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HomeMy WebLinkAboutJefferson County Chamber of Commerce - 032221 - (ins ex 6-30-22) Tw�ht 6a7 p ) 7.7 d-1 AGREEMENT FOR 2021 HOTEL-MOTEL FUNDING FOR TOURISM SERVICES JEFFERSON COUNTY CHAMBER OF COMMERCE C- c. This Agreement is by and between JEFFERSON COUNTY(hereinafter known as , "COUNTY" and the JEFFERSON COUNTY CHAMBER OF COMMERCE(hereinafter known as "JCCC"). WHEREAS,the JCCC is a non-profit corporation of the State of Washington; and WHEREAS,the COUNTY desires to promote tourism in unincorporated East Jefferson County, especially in the greater Port Hadlock/Tri-Area region and Port Ludlow region, by providing information to guests, support and staff to information centers, as well as workshops, conferences and materials to enhance productivity of visitor information centers and other means to promote tourism in unincorporated Jefferson County, as authorized by Chapter 67.28 RCW and Jefferson County Code Chapter 3.25; and WHEREAS,the Jefferson County Lodging Tax Advisory Committee reviewed and recommended funding the lodging tax proposal by the Jefferson County Chamber of Commerce to: support marketing outside the County and other tourism promotion activities; IN CONSIDERATION of the mutual covenants and agreements herein it is agreed by the parties as follows: SECTION 1: SERVICES TO BE PERFORMED The JCCC shall use its capabilities and utilize the funding provided under this agreement to perform the tourism promotion services as described in the Itemized List of Proposed Tourism Promotion Services and Lodging Tax Budget, a copy of which is incorporated herein and attached hereto as Exhibit A. JCCC shall partner with the Tourism Coordinating Council on promotional activities to maximize funding dollars. In updating promotional videos,JCCC shall coordinate with the TCC. In addition,JCCC shall participate in overall marketing and tourism strategic planning coordination meetings convened by the TCC. The JCCC shall also continue and update the ongoing performance of the following tourism promotion services, as outlined below: 1. Assist in marketing events and other tourism promotion activities in unincorporated Jefferson County with a particular focus on the greater Port Hadlock/Tri-Area region and Port Ludlow Region. 2. Be a point of contact for the Jefferson County Tourism Coordinating Council for support and participation in tourism promotional activities; assist in developing regional promotional material in conjunction with other Chambers of Commerce and the Tourism Coordinating Council. Page: 1 of 10 Jefferson County Chamber of Commerce 3. Respond to specific requests referred by the Olympic Peninsula Tourism Commission, the Jefferson County Tourism Coordinating Council and all other Jefferson County visitor's centers and Chambers of Commerce. 4. As vacancies occur,recommend potential representatives and alternates,preferably Chamber members, for inclusion with other candidates for consideration by the Board of County Commissioners for appointment to the Tourism Coordinating Council to represent the Port Hadlock/Tri-Area region and the Port Ludlow region. 5. In recognition of the unavoidable disruption to tourism activities from the COVID-19 pandemic,JCCC may substitute other Promotion Services in 2021 in using the funding provided through this Agreement, upon prior presentation of an itemized list to the Lodging Tax Advisory Committee(LTAC) and affirmative vote by the LTAC recommending that JCCC proceed with the proposed substitution. In such case no amendment to this Agreement shall be required and JCCC may use the funding to perform the substitute Promotion Services in 2021. SECTION 2: RESPONSIBILITIES OF THE JEFFERSON COUNTY CHAMBER OF COMMERCE 1. On or before January 31; April 30; July 31; October 31,2021; and January 31,2022, provide to the COUNTY: • A quarterly report of the use, services,programs and activities of the JCCC for the prior quarter under this Agreement and the 2020 Amendment No. 1 dated December 7,2020; • 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 2021. 2. On or before January 31, 2021 OR upon execution of this agreement,provide to the COUNTY: • A billing statement requesting partial payment of Hotel-Motel Funding for the first half of the current year. 3. 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. 4. 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, 2022. 5. By February 28th of each year provide the following information on Exhibit B, attached hereto and incorporated by reference for the previous year. a. Each festival, event, or tourism facility owned and/or operated by JCCC. Page: 2 of 10 Jefferson County Chamber of Commerce b. The amount of lodging tax revenue allocated for expenditure (whether actually expended or not)by the JCCC on each festival, event or tourism facility. c. 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). d. Estimated lodging stays. ("Lodging"refers to commercial lodging such as hotels, motels,resorts,bed and breakfasts,or commercial campgrounds). e. Measurements that demonstrate the impact of increased tourism attributable to the event, festival or facility. SECTION 3: RESPONSIBILITY OF JEFFERSON COUNTY 1. The COUNTY will provide the JCCC funding from Hotel-Motel Tax receipts to be used in support of their responsibilities as defined under this agreement. 2. Said funding is in the sum of$14,200 for 2021. Semi-annual payments of$7,100 will be made in the first and third quarter of 2021. Payments are to be predicated on submittal of reports defined in Section 2. Payment will be made by the COUNTY upon receipt of an invoice on the next available billing cycle. 3. The County recognizes that the original allocation to the JCCC in Hotel-Motel funds for promotional services in Jefferson County may be voluntarily reduced because of the impacts of the COVID-19 pandemic. Any voluntary reduction from 2021 funding is earmarked for potential use in 2022, contingent on a recommendation by the Lodging Tax Advisory Committee to award those funds to the JCCC in 2022 and approval by the Board of County Commissioners. SECTION 4: TERM This Agreement shall be for a term of one year, commencing on January 1, 2021 and ending on December 31, 2021, except for the reports referenced in Section 2, due January 31, 2022 and February 28,2022. All activities performed pursuant to this Agreement within its term and prior to its execution are hereby ratified. SECTION 5: ASSIGNMENT Either party to the agreement shall not assign this Agreement,except by signed amendment. SECTION 6: MODIFICATION This Agreement may be modified by mutual written agreement executed by both parties. Page: 3 of 10 Jefferson County Chamber of Commerce SECTION 7: TERMINATION The 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. The JCCC 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,JCCC 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. SECTION 8: HOLD HARMLESS The JCCC shall indemnify and hold the COUNTY, and its officers, employees, and agents 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 the JCCC's negligence or breach of any of its obligations under this Agreement; provided that nothing herein shall require the JCCC 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 and agents, and; provided further that if the claims or suits are caused by or result from the concurrent negligence of: (a) the JCCC's agents or employees; and, (b) the COUNTY, its officers, employees and agents, 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 the JCCC's negligence, or the negligence of the JCCC's agents or employees. The JCCC specifically assumes potential liability for actions brought against the COUNTY by the JCCC's employees, or any other persons engaged in the performance of any work or service required of the JCCC 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 RCW. The JCCC recognizes that this waiver was specifically entered into pursuant to provisions of RCW 4.24.115 and was subject of mutual negotiation. SECTION 9: INSURANCE The JCCC shall obtain and keep in force during the term of the Agreement, or as otherwise required,the following insurance with companies or through sources approved by the State Insurance Commissioner pursuant to RCW 48. 1. Worker's Compensation and Employer's Liability Insurance as required by the State of Washington. The JCCC shall maintain Workers' Compensation coverage as required under the Washington State Industrial Insurance Act, RCW Title 51, for all JCCC employees, agents and volunteers eligible for such coverage under the Industrial Insurance Act. Page: 4 of 10 Jefferson County Chamber of Commerce 2. 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 $1,000,000 per occurrence in connection with JCCC's performance of the contract, including: a. Owned Automobiles; b. Hired Automobiles; and c. Non-owned Automobiles. 3. General Commercial Liability Insurance in an amount not less than a single limit of one million dollars ($1,000,000.00)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 coverage: a. Broad Form Property Damage, with no employee exclusion; b. Personal Injury Liability, including extended bodily injury; c. Broad Form Contractual/Commercial Liability—including: completed operations; d. Premises—Operations Liability(M&C); e. Independent Contractors and subcontractors; f. Blanket Contractual Liability. Said commercial automobile liability policy and general commercial liability policy shall name the County as an additional insured and shall include a provision prohibiting cancellation or reduction of coverage of said policy except upon thirty(30) days prior written notice to the County. Certificates of coverage as required by this Section shall be delivered to the County within thirty(30) days of execution of this Agreement. The County may, upon the Contractor's failure to comply with any or all provisions of this contract relating to insurance, withhold payment or compensation that would otherwise be due to the Contractor. 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. All insurance policies obtained by JCCC in order to comply with this Section shall be primary and non-contributory as against any coverage provided through any memorandum of coverage for third party liability claims or actions obtained and retained by the County through a Ch. 48.62 RCW "Risk Pool." It is agreed by the parties that insurers shall have no right of recovery or subrogation against the County (including its employees and other agents and agencies), it being the intention of the parties that the insurance policies so affected shall protect both parties and be primary coverage for any and all losses covered by the above described insurance. Page: 5 of 10 Jefferson County Chamber of Commerce The insurance maintained by JCCC under this Agreement shall not in any manner limit or qualify the liabilities or obligations of JCCC under this Agreement. SECTION 10: INDEPENDENT CONTRACTOR The JCCC and the COUNTY agree that the JCCC is an independent contractor with respect to the services provided pursuant to this agreement. Nothing in this agreement shall be considered to create the relationship of employer and employee between the parties hereto. Neither the JCCC nor any employee of the JCCC shall be entitled to any benefits accorded County employees by virtue of the services provided under this agreement. 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 JCCC, or any employee, representative, agent or contractor of the JCCC. The JCCC shall be responsible for all applicable withholdings, deductions, state industrial insurance, tax reports, business licenses, registrations, and all other obligations of an independent organization. SECTION 11: COMPLIANCE WITH LAWS The JCCC shall comply with all Federal, State, and local laws and ordinances applicable to the work to be done under this Agreement. This Agreement shall be interpreted and construed in accord with the laws of the State of Washington and venue shall be in Jefferson County, Washington. SECTION 12: DISCRIMINATION PROHIBITED The JCCC with regard to the project to be completed under this agreement, will 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, contractors or subcontractors. SECTION 13: INTEGRATED AGREEMENT This agreement together with attachments or addenda represents the entire and integrated agreement between the County and the JCCC and supersedes all prior negotiations, representations, or agreements written or oral. This agreement may be amended only by written instrument signed by both the County and the JCCC. Page: 6 of 10 Jefferson County Chamber of Commerce APPROVED and signed this -) `day of t.V(-11 2021. JEFFERSON COUNTY Attest: BOARD OF COMMISSIONERS Carolyn Gallaway, CMC Kate Dean, Chair Clerk of the Board Approved as to Form: JEFFERSON COUNTY CHAMBER O OF OMMERC C/ 3 ?mot! • Philip Hunsucker, Arlene Alen, Director Chief Civil Deputy Prosecutor Page: 7 of 10 Jefferson County Chamber of Commerce EXHIBIT A Itemized List of Proposed Tourism Promotion Services [The Amount Below Includes a 2020 Carry Over Totaling$5,000 to be Invoiced the 1"Quarter of 20211 Aggregated costs for all Showcasses: 1800 Video Production updates 3100 Graphic production and marketing production 6500 Certified Folder Q3-Q4 vido hosting ferrys and terminals 2800 Web integration and social media promotion costs 5000 Marketing assistance and support for all communitities planned events and maintaining open community calendar for Jefferson County area(existing)on www,jeffcountycha,ber.org and linked through Chanber County focused site 19200 Total Costs Page 8 of 1 0 Jefferson County Chamber of Commerce Exhibit B Jurisdiction Lodging Tax Reporting Form — To Be Submitted to Jefferson County Administrator's Office No Later than February 28th of each Year Lodging Tax Reporting Form Organizations recerving fowling to promote f -trv-als,special event and tourism-related actii-itie,*through tourism-related faalines waned or sponsored by non-profit orgammuons or the local jurisdiction are required to complete thm form for EACH activity. 1 Organize. im Name: Reporting Year 2 Spasm Type((lied One): 0 501(03) 0 501(cX6) 0 Local Jurbdictice 0 Other(Ea:RUM): 3 Amory Nation 4 Activity Type(Check One): )EvairFestival• 0 Facilin* 0 Madietrar 5 Activity Stnt Date*: 6 AinvIty End Date•- Total Cost ci Activity S 8 Amount Requested: $ _ _ 9 Amount Avoided: 5 10 Overall Artemimce• 13 Menber of Attention Who Stayed Ovemiglx Unpood Accommodations* a) Propos:I* a) Projected* b) Actual* b) Arm& c) Methodology(Check One)- °Direct rime c) Methodology(Oteck Coe): 0 Direct Coon* °Indirect Came' ORepresemarive Sunny 0 huirea CC". OReFeSearariVe Sl2WY. le Informal Survey* ()Structured Estimate* •inframal Sumer Strummed Estimate* *Other(explain): 11 Member of Annidees Who Traveled 50 Miles or More* 14 Number of Attendees Who Stayed Ovemigla m Paid Ac ‘. -• a) Proectel* a) Projected* b) Actual* b) Actual* c) . (Check Oney 0 Direct Como* c) Methodology(Check One): 0 Direct Com* IP Indirect Court* °Representative Saner •Indirect Coma* Representative Survey• * kroorsal Survey* ('3 Strucnued Estimate* a lofroYal Survey Strumued Fgrimarte 0 OttEr(explain): 0 Other(explain): 12 Number of Attendees Who Traveled from.Another State or Colmar 15 Nienber of Paid'Meng,Nights' a) Pi:ejected* a) Projected* b) Actual* b) Acme c) Methodologv(Check Om): 0 Direct Come _ c) :Methodology(Check tittry 0 Direct C012110 0 indirect Com' ORgresemarire Survey* 0 Indirect Counr• ()Representative Slimy* 0 inform/1 Surser Structured Estimate' 0 Informal Stover Structured Esirmate• (Jo tter(explain): 0 Other(explain): *See Lodging Tax Yearly Reporting Defmitions instructions Name of Indrodual WM Prepared Report: Phone a: E-Mail A lid RETURN LUIS FORM TO: Jefferson County Administrators Office 1820 Jefferson Street P.O.Box 1220 Port Toirmend,WA 98368 jeffbocciirojefferson.ara.us DEADLINt:February 29th of Each Reporting Year Page 9 of 10 Jefferson County Chamber of Commerce 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. Page 10 of 10 Jefferson County Chamber of Commerce Consent Agenda Commissioners Office JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Adiel McKnight, Executive Assistant DATE: March 22,2021 SUBJECT: AGREEMENT re: 2021 Hotel Motel (Lodging Tax) Grant Funding; In the Amount of$14,200 Jefferson County Chamber of Commerce STATEMENT OF ISSUE: This agreement provides grant funding for 2021 to certain non-profit agencies for the promotion of tourism and ongoing preservation of Jefferson County's heritage. This funding has been budgeted from the Hotel Motel (Lodging Tax) Fund, as recommended by the Lodging Tax Advisory Committee. FISCAL IMPACT: Jefferson County Chamber of Commerce $14,200 RECOMMENDATION: Approve and sign the agreement. REVIEWED BY: ,A119 , 2-( c://>1,,,/ orley0 dministratbr Date: CONTRACT REVIEW FORM CONTRACT WITH: Jefferson County Chamber of Commerce TRACKING NO.: (Contractor/Consultant) CONTRACT FOR: 2021 Lodging Tax Funding TERM: COUNTY DEPARTMENT: CountyAdministrator RECEIVED For More Information Contact: Philip Morley Contact Phone #: Ext. 383 b EB 1 2 2021 RETURN TO: Adiel McKnight RETURN BY: ASAP J E F F E R S O N COUNTY (Person in Department) COMMISS I O N E RS AMOUNT: 14,200 PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process Revenue ❑ Cooperative Purchase Expenditure LI Competitive Sealed Bid Matching funds Required ❑ Small Works Roster Source(s)of Matching Funds ❑ Vendor List Bid ❑ RFP or RFQ ❑ Other Step 1: REVIEW BY RI >M E A MEfi Review by: ,' r' ,/c ,7 ©7/21 Date Reviewed: --....--._�� a APPROVED FORM ❑ Returned for revision(See Comments) Comments Step 2: REVIEW BY OSE ING ATTORNEY Review by: - Philip C. Hunsucker Date Reviewed: ief Civil Deputy Prosecuting Attorney 1:14.4#/7PPROVED AS TO FORM ❑ Re ed for revision(See Comments) Comments Step 3: (If required) DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS Step 5: SUBMIT TO BOCC FOR APPROVAL Submit original Contract(s),Agenda Request,and Contract Review form. Also,please send 2 copies of just the Contract(s)(with the originals)to the BOCC Office. Place"Sign Here"markers on all places the BOCC needs to sign. MUST be in BOCC Office by 4:30 p.m.TUESDAY for the following Monday's agenda. (This form to stay with contract throughout the contract review process.) Coy 4ssCounty Board of Commissioners elf _ c oo 1820 Jefferson Street p¢ PO Box 1220 Port Townsend, WA 98368 III NG,c•� Kate Dean,District 1 Heidi Eisenhour,District 2 Greg Brotherton,District 3 March 18, 2021 Jefferson County Chamber of Commerce Arlene Alen, Director 2409 Jefferson Street, Ste A Port Townsend, WA 98368 Dear Ms. Alen, Enclosed for signature are two (2) originals for AGREEMENT re: 2021 Hotel Motel (Lodging Tax) Grant Funding; In the Amount of$14,200; Jefferson County Chamber of Commerce Please sign both, keep one and return the second to: Jefferson County Commissioner's Office Attn: Adiel McKnight P.O. Box 1220 Port Townsend, WA 98368 • Please remember that on or before April 30; July 31; October 31, 2021 and January 31, 2022 you are required to provide to the County: A quarterly report of the use, services, programs and activities under this agreement for the prior quarter. • 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 by February 28th of each year. • The JC Chamber of commerce shall obtain insurance as outlined in the terms of the Agreement and provide a copy to this office. • Payment will be provided upon invoice, subject to the terms of the Agreement. Thank you for your assistance. Sincerely,c Y Wik Adiel McKnight Executive Assistant Enclosure: Two (2) original copies for signature Phone (360) 385-9100 Fax (360) 385-9382 jeffbocc@co.jefferson.wa.us ACORL� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �... 04/29/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ryan Smith NAME: Homer Smith Insurance Inc. PHONE (360)385-3711 FAX (360)385-3726 (A/C,No,Ext): (A/C,No): PO Box 591 E-MAIL ryan@homersmith.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Port Townsend WA 98368 INSURER A: Philadelphia Indemnity Insurance Company INSURED INSURERS: Jefferson County Chamber of Commerce INSURER C: 2409 Jefferson St.Ste B INSURER D: INSURER E: Port Townsend WA 98368 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2073009394 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUUL-BURR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN$D WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y PHPK2126026 06/30/2020 06/30/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PEA LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED PHPK2126026 06/30/2020 06/30/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accldenta UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L,EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder is additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Jefferson County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 1220 AUTHORIZED REPRESENTATIVE Port Townsend WA 98368 ,,, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORO® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/09/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ryan Smith NAME: Homer Smith Insurance Inc. PHONE (360)385-3711 FAX (360)385-3726 (A/C,No,Ert): (A/C,No): PO Box 591 ADDRESS: ryan©homersmith.com INSURER(S)AFFORDING COVERAGE NAIC# Port Townsend WA 98368 INSURER A: Philadelphia Indemnity Insurance Company INSURED INSURER B: Jefferson County Chamber of Commerce INSURER C: 2409 Jefferson St.Ste A INSURER D INSURER E: Port Townsend WA 98368 INSURER F: COVERAGES CERTIFICATE NUMBER: CL217909754 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUUL SUBH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/OD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y PHPK2296858 06/30/2021 06/30/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is additional insured per policy forms CG2026 0413 and CA2048 1013.Coverage is Primary and non-contributory per policy form PI-GL-005 0712. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Port Townsend ACCORDANCE WITH THE POLICY PROVISIONS. 250 Madison Street,Suite 2 AUTHORIZED REPRESENTATIVE Port Townsend WA 98368 () 0. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Lodging Tax Reporting Form Organizations receiving funding to promote festivals,special events and tourism-related activities through tourism-related facilities owned or sponsored by non-profit organizations or the local jurisdiction are required to complete this form for EACH activity. 1 Organization Name: Chamber of Jefferson County Reporting Year: 2021 2 Sponsor Type(Check One): )501(c)(3) 0 501(c)(6) 0 Local Jurisdiction Q Other(Explain): 3 Activity Name: Marketing and events,virtual events for Jefferson County 4 Activity Type(Check One): ()EventlFestival* ()Facility* 0 Marketing* 5 Activity Start Date*: January 3,2021 6 Activity End Date*: December 30 2021 7 Total Cost of Activity: $21,225 8 Amount Requested: $12,700 9 Amount Awarded: $19,200 10 Overall Attendance* 13 Number of Attendees Who Stayed Overnight in Unpaid Accommodations* a) Projected* 100,000 includes marketing distributions a) Projected* not applicable b) Actual* 130,000 b) Actual* not applicable c) Methodology(Check One): °Direct Count* c) Methodology(Check One): 0 Direct Count* °Indirect Count* C)Representative Survey* °Indirect Count* °Representative Survey* 0lnfonnal Survey* °Structured Estimate* °Informal Survey* C)Structured Estimate* Other(explain): Other(explain):not tractable,marketing projects included 11 Number of Attendees Who Traveled 50 Miles or More* 14 Number of Attendees Who Stayed Overnight in Paid Accommodations* a) Projected* undeterminable a) Projected* not applicable b) Actual* NA b) Actual* NA c) Methodology(Check One): 0 Direct Count* c) Methodology(Check One): 0 Direct Count* 0 Indirect Count* ()Representative Survey* 0 Indirect Count* Q Representative Survey* 0 Informal Survey* ()Structured Estimate* 0 Informal Survey* ()Structured Estimate* 0 Other(explain):not trackable,marketing projects included Other(explain):not tractable,merketing projects included 12 Number of Attendees Who Traveled from Another State or Country* 15 Number of Paid Lodging Nights* a) Projected* undeterminable a) Projected* not applicable b) Actual* NA b) Actual* NA c) Methodology(Check One): 0 Direct Count* c) Methodology(Check One): C)Direct Count* 0 Indirect Count* °Representative Survey* 0 Indirect Count* °Representative Survey* 0 Informal Survey* °Structured Estimate* 0 Informal Survey* 0 Structured Estimate* ()Other(explain):not trackable,marketing projects included 0 Other(explain):not trackable,marketing projects included *See Lodging Tax Yearly Reporting Definitions/Instructions Name of Individual Who Prepared Report: Arlene Alen Phone#: 360-385-7869 x 200 E-Mail Address: director@jeffcountychamber.org RETURN THIS FORM TO: Jefferson County Administrator's Office 1820 Jefferson Street P.O.Box 1220 Port Townsend,WA 98368 jeffbocc@co.jefferson.wa.us I N O ,- h+ F••+ F+ F+ !•-+ hi lD CO V Q1 IQ on N j Vi In ? 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