22-103.01 Lauren Cuvala: Outdoor Yoga Class CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND LAUREN CUVALA
Spokane Valley Contract#22-103.01
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and
Lauren Cuvala mutually agree as follows:
1• ose:This Amendment is for the Contract for Lauren Cuvala,Yoga Instructor for recreation program,
by and between the Parties, executed by the Parties on June 16,2022,and which terminates on December
31, 2022. Said contract is referred to as the "Original Contract"and its terms are hereby incorporated by
reference.
2. O ri�inal Con____ 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.
Extend the time for performance to December 31,2023.
4. Compensation Amendment History: This is Amendment #1 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
Amendment#1 75%of class revenue
12/14/22 $0
Total Amended Compensation °
75/o of class revenue
The parties have executed this Amendment to the Original Contract this _CT" day of Jae ear,
2022'.3
CITY OF SPOKANE VALLEY: CONSULTANT/CONTRACTOR:
John Hohman By:,Lauren Cuvala
City Manager t.„
APPROVED AS TO
FORM:
)ffice of the City Attbrne '
1
AC0RD CERTIFICATE OF LIABILITY INSURANCE DATEI
Crdr1112022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS P40 RIGHTS UPON 1HE 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 INSURERS},AUTHORIZED REPRESENTATIVE
OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDFI IONAL 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. '''cC'T M4iE MM—Fitness InstruaooPersc a Trainer
K&K Insurance Group,Inc. PhOtE � 1400-5 -435t3 FAX
Na: 1-280--059-5502
1712 Magnavox Way EMAIL
Fort Wayne IN 46804 ADDRESS: itfoi.^Thessinsurance-kk.ccrrl
PRODUCER
CUSTOMER ID:
INSURERS)AFFORUM3 COVERAGE NAIC I
INSURED INSURER A MaricEE Insurance Company 38970
Lauren Peggy C4.vala INSURER B:
DES,:Findssg Joy With Laia>Err
1301 E.St.Manes Ave INSURER c
Coeur DAlene, ID 83814 INSURER D:
A Member of the Sixes.Leisure&Entertai rnertt RPG INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: W0l00860 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA'vE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INC4CATED.
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 DESCRIEED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF
E3 JCH POLICIES LIMITS SHOVIN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'HER
TYPE OF INSURANCE w POLICY NUMBER r o.YryY3 1 UU'YY1'Yl LIMITS
A X corr n ciAL oENETtar LL4aRrn' X M1 RPC4BOOCO]DTI 5EO] 05 I'72722 091'11)2]24 EA.c i OCC.LMRIWNCE 51,000.000
�� •�x"1:.:.JF 2:E6 PM EDT 12:01 AM DiV,ino=ToFENrm $1,C}�,DUd
AMIDEPR@.gSES(Ea Ommnce)
IED EX.'An,flue aa ' $5,000
PEPScr ..aADVLNAAiY $1,000,000
GENERAL AGS DATE per year$5,0003,000
GE'. h3GREC,ATE LIMIT APPLES Fee: PRCCUCTS-C3I.F1OP Aza per year$1,000,000
FOUCY I I LCC PROFESSIONALL'A9LTY $1,030,000
JECT
OTHER: ECC LY Il.A.RY'n
PARTICPA:TS $1,030.0D0
Ailr'OYOBIIP LIABILITYC:51,EISED SINGLE LJl1T
IFS ac a tr
ANY AUTO ECOILY INJURY Pcper,ml
OtAT AUTOS SCHEDULED EMILY NARY Ter mucentl
ONLY AUTOS
HIRED MON-01ATED PROPERTY DAMAGE
"turps owl. AUTOS ONLY Per aocv]cK)
MOTFRD'RiED'AMIE N HMALAII
UI3RELLALLAB OcCJR EACH OCCURRENCE
EXCELS LIAR CLAMS-MADE .AGGREGATE
ED n RETENTION
WORKERS COMPENSATION NYE, p-R
EMPLOYERS'LIABILITYNjA _ STATUTE' QTr-ER
MY PRCPRIErORPAR7 EF' Y J N EL EAC-1 ACCJOENr
E.?ECSJrT s 099CERVEYEEREL EISEAtE-=+\EIAP OY
E%ct.Lvo'Paandebar In NM)
r yea,desaEe'..rider De SORER rxxr
OF a,krICIr .Adm.:
EL,-+.ccwaF-POLICY LPAT
MEDICAL PAYIENTS FOR PARTICIPANT'S PRIMARY'MEDICAL.
EXCESS MEDICAL
DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES IACOIS)'01.Addtlanal RsmaitL Saha/We.may be dt:oned tf man,&Luxe Ie raqutad)
Certified Instructor of:Children's fitness programs,Exerc:�se,Yoga
The certificate hardier is added as an addition-at insured but only for liability caused,in Whore or in part,by the acts or omissions of t'}e named cured.
CERTIFICATE HOLDER CANCELLATION
City of Spokane Variey SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
10210 E.Sprague Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Spokane Valley WA 9gI' , ACCORDANCE WITH THE POLICY PROVISIONS_
{OwTIer&Lessor of Premises; AU HOR D REPRESENTATIVE
coverage Is c niy extended to U.S.e'ients and aeF'.1t s.
"NOTICE TO TEXAS INSUREDS:The Insurer Tor It-e F scr asIrg grttip may not be subject to a l the Clstrarre laws and regtdasms orb*Stale Of Texas
ACORD 25(2016PMS) ' 1588-2D1s ACORD CORPORAT1OP1 All rights reserved.
The ACORD hams and fkgo ass registered maks cR ACORD
POLICY NUMBER: M1 RPGDG00000016600 COMMERCIAL GENERAL LIABILITY
CG 20 26 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY CO'v'ERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)Or Organization(s)
City of Spokane Valley
10210 E.Sig:a Ave
Spokane Valley,WA 09200
Named Insured: Lauren Peggy Cuvala
DEA F^t rg JoyVWrth La,.•en
Inforilnation required to complete this Schedule, if not shown above, will be shovn in the Declarations.
A. Section II—Who Is An Insured is amended to include B. With respect to the insurance afforded to these
as an additional insured the persons) or organization(s) additional insureds, the following is added to Section III
shown in the Schedule, but only with respect to liability —Limits Of Insurance:
for "bodily injury"_ "property damage" or "personal and If coverage provided to the additional insured is required
adveritsing injury" caused, in whole or in part, by your by a contract or agreement, the most we will pay on
acts or emissions or the acts or omissions of those behalf of the additional insured is the amount of
acting on your behalf: insurance:
1. In the performance of your ongoing operations: or 1. Required by the contract or agreement: or
2. In connection with your premises owned by or 2. Available under the applicable Limits of Insurance
rented to you. sh YM I in the Declarations;
However: whichever is less.
1. The insurance afforded to such additional insured This endorsement shall not increase the applicable
only applies to the extent permitted by law and Limits of Insurance shown in the Declarations_
2. If coverage provided to the additional insured is
required by a contract or agreement, the insurance
afforded to such additional insured will not be
broader than that which you are required by the
contract or agreement to provide for such additional
insured.
CG 20 26 04 13 C,Insurance Services Office, Inc_, 2012 Page 1 of 1