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23-064.01CoyleOutsideRecreationalServices CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND COYLE OUTSIDE Spokane Valley Contract#23-064.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the Coyle Outside mutually agree as follows: 1. Purpose: This Amendment is for the Contract for Coyle Outside wilderness survival camp recreation program by and between the Parties, executed by the Parties on February 24, 2023, and which terminates on December 31, 2023. Said contract is referred to as the "Original Contract" and its terms are hereby incorporated by reference. 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. Extend the termination date to December 31,2024. 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 2/24/23 75%of class revenue Amendment#1 11/6/23 75%of class revenue Total Amended Compensation 75%of class revenue The parties have executed this Amendment to the Original Contract this z' s r day of_, 2023. CITY OF SPOKANE VALLEY: CONSULTANT/CONTRACTOR: J hn Hohman By: Coyle Outsit$ City Manager Its: Instructor APPROVED AS TO FORM: okr Office : ' e ity Attorney 1 COYLOUT-01 SGARCIA AC-ORLY DATE(MM/DDIYYYY) ktirinC CERTIFICATE OF LIABILITY INSURANCE 11/14/2023 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(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 PRODUCER NAME: Portland Office Marsh McLennan Agency LLC (AH/c°,Nri,Ext):(971)888-7950 FAX No):(855)883-6100 14900 SW Barrows Rd,Ste 202 ADDRESS: E-MAIL SS: Beaverton,OR 97007 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Company 19437 INSURED INSURER B:Kinsale Insurance Company 38920 Coyle Outside LLC INSURER C:LM Insurance Corporation 33600 245 SW Cummings Ave INSURER D: Corvallis,OR 97333 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 (MM/DD/YYYY) IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 01855788901 9/22/2023 9/22/2024 DAMAGE TO RENTED 100,000 X PREMISES(Ea occurrence) $ 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 PR LOG PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: ABUSE OR MOLEST $ 25,000 AUTOMOBILE LIABIUTY (Ea acIcident)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE X 0100268456-0 11/9/2023 9/22/2024 AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION X STATUTE OTH - ER AND EMPLOYERS'LIABILITY Y/N WC533SB2031T013 4/2/2023 4/2/2024 500,000 ANY OFFICER/MEMBER EXCLUDED,ECUTIVE NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 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) Spokane Valley Parks and Recreation is hereby named as additional insured per the attached endorsement WW43 A. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Spokane ValleyParks&Recreation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place Spokane Valley,WA 99216 AUTHORIZED REPRESENTATIVE I ),2;u 2 AujejjAA ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This Endorsement Modifies Your Policy. Please Review It Carefully. ADDITIONAL INSURED —OWNERS, LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU FOR YOUR ONGOING OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The insurance afforded by this policy for liability arising out of"bodily injury," "property damage" and/or"personal and advertising injury" shall also apply to any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy, but only to the extent the additional insured is being held responsible for any negligent acts and/or negligent omissions of the named insured. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or"property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor, subcontractor or independent contractor engaged in performing operations for a principal as a part of the same project. This insurance afforded shall not apply to claims, "suits" and/or damages arising out of any acts, omissions and/or negligence of the additional insured(s) or of any person or party other than the named insured. This policy does not provide for the defense or indemnity of the additional insured for its own acts, omissions and/or negligence or the acts,omissions and/or negligence of any person or party other than the named insured. The inclusion of the additional insured(s) shall not operate to increase the Limits of Insurance. To the extent, if any, that this policy affords coverage to an additional insured, the additional insured is subject to all of the terms of the policy. Primary and Noncontributory Provision The OTHER INSURANCE (Section IV- COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: The insurance afforded to the additional insured will be Primary Insurance and Noncontributory, but only if such claims, "suits" and/or damages arise out of the sole negligence of the named insured. Page 1 of 2 WW433A(02/19) Waiver of Subrogation Provision The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against those who are added as additional insureds by this endorsement. This waiver applies only when you are solely negligent. This waiver shall not apply to claims, "suits"and/or damages arising in whole or in part of out of any acts,omissions, and/or negligence of those added as additional insureds by this endorsement. TO THE EXTENT, IF ANY, THAT THIS POLICY AFFORDS COVERAGE TO AN ADDITIONAL INSURED, THE ADDITIONAL INSURED IS SUBJECT TO ALL OF THE TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY. Page 2 of 2 WW433A(02/19) vgahbgtm...p.m U Labor&Industriesa(https://Ini.wa.gov) Contractors COYLE OUTSIDE LLC Owner or tradesperson DANIEL COYLE PO BOX 2389 Doing business as CORVALLIS,OR 97339-2389 COYLE OUTSIDE LLC WA UBI No. 604 474 120 Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent 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. 604,988-00 Doing business as COYLE OUTSIDE LLC Estimated workers reported Quarter 4 of Year 2022"0"Workers L&I account contact T5/BRENNA CUNDIFF(360)902-6087-Email:YOBU235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective,July 1,2019 Needs 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.