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Home My WebLink AboutQuilcene Historical Museum 2026 Lodging Tax - 122225 Scrivener error pg 2 fixedAGREEMENT FOR 2026 HOTEL -MOTEL FUNDING FOR TOURISM SERVICES FOR QUILCENE HISTORICAL MUSEUM This Agreement is by and between Jefferson COUNTY, Washington (the COUNTY) and QUILCENE HISTORICAL MUSEUM ("RECIPIENT"). WHEREAS, RECIPIENT is a non-profit corporation registered with the Secretary of State of the State of Washington under UBI number 601-333-689; and WHEREAS, the COUNTY desires to promote tourism in unincorporated Jefferson COUNTY, as authorized by Chapter 67.28 RCW and Chapter 3.25 Jefferson COUNTY Code; and WHEREAS, the COUNTY appointed the Jefferson COUNTY Lodging Tax Advisory Committee ("LTAC") to review and recommend lodging tax proposals submitted to the COUNTY, as authorized by RCW 67.28.1817 and Chapter 3.25 Jefferson COUNTY Code; and WHEREAS, RECIPIENT submitted a qualified lodging tax proposal to the LTAC; WHEREAS, the LTAC reviewed and recommended funding all or part of RECIPIENT's qualified lodging tax proposal to the Jefferson County Board of Commissioners; WHEREAS, the Jefferson County Board of Commissioners reviewed the LTAC recommendation for funding all or part of RECIPIENT's qualified lodging tax proposal and finalized an award of $78,975 for the purposes recommended by the LTAC ("Final LTAC 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 LTAC AWARD a. RECIPIENT shall use its capabilities and utilize up to the total amount of Final LTAC Award for the approved tourism promotion services listed in Exhibit A and for no other purpose during the 2026 fiscal year. b. If the Final LTAC Award does not specify the approved tourism promotion services, then the use of the amounts approved in the Final LTAC Award shall be limited to the proposed tourism promotion services listed in RECIPIENT's proposal for the 2026 fiscal year, a copy of which is attached as Exhibit B. 2. RESPONSIBILITIES OF RECIPIENT a. On or before January 31, 2026; April 30, 2026; July 31, 2026; October 31, 2026; and January 31, 2027, RECIPIENT shall provide to the COUNTY all of the following, which are more specifically described in Exhibit C: A quarterly report of the use, services, programs and activities of RECIPIENT under this Agreement for the prior quarter; ii. A quarterly financial statement detailing revenues, expenses and cash balances for the prior quarter; and for the final quarter report, the financial statement shall also include a detailed financial statement for all 2026. QUILCENE HISTORICAL MUSEUM Page 1 of 29 iii. On or before January 31, 2026 or upon execution of this Agreement, whichever is later, provide to the COUNTY: A billing invoice requesting payment of Hotel -Motel Funding for the 2026 fiscal year. b. 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. 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. d. By February 28'h of each year provide all of the following information on Exhibit B, attached hereto and incorporated by reference for the previous year. i. Each festival, event, or tourism facility owned and/or operated by RECIPIENT. ii. The amount of lodging tax revenue allocated for expenditure (whether actually expended or not) by RECIPIENT on each festival, event or tourism facility. iii. Estimated number of tourists served at each festival, event or tourism facility. ("Tourist" includes persons traveling more than 50 miles to the location of the event, festival or facility and overnight stays in the area). iv. Estimated lodging stays. ("Lodging" refers to commercial lodging such as hotels, motels, resorts, bed and breakfasts, or commercial campgrounds). v. Measurements that demonstrate the impact of increased tourism attributable to the event, festival or facility. 3. RESPONSIBILITY OF JEFFERSON COUNTY a. The COUNTY shall provide RECIPIENT funding from Hotel -Motel Tax receipts to be used in support of their responsibilities as defined under this Agreement. b. Said funding is in the amount of the Final LTAC 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 and February 28, 2027. 5. ASSIGNMENT A party's interests in this in this Agreement may not be assigned to any other person. QUILCENE HISTORICAL MUSEUM Page 2 of 29 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 the Hotel -Motel Tax 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 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. QUILCENE HISTORICAL MUSEUM Page 3 of 29 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. 10. 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. 11. 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. 12. 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 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. QUILCENE HISTORICAL MUSEUM Page 4 of 29 13. 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. 14. 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. 15. 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. 16. 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. 17. 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. 18. 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. 19. AMENDMENT, MODIFICATION AND WAIVER a. This Agreement may be not be amended or modified to change the approved tourism promotion services in the Final LTAC 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. QUILCENE HISTORICAL MUSEUM Page 5 of 29 SIGNATURES ARE ON THE FOLLOWING PAGE QUILCENE HISTORICAL MUSEUM Page 6 of 29 issioner Nollette, Commissioner JEFFERSON COUNTY WASHINGTON Board of COUNTY Commissioners Jeffer COUNTY, Washington By: i Eisenhpur, Chair By: Greg SEAL: ATTEST: Clerk 6f the Board Approved as to form only: '- C n 161 2t4j— Philip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney QUILCENE HISTORICAL MUSEUM oa Signaturc- Name: Title: Date: QUILCENE HISTORICAL MUSEUM Page 7 of 29 JEFFERSON COUNTY WASHINGTON Board of COUNTY Commissioners JeZi OUNTY, Washington B isenhpur, Chair Greg BrothertoA-,fCommissioner teafli&Dddley-Nollette, Commissioner SEAL: ;.t4`'`' FRS IV1j�''!,f ATTEST: -�'' •. o`�� /' 'r,�p',c WAS tla'rolyh lGallaway, CMC Date Clerk Afte Board Approved as to form only: 2 (--,J? r. /V" /!!�;: Philip C. H nsucker, Date Chief Civil Deputy Prosecuting Attorney QUILCENE HISTORICAL MUSEUM el Signaturef Name: :.-, S L""10-) �e Title: 6Z�kA Date: I :2 12 ? QUILCENE HISTORICAL MUSEUM Page 7 of 29 EXHIBIT A Itemized List of Tourism Promotion Services Approved in the Final Award 66112 - LTAX Visitor Prom-Info-Convencs 66112.1 Conveniences -PUD 661122 Signage 8 PPE Supplies 66112.3 Exhibits 66112.4 News Letters S Postcards 661115 Brochures 66112.6 - Conveniences - Sanitation 66112.7 Invitations Total 66112 - LTAX Visitor Prom4nfo-Convencs 66116 LTAX Cooperative Partnerships 66118 LTAX Web Soc Media, ISP, Phone 66118.1 Internet 6 Phone Service 66118.2 Website Design d Maint 66118,3 Email Service 661184 Website Provider 66118.5 Video -Teleconference Servce 66118.E - Security System Service 66118 7 Muli-Aedia W'W Total 66118 LTAX Web. Soc Media ISP, Phone 66120 LTAX Spl Events Prom 6 Mktng 66120.1 Multi -Media Advert. -Comm 66120.2 Event Promotion d Support 66120 Wedding Promotion Total 66120 LTAX Spl Events Prom E Mktng 66122 LTAX Prof Svcs. Projects 661221 Graphic Design -Non Event)Mark 66122.2 Mailing Services 66122.3 - Lawn Services 66122.4 Grant Writing Services 66122.5 CPA Services 66122E WP Maintenance R Operations 66122 Pass Perfect Software Total 66122 LTAX Prof Svcs, Projects 66130 Conference, Convention, Meeting 66171 Office Expenses. Program 66173 - Postage, Program 66195 Travel Total Other Program Expenses 6.B - Administration G6200 Other Non -Program Expenses 66265 - Office Expense. Administration 66267 Postage, Administration 66269 Printing and Copying. Admm Total 66200 - Other Non -Program Expenses Total Expense orig 2024 2025 2026 LTAC SUDGR LTAC BUDGR LTAC BUDGET 5,200 5,200 5,200 500 500 500 500 1,000 1,000 500 500 500 1,000 1,000 1,000 2,500 2,500 1,800 750 750 750 10,950 11,450 10,750 1,000 1,000 1,0()0 4,000 4,000 4,000 5,000 5,000 4,000 200 200 200 350 500 500 200 200 200 420 1,000 1,200 10,170 10,900 10,100 2,000 2,000 1,000 12,500 16,500 5,000 6,000 6,000 3,000 20,500 24,500 9,000 300 300 300 2,000 2,000 1,000 18,000 18,000 22,000 2,500 2,500 2,500 750 750 2,000 16,000 16,000 25,000 1,800 1,800 1,800 41,350 41,350 54,600 500 500 500 400 400 400 100 100 100 100 100 100 1.100 1.100 1.100 500 300 300 1,000 500 500 400 400 400 1,900 1.200 1.200 86,970 91,500 87.750 QUILCENE HISTORICAL MUSEUM Page 8 of 29 EXHIBIT B RECIPIENT'S PROPOSAL ATTACHED QUILCENE HISTORICAL MUSEUM Page 9 of 29 Exhibit C Jurisdiction Lodging Tax Reporting Form — To Be Submitted to Jefferson COUNTY Administrator's Office No Later than February 28" of each Year Lodgiug Tax Reporting Form Organtmtion recetnng funding to promote festivaL-. -special event; and tourism -related activities through toun;m-related facilities owned or sponsored by non-profit organizations or the local jurisdiction are required to complete this form for L=V H activity. 1 Orgammtion Name: Reporttce Year 2 Sponsor Type (Check One): O :Ol cY3 i O 501(c)(6) O Local lunsdicum OOtEer Ecplam). 3 Activity Name: 4 Activin•Type (CheckOne): OEverrcFestrval• O Facilin• OMaikeanr 5 Activiry Start Date•: 6 Activiry End Date* Total Cost of Acm•uv S 8 Amount Requested: S 9 Amoum Awarded: S 10 OverallAttendance• a) projected' b) Actual* c) Methodology (Check Ones ODuea Coum' Olnduect Coum• ORepresemanve Survey' OlubourialSteve, OStrucnuedEsnmtte• (0Other (explain): I 1 Number of Attendees Who Traveled 50 Miles or More• a) PRIeCTed• b) Actual' c) Methodology(Check One; ODirect Coum• Olnduect Corm' O Represematn•e Survey* Olnfounal Suney' O SmucwedEsumate' (D Other (erplam): 12 Number of Attendees Who Iraveled "tram Another State or Country a) Pro)etted• b) Actual' c) Methodology (Check One`. O Direct Catmt' Olydirect Co=* ORepresematn•e Survey Irtinal Survey. O Snuctured E sno ate• /O t )Other (explain): xSee Lodging Tax Yearly Reporting Definitions Instructions Name of Individual Who Prepared Report Phone =. E :Mail Address RETL-R_X THIS FOR -NI TO: Jefferson County Ad—,stratoi s Office 1S20 Jefferson Street P.O. Box 1220 Port TowmLend. WA 9S368 je8boccru;c0jefferson.wa.us 1= Number of Attendees Who Staved O%wmgbt m C qW Accommodations• a) PM--d• b) Actwil• c) Methodology (Check One): O Direct Count' Otnduect Carrot• ORepraentame Slow On -formal Suney' O Structured &timate' Othher ,ewlaiw: 14 Number of Attendees Rho Stayed O%)am_ht in Paid Accammodatrons a' Projected' bi .actual• e Methodology (Check Onei: O Direct Come O1uhrect Count- ORepresettatne Survey* O!formal Survey. O Structured Estimate' OOther (evplam): I i Number M Paid Lodgme Nrghr: a) Projected' b) Actuai• c) Methodology (Check One): Di ect Corot• O1duect Count' ORepraentative Steve}-' 0:oformal Stuvey, O Structured Estimate* iJ Other (ecplatn): DE.ADLL\E: February- :8th of Each Reporting Year QUILCENE HISTORICAL MUSEUM Page 10 of 29 LTAC Yearly Reporting Definitions/Instructions Activity Type: Event/Festival: Short-term activity occurring between specific dates (e.g., 4th of July celebration, local marathon) Facility: Municipally -owned facility that operates some or all of the year (e.g., county historical museum, convention center) Marketing: Activity that provides information to encourage visitors to an area; is typically a year-round activity but may also operate for less than a full year. Activity Date: Activity beginning and ending dates. Actual: Persons estimated to have actually participated in event/festival or visiting a facility. For marketing activity, enter the number of persons estimated to have actually visited area as result of marketing activity. Projected: Persons expected to participate in event/festival or visiting a facility. For marketing activity, enter the number of persons expected to visit area as result of marketing activity. Methodology: Select the methodology used to estimate the actual number of visitors/participants. Direct Count: Actual count of visitors using methods such as paid admissions or registrations, clicker counts at entry points, vehicle counts or number of chairs filled. A direct count may also include information collected directly from businesses, such as hotels, restaurants or tour guides, likely to be affected by an event. Indirect Count: Estimate based on information related to the number of visitors such as raffle tickets sold, redeemed discount certificates, brochures handed out, police requirements for crowd control or visual estimates. Representative Survey: Information collected directly from individual visitors/ participants. A representative survey is a highly structured data collection tool, based on a defined random sample of participants, and the results can be reliably projected to the entire population attending an event and includes margin of error and confidence level. Informal Survey: Information collected directly from individual visitors or participants in a non-random manner that is not representative of all visitors or participants. Informal survey results cannot be projected to the entire visitor population and provide a limited indicator of attendance because not all participants had an equal chance of being included in the survey. Structured Estimate: Estimate produced by computing known information related to the event or location. For example, one jurisdiction estimated attendance by dividing the square footage of the event area by the international building code allowance for persons (3 square feet). Other: (please describe) Overall Attendance: Total projected and estimated actual attendance recorded for event, facility or resulting from marketing activity. Total Attendees Traveling 50 miles or more: Total: Total projected and estimated actual number of visitors traveling more than 50 miles to attend event or facility. For marketing organizations, report visitors traveling more than 50 miles to visit area. Of total, attendees who traveled from another state or country: Of the total projected and estimated actual number of visitors traveling more than 50 miles to attend event or facility or visit area, report projected and estimated actual number of visitors who traveled from another state or country. Attendees who stayed overnight: Paid Accommodations: Total projected and estimated actual number of visitors staying in paid lodging establishments such as hotels, motels, bed and breakfasts, etc. Unpaid Accommodations: Total projected and estimated actual number of visitors staying in unpaid accommodations such as family and friends. Paid Lodging Nights: Total projected and estimated actual number of paid lodging nights. One Lodging night = one or more persons occupying one room for one night. QUILCENE HISTORICAL MUSEUM Page 11 of 29 EXHIBIT C 1 st QUARTER Due by April 30" to afmckni hhttAco.jefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: 1. LTAC Funds received from Jefferson County I" QTR: ORGANIZATION Amount Received Overspent Refund TOTAL 1't Awarded M Required QTR by From Underspent LTAC Jefferson Jefferson (_) of LTAC FUNDS County County funds SPENT 2. LTAC funds spent by your organization I't QTR (include 200 word limit regarding activities and funds spent with an itemized statement and supporting documentation, i.e. invoices paid, receipts from payment,): 3. LTAC funds balance remaining 11 QTR: 4. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior quarter. This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW Chapter 42.56. 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. Upon reasonable notice, RECIPIENT shall provide access to Jefferson County or State representatives to audit those records. QUILCENE HISTORICAL MUSEUM Page 12 of 29 EXHIBIT C 2nd QUARTER Due by July 311 to afmckni hhttCa.co.iefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: 1. LTAC Funds received from Jefferson County 2"d QTR: ORGANIZATION Total Total Overspent Refund TOTAL TOTAL Amount Received (+) Required I8t QTR 2"d QTR Awarded Underspent LTAC LTAC by From (-) of LTAC FUNDS FUNDS Jefferson Jefferson funds SPENT SPENT County County 2. LTAC funds spent by your organization 2"d QTR (include 200 word limit regarding activities and funds spent with an itemized statement and supporting documentation, i.e. invoices paid, receipts from payment,): 1. LTAC funds balance remaining 2"d QTR: 2. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior quarter. This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW Chapter 42.56. For 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. Upon reasonable notice, RECIPIENT shall be able to provide access to Jefferson County or State representatives to audit those records. QUILCENE HISTORICAL MUSEUM Page 13 of 29 EXHIBIT C 3r1 QUARTER Due by October 3111 to afmcknight(dco jefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: 1. LTAC Funds received from Jefferson County 3d QTR: ORGANIZATION Total Total Overspent Refund TOTAL TOTAL TOTAL Amount Received (+) Required 11 QTR 2"d QTR 3rd QTR Awarded Underspent LTAC LTAC LTAC by From (-) of LTAC FUNDS FUNDS FUNDS Jefferson Jefferson funds SPENT SPENT SPENT County County 2. LTAC funds spent by your organization 3`d QTR (include 200 word limit regarding activities and funds spent with an itemized statement and supporting documentation, i.e. invoices paid, receipts from payment,): 2. LTAC funds balance remaining 3m QTR: Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior quarter. This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW Chapter 42.56. For a minimum of six years, RECIPIENT shall maintain documented proof of payments made, contracts executed and other expenditures authorized under the Agreement with Jefferson County. Upon reasonable notice, you shall be able to provide access to Jefferson County or State representatives to audit those records. QUILCENE HISTORICAL MUSEUM Page 14 of 29 EXHIBIT C 4`' QUARTER Due by January 31" to afmcknieht(dco.jefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: 1. LTAC Funds received from Jefferson County 41 QTR: ORGANIZATION Total Total Overspent Refund TOTAL TOTAL TOTAL 3`d TOTAL Amount Received (+) Required is' QTR 2"d QTR QTR 41' QTR Awarded Underspent LTAC LTAC LTAC LTAC by From (-)ofLTAC FUNDS FUNDS FUNDS FUNDS Jefferson Jefferson funds SPENT SPENT SPENT SPENT County County 2. LTAC funds spent by your organization 41 QTR (include 200 word limit regarding activities and funds spent with an itemized statement and supporting documentation, i.e. invoices paid, receipts from payment,): 3. LTAC funds balance remaining 4`h QTR: 4. Please attach your organization's report for all revenue, marketing, services, programs and activities of the prior quarter. This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW Chapter 42.56. 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. Upon reasonable notice, RECIPIENT shall provide access to Jefferson County or State representatives to audit those records. QUILCENE HISTORICAL MUSEUM Page 15 of 29 RECEIVED 09/08/25 Page 1 of 14 2026 REQUEST FOR PROPOSAL PACKET LODGING TAX/TOURISM PROMOTION This packet is for the 2026 TOURISM PROMOTION SERVICE PROPOSALS to be funded by the Jefferson County Lodging Tax. Under Jefferson County guidelines, you must be a NON- PROFIT or GOVERNMENTAL AGENCY to be eligible to be funded by the Jefferson County Lodging Tax. The Jefferson County Lodging Tax Advisory Committee may only consider complete and signed proposals that include all of the requested information and documents, and that are submitted h_v the deadline: WEDNESDAY, SEPTEMBER 10, 2025 by 4:30 P.M. 2026 Proposal Guidelines: Tourism Promotion Activities The Jefferson County Lodging Tax Advisory Committee (LTAC) is accepting proposals from government agencies and non-profit organizations for tourism promotion to be provided during calendar year 2026 and paid for from the County's lodging tax fund. The Committee will make recommendations to the Jefferson County Commissioners within one month following the proposal deadline. All decisions for use of the lodging tax will be made by the Jefferson County Commissioners. • Proposals from government agencies or non-profit organizations are to be for tourism promotion during calendar year 2026. Please refer to Section 1 of this packet for examples of eligible tourism promotion activities for this funding round. • At the time of implementation, tourism related activities within proposals must comply with federal, state, and county laws and requirements, including county Public Health direction. NOTE: Jefferson County may not use public funds in any way that can be construed as a gift to an individual or organization. • Proposals must completely address the questions, and all requested supplemental information must be provided. Incomplete or late proposals may not be considered by LTAC. • To be considered, a fully completed and signed al" application (digital signatures acceptable) must be received at by the deadline listed above. • All applications must be submitted as a signal digital application in a one PDF file attached to an email. If you need assistance combining multiple documents into a single PDF document, please contact our office. • All documents filed with the County are public records, potentially eligible for release. Jefferson County is committed to the non-discriminatory treatment of all Persons in the employment and delivery of services and resources. QUILCENE HISTORICAL MUSEUM Page 16 of 29 RECEIVED 09/08/25 Page 2 of 14 2026 Proposal Checklist for Tourism Promotion Activities Organization Name Event Name, if different: Quilcene Historical Museum Proposed Contract Amount: $87750 501(c)(3) X (6) ❑ WA UBI Number: 601 333 689 EIN Number: 91-1519726 Proposals should completely address the questions, and all requested supplemental information should be provided. Incomplete or late proposals may not be considered by the Jefferson County LTAC. To be eligible for consideration, your application must be signed, dated, and include the following items in the listed order. Check each item submitted: X Signed and Dated Proposal Checklist for Tourism Promotion Activities. X Declaration of capital expenditures and operations, if applicable (Attachment A). X Proof of liability insurance (Attachment B) X Section 1 - Itemized list of proposed services and estimated costs. X Section 2 - Proposal Questions. X Section 3 - Proposed 2026 promotion, facility, event or activity budget. X Section 3 - 2025 organizational budget and year-to-date income and expense statement(s). X Section 3 - List of names and addresses of the organization's current Board of Directors. Name and contact information for event chairperson, if applicable. X Section 3 - Optional work samples such as season brochures, promotional materials, reviews, news/magazine articles, etc. (maximum of 5 separate pieces) To be considered, a fully completed and signed original application with supporting documents must be electronically received and date stamped at the Jefferson County Administrator's Office, to Adie! McKnight@ afmcknightna.co.*efferson.wa.us by WEDNESDAY, SEPTEMBER 10, 2025 by 4:30 p.m. (Secure and approved file transfer links are acceptable to accommodate large file sizes if needed.) Documents submitted to the County are public records, potentially eligible for release. 21 QUILCENE HISTORICAL MUSEUM Page 17 of 29 RECEIVED 09/08/25 Page 3 of 14 2026 Proposal Checklist for Tourism Promotion Activities Proposal Deadline: WEDNESDAY, SEPTEMBER 10, 2025 AT 4:30 P.M. Electronically to Email Address: afmc nighttkco.iefferson wa is Please type (10 point or larger) or legibly print in ink. To be considered: all questions must be answered; all requested documents provided; this form must be signed and dated. Organization Name: Quilcene Historical Museum Organization Address: 151 East Columbia Street, PO Box 574 Quilcene WA 98376 Contact Name: Kevin Wooley Contact Address: PO Box 574 Quilcene WA 98376 Day Phone: 360-531-1023 Evening or Cell Phone: 360-531-1023 E-Mail Address: kevin.j.wooleyna,gmail.com • quilcenemusem treasurer�a ¢mail com Facility'Event: (if applicable) Quilcene Historical Museum/Worthington Park and Mansion Total Lodging Tax Request: $87,750 Estimated 2026 org. operating budget: (Incl. Lodging Tax funds) $151.320 If asking for funds for a specific event, list other cash funding sources and dollar amounts budgeted for this project. Note: This section is only due for specific event and festival funding requests. -- — - - - — - - - - Total Prnject Revenue Budget: uid your organization receive Lodging Tax Funds from the County in 2025? X Yes ❑ No I understand that if my organization's proposal for tourism promotion activities is approved by the Coun{v that nm organisation will enter into a contract with the County to provide the contracted services up to the maximum contract amount. I understan that the proposal herein is a public record potentially eligible for public release. 7 Sign Name: Z4---�G Date: �/ 17 Print Name and Title: � Kevin Wooley Treasurer Quilcene Historical Museum 31Pagt-- 31PagE) QUILCENE HISTORICAL MUSEUM Page 18 of 29 RECEIVED 09/08/25 Page 4 of 14 1. Itemized List of Proposed Tourism Promotion Services 8/25/2025 Quilcene Historical Museum 2026 LTAC Proposed Budget orig 2024 202S 2026 LTAC BUDGET LTAC BUDGET LTAC BUDGET 66112 - LTAX Visitor Promo nfo-Conve ncs 66112.1 Conveniences -PUD 5,200 5,200 5,200 66112.2 - Signage & PPE Supplies 500 500 500 66112.3 Exhibits Soo 1,000 1,000 66112.4 News Letters & Postcards 500 500 500 66112.5 Brochures 1,000 1,000 1,000 66112.6 Conveniences -Sanitation 2,500 2,500 1,800 66112.7 Invitations 750 750 750 Total 66112 LTAX Visitor Prom-Info-Convencs 10,950 11,450 10,750 66116 LTAX Cooperative Partnerships 1,000 1,000 1,000 66118 - LTAX Web, Soc Media, ISP, Phone 66118.1 Internet & Phone Service 4,000 4,000 4,000 66118.2 Website Design & Maint. 5,000 5,000 4,000 66118.3 Email Service 200 200 200 66118.4 Website Provider 350 500 500 66118.5 Video -Teleconference Service 200 200 200 66118.6 Security System Service 420 1,000 1,200 66118.7 Muli-Media H/W - - - Total 66118 LTAX Web, Soc Media, ISP, Phone 10,170 10,900 10,100 66120 LTAX Spl Events Prom & Mktng 66120.1 Multi -Media Advert. -Comm 2,000 2,000 1,000 66120.2 Event Promotion & Support 12500 16500 5,000 66120 Wedding Promotion 6,000 6,000 3,000 Total 66120 - LTAX Slot Events Prom & Mktng 20,500 24,500 9,000 66122 LTAX Prof Svcs, Projects 66122.1 Graphic Design - Non Event/Mark 300 300 300 66122.2 Mailing Services 2,000 2,000 1,000 66122.3 Lawn Services 18,000 18,000 22,000 66122.4 Grant Writing Services 2,500 2,500 2,500 66122.5 CPA Services 750 750 2,000 66122.6- WP Maintenance & Operations 16,000 16,000 25,000 66122 Pass Perfect Software 1,800 1,800 1,800 Total 66122 LTAX Prof Svcs Projects 41,350 41,350 54,600 66130 Conference, Convention, Meeting Soo 500 Soo 66171 Office Expenses, Program 400 400 400 66173 Postage, Program 100 100 100 66196 Travel 100 100 100 Total Other Program Expenses 1,100 1,100 1,100 6.8 Administration 66200 Other Non -Program Expenses 66265 Office Expense, Administration 500 300 300 66267 Postage, Administration 1,000 500 500 66269 Printing and Copying. Admin 400 400 400 Total 66200 Other Non -Program Expenses 1,900 1,200 1,200 Total Expense 86,970 91,500 87,750 41 QUILCENE HISTORICAL MUSEUM Page 19 of 29 RECEIVED 09/08/25 Page 5 of 14 2. Proposal Questions Please limit your answers to no more than one page for each question. 1. Tell us about your promotion, program, facility, event or activity and why you think it will increase tourists traveling to and staying in Jefferson County. Include a general description of the promotion, program, facility, event or activity including its purpose, history, etc. Worthington Park continues to be a one -of -a -kind historical and cultural destination with an active museum, restored Victorian mansion, outdoor performing arts theater, and ten acres of beautiful grounds. This year we expanded our outreach by accepting responsibility for a set of kiosks around Quilcene which depict the history and facts about the community drawing visitors to enjoy a 2 mile walk around the community. Our museum is a nonprofit, operating without debt, staffed, and led by volunteers — with well over 55,000 hours of volunteer effort to date. We have been expanding our Visitor Information corner on the porch of the museum to offer maps and brochures to visitors, even when the museum is closed. It has seen a significant increase in demand since the closure of the Quilcene Visitor Center. Our public events continue to draw record numbers of visitors from locations far beyond our county. These events are rooted in strategic partnerships and aggressive promotion. This summer brought record visitation to Worthington Park from across the country and internationally. The Park hosted a wide range of public and private events, including numerous weddings, with happy couples and guests coming from the surrounding counties and other states. Worthington Park will continue to attract increasing numbers of visitors to Jefferson County as a unique location for public and private events, while celebrating the history, natural beauty, and special character of our region. 2. If this is a continuing or reoccurring promotion, program, facility or event, describe your organization's prior activities. If applicable, how is it different than in the past? Quilcene Historical Museum Volunteers continued to utilize the new museum addition to help organize and refresh the museum's exhibits, displays, and stored artifacts. We also extended our opening days into the off season, attracting additional visitors to the area in the `shoulder' months. Worthington Park continued to increase the number and variety of events this year, with additional wedding, anniversary, and birthday event bookings, as well as additional and expanded public events. All these events brought guests and vendors from outside of Jefferson County. The restored Hamilton -Worthington House continues to be booked for overnight stays and heavily utilized during events and for private tours. Our events tend to utilize the entire 10 acres of the park: museum, 1915 barn, restored Victorian mansion, outdoor theatre, meadow, and scenic grounds. Very few other event facilities provide this kind of offering. Major public events were staged every month from June to October. The June gravel bike race, the Bon Jon Pass Out, returned for the fifth year, attracting participants from numerous other states. This competition is the largest of its kind in Jefferson County — taking advantage of Worthington Park's proximity to the Olympic National Forest and trailheads. The very popular Up, Up, Up Circus returned for its fifth year in August attracting approximately 300 visitors who picnicked in the meadow, catching the free circus performance. The Oyster Races half marathon, 1 OK, and 5K will return to Worthington Park in September. Registration for these races is tracking to make them the largest SI Page QUILCENE HISTORICAL MUSEUM Page 20 of 29 RECEIVED 09/08/25 Page 6 of 14 to date. Online promotion of the event has led to interest coming from the surrounding counties of Clallam, Pierce, Mason, King, Kitsap, and Thurston. In October, the very popular Quilcene Fiber Festival returns to the park featuring sheep shearing, weaving, spinning, knitting, felting, and traditional music and storytelling. Fiber artists from across the Peninsula will be offering their creations in the restored mansion and across the entire park. We expect this South County event to attract the greatest amount of business and visitors to Quilcene/South Jefferson County in 2025. The online interest in the event has almost doubled from last year, with more than a month of promotion time remaining we hope to increase attendance by at least 30%. We employed LTAC funding to successfully promote our overnight accommodation in the Hamilton - Worthington House and greater Jefferson County and generate increased bookings for private and public events. We have adjusted our promotional priorities to increase online visibility of our events and awareness of the facility. We expect our wedding bookings to increase by 20% in 2026. We are also increasingly utilizing the Hamilton -Worthington House through the "off season" for private events including private parties, fund-raising events, anniversaries, memorials, and weddings in efforts to offset the increased costs of managing the park, mansion and museum. Additionally, with the county's goal to increase off-season tourism we continue to open the museum during the off-season months. A new endeavor for this year is the adoption of 10 kiosks spread throughout the area. This allows for a natural community walk from kiosk to kiosk highlighting the areas unique environment and history. Our museum volunteers have also become quite engaged with the Brinnon and Quilcene schools promoting the learning of the history of the region and helping the schools find new ways to leverage the park and museum. 3. How does your promotion, program, facility or event support one of the Highest Priorities or Additional Considerations listed below under "Other Criteria" (see page 9)? All of the funds that QHM receives from LTAC are used for the two highest priorities of the BOCC's "Other Criteria". The majority of funds are used for the development and operations of the Museum and Worthington Park which not only provides a tourism draw of its own it also is a unique facility in Jefferson Co which other organizations utilize for special events and festivals in south county. The remaining funds we receive are used to host and promote the particular events we sponsor as an organization (oyster races, fiber festival, circus...). 4. Describe how you intend to market/promote your promotion, program, facility, event or activity to potential tourists who reside outside Jefferson County or traveling more than 50 miles. a. We host several public and private events throughout the year and utilize different promotion/marketing techniques for the different events. b. Our earliest public event tends to be our museum opening weekend and open house in April, with other public and private events happening throughout the remainder of the year. c. Our target audience varies depending upon event type. SI Page QUILCENE HISTORICAL MUSEUM Page 21 of 29 RECEIVED 09/08/25 Page 7 of 14 We take advantage of social media's reach by utilizing Facebook ads and groups to seek people with interests similar to our individual events. Wedding promotion is directed towards wedding expos, Instagram, and SEO, while also taking advantage of wedding groups on Facebook and local event groups, such as Quimper Events Collective. Our websites continue to see significant traffic and we've leveraged LTAC funds in the past and will continue to do so to keep them updated hqps://www.worthingLonparkguilcene.oriz and hgps://www.quilcenemuseum.ors/ e. We advertise the Hamilton -Worthington House as a lodging option on our websites and to visitors of the museum and park. We have a local lodging list available to our wedding couples that tour our facility. f. We are members of TCC, NHCCC, and often participate in OPTC meetings. Additionally, we are members of Quimper Events Collective and appreciate their promotion of our venue and events at expos, meetings, and on their website/social media. We also appreciate cross -promotion from Quilcene Fair & Parade through social media. Finally, we are members of various Museum and Historical associations (including JCHS) which helps to attract history buffs from across the nation to our area. 5. How will you measure the effectiveness of your promotion, program, facility, event or activity? We use event visitation figures, vendor sales numbers, overnight stay data, and online performance insights to measure the effectiveness of our promotions, facility, and events. Our Facebook and Instagram statistics continue to indicate a significantly expanded reach for all our events. We also gather data from each event inquiry to determine how they heard about our venue. a. Also, describe how you will document and report to the County the economic impact from your promotion, program, facility, event or activity. (State law requires the County to report annually to the State Department of Community Development and Economic Trade about the number of lodging stays and economic benefit from tourists generated by use of Lodging Tax proceeds for tourism promotion.) We have organized our operational management to consistently provide, as required by our contract with the county, quarterly reports of the use, services, programs, and activities utilizing the information we have collected as described above. We also provide quarterly financial statements detailing revenues, expenses, and cash balances. 6. What economic impact can we expect in Jefferson County from your proposed promotion, program, facility, event or activity? We continue to increase visitor counts to our facility each year. We also provide employment opportunities directly and indirectly to individuals and businesses in South Jefferson Co. SI Page QUILCENE HISTORICAL MUSEUM Page 22 of 29 RECEIVED 09/08/25 Page 8 of 14 a. Actual or estimated number of tourists at your event/facility last year (2025): 7200. b. Estimated number of tourists who will attend your event/facility this year (2026): 9100. c. Projected economic impact in Jefferson County from your event/facility (e.g. number of tourists who will stay overnight in Jefferson County -based lodging establishments; economic impact for Jefferson County restaurants, community facilities, amenities, events, and businesses). 2000 visitors staying overnight in Jefferson Co. $90,000 direct economic impact to Jefferson Co plus over $200,000 indirect economic impact. 7. Describe your organization's area of expertise. Do you provide a unique service? Worthington Park is a one -of -a -kind, volunteer led, historical and cultural destination with an active museum, a restored Victorian mansion (offering overnight lodging), an outdoor performing arts theater, a kiosk community walk, a Visitor Information corner, and ten acres of beautiful grounds. We stand out from other wedding and event venues because of the all -encompassing settings available on our grounds. As noted above, the variety of the events we are offering continues to expand and we are committed to integrating our facility in a manner that draws ever increasing numbers of visitors. The funding we are requesting for 2026 reflects our expanding mission and is structured in detail to promote, sustain, and grow our capacity to support unique visitor experiences. This funding will strengthen the extraordinary cultural character of our facility as we upgrade and maintain our interpretive and exhibition offerings — and continue to expand our narrative to growing numbers of visitors. The LTAC funds we receive allow a unique leverage of non-profit/public partnership fostering tourism, economic opportunities and increased quality of life for Jefferson Co. residents and businesses. SI PagQ. QUILCENE HISTORICAL MUSEUM Page 23 of 29 RECEIVED 09/08/25 Page 9 of 14 3. Background Information about Your Organization Attach the following items to your proposal in the order listed: (Note: To be considered by the Committee, all of the listed information must be included with your proposal.) Attachments: • Projected 2026 promotion, program, facility, event or activity budget including income and expenses. (Please note: if an LTAC award is granted at a different than requested, you will be asked to submit a revised budget prior to contract approval.) • 2025 Budget and Actual income and expenses year to date statement(s) (for example, Profit & Loss and Balance Sheets). • List of names and addresses of the organization's Board of Directors as of the date the proposal is filed. Also, if the proposal is for the marketing of an event and there is a chairperson for the event (either volunteer or paid), list that individual's name, address and phone number. • If you desire, you may provide samples of promotional and/or design materials such as brochures, artist renderings, graphics, etc. (recommended 1-10 samples.) Note: Staff will verify Incorporation status of the non-profit agencies who submit service proposals by checking the Washington Secretary of State's on-line corporation records. GI QUILCENE HISTORICAL MUSEUM Page 24 of 29 RECEIVED 09/08/25 Page 10 of 14 3. Background Information about Your Organization Proposed 2026 promotion, facility, event or activity budget including income and expenses. QHM 2026 Income & Expense Budget (PRELIMINARY - Excludes Construction and Depreciation) 2025 2026 25 thru Aug 7th Budget Budget Actuals Income 43110 Membership Dues 4,390 4,390 2,795 44110 Interest (Financial Inst) 25 1,000 1,200 44130 • Dividends (Excl Cap Gain) 25 25 44140 • Unrealized Gain/Loss-Securities 2,000 2,000 12,600 44430 • Local Gov't Contracts (LTAX) 91,500 87,750 91,500 46110 • Gaming Gross Income 500 500 0 46120 • Fundraising Non -Gift Income 5,000 5,000 5,500 46130 • Fundraising Gift Inc (990 Ln1) 3,500 3,500 0 46140 • Fundraising Event Expenses -4,000 -4,000 0 47110 • Inventory Sales-Incl Sales Tax 1,093 1,093 550 47510 • Rent Revenue 30,000 30,000 25,000 47550 Personal Property Rent Revenue 100 100 43401 Contributions, General 15,000 15,000 9,500 Total Income $ 149,133 $ 146,358 148,645 Expense 64125 Insurance, Property & Casualty 8,000 8,000 4,000 64135 Maintenance and Repairs 20,000 20,000 4,800 64137 Garden Expense 5,000 5,000 160 64145 • Rental Host 11,000 11,000 140 64150 • Tax, Real Estate & Personl Prop 9,000 9,000 3,200 64160 • Utilities 2,500 2,500 1,400 66112 • Visitor Event Support & Information 11,450 11,450 5,000 66116 • Cooperative Partnerships 1,000 1,000 425 66118 • Web -sites, Social Media, ISP, Phone 10,900 10,900 7,500 66120 Special Events, Promotions, Marketing 24,500 24,500 16,400 66122 Professional Services, Projects 41,350 41,350 35,600 66130 • Conference, Convention, Meeting 500 500 0 66145 • Exhibits 2,500 2,500 66171 • Office Expenses, Program 400 400 40 66173 • Postage, Program 100 100 275 66175 • Recognition and Appreciation 500 500 500 66192 • Hospitality, Food, Beverages 500 500 0 66195 • Travel 100 100 0 66220 • Bank and Payment Service Fees 200 200 50 66230 • Business Permit/ Reg istr/License 120 120 20 66265 • Office Expense, Administration 300 300 0 66267 • Postage, Administration 1,000 1,000 200 66269 • Printing and Copying, Admin 400 400 0 Total Expense $ 151,320 $ 151,320 79,710 Net Ordinary Income $ (2,187) $ (4,962) GI QUILCENE HISTORICAL MUSEUM Page 25 of 29 RECEIVED 09/08/25 Page 11 of 14 Quilcene Historical Museum Board of Directors Chair: Dan Gatchet Vice Chair: Cleone Telling Treasurer: Kevin Wooley Secretary: Larry McKeehan http://www.guileenemuseum.ore/ http://www.worth ingtonparkguil cene. ore/ quilcenemuseum@olypgn.com com Jeff Childs PO Box 609 Quilcene WA Carol Christiansen 8349 Camano Loop NE Lacey WA Caitlin Friedman PO 519 Quilcene WA Dan Gatchet 3900 Lindsay Hill Road Quilcene WA Larry McKeehan 491 Olele Point Rd Port Ludlow WA Talia Munn 50 Walker Street Quilcene WA Mari Phillips 450 Penny Creek Rd Quilcene WA David Satterlee PO Box 249 Quilcene WA Bobbie Strohm PO Box 441 Quilcene WA Cleone Telling 181 E Leland Valley Rd Quilcene WA Kevin Woolley 3850 Lindsay Hill Rd Quilcene WA 98376 vin.fish@yahoo.com 98516 jeccbc((cu�olvmous.ne[ 98376 caitiesand(a>email.com 98376 dangatchetCame.com 98365 I@Mmck45Cagmaii.com 98376 taliamunn cygmail.com 98376 pennycreekbab a.vahoo.com 98376 dsatt(alolvnen.com 98376 bobbie(_&ranchosuenos.com 98376 71cleone@gmail.com 98376 kevin.j.wooleyAgmail.com Lauren Reinertsen QHM Bookkeeper Quilcene, WA 98376 Northwest Business Solutions Dec 22, 2024 Info for 2025 Home and /or Cell 360-765-3954 360-303-7074 360-628-8594 206-618-9400 813-403-7159 206-465-2429 360-437-2842 360-720-4324 253-677-9631 360-765-0688 360-531-2776 360-765-4810 206-999-5593 619-778-2266 360-301-4130 360-531-1023 QUILCENE HISTORICAL MUSEUM Page 26 of 29 RECEIVED 09/08/25 Page 12 of 14 ATTACHMENT A Declaration of Capital Expenditures and Operations 1. The total amount of my request for LTAC funding is: $ 87,750 2.Of the total listed in Paragraph 1, above: a. The amount requested for capital expenditures is: S 0 b. The requested capital expenditures are for: I Of the total amount listed in Paragraph 1, above: a. The total amount requested for operations is: $ 78,750. b. The requested operations expenditures are for: Worthington Park, Museum, Mansion and Kiosk trail maintenance and cep opcatior�s including mowing, utilities secusity cleaning and upk I declare under penalty of perjury under the law of Washington that the foregoing representation about the capital expenditures and operations is true and correct. Signed on this day of 2oi,r (date) (month) (year) at (city or other location, and state or country) (Printed Name) (Signa e) 9 31Page QUILCENE HISTORICAL MUSEUM Page 27 of 29 RECEIVED 09/08/25 Page 13 of 14 ATTACHMENT B Insurance Certificate CERTIFICATE OF LIABILITY INSURANCE TNS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AME D. EXTEND OR ALTER THE COVERAGE AFFORD® BY THE POLICES BELOW. T)YS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREIgll) AUTIDqIZIED REPRESENTATNE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT B the owl5cmb Molder Is to ADDITIONAL INSURED. palkypw) Irw ADDITIONAL INSULED porkilm orb* IfImIINQ If SUBROGATION IS WANED. r�i b tti EMIIN NW mklbrN DI the pobry, a/YM pallM RMJI NprrD rn w10DITMHIwL A IiJ DR MNb DrDRLc"1bM not conlW f1 f0 to Mllb cer"emb hoM In lieu of such M domme li4b). el Name. 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G Ia uvAt.utrlarel / N♦ rAw-.nice urT t Dtl[YP.O1 v DPNIMIOY� uX110I1Y04O IAcvN M.pNrYl IYYYb Yt1�►Y Y i1Yl ltw vt� Y nor 'EVDENDE ONLY' Q:RTFGATE 11OlDFR CANCELLATION INO" ANY OF THE NOTE DEIO®® POUCE8 bE CML'BNID f60RE THE OTNATWR DATE T)6E6, NOTES MIL IM OliN6® M OlKene H1fb1[N ttlMrn ACWIWRCE WITH TE POUI,Y PIIDRNDIN- PO Bat 5'N WTgN®YORlIY1A1Nt OlKenr AA 98376 4, O 77R1lTSMf.L10 WOOWOR N M N�wL ACORD 25 ROIGM) The ACORD n 2nd "0 M replbb RMISS LB ACOMP QUILCENE HISTORICAL MUSEUM Page 28 of 29 RECEIVED 09/08/25 Page 14 of 14 Marketing/Promotion Examples Z0Z1%XVourHuNGTo P K EVr NT�5-- 1L11ECENF WASHIN,,1,1� ------------------- --- :juNO Gravel Unravel Bon , 14 Jon Pass Out 1 Community Picnic 7uLy hosted by ' 4 Quilcene Lions and VFW , A$ � Taste of ; Quilcene Auff UpUpUp Circus 1 1 , 1 1 ar Oyster Paces: Half I �Z Marathon,10k, & 5k I i / I OOt Quilcene Fiber , 77 Festival, , ' ----------------------------- Worthington Park is owned and operated by Quilcene 1 Histn•i7a! Museum, a non-nrnfr organization. AiN ANNUAL u&wte FIBER FESTIVAL Z0Z5 OCTOBER11 S114"t loar, - 4pri SHOWCASE our local artisans & fiber producers EDUCATE our community on fiber production, processing, and fiber arts CELEBRATE our fiber community '�,/ 'WOKTHINGTON PAKK 151 E. Columbia St. Quilcene, WA JatTY�on Pv a •vapory' of C QWCwv 4,Ltvb1 Merin • WI(C)3 —V• ft nprltKbn L 4th of July �ff QUILCENE • BRINNON COMMUNITY PICNIC AND POTLUCK X 41/� (��o wil HOSTED BY QUILCENE LIONS. - QUILCENE BRINNON VFW, THE MASONS. & WORTHINGTON PARK FREE HOT DOGS 11 AM - 3PM i OTHER SNACKS @ FOOD &GAMES uL�Y.tll�\I IJ�! 151 E COLUM&A ST QUILCENE HISTORICAL MUSEUM Page 29 of 29 Consent Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners FROM: Adiel McKnight, Deputy Clerk of the Board DATE: December 22, 2025 SUBJECT: AGREEMENT re: 2026 Hotel Motel (Lodging Tax) Grant Funding; In the amount of $78,975; Quilcene Historical Museum STATEMENT OF ISSUE: This agreement provides grant funding for 2026 to certain non-profit agencies for the promotion of tourism and ongoing preservation of Jefferson County's heritage. The Lodging Tax Advisory Committee met on November 7, and 26, 2025 and reviewed request for proposals. This funding has been budgeted from the Hotel Motel (Lodging Tax) Fund, and approved by the Board of County Commissioners on December 8,2025. FISCAL IMPACT: Quilcene Historical Museum $78,975 RECOMMENDATION: Approve and sign the agreement REVIEWED BY: 0>6 r-) 13- % 3 S"— Jo D. Peters, County Administrator Date CONTRACT REVIEW FORM (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: QUILCENE HISTORICAL MUSEUM Contract For: 2026 LODGING TAX COUNTY DEPARTMENT: COUNTY ADMINISTRATOR Contact Person: ADIEL MCKNIGHT Contact Phone: x 102 Contact email: AFMCKNIGHT@CO.JEFFERSON.WA.US Term: 2026 Contract No: QHM26 Clear F0- AMOUNT: $78,975 PROCESS: Exempt from Bid Process Revenue: Cooperative Purchase Expenditure: $78,975 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 CO PLIAN ITIj,J C 080 AND CHAPTERS 42.23 RCW. CERTIFIED: N/A: Signature Date STEP 2: DEPARTMENT CERTIFIES ffi N L S D FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOTARRE Y NY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: N/A: Signature Date STEP3: RISK MANAGEMENT REVIEW (will be added ele r nically through Laserfiche): Electronically approved by Risk Management on 12/17/2025. STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserriche): Electronically approved as to form by PAO on 12/17/2025. County standard LTAC grant language. Hard copy PAO signature provided to Adiel. 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