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16-053.00 Spokane Valley Senior Citizens Association MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding(hereinafter"MOU")is entered into by and between the City of Spokane Valley (hereinafter "the City"), and the Spokane Valley Senior Citizens' Association (hereinafter"SVSCA")a non-profit 501(C)(3)corporation,jointly referred to as"Parties". WHEREAS, the SVSCA provides valuable services and support for senior citizens in Spokane Valley at CenterPlace Regional Event Center at Mirabeau Point Park, located at 2426 North Discovery Place, and WHEREAS,the MOU was originally executed between the Parties on September 19, 2005, and is in need of updating to reflect current needs and expectations of the Parties. THEREFORE,the following understanding is agreed upon: 1. Parties. The Parties to this MOU are the City, and the SVSCA. 2. Purpose. The purpose of this MOU is to summarize the terms and conditions upon which the SVSCA will provide support and services to senior citizens at CenterPlace. 3. Contact Individuals. The contact person provided by the City shall be the Senior Center Specialist. The contact person provided by the SVSCA shall be the current President of the SVSCA. 4. Terms of the MOU. 4.1 The City owns CenterPlace, including that portion that is commonly referred to as "the Senior Wing." 4.2 The City will employ a Senior Center Specialist to coordinate all programs and activities within the Senior Wing. The Senior Center Specialist shall report to the City Parks and Recreation Director or designee. The Senior Center Specialist shall not perform SVSCA office work or handle SVSCA funds. This section shall not limit the City's ability to exercise discretion in the event that organizational, financial, or operational needs require staffing changes. 4.3 No provision in the MOU shall be construed as authority for the SVSCA to preclude entry to the facility by any person,regardless of age. 4.4 The SVSCA shall have non-exclusive use of the Senior Wing to operate programs for senior citizens Monday through Friday, from 8:00 a.m. to 4:00 p.m. The City will not charge a facility rental fee in recognition of the mutual benefits provided to the parties in that the SVSCA will have space in which to hold events for its members and general public,as set forth below. The SVSCA shall not rent or sublet space in CenterPlace to third parties. All programs shall be available to the general public without limitation to membership status of the SVSCA. Programs and events offered by the SVSCA shall have written pre-approval from the City. Events and programs may be added or deleted pursuant to mutual agreement between both parties. After 4:00 p.m. and on weekends and holidays, the City may rent space in the Senior Wing to the general public. All revenues generated by rentals shall be retained by the City. Agreement with Spokane Valley Senior Center Association Page 1 of 6 4.5 Revenue for Senior Wing rentals and general CenterPlace usage shall be collected and retained by the City. Revenue collected by the SVSCA for SVSCA-sponsored programs conducted between 8:00 a.m. and 4:00 p.m., Monday through Friday, shall be retained by the SVSCA. The SVSCA shall not rent out the premises to third-party groups or individuals at any time. 4.6 Facility space for additional times for senior programs may be made available to the SVSCA upon request from the SVSCA President or designee to the Senior Center Specialist. Upon receipt of such requests, the Parks and Recreation Director or designee will determine, on a case- ' by-case basis,whether space is available and whether a fee will be charged for such additional time using the facility. This determination shall be at the sole discretion of the Director, subject to appropriate City procedures and processes governing this action. 4.7 All programs offered by the SVSCA at CenterPlace shall be open to the general public,but may be restricted to specified age groups,depending on the activity. The SVSCA may,from time- to-time, conduct SVSCA membership activities such as dinners or banquets. Use of CenterPlace for SVSCA membership-only activities shall be limited to no more than four unpaid occurrences per year. 4.8 No later than 4:00 p.m., Monday through Friday, the SVSCA shall coordinate with City staff to ensure that the Senior Wing is clean and available for evening use by the general public. 4.9 All fees for programs which are offered by the SVSCA fees shall be reasonable as compared with similar fees charged for similar services in Northeast Washington. 4.10 The SVSCA may, at its own discretion, offer a discounted fee for programs for which the SVSCA retains revenues. Such discounted fees may be linked to membership in the SVSCA. Fees paid for SVSCA membership and fees paid by the general public,which are collected and retained by the SVSCA, shall be used for program support. The City retains the right to examine fee structures and request changes to ensure fairness. 