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09-233.00 Western Dance Association: Sullivan Park Western Dance Activities 1 fl ( 01 .133 SULLIVAN PARK DANCE HALL LEASE AGREEMENT -M THIS AGREEMENT, made and entered this 1I day of , 2009, by and between City of Spokane Valley, a political subdivision of the State of Washi-/_ on, h,ving offices for the transaction of business at 11707 East Sprague Avenue, Suite 106, Spokane Valley, Washington 99206, hereinafter referred to as "CITY," and Western Dance Association of Spokane, a non-profit organization having offices for the transaction of business at 1901 North Sullivan, Spokane Valley, Washington 99216, hereinafter referred to as"LESSEE,"jointly hereinafter referred to as the"PARTIES." WITNESSETH: WHEREAS, pursuant to the provisions of RCW 35A.11.020, a city may lease or sell any park property,buildings or facilities surplus to its needs, or no longer suitable for park purposes; and WHEREAS, a certain portion of Sullivan Park was previously declared surplus to the present and foreseeable need of Spokane County by the Board of County Commissioners of Spokane County; and WHEREAS, the recreational dance hall located at 1901 North Sullivan Road, Spokane Valley, Washington was originally constructed by the Western Dance Association of Spokane, pursuant to a Lease Agreement executed on the 30th day of September, 1958, however such facility vested in the Spokane County upon termination of said Agreement on the 29th day of September, 1993; and WHEREAS, pursuant to Resolution No. 99-0454, the Board of County Commissioners authorized execution of the Sullivan Park Dance Hall Lease Agreement with the Western Dance Association of Spokane pursuant to which the Western Dance Association leased a portion of Sullivan Park for a period of ten(10)years for western dance activities and related purposes; and WHEREAS, ownership of Sullivan Park, including the recreational dance hall,transferred to the City upon incorporation in 2003. NOW THEREFORE, for and in consideration of the mutual promises set forth hereinafter and as provided for in the above-referenced recitals,the Parties do hereby mutually agree as follows: SECTION NO. 1: SUBJECT AND PURPOSE The CITY leases to the LESSEE, subject to the terms and conditions herein contained, certain real property located in Sullivan Park, Spokane Valley,Washington and legally described as follows: A portion of land, being approximately one and one-half(1 Y2) acres, located South and West of a point approximately 175 feet South of the North property line of the property hereinafter described and approximately 250 feet West of the center line of Sullivan Road,said above portion located within the following described property: The following portions of Government Lots 8 and 9 in Section 11, Township 25 North,Range 44 East,W.M., in the County of Spokane and State of Washington, described as follows: • Beginning at the Southeast corner of Section 11, Township 25 North, Range 44 East, W.M., thence North 0° 47' West 925.08 feet along the East line of Section Sullivan Park Dance Hall Lease Agreement Page 1 of 7 • F 11; thence North 55° 50' West 36.60 feet to the Westerly right-of way line of Sullivan Road and the True Point of Beginning; thence North 55° 50' West 916.30 feet; thence North 89° 13' East 751.04 feet to the Westerly right-of-way line of Sullivan Road; thence South 0° 47' East 524.91 feet along the Westerly right-of-way line of Sullivan Road to the True Point of Beginning; hereinafter referred to as the "Premises" for the purposes of western dance activities put on by the LESSEE or sponsored by the LESSEE and related to western dance activities, during daytime and evening hours on weekends and ONLY after 5:00 p.m. on weekdays. Provided, it is understood that the continuance by the LESSEE of the support and sponsorship of activities by the various clubs that make up the LESSEE, scheduling them for certain times and dates with them contributing to the expenses of maintenance and upkeep, heat, lights, etc., of the Premises, is a proper use of the Premises. LESSEE needs city permission to use Premises prior to 5:00 p.m. on weekdays. The LESSEE agrees that the CITY may administer and conduct any activities on the Premises during daytime hours of 6:00 a.m. to 5:00 p.m. on weekdays. CITY agrees that such activities will be restricted to those that will assure maintenance, care, and safeguarding of the dance floor. The Premises include the recreational dance hall, storage building at the rear of the hall and the carport area on the south side of the hall. The LESSEE shall additionally be entitled to the non-exclusive use of the parking lot east of the hall and the natural landscape areas around the perimeter of the structures, during the term of this Agreement. The CITY will ensure that the Premises are left in neat, clean and orderly condition and that the recreational dance hall is secure at the conclusion of each such activity session. SECTION NO.2: TERMS AND CONDITIONS The term of this Agreement shall commence on the 151 day of June 2009, and shall run for ten(10)years. This Agreement, at the mutual option of the parties, may be renewed for up to two (2) additional five (5) year terms. For and in consideration of the use of the Premises as set forth herein, the LESSEE shall pay the following amount on or before the 5th of each month for that month. First year to end of Lease $500.00 per month The parties agree to review this lease amount after ten(10) years. All late payments shall be subject to a $25.00 late fee due with the following month's payment.Payments shall be considered late if they are not received by the City of Spokane Valley having offices at 11707 East Sprague Avenue, Suite 106,Spokane Valley, Washington 99206, by the 15°i of the month. Payments post marked before such date shall be considered received timely. SECTION NO.3: INSURANCE During the period of this Agreement, the LESSEE shall carry and keep in force, at its sole expense, a commercial general liability insurance policy with the minimum limits of$1,000,000 per occurrence with a$2,000,000 aggregate for bodily injury,and$1,000,000 per occurrence for property damage. Said policy • shall be written by a reliable insurance company or companies and shall provide that said policy shall not be canceled,materially changed or not renewed without thirty(30)days' prior notice thereof to the CITY. The CITY reserves the right to approve the LESSEE's insurance carrier(s). The CITY shall be named as an additional named insured in all such policies and the LESSEE shall provided the CITY with certified copies of said coverage prior to commencement of use of the Premises. Sullivan Park Dance Hall Lease Agreement 0 Page 2 of 7 F The LESSEE shall provide all fire insurance on personal property that the LESSEE moves onto the Premises and a casualty insurance desired by LESSEE both at the sole expense of LESSEE; and the CITY shall have no responsibility whatsoever therefore. The CITY assumes responsibility for property damage to building roofs, walls, and foundations of the recreational dance hall. In addition, the CITY agrees to indemnify and hold harmless the LESSEE from any liability for bodily injury occurring to any participants in those activities directly administered by the CITY during its weekday sessions. SECTION NO. 4: Indemnification and Hold Harmless. LESSEE shall defend, indemnify, and hold harmless the CITY, its officers, officials, employees and volunteers from and against any and all claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage to property, which arises out of LESSEE's use of Premises, or from the conduct of LESSEE's business, or from any activity,work or thing done, permitted, or suffered by LESSEE in or about the Premises, except only such injury or damage as shall have been occasioned by the sole negligence of the CITY. SECTION NO. 5: OWNERSHIP OF IMPROVEMENTS Any improvements and permanent fixtures made or placed on the Premises by LESSEE during the term of this Agreement shall be and remain the property of the CITY. SECTION NO. 6: TERMINATION In addition to all other rights and remedies which the parties may have herein or at law, the Parties may terminate this Agreement as follows: A. By LESSEE: This Agreement may be terminated by the LESSEE upon 180 days' written notice to the City without cause. B. By CITY: (1) This Agreement may be terminated by the City of Spokane Valley upon one (1)year written notice to the LESSEE without cause. (2) This Agreement may be terminated by the CITY upon five(5) days written notice to the LESSEE on the happening of any one of the following events: a. The default of the LESSEE in the performance of any terms, conditions or covenants herein required to be performed by the LESSEE and the failure of the LESSEE to remedy such default in a period of thirty (30) days after receipt from the CITY of written notice to remedy the same. Provided, however, that no notice of termination as herein provided shall be of any force or effect if the LESSEE shall have remedied the default prior to the expiration of such thirty-day period, or if the nature of such default is such that a period in excess of thirty (30) days is necessary in order for the LESSEE to cure such default, and the LESSEE shall have commenced to cure the default and shall diligently continue its efforts to correct such default. In such event, the LESSEE shall have such time as is reasonably required to cure the default. Sullivan Park Dance Hall Lease Agreement Page 3 of 7 (-\ `. SECTION NO.7: WASTE AND NUISANCE PROHIBITED During the term of this Agreement, the LESSEE shall comply with all applicable laws affecting the premises,the breach of which might result in any penalty on the CITY or forfeiture of the CITY's title to the premises. The LESSEE shall not commit, or suffer to be committed, any waste or nuisance on the premises. SECTION NO. 8: NOTICES All notices, demands, or other writings in this Agreement provided to be given or made or sent, or which may be given, or made or sent by either party hereto to the other, shall be deemed to have been fully given, or made or sent when made in writing and deposited in the United States Mail, certified, postage pre-paid and return receipt requested, and addressed as follows: To CITY: CITY OF SPOKANE VALLEY Parks&Recreation Director 2426 North Discovery Place Spokane Valley, Washington 99216 To LESSEE: WESTERN DANCE ASSOCIATION OF SPOKANE 1901 North Sullivan Spokane Valley, Washington 99216 The address to which any notice, demand or any other writing may be given, or made or sent to any party as provided for herein above, may be changed by written notice given by such party as provided for herein above. SECTION NO. 9: REPAIRS • The LESSEE shall,throughout the term of this Agreement, at its own cost and without any expense to the CITY, keep and maintain the premises, including the recreational dance hall, storage building and carport, all improvements and fixtures of every kind which may be a part thereof, and all appurtenances thereto, including sidewalks adjacent thereto, in good, sanitary and neat order, condition and repair, except as provided for to the contrary herein.The CITY shall not be obligated to make any repairs,replacements,or renewals of any kind, nature, or description, whatsoever to the premises, or any buildings or improvements thereon. Any alterations, replacements or renewals, the total cost of which exceeds $1,000.00 shall receive prior written approval of the CITY. The LESSEE shall provide for snow removal from the walking areas which the LESSEE has the right to use under the terms of this Agreement. The CITY shall additionally remove snow accumulation from the roofs of the recreational hall, attached carport and storage building as necessary to prevent structural damage and ice dams. The CITY may inspect the Premises at any reasonable time for the purpose of reviewing compliance by the LESSEE with the terms of this Agreement. Sullivan Park Dance Hall Lease Agreement Page 4 of 7 n • SECTION NO. 10: LIENS The LESSEE shall keep the Premises free and clear form all mechanics' and materialmens' and other liens from work or labor done, services performed, materials, appliances, teams or power contributed, used or furnished or to be used in or about the Premises for or in connection with any operations of the LESSEE, or any alteration, improvement, repairs, or additions which the LESSEE may make or permit or cause to be made, or any work or construction by, for, or permitted by the LESSEE on or about the Premises. SECTION NO. 11: UTILITIES The LESSEE shall initiate, contract for, and obtain in its own name, and fully and promptly pay for all electricity,heat,lights,power,telephone service,garbage and all other public and private utilities of every kind furnished to the Premises throughout the term hereof. LESSEE shall be responsible for the purchase of building supplies for janitorial rest rooms,kitchen and similar uses. SECTION NO. 12: COMPLIANCE WITH LEASEHOLD EXCISE TAX The LESSEE hereby acknowledges that it is responsible for paying the "Leasehold Excise Tax," as set forth by chapter 82.29A RCW, as now or hereinafter amended, which is applicable to this Agreement. The LESSEE shall be not only be solely responsible for paying such tax, but shall also be responsible for representing itself in any challenge to the amount of such tax that the Washington State Department of Revenue determines is due or any penalty associated with the tax. The LESSEE agrees to promptly pay when due all taxes, rates, charges and assessments, special or otherwise and public charges of every kind and nature which may be lawfully imposed or assessed in any way on the LESSEE with reference to the Premises. The LESSEE shall also comply with and abide by all federal, state, county, municipal and other governmental statutes, ordinances, laws and regulations affecting the premises, the improvements thereon,or any activity conducted on or in such Premises. SECTION NO. 13: NON-LIABILITY OF CITY The CITY shall not be liable in any manner for any loss, injury or damage incurred by the LESSEE from acts of theft, burglary, or vandalism, committed by either identified or unidentified parties. The LESSEE shall be responsible for providing, and all expenditures relating thereto, any security precaution that the LESSEE deems necessary to protect the premises and all improvements thereon. The LESSEE shall be solely responsible for providing, and all expenditures relating to, any safety and security precautions that the LESSEE deems necessary for the safety of the personnel, guests, employees, patrons, or users of the premises, or property of the LESSEE located on the premises. The LESSEE shall implement security measures sufficient to secure the Premises after hours and prevent unauthorized use. SECTION NO. 14: INSPECTION The LESSEE shall make available to the CITY or its duly authorized representative at any time from Monday through Friday, during normal business hours, all records, books or pertinent information which the LESSEE shall have kept in conjunction with this Agreement and which the CITY may be required by law to include or make part of auditing procedures or audit trails. Sullivan Park Dance Hall Lease Agreement Page 5 of 7 SECTION NO. 15: VENUE STIPULATION This Agreement has been and shall be construed as having been made and delivered within the State of Washington and it is mutually understood and agreed by each party hereto that this Agreement shall be governed by the laws of the State of Washington,both as to interpretation and performance. Any action at law, suit in equity, judicial proceeding for the enforcement of this Agreement or any provision hereof shall be instituted and maintained only in any of the courts of competent jurisdiction in Spokane County, Washington. SECTION NO. 16: ASSIGNMENT Each party to this Agreement binds themselves, their partners, successors, executors, administrators, and assigns to the other party of this Agreement and to the party's successors, executors, administrators and assigns of each other party with respect to all terms, conditions and covenants set forth herein. The LESSEE may not sublet the Premises; allow its use by any other person or entity, nor assign, transfer in whole or part its interest in this Agreement without the same being first authorized in writing by the CITY. In the event of an assignment, the assignee shall assume all liability of the assignor. Any unauthorized voluntary or involuntary assignment or sub-lease shall be void, and shall terminate this Lease at the CITY's option. Provided, that it is understood that the continuance by the LESSEE of the support and sponsorship of activities by the various clubs that make up the Association, scheduling them for certain times and dates with them contributing to the expenses of maintenance and upkeep, heat, lights,etc.,of the Premises,does not amount to or consist of subletting as provided in this Section. SECTION NO. 17: WAIVER No officer, employee, agent or otherwise of the CITY has the power, right or authority to waive any of the conditions or provisions of this Agreement. The waiver of any breach of this Agreement shall not be held to be a waiver of any other or subsequent breach.All remedies afforded in this Agreement or at law shall be taken and construed as cumulative, that is, in addition to every other remedy provided herein or by the law. The failure of the CITY to enforce, at any time, any of the provisions of this Agreement or to require, at any time, performance by the LESSEE of any of the provisions hereof, shall be in no way construed to be a waiver of such provisions, nor any way affect the validity of this Agreement or any part hereof or the right of the CITY to thereafter enforce each and every such provision. SECTION NO. 18: MODIFICATION There shall be no modification of this Agreement, except in writing, executed with the same formalities of this present instrument. SECTION NO. 19: SEVERABILITY It is understood and agreed by the Parties that if any part, term or provision of this Agreement is held by the court to be illegal, the validity of the remaining portions or provisions shall not be affected, and the rights and obligations of the parties shall be construed and enforced as if this Agreement did not contain a particular part,term or provision held to be invalid. If it should appear that any part, term or provision hereof is in conflict with any statutory provisions of Washington, then the part, term, or provision thereof which may conflict therewith shall be deemed inoperative, null and void insofar as it may be in conflict therewith, and shall be deemed to modify to conform to such statutory provisions. Sullivan Park Dance Hall Lease Agreement Page 6 of 7 , C SECTION NO.20:NON-DISCRIMINATION The LESSEE specifically agrees that it shall comply with all applicable Federal and state laws relating to non-discrimination for any program or activity conducted by the LESSEE on the Premises SECTION NO.21:HEADINGS The section headings appearing in this Agreement have been inserted solely for the purpose of convenient and ready-reference. In no way do they purport to, and shall not be deemed to define, limit or extend the scope or intent of the sections to which they are pertaining. SECTION NO.22: TIME OF THE ESSENCE Time is of the essence of each and every provision herein. SECTION NO.23: ALL WRITINGS CONTAINED HEREIN This Agreement contains all the terms and conditions agreed upon by the Parties. No other understandings, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or to bind any of the Parties. The LESSEE has read and understands the whole of the above Agreement and now states that no representation, promise or agreement not expressed in this Agreement has been made to induce the LESSEE to enter it. SECTION NO.24. EXHIBITS— A.Insurance certificates IN WITNESS WHEREOF, the PARTIES have caused this Agreement to be executed on the date and year set for above. CIT e 'KANE VALLEY: WESTERN DANCE ASSOCIATION: /1 , itry/A, A/z-- ik—Ag David i'ercie,, City Manager Name e4,t�J Q. Title: /,a-•0:14. fresh en7/ Catop`e.-- Tax ID No._. R FDACTED • T: APPROVED AS TO FORMc hristine Bainbri ge,City Cler Office the City rney This document contains confidential tax information and has been redacted pursuant to RCW 82.32.330. You may petition for a review of our findings pertaining to any redacted or{SvicIilield documents pursuant to Spokane Valley Municipal Code (SVMC) 2.75.080; and obtain judicial review pursuant to RCW 42.56.550. Sullivan Park Dance Hall Lease Agreement Page 7 of 7 g.ec'g- ilia 102. P13 • • ACORD. CERTIFICATE. JF. LIABILITY INSURiAN. �� °' "��' > s� -,..15126/09.,= t . PRODUCER THIS CERIFICATE IS O AS A MATTER'OF INFORMATION Starr, Starr & Totton ONLY AND CONFERS RTGFfl S UPON THE CERTIFICATE Insureco, Inc HOIDER;THIS C TCATEDOES NOT ND EXTEND OR. 219 N Pines Rd ALTER THE COVERAGE AFFORDED; ' TS_ BELOW. Spokane WA 99206 • • Phone:509-928-2121 Fax:509-928-8379 INSURERSAFFORDTI�SGCOVERA xis INSURED LYSURER.a`:. men_ � c e a e INSURER a Western Dance Assoc of Spokane Dist.jilER `1S• Becky Obernolte P.O. Box 417 Fairfield WA 99012 D` `INSURER E COVERAGES • T _ t + THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER CD TE7 0:073)'8 iS'1 /' - ANY REQUIREMENT,TERM OR CONDfIION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CHt'tIFICATE LtA'YBE tSSUID QR .• . •: MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECTTO ALI,THE TERMS.EXCLUSIONS AND COfROT/IONS OF SUCH" POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INsRICCID1p�ATTE(M EFFECTIVE DATE DDI EXPIRATION LTR INSRCL TYPE OF INSURANCE • POLICY NUMBER LIMITS GENERAL UABIUTY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GEJNERALUABluIY 02CC8831740— 11715/8 -11/15/09 •:PRIEMISEs ,ce) s 1,000,000 CLAIMS MADE n OCCUR MED EXP(Any one person) S 10,000 - PERSONAL bADV INJURY .• -s 1,000,000 X Stop Gap GENERAL AGGREGATE s 2,000,000 "-1 GENt AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY n JECaT n LOC AUTOMOBILE LIABItJTY A ANY AUTO 02CC8831740 11/15/08 11/15/09 COMBINED SINGLE LIMIT $1,000,000 (Ea aaiderd) • All OWNED AUTOS BODILY INJURY •_ SCHEDULED AUTOS ( ). X HIRED AUTOS • BODILY INJURY. s ' ' X NON-OWNED AUTOS - (Per accident) - PROPERTY DAMAGE (Per accident) GARAGE UABIUTY AUTO ONLY-EA ACCIDENT $ _ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE S —I OCCUR n CLAIMS MADE AGGREGATE _ $ . — s ` DEDUCTIBLE s — RETENTION WORKERSCOMPENSATIONAND CSIAI S it BILI • •EMPLOYERS'.LWY - • - TWORYLIMRS Nit - -- ANY PROPRIETOR/PARTNERIEXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE s (Eyes.desabe under SPEIAL PROVISIONS below EL DISEASE-POUCY UNIT $ OTHER • • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS , • Certificate holder is named as additional insured in regards to operations • of the named insured. . • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION • DATE THEREOF,THE ISSUING INSURER WILL.ENDEAVOR TO MAIL DAYS WRITTEN City of Spokane Valley NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Parks sc Recreation CeIIterplace IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Mike Stone (Fax - 688 0188) 2426 N. Discovery Place REPR ENTATIVES• Spokane Valley WA 99216 A ''" REPREs / ACORD 25(2001/08) ©ACORD CORPORATION 1988 .„----, f' WESTDAI OP ID:CR ACORO' DATE(MMIDUmYY) ' CERTIFICATE OF LIABILITY INSURANCE ` 1 Y. �� 11/2912016 . ' THIS CERTIFICATE IS-ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE HOLDER.y THIS* CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,;EXTENID,OR,ALTER THE'COVERAGE�AFFORDED'rBYxTHE''POL'ICIES BELOW( THISkCEIITIFICATE OF INSURANCE,DOES,NOT,CONSTIJUTE A CONTRACT(BETWEEN THE'ISSUINGINStJRER(S), AUTHORIZED SENT i1VEsORpPRODUCER,ANI)TIIE CERTIFIpATE HOLDE,. T.; x �,; � `•;` " ''Li �� ,;;°3 ' -' REPRE ' IMPORTA ,Njeal the eeirlificate'holdelli..e. i DITIO L INSURECI,the policy(es us `e end sed`If SUCR GATIO sWA1VED. 0,,j0,,0 0 the tens andc•ndlUons f'1��•ohc .•,� i�•• �' •�iie n e•do�seme"t� e eiton'�hl�certlficate doessnot,conf�er nghts,to the ?: 3_:'ri A. Y.. iw' A,Y'*.fN,51 vu d {'v ^rf rh 'FA.. LT t "^` <certifica ho..er n j¢ Qf c do a!as :E s � .'s � ��x� � acs �` ._ .,..-',..a xm v �C� ONTACT .sve,R; '^.1,p *rawwr`* ,=, %,9 ig 'e,o ",2fv,ti P U -'f .,owe:, �` ,- a�' ?fAME. 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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. (LTR TYPE OF INSURANCE ANSA SUER POLICY NUMBER (MM/DDIYYYY) (MMIIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE X OCCUR X BL056798477AMAGE TO RENTED 11/15/2016 11/15/2017 PREM SES Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 15,000 X Stop Gap PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7C LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ A ANY AUTO X BAA56798477 11/15/2016 11/15/2017 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per accident) _ UMBRELLA UAB — OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY `a'I N OTH- PER ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 A Commercial Applica BLO56798477 11/15/2016 11/15/2017 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is named as additional insured in regard to operations of the named insured. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. Parks&Recreation Centerplace 2426 N. Discovery Place AUTHORIZED REPRESENTATIVE Spokane Valley,WA 99216 C:!.2. (..._ f " I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 4114 .33 --- SQUA&FO-01 JZAGORSKI ACORCY DATE(MM/DD/YYYY) `.----- CERTIFICATE OF LIABILITY INSURANCE 08/01/2018 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(les)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 fhez t0iutrof such endorsement(s). CONTACT PRODUCER NAME: McDonald Zaring Insurance,Inc. AUG3 20 i3 (ac°°,No,Eat):(509)525-5730 I FAX No):(509)525-5705 22 E Main St ( MAIL Walla Walla,WA 99362 ADDRESS:info@mcdonaldzaring.com INSURER(S)AFFORDING COVERAGE NAIC# PARKS & RECRFCT''" 1 INSURER A:The Cincinnati Insurance Company 10677 • INSURED INSURER B: Square&Folk Dance Federation of Washington,Inc. INSURER C: 5612 S Napa St INSURER D: Spokane,WA 99223 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I$ 1,000,000 CLAIMS-MADE X OCCUR EPP 0346268 09/01/2018 09/01/2019 DAMAGETORENFED 500,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 II 28, 2,000,000 i POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY �Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED 1I AUTEO�S ONLY —AUTOS yyN p BODILY INJURY (Per accident) $ AUTOS ONLY — AUTOS ONLY (Per acEcident)DAMAGE $ $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE I$ 1,000,000 EXCESS LIAB CLAIMS-MADE EPP 0346268 09/01/2018 09/01/2019 AGGREGATE $ II DED X RETENTIONS 0 $ 1,000,000 WORKERS COMPENSATION PER PERTUJ� ETH AND EMPLOYERS'LIABILITY ANY PROPRIIETOR�/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ (MFandatoryin NH)EXCLUDED9 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) 1 Square and Round Dancing for the dance season of 2017-2018 at Western Dance Center,1901 N Sullivan,Spokane Valley,WA 99216. Certificate holder is named as additional insured In regard to operations of the named insured. I • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • Ci of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City P ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerplace I 2426 N Discovery Place Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. . The ACORD name and loco are reaistered marks of ACORD o9 -z b a,/ -2,33,o( i--.1 SQUAJIFO-01 SANTHONY A��RO CERTIFICATE OF LIABILITY INSURANCE DAsa/2o01e I 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 INSU RED,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 CNE CT McDonald Zaring Insurance,Inc. Fjai ,NxoAX INCCs(509)525-5705 22 E Main St Ed) (5119)5255730 ,No 30 -- - EMAIL 9 mc info donaldzadn .com Walla Walla,WA 99362 ADDRESS ~_ INSURER(SI AFFORDING COVERAGE _ NAIC# IINSURERA The Cincinnati Insurance Company 10677 INSURED INSURER Square B Folk Dance Federation of Washington,Inc. INSURER 5612$Napa St INSURERo- Spokane,WA 99223 INSURERE_ 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 _- L3R DL SUER POLICY EFF I POLIOY EXP TR TYPE OF INSURANCE IVSD WJD POLICY NUMBER IMMIDWYYYYI'IMMIDD'YYYYI LIMITS A X I COMMERCIAL GENERAL LIABILITY ' EACH OCCURRENCE 1'000.000 DAMAGE TO RENTED 500,000 culMSMADE X OCCUR X EPP 0346268 9/1/2019 9/1/2020 PREMSESffnocD,me 1_ $ MED PX, one Vers] $ 5.000 PERSONAL 3_ADV INJURY $ _ 1,000,000 GEM_AGGREGATE PRGATE LIMIT APPLIES PER [I GENERAL AGGREGATE IS 2,O00,000 Ta,POLICY JECT - - j LOC PRODUCTS-COMP/OP ACO 2,000,000 OTHER EAUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I 'LEe amamtL----- - -_— - I I ANY AUTO BODILY INJURY(per persanL iI I _ _ OWNED SCHEDULED AUTOS ONLY (AAUUTTOp$µN[p I BODIL Y INJURY pneciUWII, I AVTVS ONLYI AUTOSONLV I PROPERTY DAMAGE A X UMBRELLA UAB X'OCCUR EACH OCCURRENCE 1,000,000 EXCESSLIABCLAIMI X EPP 0346268 9/1/2019 9/1/2020 � S-MADE AGGREGATE I DED I X RETENTION 0 I 1,000,000 WORKERS COMPENABILI PER I J OTH- ANDEMPLOYERS'UABILEYTIN i STATUTE-' ER_ ANY ANY�PROP ETORpE%CWDEDiECUTIVE ! IN IA I E L EACH ACCIDENT ImeMMnryin NN) - - I1 ye EL DISEASE.EA EMPLOYEE DESCRIPTION under RIPTION OF OPERATIONS below E L DISEASE•POLICY LIMIT DESCRIPTION OF OPERAIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Rem ado Schedule,my be attached Ir more space M Iareired) Square and Round Dancing for the dance season of 2019-2020 at Western Dance Center,1901 N Sullivan,Spokane Valley,WA 99216 Certificate holder Is named as additional insured in regard to operations of the named insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CityO(S Kane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Spokane ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerpiece 2426 N Discovery Place Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION All rights reserved The ACORD name and logo are registered marks of ACORD SQUA&FO-01SANTHONY DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/1/2020 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). CONTACT PRODUCER NAME: PHONEFAX McDonald Zaring Insurance, Inc. (509) 525-5730(509) 525-5705 (A/C, No, Ext):(A/C, No): 22 E Main St E-MAIL info@mcdonaldzaring.com Walla Walla, WA 99362 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # The Cincinnati Casualty Company28665 INSURER A : INSURED INSURER B : INSURER C : Square & Folk Dance Federation of Washington, Inc. 5612 S Napa St INSURER D : Spokane, WA 99223 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 500,000 CLAIMS-MADEOCCUR X EPP 03462689/1/20209/1/2021 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ 1,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ EPP 03462689/1/20209/1/2021 EXCESS LIABCLAIMS-MADE X AGGREGATE$ 1,000,000 0 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Square and Round Dancing for the dance season of 2020-2021 at Western Dance Center, 1901 N Sullivan, Spokane Valley, WA 99216. Certificate holder is named as additional insured in regard to operations of the named insured. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerplace 2426 N Discovery Place AUTHORIZED REPRESENTATIVE Spokane, WA 99216 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SQUA&FO-01SBARNETT DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/30/2021 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). CONTACT PRODUCER NAME: PHONEFAX McDonald Zaring Insurance, Inc. (509) 525-5730(509) 525-5705 (A/C, No, Ext):(A/C, No): 22 E Main St E-MAIL info@mcdonaldzaring.com Walla Walla, WA 99362 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # The Cincinnati Casualty Company28665 INSURER A : INSURED INSURER B : INSURER C : Square & Folk Dance Federation of Washington, Inc. 5612 S Napa St INSURER D : Spokane, WA 99223 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 500,000 CLAIMS-MADEOCCUR X EPP 03462689/1/20219/1/2022 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ 1,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ EPP 03462689/1/20219/1/2022 EXCESS LIABCLAIMS-MADE X AGGREGATE$ 1,000,000 0 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Square and Round Dancing for the dance season of 2021-2022 at Western Dance Center, 1901 N Sullivan, Spokane Valley, WA 99216. Certificate holder is named as additional insured in regard to operations of the named insured. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerplace 2426 N Discovery Place AUTHORIZED REPRESENTATIVE Spokane, WA 99216 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SQUA&FO-01SBARNETT DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/19/2022 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). CONTACT PRODUCER NAME: PHONEFAX McDonald Zaring Insurance, Inc. (509) 525-5730(509) 525-5705 (A/C, No, Ext):(A/C, No): 22 E Main St E-MAIL info@mcdonaldzaring.com Walla Walla, WA 99362 ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # The Cincinnati Casualty Company28665 INSURER A : INSURED INSURER B : INSURER C : Square & Folk Dance Federation of Washington, Inc. 5612 S Napa St INSURER D : Spokane, WA 99223 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 500,000 CLAIMS-MADEOCCUR X EPP 034 62 689/1/20229/1/2023 $ PREMISES (Ea occurrence) X 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ 1,000,000 A XX UMBRELLA LIAB OCCUR EACH OCCURRENCE$ EPP 034 62 689/1/20229/1/2023 EXCESS LIAB CLAIMS-MADE X AGGREGATE$ 1,000,000 0 X DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Square and Round Dancing for the dance season of 2022-2023 at Western Dance Center, 1901 N Sullivan, Spokane Valley, WA 99216. Certificate holder is named as additional insured in regard to operations of the named insured. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerplace 2426 N Discovery Place AUTHORIZED REPRESENTATIVE Spokane, WA 99216 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD