Cellco Partnership dba Verizon Wireless - golf course lease

Transcription

L
ORIGINt
LEASE AGREEMENT
OF WALLA WALLA
parties
Lessor upon all of the
described
A
2005 by and between CITY
the mutual covenants agreements and
on
terms
as
stipulations
hereby
lease to Lessee and Lessee leases from
and conditions hereinafter set
forth those certain premises
as
portion
of certain real property located at 201 W Reese Avenue in the
Walla Walla
Washington the Property
containing approximately
and made part
seven
800 square
feet
and
as
being described as a 40 X
shown
on
20
of
parcel
Exhibit A attached hereto
7 days
a
week twenty
four 24 hours
a
day
on
foot
and for the installation and maintenance of
or
motor
vehicle
utility wires cables
conduits and pipes under a twenty foot 20 right
way extending from the
of
W Rees Avenue to the described
public right
way
or
course said demised
the
City
exclusive right for ingress and egress
hereof together with the non
including trucks
as
Lessee
follows
as
agree
PREMISES Lessor does
1
t vi
vt
a Verizon Wireless
b
Lessor and Cellco Partnership d
as
For and in consideration
contained herein the
ay of
1
THIS lease made this
Premises
and
premises
for
access
premises by
way hereinafter collectively
of
right
substantially
as
nearest
its shortest
referred to
described herein in Exhibit A
attached hereto
A
at
SURVEY
s sole expense
Lessee
within ten
have
ten
10 days
10 days
Lessor grants to Lessee the
Lessee shall
after its
to
either
provide
a
copy of such survey to Lessor
completion Upon receipt
object
or
right to survey the Premises
of such survey Lessor shall
accept the survey in writing If accepted by
Lessor such survey shall become Exhibit B hereto and made part hereof and shall
control in the event of
boundary
and
access
discrepancies
between it and Exhibit
A
Lessee further agrees to
provide Lessor with
a
map which
accurately
reflects
the horizontal and vertical location and
configuration
of all facilities constructed
upon the Premises
Lessee
SUBLEASE
2
sublease
may
telecommunication facilities constructed upon the Premises for the
paragraph
6 herein upon the
unreasonably
withheld The
provisions
accordance with
to
that any subtenant that desires to sublease
lease separate
needs
ancillary equipment
to any
subleases
advance request
approved by
by
inspection by
five
sublease shall be
Any
provided herein
this lease shall
of the first year of the renewal
and conditions
4
provided
term
commence on
January
shall be made in
day
the
10 calendar days
provided
as
and terminate
April 1 2005
herein
Unless terminated
be extended for four
4 additional
on
a
five
5
terminating
6 months prior to
on
the end of the
commencing
year term
by giving
on
January
1
December 31 of the fifth year the
herein
RENT Lessee shall
period beginning
and
timely
1 and end
equal monthly
on
With the
pay rent to Lessor
the commencement date stated in
December 31 2005 the annual
first
to
Lessee agrees to make its records
commence on
automatically
then current term Each renewal shall be for
on
subject
Lessor and other such agreements in
Lessor written notice of the intent to terminate at least six
initial
from Lessor
year terms unless Lessee terminates it at the end of the then current term
5
terms
directly
Lessor
December 31 2010 unless terminated earlier
as
space
Lessor at any time upon ten
TERM The term of this lease shall
3
earlier
ground
generally accepted accounting principles
and accounts available for
on
in
permitted
uses
of this lease agreement and subordinate hereto Lessee shall maintain records and
relating
accounts
required
wireless
written consent of Lessor which shall not be
parties acknowledge
space at the Premises shall be
s
for such subtenant
prior
the
of
part
any
periods
paragraph
3 herein and
for which rent shall be due and
December 31 of each year
5
0 m
of each month at 0
p local time
Any payments
of the
ending
payable
Payment for each period
installments with each installment due
2
exception
by
no
later than the
received after the due date
shall include
a
late payment
penalty
of five percent
5 of the total
amount
past due for
each month past the due date
A
BASE RENT FOR INITIAL PERIOD ENDING ON DECEMBER
2005 The base
31
rent
One Thousand Dollars
B
for the initial
000
1
00
period ending on December 31 2005
shall be
per month
2006 The annual
1
2006
31
RENT FOR PERIOD FROM 12
base rent for the
period commencing
January 1 2006 and ending
on
on
December
31 2006 shall be Twelve Thousand Three Hundred Sixty Dollars 12
00
360
C
rent
RENT FOR ANNUAL PERIODS AFTER 12
2006 The base
31
for each annual
period commencing
extension terms shall be
the
equal
immediately preceding
2006 including
31
12
of the annual
to 103
rent
payable
any and all
with respect to
year
TAXES FEES AND LICENSE CHARGES Lessee shall timely pay all
5
federal state and local
fees taxes and license charges assessable in connection with the
ofthe Premises except for taxes
timely pay to Lessor the
on
the real property owned
state leasehold excise tax due under
Code of Washington and such other leasehold
timely pay
after
any additional taxes assessments
improvements
to the Premises made
by
6
or
other
or
Lessee shall also
29A of the Revised
Chapter 82
es which
tax
Lessee
Revised Code of Washington and such other
by the Lessor
may
apply
Lessee shall also
governmental charges resulting
its
use
s
sublessee
from
under Title 84 of the
es
personal property tax
which may
USE OF PREMISES The Premises may be used for the
apply
construction
installation maintenance and operation of wireless telecommunication facilities and any
structures utilities fences
poles lines anchors lights
and other
equipment reasonably
related thereto
A
IMPACTS
INTERFERENCE Lessee agrees to have installed radio
equipment ofthe type and frequency which will not cause
3
interference to Lessor other
current Lessees of the Premises
equipment
or
landowners
neighboring
In the event Lessee
s
such interference and after Lessor has notified Lessee of such
causes
interference pursuant to this lease Lessee will take all steps necessary
to correct and
of said notice Lessor
acknowledges
eliminate the interference within
that interference may
to correct
come
from different sources and Lessee shall
interference caused
permitted
to
s
Lessee
by
correct such interference after
under this lease
thirty 30 days
equipment
said notice and time
only be responsible
In the event Lessee fails to
period
so
Lessee shall be in default
Lessor agrees that any other future tenants of the Premises will be
install
only
such radio
equipment that
is of the type and
frequency
which
will not cause interference to Lessee Lessor further agrees that the current tenants at the
Property
will
only
be
permitted
frequency which will not cause
required to bring any legal
or
to
install additional
what
parties
measures are
action
against the interfering tenant Nothing
shall be resolved
cannot agree upon
required
by
a
type and
to
remedy
in this section
right of action against the interfering tenant
whether interference has
such
impacts
or
occurred
or
upon
interference such disputes
independent consulting engineer
an
that is of
interference to the Lessee However Lessor shall not be
s
lease shall be deemed to limit Lessee
If the
equipment
selected
by Lessor
at the
sole expense of Lessee
B
LOCAnON Lessee shall make the wireless telecommunication
CO
facilities constructed upon the Premises
wireless telecommunication facilities
location of other
reasonably available for co
by
sublease upon reasonable terms and
location does not
conditions to the extent that such co
use
of the Premises
by
Lessee
or
its
s
sublessee
substantially
Market
interfere with the
competition
shall not be
considered substantial interference
C
REPAIRS AND MAINTENANCE
Premises free from debris and in
have the sole
responsibility
at
Lessee
shall
maintain the
reasonably good repair and condition
its
own
4
expense for the
Lessee shall
installation maintenance
repair
construction
or
reconstruction of any
upon the Premises and may at its
now
existing
intended
use
or
on
installed
at
placed
UTILITIES All
and
Lessor at least
In
name
of Lessee
Lessee shall be
Except
four 24
twenty
LESSOR ENTRY
cases
notice to Lessee
improvements
as
in the
hours notice
only
and may be
responsible
they become
utility
for
timely
due
case
of emergency Lessee shall
prior
to
accessing
covenants that Lessee shall
the Premises
have peaceable
at any
Lessee agrees to
time upon
reasonably permit entry to the
four 24
twenty
hours advance request
by
of emergency Lessor may enter the Premises without advance
provided
notice of entry shall thereafter be
given to Lessee as soon
practicable
EXCEPTIONS
B
nothing herein
Subject
shall prevent Lessor from
other property in such
manner as
IMPROVEMENTS The
constructed installed maintained
or
to the
provisions
of Section
conveying leasing or using
termination of this lease
s shall have
sublessee
the
A herein
6
its
adjoining or
Lessor shall determine in its sole discretion
parties agree that all improvements to the Premises
operated by Lessee or its sublessee
s shall remain the
s respectively unless they fail
property of Lessee and its sublessee
following
the
of the Premises
Premises to Lessor
Lessor
modify
placed
and connections for necessary
the Premises
QUIET ENJOYMENT Lessor
A
8
at
ACCESS NOTICE
quiet enjoyment
as
applications
the sole expense of Lessee
E
7
or
to be
the Premises to suit its needs consistent with the
the Premises shall be made in the
payment of charges for utilities
give
on
expense alter
or
of the Premises
D
services
hereafter
own
improvements placed
Upon
right to timely
to
timely remove them
termination of this agreement Lessee and its
remove
5
their
improvements
from the Premises at
their sole expense Improvements shall be removed without damaging the Premises and the
Premises shall be restored to
construction
or
right
condition
installation of the
otherwise directed
the
a
by
substantially
improvements
s sole
Lessor at Lessor
thirty 30 days following termination ofthis
not
reasonable
option
to enter the Premises for the purpose
Lessor may retain any
removal and
disposition
Lessee shall
provide
written
and
that which existed
wear
of removal of
and tear
excepted
improvements
for
a
have
of
period
is
shall vest in Lessor At Lessor
s sole
which is not
timely
removed
or cause
its
and restoration of the Premises at the sole expense of Lessee
continuously maintain
at
its sole expense
restoration bond
a
by a corporate surety acceptable to Lessor in an amount equal to at least one hundred
preconstruction
Premises to
condition
HOLD HARMLESS Lessee
9
hereby
agrees to
harmless Lessor its elected officials officers agents and
defend indemnify hold
employees against
s
claims costs judgments and awards including claims by Lessee
Lessee
unless
s shall
sublessee
fifty percent 150 of the cost of removing all improvements and restoring the
its
prior to
Ownership of any improvement which
lease
improvement
to
Lessee and its
timely removed within such thirty 30 day period
option
similar
might otherwise be
of Lessee its partners
immune under Title 51 RCW
officers agents employees
Lessee agrees to
or
own
any and all
employees to which
arising out of the acts or omissions
s
sublessee
defend indemnify and hold harmless Lessor its elected officials
officers agents and employees against any and all claims costs judgments and awards
s
Lessee
including
claims
immunity
under Title 51 RCW
by
s exercise of the
Lessee
s
sublessee
or
s
Lessor
employees
own
to
which Lessee
might
s ownership or control
arising out of Lessor
rights granted herein
inspection
or
partners officers agents employees
use
of the Premises
lack of inspection of work
or
of the Premises
by
Lessee
or
performed by Lessee
its
its
s
sublessee
This covenant of indemnification shall include but not be limited
claims
otherwise have
arising out of the negligent acts or omissions of Lessee
6
by
its partners
this
reference
officers agents
employees
other
adequate warnings
other
or
s
sublessee
or
barricading instituting
trench
of any excavation construction
in
public place
in
performance
of work
or
safety systems
work in any public
services
or
or
permitted
providing
way
of
right
under this lease
agreement
Inspection
or
acceptance by Lessor its elected officials officers agents
of any work
employees
s
sublessee
at the time
performed by Lessee
its partners
officers agents employees
of completion of construction shall not be
any of these covenants of indemnification Said indemnification
claims which
are
not
reduced
the culmination of any
to a
litigation
Lessee further agrees to
officials officers agents
or
grounds
the institution of any
or
for avoidance of
obligations
suit and any claims which may be
or
or
shall extend to
compromised prior to
litigation
hold harmless and defend Lessor its elected
indemnify
employees against
any claims for
damages
of any kind
whatsoever including but not limited to business interruption damages and lost profits due
to
damage
or
destruction of the property oflessee
In the event of
property caused by
damages
to
Lessor
the concurrent
or
shall be
only
employees
It is
liability
for
or
to the extent of the
and
its
damages arising
resulting
negligence
or
from the
s
sublessee
out
of
bodily injury
negligence
or
willful misconduct of
s
of both Lessor and Lessee Lessee
negligence
s
sublessee
specifically
and
expressly
indemnification This waiver has been
understood that the indemnification
having been
the
made
provided
herein
solely for the purposes of this
mutually negotiated by
the
parties
In the event that Lessee refuses the tender of defense in any suit
refusal is
liability hereunder
of Lessee its partners officers agents
s waiver of immunity under Title 51 RCW
constitutes Lessee
tender
to persons or
or
any
claim said
pursuant to the indemnification clauses contained herein and said
subsequently determined by a court having jurisdiction or such other tribunal that
parties
shall agree to decide the matter
to
s
Lessee then Lessee shall pay all of Lessor
7
have been
costs
a
wrongful
refusal
for defense of the action
on
the part of
including
all
reasonable expert witness fees
reasonable
attorneys fees and
the reasonable costs of
Lessor including reasonable attorneys fees of recovering under this indemnification clause
The
of this indemnification clause shall survive the termination of this
provisions
lease agreement
10
expense the
Lessee shall obtain and
INSURANCE
at
its sole
of insurance
following types
A
occurrence
continuously maintain
written
Comprehensive general liability insurance
on
an
basis with combined single limits of at least Three million dollars
000
0
3
00
00 for injury or death or for property damage resulting from any
one
accident
The insurance
B
maintained
other
by
period
of time
the Premises
provide
an
Lessee
or
throughout the
during
engaged
insurance
policies required by
term
which Lessee
as
insurance coverage shall
s
insurer
liability
or
its
s
sublessee
suit is
additional insureds
equipment
apply separately
brought except
to each insured
C
by
The
liability
against
whom
with respect to the limits of the
primary
insurance
as
as
respects
relates to
Any insurance maintained by Lessor its elected
officials officers agents
maintained
Lessee shall
Payment of deductibles and
responsibility of Lessee
s insurance shall be
Lessee
negligence
occupying
are
Lessor its elected officials officers agents and employees
s
Lessee
shall be
ofthis lease agreement and such
in the removal of their
insured retentions shall be the sole
self
or
paragraph
certificate listing Lessor its elected officials officers
agents and employees
claim is made
this
or
employees
shall be in
excess
of the insurance
Lessee and shall not contribute with it in this respect
s insurance program may not be canceled until at least
Lessee
thirty 30 days prior
written notice has been
obtain and furnish to Lessor
replacement
8
given
to Lessor
Lessee shall
insurance certificates within ten
after renewal
10 business days
policy expiration
ASSUMPTION OF RISK AND SUBROGATION WAIVER Lessee and its
11
s assume the risk of damage to their property located on the Premises
sublessee
its
s
sublessee
covenant not to
bring suit
and release and waive any and all claims
Lessor its elected officials officers agents and employees for damage
the property of Lessee
or
its
or
to
or
against
destruction of
s caused by or arising out of the errors or omission of
sublessee
Lessor its elected officials officers agents and employees except
damage
Lessee and
destruction is caused
by
or
to
the
such
extent any
arises from the willful and
or malicious action
the
on
part of Lessor
Lessee and Lessor
and liabilities
insurance
only
to
arising
on or
hereby
from
or
release and
caused
by
in connection with the
the extent that such
claim loss
discharge
each other from all
any hazard covered
premises
or
or
liability
said
first party property
This release shall
building
is covered
ENVIRONMENTAL Lessor covenants that
12
by
for
any authorized
to
compliance
with all
no
hazardous substances exist at
with all
compliance
or
as now
substances found at the Premises
its subtenants
in effect
arising
or as
out of
Hazardous Substances means without
products
or
exception
of conditions
Lessee shall be
laws regulations guidelines standards
governmental authorities
toxic waste
or
policies
of
governmental authorities as now in effect or as hereinafter amended relating
of activities of Lessee
out
Lessor shall be
laws regulations guidelines standards
hazardous substances found at the Premises with the
arising
apply
by insurance
the Premises at the time of commencement of this lease agreement
responsible
claims losses
or
policies
hereinafter amended
activities of Lessee
limitation
or concerns
of any authorized
relating to
or
for
responsible
hazardous
its subtenants
any solid waste hazardous waste
dangerous waste hazardous substance chemical contaminant petroleum
other substance considered to be
environment under the
Comprehensive
dangerous
or
Environmental
9
hazardous to
public
health
or
Response Compensation
the
and
C
S
U
Liability Act 42
9601 et
seq the Resource Conservation
300F the Federal Insecticide Fungicide
C
S
U
seq the Toxic
Substances Control Act
1251 et
C
S
U
seq
Model Toxics Control Act
Statute
RCW
Ch
RCW
Ch
and Rodenticide Act
C
S
15 U
the Clean Air Act
42
and
2601
c
S
U
et the
seq
7401 et
70 or the Washington
150D
Recovery Act 42
c
S
7U
136
et
Clean Water Act 33
seq the Washington
Water Pollution Control
58
90
Lessor agrees to
defend indemnify hold harmless Lessee its partners affiliates
subsidiaries directors officers agents employees and its sub lessees against any and all
claims costs judgments awards and liability
whatsoever arising
standard
or
out
of any authorized
policy
hereinafter amended
presence
or
of i Lessor
s failure to
relating
to
conditions
Lessee agrees to
liability
to any person
comply
with any
or
hazardous substances found
or concerns
substances found
at
the
entity of
or
in
as
now
at the
A
following
in effect
Premises
Premises except to the
arise out of activities of Lessee
or
or
or as
ii
extent
the
such
its subtenants
defend indemnify hold harmless Lessor its elected officials
entity
any and all
of any kind
as now
the Premises
paragraph
any kind
law regulation guideline
claims costs judgments awards and
whatsoever arising
in effect
arising
or as
out
or
out
of Lessor
s failure to
policy
hereinafter amended
of activities of Lessee
of any authorized
relating to
or
hazardous
its subtenants
TERMINATION This agreement shall terminate upon its
13
the
at
law regulation guideline standard
any
officers agents and employees against
provided
comply with
release of any Hazardous Substances
compliance
non
to any person
expiration
as
3 herein
EARL Y TERMINATION FOR DEFAULT OR BREACH Each of
events
shall constitute
a
which Lessor may terminate this lease
1
default
prior to
or
breach of this lease
its
by
Lessee for
expiration
Failure to pay rent when it shall become due provided
however that Lessee shall have the right to cure any default for nonpayment
10
due within ten 10
by making the payment
after written notice thereof
days
Lessor to Lessee
by
Failure
2
conditions
if such
or
by Lessee to perform
of this lease which
covenants
nonperformance
shall continue for
written notice thereof by Lessor to Lessee
extended
period
as
may be
total of
or
are
comply with
of thirty
provided
required beyond
within its control
reasonably
period
a
the
any of the other
30 days after
Lessee shall have such
thirty 30 days
if the nature of the
ninety 90 days
event
exceeding
that it
reasonably requires more than thirty 30 days and Lessee
the
cure
a
within the
pursues the
diligently
and thereafter
thirty 30 day period
cure
to
but in
cure
is such
commences
continuously
may terminate this lease
prior
and
completion
EARL Y TERMINATION BY MUTUAL AGREEMENT The
B
no
to its
expiration
at any
time
parties
mutual written
by
agreement
UNILA TERAL EARLY TERMINA TION BY LESSEE Lessee my
C
unilaterally
terminate this lease
30 days advance written
following
prior
to
its
expiration
notice to Lessor upon the
at any
time
occurrence
by giving thirty
of one
or more
of the
causes
Casualty The
1
to the
Premises if the
casualty
may
Premises for
than
be
by
to
any authorized
losses
or
by
the fire
disrupt
or
other casualty
windstrorm
s
Lessee
or
operations
other
at the
five 45 days
forty
The
occurrence
damages
condemnation
11
of condemnation of the
governmental authority
condemnation Lessee may make claim
for any
of fire windstorm
caused
expected
Condemnation
2
Premises
damage
reasonably
more
occurrence
on
suffered
its
by
own
In the event of
behalf against condemner
Lessee
arising
out
of such
CANCELLATION PRIOR TO ASSUMPTION OF POSSESSION
D
possession
this lease in
unilaterally cancel
Lessee may
of the Premises for any reasonable
terminates this lease
upon the earlier of
of the
expiration
one
sums
fee
prior notice
equal
is
rent at
with any
federal
requirements
of any kind whatsoever which may
other
remedy
or
remedies
and
to
state
pays to Lessor
a
paid
right to
that six
provided
6
termination
or
Nothing herein shall relieve
local laws
regulations
apply Nothing herein
exercise its
supersedes
all
prior agreements
contracts
provisions
police
powers
or
other
shall be deemed to
or
rely
upon such
without any
approval
to any
or
entity
understandings
written
of this lease may be modified
sold assigned
s
consent of Lessor to Lessee
which
and
or
oral
only by
parties
ASSIGNMENT This lease may be
17
by
the commencement of
law
provided by
mutual written agreement of the
defined
authority
MODIFICA TION The
16
principal
day following
ENTIRE AGREEMENT This lease constitutes the entire agreement of the
15
parties
s
of Walla Walla
occur
the then
current rate
compliance
City
or
of this lease
anniversary
Lessee from
affect the
120th
Lessee shall have the
COMPLIANCE WITH PROVISIONS OF LAW
14
shall be
no rent
Notwithstanding anything to the contrary
given Lessor and provided Lessee
6 months
to six
agreement
payable to Lessor by Lessee
terminate this lease upon the annual
months
of the Premises
Lessee is not in default hereunder and shall have
provided
due and
assuming
the Premises
improvement to
contained herein and
to
In the event that Lessee
hundred twentieth
ANNUAL TERMINATION
E
prior
Possession of the Premises shall be deemed to
commencement of the initial term of this
construction of any
to Lessor
cause
prior to assuming possession
owed to Lessor hereunder
all rents and
writing
acquires
all
or
or
principal affiliates
substantially
by
Lessee
subsidiaries of its
all of Lessee
s assets in the market
the Federal Communications Commission in which the
12
transferred
Property
is located
by
reason
of
acquires
a
merger
or
receives
market defined
located As
to
by
other
acquisition
an
or
other business
interest in the
majority
reorganization
respective parties
parties
this lease may not be sold
this lease shall be
sublessees
by
Lessee shall be
upon the successors
upon the
binding
and
assigns
of the
WAIVER No waiver
breach of this same
a
to the
heirs and
is
Property
transferred without the
withheld
provisions
or
delayed Any
of this lease and
legal representatives
legal representatives heirs
or
of the
or
hereunder
or
of any
other
term
sums
sum
or
or
or a
condition
term or
forbearance of any other
or
subsequent
condition and the acceptance of any
of money after the
hereunder shall
owing
of
hereto
waiver
a
payment of any
time when any other default exists
demand payment of all
parties
provisions
executors administrators
forbearance of any breach of any
of this agreement shall be construed to be
performance
which
hereto
successors
19
at
or
unreasonably
subject
assigns
assigned
BINDING ON HEIRS SUCCESSORS AND ASSIGNS The
18
entity
the Federal Communications Commission in which the
sublease that is entered into
binding
to any
of communication towers of Lessee in the
written consent of Lessor which consent will not be
shall be
or
same
not constitute
a
has become due
waiver of the
waiver of any other default then
or
or
right to
thereafter
existing
20
be
deposited
NOTICES
Any notice required
in the United States
a
change
given by either party to the
mail postage prepaid and shall be deemed
upon the date of mailing Either party may
written notice of
to be
change
its address
other shall
to be
given
provided herein by providing
of address to the other party at the other
s
party
last address of
record
A
S ADDRESS
LESSOR
The address of Lessor for any notice
or
payment required herein shall be City Manager City of Walla Walla 15 N Third
Ave Walla Walla WA 99362
B
S ADDRESS The Lessee
LESSEE
s address for any notice
13
required
herein shall be Cellco
Partnership
a Verizon Wireless 180
b
d
Washington Valley
Road Bedminster New Jersey 07921 Attn Network Real Estate
APPLICABLE LAW This agreement shall be
21
governed by
and construed in
accordance with the laws of State of Washington
A
arising
Walla Walla
VENUE
out
of this agreement
or
County
any
shall be the
for any
venue
question regarding
dispute
its construction
or
interpretation
RECORDING Lessor shall record
22
memorandum hereof as may be
law with the
or
renewal
hereof decide
to
sell all
other than Lessee such sale shall be under and
rights hereunder
herein
way
of
and any sale
granted
subject to this
Lessor of any
by
shall be under and
during
the term of this
any part of the Premises to
or
subject to
the
right
a
purchaser
lease agreement and Lessee
s
of the property
portion
or a
appropriate recording officer
RIGHTS UPON SALE Should Lessor at any time
23
agreement
required by
copy of this lease agreement
a
underlying the right
of Lessee in and to such
right
way
of
24
void
SEVERABILITY
illegal
or
shall in
and such other
no
way
provisions
Any provision of this lease which shall prove to be invalid
affect impair
or
invalidate any of the other provisions hereof
shall remain in full force and effect
despite
such
invalidity
or
illegality
NO CONSEQUENTIAL DAMAGES To the extent either Lessor
25
suffers
damages resulting
for the
negligent
or
or
Lessee
willful misconduct of the other party its
employees agents and contractors notwithstanding any provision ofthis lease to the contrary
under
no
arising
any
circumstances shall either party be liable to the other for any
in connection with the
rights
use or
operation
related thereto This waiver of consequential
claims asserted
asserted
construction
by
by
third
either Lessor
or
Lessee
against
parties
14
the
consequential damages
of the Premises
damage
shall
or
the exercise of
apply only
other and shall
not
as
apply
relates to
to
claims
IN WITNESS
WHEREOF the parties hereto have executed this lease agreement
CITY OF WALLA
By
Duane
WALLA Lessor
Cole City Manager
Date
ÔoS
2
Wireless
By
zon
partncrSh
Robert F Swaine
West Area Vice
Date
15
5
President Network
2 2
of
State of Washington
County
of Walla Walla
certify that I know or have satisfactory evidence that Duane Cole is the person who
appeared before me and said person acknowledged that he signed this instrument on oath
stated that he was authorized to execute the instrument and acknowledged it as the City
Manager of the City of Walla Walla to be the free and voluntary act of such party for the
I
purposes mentioned in the instrument
nd
ÒNALD I
OA
ON d
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17alF
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ig OTARY
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Notary Public for
Washington residing
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the
State
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Walla
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OFwþ
STATE OF ARIZONA
SS
COUNTY OF MARICOPA
On this
Public in and for the State
of
Yrl 20ðS before me the undersigned a Notary
L
U
t
of Arizona duly commissioned and sworn personally
day
appeared Robert F Swaine to me known to be an authorized representative of Cellco
a Verizon Wireless the partnership that executed the foregoing
b
Partnership d
instrument and acknowledged said instrument to be the free and voluntary act and deed
of Cellco Partnership d
a Verizon Wireless for the uses and purposes therein
b
mentioned and
on
oath stated that He is authorized to execute the said instrument
IN WITNESS
seal the
day
WHEREOF I have hereunto
set my
hand and affixed my official
and year first above written
ChU CL
l
Print
or
AI
OFFICIAI
i1
JANET LOEBS
ARIZONA
NOTARY PUBLIC
MARICOPA COUNTY
My Comm Expires Dec 24 2006
Notary
f
JANET LOEBS
ype Name
Public in and for the State of AZ
residing
MARICOPA COUNTY
My appointment expires
DEC 24 2006
residing at
16
at
EXHIBIT A
Page
1 of3
LEGAL DESCRIPTION
Beginning at the southwest corner of the southeast quarter of the southwest
quarter of section 17 in Township 7 north of Range 36 east of the Willamette
Meridian and running thence north 890 46 east along the south line of said
5 feet thence south 000 04 east 375
65 feet
Section 17 a distance of 28
o
25 feet to the northerly line of the tract now
51 east 524
thence south 79
owned by School District No 140 of Walla Walla County formerly School District
0 feet thence north 810 32 east 451
3
1 thence north 570 39 east 510
No
thence
0
175
north
thence
feet
along the arc of a curve to the right
feet
17 feet for a distance of 263
35 feet thence north 680
having a radius of 220
81 feet thence along the arc of a curve to the left having a
32 east 566
26 feet thence south 890 32 west
radius of 150
a
curve to the
a radius of
0 feet thence along the arce
315
of
31 east 660
150
95 feet
90 feet thence along the arc of a curve to the
thence north 420 59 east 511
27 feet fora distance of 1734
50 feet more or
right having a radius of 3276
0 feet west
less to a point in a line drawn parallel to and distant 150
measured at right angles from the east line of said Section 17 thence north
0 feet to a point in a line drawn
along said parallel line a distance of 200
0
350
feet
measured at right angles from the
and
distant
to
north
parallel
east and west center line of said section 17 thence west along said parallel
90 feet more or less to the easterly line of the
line a distance of 136G
of
the
of
Washington Railroad
Oregon
Navigation Company thence
right
y
w
4
southwesterly along the easterly line of said right of way a distance of 387
feet more or less to the point of its intersection with the east and west
center line of said section 17 thence south 890 43 west along said east and
35 feet to the center of said Section 17
west center line a distance of 934
90 feet more or less to the northwest corner of
thence south 440 30 west 1858
the southeast quarter of the southwest quarter of said Section 17 thence south
000 17 east along the west line of said southeast quarter of southwest
10 feet to the point of beginning
quarter a distance of 1319
EXCEPTING THEREFROM however the right of way of the Oregon
Washington
Railroad
Navigation Company over and across said premises
ALSO EXCEPTING therefrom that portion conveyed to the State of Washington by
s file no 522582
deed Recorded July 10 1972 under auditor
rightohaving
EXHIBIT A
Page 2 of3
60 PP
L EASEMENT
x40 LEASE ARt A
20
20 RIGHT OF WAY
S
t1
S
R
EXHIBIT A
Page
3 of3
11
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to
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FILED FOR RECORD AT
REQUEST
OF
AND WHEN RECORDED RETURN TO
Verizon Wireless
Attn Network Real Estate
335016151
Bellevue
MIS 221
Avenue SE
WA 98008
Space
Memorandum of Lease
above this line is for Recorder
s
Agreement
GH
O
i
Grantor
City of Walla
Grantee
Cellco
Legal Description
ofthe SE Yi ofthe SW Yi ofS17 T7N
R36E W
M Walla Walla County State of
SW
Walla
Partnership
a Verizon Wireless
b
d
corner
Washington
Official legal description
s Tax Parcel ID
Assessor
0003
13
17
07
36
Reference
A
N
if applicable
1
285678v 1 BEL
WWP STOMACH
10
3
2005
as
Exhibit A
ì
use
MEMORANDUM OF LEASE AGREEMENT
THIS MEMORANDUM OF LEASE AGREEMENT evidences that
Agreement
Walla
was
entered into
and Cellco
LESSOR
property located
Washington
at 201
term
subject
1
of
by
20 f
Partnership
5
s
to Licensee
with
years
rights
to
Lease
Agreement
of the
day
LESSOR
L6
Duane
Date
right
provided
for in the
Agreement for four 4
City
Cole City Manager
2cJòcS
Cellco Partners
ip
a Verizon Wireless
b
d
West Area Vice President Network
3
2L
Or
Legal Description
2
utilities for
terms
an
term is
of five
5
executed this Memorandum of
b
Robert F Swaine
Date
duly
of Walla Walla
By
2005
10
3
for certain real
Agreement which
and year last below written
8
l2
LESSEE
as
of access and to install and maintain
Lessor and Lessee have
By
WWP STOMACH
LESSEE
of Walla
Walla in the County of Walla Walla State of
extend the term of the
WITNESS WHEREOF
W
eé
as
a
commencing
years
285678v I BEL
City
Agreement
within the property of Lessor which is described in Exhibit A attached hereto
offive
Exhibit A
Lease
and between
a Verizon Wireless
b
d
W Reese Avenue Walla
Legal Description together
initial
as
a
LESSOR ACKNOWLEDGEMENT
STATE OF
tv
COUNTY OF
kw
1
ss
Æl
IU
1
1JvJj
2Oð
Vdayof
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p
before me a Notary Public in and for the
On this
olAv Iv
Duane
State of W
Cole
personally known to me or proved to
personally appeared
me on the basis of satisfactory evidence to be the person who executed this instrument on oath
She was authorized to execute the instrument and acknowledged it as the City
stated that He
Manager of City of W alia Walla to be the free and voluntary act and deed of said party for the
uses and purposes mentioned in the instrument
fw
IN WITNESS WHEREOF I have
first above written
O
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My
2005
10
3
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PrInt Name
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4
1
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WWP STOMACH
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11
hand and official seal the
residing at
appointment expires
ÕFWþ
BEL
285678vl
set
day
and year
NOTARY PUBLIC in and for the State of W
01AAY
o
l
hereuqto
p
L
r
rd
SOn
LESSEE ACKNOWLEDGMENT
STATE OF ARIZONA
SS
COUNTY OF
MARICOPA
On this
day
of m
20 before
me
the
undersigned
a
Notary
Public in
and for the State of Arizona duly commissioned and sworn personally appeared Robert F
a Verizon
b
Swaine to me known to be an authorized representative of Cellco Partnership d
Wireless the
partnership
that executed the
instrument to be the free and
voluntary
act
and purposes therein
execute the said instrument
Wireless for the
uses
foregoing instrument and acknowledged said
a Verizon
b
Partnership d
and deed of Cellco
mentioned and
on
oath stated that He is authorized to
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the
day
and year first above written
IelAL8EÄL
I
QI
i1
JANET LOEBS
ARIZONA
NOTARY PUBLIC
MARICOPA COUNTY
2006
My Comm Expires Dec 24
J
Print
WWP STOMACH
2005
10
3
èf
JANET
Type Name
LOEBS
Notary Public in and for the State of AZ
MARICOPA COUNTY
residing at
DEC 24 2006
4
285678v I BEL
or
EXHIBIT A
LEGAL DESCRIPTION
Beginning
quarter of
at
the
southwest
section 17 in
corner
Township
7
of
the
north
southeast
of Range 36
quarter of the southwest
east of the Willamette
thence north 890 46 east along the south line of said
5 feet thence south 000 04 east 375
65 feet
section 17 a distance of 28
25 feet to the northerly line of the tract now
thence south 790 51 east 524
owned by School District No 140 of Walla Walla County formerly School District
Meridian
and
running
3
No thence north 570 39 east 510
1
0 feet thence along the arc of a curve to the right
feet thence north 175
having a radius of 220
81 feet thence along the arc of a curve to the left having a
32 east 566
26 feet thence south 890 32 west
radius of 150
0 feet thence along the arce of a curve to the right having a radius of
315
95 feet
150
o
90 feet thence along the arc of a curve to the
59 east 511
thence north 42
50 feet more or
right having a radius of 3276
to
a
line
drawn
and
distant
0 feet west
150
a
in
to
less
parallel
point
measured at right angles from the east line of said Section 17 thence north
0 feet to a point in a line drawn
along said parallel line a distance of 200
0 feet north measured at right angles from the
parallel to and distant 350
east and west center line of said Section 17 thence west along said parallel
90 feet more or less to the easterly line of the
line a distance of 136G
Navigation Company thence
Washington Railroad
right of w
y of the Oregon
4
southwesterly along the easterly line of said right of way a distance of 387
to the point of its intersection with the east and west
or less
line of said Section 17 thence south 890 43 west along said east and
35 feet to the center of said Section 17
west center line a distance of 934
feet
more
center
o
90 feet more or less to the northwest corner of
30 west 1858
southeast quarter of the southwest quarter of said Section 17 thence south
00
17 east along the west line of said southeast quarter of southwest
10 feet to the point of beginning
quarter a distance of 1319
EXCEPTING THEREFROM however the right of way of the Oregon
Washington
Railroad
Navigation Company over and across said premises
ALSO EXCEPTING therefrom that portion conveyed to the State of Washington by
s file no 522582
deed Recorded July 10 1972 under auditor
thence
south 44
thS
5
285678v
BEL
WWP STOMACH
1012005
3
JlDwireless
vel1l
9 AND VENDOR CLASSIFICATION FORM
SUBSTITUTE W
Check all boxes in the following sections that apply to your business
Incomplete forms
will
cause
Delavs
on
Payments
If this address is incorrect
If you have had
a name
please change
change please
include written documentation and
new
federal tax identification number
OWNED
IS THIS COMPANY MINORITY WOMAN OR PROTECTED CLASS
MIWIDV BE 0
YES
0
NO If yes
please select from below
CLASSIFICATION 0 African American 0 Asian
Pacific American
GENDER 0 Male 0 Female
BUSINESS OWNERSHIP
o Asian
Hawaiian American 0 Non
Eskimo
Subcontinent American 0 Hispanic American 0 Native Indian
minority 0 Persons with Disability
o
0 Vietnam
era Veteran 0 Veteran
0 Small 0 8
A SDB 0 Small Disadvantaged
Service Disabled Veteran
BUSINESS TYPE
0 Large
CERTIFYING AGENCY
Business
0
HUB
DCalifomia Clearinghouse CPUC ONMSDC Affiliate OState OSBA OWBENC 0
OOther specify
USPAACC
certified please fax or mail a copy of this form and your certification form to Gwen Wilson Verizon Wireless 600 Hidden Ridge MC HQE04D12
SUDDlierdiversitv
com
verizonwireless
4337 For more information log on to the website at www
718
Irving TX 75118 fax 972
If
BUSINESS ACTIVITY
Check One
Only
D
Estate
lease
rental
Real
o
o Consultant Professional Fees
Services
o
o
o
Legal Firm Attomey Lawyer
o
A
Merchandise
goods only
Merchandise
services
o
Medical Health Care
CHECK IF APPLICABLE
o
A Division of
Same
Federal Tax ID
as
Parent
US Supplier
DNon
Owned Subsidiary of
Wholly
Different
Federal Tax ID than
Primarily of Foreign Origin
Parent
Country
Parent Company
Parent Company
PAYMENT TERMS
Please complete the information on the following page We are required by law to obtain this information from you when making a reportable payment to you
If you do not provide us with this information your payments may be subject to a 30 federal income tax backup withholding 29 after December 31 2003
Also if you do not provide us this information you may be subject to a 50 penalty imposed by the Intemal Revenue Service under Section 6723
s lien If you do not fumish a valid TIN or if you
Federal law on backup withholding preempts any state or local law remedies such as any right to a mechanic
are subject to backup withholding the payor is required to withhold 30 of its payment to you 29 after December 31 2003 Backup withholding is not a
failure to pay you It is an advance tax payment You should report all backup withholding as a credit for taxes paid on your federal income tax return
Use this form only if you
are a
S resident alien If you
S person including U
U
Instructions
1
2
3
4
are a
foreign person
use
the
8
appropriate Form W
for following page
Complete Part 1 by completing the one row of boxes that corresponds to your tax status
Complete Part 2 if you are exempt from Form 1099 reporting
Complete Part 3 to sign and date the form
Return this completed form to us in the enclosed envelope Note If you are a MIWDV BE please fax
this form and your certification form as instructed above
or
mail
a
copy of
Tax Status complete onlv
Part 1
Individuals
Fill out this row
Sole
Fill
Individual Name
Proprietor
row
A sole
out this
First
one row
of boxes
name middle
proprietorship may have
s Name
Business Owner
doing
a
s Social
Individual
initial last name
business
dba trade
as
name but the
s Social
Business Owner
REQUIRED
legal
name
Security Number
is the
name
of the business
Business
Security Number
or
owner
Trade Name
OPTIONAL
Middle initial
First name
or
Employer
ID Number
Last name
Partnership
Fill out this row
Corporation
exempt charity
or other entity
Fill out this row
Name of
Corporation
Exemption
1
or
Employer
q
I
If exempt from Fonn 1099
incorporated
medical and
Yes
bOO I l
ð
o
reporting check here
No
5 A
state thea District of
Columbia
possession
of the United States
any of their political
subdivisions
healthcare
DBAs
0
0 AND circle your qualifying exemption
3 The United States
Exempt
or any of its agencies
Charity under
or instrumentalities
501 a includes
501 a
3 or IRA
except there is
no exemption for
Attach all
business
names
2 Tax
Corporation
Are you
Identification Number
Entity
L1 L
of ec 10 tM
c
I
Part 2
Partnership Name on IRS
s
records see IRS mailing label
s Employer Identification Number
Partnership
or
or
reason
below
foreign government
any of its political
subdivisions
payments or
payments for
legal services
Part 3
Signature
I
am a
S person
U
completing
Title
COILf
k
t
tifj
Name
e
corresponQen
j th
Phone
e
r
Date
Signature
City
A
a
alien
address
S AJ
ll t
Wo
3rd
State
Lk
at 06
3
t
Po ßo tff
ZIP
J
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Nonresident aliens
S resident aliens who claim a treaty benefit based
U
9 this
on a saving clause must complete a form W
form is acceptable and attach the required information
to avoid backup withholding treaty country treaty article
addressing the income the article number in the tax treaty
that contains the saving clause and its exceptions the
type and amount of income that qualifies for the exemption
from tax and sufficient facts to justify the exemption
from tax under the terms of the
à 1 4 3 If 0
QQ1 5
If address for
payment
is
different please list payment remit address below
Remit address
City
S resident
U
this form
Person
Tax
including
State
ZIP
treaty article
g
W
Fonn
Request for Taxpayer
Identification Number and Certification
Rev January 2005
Department of the Treasury
Give form to the
requester Do not
send to the IRS
Internal Revenue Service
N
Q
g
0
c
o
GI
r Ut
8u
D
Corporation
02
1i
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GI
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p
6Q
Other
Partnership
s
Requester
name
Exempt from backup
withholding
D
and address
optionaQ
IN
appropriate box The TIN provided must match the name given on Line 1 to avoid
backup withholding For individuals this is your social security number SSN However for a resident
alien sole proprietor or disregarded entity see the Part I instructions on page 3 For other entities it is
your employer identification number EIN If you do not have a number see How to get a TIN on page 3
Enter your TIN in the
Note If the account is in
to enter
than
more
one
name see
the chart
on
page 4 for
guidelines
on
or
whose number
Certification
Under
I
penalties of perjury
certify
that
this form is my correct
taxpayer identification number or I
waiting
for
number to be issued to
1
The number shown
2
I am not subject to backup withholding because a I am exempt from backup withholding or b I have not been notified
Revenue Service IRS that I am subject to backup withholding as a result of a failure to report all interest or dividends or
notified me that I am no longer subject to backup withholding and
3
I
am a
S person
U
on
including
a
S resident
U
am
a
me
by
c
and
the Intemal
the IRS has
alien
Certification instructions You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax retum For real estate transactions item 2 does not apply
For mortgage interest paid acquisition or abandonment of secured property cancellation of debt contributions to an individual retirement
arrangement IRA and generally payments other than interest and dividends you are not required to sign the Certification but you must
provide your correct TIN See the instructions on page 4
Sign
Signature of
Here
Date
S person
U
Purpose of Form
A person who is required to file an information return with the
IRS must obtain your correct taxpayer identification number
fIN to report for example income paid to you real estate
transactions mortgage interest you paid acquisition or
abandonment of secured property cancellation of debt or
contributions you made to an IRA
9 only if you are a U
S person
S person Use Form W
U
including a resident alien to provide your correct TIN to the
person requesting it the requester and when applicable to
1 Certify that the TIN you are giving is correct or you are
waiting for a number to be issued
2
Certify
that you
are
not
subject
to
backup withholding
or
3 Claim exemption from
U exempt payee
S
backup withholding if you
are a
9
requester gives you a form other than Form W
s form if it is
request your TIN you must use the requester
Note If
a
substantially
to
9
similar to this Form W
For federal tax purposes you
are
considered
a
person if you
are
An individual who is
a
citizen
or
resident of the United
Any estate other than a foreign estate or trust See
a for additional
Regulations sections 301
a and 7
6
7701
information
person If you are a foreign person do not use
Form W
8 see
9 Instead use the appropriate Form W
Publication 515 Withholding of Tax on Nonresident Aliens
and Foreign Entities
Foreign
Nonresident alien who becomes a resident alien
a nonresident alien individual may use the
S tax on
terms of a tax treaty to reduce or eliminate U
certain types of income However most tax treaties contain a
provision known as a saving clause Exceptions specified
in the saving clause may permit an exemption from tax to
continue for certain types of income even after the recipient
S resident alien for tax purposes
has otherwise become a U
Generally only
If you are a U
S resident alien who is relying on an
exception contained in the saving clause of a tax treaty to
S tax on certain types of income
claim an exemption from U
9 that specifies the
you must attach a statement to Form W
following five items
1 The treaty country Generally this must be the same
treaty under which you claimed exemption from tax as a
nonresident alien
States
A partnership corporation company or association
created or organized in the United States or under the laws
of the United States or
2 The
treaty article addressing the income
3 The article number or location in the tax
contains the saving clause and its exceptions
Cat No 10231X
Fonn
treaty that
9 Rev 1
W
2005
Form W
9
Page 2
Rev 1
2005
4 The type and amount
exemption from tax
of income that
5 Sufficient facts to justify the
the terms of the treaty article
qualifies
exemption from
for the
tax under
China income tax treaty
S
Example Article 20 of the U
allows an exemption from tax for scholarship income
received by a Chinese student temporarily present in the
S law this student will become a
United States Under U
resident alien for tax purposes if his or her stay in the United
States exceeds 5 calendar years However paragraph 2 of
China treaty dated April 30
S
the first Protocol to the U
1984 allows the provisions of Article 20 to continue to apply
even after the Chinese student becomes a resident alien of
the United States A Chinese student who qualifies for this
exception under paragraph 2 of the first protocol and is
relying on this exception to claim an exemption from tax on
his or her scholarship or fellowship income would attach to
Form W
9 a statement that includes the information
described above to support that exemption
If you
are a nonresident alien or a foreign entity not subject
backup withholding give the requester the appropriate
8
completed Form W
What is backup withholding Persons making certain
payments to you must under certain conditions withhold and
pay to the IRS 28 of such payments after December 31
2002 This is called backup withholding Payments that
may be subject to backup withholding include interest
dividends broker and barter exchange transactions rents
royalties nonemployee pay and certain payments from
fishing boat operators Real estate transactions are not
subject to backup withholding
to
Misuse of TINs If the requester discloses or
violation of federal law the requester may be
and criminal penalties
uses
TINs in
to civil
subject
Specific Instructions
Name
If you are an individual you must generally enter the name
shown on your social security card However if you have
changed your last name for instance due to marriage
without informing the Social Security Administration of the
name change enter your first name the last name shown on
your social security card and your new last name
If the account is in joint names list first and then circle
the name of the person or entity whose number you entered
in Part I of the form
Sole proprietor Enter your individual name as shown on
your social security card on the Name line You may enter
your business trade or doing business as DBA name on
the Business name line
Limited liability company LLC If you are a single
member
LLC including a foreign LLC with a domestic owner that is
disregarded as an entity separate from its owner under
s
3 enter the owner
7701
Treasury regulations section 301
name on the Name line Enter the LLC
s name on the
Business name line Check the appropriate box for your
filing status sole proprietor corporation etc then check
the box for Other and enter LLC in the space provided
Other entities Enter your business name as shown on
required Federal tax documents on the Name line This
name should match the name shown on the charter or other
legal document creating the entity You may enter any
business trade or DBA name on the Business name line
You will not be subject to backup withholding on payments
you receive if you give the requester your correct TIN make
the proper certifications and report all your taxable interest
and dividends on your tax return
Note You are requested to check the appropriate box for
your status individual
sole proprietor corporation etc
Payments you receive will be subject
withholding if
Exempt
1 You do not furnish your TIN to the
to
backup
requester
2 You do not certify your TIN when required
II instructions on page 4 for details or
or
see the Part
3 The IRS tells the requester that you furnished
incorrect TIN or
an
4 The IRS tells you that you are subject to backup
because you did not report all your interest and
dividends on your tax return for reportable interest and
dividends only or
5 You do not certify to the requester that you are not
to backup withholding under 4 above for reportable
interest and dividend accounts opened after 1983 only
subject
Certain payees and payments are exempt from backup
See the instructions below and the separate
Instructions for the Requester of Form W
9
withholding
Penalties
Failure to furnish TIN If you fail to furnish your correct TIN
to a requester you are subject to a penalty of 50 for each
such failure unless your failure is due to reasonable cause
and not to willful neglect
Civil penalty for false information with respect to
withholding If you make a false statement with no
reasonable basis that results in no backup withholding you
subject to a 500 penalty
Criminal penalty for falsifying information Willfully
falsifying certifications or affirmations may subject you
or imprisonment
criminal penalties including fines and
are
Backup Withholding
If you are exempt enter your name as described above and
check the appropriate box for your status then check the
Exempt from backup withholding box in the line following
the business name sign and date the form
Generally
withholding
From
individuals
including
sole
proprietors
not
interest and dividends
Note If you are exempt from backup withholding you
should still complete this form to avoid possible erroneous
backup withholding
Exempt payees Backup withholding is not required on any
payments made to the following payees
1 An organization exempt from tax under section 501 a
any IRA or a custodial account under section 403
7 if the
b
account satisfies the requirements of section 401 t
2
2 The United States or any of its agencies or
instrumentalities
3 A state the District of Columbia a possession of the
United States or any of their political subdivisions or
instrumentalities
4 A foreign government or any of its political subdivisions
agencies or instrumentalities or
5 An international organization or any of its agencies or
instrumentalities
Other payees that may be exempt from backup
to
are
exempt from backup withholding Corporations are exempt
from backup withholding for certain payments such as
withholding include
6 A corporation
TIM
DONALDSON City Attorney
15 N Third Ave
Walla
Walla WA 99362
2843
509 522
fax 509 527
3771
us
wa
walla
tdonaldson@ci
March 29
2005
BY FEDERAL EXPRESS
Shirley Vangen
Analyst
Real Estate
Verizon Wireless
S 221
16lt Ave SE M
Bellevue WA 98008
3350
BY HAND DELIVERY
Kammy Hill
Walla Walla
City
Clerk
15 N Third Ave
Walla Walla WA 99362
re
Dear
Sumach site lease
Shirley
and
Kammy
Delivered herewith to each of you is
1 an original executed copy ofthe lease between Walla
Walla and Verizon dated March 28 2005 and 2 an original executed copy of the
Memorandum of Lease agreement I request that City Clerk Hill accept the lease for filing
in the official records of the
City
memorandum with the Walla Walla
of Walla Walla and that the
County
City
Clerk record the
Auditor
Also enclosed in each of your packets is a copy of a W
9 form completed by the City of
Walla Walla
s Finance Division The original is enclosed in the copy of this letter sent to
Sarah Blanchard
Sincerely
enclosures
TIM DONALDSON
w enclosures
Sarah Blanchard AFL Telecommunications
Duane Cole Walla Walla City Manager
Jim Dumont Walla Walla Parks Director
Walla Walla
cc
City Attorney
MARSH
CERTIFICATE NUMBER
CERTIFICATE OF INSURANCE
PRODUCER
01
002319429
NYC
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC
1166 A VENUE OF THE AMERICAS
NEW YORK NY 10036
Attn K HELM
0500
948
212
COM
CERTS@MARSH
NEWYORK
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY THIS CERTIFICATE DOES NOT
AMEND
EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN
COMPANIES AFFORDING COVERAGE
COMPANY
J1042 GTE
05
04
GAUW
A
INSURED
AMERICAN HOME ASSURANCE COMPANY
COMPANY
VERIZON WIRELESS
180 WASHINGTON VALLEY ROAD
BEDMINSTER NJ 07921
B
INSURANCE CO STATE OF PENNSYLVANIA
COMPANY
C
ILLINOIS NATIONAL INSURANCE CO
COMPANY
D
COVERAGES
This certificate
supersedes
and
replaces
any
NATIONAL UNION FIRE INS CO OF
previously issued
certificate for the
policy period
PITTSBURGH PA
1
noted below
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED
NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN THE INSURANCE FFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
CO
TYPE OF INSURANCE
LTR
POLICY NUMBER
GENERAL LIABILITY
A
POLICY EFFECTIVE
DATE
YY
MMIDD
04
30
06
RMGL4806326
POLICY EXPIRATION
DATE
LIMITS
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06
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CLAIMS MADE
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RMCA 518
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04
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06
05
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ALL OWNED AUTOS
RMCA 518
9065
04
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06
05
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BODILY INJURY
A
SCHEDULED AUTOS
RMCA 518
9066
MA
VA
04
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06
05
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06
Per person
AUTOS
000
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2
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Anyone person
MED EXP
AUTOMOBILE LIABILITY
INCLUDED
EACH OCCURRENCE
FIRE DAMAGE
A
000
2
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GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY
X
BODILY INJURY
Per accident
OWNED AUTOS
NON
Self Insured for
Physical Damage
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY
ANY AUTO
EA ACCIDENT
OTHER THAN AUTO ONLY
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
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UMBRELLA FORM
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RMWC 521
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04
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RMWC 521
2649
CA
04
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06
05
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RMWC 521
2650
05
30
06
EL DISEASE
POLICY LIMIT
000
1
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EXCL
RMWC 521
2651
FL MA TN VA 06
04
30
04
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06
MI NY WI
05
30
06
EL EACH
DISEASE EMPLOYEE
000
1
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RMWC 521
2652
NV OR
04
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06
05
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EMPLOYERS LIABILITY
A
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OTHER
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WORKERS COMPENSATION
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EMPLOYERS LIABILITY
DESCRIPTION OF OPERATlONS
LOCATlONSIVEHICLESISPECIAL ITEMS
Re Site Location WWP Stomach 15 North Third Avenue Walla Walla WA
City of Walla Walla W A is an additional insured except for workers com pensation
named insured
CERTIFICATE HOLDER
as
required by written
contract but
only
as
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CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN
THE
of Walla Walla
15 North Third Avenue
Walla Walla WA 99362
City
INSURER AFFORDING
COVERAGE
WIll
BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF
ENDEAVOR TO MAIL
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3
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MARSH USA INC
BY
Steven Becker
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TO THE
COVERAGE ITS AGENTS OR REPRESENTATIVES OR THE
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02
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VALID AS OF OS
ACORDT
CERTIFICATE OF LIABILITY INSURANCE
DATE MM
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01 09 07
THIS CERTIFICATE IS ISSUED AS A
PRODUCER
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services
Inc
55 East 52nd Street
New York NY 10055
Aon
of
York
New
ONLY
AND
CONFERS NO
MATTER
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OF INFORMATION
THE
CERTIFICATE
HOLDER
THIS CERTIFICATE DOES NOT AMEND EXTEND OR
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COMPANIES AFFORDING COVERAGE
COMPANY
866
PHONE
266 7475
866
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American Home Assurance Co
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467 7847
INSURED
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180 washington valley Road
Bedminster NJ 07921 USA
PA
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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
0
TYPE OF INSliRANCE
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POLICY EFFECTIVE POLICY
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06 30 06
4024042
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06
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3
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CA3852429
HIRED AUTOS
Auto
f
NON
Auto
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for
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one
2 000 000
fire
10 000
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06
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06
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06
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06
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wC7576018
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CA
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES SPECIAL ITEMS
Re
Contract
and
61700
201 w
Reese
and
agents
non
Avenue
walla Wa 11
a
employees are included as Additional Insured
contributory per the policy terms and conditions
CERTIFICATE HOLDER
WA
City of walla walla its elected officials officers
excluding workers Compensation This insurance is primar
waiver of subrogation applies in favor of the
A
City of Walla Walla
City Manager
ANY OF THE
EXPIRATION
Attn
15 N
Third Avenue
walla walla
WA 99362
S
CANCELLATION
SHOULD
DATE
30 DAYS WRITTEN
USA
ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THEREOF
THE
NOTICE TO THE
ISSUING COMPANY
CERTIFICATE
WILL ENDEAVOR TO
HOLDER
MAIL
NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF
ANY
KIN D
UPON
THE
COMPANY
ITS
AGENTS
OR
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
ACORD 25 S
1 95
Q ACORD CORPORATION 1985
0
Attachment to ACORD Certificate for
Partnership
provisions
afforded
This attachment does not contain all temls conditions coverages
by
the insurer
s
noted below
CelleD
The terms conditions and
are
hereby
attached to the
captioned
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or
as
additional
description of the
policy
coverage
exclusions contained in the
COMPANY
INSURED
Cellco
partnership
COMPANY
COMPANY
COMPANY
COMPANY
ADDITIONAL POLICIES
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If a
policy below does not include
policy limits
corresponding policy
POLICY
POLICY
POLICY NUMBER
EFFECTIVE
EXPIRATION
POLICY DESCRIPTION
DATE
DATE
TYPE OF INSURANCE
LTR
WORKERS
limit information refer to the
COMPENSATION
wc7576070
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06
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06
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06
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06
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06
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06
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AR
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DESCRIPTION OF OPERATIONS LOCATIONSNEHICLES SPECIAL ITEMS
Additional
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Certificate No
570020840940
TN
VA
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283 7122
866
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953 5390
NAlC
verizon Wireless
washington valley Road
Bedminster
NJ
07921 USA
American
INSURER B
National union Fire
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ANY REQUIREMENT TERM OR CONDmON
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REDUCED BY PAID CLAIMS
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DESCRIPTION OF OPERATIONSILOCATIONS
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Walla walla WA 99362 USA
Additional
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SHOULD ANY OF THE ABOVE DESCRIBED
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TO
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INSURER
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180
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NJ
07921 USA
INSURER
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ADDITIONAL POLICIES
INSR
LTR
If a policy below does not include limit information refer to the
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POLICY NUMBER
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1608123
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OPERATIONSILOCATIONSNEIDCLESIEXCLUSIONS
Certificate No
POLICY
POLICY
EFFECTIVE
EXPIRATION
DATE
DATE
COMPENSATION
D
DESCRIPTION OF
corresponding policy on the ACORD
570023323870
NY
06 30 07
06 30 08
06 30 07
06 30 08
06 30 07
06 30 08
VA
WI
ADDED BY ENDORSErv1ENT SPECIAL PROVISIONS
LIMITS
n
j
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COR
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A
PRODUCER
Risk services
Aon
i 1i
i
I
i
fS m
FAX
847
953
INSURERS AFFORDING COVERAGE
NAIC
19380
5390
INSURER A
cellco partnership
d b a verizon wi reless
washington Valley Road
Bedminster
NJ
ft 1
OM6M 2D2D 2VYY007Y
COVERAGE AFFORDED BY THE POLICIES BELOW
INSURED
180
DATE
li f l j i t f W 4i i i I f 11Jjl t
W
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
3551 USA
283 7122
866
PHONE
ldi
i
of New York
Inc
199 Water Street
New York NY 10038
r
1 j Li
INSURER B
Nati anal
union Fire Ins Co of
INSURER c
III i noi
Nati ona 1
INSURER D
Insurance
5
07921 USA
19445
pittsburgh
23817
Insurance Co
company of the
of
State
19429
PA
CIJ
I
Q
CIJ
CI
Q
INSURER E
XV I
NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
WITII RESPECT TO WffiCH TIllS CERTIFICATE MAY BE ISSUED OR MAY
ANY REQUIREMENT TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT
TO ALL THE TERMS EXCLUSIONS AND CONDmONS OF SUCH POLICIES
PERTAlN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT
AGGREGATE LIMITS SHOWN MAY HAVB BEEN REDUCED BY PAID CLAIlv1S
INSR ADDtL
LTR INSRD
POLICY NUMBER
TYPE OF INSURANCE
1595260
A
J
E
I
POLICY EFFEctIVE POLICY EXPIRATION
DATE MM
DD VY
DATE MM
DD YY
06 30 07
06 30 08
LIMITS
EACH OCCURRENCE
3 000 000
DAMAGE TO RENTED
2 000 000
RAL LIABILITY
X
PREMISES En
occurence
MED EXP Anyone person
OCCUR
CLAIMS MADE
3 000 000
ADV INJURY
PERSONAL
m
o
Ln
o
3 000 000
GENERAL AGGREGATE
GENL AGGREGATE LIMIT APPLIES PER
COMP OP AGO
PRODUCTS
3 000 000
M
m
m
N
o
g D
0
POLICY
X
Ln
1606845
A
o
LOC
1606846
A
ALL OWNED AUTOS
A
06 30 07
06 30 08
06 30 07
06 30 08
AOS
ANY AUTO
1606847
2 000 000
Ea accident
06 30 07
06 30 08
Q
Z
Q
1U
BODILY INJURY
MA
SCHEDULED AUTOS
C01v1BINED SINGLE LIMIT
y
Per person
e
VA
HIRED AUTOS
X
per accident
Damaae
AUTO ONLY
GARAGE LIABILITY
ANY AUTO
B
EA ACCIDENT
EA ACC
OTHER THAN
AUTOONLY
AGG
EACH OCCURRENCE
EXCESS UMBRELLA LIABILITY
o
U
PROPERTY DAMAGE
sel f Insured for
physical
G
Y INJURY
BODn
per accident
NON OWNED AUTOS
OCCUR
D
AGGREGATE
CLAIMS MADE
DDEDUCTIBLE
DRETENTION
1608119
A
EMPLOY ERSt LIABllITY
1608120
A
PARTNER
ANY PROPRIETOR
EXECUTIVE
OFFICERlME1v1BER EXCLUDED
A
06 30 07
VO
V
VO
AOS
06 30 07
06 30 08
CA
1608121
06 30 07
06 30 08
X
I
C
STATU
TORY LTMITS
I I
TH
ER
E L EACH ACCIDENT
1 000 000
L DISEASE EA EMPLOYEE
E
1 000 000
E L DISEASE POLICY LIMIT
1 000 000
FL
below
OTHER
PROVISIONS
DESCRIPTION OF OPERATIONSILOCATIONS VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT SPECIAL
Re
Contract
agents
primary
and
and
walla walla WA
city of walla walla its elected officials officers
Reese Avenue
This insurance is
workers compensation
as Additional Insured
excluding
included
employees
A Waiver of subrogation applies in favor of the
non contributory per the policy terms and conditions
61700
201 w
are
city of walla walla
city Manager
Attn
15 N
Third
walla walla
Avenue
WA
99362 USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRlTIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES
AUTHORlZED REPRESENTATIVE
9
JVDuP gr
k
iiII
Ii5a
Attachment to ACORD Certificate for CelleD partnership
provisions noted below are hereby attached to the captioned certificate as additional description of the
afforded by the insurer s This attachment does not contain all terms conditions coverages or exclusions contained in the policy
coverage
INSURER
INSURED
INSURER
celleD partnership
d b a Verizon wireless
180
Bedminster
INSURER
07921 USA
NJ
INSURER
INSURER
ADDITIONAL POLICIES
INSR
LTR
If a policy below does not include limit
information refer to the corresponding policy
POLICY NUMBER
ADD L
TYPE OF INSURANCE
INSRD
WORKERS
POLICY DESCRIPTION
1608123
AR
C
MI
B
OR
MA
NV TN
1608124
NY
1608122
Additional
LOCA
TIONS
EXCLTIONSNUESIHIOCNSLES
Insured
Certificate No
POLICY
POLICY
EFFECTIVE
DATE
EXPlRATION
DATE
COMPENSATION
D
DESCRlPTION OF OPERA
570023314503
on
the ACORD
policy limits
06 30 07
06 30 08
06 30 07
06 30 08
06 30 07
06 30 08
VA
WI
ADDED BY ENDORSEMENT SPECIAL PROVISIONS
LIMITS
ilBl li llfl J liL
t i5Q@T JlDIIE illm lim
PRODUCER
Aon
Risk Services
r
J
of New York
Inc
199 Water Street
866
PHONE
283 7122
FAX
847
953
INSURED
NAIC
INSURER A
19380
INSURER B
Nati ona 1
INSURER c
Illinois National
INSURER D
Insurance
G
Verizon wireless
180
5390
Bedminster NJ
07921 USA
uni on Fi
re
Ins
of
Co
Insurance
company of the
19445
pittsburgh
g
G
23817
Co
of PA
State
CJ
19429
G
C
INSURER E
Yd
THE POLICIES OF
INSURANCP LISTED BELOW HAVB BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POllCY PERIOD INDICATED NOTWTIHSTANDING
ANY REQUIREMENT lERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIDCH THIS CERTIFICATE MAYBE ISSUED OR MAY
PERTAlN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIIE TERMS EXCLUSIONS AND CONDmONS OF SUCH POUCIES
AGGREGATE LThAITS SHOWN MAY HAVB BEEN REDUCED BY PAID CLAIMS
INSR ADD L
LTR INSRD
TYPE OF INSURANCE
A
L
X
POLICY NUMBER
1595260
General
lliTI
CLAIMS MADE
POLICY EFFECTIVE POLICY EXPIRATION
DD
MM
DATE
YV
06 30 07
DD
MM
DATE
06 30 08
liability
LIMITS
Y
EACH OCCURRENCE
2 000 000
DAMAGE TO RENTED
2 000 000
PREMISES Ea occurence
MED EXP Anyone person
OCCUR
AnV INJURY
PERSONAL
D
2 000 000
GENERAL AGGREGATE
2 000 000
GEm AGGREGATE LIMIT APPLIES PER
PRODUCTS
PRO
D
POLICY
JECT
D
Included
COMP OP AGG
tv
tv
l
LI
tv
M
m
m
N
0
0
LOC
l
LI
A
A
AUTOMOBILE LIAB
X
I1Y
1606845
06 30 08
06 30 07
06 30 08
2 000 000
Ea accident
1606846
A
06 30 07
ADS
ANY AUTO
ALL OWNED AUTOS
MA
SCHEDULED AUTOS
1606847
Z
BODILY INJURY
06 30 07
06 30 08
l
C
U
Per person
VA
HIRED AUTOS
BODILY INJURY
per accident
NON OWNED AurOS
X
X
Sel f Insured for
PROPERTY DAMAGE
per accident
physical Damaae
AUTO ONLY
GARAGE LIABILITY
B
ANY AUTO
B
EA ACCIDENT
EA ACC
OTHER THAN
AUTO ONLY
AGG
EXCESS UMBRELLA LIABILITI
D
OCCUR
E
Q
U
BE9834994
Umbrella
primary
06 30 07
06 30 08
CLAIMS MADE
EACH OCCURRENCE
5 000 000
AGGREGATE
5 000 000
DEDUCTIBLE
RETENTION
1608119
A
WORKERS
1PENSA
C01
nON AND
EMPLOYERS
LIABll
ITY
ANY PROPRIETOR
PARTNER
A
06 30 07
06 30 07
below
06 30 08
CA
1608121
A
vu
X
IVC
STATU
TORY LIMITS
1608120
EXECUTIVE
OFFICERJMEMBER EXCLUDED
VVt JUt
AOS
06 30 07
I I
TH
ER
E L EACH ACCIDENT
1 000 000
E L DISEASE EA EMPLOYEE
1 000 000
E L DISEASE POLICY LIMlT
1 000 000
06 30 08
Fl
OTHER
L
I
DESCRIPTION OF OPERATIONSILOCATIONS VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Re
Site Location
wwp stomach
Insured Except For Workers
compensation
Named Insured
of walla walla
Walla walla WA 99362 USA
city
15 North Third Avenue Walla walla Wa
As
Required By
written Contract
City of walla walla Wa Is An Additional
But only As Respects operations of The
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAll
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
elUdbc9
Y
k
S
d
D
e
m
EC
em
J
V
c
I
O
b
Attachment to ACORD Certificate for Verizon wireless
provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer s This attachment does not contain all terms conditions coverages or exclusions contained in the policy
INSURER
INSURED
INSURER
Verizon wireless
Bedm nster NJ 07921 USA
INSURER
INSURER
INSURER
ADDITIONAL POLICIES
INSR
LTR
If a policy below does not include limit
ADD L
INSRD
information
POLICY NUMBER
TYPE OF INSURANCE
WORKERS
refer to the
POLICY DESCRIPTION
POLICY
POLICY
EFFECTIVE
EXPIRAnON
DATE
DATE
COMPENSATION
1608123
D
AR
MA
NV TN
1608122
B
06 30 07
06 30 08
06 30 07
06 30 08
06 30 07
06 30 08
VA
OR
1608124
C
MI
NY
WI
DESCRIPTION OF OPERATIONSILOCATIONSNEHlCLESIEXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS
Certificate No
570023313533
on
the ACORD
policy limits
LIMITS
A
YYYY
DD
MM
DATE
23
x
ZD
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER
S AUTHORIZED
REPRESENTATIVE OR
PRODUCER
AND THE CERTIFICATE HOLDER
IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy
ies must be endorsed If SUBROGATION IS WAIVED subject to
the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement
s
CONTACT
NAME
N
Eat
PRODUCER
AOn
RlSk SerVl
NEW
York NY Offl
NOrthed5t Inc
CeS
AIC fVo
Ce
199 water Street
New York NY 10038
3551 u5A
FAX
AIC No
7122
866 283
5390
847 953
E
M
AIL
ADDRESS
S
INSURER
INSURED
verizon wireless
its Subsidiaries
and Affiliated Companies
one verizon way
1097 USA
Basking Ridge NJ 07920
AFFORDING COVERAGE
INSURER A
NdtlOnal
INSURER B
NeW
INSURER C
IlllnOlS National
uniDn
Hampshire
Fl re
Ins
Ins
NAIC q
Of
CO
Pittsburgh
19445
23841
Co
Insurance
23817
Co
INSURER D
INSURER E
INSURER F
COVERAGES
CERTIFICATE NUMBER 570042933530
REVISION NUMBER
Limits shown are as
requested
TYPE OF INSURANCE
A
INSR
POLICY NUMBER
WV
YYYY
MMIDD
GENERAL LIABILITY
X
X
MADE
CLAIMS
OCCUR
X
PRO
POLICY
06
CA3506323
30
2011 06
30
2012
CA3506325
ANY AUTO
ALL OWNED
A
AUTOS
HIRED AUTOS
OWNED
NON
X
UMBRELLALIAB
X
EXCESS LIAR
X
8
DED
2011 06
30
06
2012
30
2011 06
30
06
2012
30
25030349
OCCUR
MADE
CLAIMS
person
10 000
PERSONALBADV INJURY
000
1
000
Any
one
GENERAL AGGREGATE
000
2
000
PRODUCTS
2 OOO OOO
COMPIOP AGG
ac
d
BODILY
1 OOO OOO
nt
Per person
INJURY
accident
PROPERTY DAMAGE
EACH OCCURRENCE
000
5
000
AGGREGATE
000 OOO
5
RETENTION
EMPLOYERS LIABILITY
MEMBEREXCLUDED7
OFFICER
015883656
2011 06
30
06
2012
30
TyORV LI MATU
A05
YIN
NIA
Mandatory in NH
015883659
2011 06
30
06
2012
30
CA
If yes d escr ib e un d er
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES
For
occurrence
Per accident
VA
ANY PROPRIETOR PARTNER EXECUTIVE
Re
Ea
BODILY INJURY Per
CA3506324
A
2011 06
30
06
2012
30
MA
SCHEDULED
AUTOS
AUTOS
A
2 000 000
Ea
AOS
X
000
1
000
PREMISES
LOC
A
EACH OCCURRENCE
MED EXP
L AGGREGATE LIMIT APPLIES PER
GEN
A
LIMITS
MMIDDIYYW
Attach ACORD 701 Additional Remarks Schedule if
more
space is
ORH
L EACH ACCIDENT
E
1 000 000
L DISEASE
E
EA EMPLOYEE
1 000 000
L DISEASE
E
POLICY LIMIT
1 000 000
required
Site LOCdiIOn
15 North Third AVenUe Walla Walla Wa
WWp StOmdCh
ty Of Walla Wdlld Wd IS An Additional
C
Workers Compensation As Required By Written Contract But Only As Respects Operations Of The Named insured
CERTIFICATE HOLDER
Insured
Except
CANCELLATION
SHOULD
ANY
EXPIRATION
OF
DATE
THE
ABOVE
DESCRIBED
POLICIES
BE
CANCELLED
BEFORE
THE
THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS
City Of walla walla
walla Walla WA 99362 USA
y
i
V
G
fGlVift
UHira d
OLG
c
Q
WO
t
L
J
y
J fkf
2010 ACORD CORPORATION All
7988
ACORD 25
05
2010
The ACORD
name
and
logo
are
registered
marks of ACORD
rights
reserved
ver
zon
wireless
i is subsidiaries
The terms conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
s This attachment does not contain all terms conditions coverages or exclusions contained in the policy
INSURER
INSURED
INSURER
verizon wireless its subsidiaries
One verizon way
1097 USA
Basking Ridge N 07920
INSURER
INSURER
INSURER
ADDITIONAL POLICIES
If a
INSR
LTR
policy below does not include limit information refer
policy limits
ADDL SUBR
IRANCE
TYPE OF INS
WORKERS
to the
INSR
wVD
POLICY NUMBER
POLICY EFF
POLICY EXP
POLICY DESCRIPTION
YY
Yl
DD
MM
YWY
DD
MM
30
6
2011
2012
30
06
30
6
2011
2012
30
06
30
6
2011
2012
30
06
30
6
2011
2012
30
06
COMPENSATION
A
N
C
015883661
FL
A
N
g
015883660
rx
A
N
g
015883657
WY
WV
WI
WA
OH
ND
MI
MA
A
N
g
015883658
MN
Certificate No
on
the ACORD
570042933530
LIMITS
p
PRODUCER
Aon
MM
A
D
YYYY
DD
TE
2010
24
06
Aa
R
Risk Services Northeast
NY Off1 ce
Inc
New York
199 Water Street
NAIC
PHONE
847 953 5390
FAx
866 283 7122
INSURED
Partnership
dba verizon wireless
Cellco
One verizon Way
Basking Ridge NJ
Union Fire Ins Co of
INSURER A
National
INSURER B
Illinois National
INSURER C
New
Hampshire
Insurance
Pittsburgh
23841
Co
Ins
19445
23817
Co
07920 1097 USA
Ig
e
r
I
INSURER D
b
O
INSURER E
SIR applies per terms and conditions of the policy 1
COVERAGES
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
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR ADD
L
LTR
POLICY NUMBER
TYPE OF INSURANCE
INSRD
LIMITS SHOWN ARE AS REQUESTED
LIMITS
MM DD
DATE
YYYY DATE
MM DDYYYY
2010
30
06
4360741
A
RALLInBILITY
X
2011
30
06
Included
XCU
000
51
DAMAGE TO RENTED
000
2
000
PREMISES Ea occurrence
MED EXP Any one person
OCCUR
CLAIMS MADE
EACH OCCURRENCE
10 000 tD
000
0
1
00 O
PERSONAL ADV INJURY
N
000 m
52
GENERAL AGGREGATE
01
GEN
0
POLICY
PRO
X
JECT
O
0
an
2010
30
06
3482154
2011
30
06
A05
ANY AUTO
ALL OWNED AUTOS
MA
SCHEDULED AUTOS
3482156
O
000
1
000
Ea accident
2010
30
06
3482155
A
A
000
52
COMP OPAGG
LOC
A
PRODUCTS
4
y
2011
30
06
al
BODILY INJURY
2010
30
06
2011
30
06
Per person
VA
HIRED AUTOS
X
INJURY
NON OWNED AUTOS
Per accident
self Insured for
PROPERTY DAMAGE
Per accident
Physi cal Damage
AUTO ONLY
GARAGE LIABILITY
ANY AUTO
E
EA ACCIDENT
EA ACC
OTHER THAN
AUTO ONLY
AGG
EXCESS
EACH OCCURRENCE
UMBRELLA LIABILITY
OCCUR
El
AGGREGATE
CLAIMS MADE
DEDUCTIBLE
RETENTION
2010
30
06
020342905
A
WORKE
EMPLO
ERS LIABILITY
y
N
C
2010
30
06
020342910
2010
30
06
020342908
Mandatory in NH
If yes describe under SPECIAL PROVISIONS below
x
IWC
STATU
TORY LIMITS
ANY
PROPRIETOR PARTNER EXECUTIVE I MA MI MN NY WI
WV
MEMBER EXCLUDED
OFFICER
C
Ob 3U ZUl1
AOS
2011
30
06
2011
30
06
I 10TH
FR
L EACH ACCIDENT
E
000
1
000
L DISEASEEA EMPLOYEE
E
000
1
000
L DISEASEPOLICY LIMIT
E
000
1
000
OR
OTHER
DESCRIPTION OF OPERATIONS LOCATIONSVEHICLESEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
contract
County
Additional
61700 Site Name WWP STOMACH Alt 2 Site Address 15 North Third Avenue walla walla WA walls walls
City of walla walla WA its written
elected officials officers
agents and employees and
are Employers
included as
for Workers
Liability
Insured where required by
contract
Compensation
except
CANCELLATION
CERTIFICATE HOLDER
ci ty of Wal 1 a Wal 1 a WA
Attn City Manager
15 North 3RD Avenue
Wal 1 a Wal 1 a WA 99362 USA
2
ACORD 25
01
2009
ti
The ACORD
name
and
logo
are
registered
J
0
PL ii
19882009 ACORD CORPORATION All rights reserved
marks of ACORD
Attachment to ACORD Certificate for cell Partnership
INSURER
INSURED
cell
INSURER
co Partnership
one
verizon way
INSURER
Basking Ridge NJ 07920 1097 USA
INSURER
INSURER
ADDITIONAL POLICIES
INSR
LTR
If a policy below does not include limit information refer to the corresponding policy on the ACORD
L
ADD
INSRD
POLICY NUMBER
TYPE OF INSURANCE
POLICY DESCRIPTION
POLICY
POLICY
EFFECTIVE
EXPIRATION
DATE
DATE
LIMITS
020342907
B
FL
020342906
A
2010 06
30
06
2011
30
2010 06
30
06
2011
30
CA
020342909
2010 06
30
06
2011
30
TX
DESCRIPTION OF OPERATIONS LOCATIONSNEHICLESEXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PROVISIONS
Waiver of Subrogation in favor of the certificate holder applies to the General Liability and workers
Compensation policies
Certificate No
570039312506
HELP
We are seeking your help In the event that you no longer do business with
Verizon and no longer are in need of their certificate of insurance could you
please check the Inactivate Box below and fax or email this letter
certificate of ins
along
with yo
Fax
800
1
0105
363
r
ra
Email acs
com
chicago@aon
Your assistance with this is greatly appreciated
Thank you so kindly
Verizon ID 570000027366
Verizon Wireless ID 57000003581
Inactivate my certificate
ce to the following
4co
4
PRODUCER
Ri sk services Northeast
York NY Offi ce
Aon
New
Inc
199 water Street
New York NY 10038
3551 USA
PHONE
DATE DDYYYY
MM
2009
18
06
866 283 7122
FAX
NAIC
847 953 5390
INSURED
Cell co Partnership
One Verizon way
INSURER A
National
INSURER B
New
INSURER C
Illinois National
union Fire ins Co of
Hampshire
ins
Pittsburgh
19445
23841
Co
Insurance
23817
Co
te
To
INSURER
d4Gi
p
INSURER E
SIR applies per terms and conditions of the policy II
COVERAGES
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Certificate No
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MM DD YYYY
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2009
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DESCRIPTION OF OPERATIONSLOCATIONS
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Certificate No
570035005682
LIMITS
ACO R L7
MMDD
DATE
YYYY
4
2012
20
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S AUTHORIZED
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INSURER
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DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES Attach ACORD 101 Additional Remarks Schedule If more space is required
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61700 Site Name wWP STOMACH Alt 2 Site Address 15 North Third Avenue Walla walla WA Walls Walls county
City of walla Walla WA its elected officials officers agents and employees are included as Additional Insured where
required by written contract except for Workers compensation and Employers Liability Waiver of Subrogation in favor of the
certificate holder
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J
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ACORD 25
05
2010
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INSURER
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COMPENSATION
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Certificate No
570046650406
LIMITS

Cellco Partnership dba Verizon Wireless - golf course lease

Transcription

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