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HomeMy WebLinkAboutTarp It PartyKittitas County, Washington BOARD or COIINTY COMMIS SIONERS EVENT APPLICATION Even t Information Name of event Tarp-lt, lnc. (Company Party) Date(s) of 2021 Hours of operation: 6:00om to 2:00am Description of the evenr Company Party - Live music. food & drinks. Has this event taken place before? % Estimatedattendance: 350 No 13 How is your event being publicized?Partv is not publicized, bv invitation onlv. Please attach any flyers, posters, etc. utithyour application submission, Con tact Information Name of the orgatizerfcontact im Ravet -J l.ijli Ellensbu Phone number(s)7285 Email address: tarpit@televar.com Date of birth of applicant:12-12-1970 KITTITAS COUNTY COIJRTHOUSE . ZOS WNST Jh, SUTTE 108 ELLENSBIJRG, WA 98926 (s0e)e62_7s08 FAX(s09)962_7679 www. co.kittitas.wa.us If the application is made on behalf of a partnershi p, please submit full names with their residence and post office address for a period of six months prior to the date of tion of principal office or place of business of suchapplication together with the loca corporation. Emergenry contact name(s) and phone number(s) that can be contacted during the event: Tim Ravet 509-856-7285 Name Brenda Aitke Phone Number 509-899-0542 Name Phone Number WRITTEN PERMISSION TO ENTER EVENT SITE I/We hereby permit law enforcement and/ or County officials to enter the site for which the Event Application has been granted at the time of the event and up to five days prior to the event for the purposes of inspecting and enforcement of County Code and other applicable laws, and pursuant to my agreement and representations made in connection with this Event Application. SWORN STATEMENT OF COMPLIANCE I/We hereby acknowledge that I/Wehave read Kittitas County Code, have familiarized myself with County requirements. I/We agree that either my designated agent or I/we shall be on site at all times and shall be responsible for the operation of the event and for compliance with all legal requirements in connectionwith this event. I/We understand that failure to comply with the rules, regulations and conditions set forth in Code may be deemed a gross misdemeanor and that drug or narcotics violations are crimes under RCW. Name (Print)Applicant Signature Applicant Name (Print)Applicant Signature KITTrrASCouNTycouRTHousE. zoswnsr$, suffE 108 ELLENSBURG,wAqBq26 (s09)e62-7s08 FAX (s09) 962-767e www.co.kittitas.wa.us Kittitas County, Washington BOARD or COUNTY COMMIS SIONERS Fire Safetv and Protection If more than 50 people are expected at your event, you must complete a separate application process which can be obtained through the Kittitas Cbunty Fire Marshal's office. You may contact the Fire Marshal's office at509-962-7000. Will there be a temporary structure erected for the event? V" No If yes, you must attach a drawing including the dimensions. The structure may require an inspection by County st#f prior to the event. Public Heal Health Will there be food served at the event? lrl No If no food will be served at the event thery no permit or application is required. If yes, is the food and beverage that you intend on preparing and serving at the event exempt from permit requirements htto:/ /www.co . kittitas.wa.us/ health / f ood.asp? - If yes, please submit an application for exemption from permit and proof of food handlers training to the Kittitas County Public Health Department (KCPHD). If yes, and the food or beverage is not considered exempt from permif then does the Person or orgarization preparing and serving the food have a food service permit, temporary food service permit, or catering permit from KCPHD? - If yes, please provide a list of foods and beverages that you intend on having prepared and served at the event along with the name and phone number(sf of the permitted person or orgarization. If yes, and lhe person or organization preparing and serving the food does not already have a food service permit. - Then a temporary food service permit or catering permit will need to be acquired from KCPHD prior to the event. Please allow at least 2 weeks to complete the food service permitting process. KITTITAS coUNTY CoURTIIoUSE . 205 wEsr $, sunn 108 ELLENSBURG, wA 98926 (50e) 962-7508 FAx (50e) 962-7679 www.co.kittitas.wa.us Are there permanent or fixed bathroom facilities already available at the location of the event? 1/sNo If-yes,plea_se provide an estimated attendance for the event, a detailed map that identifies the name and address of the physical facility that will provide lavatory facilities for the event, quantity of toilette facilities aviilable for each gender, ani the distance from the event that patrons must walk. If -no, pleas,e provide an estimated attendance for the event, specific information related to the number of portable restrooms that will be provided, the distance from the event that patrons must walk, and a service plan to ensure that sani-cans remain in a sanitfly condition. You must include the location of the portable restrooms on a map/ diagram of the event. KrrrrrAscor rycouRTrrousE. 20swrsr$, surrE 108 ELLENSBURc,wA98926 (509) 962-7s08 FAX(509) 962:7679 www.co.kittitas.wa.us Kittitas County, Washington BOARD or COUNTY COMMISSIONERS Law EnforcemenUSecuri Medical Services Will there be security on site during the event? V" No If yes, please provide a complete list of names and contact information for who will be providing the security. will Emergency Medical services (EMS) be on site during the event? Yes Y/ If yes, please provide written verification from the providers. will there be music, sound amplification or any other noise impacts? V" No If yes, Kittitas County has a noise ordinance in effect (see County Code for details). If your event is scheduled for outside of the allowed time, you must submit a written letter to the Board of County Commissioners requesting a waiver and it must be included with your application materials. Will you have traffic control? V" No If yes, please provide documentation on how the traffic control will be addressed Will there be off-site parking? Yes V If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes ry6 If yes, provide a map of their route. Will there be alcohol served at the event? V" No If yes, a State permit is required from the WA State Liquor Control Board and must submitted with your application materials. KITTITAS couNTy corJRTHousE . zos wssr S, surrE 108 ELLENSBURG, wA 98926 (509)962:7s08 FtX(s09)962:t679 www.co.kittitas.wa.us Kittitas County, Washington BOARD or COUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? Yes - ry6 If yes, please provide a detailed adequate tratfic and detour plans at the time of submission of the application. Will there need to be road closure or detour signs posted? Yes * KrrrrrAs cot NTycouRTHousE. zos wnsr$, surrE 108 ELLENSBURG,wA98926 (509) 962-7508 . FAX('09)962:7679 www.co.kittitas.wa.us Kittitas County, Washington BOARD or COUNTY COMMISSIONERS Garbaee/[t ecvcling Do you have a plan for garbage and recycling? V, No A written pfan for garbage and recycling must be attached to your application materials. For questions or assistance contact the Kittitas Couhty Solid Waste Department at 509 -9 62-7 5 42. Insurance Have you_obtained a Certificate of Insurance and endorsements, specifically naming "Kittitas Coun$r" as an insured? V, No A copy of the Certificate of Insurance amd endorsements must be included with your application materials. Kittitas County must be named as an additional insured inthe amount of $1,000,00p.0Q per occurrence and $2000,000.00 aggregate coverage. Thisinsurance must apply fir^st and on a primary non-cbntributih"g bHsis in relation to any other insurance or self-insurance available to Kittitas County. Penal Bond -of Indemnitv Counfy Filings and Registration Is there a cost to attend the event? Yes }(t How much are you charging to attend your event? KITTITAS couNTycouRTHousE. 205 wnsrS, surrE 108 ELLENSBURG, wtggg26 (s09) 962-7s08 FAx (s09) 962-767e www.co.kittitas,wa.us A $5,000.00 Penal Bond - Bond of Indemnity is required to be deposited with the County Tre,asurer to save and protect the sheets, pavements, bridges, etc. from damage. The deposit or its balance will be returned once the eveit has been held and the Board of County Commissioners has certified no damage has been done and that the County has not incurred additional expenses Su y-ot submitting a $5,000.00 Penal Bond - Bond of Indemnify with your EventApplication? Yes y6 If no, you must request a letter in writing to the Board of County Commissioners requesting a waiver to the Penal Bond - Bond of Indemnity andoutline the specific reasons why it should not be required of your event. COVERAGES CERTIFIGATE OF LIABILITY INSURANCE CERTIF;CATE NUMBER: CL2081775648 REVISION NUMBER: DATE (MM/DD/YYYY) 0710712021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFIGATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIGIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG INSURER(S), AUTHORTZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPoRTANT: lf the certificate holder is an ADDITIoNAL lNsuRED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGAIION lS WAIVED, subject to the tenns and this certificate does not confer rights to the certificate conditions of the policy, certain policies may require an endorsement. A statement on holder in lieu of such endorsement(s). PRODUCER Rice lnsurance LLC 1400 Broadway P.O. Box 639 Bellingham wA 98227 Sandi Jones lJ3.nnt". .o,, (360) 734-1 1 61 (360) 734-1173rArC Nol: sandi@riceinsurance.com INSURER(S) AFFORDING COVERAGE NAtc# tNsuRERA: Mutual of Enumclaw 14761 INSURED Tarp lt, lnc. 3000 Wilson Creek Rd Ellensburg wA 98926 INSURER B: INSURER C : INSURER D : INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. NOTWTHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS 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 TYPE OF INSURANCE wvD POLICY NU[IBER FSLIGY gP IMM/DD'YYYY}LIMlTS A COMMERCIAL GENERAL LIABILITY .LAIMS-MADE lX o""u* APPLIES PER: POLICY PRO-JEcr | | Loc cPP002098403 08121t2020 0812112021 EACH OCCURRENCE s 1,000,000 $ 300,000 MED EXP (Anv one oe6on)$ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.OWNED AUTOS ONLY cPP002098403 08t21t2020 08121t202',1 $ 1,000,000 BODILY INJURY (Per peFon)$ BODILY INJURY (Per aeident)$ $ $ A x UMBRELLA LIAB EXCESS LIAB x OCCUR CLAIMS.MADF uMc000503303 08t21t2020 o8t21t2021 EACH OCCURRENCE $ 5,000,000 AGGREGATE s 5,000,000 DED RETENTION $$ A WORKERS COMPENSATION AND EMPLOYERS' LI,ABIIITY ANY PROPRIETOFVPARTNERYEXECUTIVE OFFICEFVMEMBER EXCLUDED? (Mandatory in NH) lfyes, desqibe under DESCRIPTION OF OPEMTIONS balow Y'N N/A CPP002098403 - WA Stop cap 08t21t2020 08t2'U2021 EFaBt,,tr I X OTH- FR E.L. EACH ACCIDENT $ 1,000,000 E,L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT s 2,000,000 DESCR|PIION OF OPERAIIONS / LOCATIONS / VEHICLES (ACORD l0l, Addltlonal Remarks Scheduls, may be attached tf more spas is requtrsd) RE:8/2312021 Event CertificateHolderisadditional insuredforGeneral Liabilitypertheaftachedform#EG2018 10/12. WaiverofSubrogationisincludedperformCG24040s/09 and the Blanket auto additional insured form #EAgg 1.1/13 is also included HOLDER @ 1988.2015 ACORD CORPORATION. Att rights reserved. TheACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDAI.ICE WITH THE POLICY PROVISIONS.Kittitas County Board of County Commissioners 205 W 5th Ave Ste 108 wA 98926Ellenburg AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifles insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section ll - Who ls An Insured is amended to include as an additional insured: Any person or organization when you and such person or organization have agreed in writing in a contract or agreement, executed prior to any "oc- currence", that such person or organization be added as an additional insured on your policy. Such person or organization is an additional in- sured only with respect to liability for "bodily inju- ry", "property damage" or "personal and adveilis- ing injury" caused, in whole or in part , by: L Your acts or omissions; or 2. The acts or omissions of those acting on your behalf: in the performance of your ongoing operations for the additional insured, or in connection with your premises owned by or rented to you. A person's or organization's status as an addition- al insured under this endorsement ends when your contract or agreement with such person or organization ends. B. The Limits of lnsurance applicable to the Addi- tional Insured are those specified in the written contract or agreement but not more than the Lim- its of lnsurance specified in the Declarations of this policy. The Limits of lnsurance applicable to the Additional lnsured are inclusive of and not in addition to the Limits of lnsurance shown in the declarations for the Named lnsured. COMMERCIAL GENERAL LIABILITY EG 20 18 10 12 C. Section lV - Gommercial General Liability Gonditions, Paragraph 4. Other lnsurance is amended to add the following subparagraph: d. Additional Insured's Other lnsurance As Ex- cess lnsurance To the extent required by an "insured conlract", this insurance is primary on behalf of the addi- tional insured, and any other insurance main- tained by the additional insured is excess and not contributory with this insurance. lf the "in- sured contract" does not require this provision, then Paragraph a. above will apply. EG 20 18 10 12 lncludes copyrighted mat€rial of lnsurance Services Office, lnc. with its permission.Page 1 of 1 POLICY NUMBER: CPP 00209B4 00 COMMERCIAL GENERAL LIABILITY cG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion lV - Gonditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. @ lnsurance Services Office, lnc., 2008 Page '1 of 1 Wolters Kluwer Financial Services I Uniform FormsrM Name Of Person Or Organization AS REQUIRED BYWRITTEN CONTRACT SOOO WILSON CREEK RD ELLENSBURG WA 98926 lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations. cG 24 04 05 09 COMMERCIALAUTO EA99 10 11 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BUSINESS AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The following changes revise SECTION I - COVERED AUTOS Paragraph C.1. is deleted and replaced with the following: 1. Trailers a. "Trailers" with a load capacity of 2,000 pounds or less designed primarily for travel on public roads; or b. "Trailers" designed primarily for travel on public roads when: (1) Pulled by an owned private passenger auto specifically described in ltem Three of the Declarations as a covered "auto" for Liability Coverage under this Coverage Form; and (2) Not used for business, farming or ranching purposes. Private passenger auto means a motor vehicle of the private passenger, station wagon, pickup or van type designed for use on public highways and subject to motor vehicle registration. The following is added: D. Temporary Substitute Autos - Physical Damage lf Physical Damage Coverage is provided by this Coverage Form, lhe following types of vehicles arealso covered "autos" for Physical Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: 1. Breakdown; 2. Repair; 3. Seruicing; 4. "Loss"; or 5. Destruction. The coverage that applies is the same as the coverage provided for the vehicle being replaced. Physical Damage Coverage is extended to the temporary substitute auto for the lesser of the following number of days: 1, The number of days reasonably required to repair or replace the covered "auto" that is out of service; or 2. 30 days. The following changes revise SEGTION ll- LlABlLlry COVERAGE The following is added to Paragraph A.1.: d. Blanket Additional lnsured Any person or organization that you are required to include as an additional insured on this Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies. A person's or organization's stalus as an additional insured under this endorsement ends when your contract or agreement with such person or organization ends. The Limits of lnsurance applicable to the Additional lnsured are those specified in the written contract or agreement but not more than the Limits of lnsurance specified in the Declarations of this policy. The Limits of lnsurance applicable to the Additional lnsured are inclusive of and not in addition to the Limits of lnsurance shown in the declarations for the Named lnsured. This Coverage does not apply to lessors of leased "autos". EA 99 10 11 13 lncludes copyrighted material of lnsurance Services Office, lnc., with its permission Page 1 of4 e. Broadened Named lnsured Any business entity newly acquired or formed by you during the policy period provided you own 51% or more of the business entity and the business is not separately insured for Business Auto Coverage, Coverage is extended up to a maximum of 90 days following acquisition or formation of the business entity or until the end of the policy period, whichever comes first. f. Employee Hired Auto An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. Paragraphs 4.2.a.(21 and A.2.a.(4) are deleted and replaced with the following: 2, Goverage Extensions a. SupplementaryPayments (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $300 a day because of time off from work. The following changes revise SEGTION lll - PHYSICAL DAMAGE COVERAGE This coverage applies only for a covered "auto" for which Physical Damage Coverage is provided for on this policy. The following is added to Paragraph A.3: Glass Repair - Waiver of Deductible No deductible will apply to glass breakage if such glass is repaired in a manner acceptable to us rather than replaced. Paragraph A.4.a. is deleted and replaced with the following: 4. Coverage Extensions a. Limited Rental Reimbursement or Travel Expense We will pay up to $25 per day to a maximum of $250 for rental reimbursement expenses for the rental of an "auto" or other transportation expense incurred by you because of "loss" to a covered "auto" which is covered by Comprehensive, Specified Causes of Loss, or Collision coverage under this policy. No deductible applies to this coverage. (f ) We will pay only for those expenses incurred as a result of a covered "loss" occurring during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: (a) The number of days reasonably required to repair or replace the covered "auto". lf "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you; or (b) 10 days. (2) Our payment under this Coverage Extension (4.a.) is limited to the lesser of the necessary and actual expenses incurred or the maximum amount shown, $250. (3) Coverage under this Coverage Extension (4.a.) does nol apply while there are spare or reserve "autos" available to you for your operations, The following is added to Paragraph A.4.: c. Transportation Expenses - Theft of a Private Passenger Auto ln the event of "loss" to a covered private passenger type "auto" caused by a total theft which is covered by Comprehensive or Specified Causes of Loss Coverage on this policy, we will pay up to $25 per day to a maximum of $500 for transportation expenses incurred by you as a result of that "loss". (1) We will pay fortransportation expenses incurred during the period beginning 264 hours (1 1 days) after the "loss". (2) Regardless of the policy's expiration,our reimbursement of your transportation expenses under this Coverage Extension will end when the covered "auto" is returned to your use or we pay for its "loss". (3) No deductible applies to this Coverage Extension. d. Tapes, Records and Discs We will pay for "loss" to tapes, records, compact discs, or other similar devices used with audio, visual or data electronic devices. ({) We will pay only if the tapes, records, compact discs, or other similar devices: EA99 10 11 {3 Includes copyrighted material of lnsurance Services Office, lnc., with its permission Page 2 of 4 (a) Are your property or that of a family member; or (b) Are the property of an "employee" using a covered "auto" in your business affairs at the time of the "loss"; and (c) Are in a covered "auto" which sustains other covered "loss" under Comprehensive or Collision coverage at the time of the "loss" to tapes, records, compact discs, or other similar devices. (2) The most we will pay for "loss" under this Coverage Extension (4.d.) is $200. (3) Physical Damage Coverage provisions apply to this coverage, except that anydeductible applicable to Comprehensive or Collision coverage does not apply to ihis Coverage Extension (4.d.). The exclusion referring to tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment does not apply. e. Camper Bodies ln the event of a "loss" to a detached "camper," physical damage coverage will apply as if it were part of the covered "auto" on which it is rated. f, Gontents of a Travel Trailer, Camper or Motor Home When a Travel Trailer, "Camper" or Motor Home is a scheduled auto for physical damage coverage, we will pay up to $1,000 for "loss" to personal propefty belonging to you or a family member that is within the Travel Trailer, "Camper" or Motor Home. We will pay up to $250 for"loss" to personal property belonging to you or a family member that is outside the Travel Trailer, "Campef'or Motor Home. (1) We will not pay for loss" to: (a) Articles carried or held for sale, storage or repairs, or for later delivery; goods kept to show or sell; or theatrical wardrobes. (b) Business, store of office furniture or equipment. (c) Records or accounts, money, bullion, deeds, contracts, evidences of debt, securities, tokens or tickets, stamps in current use or manuscripts. (d) Animals, private passenger "autos," motorcycles, aircrafts, boats or any other motorized vehicles or their equipment, furnishings or appurtenances. (e) Equipment or accessories while your Travel Trailer, "Camper" or Motor Home is leased or rented to any organization or any person other than you or a family member. (2) The maximum we will pay for "loss" is the lesser of: (a) The actual cash value of the personal property at the time of "loss"; (b) The cost of repairing the damage; or (c) The cost of replacing the damaged personal property with other personal property of like kind, condition, quality and value. g. Vacation Expense Allowance We will pay you $50 per day to a maximum of $500 for extra expenses when a Travel Trailer, "Camper" or Motor Home is a scheduled auto for physical damage coverage, and the Travel Trailer, "Camper" or Motor Home: (1) ls damaged or destroyed and is uninhabitable; and (2) While being used for vacation purposes within the policy period. Extra expenses must be supported by receipts or other valid evidence. The following is added to Paragraph A.: 5. Extra Expense - Broadened Coverage We will pay for the direct expense of the reiurning of a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. This coverage will only apply to vehicles recovered inside the 48 contiguous United States. This coverage does not apply to an "auto" we deem a total "loss". The following is added to Paragraph 8.3.a.: Airbag Coverage - Accidental Deployment However, this exclusion does not apply to the unintended inflation of an airbag if the inflationis caused by mechanical or electrical breakdown. EA 99 10 11 13 lncludes copyrighted material of lnsurance Services Office, lnc., with its permission Page 3 of 4 The following changes revise SECTION lV BUS]NESS AUTO CONDITIONS The following is added to Paragraph A.2.a.: Amended Duties in the Event of an Accident, Glaim, Lawsuit or Loss However, this duty is only required when the "accident'is known to: ({) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited tiability company; or (a) An executive officer or insurance manager, if you are a corporation. The following is added to Paragraph A.: 6. Blanket Waiver of Subrogation We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" because of payments we make for damages under this coverage form. The following is added to Paragraph 8.2.: Unintentional Failure to Disclose Hazards Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. Paragraph 8.5.b. is deleted and replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, renled or borrowed with a driver is not a covered "auto". The following is added to Paragraph 8.5. e. To the extent required by an "insured contract", this insurance is primary on behalf of the additional insured, and any other insurance maintained by the additional insured is excess and not contributory with this insurance. lf the "insured contract" does not require this provision, then Paragraph a. above will apply. The following changes revise SECTION V DEFINITIONS The following is added: Q. "Camper" means a portable dwelling unit without axles or wheels that has been manufactured for attachment on the bed of a pickup truck to be used for casual travel or camping. EA99 10 11 f3 lncludes copyrighted material of lnsurance Services Office, lnc,, with its permisslon Page 4 of 4 Tnnp'lT, Iruc. SOOO WrLsoN Cneex RoAD EruENseuRG, WA. 98926 PHoNE: 509,962-4664 Fnx: 509€25.61 5l Coveri All Of Your Needs! 7-7-2021 Kittitas County Commissioner 205 w 5'h suite lo8 Ellensburg, Wa.98926 Dear County Commissioner, This letter is a request for a noise ordinance variance on August 23'd, 2O2l . We have scheduled our company party to begin at 6:00 pm and end at 2:00 am. We anticipate 350 people to be in attendance. No tickets are being sold for the event, it is by invitation only. There will be food and alcohol served. Precautions will be taken to insure minors do not consume alcohol and that all details will be handled in a legal manner. We will have all necessary permits for food and alcohol service. There will be live music featuring Black Hawk and the John Stone band starting at 6:00 pm and ending at 2:00 am. Security will be provided. We have parking available and will have people available to direct traffic for the parking and help with security. There will be sani-cans available and bathroom facilities in the house. Waste Management will provide a large bin to handle the cleanup of all garbage. We are not submitting a Bond of Indemnity. We have had parties in past years and have had no damage to the roads and have taken adequate measures to ensure this does not happen. A tent will be provided for food and alcohol service. A stage and all necessary equipment will be setup for the bands providin g entertainment. lnsurance has been provided naming Kittitas County as additional insured. Please feel free to call me if you have any additional questions regarding this request. Sincerely, ---? \- - \ Tim Ravet 5595 Vantage Hwy Ellensburg, Wa,98926 509-856-7285 Kittitas County Ofrce Of The Treasurer Amy Cziske, Trcasurer 205 VI5flr.{rtilru, i\i{tit luz Elcnsburg,We 98926 Plnne (509) 962-'1535 Fex (509) 933-8212 Cash Receipts Receipt Number: Received From: Check Amormt: Cash Amount: Other Amount: Total Amount: Deputy: KATHYM Template: Comments: csR # 2021-2866 TARP IT PRIVATE PARTY FundCode 001 2021-3969 MANDY BUCHHOLZ ADMIN SUPERVISOR- BRETT $200.00 $0.00 $0.00 $200.00 Receipt Type: CHK Date:a7t07/2021 GlCode t63217 I Description SPECIAL EVENTS FEE Amount $200.00 $200.00Total Amount Kittitas County Treasurer's Office Submitted By: KATHY MARKWELL (c) 2OO2 Cashtax All Rights Reserved 07 lO7 12021 1 5:52:16 KATHYM