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Home My WebLink AboutPK10-029 - Original - Highline School District No. 401- Camp Waskowitz Rental Agreement - 02/09/2010 Records Matfagement:z KENT W.=HINGro� if,' . Document 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: C [t U, max, CII-0 Vendor Number: JD Edwards Number Contract Number: oaZlp This is assigned by City Clerk's IOffice Project Name: Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendments ontract El Other: p� Contract Effective Date: 1' C germination Date: �I 34 _ Contract Renewal Notice (Days): q0 b AP CK�a`c� Number of days required notice for terminati6h oiF renewal or amendment Contract Manager C 4' Department: " Detail: (i.e. address, location, parcel number, tax id, etc.): L 5 Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 Highline School District No. 401 Camp Waskowitz Rental Agreement 45505 S E. 150`s St,North Bend,WA 98045 Seattle—(425)277-7195 North Bend—(425) 888-0681 Mailing Address Camp Waskowitz, 15675 Ambaum Blvd, S W,Bunen,WA 98166 (206)631-7626 Applicant Kent Parks In Charge Juhe-stwne e �L Organization At Camp Address 315 East Mercer St,Kent,WA 98031 Phone ( 253 ) 856-5030 Age of Est No. Est Total Campers Youth Girls Boys Adults. M F No Campers 190 Arrival— Monday,August 9,2010 R nprox 1100 a.m Dinner Fast Meal(Breakfast 8 00,Lunch 12 00,Dmnei 5 30 Departure Friday,August 13, 2010 a,,approx 2 00 p m Lunch(;r 1100 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 mght(s)and 12 meal(s) Additional charges/fees Total Charge $ Less Deposit $ Date Certificate of Insurance received / / 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 nu mrum amount of$1,000,000 combined single lrmrt per occurrence,and in the nummum amount of$2,000,000 in the aggregate Employers Liability(Washington 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 furmsh the Camp Waskowitz office with a Certificate of Insurance evidencing this coverage and naming the Highline School District as an additional insured and as the certificate holder HOLD HARMLESS AGREEMENT To the fullest extent pemutted bylaw,the lessee releases and shall defend, mdemmfy and hold harmless the Highline School District 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 indemnification, ansing out of or resulting from the acts or omissions of the lessee or its agents and anyone directly 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 furnishing 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 only(8 00 am. to 8 00 p m) Failure to comply with any of the rules will necessitate the closure of the pool I have read and understand the rules and regulations listed on the back of this application and agree to abide by them. HIGHLINE SCHOOL DISTRICT#401 Organization OrgaAm to By rf" By Signature I Sign e-, C, Crzl< i r'� fvgtx-- Date 1 a r Date 9/14 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 • 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,lmen,recreation equipment, or audio-visual equipment Provision of these are the responsibility of the renting group Camp equipment or bedding maybe 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 Highlme School District and sent to Highline School District, t5675 Ambaum Blvd S W, Bunen,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 m,mmum 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 pnor to arrival GENERAL RULES AND REGULATIONS It is.requested that the"Person in Charge at Camp"go over the follow mg 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 matenal(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, gear boxes,mattresses,tables,chalkboards shall be moved without permission of the Camp staff If moved,they are to be returned 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 in, 12 00 noon, and 5 30 p in 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-tune users. 13. Walk only on established paths or trails 1- .----No trees,plants of sluubs maybe cnt- 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 WCIA Confirmation Form- Risk Web - KentNet Page 1 of 2 µ'me' VOW KENT Home Page WCIA Confirmation Page Search by Topic Thank you Your information has been submitted to WCIA and the How To: certificate will be sent or faxed as you have requested. If you would like Contact us a copy of your request for your records, use the print button to print this Get Evidence of page. Insurance Report An On The Job Injury Report a Vehicle Accident Certificate Holder: MSDS Data How do I handle First Name: Highline School District Camp Waskowitz new/updated MSDS's? Attention: Ron Meyer Safety Manual Firm Address: 15675 Ambaum Blvd SW Safety Committee City: Burien State: WA Zip:98166 Purpose of Certificate: Use of facilities during the week of August 9 - Training August 13, 2010. Camp for 160 children in the 5th, 6th and 7th grades, staffed by 38 adults. Supervisor Info Supervisors' Insight Send Original to: Ron Meyer About orientation for New Employees Additional City cc: Julie Stangle About on the job injuries Fax to: at Fax #: Forms Requested by: Julie Stangle at Phone: 253-856-5030 Links ®RiskWeb 253-856-5270 Centennial Center Second Floor http://kentneURiskWeb/—vti—biri/shtml.dll/Forms/WCIARequest.htm 2/1/2010 \40 r�-�� REQUEST FOR MAYOR'S SIGNATURE KENT Please Fill in All Applicable Boxes WA 5 H IN G T O N Routing Information (ALL REQUESTS MUST ftRST BE ROUTED THROUGH THE LAW DEPARTMENT) L. Phone (Originator): ( 01lginator:�J ) - r 1 ^ Date Sent „ Date Required Return Signed Document to !< I,O' i � i C "1� CONTRACT TERMINATION DATE: VENDOR NAME: [ , ,(Ir ,� �y ; ! ;�`I, k DATE OF COUNCIL APPROVAL: r Brief Explanation of Document: / �! AD -n� j�; `�h.r �S S-� �t�' ��S �� li� ��-t'��C!'!,�t�, �,I�'i•�.��IZi-L� �- u AIf Contracts Must Be Routed Through the Law Department (This Area to be completed By the Law Department) Received: 1� } T Approval of Law Dept )01� Law Dept Comments: t NEP1 Date Foi warded to Mayor -?j Shaded Areas to Be Completed by Administration Staff Received: Recommendations & Comments. Disposition: Date Returned• age-)870 3;05