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15-042.00 Melissa Finke: Dance Lessons (5-oy z. AGREEMENT FOR RECREATIONAL SERVICES Melissa Finke THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington, hereinafter"City" and Melissa Finke hereinafter."Contracting Entity"or"the Association", jointly referred to as"Parties." IN CONSIDERATION of the terms and conditions contained herein the Parties agree as follows: 1.Work to Be Performed. Contracting Entity shall provide all labor,services and material to satisfactorily complete the attached Scope of Services listed in Exhibit A. A. Administration. The Parks and Recreation Director or designee shall administer and be the primary contact for Contracting Entity. Prior to commencement of work, Contracting Entity shall contact the Director of Parks and Recreation or designee to review'the Exhibit A and its requirements. Upon notice from the Parks and Recreation Director or designee,Contracting Entity shall commence work,perform the requested tasks in the Scope of Services,stop work and promptly cure any failure in performance under this Agreement. B.Representations. The City has relied upon the qualifications of Contracting Entity in entering into this Agreement. By execution of this Agreement, Contracting Entity represents it possesses the ability,skill and resources necessary to perform the work and is familiar with all current laws,rules and regulations which reasonably relate to the Scope of Services. No substitutions of agreed-upon personnel shall be made without the prior written consent of the City. Contracting Entity represents that the compensation as stated in paragraph 3 is adequate and sufficient compensation for its timely provision of all professional services required to complete the Scope of Services under this Agreement. Contracting Entity shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Contracting Entity shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City furnished information. C. Standard of Care. Contracting Entity shall exercise the degree of skill and diligence normally employed by architects,professional engineers or consultants performing the same or similar services at the time such services are performed. D. Modifications. The City may modify this Agreement and order changes in the work whenever necessary or advisable. Contracting Entity will accept modifications when ordered in writing by the City Manager or designee. Compensation for such modifications or changes shall be as mutually agreed between the Parties. Contracting Entity shall make such revisions in the work as are necessary to correct errors or omissions appearing therein when required to do so by the City without additional compensation. 2.Term of Contract. This Agreement shall begin on April 1,2015,and terminate on December 31,2016. The Director of Parks&Recreation may extend this Agreement for up to two additional two year terms. Any Agreement for Recreational Services—Melissa Finke Page 1 of 6 extension shall be conditioned on Melissa Finke compliance with these contract terms Either party may terminate this Agreement for material breach after providing the other party with at least ten days'prior notice and an opportunity to cure the breach. The City may,in addition,terminate this Agreement for any reason by ten days'written notice to Contracting Entity. In the event of termination without breach, the City shall pay Contracting Entity for all work previously authorized and satisfactorily performed prior to the termination date. 3.Compensation. The City agrees to pay Contracting Entity 75%of class revenue,as full compensation for everything done under this Agreement. Contracting Entity shall not perform any extra,further or additional services for which it will request additional compensation from the City without a prior written agreement for such services and payment therefor. 4.Payment.The Contracting Entity shall be paid upon the completion of each class upon presentation of an invoice to the City. The City reserves the right to withhold payment under this Agreement with the Scope of Services, City Standards,City Code,and federal or state standards. 5.Notice. Notice shall be given in writing as follows: TO THE CITY: TO THE CONTRACTING ENTITY: Name:Christine Bainbridge,City Clerk Name: Melissa Finke Phone Number: (509)921-1000 Phone Number: 509-993-1204 Address: 11707 East Sprague Ave,Suite 106 Address: 13310 E 6t'Ave Spokane Valley,WA 99206 Spokane Valley,WA 99216 6.Applicable Laws and Standards. The Parties, in the performance of this Agreement,agree to comply with all applicable federal,state,and local laws and regulations. Contracting Entity warrants that its designs, construction documents, and services shall confirm to all federal, state and local statutes and regulations. 7. Relationship of the Parties. It is understood, agreed and declared that Contracting Entity shall be an independent contractor, and not the agent or employee of the City, that the City is interested in only the results to be achieved, and that the right to control the particular manner, method and means in which the services are performed is solely within the discretion of Contracting Entity. Any and all employees who provide services to the City under this Agreement shall be deemed employees solely of Contracting Entity. Contracting Entity shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 8.Ownership of Documents. All drawings,plans,specifications,and other related documents prepared by Contracting Entity under this Agreement are and shall be the property of the City, and may be subject to disclosure pursuant to RCW 42.56 or other applicable public record laws. The written, graphic,mapped, photographic, or visual documents prepared by Contracting Entity under this Agreement shall, unless otherwise provided, be deemed the property of the City. The City shall be permitted to retain these documents,including reproducible camera-ready originals of reports,reproduction quality mylars of maps, and copies in the form of computer files, for the City's use. The City shall have unrestricted authority to publish, disclose, distribute and otherwise use, in whole or in part, any reports, data, drawings, images or other material prepared under this Agreement,provided that the Contracting Entity shall have no liability for Agreement for Recreational Services—Melissa Finke Page 2 of 6 the use of the Contracting Entity's work product outside of the scope of its intended purpose. 9.Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Contracting Entity's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit,examine and make excerpts or transcripts from such records and to make audits of all contracts, invoices, materials, payrolls and record of matters covered by this Agreement for a period of three years from the date fmal payment is made hereunder. 10.Insurance. Contracting Entity 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 Contracting Entity, its agents, representatives, employees or subcontractors. A.Minimum Scope of Insurance. Contracting Entity shall obtain insurance of the types described below: 1.Automobile liability insurance covering all owned,non-owned,hired and leased vehicles. Coverage shall be written on Insurance Services Office(ISO)form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary,the policy shall be endorsed to provide contractual liability coverage. If use of vehicles pursuant to the Agreement is only incidental, and Contracting Entity will not transport any persons not directly related or affiliated with Contracting Entity, then Contracting Entity is only required to have automobile liability insurance to meet at least minimum Washington state requirements. 2.Commercial general liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises,operations, independent contractors and personal injury and advertising injury. The City shall be named as an insured under Contracting Entity's commercial general liability insurance policy with respect to the work performed for the City. 3.Workers'compensation coverage as required by the industrial insurance laws of the State of Washington. B. Minimum Amounts of Insurance. Contracting Entity shall maintain the following'insurance limits: 1.Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. If Contracting Entity will not use its vehicles in the performance of this Agreement, automobile liability insurance is only required to meet Washington statutory minimum requirements. • 2.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 automobile liability,professional liability and commercial general liability insurance: Agreement for Recreational Services—Melissa Finke Page 3 of 6 1. Contracting Entity's insurance coverage shall be primary insurance with respect to the City. Any insurance,self-insurance,or insurance pool coverage maintained by the City shall be excess of Contracting Entity's insurance and shall not contribute with it. 2. Contracting Entity shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Contracting Entity. 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. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Contracting Entity shall furnish acceptable insurance certificates to the City at the time Contracting Entity returns the signed Agreement. The certificate shall specify all of the Parties who are additional insureds, and will include applicable policy endorsements, and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested, complete copies of insurance policies shall be provided to the City. Contracting Entity shall be financially responsible for all pertinent deductibles,self-insured retentions,and/or self-insurance. 11.Indemnification and Hold Harmless. Contracting Entity shall,at its sole expense,defend,indemnify and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs, attorney's fees and costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of the,wrongful or negligent acts, errors or omissions in the services provided by Contracting Entity,Contracting Entity's agents,subcontractors,subconsultants and employees to the fullest extent permitted by law, subject only to the limitations provided below. Contracting Entity's duty to defend,indemnify and hold harmless City shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees. Contracting Entity's duty to defend,indemnify and hold harmless City against liability for damages arising out of such services caused by the concurrent negligence of(a)City or City's agents or employees,and(b) Contracting Entity,Contracting Entity's agents,subcontractors, subconsultants and employees, shall apply only to the extent of the negligence of Contracting Entity, Contracting Entity's agents, subcontractors, subconsultants and employees. Contracting Entity's duty to defend, indemnify and hold City harmless shall include, as to all claims, demands,losses and liability to which it applies,City's personnel-related costs,reasonable attorneys'fees,and the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs, court costs,fees for collection,and all other claim-related expenses. Contracting Entity specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages,compensation or benefits payable to or for any third party under workers'compensation acts,disability benefit acts,or other employee benefits acts. Provided, that Contracting Entity's waiver of immunity under this provision extends only to claims against Contracting Entity by City, and does not include, or extend to, any claims by Contracting Entity's employees directly against Contracting Entity. Agreement for Recreational Services—Melissa Finke Page 4 of 6 Contracting Entity hereby certifies that this indemnification provision was mutually negotiated. 12.Waiver. No officer,employee,agent or other individual acting on behalf of either party has the power, right or authority to waive any of the conditions or provisions of this Agreement. No waiver in one instance shall be held to be a waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law, shall be taken and construed as cumulative, and in addition to every other remedy provided herein or by law. Failure of either party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other party of any provision hereof shall in no way be construed to be a waiver of such provisions nor shall it affect the validity of this Agreement or any part thereof. 13. Assignment and Delegation. Neither party shall assign, transfer or delegate any or all of the responsibilities of this Agreement or the benefits received hereunder without first obtaining the written consent of the other party. 14.Subcontracts. Except as otherwise provided herein,Contracting Entity shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written approval of the City. 15.Confidentiality. Contracting Entity may,from time to time,receive information which is deemed by the City to be confidential. Contracting Entity shall not disclose such information without the prior express written consent of the City or upon order of a Court of competent jurisdiction. 16.Jurisdiction and Venue. This Agreement is entered into in Spokane County,Washington. Disputes between the City and Contracting Entity shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing,Contracting Entity agrees that it may,at the City's request, be joined as a party in any arbitration proceeding between the City and any third party that includes a claim or claims that arise out of,or that are related to Contracting Entity's services under this Agreement. Contracting Entity further agrees that the Arbitrator(s)decision therein shall be final and binding on Contracting Entity and that judgment may be entered upon it in any court having jurisdiction thereof. 17. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation(including expert witness fees). 18.Entire Agreement. This written Agreement constitutes the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed,modified or altered except in writing signed by the Parties hereto. 19.Anti-kickback No officer or employee of the City,having the power or duty to perform an official act or action related to this Agreement shall have or acquire any interest in this Agreement, or have solicited, accepted or granted a present or future gift, favor, service or other thing of value from any person with an interest in this Agreement. 20.Business Registration. Prior to commencement of work under this Agreement,Contracting Entity shall register with the City as a business. 21.Severability. If any section,sentence,clause or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction, such invalidity shall not affect the validity of any other section,sentence,clause or phrase of this Agreement. Agreement for Recreational Services—Melissa Finke Page 5 of 6 22.Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates Q r The Parties have executed this Agreement tlA day of April,2015. CITY OF SPOKANE VALLEY Contracting Entity: /7r I411k (-(,/rtat (;;Z(IKK::*i Mike ackson, anager By: Its: Authorized Representative ATTEST: APPROVED AS TO FORM: r-- (P- AN41(G11 VI Christine Bainbridge,City Clerk Office f e City Atto cy Agreement for Recreational Services—Melissa Finke Page 6 of 6 Exhibit A Scone of Service: Melissa Finke utilizes CenterPlace Regional Event Center for the programs listed below. The room scheduling for these programs is done through Spokane Valley Parks and Recreation Department. I. The City is responsible for processing all participant registrations and collecting all fees. II. Melissa Finke is responsible for providing all equipment and qualified instruction for each program. permitted to be offered throughcontract. Below are lists of classes that are this co tract. Ballroom Classics Teaching the Waltz,Tango,and Foxtrot.Class is designed to teach beginners the basics and challenge already accomplished dancers.Ages 16&Up Swing This class teaches what is commonly known as East Coast Swing,but elements of Lindy Hop,Charleston, Jive,West Coast.Class is designed to teach beginners the basics and challenge already accomplished dancers. Ages 16&Up Latin This class focuses on Latin dances such as Salsa/Mambo,Cha Cha,Rumba,Merengue and possibly others such as Bolero,also teaches basic figures and concepts such as lead and follow using Cuban Motion. Ages 16&Up Beginning Partner Dances This class focuses on the box step essentials from Rumba,Foxtrot and Waltz. Class is designed to teach beginners the basics,but will have techniques and figures sure to challenge already accomplished dancers.Ages: 16 and up Zumba With Melissa Teaches Zumba exercise class. Ages:Adults 16 and up 1 StateFarm STATE FARM FIRE AND CASUALTY COMPANY O A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS RENEWAL DECLARATIONS O"C7 Po Box 5000 Dupont,WA 98327-5000 Policy Number 98-BH-W003-1 Named Insured Policy Period Effective Date Ex iration Date AT2 J-15-2434-FBB1 F N 12 Months FEB 1 2015 FEB 1 2016 003251 3125 The policy period begins and ends at 12:01 am standard FINKE, MELISSA time at the premises location. DBA DANCE CLASS 13310 E 6TH AVE Agent and Mailing Address SPOKANE V!Y WA 99216-0641 KIT BRENNICK 4407 N DIVISION ST STE 610 SPOKANE WA 99207-1660 1111111ntllnl .011 lllll 0110111,17I1hhil1n1411170 PHONE: (509) 483-5540 7 (509) 443-3514 Businessowners Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Individual NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. Your premium has increased by$50.00 since the last term. • POLICY PREMIUM $ 440.00 Minimum Premium Discounts Applied: Renewal Year _ . _ Years in Business Claim Record Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020264 294 I Continued on Reverse Side of Page Page 1 of 7 E 530-600 a2 05-31-2071 10113231 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BH-W003-1 • SECTION I-PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings Business Personal Personal Property Property 001 13310 E 6TH AVE No Coverage $ 1,400 25% SPOKANE VLY WA 99216-0641 * As of the effective date of this policy,the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I-INFLATION COVERAGE INDEXjES) Coy A-Inflation Coverage Index: N/A Coy B-Consumer Price Index: 238.3 SECTION I- DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply -refer to policy. Prepared DEC 08 2014 ©Copyright State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020264 Continued on Next Page Page 2 of 7 au:get-arm M 20264 j I RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 SECTION I- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE- EACH DESCRIBED PREMISES s The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations,unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B -Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared DEC 08 2014 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020265 294 Continued on Reverse Side of Page Page 3 of 7 E RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BH-W003-1 Ordinance Or Law -Equipment Coverage Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B-Business $2,500 - Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B-Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,0000,000 Off Premises Water Damage,Other Liquids, Powder Or Molten Material Damage Included SECTION 1- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Loss Of Income And Extra Expense Actual Loss Sustained-12 Months SECTION II-LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L-Business Liability $1,000,000 Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020265 Continued on Next Page Page 4 of 7 State Farm M 20264 ❑ C ''C), RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BH-W003-1 Coverage M -Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE CO Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II -Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below,and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form FE-6999.1 *Terrorism Insurance Coy Notice CMP-4247 Amendatory Endorsement CMP-4709 Money and Securities CMP-4705 Loss of Income& Extra Expnse CMP-4788 Addl Insd Mgrs Lessor of Prem FD-6007 Inland Marine Attach Dec * New Form Attached SCHEDULE OF ADDITIONAL INTERESTS Interest Type: Addl Insured-Section II Endorsement#: CMP4788 Loan Number: N/A CITY OF SPOKANE VALLEY 2426 N DISCOVERY PL SPOKANE VLY WA 992165055 Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020266 294 Continued on Reverse Side of Page Page 5 of 7 E RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation,as amended. In Witness Whereof,the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington,Illinois. Wt.).(fruitti &s,Nstidnk.,3,kC)It Secretary President NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms, please refer to your policy. Policy changes requested before the "Date Prepared",which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If,during the past year,you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage,contact your State Farm agent. Please keep this with your policy. Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020266 Continued on Next Page Page 6 of 7 ;tate Farm M 20264 WC)r RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 ; Your coverage amount.... It is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contractors and replacement cost appraisers, or, your agent can provide an estimate from Xactware, Inc®using information you provide about your structure. We canaccept the type of estimate you choose as long as it provides a reasonable level of detail about your structure. State Faredoes not guarantee that any estimate will be the actual future cost to rebuild your structure. Higher limits are available at higher premiums. Lower limits are also available, as long as the amount of coverage meets our underwriting requirements.We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure. Prepared DEC 08 2014 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020267 294- Page 7 of 7 E 020267 ATTACHING INLAND MAKINt bUtIMULt rMlit ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744 Inland Marine Computer Prop 25,000 S 500 Included Loss of Income and Extra Expense 8 2 5,0 0 0 Included OTHER LIMITS ANO EXCLUSIONS MAY APPLY-REFER TO YOUR POLICY Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020268 530-085 a.2 05-31-2011 10113233c1 StateFarrn STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS INLAND MARINE ATTACHING DECLARATIONSO C>� Po Box 5000 Dupont.WA 98327-5000 Policy Number 98-BH-W003-1 Policy Period Effective Date Ex iration Date J-15-2434-FBB1 F N 12 Months FEB 1 2015 FEB 1 2016 Named Insured The policy periodrres location. ends at 12:01 am standard FINKE, MELISSA DBA DANCE CLASS 13310 E 6TH AVE SPOKANE VLY WA 99216-0641 s O 0 0 0 ATTACHING INLAND MARINE Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effectfor each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included • The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8724 Inland Marine Conditions FE-8744 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 08 2014 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 020268 • 530.686 a2 05-31-2011 101132323 Matefarm 9U-1:5M-W003-1 020269 0 0 FE-6999.1 Page 1 of 1 In accordance with the Terrorism Risk Insurance Reauthorization Act of 2007, this disclosure is part of your policy. ='• L POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE 7 Coverage for acts of terrorism is not excluded United States Government generally reimburses from your current policy. However your policy 85% of covered terrorism losses exceeding the does contain other exclusions which may be ap- statutorily established deductible paid by the in- plicable, such as an exclusion for nuclear hazard. surance company providing the coverage. The You are hereby notified that under the Terrorism Terrorism Risk Insurance Act, as amended, con- Risk Insurance Act, as amended in 2007, the tains a $100 billion cap that limits U.S. Govern- definition of act of terrorism has changed. As de- ment reimbursement as well as insurers' liability fined in Section 102(1) of the Act: The term "act for losses resulting from certified acts of terrorism of terrorism" means any act that is certified by the when the amount of such losses exceeds $100 Secretary of the Treasury—in concurrence with billion in any one calendar year. If the aggregate the Secretary of State, and the Attorney General insured losses for all insurers exceed $100 billion, of the United States—to be an act of terrorism; to your coverage may be reduced. be a violent act or an act that is dangerous to There is no separate premium charged to cover human life, property, or infrastructure; to have insured losses caused by terrorism. Your insur- resulted in damage within the United States, or ance policy establishes the coverage that exists outside the United States in the case of certain for insured losses. This notice does not expand air carriers or vessels or the premises of a United coverage beyond that described in your policy. States mission; and to have been committed by an individual or individuals as part of an effort to THIS IS YOUR NOTIFICATION THAT UNDER THE coerce the civilian population of the United States TERRORISM RISK INSURANCE ACT, AS or to influence the policy or affect the conduct of AMENDED, ANY LOSSES RESULTING FROM the United States Government by coercion. Un- CERTIFIED ACTS OF TERRORISM UNDER YOUR der this policy, any covered losses resulting from POLICY MAY BE PARTIALLY REIMBURSED BY certified acts of terrorism may be partially reim- THE UNITED STATES GOVERNMENT AND MAY bursed by the United States Government under a BE SUBJECT TO A$100 BILUON CAP THAT MAY formula established by the Terrorism Risk Insur- REDUCE YOUR COVERAGE. ance Act, as amended. Under the formula, the FE-6999.1 StateFarm BALANCE DUE NOTICE ❑ Oa:. STATE FARM FIRE AND CASUALTY COMPANY POLICY NUMBER 98-BH-W003-1 Po Box 5000 Businessowners Policy Dupont,WA 98327-5000 • J- 15-2434-FBB1 N F DATE DUE PLEASE PAY THIS AMOUNT 003251 3125 FEB 1 2015 $440.00 FINKS, MELISSA DBA DANCE CLASS -: 13310E 6TH AVE Full payment by Date Due continues this SPOKANE VLY WA 99216-0641 policy to FEB 1 2016 s 0 PREMIUM S 440 . 00 AMOUNT DUE S 440 . 00 Location: 13310 E 6TH AVE SPOKANE VLY WA 99216-0641 Important Message(s) 47s 17 2359 1321 See reverse for important information. Agent KIT BRENNICK Please keep this part for your record. Telephone (509)483-5540 Prepared DEC 08 2014 i Please told and tear hers 1 State Farm WASKINGTONINSURANCE CARD , STATE FARM BtN1b Farm Yu WM Automobile insurance Company INSURED RNKE,MELISSA POUCY NUMBER 1415261• 1TL YR 2007 MAKE HONDA FEB.47 EFFECTIVE VOL 611 MODEL ELEMENTYH�VIN 5J6 H28777L011041 112015 TO 1$ AGENT KIT BRENNICK PHONE (509)483.5540 NAIL 25178 2434 `BBV PI A BODILY BIJURY/PROPERIY DAMAGE D 250 DRE T COMPREEH�E GIVTION E LUIBILIT y O 500 DEDUCT COLLISION H,RI,U,U1 �_.._.......SEE REVERSE SIDE FON ADDITIONAL COVERAGE INFORMATION • • • StateFarm THIS CARO MUST BE KEPT IN THE INSURED MOTOR VEHICLE FOR PRODUCTION UPON DEMAND. �a THECOVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABII I1Y LIMITS PRESCRIBED BY LAW. IF YOU HAVE AN ACCIDENT-NOTIFY THE POUCE IMMEDIATELY . 1. Get names,addresses,and phone numbers of persons involved and witnesses. Also get driver license numbers of persons involved and license plate numbers/ states of vehicles. 2. Don't admit(suitor discuss the accident with anyone but State Farm or police. 3. Promptly notify your agent log on to statefarm.com®,or visitState Farm Pocket Agent®to tile a claim. For Emergency Road Service call 1-87/-627-5757. EXAMINE POLICY EXCLUSIONS CAREFt Ill Y.THIS FORM DOES NOT CONSUUTUTE ANY PARTOFYOUR INSURANCE POLICY. How to identify your coverage-See policy for full name and definition A Liability H Emergency Road Service S Death,Dismemberment and C Medical Payments L Physical Damage Loss of Sight D Comprehensive P Personal Injury Protection U Underinsured Motor Vehicle-RI G Collision R1 Car Rental and Travel Expenses Ut Underinsured Motor Vehicle-PD UNOC Use of Nonowned Cars mom IV __ VI immi N 0 mom 0 WI - V Ems 4D O lit O mow M MIS MELISSA SUE FINKE DANCE CLASS 13310 E 6TH SPOKANE VALLEY NA 99216 005790 DETACH BEFORE POSTING iii _dab STATp r(j OF ... i' � BUSINESS LICENSE ,, r, q ,"so'� ter; t'] I489 i' STATE OF __ A WASHINGTON ty< Unified Business ID #: 602 011 778 !,)fi - Business Sole Proprietorship Business ID #: 1 `�' 11 Location: 3 i =£ f-= Expires: 01-31-2016 r_ MELISSA SUE FINKE (:3 r:_ DANCE CLASS ,� r 2426 N DISCOVERY PL Or SPOKANE VALLEY WA 99216 5055 1-4 ,_ fl' r Y7; TAX REGISTRATION A k. CITY LICENSES/REGISTRATIONS: SPOKANE VALLEY GENERAL BUSINESS �1._ REGISTERED TRADE NAMES: 'f$ DANCE CLASS I., 1, a 4' fes: Nj i 11 :, CiR viF is `I (:fir r_- Vit+ vh f,, _ 4' it , Em,`''" This document lists the registrations,endorsements,and licenses authorized for the business ` 01 named above.Byacceptingthisdocument,thelicenseecertifiestheinformationontheapplication ,44 �- air; was complete,true,and accurate to the best of his or her knowledge,and that business will be 7-11.e."