HomeMy WebLinkAboutAG 14-13311
RETURN TO: EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: W�
2. ORIGINATING STAFF PERSON: If IU,C Ie- - EXT:
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
❑ REAL E DOCUMENT
❑ ORDINANCE
CONTRACT ESTAT AMENDMENT (AG #): 114_103 !
❑ OTHER
❑ HUMAN SERVICES / CDBG
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
5. PROJECT NAME: I(-(\ J-- -�) C1(
6. NAME OF CONTRACTOR: %V 1 tr- \ - s
ADDRESS: TELEPHONE
E -MAIL: FAX:
SIGNATURE NAME: Mitch MU(bp`Cry TITLE _'a_tr_YrE-
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES`ACOMPENSATION ❑ INSURANCE REQUIREMENTS /CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT /AMENDMENTS
8. TERM: COMMENCEMENT D �- ,Iii execka7n COMPLETION DATE: t7eC r u JPx J' 1 (1`-1
9. TOTAL COMPENSATION $ ,: 111 iu a)\t O( � (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY L2BOR CHARGE - A ACH SCHEDULE 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 AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO:
10. DOCUMENT /CONTRACT REVIEW
❑ PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
3cLAW
11. COUNCIL APPROVAL (IF APPLICABLE)
coy = 1�0o- 5i1- 14- '1(6
INITIAL / DATE REVIEWED
11J°ii2'011
2.1 Nov Za 1 }
COMMITTEE APPROVAL DATE:
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC' D: 19 ' /6 / ) l
❑ 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.)
❑ LAW DEPARTMENT
❑ SIGNATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK
❑ ASSIGNED AG#
❑ SIGNED COPY RETURNED
COMMENTS:
INITIAL / DATE SIGNED
AG#
DATE SENT:
1 /7111 7
441-■ Pecleral Way
AMENDMENT NO. 2
TO
RECREATION AGREEMENT
FOR
MARTIAL ARTS CLASSES
CITY HALL .
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
wwv cityoffederalway. can
This Amendment ( "Amendment No. 2 ") is made between the City of Federal Way, a Washington municipal
corporation ( "City "), and The Tiger Kid's, a Washington corporation ( "Contractor "). The City and Contractor
(together "Parties "), for valuable consideration and by mutual consent of the Parties, agree to amend the original
Agreement for martial arts classes ( "Agreement ") dated effective August 26, 2014, as amended by Amendment No.
1, as follows:
1. AMENDED TERM. The term of the Agreement, as referenced by Section 1 of the Agreement and any prior
amendments thereto, shall be amended and shall continue until the completion of the Services, but in any event no
later than December 31, 2019 ( "Amended Term ").
2. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 4 of the
Agreement, shall be amended to change the total compensation the City shall pay the Contractor and the rate or
method of payment, as delineated in Exhibit B -2, attached hereto and incorporated by this reference. The Contractor
agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the
negotiated rate(s) for the Amended Term. Except as otherwise provided in an attached Exhibit, the Contractor shall
be solely responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance
and payment of this Agreement.
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 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 - 3/2017
4A,6- Vecferal Way
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003 -6325
(253) 835 -7000
www cityoffederalway corn
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
By:
John n, Park % erector
DATE:
/.41/7//7
THE TIGER KID'S:
By:
Mitch Mayberry, Preside
Date: /L -
STATE OF WASHINGTON )
) ss.
COUNTY OF Y- I ti
ATTEST:
St
a ie Courtney, CMC, Cit; Jerk
APPROVED AS TO FORM:
J. Ryan Call, City Attorney
On this day personally appeared before me Mitch Mayberry, to me known to be the President of The Tiger Kid's 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 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
�" ` SHA .11114, Notary's si ature
Y 16 Notary's printed name
4sA t-
I *Vry ^ i .1:
AMENDMENT
in and for the State of Washington.
n expires 01 ‘0) (� °\
- 2 3/2017
Federal Way
EXHIBIT B -2
ADDITIONAL COMPENSATION
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003 -6325
(253) 835 -7000
www cityoffederalway com
1. Total Compensation: In return for the Services, the City shall pay the Contractor an additional amount not to
exceed Twenty Thousand and NO/ 100 Dollars ($20,000.00). The total amount payable to Contractor pursuant to the
original Agreement, all previous Amendments, and this Amendment shall be an amount not to exceed Thirty -Nine
Thousand Nine Hundred Ninety -Nine and 99/100 Dollars ($39,999.99).
2. Method of Compensation: Contractor will be paid calculated on the basis of 70% of each participant's
registration fee that is paid and not refunded. The City makes no representation or warranty regarding class size
and nothing in this Agreement obligates the City to pay more than 70% of the total of the registration fees paid
and not refunded.
AMENDMENT - 3 - 3/2017
RETURN TO:
EXT:
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PARKS
2. ORIGINATING STAFF PERSON: bay 1 C lewmvx5
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT
❑ REAL ESTATE DOCUMENT
❑ ORDINANCE
X CONTRACT AMENDMENT (AG #): 14 - (3 3
❑ OTHER
EXT: (.9141 3. DATE REQ. BY:
❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ MAINTENANCE AGREEMENT
❑ HUMAN SERVICES 1 CDBG
❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ RESOLUTION
❑ INTERLOCAL
5. PROJECT NAME: M o. r t i of Ar 4 b C lo.s_ Se S
6. NAME OF CONTRACTOR:
ADDRESS:
E -MAIL:
SIGNATURE NAME:
The Ti �r kid's
M. kc�n Mayen c r r y
TELEPHONE:
FAX:
TITLE: ;Pre SidCtnA-
7. EXHIBITS AND ATTACHMENTS: )(SCOPE, WORK OR SERVICES k 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:
upoYt P)CPr u %- ON COMPLETION DATE: VII 3( 1 11
9. TOTAL COMPENSATION: $ '1,199.11 (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:
Opt - 12.00 - 3 52 - 5-11 - 14 - 410
10. DOCUMENT / CONTRACT REVIEW
,PROJECT MANAGER
SUPERVISOR
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
❑ LAW DEPT
11. COUNCIL APPROVAL (IF APPLICABLE)
INITIAL / DATE REVIEWED
3
WM/1 Wil
INITIAL / DATE APPROVED
COMMITTEE APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
3/111L
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ SENT TO VENDOR/CONTRACTOR DATE SENT:
LAW DEPT
SIGNATORY (MAYOR OR DIRECTOR)
IN, CITY CLERK
Q-( ASSIGNED AG #
X SIGNED COPY RETURNED
❑ RETURN ONE ORIGINAL
CO MENTS:
Zvi t e4ywrov<<Q.
INITIAL/ DATE SIGNED
#%, •
AG 1
DAT " ' ENT: CO - 3 "1 t
COUNCIL APPROVAL DATE:
DATE REC'D: 342 -J `
11/9
CITY OF
Federal Way
AMENDMENT NO. 1
TO
RECREATION AGREEMENT
FOR
MARTIAL ARTS CLASSES
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www cityoffederalwaycom
This Amendment ( "Amendment No. 1 ") is made between the City of Federal Way, a Washington municipal
corporation ( "City "), and The Tiger Kid's, a Washington State nonprofit organization ( "Contractor "). The City and
Contractor (together "Parties "), for valuable consideration and by mutual consent of the Parties, agree to amend the
original Agreement for martial arts classes ( "Agreement ") dated effective August 26, 2014, as follows:
1. AMENDED COMPENSATION. The amount of compensation, as referenced by Section 4 of the
Agreement, shall be amended to change the rate of payment, as delineated in Exhibit B -1, attached hereto and
incorporated by this reference. The Contractor agrees that any hourly or flat rate charged by it for its services
contracted for herein shall remain locked at the negotiated rate for the Term. Except as otherwise provided in an
attached Exhibit, the Contractor shall be solely responsible for the payment of any taxes imposed by any lawful
jurisdiction as a result of the performance and payment of this Agreement.
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.
AMENDMENT
[Signature page follows]
- 1 - 1/2015
k,
CITY OF CITY HALL
Federal Way
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www.cityoffederalway.com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
By:
John ' tton, Park actor
DATE:
3 6
THE TIGER KID'S:
By:
Mitch Mayberry, Presi ent
DATE: 3 J i 3 / /C
STATE OF WASHINGTON )
COUNTY OF N )
ss.
ATTEST:
tephanie Courtney, CMC
APPROVED AS TO FORM:
O l Z
City Attorney, Amy Jo Pearsall
On this day personally appeared before me Mitch Mayberry, to me known to be the President of The Tiger Kid's 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 thatethe 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 '22 day of
lAit
n � A��� 9
CO
Jr;
AMENDMENT
Notary's signature
Notary's printed name
1; )12 in and for t e State 2o
of Washington.
ommission expires YY�1 1 l id
- 2 1/2015
Federal Way
EXHIBIT B -1
AMENDED COMPENSATION
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
www, cityoffederalway. com
1. Compensation. In consideration of the Contractor performing the Work, the City agrees to pay the
Contractor an amount not to exceed Nineteen Thousand Nine Hundred Ninety -Nine and 99/100 Dollars
($19,999.99), calculated on the basis of 70% of each participant' s registration fee that is paid and not refunded. This
amended rate of compensation supersedes the original percentage of 80 %. The City makes no representation or
warranty regarding class size and nothing in this Agreement obligates the City to pay more than 70% of the total of
the registration fees paid and not refunded.
AMENDMENT
- 3 1/2015
PRACTICE THIRD PARTY CERTIFICATE OF INSURANCE
AMATEUR ATHLETIC UNION OF THE U.S., INC.
CERTIFICATE HOLDER City of Federal Way Parks & Recreation
PO box 9718
Federal Way, WA 98063
COVERAGE DATES:
10/05/2015 - 8/31/2016
This certificate is issued as a matter of information only and confers no rights upon the certificate holier.
negatively amend, extend or alter the coverage afforded by the policies below. This certificate of
iaattirtg insuraffS1 , authorized representative or producar, and the Certificate hrider.
PRODUCER
Foy Insurance
64 Portsmouth Ave
PO Box 1030
Exeter, NH 03833 -1030
INSURED
Amateur Athletic Union of the U.S., Inc.
Walt Disney World Resort
P.O. Box 10000
Lake Buena Vista, FL 32830 -1
(407) 934 -7200
Company A United State Fire Insurance Cotn
Company B Everest National Insurance
COVERAGES - This is to
Notwithstanding any muu'
afforded by the palley(ies
1affirmatively or
a contract between the
CATE ID: 6KPNX856
CLUB CODE: W WA83W
1
of
any A or B.
named above for the policy period indicated.
leb'this certificate may be issued or may pertain, the insurance
policy(ies). limits shown may have been reduced by paid claims.
General
Liability
ADDITIONAL INFORMATION
Coverage applies to Tiger
10/05/2015 through 08138/20;
requirements in the AAU
Kids from
t' liabilities of the AAU Club(s) or registered members. For said club to have coverage, all membership
Each Occurrence Limit
General Aggregate Limit Per Club
Participant Legal Liability
Personal and Advertising Injury Limit
Products - Completed Operations Aggregate
Fire Damage to premises Rented to You
(Any One Premises)
Medical Expenses Limit (Any One Person)
Sexual Abuse Liability
Sexual Abuse Aggregate_
9,000,000
9,000,000
1,000,000
3,000,000
1.000,000
1,000,000
3,000,000
1,000,000
5,000
1,000,000
2,000,000
The Certificate holder shall be an A Insured, but only with respect to the operations of the Named Insured, subject to the provisions and limitations of
the policy(ies), attached CG 20 26 0413 applies.
CANCELLATION — Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with
the policy provisions. But, failure to mail such notices shall impose no obligation for liability of any kind upon the insurer, its agents or representatives.
REVOCATION OF MEMBERSHIP - will result in cancellation of coverage.
FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE.
Go to www.aausports.org, Insurance Overview, and choose'Print/V1cw' > Certificates
Authorized Representativ
Certificate No. 20161447
ins anlacility.ry
POLICY NUMBER; SI8ML001 76 -1 5 1 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE
SCHED
Name of Person or Organization:
Event: Practice, Tiger Kids
Date: 10/05/2015 through 08/31/20
City of Fci
PO box
Federal
THE ABOVE PERSON t � _ i ►� ii s' Iy r r AS REQUIRED BY WRITTEN CONTRACT.
(If no entry appears
this endorsement.)
A. Section II- W
Schedule, but only
whole or in part, by your
1. In the performance
2. In connection with your
However:
1. The 1nsu
2. If coverage
additional insured
additional insured,
endorsement # 20161447
licable to
ions(s) shown in the
injury" caused, in
B. With Respect to the in
Insurance:
If Coverage provid
additional insured is
1. Required by the co
2. Available under the
or
Limits of Insurance shown in the Declarations; whichever is less.
permitted by law; and
or agreement, the insurance afforded to such
by the contract or agreement to provide for such
onal'insureds, the following is added to Section III- Limits Of
required by a contract or agreement, the most we will pay on behalf of the
This Endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 26 0413 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1
RETURN TO: EXT: lD 1 u,
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT /DIV: PRCS /
5. PROJECT NAME: M wrA i o.l k- As CkASic S
6. NAME OF CONTRACTOR: -N%& Ti Gr F; a is
ADDRESS: Z.$ rJGq f lM6-1 a W� -Od aw s� WA !J&DZ3 TELEPHONE:
E -MAIL: FAX:
SIGNATURE NAME: M i { aloell m o-l1a er r
7. EXHIBITS AND ATTACHMENTS: SCOPE, WORK OR SERVICES X 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 # (�bt=W& 44 , EXP. / /
8. TERM: COMMENCEMENT DATE: G i % 1 f l COMPLETION DATE: 1 2 1 3 1 11-1
9. TOTAL COMPENSATION: $ 19 I 'I'm , 11 (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, $
❑ PURCHASING: PLEASE CHARGE TO: 04 1 —%';L00 - 35*;kr 4to
10. DOCUMENT /CONTRACT REVIEW
�ROJECT MANAGER
El SUPERVISOR
ADIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
X LAW DEPT
11. COUNCIL APPROVAL (IF APPLICABLE)
INITIAL/ DATE REVIEWED
ao
COMMITTEE APPROVAL DAI'E:
12. CONTRACT SIGNATURE ROUTING
• SENT TO VENDOR/CONTRACTOR DATE SENT:
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
LAW DEPT
❑ SIGNATORY (MAYOR OR DIRECTOR
CITY CLERK
ASSIGNED AG #
SIGNED COPY RETURNED
❑ RETURN ONE ORIGINAL
PAID BY: ❑ CONTRACTOR ❑ CITY
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE:
DATE REC'D: % 1 20' I
COMMENTS: .p
11/9
6
�
2. ORIGINATING STAFF PERSON: ewa 4 G\&-ma
s EXT: La3:1 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
• CONTRACT AMENDMENT (AG #):
❑ INTERLOCAL
• OTHER
5. PROJECT NAME: M wrA i o.l k- As CkASic S
6. NAME OF CONTRACTOR: -N%& Ti Gr F; a is
ADDRESS: Z.$ rJGq f lM6-1 a W� -Od aw s� WA !J&DZ3 TELEPHONE:
E -MAIL: FAX:
SIGNATURE NAME: M i { aloell m o-l1a er r
7. EXHIBITS AND ATTACHMENTS: SCOPE, WORK OR SERVICES X 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 # (�bt=W& 44 , EXP. / /
8. TERM: COMMENCEMENT DATE: G i % 1 f l COMPLETION DATE: 1 2 1 3 1 11-1
9. TOTAL COMPENSATION: $ 19 I 'I'm , 11 (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, $
❑ PURCHASING: PLEASE CHARGE TO: 04 1 —%';L00 - 35*;kr 4to
10. DOCUMENT /CONTRACT REVIEW
�ROJECT MANAGER
El SUPERVISOR
ADIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
X LAW DEPT
11. COUNCIL APPROVAL (IF APPLICABLE)
INITIAL/ DATE REVIEWED
ao
COMMITTEE APPROVAL DAI'E:
12. CONTRACT SIGNATURE ROUTING
• SENT TO VENDOR/CONTRACTOR DATE SENT:
• ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
LAW DEPT
❑ SIGNATORY (MAYOR OR DIRECTOR
CITY CLERK
ASSIGNED AG #
SIGNED COPY RETURNED
❑ RETURN ONE ORIGINAL
PAID BY: ❑ CONTRACTOR ❑ CITY
INITIAL / DATE APPROVED
COUNCIL APPROVAL DATE:
DATE REC'D: % 1 20' I
COMMENTS: .p
11/9
CITY OF CITY HALL
Federal Way Feder 8th Avenue South
Federal V1lay, WA 98003 -6325
(253) 835 -7000
www cdyoflederaiway corn
RECREATION AGREEMENT
FOR
MARTIAL ARTS CLASSES
This Recreation Agreement ( "Agreement ") is made between the City of Federal Way, a Washington municipal
corporation ( "City "), and The Tiger Kid's, a Washington State Business ( "Contractor "). The City and
Contractor (together "Parties ") are located and do business at the below addresses which shall be valid for any
notice required under this Agreement:
THE TIGER KID'S:
Mitch Mayberry
23509 Edmonds Way
Edmonds, WA 98023
425- 774 -2787 (telephone)
mitchmayberry @msn.com
The Parties agree as follows:
CITY OF FEDERAL WAY:
Gina Shaw
876 S. 333rd St.
Federal Way, WA 98003 -6325
253- 835 -6924 (telephone)
253- 835 -6929 (facsimile)
.com
1. TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be
the date of mutual execution, and shall continue until the completion of the Work, but in any event no later than December
31", 2017 ( "Term "). This Agreement may be extended for additional periods of time upon the mutual written agreement
of the City and the Contractor.
2. WORK.
2.1 Work. The Contractor shall provide goods, materials or services and otherwise perform the work more
specifically described in Exhibit "A ", attached hereto and incorporated by this reference ( "Work "), performed to the City's
satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her
designee.
2.2 Warranties. The Contractor warrants that it has the requisite training, skill, and experience necessary to
provide the Work and is appropriately accredited and licensed by all applicable agencies and governmental entities,
including but not limited to obtaining a City of Federal Way business registration. The Contractor warrants it will provide
services in a manner consistent with the accepted practices for other similar services within the Puget Sound region in
effect at the time those services are performed. The Contractor warrants goods are merchantable, are fit for the particular
purpose for which they were obtained, and will perform in accordance with their specifications and Contractor's
representations to City. The Contractor shall, at its sole cost and expense, correct all Work performed which the City
deems to have defects in workmanship and material discovered within one (1) year after the City's final acceptance of the
Work. This Agreement is subject to all warranty provisions established under the Uniform Commercial Code, Title 62A
RCW. In the event any part of the goods are repaired, only original replacement parts shall be used; rebuilt or used parts
are not acceptable. When defects are corrected, the warranty for that portion of the work shall extend for one (1) year
from the date such correction is completed and accepted by the City. The Contractor shall begin to correct any defects
within seven (7) calendar days of its receipt of notice from the City of the defect. If the Contractor does not accomplish
the corrections within a reasonable time as determined by the City, the City may complete the corrections and the
Contractor shall pay all costs incurred by the City in order to accomplish the correction.
RECREATION AGREEMENT - l - 4/2011
.,� CITY
ederal Way
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -6325
(253) 835 -7000
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2.3 Time, Documentation, and Inspection. Work shall begin immediately upon the effective date of this
Agreement. Work shall be subject, at all times, to observation and inspection by and with approval of the City, but the
making (or failure or delay in making) such inspection or approval shall not relieve Contractor of responsibility for
performance of the Work in accordance with this Agreement, notwithstanding the City's knowledge of defective or non-
complying performance, its substantiality or the ease of its discovery.
2.4 Clean Up. At any time ordered by the City and immediately after completion of the Work, the Contractor
shall, at its own expense, clean up and remove all refuse and unused materials of any kind resulting from the Work. In the
event the Contractor fails to perform the necessary clean up, the City may, but in no event is it obligated to, perform the
necessary clean up and the costs thereof shall be immediately paid by the Contractor to the City and /or the City may
deduct its costs from any remaining payments due to the Contractor.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other
party thirty (30) days written notice at its address set forth on the signature block of this Agreement. The City may
terminate this Agreement immediately if the Contractor fails to maintain required insurance policies, breaches
confidentiality, or materially violates Section 12 and such may result in ineligibility for further City agreements.
4. COMPENSATION.
4.1 Amount. In return for the Work, the City shall pay the Contractor an amount not to exceed a maximum
amount and according to a rate or method as delineated in Exhibit "B ", attached hereto and incorporated by this reference.
The Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at
the negotiated rate(s) for the Term. Except as otherwise provided in Exhibit "B ", the Contractor shall be solely
responsible for the payment of any taxes imposed by any lawful jurisdiction as a result of the performance and payment of
this Agreement.
4.2 Method of Pam. On a monthly basis, the Contractor shall submit a voucher or invoice in the form
specified by the City, including a description of what Work have been performed, the name of the personnel performing
such Work, and any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon
completion of all Work. Payment shall be made on a monthly basis by the City only after the Work have been performed
and within thirty (30) days after receipt and approval by the appropriate City representative of the voucher or invoice. If
the Work do not meet the requirements of this Agreement, the Contractor will correct or modify the work to comply with
the Agreement. The City may withhold payment for such work until the work meets the requirements of the Agreement.
4.3 Defective or Unauthorized Work. If any goods, materials, or services provided under this Agreement are
either defective, unauthorized, or otherwise do not meet the requirements of this Agreement, the Contractor will correct or
modify the work to comply with the Agreement and the City reserves the right to withhold payment from the Contractor
until the goods, materials, or services are acceptable to the City. If Contractor is unable, for any reason, to complete any
part of this Agreement, the City may obtain the goods, materials or services from other sources, and Contractor shall be
liable to the City for any additional costs incurred by the City. "Additional costs" shall mean all reasonable costs,
including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The
City further reserves its right to deduct these additional costs incurred to complete this Agreement with other sources,
from any and all amounts due or to become due the Contractor.
4.4 Non - Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this
Agreement for any future fiscal period, the City will not be obligated to make payments for Work or amounts incurred
after the end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Work for
which funds are allocated. No penalty or expense shall accrue to the City in the event this provision applies.
4.5 Final Payment: Waiver of Claims. Contractor's acceptance of final payment shall constitute a waiver of
any and all claims, except those previously and properly made and identified by Contractor as unsettled at the time request
for final payment is made.
RECREATION AGREEMENT - 2 - 4/2011
CITY OF CITY HALL
F i decal Way Feder 8th Avenue South 33325
L�,s� Federal Way, WA 98003 -6325
(253) 835 -7000
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5. INDEMNIFICATION.
5.1 Contractor Indemnification. The Contractor agrees to release indemnify, defend, and hold the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all
claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries,
damages, liabilities, taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and /or litigation expenses to or by
any and all persons or entities, including, without limitation, their respective agents, licensees, or representatives, arising
from, resulting from, or in connection with this Agreement or the performance of this Agreement, except for that portion
of the claims caused by the City's sole negligence. Should a court of competent jurisdiction determine that this
Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons
or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, the
Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. Contractor shall ensure that
each sub - contractor shall agree to defend and indemnify the City, its elected officials, officers, employees, agents,
representatives, insurers, attorneys, and volunteers to the extent and on the same terms and conditions as the Contractor
pursuant to this paragraph. The City's inspection or acceptance of any of Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Contractor waives
any immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the
purposes of this indemnification. Contractor's indemnification shall not be limited in any way by any limitation on the
amount of damages, compensation or benefits payable to or by any third party under workers' compensation acts,
disability benefit acts or any other benefits acts or programs. The Parties further acknowledge that they have mutually
negotiated this waiver.
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers,
directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless from any and all
claims, demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries,
damages, liabilities, losses, fines, fees, penalties expenses, attorney's fees, costs, and /or litigation expenses to or by any
and all persons or entities, including without limitation, their respective agents, licensees, or representatives, arising from,
resulting from or connected with this Agreement to the extent solely caused by the negligent acts, errors, or omissions of
the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement
with respect to any event occurring prior to such expiration or termination.
6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with
the performance of the services or work by the Contractor, their agents, representatives, employees or subcontractors for
the duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as
follows:
6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms
and with such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations,
independent contractors, products- completed operations, stop gap liability, personal injury, bodily injury, death, property
damage, products liability, advertising injury, and liability assumed under an insured contract with limits no less than
$1,000,000 for each occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the
laws of the State of Washington;
C. Automobile liability insurance covering all owned, non - owned, hired and leased vehicles with a
minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for
bodily injury, including personal injury or death, and property damage.
RECREATION AGREEMENT -3 - 4/2011
CITY OF
Federal
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003 -65325
(253) 835 -7000
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6.2. No Limit of Liability. Contractor's maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's
recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance as
respect the City. Any insurance, self - insurance, or insurance pool coverage maintained by the City shall be excess of the
Contractor's insurance and shall not contribute with it.
6.3. Additional Insured, Verification. The City shall be named as additional insured on all commercial
general liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates
of insurance for all commercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference.
At City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of
premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to
maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or
upon project completion and acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this
Agreement shall be considered confidential subject to applicable laws. Breach of confidentiality by the Contractor may
be grounds for immediate termination. All records submitted by the City to the Contractor will be safeguarded by the
Contractor. The Contractor will fully cooperate with the City in identifying, assembling, and providing records in case of
any public records disclosure request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs,
design specifications, records, files, computer disks, magnetic media or material which may be produced or modified by
Contractor while performing the Work shall belong to the City upon delivery. The Contractor shall make such data,
documents, and files available to the City and shall deliver all needed or contracted for work product upon the City's
request. At the expiration or termination of this Agreement, all originals and copies of any such work product remaining
in the possession of Contractor shall be delivered to the City.
9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently
and properly reflect all direct and indirect costs related to the performance of the Work and maintain such accounting
procedures and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant
to this Agreement. These records shall be subject, at all reasonable times, to inspection, review or audit by the City, its
authorized representative, the State Auditor, or other governmental officials authorized by law to monitor this Agreement.
10. INDEPENDENT CONTRACTOR / EMPLOYEE CONDITIONS.
10.1 Independence. The Parties intend that the Contractor shall be an independent contractor and that the
Contractor has the ability to control and direct the performance and details of its work, the City being interested only in
the results obtained under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick leave,
vacation pay or any other benefit of employment, nor to pay any social security, income, or other tax which may arise as
an incident of employment, except as specifically provided in Section 4. Industrial or any other insurance that is
purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit to the
Contractor, shall not be deemed to convert this Agreement to an employment contract. If the Contractor is a sole
proprietorship or if this Agreement is with an individual, the Contractor agrees to notify the City and complete any
required form if the Contractor retired under a State of Washington retirement system and agrees to indemnify any losses
the City may sustain through the Contractor's failure to do so.
10.2 Safety. Contractor shall take all necessary precautions and shall be responsible for the safety of its
employees, agents, and subcontractors at the work site and in the performance of the contract work and shall utilize all
protection necessary for that purpose. Contractor shall comply with all applicable provisions of federal, state and
municipal safety and health laws and codes, including without limitation, all OSHA /WISHA requirements, Safety and
Health Standards for Construction Work (Chapter 296 -155 WAC), General Safety and Health Standards (Chapter 296 -24
RECREATION AGREEMENT - 4 - 4/2011
CITY OF CITY HALL
' 33325 8th Avenue South Way Fe d e ra Federal Way, WA 98003 -6325
(253) 835 -7000
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WAC), and General Occupational Health Standards (Chapter 296 -62 WAC). Contractor shall erect and properly
maintain, at all times, all necessary guards, barricades, signals and other safeguards at all unsafe places at or near the site
for the protection of its employees and the public, safe passageways at all road crossings, crosswalks, street intersections,
post danger signs warning against known or unusual hazards and do all other things necessary to prevent accident or loss
of any kind. Contractor shall protect from damage all water, sewer, gas, steam or other pipes or conduits, and all hydrants
and all other property that is likely to become displaced or damaged by the performance of the Work. The Contractor
shall, at its own expense, secure and maintain a safe storage place for its materials and equipment and is solely responsible
for the same
10.3 Risk of Work. All work shall be done at Contractor's own risk, and Contractor shall be responsible for
any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. Industrial or
any other insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or
incidental benefit to the Contractor, shall not be deemed to convert this Agreement to an employment contract. Even
though Contractor is an independent contractor, the work must meet the approval of the City and shall be subject to the
City's general right of inspection to secure satisfactory completion
11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services
during the Term for other parties; however, such performance of other services shall not conflict with or interfere with
Contractor's ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in favor of the
City. Contractor confirms that Contractor does not have a business interest or a close family relationship with any City
officer or employee who was, is, or will be involved in the Contractor's selection, negotiation, drafting, signing,
administration, or evaluating the Contractor's performance.
12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and employment made
possible by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its
subcontractors of any level, or any of those entities' employees, agents, subcontractors, or representatives against any
person because of sex, age (except minimum age and retirement provisions), race, color, religion, creed, national origin,
marital status, or the presence of any disability, including sensory, mental or physical handicaps, unless based upon a bona
fide occupational qualification in relationship to hiring and employment. This requirement shall apply to, but not be
limited to, the following: employment, advertising, layoff or termination, rates of pay or other forms of compensation,
and selection for training, including apprenticeship. Contractor shall comply with and shall not violate any of the terms of
Chapter 49.60 RCW, Title VI of the Civil Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the
Rehabilitation Act of 1973, 49 CFR Part 21, 21.5 and 26, or any other applicable federal, state, or local law or regulation
regarding non - discrimination.
13. GENERAL PROVISIONS.
13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the
agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or
agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this
Agreement conflict with any language in this Agreement, the terns of this Agreement shall prevail. The respective
captions of the Sections of this Agreement are inserted for convenience of reference only and shall not be deemed to
modify or otherwise affect any of the provisions of this Agreement. Any provision of this Agreement that is declared
invalid, inoperative, null and void, or illegal shall in no way affect or invalidate any other provision hereof and such other
provisions shall remain in full force and effect. Any act done by either Party prior to the effective date of the Agreement
that is consistent with the authority of the Agreement and compliant with the terms of the Agreement, is hereby ratified as
having been performed under the Agreement. No provision of this Agreement, including this provision, may be amended,
waived, or modified except by written agreement signed by duly authorized representatives of the Parties.
13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or
assign, in whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other
Party. If the non- assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full
force and effect and no further assignment shall be made without additional written consent. Subject to the foregoing, the
RECREATION AGREEMENT -5 - 4/2011
CITY OF
Federal
CITY HALL
33325 8th Avenue South
Federal Way. WA 98003 -6325
(253) 835 -7000
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rights and obligations of the Parties shall inure to the benefit of and be binding upon their respective successors in interest,
heirs and assigns. This Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No
other person or entity shall have any right of action or interest in this Agreement based on any provision set forth herein.
13.3 Compliance with Laws. The Contractor shall comply with and perform the Services in accordance with
all applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions,
regulations, rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation
of the City's Ethics Resolution No. 91 -54, as amended, occurs as a result of the formation or performance of this
Agreement, this Agreement may be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence of this Agreement and each and all of its provisions in which
performance is a factor. Adherence to completion dates set forth in the description of the Services is essential to the
Contractor's performance of this Agreement. Any notices required to be given by the Parties shall be delivered at the
addresses set forth at the beginning of this Agreement. Any notices may be delivered personally to the addressee of the
notice or may be deposited in the United States mail, postage prepaid, to the address set forth above. Any notice so posted
in the United States mail shall be deemed received three (3) days after the date of mailing. Any remedies provided for
under the terms of this Agreement are not intended to be exclusive, but shall be cumulative with all other remedies
available to the City at law, in equity or by statute. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this Agreement in one or
more instances shall not be construed to be a waiver or relinquishment of those covenants, agreements or options, and the
same shall be and remain in full force and effect. Failure or delay of the City to declare any breach or default immediately
upon occurrence shall not waive such breach or default. Failure of the City to declare one breach or default does not act
as a waiver of the City's right to declare another breach or default. This Agreement shall be made in, governed by, and
interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute,
difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim, shall
be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington,
unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction
over such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to
the personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such
courts are an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall
pay all its legal costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including
all appeals, in addition to any other recovery or award provided by law; provided, however, however nothing in this
paragraph shall be construed to limit the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and
warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed
in any number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto
had signed the same document. All such counterparts shall be construed together and shall constitute one instrument, but
in making proof hereof it shall only be necessary to produce one such counterpart. The signature and acknowledgment
pages from such counterparts may be assembled together to form a single instrument comprised of all pages of this
Agreement and a complete set of all signature and acknowledgment pages. The date upon which the last of all of the
Parties have executed a counterpart of this Agreement shall be the "date of mutual execution" hereof.
[Signature page follows]
RECREATION AGREEMENT - 6 - 4/2011
CITY OF 32 HALL
33
Fede
i t�' l Wav 33325 8th Avenue South
Federal Way, WA 98003 -6325
wr (253) 835 -7000
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IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY
DATE: e/Z 6 (., y
THE TIGER KID'S
Printed Name:
y
Title:
DATE: fS /f
STATE OF WASHINGTON )
ss.
COUNTY OF Kifil
ATTEST:
City Clerk/ A CAIA )
APPROVED AS TO FORM:
V K U�
-�� Interim City Attorney, Amy Jo Pearsall
On this day personally appeared before me ofkio may" , to me known to be the
pre5ideelk of Ac Tiler KA 6 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 th6 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
STEPHANIE D. COURTNEY
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
APRIL 27, 2017
day of
otary's signature
otary's printed n,
201y
Public in and for the State of Washington.
My commission expires y -27 -111
RECREATION AGREEMENT - 7 - 4/2011
CITY OF CITY HALL
Federal ` ■ ■Y /iY/ ray 33325 8th Avenue South • 1 Box 9718
Federal Way, WA 98463 -9718 8
(253) 835 -7000
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EXHIBIT "A"
RECREATION SERVICES
1. The Contractor shall do or provide the following: Mitchel Mayberry will provide martial arts classes for
the City of Federal Way. The classes will be determined by the City and the Contractor on a quarterly basis.
Minimum and maximum enrollment, fees and charges for the recreation classes will be mutually agreed upon
by the City and the Contractor prior to the quarter in which the classes and services will be offered. Contractor
may have senior students teach class, if prearranged with Coordinator, and after they have successfully
completed a background check.
RECREATION AGREEMENT - 8 - 4/2011
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RECREATION AGREEMENT - 8 - 4/2011
CITY OF CITY HALL
F 8th Avenue South • Box 9718
Federal Way Federal Way, WA 98063 -9718 18
(253) 835 -7000
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EXHIBIT "B"
COMPENSATION
1. Compensation. In consideration of the Contractor performing the Work, the City agrees to pay the
Contractor an amount not to exceed NINETEEN THOUSAND NINE HUNDRED NINETY NINE and 99/100
Dollars ($19,999.99), calculated on the basis of 80% of each participant's registration fee that is paid and not
refunded. The City makes no representation or warranty regarding class size and nothing in this Agreement
obligates the City to pay more than 80% of the total of the registration fees paid and not refunded.
RECREATION AGREEMENT - 9 - 4/2011
& Ib V
VERIFICATION OF INSURANCE
FOR THE AMATEUR ATHLETIC UNION OF THE U.S., INC. AND ITS MEMBER CLUBS
GENERAL INFORMATION This document verifies insurance coverage for the Amateur Athletic
Union of the United States, Inc. Member clubs have coverage as shown COVERAGE DATES:
below from the date of enrollment and acceptance in the AAU. 08/19/2013 - 8/31/2014
Expiration date is August 31st annually.
This verification is issued as a matter of information only and confers no rights. This verification does not affirmatively or negatively amend, extend or
alter the coverage afforded by the policies below. This verification of insurance does not constitute a contract between the issuing insurer (s), authorized
representative or producer.
PRODUCER
INSURED
MEMBER CLUB INSURED CLUB CODE: WW3T4W
Inusrance Office of America, Inc.
Amateur Athletic Union of the U.S., Inc.
Tiger Kids
P.O. Box 162207
Walt Disney World Resort
20215 97th Ave NE
Altamonte Springs, FL
P.O. Box 10000
Arlington, WA 98223
32716 -2207
Lake Buena Vista, FL 32830 -1000
Enrollment Date: 8/19/2013 6:43:OOPM
(407) 934 -7200
INSURER(S) AFFORDING COVERAGt
Company A Standard Security Life - NAIC #69078
P Y tY
Company B Philadelphia Insurance Company —NAIC #18058
�,,':
;For box below, INSR LTR refl�s�€y��impany A or B.
COVERAGES - This is to certify that the policy(ies) of insurance listed below have been issued to the insured named a ,,the policy period indicated.
Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certifica be issued or may pertain, the
limits have been
insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions, and conditions of such policy shown may
reduced by paid claims. y;
INSR
TYPE OF
POLICY
CO �
COVERAG
COVERAGES
LIMITS
LTR
INSURANCE
NUMBER
��?
DATE( )
A
Participant
SRU00015
9/ 1
/ 4 1
A cal
50,000
Accident
'd and Dismemberment
10,000
B
Excess
PHUB 8
1/2 :Ol
/
P lub
9,000,000
Liability
k i - lub
9,000,000
B
General
PHPKI051166 f
9 1
/20 1 1
ence Limit
1,000,000
Liability
Aggregate Limit Per Club
3,000,000
Participant Legal Liability
1,000,000
Personal and Advertising Injury Limit
1,000,000
Products- Completed Operations
3,000,000
Fire Damage to premises Rented to
You (Any One Premises)
1,000,000
Medical Expenses Limit (Any One Person)
5,000
Sexual Abuse Liability
1,000,000
Sexual Abuse Aggregate
2,000,000
ADDITIONAL INFORMATION / RES
For said club to have coverage, all me re ents in the AAU must be met.
For said club to have Extended Coverage (AB rogram, all membership requirements in the AAU AB program must be met.
CANCELLATION — Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the
policy provisions. But, failure to mail such notices shall impose no obligation for liability of any kind upon the insurer, its agents or representatives.
REVOCATION OF MEMBERSHIP - will result in cancellation of coverage.
I -
Verification No. WW3T4W msp«�oc�n,p
Authorized Representative