HomeMy WebLinkAboutOlympic Neighbors ARPA JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
CONSENT AGENDA REQUEST
TO: Board of County Commissioners
FROM: Mark McCauley, County Administrator
DATE: March 27,2023
SUBJECT: Request for Board of County Commissioners approval of an American
Rescue Plan Act (ARPA) Grant Agreement with Olympic Neighbors
STATEMENT OF ISSUE: On Monday, February 27, 2023 the Board of County
Commissioners reviewed 48 ARPA grant proposals received from a variety of sources. These
48 proposals were submitted as a result of a BOCC "Last Call" for proposals as it sought to
distribute $834,718 in remaining ARPA funds ($1.692 million in 2023 ARPA funds have yet to
be received). The Board selected 17 projects for funding.
Each Commissioner scored each of the 48 projects individually. Their scores were consolidated
in a spreadsheet and the projects were ranked using these consolidated scores. The Board
discussed each project for the benefit of the public. The Commissioners then made funding
allocations until all but$718 of the funds were allocated and directed the County Administrator
to prepare the appropriate grant agreements.
ANALYSIS: Olympic Neighbors submitted a request for$24,000 to help fund the operation of
their Adult Family Home program. The Board allocated the full $24,000.
A grant agreement funding this project is attached.
FISCAL IMPACT: This request costs $24,000 which will be paid using ARPA funds in Fund
123, Grants Management.
RECOMMENDATION: That the Board of County Commissioners approve the attached grant
agreement.
REVIEWED BY: 7
' Jr
Mark McCaVy, County Administra Date
CONTRACT REVIEW FORM Clear Form:]
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Olympic Neighbors Contract No: Last CaH-0"ic Negbbors 2023
Contract For: Adult Family Home Program Term: Through December 31, 2024
COUNTY DEPARTMENT: County Administrator
Contact Person: Mark McCauley
Contact Phone: 360-385-9130
Contact email: mmccauley&o.jefferson.wa.us
AMOUNT: $24,000 PROCESS: Exempt from Bid Process
Revenue: N/A Cooperative Purchase
Expenditure: $24,000 Competitive Sealed Bid
Matching Funds Required: N/A Small Works Roster
Sources(s) of Matching Funds N/A Vendor List Bid
Fund # 123 RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES C �LIANCE C 3.55s080 AND CHAPT R 42.23 RCW.
CERTIFIED: IF N/A: 3 ,.,;?/Tz
ignature bale
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT EN DEBAR ED B ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: ❑N N/A: Zl Z
Ofinature 4 Da
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically throu L ertiche):
Electronically approved by Risk Management on 3/22/2023.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 3/22/2023.
Standard ARPA grant langauge.
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
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GRANTEE AGREEMENT WITH OLYMPIC NEIGHBORS
This Grantee Agreement ("Agreement") is by and between Jefferson County, a Washington political
subdivision ("County") and Olympic Neighbors, ("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 revenue sharing counties, of which Jefferson
County is one; and
WHEREAS, revenue sharing ARPA funds may be used for any governmental purpose; and
WHEREAS, Grantee has requested ARPA funds to support the operation of their Adult Family
Home program, the goal of which is to enhance community diversity and provide affordable and
supportive housing to adults with intellectual and developmental disabilities; and
WHEREAS, the Jefferson County Board of Commissioners wishes to provide funding for this
purpose 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 $24,000. The Grant is to
be used for the purposes outlined in Exhibit A. These grants funds may be made available
contingent upon receipt of the second tranche of ARPA revenue sharing funds.
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 $24,000 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.
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 the County, 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
1
negligent acts, errors or omissions of the Grantee in performance of this Agreement, except for
injuries and damages caused by the sole negligence of the County. 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 the County, 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 Consultant'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.
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
2
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 Consultant 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.
3
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 RCW 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 Consultant 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 Consultant,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.
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
4
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
Claudia Coppola
Executive Director
Olympic Neighbors
P.O. Box 1923
Port Townsend, WA 98368
Jefferson County
Mark McCauley
County Administrator
Jefferson County Courthouse
1820 Jefferson Street
Port Townsend, WA 98368
Iml2roper 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.
Bindine Effect.This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective successors.
Assi n� 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
6
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 OLYMPIC NEIGHBORS
COMMISSIONERS
By:
By: Claudia Coppola DATE
Greg Brotherton,Chair DATE Executive Director
SEAL:
ATTEST:
Carolyn Gallaway DATE
Clerk of the Board
Approved as to form only:
O' March 22, 2023
Philip C.Hunsucker DATE
Chief Civil Deputy Prosecuting Attorney
EXHIBIT A-SEE THE NEXT PAGE
( Creating home and community for people with intellectual and developmental disabilities
:y
FCUU�
Jefferson County Administrators' Office
1820 Jefferson St.
Port Townsend, WA 98368
February 3, 2023
Re: Request for Jefferson County ARAP funds
Dear Jefferson County Board of Commissioners,
Olympic Neighbors (ON) is pleased to present this proposal for your review. We are requesting
$24,000 to support to the operation of our Adult Family Home program. ON is committed to
enhancing community diversity and to providing affordable and supportive housing to adults with
intellectual and developmental disabilities (IDD).
Olympic Neighbors is a 501(c)3 that provides adults with IDD in Jefferson County safe, affordable
housing and 24-hour staff support. We operate the only residential home of this kind in the
county.There are over 14,000 adults with IDD living with an aging parent across the state and at
least 100 in our community alone. As parents age and can no longer care for their disabled adult
children, the need for more affordable and supportive housing becomes critical. Our model is cost-
effective, inclusive, offers a good quality of life and helps one the most vulnerable populations
avoid homelessness or institutionalization.
We hope to expand our services over time. While still in the preliminary phase, ON is in discussions
to build a home on Habitat's land in Port Hadlock. We are creating the administrative
infrastructure to grow. Having more homes leads to economies of scale -allowing ON to serve
more people without significant increase to fundraising needs.
Washington is ranked 39th in the Nation for funding IDD housing services. State funds cover 65%of
costs and we fundraise the additional amount. Olympic Neighbors is successful in meeting
financial goals each year through grants, fundraising events and individual donations. The State
has approved an unprecedented 30% rate increase over the next two fiscal years. Your support
would allow us to cover rent, utilities and groceries until that additional funding comes in.
We look forward to submitting a full request or answering additional questions.
Sincerely,
Claudia Coppola Executive Director
Olympic Neighbors
Claudia@olympicneighbors.org
(706) 296-4091
PO Box 1923, Port Townsend, WA 98368 www,olympicneighbors.org
veymplu 1veiyfluu1b
Budget Overview: 2023 Budget
January - December 2023
Revenue
Grants
Corporate Grants
Foundation Grants 15,000
Government Grants 24,000
Total Grants 39,000
Non-Profit Revenue
Donations regular 40,000
Corporate Donations 5,000
Pledged Donations 271250
Total Non-Profit Revenue 72,250
Special Events
Porch Fest 33,000
Other Special Events 10,000
Total Special Events 43,000
Program Fees
DSHS/DDA AFH Payments 275,940
Program Fees 110,000
LTC Training Reimbursement 1,500
Total Program Fees 387,440
Reserves
Total Revenue 541,690
Expenditures
Advertising & Marketing 4,700
Gym membership 3,000
House Groceries 10,000
Household Supplies 3,000
Insurance 9,727
Legal & Professional Services j 14,360
Licenses & Fees 3,000
Client Activities 1,200
Office Supplies & Software 4,300
Company Contributions IRA 7,385
Health Insurance 35,491
L & I Tax 9,000
Medicare Tax 5,000
Social Security Tax 18,527
State Unemployment Tax 2,200
Wages 357,000
Total Payroll Expenses 434,603
Rent & Lease 12,000
Office Rent 10,800
Repairs & Maintenance 6,000
Special Event/Fund raising Expenses 8,000
Training 2,500
Transportation Expenses 2,500
Travel 2,000
Utilities 10,000
Total Expenditures 541,690
Net Operating Revenue 0
NPIP
%Ittt4�
2022-2023 RENEWAL SUMMARY
The terms, conditions, and exclusions shown here are brief overviews of the anticipated limits and
coverages included in, but not limited to, the coverages provided by the Non Profit Insurance Program.
The terms and conditions offered may differ from your prior policy and from what you requested in your
submission. This document is not intended to be used as a direct reflection of all coverages or to replace
or alter the policies in any way. Information represented in this Renewal Summary is subject to
change prior to June 1. In the event of differences, the policy will prevail. Participating companies are
non-admitted, unless otherwise stated. Non-admitted companies are not regulated by the Washington
State Insurance Commissioner and are not protected by the Washington State Guaranty Fund. Clear Risk
Solutions will process all surplus lines filings on any excess and surplus lines policies, if applicable, on
behalf of NPIP. The Policy is subject to audit. Defense costs are outside the limits for nonprofit members
and inside the limits for independent schools. For claims made coverages, Extended Reporting Periods
are available upon request(information regarding basic ERPs is available in the policy).
Please note the limits shown here represent the combined full limits provided by multiple policies
from various carriers. It is the responsibility of the broker to review this document to confirm its accuracy.
Member/Insured: Producer:
Olympic Neighbors Homer Smith Insurance
PO Box 1923 Smith, Homer
Port Townsend, Washington 98368 PO Box 591
804 Water St.
Port Townsend, Washington 98368
Policy Term: 06/01/2022 to 06/01/2023
Member Coverage Number: NPIP222360581
Member Since: 10/1/2016
Authorized Signature:
4/22/2022 NPIP 2022-2023 Renewal Summary Page 1
Coverage#: NPIP222360581
Member: Olympic Neighbors
RENEWAL SUMMARY
PROPERTY COVERAGE PART
Item 1. NPIP Retained Limit:
Real and Personal Property Each Occurrence $250,000
Coverage Part
Item 2. Limit of Insurance:
Real and Personal Property Each Occurrence $75,000,000 Per all Members
Coverage Part of the Group Combined
Item 3. Sublimit of Insurance:
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
the Real and Personal Property Coverage Part. These sublimits apply excess of the Real and Personal Property
Coverage Part Retained Limit shown above. Sublimits applicable in excess of the American Alternative Insurance
Corporation policy are per occurrence.
Accounts Receivable $100,000 Per Member
Additions,Alterations and Repairs N/A
Business Income and Extra Expense $250,000 + scheduled per Member
Computer Systems $1,000,000 Each Occurrence, Per Member
Electronic Data and Media $250,000 Each Occurrence, Per Member
Computer Systems and Electronic Data and Media $10,000,000 Annual Group Aggregate
Contractors' Equipment $100,000 Per Member
Debris Removal Lesser of 20% or$500,000 Per Member
Fine Arts $100,000 Per Member
Newly Acquired or Constructed Property, Real and $1,000,000 Per Member
Personal Property
Ordinance or Law
Undamaged Portion of Building 100% of value of damaged building Per Property
Schedule
Increased Costs of Construction Lesser of 25% of value of damaged building or
$500,000 Per Member
Costs of Demolition Lesser of 25% of value of damaged building or
$500,000 Per Member
Personal Property in Transit $100,000 Per Member
Pollutant Clean Up and Removal $100,000 Annual Group Aggregate
Property Off-Premises $250,000 Per Member
Valuable Papers and Records including cost of research $100,000 Per Member
Personal Property Owned by Employees—Per Employee $5,000
Personal Property Owned by Employees—Each $50,000
Occurrence
Personal Property Owned by Employees—Annual Group $250,000
Aggregate
Personal Property of Others—Per Person $5,000
Personal Property of Others—Each Occurrence $50,000
Personal Property of Others—Annual Group Aggregate $50,000
Fire Department Service Charge $25,000 Per Member
Business Income and Extra Expense for Utility Service $250,000 Per Member
Interruption
Unnamed Locations $250,000 Per Member
Artificial/Paved Surfaces $200,000 Per Member
Sewer, Drain or Sump Back-up or Over Flow $25,000
4/22/2022 NPIP 2022-2023 Renewal Summary Page 2
Item 4. Additional Coverages/Endorsements:
Flood - Each Occurrence and Annual Aggregate Per Excluded
Member Property located at the time of loss in any
flood zone identified by FEMA as Zones A,
AO, AH, Al through 30, AE, A99, AR,
AR/Al through 30, AR/AE, AR/AO, AR/AH,
AR/A, VO, V1 through 30, VE and V; or
hold a similar high risk FEMA rating are
excluded.
Flood—Group Annual Aggregate $25,000,000
Earthquake—Each Occurrence and Annual Aggregate Per Excluded
Member
Earthquake— Group Annual Aggregate $25,000,000
Auto Physical Damage (except while in transit) $2,000,000
Auto Physical Damage (while in transit) $300,000
Margin Clause The most we will pay for Ultimate Net Loss in any
one occurrence at a premises described in
the Property Schedule on file with the Insurer
is 125% of the values shown on such
schedule on file with the Insurer for Real
Property and Personal Property at such
described premises. This margin clause does
not apply to Increased Cost of Construction
or Demolition Costs as provided under the
Ordinance or Law Coverage Extension,
Debris Removal Coverage Extension,
Pollutant Clean Up and Removal and the Fire
Department Service Charge Coverage
Extension, all subject to the Real and
Personal Property Coverage Part Limit of
Insurance and other policy terms and
conditions.
Item 5. Deductibles:
The NPIP Program Retention listed above is in addition to the deductibles listed below.
Real and Personal Property
(except Earthquake, Flood, and Auto Physical Damage for Scheduled Automobiles)
Real and Personal Property Each Occurrence See Schedule
Miscellaneous Equipment Each Occurrence $500
1. Earthquake: Excluded
2. Flood: Excluded
3. Automobile Physical Damage for Scheduled Automobiles: See Schedule
4. Rental Vehicles: $500 Per Occurrence.
4/22/2022 NPIP 2022-2023 Renewal Summary Page 3
Coverage#: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
EQUIPMENT BREAKDOWN COVERAGE
Item 1. NPIP Retained Limit:
Equipment Breakdown Coverage One Accident $50,000
Item 2. Limit of Insurance:
Equipment Breakdown Coverage One Accident $75,000,000
Item 3. Sublimits of Insurance:
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
Equipment Breakdown Coverage. These sublimits apply excess of the Equipment Breakdown Coverage Retained
Limit shown above.
Expediting Expenses Included
Hazardous Substances $1,000,000
Spoilage $500,000
Electronic Data Restoration $100,000
Service Interruption $100,000
Business Income Included
Extra Expense Combined with Business Income
Contingent Business Income $100,000
Property Off Premises $100,000
Extended Period of Restoration: 60 days
Newly Acquired Locations Included; 365 days
Service Interruption Waiting Period: 24 hours
Item 4. Deductibles:
Equipment Breakdown Coverage Part $1,000 Each Accident
4/22/2022 NPIP 2022-2023 Renewal Summary Page 4
Coverage#: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
CRIME COVERAGE PART
Item 1. NPIP Retained Limit:
Crime Coverage Part Each Occurrence $250,000
Item 2. Limit of Insurance:
Crime Coverage Part Each Occurrence/MemberAgg $1,000,000
Crime Coverage Part Group Aggregate $5,000,000
Coverage for ERISA Plans is provided within the Crime Coverage Part. Please refer to the policy
for all terms, conditions and exclusions related to ERISA coverage.
Item 3. Sublimits of Insurance
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
the Crime Coverage Part. These sublimits apply excess of the Crime Coverage Part Retained Limit shown
above.
Employee Theft-Per Loss Coverage $1,000,000
Employee Theft-Per Employee Coverage Not Applicable
Forgery or Alteration $1,000,000
Inside the Premises-Money and Securities $100,000
Inside the Premises—Robbery or Safe Burglary of Other $100,000
Property
Outside the Premises-Money and Securities $100,000
Computer Fraud $100,000
Funds Transfer Fraud $100,000
Money Orders Counterfeit Paper Currency $100,000
Item 4. Deductibles:
The NPIP Program Retention listed above is in addition to the deductibles listed below.
Employee Theft-Per Loss Coverage $500 Each Occurrence
Forgery or Alteration $500 Each Occurrence
Inside the Premises-Money and Securities $500 Each Occurrence
Inside the Premises—Robbery or Safe Burglary of Other $500 Each Occurrence
Property
Outside the Premises-Money and Securities $500 Each Occurrence
Computer Fraud $500 Each Occurrence
Funds Transfer Fraud $500 Each Occurrence
Money Orders Counterfeit Paper Currency $500 Each Occurrence
4/22/2022 NPIP 2022-2023 Renewal Summary Page 5
Coverage #: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
GENERAL LIABILITY COVERAGE PART
Item 1. NPIP Retained Limit:
General Liability Coverage Part Each Occurrence $250,000
Item 2. Limit of Insurance
General Liability Coverage Part Each Occurrence Per Member $1,000,000
General Liability Coverage Part Member Aggregate $2,000,000
Group Aggregate $50,000,000
Item 3. Sublimits of Insurance and Additional Coverages/Endorsements:
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
the General Liability Coverage Part. These sublimits apply excess of the General Liability Coverage Part Retained
Limits shown above.
General Liability
Fire Legal Liability $1,000,000 Each Occurrence Per Member
Damage to Leased or Rental Premises $250,000 Each Occurrence Per Member
Employee Benefits Liability (Claims-Made Form) $1,000,000 Each Claim Per Member
Employee Benefits Liability (Claims-Made Form) $1,000,000 Member Aggregate
Employer's Liability $1,000,000 Each Occurrence Per Member
Employer's Liability $2,000,000 Member Aggregate
$10,000,000 Group Aggregate
Sexual Abuse(Claims Made Form) $1,000,000 Each Claims Made Per Member
Sexual Abuse (Claims Made Form) $2,000,000 Member Aggregate
$20,000,000 Group Aggregate
Failure to Supply $250,000 Each Occurrence Per Member
Garage Liability $1,000,000 Each Accident Per Member
Medical Expenses—Each Person (Excludes $5,000
Students)
Medical Expenses—Each Accident $25,000
Traumatic Event Response Coverage:
Crisis Expense Sublimit $100,000
Crisis Property Improvements Sublimit Included in Crisis Expense Sublimit
Traumatic Event Response Group Aggregate $250,000
Item 4. Retroactive Dates:
Employee Benefits Liability—Primary $1,000,000 10/1/2016
Sexual Abuse Liability—Primary $1,000,000 10/1/2016
Item 5. Deductibles:
General Liability $0 Per Occurrence
4/22/2022 NPIP 2022-2023 Renewal Summary Page 6
Coverage#: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
AUTOMOBILE LIABILITY COVERAGE PART
Item 1. NPIP Retained Limit:
Automobile Liability Coverage Part Each Accident $250,000
Item 2. Limit of Insurance
Automobile Liability Coverage Part Each Accident Per Member $1,000,000
Automobile Liability Coverage Part Group Aggregate N/A
Item 3. Sublimits of Insurance and Additional Coverages/Endorsements:
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
the Automobile Liability Coverage Part. These sublimits apply excess of the Automobile Liability Coverage Part
Retained Limits shown above.
Automobile Liability
Auto UM/UIM Excluded
Garagekeepers Liability $1,000,000 Each Accident Per Member
Hired Physical Damage $250,000 Each Accident Per Member
Automobile Medical Expenses—Each Person $5,000
(Excludes Students)
Automobile Medical Expenses—Each Accident $25,000
Item 4. Deductibles:
Automobile Liability See Schedule Each Accident
4/22/2022 NPIP 2022-2023 Renewal Summary Page 7
Coverage #: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
WRONGFUL ACTS LIABILITY COVERAGE PART
Item 1. NPIP Retained Limit:
Wrongful Act Liability Coverage Part Each Wrongful Act $250,000
Miscellaneous Professional Liability Coverage Part Each Wrongful Act $250,000
Item 2. Limit of Insurance:
Claims-Made Form
Wrongful Act Liability Coverage Part Each Wrongful Act Per Member $1,000,000
(Includes Directors &Officers)
Wrongful Act Liability Coverage Part Member Aggregate $1,000,000
(Includes Directors & Officers)
Group Aggregate $40,000,000
Miscellaneous Professional Liability Each Wrongful Act Per Member $1,000,000
Coverage Part
Miscellaneous Professional Liability Member Aggregate $1,000,000
Coverage Part
Group Aggregate $40,000,000
Item 3. Sublimits of Insurance and Additional Coverages/Endorsements:
The Sublimits of Insurance shown below are part of and not in addition to the Limit of Insurance shown above for
the Wrongful Act Liability Coverage Part. These sublimits apply excess of the Wrongful Act Liability Coverage
Part Retained Limits shown above.
Fiduciary Liability $1,000,000 Each Wrongful Act and Member Aggregate
Sexual Harassment $1,000,000 Each Wrongful Act and Member Aggregate
Item 4. Retroactive Dates:
Wrongful Acts Liability—Primary $1,000,000 10/1/2016
Miscellaneous Professional Liability—Primary $1,000,000 10/1/2016
Sexual Harassment—Primary $1,000,000 10/1/2016
Fiduciary Liability—Primary $1,000,000 10/1/2016
Item 5. Deductibles:
Wrongful Acts: $1,000 Each Wrongful Act
Miscellaneous Professional: $1,000 Each Wrongful Act
4/22/2022 NPIP 2022-2023 Renewal Summary Page 8
Coverage#: NPIP222360581
Insured: Olympic Neighbors
RENEWAL SUMMARY
PRIVACY, SECURITY AND TECHNOLOGY COVERAGE
Item 1. NPIP Retained Limit: $100,000
Item 2. Deductible:
All Coverages $2,500 Per Claim
Except Loss of Business Income 18 Hours waiting period
Item 3. Limit of Insurance:
Member Annual Policy Aggregate $1,000,000
Group Combined Policy Aggregate $5,000,000
Item 4. Sublimits of Coverage:
The Sublimits of Coverage shown below do not increase the overall Limits listed above.
a. Media Liability Per Claim and Aggregate $1,000,000
b. Privacy and Cyber Security Liability Per Claim and Aggregate $1,000,000
C. Privacy Regulatory Defense, Awards and Fines Per Claim and Aggregate $1,000,000
d. Payment Card Industry Data Security Standard Fines Per Claim and Aggregate $250,000
and Costs
e. Business Interruption and Extra Expense Each Occurrence and Aggregate $250,000
f. Business Interruption System Failure Each Occurrence and Aggregate $250,000
g. Dependent Business Interruption Each Occurrence and Aggregate $250,000
h. Dependent Business Interruption System Failure Each Occurrence and Aggregate $250,000
i. Data Recovery Each Occurrence and Aggregate $250,000
j. Cyber Extortion and Ransomware Each Occurrence and Aggregate $250,000
k. Data Breach Response & Crisis Management Each Occurrence and Aggregate $250,000
I. Cyber Crime Each Occurrence and Group $100,000
Aggregate
m. Utility Fraud Each Occurrence and Group $100,000
Aggregate
n. Voluntary Shutdown Each Occurrence and Aggregate $250,000
o. Consequential Reputation Loss Endorsement Each Occurrence and Aggregate $250,000
p. Bricking Coverage Each Occurrence and Aggregate $250,000
Item 5. Retro Active Date: (Coverages a., b., c., and d. above) Full Prior Acts
4/22/2022 NPIP 2022-2023 Renewal Summary Page 9
PARTICIPATING CARRIERS
THE FOLLOWING CARRIERS ARE ANTICIPATED TO PARTICIPATE IN THE DESIGNATED PORTIONS OF
THE MASTER POLICY. CARRIERS ARE SUBJECT TO CHANGE PRIOR TO JUNE 1, 2022.
PROPERTY COVERAGE:
(Limits listed below reflect the carrier's respective participation in the Combined Group Limit, per
Occurrence)
American Alternative Insurance Corporation, a A+XV(Admitted) Primary $10M
member of Munich-American Holding
Corporation
Axis Surplus Insurance Company A XV(Non-Admitted) Part of$65M excess $10M
RSUI Indemnity Company A+XIV (Admitted) Part of$65M excess $10M
Arch Specialty Insurance Company A+XV(Non-Admitted) Part of$65M excess $10M
Independent Specialty Insurance Company A X(Non-Admitted) Part of$65M excess $10M
Interstate Fire & Casualty Company A+XV(Non-Admitted) Part of$65M excess $10M
Certain UW Lloyds A XV(Non-Admitted) Part of$65M excess $10M
Certain UW Lloyds, London Syndicate 2357 A XV(Non-Admitted) Part of$65M excess $10M
EARTHQUAKE COVERAGE:
(Limits listed below reflect the carrier's respective participation in the Combined Group Aggregate Limit)
Munich Earthquake Tower Option: $25,000,000 Combined Group Aggregate
American Alternative Insurance Corporation, a A+XV(Admitted) Primary $10M
member of Munich-American Holding
Corporation
Axis Surplus Insurance Company A XV (Non-Admitted) Part of$15M excess$10M
RSUI Indemnity Company A+XIV(Admitted) Part of$15M excess$10M
Arch Specialty Insurance Company A+XV(Non-Admitted) Part of$15M excess$10M
Independent Specialty Insurance Company A X (Non-Admitted) Part of$15M excess$10M
Interstate Fire & Casualty Company A+XV(Non-Admitted) Part of$15M excess$10M
Certain UW Lloyds A XV(Non-Admitted) Part of$15M excess$10M
Certain UW Lloyds, London Syndicate 2357 A XV(Non-Admitted) Part of$15M excess$10M
Peachtree Earthquake Tower Option: $25,000,000 Combined Group Aggregate
Landmark American Insurance Company A+XIV (Non-Admitted) Part of$25M
Arch Specialty Insurance Company A+XV(Non-Admitted) Part of$25M
EQUIPMENT BREAKDOWN COVERAGE:
(Limits listed below reflect the carrier's respective participation in the Combined Group Limit, per
Occurrence)
American Alternative Insurance Corporation, a A+XV(Admitted) Primary$10M
member of Munich-American Holding
Corporation
Axis Surplus Insurance Company A XV(Non-Admitted) Part of$65M excess $10M
RSUI Indemnity Company A+XIV(Admitted) Part of$65M excess $10M
Arch Specialty Insurance Company A+XV(Non-Admitted) Part of$65M excess $10M
Independent Specialty Insurance Company A X (Non-Admitted) Part of$65M excess $10M
Interstate Fire & Casualty Company A+XV(Non-Admitted) Part of$65M excess$10M
Certain UW Lloyds A XV (Non-Admitted) Part of$65M excess$10M
Certain UW Lloyds, London Syndicate 2357 A XV (Non-Admitted) Part of$65M excess$10M
CRIME COVERAGE:
American Alternative Insurance Corporation, a A+XV(Admitted) $5M Combined Group Aggregate
member of Munich-American Holding
Corporation
GENERAL LIABILITY COVERAGE:
American Alternative Insurance Corporation, a A+XV(Admitted) $50M Combined Group
member of Munich-American Holding Aggregate
Corporation
4/22/2022 NPIP 2022-2023 Renewal Summary Page 10
AUTO LIABILITY COVERAGE:
American Alternative Insurance Corporation, a member of Munich-American A+XV(Admitted)
Holding Corporation
WRONGFUL ACTS LIABILITY COVERAGE:
Princeton Excess& Surplus Lines Ins Co, a A+XV(Non-Admitted) $40M Combined Group
member of Munich-American Holding Aggregate
Corporation
MISCELLANEOUS PROFESSIONAL LIABILITY COVERAGE:
Princeton Excess& Surplus Lines Ins Co, a A+XV(Non-Admitted) $40M Combined Group
member of Munich-American Holding Aggregate
Corporation
THE CARRIERS BELOW PROVIDE COVERAGE FOR THE FOLLOWING LINES OF BUSINESS ON A
SEPARATE MASTER POLICY:
PRIVACY, SECURITY AND TECHNOLOGY:
(Limits listed below reflect the carrier's respective participation in the Combined Group Aggregate Limit)
Indian Harbor Insurance Company A+XV(Non-Admitted) Primary$5M
4/22/2022 NPIP 2022-2023 Renewal Summary Page 11