HomeMy WebLinkAboutCONSENT HFB Dove House Kearney Hub JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO: Jefferson County Board of Commissioners
FROM: Carolyn Gallaway, Clerk of the Board
DATE: 12 j / 5 1Z C
SUBJECT: AGREEMENT re: 2026 Affordable Housing/Homelessness
Grant Funding; Dove House—Kearney Block Resources Hub;
in the amount of$35,000
STATEMENT OF ISSUE:
On October 29, 2025 and November 4, 2025 the Housing Fund Board met and reviewed the
RFPs received. On November 17, 2025,the Board of County Commissioners approved the
Housing Fund Board's 2026 funding recommendations for Affordable Housing Fund 148,
Homeless Housing Fund 149 (1590 and 5386 Funds). One of the recommendations was to fund
Dove House—Kearney Block Resources Hub; in the amount of$35,000.
ANALYSIS:
The attached Grant Agreement will provide $35,000 in funds approved by the Board of
County Commissioners on November 17, 2025.
FISCAL IMPACT:
$35,000 from Fund 148
RECOMMENDATION:
Approve the attached Grant Agreement.
REVIEWED BY:
C48,14:0 1&1 ;0
Jos . Peters, County Administrator Date
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: DOVE HOUSE ADVOCACY SERVICES Contract No: DOVEHOUSE-KBH-2026
Contract For: KEARNEY BLOCK HUB Term: January 1,2026 to December 31,2026
COUNTY DEPARTMENT: COUNTY ADMINISTRATOR'S OFFICE
Contact Person: CAROLYN GALLAWAY
Contact Phone: 360-385-9122
Contact email: CAROLYN@CO JEFFERSON WA US
AMOUNT: $35,000 PROCESS: Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: _ Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s)of Matching Funds _ Vendor List Bid
Fund # ,>� RFP or RFQ
Munis Org/Obj _Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMPLIA ICE WL CC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: ❑ N/A:a 64 (a Le /2/ft�L S—
ignature Date
STEP 2: DEPARTMENT CERTIFIES TH PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN ARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ❑ N/A: Fill 4 ($ (2/t /2
gnature Date
STEP 3: RISK MANAGEMENT REVIEW(wi b added electronically through Laserfiche):
Electronically approved by Risk Management on 12/12/2025.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 12/12/2025.
County grant template. Pre-approved by PAO.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
AGREEMENT FOR
2026 AFFORDABLE HOUSING/HOMELESSNESS SERVICES FUNDING FOR
DOVE HOUSE—KEARNEY BLOCK RESOURCES HUB
This Agreement is by and between Jefferson COUNTY, Washington (the COUNTY) and
DOVE HOUSE("RECIPIENT").
WHEREAS, RECIPIENT is a non-profit corporation registered with the Secretary of State
of the State of Washington under UBI number 601 141 377;and
WHEREAS, the COUNTY desires to support affordable housing and reduce or eliminate
homelessness in unincorporated Jefferson COUNTY, as authorized by Chapter 36.22 RCW,
Chapter 82.14 RCW,and Chapter 3.33 Jefferson COUNTY Code;and
WHEREAS, the COUNTY appointed the Jefferson COUNTY Housing Fund Board
("HFB") to review and recommend Affordable and Supportive Housing Fund (1590 FUNDS)
and/or Homeless Housing and Assistance Fund (5386 FUNDS) proposals submitted to the
COUNTY, as authorized by RCW 82.14.530, RCW 82.14.540 and Chapter 3.33 Jefferson
COUNTY Code;and
WHEREAS, RECIPIENT submitted a qualified Affordable and Supportive Housing Fund
(1590 FUNDS) and/or Homeless Housing and Assistance Fund (5386 FUNDS) proposal to the
HFB;
WHEREAS, the HFB reviewed and recommended funding all or part of RECIPIENT's
qualified Affordable and Supportive Housing Fund (1590 FUNDS) and/or Homeless Housing and
Assistance Fund(5386 FUNDS)proposal to the Jefferson County Board of Commissioners;
WHEREAS, the Jefferson County Board of Commissioners reviewed the HFB
recommendation for funding all or part of RECIPIENT's qualified Affordable and Supportive
Housing Fund (1590 FUNDS) and/or Homeless Housing and Assistance Fund (5386 FUNDS)
proposal and finalized an award of$35,000 from Fund 148 for the purposes recommended by the
HFB("Final HFB Award");
IN CONSIDERATION of the mutual covenants and agreements herein it is agreed by the
parties as follows:
1. SERVICES TO BE PERFORMED USING THE HFB AWARD
a. RECIPIENT shall use its capabilities and utilize up to the total amount of Final HFB Award
for the approved scope of work for the Project described in RECIPIENT's proposal for the
2026 fiscal year,a copy of which is attached as Exhibit A.
b. The budget for the Project is described in Exhibit B,attached.
2. RESPONSIBILITIES OF RECIPIENT
a. Reports. RECIPIENT shall submit a progress report no later than July 1, 2026, midway
through the grant cycle period. An annual report form will be due no later than January
31, 2027. The report form will be distributed before the end of the year. Non-compliance
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 1
may result in no funds awarded in the future. Reports shall include a comparison of
outcomes to date with those initially proposed, and the total number of individuals served
during the Agreement term.
b. Payment. Expenses incurred on the Project, as described in Section 1.b., by the Project's
consultants, contractors, suppliers, or RECIPIENT's staff shall be submitted to the
COUNTY Administrator's Office by RECIPIENT using a detailed invoice that includes
all of the following:
i. Each detailed invoice shall show individual items followed by the total amount
incurred and the amount eligible for reimbursement under this grant. RECIPIENT
may submit such invoices to the COUNTY once per month during the course of
the Project for work completed. All invoices shall be submitted no later than 30
days after project completion; and,
ii. The COUNTY shall review and approve invoice payments. Payments will be
limited to the monies that are available under the grant as described in Section 1.
Such invoices, once approved, will be paid using the COUNTY's normal bill
paying process and cycle.
c. For a minimum of six (6) years, maintain documented proof of payments made, contracts
executed, and other expenditures authorized under this Agreement. Upon reasonable
notice,provide access to COUNTY or State representatives to audit those records.
d. Funding provided by this Agreement may only be expended on the services described in
Section 1 of this Agreement. Any monies used for other services or purposes shall be
refunded to Jefferson COUNTY. Any monies under-expended of the total funding
allocated under this Agreement shall be refunded to Jefferson COUNTY by January 31,
2027.
3. RESPONSIBILITY OF JEFFERSON COUNTY
a. The COUNTY shall provide RECIPIENT funding from the Affordable and Supportive
Housing Fund (1590 FUNDS) and/or Homeless Housing and Assistance Fund (5386
FUNDS) to be used in support of their responsibilities as defined under this Agreement.
b. Said funding is in the amount of the Final HFB Award for the 2026 fiscal year. Payment is
conditioned on full compliance with this Agreement, including but not limited to, the
submittal of the reports required by Section 2.
c. Payment shall be made by the COUNTY upon receipt of an invoice on the next available
billing cycle.
4. TERM
This Agreement shall be for a term of one year, commencing on January 1, 2026 and ending on
December 31,2026,except for the reports required in Section 2,which are due January 31,2027.
5. ASSIGNMENT
A parry's interests in this in this Agreement may not be assigned to any other person.
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 2
6. TERMINATION
a. This Agreement may be terminated, in whole or in part, by the COUNTY upon thirty (30)
days written notice in the event expected or actual revenue from Fund 148 and/or 149 is
reduced or limited in any way, or for non-performance of duties under this Agreement, or
for any reason.
b. RECIPIENT may terminate this Agreement upon thirty (30) days written notice to the
COUNTY. In the event of termination under this clause, the COUNTY shall be liable to
pay only for services rendered prior to the effective date of termination. If termination
covers a period for which payment has already been made, RECIPIENT shall refund to the
COUNTY a pro-rated share of the payment based upon the balance of time remaining in the
paid period,unless otherwise negotiated.
7. HOLD HARMLESS
a. RECIPIENT shall indemnify and hold the COUNTY, and its officers, employees, agents
and volunteers (and their marital communities) harmless from and shall process and
defend at its own expense, including all costs, attorney fees and expenses relating thereto,
all claims, demands, or suits at law or equity arising in whole or in part, directly or
indirectly, from RECIPIENT's negligence or breach of an of its obligations under this
Agreement; provided that nothing herein shall require RECIPIENT to indemnify the
COUNTY against and hold harmless the COUNTY from claims, demands or suits based
solely upon the conduct of the COUNTY, its officers, employees, agents and volunteers
(and their marital communities), and; provided further that if the claims or suits are
caused by or result from the concurrent negligence of: (a) RECIPIENT's agents or
employees; and, (b) the COUNTY, its officers, employees agents and volunteers (and
their marital communities), this indemnity provision with respect to claims or suits based
upon such negligence, and or the costs to the COUNTY of defending such claims and
suits, etc., shall be valid and enforceable only to the extent of RECIPIENT's negligence,
or the negligence of RECIPIENT's agents or employees.
b. RECIPIENT specifically assumes potential liability for actions brought against the
COUNTY by RECIPIENT's employees, including all other persons engaged in the
performance of any work or service required of RECIPIENT under this Agreement and,
solely for the purpose of this indemnification and defense, RECIPIENT specifically
waives any immunity under the state industrial insurance law, Title 51 RCW.
RECIPIENT recognize that this waiver was specifically entered into pursuant to
provisions of RCW 4.24.115 and was subject of mutual negotiation.
8. INSURANCE
RECIPIENT shall obtain and keep in force during the term of this Agreement, or as otherwise
required,the following insurance:
a. Commercial General Liability Insurance. RECIPIENT shall maintain commercial general
liability coverage on a form acceptable to Jefferson COUNTY Risk Management for
bodily injury, personal injury, and property damage, with a limits of not less than in the
amount of at least $1 million per occurrence, for bodily injury, including death, and
property damage; and
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 3
b. Worker's 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.
9. INDEPENDENT CONTRACTOR
a. RECIPIENT and the COUNTY agree that RECIPIENT is an independent contractor with
respect to the services provided pursuant to this Agreement.
b. Nothing in this Agreement shall be considered to create the relationship of employer and
employee between the parties hereto.
c. Neither RECIPIENT nor any employee of RECIPIENT shall be entitled to any benefits
accorded COUNTY employees by virtue of the services provided under this Agreement.
d. The COUNTY shall not be responsible for withholding or otherwise deducting federal
income tax or social security or for contributing to the state industrial insurance program,
otherwise assuming the duties of an employer with respect to RECIPIENT, or any
employee,representative, agent or subcontractor of RECIPIENT.
e. RECIPIENT shall be responsible for all applicable withholdings, deductions, state
industrial insurance, tax reports, business licenses, registrations, and all other obligations
of an independent organization.
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 4
10. SUBCONTRACTING REQUIREMENTS
a. RECIPIENT Owns Contract Performance. RECIPIENT is responsible for meeting all
terms and conditions of this Agreement including standards of service, quality of
materials and workmanship, costs and schedules. Failure of a subcontractor to perform is
no defense to a breach of this Agreement. Recipient assumes responsibility for all
liability for the actions and quality of services performed by any subcontractor.
b. Subcontractor Disputes. Any dispute arising between RECIPIENT and any
subcontractors or between subcontractors must be resolved with involvement of any kind
on the part of the COUNTY and without detrimental impact on the delivery of contracted
goods and services.
11. LEGAL AND REGULATORY COMPLIANCE
While performing under this Agreement, RECIPIENT, subcontractors, and their employees are
required to comply with all applicable local, state and federal laws, codes, ordinances and
regulations, including but not limited to:
a. Applicable regulations of the Washington State Department of Labor and Industries,
including WA-DOSH Safety Regulation; and
b. State and Federal Anti-Discrimination Laws.
12. COMPLIANCE WITH LAWS
RECIPIENT shall comply with all Federal, State, and local laws and ordinances applicable to the
work to be done under this Agreement.
13. CHOICE OF LAW
The parties agree that this Agreement is entered into in the State of Washington. This Agreement
shall be governed by and construed under the laws of the United States, the State of Washington
and the County of Jefferson, as if applied to transactions entered into and to be performed wholly
within Jefferson County, Washington between Jefferson County residents. No party shall argue
or assert that any state law other than Washington law applies to the governance or construction
of this Agreement.
14. DISPUTES
a. The parties agree to use their best efforts to prevent and resolve disputes before they
escalate into claims or legal actions. Any disputed issue not resolved under this
Agreement shall be submitted in writing within 10 days to the County Risk Manager,
whose decision in the matter shall be final, but shall be subject to judicial review.
b. If either party deem it necessary to institute legal action or proceeding to enforce any
right or obligation under this Agreement, each party in such action shall pay for its own
attorney's fees and court costs.
c. Any legal action shall be initiated in the Superior Court of the State of Washington for
Jefferson County, subject to the venue provisions for actions against counties in RCW
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 5
36.01.050. The parties agree that the parties have the right of appeal from such decisions
of the Superior Court under the laws of the State of Washington.
d. RECIPIENT consents to the personal jurisdiction of the courts of the State of
Washington.
15. DISCRIMINATION PROHIBITED
RECIPIENT with regard to the project to be completed under this Agreement, shall not
discriminate on the grounds of age, sex, marital status, sexual orientation, race, creed, color,
national origin, honorably discharged veteran or military status, or the presence of any sensory,
mental, or physical disability or the use of a trained dog guide or service animal by a person with
a disability, unless based upon a bona fide occupational qualification in the selection and
retention of employees, materials, supplies, or subcontractors.
16. INTEGRATED AGREEMENT
This agreement together with attachments or addenda represents the entire and integrated
agreement between the COUNTY and RECIPIENT and supersedes all prior negotiations,
representations, or agreements written or oral.
17. PUBLIC RECORDS ACT
This Agreement and any reports submitted by RECIPIENT are subject to disclosure as a public
record under the Public Records Act, RCW Chapter 42.56.
18. RECORDS RETENTION AND AUDIT AUTHORIZATION
a. A minimum of six years, RECIPIENT shall maintain documented proof of payments
made, contracts executed and other expenditures authorized under your Agreement with
Jefferson COUNTY.
b. Upon reasonable notice, RECIPIENT shall provide access to COUNTY or State
representatives to audit records related to the funds provided to RECIPIENT under this
Agreement.
19. NO SEVERABILITY
The terms of this Agreement are not severable. If any provision of this Agreement or the
application of this Agreement to any person or circumstance shall be invalid, illegal, or
unenforceable to any extent, the remainder of this Agreement and the application this Agreement
shall not be enforceable.
20. SURVIVAL
Those provisions of this Agreement that by their sense and purpose should survive the term of
this Agreement shall survive the term of this Agreement for a period equal to any and all relevant
statutes of limitation, plus the time necessary to fully resolve any claims, matters or actions
begun within that period.. Without limiting the generality of the preceding sentence, and for the
avoidance of doubt,the provisions that survive the term of this agreement include: (a)controlling
law; (b) insurance; and, (c) indemnification.
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 6
21. AMENDMENT,MODIFICATION AND WAIVER
a. This Agreement may be not be amended or modified to change the approved scope of
services in the Final HFB Award.
b. Only the Jefferson County Board of Commissioners or their delegate by writing
(delegation to be made prior to action) shall have the expressed, implied, or apparent
authority to sign, alter, amend, modify, or waive any clause or condition of this
Agreement.
c. Any alteration, amendment, modification, or waiver of any clause or condition of this
Agreement is not effective or binding unless made in writing and signed by the Jefferson
County Board of Commissioners or their delegate.
SIGNATURES ARE ON THE FOLLOWING PAGE
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 7
JEFFERSON COUNTY WASHINGTON DOVE HOUSE
Board of COUNTY Commissioners
Jefferson COUNTY, Washington
By: By:
Heidi Eisenhour,Chair Date Signature
By: Name:
Greg Brotherton, Member Date
Title:
By: Date:
Heather Dudley-Nollette, Member Date
SEAL:
ATTEST:
Carolyn Gallaway,CMC Date
Clerk of the Board
Approved as to form only:
for 12/12/2025
'lip C. Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 8
EXHIBIT A-SCOPE OF WORK
RECIPIENT has been awarded $35,000 (the "Final HFB Award"), after recommendation by the
Housing Fund Board ("HFB"). Recipient shall use the Final HFB Award consistently with its
response to the request for proposal submitted to the HFB during the 2026 cycle.
A true and correct copy of the RECIPIENT's response to the request for proposal is attached as
Exhibit C.
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 9
EXHIBIT B—BUDGET
RECIPIENT has been awarded$35,000_(the"Final HFB Award"), after recommendation by the
Housing Fund Board("HFB"). Recipient shall use the Final HFB Award consistently with its
response to the request for proposal submitted to the HFB during the 2026 cycle.
A true and correct copy of the RECIPIENT's response to the request for proposal is attached as
Exhibit C.
Applicant: Dove House Advocacy Services
Contact: Beulah Kingsolver, Executive Director
Address: 1045 10th Street, Port Townsend, WA 98368
Phone: 360-385-5292
Email: beulahk@dovehousejc.org
HFB Grant Award Agreement for Dove House—Kearney Block Hub Page 10
Exhibit C
RECIPIENT'S PROPOSAL
Request for Proposal(RFP) starts after this page
HFB Grant Award Agreement for Dove House— Kearney Block Hub Page 11
FUNDING FOR
AFFORDABLE AND SUPPORTIVE
HOUSING & HOMELESS HOUSING
AND ASSISTANCE FUNDS
APPLICATION
Proposals must be RECEIVED: l 0/15/25 at 4pm
JEFFERSON COUNTY
THROUGH THE COUNTY& CITY OF PORT TOWNSEND
HOUSING FUND BOARD
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.
Name of Project or Program: Keamey 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 10th 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 Kingsolver
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 ' t certifies that it has no outstanding obligations to the County with respect to housing funds.
/o
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
• Name of Project or Program (please include HMIS name/number if applicable): Kearney Block Resource
Hub—transitional housing and services
• Amount requested:_$213,077
• 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"Keamey Block Resource Hub":
1. 909 Kearney Street Transitional Housing which consists of one two-bedroom unit and one studio
apartment.
2. Dove House Recovery Café 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"Keamey Block Hub"
programs: Dove House Recovery Café and Dove House Closet.
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 Café 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,Café participation fosters pro-social skills such as
coping with strong emotions,communicating needs,and setting healthy boundaries—skills 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 Café,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 9/1/24-9/1/25.
We opened Dove House Closet in January 2024,and the program has consistently grown, from serving 1246
community members in its first year to 2773 from 1/1/25-10/1/25, 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.
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 Café 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 Café 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 Café.
1590 Development Funds:
None
1590 Operating Funds:
None
• 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 Keamey Street in 2022 with the first resident moving in that same year. We are
currently housing 6 individuals there.
We opened Dove House Recovery Café 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 Café 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 OIyCAP 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 Café,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.
While free meals may be what first brings someone to Recovery Café,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 Café.When surveyed,"Has Recovery Café helped to improve
your housing situation?", 54% of Members responded "Yes."A further 76%responded that Recovery Café
helped them maintain their housing. This demonstrates that Recovery Café 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-informed 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 Café—Food Security&Housing Access
The Café 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 Café 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
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 Café 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
(1 0 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 Café 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 Café
Between 9/1/24—9/1/25, the Café 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 Café 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 Café and Dove House Closet,providing hundreds of hours of service that expand our reach
and deepen community investment.
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 Plan (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 Categories 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 any) $
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 Proposal Justification Priority
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 $5,500 $2,750 To support meals at RC
Supplies/Equipment
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(to%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 employee is dedicated to this Project or Program):
Position Salary Benefits FTE
Program Director $15,000 $4,920 0.2
Recovery Café $45,500 $21,148 1.0
Staff
Advocate DH $18,200 $8,459 0.4
Closet
Facilities Manager $9,100 $4,229 0.2
FUNDING SOURCES FOR THE PROGRAM in 2025
Funding Sources Awards Awards 2025- Indicate if Committed or
2024-25 26 Application has been made.
Public Sources $250,500 $191,837 Committed
(State or Federal
Funds)
Private Donations $20,000 $40,000 Estimated
Foundation Grants $35,000 $55,000 Applied
City & County $81,281.26 $290,045 Committed/Applied
Funds
Program 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
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 commercial 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:
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 immunity 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
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 may be 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.
• 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.
Dove House Advocacy Services
Budget
July 2025 through June 2026
July-June
Ordinary Income/Expense
Income
FEDERAL & STATE GRANTS 993,287.00
OTHER GRANTS 594,289.00
PROGRAM INCOME 62,900.00
INDIVIDUAL CONTRIBUTIONS 172.542.00
MISCELLANEOUS INCOME 19,000.00
Total Income 1.842.018.00
Expense
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 1,411,344.00
SUPPLIES & EQUIPMENT 28.900.00
TRAINING & TRAVEL 27.000.00
UTILITIES 62.630.00
Total Expense 1,842,018.00
Net Ordinary Income 0.00
ACo CERTIFICATE OF LIABILITY INSURANCE DATE(11M.owYTYY
�� 10'14 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 policylies)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
IUME Cathy WaMsten
Hi hstreet Insurance&Financial Services PHONE FAX
9 (Ac.No.Lai;425-775.6446 LA ,met'425-640-9225
500 Main Street,Suite A E DO�,-
Edmonds\NA 98020 AREsltCathy.wahlsten treeens-coin -
INSURERgS)AFFORDING COVERAGE NMI
INSURER A Philadelphia Indemnity Insurance Company _ 18058.
INSURED '--1 INSURER B
Dove House Advocacy Services INSURER C
1045 10th Street _
Port Townsend WA 98368-2933 INSURER D:_
INSURER E:
INSURERS:
COVERAGES CERTIFICATE NUMBER.391277188 REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MA'.1ED 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 CONDRIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
ma TYPE OF INSURANCE ---- --- —. I
. POLICY UV POLICY Ex!.
_ BNSD wvo POLICY NUMBER MM DPFTreI IMMN0IYYYYI LASTS
A X COMMERCIAL GENERAL LIAIUTY PHPK2588061-024 9'1Ei2C25 913;2026 EACHOCCIIRRENCE $1000.000
, _ S 100 ODO
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1 ME EXP iAny me parsarj -$5.000
PERSONA..A ADV MWRY I$1000 000 .-.--
3EN'L AGGREGATE LIMIT APP,TES PER GENERAL AGGREGATE 1$2 000 000 _.
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POLI(:Y JE HOC PRODUCTS•COMpgP AGG I$2 000 000
OTHER
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AUTOMOBILEt 1A81UTY PHPK258596t-021 9%182D25 9/1812026 COUR31NED SINGLE UMIT S t 000 000
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ANY AUTO BOOS r INJURY(Prpetor) $
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9COILY INJURY(Pr*cadent) S
.liIRC° ONLY AUTOS
X AUTOS ONLY L x
Au OSOWLD MO' _5PERTY DAMAGE c
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JMBRELLALIA8 OCCUR __ -'I"-
EXCESS LIAR CLAIMS-MADE AGGREGATE
7E: RETENTIONS 5
WORKERS COMPENSATION PHPK2 588 06 1-024 ? 9/18/2025 9,187028 X r•-
ANO EMPLOYERS'UASILITY ,_. A ATJTE I ER WA ST—. -
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IANYDROPRIETORAMTNER.ExEC,:nvE E L.EACH ACCIDENT S 1.000,000
CFFICERMEsISEREXCL.:DEo' N'A
Mandatory M NHt E L DISEASE-1:A EMPLOYEE S 1,000.00O
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JESCRIoTION OF OPERATIONS oelc.. E I. DISEASE-POLICY LIMIT $1,000,000
w_.- =ronessicral>1 t' PHPK2586061-024 9,1942025 II 9.18r2026 Pr 4 Lose Aaa 2,000,000
`.:•eclus&:E.ere PH5D 1816258-C22 9.'1312025 1 9i18.'2026 FYd L ab OCt 1,000,000
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DESCRIPTION OF OPERATIONS I LOCATIONS.VEHICLES iACORD 181,Adetiortal Remarss Schedule.may be ettach•d It Rom apace Is roqu isdl
Any person or organizaton where required by a written contract executed prior to the occurrence of a loss.Such person or organization is an additional insured
for'bodiy injury. property damage"or"personal and advertising injury"but only for liability arising out of the negligence of the named insured.The limits of
Insurance applicable to these additional insureds are the lesser of the policy limits or those limits specified in a contract or agreement.These limits are included
within and not in addition to the limits of insurance shown in the Declarations Per form PI-GLD-KS(1001).
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
City of Port Townsend. John Mauro/Thomas Olson
250 Madison Street. Ste 101 AUTHORIZEDREPRESEI.'ATivE
Port Townsend WA 98368 ? - _
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