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HomeMy WebLinkAboutPK15-144 - Original - Highline School District #401 - Camp Waskowitz - 8/3/15 Ic T WA9XINGTON j:. W 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: JD Edwards Number Contract Number: ft-K-- Iy This is assigned by City Clerk's Office Project Name: Highline School District Lease Agreement for Camp Waskowitz 2015 Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment ©Contract ❑ Other: Contract Effective Date: 8/3/2015 Termination Date: 8/7/2015 Contract Renewal Notice (Days): one year renewal Number of days required notice for termination or renewal or amendment Contract Manager: Julie Stangle Department: Recreation Contract Amount: up to $40,280.00 Approval Authority: (CIRCLE ONE) Department Director Ma or City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Annual operating contract ______ - _ As of: 08/27/14 evill \117 ICEN`C WN oN Agenda Item: Consent I TO: City Council DATE: April 7, 2015 SUBJECT: Rental Agreement with Highline School District #401 for Camp Waskowitz 2015 Season MOTION: Move to authorize the mayor to sign the Highline School District #401 Rental Agreement to rent Camp Waskowitz for the 2015 summer resident camp in the amount of $41,040.00, subject to terms and conditions acceptable to the city attorney and parks director. SUMMARY: 2015 contract with Highline School District #401 to rent the Camp Waskowitz facility in North Bend, Washington for one week, from August 3 thru August 7, 2015. Children entering 5th, 61h and 7'h grades in the fall of 2015 can sign up for this one week summer resident camp. Thirty-six volunteers act as counselors for the camp. EXHIBITS: Highline School District Rental Agreement RECOMMENDED BY: Parks and Human Services Committee YEA: Ranniger - Higgins - Fincher NAY: BUDGET IMPACTS: Budgeted in the Youth/Teen Camp Budget in the General Fund Budget. Revenue is generated from camp fees and cover all rental charges. i I 15-051 2/24/2015 Highline 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 Yorks In Charge Julie Stanele Organization - At Camp Address 525 Fourth Ave N Kent WA 98032 one (2531 856-5030 Email Address:_istangle_@KentWA gov Age of Est.Total Est. Campers Youth Girls Boys Adults:M F No.Campers: 190 Arrival: Monday,August 3 2015 @approx, 11,00 AM Lunch Date Time First Meal (Breakfast 8:00,Lunch 12:00,Dinner 5:30 Departure:Friday,August 7 2015 @ approx.2.0OPM Lunch g 11.00 AM Last meal(Breakfast,Lunch,Dinner) 75 - 124=$224.00 per person 125-149=$216.00 Per Person Cost Quote on Estimated Total: $ 212.00 Der person 4 night(s) and 12 meal(s) Additional charges/fees: Total Charge $ Less Deposit $ 250.00 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 minimum amount of$1,000,000 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 Highline School District as an additional insured and as the certificate holder. HOLD HARMLESS AGREEMENT: To the fullest extent permitted by law,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 and anyone directly or indirectly employed by them or anyone for whose acts they may be,liable, li POOL USE-Any rental group using the pool is responsible for famishing a qualified life guard while the pool is in use.Crss or other qualified life guard shall mean any person over 18 years of age,in good physical condition,having a current registered WSI,Red r 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.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 4401 Kent Parks Organization - Organizati2p_-�, By By i Signature Signatu e at ateS SS Please read the back side of this form 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 cast. • 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. S. 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 IIi hline School District 15675 Amb2um 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 clone 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,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.m., 12:00 noon,and 5:30 p.m, Dinners after 5:30 p.m.will result in an additional charge. it. 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 i ® DATE(MMIDD/YYYYII CERTIFICATE OF LIABILITY INSURANCE 3!3/2015 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 Ileu of such endorsements . PRODUCER NAMEACT Conn!Scott Alliant Insurance Services, Inc. PHONE 720 Olive Way, Suite 1700 E-MAIL e,F,n 206-204-9140_ ��A cc Nel 206-204-9205 Seattle WA98101 ADDRFss.cscott@alliant.com INS URER(S)AFFORD IN O COVERAGE NAICN _ INSURER A:Princeton_Excess&Surplus _1_0786 INSURED KE583802 INSURER B: _ - _— City Of Kent INSURER C; _ 220 Fourth Avenue South IN SURER O: Kent WA 98032-5895 INSURER E:_ INSURER F: COVERAGES CERTIFICATE NUMBER: 1314457343 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. NOTWTHSTAN DING 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. -"- ADDL BR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE LIMITS LTR INSD WVD POLICY NUMBER MMlOD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY N1-A3-RL-0000069-04 111/2015 111/2016 EACHOCCURRENCE $1,000,000 DAMAGE 0 RE"TED 7 CLAIMS-MADE1:1 OCCUR PREMISES fEaoccunenca $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- PRODUCTS-COMPIOP AGG $ POLICY JECT LOC -- $ - !i OTHER: A AUTOMOBILE LIABILITY 1/112015 1/1/2016 COMB - IN LE IMII $5,000,000. ICI Nt-A3-RL-0000069-OM1 Ea accident I ANY AUTO BODILY INJURY(Per person) $ ALL OWNED _ SCHEDULED BODILY INJURY(Peraccident) 5 AUTOS AUTOS -PROPERT DAMAGE -- NON-OWNED 5 HIRED AUTOS AUTOS (Peracoltlenll 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _ EXCESS LIAB _ CLAIMS MADEAGGREGATE $ _ DED I I RETENTIONS $ WORKERS COMPENSATION STATUTE ERRER H- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERJEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERiMEMBER E%CLUDEDP EL.DISEASE-EA EMPLOYE $ (Mandatory in NH) Ifyes descnba under E,L,DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101,Addition]Remarks Schedule,maybe aHoched if more space Is required) RE: Use of the facilities of Camp Waskowitz the week of August 3-August 7, 2015. Camp is for up to 160 children going into the 5th, 6th and 7th grades Fall 2015. Staffed by 36 volunteers. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Highline School District No 401 ACCORDANCE WITH THE POLICY PROVISIONS, Attn: Carey Gannaw 15675 Ambaum Blvd SW AUTHORIZED REPRESE TATIVE Burien WA 98166 ;i p @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD it REQUEST FOR MAYOR'S SIGNATURE ® Please fill in all applicable boxes T Director Reviewed: Routing Information ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Originator: Julie Stan le Phone (Originator): x5033_ Date Sent: 4/14/2015 Date Recred: 4/16/2015 Return Signed_ Document to: Julie Stangle Contract Termination Date: 8/7/2015 VENDOR NAME: Highline School District #401 Date Finance Notified: 3/2015 (Only required on contracts $10,000 and over or on any Gra DATE OF COUNCIL APPROVAL: 4/7/2015 Date Risk Manager Notified: 3/2015 _ ((Required on Non-City Standard Contracts/Agreements) Has this Document been Specifically Account Number: Authorized in the Budget? ES NO 10006234.64520.4436 Brief Explanation of Document; This is an annual lease agreement with Highline School District #401 to rent the Camp Waskowitz facility in North Bend for a summer resident camp for one week, August 3 - 7, 2015 for children entering 5`n 6th and 71h grades in the Fall of 2015. The revenue generated from program fees collected 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: ✓ ( r, % `. Approval of Law Dept.: Law Dept. Comments: �� �(�/ ��(I� v I Date Forwarded to Mayor: i Shaded Areas To Be Completed By Administration Staff Received: i I Recommendations and Comments: Disposition:,- � ����� Cf c ��L�, � (, J/ %202Vz/� Date Returned T