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Home My WebLink AboutCLE202100066 Application 2021-06-03Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount $ 54 Receipt # Applicant- Fill out the entire page below y OFA Mbemarie CoutLLy 4 n ndmona mmve,y ChWIOWSMl VA T29g2 - r Phue434M5A4 c��Alt� arle�� murr�iy Developmenrt pepartment Ile _ And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22 t ' -- Clearance Number ':�G J' Date Paid - Check #7 Flo M Name: A15 Of CHAA)6 I I -LC / DAB 5 IMprUE E4WAddraim t=Al 0t S CrIAAltE2la CoM Mailing Address: kofl&3 T0HA:i405a'HWY ALDtE V4.zoloS Ph'* 703 Qoz'i-,2g1g Tax Map and Parcel number and/or Address of the Business: 017900 - 00 - OO - 017 L> P Zoning: swrvA a`m "ur*rnwn PI.AWE:b AEVE'4111 'r rtoPPtNb e kNTE� Parcel Owner. P0r1jtkv.05A LAND TRUST owner'sAddres 1224I+�71�i t�fikJ CwaaeoTsu�� Check any that apply: ❑ New ersihess ❑ Chage of Use ❑ Change If Ownership ❑ Cban of Name Business Name: 56AE50AJS OF C 14A'VEk. / L (- Rt � A I L F I RL- WakK S Description of Business: - Describe the business 6iduding use. nmherurenptoyees, rkn lm OFE1111S, aveftbOy f park:y, and any adtworel afo. irfF- QfT/}IL 5AL/= OF Vet. hDPfoUk b Ft2: iAJo2V�5 u5wb A ?X D' Sr_iEL Ai.E S Conm9u",( FeOM 6 03 - 7 Irl 02 I Previous Business on SNP: /vl F D �XQRESS Floor Plan: Please atadn either an architeChual drawig or a sketch of the proposed business ihdhcabg the location of uses, the uses of rooms, the total square footage of the use. and any additional information. Total Square Footage Used for the Business: 3ZC `J Q F I , Is the Parcel Zoned LI, M, or PDIP? ❑ Yes aft _ tyes, find a Certified Engineers Reoort fCERI Will there be food preparation? ❑ Yes RNo ifyes, provide Virprua pepamnent of Health approval Is the Parcel on public water or private weR7 _ irkd yc ❑ Private ton private wet provide Vkgffw Depntrnentof Heath approval Is the Parcel on public sewer or septic? A tic ❑ Septic ton septic. provide Kugm®OeperinheM of fieatlh approval Will you be puting up any new signaW- ❑ Yes allo tyes, otrbin appropriate sigh pennit and fist pemotS below Will tyre be now construction or renovations? ❑ Yes No Ifyes. obtain appropriate building permit and fist pemhT # below Please list any appliirable Bm5dm9 Permit #w Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted. This Clearance will only be valid on the parcel for which it is approved_ If you change, intensify, or move the use to a new location, a new Zoning Clearance will be required_ I hereby certify that 1 own or have the owner's permission to use the space indicated on this application_ I also certify that the information provided is true and accurate to the best of my knowledge. 1 have read the conditions of approval, and I understand them, and that I will �abide by them. signature_ /�i%L"Y'of�f �9•i"—� Printed Date 2 Affiernade County Zoning Clearance Application �2 01, VAZ1902 IN\� Fhv 43429i5= Applicant - If you are not the landowner, please fill out the entire page below, confirming that you have either informed or are going to notify the owner of your application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, Ct-r"I-v�I-66 to hJwAAOD kaxm,6, 224 /q'Y sr, NW, cwwoao Ale owner of Tax Map and Parcel Number 07800-oo -oO - 017 D by either delivering a copy of the application to them in person or by sending them a copy of the application by mail. (Please check one of the following below) ❑ Hand delivering a copy of the application to the owner identified above on Date EJ Mailing a copy of the application to the owner identified above on Date y-20 - a i to the following address: 224 /q r15-r /Vxj, CNyelaoyr/l€, 11,4 . z2903 (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see staff for help determining this information if needed) Signature of Applicant Applicant Name Printed 1NyfL G. $i�tU�rlD Date 3 For Albemarle County Staff Review Only Proposed use: .SCa30kq L. SqCS PWMNO :. _ as ❑ me PenMted by seoaw` W r� ('t!. L Iv Supplementary Regulations:. Applicable Special the Psrn*(SP) Applicable Razoningis (out Appliiable Site Plans (SDP): /approved Parldng Wilson is an site plan associated with the par" reQmrn reerss will be be defined by Use S. Sena ParIoM Fomedw �— Derared W. 1p-snel�the LJs6 Plan ❑ Zonm9 Ordnance ❑CoD Tom Sipare Footage of the Use: ZO Required nunber of padaM spaces: .� SYtuc Associated Clearances: ZOl� _ 6 ? 6,,twie uSG 2-01 -Z 7 3j - r! 2.01 8-11 Z'9l?- 2 10 - J I tJ 144- 2 L Variances: Violariers: K0 vto ve- ts a site inspection necessary?. Elves Site Inspection an (dde)c To CoNmn: VL Notes: Condors of Approval: Additional condbons of approval apply t0 Fireworks and Christnas Trees Approval Information Approved as proposed ❑ Approved with conditions ❑ Denied ❑ Backflow prevention device and/or current test data needed for this site. Contact ACSA, 434.977AS11 ext 117 ❑ No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. ❑ This site complies with the site plan as of this date. condolers= Additional Notes: Building Official n� a �✓ (/rb �l Date Zoning Official Date Other Official Ew- Acrc-Qr ly(IrLt% Date County of Albemarle Department of Community Development 401 Mclmtre Road Charlottesville, VA 22902 Phone: 434.296-5632 Far. 434.9724126 4 224 Ponderosa LSb,,t NWAnd Trust $Me4 ( 434) gag 6-6 36 F � ille VA 22903 >=mail: Taryshiar@p;oo �(434)293_2280 dPro erties cans &s PW309 Alp,Out G 4 REEAN1' Dan lessee a edtOl �. Seasons C atedltt2241- . is betp'aea PoCharlotimillnderosa Yessee' Tras lowly and ease ro the followr�er s monalw s doodad Pmp mSe a"uWs the If more thanvoae'`�� 49 1-8860) 1. PM , T. Pa be for jiPa7mears� c��noas: Agent for Lessor. er referred to as Ile t and Lessee hereby ,0 zpreasea Is. hweble' the jth week od [his °n17' dnee w check Period ga eek Erthe parry, applicable pe+i ro renattg We Premises to a nthird- 0 t-�) �A?� I his nothiag in Les e. } teanmah this aereemem when one Par y gives to theer, o ffiR tm �� outside of Pa=gr fro Ply- Lessor Per y '�315 ssritten notice Of i.,W ro Pavmet,M the as F � (I—theear for ard ble mdotirp�In thet the Lesseer anablay apply for eeytcoperateansxn ns"11 eleect+ov' t�Pemes. Cash is ao�Q" accepted for be resmcted �enent �e. �� ro the CD4 buaness doe to Got _ -19 pandemic, Lessee W not or be Crrgtdred to choas or mandatory this Pazlring Aenr wil�notautomatically =. Caadihoas:t3eemreneu. and shop terminate on Dezember31 1 PaY the rent for the b`arlmg is onyzlid for Lessee se Of the Parling lot When more c. and use of lot i 5ed spaces. mdorire minosent is s Vehicle and Pa�aB lot is d 1� ablea Wit. � WaF"Y 071 at s o,,risk inr nsl of Lessee. vehicle. �mg, but not 1 e- Lessor dansagea to Lessor's property_ caused invited ro. 11 d. Late Pacmearss aadrvBFi sib �'ke remonial oon f roep garea . Lessordeems �Lessct or by Lessees ha du 4,(e I selot an,e ease to ��hrs not recriy agnage and trash on the lasttday off rw, neel due date L order 1'w check returned �. �7' a ]ate fee of SS per ed m the offitt of Lessor Period. pays ft bent' for myreama Leswr SpareSm Lessee also agrees �PA3 on the 51 day Past the on-Ppaya7tment_. n86t to require a cash,,check agOr aoafee ee reUnte" rash Pa7'nxvt Stitht (5 d f, a - this Parking A Lessors mtentioo to teaniaate this Parkin °pnre it Peemeat is ®paid when Initials_ E n Ass and Lessee faits to make if such Les>,ee °O�''nB Lessee ofnoa ss rat d within Za;p'ay� and of 7-7r Page 1 s://woodardproperties. na1. e20, 9:14 P chosign.com /Public/viewAgr... FGUIsb4J9Gw.cay,:_ Paae 4 of sacoRo® CERTIFICATE OF LIABILITY INSURANCE e--TE- 0—yr 1 3/3/2021 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 WANED, 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 endorsemem(s). PRODUCER CONTACT Britton -Gallagher and Associates, Inc. One Cleveland Center, Floor 30 PIWWNE ;FAX n+: 216�58-7100 . rAle Ner 216-658-7101 Edo ADDRESS: info@brittongallagher.com 1375 East 9th Street Cleveland OH 44114 INSURER(S) AFFORDING COVERAGE NAIC0 SORRIER A: Everest Indemnity Insurance Co. 10851 _ INsF 1a1ILs Fireworks Over America of South Carolina, Inc. INSURERS: INSURER C: 916 Rosewood Drive Columbia SC 29201 INSURER D: INSURER E: MSURFRF: COVE GES GCH11r1GA 1t Numntm-RRnn9d70R PMCVINNHIYIICe- 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. MSR TYPE OF INSURANCE ADUt SU RINSIt: won : POLICY NUMBER wnD EFF POLICYIXP i Lam A ' GENERAL LIABILITY S15GU10655-201 ivies 20 - 12/12021 � EACH OCCURRENCE S1A00.000 X COMMERCIAL GENERAL LIABILITY PREMISES otaarena S CWNS�F ai OCCUR I NED EXP one parson) $ X ! S2500 Dedu 11,1. : PERSONAL&ADVLNIURY S1.000.000 GENERAL AGGREGATE iS2.=, 0 GENL AGGREGATE LIMIT APPUES PER: :PRODUCTS -COMPIOP AGO �52,000,000 j X 1 POLICY JECTPRO LOC is AVIOYOBHLE LIABLRY J COMBINED SINGLE LIMIT 1E, amdeml I . _I ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED I _ AUTOS AUTOS BODILY INJURY (Per actidMa) i S . 71 NON -OWNED MREDAUTOS j' 'AUTOS) P DAMAGE S I IS UMBRELLA IIAB OCCUR - 1 EACH OCCURRENCE S EXCESS DAB CLAIMS-MADE;I AGGREGATE Is DED I RETENTIONS S WORRIES COMPENSATION WC STATU- AND EMP ' UAIMUTY ANY POPRIETORIPARINERI EXECUTNE YIN, IOI' ❑ ,NIA.. EL EACH ACCIDENT is OMCERIMEMSER EXCLUDED? (MalMamry m RIQ j : EL DISEASE- EA EMPLOYEE It Iyes describe JIMer DESCRIPTION OF OPERATIONS Oelav I EL DISEASE - POLICY UMR S I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alach ACORD 101, AddiDwM1 R.SN Jule, if mere space is requimd) Additional Insured extension of Coverage is provided by above referenced General Liability policy where required by written agreement Stand Owner, Property Owner and Others listed below are named additional insureds. Property Owner. Ponderosa Land Trust 224 14th Street PAW, Charlottesville, VA 22903 Stand Owner. Dan Simone DBA Seasons of Change Location: 260 Pantops Center, Charlottesville, VA 22903 Dates: 6/1/21-7/7/21 Seasons of Change Dan Simone 40463 John Mosby Hwy. Aldie VA 20105 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUiHO REPRESEHrATNE y 9)1988.2010 ACORD CORPORATION All i inhfe rocnrvn.R ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD PRGE2 FRS V t Ew 9T F 112 E WORKS WWXb Wi lmow W WDokJ W�alDow w�NDd+V %% -qo l THIS Is A 2"XgD' STEel, u�S[-S-ravrAtNEp tito V)HICH WILL 'a� b F0p'iHE tAcE `OF CCRs4z - Vie{, MOROvE.b FvQFwacr . THIs Is YNE SA"V 561.F CavTA fnJE p _., � L,5 WIT 05EA tN R2fV I0tJ5 w'E' s L� THIS JLOCA716,,J, 15iDE VIEW 2'j ' (') Spa c� B¢riCf pcA$rlcl ' ry gt 4 ALL WORK SUBJECT TO FIELD INSPECTION F-mb booes 15CcUe-D LocvymecN,WlSM c r F�AEWr_,p�s STAND IREVVORKS e Zoning Clearance Application FOR OFFICE USE ONLY Fee Amount $ 54 Receipt#: i a5ako �y OF.VqARWAWleCowft H, V i +mrria:.r VA2Mvw O wea,12 , VA779a2 hBGtffi`� PMeiN796.5&4 G -' By - Albemarle Coutlt� munity Development Department Applicant - Fill out the entire page below And return to Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22g02 Clearance NumberCj a1 Date Paid: Check #: -'-;G a Name: NSOf- CH,AN6E I LLC /DAA 5 wlpArE E4'13UAddress: C-ASD OFCHAAXE.2Cd CoM Mailing Address: g0g1P3 -tOHN 'HW'� A(DIE uq.ZofOS PhoneB 7o3 Qa'7-0"'JI$ Tax Map and Panel number andfor Address of the Business: 071800 — 00 - 00 — 017 D !Q Zoning: sta"wvl fm w if wwa PI.AAWED DEVEf.oPMEArT 5 tiopp pot, C E n�TEA Parcel Owner. PbNbeke6A LAND TP-06T Owners Address zz w'il-St Nld c,+��onlr�� Check any OW apply: ❑ New Rm teas ❑ Charve of Use ❑ Change orOwmstw ❑ Change of Name Nwrre: SEhSOAv OF C HANEk. L.tC. QEiA t L F i 2EwloreKS Ueser4mon of Boameas" Mmbe the buscwss off use, rmtw or np"em nanber orshi6, avaiabdity of ParkW aM a aaddlboml cMa THE WriIL SALE of vet. APPeootb F,tr- 0QV,5 uswu A 8X o' ALES COM' UUAN A ROM (o 03 - 17 1r7 02 1 'Previous Business on Site. M p D rzx pRE56 Floor Plan: Please aBadt eWW an ard4eWrar drawing or a sketch of the proposed business ind ncating the location of uses, the uses of rooms, the fatal square footage of the use, and any additional information. Total Square Footage Used for the Business: 3oZ O `J 0 FT Is the Parcel Zoned LI, HI, or PDT? - ❑ Yes aft byes, la old a Cedihed Engineers Report (CER) Will there be food preparation? ❑ Yes LJ m If yes. provide V gib Dwabnent or Health approval Is the Parcel on public water or private weg? Q'qf*c ❑ Pmale Won private wed. Provide va9iria Deparu nent of heam approval Is the Parcel on public sewer or septic? prLia ❑ SePte If on septic, Provide VngWa DwaMrrwxd of Heath approval Will You be ping up any new ❑ Yes allo If yes, obtain appropriate sign perm* and fro pain*# below Yllig there be new construction or renovations? ❑ Y� No ffyes. obrabt awwwte t lift Pam* and rat pens* dl below Please list any applicable luting Perrird Sw Zoning Clearance review cannot begin unfit the application above is complete and all applicable forms and fees are submitted. This Clearance will only be valid on the parcel for which it is approved. If you change, intensify, or move the use to a new location, a new Zoning Clearance will be required. I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that 1 will abide by them signature /�/V • SCd Prrtded Date y /3 02 / 2 V Zoning Clearance Application 0-bAmv�, VA Z?" M - 4U2W,-;W2 Applicant - ff you are not the landowner, please fill out the entire page below, confirming that you have either informed or are going to notify the owner of your application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, C(-I-"2vZI 6 6 to W00bn¢D G 6wrrIVj/ 224 /i/" sT,/uW, cil.WO&Ahe owner of Tax Map and Parcel Number 07VOO -00 -00 - 0 11 b & by either delivering a copy of the application to them in person or by sending them a copy of the application by mail_ (Please check one of the following below) ❑ Hand delivering a copy of the application to the owner identified above on Date C7 Mailing a copy of the application to the owner identified above on Date i/-20 - 2 / to the following address: Z2Al /Z/ rNST /VA/, e/ffxlmV/4'-, 114 . 22%03 (Written notice to the owner and last known address on our record books will satisfy this requirement Please see staff for help determining this information if needed) Signature of Applicant Applicant Name Printed -1 lieL G. $i�fUND Date -/,3- a 3 For Albemarle County Staff Review Only Proposed Use: SutS oi4fi �. S� cs - as ❑ No Perrai led by section; (h nh ('4 G I P'sW&War"s, -- Applicable special Use Pam* tsPk Applicable Rns7on. 0 ( Mt4 Applicable Sue Plum (SDP): Parking If dials is an approved sie plan associated ardh the parcel, fhe pad®g MW emelds vrti be defined by go SDP- Some Parking Formula:Defined w- Plarr ❑Zonalg Dfdmanfe, ❑ CoD rg Total Square Fo~ oftlre Use: 'ZO of parking s SY c -ZS e_) Associated Clearances: ZO)- -G? (r srtl to GSe- i�l �z73 _c 2-aig -►1'Zo17-Z6o _/lY 144-2-69 vary: Violations: Ito vt0 ar- ts a site inspection necessary?: ❑ Yes Site Inspection on.(dateY To Cord'mrc Notes: Conditions of Approve: Additional room of approval apply to Fveworks and Chrsbnas Trees Approval Information ❑ Approved as proposed ❑ Approved with cortddions ❑ Defied ❑ Bacldlow prevention device and/or current told data needed for this site. Contact ACSA, 434.977.4511 ext. 117 ❑ No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. ❑ This site complies with the site plan as of this date. Additional Notes Building Official I Y i d n �G2 Lr� Date 19 ' 2, Zoning Official Date 1 Other Official Fk-e Ae-rr— -e l V—At`c; Date County of Albemarle Department of Community Development 401 McIntire Road Utarlottesville, VA 22902 Phone: 434.296.61132 Fax: 434.972.4126 4 Ponderosa Land Tlvst 22414& Stint NW, Charlottesville, VA 22903 Phone: (434) 989-6736 FAR: (434) 293-2250 Fail: TamshiaBWoodardPrapertiescom PARhMiG AGREENMNT This Paring Agreem®r. made this 1_ day of December. 2020a between Ponderosa Land Trust hereinafter referred to as `Lessor, with office located at 22414m Street NW. Charlonmue, VA 22903 (434-971-8860), and Dan Simone n% Sessons of Change. LLC jointly and severally. if more than one, hereinafter referred to as `Lessee." whether sin ul or plural. Woodard Properties is the Agent for Lessor. Lessor and Lessee hereby aeee to the fnilowing additional temp and conditions: 1. Properly, Term, Parking Payments and Renetrak The term shall be for five (5) vearsfor a (3) three Creek period. beginning on January 1. 2021. uml Derember 31. 1016. This lease is only applicable for the three week period on or about June 10 to J1& if ` Therefore, nothing in this lease precludes the Lessor from renting the premises to a third party, during this five year period, outside of the three week applicable period Fsher party my terminate this agreement when one patty gives to the other, 000-dav3 %Crum notice of intent in tetmmete. Lessee agrees to pay Lessors per year for parking in the assigned spaces located at 160 Pamsyls Center. Paynrnt is due on the fast 09 day of the selling period payable to Woodard Properties. Cash is not accepted for payment Fees may apply for credit card uansxtions ur arry electronic payment. In the event the Lessee is unable to operate the business dux to Government or County restrictions or mandatory sbutdoays directly related to the COVID-19 pandemic Lessee will not be mgaired to pay the rent for the restricted trmefiame. This Parking Agreement will not automancaRy recew, and shall terminate oa December 311026. 2. Conditions: a Parking is only valid for Lessee and specified spaces. b. Use of the parking lot whin mow andior ice are present is strictly at the risk of Lessee c. Parking and use of the parking tot is strictly at Lessee's oven risk including, but not Bunted to, velucle and personal safety• and security d. Lessee shall be liable for any damages to Lessor s property caused by Lessee or by Lessee's vehicle_ e. Lessen may change the configuration of the parking area. as Lessor deems necessary. f. Lessee is responsible for the removal of signage and trash on the last day of the two week period- 3. Late Payments and NSF Pavements: In the even that Lessee's full payment is not received in the office of Lessor by 5:OOPM on the Sa day Pa st the due date. Lessee agrees an pay a late fee of $5 per padmg space. Lessee also agrees in pay a $50.00 handling fee for any check returned by the bank- for amv reason. Lessor reserves the right to "ume a cashier's check or monec order for payment. 4. Non -Payment: If any payment required to be made -der this Parking Agreement is unpaid when dux, and Lessee fails to snake such pav'mmt within five (5) days after written notice is served on Lessee -tilting Lessee of-n-pav'arent and of initials _04)'_ try Page 1 https://woodardpropecties.nal.echosign.com/publiciviewAgr...F9UZsb4JyGwSRkligchxPxlWHrRbm291_owevw3U_xNyS4X& 1213/20, 9:14 PM Page 3 of 6 I Lessor may rermmate this Parking Agreement and pasting pert will i®ediately become invalid and ao). vehicle packed in the parking lot displaying such permit may be towed without warning, at owner's risk and elq m - S. 6. Contact Person: Lessee hereby appoints Dan Sinwne as a primary Contact Person for this Parking Agreeromt The Contact Person shall be responsible for cont®icating with all person(s) listed as Lessee and or Vehicle Owner Operator as well as distributing wry additional copies of this Parking Agrreement. Comm Information is as follows. Work Phone Number: (703)937 2718 Email seasoasofcbaawe2 iiraol.com 7. Notices: All notices to be given with respect to this Parlmg Agreement shall be in writing- All notices from Lessor in Lessee should be sent to 40463 John Mosby Righway. Aldie, VA 20105 and all notices from Lessee to Lessor should be sent to Woodard Properties 214 14a Street NW. Charlottesville. VA 22903. Each notice shall be sent by electronic road, regular mall or hand delivered in the party to be notified at the address set forth herein or at such other address as either party may from time to time designate in writing. Nothing contained herem shall be construed to preclude personal service of any notice in the manner prescribed for personal service of a summons or other legal process. All policies- which are or may become in effect governing the operation of the parking facility, apply m all parkers. Terms and policies are subject to change with reasonable notice. Penalties for failure to comply with Ponderm Land Trust regulations include revocation of parking spaces. towing legal action or other means Lessor deems necessary to enforce its parking policies- S. Signage: Lessee is responsible for siguage at their eapeuse and with Lessors final approtal. This Parking Agreement is the only agreement regarding Parking between the two parties. If approved by Ponderosa Land Trust I agree to the terms outlined above: Lessee: Seasons of Change. LLC BY P intedNause: Din Simone Title CEO Lessor: ...'..."..•'. '. _- -_-;' -.-- 0%3, 2020 Taoashia Washington, Authorized Agent of Lessor Initials 64k Zf_ Page 2 https:/Iwoodardproperties.nal.echosign.corn/public/viewAgr... P9UZsb4JyGwSRkligchxPxlWHrRbm29t owevw3U_xNyS4X& 12/3/20, 9:14 PM. Page 4 of 6 VAV ygyi. a� - MIJ Initials A=dk Page 3 De,,, A �® CERTIFICATE OF LIABILITY INSURANCE 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(es) 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). PRODUCER CONTACT NAME: Britton -Gallagher and Associates, Inc. One Cleveland Center, Floor 30 1375 East gth Street FAx , 216-658-7100 aK N,:216-658-7101 EAWRETiS: info@brittongaliagher.com Cleveland OH 44114 _ MSU S AFFORDING COVERAGE NAICC INSURER A: Everest Indemnity Insurance Co. - 10851 _ INSURED 1M6'o Fireworks Over America of South Carolina, Inc. INSURER B: 916 Rosewood Drive INSURER C: INSURER o Columbia SC 29201 INSURER E: MSURER F : COVERAGES CERTIFICATE NUMBER: 880024706 REVISION NUMRFR- 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. INSit AUDI POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER D POULI"CY ExP LIMIT A GENERAL LNBILITY S1813.1.00655-201 12I112o2D 1VIM21 ! EACH OCCURRENCE S1Ix10.000 X COMMERCIAL GENERAL LIABILITY O� TO RENTED PREMISES 1Fa ocartence S CWMSMADE X OCCUR .MEDE P(AM one Person) S X I S250D DMbmk . PERSONAL a ADV INJURY 51,000,DOo _ GENERALAGGREGATE S20D0.000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S2,ODe" X POLICY' PRO- X ! LOC S AVroeoetL LUI9RT' COMBINED SINGLEIM LIT CO ED ace S !ANYAUTO BODILY MNRY(Per w.) !S OSCHEDULED ! AUTOSS AU AUTOS . BODILY R IURY (P� a�tiOeM)' S HIRED AUTOS AUT EO _a _ Pate. �DMIAGE is S UMBRELLAUAS : OCCUR EACH OCCURRENCE S EICES$LIAB CLAIMS -MADE . AGGREGATE S ! DED -. ! RETENTIONS - S WORIQ.R.RS COMPENSATION wC STATU- i 'OTH-! AND EUMOYFRS. LU18UrtY YIN .TORY ANY PROPRIETORIFARTNERIEXECUTTIE &L EACH ACCIDENT.5 1 AAEMBLR IXCLUDED2 ❑ MIA QiAaW. IYLeRAd in Per) EL DISEASE -EA EMPLOYEE DESC IPTION OFO DESCRIPTION OF OPERATIONS ONON '' E.1- DSEASE - POLICV LIMIT 'S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AtlacN ACORD 101. A&IO Raman¢ ScAeJuM. it more space is "uwed) Additional Insured extension of coverage is provided by above referenced General Liability policy where required by written agreement Stand Owner, Property Owner and Others listed below are named additional insureds. Property Owner. Ponderosa Lard Trost 224 14th Street NW, Charlottesville, VA 22903 Stand Owner. Dan Simone DBA Seasons of Change Location: 260 Pantops Center, Charlottesville, VA 22903 Dates: 6/121 - 717121 Seasons of Change Dan Simone 40463 John Mosby Hwy. Aldie VA 20105 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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