Loading...
HomeMy WebLinkAbout94-044 - Way Back Inn - Hartnett Manor Lease at 14688 Macadam Road SouthHartnett Manor RESIDENTIAL LEASE This lease is made on October 1, 1998, between the City of Tukwila, a city as "Lessor", and The Way Back Inn, a Washington nonprofit, as "Lessee" as follows 1 PREMISES. Lessor leases to Lessee the Residence currently situated at 14688 Macadam Road South, Tukwila, Washington 2 TERM. The term of this lease shall be for five years, commencing on October 1, 1998 and shall terminate in five years, on October 1, 2003, in accordance with the termination provisions set forth in paragraph 19, unless sooner terminated as a result of Lessee's default hereunder 3 POSSESSION. Lessee shall be deemed to have accepted possession of the leased premises in "as -is" condition Lessor has made no representations to Lessee respecting the condition of the lease premises 4 RENT. During the Term hereof, Lessee may occupy the leased premises rent free, provided, however Lessee shall make all improvements at its sole expense, provided, such improvements shall be subject to a final inspection and the approval of the Lessor, prior to the occupancy of the leased premises, and pay all costs associated with or arising out of the maintenance and operation of the leased premises as set forth herein 5 USE. Lessee shall use the leased premises to provide temporary single family dwellings for homeless families with children under fourteen years of age and all current uses incidental thereto and for no other purpose without first obtaining Lessor's prior written consent. 6 LESSEE MAINTENANCE AND REPAIR RESPONSIBILITY. Lessee shall, when and if needed, at Lessee's sole expense, make repairs to the leased premises and every part thereof; and Lessee shall maintain the lease premises in neat, clean, sanitary condition Tenant shall surrender the leased premises to Lessor in good condition upon the termination of this Lease, reasonable wear and tear expected 7 UTILITIES. Lessee shall pay prior to delinquency for all heat, light, water and other utility services supplied to the leased premises 8 ALTERATIONS AND ADDITIONS BY LESSEE. After obtaining the prior consent of Lessor, Lessee may make, at its sole expense, such additional improvements or alterations to the leased premises, which it may deem necessary or desirable Any repairs or new construction by Lessee shall be done in conformity with plans and specifications approved by Lessor All work performed shall be done in a workmanlike manner and shall become the property of the Lessor 9 LIENS. Lessee shall keep the leased premises free from any liens arising out of any work performed, materials furnished, or obligations incurred by Lessee 10 INSURANCE. Prior to commencing any improvements and prior to occupancy under this lease, at no expense to Lessor, the Lessee shall obtain and fumish to the Page 1 of 4 C \Way Back Inn\Houses\Hartnet Manor\HM LEASE exp 10012003 doc 1+ Hartnett Manor Lessor, a certificate of Insurance showing general liability insurance coverage including blanket contractual coverage, which certificate (1) shall be subject to approval of the Lessor, (2) must fully protect the Lessor from any and all claims and risks in connection with any activity performed by the Way Back Inn and tenant by virtue of this Lease, and (3) must specifically name the Lessor as an additional insured as respects this lease and a copy of the endorsement naming the Lessor as an additional insured shall be attached to the certificate of insurance Such policy must provide the following minimum coverage a. Liability insurance written on an occurrence basis with limits no Tess than $1,000,000 00 combined single limit per occurrence and $2,000,000 00 aggregate for personal injury, bodily injury and property damage Coverage shall include but not be limited to blanket contractual, products/completed operations, broad form property damage, and fire legal to $100,000 b Lessee shall be responsible for obtaining their own property insurance for Lessee's personal property Any payment of deductible or self-insured retention shall be the sole responsibility of the Lessee The Lessee's insurance shall be primary insurance as respects the Lessor and the Lessor shall be given 30 days prior written notice of any cancellation, suspension or material change in coverage 11 INDEMNIFICATION. The Way Back Inn hereby releases, discharges, defends, indemnifies and holds harmless the Lessor, and its agents, contractors, and others from any and all claims, costs (including attomey fees), and liability, arising in any manner, including, but not limited to, those arising from injury or death to persons or damage to property occasioned by any act, omission or failure of the Way Back Inn, its officers, agents, employees, whether they be direct or indirect. 12 ASSIGNMENT AND SUBLETTING. Lessee shall not assign this lease or any part thereof, either by operation of law or otherwise, without first obtaining the prior written consent of Lessor 13 DEFAULT. Failure by Lessee to make improvements on the house or failure by Lessee to observe or perform any of the covenants, conditions or provisions of this Lease, where such failure shall continue for a period of ten (10) days after written notice from Lessor to cure the default, shall constitute a default and breach of the Lease by the Lessor Lessee shall notify Lessor promptly of any default not by its nature necessarily known to Lessor 14 ACCESS. Lessee shall permit Lessor to enter the leased premises at reasonable times for the purpose of inspecting the leased premises and ascertaining compliance with the provisions hereof by Lessee, but nothing herein shall be construed as imposing any obligation on Lessor to perform any such work or duties. 15 COMPLIANCE WITH LAWS, RULES AND REGULATIONS. Lessee shall, at its sole cost and expense, promptly comply with all laws, statutes, ordinances, and governmental rules, regulations or requirements now in force or which may hereafter be Page 2 of 4 C \Way Back Inn\Houses\Hartnet ManorlHM LEASE exp 10012003 doc Hartnett Manor in force relating to or affecting the conditions, use, or occupancy of the leased premises Lessee shall faithfully observe and comply with the rules and regulations that Lessor shall from time to time promulgate, including, without limitation, those regulations affecting signage on the Property 16 PERMITS. Lessee shall at its sole cost and expense be responsible for obtaining any permits or licenses that are necessary to perform the move and covenants of this Lease Agreement. 17 PROPERTY TAXES. Lessee shall be responsible for keeping all property taxes paid and up to date 18 NOTICES. All notices under this Lease shall be in writing and shall be effective when mailed by certified mail or delivered to Lessor at the address below stated, or to Lessee at the address below stated, or to such other address as either party may designate from time to time LESSOR CITY OF TUKWILA ATTN Mayor's Office 6200 Southcenter Boulevard Tukwila, Washington 98188 LESSEE Way Back Inn Post Office Box 621 Renton, WA 98057-0621 19 TERMINATION. Either party has the right to terminate this Agreement if the other party is in default of any material obligation or representation of this Lease which default is incapable of cure, or which being capable of cure, is not cured within 10 days after receipt of written notice of such default. 20 GENERAL PROVISIONS. a. TIME IS OF THE ESSENCE OF THIS LEASE. b In the event of any action or proceeding brought by either party against the other under this Lease, the Prevailing party shall be entitled to recover for the fees of its attorneys in such action or proceeding, including costs of appeal, if any, in such amount as the court may adjudge reasonable as Attorneys' fees for the purposes of this provision, the terms "action" or "proceeding" shall include arbitration, administrative, bankruptcy, and judicial proceedings including appeals therefrom c. This Lease shall be construed and governed by the laws of the State of Washington d Upon termination of this Lease, Lessee shall surrender all keys to the Residence to Lessor at the place then fixed for notice 21 AUTHORITY OF LESSEE. Lessee and each individual executing this Lease on behalf of Lessee represent and warrant that he or she is duly authorized to execute and Page 3 of 4 C \Way Back Inn\Houses\Hartnet Manor\HM LEASE exp 10012003.doc Hartnett Manor deliver this Lease, and that this Lease is binding upon Lessee in accordance with its terms 22 WAIVER AND FORBEARANCE. No waiver by Lessor of any breach or default by Lessee of any of its obligations or agreement or covenants herein, shall be deemed to be a waiver of any subsequent breach or default of the same or any other covenant, agreement or obligation, nor shall forbearance by Lessor to seek remedy for any breach or default of Lessee be deemed a waiver by Lessor of its rights and remedies with respect of such breach or default. THIS LEASE IS SUBJECT TO ACCEPTANCE BY LESSOR IN WITNESS WHEREOF, the parties hereto have execute this Lease the date and year above written By Gtr Its LESSOR Date /o— ' LESSEE. By! V1n , Barbara Heaton Its President Date 9/ 17 /94 Approved as to form , City Attorney, Page 4 of 4 C \Way Back Inn\Houses\Hartnet Manor\HM LEASE exp 10012003.doc () 1/ V RESIDENTIAL LEASE This lease is made ..a- " f 7 , 19 `9/between THE CITY OF TUKWILA, a Washington municipal corpation as "Lessor," and THE WAY BACK INN FOUNDATION, a Washington non-profit corporation, as "Lessee," as follows. 1 PREMISES. Lessor leases to Lessee the Residence and all appurtenances situated on the real property (hereinafter leased premises) located at 14688 Macadam Rd. S., Tukwila Washington. 2. TERM. The term of this lease shall be for five years, commencing on January 1, 1994, and shall terminate in accordance with the termination provisions set forth in paragraph 18, unless sooner terminated as a result of Lessee's default hereunder 3 POSSESSION. Lessee shall be deemed to have accepted possession of the leased premises in "as -is" condition. Lessor has made no representations to Lessee respecting the condition of the leased premises. 4. RENT. During the Term hereof, Lessee may occupy the leased premises for the rent of one dollar ($1 00) annually and other good and valuable consideration, provided, however Lessee shall make all improvements at its sole expense, as outlined in Exhibit A, provided, such improvements shall be subject to a final inspection and the approval of the Tukwila Building Code Inspector and the Tukwila Mayor's Office, prior to the occupancy of the leased premises, and pay all costs associated with or arising out of the maintenance and operation of the leased premises as set forth herein. 5 USE. Lessee shall use the leased premises to provide temporary single family dwellings for homeless families with children under fourteen years of age, and all current uses incidental thereto, and for no other purpose without first obtaining Lessor's prior writ- ten consent. 6. LESSEE MAINTENANCE AND REPAIR RESPONSIBILITY. Lessee shall, when and if needed, at Lessee's sole expense, make repairs to the leased premises and every part thereof; and Lessee shall maintain the leased premises in neat, clean, sanitary condition. Tenant shall surrender the leased premises to Lessor in good condition upon the termination of this Lease, reasonable wear and tear excepted. 7 UTILITIES. Lessee shall pay prior to delinquency for all heat, light, water, and other utility services supplied to the leased premises. 8. ALTERATIONS AND ADDITIONS BY LESSEE. After obtaining the prior consent of Lessor, Lessee may make, at its sole expense, such additional improvements or alterations to the leased premises which it may deem necessary or desirable. Any repairs or new con- struction by Lessee shall be done in conformity with plans and specifications approved by Lessor All work performed shall be done in a workmanlike manner and shall become the property of the Lessor -1- 9 LIENS. Lessee nll keep the leased premises freE um any liens arising out of any work performed, materials furnished, or obligations incurred by Lessee. 10 INSURANCE. Prior to commencing any improvements and prior to occupancy under this lease, at no expense to the City of Tukwila, the Lessee shall obtain and furnish to the Tukwila Risk Manager, a certificate of Insurance showing general liability insurance cov- erage including blanket contractual coverage, which certificate (1) shall be subject to ap- proval of the City Attorney as to the company, form and coverage, and shall be primary over all other insurance the City may secure, (2) must fully protect the City from any and all claims and risks in connection with any activity performed by the Way Back Inn Foundation and tenant by virtue of this Lease, and (3) must specifically name the City of Tukwila as an additional insured as respects this lease and a copy of the endorsement naming the City as an additional insured shall be attached to the certificate of insurance. Such policy must provide the following minimum coverage: a. Liability insurance written on an occurrence basis with limits no less than $1,000,000 00 combined single limit per occurrence and $2,000,000 00 aggregate for personal injury, bodily injury and property damage Coverage shall include by not be limited to blanket contractual, products/completed operations, broad form property damage; and fire legal to $100,000 b Lessee shall be responsible for obtaining their own property insurance for Lessee's personal property Any payment of deductible or self insured retention shall be the sole responsibility of the Lessee The Lessee's insurance shall be primary insurance as respects the City and the City shall be given 30 days prior written notice of any cancellation, suspension or material change in cov- erage. 11 INDEMNIFICATION. The Way Back Inn Foundation hereby releases, discharges, defends, indemnifies and holds harmless the City of Tukwila, and its agents, employees, contractors and others from any and all claims, costs (including attorney fees), and liability, arising in any manner, including, but not limited to, those arising from injury or death to persons or damage to property occasioned by any act, omission or failure of the Way Back Inn Foundation, its officers, agents, employees, whether they be direct or indirect. 12. ASSIGNMENT AND SUBLETTING. Lessee shall not assign this lease or any part thereof, either by operation of law or otherwise, without first obtaining the prior written consent of Lessor 13 DEFAULT. Failure by Lessee to make the improvements as set forth in Exhibit B, or failure by Lessee to observe or perform any of the covenants, conditions, or provisions of this Lease, where such failure shall continue for a period of ten (10) days after written notice from Lessor to cure the default, shall constitute a default and breach of the Lease by the Les- sor Lessee shall notify Lessor promptly of any default not by its nature necessarily known to Lessor -2- 14 ACCESS. Lessee shall permit Lessor to enter the leased premises at reasonable times for the purpose of inspecting the leased premises and ascertaining compliance with the provisions hereof by Lessee, but nothing herein shall be construed as imposing any obliga- tion on Lessor to perform any such work or duties. 15 COMPLIANCE WITH LAWS, RULES AND REGULATIONS. Lessee shall, at its sole cost and expense, promptly comply with all laws, statutes, ordinances, and governmen- tal rules, regulations or requirements now in force or which may hereafter by in force relat- ing to or affecting the conditions, use, or occupance of the leased premises Lessee shall faithfully observe and comply with the rules and regulations that Lessor shall from time to time promulgate, including, without limitation, those regulations affecting signage on the Property 16. PERMITS. Lessee shall, at its sole cost and expense, be responsible for obtaining any permits or licenses that are necessary to perform the covenants of this Lease Agreement. 17 NOTICES. All notices under this Lease shall be in writing and shall be effective when mailed by certified mail or delivered to Lessor at the address below stated, or to Les- see at the address below stated, or to such other address as either party may designate from time to time: LESSOR. CITY OF TUKWILA ATTN MAYOR'S OFFICE 6200 Southcenter Boulevard Tukwila, Washington 98188 LESSEE. WAY BACK INN FOUNDATION P O Box 621 Renton, Washington 98055 18. TERMINATION. Either party has the right to terminate this Agreement if the other party is in default of any material obligation or representation of this lease which default is incapable of cure, or which being capable of cure, is not cured within 10 days after receipt of written notice of such default. 19 GENERAL PROVISIONS. a. TIME IS OF THE ESSENCE OF THIS LEASE. b In the event of any action or proceeding brought by either party against the other under this Lease, the prevailing party shall be entitled to recover for the fees of its attorneys in such action or proceeding, including costs of appeal, if any, in such amount as the court may adjudge reasonable as Attorneys' fees. for the purposes of this provision, the terms "action" or "proceeding" shall in- clude arbitration, administrative, bankruptcy, and judicial proceedings includ- ing appeals therefrom. -3- c. This Lease )11 be construed and governed b) laws of the State of Wash- ington. d. Upon termination of this Lease, Lessee shall surrender all keys to the Resi- dence to Lessor at the place then fixed for notice. 20 AUTHORITY OF LESSEE. Lessee and each individual executing this Lease on be- half of Lessee represent and warrant that he or she is duly authorized to execute and deliver this Lease, and that this Lease is binding upon Lessee in accordance with its terms. 21 WAIVER AND FORBEARANCE. No waiver by Lessor of any breach or default by Lessee of any of its obligations or agreement or covenants herein, shall be deemed to be a waiver of any subsequent breach or default of the same or any other covenant, agreement or obligation, nor shall forbearance by Lessor to seek remedy for any breach or default of Les- see be deemed a waiver by Lessor of its rights and remedies with respect of such breach or default. 22. QUIET ENJOYMENT. Provided Lessee is not in default hereunder, Lessor covenants that Lessee shall have peaceful and quiet enjoyment of the leased premises without hindrance on the part of the Lessor THIS LEASE IS SUBJECT TO ACCEPTANCE BY LESSOR. IN WITNESS WHEREOF, the parties hereto have execute this Lease the date and year above written. APPROVED AS TO FORM. OFFICE OF THE CITY ATTORNEY LESSOR. LESSEE. By.G �U2� Its: f �� c's /47, t- -4- FROM GRANTS OND PROPOSALS PHONE NO +206 235 5170 Oct 26 1994 01 49PM P01 imam RENEWAL L. C)!= 1S!::(,JE DATE_ 9S PC CO orr ELD AGENT NO AC r;Oi'I'tl'ENED 07-28-94 M801 F BW 001 94-101-000 4 NON AUDIT NATIONAL INSURANCE COMPANY OF AMERICA 4333 BROOKLYN AVE N E , SEATTLE, WASH,I NGTON g e 1.11 NH11F i) INSURED MAILING RD V I'Z is 7, 1.,Pf1(`1F 17f`. �r._..Pt)LICY_.0 1:18(,11 Uf=ct„.141R2 : 0 5; CP 7 /c.)/ ! 137r WAY BACK .INN 9815SOUTH 2:;'2ND STREET P.U. BOX E`);'.l. RuNToN KING {Jn 9riloi,(i f(J`' INE: . PROVTnt:% I-J(?(.JC ING FOR THP HfM1: l_F. ,'i, TNLUP D TS NPNJ PROFIT ;OrTfl1 `:'I:-I?vC('i= ` PM' Y E F- R 1.(11) (=ROM 07 08 1g94 TO 0/ 0„ 1991.S !i 12 01 Am r_,Ti-iNDARD TIME AT YOUR HnIL:1:Nc IaI).P.REc. , HOW MOW: :J IN RE� t.1RN 1.708 THE P YMI N1 OF THE PREMIUM AND SUBja,T TO PLI TNI7 TEKM OF THIS POLICY, WL r- PEE W1TH YOU TQ PROVIDE_ THE IM:,UR11NCE Al, '; I RTi_.D IN THIS POLICY THIS POLICY CONSIST'.; GF- ONi Y THF FOL1_C)WING co1u1ERL:J r i C,0VERA(.7F PART(5) FOR WHICH THE WORD "YES" ILS SHOWN REI' I: I: I0 `ir-ll: onnTTTnNAI nF-CLr'RfiTTONS ATTACHED TO THIS POL,TCY FOR COvLRAGE`t' AND 1J.t1:E:T1 APELYJN(, TO EA(:H I_'1?f;,1'1. `,C*�. ..�.._.__ COMM["RCIAL COVERAGE Pc -IRT APPL ILA131. E.•........••______ ( YI_.5 Ol NO) PP(5E 0 Y 101.11 .._._NC) qdRA,.,L.IAAIL-11Y ,, ,,,, i ._ ..•_.._. J J f IC. _.... INLAND m(—;NF; — ____NQ____ I. OrATION OF 1• I= 11I'.,ES - WHE-_RC A PREM1N1: S OR LOC:A1'1:0N rc; SHOWN IN_.._ILos POLICY IT rt1WRESPQ:I.111; WITH THE ULLOWINQ 1.,.ocoT TQ A1)'ORF$ y ( c)_. pE ,M No./0c. NO_ AI1DRFS 001 9815 F;OUTH 252,ND STREET KENT KING WA 90031 REr-C:R . jp THE FOI,.E..ou:ING PAGE,FOR SCHEDULE OF. ADO I1' IC)NPl__ F'11Er•I.f: ,LS PAID IN AZ)vANrE PRFriIurl 15 IL 0(1 03 E.I. RS 00 r UR11t; APPLICABLE TO ALL COMMERCIAL CGVERAOL PfRTri, 01-97 T1_ 01 46 .1.1-88 Il. 70 00 1.2•-86 12 8? I UUN'T E: R , T(;)NATUPE. AGENT (' LTY OR TOWN .I)E•lTL I.L_ r0 01 06-86 BLACK/WHITE 1i: r1,15`_,n(:, traT'1' ,,, P 0 ifi)X 30950 OAKL_ANI) CA 94604 NHONF__5,1U ORIGINAL maAFEco RENFLJRL c) ictie DATE 07-20-94 95 PC. CO OFF ESLD AGFNT NO AC GOMBINED M01 F AU 001 94-1501-000 4 NUN AUDIT PIRST NATIONAL INSURANCE COMP(.(NY OF AMIFRIOA HOME OPr-ICE 433i BRoOKLYN AVt; N E SEATTLE, WASHINGTON 96111'S NAMED INURED MAILING ADDRESr., BOc-iNf. IN1(:.URt tS rItIC t72 '1 cy. s.pmq.1,1 DEct,gasuotic; WRY BACK INN 991S r7;01J1H 262ND STREeT RENTON KING PkOVIM, HOULIM:, FOR THE Horigi. NrN-PROFIT orIA1 ,1dRvICE P 0 PDX 611 CP 7194907A WA 90055 PM1C-Y H -N1013 r -NOM 07 013 1gq4 TO 07 01,:. 199 12 01 OM STHND0RD Tim:: AT YOuk mAILING ADDRE:c7-0 HO WH ODOVF IN 1E1URN OR THE POTMNT OF THE PRENIUM AND SUBjEuT TO ALI THE TERM OF THIS POL ICY, WE AGREE w1TH You TO PROVIDE HE IN',URPNCE 0%, '1V-IrLD IN THIS POLICY THI!.-, POLICY CONSISTS 01 ONt Y THE FOLLOWING COMmERL1AL _ _ _ _-- "Tts„, 1-1_1“ linpn "yr --c" Tc E;HOWN REJLR 10 THL ••••' ‘11.7111"6 eco DI_c'LARATION.. COMMERCIAL POLICY _M Apo `�rF{ �.RULE._0.E.' r115.E 1-i NO.i�LOC. rl _.,.._.,., r-1DURGss 002 15421 42ND AVLNUE T U K W X1.1_. A KING {s:1' 1754g07A WA 9©1Bt1 Df1 1 14Ei(3f3 53k) STREEF TI.IKWTI A KING WA g1 ie8 I)m, 702 14' NT) P1 ACE ':) E BF I,LE.VUe KING; WA 90005 005 SW MAPLE R 5W 4TH RENTON KING WA 90055 006 7500 116TH PLACL= 5 SEATTLE KING WA 99170 FROM GRANTS OND PROPOSALS PHONE NO. +206 235 5170 Oct 26 1994 01 47PM P02 13AFECI] 13,.,1)1: DAl F flr '9-94 ADDITIONAL DFCL(aRr TIQN:, T'I-i tS 1)l:.CL_PRATION ATTACHED TO AND FORM, Fa PAR] OF YHE PoL.:ECY PE:C:t:F IEP fIt0VF POLI4Y NO Z/. r, A 711 i -,C i 11=RAL l_f ja�_CI '[�Y OVER AI ;F.. N(L T 1:4_121).1: 1 'TON' L. ;�), C LE+I:'�a I' hila., `Dt.pix",ljit,L" (l NO 1:NsUPRhl(`E IS Pl?OV.LI)LD Fur/ ANY COVERAGE UNLFSc; I=1 i CM1. r or rw uRONt, i I 110WN Y`I�rih7;1`r, t)F= IN.c;2R(-+NI;F: .,. 1�1_I�rr i'i l_ AGA?R ;Gf;'1 E LIMIT t 01 Hl- r' '1'Fl(iNI PI1C,.t)t.)(, 1-COrIPL E TE D OPE RA1 ION; PRODUCTS COMI L r„TFD 111'ERHT:ION4', AGuREGF11 F LIMIT P1'='RSONF-IL 7?c AT)VfiRT:i:`E,ING INJURY LIMIT 1•-(' CH OCCURRENCE LIMIT F-.T.rlc DAMr-Irj L:trtTT • liI:_D.tCAL EXPENSE LIMIT U1_R ORf ti yr ..1, 91 E i. A1r15 MADE CovERAcA. C)NLY $2 000,000 T' 000;011)0 $1,000 000 `.1;1,[1Q0,000 $5U , UUU kNY .1 (' 1RE- .$5 , 000 ANY 1 PERSON LIABILITY FORMS PTIAC-irn 'r0 THIS POLICY CG 00 0:1. 12-93 COM,1(=RCIFII_ GENE:RF 1. LIAFi:1i_ I1 Y CG 00 42 11-93 CHAl'J 4ES 1N COMMERCIAL GENERAL_ LIABILITY COVE F XC L. Uc 1.ON FORMS ANI) OTHER ENDORSr 11E; NTS ATTACHED TO 1 H1C POLICY CG 01 Ln. 10 93 WASH:INGTON CHANGES CC 20 11 1A-85 ADDITIONAL INWRED- PREMI.� L s LC req; ':TJ TO Yt)U CG 20 21 .11-93 ADDITIONAL INSURED- VOLUN'11T)E'ER1 CG ''7. OJ 11 85 EXCLUSION- ATHLETIC ORJPOR PAR -r ICIPrINT CO ?.I. 04 11-85 EXCLUSION- PRODUCTF/C,UrlP-OP HAZARD CG 11 46 11-@0 ABUSE OR MOLESTATION EXCL U ;:I,QN CG 21 49 10-83 TOTAL POLLUTION EXCI U'[0N CG 21 52 .11 9J EXCI_(JSION- hE D PAY TO INMATk-PAT.IENT'b-PR:TSONEr15 CG 71 35 12-85 (=XCLUC'ION - PROFESSIONAL 1-RVICE CG (•1 14 07-90 EXCLUSION - ASBE.c:,'1'05 CG 81 18 12-88 EXCLUSION - EMPLOYMENT 1l. AT'C'E) hir;C F`,1;C)1-;-, IL 00 21 01-0? BROAD FORM NUCL!•'AR EXCL. II_ 01.3 00 12-0-7 oDDITIONCIL Tf`4GUREDC rcr I-O(:M 00 20 1,1 70 0.1 03 93 • • ACORD .. . ::: DATE (MWDD/TY) -.:::kWAR.g...— 08RWW98 ..., PRODUCER QUALITY RISK MANAGEMENT SVCS. P.O. BOX 910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE MERCER ISLAND, WA 98040 206-230-0474 COMPANY A FIRST NATIONAL INSURANCE COMPANY OF AMERICA INSURED THE WAYBACK INN FOUNDATION COMPANY 5 P.O. BOX 621 RENTON, WA COMPANY C 98055 I COMPANY D 0000:010*.: '''''''''''''''''' . '';';';';1AgiN''"" '''' ' ''' ';;',;;g;;;;;;;=;';;;;;;"'";•''''':;•:"•:';;•;;;;;';.' '' '' ''''' ''' ' ' ''' • ' .:;;:;';';':;::•::•':i:;-;:':':;' '' ' '' ;:;.;;•;;;;V:';""";:";'!;T.';';;;;;';;::::''"'''''"".;":;;;i;:;i;;.: ' ' ''''''' ;' '''' '" ' • ' • ' ' ''''' '' :*::-"' ' • ''''' ''''.';;:::9::;:";"..: :',,.. .....,................, 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. CO LTFI TYPE OF INSURANCE POLICY NUMBER POIJCY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CP 7754987 07/08/98 07/08/99 GENERAL AGGREGATE 2,000,000 PRODUCTS COMP/OP AGG $ 2,000,000 PERSONAL & ADV INJURY $ 1,000,000 CLAIMS MADE X OCCUR EACH OCCURRENCE $ 1,000,000 $ 50,00() $ 5,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (My one fire) MED EXP (Any one person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ EXCESS _ LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARThERS/EXECUTIVE OFFICERS ARE. INCL EXCL WC STATU- TORY LIMITS OTH- ER EL EACH ACCIDENT a DISEASE POLICY LIMIT $ EL DISEASE EA EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CITY OF TUKWILA IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO PROPERTY LOCATED AT 15421 42ND AVENUE S. TUKWILA, WA 98188 AND AT 14688 53RD STREET, TUKWILA, WA 98188. ppwpFaqATE:..;HEft• 'i'i'i'i'':', ..'CANC CITY OF TUKWILA 6200 SOUTHCENTER BLVD. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE 'THEREOF 'THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TUKWILA, WA 98188 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ATTN: EVELYN - FAX #(206) 768-0524 AUTHO _BEER_ESENT TIVE._/7 9 ,,O.N.ORP]:;44:::: ' '' :::„ ::.i.:. ' . ''''''' ::.:•:.:•:•:.•:::,.,::::.,. '''' '''''''' ............ •........:, ''' . . . : .. ii:!:./..: ---:_---- ''' :i.....::,::. : .....,::' ' . '''' ,:,:i:1.4.;S,, '' :;: :::::i:....::1;i:....'...'.:. '', ''''''' ,,...........0.0.#01M1004.:i9.* ..., ACORD ,..„, PRODUCER QUALITY RISK MANAGEMENT P.O. BOX 910 MERCER ISLAND, WA 98040 206-230-0474 SVCS. c. 'I BILE, DATE (MWDONT) 0'3/16/97 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY A FIRST NATIONAL INSURANCE COMPANY OF AMERICA INSURED THE WAYBACK INN FOUNDATION P.O. BOX 621 RENTON, WA 98055 I COMPANY B COMPANY C COMPANY D .. . i•Pre.MRAGgS- 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. COPOLICY LTR TYPE OF INSURANCE POLICY NUMBERUMITS EFFECTIVE DATE (MIA/DONT) POLICY EXPIRATION DATE (MIA/ODNT) A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CP 7754987D 07/08/97 07/08/98 GENERAL AGGREGATE 2,00.000 PRODUCTS COMP/OP AGO $ 2,000,000 X CLAIMS MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 $ 1,000,000 $ WA() $ 5,000 OWNERS & CONTRACTORS PROT EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any ane person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS UABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYEFIS' LIABILITY THE PROPRIETOR/ PARTNERSEXECUTIVE OFFICERS E. INCL EXCL WC STARJ- TORY LIMOTH- ITS ER EL EACH ACCIDENT $ EL DISEASE POLICY LIMIT $ EL DISEASE EA EMPLOYEE OTHER DESCRIPTION OF OPEFIATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CITY OF TUKWILA IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO PROPERTY LOCATED AT 15421 42ND AVENUE S., TUKWILA, WA 98188 AND AT 14688 53RD STREET, TUKWILA, WA 98188 REPLACES CERTIFICATE ISSUED 8/28/97 CER11 MATE: ..HOLDER : CITY OF TUKWILA 6200 SOUTHCENTER BLVD. TUKWILA, WA 98188 ATTN: EVELYN I 2-S ... .CANCOXATIONi SHOULD EXPIRATION 10 DAYS ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. BUT FAILURE - OF ANY 1 AUTH • :IZED REPRESENTA I 411 • b.A • 1:,tW-:POflA9ai.':igitt ACORD C BRTIFL AlO- LIABILITY SVCS. I i SU RDATE (MMIDDIYY) 08/05/96 PRODUCER QUALITY RISK MANAGEMENT P.O. BOX 910 MERCER ISLAND, WA 98040 206-230-0474 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING NATIONAL INSURANCE COVERAGE COMPANY A FIRST COMPANY OF AMERICA INSURED THE WAYBACK INN FOUNDATION P.O. BOX 621 RENTON, WA 98055 COMPANY B COMPANY C COMPANY D 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 ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER 1 POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATIONOMITS DATE (MM/DD/YY) A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CP 7754987B 07/08/96 07/08/97 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS COMP/OP AGG $ 2,000,000 CLAIMS MADE [ X J OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNERS & CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (My one tire) $ 50,000 MED EXP (Any one person) $ 5,0D0 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per per son) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ —1 AGGREGATE $ _ $ WORKERS EMPLOYERS' THE PARTNERS/EXECUTIVE OFFICERS COMPENSATION AND LIABILITY INCL EXCL WC STATU- S !UN- TORY LIMITS EL EACH ACCIDENT $ PROPRIETOR/ r— ARE. EL DISEASE POLICY LIMIT $ EL DISEASE EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CITY OF TUKWILA IS NAMED AS ADDITIONAL INSURED WITH RESPECT TO PROPERTY LOCATED AT 15421 42ND AVENUE S., TUKWILA, WA 98188 AND AT 14688 53RD STREET, TUKWILA, WA 98188 CERTIFICATE::: HOLDER CITY OF TUKWILA 6200 SOUTHCENTER BLVD. TUKWILA, WA 98188 / T ATTN: RHONDA BERRY ( ACORD 25-5 (1195) CANCEt.L.ATIOII:: SHOULD ANY EXPIRATION 10 DAYS OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. BUT FAILURE OF ANY KIND AUTHORED REPRESENTATIVE -- '` (7: - C :..:... ::' ....... ... {�:: CORD _CORPORATION. 1988: