City. Applications for payment shall be sent to the City Finance Department
at the below stated address.
Pursuant to Chapter 60.28 RCW, five percent of the compensation due Contractor shall be retained by City.
City reserves the right to withhold payment under this Agreement which is determined in the reasonable
judgment of the City Manager or designee to be noncompliant with the Contract Documents,City standards,
City Code, and federal or state standards.
Construction Agreement Page 1 of 6
CO 1.3—OoL
6. Notice. Notice other than applications for payment shall be given in writing as follows:
TO THE CITY:
Name: Christine Bainbridge, City Clerk
Phone: (509) 921 -1000
Address: 11707 East Sprague Ave, Suite 106
Spokane Valley, WA 99206
TO THE CONTRACTOR:
Name: Northern Territory Construction LLC
Phone: 509- 238 -4185
Address: 10210 E. Strong Road
Chattaroy, WA 99003
7. Applicable Laws and Standards. The Parties, in the performance ofthis Agreement, agree to comply with
all applicable federal, state, and local laws, codes and regulations.
8. Prevailing Wages on Public Works. Contractor, any subcontractor, or other person doing work under this
Agreement, shall comply with the requirements of RCW 39.12, and shall pay each employee an amount not
less than the Prevailing Rate of Wage, as specified by the Industrial Statistician of the Washington State
Department of Labor and Industries ( "L &I "). If employing labor in a class not shown, Contractor shall request
a determination of the correct wage rate for the class and locality from the Industrial Statistician. Contractor
shall provide a copy of any such determinations to City.
Before commencing, during, and upon completion of the work, Contractor shall file all forms and pay all fees
required by L &I and shall indemnify and hold City harmless from any claims related to its failure to comply
with RCW 39.12.
The following information is provided pursuant to RCW 39.12.030:
A. State of Washington prevailing wage rates applicable to this public works project, published by
L &I are located the L &I website address:
https:Hfortress.wa.gov /lni/wa elg ookup /prvWa elg ookup.aspx
B. This Project is located in Spokane County.
C. The effective prevailing wage date is the same date as the bid due date as referenced in the
original request for bids as may be revised by addenda.
A copy of the applicable prevailing wage rates is also available for viewing at the offices of City located at
11707 East Sprague, Suite 106, Spokane Valley, WA 99206. Upon request, City will mail a hard copy of the
applicable prevailing wages for this project.
9. Relationship of the Parties. It is understood, agreed and declared that Contractor shall be an independent
contractor, and not the agent or employee of City, that City is interested in only the results to be achieved, and
that the right to control the particular manner, method and means in which the services are performed is solely
within the discretion of Contractor. Any and all employees who provide services to City under this Agreement
shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and
actions of all its employees under this Agreement and any liability that may attach thereto.
10. Ownership of Documents. All drawings, plans, specifications, and other related documents prepared by
Contractor under this Agreement are and shall be the property of City, and may be subject to disclosure
Construction Agreement Page 2 of 6
pursuant to RCW 42.56 or other applicable public record laws.
11. Records. The City or State Auditor or any of their representatives shall have full access to and the right to
examine during normal business hours all of Contractor's records with respect to all matters covered in this
Agreement. Such representatives shall be permitted to audit, examine and make excerpts or transcripts from
such records and to make audits of all contracts, invoices, materials, payrolls and record of matters covered by
this contract for a period of three years from the date final payment is made hereunder.
12. Warranty. Unless provided otherwise in the Contract Documents, Contractor warrants that all Work and
materials performed or installed under this Agreement are free from defect or failure for a period of one year
following final acceptance by City, unless a supplier or manufacturer has a warranty for a greater period, which
warranty shall be assigned or transferred to City. In the event a defect or failure occurs in work or materials,
Contractor shall, within the warranty period, remedy the same at no cost or expense to City. This warranty
provision shall not be construed to establish a period of limitation with respect to Contractor's other obligations
under this Agreement.
13. Contractor to Be Licensed And Bonded. Contractor shall be duly licensed, registered and bonded by the
State of Washington at all times this Agreement is in effect.
14. Insurance. 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 Contractor, its agents, representatives, or employees.
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) form 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 liability 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. City shall be
named as an insured under Contractor's commercial general liability insurance policy with
respect to the work performed for City using ISO Additional Insured endorsement CG 2010
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. Minimum 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.
Construction Agreement Page 3 of 6
2. Commercial general liability insurance shall be written with limits no less than $1,000,000
each occurrence, $2,000,000 general aggregate, and a $2,000,000 products- completed
operations aggregate limit.
C. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the
following provisions for automobile liability, professional liability and commercial general liability
insurance:
1. Contractor's insurance coverage shall be primary insurance with respect to City. Any
insurance, self - insurance, or insurance pool coverage maintained by City shall be excess of
Contractor's insurance and shall not contribute with it.
2. Contractor shall fax or send electronically in .pdf format a copy of insurer's cancellation
notice within two business days of receipt by Contractor.
D. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of
not less than ANIL
E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement,
Contractor shall furnish acceptable insurance certificates to City at the time Contractor returns the
signed Agreement. The certificate shall specify all of the parties who are additional insureds, and will
include applicable policy endorsements, and the deduction or retention level. Insuring companies or
entities are subject to City acceptance. If requested, complete copies of insurance policies shall be
provided to City. Contractor shall be financially responsible for all pertinent deductibles, self-insured
retentions, and/or self - insurance.
15. Indemnification and Hold Harmless. Contractor shall, at its sole expense, defend, indemnify and hold
harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss,
costs, attorney's fees and costs of litigation, expenses, injuries, and damages of any nature whatsoever relating
to or arising out of the wrongful or negligent acts, errors or omissions in the services provided by Contractor,
Contractor's agents, subcontractors, subconsultants and employees to the fullest extent permitted by law,
subject only to the limitations provided below.
Contractor's duty to defend, indemnify and hold harmless City shall not apply to liability for damages arising
out of such services caused by or resulting from the sole negligence of City or City's agents or employees.
Contractor's duty to defend, indemnify and hold harmless City against liability for damages arising out of such
services caused by the concurrent negligence of (a) City or City's agents or employees, and (b) Contractor,
Contractor's agents, subcontractors, subconsultants and employees, shall apply only to the extent of the
negligence of Contractor, Contractor's agents, subcontractors, subconsultants and employees.
Contractor's duty to defend, indemnify and hold City harmless shall include, as to all claims, demands, losses
and liability to which it applies, City's personnel- related costs, reasonable attorneys' fees, and the reasonable
value of any services rendered by the office of the City Attorney, outside consultant costs, court costs, fees for
collection, and all other claim- related expenses.
Contractor specifically and expressly waives any immunity that may be granted it under the Washington State
Industrial Insurance Act, Title 51 RCW. These indemnification obligations shall not be limited in any way by
Construction Agreement Page 4 of 6
any limitation on the amount or type of damages, compensation or benefits payable to or for any third party
under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, that
Contractor's waiver of immunity by the provisions of this paragraph extends only to claims against Contractor
by City, and does not include, or extend to, any claims by Contractor's employees directly against Contractor.
Contractor hereby certifies that this indemnification provision was mutually negotiated.
16. 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 this Agreement. 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.
17. Assignment 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.
18. Confidentiality. Contractor may, from time to time, receive information which is deemed by City to be
confidential. Contractor shall not disclose such information without the prior express written consent of City
or upon order of a Court of competent jurisdiction.
19. Disputes. All disputes arising under or related to this Agreement that cannot be resolved through informal
discussion and negotiations shall be resolved by litigation filed in the Superior Court for Spokane County,
unless otherwise required by applicable federal or state law.
20. Subcontractor Responsibility. As required by RCW 39.06.020, Contractor shall verify responsibility
criteria for each first tier subcontractor and its subcontractors of any tier that hires other subcontractors shall
verify responsibility criteria for each of its subcontractors. Verification shall include that each subcontractor, at
the time of subcontract execution, meets the responsibility criteria listed in RCW 39.04.350(1) and possesses
an electrical contractor license, if required by chapter 19.28 RCW, or an elevator contractor license if required
by chapter 70.87 RCW. This verification requirement must be included in every subcontract of every tier.
21. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Venue shall be
in Spokane County, State of Washington.
22. Entire Agreement. This 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 signed by the Parties.
23. Anti - kickback. No officer or employee of 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.
24. Business Resistration. Prior to commencement of Work under this Agreement, Contractor shall register
with the City as a business.
Construction Agreement Page 5 of 6
25. 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.
26. Exhibits. Exhibits attached and incorporated into this Agreement are:
1. Scope of Work
2. Insurance Endorsements
The Parties have executed this Agreement this day of 13.
POKANE VALLEY: Contractor:
J emu_
�T' City Manager w
Tax ID Nc f3EunrA n7rG -
ATTIST— APPROVED AS TO FORM:
City Clerk O ice of Ye City A&Mlely
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.
Construction Agreement Page 6 of 6
EXHIBIT 1
3 NORTHER HTERRITORY
s i,f etc r.ntt�i.i!,t v�
Date: 8.02.2012
PROPOSAL SHORT FORM z
Precinct Building /Att. Mike
Customer: Stone Home No.:
Street Address:
City /State /Zip:
Cell No.:
Work No:
720.5400
Contractor hereby submits the following specifications: Replace old roofing
and trim at 28' long roof cover on front entry of Precinct Building. All new 26 ga.
Loc -Rib Roofing and trim will be supplied by Rolled Steel Products. Price of
permit and tax is included.
As stated above the specifications we propose to furnish material and
labor for the sum of: $4,920.77
Payment schedule as follows: 100% upon completion of job.
Any alteration or deviation from the above specifications involving extra costs will
be executed only upon a written order and will become an extra charge over and
above the proposed estimate. All agreements are subject to any strikes,
accidents, or delays beyond the contractor's control.
Submitted by: Northern Territory Construction LLC Lic. #: NORTHTC881QO
Verify Workers' Comp Premium Status - Employer Liability Certificate Page 1 of 1
Washington State Department of
Labor and Industries
Department of Labor and Industries
Employer Liability Certificate
Date: 11/29/2012
UBI #: 602 841 934
Employer Liability
Certificate
Legal Business Name: NORTHERN TERRITORY CONSTRUCTION LLC
Account #: 159,059 -01
'Doing Business As' Name: NORTHERN TERRITORY LLC
Estimated Workers Reported: Incomplete premium report received.
(See Description Below)
Workers' Comp Premium Status: Call account representative for premium status.
Licensed Contractor? Yes
License: Multiple Active Licenses
Account Representative: (800)301 -1826 - Email: dialercollections @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 51.16.190).
https:// fortress. wa. gov/ lni/ crpsi /AcctinfoPrint.aspx ?AccountId= 15905901 &AccountMana... 11/29/2012
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A� CERTIFICATE OF LIABILITY INSURANCE
DATE (MMrDDNYYY)
12/28/2012
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, r—
PRODUCER
SELECT BUSINESS UNIT _
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818 W RIVERSIDE AVE STE # 800. s, lj, 28 iii 1f
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INSURER B:
GENERAL LIABILITY
INSURER C
INSURER D:
10210 E STRONG RD
INSURER E:
$ 1,000,000
CHATTAROY, WA 99003
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. NONMITHSTANDING ANY REQUIREMENT, TERM CR 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
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POLICY
POLICY EXP
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TYPE OF INSURANCE
POLICY NUMBER
MMIDD/YYY
MM/DDIYYW
A
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EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
G 11 FC9789
6/26/2012
6/26/2013
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 300 00
MED EXP (Any one person)
$ 5,00
CLAMS -MADE OCCUR
PERSONAL &ADV INJURY
$ 1,000,000
Y
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPUES PER:
PRODUCTS - COMP /OPAGG
$ 2,000,000
$
POLICY FX PRO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
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BODILY INJURY (Per person)
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WCTORY LIMITS ER ER
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E.L. DISEASE - EA EMPLOYE
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E.L. DISEASE - POLICY LIMIT
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If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 11[111, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER FORM CBGL2037 ATTACHED.
laK 1Ir H.A1 C rIULUMM
CITY OF SPOKANE VALLEY
PARKS AND RECREATION DEPARTMENT
2426 N. DISCOVERY PLACE
SPOKANE VALLEY, WA 99216
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
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ACORD 26 (2010105) The ACORD name and logo are registered miarks of ACORD
A� °® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM /DDIYYYY)
12/28/2012
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
MOLONEY O'NEILL CORKERY & JONES-INC
818 W RIVERSIDE AVE STE 800 y
SPOKANE, WA 99201 R E C E I V E D I
(888) 661 -3938
CONTACT
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E -MAIL
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PRODUCER 30641-4141
INSURER(S) AFFORDING COVERAGE
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$
NORTHERN TERRITORY
CONSTRUCTION LLC PARKS ?t RECREATION DEPT.
INSURER C:
10210 E STRONG RD — _ -- --
INSURER D:
$
CHATTAROY, WA 99003
INSURER E:
$
I NSURER F:
$
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rn11M0Ar_C0 rI=DTICIf`ATC AllIIIARCD- Mdnd7RdR9313R3 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
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TYPE OF INSURANCE
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POLICY NUMBER
POLICY EFF
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POLICY EXP
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COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F] OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence
_
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
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PRODUCTS - COMP /OP AGG
$
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
BA- 7237N118 -12
06/24/2012
06/24/2013
COMBINeDt) SINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR /PARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
SPECIAL PROVISIONS below
N/A
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$
E.L. DISEASE - EA EMPLOYEE
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DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Pf 1►7�11P11���i■
CITY OF SPOKANE VALLEY
PARKS AND RECREATION DEPT.
2426 N DISCOVERY PLACE
SPOKANE VALLEY, WA 99216
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE
WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 19BB -ZUU9 AGUKU UUKVUKA I IUIV. An rl9nt5 reser veu.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - YOUR WORK - INCLUDING
PRODUCTS - COMPLETED OPERATIONS HAZARD WHEN
REQUIRED BY CONTRACT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organ ization s :
Scheduled Contract for Covered Operations
ANY PERSON OR ORGANIZATION FOR WHOM YOU
PROJECT OR CONTRACT NO:
ARE PERFORMING OPERATIONS ON THE CONTRACT
CITY OF SPOKANE VALLEY SPOKANE
OR LOCATION SCHEDULED IN THIS ENDORSEMENT
VALLEY, WA 99216
WHEN YOU AND SUCH PERSON OR ORGANIZATION
HAVE AGREED BY WRITTEN CONTRACT THAT SUCH
PERSON OR ORGANIZATION BE ADDED AS AN
ADDITIONAL INSURED ON YOUR POLICY.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. WHO IS AN INSURED (Section II) is amended
to include as an insured any person(s) or
organization(s) shown in the Schedule whom
you are required to add as an additional
insured on this policy pursuant to a written
contract which is scheduled above and
which is:
1. Valid and legally enforceable;
2. Currently in effect or becoming effective
during the term of this policy; and
3. Executed prior to an 'occurrence"
resulting in "bodily injury" or "property
damage ".
B. If agreed in the Scheduled Contract, the
coverage provided to the additional insured shall
be primary non - contributory to the same extent
as a named insured on the policy.
C. The insurance provided to the additional insured
is limited as follows:
1. The person or organization is an additional
insured only with respect to liability for
"bodily injury" or "property damage"
specifically resulting from your sole
negligence in the performance of "your
work" for the additional insured which is the
subject of the Scheduled Contract.
2. The Limits of Insurance applicable to the
additional insured are the lesser of those
limits specified in this policy, or those limits
you agreed to provide in the Scheduled
Contract.
3. The coverage provided to the additional
insured by this endorsement does not apply
to "bodily injury" or "property damage"
arising out of the "products- completed
operations hazard" unless required by the
Scheduled Contract. When coverage does
apply to "bodily injury" or "property damage"
arising out of the "products- completed
operations hazard" such coverage will
cease at the earliest of the following:
CBGL 20 37 01 11 Includes copyrighted material of Page 1 of 2
Insurance Services Office, Inc., with its permission.
a. The period of time required by the
written contract or written agreement; or
b. The expiration date of this policy.
4. With respect to the coverage provided
under this endorsement, the following duties
are added to Section IV — Commercial
General Liability Conditions, paragraph 2.
Duties In The Event of Occurrence,
Offense, Claim or Suit:
e. An additional insured under this
endorsement will as soon as practicable:
(1) Give written notice of an occurrence
to us which may result in a claim or
"suit" under this insurance;
(2) Agree to trigger or activate any other
insurance which the additional
insured has for a loss we cover
under this Coverage Part by
tendering the defense to the insurers
of all such other insurance.
5. If required by the Scheduled Contract, we
waive the right of recovery we may have
against the person(s) or organization(s)
shown in the Schedule for payments we
make for "bodily injury' or "property
damage" arising out of "your work" on the
Scheduled Contract. However, such waiver
does not apply to payments for liability
apportioned to the additional insured.
6. Unless otherwise agreed in the Scheduled
Contract, this insurance is excess over any
other insurance as set forth in the
Amendment of Other Insurance Condition
Endorsement to this policy.
CBGL 20 37 01 11 Includes copyrighted material of Page 2 of 2
Insurance Services Office, Inc., with its permission.
POLICY NUMBER: G11FC9789
COMMERCIAL GENERAL LIABILITY
CG 25 03 03 97
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED CONSTRUCTION PROJECT(S)
GENERAL AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Construction Projects:
CITY OF SPOKANE VALLEY
SPOKANE VALLEY, WA 99216
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. For all sums which the insured becomes legally
obligated to pay as damages caused by
"occurrences" under COVERAGE A (SECTION
1), and for all medical expenses caused by acci-
dents under COVERAGE C (SECTION 1), which
can be attributed only to ongoing operations at a
single designated construction project shown in
the Schedule above:
1. A separate Designated Construction Project
General Aggregate Limit applies to each
designated construction project, and that limit
is equal to the amount of the General Aggre-
gate Limit shown in the Declarations.
2. The Designated Construction Project General
Aggregate Limit is the most we will pay for
the sum of all damages under COVERAGE
A, except damages because of "bodily injury"
or "property damage" included in the
"products- completed operations hazard ", and
for medical expenses under COVERAGE C
regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims
or bringing "suits ".
3. Any payments made under COVERAGE A
for damages or under COVERAGE C for
medical expenses shall reduce the Desig-
nated Construction Project General Aggre-
gate Limit for that designated construction
project. Such payments shall not reduce the
General Aggregate Limit shown in the Decla-
rations nor shall they reduce any other Des-
ignated Construction Project General Aggre-
gate Limit for any other designated construc-
tion project shown in the Schedule above.
4. The limits shown in the Declarations for Each
Occurrence, Fire Damage and Medical Ex-
pense continue to apply. However, instead of
being subject to the General Aggregate Limit
shown in the Declarations, such limits will be
subject to the applicable Designated Con-
struction Project General Aggregate Limit.
B. For all sums which the insured becomes legally
obligated to pay as damages caused by
"occurrences" under COVERAGE A (SECTION
1), and for all medical expenses caused by acci-
dents under COVERAGE C (SECTION 1), which
cannot be attributed only to ongoing operations
at a single designated construction project shown
in the Schedule above:
1. Any payments made under COVERAGE A
for damages or under COVERAGE C for
medical expenses shall reduce the amount
available under the General Aggregate Limit
or the Products - Completed Operations Ag-
gregate Limit, whichever is applicable; and
2. Such payments shall not reduce any Desig-
nated Construction Project General Aggre-
gate Limit.
C. When coverage for liability arising out of the
"products- completed operations hazard" is pro-
vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products- completed operations hazard" will
reduce the Products - Completed Operations Ag-
gregate Limit, and not reduce the General Ag-
gregate Limit nor the Designated Construction
Project General Aggregate Limit.
CG 25 03 03 97 Copyright, Insurance Services Office, Inc., 1996 Page 1 of 2 ❑
D. If the applicable designated construction project
has been abandoned, delayed, or abandoned
and then restarted, or if the authorized contract-
ing parties deviate from plans, blueprints, de-
signs, specifications or timetables, the project
will still be deemed to be the same construction
project.
E. The provisions of Limits Of Insurance (SECTION
III) not otherwise modified by this endorsement
shall continue to apply as stipulated.
Page 2 of 2 Copyright, Insurance Services Office, Inc., 1996 CG 25 03 03 97 ❑