The URL can be used to link to this page

19-203.01 RCCCS: Radio Controlled Car Facilities Use Spokane Valleye 10210 E Sprague Avenue• Spokane Valley WA 99206 Phone: (509)720-5000 •Fax:(509)720-5075.*www.spokanevalley.org Email:cityhall@spokanevalley.org November 17, 2021 Contract No. 19-203.01 Eric Olson Radio Controlled Car Club of Spokane 506 N. Sullivan Rd., Ste.F 184 Spokane Valley, WA 99037 Re: Implementation of 2022-23 extension for License Agreement, contract number 19- 203.00, executed May 31, 2020. Dear Mr. Olson: The City and Radio Controlled Car Club of Spokane ("Licensee") executed a License Agreement on May 31, 2020 ("License Agreement") authorizing the Licensee to use and occupy certain facilities at Sullivan Park for radio controlled car-related activities. The License Agreement had an original term of two years which expires on December 31, 2021, with one optional two-year extension available by mutual agreement of the Parties. The City would like to extend the License Agreement as provided therein to December 31, 2023. The history of the annual renewals, including dollar amounts, is set forth as follows: Original License Agreement amount ..$n/a 2022-23 Extension $ n/a All other provisions contained in the original License Agreement not modified by this extension shall remain in place and remain unchanged in exercising this extension. If you are in agreement with extending the License Agreement through December 31, 2023, please sign below to acknowledge the receipt and concurrence to the extension. Please return one copy to the City for execution, along with current insurance information. A fully executed original copy will be mailed to you for your files. Page 1 of 2 CITY OF SPOKANE VALLEY RADIO CONTROLLED CAR CLUB OF SPOKANE Nit ---_____ C- ---'41-0...-. 0&elf-- Mark Calhoun, City Manager Name President Title APPROVED AS TO FORM: le Office City( ttorne Y Page 2 of 2 ACO DATE(MMIDDlYYYY) ` RE® CERTIFICATE OF LIABILITY INSURANCE 05/18/2021 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). CONTACT zDeeDee Huff PRODUCER NAME: ----- PHONE 5110 FAX Lines Insurance,LLC (A/C,,Jan; (509)6 624- No: EMAIL alllinesinc.com 10623 E Sprague Ave ADDRESS; Pam Cu3 Suite C INSURER(S)AFFORDING COVERAGE NAICS Spokane Valley WA 99206 INSURER A: WEST AMER INS CO(44393) 44393 INSURED INSURER B: .. .. — Rc Car Club Of Spokane INSURER C: 506 S Sullivan Rd Ste F184 INSURER D:_ INSURER E:Spokane Valley WA 99037 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO TO THE INSURED NAMED PE INDICATED.CERTIFY POLICIES ICY OD NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIONISSUEDABOVE FOR OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOLWHICH TIHIIS 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 SUBR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCEIN%D WVD POLICY NUMBER IMMIDDIYYYYI IMMIDDIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ '-DAMAGETO-RENTED 1,000,000 CLAIMS-MADE I X I OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 A Y BKW57750227 05/09/2021 05/09/2022 PERSONALSADVINJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: _GENERAL AGGREGATE $ 2,000,000 POLICY r ]JECT 1 PRO- I I LOC PRODUCTS-COMP/OPAGG $ 2,000,000 -_ S OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY __ AUTOS PROPERTY DAMAGE HIRED NON-OWNED _(Per accident) AUTOS ONLY AUTOS ONLY _-- Si UMBRELLA LIAB , OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ S DED RETENTION SPER WORKERS COMPENSATION _ I STATUTE I ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,S II yes,describe under E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is named 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 ACCORDANCE WITH THE POLICY PROVISIONS. City of Spokane Valley AUTHORIZED REPRESENTATIVE 10210 E Sprague Ave _ Spokane Valley WA 99206lrY�L�—�� ' � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I°I -2 03. CD .0I A` Rol CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD,YYYY) 08/14/2023 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(les) 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 endorsements . PRODUCER All Lines Insurance, LLC 10623 E Sprague Ave Suite C Spokane Valley WA 99206 CON NAM Pamela Hartle _ PHONE FAW 609 624-5110 1FAX o r"aL PameAllUnesinc.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: OHIO SECURITY INS CO 24082 24082 INSURED Rc Car Club Of Spokane 606 N Sullivan Rd Ste F184 Spokane Valley WA 99037-8643 INSURER B INSURERC: INSURERD: INSURER E: 1 INSURER F : rr►s aae_ce ra=laTs�Ir--nTw ts:3r&:,i sa- 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 W41CH 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. INS.LT. TYPE OF INSURANCE POLICY M POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X] OCCUR Y BKS63873046 09/22/2023 09/22/2024 EACH OCCURRENCE $ 1,000,000 PREMISE Eaocc E 1,000,000 MED EXP one S 15,000 PERSONAL IL ADV INJURY $ 1,000,000 _ GENL AGGREGATE LIMIT APPLIES PER: PRO -CT ❑ LOC X POLICY ❑ OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG s 2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED I MIT Ea a cUie t $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY E : $ UMBRELLALLAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABUJTY IN ANY PROPRIETOR/PARTNER/EXECUTIVE YN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) It yea dandbe under DESCRIPTION OF OPERATIONS below 1 A SPIER TATUT EF E.L.EACH ACCIDENT i E.L DISEASE - EA EMPLOYE E E.L. OIS`ASEFOLICY DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD i01, Additional Ramarke Schedule, nay be attached B more space Is required) City of Spokane Valley is named as Additional Insured . I^Arr uni noo CAMr`RI 1 ATIr%M 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 10210 E Sprague Ave AUTHORIZED REPRESENTATIVE Spokane Valley WA 99206 �. �q v 9)1938-2015 ACORD GURFURA 1 IUN. An rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD