15-076.01 Evergreen Region Volleyball Assoc: Browns Park Sand Volleyball 15-014.01
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CITY OF�T��
l�nile Parks and Recreation Department
lp 2426 N. Discovery Place • Spokane Valley, WA 99216
ey 509.688.0300 ♦ Fax: 509.688.0188 •parksandrec@spokanevallev.org
March 22, 2017
Lindsay Callaghan
Evergreen Region Volleyball Association
608 W. 2nd Ave.
Spokane, WA 99201
Re: Implementation of 2017-2018 option years, Agreement for Recreational Services,
Contract#15-076.00, executed May 15, 2015
Dear Ms. Callaghan:
The City executed an Agreement for provision of Recreational Services on May 15, 2015, by and
between the City of Spokane Valley, hereinafter "City", and Evergreen Region Volleyball
Association,hereinafter"Contractor" and jointly referred to as "Parties."
The original Agreement states that it was for 19 months, with up to two additional two-year terms
possible if the parties mutually agree to exercise the options each two years.. The City would like to
exercise the first two-year option of this agreement which will extend the contract through
December 31, 2018.
The Compensation as outlined in the Agreement and Exhibit A includes the labor and material cost
negotiated and shall not exceed the annual amount of$2,000 paid to the City on March 31, June 30,
September 30, and December 31. The Association shall also pay the City annually $100 per month for
the months of May through September for usage of the City—provided dumpster for event waste. The
Association shall remit payments to the City within ten days after receipt of the itemized statement.
Interest in late payments shall be charged a late fee of one percent per month. The history of the annual
renewals, including dollar amounts, is set forth as follows:
Original contract amount .$2,000+ $500 annually
2017-2018 Renewal $2,000+$500 annually
All of the other contract provisions contained in the original Agreement shall remain in place and remain
unchanged in exercising these option years.
If you are in agreement with exercising the 2017-2018 option years, please sign below to acknowledge
the receipt and concurrence to perform the 2017-2018 option years. Please return two copies to the City
for execution, along with current insurance information. A fully executed original copy will be mailed
to you for your files.
CITY OF SPOKANE VALLEY EVERGREEN REGION VOLLEYBALL SOC
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Mark Calhoun, City Manager NameOr
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Title
ATTEST:
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'stine Bainbridge, city Clerk
APPROVED AS TO FORM:
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Offic f the Cityorney
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DATE i 9/6/2016
CERTIFICATE OF INSURAN E
•
PARKS& RECREATION C CERTIFICATE NUMBER 20160901463866
.
AGENCY ---._...— — -- — — -- -- —
ESIX 3 LLC I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ;
d/b/a Entertainment&Sports Insurance eXperts(ESIX) ICONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES '
• NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
• d/b/a Entertainment and Sports Insurance Agency(California) I BELOW.
2727 Paces Ferry Road,Building Two,Suite 1500 {
Atlanta,GA 30339
678-324-3300(Telephone) '
678-324-3303(Facsimile)
- -
NAMED INSURED: 'INSURERS AFFORDING COVERAGE:
...... _..., .. _._ _... .
USA Volleyball(National Office) Evergreen Region Volleyball(ERVA) I INSURER A: Greenwich Ins.Co.NAIC#:
4065 Sinton Road,Suite 200 608 W.2nd Ave Ste 301 22322
Colorado Springs CO 80907 Spokane WA 99201
POLICY/COVERAGE INFORMATION ^'
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
I INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE
' LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS 1TYPE OF INSURANCE: ;POLICY NUMBER(S) EFFECTIVE EXPIRES LIMITS
A !GENERAL LIABILITY —_-_ -_ ._._.. . _
X Occurrence {ASG089572002 9/1/2016 19/1/2017 } GENERAL AGGREGATE(Applies Per Event) $5,000000
i 12:01 AM ?12:01 AM -- — —
X Participant Legal Liability I I EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED PREMISES(Each Occ.) - $1,000 000
j MEDICAL EXPENSE(Any one person) EXCLUDED^
PERSONAL&ADV INJURY $1,000,000 ;
` I i PRODUCTS-COMP/OP AGG
1
5000000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: — __
The certificate holder is an additional insured as per form GXAL431 (09/13): Additional Insured -Designated Person or Organization Written Contract or Written ;
Agreement,but only with respects to USAV and Regional Volleyball Association sanctioned events,effective the date of this certificate issuance.
All participants must be registered with a regional volleyball association in order for coverage to apply. No coverage will apply for regions and clubs for events
conducted in which all participants are not USAV members.
i The General Liability Policy includes$1,000,000 Each Occurrence/$2,000,000 Aggregate of Sexual Abuse and Molestation coverage.
Coverage is available under a Participant Accident policy#9907-8534 with Federal Insurance Company on file with the policyholder-Accident Medical Coverage i
$25,000,deductible$250-Accidental Death&Dismemberment$10,000.Policy effective date:September 1,2016/Policy expiration date:September 1,2017. ;
CERTIFICATE HOLDER ,NOTICE OF CANCELLATION _
: City of Spokane Valley Parks&Recreation I Should any of the above described policies be cancelled before the expiration date thereof,
I notice will be delivered In accordance with the policy provisions
2426 N.Discovery Place
Browns Park Sand Courts [-AUTHORIZED REPRESENTATIVE:
Spokane Valley WA 99216
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.
RECEIVED
1,4AY 16 2017
PARKS & RECREATION DEPT.
For Roadside Assistance: 800-531 -8555
Report a claim, get coverage and deductible information, request a tow from the accident
scene, schedule an appraisal or reserve a rental car using:
• usaa.com,
• USAA's Mobile App, or
. By calling 210-531-USAA (8722), our mobile phone shortcut number #8722 or
800-531 -USAA.
05/16/17
Automobile Insurance Identification Card
This identification card is evidence of liability insurance for your vehicle. The card is valid only as long
as liability insurance remains in force.
You may be required to produce your identification card at vehicle registration or inspection, when
applying for a driver's license, following an accident or upon a law enforcement officer's request.
Keep a copy of the ID card in your vehicle at all times.
For your convenience, additional copies are available on usaa.com.
FWA1 Rev. 06-13 50821 -0513_01
WASHINGTON INSURANCE IDENTIFICATION CARD
USM CASUALTY INSURANCE COMPANY
NAME OF INSURED LINDSAY M CALLAGHAN
POLICY NUMBER 00552 60 81C 7101 4
EFFECTIVE DATE 04/15/17 EXPIRATION DATE 10/15/17
VEHICLE DESCRIPTION
YEAR MAKE/MODEL
2008 TOYOTA 4RUNNER
VEHICLE IDENTIFICATION NUMBER JTEBT14R58K006015
9800 Fredericksburg Road San Antonio, Texas 78288
Additional copies available at usaa.com
CONTACT US:210-531-USAA(8722)
OR 800-531-USM