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HomeMy WebLinkAboutForks Chamber of Commerce re: LTAC (ins ex 123022) - 122021 -1kAG " r AGREEMENT FOR 2022 HOTEL-MOTEL FUNDING FOR TOURISM SERVICES FORKS CHAMBER OF COMMERCE AND VISITOR CENTER This Agreement is by and between JEFFERSON COUNTY(hereinafter known as "COUNTY" and the FORKS CHAMBER OF COMMERCE(hereinafter known as "FCC"). WHEREAS,the FCC is a non-profit corporation of the State of Washington;and WHEREAS,the COUNTY desires to promote tourism by providing information to guests, ✓� support and staff to information centers in unincorporated West Jefferson County,as well as workshops,conferences and materials to enhance productivity of visitor information centers in the promotion of the tourism industry,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 Forks Chamber of Commerce; IN CONSIDERATION of the mutual covenants and agreements herein it is agreed by the parties as follows: SECTION 1: SERVICES TO BE PERFORMED. The FCC shall use its capabilities and utilize the funding provided under this agreement to continue and update the ongoing performance of the following tourism promotion services, as outlined below and consistent with the proposed FCC Lodging Tax budget, a copy of which are incorporated herein and attached hereto as Exhibit A: 1. Provide for seasonal(May-September) Olympic National Park staffing at the Kalaloch Visitor Center to provide visitor information services there, consistent with a negotiated agreement with Olympic National Park. 2. Provide summer seasonal staffing at the Forks Visitor Information Center. 3. Update,print and distribute a West End tourism map and the Mick Dodge Coloring Sheets. 4. Be the focal point for support of the West End participation in tourism promotional activities included but not limited to: web page update and web site hosting; distribution of Jefferson County tourism information and materials through the Kalaloch Visitor Center and the Forks Visitor Information Center; and participate in Joint Marketing and other tourism promotion activities. SECTION 2: RESPONSIBILITIES OF THE FORKS CHAMBER OF COMMERCE 1. On or before January 31;April 30;July 31; October 31,2022; and January 31,2023, provide to the COUNTY: see Exhibit C,attached hereto and incorporated; • A quarterly report of the use, services,programs and activities of the FCC 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 for all 2022. Page 1 of 12 Forks Chamber of Commerce 2. On or before January 31, 2022 OR upon execution of this agreement,whichever is later, provide to the COUNTY: • A billing invoice requesting payment of Hotel-Motel Funding for 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, 2023. 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 FCC. b. The amount of lodging tax revenue allocated for expenditure(whether actually expended or not)by the FCC 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 FCC 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$64,271 for 2022. Payment is 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. SECTION 4: TERM. This Agreement shall be for a term of one year,commencing on January 1., 2022 and ending on December 31,2022, except for the reports referenced in Section 2,due January 31,2023 and February 28,2023. 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. 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 FCC 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 Page 2 of 12 Forks Chamber of Commerce 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,FCC 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 FCC 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 FCC's negligence or breach of any of its obligations under this Agreement; provided that nothing herein shall require the FCC 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 FCC'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 FCC's negligence, or the negligence of the FCC's agents or employees. The FCC specifically assumes potential liability for actions brought against the COUNTY by the FCC's employees, or any other persons engaged in the performance of any work or service required of the FCC 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 FCC 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 FCC shall obtain and keep in force during the term of the contract, 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. 