HomeMy WebLinkAboutDove House - Kearney Hub $213,077FUNDING FOR
AFFORDABLE AND SUPPORTIVE
HOUSING & HOMELESS HOUSING
AND ASSISTANCE FUNDS
APPLICATION
Proposals must be RECEIVED: ] 0/15/25 at 4pm
JEFFERSON COUNTY
THROUGH THE COUNTY & CITY OF PORT TOWNSEND
HOUSING FUND BOARD
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Application
AFFORDABLE AND SUPPORTIVE
HOUSING & HOMELESS HOUSING
AND ASSISTANCE FUNDS
For use from January 1, 2026 to December 31, 2026
GENERAL INFORMATION —It is understood that if awarded funding for this period, there is no guarantee of
future funding beyond this award.
We estimate the available funding for this period to be approximately $160,000 for 5386 Homeless Housing and
Assistance (operating) funds; $780,000 for 1590 Affordable and Supportive Housing development funds; and first
year operating funds; and $520,000 for 1590 Affordable and Supportive Housing operating funds. Note that 1590
operating funds may be used for all housing -related services.
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Name of Project or Program: Kearney Block Resource Hub
Requested total amount for this application: $213,077
Area of the County to be served: Port Townsend, WA
Name of Applicant/Agency: Dove House Advocacy Federal Tax ID#: ' 91-1195187
Services
Contact Person: Beulah Kingsolver Title: Executive Director
Address: 1045 101h Street City: Port Townsend
State: WA Zip: 98368
Phone Number: 360-385-5292 Fax Number: 360-379-5395
E-mail: beulahk@dovehousejc.org
CERTIFICATION by Authorized Agency Representative (Board President, CEO, or another person authorized to
bind the agency in a contract).
Name of Authorized Agency Representative (print): Beulah Kin solver
Title: Executive Director
• Applicant certifies that these funds will be used as described in this application unless a change has been
mutually agreed upon between Contractor and Jefferson County Board of County Commissioners. Substantive
amendment requests will also require the approval of the Housing Fund Board ("HFB").
• Applicant certifies that the information in this application is true and correct.
• Ap ti t certifies that it has no outstanding obligations to the County with respect to housing funds.
Signature of Au zed Agency Representative Date
SPECIFIC INFORMATION
Please separately tab each section of the application submission as to Project or Program Description, Capacity,
Alignment, Approach, Impact of Funds, Budget.
PROJECT DESCRIPTION
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Name of Project or Program (please include HMIS name/number if applicable): Kearney Block Resource
Hub — transitional housing and services
• Amount requested: $213
• Provide a brief description of the Project or Program: (LIMIT 200 WORDS)
Since 2020, Dove House Advocacy Services has been expanding our services to meet the ever-increasing need for
affordable housing for survivors of domestic violence as well as housing -related services for those who are
currently homeless or at -risk of homelessness.
Specifically, Dove House has invested significantly in three new programs in our "Kearney Block Resource Hub":
1. 909 Kearney Street Transitional Housing which consists of one two -bedroom unit and one studio
apartment.
2. Dove House Recovery Cafe at 939 Kearney Street which provides a drug -and -alcohol -free community
space, free meals, Coordinated Entry intakes, referrals to housing providers, shower tokens, and hygiene
supplies. Open four days/week.
3. Dove House Closet two blocks away at 1925 Blaine St which provides free clothing two days/week.
Collectively, in these three programs, we propose the following eligible uses of these funds:
• Services for formerly homeless individuals and families residing in transitional housing and still at risk
of homelessness.
• Operating subsidies for transitional housing or permanent housing serving formerly homeless families
or individuals.
• Outreach services for homeless individuals and families.
• Operation and maintenance costs of housing projects that are affordable to very low-income households,
and that require a supplement to income to cover ongoing operating expenses.
• Specify the Project or Program goals and expected outcomes. Specify the measures of success by which the
Project or Program will be assessed. (LIMIT 300 WORDS)
Our goal is to provide affordable transitional housing for survivors of domestic violence at 909 Kearney Street and
housing -related support for people who are homeless or at risk of homelessness through our "Kearney Block Hub"
programs: Dove House Recovery Cafe and Dove House Closet.
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At 909 Kearney Street, we aim to maintain full capacity in one two -bedroom unit and one studio unit, serving up to
three adults and three children —equal to 2,190 possible bednights each year.
The Recovery Cafe operates four days a week, offering recovery support services including Coordinated Entry
intakes, free meals, shower tokens, tents, laundry vouchers, hygiene supplies, and on -site referrals to housing and
behavioral health providers. Meeting these basic needs helps reduce hardships for those experiencing homelessness
and lowers housing cost burdens for those at risk. In addition, Caf6 participation fosters pro -social skills such as
coping with strong emotions, communicating needs, and setting healthy boundariesskills that support members
in maintaining stable housing. Members also complete surveys to track their housing status and the impact of our
services. Lastly, Recovery Cafe is a space where other groups convene to provide recovery support and resources.
The Dove House Closet operates two days per week, providing free clothing and outdoor gear —especially vital
during colder months.
Together, these programs create a supportive hub addressing both immediate needs and long-term housing stability.
• Specify the number of units of housing to be created or number of individuals who will be served by the Project
or Program.
At 909 Kearney St, we have one two -bedroom unit and one studio unit. We can house three adults and up to three
children for a total possible 2,190 bednights per year. We provide case management to clients to assist them in
accessing long-term stable housing.
Between 9/1 /24 — 9/1 /25 at Dove House Recovery Caf6, we provided recovery support services to 152 Members
and 104 Volunteers. These services include completing 27 Coordinated Entry intakes which we began offering in
June 2025. Four of those individuals have secured housing. Our goal is to complete 8 Coordinated Entry intakes
per month.
We average 66 meals/day with 13,106 meals served between 9/l/24-9/l/25.
We opened Dove House Closet in January 2024, and the prograin has consistently grown, from serving 1246
community members in its first year to 2773 from 1 /1 /25-10/l /25, an average of 308 per month. We anticipate
serving at least 3000 people at Dove House Closet annually.
Threshold Requirements:
• Identify the specific eligible use(s) under 5386 and/or 1590 for which the Project or Program qualifies, as
listed on pages two through four of the RFP. If you are submitting for both operating and development
funds, please submit separate budgets for each.
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5386 Operating Funds:
In this project, we are providing services to persons meeting the definition of homeless under the legislation and
persons at -risk of homelessness. At 909 Kearney St Transitional Housing we are providing housing to:
Persons fleeing domestic or family violence with no subsequent safe residence identified and lacking the
resources needed to obtain such housing.
And at both Dove House Recovery Caf6 and Dove House Closet we are serving:
• Persons being evicted within a week from a private dwelling unit or leaving an institution, such as a mental
health or substance abuse treatment facility or a jail/prison, with no subsequent residence identified and
lacking the resources needed to obtain housing.
Persons living on the streets or in emergency shelter but are spending a short time (up to 30 consecutive
days) in a hospital or other institution.
Persons who would otherwise be living on the streets or in an emergency shelter.
Households who are very low-income.
The eligible uses of these funds we wish to access for our Kearney Block Hub programs:
1. Costs of services for formerly homeless individuals and families residing in transitional housing or
permanent housing and still at risk of homelessness. Specifically, the cost of staff wages who are providing
housing support services at both Dove House Recovery Caf6 and Dove House Closet, including:
Coordinated Entry intakes; basic needs — food, clothing, outdoor gear; referrals to housing and behavioral
health providers; and pro -social skill building that support individuals and families to maintain stable
housing.
• Supporting operation and maintenance costs of housing projects that are affordable to very low-income
households, and that require a supplement to income to cover ongoing operating expenses. Specifically, the
cost of staff wages for a facilities manager at both 909 Kearney Street Transitional Housing and Dove
House Recovery Caf6.
1590 Development Funds:
None
1590 Operating Funds:
None
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• Provide a brief description of recent, relevant and successful experiences in delivering similar programs
and/or projects.
Dove House has been serving survivors of domestic violence since 1983. We've been successfully operating
Jefferson County's only emergency domestic violence shelter since 2003. Our DV shelter has 6 rooms and, if all
were filled by families, the possibility of up to 21 people at any point in time. From Jan 1, 2024 — Dec 31, 2024, we
filled 5272 bed nights.
We have been successfully operating four transitional apartments since 2009. We have one 3-bedroom unit, two 2-
bedroom units, and one 1-bedroom unit. From Jan 1, 2024 — Dec 31, 2024, we had 10 individuals live there — three
single moms, one single person, three women healing from behavioral health challenges, and all healing from
interpersonal violence.
We bought the property at 909 Kearney Street in 2022 with the first resident moving in that same year. We are
currently housing 6 individuals there.
We opened Dove House Recovery Cafe in 2021 serving free meals two days/week averaging 30 meals/day and 35
Members. Today, we're serving free meals four days/week averaging 66 meals/day and 68 Members. We began
offering Coordinated Entry intakes in June 2025 and have completed 27 thus far with four individuals securing
housing.
In 2023, we took over "New Image" and re -branded it as "Dove House Closet." We expanded the mission from
providing free clothes only to women to providing free clothes to all people regardless of gender identity. We
retained many of the volunteers from New Image and opened in January 2024.
Briefly describe how the project aligns with the priorities and objectives of the Five -Year Homeless
Housing Plan and the community outreach conducted for the project or program. (LIMIT 400 WORDS)
Dove House was directly involved with the creation of the Five -Year Homeless Housing Plan, and we are jointly
responsible for helping to implement the Plan. Recovery Cafe is explicitly cited in the Plan as an outreach strategy
for improving referral rates to Coordinated Entry. We work closely with our community partners at OlyCAP and
Bayside to provide appropriate referrals for housing to those we serve.
The specific Objectives of the Plan this project aligns with are:
OBJECTIVE # 1 Quickly identify and engage people experiencing homelessness.
Dove House has a 24-hour domestic violence/sexual assault crisis line which allows us to quickly identify
persons fleeing domestic violence. With availability, we can house them in our domestic violence shelter
(or temporary hotel stays when the shelter is full) and, from there, house them in our transitional housing
units.
In addition, our Kearney Block Resource Hub programs have very low -barrier -to -entry. At Dove House
Closet, we serve all people. We do not require proof of income or any other qualification to receive
services, clothing, or outdoor gear. Similarly, at Dove House Recovery Cafe, everyone is welcome to join
us throughout the week and receive basic services including free prepared meals, non-perishable food items
in our Little Free Pantry, hygiene supplies, etc. We do not need to assess, diagnose, or bill insurance. We do
not need to make appointments for a different day. Our trauma -informed staff welcome all, and we can
provide services such as Coordinated Entry intakes on the very day someone requests it.
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While free meals may be what first brings someone to Recovery Caf6, people experiencing homelessness
remain engaged in services due to the inclusive, non judgmental, and safe culture. The trust we build allows
us to engage with folks who have experienced barriers to accessing services in the past and refer them to
housing and behavioral health providers. It is a safe place for our participants to meet with other service
providers.
From 10/1/24 — present, approximately 68% of our 155 Members served are currently unhoused or were
unhoused when first arriving at Recovery Caf6. When surveyed, "Has Recovery Caf6 helped to improve
your housing situation?", 54% of Members responded "Yes." A further 76% responded that Recovery Caf6
helped them maintain their housing. This demonstrates that Recovery Caf6 helps unhoused people access
housing as well as prevent a return to homelessness.
A. APPROACH - Completeness of Proposal and Readiness (5 Points) (LIMIT 400 WORDS)
The Kearney Block Resource Hub integrates transitional housing with two community -based service programs to
reduce homelessness and improve housing stability. Our approach builds on Dove House's 40+ years of experience
serving survivors of domestic violence and people at risk of homelessness.
1. 909 Kearney Street Transitional Housing
We currently operate one two -bedroom and one studio apartment, with capacity for up to three adults and three
children (2,190 possible bednights annually). Our trauma-infonned staff provide housing stability services, helping
residents connect with community resources, develop independent living skills, and prepare for long-term housing.
2. Dove House Recovery Cafe — Food Security & Housing Access
The Caf6 is a safe, drug -and -alcohol -free community space open four days per week. We provide recovery support
services including Coordinated Entry intakes, free meals, shower tokens, hygiene supplies, and on -site referrals to
housing and behavioral health providers. The Caf6 also fosters pro -social skills —coping with strong emotions,
communicating needs, and establishing healthy boundaries —that help individuals maintain housing once secured.
Participation is low -barrier: no insurance, diagnosis, or appointment is required. In the past year, we served 152
Members, completed 27 Coordinated Entry intakes (four resulting in housing), and provided 13,106 meals.
3. Dove House Closet — Meeting Basic Needs
Opened in 2024, the Closet provides free clothing and outdoor gear two days per week, serving an average of 308
people monthly. Access to appropriate clothing reduces barriers to employment, increases safety in extreme
weather, and builds dignity for those experiencing homelessness.
Readiness
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Our programs are already operating, staffed, and growing in demand. We own the 909 Kearney Street property and
have been housing individuals there since 2022. The Recovery Caf6 has steadily expanded since 2021, quadrupling
meals served while adding Coordinated Entry services. Dove House Closet retains experienced volunteers from its
predecessor program and continues to increase its reach.
Together, the Kearney Block Hub programs address immediate survival needs —food, shelter, clothing —while also
supporting long-term housing stability through recovery support, life skills development, and connections to
community providers. With existing infrastructure, dedicated staff, and proven results, Dove House is ready to
continue and expand this integrated approach to reducing homelessness in Jefferson County.
B. IMPACT OF FUNDS - Leverage of Other Funds and Number of Persons Assisted
(10 Points) (LIMIT 400 WORDS)
This request does not fully fund the Kearney Block Resource Hub. Our budget for operating the three programs is
$604,441. We have secured $391,365 from other sources, leaving a shortfall of $213,077 which we are requesting
through this RFP.
The requested funds will support staffing critical to program delivery:.20 FTE Program Director, 1.0 FTE
Recovery Caf6 staff, .40 FTE Closet staff, .20 FTE Facilities Manager, and a portion of operations and
maintenance costs. These positions ensure smooth daily operations and direct services to those most in need.
Number of Persons Assisted:
909 Kearney Street Transitional Housing
We can house up to three adults and three children, providing 2,190 possible bednights annually. Since
opening in 2022, we have consistently filled these units and are currently housing six individuals.
Dove House Recovery Cafe
Between 9/l/24 — 9/l/25, the Caf6 served 152 Members and 104 Volunteers. We began offering
Coordinated Entry intakes in June 2025, completing 27 in just four months, with four individuals already
securing housing. On average, we provide 66 meals per day-13,106 meals this past year. Members also
receive recovery support services, hygiene supplies, shower tokens, and on -site referrals. The Caf6 fosters
pro -social skills such as emotional regulation, communication, and boundary setting, which directly support
housing stability.
• Dove House Closet
Since opening in January 2024, Dove House Closet has served 4019 individuals —an average of 223 people
per month. We project at least 3000 people will be served annually. The Closet provides clothing and
outdoor gear, which are essential for safety, employment readiness, and preserving dignity, particularly
during the winter months.
Leverage of Other Funds:
This request leverages substantial existing resources. Dove House has secured over two-thirds of the program
budget from other grants, private donations, and in -kind volunteer contributions. In 2024-2025, 104 volunteers
supported Recovery Caf6 and Dove House Closet, providing hundreds of hours of service that expand our reach
and deepen community investment.
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By combining transitional housing with basic needs assistance, recovery support, and community -based referrals,
these funds will directly assist hundreds of individuals annually, stabilize families in crisis, and help prevent future
homelessness.
C. PROJECT OR PROGRAM BUDGET — A Feasible Financial flan 5 Points)
BUDGET FORMS
Funding period begins January 1, 2025, and ends December 31, 2025. Please use the attached budget
templates. If you need additional space, you may insert rows. "Proposal" refers to the funds requested from
these funds that will be applied to this specific Project or Program. Blank spaces are provided for additional
categories. Justification for budget items must be specific, and that same specificity should be reflected in
subsequent billings. A maximum 10% Administration fee is allowed for projects if needed, however,
Administration fees are not allowed for Capital Projects.
CAPITAL BUDGET FOR REAL ESTATE DEVELOPMENT USES
Financing CateLyories
Estimate
Basis of Estimate
Total Acquisition Costs
$
Construction
$
Construction Fees
$
Financing Fees and
Charges
$
Guarantees and Reserves
$
Developers Fee
$
Subtotal
$
TOTAL
$
SOURCES
Financing Categories
Estimator
Indicate if Committed or Application has been made. If not made
indicate date application is to be submitted
Private Loan
$
Jefferson County Funds
$
Public Sources (State or
Federal Funds
$
Foundations
$
Donations
$
Low Income Housing
Tax Credits (indicate 9%
or 4%)
$
Historic Tax Credits
$
New Market Tax Credits
$
Gap if an
$
TOTAL
$
Please include any budget narrative that is descriptive or helpful to explain any part of your proposed expenditures
in your capital budget(s). (LIMIT 300 WORDS)
PROGRAM OPERATING BUDGET
January 1, 2026 — December 31, 2026
Budget Categories Program I Proposal Justification Priority
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Salaries
$307,400
$87,800
1.80 FTE Staff
Benefits
$123,367
$38,756
1.80 FTE Staff
Utilities
$13,650
$13,650
Electricity, propane, garbage, water/sewe
telephone, internet
Insurance
$9,455
$5,100
Required insurance
Food
$48,000
$24,000
Food for RC meals and pantry
Group/Program Supplies
$6,600
$3,300
Supplies for groups and clients/members
Kitchen
Supplies/Equipment
$5,500
$2,750
To support meals at RC
Facilities
$6,350
$6,350
Maintenance, janitorial, landscaping
Laundry Vouchers
$12,000
$12,000
Laundry support for clients/members
Dishwasher Rental
$3,600
$
Kitchen expense for RC meals
DH Closet Rent
$3,720
$
Rental expense
Subtotal
$549,492
$193,706
Administration (1oi max.)
$54,949
$19,371
TOTAL
$604,441
$213,077
If your Project or Program includes salaries and benefits, please list position(s) and FTE to be paid by these funds
(FTE should be that percentage of time the em ]o ee is dedicated to this Project or Program):
Position
Salary
Benefits
FTE
Program Director
$15,000
$4,920
0.2
Recovery Cafe
Staff
$45,500
$21,148
1.0
Advocate DH
Closet
$18,200
$8,459
0.4
Facilities Manager
1 $9 100
$4 229
0.2
FUNDING SOURCES FOR THE PROGRAM in 2025
Funding Sources
Awards
2024-25
Awards 2025-
26
Indicate if Committed or
Application has been made.
Public Sources
(State or Federal
Funds)
$250,500
$191,837
Committed
Private Donations
$20,000
$40,000
Estimated
Foundation Grants
$35,000
$55,000
Applied
City & County
Funds
$81,281.26
$290,045
Committed/Applied
Pro am Income
$26,400
$27,000
Estimated
TOTAL
$413 818.26
$603 882.00
Please include any budget narrative that is descriptive or helpful, to explain any part of your proposed
expenditures. For instance, if you are requesting furnishings or appliances specifically for housing included in your
Project or Program, what are the items you are requesting? (LIMIT 300 WORDS)
The requested funds from this RFP will cover 1.80 of the 2.15 FTE Salary and Benefits of the staff required to
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ensure we can provide services at Kearney Block Hub; utilities to include water/sewer, electricity, garbage
removal, propane, and internet/telephone for both 909 Kearney St Transitional Housing and Dove House Recovery
Cafe; Food for the Cafe and Free Pantry as well as kitchen, laundry, & group/client supplies needed to support the
clients/members at the Kearney Block Hub program. Insurance and Facilities are required to keep the Kearney
Block Hub operational. While the need for services has risen dramatically, outside funding sources have decreased
by 30% making it difficult for us to answer that demand. Without full funding we will be looking at significant cuts
to our services.
ATTACHMENT A
Required Insurance Coverages
1. Commercial General Liability.
■ Recipient shall maintain connnercial general liability coverage on a form acceptable to
Jefferson County Risk Management for bodily injury, personal injury, and property damage, in
an amount not less than two million dollars per occurrence ($2,000,000) and an aggregate of
not less than four million dollars ($4,000,000), for bodily injury, including death, and property
damage.
• The commercial general liability insurance coverage shall contain no limitations on the scope
of the protection provided and include the following minimum coverage:
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o Broad form property damage, with no employee exclusion;
o Person injury liability, including extended bodily injury;
o Broad form contractual/commercial liability, including completed operations and
product liability coverage;
o Premises — operations liability (M&C);
o Independent contractors and subcontractors; and,
o Blanket contractual liability.
• Recipient's commercial general liability policy shall include employer's liability coverage.
• The County and its elected officials, officers and employees shall be named as an additional
insured party under this insurance policy.
2. Automobile Liability.
• Recipient shall maintain business automobile Liability insurance on a form acceptable to
Jefferson County Risk Management with a limit of not less than a combined single limit of
$1,000,000 each occurrence. Coverage shall include owned, hired, and non -owned
automobiles.
3. Workers' Compensation (Industrial Insurance). Recipient shall maintain workers' compensation
insurance at its own expense, as required by Title 51 RCW, for the term of this Agreement and
shall provide evidence of coverage to Jefferson County Risk Management, upon request. If the
County incurs any cost to enforce the provisions of this subsection, all costs and fees shall be
recoverable from Recipient.
o Recipient shall provide Workers' Compensation and Employer's Liability on a state
approved policy form providing benefits as required by law with employer's liability limits
no less than $1,000,000 per accident or disease.
o This coverage shall extend to any contractor or subcontractor that does not have their own
workers' compensation and employer's liability insurance.
o Recipient expressly waives by mutual negotiation all ini nunity and limitations on liability,
with respect to the County, under any industrial insurance act, disability benefit act, or
other employee benefit act of any jurisdiction, which would otherwise be applicable in case
of such claim.
4. General Insurance Requirements.
• Insurance coverage shall be evidenced by one of the following methods:
o Certificate of insurance; or,
o Self-insurance through an irrevocable Letter of Credit from a qualified financial institution.
Any deductibles or self -insured shall be declared to and approved by the County prior to the
approval of this Agreement by the County. At the option of the County, the insurer shall reduce
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or eliminate deductibles or self -insured retention, or Recipient shall procure a bond
guaranteeing payment of losses and related investigations, claim administration and defense
expenses.
• Failure of Recipient to take out or maintain any required insurance shall not relieve Recipient
from any liability under this agreement, nor shall the insurance requirements be construed to
conflict with or otherwise limit the obligations concerning indemnification of the County.
• Recipient's insurers shall have no right of recovery or subrogation against the County
(including its employees and other agents and agencies), it being the intention of the parties
that the insurance policies so affected shall protect all the parties and shall be primary coverage
for all losses covered by the above described insurance.
• Insurance companies issuing Recipient's insurance policy or policies shall have no recourse
against the County (including its employees and other agents and agencies) for payment of any
premiums or for assessments under any form of insurance policy.
• All deductibles in Recipient's insurance policies shall be assumed by and be at the sole risk of
Recipient.
• Any judgments for which the County maybe liable, in excess of insured amounts required by this
agreement, or any portion thereof, may be withheld from payment due, or to become due, to
Recipient until Recipient shall furnish additional security covering such judgment as may be
determined by the County.
• Any coverage for third party liability claims provided to the County by a "Risk Pool" created
pursuant to Ch. 48.62 RCW shall be non-contributory with respect to any insurance policy
Recipient shall provide to comply with this Agreement.
• The County may, upon Recipient's failure to comply with all provisions of this Agreement
relating to insurance, withhold payment or compensation that would otherwise be due to
Recipient.
• Recipient shall provide a copy of all insurance policies specified in this Agreement,
• Written notice of cancellation or change in Recipient's insurance required by this Agreement shall
reference the project name and agreement number and shall be mailed to the County at the
following address: Jefferson County Risk Management, P.O. Box 1220, Port Townsend, WA
98368.
• Recipient's liability insurance provisions shall be primary and noncontributory with respect to
any insurance or self-insurance or self-insurance programs covering the County, its elected and
appointed officers, officials, employees and agents.
• Any failure to comply with reporting provisions of the insurance policies shall not affect coverage
provided to the County, its officers, officials, employees or agents.
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• Recipient's insurance shall apply separately to each insured against whom claim is made or suit is
brought, except with respect to the limits of the insurer's liability.
Recipient shall include all subcontractors as insured under its insurance policies or shall furnish
separate certificates and endorsements for each subcontractor. All insurance coverage for
subcontractors shall be subject to all the requirements stated in this Agreement. The insurance
limits mandated for any insurance coverage required by this Agreement are not intended to be an
indication of exposure nor are they limitations on indemnification.
Recipient shall maintain all required insurance policies in force from the time services commence
until services are completed. Certificates, insurance policies, and endorsements expiring before
completion of services will be promptly replaced.
Recipient shall place insurance with insurers listed to business in the State of Washington and
having A.M. Best Company ratings of no less than A-, with the exception that excess and
umbrella coverage used to meet the requirements for limits of liability or gaps in coverage need
not be place with insurers or re -insurers licensed in the State of Washington.
Certificates of insurance as required by this Agreement shall be delivered to the County within
fifteen (15) days of execution of the Agreement. To the extent a certificate lists or refers to any
endorsements solely by name. description or number it shall be the responsibility of Recipient to
obtain and provide to Jefferson County Risk Management a full and complete copy of the texts of
such endorsements.
• The County shall be named as an "additional insured" on all insurance policies required by this
Agreement.
• Recipient shall furnish the County with properly executed certificates of insurance that, at a
minimum, shall include:
o The limits of coverage;
o The project name and agreement number to which it applies;
o The certificate holder as Jefferson County, Washington and its elected officials,
officers, employees and agents with the address of Jefferson County Risk Management,
P.O. Box 1220, Port Townsend, WA 98368; and
o A statement that the insurance policy shall not be cancelled or allowed to expire except
on thirty (30) days prior written notice to the County.
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Dave House Advocacy Services
Budget
July 2025 through June 2026
July -June
Ordinary Irrcorne/E pense
Income
FEDERAL & STATE GRANTS
993,2 7.00
OTHER GRANTS
594,289.00
PROGRAM INCOME
62,900.00
INDIVIDUAL CONTR[BUTIONS
172,542.00
MISCELLANEOUS INCOME
19,000,00
Total Income
Expense
1,842,018.00
ADMINISTRATIVE
64,370.00
FACILITIES
46,094.00
FUNDRAISING
14,000.00
INSURANCE
27,530.00
MARKETING & PUBLIC OUTREACH
9,350-00
PROFESSIONAL SERVICES
28,650-00
PROGRAM SUPPORT
122,150.00
SALARIES, BENEFITS & TAXES
1,411, 44.00
SUPPLIES & EQUIPMENT
28,900.00
TRAINING TRAVEL
27,000.00
UTILITIES
62,630.00
Total Expense
1,842,018.00
Net Ordinary Income
Page 1 of 1
► CERTIFICATE OF LIABILITY INSURANCE
DATE 1MMMINT"•r}
1 WI V2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- TH35
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIV5LY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE 1SSUING 1HSURER115], AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cartifiaate hDld9r is an ADDITIONAL I%SURED, the policylies} musk have ADDITIONAi. INSO RED ptwiaions or I)e andomad•
tf SUBROGAMN IS WAEVED. subject to the terns and condition a of the policy, certain policies may rtquira an endarselnent A statemem on
lhls certificate does not confeT ri ht5 tO the cartlfleate holder in lieu of much endoTsemerltfs)-
PR00410ER HAWE rCathyVV&hIsEen
Hstreet Insufanre & PInanees lal ServicPHOME 425 775.64 5 FAX no3 25 I340 Sf22
6ighMain Street, Suite A I';''c'W°"F't-
Edmonds WA 8Sp20 +>E S.s �gY-Wahlsten highslreelins-Conn
INSURER{S) AFFORDING COVERAGE NAJO0
INSURERA PlliladetphialydemnilyInsurance CaTRpAry 78058
IR6Umw DOVEHDU-01 IN34RER$- _ —
Dove House Advocacy Services IN®IJFak�
1045 'f 0th Street
Port Townsend WA 98368-2933 Iry5aJAMR 0 :
WSLRERE :
W SURER F :
rntirGvwrSCC CFRTIFtC-ATE NUMBER- 19 17 77 1 PA REVISION NUMBER,
THIS IS TO CERTIFY THAT 7 HE POLICIES OF INSURANCE LISTD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTMTHETANDMG ANY REQUIREMENT. TERM OR CONDUION OF ANY CONTRACT OR DITHER DOCUMENT WITH RESPECT To WflKA TH18
CERTIFICATIE MAY BE 1SSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE PO 106S DESCRIBED HEREIN Ig $UB--IEGT TO ALL THE TERM$,
EXCLUSIONS AND CONDITIGNS OF SUCH POMIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN= ... _ PDIJCY EFF POLICY EXF LIIITS
LTA TYPE OF IN5LFRA1Nga POLICY FR1f1dlEA MILS
j( COMMERCIAL GENERALLIA81LITY - PHPK25a8G61-0idL WI&r202E 9r18121)26 FACHOr-CURREHCE 1.000.am
i4 pHt-MsGrS'Ea IX .Mmdt'bj
4,.r.��i5-r.�46E OCvi1R
kiED FX {Any m parson? 3 5.0m
I '
PERSCf &'. S ALW IWL1RY 31.000,0150
GEN'L AC-GREGATE LIMrr aP?I.I IS PER GENERALAGGREGATE S 2.Do0.coo
PQLI�V JrC Lac M015UCTS, COMNOP AGG 52. 000.ao0
5
O'D.IER:
A AUTQNQR9LELLAAffV PHPk2586i361-024 9?1ai262S 9+12d2426 I EDSINGLEUMR
IEa L
S1.000.DD0
ANYAUTO BODILYFWURf (Pwper )
S
pvuNEn SCIIEDLILED 9CDILYINJURY (PsracwisMj
b
ALIT{XS ONLY ALTOS
HIRED NON- WNEd
�
S
_AUTOS ONLY a-rri7SONLY W
5
UWI9RELLA LIA@ OCCUR
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EACH OCCU RRENLE
b
E7SC-55 LIAEL OLA W MADE
AGGRE-MTE
$
5
JE' RETENTINN :
A
WCW ERSCOMPEWSATWRI
W18I2025 9,1gre025 : pER
TATUTE I ER„ L+IA.STOPfiiAP
iN O EMIP44KER8' LMILfry Y I W
ANYPR.OPRIE-ORPPRTw£R'E�rFCurn+E
E.L. EAQiADCAE}!r $ 1,004,004
OFFICERIMEMBER€ M-LUDE 3. T +h
PglyftbM M NHI
E.L. DISEASE - EA EMPLOYEE! S IA00,000
tle�oibe uptW
0E3CRIPTrft OF OPERAT10N5 telc++
9.1- 14SEASE - POLICY LIMIT S 1,040,000
4 prQA ,DnaIU�IW
PHPI42588065-024 9/1$2025
W-16?2026 P. fLi2UlLgq 2.0N.04d
A ,r1rectors Offiore'
PHSDtg19250-022 9i1W2025
i
Wla8202$ PMLiebDa 1.000. 08
C�.O�_Pu 1.a7o,040
CWMF Rno"OFOWERA71r1MS f LOCATIOlFlS I VEHICLES (ACSYPP 101, Maftiww AwTha hs Scheduler mil' be aftch" II mwe upKa Is m*wmdl
Any person pr 4qpnlzation where required by a written mVracl iexecuted prior to the o rreno� of a tosm. Su& person ar organizaliDfl is an addiuorl al insured
for 'bodily injmy, property damag.e' pr 'personal and advertising injury" bvl only for liabiiily ariseng out of the negligence pf the minted insured, The IimHa of
insurance appliaaNE to these additional insureds are the { ewer of the policy IFmrts or those IirrLits sperjW in a cclnlract or agreement. These 1 mils are Included
within and not in addition to the Brims of I rlsurance shown in the DeclaraHnn5 Pw farm 131-GLQ-Fk5 f l4yl 1).
rV-071W1r .&79= I-Irll nPR CANGELt_ATION
City of Port Townsend. J[3hn MSU(OTFbOmag 01San
250 Madison Street, Ste 101
Port Townsend WA 98368
SHDULG ANY OF THE ABOVE DESCRIBED POLICIES BE CMCEL.LEO BEFORE
THE EXPIRATION DATE Ti4ERECIF, NOTICE WILL BE DELIVERED IN
ACCORDAN GE WITH THE 11201-10Y PROVIS 10 NS.
AUT•19RIIED REPRESENTATIYE
079Af1.2n15 Ar0Q0 CnRPnRATION_ All rights
ACORD 25 (2016!03) The ACORD name and IDrgo are rV91Stared rnari€s of ACORD