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Peninsula Dispute Resolution Center Therapeutic Courts - 042726
PROFESSIONAL SERVICES AGREEMENT FOR Restorative Justice Facilitated Dialogue (RJFD)Pilot Program Jefferson County Therapeutic Courts THIS PROFESIONAL SERVICES AGREEMENT ("this Agreement") is entered into between the County of Jefferson, a municipal corporation ("the County"), and _Peninsula Dispute Resolution Center ("the Contractor"), in consideration of the mutual benefits, terms, and conditions specified below. 1. Project Designation. The Contractor is retained by the County to perform the following Project: Develop a RJFD Pilot program for the Therapeutic Courts. 2. Scope of Services. The Contractor agrees to perform the services identified on Exhibit"A" attached hereto including the provision of all labor. The Contractor shall perform its services consistent with the professional skill and care ordinarily provided by contractors practicing in the same or similar locality under the same or similar circumstances. 3. Time for Performance. This Agreement shall commence on January 2, 2026,and continue through November 30th, 2026. Work performed consistent with this Agreement during its term, put prior to the adoption of this Agreement, is hereby ratified. The Contractor shall perform all services pursuant to this Agreement as outlined on Exhibit"A". The Contractor shall perform its services as expeditiously as is consistent with such professional skill and care and the orderly progress of the project. 4. Payment. The Contractor shall be paid by the County for completed work and for services rendered under this Agreement as follows: a. Payment for the work provided by The Contractor shall be made as provided on Exhibit "B" attached hereto, provided that the total amount of payment to The Contractor shall not exceed $6,800.00 without express written modification of this Agreement signed by the County. b. Invoices must be submitted by the 15th of the month for the previous month's expenses. Such invoices will be checked by the County,and upon approval thereof, payment will be made to the Contractor in the amount approved. Failure to submit timely invoices and reports pursuant to Exhibit B of this Agreement may result in a denial of reimbursement. Invoices not submitted within 60 days may be denied. c. Final payment of any balance due the Contractor of the total contract price earned will be made promptly upon its ascertainment and verification by the County after the completion of the work and submittal of reports under this Agreement and its acceptance by the County. d. Consultant shall provide invoices and necessary backup documentation for all services including timesheets and statements (specifying the services provided). Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 1 of 11 Any indirect charges require the submittal of an indirect cost methodology and rate using 2 C.F.R. Part 255 and 2 C.F.R. Part 230. e. The Contractor's records and accounts pertaining to this Agreement are to be kept available for inspection by representatives of the County and state for a period of six (6)years after final payments. Copies shall be made available upon request. 5. Ownership and Use of Documents. All non-confidential or de-identified documents, drawings, specifications, and other materials produced by the Contractor in connection with the services rendered under this Agreement shall be the property of the County whether the project for which they are made is executed or not. The Contractor shall be permitted to retain copies, including reproducible copies, of drawings and specifications for information, reference and use in connection with the Contractor's endeavors. The Contractor shall not be held liable for reuse of documents or modifications thereof, including electronic data, by County or its representatives for any purpose other than the intent of this Agreement. RCW 7.75.040 All mediation communication are confidential and privileged and are not subject to disclosure. 6. Compliance with laws. The Contractor shall, in performing the services contemplated by this Agreement, faithfully observe and comply with all federal, state, and local laws, ordinances and regulations,applicable to the services to be rendered under this Agreement. 7. Audit. An audit will be submitted to the County upon request. Upon request, the Contractor will submit the most recent financial audit within 30 days. a. Upon request the County shall have the option of performing an onsite review of all records, statements, and documentation. b. If the County finds indications of potential non-compliance during the monitoring process, the County shall notify the Contractor within ten (10) days. County and The Contractor shall meet to discuss areas of contention in an attempt to resolve issues. c. Audit will provide statements consistent with the guidelines of Reporting for Other Non-Profit Organizations AICPA SOP 78-10, and is performed in accordance with generally accepted auditing standards and with Federal Standards for Audit of Governmental Organizations, Programs, Activities and Functions, and meeting all requirements of 2 C.F.R. Part 200, as applicable. 8. Indemnification. The Contractor shall indemnify and hold harmless the County, its past or present employees, officers, agents, elected or appointed officials or volunteers (and their marital communities),from and against all claims,losses or liability,or any portion thereof, including reasonable attorney's fees and costs, arising from injury or death to persons, including injuries,sickness,disease or death to the Contractor's own employees,or damage to property occasioned by a negligent act, omission or failure of the Contractor. The Contractor shall be liable only to the extent of the Contractor's proportional negligence. The Contractor specifically assumes potential liability for actions brought against the County by the Contractor's employees, including all other persons engaged in the Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 2 of 11 performance of any work or service required of the Contractor under this Agreement and, solely for the purpose of this indemnification and defense, the Contractor specifically waives any immunity under the state industrial insurance law, Title 51 R.C.W. The Contractor recognizes that this waiver was specifically entered into pursuant to provisions of R.C.W. 4.24.115 and was subject of mutual negotiation. 9. Insurance. Prior to commencing work, the Contractor shall obtain at its own cost and expense the following insurance coverage specified below and shall keep such coverage in force during the terms of this Agreement. a. Commercial Automobile Liability Insurance providing bodily injury and property damage liability coverage for all owned and non-owned vehicles assigned to or used in the performance of the work for a combined single limit of not less than $500,000 each occurrence with the County named as an additional insured in connection with the Contractor's performance of this Agreement. This insurance shall indicate on the certificate of insurance the following coverage: (a) Owned automobiles; (b) Hired automobiles; and, (3)Non-owned automobiles. b. Commercial General Liability Insurance in an amount not less than a single limit of one million dollars($1,000,000)per occurrence and an aggregate of not less than two (2) times the occurrence amount ($2,000,000.00 minimum) for bodily injury, including death and property damage, unless a greater amount is specified in the contract specifications. The insurance coverage shall contain no limitations on the scope of the protection provided and include the following minimum coverages: i. Broad Form Property Damage, with no employee exclusion; ii. Personal Injury Liability, including extended bodily injury; iii. Broad Form Contractual/Commercial Liability — including coverage for products and completed operations; iv. Premises—Operations Liability (M&C); v. Independent Contractors and subcontractors; vi. Blanket Contractual Liability; and, vii. Employer's Liability or Stop Gap Coverage. c. Professional Liability Insurance. The Contractor shall maintain professional liability insurance against legal liability arising out of activity related to the performance of this Agreement, on a form acceptable to Jefferson County Risk Management in the amounts of not less than $1,000,000 Each Claim and $2,000,000 Aggregate. The professional liability insurance policy should be on an "occurrence" form. If the professional liability policy is "claims made," then an extended reporting periods coverage(tail coverage)shall be purchased for three(3) years after the end of this Agreement, at the Contractor's sole expense. The Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 3 of 11 Contractor agrees the Contractor's insurance obligation to provide professional liability insurance shall survive the completion or termination of this Agreement for a minimum period of three (3) years. d. The County shall be named as an "additional named insured" under all insurance policies required by this Agreement, except Professional Liability Insurance when not allowed by the insurer. e. Such insurance coverage shall be evidenced by one of the following methods: (a) Certificate of Insurance; or, (b) Self-insurance through an irrevocable Letter of Credit from a qualified financial institution. f. The Contractor shall furnish the County with properly executed certificates of insurance that, at a minimum, shall include: (a) The limits of overage; (b) The project name to which it applies; (c) The certificate holder as Jefferson County, Washington and its elected officials, officers, and employees with the address of Jefferson County Risk Management, 1820 Jefferson Street, Port Townsend, WA 98368, and, (d) A statement that the insurance policy shall not be canceled or allowed to expire except on thirty (30) days prior written notice to the County. If the proof of insurance or certificate indicating the County is an"additional insured" to a policy obtained by the Contractor refers to an endorsement (by number or name) but does not provide the full text of that endorsement, then it shall be the obligation of the Contractor to obtain the full text of that endorsement and forward that full text to the County. Certificates of coverage as required by this section shall be delivered to the County within fifteen(15) days of execution of this Agreement. g. Failure of the Contractor to take out or maintain any required insurance shall not relieve the Contractor 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. h. The Contractor'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, with the exception of Professional Liability Insurance, so affected shall protect both parties and be primary coverage for all losses covered by the above described insurance. i. Insurance companies issuing the 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 policy. j. All deductibles in the above described insurance policies shall be assumed by and be at the sole risk of the Contractor. k. Any deductibles or self-insured retention 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, Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 4 of 11 or the Contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses. 1. Insurance companies issuing the Contractor'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. m. 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 the Contractor until the Contractor shall furnish additional security covering such judgment as may be determined by the County. n. 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 policy of insurance the Contractor must provide in order to comply with this Agreement. o. The County may,upon the Contractor's failure to comply with all provisions of this Agreement relating to insurance, withhold payment or compensation that would otherwise be due to the Contractor. p. The Contractor's liability insurance provisions shall be primary and noncontributory with respect to any insurance or self-insurance programs covering the County, its elected and appointed officers, officials, employees, and agents. q. 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. r. The Contractor'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. s. The Contractor shall include all subcontractors as insured under its insurance policies or shall furnish separate certificates from each subcontractor. All insurance provisions for subcontractors shall be subject to all the requirements stated herein. t. 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. u. The Contractor 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 shall be promptly replaced. All the insurance policies required by this Agreement shall provide that thirty (30) days prior to cancellation, suspension, reduction or material change in the policy, notice of same shall be given to the Jefferson County Risk Manager by registered mail, return receipt requested. Professional Services Agreement,JCDCD,Version 5, PAO Approved 4/8/2024 Page 5 of 11 v. The Contractor shall place insurance with insurers licensed to do 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 placed with insurers or re- insurers licensed in the State of Washington. w. The County reserves the right to request additional insurance on an individual basis for extra hazardous contracts and specific service agreements. 10. Worker's Compensation(Industrial Insurance). a. If and only if the Contractor employs any person(s) in the status of employee or employees separate from or in addition to any equity owners, sole proprietor, partners, owners or shareholders of the Contractor, the Contractor 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 the Jefferson County Risk Manager, upon request. b. Worker's compensation insurance covering all employees with limits meeting all applicable state and federal laws. c. This coverage shall extend to any subcontractor that does not have their own worker's compensation and employer's liability insurance. d. The Contractor 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 the case of such claim. e. If the County incurs any costs to enforce the provisions of this subsection, all cost and fees shall be recoverable from the Contractor. 11. Independent Contractor. The Contractor and the County agree that the Contractor is an independent contractor with respect to the services provided pursuant to this Agreement. the Contractor specifically has the right to direct and control the Contractor's own activities, and the activities of its subcontractors, employees, agents, and representatives, in providing the agreed services in accordance with the specifications set out in this Agreement. Nothing in this Agreement shall be considered to create the relationship of employer and employee between the parties. Neither the Contractor nor any employee of The Contractor shall be entitled to any benefits accorded County employees by virtue of the services provided under this Agreement, including, but not limited to: retirement, vacation pay; holiday pay; sick leave pay; medical, dental, or other insurance benefits; fringe benefits; or any other rights or privileges afforded to Jefferson County employees. 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 the Contractor, or any employee of the Contractor. Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 6 of 11 12. Subcontracting Requirements. a. The Contractor 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. The Contractor assumes responsibility for and all liability for the actions and quality of services performed by any subcontractor. b. Every subcontractor must agree in writing to follow every term of this Agreement. The Contractor must provide every subcontractor's written agreement to follow every term of this Agreement before the subcontractor can perform any services under this Agreement. The Department of Community Development Director or their designee must approve any proposed subcontractors in writing. c. Any dispute arising between the Contractor and any subcontractors or between subcontractors must be resolved without involvement of any kind on the part of the County and without detrimental impact on the Contractor's performance required by this Agreement. 13. Covenant Against Contingent Fees. The Contractor warrants that he has not employed or retained any company or person, other than a bona fide employee working solely for the Contractor, to solicit or secure this Agreement, and that he has not paid or agreed to pay any company or person,other than a bona fide employee working solely for the Contractor, any fee, commission, percentage, brokerage fee, gifts, or any other consideration contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty,the County shall have the right to annul this Agreement without liability or,in its discretion to deduct from the contract price or consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift, or contingent fee. 14. Discrimination Prohibited. The Contractor, with regard to the work performed by it under this Agreement, will not discriminate on the grounds of race, color, national origin, religion, creed, age, gender, sexual orientation, material status, sex, or the presence of any physical or sensory handicap in the selection and retention of employees or procurement of materials or supplies. 15. No Assignment. The Contractor shall not sublet or assign any of the services covered by this Agreement without the express written consent of the County. Assignment does not include printing or other customary reimbursable expenses that may be provided in an agreement. 16.Non-Waiver. Waiver by the County of any provision of this Agreement or any time limitation provided for in this Agreement shall not constitute a waiver of any other provision. Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 7 of 11 17. Termination. a. The County reserves the right to terminate this Agreement at any time by giving ten (10) days written notice to the Contractor. b. In the event of the death of a member, partner, or officer of the Contractor, or any of its supervisory personnel assigned to the project, the surviving members of the Contractor hereby agree to complete the work under the terms of this Agreement, if requested to do so by the County. This section shall not be a bar to renegotiations of this Agreement between surviving members of the Contractor and the County, if the County so chooses. c. The County reserves the right to terminate this contract in whole or in part, with 10 days' notice, in the event that expected or actual funding from any funding source is withdrawn, reduced, or limited in any way after the effective date of this agreement. In the event of termination under this clause,the County shall be liable for only payment for services rendered prior to the effective date of termination. 18. Notices. All notices or other communications which any party desires or is required to give shall be given in writing and shall be deemed to have been given if hand-delivered, sent by facsimile, email, or mailed by depositing in the United States mail, prepaid to the party at the address listed below or such other address as a party may designate in writing from time to time. Notices to the County shall be sent to the following address: Jefferson County Risk Manager P.O. Box 1220 Port Townsend, WA 98368 Notices to the Contractor shall be sent to the following address: 19. Integrated Agreement. This Agreement together with attachments or addenda represents the entire and integrated Agreement between the County and the Contractor and supersedes all prior negotiations, representations, or agreements written or oral. No representation or promise not expressly contained in this Agreement has been made. This Agreement supersedes all prior or simultaneous representations, discussions, negotiations, and agreements, whether written or oral, by the County within the scope of this Agreement. The Contractor ratifies and adopts all statements, representations, warranties, covenants, and agreements contained in its proposal, and the supporting material submitted by the Contractor, accepts this Agreement and agrees to all of the terms and conditions of this Agreement. 20. Modification of this Agreement. This Agreement may be amended only by written instrument signed by both County and Contractor. Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 8 of 11 21. Disputes. 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 pursuant to the terms of 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. 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 bear the cost of its own attorney's fees and court costs. Any legal action shall be initiated in the Superior Court of the State of Washington for Jefferson County. The parties agree that all questions shall be resolved by application of Washington law and that the parties have the right of appeal from such decisions of the Superior Court in accordance with the laws of the State of Washington. The Contractor hereby consents to the personal jurisdiction of the Superior Court of the State of Washington for Jefferson County. 22. Section Headings. The headings of the sections of this Agreement are for convenience of reference only and are not intended to restrict, affect, or be of any weight in the interpretation or construction of the provisions of the sections or this Agreement. 23. Limits of Any Waiver of Default. No consent by either party to, or waiver of, a breach by either party,whether express or implied, shall constitute a consent to,waiver of, or excuse of any other, different, or subsequent breach by either party. 24. No Oral Waiver. No term or provision of this Agreement will be considered waived by either party, and no breach excused by either party, unless such waiver or consent is in writing signed on behalf of the party against whom the waiver is asserted. Failure of a party to declare any breach or default immediately upon the occurrence thereof, or delay in taking any action in connection with, shall not waive such breach or default. 25. Severability. Provided it does not result in a material change in the terms of this Agreement, 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 affected and shall be enforceable to the fullest extent permitted by law. 26. Binding on Successors, Heirs and Assigns. This Agreement shall be binding upon and inure to the benefit of the parties' successors in interest, heirs, and assigns. 27.No Assignment. The Contractor shall not sell,assign, or transfer any of rights obtained by this Agreement without the express written consent of the County. 28.No Third-party Beneficiaries. The parties do not intend, and nothing in this Agreement shall be construed to mean, that any provision in this Agreement is for the benefit of any person or entity who is not a party. 29. Signature in Counterparts. The parties agree that separate copies of this Agreement may be signed by each of the parties and this Agreement shall have the same force and effect as if all the parties had signed the original. Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 9 of 11 30. Facsimile and Electronic Signatures. The parties agree that facsimile and electronic signatures shall have the same force and effect as original signatures. 31. Arms-Length Negotiations. The parties agree that this Agreement has been negotiated at arms-length, with the assistance and advice of competent, independent legal counsel. 32. Public Records Act. Notwithstanding the provisions of this Agreement to the contrary, to the extent any record, including any electronic, audio, paper or other media, is required to be kept or indexed as a public record in accordance with the Washington Public Records Act, Chapter 42.56 RCW, as may hereafter be amended,the Contractor agrees to maintain all records constituting public records and to produce or assist the County in producing such records, within the time frames and parameters set forth in state law. The Contractor further agrees that upon receipt of any written public record request, Contractor shall, within two business days, notify the County by providing a copy of the request per the notice provisions of this Agreement. This Agreement, once executed, will be a "public record" subject to production to a third party if same is requested pursuant to• the Washington Public Records Act, Chapter 42.56 RCW, as may hereafter be amended. DATED this day of /11 f , 20 . (SIGNATURES FOLLOW ON THE NEXT PAGE) Professional Services Agreement,JCDCD,Version 5,PAO Approved 4/8/2024 Page 10 of 11 NAME OF CONTRACTOR JEFFERSON C UNTY BOAR) OF COMMISSIONERS Illik Peninsula Dispute Resolution Center �_ �� Name of the Contractor eg ?rs erton,Chair Mary A. Irwin •& P1 _1'. .AM ` Co tractor Re ntative (Please print) •-. e re- -Nolette, Member (.Signal re Heidi Eisenhour, Member Executi e Director. Title osyl.F, — Date Approved as to form only: 04-16-2026 Date Chief Civil Deputy Prosecuting Attorney Jeremiah B. Luther, DPA Professional Services Agreement, JCDCD, Version 5, PAO Approved 4/8/2024 Page I I of 1 I JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of Commissioners FROM: Rebecca Marriott DATE: 41 f( -7, go..16 RE: Peninsula Dispute Resolution Center Restorative Justice Program with the Therapeutic Courts STATEMENT OF ISSUE: Peninsula Dispute Resolution Center has prepared a Restorative Justice Program for the Therapeutic Court Program. Participants of the Therapeutic Courts can enter a Restorative Justice process as either the victim or the perpetrator of harm. This process is guided and facilitated by the Peninsula Dispute Resolution Center. This partnership developed out of the Prosecutor's office as a need was seen for participants to have added avenues of healing with people they have harmed or have been harmed by. ANALYSIS: This contract calls for an administrative fee as well as room for 8 participants to enter the Restorative Justice process in the first year. FISCAL IMPACT: This contract is for$6,800 dollars and was part of the budget increase request for the 1/10t fund that was approved for the Therapeutic Courts. RECOMMENDATION Approve agreement REVIEWED BY: qi„olz Jo . Peters, County Administrator Date CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE)CONTRACT WITH: Peninsula Dispute Resolution Center Contract No: /17 O 1eC t 74 Contract For: Therapeutic Courts I rm: 1/1/26 - 12/31/26 COUNTY DEPARTMENT: Therapeutic Courts Contact Person: Rebecca Marriott Contact Phone: 360-385-9369 Contact email: rmarriott@co.jefferson.wa.us AMOUNT: $6,800 PROCESS: Exempt from Bid Process Revenue: Cooperative Purchase Expenditure: $6,800 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 IANCE WITH JCC 3.55.080 AND CH TE 42.23 RCW. CERTI FIED: 1:1 N/A:O t t, -- Zl, Signature ate STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: [] N/A: El /7i'L t ft 2. Signature Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 4/17/2026. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 4/16/2026. DPA Luther reviewed and approved on 04/16/2026 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 1 U State Farm Mutual Automobile Insurance Company PO Bon 2366 �3. St .. I Bloomington IL 61702 2368 AT2 004593 0008 A-2793 A PENINSULA DISPUTE RESOLUTION CENTER AUTO RENEWAL PO BOX 1034 PORT ANGELES WA 98362-0177 �" PREMIUM PAID: $298.27 I I I I I'I I'l l l l"1 I I I I I I I I I I I I I u I I J I I I u I I l I I I I I I I I t I h I l l I,J l u I l l Your premium is billed through the State Farm Payment Plan N O State Farm Payment Plan Number 1067315771 0,N 0s Your State Farm Agent STEVE METHNER INS AGENCY INC Policy Number: 592 7697-D13-47 Office:360-457-6456 Policy Period: April 13, 2026 to October 13,2026 Address: 611 E FRONT ST Vehicle: PORT ANGELES, WA 98362-3319 MONO W N ED If you have a new or different cat;have added any drivers,or have moved, please contact your agent. Thank you for choosing State Farm. Location used to determine rate charged-319 S process the payment as a check transaction. When we use PEABODY ST, PORT ANGELES WA 98362. information from your check to make an electronic fund Your premium has increased by$116.39. transfer,funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not When you provide a check as payment, you authorize us either to use information from your check to make a receive your check back from your financial institution. one-time electronic fund transfer from your account or to Policy Number 592 7697-013-47 Page number 1 of 3 Prepared February 19,2026 1004583 143562 202 01-15-2018 4,11116 CONVENIENCE SAVES TIME MONEY ... AND TFRIEESN \ You have the option to pay your bills online by opting for ePayment on statefarm.com®. Get to a better State. TP06 010824 1 3. $ tot Fri , Review your policy information carefully.If anything is incorrect, or if there are any changes to your vehicle information, please let us know right away. Vehicle Identification Vehicle Description Number(VIN) Who principally drives this vehicle? How is this vehicle normally used? NONOWNED Not applicable. It is your responsibility to inform us of all regular • For business related vehicles,also include the drivers of your vehicles and changes to those drivers business owner(s)and employee(s)that drive the throughout the life of your policy. Failure to disclose vehicle(s)in any capacity drivers may result in denial of coverage. Regular Premium Adjustment drivers,regardless of their relationship to the primary Each year, we review our medical payments and personal named insured or their residence address, include: injury protection coverages claim experience to determine • All drivers who drive the vehicle(s)on the policy the vehicle safety discount that is applied to each make and once or more In a typical month model. In addition,we review the comprehensive,collision, • All drivers who regularly drive the vehicle(s)at bodily injury and property damage claim experience least three months of the year annually to determine which makes and models have earned decreases or increases from State Farm's standard rates. If any changes result from our reviews, adjustments are reflected in the rates shown on this renewal notice. See your policy for an explanation of these coverages. A Liability Bodily Injury 1,000,000/1,000,000 Property Damage 1,000,000 $298,27 Total Premium $298.27 If any coverage you carry is changed to give broader you the broader protection without issuing a new policy, protection with no additional premium charge, we will give starting on the date we adopt the broader protection. AUTOMOBILE RATING PLAN -Applies to private Good Driving Discount -Newer policyholders who do not passenger cars only. yet qualify for our Accident-Free Discount (available after Accident-Free Discount —Once your policy has been in three years with no chargeable accidents)may already be force for at least three years with no chargeable accidents, receiving a Good Driving Discount. This discount continues you may qualify for our Accident-Free Discount. Once you to apply until your policy qualifies for the Accident-Free qualify,this discount applies as long as there are no Discount as long as there are no chargeable accidents and chargeable accidents, and may even increase over time. (continued on next page) Policy Number 592 7697-D13-47 Page number 2 of 3 Prepared February 19,2026 State Farm Insurance ❑ PO Box 2915 Bloomington, IL 61702-2915 5 hax arm ' , AT2 006126 1200 01 State Farm Fire and Casualty Company PENINSULA DISPUTE RESOLUTION C A stock company with home offices in Bloomington, Illinois PO BOX 1034 VA PORT ANGELES WA 98362-0177 M 2So e 5 Itlllllilllllllijlllllljlllll�l�illllitllj�lIt111i11111I1I1i11111 oc' IMPORTANT NOTICE Policy informatinn Policy number: 98-AO-R835-1 March 9, 2026 We're contacting you about the above State Farm°policy. We're in the process of modernizing our computer systems and are giving you a new policy number. You will need to reference this new policy number with any of your correspondence with us. You will also notice a different look with your Renewal Declarations and any attached endorsements. If there are any changes that affect your coverage, there will be an Explanation of Changes included within this Renewal packet. You can contact your State Farm agent if you have misplaced your policy or attaching endorsements. This is not a bill. The policy premium is being added to your new billing account. If you'd like to pay now, you can pay at stag: farmn comlpayii, use the enclosed remittance slip, or contact your agent. PREMIUM ADJUSTMENT Insurance premiums have been adjusted and continue to reflect the expected cost of claims. Some policyholders will see their premiums increase while other policyholders may see their premiums decrease or stay the same. The amount your premium changed, if at all, depends on several factors including the expected claim experience in your area, the coverage you have, and any applicable discounts or charges. The enclosed Renewal Declarations reflects your new premium. State Farm®works hard to offer you the best combination of cost, protection, and service. We will continue doing our best to make the most effective use of your premium dollars and give you superior service when you need it. Policy number:98-AO-R835-1 Page 1 of 2 BOPIntroToDec.W,4.1 153014.8 12-02-2022 Prepared-March 6,2026 )5tatelrm If you have any questions about your premium, or policy coverages, please contact your State Farm agent. THANK YOU FOR CHOOSING STATE FARM. WE APPRECIATE YOUR BUSINESS. If you have any questions,call your State Farm Agent Steve Methner at 360-457-6456, If you are deaf hard of hearing, or do not use your voice to communicate,you may contact us via 711 or other relay services. cc: Steve Methner Page 2 of 2 State Farm Insurance PO Box 2915 Bloomington, IL 61 702-29 15 ie a Farin State Farm Fire and Casualty Company PENINSULA DISPUTE RESOLUTION C A stock company with home offices in Bloomington, Illinois r: PO BOX 1034 �- PORT ANGELES WA 98362-0177 Your State Farm Agent Steve Methner ChFC® 8 g Steve Methner Ins Agcy Inc o 8 611E Front Street Port Angeles WA 98362-3319 Bus: 360-457-6456 Email: steve.methner.129e@statefarm.com Renewa' Dec Policy number:98-AO-R835-1 Effective date:May 15,2026 Policy period: 12 months Expiration date:May 15, 2027 The policy period begins and ends at 12.'01 am standard time at the premises location. Automatic renewal -If the State Farm®policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. PENINSULA DISPUTE RESOLUTION C Corporation This is not a bill.If an amount is due, then a separate statement will be sent prior to the due date. The premium(s)shown below is the 12 months premium(s)for the characteristics of the policy as described in this Declarations. Premium: $462.00 Total Premium: $462 00 Discounts applied: Business Experience Rating Renewal Discount Years in Business Enclosed Building or Shopping Center IMPf;R1 ANT IE :AGtE(S Notice -Information concerning changes in your policy language is included. Please call your agent if you have any questions. Policy number 98-AO-R835-1 Page 1 of 6 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP Dec WA CMP-4000 1009178 2019 152385 219 05-17-2025 . _. t to F m F,-,t,r,IT01,41.,pRopErristt i1 t"!dl Location Location of described premises Limit of Insurance* Limit of Insurance* Seasonal Increase- number Coverage A- Coverage B-Business Business Personal Property Buildings Personal Property 001 319 S PEABODY ST No Coverage $26,800 25% PORT ANGELES WA 98362-3233 *As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. A'I0rt COVl.;RAGf ti't1.1E;;tt Coy A-Inflation Coverage Index: N/A Coy B-Consumer Price Index: 324.8 BASIC DEDUCTIBLE $500 SPECIAL DEDUCTIBLES: Employee Dishonesty: $250 Equipment Breakdown: $500 Money and Securities $250 Other deductibles may apply-refer to policy. HON i I i A ���@lea at Ili E t ;ig. �.,., The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See schedule". If a coverage does not have a corresponding limit shown below, but has 'Included" indicated, refer to that policy provision for an explanation of that coverage. Coverage Limit of Insurance Accounts Receivable On Premises $50,000 Off Premises $15,000 Arson Reward $5,000 Back-up of Sewer or Drain $15,000 Brands and Labels $25,000 Collapse Included Damage to Non-owned Buildings from Theft,Burglary or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Forgery or Alteration $10,000 Glass Expenses Included Policy number 98-AO-R835-1 Page 2 of 6 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP.4000 u air• Coverage Limit of Insurance Flo���� Increased Cost of Construction and Demolition Costs(applies only when buildings are insured on a 10% "J replacement cost basis) Money Orders and Counterfeit Money $1,000 8 o Money and Securities o° On Premises $10,000 O Off Premises $5,000 Newly Acquired Business Personal Property(applies only if this policy provides Coverage B-Business$100,000 Personal Property) Newly Acquired or Constructed Buildings(applies only if this policy provides Coverage A-Buildings) $250,000 Ordinance or Law-Equipment Coverage Included Outdoor Property $5,000 Personal Effects(applies only to those premises provided Coverage B-Business Personal Property) $5,000 Personal Property Off Premises $15,000 Pollutant Clean Up and Removal $10,000 Preservation of Property 30 days Property of Others(applies only to those premises provided Coverage B-Business Personal $2,500 Property) Signs $2,500 Spoilage(applies only to those premises provided Coverage B-Business Personal Property) On Premises $20,000 Off Premises $5,000 Expediting Expense $1,000 Valuable Papers and Records On Premises $50,000 Off Premises $15,000 Water Damage, Other Liquids,Powder or Molten Material Damage Included ti.(;1101 I t;QVERAt3 , •Ll all"1 CW INSURANCE-t-'E:l POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations, Coverage Limit of Insurance Dependent Property-Loss of Income $5,000 Employee Dishonesty $10,000 Loss of Income and Extra Expense 12 Months Actual Loss Sustained Policy number.98-AO-R835-1 Page 3 of 6 ©Copyright,State Farm Mutual Automobile Insurance Company, 2006 CMP-4000 Coverage Limit of Insurance Utility Interruption-Loss of Income $10,000 Clip qi iL. Location Location of described premises number 001 319 S PIAI3ODY ST PORT ANGELES WA 98362-3233 Coverage Limit of Insurance Coverage L-Business Liability Per Occurrence $1,000,000 Coverage M-Medical Expenses $5,000 Any One Person Damage to Premises Rented to You $300,000 Aggregate Limits Limit of Insurance General Aggregate $2,000,000 Products/Completed Operations Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II— Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequent to the issuance of this policy. =.i'riut; AN l i•:NI..3Ui Sx,'ii_N CMP-4102 Businessowners Coverage Form CMP-4247.2 Amendatory Endorsement(Washington) CMP-4409 Physicians and Surgeons Equipment CMP-4536 Additional Insured-Owners,Lessees or Contractors(Scheduled) CMP-4561.4 Policy Endorsement CMP-4572 Amendment of Premiums Condition CMP-4703.1 Utility Interruption-Loss of Income CMP-4704.1 Dependent Property-Loss of Income CMP-4705.2 Loss of Income and Extra Expense CMP-4706 Back-up of Sewer or Drain CMP-4709 Money and Securities CMP-4710 Employee Dishonesty CMP-4713.1 Exclusion-Testing or Consulting Errors and Omissions CMP-4721 Exclusion-Personal and Advertising Injury CMP-4775 Spoilage Coverage CMP-4779 Employer's Liability Coverage-Stop Gap * CMP-4785.1 Additional Insured-Owners,Lessees or Contractors(Blanket) CMP-4788 Additional Insured-Managers or Lessors of Premises CMP-4825 Brands and Labels FD-6007 Inland Marine Attaching Declarations FE-3661 Actual Cash Value Endorsement FE-6999.3 Policyholder Disclosure Notice of Terrorism Insurance Coverage *New Font/Attached Policy number:98-AO-R835-1 Page 4 of 6 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 PStake Far (-.HEeit.u..t ( F Ai 1.1 ti :1 r.INT :! r-c r f ,ti;f'• Interest type: Owners,Lessees,or Contractors(Schedul Interest type: Owners,Lessees, or Contractors(Schedul Endorsement number: CMP-4536 Endorsement number: CMP-4536 Loan number: N/A Loan number N/A CLALLAM COUNTY DRC OF KITSAP COUNTY 223 E 4th St 9321 Bay Shore Dr Nw n o Port Angeles WA 98362-3000 Silverdale WA 98383-9153 Interest type: Owners,Lessees, or Contractors(Schedul v' Interest type: Owners,Lessees, or Contractors{Schedul Endorsement number: CMP-4536 Loan number: N/A Endorsement number CMP-4536 FULCRUM INSTITUTE DR CLINIC RESOLUTION WASHINGTON ASSOC Loan number NIA 1212 N Washington St RESOLUTION WASHINGTON Ste 206 6184 Po Box Spokane WA 99201-2441 Olympia WA 98507 6184 Interest type: Owners,Lessees, or Contractors(Schedul Interest type: Managers or Lessors of Premises Endorsement number: CMP-4536 Endorsement number CMP-4788 Loan number: N/A Loan number: NIA STATE OF WASHINGTON WASHINGTO STATE DEPT OF COMMERCE THE UNITED WAY OF CLALLAM COUNTY 42525 Po Box 937 Po Box Olympia WA 98504-2525 Port Angeles WA 98362.0161 FUL.-t. NAMED iN` zJRET Named Insured: PENINSULA DISPUTE RESOLUTION CENTER This policy is issued by the State Farm Fire and Casualty Company. PAR Iii1IPATI NGdT' You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended. In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois. kfrtztrAjlt4 President Secretary Policy number:98-AO-R835-1 Page 5 of 6 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 r bra t 't tauY i . i.RMEs aAr. E(s) NOTICE TO POLICYHOLDER: For a comprehensive description of coverage and forms, please refer to your policy. Policy changes requested before the'Date Prepared",which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the"Date Prepared"will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property,or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Your coverage amount.... It is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contractors and replacement cost appraisers,or,your agent can provide an estimate from Xactware, Inc. using information you provide about your structure. State Farm does not guarantee that any estimate will be the actual future cost to rebuild your structure. Higher limits are available at higher premiums. Lower limits are also available, as long as the amount of coverage meets our underwriting requirements. We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure. • Policy number:98-AO-R835-1 Page 6 of 6 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 State Farm Insurance U PO Box 2915 Bloomington, IL 6 1 702-29 15 ' ) `�}�"g� ✓q` ' State Farm Fire and Casualty Company PENINSULA DISPUTE RESOLUTION C A stock company with home offices in Bloomington, Illinois PO BOX 1034 PORT ANGEL ES WA 98362-0177 Your State Farm Agent Steve Methner ChFC® 8 rz S Steve Methner Ins Agcy Inc 611 E Front Street Port Angeles WA 98362-3319 Bus; 360-457-6456 Email: steve.methner.i29e@statefarm.com Inland M Policy number: 98-AO-R835-1 Effective date: May 15, 2026 Policy period: 12 months Expiration date: May 15, 2027 The policy period begins and ends at 12:01 am standard time at the premises location. .. A.,:7 t; IMAM) M Automatic renewal - If the State Farm®policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual policy premium: Included •The above premium amount is included in the Policy Premium shown on the Declarations. NA.NI f ditty JRNt! Named Insured: PENINSULA DISPUTE RESOLUTION CENTER Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. Ul' i L)Pa. FE-8724 Inland Marine Conditions(Washington) FE-8744.1 Inland Marine Computer Property Form See below for schedule page with limits t i !i WAN ,Is,' ir:t_SCHEDULE PAGE Endorsement Coverage Limit of insurance Deductible amount Annual premium number FE-8744.1 Inland Marine Computer Property Form $25,000 $500 Included Loss of Income and Extra Expense $25,000 Included Other limits and exclusions may apply- refer to your policy. Policy number:98-AO-R835-1 Page 1 of 1 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 CIM AttDec WA F0-6007 1009347 2002 152807 202 03-06-2021 iJ " Pvw a Lu g" av)th t CMP 4785.1 ".. _ .. .� atmew # eera�. . � Page 1 of THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ,13}. ADDITIONAL INSURED —OWNERS, LESSEES, OR CONTRACTORS (Blanket) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM s^s o� N$ 1. SECTION II --WHO IS AN INSURED of SECTION II — additional insured; or LIABILITY is amended to include, as an additional b. Products-Completed Operations insured, any person or organization for whom you are performing operations, if you and such person or 'Your work" performed for that additional insured and organization have agreed in writing in a contract or included in the "products-completed operations agreement that such person or organization be included hazard". as an additional insured on your policy. Such person or 2. Any insurance provided to the additional insured shall only organization is an additional insured only with respect to apply with respect to a claim made or a "suit" brought for liability for "bodily injury", "property damage", or"personal damages for which you are provided coverage. and advertising injury" caused, in whole or in part, by: 3. Primary Insurance. The insurance afforded the additional a. Ongoing Operations insured shall be primary insurance. Any insurance carried (1) Your acts or omissions; or by the additional insured shall be noncontributory with (2) The acts or omissions of those acting on your respect to coverage provided by you. behalf; All other policy provisions apply. in the performance of your ongoing operations for the CMP-4785 1 154984 04-17-2019 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2018 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Provided with Migrated Renewal Ceclarations Page 9 09 9 In accordance with the Terrorism Risk Insurance Act of 2002 as amended and extended by the Terrorism Risk Insurance Program Reauthorization Act of 2019, this disclosure is part of your policy. POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Coverage for acts of terrorism is not excluded from your policy. However your policy does contain other exclusions which may be applicable, such as an exclusion for nuclear hazard. You are hereby notified that the Terrorism Risk Insurance Act, as amended in 2019, defines an act of terrorism in Section 102(1) of the Act: The term "act of terrorism" means any act that is certified by the Secretary of the Treasury—in consultation with the Secretary of Homeland Security, and the Attorney General of the United States--to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Under this policy, any covered losses resulting from certified acts of terrorism may be partially reimbursed by the United States Government under a formula established by the Terrorism Risk Insurance Act, as amended. Under the formula, the United States Government generally reimburses 80% beginning on January 1, 2020 of covered terrorism losses exceeding the statutorily established deductible paid by the insurance company providing the coverage. The Terrorism Risk Insurance Act, as amended, contains a $100 billion cap that limits U.S. Government reimbursement as well as insurers' liability for losses resulting from certified acts of terrorism when the amount of such losses exceeds $100 billion in any one calendar year. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. There is no separate premium charged to cover insured losses caused by terrorism. Your insurance policy establishes the coverage that exists for insured losses. This notice does not expand coverage beyond that described in your policy. THIS IS YOUR NOTIFICATION THAT UNDER THE TERRORISM RISK INSURANCE ACT, AS AMENDED, ANY LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM UNDER YOUR POLICY MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT AND MAY BE SUBJECT TO A$100 BILLION CAP THAT MAY REDUCE YOUR COVERAGE. FE-6999.3 08-22-2020 ©,Copyright,State Farm Mutual Automobile Insurance Company,2020