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16-178.03 Le Catering Co: CenterPlace Food & Beverage Svcs si k�ne 10210 E Sprague Avenue ♦ Spokane Valley WA 99206 ��® Phone: (509)720-5000 ♦Fax: (509)720-5075 •www.spokanevalley.org Email:cityhall@spokanevalley.org December 6, 2019 Contract No. 16-178.03 Adam Hegsted Eat Good Group LLC, dba Le Catering Co. 24001 E. Mission Ave., Ste. 190 Liberty Lake, WA 99019 Re: Implementation of 2020 option year, Agreement for CenterPlace Food and Beverage Services, Contract No. 16-178.00, executed January 6, 2017 Dear Mr. Hegsted: The City executed an Agreement for provision of CenterPlace Food and Beverage Services on January 6, 2017, by and between the City of Spokane Valley, hereinafter "City", and Eat Good Group LLC, dba Le Catering Co., hereinafter "Contractor" and jointly referred to as "Parties." The original Agreement states that it was for one year, with five optional one-year terms possible if the parties mutually agree to exercise the options each year. This is the third of five possible option years that can be exercised and runs through December 31, 2020. The City would like to exercise the 2020 option year of the Agreement. The Compensation Terms are outlined in Exhibit 3, 2017 to 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 2020 option year, please sign below to acknowledge the receipt and concurrence to perform the 2020 option year. 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 EAT GOOD GROUP LLC, DBA L A ING CO. Mark Ca oun, City Manager /2-19-/9 Name dJn4.1 Title ATTEST: Christine Bainbridge, City Clerk APPROVED AS TO FORM: 7 /JJ Office oflthe Ci rney fl n A o CERTIFICATE OF LIABILITY INSURANCE DATE asE2v o 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 NAM CT Sarah Kreider Hoover Insurance (AFC.N_Eat): (509)922-8950 FAX No):(509)922-8960 708 N Argonne Rd Suite 1 E-MAIL Spokane Valley,WA 99212 ` .— - INSURER(s)AFFORDING COVERAGE NAICII f iq Rom'C: i It i INSURERA: Mutual of Enumclaw INSURED ._. INSURER 6: Progressive Insurance Company Le Catering Co MAY ,,, DBA Eat Good i�AY L 1. 20 i,� 1NSURERC: 916 East Front Ave INSURER D: Coeur D'alene,ID 83814 PARKS & RECRE^T; r - •INSURERE: --.., _. INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-37236 REVISION NUMBER: 10 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 SUER POLICY EFF POLICY EXP UNITS LTR TYPE OF INSURANCE INS° WVD POLICY NUMBER (MM(DDIYYYY) IMMIDDIYYYY1 A X COMMERCIAL GENERAL LIABILITY Y BOP 0008892 06 05/30/2019 05/30/2020 EACH OCCURRENCE s 2,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES(Ea ocalnerlcB) $ 100,000 MED EXP(Any one person) $ 10,000 — PERSONAL&ADVINJURY S — GERI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY❑YREef 17 IOC PRODUCTS-COMP/OP AGG s 2,000,000 OTHER $ B AUTOMOBILE LIABILITY 028084994 12/15/2018 12/15/2019 ( MB SINGLEUMIT $ 1.000.000 A ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per aoddent) $ X HAUARTOS HIRED ONLY ONLY AUTOS AUTOS ONLY ED PROPERTY DAMAGE (Per accident' s • $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ — EXCESS LAB II CAMS-MADE AGGREGATE 5 DED I RETENTIONS pp $ WORKERS COMPENSATION I STATUTE W- AN D I AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ya NIA EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? • (Mandatory in NH) • EL DISEASE-EA EMPLOYEE$ li es.dePTION smbe und OFOerPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRI $1,000 000 Each Occu A Liquor Liability BOP 0008892 04 05/30/2019 05/30/2020 $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is mulled) City of Spokane Valley is listed as additional 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. 2426 N Discovery Place Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE � I / i`A--0- SE✓e1- (SMK) ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Printed by SMK on May 21,2019 at 01:50PM WWNApn Sbv Depsmwi4d labor&Industries(hops://Ini.wa.govl Contractors EAT GOOD LLC Owner or tradesperson ADAM HEGSTED 24001 E MISSION AVE STE 190 Doing business as LIBERTY LAKE,WA 99019-2501 EAT GOOD WA UBI No. 603 295 429 Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. A rentice Trainin A nt Notllowed to have apeprentices. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 261,574-00 Doing business as EAT GOOD Estimated workers reported Quarter 3 of Year 2019"7 to 10 Workers" L&I account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Needs to complete training. Contractor Strikes No strikes Kaye been issued against this contractor. Contractors not allowed to bid No debarments have beenlssued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. ActaRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD,YYYY) 12/18/2019 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 certifica'te-holder Is an ADDITIONAL INSUREb,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 CO• NAME: Sarah Sarah Kreider Hoover Insurance (PIG No Ext): (509)922-8950 FAX No): (509)922-8960 708 N Argonne Rd Suite 1 E-MAIL ADDRss: Spokane Valley,WA 99212 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Mutual of Enumclaw INSURED INSURER B: Progressive Insurance Company Le Catering Co DBA Eat Good INSURER[: 916 east Front Ave INSURER D Coeur D'alene,ID 83814 INSURER&: INSURER F: • COVERAGES CERTIFICATE NUMBER: 00000686-37236 REVISION NUMBER: 13 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 SUER POLICY EFF POLICY EXP LTE TYPE OF INSURANCE INSO WVD POLICY NLIMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY Y BOP 0008892 06 05130/2019 05/30/2020 EACH OCCURRENCE $ 2,000,000 TED CLAIMS-MADE X OCCUR DAMAGE TO Ea occurrence) $ 100,000 • MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY S GEM AGGREGATE UMITAPPUESPER: GENERAL AGGREGATE $ 4,000,000 X POUCYn jEa n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILELIABILITY 02848199_1 • 12115/2019 12/1512020 tEaaBICNdEDSINGLELIMIT $ 1,000 000 X ANY AUTO BODILY INJURY(Perperson) $ X A OS ONLY X ArHOSUL ED BODILY INJURY(Per accident) $ X AUTOS ONLY X AAUUTOS ONLY PROaacc t)DAMAGE $ UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION S $ --WORKERS-GOMPENSA9IBN -- --- AND EMPLOYERS'LIABILITY YIN STATUTE, I I ER ANY PROPRIETORIPARTNERIEXECUTIVE I ' E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N IA (Mandatory in NH) EL DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S $1,000,000 Each Occu A Liquor Liability BOP 0008892 04 05/30/2019 05/30/2020 $2,00C,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more apace Is required) City of Spokane Valley is listed as additional 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. 2426 N Discovery Place Spokane Valley,WA 99216 AUTTHHoRRIIZED REPRESENTATIVE de- ,! , I /"-�'vt�G�JI./� /�eiL1 (SMK) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SMK on December 18,2019 at 09:48AM