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HomeMy WebLinkAboutPK18-017 - Original - Highline School District No. 401 - Camp Waskowitz - 7/30/18 Records Managerne'h t NT 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: Highline School District No. 401 Vendor Number: 37911 JD Edwards Number Contract Number: FK 1 � ' D f This is assigned by City Clerk's Office Project Name: 2018 Camp Waskowitz Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment [X]Contract ❑ Other: Contract Effective Date: 7 30 2018 Termination Date: 8/3/2018 Contract Renewal Notice (Days): 0 Number of days required notice for ternrinatirnm o renewal or amendment Contract Manager: Julie Stangle Department: Parks-Youth/Teen Contract Amount: Annrnyim.atPly $40.960 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: 08/27/14 Highline School District No. 401 #18-158 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 253.8565030 BC Email dcummins@KentWA.gov Camp Point (CP) Julie Stangle CP Phone 253.856.5030 CP Email t_angLe KentWA_-R v 3 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: $256 per person TIMING/MEAL INFORMATION Arrival Date: 7/30/2018 Time: 11:00 First Meal: Dinner Departure Date: 8/3/2018 Time: 1:00 Last Meal: Lunch @ 11:00 Total Meals ereokfast(s): 4 Lunch(es): Dinner(s): 4 Meal Notes: Price Per Person: $256 Total Charge $ Date Insurance Deposit $ 250.00 Certificate Received Amount Due $ CERTIFICATE E OF INSURANCE: The lessee,at its own cost,shall maintain public liability insurance for bodily injuries(including sickness or death)and properly damage 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 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 coverage,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 insurance. Prior to using the site,the lessee shall furnish the Camp Waskowitz office with a Certificate of Insurance evidencing the above coverage and naming Highline School District#401 as an additional insured and as certificate holder. See the attached checklist and certificate example far speck details. HOLD 11ARMLESS AGR.E EL'w"[t:G 1: 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. Organization Camp Waskowitz Organization Signature. Kw Signature: t, Date: Date k _ POOL USE June-Septevibes 0111y. Any rental group using the pool is responsible for ft nis1rung a quahficd life guard while the pool is in use. A qualified lifeguard 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 closureef 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. IN 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: 1. 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 licriod weds, Prompt payment should be made to Highline School District and sent to ll'i dtlirrl 4,c„Fyk Di , 1A(tra . Y81w 1mn 3W fr0 3. The rates quoted by Camp staff are arrived at on the basis that the lessee win leave the Camp in he 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 it 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 he 9 to 10, 6. Meal menus will be developed by Carnp staff. Special requests should be arranged with the Head Cook at least 3 weeks In to arrival. T 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 Char all regulations are adhered to by members of his/her group. Further,it is proposed that the following general regulations will be observed: 1. Firearrns,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 ate 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 ('amp s6alf, Iftnamed,they are to be rclunred to the original location prior to departure., 9. Swimmers must obey pool mgulanons(posted at pool entrance). A pool key will be provided to the"Person In Ch:m'gc�,,. 'the peal luu,t4 the kola locked when qualified lifeguard is not on duty, 'flee pool is open June through August. Highline School District No. 401 #18-158 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 10. Meals are served family style or buffet style in the Dining Hall at 8:00 a.m., 12:00 noon,and 530 purr. Dinners after 5:30 p.m.will result in an additional charge. 1 1. 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 ortrails. 14. No trees,plants or shrubs may be cut. is. The Waskowitz phones are for our business purposes. Please provide your group with a cell phone number to use while at Waskowitz. .•,•� P 4'L DATE I MM1DOnrYYI CERTIFICATE OF LIABILITY INSURANCE 1/1012018 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. IMPORT°AINTr. 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 endorsement(s)° PRODUCER CONTACT (✓Onnl E Sc Seattle-Alllant Insurance Services, Inc. 'NHON -- 1420 Fifth Avenue, Suite 1500 j„p Ns-;GAL206.204 9140 �nrc,Nn' 206-2.04.9205 E-MAIL — Seattle WA98101 6Gp°RE95 wcscogC ru�tlhsrrl com _,_,_,_, INSURERISI AFFORDING COVERS E NAG INSURERA Safetv National Casually Corporation 15105 ...._. ......... . ......... ___—__- ...._ -..-. _ ..,,...........__ _.. ................. .......,,.,...... ....KE588S02 INSURED INSURER B City of Kent ---- 220 Fourth Avenue South INSURER C,° Kent WA 98032-5895 wauRER❑° _ --.-. INSURER E: T INSURER F' COVERAGES CERTIFICATE NUMBER:217580000 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. ,, ..... _ ,...— ....._ ...AI�B{SD1�R,.._._ .__ .........„..._.,_ POLICY ELF POLICY EXP ..__--. ,... .°°._............. ..... II TYPE OF INSURANCE i cn vmrn POLICY NUMBER (MMIDOIYYYYI Ium)eun YYn LIMITS A X ',CO MMERCIAL GE NE PAL LIABI LITY Y Y GL4058201 111/2018 111SD19 EACH OCCURRENCE $2°000000 """" 6TFA",NCC TO i3CNYf'D _- ] CLAIMS-MADE C X OCCUR PRf,IN JE.i.trFCutYMnCON __$500000 _ M E D EXP IAny one person) $ °.. .-___ ........_.._ PERSONAL&,. . ADV INJURR Y $200 00 0,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4 D00000 POLICY C fix, F LOG PRODUCTS-COMPIOP AGG $4000,000 DTd1rR SIR $SDO OOo .._. .._... _..._. ......... A AUTOMOBILE LIABILITY Y Y CAS'4058202 1f112018 VIS019 CUM BMW SINGYFCVM'I�r $ dz .A$d ......_.. ._.. 294PS1Av X ANY AUTO BODIL�Y ����U��RY IIN J (Per person) {{I$ ALLOMED ° SCHEDULED BODILY INJURY(P racatlenl) S ,. .. AUTOS AU I NON.F. fhiOF`EP2°TY ahMAI.£ 5 .... ..,. . HIREDAUTOS AUTOS dpnr yrpdcar),,,,,°„° _ Detluctible SIR $SEP 000 UMBRELLA LIAR _ OCCUR EACH OCCURRENCE $ EXCESS U, CLAIMS MADE AGGREGATE $ DEDm _ RETENTIONS A OTH AND EMPLOYERS'LIABILITY 1TE ER WORKERS COMPENSATION 5P4056170 11V2D1� 1I112019 PER ATI ANY PROPRIETORPARTNERSXECUTIVE "9 NIA LEACH ACCIDENT $1oDo0oo- OFFICEIGMEMBEREXCLUDED' (Mandatory in NH) EL DISEASE-EA EMPLOYEE. $1 000000 If yes desuibe under ........ _.-- .............. ......W DESCRIPTION OF OPERATIONS below E.L.DISEASE�POLICY LIMIT $1,000,000 A SlopOur GL4058201 111f2018 111f2019 E.ech Occunenae $2,000,000 Aggregate $4,000000 Deductible $500,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may he attached if more space is required) `Work Comp has a$500,000 SIR RE: Renting Camp Waskowilz facility forthe week of July 30-August 3,2018, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hlghllne School District No.401 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kelsey Walker 15675 Ambaum Blvd SW AUTHORIZED REPRESE�, m' VE Burien WA 98166 ------------------------------ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD p4 "lii pllt n M "4 ryi � W Ily" IMF' Wry b 'q IIII tl10 xu� NIV U NI am I w n 'w ^•I "' N '"iN �NI i �b' tlA '"' N a NI " � Gk I M II III I ' ' 1°hGW "'q W tl li qm m 4 nN ".: •• '�:P �an aC II IN•" " N� M rr A tl4 IN RI. �� dd N4 . ° iw° ' dd '1 m u 9Y d i flb ••WN �N.. mn � i pi Qu I da I Y„ IIII -a¢ N I ^ Po ° o. m q ;x m a..: ro � .. m q «.` u.. G m '� ,r m " .• w "N iw M !VII ICI . Ilrc �I IN WN'" Natl;1 N