-"-."1:1"-: � - conducted in compliance with all applicable Washington state,county,and city regulations. Director,Department of Revenue ia- ril - r,,s ....-, •_,, e. �, _ - _ _ T'rrc' .. ;�i- `- ^ r"�c�`"Ta k z - n=.,- - . - ra' OL ;_-3FL rAFiM NHL ANU( A5UA1.1 Y UUIt 'ANY __ I�r " A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS RENEWAL DECLARATIONS �.�Box 799100 ( Policy Number 98-BH-W003-1 aalfas.TK 75379-9100 Nlamed Insured Policy Period Effective Date Expiration Date >T2 M-15-2434-FBB1 F N 1 12 Months FEB 1 2016r FEBr1'201V 7 ,263l 3125 I rhe policy period begins and ends at 12:01 am standard HKEop MEPISS Atr I time atthe premisesTocation. DBArDANCRT L!`ASS uT kr-"" s 13310 E 6TH AVE agent and Mailing Address SPOKANE VIA( WA 99216-0641 . rt KIT BRENNICK °4407 N DIVISION ST STE 610 {lI�1'1��11111�{�11IlIIlt{I�{tltlltlt��{n!{,I�iIlltll{!,'It'{{ll SPOKANE WA 99207-1660 PHONE: (509) 483-5540 (509) 443-3514 • 'Businessowners:P.oitcyl Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in . compliance with the policy provisions or as required by law. Entity: Individual NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 440.00 Minimum Premium Discounts Applied: Renewal Year Years in Business Claim Record • • • Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016710 294 i Continued on Reverse Side of Page Page 1 of 7 E 530-586 a.2 0537-2011(0113231 lvt ,v, Iv RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 SECTION I-PROPERTY SCHEDULE.-.-.... .. Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B - Business Buildings Business Personal Personal Property Property 1 , F i I 1 I ft11 1 13310 E 6TH AVE I , No Coverage 1 $ 1,500 I 25% SPOKANE VLY WA 99216-0641 * As of the effective date of this policy,the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage SECTION I-INFLATION COVERAGE INDEX(ES) Coy A-Inflation Coverage Index: N/A Coy B -Consumer Price Index: 238:1 SECTION I- DEDUCTIBLES _ ._... Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply-refer to policy. Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016710 Continued on Next Page Page 2 of 7 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BH-WO03-1 Ordinance Or Law -Equipment Coverage. Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B-Business $2,500 Personal Property) • Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B -Business $2,500 Personal Property) Signs $2500 Valuable Papers And Records On Premises $10,000 Off Premises $5.000 Water Damage,Other Liquids,Powder Or Molten Material Damage Included SECTION I-EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-PER POLICY __-----_--- _ . --The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Loss Of Income And Extra Expense Actual Loss Sustained-12 Months • SECTION II- LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L -Business Liability $i,0OC• Prepared . DEC 08 2015 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016711 Continued on Next Page Page 4 of 7 M 16710 tAtAwAt)"' RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-1BI-I-W003-1 Coverage M -Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 • Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II -Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form FE-6999.2 *Terrorism Insurance Coy Notice CMP4247 Amendatory Endorsement CMP-4709 Money and Securities MAP-4705 Loss of Income& Extra Exonse CMP-4788 Addl lnsd Mgrs Lessor of Prem FD-6007 Inland Marine Attach Dec * New Form Attacher SCHEDULE OF ADDITIONAL INTERESTS Intertest Type: Addl Insured-Section II Endorsement#: CMP4788 Loan Number: N/A CITY OF SPOKANE VALLEY 2426 N DISCOVERY PL SPdKANE VLY WA 992165055 Prepared DEC# 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CM -4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016712 294 Continued on Reverse Side of Page Page 5 of 7 E RENEWAL DECLARATIONS(CONTINUES Businessowners Policy for FINKE. Policy Number 98-BH-W00 -i This policy is issued by the State Farm Fire and Casualty Cornoz., Participat a are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in -accordance with the Company's Articles of Incorporation,as amended. in Witness Whereof,the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. v I •110./.44.0. secretary President NOTICE TO POLICYHOLDER: For a comprehensive description of coverages and forms,please refer to your policy. :` iicy changes requested before the "Date Prepared",which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. - iicy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If,during the past year, you've acquired any valuable property items,made any improvements to insured property,or have any questions about your insurance coverage,contact your State Farm agent. Please keep this with your policy. Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016712 Continued on Next Page Page 6 of 7 II 0 2 w az > �' - en ro T l 3 J C �CO� Q 2 W Q. w N S W w CA 4 O O r n QZ Q g i 1 a a>. N co> I T U PIi9bI W 2 I. Z go az �% in Z Y )--p,...0 cczoo w y a'2 Z.=13 zg 00 o0 hol ar 3 Pi!iti' W Yd oweluta - 5aw lu R ,MW 2$ u�® „d, O= vNW22 QaC10 °Cy C� - J O WO LI Q 2.1 1 44 .; N? L a cc Qtt. * -- O= W yFW Z W oc W 'tI._ __ . _. __ Z cm e A uIi> "� O N r lik Y V Q O �� T d V ' W �[J 0 re. J a LLcc F-1 a u-m� a cm CC in( c, V 0 °J o O - Z Q V n' O E-i 4 a NA W z� go coce 4-11J o OO Z w 3 U rr-F-z CO W • 5� z.tE.i a N ¢Ow E _ . F-i - I- m r > Z OaIliCCf ~ O Z 00y1 mQ ¢ate LL . CO ~ 0 E N to Z Y o'c'zOCO) o s5 aas z a. Ar e r !-z 01 ZZ7 F 1Y Y(V La et } cum c O aX m2WmO Ow j=m. esl o w =c.WY� QIaN r t0 O 2 _ n 1.6 N m¢ >-N. itj Z QaO0= e �" = _,E-1- O W O °. 2 V1 d>M< to— a . _..-_.....,.._...................... N 0 CD O f co C +wL..1 Z000=PCi-1S-01.0 aiaicrarrn, STATE FARM FIRE AND CASUALTY COMPANY 7-DL f 2,, (D A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS DECLARATIONSC442. of PoBox 8on922T 75085-3925 Policy Number 98-BH-W003-1 Policy Period Effective Date Ex iration Date M-15-2434-FBB1 F N 12 Months FEB 1 2018 FEB 1 2019 001771 3123 The policy period begins and ends at 12:01 am standard Named Insured time atthe premises location. FINKE, MELISSA Agent and Mailing Address DBA DANCE CLASS KIT BRENNICK 13310 E 6TH AVE 4407 N DIVISION ST STE 610 SPOKANE VLY WA 99216-0641 SPOKANE WA 99207-1660 PHONE: (509) 483-5540 (509) 443-3514 Businessowners Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effectfor each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Individual NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 440.00 Minimum Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared DEC 19 2017 O Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017259 290 I Continued on Reverse Side of Page Page 1 of 6 E Will Mfg e 9'IF ii,n,1[nlft)1,.i lrarerarm M 17259 DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 SECTION I- EXTENSIONS OF COVERAGE- LIMIT OF INSURANCE- EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, but has"Included" indicated,please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B- Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Prepared DEC 19 2017 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017260 290 Continued on Reverse Side of Page Page 3 of 6 E M 17259 DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 SECTION I-PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings Business Personal Personal Property Property 001 13310 E 6TH AVE No Coverage $ 1,700 25% SPOKANE VLY WA 99216-0641 *As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION t-INFLATION COVERAGE INDEX(Es Coy A- Inflation Coverage Index: N/A Coy B -Consumer Price Index: 246.8 SECTION I- DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply- refer to policy. Prepared DEC 19 2017 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017259 Continued on Next Page Page 2 of 6 • M 17259 DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 Ordinance Or Law- Equipment Coverage Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B- Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B -Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 Water Damage,Other Liquids, Powder Or Molten Material Damage Included SECTION I-EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE- PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Loss Of Income And Extra Expense Actual Loss Sustained- 12 Months SECTION II- LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L- Business Liability $1,000,000 Prepared DEC 19 2017 0 Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017260 Continued on Next Page Page 4 of 6 d:.Clterd1III. M 17259 am, DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 Coverage M -Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II -Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form CMP-4561.1 *Policy Endorsement CMP-4705.2 *Loss of Income & Extra Expnse CMP-4247.1 *Amendatory Endorsement CMP-4572 *Amendment of Premium Cond FE-3650 *Actual Cash Value Endorsemet FE-6999.2 *Terrorism Insurance Coy Notice CMP-4709 Money and Securities CMP-4788 Addl Insd Mgrs Lessor of Prem FD-6007 Inland Marine Attach Dec * New Form Attached SCHEDULE OF ADDITIONAL INTERESTS interest Type: Addl Insured-Section II Endorsement#: CMP4788 Loan Number: N/A CITY OF SPOKANE VALLEY 2426 N DISCOVERY PL SPOKANE VLY WA 992165055 Prepared DEC 19 2017 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017261 290 Continued on Reverse Side of Page Page 5 of 6 E Itairra1111 STATE FARM FIRE AND CASUALTY COMPANY • ASTOCK COMPANY WITH HOME OFFICES INBLOOMINGTON,ILLINOIS INLAND MARINE ATTACHING DECLARATIONS g cha�d8on9TX 75085-3925 Policy Number 98-BH-W003-1 Policy Period Effective Date Expiration Date M-15-2434-FBB1 F N 12 Months FEB 1 2018 FEB 1 2019 Named Insured The policy periodrreslocation,ends at12:01 am standard FINKE, MELISSA DBA DANCE CLASS 13310 E 6TH AVE SPOKANE VLY WA 99216-0641 ATTACHING INLAND MARINE Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8744.1 *Inland Marine Computer Prop FE-8724 Inland Marine Conditions *New Form Attached See Reverse for Schedule Page with Limits Prepared DEC 19 2017 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017262 530.005 a.2 05 31-2011(o1/3232c1 M 17259 _-- DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. *vt,x,e)11.14,..at.a, Secretary President Prepared DEC 19 2017 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017261 290 Page 6 of 6 E 98-BH-W003-1 M 17259 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Inland Marine Computer Prop $ 25,000 $ 500 Included Loss of Income and Extra Expense $ 25,000 Include d OTHER LIMITS AND EXCLUSIONS MAY APPLY-REFER TO YOUR POLICY Prepared DEC 19 2017 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 017262 530.685 a.2 05.31.2011 tolt3223c1 .. • ,_ co D z W as . w -J N)- O - w > m 5 JN Eli O 0 M 4 z Q IA a WT.T ao C W T.T '�//1� A. 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Z 42 W 4 il etH tm t0 t0 I. •- C c I 3 Jnn,4_,Q_.hin IS--04Z. 00 .01 StateFarm STATE FARM FIRE AND CASUALTY COMPANY 3 0 p • A STOCK COMPANY WITH HOME OFFICES INBLOOMINGTON,ILLINOIS RENEWAL DECLARATIONS OOH PO el'ox 85 9TX 75085 3925 Policy Number 98-CN-S138-8 Named Insured ' Policy Period Effective Date Expiration Date AT2 M-15-07B4-FBB1 F N 12 Months FEB 1 2019 FEB 1 2020 0.00964_3125 The poli y period begins and ends at12:01 am standard DANCE CLASS SPOKANE LLC • time atthe premises-location. 13310 E 6TH AVE • ti SPOKANE VLY WA 99216-0641 Agent and Mailing Address •:1 KRINA MALLGREN INS AGENCY INC 13817 E SPRAGUE AVE; S,TE 8 SPOKANE VLY WA 99216-2120 tilliiiiiJ1I111111IIiIiiuiIIIIIII:Irl'Ii ii illI11llhhilIPIl''i'I PHONE: (509) 822-7722 n . .. • o Biisinessowners Policy ' ' . Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subjectto the premiums,rules and forms in effect for each'succeeding policy period.If this policy is terminated,we will give you and the'Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. . • Entity:Limited Liability Company ' NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY-PREMIUM $ 440:00 • ' Minimum Premium • Discounts Applied: • Renewal Year • Years in Business Claim Record . . ' Prepared DEC 19 2018 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. • 006740 294 i Continued on Reverse Side of Page Page 1 of 8 E 530.585 8.2 05.31.2011 1o1132311 M 6740 RENEWAL DECLARATIONS(CONTINUED) I - - ' BusinessownersPolicy for DANCE CLASS SPOKANE LLC . • Policy Number •.98-CN-S138-8 • SECTION I- PROPERTY SCHEDULE ` - • Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings Business Personal Personal.. • - • Property. Property • • 001 2426 N DISCOVERY PL No Coverage • • . . .*$.= '1,800 . - ' 25% SPOKANE VLY WA 99216-5055 002 3151 E 27TH AVE No Coverage $ •-1,800 • 25% SPOKANE WA 99223-4919 003 13310E 6TH AVE No Coverage $ 1,800 25% SPOKANE VLY WA 99216-0641 *As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverac SECTION I-INFLATION COVERAGE INDEX(ES) Cov A- Inflation Coverage Index: • N/A . Coy B-Consumer Price Index: 252.9 . SECTION I-DEDUCTIBLES • Basic Deductible $500 . • • • • Prepared • DEC 19 2018 . ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 includes copyrighted material of Insurance Services•Office,Inc.,with its permission. 006740 . Continued on Next Page Page 2 of 8 • StateFat,i M 6740 ❑ o' - , ooa i RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for DANCE CLASS SPOKANE LLC ._ Policy Number 98-CN-S138-8 Special Deductibles: . , Money and Securities $250 Equipment Breakdown $500 ler% _ sOther deductibles may apply- refer to policy. co i; SECTION I- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE- EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations,unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, but has"Included"indicated,please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises See Schedule Off Premises See Schedule Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense • - $5,000 Forgery Or Alteration ' ' : • . $10,000 Glass ExpensesIncluded • Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) . • Money And Securities (Off Premises) See Schedule • Money And Securities (On Premises) . See Schedule Money Orders And Counterfeit Money • ` $1,000 • Prepared ' DEC 19 2018 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,'with its permission. 006741 294 Continued on Reverse Side of Page Page 3 of 8 E _ M 6740 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for DANCE CLASS SPOKANE LLC. • • • Policy Number 98-CN-S1'38-8 • 'Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B-Business Personal Property) Newly Acquired Or Constructed Buildings(applies only if•this policy provides $250,000 Coverage A-Buildings) Ordinance Or Law- Equipment Coverage Included' Outdoor Property See Schedule • Personal Effects.(applies only to those-premises'provided Coverage'B- Business $2,500 Perso•nal Property) • • Personal Property Off Premises • . $15,000 • Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of•Others (applies only to those premises provided Coverage B-Business *See Schedule Personal Property) • Signs - See Schedule. Valuable Papers And Records ' On Premises See Schedule .011 PremisesSee Schedule Water Damage,Other Liquids, Powder Or Molten Material Damage Included • SECTION I-EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-SCHEDULE • . The.coverages and corresponding limits shown below apply only•to the described premises as shown. . . . .LIMIT OF LOCATION COVERAGE INSURANCE 0001 Signs $2,500 Money And Securities (On Premises) $5,000 Money And Securities (Off Premises) , • • $2,000 Property Of Others (applies only to those premises provided Coverage B-Business $2,500 Personal Property) Accounts Receivable (On Premises) $10,000 Accounts Receivable (Off Premises) . $5,000 Outdoor Property $5,000 Valuable Papers and Records(On Premises) $10,000 Valuable Papers and Records(Off Premises) $5,000 • Prepared ' • . DEC 19 2018 • ©Copyright,State Farm Mutual Automobile Insurance.Company,2008 CMP-4000 • Includes copyrighted material of Insurance Services Office,In• c.,with its permission. • 006741 • Continued on Next Page ' Page 4 of 8 StateFi rmnn 6740 ❑ 0 . 1 • .1 000 , RENEWAL DECLARATIONS(CONTINUED) , Businessowners Policy for DANCE CLASS SPOKANE LLC ' Policy Number 98-CN-S138-8 0002 Signs • $2,500 RI Money And Securities (On Premises) $5,000 Money And Securities (Off Premises) $2,000 Property Of Others (applies only to those premises provided Coverage B -Business $2,500 Personal Property) • i Accounts Receivable (On Premises) ' ' ' $10,000 Accounts Receivable (Off Premises) $5,000 , Outdoor Property $5,000 Valuable Papers and Records (On Premises) $10,000 Valuable Papers and Records (Off Premises) . $5,000 0003 Signs $2,500 Money And Securities(On Premises) $5,000 Money And Securities (Off Premises) $2,000 . Property Of Others (applies only to those premises provided Coverage B-Business $2,500 Personal Property) Accounts Receivable (On Premises) $10,000 Accounts Receivable (Off Premises), $5,000 Outdoor Property . $5,000 Valuable Papers and Records (On Premises) '$10,000 Valuable Papers and Records (Off Premises) $5,000 SECTION I- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE- PER POLICY The coverages and corresponding limits shown below are the most we will_pay regardless of the number of described premises shown in these Declarations. • LIMIT OF • COVERAGEINSURANCE Loss Of Income And Extra Expense Actual Loss Sustained- 12•Months • SECTION II- LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L- Business Liability $1,000,000 Prepared DEC 19 2018 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 006742 294 Continued on Reverse Side of Page Page 5'of 8 E . • M 6740 RENEWAL DECLARATIONS(CONTINUED) , Busittessowners Policy for DANCE CLASS SPOKANE LLC • Policy Number 98-CN-S138-8 Coverage M-Medical Expenses (Any One Person) •$5,000 • Damage To Premises Rented To You $300,000 • ' - . • LIMIT OF • .. AGGREGATE LIMITS • . • . • ' • • INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate . • . . •' $2,000,000 •Each paid claim for Liability Coverage reduces the amount of insurance we provide during th-e applicable annual period. Please refer to'Section II-Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below; and any other forms and endorsements that apply,including those shown below as well as those issued subsequent to the issuance of this policy. , FORMS AND ENDORSEME TS . • • CMP-4102 Busines owners Coverage Form FE-6999.2.• *Terroris Insurance•Coy Notice • . • • . CMP-4247.1 Amends ry Endorsement • FE-3650 Actual C sh Value Endorsemet CMP-4572 Amend nt of Premium Cond • CMP-4561.1 . Policy E dorsement CMP-4705.2 ' Loss of I come& Extra Expnse . CMP-4709, • -Money a d Securities - • FD-6007 Inland M rine Attach Dec * New Fo m Attached • • • • • , Prepared , DEC 19 2018 0 Copyright,State Farm Mutual Automobile Insurance Company,2008 • - CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. - 006742. .. . . -, Continued on Next Page • Page 6.of I I 1 1 StateFffrm M 6740 ❑ © . • . 000 RENEWAL DECLARATIONS(CONTINUED) ; •Businessowners Policy for DANCE CLASS SPOKANE LLC • . Policy Number 98-CN-S138-8 This policy is issued by the State Farm Fire and Casualty Company. • Participating Policy ' i . You are entitled to participate in•a istribution of the earnings of the company aetermined by our Board of Directors in accordance with.the Company's A�ticles s dof Incorporation,as amended. . : • In Witness Whereof,the State Fara Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. - • • . , -/rva.t.:YYt.3/0.44.4 /ficeL,-Q7:— Secretary President •NOTICE TO POLICYHOLDER: For a comprehensive description ofoverages and forms,please refer to your policy. Policy changes requested before th "Date Prepared", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on th Renewal Date of this policy. Policy changes requested after the 'Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional remium for such'changes will be mailed at a later date. If,during the past year,you've acqui ed any valuable property items, made any improvements to insured property, or have any questions about your insurance co+ge,contact your State Farm agent. Please keep this with your policy. • Prepared DEC 19 2018 0 Copyright,State Farm Mutual Automobile Insurance Company,2008 • CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 006743 294 . Continued on Reverse Side of Page Page 7 of 8 E • M 6740 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for DANCE CLASS SPOKANE LLC . . . . . . . • Policy Number 98-CN S138-8 . . . Your coverage amount.... . It is up to you to choose the c verage and limits,that meet your needs.'We recommend that you purchase a coverage lin equal to the estimated replace ent cost of your structure. Replacement cost estimates are available from building contracto and replacement cost appraise s,or, your agent can provide an estimate from Xactware, Inc®using,information you provic about your-structure:We can a pt the type of estimate you choose.as-long as it provides a,reasonable level of detail abo your structure. State Farm®doe not guarantee that any estimate will be'the actual future cost to.rebuild your structure. High limits are available at higher remiums.. Lower,limits are also available, as long as the amount of coverage meets oi underwriting regUirernents.We' ricotirage you to periodically review'your•coverages and limits with your agent arid to notify t of any changes or additions to your structure. • I • • • • Prepared . DEC 19 2018 , 0 Copyright,State Farm Mutual Automobile Insurance Company;2008 -• ,• CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,,with its permission. • 066743 294 ' . • - • •• Page .8 of 8 E . StateFarm STATE FARM FIRE AND CASU LTY COMPANY ❑ 'p ASTOCK COV IPANYWITHHO EOFFICES INBLOOMINGTON,.ILLINOIS INLAND MARINE ATTACHING DECLARATIONS ; OO® eo 180x85 9TX 75085 3925 Policy Number 98-CN-S138-8 rnardsoI Policy Period Effective Date Expiration Date M-15-07B4-FBB1 F N 12 Months FEB 1 2019 FEBP1 2020 Named Insured • The policy period begins and.ends at12:01 am standard n�:.' DANCE CLASS SPOKANE LLC ,; 13310 E 6TH AVE SPOKANE VLY WA 99216-0641 • • 3 o e ATTACHING INLAND MARINE Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy's terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Inch,ded The above Premium Amount is included n the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as Well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop • • See Reverse for Schedule Page with Limits • Prepared 1 • - • DEC 19 2018 I 0 Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 IlIncludes copyrighted material of Insurance Services Office,Inc.,with its permission. • 006744 530.666 e.2 05.31-2611(0113232 98-CN-S138-8 M 6740 ATTACHING INLAND MARINE SCHEDULE PAGE • • ATTACHING INLAND-MARINE • , . • ENDORSEMENT LIMIT OF -• • DEDUCTIBLE ' .•ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Inland Marin Computer Prop $ 25,060 $ 500 Included Loss of Inco a and Extra Expense S 25,000 Included . I • • • Prepared 1 OTHER LIMITS AND EXCLUSIONS MAY APPLY-REFER TO YOUR POLICY DEC 19 2018 0 Copyright,State Farm Mutual Automobile Insurance Company,2008 • FD-6007 • j" - Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 006744 . ' 530.686 a.2 05.31.2011(ot StateF.ar/n .98-CN-S138-8 - 0067410 FE-6999.2 Page 1 of 1 In accordance with the T rrorism Risk Insurance Act of 2002 as amended and extended by the Terrorism Risk Insurance Program Reauthorization Act of 2015, this disclosure is part of your policy. .. FE-6999.2 POLICYHOIL.DER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Coverage for acts of terrorism is not excluded January 1, 2017; 82% beginning on January 1, from your current polis . However your policy 2018; 81% beginning on January 1, 2019; and i; does contain other exclu ions which may be ap- 80% beginning on January 1, 2020 of covered plicable, such as an excl sion for nuclear hazard. terrorism losses exceeding the statutorily estab- IL You are hereby notified hat under the Terrorism lished deductible paid by the insurance company It Risk Insurance Act, as a ended in 2015, the def- providing the coverage. The Terrorism Risk Insur- e. inition of act of terrorism as changed.As defined ance Act, as amended, contains a $100 billion in Section 102(1) of the ct: The term "act of ter- cap that limits U.S. Government reimbursement rorism" means any act th t is certified by the Sec- as well as insurers' liability for losses resulting retary of the Treasury n consultation with the from certified acts of terrorism when the amount Secretary of Homeland Security, and the Attorney of such losses exceeds $100 billion in any one General of the United St tes to be an act of ter- calendar year. If the aggregate insured losses for rorism; to be a violent a t or an act that is dan- all insurers exceed $100 billion, your coverage gerous to human life, pr perty, or infrastructure; may be reduced. to have resulted in da age within the United There is no separate premium charged to cover States, or outside the United States i the case of insured losses caused by terrorism. Your 'tnsur- certain air carriers or ves els or the premises of a United States mission; a d to have been commit- ance policy establishes the coverage that exists ted by an individual or individuals as part of an for insured losses. This notice does not expand effort to coerce the civilia population of the United coverage beyond that described in your policy. States or to influence the policy or affect the con- THIS IS YOUR NOTIFICATION THAT UNDER duct of the United State Government by coer- THE TERRORISM RISK INSURANCE ACT, AS cion. Under this polis , any covered losses AMENDED, ANY LOSSES RESULTING FROM resulting from certified a is of terrorism may be CERTIFIED ACTS OF TERRORISM UNDER partially reimbursed by he United States Gov- ernment under a formula established by the Ter- YOUR POLICY MAY BE PARTIALLY REIM- rorism Risk Insurance t, as amended. Under BURSED BY THE UNITED STATES GOVERN- the formula, the Unit d States Government MENT AND MAY BE SUBJECT TO A $100 generally reimburses 8 % through 2015; 84% BILLION CAP THAT MAY REDUCE YOUR COV- beginning on January 1, 016; 83% beginning on ERAGE. FE-6999.2 ©,Copyright State Farm Mutual Automobile Insurance Company,2015 • ' 1 98-CN-S138-8 006745 M 6740 . 1 ; • • • I• • • • • • • • • • • • • • • • • I • I • I • . • • • I StateFarm . BALANCE DUE NOTICE ❑ O0. SATE FARM FIRE AND CASUALTY COMPANY 'T :POLICY NUMBER ' g8-CN-S138-8' • Po0 Box 853925 • .Businessowners Policy Richardson, TX 75085-3925 ' M-15-07B4-FBB1 N F DATE DUE. PLEASE PAY THIS AMOUNT 000964..3125._. FEB 1 2019 $440.00 • DANCE CLASS SPOKANE LLMC 13310 E 6TH AVE •• , SPOKANE VLY WA 99216-0641 Full payment by Date Due continues this }41:: policy to FEB 1 2020 0 O yo a PREMIUM S 440 . 00 AMOUNT DUE $ 440 . 00 Location: Important Message(s) 17 2213 3282 See reverse for important information. Agent KRINA MALLGREN INS AGENCY INC . • Please keep this part for your record. Telephone (509)822-7722 Prepared DEC 19 2018 . . 1 Please fold and tear here j MOVING?PLEASE SEE YOUR,STATE FARM AGENT M•07B4FBB1' , . PLEASE RETURN THIS PART WITH YOUR CHECK MADE PAYABLE TO STATE FARM ateF.arm •' INSURED• DANCE CLASS SPOKANE LLC o DATE DUE " . PLEASE PAY THIS AMOUNT GO. • • POLICY NUMBER 98-CN-S•138-8 BUSINESS-MISC FEB 1 2019 $440.00 { • 15,0990.3030 . . I Insurance Center • • • I . . P:O. Bok6800.01 • •, Dallas', TX 7536.8-0001 . ' ' . • • Ii1'III'IIIIIIPI'IIllII' 10111111PiIIIII IiiI111111"II'lIii • (o1f3092a) J office use only 0694 M 040 Prepared: DEC 19 2018 FIRE BAL DUE $440.00 0303 94 I • 700906200044000 098656408138801515> l 98-CN-S138-8 0694 M 6740• . - • • • When you provide a check as p yment,.'you authorize us either to use information from your check to make a one-time electronic fund transfer from yo r account or to process the payment as a check transaction.When we use information from your check to make an ele tronic fund transfer,funds may be withdrawn from your account as soon as the same day we receive your payment, nd you will not receive your check back from your financial institution. 02-08-2007 (o1(3096a) 1 • I • I • • For Office Use Only• • • • • • • •. ❑ oly 1