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 FCC'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; Page 3 of 12 Forks Chamber of Commerce c. Broad Form Contractual/Commercial Liability—including: completed operations; d. Premises—Operations Liability(M&C); e. Independent Contractors and subcontractors; f. Blanket Contractual Liability. 4. 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. 5. 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. 6. 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. 7. All insurance policies obtained by FCC 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." 8. 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. The insurance maintained by FCC under this Agreement shall not in any manner limit or qualify the liabilities or obligations of FCC under this Agreement. SECTION 10: INDEPENDENT CONTRACTOR. The FCC and the COUNTY agree that the FCC 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 FCC nor any employee of the FCC 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 FCC, or any employee, representative, agent or contractor of the FCC. The FCC shall be responsible for all applicable withholdings, deductions, state industrial insurance,tax reports, business licenses,registrations, and all other obligations of an independent organization. Page 4 of 12 Forks Chamber of Commerce SECTION 11: COMPLIANCE WITH LAWS. The FCC 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 FCC 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 FCC 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 FCC. APPROVED and signed this A- 'day of Ccl j A- I, 7 0 2 I JEFFERSON COUNTY Attest: BOARD OF COMMISSIONERS 7 Carolyn Gallaway, Kate P ear',Chair Clerk of the Board Approved as to Fprm: F S CHAMBER OF COMMERCE 0. c ' al/J.-A-0D Philip Hunsucker, December 9 2021 u riz-. •flicial Chief Civil Deputy Prosecutor Page 5 of 12 Forks Chamber of Commerce EXHIBIT A 2022 FUNDS REQUESTED by Forks Chamber of Commerce Staffing —Kalaloch Visitor Center May 12 —Sept. 30, 2022,.,............$21815.05 Kalaloch Ranger Station will be staffed 5 days/week beginning 5/12/2022, and then 7 days/week from 06/16/2021 to 9/30/2022. Full-time, 5 days/week staffing (historically Birdie James) from 5/12/2022 to 9/30/2022; 816 hours. 2 days/week staffing coverage for Birdie's off/lieu days (when Kalaloch Ranger Station is open 7 days/week per above); 240 hours. The increase from last year largely reflects an —2.6% pay increase in 2022, as well as a slight adjustment to start dates due to variations in the 2021 and 2022 calendars. Staffing — Forks Visitor Information Center ....... 1716 hours/average of 33 hours weekly at $14.49/hr Tourism Marketing............._...... ......... .......„........$9000.00 Washington State Visitor Guide, Coho Ferry Magazine, Co-op Marketing w/ OPTC, other, to include social media, print ads, television, bus ads, other Rainforest Country Adventure Maps ....... ...$6000.00 Revise and reprint brochures (21-25K) Mailing of Rain Forest Country Adventure .....$2000.00 To individuals in visitor packets, and to AAANIC around WA and surrounding states Lodging Concierge Service ,.........„....... .......„..,..........,..$455.95 Total ... ... ...$64271.00 Page 6 of 12 Forks 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 receiving funfline to promote f-tivals,5pecial event and tourism-related activities through tourtin-related facilities owned or sponsored by non-profit organizations or the local jurisdiction are required to complete the form for EACH aciavity I Orga.M2artell Name: Reporting Ye 2 Spenser Type(Check(ne): 0 501(cX3) 0 501(ck6) 0 Local Pansdicdoo. 0 Other CE.. •'.): 3 Acnsity Name a Activrty Type(Check One): Q EvenaTesnval• a Facility a Marketing" 5 Althaty Stir Date: 6 Anavity End Date': 7 Total Cost of Artie S 8 Ault Requested: S 9 Amara Awarded: 5 10 Overan Attendance' 13 Number of' .,...••- Who Stayed Overnight m ..v•• .Accomemaitnis• a) Pmected* a) Protected" b) Actual' h) Actuar c) ‘,• ....•.••,Kir(Check One) ()Direct Conte' c) .. •••..,lop:(Check Cam): 0 Direct Comte °Indirect Comae *Representative Survey' 0 huhrect Count* 8h:fors:al Survey' °Strummed Estraie• IP afcemil Saver 0 Strirrured ruimatio Other(expla Ti). 110' :"''•(..cmPlia4 11 Number of Attendees Ville Traveled 50 Miles or More' 14 Number of Attendees Who Stayed OVeMight et Paid Act •••.•,, 4...-' a) Pmected• a) Projected* b) Acme h) Arnie? c) Methodology iCheck One): 0 Direct Cum' c) .:....lop-(Check One): 0 Dimmi County IP mirea count- ()Representative Survey' ap-mina um" .0:-:.., .1flirillaY4 Survey" .Infomaal Stacey' (3 Strummed Estimate lt:anal Survey" ap Salaamed Estirune• ()Oder(explain): ()Other 1„explaiiil: 12 Number of Amandem Who Traveled from Another State or Comm!' 15 Number of Paid I agrtv!Nights" a) Pavec-ted• a; Proiected• b) Acmal• b) Artual• c) Methodology(Cb.ecit Ore). ()Direct Come c) Methodology i,Check One): 0 Direct Dotmt` °Indirect Cour ORepreiecianve Sztvey. °Indirect Cotor OReptSeCialthe Survey" 111.icirmukl Sur -• 0 Structirred Emirate 0'nfrev*Sumer 0 Saucratal Eitimate• Other(explain): 0 Other•:explaini: 'See Lodging Tax Yearkv Reporting Definitionsinaauctiorr Name of imhadual t Ma Prepared Report: Phase x: E-Mail AddleiS RETURN IIIIS FORM TO: Jefferson County Administrator's Office 1820 Jefferson Street P.O.Box 1220 Port Townsend.WA 98368 je Marc ',-2.-co:)effer son.wa.as DEADLINE:February Srh of Each Reporting Year Page 7 of 12 Forks 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 8 of 12 Forks Chamber of Commerce EXHIBIT C lst OUARTER Due by April 30th to afmcknight@cojefferson.wa.us Organization: Contact person: Mailing Address : Phone Number/Email: STARTING BALANCE + REVENUE THIS EXPENSES THIS — ENDING BALANCE PREVIOUS QUARTER QUARTER i QUARTER i THIS QUARTER Please attach supportive documents.Any attachments may be subject to disclosure as a public record under the Public Records Act,RCW Chapter 42.56.For a minimum of six(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. Please provide your reports of the revenue,marketing,services,programs and activities of the prior quarter. JANUARY Incoming Revenue Outgoing Expenses Total FEBRUARY Incoming Revenue Outgoing Expenses Total MARCH Incoming Revenue Outgoing Expenses Total Page 9 of 12 Forks Chamber of Commerce EXHIBIT C 2nd OUARTER Due by July 31 st to afmcknight@coiefferson.wa.us Organization: Contact person: Mailing Address : Phone Number/Email: STARTING BALANCE + REVENUE THIS EXPENSES THIS — ENDING BALANCE PREVIOUS QUARTER QUARTER QUARTER — THIS QUARTER Please attach supportive documents.Any attachments may be subject to disclosure as a public record under the Public Records Act,RCW Chapter 42.56.For a minimum of six(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. Please provide your reports of the revenue,marketing,services,programs and activities of the prior quarter. APRIL Incoming Revenue Outgoing Expenses Total MAY Incoming Revenue Outgoing Expenses Total JUNE Incoming Revenue Outgoing Expenses Total Page 10 of 12 Forks Chamber of Commerce EXHIBIT C 3rd OUARTER Due by October 31'to afmcknight@co.jefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: STARTING BALANCE REVENUE THIS EXPENSES THIS _ ENDING BALANCE PREVIOUS QUARTER ♦ QUARTER QUARTER — THIS QUARTER Please attach supportive documents.Any attachments may be subject to disclosure as a public record under the Public Records Act,RCW Chapter 42.56.For a minimum of six(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. Please provide your reports of the revenue,marketing,services,programs and activities of the prior quarter. JULY Incoming Revenue Outgoing Expenses Total AUGUST Incoming Revenue Outgoing Expenses Total SEPTEMBER Incoming Revenue Outgoing Expenses Total Page 11 of 12 Forks Chamber of Commerce EXHIBIT C 4t'' OUARTER Due by January 31 st to afmcknight@sojefferson.wa.us coefferson.wa.us Organization: Contact person: Mailing Address: Phone Number/Email: STARTING BALANCE ♦ REVENUE THIS EXPENSES THIS ENDING BALANCE PREVIOUS QUARTER QUARTER QUARTER THIS QUARTER Please attach supportive documents.Any attachments may be subject to disclosure as a public record under the Public Records Act,RCW Chapter 42.56. For a minimum of six(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. Please provide your reports of the revenue,marketing,services,programs and activities of the prior quarter. OCTOBER Incoming Revenue Outgoing Expenses Total NOVEMBER Incoming Revenue Outgoing Expenses Total DECEMBER Incoming Revenue Outgoing Expenses Total Page 12 of 12 Forks Chamber of Commerce Consent Agenda Commissioners Office JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners FROM: Adiel McKnight,Executive Assistant DATE: December 20,2021 SUBJECT: AGREEMENT re: 2022 Hotel Motel (Lodging Tax) Grant Funding; In the Amount of$64,271; Forks Chamber of Commerce STATEMENT OF ISSUE: This agreement provides grant funding for 2022 to certain non-profit agencies for the promotion of tourism and ongoing preservation of Jefferson County's heritage. The Lodging Tax Advisory Committee met on November 2, 2021 and reviewed request for proposals. This funding has been budgeted from the Hotel Motel (Lodging Tax) Fund, and approved by the Board of County Commissioners on November 15, 2021. FISCAL IMPACT: Forks Chamber of Commerce $64,271 RECOMMENDATION: Approve and sign the agreement. REVIEWED BY: ,/a1/,a zip Z/ Mark McCauley 1terim County Administrato . Date: CONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Forks Chamber of Commerce Contract No: LTAC FCC Contract For: Lodging Tax Term: 1yr COUNTY DEPARTMENT: County Administrator Contact Person: Adiel McKnight Contact Phone: 360-385-9102 Contact email: afineknightico.jeffersont.wa.us AMOUNT: $64,271 PROCESS: Exempt from Bid Process Revenue: _ Cooperative Purchase Expenditure: _ Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s)of Matching Funds _ Vendor List Bid Fund# 125 .__ RFP or RFQ Munis Org/Obj 12555730/411106 _Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFI S M H JC5 3 5.080 AND CHAPTER 42.23 RCW. CERTIFIED: N/A: /, .��A Signature / Date STEP 2: DEPARTMENT CERTIFIES HE PERSON OPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NO BE N EBARRED BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: [J N/A: El •_ ` t attire Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 12/9/2021. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 12/9/2021. Standard county grant contract. 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 (3 CQ M 44 Board of County Commissioners f0.- eoc. 04 1820 Jefferson Street le 0 ti PO Box 1220 s\,,,,,... Port Townsend, WA 98368 Is III NGr .' Kate Dean,District 1 Heidi Eisenhour,District 2 Greg Brotherton,District 3 December 20, 2021 Forks Chamber of Commerce Lissy Andros P.O. Box 1249 Forks,WA 98331 Dear Lissy Andros, Enclosed for signature are two (2) originals for AGREEMENT re: 2022 Hotel Motel (Lodging Tax) Grant Funding; In the Amount of$64,271; Forks 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 along with Exhibit B attached to your contract. • Insurance shall be obtained 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, Adiel McKnight Executive Assistant Phone (360) 385-9100 Fax (360) 385-9382 jeF1Eocc@co.jefierson.wa.us A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/07/2021 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 Kayla Furford NAME: Callis&Associates,Inc. PHONE (360)452-2314 FAX (360)452-1701 (A/C,No,Ext): (A/C,No): 802 East First Street,Suite 3 E-MAIL SS: certificate@callisinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Port Angeles WA 98362 INSURER A: Sentinel Insurance Company.LTD INSURED INSURER B: Continental Divide Insruance Company Forks Chamber Of Commerce,Inc INSURER C: United States Liability Insurance Company PO Box 1249 INSURER D: INSURER E: Forks WA 98331 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2112707442 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-SUUH POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE 10 REN 1 El..) 1,000,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A Y 52SBAAE0730 12/30/2021 12/30/2022 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECTPRO PRODUCTS-COMP/OPAGG $PRO- LOC 2,0 ,00000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y 05APM015573-05 12/30/2021 12/30/2022 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESSLIAB CLAIMS-MADE CUP1564786 12/28/2021 12/28/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION STATPERUTE X ER ER WA State Stop Gap AND EMPLOYERS'LIABILITY Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A 52SBAAE0730 12/30/2021 12/30/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only.Refer to policy(s)for all applicable terms,conditions,endorsements and exclusions. 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. 615 Sheridan AUTHORIZED REPRESENTATIVE Port Townsend WA 98368 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD