HomeMy WebLinkAboutColumbia Basin Youth Football Facility Use Agreement Aug 2022 to July 2028 `�� CiCyof FACILITY USE AGREEMENT
� ����Q CITY OF PASCO AND COLUMBIA BASIN YOUTH
C�rks and Rec FOOTBALL
Agreement#REC22-020
THIS AGREEMENT is made and entered into between the City of Pasco, a Washington
Municipal Corporation, hereinafter referred to as "City", and Columbia Basin Youth Football,
hereinafter referred to as"Association."
WHEREAS,the Association is successor in interest to that certain Agreement between the
City and Pasco Grid Kids Football Association, executed October i 9, 1987, for development and
use of the facilities at Highland Park; and
WHEREAS, the parties desire to enter into a new Agreement that incorporates changes
and circumstances over time including, but not limited to, changes in applicable laws and
regulations; and
WHEREAS,the City has received approval of this agreement from the Washington State
Recreation and Conservarion Office(RCO}, successor to the IAC; and
WIiEREAS, the Association has performed well with its responsibilities in operating a
successful youth football program in the City of Pasco, and the City believing it to be in the best
interest of its citizens to allow the Association access to and use of the youth football fields located
at Highland Park.
NOW, THEREFORE, the parties, based upon the mutual promises and covenants
contained herein, do agree as follows:
1. Use of Premises. Subject to the provisions of this Agreement, the City hereby authorizes
the Association to use the premises described in Exhibit"A"attached hereto,which Exhibit
is incorporated by reference into this Agreement as if specifically set forth.
2. Term. Unless earlier tertninated, the term of this Agreement shall be for a period of
approximately five (5) years,beginning at the execution of this Agreement and ending on
7/1/2028. This agreement may then be renewed for 1 or more subsequent years upon
agreement of the parties. The Association must give the City notice, in writing, between
two and six months before the expiration of this agreement or any subsequent extensions
of this agreement, of their desire to extend.
3. Imnrovements. The City shall be responsible for striping of the football fields as needed
for the Association's operations, with the Association paying, on a seasonal basis, the cost
to paint the fields according to the City's most current field stripping fee schedule. The
Association is responsible for any other temporary but necessary improvements. All
Facility Use Agreement- 1
. �
capital or permanent improvements to the premises initiated by the Association, shall
require prior written consent of the Ciiy's Administrative&Community Services Director.
In the event the Association places any property owned by the Association on the premises
such as sheds, bleachers or other removable items, the premises shall be left in an
undisturbed condition upon removal of such items.
The Association shall pay for all maintenance and repair expenses related to any
improvements made by the Association upon the premises.
The City shall pay the costs of utilities including electricity, water and garbage. All
improvements provided by the Association during the term of this Agreement, shall be
available for use by the general public.
If the City makes changes or improvements to the premises used by the Association during
the term of this Agreement, the Association shall pay an increase over the amount due
under Section 5. If the Association disagrees with the increased fee amount, or the added
facility usage, the Association and City shall meet and confer in good faith to resolve the
disagreement.
4. Use Reauirements. The Association agrees that:
a. The premises shall be maintained by the parties according to the responsibilities of
each set forth herein, so as to appear attractive and inviting to the public.
b. Sanitation and sanitary facilities (i.e. onsite permanent restrooms, portable
restrooms &handwash stations) shall be maintained in accordance with applicable
sta.te and local health standards. See Section 10 below for additiona.l information
and requirements in relation to the onsite permanent restrooms.
c. The premises shall be kept reasonably safe for public use.
d. Buildings and other structures and improvements shall be kept in reasonable repair
throughout their estimated lifetime, so as to prevent undue deterioration and not to
discourage public use.
e. The premises shall be kept open for public use and/or rental by the City to other
youth sports organizations and outside groups when not being used by the
Association for its games.
f. The Association and the City, to help maintain the quality of the fields, will limit
practices to only those times of year when evening daylight hours are limited to
before 5:30pm.
g. The Association shall not discriminate against any person for use of the premises
on the basis of residence, gender, race, creed, color, religion, national origin, age,
marital status or the presence of any sensory mental,or physical handicap.
Facility Use Agreement-2
h. As certification that they will abide by all associated RCW's the Association will
complete, sign and return to the City as part of this agreement "e�ibit B", the
Youth Sports Group Compliance Statement for Concussions and Sudden Cardiac
Arrest.
5. Fees and Income. Apart from the fee for painting the fields mentioned in Section 3 above,
the Association will also pay the City an annual use fee. That fee will be $2,000 the first
� year of this agreement and shall increase by 3%each subsequent year. This fee will be due
August 1 of each year.
The Association is prohibited from charging a fee of any kind for use of the premises by
the public and may not sublease any portion or part of the premises to any other pariy. Any
income derived from the prernises by the Association, including any concession stand
constructed thereon and operated during Association games or through contracted
concessionaires, must be used first to offset expenses of operation and maintenance of the
premises and facilities developed thereon and also may be expended by the Association for
uniforms, equipment and other items and activities of the Association, and if any funds
thereafter remain, such funds may be given to the City, in trust, for park and recreational
capital acquisition and development in the City. The Association shall grant all reasonable
requests by the City to examine its books and records for purposes of compiiance with this
secrion. In addition, the Association shall provide the City with an annual statement,
iternizing income by sources,expenses, and expenditure of income.
6. Recreation & Conservation Office Conditions of Lease. The Association understands
that the City is responsible to the RCO, successor to IAC, and that the Association cannot
take any action which is inconsistent with applicable State and Federal requirernents.
Specifically,the Association agrees that:
a. In order to protect the public interest,the City must have the ability to periodically
review the performance of the Association and terminate this Agreement if its terms
and provisions and the provisions of the Grant Agreement between the City and the
RCO,including standards of maintenance,public use,and accessibility are not met.
Therefore, the City may terminate this Agreement by giving the Association thirty
{30)days written notice of the breach of this Agreement or noncompliance with the
terms and conditions of the Grant Agreement and if the Association fails to correct
the breach or deficiency within the thirty (30) day period of rime, this Agreement
shall automatically terminate. �
b. The Association's use of the premises must be for public outdoor recreation
purposes and be in compliance with the provisions of the Project Agreement
between the City and the RCO and all implementing guidelines.
c. The premises shall be identified as being publicly owned and operated as a public
outdoor recreation facility on all signs, literature, and advertising and the
Association shall be identified as a Lessee/Concessionaire, so as not to mislead the
public into believing that the area is private. All signs placed on the premises must
Facility Use Agreement-3
be posted identifying the facility as being open to the public in accord with Section
02 and Section OS of the RCO Development Projects Manual.
d. No fees for use of the premises shall be charged by the Association.
e. Prior to the execution of this Agreement between the City and the Association,this
Agreement must be reviewed and approved by RCO staff.
7. Discrimination Prohibited. In the course of using facilities under this Agreement, the
Association shall not discriminate against any person on the basis of race, color,religion,
age, sex,national origin or physical handicap. The Association understands and agrees to
comply with the City's Nondiscrimination in Community Athletics Policy, and with
Sections 49.60.500 =505 of the Revised Code of Washington.
8. Health and Safetv. The Association agrees to remain apprised of all industry health and
safety standards, and to abide by them. The Association agrees to maintain a safe
environment for participants. In the event the Association suspects a youth participant has
sustained an injury, including but not limited to concussion or other head injury,the youth
participant shall be removed from participation immediately and the participant's parents
or guardians shall be contacted immediately. In the event of an emergency relating to the
health and safety of a participant or otherwise, Association shall call 911 and report the
emergency immediately.
9. Use Prioriri. The Association shall have the priority in the use of the premises for its
games, and practices as outlined in section 4.f above, from April 1 — June 15 and from
August 15—November 21 of each year of this Agreement during the following hours:
• Saturdays
o Field 1: 7:30am—9:OOpm
o Fields 2 & 3: ?:30am—6:OOpm
• Wednesdays
o Field 1: 5:00—9:OOpm
Other events or league play outside of the priority windows can be scheduled through
Recreation Division.
It is understood that the Association will try to restrict their time reserved to their
anticipated use and that once their schedule has been completed they will send a copy to
the Recreation Services Manager or his designee, and that any excess time previously
reserved by the Association will be released for reservation and use by other organizations
by the City.
10. Hi�hland Park Restroom. The Association shall be responsible for restocking all onsite
permanent restrooms and making all onsite permanent restrooms neat and tidy during and
immediately after each use of the premises by the Association. The City shall provide the
needed restroom supplies needed for restocking. The City shall be responsible for regular
general weekday daytime cleaning of all onsite permanent restrooms. The City retains the
discretion as to the times and h�urs of use of onsite permanent restrooms, if any, by the '
public and the Association.
Facility Use Agreement-4
11. Garba�e Can and Container Pickun. The Association shall be responsible for cleaning
the premises of litter after each use of the premises by the Association and on such a regular
basis as to keep the premises attractive to the public. The Association will place all trash
in the onsite, city provided garbage dumpster. The City shall be responsible for providing
garbage cans and garbage container pickup.
12. Non-Association. The City is not a sponsor or a participant with or in association with the
, Association's Youth Football Program. City has no supervisory responsibility of the
� program. The Association, its officers, members and agents shall be responsible for all
direction, administration, supervision, training and coaching. Permission forms for
participation in the Association Football Program shall contain a provision holding the
City,its officers,employees and agents harmless from any loss or injury sustained in games
or gractices on the premises.
13. Insnection of Premises. The City Parks Staff will be responsible for an inspection of the
premises each week to help address any safety or suitability issues.The Association by its
officers, members or agents, separately, shall also be responsible for inspection of the
premises before and after each use of the premises by the Association for its safety and
suitability for use by the Association and its participants. The Association shall
immediately notify the City's Facilities Manager of any safety problems. The Facilities
Manager may suspend or modify use of the premises by the Association until the safety
problem is corrected.
14. Liabilitv Insurance. Association shall, at Association's expense,obtain and keep in
force during the term of this Agreement a policy of Comprehensive General Liability
Insurance insuring Association and City against any liability arising out of the use,
occupancy,or maintenance of the premises. Such insurance shall be in an arnount not
less than$2,000,000 per occurrence, $2,000,000 General Aggregate. The policy shall
insure performance by Assaciation of the indemnity provisions of this Agreement. The
limits of said insurance shall not,however, limit the liability of Association hereunder.
Association shall deliver to City copies of liability insurance policies required under this
paragraph or certificates evidencing the existence and amount of such insurance within
seven (7} days after the commencement date of this Agreement. No such policy shall be
cancelable or subject to reduction of coverage or other modification except after thirty(30)
days prior written notice to City. Association shall, at least thirty (30) days prior to the
expiration of such policies, furnish City with renewals or"binders" thereof.
15. Minimum Scope of Insurance. The Association shall obtain insurance of the types and
coverage described below:
Commercial General Liability insurance shall be at least as broad as Insurance Services
Office (ISO)occurrence form CG 00 O1 and shall cover premises and contractual liability.
The City shall be named as additional insured on Association's Commercial General
Facility Use Agreement-5
Liability insurance policy using ISO Additional Insured-Managers or City's of Premises
Form CG 20 11 or a substitute endorsement providing at least as broad coverage.
Property insurance shall be written on an all risk basis.
a. Other Insurance Provisions. The Association's Commercial General Liability
insurance policy or policies are to contain or be endorsed to contain that they shall
be primary insurance as respect the City. Any insurance, self-insurance, or self-
insured pool coverage maintained by the City shall be excess of the Association's
insurance and shall not contribute with it.
b. Acceptability of Insurers. Insurance is to be placed with insurers with a current
A.M. Best rating of not less than A: VII.
c. Verification of Covera�e. The Association shall furnish the City with original
certificates and a copy of the amendatory endorsements, including but not
necessarily limited to the additional insured endorsement,evidencing the insurance
requirements of the Association.
d. Waiver of Subrogation. Association and City hereby agree 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 or said
building. This Agreement shall apply only to the extent that such claim, loss or
liability is covered by insurance.
e. Ci 's Pro e Insurance. Ciry shall purchase and maintain during the term of the
Agreement all-risk property insurance covering the Building for its full replacement
value without any coinsurance provisions.
f. Notice of Cancellation. The Association shall provide the City with written notice
of any policy cancellation within two business days of their receipt of such notice.
g. Failure to Maintain Insurance. Failure on the part of the Association to maintain
the insurance as required shall constitute a material breach of Agreement, upon
which the City may, after giving five business days' notice to the Association to
correct the breach, terminate the Agreement or, at its discretion, procure or renew
such insurance and pay any and all premiums in connection therewith, with any
sums so expended to be repaid to the City on demand.
h. Citv has Full Availabilitv of Association Limits, If the Association maintains
higher insurance limits than the minimums shown above, the City shall be insured
for the full available limits of Commercial General and Excess or Umbrella liability
maintained by the Association, irrespective of whether such limits maintained by
the Association are greater than those required by this contract or whether any
certificate of insurance furnished to the City evidences limits of liability lower than
those maintained by the Association.
Facility Use Agreement-6
i. Insurance Term. Association shall procure and maintain for the duration of the use
or rental period insurance against claims for injuries to persons or damage to
property which may arise from or in connection with the use of the facilities and
the activities of the Association and his or her guests, representatives, volunteers
and employees.
j. No Limitation. Association's maintenance of insurance as required by the
Agreement shall not be construed to limit the liability of the Association to the
coverage provided by such insurance, or otherwise limit the City's recourse to any
remedy available at law or in equity.
General Liabilit� Insurance. The City shall be named as an additional insured on
Association's General Liability Insurance policy.
16. Indemnification/Hotd Harmless. Association shall defend,indemnify and hold harmless
the City, its officers, officials, employees and volunteers from and against any and a11
claims, suits, actions, or liabilities for injury or death of any person, or for loss or damage
to property, which arises out of the use of the facility referenced herein, or from any
activity,work or thing done,permitted,or suffered by Association in or about the facility,
except only such injury as shall have been occasioned by the sole gross negligence of the
City.
17. Assi�nment and Sublease. This Agreement is personal to Associarion and cannot be
transferred,assigned, or subleased without the prior written consent of City.
18. Notices. All notices given under this Agreement shall be given to the following
representatives of the parties at the following addresses:
City of Pasco Columbia Basin Youth Football
525 North 3`d Attn: President
PO Box 293 ���Z� .y Aa(G, �_ S��Z,S'I�
Pasco WA 99301 1��+sc�,�JG 9y3o 1
19. Nonwaiver. Wavier by either party of strict performance of any provisions of this Use
Agreement shall not be a waiver of or prejudice to the party's right to require strict
performance of the same provision or of any other provision in the future.
20. Severabilitv. If any term ar provision of this Agreement are invalid or are unenforceable,
the remainder of the Agreement shall not be affected and will continue in full force.
21. Governin� Law. In the event of a dispute regarding the enforcement, breach, default or
interpretation of this Agreement,the parties shall first meet in a good faith effort to resolve
such dispute. In the event the dispute cannot be resolved by agreement of the parties, said
dispute shall be resolved by arbitration pursuant to RCW 7.04A, as amended, and the
Mandatory Arbitration Rules (MAR); venue shall be placed in Franklin County,
Washington,the laws of the State of Washington shall apply;and the prevailing party shall
be entitled to its reasonable attorney fees and costs.
Facility Use Agreement-7
22. Termination. This agreement may be terminated by either party with at least 9 Months
written notice.
23.Dispute Resolution.
23.I This Agreement has been and shall be construed as having been made and entered
into and delivered within the State of Washington and it is agreed by each party hereto that
this Agreement shall be governed by the laws of the State of Washington.
23.2 In the event of a dispute regarding the enforcement, breach, default, or
interpretation of this Agreement, the Project Administrators, or their designees, shall first
meet in a good faith effort to resolve such dispute. In the event the dispute cannot be
resolved by agreement of the parties, said dispute shall be resolved by arbitration pursuant
to RCW 7.04A,as amended,with both parties waiving the right of a jury trial upon trial de
novo, with venue placed in Pasco, Franklin County, Washington. The substantially
prevailing party shall be entitled to its reasonable attorney fees and costs as additional
award and judgment against the other.
24. Entire A2reement. This Agreement contains the entire agreement between the parties.
No modification of this Agreement shall be binding upon the parties unless evidenced by
an agreement in writing signed by the City and the Association after the date hereof.
CITY OF PASCO
Date: �I J 1 � Z� _
ave Zabell er
ASSOCIATION:
Columbia Basin Youth Football
�� /f�_ Date: o/�/z'Z
Signatur
Name(Printed): .�s,��� �.�J�� — � �-
ATTEST:
�
Debbie Barham, City Clerk
APPROVED AS TO FORM:
Facility Use Agreement-8
t�
Kerr Ferguson Law, PLLC,City Attomey
Facility Use Agreement-9
f'
STATE OF WASHINGON )
: ss
County of Franklin )
On this day personally appeared before me DAVE ZABELL, City Manager of the City of Pasco,
Washington, described in and who executed the within and foregoing instrument, and acknowledged that
he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this�day of S e(?�-R-�6 el ,2022.
Notary Public ���_���u''-�y _
State of Washington Print Name �., ; t �. ,��.�c.�
KRYSTLE LYNN SHANKS Notary Public in and for the State of Washington
MY COMMISSION EXPIRES Residing at c�-`��; �, ti:�
January 5,2024 �
Commission#157246 My Commission Expires � - 5-Zc��--a
STATE OF WASHINGTON )
: ss
County of Franklin )
On this day personally appeared before me � , of
� described in and wh executed the within and oregoing
instrument, nd acknowledged that he signed the same as his free and voluntary act and deed for the uses
and purposes therein mentioned.
GIVEN under my hand and official seal this��J day of , 422.
��a-�- ����.��--
Pnnt Name ��q G _ ' � tQ�,�s,�.�
Notary Public in�and for the State of Washington
Residing at � '
My Commission Expires �cq -a/-�
Notary P�iblic
State of Washingtoa
DIANNA L GARRISON
MY COMMISSION EXPIRES
02/21/2025
Facility Use Agreement- 10
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Exhibit"B"
YOUTH 5PORTS GROUP COMPLiANCE STATEMENT
��+ ���CO Cvnccrssi��ns and Sudden C:ardiar:trrest
,{' r�.i����ar�.
For RCW�F.24.6G0,RCW 28A.600.190&RCW 28A.6U419S
Youth S�i�Nend Inju�g•Policies and Sudden CardiAc Atrest
A�ar�ncse
l.�ttarlr tn a�iv h�rildi�i�;:facifih•rrse req�r��s►jav�m)
CITY OF PASGn
(�VCIA MLMI3rR)
Yoirth Spores C;roup:��. ►�= rcquests the use.ofCity of f'asco
ficlds�faciliti�.�s far Nx:datcs and tim�,5 sho�i��in thc nttachc�ficid requcst fonn(s).
�t�'y/' __a pritiatc nrnrpmfit}�outh sports group,vcrifi�w ali cc�achcs,
alhlct�-s and thc.�r Ewn�nts:lcgul gi�rdians hnrc ccfmpliaJ ��ith mandatccl �licics ti�r thc
mana�cencnt of amcussians,h�d injurics�r3d suddcn cardiac arecst a�•arcncss as prescrilxxj by
RC'1\'J.?J.fiI�U_ RC:14'?RA.6fx).15K1 and R�14'23A.h(H).t9�.
The inswance required of the Youth Sporls Group listed above shall be as follows:
Gcncral l.iabiliry insurancc shall bc at Icust as brond as Insurnncc Scr4iccs Ot�ic:c(ISO)
cx;c;urrc,�nc:c forn�CCi(x101 co�°cring prcmiu-s,o�x;ruticros,pra�ucl.s-wmplcl�Yi��x:r�tions
c:on(raclual li�bilih�xnd c�ti•era�e 1'or participant liability. The Cily ofPasro shall be numed as
xn additional insured on(Youlh Sparts Group)Cieueral Liabilih�insurance polic}�using ISO
Additional Insured-Matiagers or Ltssors of Prcmises rorm CG?U l l or an endotsemcnt
�xoviding at Icastas broad cavcragc. '1'hc G�-�ioral I,iability insurnncc shall bc��ritic�i with limits
Tx>lcss tl�an fi2,tNN),OQt)cach occurrcncc,'62,tM1f1(Hl(l gcncrai nggrcgatc. I�mc>fof insurancc and
aJditional insured enclt�r�ement un;atlachcd.
G 13 Y/' (Youth Sports Gtoup)shall detend,indemniEy and
hold harn�less thc City of Pasco,its offic�rs,afficials;amplo�•ees and voluntcers frotn nnd
agains[a�s�and all claiins,suits,actions,or linbilitics for injury or d�th af an���crsnn,ar for
lok1 or damagC tn properh�,which ariu�s nut��f thc uu;of I'rcrniscs or I?om Any acti�ity,��tirk or
thing done,permilteJ,or auAered by iJsrrin or ab�u!lhe Prentises,except only such injiuy or
damage as�hall have been ocxasioned by the sole negtigence of the Cily of Pasco.
Signcd� �,.�-
Rcprk c.nla ' ��I ( uulh S�x�rls Group) (T}atc
Printed: _�.T,�es_���'�p(cs+�s,�
Note:Access u�the City of Pasco fields�h facilities ma�•not he��anted unNl All
requirements nf this upplicutinn are cnmplete and apprnr•ed hy thr City af Pusca.
im�i�ri
Facility Use Agreement- 12
ACO� DATE(MMIDDIYYYY)
�� CERTIFICATE OF LIABILITY INSURANCE osio2r2o2z
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(5),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 ri hts to the certificate holder in lieu of such endorsement s.
PRODUCER Graybeal Group,Inc CONTACT gen Moreno
4206 W 24th Avenue �,",�"���t,, (509)735-4703 � .(509)735-4357
Suite A 104 EaYIAIL ben@graybealgroup.com
Kennewick WA 99338- iN RER S AFFORDING COV RAG NAIC
E A:Philadelphia lnsurance Company
INSURED S� ,Scottsdale Insurance Co.
Columbia Basin Youth Football I RER C:
5426 N Rd 68 Suite D#256 S RER D:
Pasco WA 99301- iN RER E,
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 7ypE OF INSURANCE ADDL SUBR �� POUCY EFF POLICY EXP LIMITS
B X COMMERCIALGENERALLIABILITY CPS-7523022 3/01/2022 03/01/2023 EACHOCCURRENCE S �,���,00�
V CLAIMSMADE �OCCUR DAMAGE TO RENTED $ 100,000
MED EXP lAny one pers� $ 5,���
PERSONAL&ADVINJURY $ 1,000,000
GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2,�00,000
X POLICY�jE a �LOC PRODUCTS-COMP/OP AGG $
$
AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $
ANYAUTO BODILYINJURY(Perperson) $
OWNED �SCHEDULED BODILY INJURY(Per accident) S
AUTOS ONLY AUTOS
HIRED �NON-ONMED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
$
B X UMBRELlAL1AB � X p�CUR 3OB2O4H 3f01/2022 b3/01l2023 EqCHOCCURRENCE $ 2�000,000
X EXCESS LIAB .AGGREGATE $ 2,000,000
CLAIMS-MADE
S
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY �
ANY PROPRIETOR/PARTNERIEXECUTIVE � N�A , E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) . E.L.DISEASE-EA EMPLOYEE $
If es,describe under
E.L.DISEASE-POL�CY LIMIT 5
A AccidenUMedical PHPA004024 8/01/2022 08l01/2023 Accd/Death $50,000
Accd/Paralysis $100,000
Accd/Dismemberment $100,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Addklonal Remarks Schodule,may be attached H moro apaoe is roqulrod)
Certificate holder is listed as an additional insured.
CERTIFICATE HOLDER CANCELLATION AI 050647
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Ci Of PaSCO THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
tY ACCORDANCE WITH THE POLICY PROVISIONS.
525 N 3rd Ave
Pasco WA JJ3O'I- pUTHORIZED REPRESENTATIVE
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