4.11 Fees collected by the SVSCA are for programs only. Fees charged by the SVSCA shall not be related to admission to CenterPlace or for use of equipment or facilities which are considered by the City to be available to the general public or segment thereof. 4.12 Events which are primarily intended for fundraising, or are considered "private events", may require a fee for use of CenterPlace facilities,as established by the City. Sales of craft items, plant materials,or other goods and services shall be pre-approved by the City Parks and Recreations Director or designee. Items comprised of materials which have been wholly or partially paid for with City funds shall not be sold by the SVSCA. Funds generated by sales shall be utilized to provide programs for the general public and may not be used to benefit individual members of the SVSCA. 4.13 SVSCA will be provided with non-exclusive,shared office space in room 161 in the Senior Wing. 4.14 SVSCA will be responsible to select, train and supervise volunteers and/or employees to staff the front counter of the Senior Wing. The front counter shall be staffed at a minimum of four hours per day. 4.15 The Parties acknowledge that storage space at CenterPlace is limited. The City will work with the SVSCA to provide a reasonable amount of onsite storage of items which cannot be reasonably removed by 4:00 p.m. each day. Examples include furniture and band equipment. The SVSCA agrees to minimize items that require storage or to acquire offsite storage at their Agreement with Spokane Valley Senior Center Association Page 2 of 6 discretion. Personal property shall not be stored at the Senior Wing except as approved in writing by the Parks and Recreation Director. 4.16 The SVSCA shall pay for all materials and supplies utilized by its members and visitors to SVSCA programs. The SVSCA shall provide, at SVSCA's cost, maintenance of SVSCA-owned equipment. The SVSCA shall be responsible for any costs or fees associated with, or resulting from,any programs offered by the SVSCA. 4.17 At least one telephone will be available in the Senior Wing for SVSCA office staff to use for local calls only. Internet is accessible in CenterPlace. If internet access can be made available to the SVSCA at no additional cost to the City,the City shall provide that access to the SVSCA at no cost. If there is a cost for providing internet service to the SVSCA, the SVSCA shall provide the City with written notice requesting that internet service be made available,and that the SVSCA commits to paying for said services until written notification terminating that service is provided at a future date. 4.18 The SVSCA may be permitted use of the kitchen facilities if not in conflict with other allowable activities at CenterPlace. In the event the SVSCA has a catered event, it shall use a professional caterer identified by the City. The SVSCA may use the kitchen to cook for some of its own events, but a request for such use shall be made in writing a reasonable amount of time in advance of the date requested. Such use would be limited to certain equipment, as identified by a City staff member prior to the requested date of use, and would require compliance with all rules and regulations governing kitchen use. Permission to use the kitchen shall at all times be discretionary at the option of the Parks and Recreation Director. Any request to use the kitchen shall be made by the President of the SVSCA or designee, or the Senior Center Specialist. 4.19 All furniture, equipment, and fixtures brought by SVSCA when they moved into CenterPlace have become the property of the City of Spokane Valley. The SVSCA Board of Directors shall maintain the pool tables in a reasonable manner so they may be used for their intended purpose, and shall be solely responsible for determining the frequency and extent of maintenance. The City reserves the right to dispose of, and/or replace existing pool tables with other recreation equipment as the City may determine is appropriate after consultation with the SVSCA Board of Directors.The City shall have sole discretion,after consultation with the SVSCA Board of Directors regarding the surplus or disposal of any property, including equipment, or fixtures of any kind. 4.20 The SVSCA shall oversee use of the pool room from 8:00 a.m. to 4:00 p.m., Monday through Friday. The tables shall be available to guests at least 50 years of age (or other age as identified by the SVSCA)during those times. No food or drink shall be allowed within two feet of any pool table. Food or drink may be permitted only on serving tables provided for such purposes. No fee shall be charged by the SVSCA for pool room use during these hours unless specifically approved by the City. 4.21 Any office equipment owned or purchased by the SVSCA since CenterPlace opened shall continue to be owned and managed by the SVSCA. A written request shall be required to bring SVSCA equipment into the Senior Wing. 4.22 The City may publish a Department of Parks and Recreation brochure which includes space for senior activities,at no additional cost to the SVSCA. If the SVSCA wishes to publish a separate newsletter,or mail brochures to their membership,those costs shall be the sole responsibility of the SVSCA. Agreement with Spokane Valley Senior Center Association Page 3 of 6 4.23 Alcohol shall not be allowed in the Senior Wing between 8:00 a.m.and 4:00 p.m.,Monday through Friday. The City Council may, by separate future action, authorize consumption of alcoholic beverages in the Senior Wing. 4.24 The City shall provide custodial, maintenance, and security services, and pay for utilities and other facility operations costs,except when specifically stated otherwise. 4.25 The Meals on Wheels program shall be allowed to operate from the Senior Wing. The terms under which Meals on Wheels operates from the Senior Wing shall be as set forth in a separate agreement between Meals on Wheels and the City. 5. Insurance: During the term of the contract,the SVSCA shall maintain in force at its own expense, the following insurance: 5.1 Minimum Scope of Insurance. SVSCA shall obtain insurance of the types described below: • 5.1.1 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. 5.1.2 Commercial general liability insurance shall be at least as broad as ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, stop-gap independent contractors and personal injury, and advertising injury. City shall be named as an additional insured under SVSCA's commercial general liability insurance policy with respect to the work performed for the City using an additional insured endorsement at least as broad as ISO CG 20 26. 5.1.3 Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. 5.2 Minimum Amounts of Insurance. SVSCA shall maintain the following insurance limits: 5.2.1 Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of no less than$1,000,000 per accident. 5.2.2 Commercial general liability insurance shall be written with limits no less than $1,000,000 for each occurrence, and$2,000,000 for general aggregate. 5.3 Other Insurance Provisions. The policies are to contain, or be endorsed to contain, the following provisions for automobile liability and commercial general liability insurance: 5.3.1 SVSCA's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by City shall be in excess of SVSCA's insurance and shall not contribute with it. Agreement with Spokane Valley Senior Center Association Page 4 of 6 5.3.2 SVSCA shall fax or send electronically in.pdf format a copy of insurer's cancellation notice within two business days of receipt by SVSCA. 5.4 Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M.Best rating of not less than A:VII. 5.5 Evidence of Coverage. As evidence of the insurance coverages required by this MOU, SVSCA shall furnish acceptable insurance certificates to the City Clerk at the time SVSCA returns the signed MOU,which shall be Exhibit C. The certificate shall specify all of the parties who are additional insureds, and shall 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 City. SVSCA shall be financially responsible for all pertinent deductibles, self-insured retentions,and/or self-insurance. 5.6 Failure to Maintain Insurance. Failure on the part of the SVSCA to maintain the insurance as required shall constitute a material breach of contract, upon which the City may,after giving at least five days' written notice to SVSCA to cure the breach,immediately terminate the MOU or,at the City's discretion,procure or renew such insurance and pay any and all premiums in connection therewith,with any sums so expended to be repaid to the City on demand, or at the sole discretion of the City, offset against funds due the SVSCA from the City. 5.7 City Full Availability of SVSCA's Insurance Limits. If the SVSCA maintains higher insurance limits than the minimums shown above, the City shall be insured for the full available limits of commercial general and excess or umbrella liability maintained by the SVSCA, irrespective of whether such limits maintained by the SVSCA are greater than those required by this MOU or whether any certificate of insurance furnished to the City evidences limits of liability lower than those maintained by the SVSCA. 6. Indemnification and Hold Harmless. SVSCA 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, 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 SVSCA, SVSCA 's agents, subcontractors, and employees to the fullest extent permitted by law, subject only to the limitations provided below. SVSCA'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 pursuant to RCW 4.24.115. SVSCA'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) SVSCA, SVSCA's agents, subcontractors,and employees, shall apply only to the extent of the negligence of SVSCA, SVSCA's agents, subcontractors, and employees. Agreement with Spokane Valley Senior Center Association Page 5 of 6 SVSCA'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, 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. SVSCA 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 SVSCA's waiver of immunity under this provision extends only to claims against SVSCA by City,and does not include, or extend to, any claims by SVSCA's employees directly against SVSCA. SVSCA hereby certifies that this indemnification provision was mutually negotiated. 7. The Parties hereby reserve the right to alter, amend, or modify the terms and conditions of this MOU upon written agreement of both Parties to such alteration,amendment, or modification. 8. This MOU may not be assigned or transferred without the express written approval of the City. 9. The City reserves the right to unilaterally change the terms of this MOU in the event of a substantial anticipated budget shortfall. In such event,the City commits to making best efforts in providing the SVSCA with advance notice prior to changing any terms of this MOU. 10. The City is precluded by law from the gifting of public funds. The MOU shall not be applied or interpreted in a way that constitutes a gift of public funds(as defined by applicable Washington State law). City of Spokane Valley Spokane Valley Senior Citizens Association: NWIL • Miko T u :% '7 nII VSCA President gyp •N�ct�-1C Ca,(Ylp � r � in es S Date: /1‘,., Rc1'l1 C.4 42 ler Date: 3 -. 3 — 20/‘ ATTEST' 44iF. ` •_ y .,. Christine Bainbridge, City Clerk APPROVED • .O FORM: Office f the Cityerne Y Agreement with Spokane Valley Senior Center Association Page 6 of 6 __ _ SpokVSCA1Revised RF \/pfl 1 _ _ _N � Profwt Insurance Pry r� _ 9 C .OF NS .1.I AIC Issue Date 05/2712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUE 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 SUBROGRATION IS WAIVED,subject to the terms and conditions of the policy,certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER' a' '' COMPANIES AFF:OROING;COVERAGE GENERAL LIABILITY Clear Risk Solutions American Alternative Insurance Corporation 451 Diamond Drive Ephrata, WA 98823 AUTOMOBILE LIABILITY American Alternative Insurance Corporation PROPERTY Spokane Valley Senior Citizens Assoc. American Alternative Insurance Corporation, et al. 2426 North Discovery Place Spokane Valley, WA 99216-5055 MISCELLANEOUS PROFESSIONAL LIABILITY COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. TYPE'OF1NSyR'ANCE.;>.: POLICY:TVUMBER:: P4L1CY EFF POLIGY E)<P ;DESCRIPTION ,; LIMITS`;`:;.. :"^' GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY N1-A2-RL-000001307 06/01/2015 06/01/2016 PER OCCURRENCE $5,000,000 OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000 INCLUDES STOP GAP PRODUCT-COMP/OP $5,000,000 PERSONAL&ADV.INJURY $5,000,000 (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 AUTOMOBILE:LIABILITY ... .. ANY AUTO N1-A2-RL-0000013-07 06/01/2015 06/01/2016 COMBINED SINGLE LIMIT $5,000,000 (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE PROPERTI!;:' N1-A2-RL-0000013-07 06/01/2015 06/01/2016 ALL RISK PER OCC EXCL EQ&FL $55,000,000 EARTHQUAKE PER OCC EXCLUDED FLOOD PER OCC EXCLUDED (PROPERTY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE MISCELLANEOUS PROFIESSIONAL L.IABILtTY 06/01/2015 06/01/2016 PER CLAIM (LIABILITY IS SUBJECT TO A SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE DESCR{PTION:OROPEE?ATIONS:/:LOCAT[ESNSI VEy:ICLESl;SPECIAL ITEMS"''' Regarding the contract in place. The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms, conditions, and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. cERTiFIcArttpL DCR: L)THOI (zEDR..PR.SENTATIVIr ..::.. The City of Spokane Valley Parks& Recreation Dept. 2426 N Discovery Place • Cz Spokane Valley, WA 99216 . 2969961 AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION (GENERAL LIABILITY) Named Insured Non Profit Insurance Program(NPIP) Policy Number Endorsement Effective N1-A2-RL-0000013-07 6/1/2015 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator The City of Spokane Valley Parks&Recreation Dept. 2426 N Discovery Place Spokane Valley,WA 99216 Regarding the contract in place.The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms,conditions,and exclusions. A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions, Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule.Such Person or Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations;or 2. In connection with your premises owned or rented to you. B. The Limits of Insurance applicable to the additional Insured are those specified in either the: 1. Written contract or written agreement;or 2. Declarations for this policy, whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. Includes copyrighted material of the Insurance Services Office, Inc.,with its permission. RL 2163 12/12 Page 1 of 1 2969962 RECEIVEAJ.. Con1YaG+ 4 lfa-053 SpokVSCA1 Revised MAY 2 S 201 PARKS & RECREATION N.:H.I Non Profit Insurance Program . • CERTIFICATE OF COVERAGE - • Issue Date: 05/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEN DOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTI TUE 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 SUBROGRATION IS WAIVED,subject to the terms and conditions of the policy,certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COMPANIES AFFORDING COVERAGE GENERAL LIABILITY Clear Risk Solutions American Alternative Insurance Corporation 451 Diamond Drive Ephrata,WA 98823 AUTOMOBILE LIABILITY American Alternative Insurance Corporation INSURED PROPERTY Spokane Valley Senior Citizens Assoc. American Alternative Insurance Corporation, et_al. 2426 North Discovery Place MISCELLANEOUS PROFESSIONAL LIABILITY Spokane Valley WA, 99216-5055 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 SH OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE -POLICY NUMBER POLICY EFF POLICY EXP `DESCRIPTION ' LIMITS" ' GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-08 06/01/2016 06/01/2018 - PER OCCURRENCE -$5,000,000 OCCURRENCE FORM PER MEMBER AGGREGATE • $10,000,000 INCLUDES STOP GAP PRODUCT-CO MP/OP $5,000,000 . . PERSONAL&ADV.INJURY $5,000,000 (LIABILITY IS SUBJECTTO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 AUTOMOBILE LIABILITY ANY AUTO N1-A2-RL-0000013-08 06/01/2016 06/01/2018 COMBINED SINGLE LIMIT $5,000,000 (LIABILITY IS SUBJECTTO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE PROPERTY N1-A2-RL-0000013-08 06/01/2016 06/01/2018 ALL RISK PER OCC EXCL EQ&FL $75,000,000 EARTHQUAKE PER OCC EXCLUDED FLOOD PER OCC EXCLUDED (PROPERTY IS SUBJECTTO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE MISCELLANEOUS PROFESSIONAL LIABILITY 06/01/2016 06/01/2018 PER CLAIM (LIABILITY IS SUBJECTTO A SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!SPECIAL ITEMS Regarding the contract in place.The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms, conditions,and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLI CY PROVISIONS. CERTIFICATE HOLDER AUTHORIZED REPRESENTATIVE 01.4The City of Spokane Valley Parks&Recreation Dept. 2426 N Discovery Place Spokane Valley,WA 99216 3110461 1 • AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED— DESIGNATED PERSON OR ORGANIZATION (GENERAL LIABILITY) Named Insured Non Profit Insurance Program (NPIP) Policy Number Endorsement Effective N1-A2-RL-0000013-08 6/1/2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator The City of Spokane Valley Parks&Recreation Dept. 2426 N Discovery Place Spokane Valley,WA 99216 Regarding the contract in place.The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms,conditions,and exclusions. A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule.Such Person or Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations;or 2, In connection with your premises owned or rented to you. B. The Limits of Insurance applicable to the additional Insured are those specified in either the: 1. Written contract or written agreement;or 2. Declarations for this policy, whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. Includes copyrighted material of the Insurance Services Office,Inc.,with its permission. 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F. !P1.r21t�.fl rl#41> 3 .a ", 4 4,3711 -4+e., &...-. .S(•S.j,.'.bk\\��1` R�rR2 b i J ;,t!,1.E t-'K P.P u`..F'. °3 qa d rfi£7 f. :r' %: 5: .ti, :S..S' e33113V1P173t13,31311!r3333atairlartara13013a33r33333an£tt Yti3r3ailtitr I,4 Ii13 2X t9iiirr2liit$Ittnittrarlirliitri 343ttiirt 11913E.i?lalirra74'tllRli`tft4lPliSCl ill:/1[33 S'£tf2ti'S 1#_1,Fit"Hrrirnrar atri'l Filmlr133133i4Prra£t 33:{tft3A1 ra '3133 3'a'.'*S z2 4!£..0 !9 L 9'�'Ai .. 'k .A Jl.R:1:'31 S 3 „ l� °E... •1,/;y.9+::� H/.�,ij`, J r.aq�t/,�:a=:t''{,6t>//.».� a ..q::nx zp +.7.+ji Fs S Ft 91 t3 4Z A&n Ems”' 'E A 3..tf#1 lit t{IS.£S L c i 13114 It 1 S S:t1I tl llr 2`11111 it 1121/2;tr21r Il.,,,a,4 ,q-3 I3t 17, F' [. itha _IArytt,3j, py r t S£ \/3em�+�,• tiltfJilli21.[Itntn t i+t6.Jater3 h IEBti.. I:t uLti `.�.ti..S S .c.a>U-:fit.,,::tssri Aliti,u.4,st::Cy.I.��■•��, A. ui■V .t!�yiL... 0 �.F- .`i y.. ►..,+\V THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERT IFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGRATION IS WAIVED,subject to the terms and conditions of the policy,certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). O(NPANIEB/gFFQj?Dril W �€ GENERAL LIABILITY Clear Risk Solutions MAY 9 3 2018 American Alternative Insurance Corporation,et al. 451 Diamond Drive Ephrata, WA 98823 AUTOMOBILE LIABILITY .;rii:,r' :i'f. American Alternative Insurance Corporation,et al. PROPERTY Spokane Valley Senior Citizens Assoc. American Alternative Insurance Corporation,et al. 2426 North Discovery Place MISCELLANEOUS PROFESSIONAL LIABILITY Spokane Valley,WA 99216-5055 Princeton Excess and Surplus Lines Insurance Company .edVERAGEST; 7'7– v.r t....>_ r . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. TYPE OF INSURANCE , POLICY NUMBER POLICY EFF POLICY EXP DESCRIPTION LIMITS 212 t9-3 23 22!911I,f a2.lfYl111U 11 Litlil.li It IR i__f£Lffl2[3 231':E:i#!11191n 13 tftli t7AlrJ ITpATEtli rflt't i2ltt i".D'�i�-Yd tri2!}Itl Y E ft,t2£t'J IQIa41 1!'124}23 yi!;lJf l.il ty ltlt ftU f'L I!';;ld 231 I:CP::131I "il[1a 51133?11 Ft13 GENERAL'LIABILITY ' :i : I' 1' COMMERCIAL GENERAL LIABILITY N1-A2-RL-0000013-09 06/01/2018 06/01/2020 PER OCCURRENCE $5,000,000 OCCURRENCE FORM PER MEMBER AGGREGATE $10,000,000 INCLUDES STOP GAP PRODUCT-CO MP/OP $5,000,000 PERSONAL&ADV.INJURY $5,000,000 (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $50,000,000 Al�TQ11110¢Ii,E'L) 61L 4 R 3t / 4 i L i Y t 4 i a 1i A t ii h it A i A C / 4 i ANY AUTO N1-A2-RL-0000013.09 06/01/2018 06/01/2020 COMBINED SINGLE LIMIT $5,000,000 (LIABILITY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE Rt)PERTY.ilra F if it!nit 3 31!14 1 i Y 1 t 1111 14Oil!t..t t i t. l£t iil.tsla3tll L3liafi11“3”laitaa 13tH ;til lareptratint liiiata13.111333211/13111.ti/Sall!ti_,2alC tat LY.i3'JFi i,l Fiillitt'il.tti! N1-A2-RL-0000013-09 06/01/2018 06/01/2020 ALL RISK PER OCC EXCL EQ&FL $75,000,000 EARTHQUAKE PER OCC EXCLUDED FLOOD PER OCC EXCLUDED (PROPERTY IS SUBJECT TO A$50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE NONE MISCE�LA I�OLIS PI20FE§SIOIv IL LIAI3IL�TY iilf 1ti-1 1 3 is3att.!",tlsal i311It373iJti 1, i t tl, 11 1 !1 { )..:aii.aala,aifl N1-A3-RL-0000060-09 06/01/2018 06/01/2020 PER CLAIM EXCLUDED (LIABILITY IS SUBJECT TO A $50,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE $40,000,000 OESCRIPTIONOF,iDPERATIONS/LOCATIONS 0/ EHICLES LSPECIAL•ITEM�S _ ' a , i ;; ;. Regarding the contract in place.The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms,conditions,and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLI CY PROVISIONS. atnar CERTIFICATE, OLDER;,'� , , ,-,..a x,. .... t„>, ,, ,,,, , ,,,, , ,a tel.-.,, -, ,, � ORITED tEPRESEN�ATIVE .« l t ;. in ,w,. ».. ,,, .,,,.,,....t The City of Spokane Valley Parks&Recreation Dept. 2426 N Discovery Place I1146%/e311"6— Spokane Valley,WA 99216 3402440 AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION (GENERAL LIABILITY) Named Insured Non Profit Insurance Program(NPIP) Policy Number Endorsement Effective N1-A2-RL-0000013.09 6/1/2018 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILITY COVERAGE PART • This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization(Additional Insured): As Per Schedule on file with Clear Risk Solutions,Underwriting Administrator The City of Spokane Valley Parks&Recreation Dept. 2426 N Discovery Place • Spokane Valley,WA 99216 Regarding the contract in place.The City of Spokane Valley Parks&Recreation Department is named as Additional Insured regarding this contract only and is subject to policy terms,conditions,and exclusions. A. With respects to the General Liability Coverage Part only,the definition of Insured in the Liability Conditions,Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule.Such Person or Organization is an Insured only with respect to liability for Bodily Injury,Property Damage,or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In performance of your ongoing operations;or 2. In connection with your premises owned or rented to you. B. The Limits of Insurance applicable to the additional Insured are those specified in either the: 1. Written contract or written agreement;or 2. Declarations for this policy, whichever is less.These Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. , Includes copyrighted material of the Insurance Services Office,Inc.,with its permission. RL 2163 12/12 Page 1 of 1 3402441 Issue Date 5/26/2021 Cert #:0000028569 Non Profit Insurance Program Certificate of Coverage THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE 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 SUBROGRATION IS WAIVED, subject to the terms and conditions of the policy, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCOMPANIES AFFORDING COVERAGE Clear Risk Solutions GENERAL LIABILITY 451 Diamond Drive American Alternative Insurance Corporation, et al. Ephrata, WA 98823 AUTOMOBILE LIABILITY American Alternative Insurance Corporation, et al. PROPERTY INSURED American Alternative Insurance Corporation, et al. Spokane Valley Senior Citizens Association MISCELLANEOUS PROFESSIONAL LIABILITY Princeton Excess and Surplus Lines Insurance Company 2426 North Discovery Place Spokane Valley, WA 99216 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. TYPE OF INSURANCEPOLICY NUMBERPOLICY EFF POLICY EXP DESCRIPTIONLIMITS DATEDATE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYN1-A2-RL-0000013-126/1/20216/1/2022PER OCCURRENCE$5,000,000 OCCURRENCE FORMPER MEMBER AGGREGATE$10,000,000 INCLUDES STOP GAPPRODUCT-COMP/OP$5,000,000 PERSONAL & ADV. INJURY$5,000,000 (LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE$50,000,000 AUTOMOBILE LIABILITY ANY AUTON1-A2-RL-0000013-126/1/20216/1/2022COMBINED SINGLE LIMIT$5,000,000 (LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATENONE PROPERTY N1-A2-RL-0000013-12 6/1/20216/1/2022ALL RISK PER OCC EXCL EQ & FL$75,000,000 EARTHQUAKE PER OCCExcluded FLOOD PER OCCExcluded (PROPERTY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATENONE MISCELLANEOUS PROFESSIONAL LIABILITY N1-A3-RL-0000060-12 6/1/20216/1/2022 PER CLAIM$5,000,000 (LIABILITY IS SUBJECT TO A $150,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE$40,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CERTIFICATE HOLDERAUTHORIZED REPRESENTATIVE The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION – (GENERAL LIABILITY) Named Insured Non Profit Insurance Program (NPIP) Policy NumberEndorsement Effective N1-A2-RL-0000013-126/1/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILIT Y COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization (Additional Insured):As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. A. With respects to the General Liability Coverage Part only, the definition of I nsured in the Liability Conditions, Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or Organization is an Insured only with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1.In performance of your ongoing operations; or 2.In connection with your premises owned or rented to you. B.The Limits of Insurance applicable to the additional Insured are those specified in either the: 1.Written contract or written agreement; or 2.Declarations for this policy, whichever is less. The se Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. Includes copyrighted material of the Insurance Services Office, Inc., with its permission Issue Date 5/21/2022 Cert #:0000028569 Non Profit Insurance Program Certificate of Coverage THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE DOES NOT CONSTITUE 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 SUBROGRATION IS WAIVED, subject to the terms and conditions of the policy, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCOMPANIES AFFORDING COVERAGE Clear Risk Solutions GENERAL LIABILITY 451 Diamond Drive American Alternative Insurance Corporation, et al. Ephrata, WA 98823 AUTOMOBILE LIABILITY American Alternative Insurance Corporation, et al. PROPERTY INSURED American Alternative Insurance Corporation, et al. Spokane Valley Senior Citizens Association MISCELLANEOUS PROFESSIONAL LIABILITY Princeton Excess and Surplus Lines Insurance Company 2426 North Discovery Place Spokane Valley, WA 99216 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. TYPE OF INSURANCEPOLICY NUMBERPOLICY EFF POLICY EXP DESCRIPTIONLIMITS DATEDATE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYN1-A2-RL-0000013-136/1/20226/1/2023PER OCCURRENCE$5,000,000 OCCURRENCE FORMPER MEMBER AGGREGATE$10,000,000 INCLUDES STOP GAPPRODUCT-COMP/OP$5,000,000 PERSONAL & ADV. INJURY$5,000,000 (LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE$50,000,000 AUTOMOBILE LIABILITY ANY AUTON1-A2-RL-0000013-136/1/20226/1/2023COMBINED SINGLE LIMIT$5,000,000 (LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATENONE PROPERTY N1-A2-RL-0000013-13 6/1/20226/1/2023ALL RISK PER OCC EXCL EQ & FL$75,000,000 EARTHQUAKE PER OCCExcluded FLOOD PER OCCExcluded (PROPERTY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATENONE MISCELLANEOUS PROFESSIONAL LIABILITY N1-A3-RL-0000060-13 6/1/20226/1/2023 PER CLAIM$5,000,000 (LIABILITY IS SUBJECT TO A $250,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE$40,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CERTIFICATE HOLDERAUTHORIZED REPRESENTATIVE The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION – (GENERAL LIABILITY) Named Insured Non Profit Insurance Program (NPIP) Policy NumberEndorsement Effective N1-A2-RL-0000013-136/1/2022 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILIT Y COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization (Additional Insured):As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. A. With respects to the General Liability Coverage Part only, the definition of I nsured in the Liability Conditions, Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or Organization is an Insured only with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1.In performance of your ongoing operations; or 2.In connection with your premises owned or rented to you. B.The Limits of Insurance applicable to the additional Insured are those specified in either the: 1.Written contract or written agreement; or 2.Declarations for this policy, whichever is less. The se Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. Includes copyrighted material of the Insurance Services Office, Inc., with its permission Issue Date 5/23/2023 Cert #:0000028569 Non Profit Insurance Program Certificate of Coverage THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONVEYS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF COVERAGE 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 SUBROGRATION IS WAIVED, subject to the terms and conditions of the policy, certain coverage may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCOMPANIES AFFORDING COVERAGE Clear Risk Solutions GENERAL LIABILITY 451 Diamond Drive American Alternative Insurance Corporation, et al. Ephrata, WA 98823 AUTOMOBILE LIABILITY American Alternative Insurance Corporation, et al. PROPERTY INSURED American Alternative Insurance Corporation, et al. Spokane Valley Senior Citizens Association MISCELLANEOUS PROFESSIONAL LIABILITY Princeton Excess and Surplus Lines Insurance Company 2426 North Discovery Place Spokane Valley, WA 99216 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE COVERAGE PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. TYPE OF INSURANCEPOLICY NUMBERPOLICY EFF POLICY EXP DESCRIPTIONLIMITS DATEDATE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITYN1-A2-RL-0000013-146/1/20236/1/2024PER OCCURRENCE$1,000,000 OCCURRENCE FORMPER MEMBER AGGREGATE$2,000,000 INCLUDES STOP GAPPRODUCT-COMP/OP$1,000,000 PERSONAL & ADV. INJURY$1,000,000 (LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATE$50,000,000 AUTOMOBILE LIABILITY ANY AUTON1-A2-RL-0000013-146/1/20236/1/2024COMBINED SINGLE LIMIT$1,000,000 (LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS)ANNUAL POOL AGGREGATENONE PROPERTY N1-A2-RL-0000013-14 6/1/20236/1/2024ALL RISK PER OCC EXCL EQ & FL$75,000,000 EARTHQUAKE PER OCCExcluded FLOOD PER OCCExcluded (PROPERTY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATENONE MISCELLANEOUS PROFESSIONAL LIABILITY N1-A3-RL-0000060-14 6/1/20236/1/2024 PER CLAIM$1,000,000 (LIABILITY IS SUBJECT TO A $350,000 SIR PAYABLE FROM PROGRAM FUNDS) ANNUAL POOL AGGREGATE$40,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / SPECIAL ITEMS Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CERTIFICATE HOLDERAUTHORIZED REPRESENTATIVE The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 AMERICAN ALTERNATIVE INSURANCE COMPANY ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION – (GENERAL LIABILITY) Named Insured Non Profit Insurance Program (NPIP) Policy NumberEndorsement Effective N1-A2-RL-0000013-146/1/2023 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: GENERAL LIABILIT Y COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another date is indicated above. Schedule Person or Organization (Additional Insured):As Per Schedule on file with Clear Risk Solutions, Underwriting Administrator The City of Spokane Valley Parks & Recreation Dept. 2426 N Discovery Place Spokane Valley, WA 99216 Regarding the contract in place. The City of Spokane Valley Parks & Recreation Department is named as AdditionalInsured regarding this contract only and is subject to policy terms, conditions, and exclusions. A. With respects to the General Liability Coverage Part only, the definition of I nsured in the Liability Conditions, Definitions and Exclusions section of this policy is amended to include as an Insured the Person or Organization shown in the above Schedule. Such Person or Organization is an Insured only with respect to liability for Bodily Injury, Property Damage, or Personal and Advertising Injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: 1.In performance of your ongoing operations; or 2.In connection with your premises owned or rented to you. B.The Limits of Insurance applicable to the additional Insured are those specified in either the: 1.Written contract or written agreement; or 2.Declarations for this policy, whichever is less. The se Limits of Insurance are inclusive and not in addition to the Limits Of Insurance shown in the Declarations. All other terms and conditions remain unchanged. Form: RL 2124 10 21 Includes copyrighted material of the Insurance Services Office, Inc., with its permission THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 Spokane Valley Parks and Recreation 2426 N DISCOVERY PL SPOKANE VALLEY WA 99216 Account Information: Policy Holder Details : Spokane Valley Senior Citizens Association June 6, 2024 El Contact Us Need Help? Chat online or call us at (866) 467-8730. We're here Monday - Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/06/2024 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 SUBROGATIONIS 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: INLAND NORTHWEST INSURANCE INC PHONE (509) 892-6373 (A/C, No, Ext): Fax (A/C, No): 52802695 12319 E BROADWAY AVENUE SPOKANE VALLEY WA99216 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B : SPOKANE VALLEY SENIOR CITIZENS ASSOCIATION INSURER C : 2426 N DISCOVERY PL INSURER D: SPOKANE VALLEY WA 99216-5055 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF I POLICY EXP LIMITS LTR NSR WVD MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED $1,000,000 PREMISES fEa occurrence MED EXP (Any one person) $10,000 X General Liability A X X 52 SBA BF5PD9 06/01/2024 06/01/2025 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY El PRO X ❑ LOC PRODUCTS -COMP/OP AGG $2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) ANY AUTO A ALL OWNED SCHEDULED 52 SBA BF5PD9 06/01/2024 06/01/2025 BODILY INJURY (Per accident) AUTOS AUTOS X HIRED NON -OWNED X PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS- MADE DED RETENTION $ WORKERS COMPENSATION PER I OTH- AND EMPLOYERS' LIABILITY STATUTE ER E.L. EACH ACCIDENT ANY YIN PROPRIETOR/PARTNER/EXECUTIVE NIA OFFICER/MEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below A Data Breach - Defense & Liab 52 SBA BF5PD9 06/01/2024 06/01/2025 Limit $50,000 Covg DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Reference: MOU-Contract 16-053. Certificate holder is an additional insured per the Business Liability Coverage Form SL3032 attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form 91-0000, attached to this policy. CERTIFICATE HOLDER CANCELLATION Spokane Valley Parks and Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2426 N DISCOVERY PL BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED SPOKANE VALLEY WA 99216 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1�__S'1e0L1_1 1-f ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD