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October 22, 1991 CHANGE ORDER NO. THREE Vista Water Storage Reservoir City of Moscow, Idaho 1. Furnish and install a 2-inch diameter backflow preventer, including enclosure - to allow the new irrigation system to receive its water supply from the existing water main in Kathy Avenue; until the 24-inch main to the new reservoir is completed (approx. July, 1992). + Add 2. Construct additional asphalt paving around the reservoir - for the purpose of channeling surface runoff water to the catch basin and away from the reservoir footing. The original 10-foot wide strip of paving around the tank perimeter that was bid may have allowed surface water to drain to the footing, creating an unstable soil condition. 118 sq.yds. @$15.54/sq.yd + 5% Add Total increase in contract amount Existing contract amount $500.00 25.00 $525.00 $1,833.72 91.69 $1,925.41 $2,450.41 950,074.10 ADJUSTED CONTRACT AMOUNT $952,524.51 Time for completion is unchanged. President: M 7-o::;z Motley & Motley, Inc. City of Moscow, Idaho e,ee City Clerk: City of Moscow, Idaho ---PAGE BREAK--- • . . . : : . : : : · . . : : : : . ; . . : . . . CERTIFICkJE OF INSURANCE :C$A; JG. ISSUE DATE (MM!OD!YY) 09/24/91 PRODUCER May-Davis, Inc. P.O. BOX 11589 SPOKANE, lolA 99211- \o/ILLIAM H. DAVIS [PHONE REDACTED] INSURED Motley-Motley, Inc. P.O. Box 421 PulLman, lolA 99163 COVERAGES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A MARYLAND CASUALTY LETTER COMPANY B LETTER COMPANY c LETTER COMPANY D LETTER COMPANY E LETTER 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. co LTR TYPE OF INSURANCE GENERAL LIABILITY A X COMMERCIAL GENERAL UABIUTY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY A X ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE UABIUTY EXCESS LIABILITY A X UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION EMPLOYERS' LIABILITY OTHER POLICY NUMBER EPA11250207 ECA 11033710 UBA68121996 POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/00/YY) DATE (MM!OD!YY) 09/30/91 09/30/92 09/30/91 09!30!92 09/30/91 09!30!92 LIMITS GENERAL AGGREGATE PRODUCTS·COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) s 1000000 s 1000000 s 1000000 s 1000000 s 50000 MED. EXPENSE (Any one person)· S 5000 COMBINED SINGLE UMrT $ 1000000 BODILY INJURY $ (Per person) BODILY INJURY $ (Per acciden_ PROPERTY DAMAGE $ EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 STATUTORY UMrTS EACH ACCIDENT $ DISEASE-POUCY UMrT $ DISEASE-EACH EMPLOYEE s DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS City of Moscow, James M. Montgomery, Consulting Engineers, Inc. (excluding Engineers E&O) and their Off1cers, Directors, Agents and Employees as additional insureds with respect to Vista \.later Storage Reservoir cEI'tii=rc.A.tE HoLDER City of Moscow P.O. Box 9203 Moscow ID 83843 ACORD (1/90} CANCELlATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI . VE - J . . • WILLIAM H. DAVIS wt'J'1L/ -lv' teACORD CORPORATION 1990