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16-178.04 Le Catering: CenterPlace Food & Beverage Svcs s :\mb Valley 10210 E Sprague Avenue•Spokane Valley WA 99206 Phone: (509)720-5000•Fax:(509)720-5075 •www.spokanevalley.org Email:cityhall@spokanevalley.org October 6, 2020 Contract No.16-178.04 Adam Hegsted Eat Good Group LLC,dba Le Catering Co. 24001 E.Mission Ave., Ste. 190 Liberty Lake,WA 99019 Re: Implementation of 2021 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 fourth of five possible option years that can be exercised and runs through December 31,2021. The City would like to exercise the 2021 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 2021 option year, please sign below to acknowledge the receipt and concurrence to perform the 2021 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, Cat, DBA L CATERING CO. Mark Calhoun,City Manager Name owner Title APPROVED AS TO FORM: j Office o e Ci ey , 10—r13 . oV .03 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDmYY) J. 05/10/2020 PRODUCER Phone:(509)922-8950 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hoover Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 708 N Argonne Rd Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Spokane Valley,WA 99212 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mutual of Enumclaw Le Cat ering INSURER B: Progressive Insurance Company 11770 Eat Goodd G 916 East Front Ave INSURER C: Coeur D'alene,ID 83314 INSURERD: I INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITRADD' POLICY NUMBER PDATEIMMFDDTIVY)E PDATEIMIWDDIYYIIN UMITS LTR.INSRr TYPE OF INSURANCE GENERAL LIABILITY BOP0008892 05/30/2020 05/30/2021 EACH OCCURRENCE $ 2,000,000 A Y COMMERCIAL GENERAL LIABILITY PGE TO RTED RDEM REMISES Ea occurencel $ 1,000,000 lil CLAIMS MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE S 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ X I POLICY n fin n LOC B AUTOMOBILE UABIUTY 02808199 12/15/2019 • 12/15/2020 COMBINED SINGLE LIMIT $ 1,000 000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE _ $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I OFR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? EL DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER A Liquor Liability BOP0008892 05/30/2020 05/30/2021 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate holder is listed as additional 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 2426 N Discovery Place IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Spokane Valley,WA 99216 REPRESENTATIVES. AU�THH RREEDt REPRESENTATIVE ,.,per 'y I i �CL./C •G�G(�/ll (SMK) ACORD 25(2001/08) ©ACORD CORPORATION 1988 Printed by SMK on May 20,2020 at 11:05AM • IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) Printed by SMK on May 20,2020 at 11:05AM L&I regional offices are closed to public visits until further notice. Offices can still help you by phone from 8 a.m.to 5 p.m. weekdays (except state holidays). Use the phone number for your closest regional office (https://Ini.wa.gov/agency/contact/#office-locations), or you can call the Office of Information and Assistance at 360-902-5800. w.a.�m:�rkwi�w Labor&Industries(https://Ini.wa.gov) 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. 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 Ori:,gori Ego t I -1 ror or P;lontO r7 Di,portmeai Of L abOr F lildUOy 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 current. 261,574-00 Doing business as EAT GOOD Estimated workers reported Quarter 2 of Year 2020"1 to 3 Workers" L&I account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@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.