HomeMy WebLinkAboutMason County Public Utility District (PUD) No. 1 re: ARPA Assistance (ins ex 01.01.25) - $100,000 - 021323GRANTEE AGREEMENT WITH MASON COUNTY PUBLIC UTILITY DISTRICT
NO. 1
This Grantee Agreement ("Agreement") is by and between Jefferson County, a Washington political
subdivision ("County") and Mason County Public Utility District No. 1, ("Grantee").
WHEREAS, on March 11, 2021, President Biden signed the American Rescue Plan Act (ARPA)
into law; and
WHEREAS, the ARPA has allocated funds to counties, of which Jefferson County is one; and
WHEREAS, ARPA funds may be used for any various purposes; and
WHEREAS, Grantee is embarking on an effort to bring broadband access to certain parts of
South Jefferson County; and
WHEREAS, The Grantee is seeking ARPA funds to help advance the project: and
WHEREAS, Jefferson County agrees that making broadband accessible to south County residents
is a high priority for this community: and
WHEREAS, the Jefferson County Board of Commissioners committed to provide $100,000 in
ARPA funds to this project and directed the County Administrator to bring forth a grant agreement
to make said funds available to the Grantee:
NOW, THEREFORE, in consideration of the foregoing recitals, which are incorporated herein by
reference, and the terms and conditions set forth below, the parties agree as follows:
Grant Amount and Grantee's Use of Grant Funds. The Grant amount is $100,000. The Grant is to
be used for the purposes outlined in Exhibit A.
Reporting Requirements. Grantee will submit a report to the County following the completion of
the project. The report will include information regarding the usage of the $100,000 grant amount
and the completed project.
Effective Date and Term. This Agreement shall commence on the date when last executed by the
parties and remain in effect until the Grant is exhausted but prior to December 31, 2026.
Termination. The County may terminate this Agreement, for convenience or otherwise and for no
consideration or damages, upon prior notice to the Grantee.
Independent Grantee. Each party under this Agreement shall be for all purposes an independent
Grantee. Nothing contained herein will be deemed to create an association, a partnership, a joint
venture, or a relationship of principal and agent, or employer and employee between the parties.
The Grantee shall not be, or be deemed to be, or act or purport to act, as an employee, agent, or
representative of the County for any purpose.
Indemnification. The Grantee shall defend, indemnify and hold either Client, its officers,
officials, employees, agents and volunteers (and their marital communities) harmless from any
claims, injuries, damages, losses or suits, including attorney's fees, arising out of or resulting
from the acts, errors or omissions of the Grantee in performance of this Agreement, except for
injuries and damages caused by the sole negligence of the Client. Should a court of competent
jurisdiction determine this Agreement is subject to RCW 4.24.115 if liability for damages occurs
arising out of bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Grantee and either Client, its officers, officials, employees, agents
and volunteers (and their marital communities) the Grantee's liability, including the duty and
cost to defend, shall be only for the Grantee's negligence. It is further specifically understood
that the indemnification provided constitutes the Grantee's waiver of immunity under Industrial
Insurance, Title 51 RCW, solely for the purposes of this indemnification. This waiver has been
mutually negotiated by the parties. This section shall survive the expiration or termination of
this Agreement.
Required Liability Coverages. Prior to commencing work, the Grantee shall obtain at its own cost
and expense the following coverage specified below either by a policy of insurance or by an
agreement with a "Risk Pool" created pursuant to Ch. 48.62 RCW such as the Washington Cities
Insurance Authority and shall keep such coverage in force during the terms of the Agreement.
Commercial Automobile Liability coverage 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 in connection with
the Grantee's performance of his Agreement. This coverage shall indicate on the certificate the
following coverage: (a) Owned automobiles; (b) Hired automobiles; and, (3) Non -owned
automobiles.
Commercial General Liability. Coverage in an amount not less than a single limit of $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 commercial general liability 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 coverage for products and
completed operations;
d. Premises — Operations Liability (M&C);
e. Blanket Contractual Liability.
Such coverage shall be evidenced by one of the following methods: (a) Certificate of Coverage;
or, (b) Self-insurance through an irrevocable Letter of Credit from a qualified financial institution.
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The Grantee shall furnish the County with properly executed certificates of coverage 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, P.O. Box 1220, Port
Townsend, WA 98368, and, (d) A statement that the coverage shall not be canceled or allowed to
expire except on thirty (30) days prior written notice 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.
Failure of the Grantee to take out or maintain any required coverage shall not relieve the Grantee
from any liability under this Agreement, nor shall the coverage requirements be construed to
conflict with or otherwise limit the obligations concerning indemnification of the County.
The Grantee'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 coverage, with the exception of Professional Liability coverage, so affected shall protect all
the parties and shall be primary coverage for all losses covered by the above described insurance.
Insurance companies or risk pools issuing the Grantee's coverages 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 agreement providing coverage.
All deductibles in the Grantee's coverages shall be assumed by and be at the sole risk of the
Grantee.
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 or risk
pool shall reduce or eliminate deductibles or self -insured retention, or the Grantee shall procure a
bond guaranteeing payment of losses and related investigations, claim administration and defense
expenses.
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
Grantee until the Grantee shall furnish additional security covering such judgment as may be
determined by the County.
Any coverage for third party liability claims provided to the County by a "Risk Pool" created
pursuant to Ch. 48.62 RCW shall be non-contributory with respect to any coverage the Grantee
shall provide to comply with this Agreement.
The County may, upon the Grantee's failure to comply with all provisions of this Agreement
relating to coverage, withhold payment or compensation that would otherwise be due to the
Grantee.
The Grantee shall provide a copy of all agreements providing any coverage specified in this
Agreement.
Written notice of cancellation or change in the Grantee's coverage required by this Agreement
shall reference the project name and agreement number and shall be mailed to the County at the
following address: Jefferson County Risk Management, P.O. Box 1220, Port Townsend, WA
98368.
The Grantee's liability coverage 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.
Any failure to comply with reporting provisions of any agreement providing coverage shall not
affect coverage provided to the County, its officers, officials, employees, or agents.
The Grantee's coverage shall apply separately to each insured against whom claim is made or suit
is brought, except with respect to the limits of liability.
The Grantee shall include all Sub -Grantees as persons covered under its coverages or shall furnish
separate certificates and endorsements for each Sub -Grantee. All coverage for Sub -Grantees shall
be subject to all the requirements stated in this Agreement.
The coverage limits mandated for any coverage required by this Agreement are not intended to be
an indication of exposure nor are they limitations on indemnification.
The Grantee shall maintain all required coverages in force from the time services commence until
services are completed. Certificates, coverages, and endorsements expiring before completion of
services shall be promptly replaced. All the coverages 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 County Risk Manager by registered mail, return receipt
requested.
The Grantee shall place coverages with a "Risk Pool" created pursuant to Ch. 48.62 RC W or 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.
The County reserves the right to request additional coverage on an individual basis for extra
hazardous contracts and specific service agreements.
Worker's Compensation (Industrial Insurance).
If and only if the Grantee 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 Grantee, the Grantee shall maintain workers' compensation insurance at its own expense,
as required by Title 51 RCW, for the term of this Agreement and shall provide evidence of
coverage to Jefferson County Risk Management, upon request.
Worker's compensation insurance covering all employees with limits meeting all
applicable state and federal laws. This coverage shall include Employer's Liability with limits
meeting all applicable state and federal laws.
This coverage shall extend to any Sub -Grantee that does not have their own worker's
compensation and employer's liability coverage.
11
The Grantee 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.
If the County incurs any costs to enforce the provisions of this subsection, all cost and fees
shall be recoverable from the Grantee.
Compliance with Laws. Guidelines. The Grantee shall comply with all federal, state, and local
laws and all requirements (including certifications and audits), to the extent applicable, when
seeking Reimbursement.
Maintenance and Audit of Records. The Grantee shall maintain records, books, documents, and
other materials relevant to its performance under this Agreement. These records shall be subject
to inspection, review and audit by the County or its designee, the Washington State Auditor's
Office. If it is determined during the course of the audit that the Grantee was reimbursed for
unallowable costs under this Agreement or any, the Grantee agrees to promptly reimburse the
County for such payments upon request.
Notices. Any notice desired or required to be given hereunder shall be in writing, and shall be
deemed received five (5) days after deposit with the U.S. Postal Service, postage fully prepaid,
certified mail, return receipt requested, and addressed to the party to which it is intended at its last
known address, or to such other person or address as either party shall designate to the other from
time to time in writing forwarded in like manner:
Grantee
Kristen Masteller
General Manager
21971 N. Hwy. 101
Shelton, WA 98584
Jefferson County
Mark McCauley
County Administrator
Jefferson County Courthouse
1820 Jefferson Street
Port Townsend, WA 98368
Improper Influence. Each party warrants that it did not and will not employ, retain, or contract
with any person or entity on a contingent compensation basis for the purpose of seeking, obtaining,
maintaining, or extending this Agreement. Each party agrees, warrants, and represents that no
gratuity whatsoever has been or will offered or conferred with a view towards obtaining,
maintaining, or extending this Agreement.
Conflict of Interest. The elected and appointed officials and employees of the parties shall not
have any personal interest, direct or indirect, which gives rise to a conflict of interest.
Time. Time is of the essence in this Agreement.
5
Survival. The provisions of this Agreement that by their sense and purpose should survive
expiration or termination of this Agreement shall so survive. Those provisions include without
limitation Indemnification and Maintenance and Audit of Records.
Amendment. No amendment or modification to this Agreement will be effective without the prior
written consent of the authorized representatives of the parties.
Governing Law; Venue. This Agreement will be governed in all respects by the laws of
Washington state, both as to interpretation and performance, without regard to conflicts of law or
choice of law provisions. Any action arising out of or in connection with this Agreement may be
instituted and maintained only in a court of competent jurisdiction in Jefferson County,
Washington or as provided by RCW 36.01.050.
Non -Waiver. No failure on the part of the County to exercise, and no delay in exercising, any right
hereunder shall operate as a wavier thereof; nor shall any single or partial exercise by the County
of any right hereunder preclude any other or further exercise thereof or the exercise of any other
right. The remedies herein provided are cumulative and not exclusive of any remedy available to
the County at law or in equity.
Bindiniz Effect. This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective successors.
Assignment. Neither party shall assign or transfer any of its interests in or obligations under this
Agreement without the prior written consent of the other party.
Entire Agreement. This Agreement constitutes the entire agreement between the County and the
Grantee for the use of funds received under this Agreement and it supersedes all prior or
contemporaneous communications and proposals, whether electronic, oral, or written between the
parties with respect to this Agreement.
No Third Party Beneficiaries. Nothing herein shall or be deemed to create or confer any right,
action, or benefit in, to, or on the part of any person or entity that is not a party to this Agreement.
This provision shall not limit any obligation which either party has to the Washington State
Department of Commerce of these grant funds, including the obligation to provide access to
records and cooperate with audits as provided in this Agreement.
Severability. In the event that one or more provisions of this Agreement shall be determined to be
invalid by any court of competent jurisdiction or agency having jurisdiction thereof, the remainder of
this Agreement shall remain in full force and effect and the invalid provisions shall be deemed deleted.
Counterparts. This Agreement may be executed in counterparts, any of which shall be deemed an
original but all of which together shall constitute one and the same instrument.
Authorization. Each party warrants to the other party, that the person executing this Agreement
on its behalf has the full power and authority to do so.
Public Records Act. Notwithstanding any 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 be amended), the Grantee agrees to maintain all records constituting public records
2
and to produce or assist the County in producing such records, within the time frames and
parameters set forth in state law. The Grantee also agrees that upon receipt of any written public
record request, Grantee shall, within two business days, notify the County by providing a copy of
the request per the notice provisions of this Agreement.
(SIGNATURES APPEAR ON THE NEXT PAGE)
7
IN WITNESS WHEREOF, this Agreement is executed and shall become effective as of the last date
signed below.
JEFFERSON COUNTY BOARD OF
COMMISSIONLS
By: Z�
Greg.Brotherton, Chair DATE
SEAL: �
ATTEST:
r- C . Yt 3 23
Carolyn CAllaway DATE
Clerk of the Board
Approved asdto form only:
February 10, 2023
Philip C. Hunsucker DATE
Chief Civil Deputy Prosecuting Attorney
MASON COUNTY PUBLIC UTILITY
DISTRICT NO. I
By: W-1�(�
Kristin Masteller DATE
General Manager
IN WITNESS WHEREOF, this Agreement is executed and shall become effective as of the last date
signed below.
JEFFERSON COUNTY BOARD OF
COMMISSIONERS
Greg Brotherton, Chair
SEAL:
ATTEST:
Carolyn Gallaway
Clerk of the Board
Approved as to form only:
167.11M
DATE
Philip C. Hunsucker DATE
Chief Civil Deputy Prosecuting Attorney
MASON COUNTY PUBLIC UTILITY
DISTRICT NO. 1
By{;� Z ! 4*�
istin Masteller 02/03/2023
General Manager
EXHIBIT A
4, , UN
INVITATION TO BID
January 20, 2022 ENGINEERS ESTIMATE: $1,480,WW
Notice is hereby given for the submittal of sealed bids for construction of Hood Canal-101 PhaseTwo
Broadband Project for Mason County PUD No. 1(Owner) and Hood Canal Communications.
The Hood Canal-101 Broadband Project is a joint project between Hood Canal Communications and Mason
County PUD 1 to install Fiber along US Highway 101. Due to the age and size of the PUD's poles, there are
158 poles that have been identified for replacement. This project includes the replacement of 158 utility
poles along Highway 101 including the transfer of live power, and existing communications attachments.
The project spans approximately 5.8 miles from North of Forest Dr., Brinnon WA (MP 314.33) to Mt. Walker
Rd., Brinnon WA (MP 301.51).
This pole replacement is noncontiguous along US HWY 101. Alternating single lane traffic control will be
necessary for all Highway work.
Forty-one poles will be replaced along Dosewallips Rd. A single pole is to be replaced along Duckabush Rd.
Both Dosewallips and Duckabush are county owned roadways that will require single lane alternating traffic
control.
The District will provide all poles required for project completion.
All materials, including consumables, will be purchased by the Contractor outside of the materials
provided. The Contractor will provide all labor, equipment, testing, and consumable parts to complete
the project. The Contractor also will provide conductor, insulators, conduit to complete the project, this
is not an exhaustive list.
Bids must be physically received by Mason County PUD 1, at 21971 N. Highway 101, Shelton WA 98584 no
later than 4:00 p.m. PST on February 17, 2023, (post marks will not be recognized) at which time all
complying bids shall be publicly opened and read aloud at the PUD 1 office at 4:30 p.m. via Zoom. Bid
documents may be obtained from the Mason County PUD 1 website by visiting: https://mason
pudl org/bids/
It is required that prospective bidders visit the project area and visually confim understanding of work and
construction. Please check in at the Mason County PUD 1 office when onsite to verify visit.
ANTICIPATED PROJECT SCHEDULE:
Notice is hereby Bid Documents Available Online/Advertisement
given for the Virtual Job Show at 9:00 a.m. PST via Zoom
submittal of Bid Opening at 4:30 p.m. PST via Zoom
sealed bids for Notice of Intent to Award
construction of Pre -Construction Conference & Notice to Proceed
Hood Canal-101 Construction Complete
f%s&Wndual lob Walk-through: (https://us02web.zoom.us/j/85485131825)
tt7' 00pening:(https:/Zus02web,zoom.us/j/83290884089 }
Project for
%WQJb6VAMft concerning bid documents, submittal requirements, or technical project information
pV6%b.gngineering Manager lames Reyes at (360) 877-5249 or lanjpsr&rna,on pudi3O
(Owner) and
Hood Canal
0 MASO LINTY
fjo%o*fto%wo&^ ofto
14L
o;l
KABUSH
N
KEY PROJECT LOCATIONS
5+ ACRE LAYDOWN SITE
OPOLE LOCATIONS
0 0.5 1 2 Miles
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO: Board of County Commissioners
FROM: Mark McCauley, County Administrator
DATE: February 13, 2023
SUBJECT: Approval of an American Rescue Plan Act (ARPA) Grant Agreement
with Mason County Public Utility District (PUD) No. 1
STATEMENT OF ISSUE:
At the January 9, 2023 Board of County Commissioners meeting the Board approved moving forward with a $100,000
grant agreement with Mason County PUD No. 1 for providing broadband access to south Jefferson County residents
and directed the County Administrator to bring forward a grant agreement for the Board's consideration.
ANALYSIS:
The attached proposed ARPA grant agreement will provide Mason County PUD No. 1 with $100,000 to assist them in
providing broadband access to south county residents.
FISCAL IMPACT:
Grant is for $100,000 which will be paid out of the Grants Management Fund, Fund 123.
RECOMMENDATION:
That the Board approve the attached grant agreement.
REVIEWED BY:
� �� 3
Mark M uley, County Admini to ate
CONTRACT WITH: Mason
CONTRACT REVIEW FORM
(INSTRUCTIONS ARE ON THE NEXT PAGE)
PUD No. 1 - ARPA Grant Mason PUD 2023
(Name of Contractor/Consultant) Contract No.
COUNTY DEPARTMENT: Countv Administrator
Contact Person: Mark McCaulev
Contact Phone: 360-385-9130
Contact email: mmccauleya..co.iefferson.wa us
AMOUNT: $100,000
Revenue:
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
APPROVAL STEPS:
N/A
$100,000
N/A
N/A
PROCESS:
Exempt from Bid Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
Other:
STEP 1: DEPARTMENT CERTIFIES C PLIA CE W/I C 3.55.t. )80 AND CHAPTER 42.23 RCW.
CERTIFIED: El N/A: a 2-6-23
nature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT EEN DEBARRED Y ANY FEDERAL, STATE, OR LOCAL
AGENCY. ZI
A
�
CERTIFIED: ❑ N/A: _ZY 2 6 23
S` ture t Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically thorough Laserfiche):
Electronically approved by Risk Management on 2/7/2023.
New indeminity language included.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Lasertiche):
Electronically approved as to form by PAO on 2/10/2023.
Thanks for fixing the language.
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
CERTIFICATE OF INSURANCE 12/14/2023
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 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).
THIS IS TO CERTIFY THAT: PUD#1 of Mason County 11"
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N. 21971 Hwy 101 , FEDERATED RURAL ELECTRIC
Shelton, WA 98584 ®INSURANCE EXCHANGE
NAIC:11118
P.O.Box 15147,Lenexa,KS 66285-5147
(913)541-0150 fax(913)541-9004
www.federatedrural.com
IS,AT THE ISSUE DATE OF THIS CERTIFICATE,INSURED BY THE COMPANY UNDER THE POLICY(IES)LISTED BELOW.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.
TYPE OF INSURANCE POLICY NUMBER POLICY DATES LIMITS($)
GENERAL LIABILITY EACH OCCURRENCE $2,000,000
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $2,000,000
OCCURRENCE-BASIS MED EXP(PER PERSON) $1,000
COMPREHENSIVE FORM 1/1/2023 PERSONAL&ADV INJURY $2,000,000
PREMISES/OPERATIONS 46 ARB 026-23 to GENERAL AGGREGATE LIMIT UNLIMITED
UND/EXPLOSION&COLLAPSE 1/1/2025
PRODUCTS/COMP OPS
CONTRACTUAL
BROAD-FORM PROPERTY DAMAGE
NO GENERAL AGGREGATE
AUTOMOBILE 1/1/2023 COMBINED SINGLE LIMIT
ANY AUTO
HIRED&NON-OWNED AUTO 46 ARB 026-23 t0 (EACH ACCIDENT) $2,000,000
GARAGE LIABILITY(ANY AUTO) 1/1/2025 COMP DEDUCTIBLE $100
COLLISION DEDUCTIBLE $500
1/1/2024 WC LIMITS STATUTORY
WORKERS COMPENSATION AND 46 WC 026-24 to E.L.EACH ACCIDENT $100,000
EMPLOYERS LIABILITY E.L.DISEASE EACH EMPLOYEE $100,000
1/1/2025 E.L.DISEASE -POLICY LIMIT $100,000
1/1/2023 PROPERTY LIMIT $20,942,633
ALL-RISK BLANKET PROPERTY 46 ARB 026-23 to
1/1/2025 PROPERTY DEDUCTIBLE $500
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EQUIPMENT/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
It is agreed that where required by mortgage,lease,or other legal agreement,the interests of mortgagees,lessors,and loss payees are insured as their
interests may appear as additional insured's and/or loss payees. Blanket Additional Insured and Waiver of Subrogation are included under General
Liability and Automobile Liability insurance if required by written contract or agreement.
CERTIFICATE HOLDER: CANCELLATION:
JEFFERSON COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
PO BOX 1220 BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF,NOTICE WILL BE DELIVERED IN
PORT TOWNSEND, WA 98368 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE:
FREIE Cert v.8/10
•
This endorsement changes the policy.
111 FEDERATED RURAL ELECTRIC Please read it carefully
; INSURANCE EXCHANGE
Blanket Additional Insured &Waiver of Subrogation Endorsement
46 ARB 026-23 PUD#1 of Mason County
Section II, General Liability and Automobile Liability Insurance, Item F. Persons Insured, is amended to include any person or
organization for whom the policyholder is performing operations when the policyholder and the person or organization have
agreed in writing in a contract or agreement that such person or organization be added as an additional insured or insureds to
this policy. Such person or organization is an additional insured only with respect to liability caused, in whole or in part, by the
policyholder's acts or omissions, or by the acts or omissions of others acting on the policyholder's behalf, provided:
1. The insurance afforded to such additional insured or insureds only applies to the extent permitted by law; and
2. If such coverage is required by written contract or agreement, the insurance afforded will not be broader than that required by
the contract or agreement to be provided to the additional insured or insureds; and
3. If such coverage is required by written contract or agreement, the insurance afforded shall not exceed the limit of insurance
required by the contract or agreement, or the applicable Limit of Liability stated in the Declarations, whichever is less.
4. If required by written contract or agreement, the Company waives any rights of recovery against the additional insureds shown
above because of payments made under Section II, General Liability. Such waiver applies only to the extent that the policyholder
has waived its rights of recovery against such person(s) or organization(s) prior to loss.
5. The following amends General Condition H. Other Insurance, and supersedes any provision to the contrary:
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this
policy provided that:
(1)The additional insured is a Named Insured under such other insurance; and
(2) It is required by written contract or agreement that this insurance would be primary and would not seek contribution from any
other insurance available to the additional insured.
With respect to the insurance afforded to these additional insureds, no coverage shall apply to Personal Injury or Property
Damage arising out of or caused directly or indirectly by providing or failing to provide any professional service. This exclusion
shall not apply to the rendering of emergency first aid or incidental medical service.
A professional service can mean, but is not limited to Personal Injury or Property Damage arising out of the rendering of, or the
failure to render, any architectural, engineering or surveying services, including:
a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field
orders, change orders or drawings and specifications; or
b. Supervisory, inspection, architectural or engineering activities.
This endorsement shall not, in any event, increase the Limit of Liability stated in the Declarations.
All other policy provisions apply.
Misc Blanket Additional Insured(1-21) Page 1 of 1
02020 Federated Rural Electric Insurance Exchange
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