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HomeMy WebLinkAboutCAG2021-281 - Original - Steven Walters - Summer Tennis Day Camp & Lessons - 06/10/2021ApprovalOriginator:Department: Date Sent:Date Required: Authorized to Sign: Director or Designee Date of Council Approval: Grant? Yes No Type:Review/Signatures/RoutingComments: Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category: Vendor Number:Sub-Category: Project Name: Project Details: Agreement Amount: Start Date: Basis for Selection of Contractor: Termination Date: Local Business? Yes No* Business License Verification: Yes In-Process Exempt (KCC 5.01.045) If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace. Notice required prior to disclosure? Yes No Contract Number: Agreement Routing Form For Approvals, Signatures and Records Management This form combines & replaces the Request for Mayor’s Signature and Contract Cover Sheet forms. Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20 Budget Account Number: Budget? Yes No rev. 20210513 FOR CITY OF KENT OFFICIAL USE ONLY * Memo to Mayor must be attached 4 4 Other 10006210.64190.4210 Contract 5/27/2021 Original#158891 Parks, Recreation & Community ServicesKyle Nearhood 60% & 70% 10/28/2021 06/01/2021 N/A 06/01/2021 4 4 4 T<ENT PROFESSIONAL SERVICES AGREEMENT between the City of Kent and Steve Walters THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation (hereinafter the "City"), and Steve Walters organized under the laws of the State of Washington, located and doing business at24O SW 184th St. Normandy Park, WA 98166 and 253-486-2220 (hereinafterthe "Contractor"). I DESCRIPTION OF WORK. The Contractor shall perform the following services for the City: Summer Quarter 2021 r All campers must be registered through Kent Parks, Recreation and Community Services. Steve Walters will instruct the skills of tennis in a professional manner to Youth ages 5-17 in Steve's Summer Tennis Day Camp and Youth & Adults ages 6-adult in Summer Tennis Lessons.. Steve Walters will provide a fun and positive atmosphere where all registrants will pafticipate.. Steve must be Certified in CPR and First Aid during the time of Steve's Tennis Camps and Summer Tennis Lessons.. Steve will hire and pay his own employees for Steve's Summer Tennis Camp and Summer Tennis Lessons.. Steve's Summer Tennis Day Camp and Summer Tennis Lessons will maintain a 1:10 Instructor: Camp Participant Ratio including Steve Walters in ratio. If there are 11 students, then there will be at least 1 instructorand Steve Walters totaling 2 Instructors present.r Steve must be present during all hours of Steve's Summer Tennis Day Camp and Summer Tennis Lessons. Steve must have all instructors fill out Washington State Patrol Background Check prior to them working Summer Tennis Day Camp and Summer Tennis Lessons (background check forms will be turned into the Kent Commons, The City of Kent Parks, Recreation and Community Services will cover the background check expense) The Contractor further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices within the Puget Sound region in effect at the time those services are performed. II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in Section I above immediately upon the effective date of this Agreement, and the Contractor shall complete the work by 8/19/202t for Steve's Summer Tennis Day Camp and 10/28/2021 for Summer Tennis Lessons. III. COMPENSATION. The City shall pay the Contractor a total amount not to exceed $20,000 for the services described in this Agreement. The Contractor shall invoice the City monthly based on time and materials incurred during the preceding month. The hourly rates charged forthe Contractor's services shall be as delineated in the attached and incorporated Exhibit B for Steve's Summer Tennis Day Camp and Exhibit C for Summer Tennis Lessons. All hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement. PROFESSIONAL SERVICES AGREEMENT - 1 ($20,000 or Less) Card Payment Program. The Contractor may elect to participate in automated credit card payments provided for by the City and its financial institution. This Program is provided as an alternative to payment by check and is available for the convenience of the Contractor. If the Contractor voluntarily participates in this Program, the Contractor will be solely responsible for any fees imposed by financial institutions or credit card companies. The Contractor shall not charge those fees back to the City. IV. 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 Ch. 51,08 RCW, the parties make the following representations: A. The Contractor 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. The Contractor maintains and pays for its own place of business from which the Contractor's services under this Agreement will be performed. c.The Contractor has an established and independent business that is eligible for a business deduction for federal income tax purposes that existed before the City retained the Contractor's services, or the Contractor is engaged in an independently established trade, occupation, profession, or business of the same nature as that involved under this Agreement. The Contractor 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 Depaftment of Revenue. The Contractor has registered its business and established an account with the state Department of Revenue and other state agencies as may be required by the Contractor's business, and has obtained a Unified Business Identifier (UBI) number from the State of Washington. The Contractor maintains a set of books dedicated to the expenses and earnings of its business. V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party seven (7) calendar days written notice at its address set forth on the signature block of this Agreement. VI. FORCE MAJEURE. Neither party shall be liable to the other for breach due to delay or failure in performance resulting from acts of God, acts of war or of the public enemy, riots, pandemic, fire, flood, or other natural disaster or acts of government ("force majeure event"). Performance that is prevented or delayed due to a force majeure event shall not result in liability to the delayed party. Both parties represent to the other that at the time of signing this Agreement, they are able to perform as required and their performance will not be prevented, hindered, or delayed by the current COVID-19 pandemic, any existing state or national declarations of emergency, or any current social distancing restrictions or personal protective equipment requirements that may be required under federal, state, or local law in response to the current pandemic. If any future performance is prevented or delayed by a force majeure event, the pafty whose peformance is prevented or delayed shall promptly notify the other party of the existence and nature of the force majeure event causing the prevention or delay in performance. Any excuse from liability shall be effective only to the extent and duration of the force majeure event causing the prevention or delay in performance and, provided, that the party prevented or delayed has not caused such event to occur and continues to use diligent, good faith efforts to avoid the effects of such event and to perform the obligation. Notwithstanding other provisions of this section, the Contractor shall not be entitled to, and the City shall not be liable for, the payment of any part of the contract price during a force majeure event, or any PROFESSIONAL SERVICES AGREEMENT - 2 ($20,000 or Less) D E F costs, losses, expenses, damages, or delay costs incurred by the Contractor due to a force majeure event. Performance that is more costly due to a force majeure event is not included within the scope of this Force Majeure provision. If a force majeure event occurs, the City may direct the Contractor to restart any work or performance that may have ceased, to change the work, or to take other action to secure the work or the project site during the force majeure event. The cost to restart, change, or secure the work or project site arising from a direction by the City under this clause will be dealt with as a change order, except to the extent that the loss or damage has been caused or exacerbated by the failure of the Contractor to fulfill its obligations under this Agreement. Except as expressly contemplated by this section, all other costs will be borne by the Contractor. VII. DISCRIMINATION. In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not discriminate against any person who is qualified and available to perform the work to which the employment relates as provided for by the City of Kent's Equal Employment Opportunity Policy. The Contractor shall execute the attached City of Kent Equal Employment Oppoftunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the contract work, file the attached Compliance Statement. VIII. INDEMNIFICATION. The Contractor shall defend, indemnify 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 the Contractor's performance of this Agreement, except for that portion of the injuries and damages caused by the City's negligence. The City's inspection or acceptance of any of the Contractor's work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. In the event the 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 the Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and reasonable attorneys'fees, plus the City's legal costs and fees incurred because there was a wrongful refusal on the Contractor's part. IX. INSURANCE. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit A attached and incorporated by this reference. X. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal, state, and municipal laws, rules, and regulations that are now effective or in the future become applicable to the Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or accruing out of the performance of those services. All work shall be done at the Contractor's own risk, and the Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. XI. MISCELLANEOUS PROVISIONS. A. 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. B. 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. C. 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 PROFESSIONAL SERVICES AGREEMENT . 3 ($20,000 or Less) 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 alternative dispute resolution process. In any claim or lawsuit for damages arising from the parties' peformance 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 limit the City's right to indemnification under Section VIII of this Agreement. D. 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 become 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. E. Assionment. Any assignment of this Agreement by either party without the written consent of the non-assigning party shall be void. F. 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 the Contractor. G. 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. 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. H. Public Records Act. The Contractor acknowledges that the City is a public agency subject to the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents, notes, emails, and other records prepared or gathered by the Contractor in its performance of this Agreement may be subject to public review and disclosure, even if those records are not produced to or possessed by the City of Kent. As such, the Contractor agrees to cooperate fully with the City in satisfying the City's duties and obligations under the Public Records Act. L City Business License Reouired. Prior to commencing the tasks described in Section I, the Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of the Kent City Code. // t/ // // // l/ // // // // PROFESSIONAL SERVICES AGREEMENT . 4 ($20,000 or Less) II II II II II J.Counterparts and Signatures by Fax or Email. 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 one Agreement. Further, upon executing this Agreement, either party may deliver the signature page to the other by fax or email and that signature shall have the same force and effect as if the Agreement bearing the original signature was received in person. IN WITNESS , the parties below execute this Agreement, which shall become effective on the last date entered below. All acts consistent with the authority of this Agreement and prior to its effective date are ratified and affirmed, and the terms of the Agreement shall be deemed to have applied. CONTRACTOR: By: <?:llJJ{r Print Name: s..Je-�c ... ,.t\ Wr...L..\-tr-S Its : -'Je IA " , ) · 1 V\ s-br \.\ "+-I) I' DATE: NOTICES TO BE SENT TO: CONTRACTOR: Steve Walters 240 SW 184th St Normandy Park, WA 98166 253-486-2220 (telephone) [Insert Fax Number] (facsimile) PROFESSIONAL SERVICES AGREEMENT - 5 ($20,000 or Less) CITY OF KENT: By: Print Name: Lori Hogan Its: Superintendent of Parks, Recreation & Community Services DATE: NOTICES TO BE SENT TO: CITY OF KENT: Kyle Nearhood City of Kent 220 Fourth Avenue South Kent, WA 98032 (253) 856-5013 (telephone) ATTEST: Kent City Clerk Lori Hogan (Jun 10, 2021 16:39 PDT) Jun 10, 2021 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 outlines, 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. 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. During the time of the Agreement I, the prime contractor, will actively consider hiring and promotion of women and minorities. 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 t s'L )o*t zoL Iday of 3 4 5 By ffiJ//,- For:69 tcch'.^rr. v,..d Title:ae^n.s In*r, rk, Date e'*f - 2' EEO COMPLIANCE DOCUMENTS - 1 CITY OF KENT ADMINISTRATIVE POLICY NUMBER: I.2 EFFECTIVE DATE: January 1, 1998 SUBJECT:MINORITY AND WOMEN CONTRACTORS SUPERSEDES: April 1, 1996 APPROVED BY Jim White, Mayor 1 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: 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. 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. 1 EEO COMPLIANCE DOCUMENTS - 2 EEO COMPLIANCE DOCUMENTS - 3 CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the Agreement. I, the undersigned, a duly represented agent of Company, hereby acknowledge and declare that the before-mentioned company was the prime contractor for the Agreement known as that was entered into on the (date), between the firm I represent and the City of Kent. I declare that I complied fully with all of the requirements and obligations as outlined in the City of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity Policy that was part of the before-mentioned Agreement. Dated this day of , 20___. By: __________________________________________ For: _________________________________________ Title: ________________________________________ Date: ________________________________________ EXHIBIT A INSURANCE REQUIREMENTS FOR CONTRACTOR SERVICES AGREEMENTS Insurance The Contractor 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 Contractor, their agents, representatives, employees or subcontractors. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: 1. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products-completed operations, personal injury and advertising injury, and liability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 11 85. There shall be no endorsement or modification of the Commercial General Liability insurance for liability arising from explosion, collapse or underground property damage. The City shall be named as an insured under the Contractor’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. Automobile Liability coverage shall be in place during the duration of this agreement. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: 1. Commercial General Liability insurance shall be written with limits no less than $1,000,000 each occurrence, $1,000,000 general aggregate and a $1,000,000 products-completed operations aggregate limit. 2. Automobile Liability coverage providing at least the minimum limits of liability coverage in Washington. This may be evidenced by the Contractor providing a copy of their “proof of insurance” card. EXHIBIT A (Continued) 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 Contractor’s insurance coverage shall be primary insurance as respect the City. Any Insurance, self-insurance, or insurance pool coverage 2. maintained by the City shall be excess of the Contractor’s insurance and shall not contribute with it. 3. The Contractor’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. 4. 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 contractor 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 Contractor’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. E. Verification of Coverage Contractor 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 Contractor before commencement of the work. F. Subcontractors Contractor 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 Contractor. 05/21/2021 ESP Insurance Brokerage, LLC 306 Main Street Worcester MA 01608 Lauren Kachadorian (877) 670-2377 lauren.kachadorian@espspecialty.com United States Professional Tennis Association Inc. 11961 Performance Drive Orlando FL 32827 Everest Indemnity Insurance Co.10851 CL20112301399 A Y SI8ML01641191 12/31/2020 12/31/2021 1,000,000 1,000,000 5,000 1,000,000 15,000,000 1,000,000 OTHER AGG $2M Per Coach A SI8EX01038-201 12/31/2020 12/31/2021 5,000,000 5,000,000 USPTA Members are insured for General Liability for playing, teaching or officiating in tennis, pickleball and platform tennis or operating a tennis ball machine for practicing or teaching. Steve Walters #7177 City of Kent Parks and Recreation Community Services is included as additional insured with respect to general liability as required by written contract. City of Kent Parks and Recreation Community Services 525 4th Ave North Kent WA 98032 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. 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: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. PHPK1269427PHPK1417813 Charter Township of Canton Attn: Leisure Services Dept., 1150 South Canton Center Rd Canton MI 48188-1699 PHPK1584574PHPK1745141SI8ML01641181SI8ML01641191 City of Kent Parks and Recreation Community Services 525 4th Ave North Kent WA 98032 Evidence of lnsu rance & FARMERS INSURANCE PolicyNumber: Policy Edition: Effective: Expirotion: ExpirotionTime: Insured: 18756-86-66 3rd 4/26/2010 12:01AM Continuous until cancelled 12:01AM Steven J Walters 240 SW 1 84th St Normandy Park, WA 98 1 66-3952 underwritten By: Farmers Insurance Companyof Washington 3 1 20 1 39th Avenue SE Bellevue, WA98005 YourAgent: RicardoWilliamHamilton 1 6300 Aurora Ave N Ste F Shoreline, WA 981 33-2602 (206) s24-9O73 FAX: (206) 629-406s rham ilton 1 @farmersagent.com Vehiclelnformotion Yeor 2006 Moke Toyota Model Corolla Sedan 2Wd CelLelS V'N 1 NX8R32E362729941 Coveroges CoverogeType Bodily lnjury Liability Property Damage Liabii ity Personal I nju ry Protection Comprehensive Collision Limit/Deductible $50,000 each person $1 00,000 each accident $50,000 each accident $10,000each person $120 Deductible Not Covered CoverogeType Underinsured Motorist Property Damage Towing and Road Service Underinsured Motorist Bodily lnjury Other LimiVDeductible $ 1 0,000 each accident Covered $50,000 each person $1 00,000 each accident Not Covered This evidence is subject to all of the terms. conditions and limitations set forth in the poliry and endorsements attached to it. lt is furnished as a matter of information only and does not change, modifl7 or extend the policy in any way. lt supersedes all previously issued certificates. farmers.com 25-8976 9-13 Page 1 of2 Evidence of lnsurance (continued) Loss poyo ble provisions (Applicable only if lienholder is named, and no other Automobile loss payable endorsement is attached to the policy) It is agreed that any payment for loss or damage to the vehicle described in this policy shall be made on the following basis: 1 . At our option, loss or damage shall be paid as interest may appear to the policyholder and the lienholder shown in the Declarations, or by repair of the damaged vehicle. 2. Any act or neglect of the policyholder or a person acting on his behalfshall notvoid the coverage afforded to the lienholder. 3. Change in title or ownership of the vehicle, or error in its description shall not void coverage afforded to the lienholder. The policy does not cover conversion, embezzlement or secretion of the vehicle by the policyholder or anyone acting in his behalf while in possession under a contract with the lienholder. A payment may be made to the lienholderwhich we would not have been obligated to make except for these terms. ln such event, we are entitled to allthe rights of the lienholderto the extent ofsuch payment. Authorized Representative The lienholder shall do whatever is necessary to secure such rights. No subrogation shall impairthe rightof the lienholderto recover the full amount of its claim. We reserve the right to cancel this policy at any time as provided by its terms. ln case of cancellation or lapse we will notify the lienholder at the address shown in the Declarations. We will give the I ien holder advance notice of not less than 1 0 days from the effective date of such cancellation or lapse as respects his interest. Mailing notice to the loss payee is sufficient to effect cancellation. The following applies as respects any loss adjusted with the mortgagee i nterest only: 1 . Any deductible applicable to Comprehensive Coverage shall not exceed $250. 2. Any deductible applicable to Collision Coverage shall not exceed $250. 6/1 /2021 Date farmers.com 2s-8976 9-13 Page2of2 Exhibit B 2021 Steve’s Summer Tennis Day Camp Steve Walters will receive 60% of the registration fees. The amount received will be: $69.00 for each $115.00 registration fee for ages 8-17 Ages 8-17 will have a camp minimum of 4 and maximum of 25(25 participants is 50% of 50 maximum capacity in Phase 3) Ages 8-17 72644 M-Th 10:00am-1:00pm 6/28-7/1 72645 M-Th 10:00am-1:00pm 7/5-7/8 72646 M-Th 10:00am-1:00pm 7/12-7/15 72647 M-Th 10:00am-1:00am 7/19-7/22 72648 M-Th 10:00am-1:00pm 7/26-7/29 72649 M-Th 10:00am-1:00pm 8/2-8/5 72650 M-Th 10:00am-1:00pm 8/9-8/12 72651 M-Th 10:00am-1:00pm 8/16-8/19 Kentridge H.S. S. Walters 4 Sess/$115 (locations subject to change) Exhibit C 2021 Summer Tennis Lessons Steve Walters will receive 70% of the registration fees. The amount received by Steve Walters will be: $49.00 for each $70.00 registration fee. Summer Tennis Lessons All lessons have a minimum of 4 and maximum of 25. BEGINNER (AGES 6-10) 72652 Tu, Th 6:00pm-7:00pm 6/1-6/24 72653 Tu, Th 4:30pm-5:30pm 7/6-7/29 72654 Tu, Th 4:30pm-5:30pm 8/3-8/26 S. Walters 8 sess/$70 BEGINNER (AGES 11-14) 72656 Tu, Th 7:00pm-8:00pm 6/1-6/24 72657 Tu, Th 5:30pm-6:30pm 7/6-7/29 72658 Tu, Th 5:30pm-6:30pm 8/3-8/26 72659 Tu, Th 6:00pm-7:00pm 9/7-9/30 72660 Tu, Th 6:00pm-7:00pm 10/5-10/28 S. Walters 8 sess/$70 BEGINNER/INTERMEDIATE (AGES 15-Adult) 72662 Tu, Th 8:00pm-9:00pm 6/1-6/24 72663 Tu, Th 6:30pm-7:30pm 7/6-7/29 72664 Tu, Th 6:30pm-7:30pm 8/3-8/26 72665 Tu, Th 7:00pm-8:00pm 9/7-9/30 S. Walters 8 sess/$70 All Classes held at Kent Meridian High School Signature: Email: Melissa McCormick (Jun 11, 2021 09:15 PDT) Melissa McCormick cityclerk@kentwa.gov Steve Walters Tennis Contract Final Audit Report 2021-06-11 Created:2021-06-07 By:Tyler Goff (tgoff@kentwa.gov) Status:Signed Transaction ID:CBJCHBCAABAAKAPHmsK5Z2FQfnoZoi9mqeJNBedumKvv "Steve Walters Tennis Contract" History Document created by Tyler Goff (tgoff@kentwa.gov) 2021-06-07 - 4:11:06 PM GMT- IP address: 146.129.252.126 Document emailed to Lori Hogan (lhogan@kentwa.gov) for signature 2021-06-07 - 4:15:16 PM GMT Email viewed by Lori Hogan (lhogan@kentwa.gov) 2021-06-10 - 11:36:26 PM GMT- IP address: 146.129.252.126 Document e-signed by Lori Hogan (lhogan@kentwa.gov) Signature Date: 2021-06-10 - 11:39:57 PM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature 2021-06-10 - 11:39:59 PM GMT Email viewed by Kim Komoto (kkomoto@kentwa.gov) 2021-06-11 - 3:58:39 AM GMT- IP address: 146.129.252.126 Document e-signed by Kim Komoto (kkomoto@kentwa.gov) Signature Date: 2021-06-11 - 3:59:15 AM GMT - Time Source: server- IP address: 146.129.252.126 Document emailed to Melissa McCormick (cityclerk@kentwa.gov) for signature 2021-06-11 - 3:59:17 AM GMT Email viewed by Melissa McCormick (cityclerk@kentwa.gov) 2021-06-11 - 4:01:03 PM GMT- IP address: 146.129.252.126 Document e-signed by Melissa McCormick (cityclerk@kentwa.gov) Signature Date: 2021-06-11 - 4:15:10 PM GMT - Time Source: server- IP address: 146.129.252.126 Agreement completed. 2021-06-11 - 4:15:10 PM GMT