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16-178.05 Le Catering Co: CenterPlace Food & Beverage Services s &' 10210 E Sprague Avenue•Spokane Valley WA 99206 Phone: (509)720-5000•Fax:(509)720-5075 •www.spokanevalley.org Email:cityhallCspokanevalley.org November 10,2021 Contract No.16-178.05 Adam Hegsted Eat Good Group LLC,dba Le Catering Co. 24001 E.Mission Ave., Ste. 190 Liberty Lake,WA 99019 Re: Implementation of 2022 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 fifth of five possible option years that can be exercised and runs through December 31,2022. The City would like to exercise the 2022 option year of the Agreement. The Compensation Terms are outlined in Exhibit 3 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 2022 option year, please sign below to acknowledge the receipt and concurrence to perform the 2022 option year. Please return a copy 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, l DB L Yr— OwnerE CATERING CO. g 1 z'/$ 2-1 Mark Calhoun CityMana er Name Title APPROVED AS TO FORM: I 'ice ,0 a Ci rney ® nATP tALdIDn1YYYYt 1,t1�a fri�.�, call— LlAr�tL] �av5urt.��1GE 12/06/2021 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 poiicy(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: Sarah Kreider Hoover Insurance HO'N,sxtt:(509)922-8950 {AX Ne):(509)922 8960 708 N Argonne Rd Suite 1 ADDRIESS: sarah@hooverinsurance,net _ Spokane Valley,WA 99212 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Mutual of Enumclaw 14761 INSURED INSURER Progressive Insurance Company 11770 Eat Good LLC INSURER C: 24001 E Mission Ave Ste 190 INSURER D: Liberty Lake,WA 99019 INSURERE: 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 ADD_SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDrYYYY),(MMIODIYYWI A X COMMERCIAL GENERAL LIABILITY Y CPP0027095 05/21/2021 05/21/2022 EACH OCCURRENCE $1,000,000_ RENTED CLAIMS-MADE X OCCUR PR MISESAGEO(Ea ocw encel $1,00D,000 MED EXP(Anyone person) $10,000 PERSONAL&ADV INJURY $ GENI AGGREGATE LIMrr APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY JE 7 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY 02496593 07/22/2021 07/22/2022 (E°MBINdeDo SINGLE LIMIT $1 000 000 ANY AUTO BODILY INJURY(Per person) $ • AUTOOWNEDSONLY X AUTOSCHEDULED BODILY INJURY(Per accident) $ u S HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ __ EXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED I RETENTION$ _ $ WORKERS COMPENSATION PER H AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE' $ E yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Business Personal Prop Y CPP0027095 '05/21/2021 05/21/2021 RC 100,000 A Liquor Liability Y CPP0027095 05/21/2021 05/21/2021 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE City of Spokane Valley THE ACCORDANCE WITHEXPIRATN DATE NOTICE WILL BE DELIVERED IN THE POL CYPROVISIONS. L , 2426 N Discovery Place Spokane Valley WA 99216 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by SMK on December 08,2021 at 02:27PM POLICY NUMBER: CPP 0027095 00 COMMERCIAL GENERAL LIABILITY CG20110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 2426 DISCOVERY PLACE SPOKANE VALLEY, WA Name Of Person(s)Or Organization(s) (Additional Insured): CITY OF SPOKANE VALLEY 2426 N DISCOVERY PLACE SPOKANE VALLEY WA 99216 Additional Premium: $ 50 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section li — Who Is An Insured is amended to 2. If coverage provided to the additional insured include as an additional insured the person(s) or is required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability arising out of the will not be broader than that which you are ownership, maintenance or use of that part of the required by the contract or agreement to premises leased to you and shown in the provide for such additional insured. Schedule and subject to the following additional B. With respect to the insurance afforded to these exclusions: additional insureds, the following is added to This insurance does not apply to: Section III—Limits Of Insurance: 1. Any"occurrence"which takes place after you If coverage provided to the additional insured is cease to be a tenant in that premises. required by a contract or agreement,the most we 2. Structural alterations, new construction or will pay on behalf of the additional insured is the demolition operations performed by or on amount of insurance: behalf of the person(s) or organization(s) 1. Required by the contract or agreement; or shown in the Schedule. 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the by law; and applicable Limits of Insurance shown in the Declarations. CG 20 11 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 U Labor&Industries( ps://Ini.wa.gov) 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. Governing persons 603 295 429 ADAM HEGSTED GVD HOSPITALITY MANAGMNT; Certifications & Endorsements OMWBE Certifications o active certillcations exist for this business. Apprentice Trainina,A9ent 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 current. 261,574-00 Doing business as EAT GOOD Estimated workers reported Quarter 3 of Year 2021"Less than 1 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 Traini Effective July 1,2019 Needsng—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.