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15-067.00 YMCA t5- 0(07 AGREEMENT FOR RECREATIONAL SERVICES YMCA of the Inland Northwest THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington,hereinafter"City"and YMCA of the Inland Northwest,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—YMCA of the Inland Northwest Page 1 of 6 extension shall be conditioned on YMCA of the Inland Northwest 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. YMCA of the Inland Northwest shall paythe Citythe followingamounts for the initial. p term: A. YMCA of the Inland Northwest shall pay the City an annual amount of$1,600.00, with. quarterly payments of$400.00 due no later than 4:00 p.m.on June 30,September 30,December 31 and March 31. ,for the following programs:Baby Bugs Tumbling, Tumble Bugs Tumbling, Jitter Bugs Tumbling,Pre-Ballet and Ballet. The annual fee may be reviewed by the City at the beginning of any renewal terms. B.. Interest on late payments shall be charged a late fee of one percent per month. 4.Payment.Not applicable, covered in Paragraph 3 already. 5.Notice. Notice shall be given in writing as follows: TO THE CITY: TO THE CONTRACTING ENTITY: Name: Christine Bainbridge, City Clerk Name: YMCA of the Inland Northwest Phone Number: (509)921-1000 Phone Number: 509-777-9622 Address: 11707 East Sprague Ave, Suite 106 Address: 930 N. Monroe Spokane Valley,WA 99206 Spokane,WA 99201 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 Agreement for Recreational Services—YMCA of the Inland Northwest Page 2 of 6 other material prepared under this Agreement,provided that the Contracting Entity shall have no liability for 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 final 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—YMCA of the Inland Northwest 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—YMCA of the Inland Northwest 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 Agreement for Recreational Services—YMCA of the Inland Northwest Page 5 of 6 section, sentence, clause or phrase of this Agreement. 22.Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates The Parties have executed this Agreement thi aApril,2015. CITY OF SPOKANE VALLEY Contracting Entity: /i /Aim./ / tA t Mike Jac'son,C,., Manager By. f ol*I €I1ectgdc Its: Authorized Representative ATTEST: APPROVED AS TO FORM: 6i-AAIKAACIttiltA--- P - ..4 4 k m Er. Christine Bainbridge, City Clerk Officee City Atto ey Agreement for Recreational Services—YMCA of the Inland Northwest Page 6 of 6 Exhibit A Scope of Service: YMCA of the Inland Northwest 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. YMCA of the Inland Northwest is required to provide quarterly reports to the Director of Parks and Recreation Director including complete rosters for each program offered, with participants' name,address and fee paid for participation. II. YMCA of the Inland Northwest is responsible for processing all participant registrations and collecting all fees. III. YMCA of the Inland Northwest is responsible for providing all equipment and qualified instructors for each program. Below are lists of classes that are permitted to be offered through this contract. Baby Bugs Tumbling:Parent and child style class for balance,skill development and play. Age: 1.5-3yrs. Tumble Bugs Tumbling:Incorporating strength,flexibility,speed,balance,coordination,power and discipline. Age:3-5yrs. Jitter Bugs Tumbling:Tumblers work on skill building moves that will increase strength and body control while learning the fundamentals necessary for more advanced skills. Age:5-7yrs. Pre-Ballet:Class is designed to introduce children to ballet technique and positions through fun games and songs. Age:3-6yrs. Ballet: Class is designed to increase body awareness,strength,grace and poise along with basic ballet techniques. Age: 7-9yrs. 1 �— YMCAOFT-02 KSMITH AC-CP/2D' DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 8/7/2014 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 PHONEFAX PayneWest Insurance,Inc. (A/C, HMCo.EMI:(509)455-6767 (A/C,No): 827 West 1st Avenue Suite 225 ADDRESS: Spokane,WA 99201 INSURER(S)AFFORDING COVERAGE NAIC# 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000_ X 06LX00562583811 07/01/2014 07/01/2015 DAMAGE (RENTED 100 000 CLAIMS-MADE OCCUR X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL R.ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jE�a LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: EMPLOYERS LEGAL $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ A 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 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 640707 05/15/2014 01/01/2015 E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (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 CERTIFICATE HOLDER CANCELLATION • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyParks&Recreation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN pACCORDANCE WITH THE POLICY PROVISIONS. Administration Office 11707 E Sprague Ave Ste 106 AUTHORIZED REPRESENTATIVE Spokane,WA 99201 i I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �...Nqp YMCAOFT-02 KSMITH ACOREY MM/D ( DATE D/YYW) �� CERTIFICATE OF LIABILITY INSURANCE MMID1a 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 455 FAX PayneWest Insurance,Inc. (A/c•No,Ext):(509) 6767 (A/C,No): 827 West 1st Avenue Suite 225 ADDRESS: Spokane,WA 99201 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:NeW Hampshire Insurance INSURED INSURER B:Idaho State Insurance Fund YMCA of the Inland Northwest INSURER C: 1126 N Monroe INSURERD: 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 SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD. POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X 06LX00562583811 07/01/2014 07/01/2015 pREM SE50(Ea occTu D nce) $ 100,000 11 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Ta LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: EMPLOYERS LEGAL $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A 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 X AND EMPLOYERS'LIABILITY STATUTE ER Y/N B ANY PROPRIETOR/PARTNER/EXECUTIVE 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 A Rented/Leased Equip. 06LX00562583811 07/01/2014 07/01/2015 100,000 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane Valley -THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 11707 E Sprague Ave.,Ste 106 Spokane,WA 99201 AUTHORIZED REPRESENTATIVE I I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 4/15/2015 YMCA OF THE INLAND NORTHWEST Home I!lido en Espanol Contact Search L&I SEARCH A-Z.index Help My Secure 1.&I Safety Claims&Insurance Workplace Rights Trades&Licensing 0 Washington State Department of Labor & industries YMCA OF THE INLAND NORTHWEST Owner or tradesperson 1126 N MONROE ST SPOKANE,WA 99201 JOE HERZOG Doing business as YMCA OF THE INLAND EMPIRE WA UBI No. Governing persons 328 001 747 JOE HERZOG LARRY SOEHREN; NANCY FIKE; PAUL DAVIS; RIG RIGGINS; Workers' comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts ................................................. L&I Account ID Account is current. 309,636-01 Doing business as YMCA OF THE INLAND NORTHWEST Estimated workers reported Quarter 4 of Year 2014"Greater than 100 Workers" L&I account representative T2/HAN CHUNG(360)902-4713-Email:CHUK235lini.wa.gov Workplace safety and health I No inspections during the previous 6 year period. ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://secure.Ini.wa.goVNerify/Detail.aspx?UBi=328001747&SAW=False 1/1 4