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Home My WebLink AboutPK17-136 - Original - Highline School District No. 401 - 2017 Camp Waskowitz - 07/31/2017 i11/ ml/�f11��1J em , "n r s KENT Document Wasnirvct'oH / f/n il/( 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: Hi Kline School District No. 401 Vendor Number: 37911 JD Edwards Number Contract Dumber: P-1 " ) hLP This is assigned by City Clerk's Office Project Name: 2017 Camp Waskowitz Description: 0 Interlocal Agreement ❑ Change Order ❑ Amendment ®contract Other: Contract Effective date: 7/31/2017 Termination Date: S 4 _2017 Contract Renewal Notice (Days): 0 Number of days required notice for t renewal or amendment Contract Manager: Julie Stangle Department: Parks-Youth/Teen Contract Amount: _ Approximately 40, 00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Annual contract to rent property for camp. Camp is paid on per person basis. As of: 08/27/1 4 Highline School District No. 401 #17-110 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 Organization Kent Parks Address 525 Fourth Ave N Kent WA 98032 Phone 253.856,5030 Billing Contact (BC) Denee Cummins BC Phone 253.856.5,030 1 BC Email I dcummins@KentWA.gov Camp Point (CP) Julie Stangle CP Phone 253.856.5030 CP Email istangle@KentWA.gov CAMPER INFORMATION Age of Campers: Youth #Female Campers: 68 #Male Campers: 68 Total Adults: 33 # of Female: 16 # of Male: 17 Total Number: 160-190 Group Notes: $244 per person TIMING/MEAL INFORMATION Arrival Date: 7/31/2017 Time: 11:00 First Meal: Dinner Departure Date: 8/4/2017 Time: 2:00 Last Meal: Lunch @ 11:00 Total Meals Breakfast(s):_ 47 Lunch(es):. 4 Dinner(s): 1 4 Meal Notes: I The total charge is based on your highest estimate for group size, 190 Total Charge $ 46,360 Date insurance Deposit $ 250.00 Certificate Received Amount Due $ CERTIFICATE OF INSURANCE: The lessee,at its Own Cost,shall maintain public liability insurance for bodily injuries(including sickness or death)and property damage in the minimum amount of$1,000,000 combined single limit per occurrence,and in the minimurn amount Of $2,000,000 in the aggregate. Employers Liability(Washington Stop-Gap)in the amount of no less than$1,000,000 must be in place. If lessee or employee autos will be driven to the camp,then lessee will demonstrate coverage of at least$1,000,000 in Automobile covet-age, including Hired and Non-Owned autos. Lessee's policies must also include Non-Contributory and Waiver of Subrogration clauses and forms must be attached to the Certificate of Insuranec. Prior to using the site,the lessee shall rurnish the Camp Waskowitz office with a Certificate of Insurance evidencing the above coverage and naming I-lighline School District#401 as an additional insured and as certificate holder. See the attached check-list and certificate example for specific details. HOLD HARMLESS AGREEMENT: To the fullest extent permitted by law, the lessee releases and shall defend,indemnify and hold harmless the I lighline 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 emissions of the lessee or its agents and anyone directly or indircctl,,,,employed by thern or anyone for whose acts they may be liable. Organization: Camp Waskowitz Organization I Signature: Signature: .............. Date: Date POOL USE June-September only. 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 a.m.to 8:00 p.m.) Failure to comply with any of the rules will necessitate the closure of the pool. 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 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. 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. Billing Regulations: I. 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 may be provided at an additional charge. 2. 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 Hiahline School District, 15675 Ambaum Blvd, S.W..Burien,WA 98166. 3. 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. 4. 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. 5. 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. 6. Meal menus will be developed by Camp staff. Special requests should be arranged with the Head Cook at least 3 weeks prior to arrival. 7. Groups under 75 participants are subject to sharing camp with any other group at the camp staff's discretion. 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. 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. Highline School District No. 401- #17-110 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, I5675 Ambaum Blvd. S.W.,Burien,WA 98166 (206)631-7626 DATE(MMIODIYYYY) A`C)R E® CERTIFICATE OF LIABILITY INSURANCE 3/13l2017 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 lieu of such endorsements. PRODUCER NAME:CONTACT Conni E Scott ____ _____ Seattle-Alliant Insurance Services, Inc. PHONE 206-204-9140 F IC 206-204-9205 1420 Fifth Avenue, Suite 1500 NQ )= -- Seattle WA 98101 ADIDREsS cscott@alliant.com _ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Princeton Excess&Surplus Lines In 110786 INSURED KE583802 INSURERB:Safe National Casualty Cor oratio 115105 City of Kent INSURER C: 220 Fourth Avenue South Kent WA 98032-5895 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:2105240703 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. 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. ILTR' TYPE OF INSURANCE I INSD WVD POLICY NUMBER EXP MMIDDYlYYW MM10DY1YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y Y N1A3RL000006906 1/1/2017 1/1/2018 EACH OCCURRENCE $5,000,000 _ DAMAGE—TOi2�NTE0 — - --- CLAIMS-MADE �X:] OCCUR I PREMISES(Ea occurrence) S MED EXP(Any one person) S J1 PERSONAL&AOV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY: PRO- JECT LOC PRODUCTS-COMPlOPAGG S OTHER: SIR $250,000 A AUTOMOBILE LIABILITY Y Y 1/1/2017 1/1l2018 MBINED IN L LIMIT $ N1A3RL000006906 Ea accident 5,000,000 X ANY AUTO ', BODILY INJURY(Per person) $ ALL OWNED i� SCHEDULED BODILY INJURY(Per accident) S HIRED AUTOS NON OWNED PROPERTY DAMAGE S AUTOS Peraceident}_____ Deductible I SIR S250,000 UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE _ $ EXCESS LIARH CLAIMS-MADEI 1 AGGREGATE S DED RETENTIONS S B WORKERS COMPENSATION SP4056170 1/112017 1/1/2018 x PER I OTH- AND EMPLOYERS'LIABILITY YIN l i_STATUTE 1 ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT $1,000,000' OFFICERIMEMBER EXCLUDED? N!A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Stop Gap N1A3RL000006906 1/1/2017 1/1/2018 Each Occurrence $5.000,000 Aggregate $5,000,000 Deductible $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) "Work Comp has a $500,000 SIR RE: Renting Camp Waskowitz facility for the week of July 31 -August 4,2017. 33 Adult volunteers and 136 campers, youth currently going into the 5th,6th and 7th grades Fall 2017. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Highline School District No.401 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Kelsey Walker ACCORDANCE WITH THE POLICY PROVISIONS. 15675 Ambaum Blvd SW Burien WA 98166 AUTHORIZED REPRESEUMTIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD