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HomeMy WebLinkAboutCAG2019-109 - Original - Highline School District #401 - Camp Waskowitz Rental - 07/29/2019 KENT Records Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-856-5725. Vendor Name: Highline School District No. 401 Vendor Number (IDE): 37911 Contract Number (City Clerk): Q� hU — lfWOf Category: -Contract Agreement Sub-Category (if applicable): None Project Name: 2019 Camp Waskowitz 7/29/2019 8/2/2019 Contract Execution Date: Termination Date: Julie Stangle Parks Contract Manager: Department: Contract Amount: $33,268 Budgeted: ❑✓ Grant? Part of NEW Budget: ❑ Local: State: ❑ Federal: ❑ Related to a New Position: ❑ Notice required prior to public disclosure? Basis for Selection of Contractor? Other Approval Authority: ❑✓ Director ❑✓ Mayor City Council Other Details: Annual contract to rent property for camp. All cost of rental fee are covered through participant fees. Highline School District No. 401 #19-113 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 Naefus BC Phone 253.856.5030 1 BC Email dneafus@KentWA.gov Camp Point (CP) Julie Stangle CP Phone 253.856.5030 CP Email istangle(@KentWA.gov CAMPER INFORMATION Age of Campers: Youth #of Campers 100 # of Adults 28 Total Number: 128 Challenge (Y/N): N Pool (Y/N): Y Group Notes: 1 4 days of pool use at $125 per day--$500 total TIMING/MEAL INFORMATION Arrival Date: 7/29/2019 Time: 11:00 First Meal: Dinner Departure Date: 8/2/2019 Time: 1:00 Last Meal: Lunch @ 11:00 Total Meals Breakfast(s) 4 Lunch(es) 4 Dinner(s) 4 Meal Notes: Price Per Person: $256 Pool use with Lifeguard: $500-covers 4 days Total Charge $ 33,268 Date Insurance Deposit $ 250.00 Certificate Received Amount Due $ C'ER'1'11:IC-'t TE OF INSt:RAN'("E: The less'V.at it-sown%cast.%hall ntaattttin put-the hahility msuranec f6r hodil}°tnjuric,Iittc lutlinf vickttt�€:sne dcathi anci property damage in the minimum amount of$1,01)0.0110 combined-angle limit per Occurrence.and in the minimum amount of _.i)l .U[tl)in the a��r.gtstr. I:nipLoyors Liability(Washington Slop-Gap)in the amount of no less than SI.001LUK)4 must be in Place. If k nsscc or cmployo;�autos will he dri%en I;r Ow camp.then lesser will demonstrate c+:,tc°t-=tge of at least S 1.0110.017K)in Auiotnobik coverage.including Flixed and 11on-Okktied autos, L.s<:'�I�:li i. nuw also include Non C:onhibutory;and Wai}err ot'Suhrogntion claauwe and firms mu.t lip.:At»clac 1 to the t'crtificate oflnscrrante. Pr-i a to using the site,the Icsscw s3taU t'umish ttt�C.amp t3`at.skocvitz c�#ticc with a i'ertilicatc of ln=;urttncc r+icl�ncrnl; the above ioti:-rage and naming I tighbric 4chool District#401 as an additional insured and as certificate holder. ;Sec the utiarelied cheaIli.si and artrt c:t cxcan:,vle for v-,ific rletfrf& l Sti S ti : To the ful test rxteni permitted by Iiw-.the leske and shall deletal.ind tttnify and lKild bannless th. scho,rl l7,sltu-r and it.c w000r+.agents.cmployceN.succc+Mt}t ;3ttd aKsigtts fixnn and agantst all clain2s.d enrage..los-+es and c%qs--rses,direct and indirixi,Or consequcnti:aL including but not limited to cast-,and attnrncy fecc ineurreA on such elaims and in prnM'in;the right to indemnification..arestng out ofOr resulting from the acts or omissions of the lcsscc or its accents and anyone directly or rnc_trccily employed by thcm Or anyone for whose acts they may be[table_ 1 have read and understand the rules and regulations listed on bath sides of this application and agree to abide by them, i f Organization: Camp Waskowitz Organization Signature: KW Signature: Date: 2 25 2019 Date t Q POOL IISE June-September only.Any rental group using the pool is responsible lor furnishing a qualified 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 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: l. 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 he made to Highline School District and sent to Highline School District 15675 Ambaum Rlvd S W Rurien 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 he 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 staffs 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: I. 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 lifeguard is not on duty. The pool is open June through August. Highline School District No. 401 #19-113 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 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. C�a DATE(MM/DD/YYYY) AC" CERTIFICATE OF LIABILITY INSURANCE 2/22/2019 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: Seattle-Alliant Insurance Services, Inc. PHONE FAX 1420 Fifth Avenue, Suite 1500 I A/c No Ext: A/c No: Seattle WA 98101 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Safety National Casualty 15105 INSURED KE583802 INSURER B City of Kent 220 Fourth Avenue South INSURERC: Kent WA 98032-5895 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 112330642 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. 1POLICY EFF POLICY­EXP �TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDNYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL4058201 1/1/2019 1/1/2020 EACH OCCURRENCE $2,000,000 DAMAGES( RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) $500,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE JECT $4,000,000 POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: SIR $500,000 A AUTOMOBILE LIABILITY Y Y CAS4058202 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT Ea accident) $2 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY(Per accident) $ NON-OWNED i PROPERTY accident)YDAMAGE $ HIREDAUTOS AUTOS Deductible SIR $500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION SP4059829 1/1/2019 1/1/2020 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000' OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Stop Gap GL4058201 1/1/2019 1/1/2020 Each Occurrence $2,000,000 Aggregate $4,000,000 Deductible $500,000 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 29-August 2,2019. 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: Kelsey Walker 15675 Ambaum Blvd SW AUTHORIZED REPRESEN ATIVE Burien WA 98166 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD REQUEST FOR MAYOR'S SIGNATURE KENT Print, on Cherry-Colored Paper WA I Routing Information: (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Approved by Director Originator: Julie Stangle Phone (Originator): x5033 Date Sent: 2/25/2019 Date Required: 3/25/2019 Return Signed Document to: Julie S x5033 Contract Termination Date: 8/2/2019 VENDOR NAME: Highline School District #401 Date Finance Notified: (Only required on contracts 20 000 and over or on any Grant DATE OF COUNCIL APPROVAL: .n/a <$65 Date Risk Manager Notified: 2/22/2019 (Required on Non-City Standard Contracts/Agreements) Has this Document been Specifically Account Number: 10006234.64520.4436 Authorized in the Budget? ES NO Brief Explanation of Document: Annual review of 2019 contract with Highline School District #401. 40th year for Kent Parks to rent the Camp Waskowitz facility in North Bend, WA July 29 - August 2, 2019. Children entering 5th, 6th and 7th grades in the Fall of 2019 can sign up for this one week summer resident camp. The revenue generated from program fees collected for camp covers the entire rental fee. RECEIVED All Contracts Must Be Routed Through The Law Department (This area be completed by the Law DepartmeKENT LAW DEPT. Received. Approval of Law Dept.: Law Dept. Comments: Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received: Recommendations and Comments: RECEIVE® Disposition: S l(3"9- City of Kent Date Returned: Office of the Mayor PACivii\For slDocument Processing\Request for Mayces Signature.do