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AG 12-154 RETURN TO: ., �.1 EXT: . CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PRCS/ \ti( C. 2. ORIGINATING STAFF PERSON: boo) C..le:VV1 C1 V1 EXT: �r 1 2_2_ 3. DATE REQ.BY: 4. TYPE OF DOCUMENT(CHECK ONE): ❑ CONTRACTOR SELECTION DOCUMENT(E.G.,RFB,REP,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 `i' ❑ RESOLUTION g CONTRACT AMENDMENT(AGO: 12,- I f ❑ INTERLOCAL ❑ OTHER 5. PROJECT NAME: 6. NAME OF CONTRACTOR: ADDRESS: 16Z'1 4 ,'+''' S}, F 131,11 t) 1C) TELEPHONE: E-MAIL: FAX: SIGNATURE NAME: {�.� ��vG� -- .r�n C 4.e.\E,eta e cZ c TITLE: M 7. EXHIBITS AND ATTACHMENTS:'X SCOPE,WORK OR SERVICES xCOMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE# U 21 CJ 15.1 G BL,EXP. 12/31/ UBI# (c.,C)Z 3 3 2,0 5 2- ,EXP. / / 8. TERM: COMMENCEMENT DATE: J 1 J 12- COMPLETION DATE: I Z, .3 1 1 11 9. TOTAL COMPENSATION:$ 1 5, /)()() (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: 00 1 - 1 -o O - 35-2. - 1 3 -- z - (AI O 10. DOCUMENT/CONTRACT REVIEW INITIAL/DATE REVIEWED INITIAL/DATE APPROVED ❑ PROJECT MANAGER ❑ SUPERVISOR ❑ DIRECTOR ❑ RISK MANAGEMENT (IF APPLICABLE) 07 LAW DEPT ti '71V!5 21101IC 11. COUNCIL APPROVAL(IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING r ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: i 1 I S [1 5 Z 4(v 115 DATE REC'D: 3 I 1 1 I l Gi ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE,LICENSES,EXHIBITS INITIAL/DAT SIG ED �I 311 4,LAW DEPT ;� �J FEW ❑ SIGNATORY YOR OR DIRECTOR) '��ifall CITY CLERK /�ILi��i' iii ❑ ASSIGNED AG# AG# r War IGNED COPY RETURNED DATE SENT: V rii 149 ❑RETURN ONE ORIGINAL COMMENTS: * 4IPP Vla-iB 5 vwk liS.k4 AS o4\CP,r o- Cor p °'ef roc- o i or` - er Ce.fib o atkPDVI. A , N0tur bloc 11.0E c ov11,f1.L4 11/9 Akiii CITY OF CITY HALL 33325 8th Avenue South Federal Way,WA 98003-6325 Federal 1Nay (253)835-7000 www,cityoffederaiway.corn AMENDMENT NO. 2 TO RECREATION AGREEMENT FOR GYMNASTIC LESSONS This Amendment ("Amendment No. 2") is made between the City of Federal Way, a Washington municipal corporation("City"), and Roach Gymnastics, 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 Recreation Agreement for Gymnastic Lessons ("Agreement") as amended by Amendment No. 1 dated effective September 1, 2012, 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, 2017 ("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, is hereby ratified as having been performed under the Agreement,as modified by any prior amendments,as it existed prior to this Amendment.The provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment,which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1/2015 CITY OF CITY HALL 33325 8th Avenue South : Federal Way 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 F DERAL WAY ATTEST: By: �� i 1I/ l 1 1 T ;I errell, Mayor Su C -rk, Stephanie Court CMC DATE: 3A 5 /5 APPROVED AS TO FORM: 7 &4 c( City Attorney, Amy Jo Pearsall ROACH GYMNASTICS By: __ . _'"` Printed Name: -__J rrl nl PC)vIC Title: 0 6-v,P r' DATE: 3%/hS STATE OF WASHINGTON ss. COUNTY OF A lit, ) On this day personally appeared before me v,9cT2 , to me known to be the 19Gf//+k� of I AC-4 6(r 1,- $c that executed the foregoing instrument,and acknowledged the said instrument t�e 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 m 1 1• and official seal this /f 7`"day of 1%t _ , 20/c ` 'Y-''F 1�tv /F +i Notary's signature Aa•....G/r o � 4k8NOTARY N 921, t Notary's printed name % i --�°E— Notary Public in and for the State of as ngton. it cf, Pij . ° My commission expires �6 ?f 16/r- � -y 06 , , : AMENDMENT - 2 - 1/2015 CITY OF CITY HALL. Federal Way Federal 8th ue South Federr Way,Wayy,,WA 98003-6325 (253)835-7000 www cityoffederalway,corn EXHIBIT B-2 ADDITIONAL COMPENSATION 1. Total Compensation: In return for the Services,the City shall pay the Contractor an additional amount not to exceed FIFTY-SEVEN THOUSAND and NO/100 Dollars ($57,000.00). The total amount payable to Contractor pursuant to the original Agreement, all previous Amendments, and this Amendment shall be an amount not to exceed NINETY-FIVE THOUSAND and NO/100 Dollars ($95,000.00). 2. Method of Compensation: The Contractor will be paid based on the calculation 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 the original Agreement, and this Amendment obligates the City to pay more than 70%of the total of the registration fees paid and not refunded. AMENDMENT - 3 - 1/2015 RETURN TO: � EXT: � �� CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT/DIV: PRCS / I�,c�• 2. ORIGINATING STAFF PERSON: DAV itL G�GWI o VL S ExT: b`13'7 3. DATE REQ. BY: 4. TYPE OF DOCUMENT �CHECK ONE�: ❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ� ❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMTfED 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 C ❑ RESOLUTION �CONTRACTAMENDMENT (AG#�:I � J� O INTERLOCAL ❑ OTHER 5. PROJECT NAME: ��. �y �_d_��{ 1 C a LL° S S O V► � J 6. NAME OF CONTRACTOR: Q n�_(�� v� �_ �1 S Ann�ss: (1.2-i ►�8�+! S�. �_ Rtd� - to3 E-M�L: ��s�tia�w►hask�c� l� 4.o�wp �� aetn� SIGNATURE NAME: 1M�. \ s...: i � o p„G � TELEPHONE: Trrr.E: 7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES �COMPENSATION �INSURANCE REQUIItEMENTS/CERTIFICATE ❑ ALL OTHER REFERENCED EXHIBTTS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIIiED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS CFW LICENSE # 0110 l 8 70 BL, EXP. 12/31 /�r f 3 UBI # bC 2� g 2 C 5 Z , EXP. �/�/�r �+�' 1 8. TERM: COMMENCEMENT DATE: °I � � �{ 2 COMPLETION DATE: S� S l I l� 9. TOTAL COMPENSATION: $ 4- `� U��+ L�� `�� .}� �.�.,.-B�'O�6ZS� (INCLUDE EXPENSES AND SALES TAX, IF ANY� (IF CALCULATED ON H�YJ�OR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TTI'LES AND HOLIDAY RATES� REIMBURSABLE EXPENSE: ❑ YES ❑ NO IF YESq MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ C1TY ❑ PURCHASING: PLEASE CHARGE TO: _�� 0. J�L1tW1 00� -'T ZOO� $ 5Z - 5`( 3- Z,� -�± � O lO. DOCUMENT / CONTRACT REVIEW �I PROJECT MANAGER � SUPERVISOR � DmEC'roR O RISK MANAGEMENT (IF APPLICABLE� �LAw DErr IN IAL / DATE REV WED INITIAL / DATE APPROVED z �3 Zl :� ' �`� 11. COUNCIL APPROVAL (IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ro5en{- 7�q� I3 '7 �� 30 � 3 O SENT TO VENDOR/CONTRACTOR DATE SENT: /- DATE REC'D: ❑ ATTACH: SIGNATUREAUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS � LAW DEPT ❑ SIGNATORY (MAYOR OR DIRECTOR� � CITY CLERK � ASSIGNED AG # �SIGNED COPY RETURNED ❑ RETURN ONE ORIGINAL COMMENTS: INITIAL / DATE SIGNED � 2 � �2• AG# ' 1 DATESENT: 'Z' �/l1'I�J�Ll1�.��_t Si! f t� �J.�l .� R��iii=1I :A. S%]'i 7�I1'_ 1/9 ` CITY OF '�,,�..., Federal CITY HALL ��33325 8th Avenue South Y Federal Way, WA 98003-6325 (253) 835-7000 www cityoifederahvay com AMENDMENT NO.1 TO RECREATION AGREEMENT FOR GYMNASTICS LESSONS This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Roach Gymnastics, 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 gymnastics lessons ("Agreement") dated effective September 1 St, 2012, as follows: 1. 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 E�ibit "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(s) for the Term. Except as otherwise provided in an attached Exhibit, the Contractor shall be solely responsible for the payment of any ta�ces 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, is hereby ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed prior to this Amendment. T'he provisions of Section 13 of the Agreement shall apply to and govern this Amendment. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. [Signature page follows] AMENDMENT - 1 - 1 /2010 � CITY OF � Federal CITY HALL � w/�� 33325 8th Avenus South V� Federal Way, WA 98003-6325 (253) 835-7000 wwrrv. ciryoffederahvay. com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY By: /�� Cary M. Roe, PE, irector of Parks, Public Works & Emergency Management DATE: ��2/ � 3 ROACH GYMNASTICS By: .� Printed Name: �� ►4G� Title: V ' � �� w�e� DATE: �/Zr/� � STATE OF WASHINGTON ) ) ss. COUNTY OF ) ATTEST: City Clerk, Carol McNeill , CMC AP ROVED AS TO FORM: � City Atto y, Patricia A Ric ardson On 's day personally appeared before m At1 �Y�i- to me known to be the ! Cu /�/'��,r�'�" of �,rz-s �S that executed the foregoing instrument, and acknowledged the said i sn�trument 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 ��ay of Notary's signature Notary's printed name PUBIIC os•25-17 My commission expires ashington. AMENDMENT - 2 - 1 /2010 � GTY OP ;�� Federal CITY HA�L W�� 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www. crtyaffederalway. com EXHIBIT B-1 ADDITIONAL COMPENSATION 1. Total Compensation: In return for the Services, the City shall pay the Contractor an additional amount not to exceed NINETEEN THOUSAND and NO/100 Dollars ($19,000.00). The total amount payable to Contractor pursuant to the original Agreement, and this Amendment shall be an amount not to exceed THIRTY EIGHT THOUSAND and NO/100 Dollars ($38,000.00). 2. Method of Compensation: The Contractor will be paid based on the calculation 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 the original Agreement, and this Amendment obligates the City to pay more than 70% of the total of the registration fees paid and not refunded. AMENDMENT - 3 - 1 /2010 Corporations: Registration Detail Corporations Division - Registration Data Search ROACH GYMNASTICS, INC. UBI Number 602382052 Category REG ProfitMonprofit Profit Active/Inactive Active State Of Incorporation WA WA Filing Date 03/31/2004 Expiration Date 03/31/2014 Inactive Date Duration Perpetual Registered Agent Information Agent Name ROACH GYMNASTICS INC. Address 1627 45TH ST E BLDG D City SUMNER State WA ZIP 98390 Special Address Information Address 9616 180TH AVE E City BONNEY LAKE State WA Zip 98391 Governing Persons Title Name Address President ROACH , MELANIE BONNEY LAKE , WA Vice President ROACH , DAN BONNEY LAKE , WA Purchase Documents for this Corporation» Page 1 of 2 http://www.sos.wa.gov/corps/search_detail.aspx?ubi=602382052 5/30/2013 ACORD TM CERTIFICATE OF LIABILITY INSURANCE �_ 06-06-2013 ____ _ -- _ _ 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(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAI INSURED, the policylies) must 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 endorsementlsl. PRODUCER 99996 / Health & Fitness Direct A Division of Markel Service Incorporated 4600 Cox Road Glen Allen, VA 23060 INSURED Roach Gymnastics Inc. 9616 180th Avenue E Bonney Lake, WA 98391 CONTACT NAME: PHONE E-MAIL FAX INSURERIS) AFFORDING COVERAGE INSURER A: MARKEL INSURANCE COMPANY INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: NAIC # COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT�ON 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 ADDL SUBR POLICY EFF POLICY EXP LTR TVPE OF INSURANCE INSR WVD POLICV NUMBER MMIDD/YYVV (MM/DD/YYYY) LtMRS A GENERAL LIABILITY EACH OCCURRENCE 8 1,000,000 � COMMERCIAL GENERAL LIABILITY � � DAMAGE TO RENTED g 100,000 � � CLAIMS-MADE � OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) g 5,000 ❑ 3602HF313372-5 05-16-2013 05-16-2014 PERSONAL & ADV INJURY g 1,000,000 ❑ GENERAL AGGREGATE 8 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 8 1,000,000 � POLICY ❑ JECT ❑ �0� 8 AUTOMOBILE LIABILITY � � COMBINED SINGLE LIMIT 8 IEa accidentl ❑ ANY AUTO BODILY INJURY (Per person) 8 � ALL OWNED � SCHEDULED BODiLV INJURV (Per accident) g AUTOS AUTOS PROPERTY DAMAGE $ � HIRED AUTOS � NON-OWNED � AUTOS IPer accident) ❑ ❑ s UMBRELLA lIAB OCCUR � � EACH OCCURRENCE 8 EXCESS LIAB 8 CLAIMS-MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION � WC STATU- � OTH- AND EMPLOYERS' LIABILITY yM TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE � N�p � OFFICER/MEMBER EXCLUDED� E.L. EACH ACCIDENT 8 IMandemry in NH) E.L. DISEASE - EA EMPLOYEE g If yes, describe under DESCRIPTION OF OPERATIONSbelow � E.L. DISEASE - POLICY LIMIT $ ❑ ❑ DESCflIPT10N OF OPERATIONS/LOCATIONSNEHICLES IAttach ACORD 101, Additionel Remarka Schedub,'rf more space is requirsd) Mobile location - 876 South 33rd St., Federal Way, WA 98003 Certificate holder is inc�uded as additional insured. CERTIFICATE HOLDER City of Federel Way 876 South 33rd St. Federal Way, WA 98003 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOHE THE EXMRATION DATE THEflEOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICV PROVISIONS. AUTHORIZED REPRESENTATIVE Bruce A. Kay (c) 1988-2010 ACORD 25 (2010/05) The ACORD name and logo are rsgistered marks of ACORD GAN �0 reserved. RETURNTO: D�id G�ewton5 EXT: bq37 CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM 1. ORIGINATING DEPT./DIV: 2. ORIGINATING STAFF PERSON: Goda Gie � r�es EXT: (oq Z� 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 DOCiJMENT (E.c. sorm �r.a,�n Docun�rrs> ❑ ORDiNANCE ❑ RESOLUTION ❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL � OTHER �C.G.Y' �; e�n dl.a rG e ru e n� 5. PROJECT NAME: (��m�,5 �. i tS_L � 55�Y�.S 6. NAME OF CONTRACTOR: (� �$,�,M �,,,, �� E i c S ADDRESS: tM TELEPHONE 253 S ZL S'►��► E-MAIL: roo.clnwwrnnssl�ics @ ke�� . co w. FAX: SIGNATURE NAME: v+� e i av►i � Qe n. cIn TITLE �1,�h4,( 7. EXHIBITS AND ATTACHMENTS: J� SCOPE, WORK OR SERVICES � COMPENSATION � INSURANCE REQUIREMENTS/CERTIFICATE J$� ALL OTHER REFERENCED EXHIBTI"S '� PROOF OF AUTHORITY TO SIGN �1 REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS 8. TERM: COMMENCEMENT DATE: 9 I t I I 2. COMPLETION DATE: 8 I 31 � 1� 9. TOTAL COMPENSATION $ { 9, D b 0. D 0 (INCLUDE EXPENSES AND SALES TAX, g' AtvY) (IF CALCULATED ON HOURLY LABOR C GE - ATTACH SCHEDULES OF EMPLOYEES TTfLES AND HOLIDAY RATES) REIMBURSABLE EXPENSE: ❑ YES ❑ No g' �s, MAXIMUM DOLLAR AMOUNT: $ IS SALES TAX OWED ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CTI'Y ❑ PURCHASING: PLEASE CHARGE TO: u( �,p� }��W� (�t� -� 2��0"' �S Z- S�1 3- Z I��I )� 10. DOCUMENT/CONTRACT REVIEW IIVITI / DAT REVIEWED I1�TITIAL / DATE APPROVED � PROJECT MANAGER ?� �'( DIRECTOR � �6 f � ❑ RISK MANAGEMENT (� aPPr.ic,�sr�) � LAW • ZS • (2 11. COUNCILAPPROVAL (IF APPLICABLE� COMMITTEE APPROVAL DATE: COUNCILAPPROVAL DATE: 12. CONTRACT SIGNATURE ROUTING ❑ SENT TO VENDOR/CONTRACTOR DATE SENT: �/Z�° �I Z- DATE REC'D: i 1/��j Z ❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS TIAL / DATE SIGNED / �, ❑ LAW DEPARTMENT �CC. �t�W SIGNATORY (MAYOR OR DIRECTOR� L ( CITY CLERK ( ' �j' � ASSIGNED AG# AG# � SIGNED COPY RETURNED DATE SENT: IZ" J•« COMMENTS: - b2 � ,� 11/9 ` CITY OF ,� Federal CITY HALL �� 33325 8th Avenue South Federai Way, WA 98003-6325 (253) 835-7000 www atyoffederahvay. com RECREATION AGREEMENT FOR GYMNASTICS LESSONS This Recreations Class Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal corporation ("City"), and Roach Gymnastics, a Washington corporation ("Contractor"). The City and Contractor (together "Parties") are located and do business at the below addresses which sha11 be valid for any notice required under this Agreement: Roach Gymnastics: CITY OF FEDERAL WAY: Melanie Roach Cody Geddes 1627 48�' Street East Bldg. D-103 33325 8�' Ave. S. Sumner, WA 98390 Federal Way, WA 98003-6325 253-826-5999 (telephone) 253-835-6926 (telephone) 253-835-6939 (facsimile) roach � astics hotmail.com cod . eddes cit offederalwa .com The Parties agree as follows: 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 September 1, 2012 ("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 - 1 - 4/2011 � CITY OF �, Federal CITY HALL �� 33325 8th Avenue South Federa! Way, WA 98003-6325 (253) 835-7000 wwH% cityofiede�alway. 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 of the City, but the making (or failure or delay in making) such inspection or approval sha11 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 Un. 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 maJCimum 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 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 fmal bill upon completion of all Work. Payment sha11 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 Pavment: Waiver of Claims. Contractor's acceptance of final payment shall constitute a waiver of any and all claixns, except those previously and properly made and identified by Contractor as unsettled at the time request for final payxnent is made. RECREATION AGREEMENT - 2 - 4/2011 � ` CITY OF � Federal Way 5. INDEMNIFICATION. CITY HALL 33325 8th Avenue South Federal Way, WA 98�03-6325 (253) 835-7000 www. cityoffederalway. com 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 Citv 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 $1,000,000 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 Way 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www aryot%derahvay.com 6.2. No Limit of Liabilitv. 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 Safetv. 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 RECREATION AGREEMENT - 4 - 4/2011 ' ` CITY OF ,'�. Federal Way CITY HALL 33325 8th Avenue South Federal Way, WA 98003-6325 (253) 835-7000 www cityoffederalway. com Health Standards for Construction Work (Chapter 296-155 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 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. EOUAL OPPORTLTNITY 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 sha11 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 terms 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 Assi�nment 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 RECREATION AGREEMENT - 5 - 4/2011 ` CITY OF ,'�.... Federal CITY HALL �� 33325 8th Avenue South Federai Way, WA 98003-6325 (253) 835-7000 www dtyoffederahaay. com force and effect and no further assignxnent shall be made without additional written consent. Subject to the foregoing, the 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 sha11 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 fled 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 sha11 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 sha11 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 docuxnent. 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 .,"�.,.�.. Federal CITY HA�� 33325 8th Avenue South Federai Way, WA 98003-6325 (253) 835-7000 �vww c�ryoffederalway com IN WITNESS, the Parties execute this Agreement below, effective the last date written below. CITY OF FEDERAL WAY � Cary M. Roe, P. ., Director of Parks, Public Works and Emergency Management DATE: Z �J I Z- ROACH GYMNASTICS By: l �— Printed Name: �/}� I�o►4c-N Title: �vne.� DATE: 1��.�0 �/ Z --� ATTEST: City Clerk, Carol McNeil y, CMC APPROVED AS TO FORM: �G�� City Att y, Patricia A Richardson STATE OF WASHINGTON ) , ) ss. COUNTY OF 1�,� On this day personally appeared fore me �� to me known to be the �-�c/I�-� of d� � that executed the foregoing instrument, and acknowledged the said instrument t 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 ��day of , 20� �� P.J.��1 fi�• Notary's signature � ` �v�li��,essF�nr�;9,�� . Notary's printed name .� �'�'z+�.i�/ � �° ��iT��Y � Notary Public in and for the Stat of shington. � �� My commission expires �G z� Z�l � RECREATION AGREEMENT - 7 - 4/2011 �` CITY OF CITY HALL ..� Fe d e ra I Way 33325 8th Avenue South • PO Box 9718 Federal Way, WA 98063-9718 (253) 835-7000 www ciryof%derahaay com EXHIBIT "A" RECREATION SERVICES The Contractor shall do or provide the following: Roach Gymnastics will provide gyrnnastics classes for the City of Federal Way. The classes will deliver professional instruction and be appropriate for children between the ages of two and twelve years. Typical class activities will include but not be limited to training on low bar, low beam, cartwheels, backward rolls, and forward rolls. Classes will be determined by the City and the Contractor on a quarterly basis. Minimum and maximum enrollment and fees will be mutually agreed upon by the City and the Contractor prior to the beginning of the quarter in which the classes will be offered. RECREATION AGREEMENT - 8 - 4/2011 ` CITY OF , �, Federai CITY HA�L W�� 33325 8th Avenue South • PO Box 9718 Federal Way, WA 98063-9718 (253) 835-7000 www atyoffederalway. com 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 and NO/100 Dollars ($19,000.00), 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. RECREATION AGREEMENT - 9 - 4/2011 ACORD TM CERTIFICATE OF LIABILITY INSURANCE � 11-28-2012 _ 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 INSURERIS), AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAI INSURED, the policylies) must 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 endorsementlsl. PRODUCER 99996 / Health & Fitness Direct A Division of Markel Service Incorporated 4600 Cox Road Glen Allen, VA 23060 INSURED Roach Gymnastics Inc. 9616 180th Avenue E Bonney Lake, WA 98391 COVERAGES CERTIFICATE NUMBER: CONTACT NAME: INSURERIS) AFFORDING COVERAGE INSURER A: MARKEL INSURANCE COMPANY INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: REVISION NUMBER: NAIC # 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. INS ADDL SUBR POLICY EFF POLICV EXP LTR TVPE OF INSURAItlCE INSR WVD POLICY NUMBER MM/DD/VYYY (MM/DD/YYVVI LIMITS A GENERAL LIABILITY EACH OCCURRENCE 8 1,000,000 � COMMEflCIAL GENERAL LIABILITY � � DAMAGE TO RENTED g 100,000 PREMISES IEa occurrencel �❑ CLAIMS-MADE � OCCUR MED EXP (Any one person) 8 5,000 � 3602HF313372-4 05-16-2012 05-16-2013 pERSONAL & ADV INJURY g 1,000,000 ❑ , GENERAL AGGREGATE g 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: � PRODOCTS - COMP/OP AGG S 1,000,000 � POLICY � �E� � LOC g AUTOMOBILE LIABILITY � � COMBINED SINGLE LIMIT g 1Ea accidentl � ANY AUTO BODILV INJURY (Per person) 8 � ALL OWNED � SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PpOPERTV DAMAGE $ �HIHED AUTOS NON-OWNED AUTOS (Pe� accident) ❑ ❑ S UMBRELLA LIAB 8 OCCUR � � . EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ � DED � FETENTION S B WORKERS COMPENSATION � WC STATU- � OTH- A111D EMPLOYERS' LIABILITY y�N � TOHY LIMITS ER ANY PROPRIETOR/PAqTNEH/EXECUTIVE ❑ N�A ❑ OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT S �IMandatory�inNHl� �� -� � � �� E.L.DISEASE-EA�EMPLOYEE � g If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POL�CV LIMIT y ❑ ❑ DESCRIPTION OP OPEHATIONS/LOCATIONS/VEHICLES IAttach ACORD 101, Addkional Remarks Schedule, H more space is requvedl Mobile location - 876 South 33rd St., Federal Way, WA 98003 CERTIFICATE HOLDER _ _ City of Federal Way 876 South 33rd St. Federal Way, WA 98003 ACORD 25 (2010/051 CANCELLATION _ _ _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POIJCV PROVISIONS. AUTHORIZED REPRESENTATIVE Bruce A. Kay (c1 1988-2010 A�'lTFiI3i The ACORD name and logo are registered marks of ACORD GAN 10 reserved. ___ . _ _ _ -- � S#ate of 1Nashringtcr�t Business Licensing S�tvk� ROAGH GYMNASTICS, IAIC. 1627 45TM ST � BLAG D SUMNER WA 98390 � . �.; � �� m �- � a, a e : : i� .�;.�� v`°r LE�AL ��hl��T�T�� E��TR�T1�►1� Un3#ied Busir�e�s ID �a b02 382 9:5Z Btrsinsss iD # : � �p],w�esr i13:-31'�2�113: Domestic Profit-Carporation Renewed'by AuthoritY o'f Se�re�EgrY of �tate REraZSTERED TRAiIE WAMES e ROACH �1�MN1kSTIC�, TNC. By aec�pting this dOCUtx�t! �te � �'�ct i[t#t�tmstk»t pra+rided an the r�new�fi ��r��6�, tnte, �td �&cui�te to the Frest af his or her knqwlecige, �nd �rt �e e�ut�par� w81 � irti : campliance with �U applir„�k�a Ntaahtt�on :i� � _ __ ;. :� Corporations: Registration Detail ConTact Us � Connect � �L.� � Corporations and Charities Division Corporations Home � Nonprofit Home ( Charities Home � Awards � Public Notices I Contact Info Page 1 of 2 SEARCH Corporation Detail Neither the State of Washington nor any agency, officer, or employee of the State of Washington warrants the accuracy, reliability, or timeliness of any information in the Public Access System and shall not be liable for any losses caused by such reliance on the accuracy, reliability, or timeliness of such information. While every effort is made to ensure the accuracy of this information, portions may be incorrect or not current. Any person or entity who relies on information obtained from the System does so at his or her own risk. All documents filed with the Corporations Division are considered public record. ROACH GYMNASTICS, INC. UBI Number 602382052 Category REG Profit/Nonprofit Prnfit Active/Inactive Active State Of Incorporation WA WA Filing Date o3/3i/2oo4 Expiration Date o3/3i/2oi3 Inactive Date Duration Perpetual Registered Agent Information �gent Name ROACH GYMNASTICS INC. Address i62� 45TH ST E BLDG D City SUMNER State WA ZIP 98390 Special Address Information Address 96i6 i8oTH AVE E City BONNEY LAI� State WA Zip 98391 Governing Persons Title Name Vice President ROACH , DAN President ROACH , MELANIE Purchase Documents for this Corporation » « Return to Search List Address BONNEY LAKE , WA BONNEY LAKE , WA http://www. sos.wa.gov/corps/search_detail.aspx?ubi=6023 82052 9/24/2012