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HomeMy WebLinkAboutYMCA, Olympic Peninsula re: ARPA ins ex 070124 - 032023I01ri-IMC4 OIy raoiGe�- f0t 3J-a3 lf� � - 30. GRANTEE AGREEMENT WITH THE OLYMPIC PENINSULA YMCA This Grantee Agreement ("Agreement") is by and between Jefferson County, a Washington political subdivision ("County") and the Olympic Peninsula YMCA, ("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 help complete the Early Learning Center at the 7 h Haven affordable housing project; and, c� _.G WHEREAS, Jefferson County has a well -documented shortage of such facilities: and ' WHEREAS, the Early Learning Center at Ph Haven will serve 33 children between the ages of �C',,. c/ three to five years: and�- 1 WHEREAS, the Jefferson County Board of Commissioners wishes to provide funding for 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. 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 $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. 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 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. 2 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 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 3 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 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. 4 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 Wendy Bart Chief Executive Officer Olympic Peninsula YMCA 675 N. 5t' Ave., Suite 3A Sequim, WA 98382 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. 5 Time. Time is of the essence in this Agreement 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. Governine 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. Counter arts. 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 Cel 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 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) IN WITNESS WHEREOF, this Agreement is executed and shall become effective as of the last date signed below. JEFFERSON COUNTY BOARD OF COMMISSION RS By: 3 6 3 G Bth%Yton, Chair DATE SEAL: ° r ATTEST: ( I lq kV &L3 2-6Z3 arolyn dallaway DATE Clerk of the Board Approved as to form only: V ` March 16, 2023 Philip C. Hunsucker DATE Chief Civil Deputy Prosecuting Attorney OLYMPIC PENINSULA YMCA By: R&4:y' /�+ -�Z3 Wendy Bart U DATE Chief Executive Officer EXHIBIT A - SEE THE NEXT PAGE the vP February 9, 2023 County Administrator's Office 1820 Jefferson Street Port Townsend, WA 98368 FOR YOUTH DEVELOPMENTO FOR HEALTHY LIVING FOR S0C1AL RESPONSIBILITY Re: Letter of Interest —ARPA Funding for YMCA Early Learning Center at 7th Haven Dear County Commissioners: Based on the lack of available child care in our region, the Olympic Peninsula YMCA is partnering with OlyCap to establish an Early Learning Center at 7th Haven. The YMCA will be the operator of the Early Learning Center, which will serve 33 children between the ages of three to five years. Parents rely on child care to help them enter, re-enter, or remain in the workforce; the lack of available child care has disproportionately impacted women's ability to return and/or stay in the workforce. Current availability of licensed child care in Jefferson County meets the need of less than 20% of children under six whose parents are in the workforce. According to Washington State DCYF there are only 130 licensed child care slots available for the 645 children in our community who need it — a gap of 515 slots. In addition to supporting the workforce, early childhood education benefits children: it increases kindergarten preparedness so children start school ready to learn; and participation in a quality early learning program lowers risk factors and improves health outcomes in adulthood. Every dollarspent on early childhood development can yield up to a $16 return. PROJECT BUDGET: Construction..................................................... $633,339.00 Soft Costs............................................................ $59,071.00 Permits/Other..................................................... $10,500.00 Classroom Equipment/Pre-Opening Costs.......... $75,000.00 TOTAL............................................................. $777,910.00 FUNDING SOURCES: Department of Commerce ................................ $511,632.00 Cross Charitable Foundation ............................... $50,000.00 TOTAL............................................................. $S61,632.00 The current shortfall for the project is $216,278. The Early Learning Center at 7th Haven will not be able to open until all construction, equipment, and pre -opening costs are covered. We are respectfully requesting $100,000 from Jefferson County's ARPA funds to be applied to the cost of this project. Thank you for your consideration, Wendy Bart Chief Executive Officer OLYMPIC PENINSULA YMCA 1 675 N 5T" AVE, STE 3A I SEQUIM, WA 98382 1360.452.9244 1 WWW.OLYMPICPENINSULAYMCA.ORG JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS CONSENT AGENDA REQUEST TO: Board of County Commissioners FROM: Mark McCauley, County Administrator DATE: March 20, 2023 SUBJECT: Request for Board of County Commissioners approval of an American Rescue Plan Act (ARPA) Grant Agreement with the Olympic Peninsula YMCA 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: The Olympic Peninsula YMCA submitted a request for $100,000 to help complete financing for the Early Learning Center being established at the Vh Haven affordable housing project. The Board allocated the full $100,000. A grant agreement funding this project is attached. FISCAL IMPACT: This request costs $100,000 which will be paid using ARPA funds in Fund 123, Grants Management. RECOMMENDATION: That the Board of County Commissioners approve the attached grant agreement. l�; %2--3 Mark McCaulei]County Administrator CONTRACT REVIEW FORM (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: Olympic Peninsula YMCA Contract For: 7th Haven Early Learning Center COUNTY DEPARTMENT: County Administrator Contact Person: Mark McCauley Contact Phone: 360-385-9130 Contact email: mmccauley@co.jefferson.wa.us AMOUNT: $100,000 Revenue: Expenditure: Matching Funds Required: Sources(s) of Matching Funds Fund # Munis Org/Obj APPROVAL STEPS: N/A $100,000 N/A N/A 123 Clear Form Contract No: Last Call -YMCA 2023 Term: Through December 31, 2024 PROCESS: Exempt from Bid Process Cooperative Purchase Competitive Sealed Bid Small Works Roster Vendor List Bid RFP or RFQ Other: STEP 1: DEPARTMENT CERTIFIES P I NC CC 3 55.080 AND CHAPTER 4 23 RCW. CERTIFIED: ❑■ N/A: Signature ate STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT,BEEN DEBARRE BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: ❑ N/A: 3 I Signature Exto STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche): Electronically approved by Risk Management on 3/15/2023. STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche): Electronically approved as to form by PAO on 3/16/2023. Standard county ARPA grant 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 CoNiA11 w4�s� N CO�rG March 20, 2023 Board of County Commissioners I S20 Jefferson Street PO Box 1220 Port Townsend, WA 98368 Kate Dean, District 1 Heidi Eisenhour, District 2 Greg Brotherton, District 3 Olympic Peninsula UMCA Attn: Wendy Bart, Chief Executive Officer 675 N. 5tn Ave. Suite 3A Sequim, WA. 98382 Re: AGREEMENT re: 7th Haven Learning Center; In the Amount of $1oo,000 American Rescue Plan Act (ARPA) Grant Funding; Jefferson County Administrator; Olympic Peninsula YMCA Dear Ms. Bart, Enclosed are two (2) Originals re: AGREEMENT re: 7th Haven Learning Center; In the Amount of $100,000 American Rescue Plan Act (ARPA) Grant Funding; Jefferson County Administrator; Olympic Peninsula YMCA Please sign both (2) Originals. Keep one (1) Original for your own records and please return the other signed Original to the following address: Jefferson County Commissioners Office Attn: Julie Shannon PO Box 1220 Port Townsend, WA. 98368 Please contact me if you have any questions. Think you, Julie Shannon Executive Secretary II Jefferson County Commissioners Office 360 385 9100 'si han_non@c_.o.jefferson.wa.us Enclosure Phone (360) 385-9100 Fax (360) 385-9382 jeffbocc@co.jefferson.wa.us RECEIVED A�oRD CERTIFICATE OF LIABILITY INSURANCE � ii (MM/DD/YYYY) 07/11/2023 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONf h HEM c4514FialAkikiid3ER.CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGt(A'PPORDIEDJB11CSTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGRNISRIStER(WAtiTkfORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. RS IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the olic �tii visions or`be If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,)certain hpolic ADDITIONALy require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ognnnrcR I CONTACT Gellor Insurance, Inc. NAME: Wiiiiam Geiior PO Box 2045 PHONE FAX (A/C.No.Ext): (360) 452-2388 I(AIL,Not: MI Port Angeles WA 98362 SS: billglagellorinstlrance-cost INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Philadadelphia Indemnity Ins Co 18058 INSURED Olympic Peninsula YMCA INSURER Et:Philadadelphia Indemnity Ins C 18058 INSURER C 302 South Francis INSURER D: Port Angeles WA 98362 INSURER E: (360) 452-9244 I I INSURER F: COVERAGES AC CERTIFICATE NUMBER:Cert ID 4719 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 ADDLISUBR LTR TYPE OF INSURANCE I INSD1 WVD I POLICY NUMBER (MM/PODD/YYYY) (MM/DDI POLICYWYY)I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR Y PHPK2572483 07/01/2023 07/01/2024 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYR LOC GENERAL AGGREGATE $ 2,000,000 OTHER: PRODUCTS-COMP/OPAGG $ 2,000,000 Empl Benefits Liab $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A x ANY AUTO (Ea accident) $ 1,000,000 PHPR2572483 07/01/2023 07/01/2024 BODILY INJURY(Per person) $ OWNED I SCHEDULED _ AUTOSHIRED ONLY L AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY ON-OWNED PROPERTY DAMAGE $ I AUTOS ONLY - -- (Per accident) 1 f $ A X UMBRELLALIAB OCCUR P13136870798 07/01/2023 07/01/2024 EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,000 A 2483 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PHPR257PER ANYPROPRIETOR/PARTNER/EXECUTIVE rIN 07/01/2023, 07/01/2024 STATUTE I X I EFt STOP GAP OFFICER/MEMBEREXGLUDED9 N/A El.EACH ACCIDENT $ 1,000,000 (Mandatary 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) If the Certificate Holder has a written contract which requires Additional Insured Status, the Certificate Holder shall be an Additional Insured in accordance with all the terns, conditions and limitation of the policy and then only with respect to liability caused by the negligent acts or omissions of the Named Insured per company form PI-GLD-HS (10/11) RE; Port Townsend Recreational Center, 620 Tyler St., Port Townsend, WA 98368 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. 1820 Jefferson Street AUTHORIZED REPRESENTATIVE Port townsend WA 98368 CO (.0 ©1988-2015 ACORD CORPORATION. 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