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16-019.02 Greater Spokane County Meals on Wheels: Meals on Wheels Spokane Valley ]0210 E Sprague Avenue • Spokane Valley WA 99206 Phone:(509)720-5000 • Fax:(509)720-5075 •www.spokanevalley.org Email:cityhall@spokanevalley.org December 8, 2021 Contract No. 16-019.02 Jeff Edwards, Executive Director Greater Spokane County Meals on Wheels P.O. Box 14278 Spokane, WA 99214 Re: Implementation of 2022-2024 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 Mr. Edwards: 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 second of two possible option periods that can be exercised, and runs through December 31, 2024. The City would like to exercise the 2022-2024 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 period. If you are in agreement with exercising the 2022-2024 option years, please sign below to acknowledge the receipt and concurrence to perform the 2022-2024 option years. Please return one copy to the City for execution, along with current insurance information. A fully executed original copy will be emailed to you for your files. CITY OF SPOKANE VALLEY GREATER SPOKANE COUNTY MEALS ON WHEELS 12.7[4i202, City Manager in t re coo r' Title APPROVED AS TO FORM: 15: -N..4 1 Office of City A rney GREASPO-03 HKRISS ACCM DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 7/26/2021 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). PRODUCER CONTACT Heidi Kriss NAME: Alliant Insurance Services,Inc. 818 W Riverside Ave Ste 800 jnHlc,"N,Ext):(509)484-6441 INC,No): Spokane,WA 99201 ADD"RIESS:heidik@buckaffiliates.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B: Greater Spokane County Meals On Wheels INSURER C: 12101 E Sprague Ave INSURER D: Spokane Valley,WA 99206 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDDIYYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PHPK2301678 7/20/2021 7/20/2022 DAMAGETORENTED 100,000 X PREMISES(Ea occurrence) $ X Cyber-$25k MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY SE& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER:Abuse-$100k/$300k STOP GAP $ 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ ANY AUTO PHPK2301678 7/20/2021 7/20/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE� ONLY X AUTOS BODILYBODILY INJURYp (Per accident) $ X AUTOS ONLY X AUTOv ONLY (Perr aaTent)AMAGE A X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE PHUB777664 7/20/2021 7/20/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER AND EMPLOYERS'LABILITY YIN STATUTE ERH ANY NYIPROP PROPRIETOR/PARTNER/EXECUTIVE ARTEXCLNER/ ECUTIVE DED? N/A E.L.EACH ACCIDENT $ ((Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is an Additional Insured in regards to the General Liability of the Named Insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Spokane ValleyParks&Recreation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PACCORDANCE WITH THE POLICY PROVISIONS. 10210 E Sprague Ave Spokane,WA 99206 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M (.0, 01(1. o2- GREASPO-03 HKRISS '4�oR>o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) 7J19/2023 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 Heidi Kriss NAME`_--- Ailiant Insurance Services, Inc. PHONE FAX 818 W Riverside Ave Ste 800 -(arc, No, I09�6" Il Spokane, WA 99201 E4MtRE�_- (ac• ss:heidl.kriss altiant.com _ INSURER() AFFORDING COVERAGE NAIL it INSURER A;Ph11adelahia Indemn�t l Insurance Com .18058- INSURED NSURER B Greater Spokane County Meals On Wheels NSURERC: 12101 E Sprague Ave NSURERD: Spokane Valley, WA 99206 — -- - NSURER E : NSURERF• CAVFRAnFR r FRTIPICATF NIIMRCD• ruusocn. 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. NSR LTR TYPE OF INSURANCE ADDL SUER p041CY NUMBER POLICY EFF POLICY MMMDNYYn W LIMITS VI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X I OCCUR X PHPK2561158 7/20/2023 7/20/2024 DAMAGE �aEN10000 rrence) X Cyber - $25k 5,000 -- — MED EXP (Any one person) f _ PERSONAL & ADV INJURY f 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_- i_ Y,0001606 X POLICY jCC� LOC PRODUCTS -CO_M_PIOPAG_G E 2,000,000 OTHER: Abuse - $100k/$300k STOP GAP' 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _ ANY AUTO _ PHPK2561158 7/20/2023 7/20/2024 INJURY (Per persqnL S OWNED SCHEDULED X ' _BODILY AUTOS ONLY AUTOS -BODILY _BODILY INJURY Per acadent ( _� S Ep X ' AUTOS ONLY AUTO PROPERTY aid DAMAGE _ _ , -X ONNLY - T A X ( UMBRELLA UAB X OCCUR 11000,000 EACH OCCURRENCE _ EXCESS LIAR CLAIMS -MADE PHUBB66506 7/20/2023 7/20/2024 AGGREGATE : 1,000,000 j DED X RETENTIONS 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN 87ATUTE _ER-__. ANY PROPRIETOR/PARTNER/EXECUTNE -- FICER/MEM&� EXCLUDED? W(Mandatory In NH) - NIA E,L.EACHACCIDENT $ _ E.L. DISEASE - EA EMPLOYE $ If yes, describe under 0 SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder is an Additional Insured In regards to the General Liability of the Named Insured as required by written contract. City of Spokane Valley Parks & Recreation 10210 E Sprague Ave Spokane, 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i—� GREASPO-03 HKIRIS CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `� 1 7/10/2024 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 endorsements . PRODUCER c 4PCT Heidi Kriss NX Alliant Insurance Services, Inc. PHONE FAX 818 W Riverside Ave Ste 800 (WC, No, Extt . (509) 484.6441 (A/C, No)c__ _ Spokane, WA 99201 EMAIL Heidi.Kriss alliant.COm P ADDRESS:_ G _ _ INSURED Greater Spokane County Meals On Wheels 12101 E Sprague Ave Spokane Valley, WA 99206 INSURERIS► AFFORDING COVERAG INSURER A: Philadelphia Indemnity insure INSURER B : I_NSURERC:_ INSURER D INSURER E . rnVC0Af2CC rCOrrCIr ATC Air CUOMO- OCVICrAW K11I&lrDCD- 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 TYPE OF INSURANCE ADINSDL SUBR WVD POLICY NUMBER POLIC1111)'Y EFF POLICY EXP MMIDIINYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE _ 110001000 S CLAIMS -MADE X OCCUR —_. X PHPK2561158015 7/20/2024 7/20/202$ DAMAGE TO RENTED PREMISESJEa occurrence) 100,000 X Cyleer - $25k 5,000 MED EXP (Any one persons $ �_- PERSONAL 6 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT 71 LOC PRODUCTS - COMP/OP AG_ 2,000,000 OTHER: Abuse - $100k/$300k _G__ WA STOPGAP - _$ - 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _(Ea acdden0_ -- ---- $ 1,000,000 ANY AUTO PHPK2561158015 7/20/2024 7/20/2025 BODILY INJURY (Par person S OWNED X SCHEDULED _. AUTOS ONLY AUTNOSS BODILY INJURY Ep x AUTOS ONLY X AUTOS ONLY 1PerOaOItRa t GE _. _ -�$— A X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESSLUIB _ _CLAIMS -MADE PHUB866506015 7/20/2024 7/20/2025 AGGREGATE S DIED X . RETENTION S 10,000 __ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER OTH- STATUTE YIN - _ER AApN��YPROPRIIETgOERRIPARTNER/EXECUTIVE (Men ERRdatory In NH) EXCLUDED? NIA E. L. EACH ACCIDENT _ $____ - E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I I �I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is an Additional Insured in regards to the General Liability of the Named Insured as required by written contract. City of Spokane Valley 10210 E Sprague Ave Spokane, 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 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD