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25-150.00BlakeMcCrackenCopsKidsCarShow
S — tS� AGREEMENT BETWEEN CITY OF SPOKANE VALLEY AND ORGANIZER This Agreement (Agreement) is made and entered into by and between the City of Spokane Valley, a municipal corporation of the State of Washington (the "City"), and Blake McCracken,(the"Organizer"), jointly referred to as Parties,or separately as Party. WHEREAS,the City and Organizer desire to partner to hold a special event in the City of Spokane Valley to build community by honoring law enforcement and giving citizens the opportunity to converse with and meet those sworn to protect and serve the City; and WHEREAS,the City and Organizer also desire to enter into this Agreement identifying the Parties' roles and responsibilities in connection with the aforementioned special event; NOW, in consideration of the following terms,conditions and covenants,the parties agree: 1. Purpose. This Agreement is intended to establish the roles and responsibilities of the Organizer and the City in creating an event for the enjoyment and benefit of the general public that honors law enforcement and develops community. The "Event" as used herein and hereafter shall be defined as the Organizer's"Cops and Kids Car Show"to occur on Saturday,August 23,2025,at the City's Balfour Park and adjacent Sprague Avenue. 2. Effective Date and Duration. This Agreement shall be in effect from the date of execution through December 31, 2025. The Parties may mutually agree in writing to execute an extension, with or without amendment,for future years. 3. City's Responsibilities. The City agrees to: a. Make all of Balfour Park available for the Event. Balfour Park shall be available between 9 a.m.and 9 p.m.on Saturday,August 23,2025. b. Complete and submit the City's special event permit application. As a partner of Event, the City agrees to waive the $50 permit application fee and pay for traffic control. The special event permit will include a traffic control plan to be submitted to the City's traffic engineering department,and the City's Police Department for approval. c. Provide necessary garbage collection and removal at Balfour Park for the day of the Event. d. Provide Organizer with access to and use of, pursuant to a special event permit, Sprague Avenue between University Road and Harold Road during the timeframe of 3 p.m. and 8 p.m. on Saturday, August 23, 2025, for purposes of setting up, with all tear down and clean up completed and Sprague Avenue fully vacated by 8 p.m.on Saturday,August 23,2025. e. Provide servicing of the restrooms at Balfour Park on Saturday,August 23,2025. f. Provide use of electrical outlets at Balfour Park. g. Provide Parks and Recreation staff members for minor incidental tasks, subject to the sole discretion and control of the Parks and Recreation Director. This may include leading programming such as Connect 4,Jenga,cornhole,and soccer on the Balfour Park's mini-pitch. 2025 Cops and Kids Car Show Event Page 1 of 5 h. Provide a meeting room at no cost on an as needed and space available basis for the purpose of planning for the Event. i. Allow Organizer to use the official City logo in promotional materials as approved by the City's communications manager. The City shall be responsible for developing graphic designs which may include posters, webpages, social media,enewsletters,event calendars, etc., and shall be responsible for marketing the Event through the City's communication channels. j. Review, approve, and enter agreements at its sole discretion with vendors to sell food and/or beverages to attendees of the Event, provided that the sale or distribution of the same is not otherwise prohibited by Washington or federal law. In exercising its review and approval,the City will comply with its obligation to not discriminate between vendors(or the attendees who might use vendor services) based on any factor prohibited by Washington or federal law, including but not limited to gender, race, ethnicity, religion, disability, sexual orientation, sexual identity,or political beliefs. Organizer acknowledges and agrees with the City requiring said vendors to sign a vendor agreement prior to offering its services. k. Coordinate with the Mayor or designee to select the Mayor's award. 1. Clean-up. At the close of the Event, the City shall be responsible for removal of all garbage from the Event,and shall be responsible for all sanitization of all City facilities including but not limited to the Balfour Park multipurpose facility. 4. Organizer's Responsibilities. Organizer shall have the following obligations with regard to this Agreement: a. Event Planning.In coordination with City,Organizer shall plan,organize and execute an Event with the purpose to develop positive community relations with law enforcement, build trust between the citizens and those sworn to protect them, and celebrate and honor the men and women of law enforcement. b. Organizer shall follow all terms and conditions of the special event permit issued by the City. Organizer understands that the Spokane Valley Police Department(SVPD) is an independent contractor of the City via the City's interlocal agreement for law enforcement services with Spokane County and the Spokane County Sheriff's Office(SCSO). As such, Organizer shall coordinate with the SVPD and the SCSO to provide all security, and traffic control, and to ensure safety at the event for attendees and vendors. c. Organizer shall be responsible for recruiting any and all sponsors and/or donors for the Event. Organizer shall obtain approval of all marketing materials used to promote the Event. d. Organizer shall, at its sole cost and expense, secure the services of a local disc jockey, and related equipment such as speakers for the Event. e. Car Show. Organizer shall, at its sole cost and expense, recruit vehicles for the car show, and coordinate the cruise. The cruise shall occur near the end of the Event along Sprague Avenue. Organizer shall be responsible for securing a trophy,or other type of award for the City's Mayor or designee to handout at the car show. At the sole discretion of the Organizer,Organizer shall also coordinate with the Spokane County Sheriff and the Spokane Valley Police Chief to make arrangements for any additional awards to be handed out at the car show. All trophies or awards 2025 Cops and Kids Car Show Event Page 2 of 5 shall be purchased at the sole cost and expense of the Organizer. f. Non-Discrimination. Organizer shall not discriminate against vendors or attendees based on any factor prohibited by Washington or federal law, including but not limited to gender, race, ethnicity,religion,disability,sexual orientation,sexual identity, or political beliefs. g. Rules of Conduct. Organizer shall comply with, and require all vendors or subcontractors to comply with all local, state and federal laws and regulations, including but not limited to the City's Park Regulations contained in chapter 6.05 SVMC. h. Organizer shall require all participants in the Car Show to sign the waiver attached hereto as Exhibit A as a condition of their participation. i. Clean-up. The Organizer shall be responsible for removal of any Organizer supplied materials and equipment from the Event by 9:00 p.m. on the evening of the Event. 5. Indemnification/Hold Harmless. a. Organizer Indemnification/Hold Harmless. Organizer shall, at its sole expense, defend, indemnify and hold harmless, City and its officers, agents, volunteers, and employees, from any and all claims,actions, suits, liability, loss, costs, attorney's fees and costs of litigation, expenses, injuries, and damages of any nature whatsoever relating to or arising out of(a)the Event; and/or (b) the wrongful or negligent acts, errors or omissions in the services provided or work done by Organizer and Organizer's agents,employees,and volunteers to the fullest extent permitted by law, subject only to the limitations provided below. Organizer's duty to defend, indemnify and hold harmless City shall not apply to liability for damages caused by or resulting from the sole negligence of City or City's agents or employees. Organizer's duty to defend, indemnify and hold the City harmless against liability for damages caused by the concurrent negligence of(a)City or City's agents or employees, and(b) Organizer or Organizer's agents,employees,or volunteers shall apply only to the extent of the negligence of Organizer or Organizer's agents. Organizer's duty to defend, indemnify and hold the City harmless shall include, as to all claims, demands, losses and liability to which it applies, City's personnel-related costs, reasonable attorneys'fees,and the reasonable value of any services rendered by the office of the City Attorney, outside consultant costs,court costs,fees for collection,and all other claim-related expenses. Organizer specifically and expressly waives any immunity that may be granted to it under the Washington State Industrial Insurance Act,Title 51 RCW. These indemnification obligations shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under workers'compensation acts,disability benefit acts, or other employee benefits acts. Provided, however, that Organizer's waiver of immunity under this provision extends only to claims against Organizer by City,and does not include,or extend to, any claims by Organizer's employees directly against Organizer. Organizer hereby certifies that this indemnification provision was mutually negotiated. 6. Insurance. Unless waived by the City in writing,Organizer shall provide a Certificate of Insurance 2025 Cops and Kids Car Show Event Page 3 of 5 to the City with the following minimum coverages/limits: a. Employer's Liability or Washington Employer's Stop Gap liability with a limit of no less than $1,000,000.00 per occurrence(including disease). b.Commercial or Comprehensive General Liability with a limit of no less than$1,000,000.00 per occurrence and $1,000,000.00 in the annual aggregate for bodily injury, property damage and personal injury including premises and operations, products and completed operations and contractual liability.The City of Spokane Valley shall be named as an additional insured. c. The insurance policies are to contain, or be endorsed to contain, the following provisions for automobile liability,professional liability, and commercial general liability insurance: 1. Organizer's insurance coverage shall be primary insurance with respect to City. Any insurance,self-insurance,or insurance pool coverage maintained by City shall be in excess of Organizer's insurance and shall not contribute to it. 2. Organizer shall fax or send electronically in .pdf format a copy of insurer's cancellation notice within two business days of receipt by Organizer. d. Insurance is to be placed with insurers with a current A.M.Best rating of not less than A:V11. e. As evidence of the insurance coverages required by this Agreement, Organizer shall furnish acceptable insurance certificates to the City Clerk at the time Organizer returns the signed Agreement,which shall be Exhibit B hereto. The certificate shall specify all of the parties who are additional insureds,and will include applicable policy endorsements,and the deduction or retention level. Insuring companies or entities are subject to City acceptance. If requested,complete copies of insurance policies shall be provided to City. Organizer shall be financially responsible for all pertinent deductibles,self-insured retentions,and/or self-insurance. 7. Damage. Organizer shall reimburse the City for all damages to City property and improvements as a result of the acts,errors,or omissions of Organizer,its agents or Event patrons or vendors. Organizer shall leave the premises in substantially as good a condition as when Organizer was first given permission to use the premises. S. Relationship of the Parties.The Parties agree that nothing herein is intended to create an employer- employee relationship, partnership, or joint venture. This agreement is between entirely separate and independent organizations and persons allowing Organizer to use City real property to host the community Event to enrich the community.Neither party shall be responsible for the actions of the other party unless expressly stated otherwise herein. 9. Copyright/Trademark. Organizer warrants, on its own behalf and on the behalf of any performer or any other person permitted by Organizer upon the Premises,that all material presented,heard,or shown has been duly licensed or authorized by the owners of any copyright or trademark. Organizer acknowledges sole responsibility for payment of any royalty fees and agrees to indemnify and hold harmless the City,their agents and employees for all claims and attorney fees that arise through a trademark or copyright dispute. 2025 Cops and Kids Car Show Event Page 4 of 5 10. Exhibits. The following exhibits are attached hereto and incorporated herein by this reference. Exhibit A—Waiver of Liability for Car Show Participants Exhibit B—Insurance Certificates This Agreement is made this Z'srday of /2144"r5r , 2025. City of Spokane Valley Organizer el By: �I.CCL et &�v c It E JoiSn Hohman City Manager Approved as to form: o the Attorney 2025 Cops and Kids Car Show Event Page 5 of 5 EyLL'f- Cops & Kids Car Show Waiver of Liability IMPORTANT: WAIVER OF RIGHTS. READ ALL TEXT BELOW BEFORE SIGNING. I,the undersigned adult,acknowledge that I: 1. Have familiarized myself with the description of the activities of the Cops& Kids Car Show. 2. Understand(a)the hazards to myself,any children and/or vulnerable adults under my care,and my personal property,and(b)my personal limitations as well as those of any children and/or vulnerable adults under my care. 3. On behalf of myself and any children/vulnerable adults under my care,I knowingly assume all risks and hazards in any way arising out of or in connection with participating in the Cops& Kids Car Show taking place on August 23,2025,at Balfour Park and the adjacent Sprague Avenue. I agree to release and hold harmless Blake McCracken and the City of Spokane Valley and its elected and appointed officials, employees,agents,and volunteers from any and all claims, injuries,actions,suits, liability,costs, losses,costs of litigation, attorney's fees,and damages of any nature whatsoever suffered by myself,my property,or persons under my care, that relate to or arise out of participating in the Cops& Kids Car Show except for only such injury or damage as shall have been occasioned by the gross negligence of the Blake McCracken or the City of Spokane Valley and its elected and appointed officials,employees,agents,and volunteers. Such damages include but are not limited to any damages to any personal property I own or personal property under my control, including but not limited to any vehicles. 4. I warrant that I have legal authority to execute this Waiver of Rights on behalf of any children and/or vulnerable adults under my care. I agree to indemnify Blake McCracken and the City of Spokane Valley from any and all claims,actions,suits,liability, loss,costs,attorney's fees and costs of litigation,expenses, injuries,and damages of any nature whatsoever that arises out of my breach of this warranty. In the event of a medical emergency,I authorize transportation to the nearest appropriate medical facility and authorize emergency medical care if no one listed on this form can be reached. I grant full permission to use any photographs,videotapes,motion pictures,recordings or any other record of this program for any City of Spokane Valley informational or promotional use. In addition,I,the undersigned, at my sole expense,agrees to defend, indemnify and hold harmless Blake McCracken and the City of Spokane Valley and its officers,agents,volunteers, and employees,from any and all claims,actions,suits, liability, loss,costs,attorney's fees and costs of litigation,expenses, injuries, and damages of any nature whatsoever relating to or arising out of the wrongful or negligent acts,errors or omissions of myself,any children and/or vulnerable adults under my care,my agents,employees,and volunteers to the fullest extent permitted by law, except for only such injury or damage as shall have been occasioned by the sole negligence of the Blake McCracken or the City of Spokane Valley and its elected and appointed officials,employees,agents, and volunteers. The children and/or vulnerable adults under my care are identified below: BY MY SIGNATURE BELOW I CERTIFY THAT I HAVE READ AND AGREE TO THE PRECEDING TERMS AND CONDITIONS,AND DO SO KNOWINGLY,VOLUNTARILY, AND FREELY. Dated this 23rd day of August 2025 Signature Printed Name EXL171/ 6 AC RD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YYYY) 08/20/2025 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 Kellee Gardner A&R Insurance&Fin'I Services LLC dba Empire Insurance Brok (JCN Q ExU: INC,No): Kellee Gardner @ ADDRE%MAIL SS: 9 kellee. ardner eibnow.com 2532 Broadway INSURER(S)AFFORDING COVERAGE NAIC# Everett WA 98201 INSURER A: Evanston Insurance Company 35378 INSURED INSURER 8: INSURER C: Blake McCracken INSURER 0: 1903 E 15th Ave INSURER E: Spokane WA 99203 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 ADDL SUER LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY YV POLICY EXP (MM/DD/YYYYI (MM/DD/Yl'YY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(othr RENTEDn fire) $ 1,000,000 X Host Liquor Liability MED EXP(Any one person) $ 5,000 A Retail Liquor Liability Y N 3DS5476-M4065970 08/23/2025 08/24/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 12:01 AM 12:01 AM GENERAL AGGREGATE $ 2,000,000 X POLICY JERIT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Deductible $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 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) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19.Attendance:500,Event Type:Car Show-Static(Parked)Only. 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. Balfour Park AUTHORIZED REPRESENTATIVE 105 N Balfour Rd Kellee Gardner 1 Spokane Valley WA 99206 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 11111 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3Ds5476-M4065970 MARKEt® EVANSTON INSURANCE COMPANY 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 COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Balfour Park 105 N Balfour Rd Spokane Valley,WA 99206 A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by the acts or omissions of any insured listed under Paragraph 1. or 2. of Section II — Who Is An Insured: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. DATE Aco® CERTIFICATE OF LIABILITY INSURANCE 08/20/2025 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 poiicy(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 Kellee Gardner NAME: A&R Insurance&Fin'I Services LLC dba Empire Insurance Brok rat.Eat): (FA/C FNo): Kellee Gardner Mks: keliee.gardner@eibnow.com 2532 Broadway INSURER(S)AFFORDING COVERAGE NAIC Everett WA 98201 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: INSURER C: Blake McCracken INSURER D: 1903E 15th Ave INSURER E: Spokane WA 99203 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MWDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED X Host LiquorLiabilityPREMISES(other than fire) $ 1.000,000 MED EXP(Any one person) $ 5,000 A Retail Liquor Liability Y N 3DS5476-M4065970 08/23/2025 08/24/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 12:01 AM 12:01 AM GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG s 2,000,000 OTHER: Deductible $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED 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 UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETORfPARTNERJEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19.Attendance:500,Event Type:Car Show-Static(Parked)Only. 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 Kellee Gardner Spokane Valley WA 99206 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3Ds5476-M4065970 MARKEL® EVANSTON INSURANCE COMPANY 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 COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Spokane Valley 10210 E Sprague Ave Spokane Valley,WA 99206 A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury', "property damage" or "personal and advertising injury" caused, in whole or in part, by the acts or omissions of any insured listed under Paragraph 1. or 2. of Section II — Who Is An Insured: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. A`GREI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/20/2025 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 Kellee Gardner NAME: FAX A&R Insurance&Fin'I Services LLC dba Empire Insurance Brok fPaHic.No.EA): (A/C.No): Kellee Gardner E-MAIL kellee.gardner@eibnow.com 2532 Broadway INSURER(S)AFFORDING COVERAGE NAIC# Everett WA 98201 INSURER A: Evanston Insurance Company 35378 INSURED INSURER B: INSURER C: Blake McCracken INSURER D: 1903 E 15th Ave INSURER E: Spokane WA 99203 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 EXPM/ LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MDD/YYYYl X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES(other thaDn fire) $ 1,000,000 X Host Liquor Liability MED EXP(Any one person) $ 5,000 A Retail Liquor Liability Y N 3DS5476-M4065970 08/23/2025 08/24/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 12:01 AM 12:01 AM GENERAL AGGREGATE $ 2,000,000 X POLICY !ERGOT- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Deductible $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 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) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N PER ERH ANYPROPRIETOR/PARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT IM $ OFF ICEREMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached If more space Is required) Certificate holder listed below is named as additional insured per attached MEGL 2217 01 19.Attendance:500,Event Type:Car Show-Static(Parked)Only. 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. Spokane Valley Police Dept. AUTHORIZED REPRESENTATIVE 12710 E Sprague Ave Kellee Gardner Spokane Valley WA 99216 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3DS5476-M4065970 MARKED EVANSTON INSURANCE COMPANY 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 COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Spokane Valley Police Dept. 12710 E Sprague Ave Spokane Valley,WA 99216 A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule of this endorsement, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by the acts or omissions of any insured listed under Paragraph 1. or 2. of Section II — Who Is An Insured: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 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. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 2217 01 19 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. 1 MARKEL° Evanston Insurance Company COMMON POLICY DECLARATIONS Promotion,Event and Prize Purchasing Group MASTER POLICY NUMBER: 3DS5476 CERTIFICATE NUMBER: 4065970 Named Insured and Mailing Address: Blake McCracken 1903 E 15th Ave,Spokane,WA 99203 Policy Period:From 08/23/25 to 08/24/25 at 12:01 A.M.Standard Time at your mailing address(shown above). IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS LIMITS OF INSURANCE General Aggregate Limit (other than Products/Completed Operations) $2,000.000 Products/Completed Operations Aggregate Limit $2,000,000 Personal and Advertising Injury Limit $1,000,000 Each Occurrence Limit $1,000,000 Damage to Premises Rented to You Limit $100,000 Any One Premises Medical Expense Limit $5,000 Any One Person These declarations, together with the Common Policy Conditions and Coverage Form(s) and any Endorsement(s), complete the above numbered policy. FORMS AND ENDORSEMENTS SEE FORMS SCHEDULE-MDIL 1001 ADDITIONAL INSURED—DESIGNATED PERSON OR ORGANIZATION-MEGL 2217 01 19 Producer Number,Name and Mailing Address Gaslamp Insurance Services dba Event Helper Insurance Services Premium: $110.00 PO Box 1549 Surplus Tax: $5.71 Grass Valley,CA 95945 Stamp Fee: $0.86 Other Fee: S0.00 08/11/2026 Countersigned: By: Date AUTHORIZED REPRESENTATIVE MDIL 1000 08 11 Page 1 of 1