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22-229.01LeCateringCompanyCenterPlaceFoodBeverageServices CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF SPOKANE VALLEY AND EAT GOOD GROUP LLC DBA LE CATERING COMPANY Spokane Valley Contract#22-229.01 For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the Contractor mutually agree as follows: 1. Purpose: This Amendment is for the Contract for CenterPlace Food and Beverage Services by and between the Parties,executed by the Parties on December 29,2022,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: The Original Contract 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 Term of Contract to December 31,2024. -Increase the annual Kitchen Equipment Reserve Fund payment to$4,325,which Contractor shall pay to the City to be placed into the Reserve Fund. 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 12/29/22 Commissions, plus$4,200 for Kitchen Equipment Reserve Fund Amendment#1 to be executed Commissions, plus$4,325 for Kitchen Equipment Reserve Fund Total Amended Compensation Commissions, plus$4,325 for Kitchen Equipment Reserve Fund The parties have executed this Amendment to the Original Contract this 28 day of December, 2023. CITY OF SPOKANE VALLEY: EAT GOOD GROUP LLC DBA LE CATERING COMPANY: J Hohman By: City Manager Its: Owner APPROVED TO FORM: f i f the i Attorney 1 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 05/22/2023 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), AUTHORIZEC 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: Sarah Kreider Hoover Insurance a/c°,"ro,eXn:(509)922 8950 is,No):(509)922-8960 708 N Argonne Rd Suite 1 n DRESS: sarah@hooverinsurance,net Spokane Valley,WA 99212 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Mutual of Enumclaw 14761 INSURED INSURER B Progressive Insurance Company 11770 Eat Good LLC INSURER C 24001 E Mission Ave Ste 190 INSURER D: Liberty Lake, WA 99019 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y CPP0027095 05/21/2023 05/21/2024 EACH OCCURRENCE $1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMSESO(Ea occurrence) $1,000,000 MED EXP(Anyone person) $10,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY P LOC PRODUCTS-COMP/OP AGG_$ JECROT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 B 02496593 07/22/2022 07/22/2023 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- 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 EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability Y CPP0027095 05/21/2023 05/21/2024 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I 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 POLICIES BE CANCELLED BEFORE City of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place Spokane Valley WA 99216 AUTHORIZED REPRESENTATIVE Sarah Kreider ©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 May 22,2023 at 02:32PM a Labor&Industries.(https://Ini.wa.goov/) Contractors LE CATERING INC Owner or tradesperson GERALD DICKER 24001 E MISSION AVE STE 190 ............................................... Doing business as LIBERTY LAKE,WA 99019-2501 LE CATERING INC WA UBI No. Governing persons 604 405 294 GERALD V DICKER ADAM HEGSTED; 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. 687,051-00 ................................ Doing business as LE CATERING INC Estimated workers reported Quarter 3 of Year 2023"7 to 10 Workers" L&I account contact T2/IDA HAYNES(360)902-5635-Email:HAYN235©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. 22.-29 (x) 22-229.b! Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/09/2024 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), AUTHORIZEC 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: Sarah Kreider Hoover Insurance /V12. .Extl:(509)922-8950 iac,NoI:(509)922-8960 708 N Argonne Rd Suite 1 AIL ADDRESS: Sarah@hooverinsurance,net Spokane Valley,WA 99212 INSURER(S)AFFORDING COVERAGE NAIC}! INSURER A Mutual of Enumclaw 14761 INSURED INSURER B Progressive Insurance Company 11770 Eat Good LLC dba Le Catering INSURERC: 24001 E Mission Ave Ste 190 INSURER D: Liberty Lake, WA 99019 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 EFF POLICY EXP LIMITS LTR ,INSD WVD POLICY NUMBER IMM/DD/YYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y CPP0027095 05/21/2024 05/21/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(EaENTE occur ence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $1,000,000 B 02496593 07/22/2023 07/22/2024 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY -AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ' EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability Y CPP0027095 05/21/2024 05/21/2025 1,000,000 DESCRIPTION OF OPERATIONS/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 POLICIES BE CANCELLED BEFORE CI of Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN `7 P ACCORDANCE WITH THE POLICY PROVISIONS. 2426 N Discovery Place Spokane Valley WA 99216 AUTHORIZED REPRESENTATIVE Sarah Kreider ©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 May 09.2024 at 02.25PM