Loading...
HomeMy WebLinkAboutGRA2019-019 - Original - Pacific Northwest Section PGA of America - Lodging Tax Grant Agreement: Golf Tournament - 05/17/2019 KENTRecords Management Document WASH-r+o xe r. 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: Pacific Northwest Section PGA of America Vendor Number ()DE): 65107 Contract Number (City Clerk): Category: _Grant Related Agreement (Non-Real Property) Sub-Category (if applicable): None Project Name: Golf Tournament Contract Execution Date: upon siging Termination Date: 12/31/2019 Contract Manager: Michelle WilmotDepartment: ECD Contract Amount: $10;000 Budgeted: 0 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: '►KENT Lodging Tax Grant Agreement W wSHEHt:t<}H 1. Parties. This agreement is entered into by and between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Pacific Northwest Section PGA of America, a foreign nonprofit (hereinafter the "Recipient"), located at PO Box 14819 Tumwater, WA 98511. In consideration of the mutual promises identified herein, the parties agree as follows: 2. Revenue Award and Payment. The City awards lodging tax revenue in the amount of Ten Thousand and 00/100 Dollars ($10,000) to Recipient. The City shall issue lodging tax revenue to Recipient on a reimbursement basis. (Notwithstanding the foregoing, the City has the sole discretion to issue lodging tax revenue to the Recipient in a lump sum, in installments, or pursuant to any other reasonable method.) In order to obtain reimbursement, Recipient shall submit an invoice with supporting documentation to the Director of Economic and Community Development. 3. Use of Revenue. Recipient shall use the lodging tax revenue to benefit the City of Kent through: (1) business or leisure tourism marketing; (2) marketing and operations of special events and festivals designed to attract business or leisure travelers; or (3) supporting the operations of tourism-related facilities owned or operated by nonprofit organizations. "Tourism promotion" shall have the meaning set forth in RCW 67.28. RCW 67.28 defines tourism promotion to mean activities, operations, and expenditures designed to increase tourism, including but not limited to: a. advertising, publicizing, or otherwise distributing information for the purpose of attracting and welcoming tourists; b. developing strategies to expand tourism; C. operating tourism promotion agencies; or d. funding the marketing of or the operation of special events and festivals designed to attract tourists. Furthermore, Recipient's tourism promotion activities, operations and expenditures shall be wholly consistent with the program or activities described in Recipient's application for lodging tax revenue, a portion of which is excerpted herein, and incorporated by this reference as Exhibit A. If the Recipient's application and this contract conflict, the provisions of this contract shall control. If any grant funds remain unused as of the termination date below, or if Recipient fails, for any reason, to use the lodging tax revenue as required herein or by applicable law, or fails to perform its obligations under this contract, the Recipient shall, upon demand of the City, repay the lodging tax revenue to the City. Interest Page 1 of 5 Lodging Tax Grant Agreement Pacific Northwest section PGA of America Washington Open Invitational shall accrue at the rate of twelve percent (12%) per year from the time the City demands repayment of the lodging tax revenue, and the City may use any method available to it by law to collect any such funds. 4. Marketing and Promotional Materials. All events and activities funded with lodging tax revenues must list the City of Kent as a sponsor. Recipient will feature either the City of Kent logo and web address (KentWA.gov) on business- related event marketing and promotional materials or the Visit Kent logo and web address (VisitKent.com) if the activity is for leisure or entertainment purposes. Use of City logos and web addresses shall be consistent with City policies and procedures, and such policies and procedures are hereby incorporated into this agreement. Permission for the use of City logos may be revoked at any time by the City and such use shall not exceed the term of this agreement unless expressly permitted by the City. 5. Term and Termination. This contract shall be effective when both parties have executed this contract and shall terminate once Recipient expends the lodging tax revenue or on December 31, 2019, whichever is earlier. The City may terminate this contract if the Recipient breaches this contract and then fails to cure the breach after the City provides written notice of the breach and allows the Recipient a reasonable opportunity to cure, if such breach is curable. The City may suspend this contract, with or without cause, by providing written notice of suspension to Recipient. 6. Reports and Information. Recipient shall maintain records that fully and accurately reflect any use of the lodging tax revenue and Recipient's tourism promotion activities, operations and expenditures. Recipient, at such times and in such forms as the City may require, including after the cessation of its tourism promotion activities, operations and expenditures, or termination of this contract, shall make available to the City for audit and inspection any and all records that relate to the lodging tax revenue and Recipient's tourism promotion activities, operations and expenditures. Recipient shall maintain accounting records in accordance with generally accepted accounting principles and practices. 7. Independent Contractor. Recipient shall be an independent contractor for all federal, state and other purposes. S. Indemnification. Recipient shall defend, indemnify and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of the Recipient, except for injuries and damages caused by the sole negligence of the City. 9. Insurance. The recipient shall provide proof of and maintain insurance as defined in Exhibit B which is attached and incorporated by this reference. 10. Notices. Any notices given by the City to Recipient or by Recipient to the City shall be in writing and delivered to the other party. Page 2 of 5 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational 11. Waiver. Failure to insist upon strict compliance with any terms, covenants or conditions of this contract shall not be deemed a waiver of such, nor shall any waiver or relinquishment of such right or power at any time be taken to be a waiver of any other breach. 12. Applicable Law; Venue. The venue for any legal action arising from this contract shall be King County, Washington, and that this contract shall be governed, construed, and interpreted according to the laws of the State of Washington. 13. Compliance with Laws and Regulations. Recipient shall comply with all applicable laws, rules, regulations, and orders from any and all authorities having jurisdiction. 14. Compliance with the Public Records Act. Recipient acknowledges that the City is subject to the Public Records Act, Chapter 42.56, RCW (the "Act"). All records owned, used, or retained by the City are public records subject to disclosure unless exempt under the Act, whether or not such records are in the possession or control of the City or the Recipient. The Recipient shall cooperate with the City so that the City may comply with all of its obligations under the Act. To ensure the City's compliance, the Recipient shall, within ten (10) days after receipt of notice from the City, deliver to the City copies of all records relating to this Agreement or relating to the Work, which the City determines qualify as the City's public records under the Act. If the City receives a public records request relating to this Agreement or relating to the Work, the City shall seek to provide notice to the Recipient at least ten (10) days before the City releases records pursuant to such public records request, but in no event will the City have any liability to the Recipient for any failure of the City to provide such notice. In addition to its other indemnification and defense obligations under this Agreement, Recipient shall indemnify and defend the City from and against any and all losses, penalties, fines, claims, demands, expenses (including, but not limited to attorney's fees and litigation expenses), suits, judgments, or damage arising from or relating to any failure of Grant Recipient to comply with this section. 15. Discrimination Prohibited. In all Recipient programs, operations or activities, and all hiring and employment made possible, directly, indirectly, by or resulting from this contract, Recipient shall not discriminate against any protected class or on any basis prohibited by federal or state law, including, but not limited to, sex, race, color, creed, religion, national origin, disability, use of a guide dog or service animal by a person with a disability, HIV/AIDS or hepatitis C status, sexual orientation, gender identity, or honorably discharged veteran and military status. 16. Assignment and Subcontract. Accept as noted or identified in Recipient's Hotel/Motel Tax Fund Application, Recipient shall not assign or subcontract any portion of the Service contemplated by this contract without the written consent of the City. Page 3 of 5 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational 17. Cumulative Remedies. The rights and remedies of each party set forth in any provision of this contract are in addition to and do not in any way limit any other rights or remedies afforded to such party by law. 18. Severability. The invalidity or unenforceability of any particular provision of this contract shall not affect the other provisions, and this contract shall be construed as if such invalid or unenforceable provisions were omitted, unless such invalidity or unenforceability destroys the purpose and intent of this contract. 19. Entire Contract; Possible Amendments. This contract contains the entire agreement between the parties and no other agreements, oral or otherwise, regarding the subject matter of this contract, shall be deemed to exist or bind any of the parties. Either party may request changes in the contract. Proposed changes mutually agreed upon will be incorporated by written amendments to this contract. 20. Misuse of Funds for Political Activity. Awarded Lodging Tax Funds may not be used directly or indirectly to further political activity and/or endorse rather than use such funds for their intended purpose. Any such use shall be grounds for immediate termination of this contract and in that event the Recipient hereby agrees to refund all grant funds. (Remainder of Page left blank intentionally) Page 4 of 5 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational RECIPIENT: PACIFIC NORTHWEST CITY OF KENT: SECTION PGA OF AMERICA I / � By: j)aAa aU�\ By: � (signatu ) (signature) Print Name: Dana Ralph Print Name: Jeff Ellison Its Mayo Its Chief Executive Officer C5 I F, (title) Date: Date: 5i3i2019 NOTICES TO BE SENT TO: NOTICES TO BE SENT TO: RECIPIENT: CITY OF KENT: Jeff Ellison Michelle Wilmot, Economic Development Pacific Northwest Section PGA of America Manager Po Box 14819 City of Kent Tumwater, WA 14819 220 Fourth Avenue South Kent, WA 98032 360-456-6496 (telephone) 253-856-54709 (telephone) APPROVED TO FO kwt-t4w Department ATTE T: �� Kent City Clerk Page 5 of 5 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational EXHIBIT A Statement of Work The Washington Open Invitational is a 54 hole championship conducted since 1923 by the Pacific Northwest division of PGA of America. PGA professionals and top amateurs from throughout the Northwest compete in a two-day pro-am tournament involving 145 players, followed by a 3 day championship with 165 payers. The events support Folds of Honor, a foundation supporting spouses and children of fallen military personnel and has raised over $60,000 each of the last two years for this important charity. The 2018 Championship was the sixth straight year Meridian Valley Country Club has hosted the event which brings over 300 professional golfers, their associates and fans to Kent. We have direct access to 1200 PGA professionals in five states and as appreciation for receiving this funding we will be happy to partner with the city to distribute visitor information to our membership. Not only are these professionals likely visitors to the Kent area, each on average represents 400 families that visit their courses and consult their home course professional about other area golfing opportunities. Surveys of past attendees indicate that approximately half travel over 50 miles and stay for two to three nights to participate in the tournament. Exhibit A- 1 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational EXHIBIT B INSURANCE REQUIREMENTS FOR LTAC GRANT AGREEMENT Insurance The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Consultant shall obtain insurance of the types described below: 1. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01. The City shall be named as an Additional Insured under the Consultant's Commercial General Liability insurance policy with respect to the work performed for the City using ISO additional insured endorsement CG 20 10 11 85 or a substitute endorsement providing equivalent coverage. 2. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. B. Minimum Amounts of Insurance Consultant shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Commercial General Liability insurance: 1. The Consultant's insurance coverage shall be primary insurance as respect to the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Consultant's insurance and shall not contribute with it. 2. The Consultant's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. 3. The City of Kent shall be named as an additional insured on all policies (except Professional Liability) as respects work performed by or on behalf of the Consultant and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all required insurance policies. The Consultant's Commercial General Liability insurance shall also contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. Exhibit B- 1 Lodging Tax Grant Agreement Pacific Northwest Section PGA of America Washington Open Invitational E. Verification of Coverage Consultant shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Consultant before commencement of the work. F. Subcontractors Consultant shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the same insurance requirements as stated herein for the Consultant. Exhibit B- 2 Lodging Tax Grant Agreement Pacific Northwest section PGA of America Washington Open Invitational / l DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 111`4 � 1 5/9/2019 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 have ADDITIONAL INSURED provisions or 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 Arthur J. Gallagher Risk Management Services, Inc. NAME:PHONE Iac,Not:864-239-2435 15 South Main Street, Suite 900 IA/C.No.Ext):864-239-0544 Greenville SC 29601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:National Casualty Company 11991 INSURED PGAOFAM-01 INSURERB:Philadelphia Indemnity Insurance Company 18058 Pacific Northwest Section PGA of America 100 Avenue of Champions INSURERC: Palm Beach Gardens, FL 33418 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:865067351 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. IL SRD EFFF TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM POLICY POLICY/ mrr M /D1YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y PHPK1841685 7/1/2018 7/1/2019 EACH OCCURRENCE $1,000,000 _ CLAIMS-MADE C] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $3,000,000 X OTHER r $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION Y WCN33081308Includes 7/1/2018 7/1/2019 X SPER OTH- AND EMPLOYERS'LIABILITY YIN Monopolistic states:OH,ND,WA TATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE .OFFICER/MEMBEREXCLUE N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) I. E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Dates: May 17-22,2019 Location: Meridian Valley Country Club,24830 136th Ave, Kent,WA 98042 City of Kent is included as Additional Insured on the General Liability policy,as per endorsement#CG 20 26 07 04.The insurance provided in the General Liability policy is primary and any other insurance shall be excess only,and not contributing.30 day notice of cancellation applies except for non-payment of premium which is 10 days'notice. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Kent 220 Fourth Avenue South Kent WA 98032 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PI-MANU-1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CG2026 BLANKET ADDITIONAL INSURED POLICY NUMBER: PHPK1841685 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION R ANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Any person or organization other than a joint venture whom you are required to add as an additional insured on this policy under a written contract or agreement provided that the contract or agreement is in effect during this policy period or is executed prior to the "bodily injury", "property damage" or "personal injury and advertising injury". Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability 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 behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. All other terms and conditions of this Policy remain unchanged. Page 1 of 1 POLICY NUMBER: PHPK1841685 IL 12 07 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA POLICY CHANGES Effective Date of Change: 04/26/2019 Change Endorsement No.: 25 Revision No.: 25 Named Insured: Professional Golfers' Association of America The following item(s): ❑ Insured's Name ❑ Insured's Mailing Address ❑ Policy Number ❑ Company ❑ Effective/Expiration Date ❑ Insured's Legal Status/Business of Insured ❑ Payment Plan ❑ Premium Determination FZ1 Additional Interested Parties ❑ Coverage Forms and Endorsements ❑ Limits/Exposures ❑ Deductibles ❑ Covered Property/Location Description ❑ Classification/Class Codes ❑ Rates ❑ Underlying Insurance is (are) changed to read (See Additional Page(s)): Path ID 12737464 The above amendments result in a change in the premium as follows: 50 NO CHANGES ❑ TO BE ADJUSTED ADDITIONAL PREMIUM RETURN PREMIUM AT AUDIT Countersigned By: Issue Date: 05/07/2019 (Authorized Agent) IL 12 07 07 02 © ISO Properties, Inc., 2002 Page 1 ❑ POLICY CHANGES ENDORSEMENT DESCRIPTION In consideration of the premium reflected, the policy is amended as indicated below: Added: Additional Insured City of Kent Form CG2026 Additional Insured-Designated Person or Organization Form PI-CANXCH-002 WA Cancellation Notice to Scheduled Additional Insured's or Cert Holder Form PI-GL-005 Additional Insured Primary Non-Contributory Insurance Per attached schedule REMOVAL PERMIT If this policy includes the Capital Assets Program (Output Policy) Coverage Part with all property scheduled on the Sche- duled Location Endorsement OP 14 01, or the Commercial Property Coverage Part, the following applies with respect to such Coverage Part(s): If Covered Property is removed to a new location that is described on this Policy Change, you may extend this insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed. This permit applies up to 10 days after the effective date of this Policy Change, after that, this insurance does not apply at the previous location. IL 12 07 07 02 ©ISO Properties, Inc., 2002 Page 2 ❑ Philadelphia Indemnity Insurance Company Additional Insured Schedule Policy Number: PHPK1841685 Additional Insured Avidia Bank 42 Main St Hudson, MA 01749-2123 CA2001 - MA - Veh #149 2018 CADILLAC ESCALADE - 1GYS4CK17JR318516 Additional Insured Insurance Service Center PO Box 863329 Plano, TX 75086-3329 CA2001 - TX - Veh #150 2019 GMC ACADIA - 1GKKNPLS8KZ196305 Additional Insured A Car Leasing PO Box 9000 Lutherville, MD 21094-9000 CA2001 - NY - Veh #166 2019 GMC TERRAIN - 3GKALTEV7KL272203 Additional Insured RCB Bank 1300 E Kenosha St Broken Arrow, OK 74012-2009 CA2001 - OK - Veh #167 2019 BUICK ENCORE - KL4CJASB8KB774982 Additional Insured City of Kent 220 4th Ave S Kent, WA 98032-5838 CG2005 - General Liability Dinner Sponsor/Tax Grant program Page 1 of 1 PI-CANXCH-001 WA (09/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part: A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mail written notice of cancellation to Certificate Holders. Notice will be sent within the state mandated time frames that apply to the First Named Insured and that are shown in the Common Policy Conditions. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives. Page 1 of 1 PI-CANXCH-002-WA(09/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO SCHEDULED CERTIFICATE HOLDER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE OF CERTIFICATE HOLDERS CH Certificate Holder Address AI City of Kent 220 Fourth Ave South Kent, WA 98032 The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part: A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mail written notice of cancellation to Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives. 1. 30 days before the effective date of cancellation if we cancel for any reason other than for non - payment of premium. Page 1 of 1 PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 04/26/2019 Name of Person or Organization (Additional Insured): City of Kent 220 Fourth Ave. South Kent, WA 98032 SECTION II —WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for"bodily injury," "property damage" or"personal and advertising injury" arising out of or relating to your negligence in the performance of"your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or"occurrence"we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III —LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Request for Mayor's signature KENT WASNINGTON Complete this form and route to the Office of the City Attorney (Print on cherry-colored paper) Approved by Director Originator;Tanya Kosen Phone (Originator):5461 Date Sent: 05/1 4/1 9 Date Required:asap Returned Signed Document to:Tanya ®Contract Coversheet Attached Has this Document been Specifically Authorized Vendor Name:Pacific Northwest Section PGA of America in the Budget? Yes []No Date of Council Approval: n/a Account Number: 13001315.64190.1270 Brief Explanation of Document: LTAC Grant Award RECEIVED MAY 15 2019 KENT LAW DEPT. Date Received by City Attorney: Comments: RECEIVED MAY 17 mig Date Routed to the Mayor's Office: City of Kent Date Routed to the City Clerk: Office of the Mayor Date Returned to Originator: adccW19756_4_18