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09-233.04 Western Dance Association of Spokane: Lease Agreement CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND WESTERN DANCE ASSOCIATION OF SPOKANE Spokane Valley Contract#09-233.04 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged,City and the Lessee mutually agree as follows: 1. Purpose: This Amendment is for the Lease with the Western Dance Association of the Dance Hall at Sullivan Park by and between the Parties,executed by the Parties on July 14,2009,with a termination date of June 1,2019,ten years. Lease could be renewed for up to two additional five-year terms. Said contract is referred to as the "Original Contract" and its terms are hereby incorporated by reference. Total compensation under the Original Contract is a lease fee of$500 per month. The Original Contract was amended June 25,2019,to extend the lease until June 1, 2020. It was further amended May 11, 2020,to extend the lease until December 31, 2022. It was also amended November 30, 2020, to suspend future monthly payments while unable to open due to COVID-19 restrictions,until it could re-open,and to credit the payments that were already made while unable to open. It re-opened in July 2021. 2.Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the Original Contract and any amendments thereto which are not specifically modified by this Amendment. 3. Amendment Provisions: This Amendment is subject to the following amended provisions,which are as follows. All such amended provisions are hereby incorporated by reference herein and shall control over any conflicting provisions of the Original Contract,including any previous amendments thereto. Lease agreement is extended until December 31.2023. All terms and conditions remain the same. 4. Compensation Amendment History: This is Amendment #4 of the Original Contract. The history of amendments to the compensation on the Original Contract and all amendments is as follows: Date Compensation Original Contract Amount 07/14/2009 $500.00/month lease fee Amendment#1 06/25/2019 $ 0.00 Amendment#2 05/11/2020 $ 0.00 Amendment#3 11/30/2020 $ 0.00 Amendment#4 12/06/2022 • $ 0.00 Total Amended Compensation $500.00/month lease fee The parties have executed this Amendment to the Original Contract this /y PI day of December,2022. CITY OF SPOKANE VALLEY: WESTE N DANCE SSOC. OF SPOKANE: V Jo ohman By. City Manager Its: I ► ►O e h� APPROVED AS TO FORM: (7, Office qf the Cit rney 1 SQUA&FO-01 SBARNETT ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(M2'YYY) 8/19/2022 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: McDonald Zaring Insurance,Inc. PHONE No,Ext 09 525-5730 FAX 22 E Main St l Z(__.._) (A/C,No):(509)525-5705 Walla Walla,WA 99362 E-MAILDSS:info@mcdonaldzaring.com INSURER(S)_AFFORDING COVERAGE NAIC 0 _ INSURERA:The Cincinnati Casualty Company 28665 INSURED INSURER B Square&Folk Dance Federation of Washington,Inc. INSURER C: 5612 S Napa St INSURERD: Spokane,WA 99223 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DDIYYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED X EPP 034 62 68 9/1/2022 9/1/2023 PREMISES(Ea occurrence) $ - 500,000 — ---_-- MED EXP(Any one person) $_ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE AGGREGATE UMITAPPLES PER: GENERAL AGGREGATE $ 2,000,000 POLICY L J!Nei LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: a AUTOMOBILE LIABILITY (Ea aBcc den SINGLE LIMIT ntl ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRREEpp ONLY AUTOS BODILYO INJURYp (Per acadent) $ ANDS ONLY AUTO ONLYY (Pe dart)AGE A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE X EPP 034 62 68 9/1/2022 9/1/2023 AGGREGATE DED X RETENTION$ 0 $ 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE _ ER IANY OFFICER/pMEMBOER�EXCLUDED ARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT ((Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more apace Is required) Square and Round Dancing for the dance season of 2022-2023 at Western Dance Center,1901 N Sullivan,Spokane Valley,WA 99216. Certificate holder is named as additional insured in regard to operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane Valley THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerplace 2426 N Discovery Place Spokane,WA 99216 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD oq-233, ba -...."1 SQUA&FO-01 .OI TLOCATI ACORO- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 4h".....--' 8/15/2023 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). �pp�p PRODUCER NAME:CT McDonald-Zaring Insurance,a Marsh&McLennan Agency LLC company PHONE ):(509)525-5730 FAX 22 E Maln St I(Arc,No):(509)525-5705 Walla Walla,WA 99362 Mem info@mcdonaidzaring.com INSURERS)AFFORDING COVERAGE NAIC!! INSURER A:The Cincinnati Casualty Company 28665 INSURED INSURER B: Square&Folk Dance Federation of Washington,Inc. INSURER C: 5812 S Napa St INSURER D: Spokane,WA 99223 INSURER S: _ 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. INSRLT TYPE OF INSURANCE INSD SUBR POLICY NUMBER IMh DCDIYEYYYI (MWDDIYCY EYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X EPP 034 62 68 9/1/2023 9/1/2024 PREMISES(Es TEDnce) $ 600,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY (EaM�I�SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ AAU�TTO�S ONLY _ AAUTµOpSyUgL�E�Dp pBODILY INJURY7p (Per auddentL $ AUTOS ONLY AUTOS ONLY (PRer accMeM)AMAGE $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE X EPP 034 62 68 9/1/2023 9/1/2024 AGGREGATE $ DED X RETENTION$ 0 _ $ 1,000,000 WORKERS COMPENSATION PER OTH- TUTE ER AND EMPLOYERS'LIABILITY Y IN ANY PROPRIETOR/PARTNERIEXECUIIVE NlA E.L.EACH ACCIDENT $ 0QFFFIQER�EIM�EXCLUDED? IM� «Y n i E.L.DISEASE-EA EMPLOYEE $ dyes,describe under DESCRIPTION OF OPERATIONS below EL.D1SEASE-POLICY LIMIT $ ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ti more space Is required) Square and Round Dancing for the dance season of 2022-2023 at Western Dance Center,1901 N Sullivan,Spokane Valley,WA 99216. Certificate holder Is named as additional Insured In regard to operations of the named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY P ACCORDANCE WITH THE POLICY PROVISIONS. Parks and Recreation Centerpiece 2426 N Discovery Place Spokane,WA 99216 AUTHORIZED REPRESENTATIVE ACORD 28(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD