Loading...
HomeMy WebLinkAboutDeliciosa Tuba de Colima - Concession Lease Road 36Pisco Parks and Rec CONCESSION/LEASE AGREEMENT 2022 Road 36 th Soccer Fields Concession Area Agreement#: REC22-010 1. PARTl,ES. This Lease Agreement (Agreement) is made and entered into as of the 20 day of AfCI I , 2022 , by and between the City of Pasco, a municipal corporation (City) and Deliciosa Tuba De Colima (Juan Moreno) (Concessionaire). Official mail correspondence should be sent to the following addresses: CITY OF PASCO Attn: Brent Kubalek PO Box 293 Pasco , WA 99301 509-543-5790 DELIClOSA TUBA DE COLIMA Attn: Juan Moreno 1520 W. Clark St. Apt H Pasco, WA 99301 509-302-854 7 2. TERM. This Agreement shall commence upon execution , and unless tem1inated for a breach or as provided herein , shall continue in full force and effect through October 31, 2022. 3. PREMISES. City hereby leases to Concessionaire and Concessionaire hereby leases and takes from City that certain real property at the Road 36th Soccer Complex in the City of Pasco , County of Franklin , State of Washington. The leased premises consists of approximately a 25 x 15 foot area of open space, more or less (referred to as the Premises), together with all improvements thereon and appurtenances thereto , as shown in the attached Exhibit A . 4. FEE. Monthly Fee shall be payable to the City by the Concessionaire in the amount of and on specified dates included in Appendix B. Fee shall be payable to City at the address shown below, or to such other address as City may designate by written notice as provided herein , without demand and without deduction, setoff or counterclaim. 5. CONCESSION RIGHT. Concessionaire shall have the exclusive right during scheduled rentals (dates and times in appendix B) only, subject to payment of the concession compensation and the provisions set forth herein, to sell food and non-alcoholic beverages in the premises based on the agreed upon menu in the attached Exhibit C. 5.1 Concession Equipment. Concessionaire shall supply , at its own expense, all equipment, fixtures , power, supplies and staff and other items required or necessary to provide concessions to patrons of the Premises. 5.2 Concessionaire is required to supply and use adequate electrical equipment. 6. CONCESSION RIGHT COMPENSATION. Concessionaire shall pay City for the exclusive food and beverage service concession at the Rd 36th Soccer Fields during the dates and times specified in Appendix B, with monthly Fee payments. 6.1 Reports. Concessionaire shall provide to City with each monthly concession payment, an itemization of its gross receipts for the month, listing separately food , beverage , l and any other general product sales category conducted on the premises, and year to date totals in each category and total gross sales. 7. DEFINITION OF GROSS RECEIPTS. For the purposes of this agreement, the term "gross receipts" shall mean the total sum of all sales made at or from the designated premises, whether for cash or on credit, less the amount of any sales tax or other direct consumer tax which may specifically be paid by the purchaser or customer at the time of purchase or payment, and including but not limited to orders taken at the premises but filled elsewhere and orders taken elsewhere but filled at the premises. 8. USE OF LEASED PREMISES. Concessionaire agrees that the leased premises shall be used by the Concessionaire exclusively for food and non-alcoholic beverage service and associated office use. Such use shall conform with applicable city ordinances and state and federal laws. No other usage of the area shall be allowed unless prior written consent is obtained from the Administrator & Community Services Director which shall be granted or not granted at the absolute discretion of the city. Concessionaire may not sublet any or all of the premises without prior written approval from the Administrator & Community Services Director. 9. DAYS AND TIME OF OPERATION. Concessionaire shall provide food and beverage services from the designated premises during the dates and times listed on Appendix B. 10. OTHER CONCESSIONAIRE RESPONSIBILITIES. In addition to providing the concession services described above, Concessionaire shall provide for the following: 10.1 To provide for all litter pick-up in the designated premises and to assist the league directors in litter pick-up throughout the soccer complex at the close of service each day. 10.2 To negotiate with the City's selected soft drink vendor for the beverages it shall offer for sale. For 2022 this is Coca-Cola and the contact is Matt Sanders 509-547-6712. 10 .3 To present its employees as neat , clean and professional with clothing or identification which distinguishes them as employees of the Concessionaire. I 0.4 To provide for City 's review and secure the City's approval of the products and prices that it proposes to offer to patrons of the Premises. City's approval shall not be unreasonably withheld. 11. CONCESSIONAIRE PROVIDED EQUIPMENT. Cash registers shall be sealed and so designed as to show the customer the amount of the sale and to record accurately all the daily and monthly total gross receipts . Such cash registers shall be available to City at any reasonable time for inspection . 12. CITY'S REPRESENTATIONS, WARRANTIES AND COVENANTS. City hereby represents and warrants to Concessionaire that it has the full right, power and authority to lease the Premises to Concessionaire. Except as specifically set forth herein , neither City nor its agents have made any representations with respect to the Premises . No rights , easements, or licenses are acquired by Concessionaire by implication or otherwise except as expressly set forth in the provisions of this Agreement. The taking of possession of the leased property by the Concessionaire shall be conclusive evidence that the Premises were in good condition at the time possession was taken. CONCESSIONAIRE ACCEPTS THE PREMISES AS-JS. 2 13. EARLY TERMINATIO N . Either party may tenninate this agreement by giving written notice of its intent to terminate 30 days in advance. 14. QUIET ENJOYMENT. City agrees that so long as Concessionaire observes and perfonns all of the agreements and perfonns all of the agreements and covenants required of it hereunder, Concessionaire shall peaceably and quietly have, hold and enjoy the Premises for the Tenn without any encumbrance, interference or hindrance by City , its agents or employees. 15. TAXES. Concessionaire shall pay all taxes assessed against and levied upon Concessionaire's trade fixtures , and all other personal property of Concessionaire contained in or around the Premises. 16. INDEMNIFICATION / HOLD HA R MLESS. Concessionaire shall defend , indemnify , and hold hannless the City, its officers , officials, employees and volunteers from and against any and all claims, suits , actions , or liabilities for injury or death of any person , or for loss or damage to property , which arises out of Concessionaire's use of Premises , or from the conduct of Concessionaire's business , or from any activity, work or thing done , permitted , or suffered by Concessionaire in or about the Premises , except only such injury or damage as shall have been occasioned by the sole negligence of the City . 17. INSURANCE. The Concessionaire shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the Concessionaire's operation and use of the leased Premises. 17.1 Minimum Scope of Insurance. Concessionaire shall obtain insurance of the types described below: (a) Commercial General Liability insurance shall be written on Insurance Services Office (ISO) occurrence form GC 00 01 and shall cover premises and contractual liability. The City shall be named as insured on Concessionaire's Commercial General Liability insurance policy using ISO Additional Insured Managers or Lessors of Premises Fonn CG 20 11 or a substitute endorsement providing equivalent coverage. (b) Property insurance shall be written on an all risk basis. 17.2 Minimum Amounts of Insurance. Lessee shall maintain the following insurance limits : (a) Commercial General Liability insurance shall be written with limits no less than $2,000,000 each occurrence, $2 ,000 ,000 general aggregate. (b) Property insurance sha ll be written covering the full value of Concessionaire's property and impro ve ments with no coinsurance provisions. 17 .3 Other Insurance Pro v isions . The insurance policies are to contain , or be endorsed to contain , the following provision s for Commercial General Liability insurance: 3 (a) The Concessionaire 's insurance coverage shall be primary insurance with respect to the City. Any Insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the Concessionaire's insurance and shall not contribute with it. (b) The Concessionaire's insurance shall be endorsed to state that coverage shall not be cancelled by either party , except after thirty (30) days prior written notice by certified mail , return receipt requested , has been given to the City. 17.4 Acceptability oflnsurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:Vll. 17.5 Verification of Coverage. Concessionaire shall furnish the City with original certificates and a copy of the mandatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Concessionaire. I 7.6 Waiver of Subrogation. Concessionaire and City hereby release and discharge each other from all claims , losses and liabilities arising from or caused by any hazard covered by property insurance on or in connection with the Premises. This release shall apply only to the extent that such claim , loss or liability is covered by insurance. 17. 7 City's Property Insurance. City shall purchase and maintain during the term of the Agreement , all-risk property insurance covering the Premises for their full replacement value without any coinsurance provisions. 18. DAMAGE OR DESTRUCTION; CONDEMNATION. If the Premises are damaged or destroyed in whole or in part ; or if the Premises or a substantial portion thereof were taken by condemnation or under the power of eminent domain , City may , at its option , elect to terminate this tenancy. 19. SURRENDER AT EXPIRATION. Upon expiration of the Agreement tern1 or earlier termination on account of default, Concessionaire shall surrender the Premises in the same condition as at the commencement of the Agreement , reasonable wear and tear expected. 20. DEFAULT. Concessionaire shall be in default of this Agreement if it fails to comply with any tenn or condition or fulfill any obligation of the Agreement. In the event of a default, this Agreement may be terminated at the option of City by written notice to Concessionaire. Whether or not the Agreement is tenninated by the election of Concessionaire or otherwise, City shall be entitled to recover damages from Concessionaire and City may retake possession of the Premises, and reserves any other remedy available to the City under the applicable law. 21. MISCELLANEOUS. 21.1 Environmental Compliance By Concessionaire. Concessionaire shall not cause or pennit any Hazardous Material to be brought upon , kept or used in or about the Premises. 21.2 Signs . Concessionaire shall not erect signage without City 's prior written consent. 21.3 Non-waiver. Waiver by either party of strict performance of any provision of this Agreement shall not be a waiver or of prejudice to the party's right to require strict perfonnance of the same provision or any other provision in the future. 4 21.4 Notices. Any notice required or permitted under this Agreement shall be deemed to have been given when actually delivered or 72 hours after deposited in the United States mail as certified mail addressed to the address first given in this Agreement or to s uch other address as may be specified from time to time by either of the parties in writing. 21.5 Time of Essence . Time is of the essence of the perfonnance of each of the obligations under this Agreement. 21.6 Recording of Agreement. This Agreement shall not be recorded . 21 . 7 Concessionaire shall observe reasonable Rules and Regulations established and amended by City for the Premises from time to time upon 30 days advance , written notice from City to Concessionaire. Concessionaire shall have a reasonable opportunity to comment on proposed rules and regulations. 21 .8 Assignment. Concessionaire shall not assign , transfer or grant to any third party the right to occupy the Premises or to sell food or beverages as granted under this Agreement. 21.9 Alterations , Improvements And Additions. Concessionaire shall make no alterations , improvements or additions to the Premises without prior written approval of the City. Concessionaire shall not add furniture or other items to the Premises , except for furnishings , which are reasonably necessary for Concessionaire to conduct its pennitted activities. 21.10 Compliance with Laws , Ordinances and Regulations. Concessionaire shall comply with all laws , ordinances and regulations of any governmental agency or public authority having jurisdiction over the Premises or Concessionaire's use thereof. 21 .11 Responsible Party . Following is the name and phone number of the party which may be contacted in an emergency (24 hours per day ; 7 days per week availability): Name: Deliciosa Tuba De Colima (Juan Moreno) Phone Number 509-302-8547 --------- IN WITNESS WHEREOF, the parties hereto have executed or caused this instrument to be executed as of the day and year first above written . CITY OF PASCO CONCESSIONAIRE Zach atkai Juan Moreno ACS Department Date: __ \..-+\-+1-'Z.~'Z...~----2022 Date: i(-2 2 2022 5 Appendix A The following map indicates , in orange, the locations that the concessionaire will be allowed to set up his/her concession stand(s) on the dates and times specified in Appendix B. The south location will the main stand and the location on the north by the parking lot will be a smaller satellite concession stand. 6 Appendix B Fee amount payable to the City of Pasco , to provide concessions at the Road 36 th Soccer Complex on Saturdays and Sundays from April 23 to October 30 , shall be according to the schedule that follows and will grant the Concessionaire pennission to sell concessions during scheduled use times on the indicated days . First Payment= $300.00 due on 4-22-2022 This allows sales from 4-23-2022 through 5-22-2022 on Saturday 's and Sunday's only . Second Payment= $300.00 due on 5-27-2022 This allows sales from 5-28-2022 through 6-26-2022 on Saturday 's and Sunday 's only . Third Payment= $300 .00 due on 7-1-2022 This allows sales from 7-2-2022 through 7-31-2022 on Saturday's and Sunday's only. Fourth Payment = $300.00 due on 8-5-2022 This allows sales from 8-6-2022 through 9 -4-2022 on Saturday's and Sunday's only. Fifth Payment = $300.00 due on 9-9-2022 This allows sales from 9-10-2022 through 10-9-2022 on Saturday 's and Sunday 's only . Optional (If games extend beyond October 9 and Concessionaire exercises the right to sell): Sixth Payment= $120 .00 due on 10-14-2022 This allows sales from 10-15-2022 to 10-30-2022 on Saturday's and Sunday 's only . 7 Appendix C The following menu and prices have been agreed to by both parties for the 2022 season and anything not listed on this menu that is offered for sale will constitute a contract default as described in section 20 of the contract. Item Price Tuba -12 /16/20/24/32 oz . 3.50/4 .50/7.00/8.00/9 .00 Tuba -Gallon 25 .00 Fanta , Coca Cola , Sprite -glass/plastic/cans 2 .50/2 .00/1 .50 PowerAde 3.00 Energy Drink 3 .00 Red Bull Fruit Mix Drink (Strawberry or Mango) 6 .00 Fresh Flavored Water Srn/Md/Lrg 2.25/3.50/4,50 Sunny D 1.50 Bottled Water 1.25 Ice Cream Bars 2.00/2.50 Chicharones with Skins 9.00 Tosti locos 9 .00 Bag of Chicharron 2.50 Takis 2.50 Japanese Peanuts 1.00 Cup of Mixed Fruit & Vegetables 7.50 Sabritas Chips 1.50 Com (On Stick) 4 .00 Com (In Cup) 6 .00 A Variety of Candies 0 .25 -2.00 Gum 2 .50 8 l I -:) u Yl' (L ~ O(Y~ V\ 0 L°:J/-e>-Jc_ P re_QO 5 de +uBl'i -----a,_{Oll -4--3-°------------- _____ v_as_p s _-u_& d l~ _afl__2__a_2 -~-Lo sQs i J_fi:X> _d i'--t o iJ za-Z ' --~-~-'£~5~~ 1L ··J e__-J2 Ol7Zo.~----_--__ -~,,__._ft.-.Sc......=-,o s-4__ 5:_o6 _ c _) 2 on 20-=--Z=---__ _ ---~ vu +0--i ---\l_(Jl,5 Qs _de _ ~ oaz~z-i ~(){) __ - --_:_0-4~ -~~_Jc_ la__±_a._ -~-LS_a _ _ __ _ --$ad Q-j° ___ d ~ b:z&:_(!o. _d _e. ~ t~-+ -CQ_ ~-2. 0 --_ &0-tlo-._s: _~_i>_Q~ ll6' s:L~ -'iL\siJt~O ,$ Y,_lo_o __ __ ~v ~ 0;: d ~ l ,o. f-(b___ ;::f_-15+0 __ _ ~v~_o2 _d,_e_ .6Q nJ\~'LLL-i 2 !.QQ _ --------- --tr~~ .-£4-4'J _o tfi~{1G ~ Lk 6 _ _ _ _ _ _ ___ _ __ · Jju~l _ -P-r::(J_c~ d L~.f\:t)Q.~&2cs _j ~-=-_2-'1-__ ----~l~¥--5--J~ ~'£-Co:{> ic2 _CJ ------------- ---jd-®e-§-e-A -1~-.aS-o_J.o-s4---2.S-Q ------ - 1 a£a__-+{uc__~~e~~+L-...S.d5------ --~r (~~_,,___ck -+5 --------------- +dvr-tttr~--3p-+------~ --- · ·_thl~Ch ~_('o_l(--c:,Q Vl_ .c.(&(lf6.5-iJf'.()0 --=-_- -I _ 5 _:f-t '_{_QC()s_ ~ f d,t)Q ----- c. t..o -f e. 5 ell Vo.. ..S o !} C." o 0 c Lo ·f e 3 c/1 Pit 10 :/> tf-SO t-,\p 5 ~( .f> 3-56 ~ot t°'-v 1 3~ so I~ fuel 1315 o GuL:f-oye_ j j~S50 32-ori 2;0--2_ 0o l "{<ires 1> ;)_,5:'lJ 20 0,1 7,,eJ--,<S I ") / . I !fl o..J d ( coco ~e_ t ~ 't°-$ 3>--6 ~ I DATE (MM/DD/YYYY) ·ACORD CERTIFICATE OF LIABILITY INSURANCE -~ 04/15/2022 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 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 i n lieu of such endorsement(s). PRODUCER '-UNTACT NAME : Mid Valley General Agency LLC r,.~gN~n s:vt1• (503) 365-7001 I r..ei Nol: (503) 365-7354 888 Madison St NE , Ste 100 it1t~~ss: certs@-midvalleyQa .com INSURER(S) AFFORDING COVERAGE NAIC# Salem OR 97301 INSURER A : Rainier Insurance Company 43915 INSURED INSURER B : Juan Moreno INSURER C : OBA Deliciosa Tuba De Colima INSURER D : 1520 W Clark St Apt H INSURER E : Pasco WA 99301 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 VVITH 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. 1 °LTR TYPE OF INSURANCE POLICY NUMBER I:~~ t'UU\,T t:At' LIMITS IINSD W\tn IMM/DD/YYYYl IMM/DD/YYYYl X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000 ,000 I CLAIMS-MADE CE] OCCUR DAMAGE TO REN I t:u 100 ,000 occu1~c~ /Fa occurrencel $ MED EXP (Anv one oerson l $ 5 ,000 -A y SCL-705152 06/23/2021 06/23/2022 PERSONAL & ADV INJURY $ 2,000 ,000 - ~'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 ,000 POLICY □ r;rrr □ LOC PRODUCTS· COMP/OP AGG $ Inc in Gen Agg OTHER : $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acci dentl - ANY AUTO BODILY INJURY (Pe r person) $ --ALL 0\/v'NED SCHEDULED BODILY IN J URY (Pe r acci dent ) $ -AUTOS -AUTOS NON-O'hNED iP~?~,;,~.r,,,?AMAGE $ -HIRED AUTOS -AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ ,,_ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION $ $ WORKERS COMPENSATION I PER I I OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ~ N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED ? (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ ~is~~ftn~~ 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) Food Concessions The certificate holder is included as an additional insured pursuant to ISO form GL 1097(04/15) a copy of which is attached hereto for informational purposes . CERTIFICATE HOLDER I City of Pasco 525 N 3rd Ave Pasco ACORD 25 (2014/01) WA 99301 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. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: SCL 705152 COMMERCIAL GENERAL LIABILITY GL 10 97 0415 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL V. ADDITIONAL INSURED -PRIMARY NON-CONTRIBUTORY WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization Location/Project: CITY OF PASCO 525 N 3RD AVE PASCO, WA 99301 All locations where the insured performs ongoing business operations. 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 , but only with respect to "bodily injury", "property damage ", and "personal and advertising injury" occurring subsequent to this endorsement being added to your policy , while performing your ongoing operations at the person's or organization 's premises , and caused only by your negligence i n the performance of those operations . The person's or organization 's status as an additional insured ends when your personnel are no longer present at the premises of the person or organization . B. This insurance is primary and non-contributory with respect to any additional insured shown in the schedule who you have agreed in an applicable written contract or written agreement to provide primary and non-contributory insurance . Primary and non-contributory means we w i ll waive any rights we may have to seek contribution or subrogation from that additional insured . However: 1. Any insurance afforded to such additional insured by this endorsement 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. C. If other insurance is ava i lable to the additional insured scheduled above , we will share with all that other insurance as described in D. below. D. Method of sharing: If all the other insurance available to the additional insured permits contribution by equal shares, we will follow this method also . Under the equal shares approach , each insurer contributes equal amounts until it has paid its applicable limit of insurance , or none of the loss remains , whichever comes first. If any of the other insurance available to the additional insured does not permit contribution by equa l shares , we will contribute by limits . Under this method , each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable li mits of insurance of all insurers. E. With respect to the i nsurance afforded to the additional insureds shown in the schedule , the following additional exclusions apply : GL10970415 Includes copyrighted material of Insurance Services O ffice , Inc ., with its permission . Page 1 of 2 This insurance does not app ly to , and the person(s) or organization(s) shown in the Schedule are not insureds for: 1. "Bodily injury", "property damage " or "personal and advertising injury " arising out of the rendering of , or the failure to render, any professional archi t ectural , engineering or surveying services , includ i ng : a. The preparing , approving , or failing to prepare o r approve , maps, shop drawings , opinions , reports, surveys , field orders , change orders or drawings and specifications ; and b. Supervisory, inspection, architectural or engineering activities . This exclusion applies even if the claims aga inst any insured allege negligence or other wrongdoing in the supervision , hiring , employment, training or monitoring of others by that insured , if the "occurrence " which caused the "bodily injury" or "property damage ", or the offense which caused the "personal and adverti sing injury", i nvolved the rendering of or the failure to render any profess ional architectural , engineering or survey ing services. 2. "Bodily injury", "property damage " or "personal and advertising injury" occurring after: a. All work, including materia l s , parts or equipment furnished in connection with such work , or 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 b. That portion of "your wo rk" out of which the injury or damage arises has been put to its intended use by any person or organizat ion other than another contractor or subcontractor engaged in performing operations for a princ ipal as part of the same project. 3. Coverage afforded to the add itional insured is no greater than that provided to you and is subject to all policy terms, cond itions, and exclus ions to the same extent they are applicable to you . 4 . The following duties are added to the Duties in Event of Occurrence , Offense , Cla ims or Su it Cond iti on of this policy: Additional insureds under this endorsement shall tender any claim or "suit " to all available insurance and shall give wr itten notice to us of any "occurrence " wh ich may result in a claim or "suit" unde r this insurance . F. Wi th respect to the insurance afforded to the add iti onal insured shown in the Schedule , the following is added to Section Ill -Limits Of Insurance: The most we w ill pay on behalf of the add itional insured is the amount of insurance: 1. Requ i red by the written contract or agreement you have entered i nto with the Add iti onal Insured ; or 2. Available under th e applicable Limits of Insurance shown in the Declarations ; whichever is less . This endorsement shall not in crease the applicable Limits of Insurance shown in t he Declarations . GL10970415 Includes copyrighted material of In suran ce Se rvi . ;es Office , Inc ., with its permission . Page 2 of 2 PUS LIC ._ Benton -Fra ,i n Hea lth District REC~IVt.O Environmental Health Division - 7102 W. Okanogan Place • Kennewick , WA 99336 22 For Office lJse Only tEALTH ~'~'-r -.~• t'!':'l·'~ • h,Y--t- ii ii l i'I zfl"tl·l ·Shlii (509) 460-4205 o r (800) 814-4323 MAR 28 20 www.bfhd .wa .gov :iF ttt:.~LJH OI S"f RICl Aoo Accepted By: I '---------------' A licaci6n de Comisario Un comisario es un establecimiento aprobado para que la comida sea guardada, preparada , dividida , o empacada para servicio en otro lugar. Tambien es usado para servir, limpiar, disinfectar, proveer, y mantener el equipo y unidades m6viles. SECCI0N 1 : fNF0RMACI0N DE LA PERSONA USAND0 EL C0MISARI0 Fecha de Aplicaci6n La aplicaci6n debe ser aprobada antes de empe~ el servicio de alim<:nto. Telefono Direcci6n del Comisari Ciud ' SECCI0N 3: USAND0 EL C0MISARI0 L a no 'a So!a•ncn!e puede usa, un esta/Jlec11mento apro /Jado pa r es te D epartarnento coma un Com,s ·r,:; 1 . l Va a guardar el m6vil en el comisario {necesita guardar el m6vil en el comisario o en el lugar de g-$1' 0 No ooeraci6n)? 2. l Va a guardar D papeles, D comida congelada, y D comida refrigerada en el comisario? 0$j 0 No 3 . l Va a usar D agua potable o D hielo def comisario? 0°'Si 0 No 4 . l Va a desechar D agua sucia y D basura en el comisario? 0Si [a"'No 5. l Va a lavar, enjugar, y disinfectar los platos en el comisario? ~ ~ 0 No i. Si si, c6mo? n fregadero con tres compartimientos o lavaolatos? 6 . l Va a lavar frutas y verduras (en un fregadero aprobado solo para lavar verduras) en el [2t$"f 0 No comisario? 7 . l Va a D cocinar o D enfriar comida en el comisario? NI Y-\-0Si 0 No 8 . lPuede usar el bafio en el comisario? ia-sr 0 No 9 . l Va a limpiar el m6vil en el comisario? B'Si 0 No El horario de comisario disp~nible por el solicitante: ~\.,~ "-~ ~,s, l ~ .s \'. k::!> vr-s,, Dom: a Lun: a Mar: a Mie: a Jue: a Vie: a Sab: a SECCI0N 5 : FIRMAS Para ser comprendido y firmado por el propietario del comisario: Para ser comprendido y formado por el solicitante: Yo, el propietario o designado def comisario nombrado anteriormente, doy permiso a este solicitante a utilizar m i establecimiento como un comisario para cada uno de los articulos marcados como "Si" en la secci6n 3 de esta aplicaci6n . ropietario de Comisario Nombre/Fecha lmpresa Los comenta ri os del Propietario de Comisario : Re v 6/2008 Yo , el solicitante, concuerdo en utilizar el comisario anteriormente escrito como "Si" en la secci6n 3 de esta aplicaci6n . Si cualquier informaci6n en esta aplicaci6n cambia por el dueno del com isario o de m i mismo, yo notificare al Distrito de Salud de ton-Franklin para la aprobaci6n . Firma de Solicitante Nombre/Fecha lmpresa page 1 of 1 4/19/22 , 5 :2!l l-'M t::xport Washington State Department of Revenue Your request has been submitted and your confirmation number is 0-026-210-616 Below is information from your renewal Filing Date and Time 4/19/2022 5:28:28 PM Legal Entity Name MORENO, JUAN MANUEL Location Name Account number Physical Address Mailing Address Payment Method Payment Amount DELICIOSA TUBA 603294978-001-0002 3006 ROAD 36 PASCO WA 99301 3006 ROAD 36 PASCO WA 99301 ACH Debit/E -Check $110 .00 For easy reference, you can print this page and retain it with your records. To check the status of your request, go to your account Summary page, select the More Options tab, and click View, Edit, or Print Drafts or Submissions. https ://secure .dor. wa .gov/atlaseservices/wtp/ _/ExportView?Doc=Dd&UID= 11 VntixRYWUEH 1 HECP708A _ &Format= Token& Token=6FskBPGFWy7qb . . . 1 /2