HomeMy WebLinkAboutPK09-103 - Original - Highline School District #401 - Rental Agreement Camp Waskowitz - 05/12/2009 M ��. agerne
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission
to City Clerks Office. All portions are to be completed.
If you have questions, please contact City Clerk's Office.
Vendor Name: Highline School District #401
Vendor Number: 39711
JD Edwards Number
Contract Number: PK51' /b3
This is assigned by City Clerk's Office
Project Name: Highline School District Rental Agreement Camp Waskowitz
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract
❑ Other:
Contract Effective Date: 8-10-09 Termination Date: 8-14-09
Contract Renewal Notice (Days): 60-90
Number of days required notice for termination or renewal or amendment
Contract Manager: Julie Stangle Department: Parks Department
Detail: (i.e. address, location, parcel number, tax id, etc.):
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S•Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
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Highline School District No. 401
Camp Waskowitz Rental Agi cement
4550-S S E 150a' St North Bend WA 98045 Seattle— (425) 277-7195 Noith Bend—(425) 888-0681
;flailing address Camp V�'asko�s ttz, 15675 Ambaum Blvd S W But ten WA 99166 (206)433-2462
Applicant Kent Parks In Charge Julie 01banlre ST/17Ib�i
Organization At Camp
t1AW4l
Address 315 East 141eg z-c,r St .Kent.WA 98031 Phone ( 253 ) 856-5030
Age of Est No Est Total
Campers Youth Gnls Boys Adults. M F No Campers 190
Arrival Monday August 10 2009 (i�approx 11 00 a in Dinner
First Meal (Breakfast 8 00,Lunch 12 00 Dnmei 5 30
Departure Friday August 14 2009(@ approx 2 00 p in Lunch @ 11 00 a m
Date Time Last meal (Breakfast_Lunch Dinner)
75-124 people=$224 00 per person, 125-149 people=$216 00 per person
Cost Quote on Estimated Total $ 21200 per person for 4 night(s)and 12 meal(s)
Additional charges/fees
Total Charge $
Less Deposit $
Date Certificate of hnsurance received / I Amount Due $
Month/Day/Year
CERTIFICATE OF INSURANCE The lessee, at its own cost,shall maintain public liability insurance for bodily injuries
(including sickness or death)and property damages in the minimum amount of$1,000,000 combined single hmit per occurrence,and
in the nnmmum zriount of$2,000,000 in the aggregate Employers Liability(W ashmeton Stop-Gap)in the amount of no less than
$1,000,000 per accident for owned,non-owned and hired automobiles Prior to using the site,the lessee shall luau sh the
Camp Waskowitz office with a Certificate of Insurance evidencing this coverage and naming the Highlme School District as an
additional msmed and as the certificate holder.
HOLD HARMLESS AGREEMENT To the fullest extent per nutted bylaw,the lessee releases and shall defend,mdemmify and
hold harmless the Highline School Distract and its directors, agents,employees, successors and assigns from and against all claims,
damages,losses and expenses, direct and indirect, or consequential, including but not limited to costs and attorneys' fees incurred on
such claims and in proving the right to mdemmficahon, ansmg out of or resulting from the acts or onussnons of the lessee or its agents
and anyone duectly or indirectly employed by them or anyone for whose acts they may be liable
POOL USE Any rental group using the pool is responsible for fimushing a qualified life guard while the pool is in use A qualified
life guard shall mean any person over 18 years of age, in good physical condition,having a current registered WSI, Red Cross or other
approved lifeguard certification, and having no other duty to perform while in attendance at the pool A copy of the certificate with
current date must be submitted prior to pool use Pool use shall be during daylight hours olily(8 00 a m to 8 00 p m) Fanliue to
comply with any of the piles will necessitate the closure of the pool
I have head and understand the riles and regulations listed on the back of this application and agree to abide by them
HIGHLINE SCHOOL DISTRICT#401 bil Of- 44
Orgaruzatnon Orga nza
By
Signature 1 Sn re - Q
Date l 1 l 6 cl ate �y 0
Please read the back side of this form
Rev 8/02
APPLICATION PROCEDURES
Please Read Carefully
1. Deposit
This agreement must be accompanied by a deposit 10%of the estimated total cost or$250.00, whichever is greater,in order
to assure the reservation. Retain(1)copy for your records
2. Cancellation Policy
• Notification of cancellation 60-90 days prior to scheduled date will result in loss of deposit.
• . Notification of cancellation 45-59 days prior to scheduled date will result in a charge of 25%of estimated cost.
e Notification of cancellation 30-44 days prior to scheduled date will result in a charge of 50%of estimated cost.
• Notification of cancellation 14-29 days prior to scheduled date will result in a charge of 75%of estimated cost.
• Notification of cancellation less than 14 days prior to scheduled date will result in a charge of 100%of estimated cost.
3. Unless the Waskowitz District Office is notified of a decrease in the total number attending at least two work days before the
first scheduled meal at Camp,the group will be charged on the basis of"Est.Total No. Campers"or actual number of
Campers,whichever is higher.
4. Rates quoted do not include bedding,linen,recreation equipment, or audio-visual equipment. Provision of these are the
responsibility of the renting group. Camp equipment or bedding may be provided at an additional charge,
5. A statement of charges will be sent to the lessee shortly after the rental period ends. Prompt payment should be made to
Highline School District and sent to Highline School District, 15675 Ambaum Blvd. S.W.,Bruien,WA 98166.
6. The rates quoted by Camp staff are arrived at on the basis that the lessee will leave the Camp in the same order and in as
good condition as they found it on arrival. An added charge will be made if additional work must be done to ready the Camp
for the next group.
7. The lessee will be held financially accountable for any damage to Camp equipment or facilities done by a member or
members of the leasing group.
8. Adequate adult supervision must be provided for all youth groups. It is suggested that a minimum ratio for a mixed group of
youth or teenagers should be 1 to 10.
9. Meal menus will be developed by Camp staff. Special requests should be arranged with the Head Cook at least 3 weeks prior
to arrival.
GENERAL RULES AND REGULATIONS
It is requested that the "Person in Charge at Camp'go over the following regulations with his/her group before their arrival at Camp.
He/she must see that all regulations are adhered to by members of his/her group. Further,it is proposed that the following general
regulations will be observed:
1. Firearms, air rifles,pellet guns,slingshots,look alike weapons,alcoholic beverages, illegal drugs/substances etc, are not
allowed on the grounds.
2. No smoking is allowed on Camp property.
3. No campfires will be set without permission of the Camp staff.
4. Thermostats will be regulated only by Camp personnel
5. Absolutely no tampering with the fire protection sprinkler system or fire alarm boxes located in each cabin.
6. No material(i.e. towels, clothing,posters, etc.,should be hung over or near heaters or lights at any time.
7. Fire regulations state "No vehicles shall be parked in or near the vicinity of buildings". Vehicles are to be parked in the
Camp parking lot only.
8. No Camp equipment,i.e. beds, gearboxes,mattresses, tables,chalkboards shall be moved without permission of the Camp
staff. If moved, they are to be retained to the original location prior to departure.
9. Swimmers must obey pool regulations(posted at pool entrance). A pool key will be provided to the"Person In Charge".
The pool must be kept locked when qualified life guard is not on duty. The pool is open June through August.
10. Meals are served family style or buffet style in the Dining Hall at 8:00 a.m., 12:00 noon,and 5:30 p.m. Dinners after 5:30
p.m. will result in an additional charge.
11. Pets are not allowed on Camp property.
12. Guests of members of the lease group may not use the facility or will be charged as part-time users.
13. Walk only on established paths or trails.
14. No trees,plants or shrubs may be cut.
15. The Waskowitz phones are for our business purposes. Please provide your group with a cell phone number to use
while at Waskowitz.
Rev. 6/08
VVAJos,
Insurance Authority
P 0 Box 88030
EMPL!"D Yft ✓iCFS Tukwila, WA 98138
I I-Feb-09 C STY OF KE,NT Cert#: 6067
Phone 206-575-6046
Highline School District Camp Waskowitz
Fax 206 575 7426
Attn: Ron Meyer
15675 Ambaum Blvd SW
Burien,WA 98166
RE: City of Kent
Use of facilities during the week of August 10 -August 14, 2009.
Camp for 160 children, in 5th, 6th and 7th grades, staffed by 38
adults.
Evidence of Coverage
The above captioned entity is a member of the Washington Cities Insurance Authority
(WCIA), which is a self insured pool of over 123 municipal corporations in the State of
Washington
WCIA has at least$1 million per occurrence combined single limit of liability coverage
in its self insured layer that may be applicable in the event an incident occurs that is
deemed to be attributed to the negligence of the member.
WCIA is an Interlocal Agreement among municipalities and liability is completely self
funded by the membership As there is no insurance policy involved and WCIA is not
an insurance company, your organization cannot be named as an "additional insured".
Sincerely,
Eric B. Larson
Deputy Director
cc: Christopher Hills
Julie Stangle
cletter
REQUEST FOR MAYOR'S SIGNATURE
��. Please fill in all applicable boxes
`/ KENT
W r, niw�row
Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT)
Originator: Julie Stan le Phone (Originator): x5033
Date Sent: C/C�� 576[01 Date Required: 5/19/2009
Return Signed Document to: Teri x5101 CONTRACT TERMINATION DATE: 8/14/09
VENDOR NAME:Hi hline School District #401 DATE OF COUNCIL APPROVAL: 4/7/09
Brief Explanation of Document:
2009 contract with Highline School District #401 to rent the Camp Waskowitz facility in North Bend for one week,
August 10 - 14, 2009. Children entering 5th, 6th and 7t' grades in the Fall of 2009 can sign up for this one week
summer residential camp. The revenue generated from program fees collected for camp covers the entire rental fee.
All Contracts Must Be Routed Through The Law Department
HEUBVIZU
� (� (This area to be completed by the Law Department)
Received.RE((��,',v EI TI/ L 1,11AIY 07
Approval of LaAV6bt: 7 2009
�1` � City of Kent
Law tit AW DEFT. Office of the Mayor
Mp�tr
Date Forwarded to Mayor 5 —�-
Shaded Areas To Be Completed By Administration Staff
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Received:"-'-'`"a ''- ° IND,J0 03
Recommendations and Comments: .:y3.':•
Disposition: / 0Gr
Date Returned