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PK12-025 - Original - Camp Waskowitz Rental
Records Man-ageme6 _ KENT -= Document WASHINGTON 4xn > 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: Highlme School District #401 Vendor Number: JD Edwards Number Contract Number: 0?t:�[,�2J © This is assigned by City Clerk's Office Project Name: Camp Waskowitz Rental Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ® Contract ❑ Other: Contract Effective Date: 6/1/2012 Termination Date: 8/31/2012 Contract Renewal Notice (Days): i n Number of days required notice for termination or renewal or amendment Contract Manager: Teri Petrole Department: Parks Administration Detail: (i.e. address, location, parcel number, tax id, etc.): Rental of facility for Camp Waskowitz for 2012 S Public\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08 Hi line School District No. 401 / Camp Waskowitz Rental Agreement 45505 S E 150'St,North Bend,WA 98045 Seattle—(425)277-7195 North Bend—(425) 888-0681 Mailing Address Camp Waskowitz, 15675 Ambaum Blvd S W ,Burien,WA 98166 (206)631-7626 Applicant Kent Parks In Charge Julie Stangle Organization At Camp Address 525 Fourth Ave No ,Kent WA 98032 Phone ( 253 ) 856-5030 Age of Est No. Est Total Campers Youth Girls Boys Adults M F No Campers 190 Arrival Monday August 6 2012 @ approx 11 00 a in. Dinner First Meal(Breakfast 8 00,Lunch 12:00,Dinner 5.30 Departure Friday,August 10,2012(a), approx 2-0.0,p m ___ ______ __ 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 maht(s)and 12 meal(s) Additional charges/fees ��!! Total Charge $ 1D�tzn Less Deposit $ ��D 06 Date Certificate of Insuranc 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 minimum amount of$I,000,000 combined single limit per occurrence,and in the minimum 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 furnish the Camp Waskowitz office with a Certificate of Insurance evidencing this coverage and naming the Highlme School District as an additional insured and as the certificate holder HOLD HARMLESS AGREEMENT To the fullest extent permitted bylaw,the lessee releases and shall defend, indemnify 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, arising out of or resulting from the acts or omissions of the lessee or its agents y —and anyone mrectiy 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 lifeguard 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 W SI,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 a.m.to 8 00 p in 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 &Y Y"0���/7� Organization Organization By M By Signature \ Signa e ,2� Date a, 1 �G 1 t D J �"y12' Please read the back side of this form Rev 8102 APPLICATION PROCEDURES Please Read Carefully I 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,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 Highhne School District and sent to Hi z hhne School District, 15675 Ambaum Blvd S W,Burien 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 mmimum 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 m 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, 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 lifeguard 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 in 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 REQUEST FOR MAYOR'S SIGNATURE Please fill In all applicable boxes C Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) . -- Originator Julie Stan le Phone (Originator): x5033 Date Sent: 3/7/2012 Date Required. 3/13/2012 Return Signed Document to- Teri x510()At- o-:;, ,CONTRACT TERMINATION DATE: 8/10/12 VENDOR NAME:HI hline School District #401 DATE OF COUNCIL APPROVAL: 3/6 012 Brief Explanation of Document, This is the 2012 contract with Highline School District #401 to rent the Camp Waskowitz facility in North Bend for one week, August 6 - 10, 2012 This one week summer resident camp is for children entering 5th 61h and 7ch grades in the Fall of 2012. The revenue generated from program fees coliected for camp covers the entire rental fee All Contracts Must Be Routed Through The Law Department (This area to be completed by the Law Department) Received " Approval of Law Dept MAR 2 3 ZU 12 Law Dept Comments r�\`s�� ` Date Forwarded to Mayor Shaded Areas To Be Completed By Administration Staff Received Recommendations and Comments: - '~ Disposition:-Z/0//Z� Date Returned a