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16-150.00 Songbird Consulting: Childhood Music Program Re- 15D AGREEMENT FOR RECREATIONAL SERVICES Songbird Consulting LLC THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington,hereinafter"City"and Songbird Consulting LLC hereinafter"Contractor,"jointly referred to as "Parties." IN CONSIDERATION of the terms and conditions contained herein,the Parties agree as follows: 1.Work to Be Performed. Contractor shall provide all labor,services,and material to satisfactorily complete the attached Scope of Services. A. Administration. The City Manager or designee shall administer and be the primary contact for Contractor. Prior to commencement of work,Contractor shall contact the City Manager or designee to review the Scope of Services,schedule,and date of completion. Upon notice from the City Manager or designee,Contractor 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 Contractor in entering into this Agreement. By execution of this Agreement,Contractor 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. Contractor represents that the compensation as stated in paragraph 3 is adequate and sufficient compensation for its timely provision of all services required to complete the Scope of Services under this Agreement. Contractor shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Contractor 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. Contractor shall exercise the degree of skill and diligence normally employed a person or entity 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. Contractor 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. Contractor 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. Agreement for Recreational Services Page 1 of 7 2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in effect until completion of all contractual requirements have been met as determined by the City. Contractor shall complete its work within by December 31,2017 unless the time for performance is extended in writing by the Parties. Either party may terminate this Agreement for material breach after providing the other party with at least 10 days'prior notice and an opportunity to cure the breach. The City may,in addition,terminate this Agreement for any reason by at least 10 days'written notice to Contractor. In the event of termination without breach,the City shall pay Contractor 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 prior written agreement for such services and payment therefor. 4.Payment. Contractor shall be paid monthly upon completion of each class upon presentation of an invoice to the City. Applications for payment shall be sent to the City Finance Department at the address stated in paragraph 5. The City reserves the right to withhold payment under this Agreement which is determined in the reasonable judgment of the City Manager or designee to be noncompliant 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 CONTRACTOR: Songbird Consulting LLC Name: Christine Bainbridge, City Clerk Name: Heather Villa Phone Number: (509)921-1000 Phone Number: 509-869-1797 Address: 11707 East Sprague Ave, Suite 106 Address: 1724 W 10th Avenue Spokane Valley, WA 99206 Spokane, WA 99204 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. Contractor 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 and agreed that Contractor 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 Contractor. Any and all employees who provide services to the City under this Agreement shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. Agreement for Recreational Services Page 2 of 7 8. Ownership of Documents. All drawings,plans,specifications,and other related documents prepared by Contractor under this Agreement shall be the property of the City,and may be subject to disclosure pursuant to chapter 42.56 RCW or other applicable public record laws. 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 Contractor shall have no liability for the use of the Contractor'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 Contractor's records with respect to all matters covered in this Agreement. Such representatives shall be permitted to audit,examine,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. Contractor 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 Contractor, its agents,representatives,employees, or subcontractors. A. Minimum Scope of Insurance. Contractor 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 Contractor will not transport any persons not directly related or affiliated with Contractor,then Contractor 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,stop-gap independent contractors and personal injury, and advertising injury. The City shall be named as an insured under Contractor'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. Contractor 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 Contractor will not use its vehicles in the performance of this Agreement, automobile liability insurance is only required to meet Washington statutory minimum requirements. Agreement for Recreational Services Page 3 of 7 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: 1. Contractor'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 Contractor's insurance and shall not contribute with it. 2. Contractor shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Contractor. 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, Contractor shall furnish acceptable insurance certificates to the City at the time Contractor returns the signed Agreement. 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 the City. Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions, and/or self-insurance. 11.Indemnification and Hold Harmless. Contractor 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 Contractor, Contractor's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. Contractor's duty to defend,indemnify,and hold City harmless 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. Contractor's duty to defend,indemnify,and hold City harmless 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)Contractor, Contractor's agents, subcontractors, subconsultants, and employees, shall apply only to the extent of the negligence of Contractor, Contractor's agents, subcontractors, subconsultants, and employees. Contractor'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. Agreement for Recreational Services Page 4 of 7 Contractor 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, Contractor's waiver of immunity under this provision extends only to claims against Contractor by City,and does not include,or extend to, any claims by Contractor's employees directly against Contractor. Contractor 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 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 may assign, transfer, or delegate any nor 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,Contractor shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written consent of the City. 15.Confidentiality. Contractor may,from time-to-time,receive information which is deemed by the City to be confidential. Contractor 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 Contractor shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Contractor 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 Contractor's services under this Agreement. Contractor further agrees that the Arbitrator(s)' decision therein shall be final and binding on Contractor 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. Agreement for Recreational Services Page 5 of 7 20.Business Registration. Prior to commencement of work under this Agreement,Contractor shall register with the City as a business if it has not already done so. 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. 22. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Scope of Services 2. Insurance Certificates The Parties have executed this Agreement this 19 day of O fibber ,201k. CITY OF SPOKANE VALLEY Contractor: Hfher Villas ANL- Mark Calhoun,Acting City Manager Its: Authorized Representative ATTEST: / christineBainbri.ge, City Clerk APPROVED AS TO FORM: Offic f the Ci rney Agreement for Recreational Services Page 6 of 7 Exhibit A Scope of Service Music Together is an early childhood music program for infants,toddlers,preschoolers,kindergarteners and their family members. Heather Villa who is a certified Music Together Instructor, will be teaching Parent/Child classes at CenterPlace Regional Event Center. Each session is ten weeks long, occurring on Mondays from 10:30am— 11:30am. Class registration will be processed through the Parks and Recreation Department registration software, Sportsman. Agreement for Recreational Services Page 7 of 7 A��® CERTIFICATE OF LIABILITY INSURANCE DATE A E(MM/D/s) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(Ies)must have ADDmONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Chuck Bullock III(793432R) PHONE FAX 1008 N Washington St (A/C,NO,EXT):509-723-6808 (A/C,No):509-928-7840 E-MAIL Spokane WA 99201-2237 ADDRESS: cbullock@farmersagent.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Truck Insurance Exchange 21709 INSURER B: Farmers Insurance Exchange 21652 SONGBIRD,CONSULTING,LLC INSURER C: Mid Century Insurance Company 21687 1428 W 9TH AVENUE INSURER D: INSURER E: SPOKANE WA 99204 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAME 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 ADDTL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED S PREMISES(EaOccurrence) 1,000,000 MEDEXP(Anyoneperson) S 10,000 A Y N 605911538 09/15/2015 09/15/2016 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 g POLICY [ PROJECT [] LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILYINJURY(Perperson) S OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident)S HIRED AUTOS NON-OWNED PROPERTY DAMAGE S ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER OTHER S AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N N/A E.L.EACH ACCIDENT S EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) • E.L.DISEASE-EA EMPLOYEE 1 If yes,describe under DESCRIPTION OF E.L.DISEASE-POLICY LIMIT S OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1428 W 9TH AVENUE,SPOKANE,WA 99204 CERTIFICATE HOLDER CANCELLATION CITY OF SPOKANE VALLEY PARKS&RECREATb SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CENTERPLACE DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N DISCOVERY PL At HERZE IESENTATIVE SPOKANE VAI LFv WA 49216 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All Rights Reserved 31-1769 11-15 The ACORD name and logo are registered marks of ACORD • ACO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Chuck Bullock III(793432R) PHONE FAX 1008 N Washington St (A/C,NO,EXT):509-723-6808 (A/c,NO):509-928-7840 E-MAIL Spokane WA 99201-2237 ADDRESS: cbullock@farmersagent.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Truck Insurance Exchange 21709 INSURER B: Farmers Insurance Exchange 21652 SONGBIRD CONSULTING,LLC INSURER c: Mid Century Insurance Company 21687 1428 W 9TH AVENUE INSURER D: INSURER E: SPOKANE WA 99204 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 ADDTL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(EaOccurrence) 1,000,000 MED EXP(Any one person) $ 10,000 A Y N 605911538 09/15/2016 09/15/2017 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PROJECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILYINJURY(Perperson) $ OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident)$ HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION PER OTHER $ AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR/PARTNER/ Y/N N/A E.L.EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1428 W 9TH AVENUE,SPOKANE,WA 99204 CERTIFICATE HOLDER CANCELLATION CITY OF SPOKANE VALLEY PARKS&RECREATIe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CENTERPLACE DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N DISCOVERY PLACE AUTHORIZED REPRESENTATIVE SPOKANE 5Al LEY WA 49216 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION.All Rights Reserved 31-1769 11-15 The ACORD name and Ioao are registered marks of ACORD POLICY NUMBER: 605911538 BUSINESSOWNERS BP 04 48 01 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS POLICY SCHEDULE* Name Of Person Or Organization: CITY OF SPOKANE VALLEY PARKS&RECREATION * Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Decla- rations. The following is added to Paragraph C. Who Is An Insured in the Businessowners Liability Coverage Form: 4. Any person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your ongoing operations or premises owned by or rented to you. BP 04 48 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 0 CHUCK BULLOCK III 1008 N WASHINGTON ST SPOKANE,WA99201 ev FARMERS INSURANCE Auto Insurance Renewal Offer Your Farmers Policy Policy Number: 18859-27-72 HEATHER VILLA Effective: 10/5/201612:01 AM JOHN VILLA Expiration:4/5/201 7 12:01 AM 1724 W 10TH AVE SPOKANE WA 99204-4106 Your Farmers Agent Chuck A Bullock III 8/10/2016 1008 N Washington St Spokane,WA 99201 Dear Heather Villa and John Villa, (509)723-6808 cbullock@farmersagent.com Thank you for choosing Farmers for your automobile insurance needs.We appreciate the opportunity to provide continued coverage for you and your family. To file a claim call As a reminder,your policy includes Accident Forgiveness,Incident Forgiveness,and 1-800-435-7764 Guaranteed Renewal at no additional cost.You earned these benefits on a previous renewal in recognition of your excellent claims history and continued business with Did you know? Farmers.For more information about how these benefits work,refer to the Farmers Auto Rewards endorsement(s)on your policy or contact your agent. o`R Farmers Auto Rewards Congratulations!You are now Please review the documents that have been enclosed: qualified for Farmers Auto Rewards • ID cards and eligible to earn accident • Declaration page—a summary of your insurance coverages,limits,and deductibles forgiveness,incident forgiveness or guaranteed renewal.Check your A summary of your premium information is shown below. declaration page to see which rewards have been applied to your Premium at-a-glance policy. O► Policy Premium $680.20 fin Farmers Friendly Review Contact your agent to learn more In addition to the discounts that have already been applied to your policy,you could save about the policy discounts,coverage options,and other product offerings even more by switching your payment method.We offer discounts to customers who pay in that may be available to you. full at renewal or enroll in automatic bank payment.Please contact your agent to learn how you can start saving today. 06 Go Paperless This is not a bill.Your bill with the amount due will be mailed separately. Save stamps,time and trees....Go Paperless!You can choose to If you prefer,you can log into farmers.com today to review your balance and make a receive your Farmers policy payment.You can also contact us at 1-877-327-6392 or visit your agent's office with your documents and/or billing statement electronically.Enroll at farmers.com payment. and choose the paperless options! Sincerely, Farmers Insurance Group® farmers.com 25-8164 1-14 3r- Evidence of Insurance State of .1;No,., FARMER Evidence of Insurance State of flA FARMER Washington INSURANCE Washington - INSURANCE Named Heather Villa Policy Number:188592772 Named Heather Villa Policy Number:188592772 Insured(s):John Villa Effective:10/5/2016 Insured(s):John Villa Effective:10/5/2016 Vehicle: 2004 Ford Truck Explorer 4D 4X4 Xlt Expiration:4/5/2017 Vehicle: 1995 Chevrolet Truck 1500 Pickup Ext C Expiration:4/5/2017 VIN: 1FMZU73W74UB95190 NAIC Number:21644 1/2T 4X NAIC Number:21644 Registered John Villa Your Agent:Chuck A Bullock III VIN: 2GCEK19K3S1273791 Your Agent:Chuck A Bullock Ill Owner(s): 1008 N Washington St Registered Heather Villa 1008 N Washington St Spokane,WA99201 Owner(s): Spokane,WA99201 Agent Phone:(509)723-6808 Agent Phone:(509)723-6808 Farmers Insurance Company of Washington,Mercer Is,WA,an authorized Washington insurer, Farmers Insurance Company of Washington,Mercer Is,WA,an authorized Washington insurer, certifies that it has issued an owner's liability insurance policy pursuant to the Mandatory Insurance certifies that it has issued an owner's liability insurance policy pursuant to the Mandatory Insurance Law of Washington.Examine the Policy Exclusions carefully.This form does not constitute any part of Law of Washington.Examine the Policy Exclusions carefully.This form does not constitute any part of your insurance policy, your insurance policy. KEEP THIS CERTIFICATE IN YOUR VEHICLE ATALL TIMES.READ REVERSE SI DE CAREFULLY. KEEP TH IS CERTIFICATE IN YOUR VEHICLE AT ALL TIMES.READ REVERSE SI DE CAREFULLY. 3r" 35' •:=5T—' 31° A.° �A.° WHAT TO DO IN CASE OFmVACCIDENT: WHAT TO DO IN CASE OFANACCIDENT: Contact Farmers Claim Department Contact Farmers Claim Department Call vs24-hoursaday at(8UO)435'77§4 Ca||usZ4houoadayat(8ON4]5'7764 Para Espanol,|lame a|(877)732'5Z66 Para Espanol,|lame a|(877)73Z'52G6 Obtain the following information: Obtain the following information: 1.Name,address,and phone number of each driver,passenger and witness. 1.Name,address,and phone number of each driver,passenger and witness. 2.Driver's license number,vehicle description and license plate numbers. 2.Driver's license number,vehicle description and license plate numbers. 3.Vehicle damage and accident scene photos. 3.Vehicle damage and accident scene photos. 4.Name of Insurance company and policy number for each vehicle. 4.Name of Insurance company and policy number for each vehicle. 5.Report the accident to the proper authorities. 5.Report the accident to the proper authorities. 6.Do not admit fault—an investigation may later reveal you were not 6.Do not admit fault—an investigation may later reval you were not responsible for the accident. responsible for the accident. Visit www.farniers.comto learn more about claim self-service options.It's Visit www.farmers.comto learn more about claim self-service options.It's quick,convenient and alwayopen! quick,convenient and always open! See policy for actual coverage language. 25-9018 7-14 See policy for actual coverage mnouamo 25 9018 7-14 .."r" � Jr' Z - FARMERS Auto Insurance Declaration Page INSURANCE Policy Number: 18859-27-72 Premiums Effective: 10/5/2016 12:01 AM Expiration: 4/5/2017 12:01 AM Policy Premium $680.20 Named Insured(s):Heather Villa John Villa This is not a bill. 1724 W 10th Ave Your bill with the amount due will be mailed separately. Spokane,WA 99204-4106 ladysingsdabluesnjazz@gmail.com Underwritten By: Farmers Insurance Company of Washington 3003 77th Ave.SE Mercer Island,WA 98040 Household Drivers Name Driver Status Name Driver Status Heather Villa Covered John Villa Covered Vehicle Information Veh.# Year/Make/Model/VIN Coverage Deductible Limit 1 2004 Ford Truck Explorer 4D 4X4 Xlt Comprehensive: $500 1FMZU73W74UB95190 Collision: $500 2 1995 Chevrolet Truck 1500 Pickup Ext C 1/2T 4X Comprehensive: Not Covered 2GCEK19K3S1273791 Collision: Not Covered Vehicle Level Coverage Items Limits Premiums by Vehicle Coverage (applicable to all vehicles) Vehicle 1 Vehicle 2 Bodily Injury Liability $25,000 each person $183.30 $84.20 $50,000 each accident Property Damage Liability $50,000 each accident $123.10 $99.90 Medical Coverage Not Covered Not Covered Comprehensive $23.60 Not Covered Collision $95.00 Not Covered Underinsured Motorist $10,000 each accident $7.00 $7.40 Property Damage Towing and Road Service $5.70 $5.70 farmers.com Policy No. 18859-27-72 Questions? Manage your account: Call your agent Chuck A Bullock Ill at Go to www.farmers.com to access (509)723-6808 or email your account any time! cbullock@farmersagent.com 56-6176 1stEdition 4-15 8/10/2016 Page 1 of3 Declaration Page(continued) Policy Level Coverage Items Limits Coverage (for all vehicles) Per Policy Underinsured Motorist $25,000 each person $45.30 Bodily Injury $50,000 each accident Policy Premium $680.20 Discounts Discount Type Applies to Vehicle(s) Discount Type Applies to Vehicle(s) Auto/Home 1,2 Multiple Car 1,2 Transfer 1,2 Early Shopping 1,2 Other Policy Features and Benefits • Accident Forgiveness-prevents one accident from impacting your premium • Incident Forgiveness-protects your premium from increases due to minor traffic violations • Guaranteed Renewal-claims activity will not lead to cancellation or nonrenewal Lienholder and Additional Interest Vehicle Lienholder Loan Number 2004 Ford Truck Explorer 4D 4X4 Xlt Wells Fargo Dlr Svc 2246-0874-87411 VIN: 1 FMZU73W74UB95190 PO Box 29296 32315 Phoenix,AZ 85038-9296 Policy and Endorsements This section lists the policy form number and any applicable endorsements that make up your insurance contract.Any endorsements that you have purchased to extend coverage on your policy are also listed in the coverages section of this declarations document: 56-5045 3rd ed.;J6284 1st ed.[Veh:1 only];J6491 1st ed.;J6674 1st ed.;J6936A 1st ed.;WA0271st ed.;WA030A 2nd ed.;WA033 1st ed.;WA035A 3rd ed.;WA038 1st ed.;WA039 1st ed.;WA047A 2nd ed.;WA050A 1st ed.;WA052 1st ed.;WA055 1st ed.;WA056 1st ed.;WA057 1st ed.;WA058 1st ed.;WA034 2nd ed. Other Information • Vehicle 1 -Deductible waived if glass repaired rather than replaced. • Go Green by logging onto Farmers.com or contacting your Farmers Agent. • Please contact your Farmers agent for a free Farmers Friendly Review so that you can ensure that your family is properly protected. Your agent can explain all of the policy discounts/credits,coverage options and our various other product offerings that may be available to you. farmers.com Policy No. 18859-27-72 Questions? Manage your account: Call your agent Chuck A Bullock Ill at Go to www.farmers.com to access (509)723-6808 or email your account any time! cbullock@farmersagent.com 56-6176 1st Edition 4-15 Page 2 of 3 Declaration Page(continued) *Information on Additional Fees The"Fees"stated in the"Premium/Fees"section on the front apply on a per-policy,not an account basis.The following additional fees also apply: 1. Service Charge per installment(In consideration of our 2. Late Fee:$10.00(applied per account) agreement to allow you to pay in installments): 3. Returned Payment Charge:$25.00(applied per check, - For Recurring Electronic Funds Transfer(EFT) and fully electronic transaction,or other remittance which is not enrolled online billing(paperless): $0.00(applied per honored by your financial institution for any reason including account) but not limited to insufficient funds or a closed account) - For other Recurring EFT plans:$2.00(applied per account) - For all other payment plans:$5.00(applied per account) 4. Reinstatement Fee:$25.00(applied per policy) If this account is for more than one policy,changes in these fees are One or more of the fees or charges described above may be not effective until the revised fee information is provided for each deemed a part of premium under applicable state law. policy. Countersignature Authorized Representative farmers.com Policy No. 18859-27-72 Questions? Manage your account: Call your agent Chuck A Bullock Ill at Go to www.farmers.com to access (509)723-6808 or email your account any time! cbullock@farmersagent.com 56-6176 1st Edition 4-15 Page 3 of 3 FARMERS Policy Endorsements INSURANCE Important Information About Your Policy The following provides you with information about changes to your auto policy,effective upon its renewal. Your policy contract currently includes Endorsement WA034, 1st Edition titled Endorsement Amending Underinsured Motorist Coverage-Your E-Z Reader Car Policy-Washington.We have revised this Endorsement to a 2nd Edition with the same title and made the following updates: • we have deleted the Arbitration provision from Part II-Underinsured Motorist • we have updated some bolding for consistency with the policy This message is provided for informational purposes only.It is not a part of your policy and does not affect or provide coverage,in and of itself.Since the policy with all of its endorsements is your contract with us,it takes precedence over this message.For a more detailed description of your coverage,please refer to your policy and its endorsements. If you have any questions,please contact your Farmers agent. WA034A Endorsement Amending Part II - Underinsured Motorist Coverage-Your E-Z Reader Car Policy-Washington (WA034-2nd Edition) This coverage applies only to the vehicle(s)for which this endorsement is listed on the Declarations page. It is agreed that Part I I of this policy is amended as follows: Part II-Underinsured Motorist,Coverage C-Underinsured Motorist Coverage,Insuring Agreement is deleted and replaced with the following: We will pay all sums which an insured person is legally entitled to recover as damages from the owner or operator of an underinsured motor vehicle because of bodily injury sustained by the insured person.The bodily injury must be caused by accident and arise out of the ownership,maintenance or use of the underinsured motor vehicle. Under Additional Definitions Used in This Part Only: Items 3b.and d.are deleted and replaced by the following: b. A hit-and-run vehicle or phantom vehicle whose operator or owner cannot be identified and which hits or which causes an accident resulting in bodily injury or property damage without physical contact with: (1) You or any family member. (2) A vehicle which you or any family member are occupying. (3) Your insured car. When there is no physical contact,the facts of the accident must be reported to the police within 72 hours of the accident.The facts of the accident must also be verified by someone other than you or another person having an underinsured motorist claim from the same accident. farmers.com Policy No. 18859-27-72 (Continued Next Page) Page 1 of 2 Policy Endorsements(continued) d. Underinsured motor vehicle does not include a motor vehicle to which Part I Liability Coverage of this policy applies.This provision does not apply to you or any family member. Item 3e.is added: e. An underinsured motor vehicle does not include a motor vehicle owned by any governmental entity,including its subdivisions or agencies,or operated by an employee of such entity,while in the course of employment.This exclusion will not apply if the governmental entity is unable to satisfy a claim because of financial inability or insolvency. Part II-Underinsured Motorist,Coverage C-Underinsured Motorist Coverage,Arbitration is deleted. 94-1755 2nd Edition 2-16 This endorsement is part of your policy.It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy. farmers.com Policy No. 18859-27-72 Page 2 of 2 STA1`g O� o � or : 4'4.4 Tao STATE OF WASHINGTON BUSINESS LICENSING SERVICE Thank you for filing online Our processing time generally takes up to 10 business days. Some endorsements may take more time for state or city approval. You will receive your business license with approved endorsements in the mail. An updated business license will be mailed to you when additional endorsements are approved. Confirmation Number:0-000-440-869 Filing Date and Time: 10/10/2016 01:28:58 PM Payment Method: ACH Debit/E-Check Business Entity Information Entity Type: Limited Liability Company Name of Entity: SONGBIRD CONSULTING LLC Accou ntl D: 603502642-001-0001 Firm Name: SONGBIRD CONSULTING LLC Endorsement(s)Applied For Commence Cease Count Fee Spokane Valley General Business 10/10/2016 10/31/2017 1 $13.00 $13.00 Fee Type Commence Cease Count Fee BLS Processing Fee 10/10/2016 1 $19.00 $19.00 Grand Total: $32.00 txL0004 GEICO Advantage Insurance Company 14111 Danielson Street Poway, CA 92064-6886 March 14, 2017 JOHN A VILLA 1724 W 10TH AVE SPOKANE WA 99204-4106 Policy Number: 4479817001 Company: GEICO Advantage Insurance Company To Whom It May Concern: This letter is to verify that the following individual(s) are listed as drivers and/or named insureds for the above referenced policy as of March 14, 2017: Heather Villa Pleasecontactusifwemaybeoffurtherassistance. Sincerely, GEICOCustomerService POCDRV (12-15) geico.com GEICO ADVANTAGE INSURANCE COMPANY PO BOX 509090SAN DIEGO, CA 92150-9090 08-28-17 447981700102-28-17 2004FORDEXXLTSPNBX1FMZU73W74UB95190 JOHN A AND HEATHER DAWN VILLA