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HomeMy WebLinkAboutAG 14-116 - HANWOORI CHURCHRETURN TO: PK ADMIN EXT: 6901 ID #: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATINGDEPT/DIV: PARKS DEPT/ Admin ORIGINATING STAFF PERSON: Jason Gerwen EXT: 6912 DATE REQ. BY: TYPE OF DOCUMENT (CHECK ONE: p CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ® CONTRACT AMENDMENT (AG#): 14-1 16 ❑ INTERLOCAL 0 PROJECTNAME: CHURCH lease at Brooklake NAME OF CONTRACTOR: New Full Gospel Church f/k/a HANWOORI CHURCH ADDRESS: 726 S 365TH ST. FEDERAL WAY WA TELEPHONE:253-335-4445 E-MAIL: hanwoorichurch(a7amail.com FAX: SIGNATURENAME: CHU NAM SONG TITLE: PASTOR 6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # BL EXP. 12/31/ UBI # , EXP. 17. TERM: COMMENCEMENT DATE: COMPLETION DATE: 5/30/26 8. TOTAL COMPENSATION: $ THEY PAY US (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: d YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: 9. DOCUMENT / CONTRACT REVIEW ❑ PARKS PROJECT MANAGER ❑ PUBLIC WORKS DEPUTY DIRECTOR DIRECTOR LAW DEPT COUNCIL APPROVAL (IF APPLICABLE) CONTRACT SIGNATURE ROUTING INITIAL / DATE REVIEWED JHG - 3.5.2025 / JHG - 4.30.2025 APG 3/11/2025/ APG 4.30.2025 SCHEDULED COMMITTEE DATE: SCHEDULED COUNCIL DATE: INITIAL / DATE APPROVED COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC' D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE (INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.) ❑ L W DEPT SIGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK ❑ ASSIGNED AG # ❑ SIGNED COPY RETURNED Double Thanks for your help on this one! 111LUL-1 CITY HALL CITY d e ra I Way Feder l Avenge , Federal Wray, WA 98003-6925 ,A46 y (253) 835-7000 www.FrderaMvy+w qov AMENDMENT NO.4 TO LEASE AGREEMENT FOR CHURCH RENTAL AT BROOKLAKE This Amendment ("Amendment No. 4") is made between the City of Federal Way, a Washington municipal corporation ("City" or "Landlord"), and New Full Gospel Church f/k/a HANWOORI Church, a Washington non- profit corporation ("Lessee"). The City and Lessee (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for HANWOORI Church Rental at Brooklake ("Agreement") dated effective July 11, 2014, as amended by Amendment Nos. 1, 2, and 3 as follows: 1. AMENDED TERM. The term of the Agreement, as referencedby Section 2 of the Agreement and anyprior amendments thereto, shall be amended and shall reflect that the Parties agree to extend the Agreement on a month to month basis. Notwithstanding RCW 59.04.020, either party may terminate this Agreement with One Hundred Twenty (120) days written notice. 2. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 3 of the Agreement, shall be amended and reflect that the monthly rent increase of Five Percent (5%) is hereby stricken and the Lessee will continue to pay $1,500 per month. 3. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 26 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. 4. NOTICES. For any notices required by the original Agreement contact information has changed as follows: City of Federal Way Contact: Jason Gerwen 33325 8" Ave. S Federal Way, WA 98003 (253) 835-6912 (telephone) New Full Gospel Church Contact: Heung Yeol Yoo 726 S 356th St Federal Way, 98003 E-mail: bobnparkAyahoo.com — Attention Bob Park [Signature page follows] AMENDMENT - 1 - 4/2023 MY HALL CITY Of IMS V" Avenue SsDuttl Federal Way Fed" Way, wa : _,» l253l 835-700o .........rgm IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: By: _ (� Z;,/-- Jim Fe ayor ATTEST: R-riA*V- DWw,IMv, C/rG, CfKf clt1m DATE: > APPROVED AS TO FORM: Fo Glib ' J. Ryan Call, rney NEW FULL GOSPEL CHURCH f/k/a HANWOORI CHURCH: By: Printed Name: HeunQ Yeol Yoo Title: Director Date: S-d-a5 STATE OF WASHINGTON ) ss. COUNTY OF` (Alr/r� On this day personally appeared before me Heung Yeol Yoo, to me known to be the Director of New Full Gospel Church f/k/a HANWOORI Church that executed the within and foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he or she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN under my hand and official seal this ' day of , 2025. KATHLEEN HOBBS NOTARY PUBLIC #23031019 STATE OF WASHINGTON COMMISSION EXPIRES SEPTEMBER 11, 2027 Notary's signature r� Notary's printed name ZV> 4-01r-1 "A1p cs Notary Public in and for the State of Washington. My commission expires p, AMENDMENT - 2 - 4/2023 cl-' DATE (MMIDD/YYYY) Acorzr� CERTIFICATE OF LIABILITY INSURANCE 04/30/2025 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 NAME: Tammy HUSkISSOn Lightwell Insurance Advisors PHONE (877)224-9255 1 tFa. Nol.- 877 315-8574 222 NE Park Plaza Dr, Ste 101 ADDRIE : THuskisson@Lightwell.com Vancouver, WA 98684 INSURER(SI AFFORDING COVERAGE NAIC # INSURED New Full Gospel Church 726 S 356th St Federal Way, WA 98003 Rr)VFRA(,FC (:FRTIFIr'ATF NI IMRFR- INSURER A: I INSURER B : INSURER C : INSURER D : INSURER E: INSURER F : nnn9i AQi_94ni 3i nQ90Z9 RFVIfiI0N NIIMRFR• A 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 AD L UBR POLICY NUMBER MM DDNYYY POLICY EFF POLICY LTR M DDYIYYYY I LIMITS A X I COMMERCIAL GENERAL LIABILITY Y 46M5A0421679 03/06/2025 03/06/2028 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE JxJ OCCUR DAMAGE TO RENTEU-- PREMISES Ea nee $ 300 000 MED EXP (Any oneperson) S 5,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 X POLICY1:1 ECT LOC PRODUCTS-COMP/OPAGG $ 3 000000 $ OTHER: A AUTOMOBILE LIABILITY 46M5A0421679 03/06/2025 03/06/2028 EaMaccciden 1 LE u Ir $ 1.000.000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X Pe�ecci DAMAGE $ NON-OWN HIRED AUTOS ONLY X AUTOS ONELY D A I UMBRELLA LAB X OCCUR 46M5A0421679 03/06/2025 03/06/2028 EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? r7N (Mandatory In NH) N I A 46M5A0421679 03/06/2025 03/06/2028 X PSTAT ER T TH- Stop Gap E L EACH ACCIDENT $ 100,000 E L DISEASE - EA EMPLOYE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: For On -Going Use Leased Premises at Brook Lake Community Center - 726 S 356th St, Federal Way WA 98003 City of Federal Way is Additional Insured as per attached GL152(1.0) Endorsement and subject to all the terms and conditions of the policy. L;tK I It -ILA I t r1ULUtK City of Federal Way 33325 8th Ave S Federal Way, WA 98003 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 �n ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by TOH on 04/30/2025 at 01:51 PM This Liability Coverage Endorsement is subject to the terms of the applicable Commercial Liability Coverage Form (GL-100) and the Liability and Medical Coverage Form (BGL-11). Only one liability coverage will apply to an occurrence and any related loss. This endorsement is attached to and made part of the policy. THIS INSURANCE ENDORSEMENT FORMS PART OF YOUR POLICY CONTRACT. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT ADDITIONAL CONDITION ViV9191 ft FOP, I I—, 1111111159161111 a] III d Eel 0 1 The following additional condition is added to the Conditions section of the Liability and Medical Coverage Form (BGL-11): Additional Insureds: With respect to any person or entity shown on the declarations as an Additional Insured or who is otherwise designated by the Named Insured and recognized by us as an Additional Insured, we will provide Principal Coverage L of the Commercial Liability Coverage Form (GL- 100) to such Additional Insured (they will be considered an insured for Principal Coverage L), but only to the extent that such person or entity is legally liable for the acts of you, your leader, your employee, or your appointed person. Such coverage will be limited to that which is specifically provided by Principal Coverage L, and will be strictly subject to the terms of this policy. No coverage will apply to any independent acts, errors, or omissions of an Additional Insured. OTHER PROVISIONS All other provisions of the applicable Commercial Liability Coverage Form (GL-100) and the Liability and Medical Coverage Form (BGL-11) remain unchanged GL-152 (1.0) Copyright, 2013 Brotherhood Mutual Insurance Cc Page 1 of 1 All Rights Reserved 4/30/25, 11:16 AM Corporations and Charities System BUSINESS INFORMATION Business Name: NEW FULL GOSPEL CHURCH UBI Number: 605 556 988 Business Type: WA NONPROFIT CORPORATION Business Status: ACTIVE Principal Office Street Address: Principal Office Mailing Address: Expiration Date: 06/30/2025 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 06/07/2024 Period of Duration: PERPETUAL Inactive Date: Nature of Business: Charitable Corporation: R Nonprofit EIN: Most Recent Gross Revenue is less than $500,000: R Has Members: R Public Benefit Designation: El Host Home: REGISTERED AGENT INFORMATION Registered Agent Name: DANIEL KIM Street Address: 1064 SW 325TH CT, FEDERAL WAY, WA, 98023-4913, UNITED STATES Mailing Address: GOVERNORS Title Governors Type Entity Name First Name Last Name https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 1/1 4/30/25, 11:15 AM Washington State Department of Revenue Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: NEW FULL GOSPEL CHURCH Business NEW FULL GOSPEL CHURCH name: Entity type: Nonprofit Corporation UBI #: 605-556-988 Business ID: 001 Location ID: 0001 Location: Active Location address: 726 S 356TH ST FEDERAL WAY WA 98003-8612 Mailing address: 560 SYLVAN AVE STE3045 ENGLEWOOD CLIFFS NJ 07632-3181 Excise tax and reseller permit status: Click here Secretary of State information: Click here Endorsements Endorsements held i License # Count Deta Status Expiration d. First issuanu https://secure.dor.wa.gov/gteunauth/_/#3 1 /2 4/30/25, 11:15 AM Washington State Department of Revenue Endorsements held; License # Count Deta Status Expiration d, First issuance Federal Way General Business Pending Oct-31-2025 Owners and officers on file with the Department of Revenue Owners and officers Title YOO, HEUNG YEOL Director The Business Lookup information is updated nightly. Search date and time: 4/30/2025 10:44:36 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if .your browser is supported https://secure.dor.wa.gov/gteunauth/_/#3 2/2 IRETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM ORIGINATING DEPT./DIV: PARKS ORIGINATING STAFF PERSON: ROB ETTINGER EXT: 2002 3. DATE REQ. BY: TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION x CONTRACT AMENDMENT (AG#):14-116 ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: HANWOORI CHURCH LEASE 6. NAME OF CONTRACTOR: HANWOORI CHURCH ADDRESS: 726 S. 356TH STREET, FEDERAL WAY, WA 98003 TELEPHONE (253) 335-4445 E-MAIL: HANWOORICHURCH(C�7�,GMAIL.COM FAX: SIGNATURE NAME: CHU NAM SONG TITLE: PASTOR 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: JUNE 1, 2015 COMPLETION DATE: MAY 31, 2025 TOTAL COMPENSATION THEY PAY US (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ RETAINAGE: RETAINAGE AMOUNT: ❑ PURCHASING: PLEASE CHARGE TO: 10. DOCUMENT/CONTRACT REVIEW 8. PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCIL APPROVAL (IF APPLICABLE) PAID BY: ❑ CONTRACTOR ❑ CITY ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDEI INITIAL / DATE REVIEWED SCHEDULED COMMITTEE DATE SCHEDULED COUNCIL DATE: INITIAL / DATEikPPRf)V-PI COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING 'q -1 ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS ❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR I MONTH PRIOR TO EXPIRATION DATE (Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.) ❑ LAW DEPARTMENT '1lat. a LL;,-56NATORY (MAYOR OR DIRECTOR) 32) ❑ CITY CLERK ❑ ASSIGNED AG# AG# ❑ SIGNED COPY RETURNED DATE SENT: 141618 uOI11112N .� ` CITY OF CITY HALL Federal Way Feder l Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cayoffederalway corn AMENDMENT NO.3 TO LEASE AGREEMENT FOR HANWOORI CHURCH RENTAL AT BROOKLAKE This Amendment ("Amendment No. 3") is made between the City of Federal Way, a Washington municipal corporation ("City"), and HANWOORI Church, a Washington non-profit corporation ("Lessee"). The City and Contractor (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for leasing of the Brooklake Chapel and office space ("Agreement") dated effective June 1, 2014, as amended by Amendment No. 1 and 2: 1. AMENDED AGREEMENT. The second sentence of paragraph 2. (a) of the Agreement is amended to read "The City and the Lessee may agree to extend this agreement for additional terms." 2. AMENDED TERM. The term of the Agreement, as referenced by Section 2 of the Agreement and any prior amendments thereto, shall be amended and shall continue until May 31, 2025 ("Amended Term"). 2. ' GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - Rev. 3/2017 ` CITY OF CITY HALL 8thAvenueSouth Federal Way. WA 98003-6325 Federal Way (253) 835-7000 www ci"ffederahvay corn IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY: U DATE: 5" HANWOORI CHURCH By: Chu Nam Song, Pastor Printed Name: C Ll o ''1`t Ck (m M '� Title: PC r DATE: t STATE OF WASHINGTON ) ss. COUNTY OF`',,.'L% ) ATTEST: "ph Courtney, CMC, i y Clerk APPROVED FORM: J. Ryan Call, City Attorney O thi day personally appeared before me_ I � "' � to me known to be the ��( of that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/sue was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this day o MAR.9'Witi4 tARYApta�g i 176 c, s O �*111" 4* OF W PS`,, Notary's signature Notary's printed name AMENDMENT - 2 - Rev. 3/2017 Brotherhood Mutual® Insurance Company MinistryEssentialssm Commercial Multi -Peril Insurance Coverage Summary These are your policy's Declarations. Renewal of 46MAA0421679 Hanwoori Church 726 S 356th St Federal Way, WA 98003-8612 NAMED INSURED Hanwoori Church POLICY NUMBER 46MAA0421679 POLICY PERIOD 03/06/2019 to 03/06/2022 at 12:01 a.m. Key Facts About Your Policy These Declarations replace your previous ones. Your policy's Declarations contain a summary of the coverage contained in the insurance policy. Your policy contains a full explanation of your coverage. AGREEMENT: In return for the payment of the premium and subject to all the terms of the policy, we agree to provide the insurance stated in the policy. TYPE OF ORGANIZATION: Church Institution FORM OF ORGANIZATION: Corporation Policy Overview COVERAGE DESCRIPTION DETAILS COVERAGE DESCRIPTION DETAILS Property Coverage Page 2 - 4 Terrorism Coverage See Notice Form MCN6ADXWA 1.0 for Details Liability Coverage Page 5 - 8 Terrorism Premium $0 Policy Premium Overview This premium is subject to adjustment at each anniversary. ANNUAL PREMIUM $1,030.00 PAYMENT SCHEDULE See invoice. Common Policy Forms FORM FORM NAME FORM FORM NAME CLO103 0310 Common Policy Conditions Washington CL3001.0 Amendatory Endorsement MCNOI 1.0 .................................._................. Notice: Policy Change At Renewal ........... ... ..... ......_.......................... . MCN11A 1.1 ............ ........................_..__._....................... ............... ._........._............................ _._................ -............. Notice Value -Added Benefits BCL966WA 1.0 Additional Policy Definition ._........._......_ BN1B 1.0 - .................... ............... ........................................... ............. .............................................. .........._...... Notice Of Payment -Related Charges ................................................................................................................................................................................................................................................................ BCL100WA 1.1 Additional Policy Conditions ...... ........................... ................................................. G13210 06 ........................................................... ...................................................I ... ............ Notice To Policyholders .............. ..__............_. MEN01 1.0 ............. ..._.......-........... __..._............... ......_.....- .......... ....._............... ............ Notice Coverage Information ............................. ..........._.._...................... MEN021.0 ........_.._..............._.................................. _........................................... _................... . Notice Mid -Term Changes in Exposure _....................._..._........_._........................-............................_..............._......_._......................._._.........................._..............I................. MCN6ADXWA 1.0 Notice Terrorism -Related Loss _..............._........._..............................._........._....................................................................... ... ....................--_..... Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I 6400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) 'Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 1 of 8 NAMED INSURED Hanwoon Church 679 Brotherhood Mutual® POLICY NUMBER 46 06/201 to POLICY PERIOD 03/06/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Property Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Property Coverage Details PROPERTY DEDUCTIBLE $1,000 GLASS DEDUCTIBLE $1,000 Schedule of Locations LOCATION # 0101 Schedule of Buildings and Personal Property COVERAGE DESCRIPTION COVERAGE LIMIT Personal Property $59,500 Schedule of Optional Coverages: All Locations DESCRIPTION ADDRESS Church 726 S 356th St Federal Way, WA 98003-8612 COINSURANCE VALUATION TYPE PERIL TYPE FORM Waived Replacement Cost Special with Theft MEP101WA 2.1 COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM Ministry Personnel Dishonesty Coverage $5,000 MCP137WA 2.0 Worldwide Personal Property Coverage $5,000 $1,000 MEP101WA 2.1 Schedule of Supplemental Coverages: All Locations The policy's property deductible applies to each of these coverages. Details are found on the Commercial Property Coverages MEP101WA 2.1 form. COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM Property Off Premises (180 days or less) .... $2,500/$25,000 Total $1,000 MEP101WA 2.1 Within Territorial Limits $25,000 $1,000 MEP101WA 2.1 ......................................................................................................................................................................................................................................................................... Inter -Continent . $2,500/item, $25,000 Total $1,000 MEP101WA 2.1 .......... .................... ........................................................................................................................ ..........................................................._............... Owned Personal Property -Parsonage ............................... .........._.............................................. ................................................................. $2,500 ........................ $1,000 ME0WA P112.1 Building & Personal Property - Newly Acquired or Constructed $500,000 $1,000 MEP101WA 2.1 Outside Objects and Structures .................................................................................................................................................................. $10,000/category, $15,000 Total $1,000 MEP101WA 2.1 ................. For any one tree, shrub, or plant ................ $500 ...............................................................................................................................I.............................. $1,000 ....... ......... MEP101WA 2.1 ............................................. ......... .............................................. ......................................... .......................... ....................................................................................................................................... Each loss caused by wind ......................................... ................................................................... $2,500 ................... .......................................... - $1,000 MEP101WA 2.1 Contents of Other Structures $10,000 $1,000 MEP101WA 2.1 Dwellings --Private Structures --Personal Property . ................................................................................. 5%of Building Limit ............................................................................_...................................................................................... $1,000 MEP101WA 2.1 ............................................................................................................................................. Dwellings -Private Structures -Appurtenant Structures ......................................................................................................................................................................................................... 10% of Building $1,000 MEP101WA 2.1 Contents --Buildings & Structures Described on the Declarations $10,000 $1,000 MEP101WA 2.1 Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I 6400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 2 of 8 NAMED INSURED Hanwoori Church Brotherhood Mutual® POLICY NUMBER 46 1679 POLICY PERIOD 03/06/20106/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Property Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Schedule of Additional Coverages: All Locations The policy's property deductible applies to each of these coverages. Details are found on the Commercial Property Coverages MEP101WA 2.1 form. COVERAGE DESCRIPTION Monev and Securities (Other than Theft) Water Damage (including flood, surface water) Interior Building Damage ..................... _........................._..................................... Backup of Sewer and Drain Schedule of Additional Coverages: All Locations COVERAGE LIMIT $5,000 KE The following coverages have no deductible. Details are found on the Commercial Property Coverages MEP101WA 2.1 form. Tuition Earnings ........ ................................................................................................................................................................ Extra Expense . ..................................................................................................................................................................... Papers and Recordings (including electronic data) ....................................................................................................................................................................... Personal Property of Others (Non-Clergy) ....................................................... ....................... ................. .......................... ..............._....._........... ... .... ........ Personal Property of Clergy Systems / Equipment Breakdown Coverage DEDUCTIBLE $1,000 ................................................ $1,000 ................. _ ..... _ ................. $1,000 ............................................... $1,000 ........................... . ................... $1,000 MI_P101 WA 2.1 .................................................... MEP101WA 2.1 01 WA 2.1 COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM Systems / Equipment Breakdown Coverage Building/Personal Property Limit $1,000 MEP100WA 2.0 Additional Property Forms FORM FORM NAME FORM FORM NAME BCP0643 0108 Exclusion - War and Military Action CP0171 02 09 Exclusion Water Damage ....................-..................................................................................................................................................... .......... ......... ........................._............................................................. ............................................................................................................................... ................................ MCN021.0 Notice Regarding Building Valuation MEP0465WA 1.0 Amendatory Endorsement Washington .............._........................._........................................... .......... ......... ......................................................... ................-......................................................._.._..................._.._....................._................................... MEN2761.0 Flood Insurance Notice BCL060OX 3.0 Cert & Non-Cert Terrorism Loss ............................................................................................................_........................_............................................. ................................................................................._....................................................................................................................................................................................... EX0651XWA 3.0 NBC Terrorism Exclusion Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 16400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 3 of 8 NAMED INSURED Hanwoori Church Brotherhood Mutual® POLICY NUMBER 46 1679 POLICY PERIOD 03/06/20106/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Property Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Additional Interests NAME TYPE LOAN NUMBER INTEREST ADDRESS None None None None Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 16400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 4 of 8 • NAMED INSURED Hanwoori Church 679 Brotherhood Mutual* POLICY NUMBER 46 06/201 to POLICY PERIOD 03/06/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... For application of limits, see For application of limits, see Church Organization Commercial Liability Coverage form form (MEL101CWA 2.0). Key Liability Coverage Facts: Schedule of Limits GENERAL OCCURRENCE LIMIT $1,000,000 GENERAL AGGREGATE LIMIT $3,000,000 Principal Liability Coverages COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Bodily Injury/Property Damage Liability (L) ........................................................................................................................................................................................................ $1,000,000* $3,000,000* MEL101CWA 2.0 Medical Payments (M) ......................_.........................................................................._..............................................................._.................................................................................... $5,000*+ $3,000,000* MEL101CWA 2.0 .............................. ..........................................................................................................................................................................................................._................................................................................................................................................................................._..............................................................._......................... Products/Completed Work (N) $1,000,000* $3,000,000* MEL101CWA 2.0 ...........................................................................I................... ...................... Fire Legal Liability (0) .............._............................................................................................................................................_................................................................................. $300,000* $900,000* MEL101CWA 2.0 Supplemental Coverages COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Incidental Contractual Liability $1,000,000* $3,000,000* MEL101CWA 2.0 ................................I.........................................................................................................................................._......._........................................................................... Incidental Medical Malpractice Injury _............................................................_.......................... $1,000,000* ............ ........................................_..................._..........._....................................................................... $3,000,000* MEL101CWA 2.0 .................................................................................................................................................................... Mobile Equipment ............................................................................................................................................................................................................................................. $1,000,000* $3,000,000* MEL101CWA 2.0 Additional Coverages COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Personal Injury Liability $1,000,000* $3,000,000* MEL101CWA 2.0 ................................... Membership Emotional Injury $1,000,000* ................................... $3,000,00_0*.._ .2" ....... ME.L1......01CWA 2.0 Nursery Supervision $1,000,000' $3,000,000* MEL101CWA 2.0 .......... .................................. ................................................ .............................................. ....................................................... Nursery Corporal Punishment ..........._..... $1,000,000* $3,000,000* MEL101CWA 2.0 ............................................................................................................................................. Food Preparation Liability ........................................................................................................................................._..................._.........................._.._.................................................... $1,000,000' $3,000,000* MEL101CWA 2.0 ................................................................................................................. Damage to Property of Others .............................................................................................................................................................._...._.._............................................................ MEL101CWA 2.0 Not in Your Control $1,000*+ $3,000,000* MEL101CWA 2b ................i........................................._......_......................................-..__.............................................._............_.__........................................._..._.._.._.._...__..... In Your Control . ........................................................................................................................................................................ $2,500*+ $3,000,000* MEL101CWA 2.0 ........................................................................................................................................................................ ..................................................................................................................................... Prosthetic Devices ..........................................................................................................................................................................................._......................_......_. $500*+ $3,000,000* MEL101CWA 2.6 _... Incidental Camper *Me'dical ............................................. $5,000* + $3,000,000* ..................................................................................................._.__....._._...__........_....... MEL101CWA 2.0 Nonowned Property Damage Liabilitv MEL101CWA 2.0 Rea Property Defense Coverage E Applies in addition to the liability limit unless otherwise specifically stated in an applicable coverage form. * Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. +per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 16400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 5 of 8 NAMED INSURED Hanwoori Church 679 Brotherhood Mutual* POLICY NUMBER 46 06/201 to POLICY PERIOD 03/06/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... For application of limits, see For application of limits, see Church Organization Commercial Liability Coverage form form (MEL101CWA 2.0). Related Operations Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM None None None None Sexual Acts Liability Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Sexual Acts Coverage $100,000* $100,000* MCL611 2.0 Sexual Harassment Liability Coverage (other than your $100,000* $10'0,000* MCL611 2.0 employees) ...................................................................................................................................................................... _..... ................................................... ............................. ...................... Improper Reporting of Sexual Acts Liability Coverage ...................................................................................................................................................................................................... ............ .......................... .................................................. $100,000* .............................................. .... ....... ........ ......... ........ ............... $100,000* MCL611 2.0 Improper Supervision of Convicted Sexual Offenders $100,000* $100,000* MCL611 2.0 Outside Counseling Reimbursement Coverage ............................................................................................................................................................ Sexual Acts Medical Payments Extension Defense Coverage: Alleged Perpetrator .............................................................................................................................................................. Image Restoration Extension (in addition to Limit) ........................................................... $10,000' Sexual Harassment Liability Coverage (Employees) COVERAGE DESCRIPTIONS Sexual Harassment/Sexual Acts Liability Coverage (Employment Related) Counseling Acts Professional Liability Coverage COVERAGE DESCRIPTIONS Counseling Acts Liability Cc% Incidental Counseling Liabilit ................................................................................................ Outside Counseling Reimbur ent Religious Freedom Coverage COVERAGE LIMIT $100,000* COVERAGE LIMIT $500,000* 00,000* $100,000* $100,000* .................................. ........................ addition to Limit) ............................................................ S100.000* COVERAGE AGGREGATE LIMIT $100,000* COVERAGE AGGREGATE LIMIT $1,500,000* MCL611 2.0 ...................................... MCL611 2.0 FORM MCL612 2.0 FORM MCL631 2.0 COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Religious Communication Liability Coverage $500,000* $1,500,000* MCL661WA 1.0 Religious Activity Liability Coverage $500,000* $1,500,000* MCL661WA 1.0 Discriminatory Acts Liability Coverage $500,000* $1,500,000* MCL661WA 1.0 ......................................... Tax Exempt Challenge: Reimbursement Coverage $25,000* $25,000* MCL661WA 1.0 Litigation Activity: Legal Defense Reimbursement See form See form MCL661WA 1.0 Coverage Litigation Activity: Declaratory Action Reimbursement See form See form MCL661WA 1.0 Coverage * Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. + per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333,3735 I 6400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 6 of 8 • NAMED INSURED Hanwoori Church POLICY NUMBER 46 1679 Brotherhood Mutual® POLICY PERIOD 03/06/20106/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... For application of limits, see For application of limits, see Church Organization Commercial Liability Coverage form form (MEL101CWA 2.0). Nonowned Vehicle Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Nonowned Vehicle Liability Coverage $500,000* $1,500,000' MEL711WA 2.0 ............................................................................................................................. ................................................................................................................................... Defense Coverage: Authorized Operator (In addition to Limit) ..........................................................................................................................._.................................................................................... Rental Vehicle Physical Damage Coverage $60,000* ................................................. $120,000* MEL711WA 2.0 ..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................._.......... Loss of Use Coverage $2,000* $6,000* MEL711WA 2.0 ........................................................................................................................................................ Trip Occupant Coverage $1,000.+ .......................................................................................................................................................................... $10,000* MEL711WA 2.0 Damage to Property of Others Coverage $1,000*+ $3,000* MEL711 WA 2.0 .................................................................................................................................................................................................................$*1'.................................................................................................................................... Nonowned Vehicle Deductible Reimbursement Coverage $1,000*+ . $3,000* MEL711WA 2.0 Directors and Officers Liability Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Director and Officers Liability Coverage $1,000,000* $3,000,000* MCL811 2.0 Computer -Related Liability Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Computer Use Liability Coverage $500,000* $1,500,000* MCL8791.0 ................................................................................................................................................................................ ................................................................ ......._....._._._....._.... _.._.... Electronic Commerce Liability Coverage $500,000* $1,500,000* MCL8791.0 ...................................................._....._._._._...................._._................................................................................................_.._..._.__...._.........__....._............_._.._.........._..._........_.... Comouter Suoervision Liabilitv Coverage %500.000* SI.500.000* MCL8791.0 Worldwide Liability Extension COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Limited Worldwide Kidnap and Extortion Expense See form See form MCL111T 1.0 Reimbursement Coverage .................................................................................................................................................................._.... ........... ..... ...... ........................... .................. Expanded Medical Coverage for Short -Term Foreign Trip See form See form MCL111T 1.0 Participants High Hazard Activities For details regarding how these coverage limits will apply, see the How Much We Pay section of the High Hazard Activities Coverage Limits Form. ACTIVITY DESCRIPTION MEDICAL LIMIT OCCURRENCE LIMIT COVERAGE AGGREGATE LIMIT FORM Skate Park Operations $0 per person $100,000* $300,000* MCL121 2.0 ........................................................_............................................................................................................... Fireworks Sales $0 per person $100,000* ........................................................................................................................................._...._..._.._....._....._.._......_.. $300,000* MCL121 2.0 ..........................................................................._..............................._................................. Fireworks Display ............................................................................................................................................ $0 per person $100,000* .............................................._.................................................................................... $300,000* MCL121 2.0 Construction Oversight $0 per person $100,000* ............................................._.................................................................................... $300,000* MCL121 2.0 * Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. + per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 16400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 7 of 8 NAMED INSURED Hanwoori Church Brotherhood Mutual® POLICY NUMBER 46 1679 POLICY PERIOD 03/06/20106/2019 to 03/06/2022 at 12:01 a.m. Insurance Company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... For application of limits, see For application of limits, see Church Organization Commercial Liability Coverage form form (MEL101CWA 2.0). Other Liability and Medical Forms FORM FORM NAME EX9091.0 .................................................................................._....................................................... Asbestos Exposure Exclusion GL095012 99 ............... .......................................... ..........................._..... ___ ......................................................... ..... .... .......................... ................... Known Injury or Damage Amendments ........... _.............................-............. MEL0368CWA 1.0 ....................... _.................................................................................. Amendatory Endorsement .........................................................................._........................................................................................_................................................................................ BGL0250X 3.1 Cert and Non-Cert Terrorism Loss Additional Insureds NAME LOAN/REFERENCE NUMBER Brook Lake Community Center, Additional Insured Related Organizations/Operations The following entities are insured for designated related Coverages. NAME None Schedule of Liability Exposures FORM FORM NAME GLO163 0108 Exclusion War and Military Action ...... ......................................................................................... GL8901.0 _................................................................................... _....... ..................... ........................ Lead Liability Exclusion MEL0368WA 1.0 Amendatory Endorsement .......................... EX0281XWA 3.1 .......................... ......_....................................................................................................._....._.................................. NBC Terrorism Exclusion INTEREST Other. Brook Lake Community Center MINISTRY TYPE None ADDRESS 726 S 356th St Federal Way, WA 98003-8612 ADDRESS None In issuing this policy, we have relied on material information provided to us by the Named Insured. The following schedule discloses all of the insured's insurable exposures (as conveyed by the Named Insured) known to exist at the policy inception date. Declared premises must be owned, occupied, or rented by you or your scheduled related organizations. EXPOSURE DESCRIPTIONS BI/PD RATE MED RATE Church 726 S 356th St Federal Way, WA 98003-8612 2.25500 1.05000 .... ................... ..... ... ......... ................... ............_............................._............................ .......... ........ Playgrounds 726 S 356th St Federal Way, WA 98003-8612 47.00700 5.34100 ' Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. + per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 16400 Brotherhood Way, Fort Wayne, IN 46825 ME DEC WA (12/16) "Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 8 of 8 Brotherhood Mutual* Insurance Company Dear Policyholder: INSURED NAME: Hanwoori Church POLICY NUMBER: 46MAA0421679 AGENCY NAME: Basin Insurance Associates Inc AGENCY NUMBER: 4602-006 DATE: 01/29/2019 The purpose of this letter is to inform you that one or more changes will take effect on 03/06/2019, the renewal of your ministry policy. In some cases, the effects of these policy changes will mean enhanced coverage, while in other cases, limits, conditions, exclusions, and limitations may narrow the scope of certain coverages when compared to your prior policy. Following are the names of the coverage forms that have either been added or removed from your policy.** Please review your declarations page for changes in the policy values, deductibles, and premium. NEW FORMS MCN01 1.0 Notice To Our Policyholders Policy Change At Renewal MCL111T 1.0 Worldwide Liability and Medical Extension MCL661WA 1.0 Religious Freedom Protection Coverage MEL0368WA 1.0 Amendatory Endorsement REPLACEMENT FORMS MCP137WA 2.0 Ministry Personnel Dishonesty Coverage MEP101WA 2.1 Church Organization Commercial Property Coverage Part MCL121 2.0 Coverage Limits High Hazard Activities MEP100WA 2.0 Systems / Equipment Breakdown Coverage MEL101CWA 2.0 Church Organization Commercial Liability Coverage MCL631 2.0 Counseling Acts Professional Liability Coverage MEL711WA 2.0 Non -owned Vehicle Coverage MCL611 2.0 Sexual Acts Liability Coverage MCL811 2.0 Directors and Officers Liability Coverage MCL612 2.0 Sexual Acts Liability Coverage Extension DELETED FORMS MCL651 1.0 Religious Communication and Religious Activity Liability Coverage GL0368 0310 Amendatory Endorsement Washington MCL6671.0 Discriminatory Acts Liability Coverage Please read your policy carefully. Your Brotherhood Mutual agent will be pleased to address any questions you may have concerning your policy. You may contact your agent at 206-801-3401. If you have any questions, you may contact our customer service department at 1-800-333-3735. Thank you for trusting us with your ministry. **NOTE: No coverage of any kind is provided by this notice. This Summary of Important Changes does not in any way replace any provision of your policy, nor is every change in your policy listed above. All insurance coverage is subject to conditions, coverage limits, limitations, and exclusions. For precise details ofcoverage, please refer to your actual policy. While our company's goal is to provide ongoing insurance protection to ministry organizations, changes in company operations, the regulatory or insurance environment, or significant loss experience can result in policy revision or policy termination. Administrative Form INCHGI, August 2015 Page 1 of 1 RETURN TO: n 16 2 1, -_-s EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: PARKS/BROOKLAKE 2. ORIGINATING STAFF PERSON: ROB E EXT: 2002 3. DATE REQ. BY: 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION X CONTRACT AMENDMENT (AG#):14-116_ ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: HANWOORI CHURCH LEASE 6. NAME OF CONTRACTOR: HANWOORI CHURCH ADDRESS: TELEPHONE E-MAIL: FAX: SIGNATURE NAME: CHU NAM SONG TITLE PASTOR 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: _6/l/15 COMPLETION DATE: 5/31/19 9. TOTAL COMPENSATION $1,5Q&ftW_-N@*I H "d (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE BY (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED ❑ PURCHASING: PLEASE CHARGE TO: _They pay us 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED ❑ PROJECT MANAGER ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS INITIAL / DATE SIGNED ❑ LAW DEPARTMENT lit.. ❑ CHIEF OF STAFF LI-RGNATORY (MAYOR OR DIRECTOR) ❑ CITY CLERK Z ❑ ASSIGNED AG# AGE# ❑ SIGNED COPY RETURNED DATE SENT: COMMENTS: ` CITY OF CITY HALL Fe d e ra I Way Feder 8th Avenue South Federal Way. WA 98003-6325 (253) 835-7000 www cayoffederalway com AMENDMENT NO.2 TO LEASE AGREEMENT FOR HANWOORI CHURCH RENTAL AT BROOKLAKE This Amendment ("Amendment No. 2") is made between the City of Federal Way, a Washington municipal corporation ("City"), and HANWOORI Church, a Washington non-profit corporation ("Lessee"). The City and Contractor (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for leasing of the Brooklake Chapel and office space ("Agreement") dated effective June 11, 2014, as amended by Amendment No. 1, as follows: 1. AMENDED TERM. Pursuant to Section 2 of the Lease Agreement, the Lease shall be renewed for an additional three (3) year term commencing on June 1, 2016, and terminating on May 31, 2019. 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1 /2015 ` CITY OF CITY HALL Federal Way Feder 8th Avenue South Federal Way. WA 98003-6325 (253) 835-7000 www cayoffederalway com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY By: Ji erre 1, Mayor DATE: HANWOORI CH CH By: Chu Nidn Song, Pas or DATE: :,live ZZ �j f / b STATE OF WASHINGTON ) � ) ss. COUNTY OF , ,—c ATTEST: (ilk dierk, Stephanie Courtnj , C C APPROVED AS TO FORM: City Attorney, Amy Jo Pearsall On this day personally appeared before me Chu Nam Song, to me known to be the Pastor of Hanwoori Church that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this 13 day of - 1Ane 20/K J U N �ssion'F 0 : U NOTAR), PUBLIC AS 'WN\ Notary's signature Notary's printed name Tixn , �t Notary Public in and for the State of Washington. My commission expires I ) AMENDMENT - 2 - 1/2015 Brotherhood Mutual' Insurance Company MinistryEssentials" Commercial Multi -Peril, Insurance Coverage Summary These are your policy's Declarations. Renewal of 46MAA0421679 HANWOORI CHURCH 726 S 356th St Federal Way, WA 98003-8612 NAMED INSURED HANWOORI CHURCH POLICY NUMBER 46MAA0421679 POLICY PERIOD 3/6/2016 to 3/6/2019 at 12:01 a.m. Key Facts About Your Policy These Declarations replace your previous ones. Your policy's Declarations contain a summary of the coverage contained in the insurance policy. Your policy contains a full explanation of your coverage. AGREEMENT: In return for the payment of the premium and subject to all the terms of the policy, we agree to provide the insurance stated in the policy. TYPE OF ORGANIZATION Church Institution FORM OF ORGANIZATION Corporation 6 GROUP PARTICIPATION None Policy Overview COVERAGE DESCRIPTION DETAILS COVERAGE DESCRIPTION DETAILS Property Coverage Page 2 - 4 Terrorism Coverage See Notice Form MCN6ADXWA 1.0 for Details Liability Coverage Page 5 - 8 Terrorism Premium $0 Policy Premium Overview ANNUAL PREMIUM $889.00 PAYMENT SCHEDULE Annual This premium is subject to adjustment at each anniversary. Common Policy Forms FORM FORM NAME FORM FORM NAME CLO103 0310 Common Policy Conditions Washington CL3001.0 Amendatory Endorsement ............................................................................................. MCN01 1.0 Notice: PolicyChange At Renewal ............................................................................................................. MCN11A 1.1 Notice Value -Added Benefits Y..................................................... BCL966WA 1.0 Additional Polic Definition ............................................................................................................ BN1B 1.0 Notice Of Payment -Related Charges BCL100WA 1.1 Additional Policy Conditions .......................................................................I........................ G13210 06 Notice To Policyholders g........................................................ MENO11.0 Notice Covera a Information ............................................................................................................. MEN021.0 Notice Mid .Term Changes in Exposure .........I............................ MCN6ADXWA 1.0 Notice Terrorism -Related Loss ................. . Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 .............................................................................................................................................................................................................................................................................. ME DEC WA (09/11) "Bear ye one another's burdens and so fulfill the law of Christ"— Galatians 6:2 Page 1 of 8 NAMED INSURED HANWOORI CHURCH Brotherhood Mutual* POLICY NUMBER 3/6/2 16 to 3 6 POLICY PERIOD 3/6/2016 to 3/6/2019 Insurance Company Property Coverage Summary MinistryEssentials"" commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Property Coverage Details PROPERTY DEDUC7'3Ls . $1,000 GLASS DEDUCTIBLE $1,000 Schedule of Locations LOCATION # DESCRIPTION ADDRESS 0101 Church 726 S 356th St Federal Way, WA 98003-8612 Schedule of Buildings and Personal Property COVERAGE DESCRIPTION COVERAGE LIMIT COINSURANCE VALUATION TYPE PERIL TYPE FORM Personal Property $54,500 Waived Replacement Cost Special with Theft MEP101WA 1.2 11 Schedule of Optional Coverages: All Locations COVERAGE DESCRIPTION Employee Dishonesty Coverage Worldwide Personal Property Coverage COVERAGE LIMIT DEDUCTIBLE FORM $5,000 MCP137WA 1.1 .............................................................................................................................................. $5,000 $500 Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 ............................................................................................................................................................................................................................................................................... ME DEC WA (09/11) 'Bear ye one another's burdens and so fulfill the law of Christ"— Galatians 6:2 Page 2 of 8 NAMED INSURED HANWOORI CHURCH Brotherhood 79 Mutual' POLICY NUMBER 46M2016 to /6 POLICY PERIOD 3/6/2016 to 3/6/2019 Insurance Company Property Coverage Summary MinistryEssentialss' commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Schedule of Supplemental Coverages: All Locations The policy's property deductible applies to each of these coverages. Details are found on the Commercial Property Coverages MEP101WA 1.2 form. COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE FORM Property Off Premises (180 days or less) ........................................................................................................................................................................................................................................................... $2,500/$25,000 Total $1,000 MEP101WA 1.2 Within Territorial Limits .................................................................................................................................................................................................................................................................... $25,000 $1,000 MEP101WA 1.2 Inte..... inept ................................................................................................................................................................................................................................... $2,500/item, $25,000 Total $1,000 MEP101WA 1.2 Owned Personal Property. Parsonage ..................................................................................................................................................................................................................................................................... $2,500 $1,000 MEP101WA 1.2 Building & Personal Property - Newly Acquired or Constructed ....................................................................................................................... $500,000 $1,000 MEP101WA Y. Outside Objects and Structures .............................................:..................................................................................................................................................................................................................... ............................................................................................................................................. $10,000/category, $15,000 Total $1,000 MEP101WA 1.2 For any one tree, shrub, or plant ................................................................................................................................................................................................................................................ $500 $1,000 MEP101WA 1.2 Each loss caused by wind ............................................................................................................................................................................................................................... $2,500 $1,000 MEP101WA 1.2 Contents of Other Structures $10 000 $1,000 MEP101WA 1.2 Dwellings Private Structures -Personal Property 5 /o of Building Limit $1,000 MEP101WA 1.2 Dwellings -Private Structures -Appurtenant Structures ............................................................................................................................................................ .....o.................................................................................................................... 10 /o of Building $1,000 MEP101WA 1.2 Contents Buildings &Structures Described on the Declarations ,................................................................................................... $10000..... $1,000 MEP101WA 1.2 hedule of Additional Coverages: All Locations The policy's property deductible applies to each of these coverages. Details are found on the Commercial Property Coverages MEP101WA 1.2 form. COVERAGE DESCRIPTION COVERAGE LIMIT DEDUCTIBLE Money and Securities (Other than Theft) $5,000 $1,000 ......................................................................................................... foodSpoilage......................................................................................................................................................... $5,000 .... $1.00........................................................................................................................................................................................................................ Damage Caused by Animals $2,500 $1,000 .................................................................................................................................................................................................................................................................. Water Damage (including flood, surface water) $2,500 $1,000 ............................................................................................................................................................................................................................................. Interior Building $25,000 $1,000 .......................................................................................................... Backup of Sewer and Drain $5,000 1,000 Brotherhood Mutual Insurance Company I www,brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 .............................................................................................................................................................................................................................................................................. ME DEC WA (09/11) "Bear ye one another's burdens and so fulfill the law of Christ" — Galatians 6:2 Page 3 of 8 NAMED INSURED HANWOORI CHURCH Brotherhood Mutual79 * POLICY NUMBER 46M2016 to /6 POLICY PERIOD 3/6/2016 to 3/6/2019 Insurance Company Property Coverage Summary MinistryEssentials" commercial multi -peril policy Declarations continued... We provide the Commercial Property coverage at the declared premise(s) for the coverage and limits indicated. The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Schedule of Additional Coverages: All Locations, The following coversages have no deductible. Details are found on the Commercial Property Coverages MEP101WA 1.2 form. COVERAGE DESCRIPTION COVERAGE LIMIT FORM Debris Removal Expense - Partial toss Remaining Building Limit MEP101WA 1.2 Debris Removal Expense Total Loss .......D...........epartment............ .......................................................................................... .. 10,000 MEP101WA 1.2 S.e...rvi...c..e...C........................................................................................................................................................$................................................................ Fire harges ..........................................................................................................................................................................g 25,000 MEP101 WA 1.2 Pollutant Clean Up &Removal ................................................................................................................................................................................................................................................................ ....Y.............P..................................................."A"1.... $10,000/loss, $10,000/premises Burin an 12 mth eriod MEP101WA 1.2 Theft.. Vandalism Reward .....tall................................................................................................... Less of $5,000 or the theft/vandalism loss amount MEP101WA 1.2 Installed Lock Recalibration . .............................................:...................................................................................................................................................................................................................... ................................................................................................................................. $5,000 MEP101WA 1.2 Arson Reward ..............................................................................................................................................................................................................................................................."... Lesser of $15,000 or the arson loss amount MEP101WA 1.2 Tuition Earnings ................................................................................................................................................................................................................................................:................... $2,500 MEP101WA..2 Extra Expense .................................................................................................................................................................................................................................................................... $25,000 MEP101WA 1.2 Papers and Recordings (including electronic data) ........................................................................................... $25,000 MEP101WA 1.2 Personal Pro e p rty of Others (Non Clergy) ...........................................................................................................................................................................$......................................................... ............................................................................................................... $1,000 per person,$2,000 a re ate MEP101WA 1.2 Personal Property of Clergy $5,000 MEP701WA 1.2 Systems / Equipment Breakdown Coverage COVERAGE DESCRIPTION Systems / Equipment Breakdown Coverage Additional Property Forms FORM FORM NAME BCP0643 0108 ........................ Exclusion - War and Military Action MCN021:0 ............................... Notice Regarding Building Valuation .................................................... MEN27B 1.0 ................................................................................................... Flood Insurance Notice BCL0600X 3.0 Cert & Non Cert Terrorism Loss Additional Interests ORGANIZATION None LOAN # None COVERAGE LIMIT DEDUCTIBLE FORM, Building/Personal Property Limit $1,000 MEP100WA 1.1 FORM FORM NAME CP0171 02 09 ...... ....... .... Exclusion Water Damage .............................................................................................. MEP0465WA 1.0 .....................................................................P.......................................................... Amendatory Endorsement Washington BN1001.0 Notice Boiler Inspections .................................................................................................................... EX0651XWA 3.0 NBC Terrorism Exclusion INTEREST None ADDRESS None 14 Brotherhood Mutual Insurance Company I www.brotherhoodmutuaI.com I 800.333.3735 1 P.O. Box 2227, Fort Wayne, IN 46801-2227 .................................................................................................................................................................................................................................................. NAP r)F(' XA/A ((1Q/11) "Roar — — a +ho: ti—A.— ter,+. E it;n tk- 1,. ..c r .:.11 i _i_.:--- I.-, NAMED INSURED HANWOORI CHURCH Brotherhood MON' POLICY NUMBER 46Mto /6 POLICY PERIOD 3/6/2016 2016 to 3/6/2079 Insurance Company Pability Coverage Summary MinistryEssentialssm commercial multi peril policy Declarations con't•inued... The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifi cally stated within a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, [see Liability and Medical Coverage form (MEL101CWA 1.1)]. Key Liability Coverage Facts: Schedule of Limits, GENERAL OCCURRENCE. LIMIT $1,000,000 GENERAL AGGREGATE LIMIT $3,000,000 Principle Liability Coverages COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Bodily Injury/Property Damage Liability (L) $1,000,000* $3,000,000* MEL101CWA 1.1 ............................................................................ ........................................................................................................................................................................."*""'1 Medical Payments (M) $5,000*+ $3,000,000* MEL101CWA 1.1 ............Products/Completed Work (N) ....................................................................................................................................................................................................................................................... $1,000,000* $3,000,000* MEL101CWA 1.1 Fire Legal Liabi..lity (0) $300,000* $900,000* MEL101CWA 1.1 Supplemental Coverages COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Incidental Contractual Liability $1,000,000* $3,000,000* MEL101CWA 1.1 ............................................................................................................................................................................................................................................................... Incidental Medical Malpractice $1,000,000* $3,000,000* MEL101CWA 1.1 .obil........................................................................................................................................................................................................................................................... Mobile Equipment $1,000,000* $3,000,000* MEL101CWA 1.1 Additional Coverages COVERAGE DESCRIPTIONS Personal Injury Liability ...................................................................................... Membership Emotional Injury ...................................................................................... Nursery Supervision ...................................................................................... Nursery Corporal Punishment ...................................................................................... Food Preparation Liability ...................................................................................... Damage to Property of Others ....................................................................................... Not Your Control .................... in ................................................................... In Your Control ..................................................................................... Prosthetic Devices ...................................................................................... Incidental Camper Medical ...................................................................................... Nonowned Property Damage Liability ....................................................................................... Real Property ....................... ...................................... I ..................... ,... Personal Property Defense Coverage COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM $1,000,000* ............................................................................................................................................................................. $3,000,000* MEL101CWA 1.1 $1'000,000* $3,000,000* MEE101CWA 1.1 :.................... .......................... .............................................................................................................................. $1,000,000* $3,000,000* MEL101CWA 1.1 ............................................................................................................................................................................. $1,000,000* $3,000,000* MEL101CWA 1.1 ............................................................................................................................................................................. $1,000,000* .............................................................................................................................................................................. $3,000,000* MEL101CWA .1 ............................................................................................................................................................................. $1,000*+ $3,000,000* MEL101CWA 1.1 ............................................................................................................................................................................. $2 500*+ $3.000,000* MEL101CWA 1.1 ...................................................................................................... $500*+ $3,000,000* . . MEL101CWA 1.1 ............................................................................................................................................................................. $5,000*+ .......................................................................................................................................................................I..... $3,000,000* MEL101CWA 1.1 $1,000,000* ............................................................................................................................................................................. MEL101CWA 1.1 $300,000* $3,000,000* MEL101CWA 1.1 ........................................................................................................................................................................... $10,000* $3,000,000* MEL101CWA 1.1 Applies in addition to the liability limit unless otherwise specifically stated in an applicable coverage form. Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 .............................................................................................................................................................................................................................................................................. ME DEC WA (09/11) "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 5 of 8 NAMED INSURED HANWOORI CHURCH POLICY NUMBER 46MAA0421679 Brotherhood Mutual® POLICY PERIOD 3/6/2016 to 3/6/2019 Insurance company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifi cally stated within a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, [see Liability and Medical Coverage form (MEL101CWA 1.1)]. Related Operations Coverage i COVERAGE DESCRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM None None None None Sexual Acts Liability Coverage COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM COVERAGE DESCRIPTIONS $100,000* $100,000* MCL6111.0 Sexual Acts Coverage.....................................................i...............................................................$100,000t......................MCL6111.0 ............... Sexual Harassment Liability Coverage (other than your $ 00,000 employees) ..............................................................................................................................................$100A00*.....................................:... ., Improper Reporting of Sexual Acts LiabilityCoverage .............................................. .........................................................................................................MCL6111.0 Improper Supervision of Convicted Sexual Offenders $ Liability Coverage.................................................................................+...............................................-$100.000'......................MCL6111.0 ..................................................................... Coverage $5,000* Outside Counseling Reimbursement ......................................................................................................................................................................................0 ............................................................................ $100,000* MCL6111.0 Sexual Acts Medical Payments Extension ................................................................. .....................................................:...a (in addition to Limit) :......................................................................... (m addition to Limit) MCL6111.0 Defense Coverage: Alleged Perpetrator Sexual Harassment Liability Coverage (Employees) COVERAGE DESCRIPTIONS COVERAGE LIMIT Sexual Harassment/Sexual Acts Liability Coverage $100,000* (Employment Related) Counseling Acts Professional Liability Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT Counseling Acts Liability Coverage (Pastors and Trained $500,000* Lay Counselors) Incidental Counseling Liability Coverage (Lay Advisors) $500,000* ............................................................ .................. $5,000*+ Outside Counseling Reimbursement Coverage Religious Communication and Religious Activity Liability Coverage COVERAGE DESCRIPTIONS COVERAGE LIMIT Religious Communications Liability Coverage $500.000* ........................................................................................................ $500,000* Religious Activity Liability Coverage Discriminatory Acts Liability Coverage COVERAGE DESCRIPTIONS Discriminatory Acts Liability Coverage COVERAGE AGGREGATE LIMIT FORM' $100,000* MCL6121.0 COVERAGE AGGREGATE LIMIT FORM $1,500,000* MCL6311.0 ................................................................................................ $1 S00 000* MCL63110 .......................................100,000* MCL6311.0 COVERAGE AGGREGATE LIMIT FORM ................................$1:500,000`..................... MCL651 1.0 $1,500,000* MCL6511.0 COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM $500,000* $1,500,000* MCL6671.0 * Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. + per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 ...................................................................................... NAMED INSURED HANWOORI CHURCH POLICY NUMBER 46MAA0421679 Brotherhood Mutual* POLICY PERIOD 3/6/2016 to 3/6/2019 12 Insurance Company iability Coverage Summary MinistryEssentia/s` Commercial multi -peril policy I Dedarations contibued... The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifi cally stated within a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, [see Liability and Medical Coverage form (MEL101CWA 1.1)]. Nonowned Vehicle Coverage COVERAGE DESCRIPTIONS Nonowned Vehicle Liability Coverage COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM Ne*Wr;� ... E ................................ .................................... I .......................................................................... overage: Authorize Operator $500,000* $11,56_00u I ............................... I ............................................... MEL711WA 1.0 ; .................. ............ ... RentalVe�i'c*i*e***P**h**y**s'i'c'a**I***D"a*'*m*'a,*g**e***C,-*o,*v*e"r"a**g"e ... ....................................................................................................................................................... (in addition to Limit) ................................................... (in addition to Limit) MEL711WA 1.0 Loss of Use Coverage ' '...... ............................... $ - 60 - , - 00 - 0 $12 0, 00 0* MEL711WA 1.0 ................................................................................................................ .................................................................................................................................................... Trip Occupant overage $2,000* $6,000* MEL711WA 1.0 22MMq.E ................................................................................................................................... �.��2perty of Others Comm $.l..,.O ... 0..0..* ......................................................... $.1.0.40_0 ... 0 ..................... M ... E..L.7.1.1 ... W .... A.1 ... 0.. .................................................. Nonowned Ve��i'c'l**e*"D'*e"d'*u**'c*t'i'b*l'*e'**R*'e'imbursement Coverage $1,000*+ .................... ................... $3,000* I .................................. ................ MEL711WA 1.0 . I ��CE�Tiw;k 1.0 Directors and Officers Liability Coverage COVERAGE DESCRIPTIONS Director and Officers Liability Coverage Computer -Related Liability Coverage COVERAGE LIMIT COVERAGE AGGREGATE LIMIT I FORM $1,000,000* $3,000,000* MCL811 1.0 COVERAGE DESCRIPTIONS Computer Use Liability Coverage COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM 'E,*(i��i'*�:***��r.��;���**'E-***�'i*'**,*.*,**-,*,* ... **­**­­­­* ....... ­­ .................................... .......... 2..!S ................. it Coverage ... y ..................... I .................................................................................................. $500,000* . . . ��&5,666; ............................... $1,500,000* MCL879 1.0 r Computer Supervision Liability Coverage $500,000* ...................................................................................... $1,500,000- MCL879 1.0 High Hazard Activities For details regarding how these coverage limits will apply, see the How Much We Pay section of the High Hazard Activities Coverage Limits Form (BGL-21) ACTIVITY DESCRIPTION Skate k Operations MEDICAL LIMIT OCCURRENCE LIMIT COVERAGE AGGREGATE LIMIT FORM * ............... $0 per person Firework ..... ............ $100,000* $300,000* . ................... MCL121 1.0 . .. . ....... ................................................................ per person ........ ........................................................................................................................................................................ f�n��s Display $0 ..................... RKPam 'h"i $1.00'.000* izd, 665;. $300,.000* MCL121 Construction i .................................... $0 per person �im,6676� ................................................. ��66,666 ;� ...................... 1.0 . . . i.6 Other Liability and Medical Forms FORM FORM NAME EX909 1.0 ............. AsbestosExclusion .Exposure **­­W11a1s1*h*1i n­­ ........... Endorsement gt o n a Liability Exclusion ............................................... BGL025OX 3.1............................................. C e r ron s m os s .......................... FORM FORM NAME GL0163 0108 Exclusion War and Military Action ........................................................................................................................... .G.LO.95O..1.2.99 ........... Known Injury or Damage Amendments .. ... ...... .. .... ­­­ ...... ......... MEL0368CWA 1.0 Amendatory Endorsement 'ff�0* 2*8­1**X­W** ... A ... J '1' ... * * * * " �b � * f�r' Terrorism s­m­ ... N"c" Exclusion * o**n' ....... Dnly a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. per person limit Brotherhood Mutual Insurance Company ME DEC WA (09/11) www.brotherhoodmutuaI.com 1 800.333.3735 1 P.O. Box 2227, Fort Wayne, IN 46801-2227 "Bear ye one another's burdens and so fulfill the law of Christ." — Galatians 6:2 Page 7 of 8 NAMED INSURED HANWOORI CHURCH POLICY NUMBER 46MAA0421679 Brotherhood Mutual' POLICY PERIOD 3/6/2016 to 3/6/2019 Insurance Company Liability Coverage Summary MinistryEssentialssm commercial multi -peril policy Declarations continued... The Coverages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. Only one liability coverage and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifi cally stated within a coverage form or endorsement represents the most we will pay for the coverage to which such a limit applies. For application of limits, [see 'Liability and Medical Coverage form (MEL101CWA 1.1)]. Additional Insureds INTEREST ADDRESS ORGANIZATION Brook Lake Community Center, Additional Insured F La�e Community Center 726 S 356t : St Federal Way, WA 98003 86 Related Organizations/Operations The following entities are insured for designated related Coverages. NAME MINISTRY TYPE ADDRESS None None None Schedule of Liability Exposures In issuing this policy, we have relied on material information provided to us by the Named Insured. The following schedule discloses all of the insured's insurable exposures (as conveyed by the Named Insured) known to exist at the policy inception date. Declared premises must be owned, occupied, or rented by you or your scheduled related organizations. EXPOSURE DESCRIPTIONS BVPD RATE MED RATE ' Playgrounds 726 S 356th St Federal Way, WA 98003-8612 42.08700 4.78200 ..................................................................................................................................2.02000 .94000 Church 726 S.356th St Federal Way, WA 98003 8612 ` Only a single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregate limit. + per person limit Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com I 800.333.3735 I P.O. Box 2227, Fort Wayne, IN 46801-2227 ........................................................................................................................ ^- -- ^ _r RETURN TO: RobE EXT:2002 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: PARKSBROOKLAKE 2. ORIGINATING STAFF PERSON: ROB E EXT: 2002 3. DATE REQ. BY: ASAP 4. TYPE OF DOCUMENT (CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION x CONTRACT AMENDMENT(AG#):AG 14-116 ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: HANwooRi CHURCH LEASE 6. NAME OF CONTRACTOR: HANWOORI CHURCH ADDRESS: 726 S. 356TH STREET, FEDERAL WAY, WA 98003 TELEPHONE (253) 3354445 E-MAIL: HANWOORICHURCH(Cl�,GMAIL.COM FAX: SIGNATURE NAME: CHU NAM SONG TITLE: PASTOR 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: JUNE 1, 2015 COMPLETION DATE: MAY 31, 2016 9. TOTAL COMPENSATION $1,500 MONTH (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY ❑ PURCHASING: PLEASE CHARGE TO: They pay us 10. D05ZMENT/CONTRACT REVIEW INITIAL / DATE —REVIEWED INITIAL / DATE APPROVED CxPROJECT MANAGERS— ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) LAW 11.'COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS INITIAL / DATE SIGNED - ❑ LAW DEPARTMENT tolllrc L CHIEF OF STAFF I J ,)<tGNATORY (MAYOR OR DIRECTOR) CO A CITY CLERK SIGNED AG# IGNED COPY RETURNED DATE SENT: COMMENTS: I r� �- �rd� �i►I� �tN1 �cwc� �'1�l L "rZ�� �_ c (tI I4 Cam �-G 5 -�f��k- 11/9 ` CITY OF CITY HAIL 33325 :�..... Fe d e ra I Way Feder 8th Avenue South edera{ Way, WA 98003-6325 (253) 835-7000 www.ci"ffederaM,ay.com AMENDMENT NO. 1 TO LEASE AGREEMENT FOR HANWOORI CHURCH RENTAL AT BROOKLAKE This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal corporation ("City"), and HANWOORI Church, a Washington non-profit corporation ("Lessee"). The City and Contractor (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to amend the original Agreement for leasing of the Brooklake Chapel and office space ("Agreement") dated effective June 11, 2014, as follows: 1. AMENDED TERM. Pursuant to Section 2 of the Lease Agreement, the Lease shall be renewed for an additional one (1) year term commencing on June 1, 2015, and terminating on May 31, 2016. 2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts done by either Party consistent with the authority of the Agreement, together with any prior amendments thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1/2015 CITY of CITY HALL .�' Feder 8th Avenue South Federal Way, WA 98003-fi325 Federal Way (253) 835-7000 tom.. cityoffederahvay com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY By: errrel , Mayor Ji DATE: �y HANWOORI CHURCH By: Chu Nam Song, P or Printed Name: --, �,IA met "M Title: pax Y DATE: /q(A STATE OF WASHINGTON ) ) ss. COUNTY OF Ot ATTEST: Y* IJA IrAk R, djjeik,- Stephanie Cou e CMC APPROVED AS TO FORM: cl'—A -hW City Attorney, Amy Jo Pearsall On this day personally appeared before me Chu Nam Song, to me known to be the Pastor of Hanwoori Church that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this ;L 19 �day of //Y!/ (/ , 20 ! 5— ,-'gig° A "'it NSSIOH 44h,/,9 10 :von �O rq��'�4<< cn aQ yS 4%L14 s 19;1`602 Notary's signature Notary's printed name Notary Public in and for the State of W shington. My commission expires c� 3111 9 a Oi AMENDMENT - 2 - 1 /2015 Corporations: Registration Detail Page 1 of 1 HAN WOO RI CHURCH UBI Number 603266797 Category REG Profit/Nonprofit Nonprofit Active/Inactive Active State Of Incorporation WA WA Filing Date 01 /10/2013 Expiration Date 01/31/2016 Inactive Date Duration Perpetual Registered Agent Information Agent Name Song Nam Address 33110 PACIFIC HWY S #3 City FEDERAL WAY State WA ZIP 98003 Special Address Information Address PO BOX 3677 City FEDERAL WAY State WA Zip 98063 Governing Persons Title Name Address President SONG, CHU NAM 3664 S 378TH ST AUBURN, WA 98001 Secretary Song, Chu Nam 3664 S 378th ST AUBURN, WA 98001 Treasurer SUNG, SE SOOK 406 SW 336TH CT FEDERAL WAY, WA 98023 http://www.sos.wa.gov/corps/search_detail.aspx?ubi=603266797 5/20/2015 RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/Div: PettTe-W6RKS / 2. ORIGINATING STAFF PERSON: EXT: \ 3. DATE REQ. BY: 4. 5. TYPE OF DOCUMENT (CHECK ONE: ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ) ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT ❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG ❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS) ❑ ORDINANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL OTHER PROJECTT G. NAME OF ADDRESS: TELEPHONE: E-MAIL: FAX: SIGNATURE NAME: TITLE: 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # (BL,, EXP. 12/31/ UBI # , EXP. 8. TERM: COMMENCEMENT DATE: \ \ �%�1�\� iI d IP. _ �I/� OMPLETION DATE: ZintS 9. TOTAL COMPENSATION: $ \ , ��� �/�� (INCLUDE EXPENSES AND SALES TAX, IF ANY (IF CALCULATED ON HOURLY LABOR CHARGE - A ACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES�❑ N^O, ' IF YES, $ PAID BY: ❑ CONTRACTOR El CITY ❑ PURCHASING: PLEASE CHARGE To -A lX�l� �xw ub 10. DOCUM / CONTRACT REVIEW R JECT MANAGER ❑ IV ION MANAGER FEPTY DIRECTOR TOR ❑ RISK MANAGEMENT (IF APPLICABLE) ❑ LAW DEPT 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: INITIAL / DATE APPROVED COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATEREC'D: ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS AW DEPT P . �HIEF OF STAFF LX SIGNATORY (MAYOR OR DIRECTOR CITY CLERK I ID ASSIGNED AG # AG# SIGNED COPY RETURNED DATE SENT: ❑ RETURN ONE ORIGINAL COMMENTS: EXECUTE" "ORIGINALS 11/9 CITY OF CITY HALL 33325 2,th Avenue South Federal Way Federal Way, OVA 98003-632 (253) 835-7000 'i'ix'Eb.�1�i'f?J`f£:t7L-'fL7fYVtdj!.f.CTr� LEASE AGREEMENT ORIG;!A, AL This Lease Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("Landlord"), and HANWOORI Church, a Washington non-profit corporation ("Lessee"). The City and Tenants (together "Parties") are located at the below addresses which shall be valid for any notice required under this Agreement: HANWOORI CHURCH: Chu Nam Song 726 S. 3561h Street Federal Way, WA 98003 (253) 335-4445 (telephone) Hanwoorichurch@gmail. com The Parties agree as follows: 1. Premises. CITY OF FEDERAL WAY: City of Federal Way Contact: Steve Ikerd 33325 Bch Ave. S. Federal Way, WA 98003-6325 (253) 835-6911 (telephone) Steve.ikerd(a-),cityoffederalway.com The City, as fee owner of certain real property described in Exhibit "A", does hereby agree to lease to the Lessee and the Lessee does hereby agree to lease from the City, the Premises described in Exhibit "A" attached hereto and incorporated herein by this reference, constituting: Legal Description: Certain buildings or portion of buildings as indicated on attached Exhibit "A" located upon King County Assessor's Parcel No. 242104-9010-07, commonly known as 726 South 356Eh Street, Federal Way, WA 98003. 2. Term. (a) This Agreement shall be for a term of one (1) year, commencing on the 1 st day of June, 2014, and shall terminate on the 31 st day of May, 2015. The City and the Lessee may agree to extend this agreement up to five (5) additional one (1) year terms. Notice of intent to extend this Agreement must be provided to the City ninety (90) days prior to the expiration of the Term. In addition, the terms and conditions of this lease shall be in full force and effect as of the date of which the Lessee obtains possession of the Premises pursuant to section 5 of the Agreement. (b) Option to Terminate. Lessee shall have the option to terminate this lease agreement prior to the 1 year in case the number of the congregation exceeds the accommodation of the below described premises. But, such situation to terminate shall be reviewed mutually with the City. The Lessee shall give the City six (6) months written notice of lease termination. The City shall have the option to terminate this lease upon six (6) months written notice to the lessee. 3. Rent. The regular rental rate for this property is $2,300.00. In exchange of a reduced rent, the Lessee will perform 20 hours a week of maintenance services as described in Exhibit `B". In addition to these services Initials: Tenant Landlord LEASE AGREEMENT - 1 - 5/2014 CITY or CITY HALL 33325 8th Avenue South Federal Way Federal Way, WA 98003-6325 (253) 535-7000 e� 3�ti: c�hfntl�:cit:rf�rvr.�y ce�m described in Exhibit "B", the Lessee shall pay to the City for the use of the Premises a monthly amount of $1,500, payable in advance, on the I" day of each month for rent of $1,329.32 and a leasehold excise tax of $170.68: (a) Building, known as Space 1, known as Large Hall: Part time for use on each Sunday of the month. (b) Building, known as Space 2, known as Small Hall (Service Hall): Full time all week. (c) Building, known as Space 3, being the upstairs: Full time use as an office with the exception of one office. (d) Kitchen and Janitorial Room on the ground floor: Full time all week. (e) Basement; Full time all week. Payment shall be made at the City's address specified in section 26 below, or at any other address of which the City notifies the Lessee in writing. If payments are not made within 15 days of due date a late charge of Two Hundred Fifty and 00/100 Dollars ($250.00) per month and an additional charge of 1 % per month of the lease payment for each month that the payment is late. date. The monthly rent shall be increased by Five Percent (5%) every year from the lease commencement 4. Utilities. In addition to the above monthly rent, lessee shall pay utilities as follows: (a) 50% of the water and sanitary sewer from Lakehaven Utility District, or its successor. (b) 50% for meter account nos. 287-289-000-5 and 677-289-000-7 serving the Large Hall, Small Hall, and the Upstairs as listed above. (c) 50% of the natural gas bills as billed by Puget Sound Energy, or its successor. (d) 50% of the refuge disposal, if and including when Lessor subscribes to the service offered by Waste Management, or its successor. Payment for the above utilities shall be within ten (10) days after Lessor provides to Lessee copies of the sanitary land receipts and utility bills. 5. Possession. By taking possession of the Premises, the Lessee shall be deemed to have accepted the Premises as is subject to the warranty and repair work to be performed pursuant to section 8 of this Agreement. Use of the Premises shall be exclusive to the Lessee and shall not be shared by others without the written approval of the City which approval shall not be unreasonably withheld. 6. Business Purpose. The premises are to be used for the purpose of conducting church and religious services, Christian Education and office space. The premises shall not be used for living or residential purposes. 7. Repairs and Maintenance. (a) The L ssee agrees during the term of this Agreement to keep the Premises in a condition and Initials: Tenant Landlord Vt-N- LEASE AGREEMENT - 2 - 5/2014 CITY Cad CITY HALL 33325 8th Avenue South Fedeal Wa ""TAF Federal Way, keVA 98003-6325 (253) €335-7000 mow eihoffede iatvvay corn state of repair as good as the same shall be on the date of the Lessee's possession of the Premises pursuant to section 5 above. (b) The Lessee shall pay the full cost of all repairs and maintenance to the Premises pursuant to the "Maintenance Schedule" described in Exhibit "B" attached hereto and incorporated by this reference, unless otherwise agreed upon by the Parties to jointly share the costs or that the repairs are necessary as deemed by the City to be the responsibility of the City. The City agrees to provide repair and maintenance for major building systems prior to possession by the Lessee as identified in section 8. (c) The City shall not be required to make any repairs unless and until written notice of the need for said repairs shall have first been given by the Lessee to the City in writing at the City's address specified in section 26 below. The City shall not be called upon to make any improvements, alterations, or repairs of any kind with respect to the Premises except as specifically provided for in this section. (d) The Lessee shall provide its own cleaning and custodial services, including waste disposal, at its expense. 8. Alterations or Improvements. (a) All alterations or improvements to the Premises undertaken by the Lessee shall be constructed at the Lessee's expenses, and the Lessee agrees to bear full responsibility for insuring that all construction on the Premises is undertaken and conducted in a safe and professional manner, and that all alterations or improvements shall be of high quality construction. The Lessee agrees that it will not allow any liens to attach to the Premises as a result of any construction preformed on the Premises. However, should a laborer's or material man's liens be filed per Chapter 60.04 RCW, the City agrees that this will not be considered a breach of this Agreement. The Lessee further agrees to hold the City harmless from any and all claims, including costs, attorney's fees, and expenses, arising in any way from any construction on the Premises. Unless specifically agreed otherwise in writing signed by the City prior to construction or addition of any alterations or improvements to the Premises, all alterations and improvements shall become the property of the City upon termination or expiration of this Agreement. (b) The Lessee shall not perform, or cause to be performed any alterations or improvements to the Premises without first providing written notice to the City and obtaining the City's review and approval of said alterations or improvements, including signage on the building, which must comply with the Federal Way City Code, and all applicable laws. All hours of work in performing alterations or improvements shall also be subject to the City's prior approval. (c) If the improvements on said premises shall be rendered untenable by fire or other casualty, Lessee may, by notice in writing given to Lessor within thirty (30) days after the occurrence of such damage or destruction, elect to terminate this lease as of the date of the damage or destruction, whereupon Lessor shall be entitled to all proceeds of insurance, if any, and right or recovery against insurers on the policies covering such damage or destruction. (d) At the termination of this Agreement, the Lessee shall ensure that the condition of the Premises is equal to or better than the condition existing at the commencement of this Agreement, as determined by the City. 9. Encumbrances. Initials: Tenant Landlord ki--N LEASE AGREEMENT - 3 - 5/2014 CITY Of CITY HALL 33325 8th Avenue SOLIth r dFederal way, wA 98003-6325 eral Way(253) 835-7000 me-,oNvffede:rmvaycara The Lessee agrees to keep the Premises free and clear of all mortgages, levies, liens, and encumbrances, whether voluntary or involuntary, and to notify the City in writing within ten (10) days after any such mortgage, levy, lien, or encumbrance shall attach to the Premises. The City may, in addition to exercising any other right it may have under this Agreement, and at its sole option, discharge any such mortgage, levy, lien, or encumbrance, and the Lessee shall, upon demand, reimburse the City for the full amount of any payment for this purpose, plus interest thereon at the rate of twelve percent (12%) per annum, or such lesser rate as may be the maximum permitted by applicable law. 10. Taxes. (a) Personal Property Taxes: the Lessee shall pay, prior to delinquency, all taxes assessed against and levied upon fixtures, furnishings, equipment, and all other personal property of the Lessee contained in the Premises. (b) Tax on Rent: the Lessee shall pay any business and occupation or similar gross receipts tax, but not including any federal or state income tax or franchise tax. 11. Indemnity/Insurance. (a) The City shall not be liable for any injury to any person, or for any loss of or damage to any property (including property of the Lessee), occurring in or about the Premises from any cause whatsoever. The Lessee shall hold and save the City harmless from any and all losses, damages, liabilities, or expenses (including attorneys' fees and other expenses of litigation) resulting from any actual or alleged injury to any person, and/or from any actual or alleged loss of or damage to any property, occurring in or about the Premises from any cause whatsoever. (b) The Lessee shall, at its own expense, maintain proper liability insurance with a reputable insurance company or companies in the minimum amount of One Million and No/100 Dollars ($1,000,000.00) per incident and in the minimum amount of Three Million and No/100 Dollars ($3,000,000.00) annual aggregate to indemnify both the City and the Lessee against any such claims, demands, losses, damages, liabilities, or expenses. The City shall be named as additional insured and shall be furnished with a copy of the certificate of insurance, which shall bear an endorsement that the same shall not be canceled except upon 30 days prior written notice to the City. (c) The Lessee agrees that it will not do nor permit to be done in or about the Premises any act or thing which will invalidate any insurance thereon, or increase the rate of insurance over and above the usual rate for buildings used for general business purposes, nor will the Lessee permit the Premises to be put, kept, or maintained in such condition or so occupied that the same will not be insured. (d) The Lessee hereby releases the City from liability and waives all right of recovery against the City for any loss of, in or about the Premises, from perils insured against under the Lessee's fire insurance contacts, including any extended coverage endorsements thereof, whether due to negligence or any other cause; provided, however, that this section shall be inapplicable if it would have the effect, but only to the extent it would have the effect, or invalidating any insurance coverage of the City or the Lessee. 12. Fire or Other casualty. Initials: Tenant Landlord LEASE AGREEME T - 4 - 5/2014 CITY Of CITY HALL 33325 3th Aveme SOLIth Federal Way Federal Way, WA 98003-6325 (253) 335-7000 w to Pvofie_9etahva1v cam, In the event the Premises are damaged and/or destroyed by unavoidable casualty or risks covered by standard insurance to such an extent as to render any portion of the Premises untenantable, the City shall have the option to demolish, rebuild or repair the Premises. The City shall have thirty (30) days after the date of written notification by the Lessee of the happening of any such contingency in which to notify the Lessee of the City's intention to rebuild or repair the Premises or the parts so damaged. If the City elects to rebuild or repair said Premises, the City shall prosecute the work of such rebuilding or repairing without unreasonable delay. If the City fails to give said notice within said period, the Lessee shall have the right to terminate this Agreement by written notice to the City at any time prior to commencement of reconstruction or repair of the Premises. 13. Eminent Domain. In the event of a taking of all or any part of the Premises by eminent domain and such taking renders the Premises unsuitable for the activities of the Lessee, then this Agreement may at the option of either party, be terminated as of the date when the Lessee is required to vacate the portion of the Premises so taken. Exercise of said option to terminate shall be made by written notice given to the other party not more than ninety (90) days after either party has received notice of the taking, and if terminated, all rents shall be paid to the date of termination. The City reserves and accepts all rights to compensation and damages to the Premises for any taking by eminent domain, and the Lessee shall make no claim whatsoever against the City for damages for termination of its leasehold interest in the Premises or for interference with its business. The Lessee may pursue its own claim against the condemning authority for compensation and damages for loss of its leasehold interest. 14. Bankruptcy. Neither this Agreement nor any interest therein nor any estate hereby created shall pass to any trustee or receiver in bankruptcy or to any other receiver or assignee for the benefit of creditors or otherwise by operation of law. In the event that the Lessee is declared or adjudicated bankrupt, or voluntarily offers to creditors terms of composition, or in case a receiver is appointed to take charge of and conduct the affairs of the Lessee, the City may, at is option, declare this Agreement terminated and null and void, and may re-enter the Premises immediately. Nothing in this section 17 shall be construed to limit the right of the City to prove its claim in any such bankruptcy or receivership for installments of rent due and unpaid at the time of such bankruptcy or receivership regardless of whether the City elects to terminate this Agreement as provided in this 17, and acceptance of any such rent or proceeds shall not impair the City's rights to so terminate this Agreement. 15. Assignment or Sublease. The Lessee agrees that it will not assign this Agreement, permit, or suffer any assignment hereof by operation of law, or sublet the Premises or any portion thereof, without the prior written consent of the City. No consent given by the City or under this section 18 shall have the effect of thereafter rendering inapplicable any of the restrictions contained in this section 18, but all such restrictions shall remain in full force and effect as to any subsequent transactions notwithstanding the giving of such consent. 16. The Lessee's Compliance with Laws. The Lessee shall observe, and be responsible for and bear all expenses of complying with all orders, ordinances, rules, regulations, requirements, and instructions of all municipal, state, and federal authorities relative to the Premises. The Lessee will not allow any illegal acts to be conducted on the Premises, will not overload or permit waste of or damage or injury to the Premises, and will keep all drainage pipes free and open and will protect water, he ting, and other pipes fromfreezingso that they will not become clogged or broken. Initials: Tenant z Landlord H- LEASE AGREEMENT - 5 - 5/2014 4&k CITY •: Federal Way 17. Suns. CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 335-7000 arev v ci4,offedera&V,•�v coo Lessee may display in or upon the leased premises any signs or symbols of any nature as long as the signs meet the requirements of the Federal Way Revised Code, State law and the signs are approved by the City. 18. Inspection. The City shall have the right to inspect the Premises at all reasonable times and the right to enter the same whenever it is reasonably necessary for the exercise of any right or privilege of the City under this Agreement. Provided, however, that except in the case of an emergency, the City shall endeavor to provide the Lessee with reasonable notice prior to entering the Premises. 19. Default. (a) Time is of the essence hereof. If the Lessee shall neglect or fail to perform or observe any of the covenants or conditions contained herein on its part to be observed and performed and continue to be in default for a period of ten (10) days or, if the default be other than one due to non-payment of any sums due by the Lessee under this Agreement ten (10) days (if more than ten (10) days are required to cure any such default, the Lessee shall commence to cure such default with said days and shall faithfully pursue completion thereof as expeditiously as possible) after written notice by the City of such breach, then the City may, at its option, perform such duties or obligations for the Lessee and upon completion thereof bill the Lessee for the cost of said performance (payable immediately), and bearing interest at twelve percent (12%) per annum, or such lesser rate as may be permitted by applicable law) or at its option the City may, without notice and immediately upon such breach, enter into and upon the Premises, or any part thereof, and repossess the same, and upon entry, as aforesaid, this Agreement, at the option of the City shall terminate and wholly expire, and the Lessee covenants and agrees that upon such termination it will indemnify the City of the cost of renovation the Premises for a new tenant and against all loss of rent which the City may incur by reason of such termination during the residue of the term of this Agreement. (b) Upon any termination of this Agreement, whether by lapse of time or otherwise, or upon termination of the Lessee's right to possession without termination of this Agreement, the Lessee shall surrender possession and vacate the Premises immediately and deliver possession thereof to the City. The Lessee hereby specifically grants to the City full and free license to enter into and upon the Premises in such event with or without process of law and to repossess itself of the Premises as of the City's former estate and to expel or remove the Lessee and any others who may be occupying or within the Premises and, at the City's option, to remove any and all property therefrom using such force as may be necessary. The Lessee hereby grants said license to enter as aforesaid to the City and/or its designated agents, who in the exercise of which shall not be deemed in any manner guilty of trespass, eviction, or forcible entry or detainer, and without relinquishment of the City's rights to rent or any other right given to the City hereunder or by operation of law. The Lessee expressly waives the service of any demand for the payment of rent or for possession and, except for notice provided in section 22(a), the Lessee expressly waives service of any notice of the City's elections to terminate this Agreement or to re-enter the Premises, including any statute or other law, and agrees that the simple breach of any covenant or provision of this Agreement by the Lessee shall, of itself, without the service of any notice of deman whatsoever, constitute a forcible and/or unlawful detainer on the Premises by the Initials: Tenant Landlord VNN LEASE AGREEMENT - 6 - 5/2014 Lessee CITY OF Federal 20. No Waiver. CITY HALL 33325 8th Avenue South Wa Federal %Nay, VIVA 98003-6325 (253)835-7000 No failure by either of the Parties to exercise any of the remedies available to it by the terms of this Agreement, or by operation of law, upon any breach of this Agreement by the Lessee or upon any default hereunder by the Lessee shall constitute a waiver by the City of any other breach or default by the Lessee, or any subsequent like breach or default; and the acceptance of rent hereunder by the City shall in no event constitute a waiver by the City of any breach or default unless the City specifically intends it is so to do advises of such fact in writing. 21. Attorney. Fees. In the event either of the Parties defaults on the performance of any terms of this Agreement or either Party places the enforcement of this Agreement in the hands of an attorney, or files a lawsuit, each Party shall pay all its own attorneys' fees, costs and expenses. The venue for any dispute related to this Agreement shall be King County, Washington. 22. Holding Over. Any holding over and continued occupancy by the Lessee after the expiration of the term herein created shall be on a tenancy from month to month, and either party hereto shall have the right to terminate the same by giving twenty (20) days' written notice of its intention to terminate said tenancy. 23. Notices. All notices herein provided or permitted to be given by either the City or the Lessee to the other may be given by enclosing the same in a sealed envelope properly addressed to the other and depositing the same, registered with postage prepaid thereon, in the United States Post Office, and service shall be deemed complete at the time of such deposit. For the purpose of this section, the address of the Lessee shall be 726 South 356tn, Federal Way, WA 98003, and the address of the City shall be 33325 8th Ave. South, Federal Way, WA 95003, subject to the right of either party to designate by notice in writing to the other a new address to which said notice shall be sent. 24. Successors and Assigns. This Agreement shall be binding upon and for the benefit of the City and the Lessee, and their respective successors and assigns; provided that no assignment by the Lessee, or by operation of law, which violates any of the terms of this Agreement shall vest any rights in the assignee. 25. Signature Authority. It is hereby acknowledged that the Lessee's signatory of this Agreement has the authority to so sign and bind the Lessee in its entirety. 26. General Provisions. Initials: Tenant Landlord LEASE AGREEMENT - 7 - 5/2014 city Of Federal Way CITY HALL 33325 8th Avenue South Federai Way, "A 98003-6325 (253) 835-7000 a^.�t;-w:,,rti ftec7t:rtr#4tfc s'.amn This Agreement contains all of the Agreements between the City and the Lessee with respect to any matter covered or mentioned in this Agreement. No provision of this Agreement, including this provision, may be amended or modified except by written agreement signed by the Parties. 27. Headings. The headings herein contained are inserted only as a matter of convenience and for reference and in no way define, limit, or describe the scope of intent of this Agreement or in any way affect the terms and provisions hereof. 28. No commission. The City and the Lessee agree that there is no commission due to any broker upon execution of this Agreement. 29. Severability. If any provision of this Agreement is held invalid for any reason whatsoever, such invalidity shall not affect any other provision which can be given effect without the invalid provision, and to that end, provisions of this Agreement are declared to be severable. Initials: Tenant -J�/ LEASE AGREEMENT [Signature page follows] Landlord -8- 5/2014 CITY OF Federal Way CITY HALL 33325 Sth Avenue South Federal Way, WA 98003-6325 (253)835-7600 IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY Jim F ell, ayor DATE: HANWOORI RCH By:ti-- Chu Nam Song, astor DATE: STATE OF WASHINGTON ) ) ss. COUNTY OF lel&e2j ATTEST: C" City Clerk, Carol McNeill , CMC APPROVED AS TO FORM: Interim CiVy jkttomey, Amy Jo Pearsall On this day personally appeared before me Chu Nam Song, to me known to be the Pastor of Hanwoori Church that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument and that the seal affixed, if any, is the corporate seal of said corporation. GIVEN my hand and official seal this ''°'Pday of , 2014. 1 � !� i�✓�0 ►� G !/ (typed/printed name of notary) Notary Public in and for the State of Washington. My commission expires (j 3 -/ 9 ,Zoi Initials: Tenant Landlord - ' LEASE AGREEMENT - 9 - 5/2014 AIL CITY OF Federal Wa =■ . EXHIBIT "A" PREMISES AREA S ��F v sir PEF�►aSG g2\ A� �- N bT - (-b C5, ,s CITY HALL 33325 8th Avenue SOuth Federal Way, WA 98003-6325 (253) 835-7000 DWilb'coer Cm Z, 4- . �I cNT2-�n,.N L� 1' 6-N -cam C-6 X Initials: Tenant Landlord RESIDENTIAL LEASE AGREEMENT - 10 - 5/2014 CITY Of CITY HALL Feder' 33325 8th Avenue South WayFederal Way, VVA 98003-6325 (253) 835-7000 EXHIBIT `B" SCOPE OF SERVICES The Caretaker position is a non -paid, non -benefited position that provides maintenance and security services at Brooklake. The Caretaker will be required to perform an average of twenty (20) hours per week of maintenance and security services during the course of the year. It is anticipated that the majority of the work will occur during the summer and less in the winter. The following Maintenance services are representative of services to be performed. Specific work orders will be assigned as needed by Park Supervisors or their designee. Park Lawns and Grounds A. Mow with push and riding mower B. Edge with line trimmer C. Re -seed as necessary D. Pick up trash Park Gardens A. Prune and trim as needed to maintain proper appearance B. Remove weeds C. "Dead Head" flowers D. Rodent Control, (joint with City) Park Grounds A. Clean signs B. Maintain buildings; plumbing, electrical, interior, as mutually agreed upon with the City C. Pick up trash and litter D. Prune back brush Security Duties: A. Clean up and repair vandalism, and report suspicious activity to the City B. Unlock and Lock Hall at designated times for parties and events C. Monitor park for after hour activity D. Contact emergency services personnel (police and fire) as needed Parking Lot A. Weed, prune and trim landscape beds B. Fall clean up Buildings A. Monitor buildings (lock doors, close windows) B. Turn off lights and heat when building is not being used C. Provide minor maintenance on bathrooms, kitchen, etc. D. Paint and repair structure as mutually agreed upon with City E. Clean up after parties and events, remove and dispose of garbage, clean hall, and put away all chairs and tables kitchen, all rooms, bathrooms, Initials: Tenant Landlord 0A RESIDENTIAL LEASE AGREEMENT 5/2014 F�herhood Mutual° ce Company NAMEDINSURED POLICY NUMBER POLICY PERIOD 461V HANWOORI CHURCH 46MAA0421679 03/06/2013 - 03/06/2016 Lia ility Coverage Summary Mini tryEssentials"commercial multi -peril policy Declarations continuEd 1679 The Co�rages listed here are provided according to the terms of the designated coverage form and any other applicable forms or endorsemnts.Only one liability covera and one medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within a coverage f rm or endorsement represei s the most we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical Coverage for (MEL101CWA 1.1). Liab I ty Coverage Details: Schedule of Limits GEN. . AL OCCURRENCE LIMIT $1,000,000 GEN AL AGGREGATE LIMIT $3,000,000 Principal Liability Coverages COVERAGE DESCRIPTIONS Bodily Injury/Property Damage Liability (L) Medical Payments (M) Prod is/Completed Work (N) Fire L al Liability (0) Supp emental Coverages COVE AGE DESCRIPTIONS Incid r tal Contractual Liability Incid tal Medical Malpractice MobilHEquipment COVERAGE LIMIT $1,000,000* $ 5,000*+ $1,000,000* $300,000* COVERAGE LIMIT $1,000,000* $1,000,000* $1,000,000* COVERAGE AGGREGATE LIP $3,000,01 COVERAGE AGGREGATE LIMIT $ 3,000,000* $ 3,000,000* $ 3.000.000* * Only single limit applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits (ire subject to the general +per z}son limit FORM MEL101CWA 1.1 MEL101CWA 1.1 MEL101CWA 1.1 MEL101CWA 1.1 FORM MEL101CWA 1.1 MEL101CWA 1.1 MEL101CWA 1.1 Brotherhood Mutual Insurance Company I www.brotherhoodmutual.com 1 800-333-3735 1 P.O. Box 2227, Fort Wayne, IN 4 801-2227 ............................ ......... ........ ............. I. .................. .............................. _ _ ME DEC 09/11) 'Bear ye one another's burdens and so fulfill the law of Christ." ---- Galatians 6:2 Page 5 of 9 46MAA04 679 RDherhood Mutual' NAMED INSURED HANWOORI CHURCH Insu ra Co Cum pany POLICY NUMBER 46MAA0421679 POLICY PERIOD 03/06/2013 - 03/06/2016 Liabili y Coverage Summary Ministry --ssentia/ssmcommercial multi -peril policy Declarations continued The Coverages li ied here are provided according to the terms of the designated coverage form and any other applicable forms or endorsements. On one liability coverage and on medical coverage will apply to an occurrence and any related loss. Any limit which is specifically stated within a coverage form ore ors ement represents them -st we will pay for the coverage to which such a limit applies. For application of limits, see Liability and Medical Coverage form (MEL 1CWA 1.1). Additional Coverages COVERAGE DI SCRIPTIONS Personal Injury _lability Membership Ei iotional Injury Nursery Supen sion Nursery Corpoi sl Punishment Food Preparati n Liability Damage to Pro aerty of Others Not in Your C �ntrol In Your Contr 4 Prosthetic De ices Incidental Cam er Medical Nonowned Pro erty Damage liability Real Property nal PersoPro arty COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM $1,000,000* $3,000,000* M--101CWA 1.1 $1,000,000* $3,000,000* M 101CWA 1.1 $1,000,000* $3,000,000* M - 101CWA 1.1 $1,000,000* $3,000,000* M" 101CWA 1.1 $1,000,000* $3,000,000* M 101CWA 1.1 $1,000*+ $3,000,000* M 101CWA 1.1 $2,500*+ $3,000,000* M 101CWA 1.1 $500*+ $3,000,000* M1.1 101CWA 1.1 $5,000*+ $3,000,000* ME1 101CWA 1.1 $1,000,000* M l 101CWA 1.1 $300,000* $3,000,000* M11 101CWA 1.1 $10,000* $3,000,000* MI1d10ICWA 1.1 Defense C verage Applies in a dition to the liability limit unless otherwise specifically stated in an applicable coverage form. Related Op COVERAGE DE None !rations Coverage CRIPTIONS COVERAGE LIMIT COVERAGE AGGREGATE LIMIT FORM None None None ' Only a single lim applies to the loss. All coverage limits are subject to the general occurrence limit and all aggregate limits are subject to the general aggregatelirnit. + perpersonlirnit Brotherl clod Mutual Insurance Company I www.brotherhoodmutual.com 1 800-333-3735 1 P.O. Box 2227, Fort Wayne, IN 46801-2227 ............................................................................................. ........... ME DEC (09/1 1) 'Bear ye one anot her's burdens and so fulfill the law of Christ." --- Galatians 6:2 Pwae 6 of 9