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HomeMy WebLinkAboutKona Ice of Tri-Cities - Concession Agreement for Memorial Aquatic Park Agreement No. REC23-018Citof CITY OF PASCO RONCO CONCESSION AGREEMENT Pari-os aim Rec For Memorial Aquatig Park Agreement #: REC1 1. P,ARTIES. This Concession Agreement (Agreement) is made and entered into as of !/ 2023, by and between the City of Pasco, a municipal corporation (City) and Kona Ice of �- dies WA (Concessionaire). The following is the official contact information that shall be used for correspondence between the parties: CITY OF PASCO CONCESSIONAIRE Recreation Services Kona Ice of Tri-Cities WA 525 N. 3rd Ave 4003 Monterey Dr. Pasco, WA 99301 Pasco, WA 99301 509-545-3456 509-947-9472 2. TERM. This Agreement, upon execution, shall commence at 1:0000m on the 191 day of June, 2023 and unless terminated for a breach or as provided herein, shall continue in full force until 6:00om on the 191h day of August, 2023. Concessionaire shall have the right to renew for one additional summer swim season upon written notification to City on or before November 1, 2023. Start and end dates of sales during the additional season to he determined upon renewal. 3. PREMISES. City hereby grants to Concessionaire permission to sell its goods during Open Swim Sessions at the Pasco Memorial Aquatic Park according to the schedule set forth in Appendix B at the specific location(s) specified below. LOCATION: A 8x12 foot area of open sace inside the Memorial A uatic Park fenced area located in the NE corner of Memorial Park, in the City of Pasco, County of Franklin, State of Washington. The premises more or less (referred to as Premises), together with all improvements thereon and appurtenances thereto, as shown in Appendix A. 4. RENT. Rent shall be payable to the City by the Concessionaire in the amount of and on specified dates included in Appendix B. Rent shall be payable to City at the address shown above, 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 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 Appendix 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 food and beverage service concession at Premises during the dates and times specified in Appendix B, with rent payments. 6.2 Reports. Concessionaire shall provide to City an itemization of its gross receipts for each rental date, listing separately food, beverage, and any other general product sales category conducted on the premises. 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 PREMISES. Concessionaire agrees that the premises shall be used by the Concessionaire exclusively for food, non-alcoholic beverage service, or the sale of goods/services (as delineated in Appendix C) 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 litter pick-up in and immediately around the designated premises at the close of service each day. 10.3 To present its employees as neat, clean and professional with clothing or identification which distinguishes them as employees of the Concessionaire. 10.3 To provide for City's review and secure the City's approval ofthe products and prices that it proposes to offer to patrons of the Premises. City's approval shall not be unreasonably withheld. 10.4 To maintain current and valid all applicable business licenses and/or health permits and abide by industry laws and standards in regards to food handling and/or mobile vending. 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 2 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 grant use of 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 use of the 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 -IS. 13. EARLY TERMINATION. Either party may terminate 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 performs all of the agreements and covenants required of it hereunder, Concessionaire shall njoy the Premises for the Term without any encumbrance, peaceably and quietly have, hold and e 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 I HOLD HARMLESS. Concessionaire shall defend, indemnify, and hold harmless 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 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 Form CG 20 11 or a substitute endorsement providing equivalent coverage. (b) Property insurance shall be written on an all risk basis. 3 17.2 Minimum Amounts of Insurance. Concessionaire 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 shall be written covering the full value of Concessionaire's property and improvements with no coinsurance provisions. 17.3 Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the following provisions for Commercial General Liability insurance: (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 of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VH. 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. 17.6 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 term 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 term or condition or fulfill any obligation of the Agreement. In the event of a default, 4 this Agreement may be terminated at the option of City by written notice to Concessionaire. Whether or not the Agreement is terminated 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 permit 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 performance of the same provision or any other provision in the future. 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 such 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 performance 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 permitted 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 parry which may be contacted in an emergency (24 hours per day; 7 days per week availability): Name: Sandra Y Kerr Phone Number: Sus: 509-947-9472: Per: 509-947-4655 _ 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 Tess-G S Director Ice Date: Iflaq` / 2023 CONCESSIONAIRE: Iona Iee of Tri-Cities WA nature Print Name �Y6 lam.ya� _ Title Date: 2023 Appendix A The following map indicates the location that the concessionaire is allowed to set up on the dates and times specified in Appendix B. Appendix B Rent to provide concessions on the following dates at the location(s) listed in Appendix A shall be as follows. Failure to make these payments will constitute a contract default as described in section 20 of the contract. EVENT & DATES: Memorial Aquatic Park — Daily Open Swim Sessions: Sunday — Friday: 1:OOpm to 5:45pm Saturday: 1:00pm to 5:30pm NOTE: Concessionaire to provide sales at minimum from 2:30-5:OOpm Concessionaire shall pay to the City, 15% of the gross receipts received during the time and at the location specified in this agreement (See definition of "Gross Receipts" in above contract). Payments shall be made monthly and shall be made payable to "The City of Pasco" and be sent "Attn: Recreation Services" to the address listed at the beginning of the agreement. The payment shall be accompanied with a financial statement, showing gross sales received by Concessionaire for that month. Appendix C The following menu and prices have been agreed to by both parties 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 aOF BUSINESS LICENSE REGISTERED TRADE NAMES - - WASHINGTON Limited Liability Company Unified Business ID #: 604115162 WHEELHOUSE ENTERTAINMENT LLC REGISTERED TRADE NAMES: KONA ICE OF TRI-CITIES WA BUSINESS LICENSE STATL OF WASHINCTO',' Issue Date: Mar 17, 2023 Limited Liability Company Unified Business ID #: 604115162 Business ID #: 001 WHEELHOUSE ENTERTAINMENT LLC Location: 0001 KONA ICE OF PASCO Expires: Apr 30, 2024 4003 MONTEREY DR PASCO WA 99301-8128 UNEMPLOYMENT INSURANCE -ACTIVE INDUSTRIAL INSURANCE - ACTIVE MINOR WORK PERMIT - ACTIVE TAX REGISTRATION - ACTIVE CITY ENDORSEMENTS: WALLA WALLA GENERAL BUSINESS - NON-RESIDENT - ACTIVE PASCO HOME OCCUPATION BUSINESS #31657 - ACTIVE KENNEWICK GENERAL BUSINESS - NON-RESIDENT - ACTIVE RICHLAND GENERAL BUSINESS - NON-RESIDENT #C14 - ACTIVE WEST RICHLAND GENERAL BUSINESS - NON-RESIDENT - ACTIVE DUTIES OF MINORS: ,4 Ages 16-17: Sales and Cashiering. Ages 14-15: Sales And Cashiering LICENSING RESTRICTIONS: It is the business's responsibility to comply with minor work permit requirements. See WAC 296-125-030 and WAC 296-125-033 for Non -Agricultural and WAG 296-131-125 for Agricultural guidelines and restricted activities. Service occupations: if a minor works past 8 p.m., minor must be supervised by a responsible adult employee who is on the premises at all times. WAC 296-125-030(30) r� 7rr15dornm .-tif !lets iprr frpislrrtiorta. rndonement:, And limn+•. .+f nam"'Clioe'e. R}ACE Am!u tw.[. 1.lhr i•-t of hi, fdwfi[esl f+:K Ilt+Un iar.. /f '//C,�i ! S a-rertilie<[hr infnrntatintt un 7hf•�p}±!i:atic;tt l//f�-fyya-� j was utmplrle, errrc. atn! acorrate !n thr best of his or her i`n" lcd$e, afxl that i+nSH frsS is ril Ix 1 cnndurted itj cmnpiiante with 4, a, p,licalilt V%_Ilingtott ,Iafe, rnnnts, and tit, rrgviatiol,,. ` UBI: 604115162 001 0001 Th'E of v nSHmcroN Expires: Apr 30, 2024 WHEELHOUSE ENTERTAINMENT LLC KONA ICE OF PASCO 4003 MONTEREY DR PASCO WA 993o1-8128 UNEMPLOYMENT INSURANCE - ACTIVE INDUSTRIAL INSURANCE -ACTIVE MINOR WORK PERMIT- ACTIVE TAX REGISTRATION -ACTIVE WALLA WALLA GENERAL BUSINESS - NON-RESIDENT- ACTIVE PASCO HOME OCCUPATION BUSINESS #31657 - ACTIVE KENNEWICK GENERAL BUSINESS - NON-RESIDENT - ACTIVE RICHLAND GENERAL BUSINESS - NON -REST DENT #C14 - ACTIVE WEST RICHLAND GENERAL BUSINESS - NON-RESIDENT- ,;,;:z 2,.t-,.. KONA ICE OF PASCO #0246 110 S. 4'l H AVE R1CHLAND WA 99354 Permit issued: 08/01/2022 a 1� W 1s UWT (PER UN T) Owner KERR., GROVER AND SANDRA Permit Expiration: 0813112023 Yk-i ow.: rix s met the necessary requirements and agreed to comply with the regulations for preparing, serving, and/or vending food to the public This perm tis s+ r to revocation at anytime this establishment is not operated in a sanitary manner In accordance with Washington Administrative Code 146-21s and ad►er q*fapbie codes enforced by the Benton -Franklin Health Distract This permit is issued to the above named business, location, and owner and is mom TREE if this business is sold to anew owner or otherwise altered, permit holder must notify the Benton -Franklin Health District to avoid future 1rc�°: under this agreement: This permit must be posted for public view. www.bfhd.wa.gov PUBLIC Dr. Amy Person 04EALTH Gonzalez, Cristian F. District Health Officer Prevent s Promote • Protect Environmental Health Specialist I KONA ICE OF TRI-CITIES WA #0253 110 S. 4TH AVE PASCO WA 99301 Permit Issued:03101/2023 56.12: MOBILE UNIT (PER UNIT) Owner: KERR, GROVER AND SANDRA Permit Expiration: 03/31/2024 This ownerhas menthe necessory requirements and agreed to comply with the regulations for preparing serving, and/or vending food to the public ibis permit Is subject to revocation at anytime this establishment is not operated in sanitary manner in accordance with washington Administrative Code 246-215 and other applicable codes enforced by the Benton -Franklin Health District This permit is issued to the above named business, location, and owner and is NON TRANSFERABLE. Ifthis business is sold to anew owner or otherwise altered, permit holder must notify the Benton -Franklin Health District to avoldfutum liability under this agreement This permit must be posted for public view. www.bfhd.wa.gov Dr. Larry Jecha District Health Officer KONA ICE OF PASCO #0285 110 S. 4TH ST PASCO WA 99301 Permit Issued: 04101/2023 56.12: MOBILE UNIT (PER UNIT) PUBLIC ..�� TM Prevent • Promote • Protect Owner: Gonzalez, Cristlan F. Environmental Health Specialist IRA WHEELHOUSE ENTERTAINMENT LLC Permit Expiration: 04/30/2024 This owner has met the necessoryrequimments and ogre ed#o comply with the regulations for preparing, serving, and/or vending food to the public This permit is subject to relocation at any time, this establishmenf is not operated in a sanitary manner in accordance with Washington Administrative Code 246-215and other applicable'codes enforced by the Benton -Franklin Health District This permit is issued to the above named business, location, and owner and Is NON TRANSFERABLE. If this business is sold to a new owner or otherwise altered, permit holder must notify the Benton -Franklin Health District to avoid future liability under this agreement Dr. Larry Jecha District Health Officer This permit must be posted for public view. www.bfhd.wa.gov PUBLIC .� TM Prevent • Promote • Protect Gonzalez, Cristian F. Environmental Health Specialist GE KONA ICE OF PASCO ##0286 110 S. 4TH AVE PASCO WA 99301 Permit Issued: 04/01/2023 56.12:MOBILE UNIT (PER UNIT) Owner: WHEELHOUSE ENTERTAINMENT LLC Permit Expiration: 04/30/2024 This owner has met the necessary requirements and o reed to com g ply with the regulations for preparing, serving, ondJor vending food to the public. This permit is =subject to revocation at any time this establishment is not operated in a sanitary manner in accordance with Washington Administrative Code 24b--215 and other applicable codes enforced by the Benton -Franklin Health District. This permit is issued to the above nomed business, location, and owner and is NON' TRANSFERABLE. If this business is sold to a new owner or atherwise altered, permit holder must notify the Benton -Franklin Health District to avoid future liability under this agreement . Dr. Larry Jecha District Health Officer This permit must be posted for public view. www.bfhd.wa.gov � PUBLIC Ilk Prevent • Promote* Protect KONA ICE OF TR1-CITIES #0421 6481 W SKAGIT AVE KENNEWICK WA 99336 Permit Issued: 03/1012023 56.12. MOBILE UNIT (PER UNIT) Owner. Gonzalez, Cristian F. Environmental Health Specialist WHEELHOUSE ENTERTAINMENT LLC Permit Expiration: 03/31/2024 ThEi owner has met the necessary requirements and agreed to comply with the regulations for preparing,. serving, and/or vending food to the public This pentitf�ls sublectto revocation at any time this establishment is not operated in a sanitary manner in accordance with Washington Administrative Code 246 215 and other applicable codes enforced by the Benton -Franklin Health District. This permit is issued to the above named business, location, and owner and is NON TRANSFERABLE. If this business is sold to anew owner or otherwise altered, permit holder must notify the Benton -Franklin Health District to ovoid future liability under this agreement Dr. Larry Jecha District Health Officer This permit must be posted for public view. www.bfhd.wa.gov PUBLICMIN Jill TM Prevent - Promote • Protect Hansen, Derek R. Environmental Health Specialist F13-M-C-31 .1 1 P� LU a g! <2 1 7E mqm N x m CY mqm N x m CY E 0 EP ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDiYYYY) 06/29/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 CONTAC Amieiurrler NAME: Northern Kentucky Insurance PHONE. N (859) 586-8580 A/o ExII: C No : (859) 586-8616 PO Box 357 AIL ADDRESS: amie@romerstoneinsllc.COm INSU RER(SI AFFORDING COVERAGE NAIL A Hebron KY 41048 INSURER A; Great American Insurance Company of New York 22136 INSURED INSURER B : Great American insurance Company 16691 Wheelhouse Entertainment LLC, DBA: Kona Ice of Pasco INSURER C : 4003 Monterey Drive INSURER D : INSURER E : Pasco WA 99301 INSURER F : wvErcA"Mb CERTIFICATE NUMBER- ZUZZ-ZUz;J R9%MQIANI FJ U12=0. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF INSURANCE ALILIL INSD tiMSK WVOI POLICY NUMBER POLICYEFF MMIDO/YYYY POUCYEXP MMIDOIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PRLLrrASE5 IEao=rmnce $ 500,000 CLAIMS -MADE © OCCUR MED EXP (Any one person) $ 10,000 A Y SPP3099659 07/17/2022 07/17/2023 PERSONAL &ADV INJURY $ 2,000,000 GEN'LAGGREGATE LfMrT APPLIES PER: POLICY ❑ JjEC LOC GENERALAGGREGATE $ 4,000,000 PRODUCTS-COMP/OPAGG $ 4,000,000 $ OTHER: I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY(Perperson) $ ANYAUTO g OWNED SCHEDULED AUTOS ONLY AUTOS CAP3099660 07/17/2022 0711712023 BODILYINJURY Peracddent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE lPeraocidentl $ UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATE $ EXCESS UA8 CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N !A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If Yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requirsd) Certificate holder is listed as an additional insured with regards to the operations of the named insured. City of Pasco 525 N, 3rd Ave 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 Pasco WA 99301 1 o v lvbu-"LU1b ACUKU CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD