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13-223.00 YMCA: Pool Facilities OperationsCONTRACT AMENDMENT FOR THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND THE YMCA OF THE INLAND NORTHWEST Contract #CO10 -001 For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the YMCA of the Inland Northwest mutually agree as follows: 1. Purpose: This Amendment is for the Contract for operation and maintenance of pool facilities by and between the Parties, executed by the Parties on January 5, 2010, and which terminates on December 31, 2010, subject to execution of one or more options years as provided for in the Contract. Compensation under the Original Contract was a combination of a fixed Administrative cost of $30,000 and actual expenses. Said contract shall be referred to as the "Original Contract" and its terms are hereby incorporated by reference. 2. Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the Original Contract, dated January 5, 2010, and any amendments thereto, which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions. All such amendment provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Amendment #4 exercises the 4th one -year renewal option. Term of contract under this amendment will be January 1, 2014 through December 31, 2014. 1 4. Compensation Amendment History: This is Amendment #4 of the Original Contract and the history of amendments to the Contractor's compensation is as follows: Date Compensation Original Contract Amount 1/5/10 $30,000 plus actual expenses Amendment #1 (renewal of 2011) 12/2/10 $31,000 plus actual expenses Amendment #2 (renewal for 2012) 11/28/11 $32,000 plus actual expenses Amendment #3 (renewal for 2013) 12/18/12 $33,000 plus actual expenses Amendment #4 (renewal for 2014) 12/05/13 $34,000 plus actual expenses $34,000 plus actual expenses Total Amended Compensation The parties have executed this Amendment to the Original Contract this I wy h day of December 2013. CITY OF SPOKANE VALLEY: Mike Jack, on City Mugger ATTEST: pristine Bainbridge, jwity Clerk 2 YMCA of the Inland Northwest: By: A1car\ 1..ttil-Ne..c' Its: G (� APPROVED AS TO FORM: Office olY e City At`tordey • • LA ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 9/23/2013 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 PayneWest Insurance, Inc. Courtyard Office Center 827 W. First Avenue, Suite 225 Spokane, WA 99201 CONTACT NAME: PHONE _ FAX A/C No Ext : A/C, No : E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURERA: New Hampshire Insurance Company LIABILITY COMMERCIAL GENERAL LIABILITY INSURED YMCA of the Inland Northwest 1126 N Monroe Spokane, WA 99201 INSURER B: 01LX00562583810 INSURER C 07/01/201' INSURER D : $1 000 000 INSURER E $100 000 INSURER F : $5 000 CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DDIYYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY x 01LX00562583810 17/01/2013 07/01/201' EACH OCCURRENCE $1 000 000 PREMISESOEa RENTED $100 000 MED EXP (Any one person) $5 000 ■■ CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 G PRODUCTS - COMP /OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY. PE9 ■ LOC $ A AUTOMOBILE X ■ALL X LIABILITY ANY AUTO OWNED AUTOS HIRED AUTOS ■ X ■ SCHEDULED AUTOS NON -OWNED AUTOS 01 LX00562583810 17/01/2013 07/01/201, CET ccident SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY entDAMAGE $ $ A ■ UMBRELLA LIAB EXCESS LIAR X ■ OCCUR CLAIMS -MADE 01 UD00465862610 07/01/2013 07/01/201 ' EACH OCCURRENCE $6 000 000 AGGREGATE $6 000 000 $ ■ DED X RETENT ON $10000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER /MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 01LX00562583810 WA Stop Gap 07/01/2013 07/01/201 EWE E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Crime /Fidelity Empl Dishonesty 01LX00562583810 17/01/2013 07/01/201 $100,000 Limit $5,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Coverage applies on a primary basis. RE: Outdoor Aquatics program. CERTIFICATE HOLDER CANCELLATION City of Spokane Valley 11707 E Sprague Ave, Ste 106 Spokane, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1 of 1 #S967940/M967939 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CVC1 �..40 YMCAOFT-02 ASTOUT AC-ORDF DATE(MM/DD/YYYY) L------ CERTIFICATE OF LIABILITY INSURANCE 7/2/2014 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: Spokane-Downtown Office PHONE 509 455-6767 FAX PayneWest Insurance,Inc. (A/C,No,Ext):( ) (A/C,No): 827 West 1st Avenue Suite 225 ADDRESS: Spokane,WA 99201 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:New Hampshire Insurance INSURED INSURER B:Idaho State Insurance Fund YMCA of the Inland Northwest INSURER C: 1126 N Monroe INSURER D: Spokane,WA 99201 INSURER E: INSURER F: COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS \,LTR INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X 06LX00562583811 07/01/2014 07/01/2015 DAMAGEES TO(Ea RENTED 100,000 PREMISoccurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I POLICY i j jECT 7LOC PRODUCTS-COMP/OPAGG $ 1,000,000 I OTHER: EMPLOYERS LEGAL $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000,000 (Ea accident) , X ANY AUTO 06LX00562583811 . 07/01/2014 07/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS , NON-OWNED PROPERTY DAMAGE $ ' HIRED AUTOS AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 A EXCESS LIAB CLAIMS-MADE 01UD00465862611 07/01/2014 07/01/2015 AGGREGATE $ 6,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 640707 05/15/2014 01/01/2015 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under _DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) The certificate holder shall be an Additional Insured in accordance with the terms,conditions,and limitations of the policy and then only with respect to liability caused by the negligent acts or omissions of the Named Insured and then only with respects to the contract with certificate holder. re:YMCA's programs to include the use of Bounce House Structures used in their programs. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Spokane Parks&Rec THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City City o E Sprague Ave ACCORDANCE WITH THE POLICY PROVISIONS. 117Ste 106 Spokane,WA 99206 AUTHORIZED REPRESENTATIVE I dfl a1,QA- \ .\-Ea- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 0,013- 22-3