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16-019.01 Meals on Wheels: CenterPlace and Senior Center MealsS4�i' jUalley. 10210 E Sprague Avenue ♦ Spokane Valley WA 99206 Phone: (509) 720-5000 • Fax: (509) 720-5075 • www.spokanevalley.org Email: cityhall@spokanevalley.org December 11, 2018 Contract No. 16-019.01 Marta Harrington, Executive Director Greater Spokane County Meals on Wheels P.O. Box 14278 Spokane, WA 99214 Re: Implementation of 2019-2021 option years, Agreement Between the City of Spokane Valley and Greater Spokane County Meals on Wheels, Contract No. 16-019, executed January 20, 2016 Dear Ms. Harrington: The City executed an Agreement for provision of the Meals on Wheels program on January 20, 2016, by and between the City of Spokane Valley, hereinafter "City", and Greater Spokane County Meals on Wheels, hereinafter "Contractor" and jointly referred to as "Parties." The original Agreement states that it was in effect from 7/1/15 to 12/31/18, with two optional three-year terms possible if the parties mutually agree to exercise the options each time one arises. This is the first of two possible option periods that can be exercised, and runs through December 31, 2021. The City would like to exercise the 2019-2021 option years of the Agreement. All of the other contract provisions contained in the original Agreement shall remain in place and remain unchanged in exercising this option year. If you are in agreement with exercising the 2019-2021 option years, please sign below to acknowledge the receipt and concurrence to perform the 2019-2021 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 it GREATER SPOKANE COUNTY MEALS ON WHEEL 7)/ 1444) Mark Calhoun, City Manager Na Title l Oi-eut2j).046(-) ATTEST: Christine Bainbridge, City Clerk APPROVED AS TO FORM: 0 P. Office oUhe Ci Attorney ® ACERTIFICATE OF LIABILITY INSURANCE ‘II'' DATE (MM/DD/YYYY) 8/2/2018 V THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If 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 Buck and Affiliates 207 E Queen CONTACT Heidi Kriss NAME: PHONE (509) 484-6441 {ac (A1C, No, Ext): ,No): (509)484-6432 E-MA1Lss:heidik@buckaffiliates.com ADDRE Spokane WA 99207 INSURER(S) AFFORDING COVERAGE NAIC # INsuRERA:Philadelphia Ind Ins Co INSURER B : 18058 INSURED Greater Spokane County Meals on Wheels 12101 E. Sprague Ave Spokane Valley WA 99206-5146 - -- INSURERC: INSURER D : $ 1,000,000 INSURER E : X INSURERF: ^� e...01.1 1.111M111=1=1• COVERAGES VCK 1 I1-IL,M 1 c Ivunnacn.•-yam•" 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. INSRLR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP (MDD/YYYY) (MMIDD/YYYY) M/ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL DAMAGE TO RENTED 300,000 PREMISES (Ea occurrence)_ $ A CLAIMS -MADE X OCCUR 5,000 X PHPK1860061 7/20/2018 7/20/2019 MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,000 2,000,000 GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2,000,000 X POLICY JE� LOC $ OTHER: LIABILITY COMBINED SINGLE LIMIT (EaCO accident) $ 1,000,000 AUTOMOBILE BODILY INJURY (Per person) $ A ANY AUTO ALLOWNED SCHEDULED PHPK1860061 7/20/2018 7/20/2019 BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X AUTOS $ LIAB EACH OCCURRENCE $ 1,000,000 x UMBRELLA LIAB X OCCUR PHOB641428 7/20/2018 7/20/2019 AGGREGATE $ 1,000,000 A EXCESS CLAIMS MADE DED 1 1 RETENTION $$ WORKERS COMPENSATION 1 STRTUTE I I W- A AND EMPLOYERS' LIABILITY Y/ N PHPK1860061 - STOP GAP 7/20/2018 7/20/2019 E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION DESCRIPTION Certificate required OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Holder is Additionally Insured in regards to the General Liability of the named insured if by written contract and in accordance with the policy provisions. CERTIFICATE HOLDER CANCELLATION CITY OF SPOKANE VALLEY PARKS & RECREATON 11707 E SPRAGUE, STE 106 SPOKANE VALLEY, WA 99206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Steven Meisner/HEIDI (, © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) IN5025 (201401)