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15-042.01 Melissa Finke: Dance Classes CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND MELISSA FINKE Contract #15-042.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged,City and the Contractor mutually agree as follows: 1. Purpose: This Amendment is for the agreement for recreational services for the Parks & Recreation Department by and between the Parties, executed by the Parties on April 15, 2016, and which terminates on December 31.2016. Said contract shall be referred to as the"Original Contract"and its terms are hereby incorporated by reference. Total compensation under the Original Contract is not to exceed 75% of all class revenues, as full compensation for everything done under the agreement. . 2.Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the Original Contract and any amendments thereto which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions, which are either as follows. All such amended provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract, including any previous amendments thereto. Extend the contract term until December 31,2018. 4. Compensation Amendment History: This is Amendment#_1 of the Original Contract. The history of amendments to the compensation on the Original Contract and all amendments is as follows: Date Compensation Original Contract Amount 4/15/16 75%of all class revenues Amendment#1 - 10/1/16 75%of all class revenues Total Amended Compensation 75%of all class revenues J� The parties have executed this Amendment to the Original Contract this Z.3 day of Etebcr,2016. CITY OF SPOK ANFVALLEY: CON I'RACTO' r if k ii _-411 III/ _ . Co Mark Calhoun,, r By:Melissa Finke City Manager Its: ATTEST: APPROVE S.k-QTO 7.:. li: 2.� ( cf ���'�-tom Christine Bainbridge,City Clerk Offic�bf the C Attorney 1 • ::A 1 t rAIZM f Ittt ANU UAUUAL 1 Y GUMf'ANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS 'RENEWAL DECLARATIONS =.0.Box 799100 y Polic Number 98-BH-W003-1 3allas.TK 75379-9100 arced Insured I Policy Period Effective Date Expiration Date z2 M-15-2434-FBB1 F N 12 Months 1j EEB#1¢201;6W= IFEB 1F201!7,0 12592 3125 1 rhe policy period be ins qnd ends at12:01 am standard TiVIKEPAtMELlI•SSArt time at the premises location. 1— AIDANCEW€"GL!AS5zv; • s 13310 E 6TH AVE .4t SPOKANE VLY WA 99216-0641 Agent and Mailing Address S : t KIT 7NDIVISION ST STE 610 11111'11111111111111111111111111111111lIn1111111111111111119111 SPOKANE WA 99207-1660 ' PHONE: (509) 483-5540 (509) 443-3514 Bsires,§.9 nrnersjPoiicy, ' Automatic Renewal-lithe policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written riotice in compliance with the policy provisions or as required by law. Entity: Individual NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM $ 440.00 Minimum Premium Discounts Applied: Renewal Year Years in Business Claim Record Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016710 294 i Continued on Reverse Side of Page Page 1 of 7 E 53U-686 a.2 Q531-2011 1olt3231 . 1V/ IV RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BI-I-W003-1 SECTION_I-PROPERTY SCHEDULE, -- -. - — - -- — 1 Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings . Business Personal Personal Property Property 1 i I II I n01 1 13310 E 6TH AVE I , No Coverage 1 $ 1,500 I 25% SPOKANE VLY WA 99216-0641 * As of the effective date of this policy,the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage SECTION I-INFLATION COVERAGE INDEXES) _.-- Coy A-Inflation Coverage Index: N/A Cov B-Consumer Price Index: 236.1 SECTION I- DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply-refer to policy. Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2009 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016710 Continued on Next Page Page 2 of 7 M16710 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 ti SECTION I- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE- EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included"indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B-Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A-Buildings) Prepared DEC 08 2015 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016711 294 Continued on Reverse Side of Page Page 3 of 7 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 Ordinance Or Law -Equipment Coverage Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B -Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B -Business $2,50 ; Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5.000 Water Damage,Other Liquids,Powder Or Molten Material Damage Included SECTION I- EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. LIMIT OF COVERAGE INSURANCE Loss Of Income And Extra Expense Actual Loss Sustained-12 Months SECTION II- LIABILITY LIMIT OF COVERAGE INSURANCE Coverage L-Business Liability $1,000, �� Prepared DEC 08 2015 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016711 Continued on Next Page Page 4 of 7 oge M 16710 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE,MELISSA Policy Number 98-BH-W003-1 Coverage M -Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annuai period. Please refer to Section II -Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply,including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form FE-6999.2 *Terrorism Insurance Coy Notice CMP-4247 Amendatory Endorsement CMP-4709 Money and Securities CMP-4705 Loss of Income& Extra Exonse CMP-4788 Addl lnsd Mgrs Lessor of Prem FD-6007 Inland Marine Attach Dec * New Form Attached SCHEDULE OF ADDITIONAL INTERESTS Interest Type: Addl Insured-Section II Endorsement#: CMP4788 Loai Number: NIA CITY OF SPOKANE VALLEY 2426 N DISCOVERY P� SPOKANE VLY WA 992165055 Prepared DELI 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2D08 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016712 294 Continued on Reverse Side of Page Page 5 of 7 E RENEWAL DECLARATIONS(CONTINUE Businessowners Policy for FINKE.MIELISB= Policy Number 28-BH-WOW-1 This policy is issued by the State Farm Fire and Casualty Conic Participating PQ : are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in ^ccordance with the Company's Articles of Incorporation,as amended. in Witness Whereof,the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. secretary President OTiCE TO POLICYHOLDER: For a comprehensive description of coverages and forms,please refer to your policy. changes requested before the "Date Prepared",which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. = iicy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If,during the past year, you've acquired any valuable property items, made any improvements to insured property,or have any questions about your insurance coverage,contact your State Farm agent. Please keep this with your policy. Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016712 Continued on Next Page Page 6 of 7 Zvi 16710 RENEWAL DECLARATIONS(CONTINUED) Businessowners Policy for FINKE, MELISSA Policy Number 98-BH-W003-1 Your coverage amount.... It is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contractors and replacement cost appraisers, or, your agent can provide an estimate from Xactware, Inc using information you provide about your structure. We can accept the type of estimate you choose as long as it provides a reasonable level of detail about your structure. State Farm does not guarantee that any estimate will be the actual future cost to rebuild your structure. Higher limits are available at higher premiums. Lower limits are also available, as long as the amount of coverage meets our underwriting requirements.We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure. Prepared DEC 08 2015 ©Copyright,State Farm Mutual Automobile Insurance Company.2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 016713 294 Page 7 of 7 - N - U' V - N 0 - 0 - o, — 0 i - o IMMINMIIIE C. N MELISSA SUE FINKE DANCE CLASS 13310 E 6TH SPOKANE VALLEY WA 99216 006058 , _ DETACH BEFORE POSTING _.- ... .,- . -;7-‘7,7:1,, ,,i,,,__:.,-174,r,te- _ _;ter _r- -410-it 41;STATEo4 t 6 •. dBUSINESS LICENSE I � „ ,]869` ` STATE OF t) WASHINGTON 7-1 Unified Business ID #: 602 011 778 `:4 Sole Proprietorship Business ID #: 1 f'1 Location: 3 : ,, - Expires: 01-31-2017 %1 MELISSA SUE FINKE - ` W" ``— _. : DANCE CLASS ( 2426 N DISCOVERY PL f` SPOKANE VALLEY WA 99216 5055 • ii • . TAX REGISTRATION EE kG` `�:, CITY LICENSES/REGISTRATIONS: ,.-. , "ii., , � `i, SPOKANE VALLEY GENERAL BUSINESS ' ,' - - R'' i � i7 REGISTERED TRADE NAMES: DANCE CLASS --` s it ,i T cx ' . y- :1, ,..„ \..,\, "-----, ,,•4 _....., , _, :..., 'b. ..., 11 Y 1,,, r :: i1 fes. �' ,) 1 ki ,.! ,, 1 ,. ..� (. -.5 'C9 This document lists the registrations,endorsements,and licenses authorized for the business _ a 'I � ' named above.Byacceptingthisdocument,thelicenseecertifiestheinformationontheapplication I � a was complete,true,and accurate to the best of his or her knowledge,and that business will be t/�lr'`' 1 1. conducted in compliance with all applicable Washington state,county,and city regulations. Director,Department of Revenue t .. r.. may.+41; i--='--7:: v: '.� .._: -. v-Z ..av . - —� . 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