Loading...
AG 23-208 - PACIFIC NORTHWEST SOCCER CLUB (PACNW)RETURN TO: EXT: CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: FWCC 2. ORIGINATING STAFF PERSON: Trisha Plucknett EXT: 6921 3. DATE REQ. BY: 03/13/23 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 9 OTHER RECREATION AGREEMENT i 5. PROJECT NAME: City of Federal Way and Pacific Northwest Soccer Club - Summer soccer camps 6. NAME OF CONTRACTOR: Pacific Northwest Soccer Club (PacNW) ADDRESS: 100 Andover Park W Suite 150 —Box 187 Tukwila, WA 98188 TELEPHONE E-MAIL: malia@pacnwsc.org FAX: SIGNATURE NAME: TQdd Johnson TITLE Executive Director 7. EXHIBITS AND ATTACHMENTS:© SCOPE, WORK OR SERVICES A COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: upon execution COMPLETION DATE: �' la—iA-C33 9. TOTAL COMPENSATION $150 per registrant,-4�?5B-tataF (INCLUDE EXPENSES AND SALES TAX, IF ANY) (IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES [ENO IF YES, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED A PURCHASING: PLEASE CHARGE TO: 001-7200-351-573-62-111 10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED A PROJECT MANAGER CG 03/06123 KH 09/22/2023 $—DIRECTOR l,. 9 ❑ RISK MANAGEMENT (IF APPLICABLE) © LAW JE 3/16/23 11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 2/21/23 12. CONTRACT SIGNATURE ROUTING ❑ 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.) [NITIAL/ DATE SIGNED V<A'W DEPARTMENT 7 &SIGNATORY (MAYOR OR DIRECTOR) � ❑ CITY CLERK ❑ ASSIGNED AG# AG# COMMENTS: 2/2017 CITY OF CITY HALL Fe d e ra 1 Wa 333e5 Avenue South Feaeral Way wA 9a003 na2'5 471 (253) 835-7000 RECREATION AGREEMENT FOR SOCCER CAMPS This Recreation Agreement ("Agreement") is made between the City of Federal Way, a Washington numicipal corporation ("City"), and Pacific Northwest Soccer Club (PacNW). a Washington nonprofit corporation ("Contractor"). The City and Contractor (together "Panics") are located and do business at the below addressors which shall be valid for any notice required under this Agreement: PACIFIC NORTHWEST SOCCER CLUB: Malia Arrant 100 Andover Park W Suite 150 — Box 187 Tukwila, WA 98188 (206) 715-8558 (telephone) The Parties agree as follows: CITY OF FEDERAL WAY: Cody Geddes 876 S 333rd St Federal Way, WA 98003-6325 (253) 835-6926 (telephone) (253) 835-6929 (facsimile) codv.2eddes(cr)citvoftcderalway.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, 2023 ("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 pcl-fornted. 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 C'ontrtctor 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 is repaired, only original replacement parts shall be used; rebuilt or used pails Ire i31't acceptable. When defects are corrected, the warranty far that portion of the work shall extend for one [ I ) Year from the date such correction is completed and accepted by the City. The Contractor shall begin to correct anN 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 tl}e corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction. PROFESSIONAL SERVICES AGREEMENT - 1 - Rev. 7/2021 ctrr OF CITY HALL Federal Way Feder 8tn ,Avenue South Federal Way. WA 98003-6325 (253)835-7000 wti�w u�y.�Bcd. na1v:» com 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 or 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 Citv'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 prop Idi11, 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. CONTPENSATiON. 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 " 13," 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 Payment. 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 bi11 upon completion of al Work. Payment shall be made on a monthly basis b} the City only alter the Work has been performed and within thirty (30) days after receipt and approval by the appropriate City representative of the voucher or invoice. If the Work does 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 fc)r 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 (: ity. 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. PROFESSIONAL SERVICES AGREEMENT - 2 - Rev. T2021 c3T Y Or Federal Way 4.4 If sufficient funds are not appropriated or alltated for pa\Tnt itt tu)dts this A9MVM at for and future fiscal period- the t`rt-, \x ill not be obliL'ated to male pai,inents for \\ ork or the end of the current fiscal period. and this Agreement a ill terminate upon the amounts � completion of all remaining Work for ■.•hich funds are allocated. No penalq or expense shall accrue to the C itV in the n-ent this pro% ision applies. 4.5 Final Pa\Ynertt: Wainer of Claims. Contractor's acceptance of final paymcnt shall conxtitute a r ai►cr of any and all claims. except those previously and properly made and identified b\ Contractor aS EIY wetted at, the time request for fatal payment is made. S. LN'DENMFICaTION. 5.1 Contractor Indemnification. The Contractor agrees to release indemnify, defend. and hold the Cityt its elected officials. olitcem employees, agents, representatives, insurers. attorneys. and \ o#unteor. harmless from any and all claims. demands. actions. suits. causes of action. arbitrations. mediations. proceedings. }udgrnents. awards.. injuries, damages. liabilities. tsae+. losses. fines. fees. penalties expettyes, artorney's fees. costs. and or litigation expenses to or bN and- and :ill persons or entitle:, including. A• ith.�ut limitation_ their respective agents, licensees. or representative,.. arising from. resulting #iota. or in cc`nneh non with this Agreement or the performance of this A�*mement. except for that portion of the claims eau+cd h� the City's sole negligence. Should a court of competent jurisdiction detertuine that this Agreement is sur#cet tt� RCW 4-24.1 1S, then, in the event of liability for damages arising out of haclik' injun to person% or danlaec. to property caused by or resulting from the concurrent negligence of the Contractor and the L'it\. the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. Contractor shall ensure that eaeh tr sub-conactor shall agree to defend and indemnify the City. its elected officials, officers. employees. a�!ents. representatives, insurers. anorneys, 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 \\ or4 ,vhen completed shall not be grounds to avoid any of these covenants of indemnification. 5? industrial Insurance Act Waiver. It is specifically and expressly understood that the Contr.tetor waives any immunity that may be granted to it under the Washington State industrial insurance act. Title. � 1 RCW, solely for the purposes of this indemnification. Contractor's indemnification shall nut be limited in an\ way by any limitation on the amount of damages, compensation or benefits payable to or by am third part.\ under workers' compensation acts. disability benefit acts or any other benefits acts or proyarams. 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 hanuless li'om any and all claims, demands, actions. suits, causes of action, arbitrations, mediations, proceedin�,s, iud_naents. awards. injuries, damages. liabilities, losses, fines, fees. penalties expenses, attorney's tees, costs, and or litigation expenses to or by any and all persons or entities, including without limitation, their respecti-Ne licensees, or representatives, arising from. resulting from or connected with this Agreement to the extent SOICIN caused by the negligent acts, errors, or omissions of the City. 5.4 Sun•ival. The provisions of this Section shall survive the expiration t tenninatiuit u( this Agreement with respect to any event occurring prior to such expiration or tenTtination. 6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise tier, or to connection with the performance of the services or work by the Contractor, their agents, representati%c`. PROFESSIONAL SERVICES AGREEMENT - 3 - Re%- - 202t City OF CITY HALL FederaI Wa 33325 Sth Avenue South Federal Way. WA 98003003-G325 llllpftft-., (253) 835-7000 �t�nv c�fhll,�dcralw.�y �,.�ni 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. Minimwn Limits. The Contractor agrees to carry as a rnininlum, the following insurance, in SLICK 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. scup 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 S2,000,000 for each occurrence and S2,000,000 general aggreglte. 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 minimum combined single limits in the minimum amounts required to dove under Washington State law per accident for bodily injury, including personal injury or death. and property damage. 6.2. No Limit of Liability. Contractor's maintenance of insurance as rcquired 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 ►vith 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 perfor+llance 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. S. 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 mt►y be produced or modified by Contractor while perforating the Work shall belong to (fie 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 Agreclnent. all originals and copies of any such work product remaining in the possession of Contractor shall be dclivered Lo the City. 9. BOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents whicll sufficiently and properly reflect all direct and indirect costs related to the perl'ormance of the Work and.rnaintain 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 PROFESSIONAL SERVICES AGREEMENT - 4 - Rev. 7/2021 CITY OF Federal Way CITY HALL 33325 8th Avenue South Federa) V/aj 'NA 5300 =12- (253) 835-7000 6w.tt rd,x�`!, l%r,Int5, 11, inspection, review or audit by the City, its authorized representative, the State Auditor. or other go%cmrncntal 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 ma: 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 indi%idual. 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 OSFIA %.,ISHA requirements, Safety and Health Standards for Construction Work (Chapter 296-15S WAC), General Safety and Health Standards (Chapter 296-24 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 kno%%-n 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 v. ith the work. Industrial or any other insurance that is purchased for the benefit of the City, regardless of whctlter such may provide a secondary or incidental benefit to the Contractor, shall not be deemed to com en 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 satistacton 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. PROFESSIONAL SERVICES AGREEMENT - 5 - Rev. 7.2021 CITY OF Federal Way CITY HALL 33325 Bit) Avenue South Federal Way WA 9800 +-837't, (253) 835-7000 %mit' clewth �t`R111Kt1' i '; 12. EQUAL OPPORTUNITY EMPLOYER. In all services, programs, activities, hiring, and cnlploynlcnt 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, advertisino. 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 terns 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 ol- 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 terms of this Agreement shall prevail. The respective captions of the Sections of this Agreement are inserted for convenience of refer•enee 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 ftrll 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 Assijznment 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 a-ritten consent. Subject to the foregoing, the rights and obligations of the Parties shall intu-c to the benclit 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 forllation 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 in 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 he delivered at the addresses set forth at the beginning of this Agreement. Any notices may be delivered person,111Y to the addressee of the notice or may be deposited in the United States mail, postage prepaid, to the address set PROFESSIONAL SERVICES AGREEMENT - 6 - Rev. 712021 :NCITY of CITY HALL Fe d e ra I Wa Feder l Avenue South �Federal Way. WA 98003-5325 (253) 835-7000 wlvwrRrdidgr.ihw�� cron 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 "vaiver 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 ol'the C'ity's right to declare another breach or default. This Agreement shall be made in, governed hy, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle any dispute, dilference 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] PROFESSIONAL SERVICES AGREEMENT - 7 - Rev. T-10' 1 CITY 4F CITY HALL :N�Fed a ra l Way (253) 3,58th Avenue South Federal Way. WA 98003-6325 (253) 835-7000 m"v afyoft dowlivvy com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. 1TY OF FEDERAL WAY: ATTEST: Jo n Hutton, Parks Director *�ha e Courtney, CMC, Ci d lerk DATE:a' PACIFIC NORTHWEST SOCCER CLUB: By: To Johnson, Executive Director DATE: H 114 1 Z J STATE OF WASHINGTON ) ) ss. COUNTY OF K� APPROVED AS TO FORM: f. yan Call, City Att ey On this day personally appeared before me Todd Johnson, to me known to be the Executive Director of Pacific Northwest Soccer Club 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 2l/" day of r f, 1 12023. Notary's signature �-'-���-�c.t-►� NOEMI CHAPMAN Notary's printed name Notary Public Notary Public in and for the State of Washington. State of Washington My commission expires SI- IN- 2027 Commission � 206473 My Comm. Expires Apr 14, 2027 PROFESSIONAL SERVICES AGREEMENT - 8 - Rev. 7/2021 CITY OF CITY HALL South Fe d e ra I Way Feder l Avenue 8003 Federal Way WA 98003-8325 (253) 835-7000 - {l14'll'c,�ji�lltAk7�:]AK]ti ..-.un EXHIBIT "A" RECREATION SERVICES The Youth and Amateur Sports Grant Program (YASG) is funded and sustained through a 1-percent car -rental tax authorized by the State in 1993. Formerly known as the Youth Sports Facilitie,5 Grants, the King Counts Council restructured the program in 2017 to provide Council -directed grants, as well as competitive grants, to non-profit organizations, local governments, Tribes, and school districts. Funding is available for sports and recreation programs and capital projects. The Federal Way Parks and Recreation Department will partner with the PacNW to provide two fi-ee soccer camps, one for ages 5-8 and another for ages 9-12, for a week in the summer of 2023, Tile Federal Way Community Center will handle all participant registrations- PacNW will provide coaches and instruction for participants. It is estimated the City will register 120 participants. This will be a skills -based camp intended to work with youth of all different skills levels. Games will mainly be cooperative, and focused on building skills. Camp will take place at Celebration Park — June 26-29, 2023 5-8yrs from 9:00a-12:00p 9-12yrs from 1:00p-4:00p The Contractor shall do or provide the following: • Provide coaches and instruction for participants from the soccer camps • Provide equipment, cones and non-standard goals to nun drills and games • Provide appropriate staffing for camp with a minimum of 1-12 ratio of staff to participants • Conduct background checks on all employees working at the camp • Orchestrate parent check in and check out of participants during camp using City -provided rosters • Invoice the City for $150 per registrant within 30 days of the completion of camp The City shall do or provide the following: • Conduct the registration process and obtain signed waiver forms • Provide a soccer ball and t-shirt for every registered participant • Work with YASG to obtain grant -funded reimbursement of all expenses • Provide reimbursement to PacNW at $150 per registered participant within 30 days of receipt of invoice • Provide space at Celebration Park for the soccer camp • Ensure appropriate bathrooms and standard goals are available — bathrooms will be in close proximity to the field provided for use and within sigh[ of employees • Provide rosters for PacNW with parent contact information for each child for check -in and check-out purposes RECREATION AGREEMENT - 9 - 7/2021 CITY OF CfTY HALL A& Fe r e ra l Way Feder 8th Avenue South 4ry� Federel Way. WA 98003-6325 (253) 835-7000 www clfwtkdar lAvoy corn EXHIBIT "B" COMPENSATION 1 Cornnensation. In consideration of the Contractor performing the Work, the City agrees to pay the Contractor an amount not to exceed Nineteen Thousand Nine llundred Ninety -Nine and 99/100 Dollars ($19,999.99), calculated on the basis of One hundred fifty and NO1100 Dollars ($150.00) per person that enrolls in the camps. Contractor shall only he paid the amount equal to the actual number of persons who register for the camps. The City makes no representation or warranty regarding class size and nothing in this Agreednent obligates the City to pay more than $150.00 per person per camp. Payment shall be made within thirty (30) days of receipt of invoice after the completion of each camp. RECREATION AGREEMENT - 10 - 7/2021 3/7/23, 12:27 PM Corporations and Charities System BUSINESS INFORMATION Business Name: PACIFIC NORTHWEST SOCCER CLUB UBI Number: 602 707 417 Business Type: WA NONPROFIT CORPORATION Business Status: ACTIVE Principal Office Street Address: 14800 STARFIRE WAY, TUKWILA, WA, 98188-8502, UNITED STATES Principal Office Mailing Address: 100 ANDOVER PARK W STE 150-187, TUKWILA, WA, 98188-2802, UNITED STATES Expiration Date: 03/31/2023 Jurisdiction: UNITED STATES, WASHINGTON Formation/ Registration Date: 03/19/2007 Period of Duration: PERPETUAL Inactive Date: Nature of Business: EDUCATIONAL Charitable Corporation: R Nonprofit E1N: 20-8611780 Most Recent Gross Revenue is less than $500,000: Has Members: R' Public Benefit Designation: R Host Home: REGISTERED AGENT INFORMATION Registered Agent Name: PACIFIC NORTHWEST SOCCER CLUB Street Address: 100 ANDOVER PARK W # 150-187, TUKWILA, WA, 98188-2802, UNITED STATES Mailing Address: https://ccfs.sos.wa.gov/#/BusinessSearch/Businesslnformation 1 /2 3/7/23, 12:27 PM Corporations and Charities System GOVERNORS Title Governors Type Entity Name First Name Last Name GOVERNOR INDIVIDUAL TODD JOHNSON GOVERNOR INDIVIDUAL MICHELLE PATTON GOVERNOR INDIVIDUAL JOHN WILSON GOVERNOR INDIVIDUAL KRISTIN CEBULL https://ccfs.sos.wa.gov/#/BusinessSearch/Businessinformation 2/2 317/23, 12:30 PM Washington State Department of Revenue Washington State Department OT Kevenue < Business Lookup License Information: Entity name: PACIFIC NORTHWEST SOCCER CLUB Business PACIFIC NORTHWEST SOCCER CLUB name: Entity type: Nonprofit Corporation UBI #: 602-707-417 Business ID: 001 Location ID: 0001 Location: Active Location address: Mailing address: 14800 STARFIRE WAY TUKWILA WA 98188 100 ANDOVER PARK W # 187 STE 150 TU KWI LA WA 98188-2828 Excise tax and reseller permit status: Click here Secretary of State status: Click here Endorsements New search Back to results hftps://secure.dor.wa.gov/gteunauth/—/#4 1/2 3/7/23, 12:30 PM Washington State Department of Revenue Endorsements held i License # Count Detail: Status Expiration date First issuance dal Minor Work Permit Active Mar-31-2023 Feb-11-2015 Tukwila Fee- Active Mar-31-2023 Mar-27-2019 Exempt Business Governing People May include governing people not registered with Secretary of State Governing people CEBULL, KRISTIN JOHNSON, TODD PATTON, MICHELLE WILSON, JOHN The Business Lookup information is updated nightly. Search date and time: 3/7/2023 12:29:55 PM 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/_/#4 2/2 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 USI Insurance Services NW NAME: CONTACT 601 Union Street, Suite 1000 1 C.N 206-441-6300 F"c Seattle, WA 98101 E-MAIL _ _ INSURED Washington Youth Soccer 7100 Fort Dent Way, Suite 215 Tukwila WA 98188 INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: National Casualty Company 11991 INSURERB: HDI Global Specialty SE 41343 INSURER C : INSURER D : ROVFRAnPR CFRTIFICATF NIIMRFIR 711757= REVISION NIIMRFR- 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 LTR OF INSURANCE ADDLTYPE INSD S BR POLICY NUMBER MMIDDNYYY MM DDM'YY LIMITS A COMMERCIAL GENERAL LIABILITY �/ �/ 6LKK00000009276100 9/1/2022 9/1/2023 EACH OCCURRENCE s$1 000,000 CLAIMS -MADE F —./] OCCUR ,IAGr= TO RENTED PREMISES lEanccurranca) S$500,000 MED EXP (Any one person) S $5 000 PERSONAL & ADV INJURY S$1 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s$3,000,000 POLICY1:1 JPECT LOC PRODUCTS - COMP/OPAGG s$20004000 s ,I pTxER: TeamlLea e AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT F9 accidan $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Per a -dent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY s B UMBRELLA LIAB OCCUR 2FOEX0007001138100 9/1/2022 9/1/2023 EACH OCCURRENCE S $5 000 000 V/ AGGREGATE 5$5 000 000 EXCESS LIAB E CLAIMS -MADE DED RETENTIONS s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT s OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT S A Sexual Abuse & Molestation 6LKK00000009276100 9/1/2022 9/1/2023 Each Occurrence $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This certificate is issued on behalf of Washington State Youth Soccer Ass. & Federal Way Soccer Association and PACNW SC Certificate holder is Additional Insured as respects the operations of the Named Insured for sanctioned activities of the State Association. Waiver of Subrogation and Primary NonContributory apply when required by written contract, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltyy of Federal Way THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 33325 8th Ave South ACCORDANCE WITH THE POLICY PROVISIONS. Federal Way WA 98003 AUTHORIZED REPRESENTATIVE Gary Patterson © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 71125796 122/23 Master Certificate I Keli Bitow 111/3/2022 9:11:57 AM (PDT) I Page 1 of 6 POLICY NUMBER: 6LKK00000009276100 COIVWEIRCIAL GENERAL LIABILITY CG 20 1104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART S*04U" Designation Of Premises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): OWNERS AND/OR LESSORS OF THE PREMISES LEASED, RENTED OR LOANED TO YOU, BUT ONLY WITH RESPECT TO THE LIABILITY ARISING OUT OF YOUR OPERATIONS. Additional PreMUM INCLUDED Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant in that premises. 2 Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 2 If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III —Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or However: 2 Available under the applicable Limits of 1. The insurance afforded to such additional Insurance shown in the Declarations; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 1104 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 71125796 1 22/23 Master Certificate I Keli Bitow 1 11/3/2022 9:11:57 AM (PDT) I Page 2 of 6 �Tj� `a 2 National Casualty Company ATTACFED TOAND ' ENDORSEMENT EFFECTIVE DATE POLICYCY NUNBER FOR UA PART CF (12:01 A.M STANDARD TINE) � NANEDINSURED 6LKKOOD00009276100 09/01/22 , WASHINGTON STATE YOUTH SOCCER ASSOC.; THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COWERCIAL GENERAL LIABILITY COVERAGE FORM AGENT NO. I I A SECTION [—COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, subsection 2. Exclusions, paragraph a is replaced by: a "Bodily injury' or "property damage" expected or intended from the standpoint of the insured. This exclu- sion does not apply to "bodily injury' or "property damage" resulting from the use of reasonable force to protect persons or property. B. SECTION I —COVERAGES, Coverage A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, subsec- tion 2. Exclusions, paragraph G(2) is replaced by: (2) A watercraft you do not own that is: (a) Less than fifty-one (51) feet long; and (b) Not being used to carry persons or property for a charge. C. SECTION I— COVERAGES, Coverage B PERSONAL AND ADVERTISING INJURY LIABILITY, subsection 2. Exclusions, paragraph b. and a are replaced by: b. Material Published With Knowledge of Falsity "Personal and advertising injury" arising out of publication of material, including, but not limited to, oral, written, televised, videotaped or electronically transmitted publication of material, if done at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of publication of material, including, but not limited to, oral, written, televised, videotaped or electronically transmitted publication of material, whose first publication took place before the beginning of the policy period. D. SECTION 1--COVERAGES, SUPPLEMENTARY PAYMENTS --COVERAGES A and B., paragraph 1.b. and 1.d. are replaced by: b. Up to $1,000 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit," including actual loss of earnings up to five hundred dollars ($500) a day because of time off from work. Includes copyrighted material of ISO Properties, Inc., with its permission. Copyright, ISO Properties, Inc., 2012 KR-GL--94 (2-15) Page 1 of 3 71125796 122/23 Master Certificate I Keli Bitow 111/3/2022 9:11:57 AM (PDT) I Page 3 of 6 E The following replaces SECTION II —WHO IS AN INSURED, 3.a.: a. Coverage under this provision is afforded only until the one hundred eightieth (1801h) day after you acquire or form the organization or the end of the policy period, whichever is earlier. F. The following are added to SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 2 Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of the "occurrence," offense, claim or "suit" by the agent, servant, or "employee" of an insured shall not in itself constitute your knowledge unless one of your officers, manager or partners has received notice of the "occurrence," offense, claim or "suit." Failure by the agent, servant or "employee" of an insured (other than an officer, manager or partner) to notify us of an "occurrence" shall not constitute a failure to comply with items a. and b. of this condition. G. The following are added to SECTION IV—CalflllllERCIAL GENERAL LIABILITY CONDITIONS: Unintentional Error or Omission Any unintentional error or omission in the description of or failure to completely describe, any premises or operations intended to be covered by this Coverage Part will not invalidate or affect coverage for those premises or operations. However, you must report such error or omission to us as soon as practicable after its discovery. Waiver of Right of Recovery We waive all rights of recovery when you have agreed to waive your rights of recovery when required by a written contract. However, this provision only applies if the written contract was executed prior to the date of the "occurrence." H. With respect to this endorsement, the following replaces SECTION V—DEFINITIONS, paragraph 3. and 14.: 3. "Bodily injury' means bodily injury, sickness or disease sustained by a person. This includes mental an- guish, mental injury, shock, fright, humiliation, emotional distress or death resulting from bodily injury, sickness or disease. 14. "Personal and advertising injury' means injury, including consequential "bodily injury," arising out of one or more of the following offenses: a False arrest, detention or imprisonment; b. Malicious prosecution or abuse of process; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Any publication of material including, but not limited to oral, written, televised, videotaped or electroni- cally transmitted publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; a Any publication of material, including but not limited to oral, written, televised, videotaped or electroni- cally transmitted publication of material that violates a person's right of privacy; f. The use of another's advertising idea in your "advertisement'; or g. Infringing upon another's copyright, trade dress or slogan in your "advertisement." I. Broadened Coverage —Damage to Premises Rented to You 1. The word fire is replaced with the phrase fire or explosion where it appears in: a SECTION I— COVERAGES, Coverage A, 2. Exclusions, j. Damage to Property; b. SECTION I —COVERAGES, Coverage A, 2. Exclusions, last paragraph; Includes copyrighted material of I�ties, Inc., with its permission. Copyright, ISO es, Inc., 2012 KR-GL-94 (2-15) Page 2 of 3 71125796 1 22/23 Master Certificate I Keli Eitow 1 11/7/2022 9:11:57 AM (PDT) I Page 4 of 6 c. SECTION III —LINTS OF INSURANCE, Item 6.; and d. SECTION W—COMMERCIAL GENERAL UAE31UTY CONDITIONS, 4. Other Insurance, item b.(1)(a)(ii). 2. The Limit of Insurance applicable to Damage to Premises Rented to You is $300,000 unless a higher limit is specified on the Commercial General Liability Coverage Part Supplemental Declarations. AUTHORIZED REPRESENTATIVE DATE Includes copyrighted material of ISO Properties, Inc., with its permission Copyright, ISO Properties, Inc., 2012 KR-GL-94 (2-15) Page 3 of 3 71125796 122/23 Master Certificate I Keli Bitow 111/3/2022 9:11:57 AM (PDT) I Page 5 of 6 National Casualty Company ATTACHED TO AND ORMENT EFFECTIVENAN DATE FORMNG A PART CF ENDSE (OR AM STANDARD TINE) ED INSURED I AGENT NO. POLICY NUNBER 6LKKO00000092761(0 09/01/22 WASHINGTON STATE YOUTH SOCCER ASSOC.; THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ICY C0ND1110W This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The Other Insurance condition of this Coverage Part is replaced by the provision marked below with an "X" in the box: Other Insurance [� If other valid and collectible insurance with any other insurer including any formal self -insured retention programs is available to you covering a loss also covered by this Coverage Part, other than insurance that is in excess of the insurance afforded by this Coverage Part, the insurance afforded by this Coverage Part shall be in excess of and shall not contribute with such other insurance. Nothing herein shall be construed to make this insurance subject to the terms, conditions and limitations of other insurance. Coverage afforded under this Coverage Part is primary insurance and Other Insurance shall not apply as respects AS REQUIRED BY WRITTEN CONTRACT as additional insureds. The Cancellation condition of this Coverage Part is amended by the addition of the following if an ' X" is in the box: LXJ Cancellation The following is added: It is a condition of the Policy by this Endorsement that the Policy will not be can- celled without 30 days' prior written notice to: AS REQUIRED BY WRITTEN CONTRACT and further, that the person(s) named above are not liable for the payment of any premiums or assess- ments on this Policy. AUTHORIZED REPRESENTATIVE I5l13lP FR-GL-79 (4-07) Page 1 of 1 71125796 122/23 Master Certificate I Keli Bitow 1 11/3/2022 9:11:57 AM (PDT) I Page 6 of 6