HomeMy WebLinkAbout26-41 Resolution No. 26-41
RESOLUTION
AUTHORIZING EXECUTION OF A SERVICE AGREEMENT WITH MIDWEST
ACADEMY OF TAEKWON-DO, INC. TO PROVIDE MARTIAL ARTS PROGRAMMING
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS,
that pursuant to Elgin Municipal Code Section 5.02.020B(9)the City Council hereby finds that an
exception to the requirements of the procurement ordinance is necessary and in the best interest of
the city; and
BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,
ILLINOIS, that Richard G. Kozal, City Manager, and Kimberly A. Dewis, City Clerk, be and are
hereby authorized and directed to execute a Service Agreement on behalf of the City of Elgin with
Midwest Academy of TaeKwon-Do, Inc., to provide martial arts programming, a copy of which
is attached hereto and made a part hereof by reference.
s/David J. Kaptain
David J. Kaptain, Mayor
Presented: March 11, 2026
Adopted: March 11, 2026
Omnibus Vote: Yeas: 8 Nays: 0
Attest:
s/ Kimberly Dewis
Kimberly Dewis, City Clerk
SERVICE AGREEMENT
THIS AGREEMENT is made and entered into this 11 day of March2026 by and
between the CITY OF ELGIN, Illinois, a municipal corporation (hereinafter referred to as the
"City"),and Midwest Academy of TaeKwon-Do,Inc.,a corporation organized and existing under
the laws of the State of Illinois (hereinafter referred to as the"Service Provider").
WHEREAS, the City has determined that it would serve a beneficial public purpose to
enter into an agreement with the Service Provider for the Service Provider to provide certain
contract services as described in this agreement on behalf of the City and the City's Parks and
Recreation Department; and
WHEREAS, the Service Provider represents that it has the necessary expertise and
experience to furnish the Subject Services upon the terms and conditions set forth in this
agreement.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein, the sufficiency of which is hereby acknowledged, the parties hereto hereby agree as
follows:
1. The Service Provider shall provide all of the services as described in Exhibit A,
attached hereto and made a part hereof by this reference(such services are hereinafter referred to
as the "Subject Services"). Unless otherwise specified in Exhibit A, the Service Provider shall
provide the Subject Services at such dates and times as are determined and approved by the City's
Health and Fitness Supervisor.
2. The Service Provider shall also perform the Subject Services according to the
Activity Plan which is attached hereto and made a part hereof as Exhibit B. The Service Provider
represents and warrants that the Service Provider has the skills and knowledge necessary to
conduct the Subject Services provided for in Exhibit A and in the Activity Plan set forth in Exhibit
B. It is agreed and understood that the City is relying on such representations and it is further
agreed and understood that the Subject Services set forth in Exhibit A and the activity plan set
forth in Exhibit B are integral parts of this agreement and not be modified, amended or altered
except by a written amendment to this agreement agreed to and executed by both parties hereto.
3. The Service Provider shall perform the Subject Services at the location specified in
Exhibit A. In connection with the Subject Services to be performed on other than City properties,
the Service Provider warrants and agrees to maintain all facilities and equipment used in the
performing of the Subject Services in a clean, sanitary and safe condition and free from defects of
every kind whatsoever. Service Provider agrees and warrants that the Service Provider will
periodically inspect all of such facilities and equipment for such purposes. Service Provider also
warrants that the Service Provider and the Service Provider's facilities and equipment used in the
performing of the Subject Services are not now, nor shall be during the term of this agreement in
violation of any health,building,fire or zoning code or regulation or other applicable requirements
of law. In connection with the Subject Services on properties owned or controlled by the City,
Service Provider agrees and warrants to use, and to cause persons participating in the Subject
Services to use, through proper supervision and control, all facilities with due care, and to report
all defects in or damage to any such facilities, and the cause thereof, if known, immediately to the
City's Health and Fitness Supervisor.
4. The Service Provider shall complete,maintain and submit to the Health and Fitness
Supervisor of the City,or his designee,any and all records,reports and forms relating to the Subject
Services and this agreement as requested by the City.
5. The City shall pay the Service Provider for the Subject Services under this
agreement the amount of 65% of the resident fee. Notwithstanding anything to the contrary in
this agreement, the total monies to be paid by the City to the Service Provider pursuant to this
agreement shall not exceed the total amount of$27,000. The City shall make payments to the
Service Provider based upon actual progress of the Subject Services within sixty (60) days after
the receipt and approval of an invoice. Said periodic payments shall not be made until the services
for which payment is sought are completed and accepted by the City. The Service Provider shall
submit invoices in a format approved by the City. Progress reports will be included with all
payment requests. The Service Provider shall maintain records showing actual time devoted and
costs incurred. The Service Provider shall permit the authorized representative of the City to
inspect and audit all data and records of the Service Provider for work done under this agreement.
The Service Provider shall make these records available at reasonable times during the agreement
period,and for a year after the completion of the Subject Services to be performed pursuant to this
agreement.
6. Service Provider agrees and warrants that the Service Provider has procured all
licenses, permits or like permission required by law to conduct or engage in the Subject Services
provided for in this agreement, and that the Service Provider will procure all additional licenses,
permits or like permission hereinafter required by law during the term of this agreement, and that
the Service Provider will keep same in full force and effect during the term of this agreement.
Service Provider shall perform the Subject Services with due care and in compliance with all
applicable legal requirements.
7. The enrollment of students or participants for the Subject Services to be conducted
pursuant to this agreement is the sole responsibility and right of the City. Service Provider shall
not disseminate information to the public concerning the Subject Services to be conducted pursuant
to this agreement or independently advertise or solicit students or participants for the Subject
Services to be conducted hereunder except with the prior written consent of the City's Health and
Fitness Supervisor. Service Provider shall not represent any activity in which the Service Provider
is engaged, including but not limited to the activity which is the subject of this agreement, as
having been approved or otherwise use the City's name in a testimonial manner without the prior
written permission of the City's Health and Fitness Supervisor. The Service Provider shall not
solicit or encourage students or participants enrolled by the City in the Subject Services to enroll
or participate in competing or similar services which are not sponsored by the City.
8. Notwithstanding any other provision hereof,the City may terminate this agreement
at any time upon written notice to the Service Provider. In the event this agreement is so
terminated,the Service Provider shall be paid for services actually performed.
9. This agreement shall become effective as of the date the Service Provider is given
notice to proceed by the City and,unless terminated for cause or pursuant to paragraph 8, shall be
determined to conclude on December 31, 2026 or such earlier date that the City determines that
all of the Service Provider's work under this agreement is completed. This agreement shall
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automatically renew for three (3) successive one-year terms unless either the City or the Service
Provider gives notice to the other party of its intent not to renew at least sixty (60) days prior to
the conclusion of the initial term or of any successive renewal terms. A determination of
completion by the City under this paragraph shall not constitute a waiver of any rights or claims
which the City may have or thereafter acquire with respect to any term or provision of the
agreement.
10. This agreement shall not be construed so as to create a partnership,joint venture,
employment or other agency relationship between the parties hereto. Service Provider understands
and agrees that the relationship of the Service Provider to the City arising out of this agreement
shall be that of an independent contractor. It is expressly agreed and understood that the Service
Provider and the Service Provider's officers,employees and agents are not employees of the City
and are not entitled to any benefits or insurance provided to employees of the City. City shall not
be entitled to direct Service Provider as to the means or methodology of performance of this
agreement by the Service Provider.
11. If either party violates or breaches any term of this agreement, such violation or
breach shall be deemed to constitute a default, and the other party has the right to seek
administrative, contractual or legal remedies as may be suitable to the violation or breach.
12. To the fullest extent permitted by law,Service Provider agrees to indemnify,defend
and hold harmless the City, its officers, employees, agents, boards and commissions from and
against any and all claims, suits, judgments, costs, attorney's fees, damages or other relief,
including but not limited to worker's compensation claims, in any way resulting from or arising
out of negligent actions or omissions of the Service Provider in connection herewith, including
negligence or omissions or agents of the Service Provider arising out of the performance of this
agreement. In the event of any action against the City, its officers, employees, agents, boards or
commissions covered by the foregoing duty to indemnify, defend and hold harmless, such action
shall be defended by legal counsel of the City's choosing. The provisions of this paragraph shall
survive any termination of this agreement.
13. No official, director, officer, agent or employee of the City shall be charged
personally or held contractually liable under any term or provision of this Agreement or because
of their execution,approval or attempted execution of this Agreement.
14. The Service Provider shall provide,pay for and maintain in effect, during the term
of this agreement, a policy of comprehensive general liability insurance, written in occurrence
form, with limits of at least $1,000,000 per occurrence for bodily injury and $1,000,000 per
occurrence for property damage. The Service Provider shall deliver to the City a certificate of
insurance naming the City as an additional insured. The policy shall not be modified or terminated
without ten(10)days prior written notice to the City. The certificate of insurance shall include the
contractual obligation assumed by the Service Provider under Paragraph 12 hereof. This insurance
shall apply as primary insurance with respect to any other insurance or self-insurance programs
afforded to the City. There shall be no endorsement or modification of this insurance to make it
excess over other available insurance; alternatively, if the insurance states that it is excess or pro
rate, it shall be endorsed to be primary with respect to the City. The Service Provider shall also
provide, pay for and maintain in effect during the term of this agreement worker's compensation
insurance in amounts required under the laws of the State of Illinois.
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15. In all hiring or employment made possible or resulting from this Agreement, there
shall be no discrimination against any employee or applicant for employment because of sex,age,
race,color,creed,national origin,marital status,of the presence of any sensory,mental or physical
handicap, unless based upon a bona fide occupational qualification, and this requirement shall
apply to,but not be limited to,the following: employment advertising, layoff or termination,rates
of pay or other forms of compensation and selection for training, including apprenticeship.
16. No person shall be denied or subjected to discrimination in receipt of the benefit of
any services or activities made possible by or resulting from this Agreement on the grounds of sex,
race, color, creed, national origin, age except minimum age and retirement provisions, marital
status or the presence of any sensory,mental or physical handicap. Any violation of this provision
shall be considered a violation of a material provision of this Agreement and shall be grounds for
cancellation, termination or suspension, in whole or in part, of the Agreement by the City.
17. The parties intend and agreed that, if any paragraph,sub-paragraph,phrase,clause
or other provision of this Agreement, or any portion thereof, shall be held to be void or otherwise
unenforceable, all other portions of this Agreement shall remain in full force and effect.
18. This Agreement and its exhibits constitutes the entire Agreement of the parties on
the subject matter hereof and may not be changed, modified, discharged or extended except by
written amendment duly executed by the parties. Each party agrees that no representations or
warranties shall be binding upon the other party unless expressed in writing herein or in a duly
executed amendment hereof.
19. This Agreement shall be deemed to have been made in, and shall be construed in
accordance with the laws of the State of Illinois. Venue for the resolution of any disputes or the
enforcement of any rights pursuant to this agreement shall be in the Circuit Court of Kane County,
Illinois. With the sole exception of an action to recover any money to which it may be entitled
pursuant to the specific provisions of this Agreement, and notwithstanding anything else to the
contrary in this agreement,no action shall be commenced by the Service Provider against the City
for monetary damages. In the event any legal action is brought by the City for the enforcement of
any of the obligations of the Service Provider in this agreement and the City is the prevailing party
in such action, the City shall also be entitled to recover from Service Provider 9% per annum
interest and attorney's fees at the rate of$300 per hour, which Service Provider hereby agrees
constitutes a reasonable rate.
20. The Service Provider certifies hereby that it is not barred from bidding on a public
contact as a result of a violation of 720 ILCS 5/33E et seq. or any similar state or federal statute
regarding bid rigging.
21. As a condition of this contract, the Service Provider shall have written sexual
harassment policies that include, at a minimum, the following information:
A.the illegality of sexual harassment;
B. the definition of sexual harassment under state law;
C. a description of sexual harassment, utilizing examples;
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D.the vendor's internal complaint process including penalties;
E. the legal recourse, investigative and complaint process available through the Illinois
Department of Human Rights, and the Illinois Human Rights Commission;
F. directions on how to contact the department and commission;
G.protection against retaliation as provided by Section 6-101 of the Human Rights Act.
A copy of the policies must be provided to the Department of Human Rights upon
request 775 ILCS 5/2-105.
22. As a further condition of this agreement, the Service Provider shall submit to and
pass a drug test and criminal history background check. The requirements necessary to constitute
"passing" shall be at City's sole discretion. Service Provider warrants and represents, and
understands and agrees,that as a term and condition of this agreement that Service Provider is not
and has not within the past thirty(30)days,and shall not during the term of this agreement,use or
used any illegal drug or unexplained legal drug; nor has Service Provider been convicted of any
crime of which Service Provider has failed to provide written notice to City. In the event that
Service Provider is determined to have violated this or any other provisions of this agreement,
Service Provider shall be deemed to be in breach of this agreement,and may be terminated by City
immediately without penalty to City.
23. All notices, reports and documents required under this Agreement shall be in
writing and shall be mailed by First Class Mail,postage prepaid,addressed as follows:
As to the City: As to Service Provider:
100 Symphony Way Midwest Academy of
Elgin, IL 60120 TaeKwon-Do, Inc.
Attn: Jen Hermonson Elgin, IL 60120
With a copy to:
Christopher Beck
Corporation Counsel
150 Dexter Court
Elgin, IL 60120
24. This agreement is and shall be deemed to construe to be a joint and collective work
product of the City and the Service Provider and, as such, this agreement shall not be construed
against the other party, as the otherwise purported drafter of same, by any court of competent
jurisdiction in order to resolve any inconsistency, ambiguity, vagueness or conflict, if any, of the
terms and provisions contained herein.
25. This agreement shall be binding on the parties hereto and their respective
successors and permitted assigns. This agreement and the obligations herein may not be assigned
by the Service Provider without the express written consent of the City which consent may be
withheld at the sole discretion of the City.
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26. Notwithstanding any other provision of this agreement it is expressly agreed and
understood that in connection with the performance of this agreement that the Service Provider
shall comply with all applicable Federal,State, City and other requirements of law, including,but
not limited to. any applicable requirements regarding prevailing wages, minimum wage,
workplace safety and legal status of employees. Without limiting the foregoing,Service Provider
hereby certifies, represents and warrants to the City that all Service Provider's employees and/or
agents who will be providing products and/or services with respect to this agreement shall be legal
residents of the United States. Service Provider shall also at its expense secure all permits and
licenses,pay all charges and fees and give all notices necessary and incident to the due and lawful
prosecution of the work, and/or the products and/or services to be provided for in this agreement.
The City shall have the right to audit any records in the possession or control of the Service
Provider to determine Service Provider's compliance with the provisions of this section. In the
event the City proceeds with such an audit the Service Provider shall make available to the City
the Service Provider's relevant records at no cost to the City. Service Provider shall pay any and
all costs associated with any such audit.
27. Execution. This Agreement may be executed in counterparts, each of which shall
be an original and all of which shall constitute one and the same agreement. This Agreement may
be executed electronically, and any signed copy of this Agreement transmitted by facsimile
machine,email,or other electronic means shall be treated in all manners and respects as an original
document. The signature of any party on a copy of this Agreement transmitted by facsimile
machine, email, or other electronic means shall be considered for these purposes an original
signature and shall have the same legal effect as an original signature.
IN WITNESS WHEREOF,the undersigned have executed this agreement on the date and
ear first written above.
l�1id est A a TaeKwon-Do. Inc. C LGIN
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Signature 'chard G. Kozal,City Manager
Attes
City Clerk
Legal Dept,Agreement'Midwcst TacKwon-Do 2026 Service Agr•2-20-26 docx
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Martial Arts — TaeKwon-Do Program
For
Elgin Park District
From
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To: Rachel Pelc
From: Dan Valin — Midwest Academy Of TaeKwon-Do
March 18, 2025
March 18,2025
Rachel,
I wanted to provide you with updated program information to attach to our contract. We offer an exciting martial
arts program that will give the community members a way to grow and develop mentally and physically. It is our
mission to help people reach their fullest potential, increase their confidence,self-esteem,and learns how to deal
with and resolve difficult situations placed in front of them. We work with children on overcoming bullying and
becoming leaders.
I have been involved in the martial arts for over forty-eight years with a proven record of developing students to
become their best. We have had students go on in life to become doctors/ surgeons, nurses, law enforcement,
attorneys, engineers, and so much more. Many of my instructors have been with me for over twenty years and
are just as dedicated to our students.
TaeKwon-Do is a Korean martial art developed by Choi Hong Hi and was officially named and introduced in 1955.
Because of his harsh life in Korea it was his goal to develop an art that not only offered a way to defend you but
offer so much more:
• Be willing to go to where the going is tough and do things that are right and worth doing
• Be gentle to the weak and tough to the strong
• Always finish what you begin,be it large or small
• Be a willing teacher to anyone regardless of religion,race,or ideology
• Never yield to repression or threat
• Teach correct attitude and skill with action
• Always be yourself even though circumstances may change
Something we also teach our students are five very important rules to follow in martial arts and in life:
• Courtesy
• Integrity
• Perseverance
• Self-Control
• Indomitable Spirit
At the end of just about every class we have gather the students and talk to them covering several of the points
listed above to help them get ready to be the best they can be. I always say to them "be better today then what
you were yesterday".
There are multiple styles of TaeKwon-Do just as Karate and Kung Fu. Our style is the original called Chang-Hon /
International TaeKwon-Do Federation. I along with my instructors are certified with multiple world-wide
organizations. We also pride ourselves on developing some of the finest martial artists as well sir. In my
competition days I held six national titles and our school has over twenty-four national champions!
The team of instructors we have at the Centre of Elgin are:
Dan Valin —9th Degree Black Belt
Jemal Crisp—7th Degree Black Belt
Jon Boncan —4th Degree Black Belt
Amy Valin-Boncan —3rd Degree Black Belt
Alex Kassabov—3rd Degree Black Belt
Don Gaylord —2"d Degree Black Belt
Contact Information:
Business Name: Daniel Valin d.b.a Midwest Academy of TaeKwon-Do
Main Representative Name: Dan Valin
Business Owner Name: Dan Valin
Address: 1151 Coldspring Road,Elgin IL 60120
Phone Number:847-815-0898 Email Address: matkd@prodigv.net Website: matkd@arodiev.net
Program Details:
Program Title: Martial Arts—TaeKwon-Do—Self-Defense
Age of Participants:
• Children (Ages 7-10)
• Pre-teen (Ages 11-12)
• Teen (Ages 13-18)
• Adults(Ages 18&up)
• Families are encouraged to train together!
Facility Needed:
• We currently use the multi-use gym
• We supply our own heavy bags, target pads, misc. equipment that we store in the two closets
• We have our own mats but we also utilize the mats that are kept in the multi-use gym.
Program Length,days and times:
• 4 sessions following your session schedule
• We are at the Centre:
o Monday and Thursday evenings
■ Beginner —6:0o to 6:45 pm
■ Intermediate —6:45 to 7:30 pm
• Advanced—7:30 to 8:30 pm
Saturday mornings
• Beginner—8:30 to 9:15 am
• Intermediate —9:15 to 10:30 am
■ Advanced— 10:30 to 11:30 am
• Number of students:
o Minimum -3 per class
Maximum —I ask that no cap is put in place
What experience or prior class classes (in any) are students required to have prior to taking this program:
• For beginner class no experience is needed,this is for students who are brand new up to 1 year training
• For intermediate class 1+years of training (successfully went through the beginner class)
• For advanced class 4+years of training (successfully went through the intermediate class)
Rates for our program:
• Request that we maintain all current rates and student discounts that we currently have in place.
• Request we maintain the current split of 65%for MATKD and 35%for Elgin Park District.
Program Description:
• Welcome to Midwest Academy of TaeKwon-Do, proudly serving the Buffalo Grove and
surrounding communities! TaeKwon-Do is the most widely practiced martial arts in the world.
Our program develops focus,confidence,self-control,discipline and respect for others.Through
our martial arts programs, special events and unique seminars our students develop and excel
physically and mentally. We will work with our students on anti-bullying, how to de-escalate a
potential threat,and if needed,how to defend themselves.We strive to create a supportive,fun
and very challenging environment for our students. It really is a martial arts family. We build
future leaders and mentors for our community. Classes are taught by Grandmaster Dan Valin,
9th Degree Black Belt along with a number of certified Black Belts.You will enjoy training with us
and our certified staff of Black Belts. Uniforms and equipment are purchased through Midwest
Academy of TaeKwon-Do.
We offer:
• Children,Teen, and Adult classes!
• Families are encouraged to train together!
• Self-defense seminars for your groups, school, or work place
• National competition team
• World recognized belt certifications through the ITF and UTA
Beginner TaeKwon-Do: New Students through 1 year of Yellow Belt. Students will be
taught and excel in these fundamentals: • Proper stances, balance &breath control •
Striking with your hands-both open/closed techniques • Kicking-both ground &flying •
Blocking/deflecting attacks directed at you • Sparring controlled contact fighting skills •
Self-defense-what to do if someone grabs you • Breaking-proper techniques to break
boards • Fundamental Exercises • The First Three Patterns Of The Chang Hon System
Intermediate TaeKwon-Do: 1 year to 4 years of training. Green Stripe to Red Stripe.
Students will be taught and excel in these fundamentals: • Advanced stances and
movement • Advanced hand techniques-both striking & blocking • Advanced kicking
techniques-both ground & flying • Basic weapon defense • Advanced sparring • Self-
defense-advanced groundwork/multiple opponents, targets/stations • Chang Hon
Patterns
Advanced TaeKwon-Do: 4+ years of training Red Belt to Black Belt: Your training will help
guide you to become role models, mentors and leaders in your schools, workplace and
community.You will be rewarded through your dedication;perseverance and hard work
by seeing your self-confidence and belief in yourself grow beyond your expectations!
Benefits that this program will provide to its participants:
• Builds strong mind and body
• Develop self-confidence,self-esteem,ability to believe in yourself to achieve your goals
• Anti-bullying
• Learn how to overcome difficult tasks and obstacles
• Students will build discipline,respect,kindness to others
• Learn a vital method of self-defense if needed
• Develop long lasting friendships with fellow students and other around the country
• Attend seminars with some of the best Grand Masters from around the world
• Become a member of our national competition team, perform demonstrations
• Follow the tenets of TaeKwon-Do
o Courtesy
o Integrity
o Perseverance
Self-Control
Indomitable Spirit
Outline or lesson plan that gives specific details for the program,including activities planned and skills targeted:
• Each class will start with warm up and conditioning drills to improve flexibility, core strength, agility,
speed,and concentration
• Fundamental drills are performed in each class. Techniques vary as there are 3200 techniques in Chang-
Hon TaeKwon-Do. As you progress up the belts the techniques become more skilled and difficult but the
class structure follows the same:
o Fundamental floor drills working on stances, strikes, blocks,and kicks
o Patterns developed for each specific rank
o Target, heavy bag striking for focus,speed,power
o HoSinSul (close quarter self-defense)what to do if someone gets close enough to go hands on
o Controlled sparring(with protective gear and close supervision)
o Flying techniques—flying kicks on target pads or heavy bags
o Ground fighting—how to defend from the ground if you get pushed or knocked down
o Intermediate and Advanced—defense against weapons(practice rubber weapons are used)
o Talk at the end of class—tenets, being the best you can be,bullying are some examples
What can be done to adapt this program to a person(s) with disabilities?
• We have a number of students with different disabilities currently and in the past. This includes CP,
Autism, partial blindness,motor skills, we have one child in Elgin with Juvenile Parkinson's right now.
• We adapt techniques,skills, and patterns to fit their ability
• If a student has a specific challenge we request to know at registration for we can prepare. We ensure
they are included in as much as the training as possible. For example if we are working on flying kicks and
the student is not able to we will have an instructor work with them on a different task they are
comfortable doing. We do not just have them sit out.
Equipment and Supplies we will supply:
• We supply heavy bags for kicking and striking. Our bags are in excellent condition and purchased from
either Century Martial Arts or Tiger Claw both leading manufacturers of martial arts equipment.
• We supply target pads and body shields again for kicking or striking. Same as above.
What the participants are required to bring and /or purchase:
• On the first day of class we ask the students wear lose comfortable clothing and nothing heavy.
• Bring a water bottle for water breaks.
• Uniforms (Doboks) —we will sell the students their uniforms at a cost of$45
• Sparring equipment — when a student is ready to spar (controlled contact fighting) they are required to
purchase a full set of safety equipment at a cost of$135. The equipment is made out of dipped foam for
protection—headgear,hand pads, foot pads, shin pads, mouth guard, and cup for males.
Safety and emergency factors we share with our student:
• TaeKwon-Do is a contact activity and we take every precaution to ensure our students remain safe and
injury free. Our instructors follow guidelines that our beginner group is not allowed to make contact to
other students with strikes or kicks as they do not have proper control or skill level to spar or do contact
drills with others yet. They are allowed to strike the heavy bags and target pads to gain that level of
control and skill. We inform our students and their parents about this and it is followed.
• At the beginner level they will make contact with other students doing HoSinSul (close quarter self-
defense work). This is where we instruct the students "if someone grabs you or comes at you" how to
protect and defend. This activity is closely monitored.
• At the intermediate and advanced levels we allow sparring (contact controlled fighting) and is always
closely monitored. Any student who will participate in sparring is required to wear all the protective gear
which includes: dip foam helmet, hand & foot pads,shin pads,mouth guard,and protective cup for males.
We only allow controlled / light contact sparring. The beauty of TaeKwon-Do is the ability to control your
techniques being able to perform techniques at full speed with control and focus just touching your
partner. We stress"full power"is only used when you have to actually defend yourself.
• At intermediate and advanced levels we also instruct board breaking. This is done to demonstrate the
power and effectiveness of techniques. Again this is only done under close supervision and only after a
student has demonstrated they know proper technique and ability.
• There are inherent risks of injury anytime in martial arts and we take every precaution to prevent them.
We pride ourselves on our record we have had only minor injuries or accidents and nothing serious. If
something does happen we take immediate action to aid the student as well as notifying the parent(s)
and the facility we are instructing at.
• We keep ice packs on hand in the event of a bump or bruise.
• We do ask if a student has a medical condition or special needs such as: asthma, autism, heart condition,
etc. that we are informed so we can assist in their training in a safe and careful manner. All information is
kept confidential with the instructors.
Instructor qualifications:
• All of our instructors are certified through the Midwest Martial Arts League, the International TaeKwon-
Do Federation, and the United TaeKwon-Do Alliance. Each instructor has successfully attended and
passed International Instructors Certification process as well as Instructors Master Classes.
• They also go through constant training with me and are experienced working with children.
• Our instruction team:
c Dan Valin — 9'F' Degree Black Belt: 47 years of training and instructing. I have taught all over the
country. I have successfully owned and operate TaeKwon-Do programs in Elgin and Deerfield. I
also have a small organization that has 15 schools throughout the Midwest.
o Jemal Crisp-7'h Degree Black Belt: 35 years of training and instructing.
o Jon Boncan —4`h Degree Black Belt: 20 years of training and instructing.
o Amy Valin-Boncan —3rd Degree Black Belt: 25 years of training and instructing.
o Alex Kassabov—3`d Degree Black Belt: 15 years of training and instructing.
o Don Gaylord —2"d Degree Black Belt: 15 years of training and instructing.
• Several of us are certified in first aid,CPR, or AED.
Thank you for your continued support of our program! We have been a part of Elgin Park District and the
community for over twenty-five years and I look forward to many more years to come. If you have any questions
please let me know.
Our renewal COI will be delivered to me by March 215`and I will submit to you as soon as I receive it.
Kind regards,
Dan Valin
AC RL) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
03/17/2025
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 have ADDITIONAL INSURED provisions or 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:
American Specialty Insurance&Risk Services,Inc. PHONE FAX
_(A/C,No.Ell; (A/C,No):
E-MAIL
ADDRESS:
7609 W.Jefferson Blvd.,Suite 100 NSURER(S)AFFORDING COVERAGE NAICIlI
Fort Wayne IN 46804 INSURER A: Arch Insurance Company 11150_ _
INSURED INSURER B:
Midwest Academy of Taekwondo,Inc. INSURER C:
1151 Cold Spring Rd INSURER D:
INSURER E:
Elgin IL 60120 INSURERF:
COVERAGES CERTIFICATE NUMBER: 1002331372 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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.
INSR ADOL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE NSD WVI) POLICY NUMBER IMMUDD/YYYY) (MM/DO/YYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES Ea occurrence) S 1,000,000
MED EXP(Any one person) $ 2,000
A Y SBCGL3966902 03/22/2025 03/22/2026 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE UNIT APPLIES PER GENERAL AGGREGATE $ 5,000,000
PRO-
POLICY n LOC PRGDUCT8-COMP/OP AGG $ 5,000.000
OTHER. S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) S
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per aocIdent)
S
UMBRELLA LIAR OCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DED r RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANYPROPRIETOWPARTNER/EXECUTIVE EL.EACH ACCIDENT
/M S
OFFICEREMBEREXCLUDED? N/A
(Mandatory In NH) EL.DISEASE-EA EMPLOYEE S
If yyes,describe under
DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMB S
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
-The Certificate Holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,and subject to the provisions and
limitations of Form CG 2011 Additional Insured-Managers or Lessors of Premises,effective March 22,2025.
CERTIFICATE HOLDER CANCELLATION
City of Elgin Centre of Elgin
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
100 Symphony Way, AUTHORIZED REPRESENTATIVE
eeElgin IL 60120 - �J
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