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HomeMy WebLinkAboutL18-086 - Original - Lease Agreement - Jilly Concession Consulting - 3/1/18 4^ CITY CLERK CITY OF KENT KE14T W A 5 H I N G 7 0 N 220 4`h Avenue South Kent, WA 98032 Fax: 253-856-6725 PHONE: 253-856-5725 Lease Agreement Cover Sheet This document is to be used in lieu of the Contract Cover Sheet SECTION I - CONTRACT PROCESSING ANID TENANT SET-UP: Contract Number: Qc6 - Mj 1. Responsible Department/Division: Parks - Recreation 2. Contact Person and Title: David Heldt, Program Coordinator (Julie Romano, System Support) Telephone Extension: 5004/5001 3. Tenant (Customer) Name: Jilly Concession Consulting; Jill Scott 4. Tenant (Customer) Number: 1735042 5. General Ledger Account Number: 10006210.56280.4210 6. King County Tax Parcel Number: 7. Address of Parcel: Service Club Ballfields S. Type of Lease: Concession Agreement - Permanent Structure 9. Council Authorization Date: 10. Mayor Signature Date: 02-21-18 (Signed by Lori Hogan) SECTION 2 - LEASE DURATION AND IMPORTANT DATES: 11, Lease Start Date: 03/01/2018 12. Tenant Lease Option Renewal Notification Due Date: End of Each Term 13. Lease Termination Date: 10/31/2018 14. Lease Duration: 245 Days SECTION 3 - RENT DETERMINATION AND DUE DATE: 15, Rent: 15% of Gross 16. Rent Due Date: 10th 17. Calculation of Rental Increase(s): Lease Agreement Cover Sheet—Page 1 of 2 SECTION 4 - LEASEHOLD EXCISE TAX: 18. Is this lease subject to leasehold excise taxes? ® YES (go to Question 19) ❑ NO, reason: 19. Are leasehold excise taxes for this tenant centrally assessed, i.e. directly collected from the tenant by the Washington State Department of Revenue? ❑ YES (attach written verification received directly from DOR or indirectly through the tenant, e.g. DOR notification letter) ® NO (go to Question 20) 20. Does Lease Rent include Leasehold Excise Tax? (Leasehold taxes must be broken out on the invoice and coded: Business unit.32500.0303) ® YES Calculate the leasehold excise tax (Stated Rent divided by 1.1284) ❑ NO Calculate the leasehold excise tax (Stated Rent times .1284) SECTION 5 - APPLICABLITY OF UTILITIES: 21. Applicability of Utilities - Check all that utilities that are affected and indicate provider (e.g. City of Kent), Account Number or basis of exclusion. ® Does Not Apply ❑ Water: ❑ Sewer: ❑ Drainage: ❑ Garbage: ❑ Electricity/Natural Gas: SECTION 6 - MONETARY PENALTIES AND LATE INTEREST CHARGES: 22. Monetary Penalties: 50/a 23. Late Interest: 1% SECTION 7 - OTHER LEASE CONSIDERATIONS: Special lease considerations, e.g. non-monetary rent, etc ® None (check box if no considerations) Lease Agreement Cover Sheet—Page 2 of 2 ^ ` CITY OF KENT CONCESSION AGREEMENT-Permanent Structure THIS AGREEMENT is made and entered into by and between the City of Kent, a Washington municipal corporation, (the "City"), and ]i||yConcession Consulting, (Jill Scott, owner) 412 E. Novak Lane, Apt. B-203, Kent, VVA98U32, (425) 247-4126, ("Concessionaire"). AGREEMENT 1. Grant of Concession. The City grants to Concessionaire the right and privilege to sale food, beverage, merchandise, and other goods, products and services within the limits of Service Club BaUfields, City of Kent, County of King, State of Washington. This right applies to all events, with the exception, at City's sole discretion, of certain events where organizers may be allowed to bring in additional vendors during large national tournaments and/or special events, in order to meet the needs of their event (see Exhibit A, Schedule of Events). 2. Term of Agreement. The term of this agreement shall commence March 1, 2018 and ends October 31, 2018vvith an option to renew for additional one /1\ year terms atthe end of each term, by mutual agreement of the parties in writing. 3. Termination of Agreement. The failure on the part of Concessionaire to comply with any of the provisions of this agreement, or the failure to obey, perform or to comply with local, state or federal laws, rules, regulations or requirements now existing or hereinafter enacted, shall be grounds for the City to terminate this agreement and revoke its grant ofaU| rights of Concessionaire under this agreement. The City expressly m85Hn/es the right and power to terminate this agreement upon giving Concessionaire ten (10) days advance written notice for cause as set forth herein. and Concessionaire expressly waives the right to claim or recover any damages om account mf such termination against the City, its officers, officials, employees, agents and volunteers, The City may order Concessionaire to cease operations hereunder immediately at any time should the City, in its sole discretion, determine that Concessionaire's operation is detrimental to public safety, health or welfare. Upon expiration of this agreement or upon prior termination thereof Concessionaire agrees to promptly cease to operate the point of sale concession at the location specified herein, without any right or da|nl to reimbursement, compensation, or remuneration of any kind. Notwithstanding the foregoing, either party may terminate this agreement with ninety (901) days" notice to the other party in writing. 4. Payment for Concession. Concessionaire shall pay to City 15 % of its monthly gross receipts, excluding Washington State sales tax, from the concession, privileges granted by this agreement as described in Section I. Pursuant to Chapter 82.29A RCVV, Concessionaire shall also pay to the City state leasehold excise Lax as applicable and in addition to rent due tothe City. Concessionaire shall make payment to the City for each calendar month of operation, said payment being due and payable no later than the tenth (18m) of the following, accompanied by a signed and certified written report for the prior calendar month period of all Gross Receipts for such period in a form reasonably approved by the City. All payments shall be paid or delivered to: City of Kent Finance Department Customer Services Division 22O Fourth Avenue South Kent, WA 98032-5895 ` ^ ` ` In addition, m copy of the written report shall be delivered to the City of Kent Parks Department at the above noted address by the tenth (101') of each: month. If any payment due under this Agreement is not paid to the City within ten (10) days after the date specified, a one-time late charge of five percent [5%) of the payment due shall be added to the payment asa penalty, and the total sum shall become immediately due and payable. Any amount remaining unpaid by the first day of the month following the due date for payment (i.e. approximately ZQ days late) shaN bear interest at the rate of one percent (196) per month. The Concessionaire shall maintain records respecting that activity which tru�Uy/ completely, and accurately disclose all information necessary to determine the Concessionaire's rent liability hereunder during each reporting period. Such records shall be kept and maintained fora period of not less than three (3) years. All books, records, aind other items required to be kept and maintained under this section shall be subject to, and immediately made available for inspection and audit at any time, with or without notice, at the place where such records are kept upon the demand of the finance director or his or her designee. Any amount due and unpaid under this Agreement and all penalties, service charges, or fees shall constitute a debt to the city. The city may, pursuant to ChaptBr ] 9.}6 RCVV, use a collection agency to collect outstanding debts, or it may seek collection by court proceedings, which remedies shall be in addition to all other existing remedies. 5. Rules Governing Concession Operation, Concessionaire agrees to comply with the following provisions. Violation of any of these provisions in City~s sole discretion shall constitute cause to terminate the agreement with ten (10) days' notice pursuant to Section Termination ofAgreement: a. The location of Concessionaire's point(s) of sale, methods Of sale, and prices charged for commodities sold under this agreement are subject to the supervision, direction and approval of the City. The City expressly reserves the right to make rules, regulations and requirements relating to the management of any and all Of the locations operated by the Concessionaire under this agreement, including the regulation and prices at which commodities handled Or dispensed by the Concessionaire shall be sold to the public. b. Concessionaire shall pay $280.010 K1eaDhDg deposit fee to the City. The cleaning deposit fee will be returned to Concessionaire within 21 days of termination of this agreement, provided Concessionaire cleans the concession area to the satisfaction of the City. Any cleaning or waste disposal deemed necessary to be performed by the City will beot Concessionaire's sole expense. Concessionaire will be required, to timely reimburse the City for any cleaning or disposal expense it incurs, and the City may retain Concessionaire's cleaning deposit tn offset any such expense. c. Concessionaire sha|U out establish any point Of SOU8 that interferes with on-field events or spectator viewing of events. d. Concessionaire shall furnish all necessary equipment to store, prepare, cook and hold all items of a perishable nature in accordance with King County Health Department rules and regulations. Page e. Concessionaire shall not permit any lewd or immoral conduct in or about the concession area. All persons working in the concession area shall present a neat and clean appearance. f. Concessionaire shall keep the general area around the designated point of sale clean; i.e., keep all bottles, cans, papers and refuse picked up from the area. Upon any failure to do so, after written notice by the City, the City reserves the right to clean the area and charge labor costs to the Concessionaire. g. Concessionaire shall permit any authorized officer or employee of the City to have free access to the concession area at any and all times to ensure compliance with the agreement. h. Concessionaire shall not serve, handle or otherwise possess or store alcoholic beverages or tobacco products of any kind in the concession area. i. A radio or musical device for entertainment may be used by the Concessionaire in the point of sale area; provided, however, that any radio or musical device shall be operated at reduced volume so it cannot be heard at a distance of more than 100 feet from the concession area. j. All deliveries of merchandise shall be made at a time so as not to disrupt scheduled activities. k. Concessionaire shall devote as much time to this concession as may be necessary to provide first-class service to the patrons. Concessionaire shall be open for business seven days per week, while scheduled activities are in progress. All closures, regardless of the circumstances, must be approved by the City; provided, however, that approval shall not be required when any scheduled event has been canceled due to any local, state, or national disaster or force of nature. I. Calling out of wares shall be done in such a manner so as to not interfere with the scheduled event in progress, and no unnecessary loud noises will be permitted. No advertisement, sign, notice, poster or other advertising of any kind or character whatsoever shall be placed, affixed, distributed and/or used in the concession area without prior approval of the City. m. At the expiration of the term of this agreement, or upon the termination thereof the Concessionaire shall remove all concession products and supplies from the assigned concession building within 21 days. 6. Independent Contractor. The parties intend that an Independent Contractor- Employer Relationship will be created by this agreement. By their execution of this agreement, and in accordance with Chapter 51.08 RCW, the parties make the following representations: a. Concessionaire has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained under this agreement. b. Concessionaire has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained Concessionaire's services and is a service other than that furnished by the City, or Concessionaire is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this agreement. Page 3 c. Concessionaire is responsible for filing as they become due all necessary tax documents with appropriate federal and state agencies, including the Internal Revenue Service and the state Department of Revenue. d. Concessionaire has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by Concessionaire's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. e. Concessionaire has a valid contractor registration pursuant to Chapter 18.27 RCW or an electrical contractor license pursuant to Chapter 19.28 RCW. f. Concessionaire maintains a set of books dedicated to the expenses and earnings of its business. 7. Indemnification. Concessionaire agrees to indemnify, defend and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with Concessionaire's performance of this agreement, except for that portion of injuries and damages caused by the City's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONTRACTOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then Contractor shall pay all the City's costs for defense, including all reasonable expert witness fess and reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. The provisions of this section shall survive the expiration or termination of this Agreement. 8. Discrimination. In the hiring of employees for the performance of work under this agreement or any sub-contract, Concessionaire, its sub-contractors, or any person acting on behalf of Concessionaire or its sub-contractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin or the presence of any sensory, mental or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. Concessionaire shall execute the attached City of Kent Equal Employment Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of this agreement, file the attached Compliance Statement. Page 4 9. Permits and Insurance. It shall be the responsibility of the Concessionaire to obtain all food handling permits as required by the King County Health Department. Concessionaire shall obtain a comprehensive liability insurance policy with limits of not less than $1,000,000 for bodily injury, and $1,000,000 property damage and shall have a certificate of insurance issued to the CITY OF KENT naming the City as an additional insured. Such certificate shall cover all activities of the Concessionaire with respect to this agreement. The CITY OF KENT shall be provided with thirty (30) days notice prior to termination of such coverage by the insurer. 10. Taxes, Fees and Permits. The Concessionaire shall obtain and at all times maintain a current City of Kent business license. The Concessionaire shall promptly pay all taxes and fees for its operations to the appropriate collecting agencies. These taxes and fees include, but are not limited to, state leasehold excise tax, sales tax, and any other taxes imposed by governmental agencies pertaining to the Concessionaire's operations under this Agreement. 11. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its contractors and consultants to use recycled and recyclable products whenever practicable. A price preference may be available for any designated recycled product. 12. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the covenants and agreements contained in this agreement, or to exercise any option conferred by this agreement in one or more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the same shall be and remain in full force and effect. 13. Resolution of Disputes and Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. If the parties are unable to settle any dispute, difference or claim arising from the parties' performance of this agreement, the exclusive means of resolving that dispute, difference or claim shall only be by filing suit exclusively under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in writing to an alternate dispute resolution process. In any claim or lawsuit for damages arising from the parties' performance of this agreement, each party shall pay all its legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or award provided by law; provided, however, nothing in this paragraph shall be construed to limited the City's right to indemnification under Section 7 of this agreement. 14. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed on the signature page of the agreement, unless notified to the contrary. Any written notice hereunder shall be effective three (3) business days after the date of mailing by registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this agreement or such other address as may be hereafter specified in writing. 15. Assignment. Any assignment of this agreement by either party without the written consent of the non-assigning party shall be void. If the non-assigning party gives its consent to any assignment, the terms of this agreement shall continue in full force and effect and no further assignment shall be made without additional written consent. 16. Modification. No waiver, alteration or modification of any of the provisions of this agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Concessionaire. Page 5 17. Entire Agreement. The written provisions and terms of this agreement, together with any exhibits attached hereto shall supersede all prior verbal statements of any officer or other representative of the City, and such statements shall not be effective or be construed as entering into or forming a part of or altering in any manner this agreement. All of the above documents are hereby made a part of this agreement. However, should any language in any of the exhibits to this agreement conflict with any language contained in this agreement, the terms of this agreement shall prevail. 18. Compliance with Laws. Concessionaire agrees to comply with all federal, state and municipal laws, rules and regulations that are now effective or in the future become applicable to Concessionaire's business, equipment and personnel engaged in operations covered by this agreement or accruing out of the performance of those operations. 19. Counterparts. This agreement may be executed in any number of counterparts, each of which shall constitute an original, and all of which will together constitute this Agreement. This agreement shall become effective on the last date entered below. CONCESSIONAAIRE CITY OF K NT J By: _ By: Lori Hogan Its: Its: Parks Supperintend Date::! Date: oS- oZc Notices to be sent to Concessionaire: Notices to be sent to the City: Address: Address: Jilly Concession Consulting City of Kent Parks, Recreation & Attn: Jill Scott Community Services 412 E. Novak Lane, Apt. B-203 Attn: Kent, WA 98032 David E. Heldt, Parks Program Coordinator 425-247-4126 Kent Commons Building 4th Ave North Kent, WA 98032 Page 6 Exhibit A Schedule of Events for Service Club Ballfields Agreement The concessionaire agrees to be open for business for the following events: 1. Weeknight league games on 2 or more fields. Weekly field matrix will be emailed week prior to each week. 2. Scheduled Tournament Play Tournament game matrix will be emailed Wednesdays prior to scheduled tournament. The following events will be allowed to bring in additional food and/or beverage vendors for their events: ✓ July 23-29, 2018 USA/ASA Girls National Fastpitch Tournament **Events Organizers may be allowed to bring in additional vendors during large national tournaments and/ or special events, in order to meet the needs of their events. Page 7 DECLARATION CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY The City of Kent is committed to conform to Federal and State laws regarding equal opportunity. As such all contractors, subcontractors and suppliers who perform work with relation to this agreement shall comply with the regulations of the City's equal employment opportunity policies. The following questions specifically identify the requirements the City deems necessary for any contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative response is required on all of the following questions for this Agreement to be valid and binding. If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the directives outlined, it will be considered a breach of contract and it will be at the City's sole determination regarding suspension or termination for all or part of the Agreement; The questions are as follows: 1. I have read the attached City of Kent administrative policy number 1.2. 2. During the time of this Agreement I will not discriminate in employment on the basis of sex, race, color, national origin, age, or the presence of all sensory, mental or physical disability. 3. During the time of this Agreement the prime contractor will provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 4. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 5. Before acceptance of this Agreement, an adherence statement will be signed by me, the Prime Contractor, that the Prime Contractor complied with the requirements as set forth above. By signing below, I agree to fulfill the five requirements referenced above Dated this day of , 20 By: For: Title: Date: Page 8 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998 SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996 CONTRACTORS APPROVED BY Jim White, Mayor POLICY: Equal employment opportunity requirements for the City of Kent will conform to federal and state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee equal employment opportunity within their organization and, if holding Agreements with the City amounting to $10,000 or more within any given year, must take the following affirmative steps: 1. Provide a written statement to all new employees and subcontractors indicating commitment as an equal opportunity employer. 2. Actively consider for promotion and advancement available minorities and women. Any contractor, subcontractor, consultant or supplier who willfully disregards the City's nondiscrimination and equal opportunity requirements shall be considered in breach of contract and subject to suspension or termination for all or part of the Agreement. Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public Works Departments to assume the following duties for their respective departments. 1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these regulations are familiar with the regulations and the City's equal employment opportunity policy. 2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines. Page 9 A410 ® DATE 2018 CERTIFICATE OF LIABILITY INSURANCE o1/25/2ols 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 endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. PH°NE 978.344.4200 FAx N Ex AIC No): 520 Madison Avenue,32nd Floor E-MAIL ADDRESS: contactus@insurancebee.com New York,NY 10022 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc. 10200 INSURED INSURER B: ]illy Concession Consulting INSURER C: 412 East Novak Lane.Apt.B203 INSURERD: Kent WA INSURER E: 98032 INSURERF: COVERAGES CERTIFICATE NUMBER: 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. INSR ADDL SUBRii POLICY EFF POLICY IXP LTR TYPE OF INSURANCE I POLICY NUMBER MMIDD/YYYY t MMIDD 1 LIMITS X COMMERCIAL GENERALUABILITY EACH OCCURRENCE Is 1,000,000 DAMA T RENTED CLAIMS-MADE FRI OCCUR PREMISES Ea occurrence 100 S ,000 MED EXP(Any one person) S 5,000 A Y N j 33846512-GL 02/24/2018102124/20191 PERSONAL&ADV INJURY S 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 1,000,000 N POLICY PRO-- LOC PRODUCTS-COMPIOP AGG S 1,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident I UMBRELLA LIAM HOCCUR EACHOCCURRENCE Is EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS bell I E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(AGORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Kent/service club is noted as an additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION City of Kent/service club SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN See 288th street ACCORDANCE WITH THE POLICY PROVISIONS. Kent WA 98042 AUTHORIZED REPRESENTATIVE 154a I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD • A ® DATE(mmtDDrYYn CERTIFICATE OF LIABILITY INSURANCE O1/25/20185/2018 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 poliey(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 NAME: HISCOX Inc. PHONE 978,344.42D0 FAX - -- [.M No..Eat1 FAX. No): _ 520 Madison Avenue,32nd Floor ADDRESS: contactus@ i nsurancebee.cam New York,NY 10022 _ _ INSURER(S)AFFORDING COVERAGE _ NAIC# INSURERA: Hiscox Insurance Company Inc. 10200 INSURED INSURER B: Dilly Concession Consulting - - -- - - - --- - — INSURERC: 412 East Novak Lane. Apt.B203 INSURERD: Kent - — - WA INSURERE____ __-- 98032 INSURERF: COVERAGES CERTIFICATE NUMBER: 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. INSR ADDLISUBRI TYPE OF INSURANCE POLICY NUMBER MM�LTR D EFF APODCY� LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS•MADE n OCCUR PREMISES(Ea occurrence) S 100,000 I MED EXP(Any one person) S 5,000 A N N 33846512-GL 02/24/2018 02/24/2019 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 1,000,000 X POLICY EI JECT LOC PRODUCTS-COMPIOPAGG $ _- 1,000,000 OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO I BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED 1 PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per accident)- i I I I i UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DIED I I RETENTION WORKERS COMPENSATION OTH AND EMPLOYERS'LIABILITY YIN _ STER ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑NIA E.L.EACH ACCIDENT $ OFFtCER1MEMBER EXCLUDED? -----"-" (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S I !I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Jilly Concession Consulting THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 412 East Novak Lane. Apt.B203 Kent WA AUTHORIZED REPRESENTATIVE 98032 3� 9 �. i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Hiscox Insurance Company Inc., 40 H I S C 10"NIX Named Insure&. Jifly Concession Consulting Policy Number: 33846512-GL Endorsement Effective: February 24, 2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - AUTOMATIC STATUS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 —Who Is An Insured is amended to include as an additional insured any per- son(s) or organization(s) for whom you are performing operations or leasing a premises when you and such person(s) or organiza- tion(s) have agreed in writing in a contract or agreement that such person(s) or organiza- tion(s) be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to, lia- bility for ""bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your beh0: 1. In the performance of your ongoing opera- tions; or 2. In connection with your premises owned by or rented to you. A person's or organiZ2tion's status as an addi- tional insured under this endorsement ends when your operations or lease agreement for that additional insured are completed. CGL E5421 CVV(02114) Includes copyrighted material of Insurance Services Office, Inc., with its Page 1 of 1 permission.