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HomeMy WebLinkAboutCAG2022-105 - Original - Highline School District - 2022 Camp Waskowitz - 08/01/2022Julie Stangle Parks, Recreation & Community Services 03/15/2022 04/14/2022 N/A 10006234 N/A Highline School District No. 401 Contract 37911 Original 2022 Summer Sleepaway Camp Sleepaway Camp for youth 5th-7th grades in Fall 2022 at Camp Waskowitz facility in North Bend, August 1-5, 2022. Revenue collected for camp covers rental fee. $27,852 Other OK to sign, 3/16/2022, TW. 3/15/22 CAG2022-105 3/21/22 Highline School District No. 401 Camp Waskowitz Rental Agreement 45505 S.E. 150`h 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 BC Email I dneafus@kentwa.gov Camp Point eP Julie Stangle CP Phone 253-856-5030 CP Email jstangle@kentwa.gov CAMPER INFORMATION Age of Campers: Youth #Female Cam ers: TBD Wale Campers- TBD Total Adults: 24 # of Female: TBD # of Male: TBD Total Number: 80 campers and 24 staff= estimate of 104 total Group Notes: e all guests must be vaccinated and OR a negative Covid test no more than 72 hours prior to their arrival as currently required by the WA State Department of Health for residential programs. ■ Closed campus - no guests TIMING/MEAL INFORMATION Arrival Date: 8/1/22 Time: 10:OOAM First Meal: Lunch Departure Date: 8 5 22 Time: 1:OOPM Last Meal: Lunch Total Meals Breakfast(s): 1 4 Lunch(es): 1 5 Dinner(s): 4 Meal Notes-7 "Please let us know no later than 7/19/22 for food restrictions and/or meal accommodations" Price per person $263 x 104 campers = $27,352.00 (cost will be adjusted based on actual participants) 4 days of pool use with HSD provided lifeguard $125 per da = $500.00 Total Charge $27, 852.00 Date Insurance Certificate Received I pending Deposit 250.00 - 2ending Amount Due $ TBD ['Lltl'lFlC2VrV QF1NStJHANLE: The lessee,sit its own cost, shall maintain public liability insurance for bodily injuries (.including sickness or death) and property damage in the minimum amount of S I,W0,000 combined single limit per occurrence, and in the minimum amount of S2,t: ..►,W) in the aggregate, Employers Liability ( Washington Stop -Gap) in the amount of no less than $1.000,000 must be in place, If lessee or employee autos will be driven to the camp, then lessee will demonstrate coverage of at least $1.000.000 in Automobile coverage, including Hircd and Non -Owned autos. Lessee's policies must also include Non-Contribulory and WiLivcr of Subrogation cl u-so and firms must be attached to the Certificate of Insurance. Prior to using the site, the Iessec shall furnish the Camp Waskowiti. office with a Certificate (of Insurance evidencing the above Coverage and naming "ighhnc School District 11401 us an additional Insured and as certificate holder. .See tire attar hed checklist and evrtiTcate dewily I10 . I ARh 5 C; , A E:N To the tulkot extent pennitted bylaw, the lessee releases and shall defend, indemnify and hold harmless the I lighline School District and its directors, agents, employees, successors and assigns from and against fill cluinks, damages, losses and expenses, direct anti indirect, or consequential, including but not limited to costs and attorneys' tees incurred on such claims and in proving the right to indemnification, arising out of or resulting from the acts or omissions of the lessee or its agents and anyone directly or indirectly employed by them or anyone tier whose frets they may, be liable I have read and understand the rules and regulations listed on both sides of this application and agree to abide by them_ POOL USE June -September only. Any rental group using the pool is responsible for furnishing a qualified lifeguard 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 of 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: 1. Rates quoted do not include bedding, linen, recreation equipment, or audio-visual equipment. Provision of these are the responsibility of the renting group. Camp equipment may be provided at an additional charge. 2. A statement of charges will be sent to the lessee shortly after the rental period ends. Prompt payment should be made to Highline School District and sent to Highline School District, 15675 Ambaum Blvd. S.W., Burien, 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 be 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 I 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 staff's discretion. GENERAL RULES AND REGULATIONS It is requested that the "Person in Charge at Camp" go over the following regulations with his/her group before their arrival at Camp. He/she must see that all regulations are adhered to by members of his/her group. Further, it is proposed that the following general regulations will be observed: 1. 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 a qualified lifeguard is not on duty. The pool is open June through August. 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. Highline School District No. 401 Camp Waskowitz Rental Agreement 45505 S.E. 150'h 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 15. The Waskowitz phones are for our business purposes. Please provide your group with a cell phone number to use while at Waskowitz. Organization: Camp Waskowitz Organization KentParks Signature: :ICid4& C'.&ww Signature: I Date: 317J22 Date 03/21/2022 / ACC " CERTIFICATE OF LIABILITY INSURANCE ­DATE(MM/DDIYYYY) 3(MIDDN 2022 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 Seattle-Alliant Insurance Services, Inc. 1420 Fifth Avenue, Suite 1500IA/C. Seattle WA 98101 CONTACT NAME: Jamie Arnold) PHONE FAX A/C No Ext : 949-627-7000 A/C No), ADDRESS: Jamie.Arnoldi@alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Safety National Casualty Corpo 15105 INSURED KE583802 INSURER B : City of Kent 220 Fourth Avenue South INSURER C : INSURER D : Kent WA 98032-5895 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2111941454 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MM DDPOLICYYYYY Y EXP MM DDYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL6676154 1/1/2022 1/1/2023 EACH OCCURRENCE $2,000,000 CLAIMS -MADE OCCUR PREM SESOEa oNcurrDence $ 500,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY ❑ JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 4,000,000 SIR $ 500,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As respects Renting Camp Waskowitz facility for the week of August 1 - August 5, 2022. 80 youth going into 5-7 grade fall 2022 and 24 adult volunteers. 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: Kristie Cleaver AUTHORIZED REPRESENTATIVE 15675 Ambaum Blvd SW Burien WA 98166 rlow. 11 • Wl� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD