Loading...
20-063.00 Super Tots Sports Academy: Recreational Svcs Contract No. 20-063.00 AGREEMENT FOR RECREATIONAL SERVICES SuperTots Sports Academy THIS AGREEMENT is made by and between the City of Spokane Valley,a code City of the State of Washington,hereinafter"City"and SuperTots Sports Academy,hereinafter"Contractor,"jointly referred to as "Parties." IN CONSIDERATION of the terms and conditions contained herein,the Parties agree as follows: 1.Work to Be Performed. Contractor shall provide all labor,services,and material to satisfactorily complete the attached in Exhibit A- Scope of Services. A. Administration. The City Manager or designee shall administer and be the primary contact for Contractor. Prior to commencement of work,Contractor shall contact the City Manager or designee to review the Scope of Services,schedule,and date of completion. Upon notice from the City Manager or designee,Contractor shall commence work,perform the requested tasks in the Scope of Services, stop work, and promptly cure any failure in performance under this Agreement. B. Representations. The City has relied upon the qualifications of Contractor in entering into this Agreement. By execution of this Agreement,Contractor represents it possesses the ability,skill,and resources necessary to perform the work and is familiar with all current laws,rules, and regulations which reasonably relate to the Scope of Services. No substitutions of agreed-upon personnel shall be made without the prior written consent of the City. Contractor represents that the compensation as stated in paragraph 3 is adequate and sufficient compensation for its timely provision of all services required to complete the Scope of Services under this Agreement. Contractor shall be responsible for the technical accuracy of its services and documents resulting therefrom, and City shall not be responsible for discovering deficiencies therein. Contractor shall correct such deficiencies without additional compensation except to the extent such action is directly attributable to deficiencies in City-furnished information. C. Standard of Care. Contractor shall exercise the degree of skill and diligence normally employed a person or entity performing the same or similar services at the time such services are performed. D. Modifications. The City may modify this Agreement and order changes in the work whenever necessary or advisable. Contractor will accept modifications when ordered in writing by the City Manager or designee. Compensation for such modifications or changes shall be as mutually agreed between the Parties. Contractor shall make such revisions in the work as are necessary to correct errors or omissions appearing therein when required to do so by the City without additional compensation. 2. Term of Contract. This Agreement shall be in full force and effect upon execution and shall remain in effect until completion of all contractual requirements have been met as determined by the City. Contractor shall complete its work within by December 31,2020,unless the time for performance is extended in writing Agreement for Recreational Services Page 1 of 6 Contract No. 20-063.00 by the Parties. Either party may terminate this Agreement for material breach after providing the other party with at least 10 days'prior notice and an opportunity to cure the breach. The City may,in addition,terminate this Agreement for any reason by at least 10 days'written notice to Contractor. In the event of termination without breach,the City shall pay Contractor for all work previously authorized and satisfactorily performed prior to the termination date. 3. Compensation. SuperTots Sports Academy shall pay the City an annual amount of$2,100.00 with payment due no later than September 30, 2020 for all programs specified in Exhibit A. Interest on late payments shall be charged a late fee of one percent per month. Contractor shall not perform any extra,further, or additional services for which it will request additional compensation from the City without a prior written agreement for such services and payment therefor. 4.Payment. Contracting Entity shall make a lump sum payment to the City no later than September 30,2020. 5. Notice. Notice shall be given in writing as follows: TO THE CITY: TO THE CONTRACTOR: Name: Christine Bainbridge,City Clerk Name: SuperTots Sports Academy Phone Number: (509)720-5000 Phone Number: (509)466-6590 Address: 10210 East Sprague Avenue Address: 1826 E. Sprague Ave. Spokane Valley, WA 99206 Spokane, WA 99202 6.Applicable Laws and Standards. The Parties,in the performance of this Agreement,agree to comply with all applicable federal,state,and local laws and regulations. Contractor warrants that its designs,construction documents,and services shall confirm to all federal, state,and local statutes and regulations. 7.Relationship of the Parties. It is understood and agreed that Contractor shall be an independent contractor, and not the agent or employee of the City,that the City is interested in only the results to be achieved,and that the right to control the particular manner, method and means in which the services are performed is solely within the discretion of Contractor. Any and all employees who provide services to the City under this Agreement shall be deemed employees solely of Contractor. Contractor shall be solely responsible for the conduct and actions of all its employees under this Agreement and any liability that may attach thereto. 8. Ownership of Documents. All drawings,plans,specifications,and other related documents prepared by Contractor under this Agreement shall be the property of the City,and may be subject to disclosure pursuant to chapter 42.56 RCW or other applicable public record laws. The City shall be permitted to retain these documents,including reproducible camera-ready originals of reports,reproduction-quality mylars of maps,and copies in the form of computer files,for the City's use. The City shall have unrestricted authority to publish, disclose, distribute, and otherwise use, in whole or in part, any reports, data, drawings, images, or other material prepared under this Agreement,provided that the Contractor shall have no liability for the use of the Contractor's work product outside of the scope of its intended purpose. 9.Records. The City or State Auditor or any of their representatives shall have full access to and the right to examine during normal business hours all of Contractor's records with respect to all matters covered in this Agreement for Recreational Services Page 2 of 6 Contract No.20-063.00 Agreement. Such representatives shall be permitted to audit,examine,make excerpts or transcripts from such records,and to make audits of all contracts,invoices,materials,payrolls,and record of matters covered by this Agreement for a period of three years from the date final payment is made hereunder. 10. Insurance. Contractor shall procure and maintain for the duration of the Agreement insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by Contractor, its agents,representatives,employees,or subcontractors. A. Minimum Scope of Insurance. Contractor shall obtain insurance of the types described below: 1.Automobile liability insurance covering all owned,non-owned,hired,and leased vehicles. Coverage shall be written on Insurance Services Office(ISO)form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability coverage. If use of vehicles pursuant to the Agreement is only incidental,and Contractor will not transport any persons not directly related or affiliated with Contractor,then Contractor is only required to have automobile liability insurance to meet at least minimum Washington state requirements. 2.Commercial general liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises,operations,stop-gap independent contractors and personal injury, and advertising injury. The City shall be named as an insured under Contractor's commercial general liability insurance policy with respect to the work performed for the City. 3.Workers' compensation coverage as required by the industrial insurance laws of the State of Washington. B. Minimum Amounts of Insurance. Contractor shall maintain the following insurance limits: 1.Automobile liability insurance with a minimum combined single limit for bodily injury and property damage of$1,000,000 per accident. If Contractor will not use its vehicles in the performance of this Agreement, automobile liability insurance is only required to meet Washington statutory minimum requirements. 2.Commercial general liability insurance shall be written with limits no less than$1,000,000 each occurrence, $2,000,000 general aggregate. C. Other Insurance Provisions. The insurance policies are to contain,or be endorsed to contain,the following provisions for automobile liability,professional liability and commercial general liability insurance: 1. Contractor's insurance coverage shall be primary insurance with respect to the City. Any insurance,self-insurance,or insurance pool coverage maintained by the City shall be excess of Contractor's insurance and shall not contribute with it. 2. Contractor shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Contractor. Agreement for Recreational Services Page 3 of 6 Contract No. 20-063.00 D.Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M.Best rating of not less than A:VII. E. Evidence of Coverage. As evidence of the insurance coverages required by this Agreement, Contractor shall furnish acceptable insurance certificates to the City at the time Contractor returns the signed Agreement. The certificate shall specify all of the Parties who are additional insureds, and shall include applicable policy endorsements, and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested, complete copies of insurance policies shall be provided to the City. Contractor shall be fmancially responsible for all pertinent deductibles, self-insured retentions, and/or self-insurance. 11.Indemnification and Hold Harmless. Contractor shall,at its sole expense,defend,indemnify,and hold harmless City and its officers, agents, and employees, from any and all claims, actions, suits, liability, loss, costs,attorney's fees and costs of litigation,expenses,injuries,and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts,errors,or omissions in the services provided by Contractor, Contractor's agents, subcontractors, subconsultants, and employees to the fullest extent permitted by law, subject only to the limitations provided below. Contractor's duty to defend,indemnify,and hold City harmless shall not apply to liability for damages arising out of such services caused by or resulting from the sole negligence of City or City's agents or employees. Contractor's duty to defend,indemnify,and hold City harmless against liability for damages arising out of such services caused by the concurrent negligence of(a) City or City's agents or employees, and(b)Contractor, Contractor's agents, subcontractors, subconsultants, and employees, shall apply only to the extent of the negligence of Contractor,Contractor's agents, subcontractors, subconsultants,and employees. Contractor's duty to defend,indemnify,and hold City harmless shall include,as to all claims,demands,losses, and liability to which it applies,City's personnel-related costs,reasonable attorneys'fees,and the reasonable value of any services rendered by the office of the City Attorney,outside consultant costs,court costs,fees for collection,and all other claim-related expenses. Contractor specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages,compensation,or benefits payable to or for any third party under workers' compensation acts, disability benefit acts, or other employee benefits acts. Provided, Contractor's waiver of immunity under this provision extends only to claims against Contractor by City,and does not include, or extend to, any claims by Contractor's employees directly against Contractor. Contractor hereby certifies that this indemnification provision was mutually negotiated. 12. Waiver. No officer,employee,agent,or other individual acting on behalf of either party has the power, right,or authority to waive any of the provisions of this Agreement. No waiver in one instance shall be held to be a waiver of any other subsequent breach or nonperformance. All remedies afforded in this Agreement or by law shall be taken and construed as cumulative and in addition to every other remedy provided herein or by law. Failure of either party to enforce at any time any of the provisions of this Agreement or to require at any time performance by the other party of any provision hereof shall in no way be construed to be a waiver of such Agreement for Recreational Services Page 4 of 6 Contract No. 20-063.00 provisions,nor shall it affect the validity of this Agreement or any part thereof. 13. Assignment and Delegation. Neither party may assign, transfer, or delegate any nor all of the responsibilities of this Agreement or the benefits received hereunder without first obtaining the written consent of the other Party. 14.Subcontracts. Except as otherwise provided herein,Contractor shall not enter into subcontracts for any of the work contemplated under this Agreement without obtaining prior written consent of the City. 15. Confidentiality. Contractor may,from time-to-time,receive information which is deemed by the City to be confidential. Contractor shall not disclose such information without the prior express written consent of the City or upon order of a Court of competent jurisdiction. 16. Criminal background check. Contractor shall perform background screening on all employees and volunteers who will have direct contact or involvement with children or vulnerable adults in the performance of this Agreement, including reference checking and national criminal history screening consistent with the Child and Adult Abuse Information Act. 17. Jurisdiction and Venue. This Agreement is entered into in Spokane County, Washington. Disputes between the City and Contractor shall be resolved in the Superior Court of the State of Washington in Spokane County. Notwithstanding the foregoing, Contractor agrees that it may, at the City's request, be joined as a party in any arbitration proceeding between the City and any third party that includes a claim or claims that arise out of,or that are related to Contractor's services under this Agreement. Contractor further agrees that the Arbitrator(s)'decision therein shall be fmal and binding on Contractor and that judgment may be entered upon it in any court having jurisdiction thereof. 18. Cost and Attorney's Fees. The prevailing party in any litigation or arbitration arising out of this Agreement shall be entitled to its attorney's fees and costs of such litigation(including expert witness fees). 19. Entire Agreement. This written Agreement constitutes the entire and complete agreement between the Parties and supersedes any prior oral or written agreements. This Agreement may not be changed,modified,or altered except in writing signed by the Parties hereto. 20.Anti-kickback. No officer or employee of the City,having the power or duty to perform an official act or action related to this Agreement, shall have or acquire any interest in this Agreement or have solicited, accepted, or granted a present or future gift, favor, service, or other thing of value from any person with an interest in this Agreement. 21. Business Registration. Prior to commencement of work under this Agreement,Contractor shall register with the City as a business if it has not already done so. 22.Severability. If any section,sentence,clause,or phrase of this Agreement should be held to be invalid for any reason by a court of competent jurisdiction,such invalidity shall not affect the validity of any other section, sentence,clause, or phrase of this Agreement. Agreement for Recreational Services Page 5 of 6 Contract No. 20-063.00 23. Exhibits. Exhibits attached and incorporated into this Agreement are: 1. Exhibit A- Scope of Services 2. Insurance Certificates VLCf The Parties have executed this Agreement this day of i U l , 20 2 CITY OF SPOKANE VALLEY SUPERTOTS SPORTS ACADEMY 44.__ /7,....„,---- z_._____...___ Mark Calhoun,City Manager By: Its: Authorized Representative ATTEST: zAa LL A-64-1,X ti—_____ C istine Bainbridge, City Clerk APPROVED AS TO FORM: '4/ Offic o the C. rney Agreement for Recreational Services Page 6 of 6 EXHIBIT A Scope of Services SuperTots Sports Academy partners with the City of Spokane Valley Parks and Recreation Department to provide a variety of sports programs for 2020. • Please see attached schedule. In addition: • SuperTots Sports Academy shall provide an annual report to the Director of Parks and Recreation by September 30 of each year including complete rosters for each program offered, with participants' names, addresses, and fees paid for participation. • SuperTots Sports Academy shall process all participant registrations and collect all fees. • SuperTots Sports Academy shall provide all equipment and qualified instructors for each program. • SuperTots Sports Academy is responsible to notify each participant and/or parent or guardian of a minor participant that SuperTots Sports Academy: a. Is not a part of, an agent of, nor is affiliated with the City of Spokane Valley. b. The activities and services offered by SuperTots Sports Academy are not the activities or services of the City of Spokane Valley. • All classes added to roster in addition to "confirmation of services" provided after May 1, 2020 will be subject to a $250 additional fee per class/camp. 1 CITY OF SPOKANE VALLEY PARKS AND RECREATION col. SuerTots _ PORTSACADEMY' CHILD DEVELOPMENT SuperTots SportsAcademy provides sport-based development programs where children discover and develop athletic,motor,andsocial skills. SuperTots'curriculum is specificially designed to promote development along side a healthy,active lifestyle. SUMMER 2020 BaseballTots Learning baseball has never been more fun!BaseballTots classes focus on fine and gross motor skills as well as body control. We teach all the baseball basics, such as throwing, catching, hitting and running control. We are excited to help these little ones develop a love of the game. (course) (dates) (days) (time) (ages) (fee) (location) Bunters 6/16-8/04 Tuesday 4:30 p.m. - 5:15 p.m. 26-36 months $124 Edgecliff Park Batters I/II 6/16-8/04 Tuesday 4:30 p.m. - 5:15 p.m. 3-4 years $124 Edgecliff Park Batters II 6/16-8/04 Tuesday 5:30 p.m. -6:15 p.m. 31 -41 years $124 Edgecliff Park Hitters/Homers 6/16-8/04 Tuesday 6:30 p.m. - 7:15 p.m. 4-51/2 years $124 Edgecliff Park Multi-Sport This multi-sport program was developed to give children a positive first step into athletics. The essentials each sport are taught in a safe, structured environment with lots of encouragement and a big focus on fun. Games and activities are designed to allow campers to explore balance, movement, hand/eye coordination, and skill development at their own pace. SuperTots staff are trained to handle the specific needs of young athletes. (course) (dates) (days) (time) (ages) (fee) (location) Soccer& Basketball 6/20-8/15* Saturday 9:30 a.m. - 10:15 a.m. 26-36 months $124 Browns Park Soccer& Basketball 6/22 - 7/27 Monday 9:30 a.m. - 10:15 a.m. 26-36 months $93 Greenacres Park Baseball & Football 6/17 -8/05 Wednesday 6:30 p.m. - 7:20 p.m. 3-4 years $124 Terrace View Park Soccer& Basketball 6/20-8/15* Saturday 10:30 a.m. - 11:15 a.m. 3-4 years $124 Browns Park Soccer& Basketball 6/22-7/27 Monday 10:30 a.m. - 11:20 a.m. 3-4 years $93 Greenacres Park Soccer& Basketball 6/22 - 7/27 Monday 10:30 a.m. - 11:20 a.m. 4-5 years $93 Greenacres Park Soccer& Basketball 6/20-8/15* Saturday 11:30 a.m. - 12:15 p.m. 4-51/2 years $124 Browns Park Baseball & Football 6/17 -8/05 Wednesday 5:30 p.m. -6:15 p.m. 4-51/2 years $124 Terrace View Park Soccer& Basketball 6/22-7/27 Monday 9:30 a.m. - 10:15 a.m. 5-61/years $93 Greenacres Park *No Class 7/04 Price does not include$20 annual membership fee. e� Sup !btj. SPACE IS LIMITED!REGISTER TODAY �� SuperTotSports.com 509.534.5437 SoccerTots Our flagship program!Playable on almost any surface, these soccer-themed motor skill classes are very easy for youngsters to get into. Younger age groups focus on developing motor skills and self-confidence; older classes focus more on developing core soccer skills and personal focus, and introduce an element of light competition. (course) (dates) (days) (time) (ages) (fee) (location) Teddies/Teddies II 6/16-8/04 Tuesday 5:30 p.m. -6:15 p.m. 18-30 months $124 Edgecliff Park Teddies II/Koalas 6/17-8/05 Wednesday 5:30 p.m. -6:15 p.m. 26-36 months $124 Terrace View Park Cubs/Pandas 6/16-8/04 Tuesday 6:30 p.m. - 7:20 p.m. 3-4 years $124 Edgecliff Park Cubs/Pandas 6/17 - 8/05 Wednesday 4:30 p.m. - 5:20 p.m. 3-4 years $124 Terrace View Park Cubs/Pandas 6/17 -8/05 Wednesday 6:30 p.m. - 7:20 p.m. 3-4 years $124 Terrace View Park Bears/Grizzlies 6/16-8/04 Tuesday 5:30 p.m. -6:20 p.m. 4-51/2 years $124 Edgecliff Park Bears/SoccerTouch 6/17-8/05 Wednesday 6:30 p.m. -7:20 p.m. 4-51/2 years $124 Terrace View Park CheerTots CheerTots is a great way to promote exercise, improve gross motor skills, and build confidence. Children in these high-energy classes learn far more than just core cheer concepts and technique. They also explore their personal expression, agility, rhythm and teamwork. There are no stunts in this program and minimal basic tumbling skills, designed with each age group in mind. (course) (dates) (days) (time) (ages) (fee) (location) Blue Birds 6/16-7/21 Tuesday 6:30 p.m. -7:20 p.m. 3-4 years $93 Edgecliff Park Robins/Hawks 6/16- 7/21 Tuesday 5:30 p.m. -6:20 p.m. 4-51/2 years $93 Edgecliff Park HockeyTots A variety of fun props will teach proper stick handling, shooting, and team work. Classes also emphasize motor skills, fitness, and spatial awareness. Games are simple and fun to match attention span. (course) (dates) (days) (time) (ages) (fee) (location) Atoms 6/16-7/21 Tuesday 5:30 p.m. -6:15 p.m. 3-4 years $93 Edgecliff Park Robins/Hawks 6/16- 7/21 Tuesday 6:30 p.m. - 7:15 p.m. 4-51 years $93 Edgecliff Park Veik- 0 111001111 Aft S 0 AO" •• ft... A it-4r Sel 417....iir 4414 .. It .. All 4"1"\ SoccerTots VolleyKats 1stDownTots BaseballTots HockeyTots CheerTots' HoopsterTots Price does not include•$20 annual membership fee. LAta.‘ Su erTots SPACE IS LIMITED! Online: Phone: ► pPORTS ACADEMY REGISTER TODAY)) SuperTotSports.com 509.534.5437 ® DATE(MM/DD/YYYY) ACCPR o CERTIFICATE OF LIABILITY INSURANCE 04/01/2020 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). PRODUCER CONTACT NAME: Jo Watson Roach, Howard, Smith and Barton 8750 N. Central Expressway, Suite 500 A/CN No.Extl: (972) 231-1300 A (E NC.No):(972) 231-1368 ADDRESS: 7watsOn@rhsb.CCm Dallas TX 75231 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Vantapro Specialty Insurance C 44768 INSURED INSURER 13:Allied World Insurance Company 22730 Skyhawks Sports Academy, LLC INSURERC:Federal Ins Co 20281 1826 E. Sprague Avenue INSURERD: Spokane WA 99202 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 47461 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 SUER POUCPOLICY NUMBER (MMDY EFF POLICY EXP /Y LTR INSD TYPE OF INSURANCE INSD WVD DYYY) IMMDD/YYYYI LIMITS LT A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGERENTED CLAIMS-MADE X OCCUR 5075218901 03/31/2020 03/31/2021 PREMSESO(Eaoccurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: Abuse/Molestation $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A ANY AUTO 5079003401 03/31/2020 03/31/2021 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ % AUTOS ONLY R AUTOS ONLY (Per accident) b x UMBRELLALIAB X OCCUR 5078027301 03/31/2020 03/31/2021 EACH OCCURRENCE $ 5,000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS'LIABILITY YIN 71754023 03/31/2020 03/31/2021 X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,0 0 0,0 0 0 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) General Liability and Auto Liability policies include a blanket automatic additional insured endorsement or provision that provides additional insured status to any person or organization whom the Named Insured is required by written contract to add as an additional insured. General liability policy contains a special endorsement or provision with "primary additional insured" wording. General Liability, Auto Liability and Workers Compensation/Employers Liability policies include a blanket automatic waiver of subrogation endorsement or provision that provides this feature to any person or organization whom the Named Insured is required by written contract to provide a waiver of subrogation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley Parks and Recreation 2426 N. Discovery Place AUTHORIZED REPRESENTATIVE Spokane WA 99216 rr I C-tR ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 Blue Star Sports Holdings,Inc. Policy#5075218901 Policy Term 03/31/2020-03/31/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization with whom you have agreed to add as an additional insured by written contract but only with respect to liability arising out of your operations or premises owned by or rented to you. GL 00008 00 (04/09) Blue Star Sports Holdings, Inc. Policy#5075218901 Policy Term:03/31/2020-03/31/2021 COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Blue Star Sports Holdings, Inc. Policy#5075218901 Policy Term:03/31/2020-03/31/2021 COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ Blue Star Sports Holdings, Inc. Policy#5079003401 Policy Term:03/31/2020-03/31/2021 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT - SCHEDULE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II—LIABILITY COVERAGE, Paragraph A.Coverage,Subparagraph 1.Who Is An Insured is amended to include the following additional provision: The person(s) or organization(s) shown in the Schedule below is an additional "insured", but solely to the extent that you become obligated to include such person(s) or organization(s) as an additional "insured" under this policy as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, and solely with respect to liability arising out of the use of a covered"auto". However, the insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy;or b. The coverage and/or limits required by said written contract or written agreement. Schedule: Person(s) or Organization(s): Blanket as required by contract or agreement VP-CA 00009 00 (10/17) Page 1 of 1 Blue Star Sports Holdings, Inc. Policy#71754023 Policy Term: 03/31/2020-03/31/2021 WORKERS'COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 124 (4-84) WC 00 03 13 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (the following"attaching clause'need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement,effective on 03/31/2020 at 12:01 A.M.standard time,forms a part of (DATE) Policy No. (20)7175-40-23 of the FEDERAL INSURANCE COMPANY (NAME OF INSURANCE COMPANY) issued to BLUE STAR SPORTS HOLDINGS, INC. 0.Zweist-Q4.41-y‘ Endorsement No. ; Authorized Representative We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.* This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. Schedule IT IS UNDERSTOOD AND AGREED THAT THE COMPANY, IN THE EVENT OF ANY PAYMENT, WAIVES THE RIGHTS OF RECOVERY AGAINST ANY PRINCIPAL WHERE SUCH WAIVER HAS BEEN INCLUDED AS PART OF A CONTRACTUAL UNDERTAKING BY THE NAMED INSURED, BUT THIS WAIVER SHALL NOT APPLY IN RESPECT OF OTHER OPERATIONS OR SUCH PRINCIPAL IN WHICH THE INSURED HAS NO CONTRACTUAL INTEREST, WC 124(4-84) WC 00 0213 Copyright 1983 National Council on Compensation Insurance. Page 1 of 1 x. s�om ILA/Labor&Industries(hops://Ini.wa.gov), SKYHAWKS SPORTS ACADEMY INC Owner or tradesperson CHRIS STILES 9425 N NEVADA ST STE 210 Doing business as SPOKANE,WA 99218-1294 SKYHAWKS SPORTS ACADEMY INC WA UBI No. Governing persons 601 332 118 CHRIS STILES DAVE MICHAEL BERTO; JEFFREY J HEIMBIGNER; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor &Industry to verify if this business has apprentices. 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 closed. 805,153-00 ................................ Doing business as SKYHAWKS SPORTS ACADEMY INC Estimated workers reported N/A L&I account contact T4/TYRONE COLEMAN(360)902-4807-Email:COTI235@lni.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 have been issued against this contractor. Contractors not allowed to bid .............................:........................................................... No debarments have been issued 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.