HomeMy WebLinkAboutJefferson Interfaith - Winter Welcoming Shelter - $10,000Fundingfor
Affordableandsupportive
Housing & HomelessHousing
andAssistance Funds
APPLICATION
ProposalsmustbeRECEIVED: 9/29/23at4pm
JeffersonCounty
throughtheCounty & CityofPortTownsend
HousingFundBoard
Page9of15
Application
Affordableandsupportive
Housing & HomelessHousing
andAssistance Funds
ForusefromJanuary1, 2024toDecember31, 2024
GENERALINFORMATION –Itisunderstoodthatifawardedfundingforthisperiod, thereisnoguaranteeof
futurefundingbeyondthisaward.
Weestimatetheavailablefundingforthisperiodtobeapproximately $220,000forHomelessHousingand
965,000forAffordableHousing.
Page10of15
NameofProjectorProgram
oorProgram: Requestedtotalamountforthisapplication: $
AreaoftheCountytobeserved:
FederalTaxID #: NameofApplicant/Agency:
ContactPerson: Title:
Address: City:
State: Zip:
PhoneNumber: FaxNumber:
E-mail:
CERTIFICATIONbyAuthorizedAgencyRepresentative (BoardPresident, CEO, oranotherpersonauthorizedto
bindtheagencyinacontract).
NameofAuthorizedAgencyRepresentative (print):________________________________
Title: ____________________________________
Applicantcertifiesthatthesefundswillbeusedasdescribedinthisapplicationunlessachangehasbeen
mutuallyagreeduponbetweenContractorandJeffersonCountyBoardofCountyCommissioners. Substantive
amendmentrequestswillalsorequiretheapprovaloftheHousingFundBoard (“HFB”).
Applicantcertifiesthattheinformationinthisapplicationistrueandcorrect.
ApplicantcertifiesthatithasnooutstandingobligationstotheCountywithrespecttohousingfunds.
SignatureofAuthorizedAgencyRepresentative Date
Page11of15
Email: jeffersoninterfaithaction@gmail.com, Tel: 360-385-2525 x101
Web: jeffersoninterfaithaction.org/wwc
AFFORDABLE AND SUPPORTIVE HOUSING
& HOMELESS HOUSING AND ASSISTANCE FUNDS
GRANT APPLICATION FOR THE
JEFFERSON INTERFAITH ACTION COALITION
WINTER WELCOMING CENTER
AMOUNT REQUESTED: $10,000
A.PROJECT DESCRIPTION
Provide a brief description of the Project
The Winter Welcoming Center (WWC) offers a warm and
hospitable space for those who are in need of shelter during the cold months of mid-November
through mid-April. We are open 8:30am - 12:30pm (longer when the weather is severe), 7 days a
week.
We provide warmth, WiFi, use of computers, refreshments, and fellowship. We also distribute donated
clothes, shoes, sleeping bags, and more to our guests. We distribute shower tokens and laundry
vouchers, and to the extent possible, work to connect our clients with needed services in the county.
We have a commitment to inclusion and compassion to all who walk through our doors.
Project goals and expected outcomes
We are a frontline outreach that serves the unhoused population, both individuals and families,
providing shelter, community, and support at a vulnerable time, and therefore we believe we fall under
the eligibility guidelines for these funds. We believe that this outreach also coheres closely to the
objectives of the Five Year Homeless Housing Plan (“identify and engage people experiencing
homelessness” and playing an important part of the “efficient homeless crisis response system”).
The Jefferson Interfaith Action Coalition has successfully carried out this work for five seasons,
weathered the covid crisis, and is currently preparing for it’s sixth season. The requested funds are
needed to make this season a reality. The WWC has evolved from a temporary emergency action to a
trusted and needed part of the web of community services that reach the most vulnerable population of
Jefferson County at a time when they are most in need.
Last season alone we served over 3000 guests (see below under “Impact”) and anticipate a similar or
greater number for those served this coming season.
B.APPROACH
Jefferson Interfaith Action Coalition is a registered 501(c)(3) that seeks to mobilize people of any
spiritual walk to action. Formed in response to issues of immigration, a gathering of individuals from
different faith walks joined together to nurture positive awareness and change. Drawing on the resources
of our faith traditions, learning from each other, inspired by and in partnership with the broader
community, we work to support justice, peace, and human worth.
We began the Winter Welcoming Center when the need for a warming center during the winter months
became more and more apparent now 6 years ago.
Email: jeffersoninterfaithaction@gmail.com, Tel: 360-385-2525 x101
Web: jeffersoninterfaithaction.org/wwc
JIAC Winter Welcoming Center, of 2 3
Our model has has evolved from a single staff monitor supported by a volunteer from the community to
2 staff monitors present during all of our open hours. Our services have also grown (e.g.offering laundry
vouchers and shower tokens). For this and the previous two seasons, the WWC has been located in the
Pope Marine Building on Water Street in Port Townsend. The city has been a very gracious partner in
providing that space rent free, and this will continue for this season as well.
Our vision is to continue to grow in not only providing warmth and safety, but as a place of connection
to needed resources and community. The funds requested will “move the needle” in that it will
significantly further the WWC’s transition from a temporary band-aid to a permanent, trusted, and
reliable partner in the community as it serves the unhoused population in Jefferson Co.
The funds are needed for this season, and will be utilized during the 2024 calendar year. The requested
funds will supplement a grant awarded from the Jefferson County American Rescue Plan Act (ARPA)
Fund. We are also participating in Jefferson Gives campaign, and funds raised from from private
individuals and communities of faith that make up the circle of the Jefferson Interfaith Action Coalition.
With these resources, we believe we can successfully carry out our mission.
Availability of funds will be key to determining the number of hours we will be able to remain open and
the number of supportive services we will be able to provide. We are ready to go.
C.IMPACT
To succinctly present our positive impact in numbers:
Winter Welcoming Center Summary, Season 5 ~ 2022-2023
November 16, ’22-April 3, ‘23 (last day of Service)
We were open 138 days which equates to 552 hours of service plus the hours on days when we stayed
open for extended hours due to extreme weather.
As an urgent need shelter and support for those who are unhoused, we believe our services have a
positive impact on the Homeless System Performance Measures which prioritize unsheltered homeless
households. By providing a place to go, basic support services, and opportunity to connect with other
resources in the community, we play an important role in supporting the move from being unhoused to
housed.
This outreach connected well beyond those supported by the COAST/Olycap overnight shelter at the
American Legion. In partnership with the overnight shelter, there is someplace to go 24/7 when it’s cold.
As suggested by the comparison with the previous season, the need is not going away.
2021-22 season comparison
Avg Guests/Day 22.0 13.6
Total Guests 3060 1751
Laundry vouchers distributed 554 166
Also distributed: shower tokens, gift cards, clothes, shoes, misc camping gear, items
Email: jeffersoninterfaithaction@gmail.com, Tel: 360-385-2525 x101
Web: jeffersoninterfaithaction.org/wwc
JIAC Winter Welcoming Center, of 3 3
In addition, our staff has employed a number of previously homeless individuals, a few of whom had
been served by the WWC while they were homeless. We played an important part in moving them from
homelessness to stability in housing.
We are not using any matching funds. The funds (hopefully) awarded from this grant will, together with
the other grants we have been awarded or are pursuing and private donations, will carry us through our
sixth season.
D.PROJECT BUDGET FOR THE WINTER WELCOMING CENTER, SEASON 6
(NOVEMBER 2023-APRIL 2024)
With regard to insurance coverage, the Winter Welcoming Center has been covered under the policy of
First Presbyterian Church, Port Townsend, which has acted as a facilitating agent for the WWC. The
COI is attached.
Income Notes
Grants
ARPA $20,000
Give Jefferson $10,000
Affordable and Supportive
Housing & Homeless
Housing and
AssistanceFunds
$10,000
Private Donations $3,500
Total $43,500
Expenses
Winter Welcoming Center
Staff $30,000
Supplies $7,500
Vouchers $5,000
Misc Expenses $1,000
Rent $0
Use of the Pope Marine Bldg from the City of
Port Townsend
Wifi/Utilities provided by City of Port
Townsend
Non-Cash Distributions
Volunteer Support $0 Supports the staff during open hours; provides
coverage for lunch hours and breaks
Clothes,Shoes, Camping
Gear, Gas/Grocery Cards $0 As available from donations
WWC Total Expenses $43,500
Jefferson Interfaith Action Coalition
Winter Welcoming Center Fiscal Statement June ‘23 1
As our season runs from Nov-April, our annual and YTD fiscal statements are the same. 1
Income Summary
FPCPT Fund Notes
Starting $5325.25
November $6,790.00
December $2,875.00
January $2250.00
February $8250.00
March $11500.00 Incl JCF Grant: $8000
April $500.00
May $1389.00
Total $38879.25
Spending Summary
Staff Supplies/vouchers*Misc Total
November $2,092.83 $811.37 $401.85 $3306.05
December $6,305.12 $1,392.43 $0.00 $7,697.55
January $4166.00 $1216.60 $346.00 $5728.60
February $4728.50 $4537.91 $10.00 $9276.41
March $4928.00 $1373.50 $0.00 $6301.50
April $3826.50 $2742.64 $0.00 $6569.14
Total $26,046.95 $12,074.45 $757.85 $38,879.25
Season END STANDING $0.00
*incl &4,697.75 laundry vouchers
ACORD ® CERTIFICATE OF LIABILITY INSURANCE Date (MM/DD/YR)
11/15/22
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Heffernan Insurance Brokers
1350 Carlback Avenue
Walnut Creek, CA 94596
CA License #0564249
CONTACT
NAME: Gina Ferguson or Haley Glickman
PHONE
(A/C,No,Ext): 925-934-8500 FAX
(A/C,No): 925-934-8278
EMAIL
ADDRESS: ginaf@heffins.com or jessicae@heffins.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED
First Presbyterian Church
1111 Franklin St.
Port Townsend, WA 98368
INSURER A: Church Mutual Insurance Company 18767
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
INSRL
TR TYPE OF INSURANCE ADDL
INSR
SUBR
WVD POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY X 0354777-02-412741 06/01/22 06/01/23 EACH OCCURRENCE $2,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $1,000,000
MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $2,000,000
GEN’L. AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $5,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000
OTHER
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS SCHEDULED
AUTOS BODILY INJURY (Per accident) $
HIRED AUTOS NON-OWNED
AUTOS PROPERTY DAMAGE
(Per accident) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION
AND EMPLOYERS’ LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE/
OFFICER/MEMBER EXCLUDED?
(Mandatory in N.H.)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
PER
STATUTE OTH
-ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: The City of Port Townsend is included as an additional insured on the General Liability policy per the attached endorsement, if required as respects for Winter Welcoming
Center held throughout the policy term.
CERTIFICATE HOLDER CANCELLATION
The City of Port Townsend
250 Madison Street
Port Townsend, WA 98368
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
THE POLICY PROVISIONS.
AUTHORIZED
REPRESENTATIVE
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Ó1988-2015 ACORD CORPORATION. All rights reserved.
SPECIFICINFORMATION
PleaseseparatelytabeachsectionoftheapplicationsubmissionastoProjectorProgramDescription, Capacity,
Alignment, Approach, ImpactofFunds, Budget.
PROJECTDESCRIPTION
NameofProjectorProgram: ____________________________________________________
Amountrequested: ________________________________________________
ProvideabriefdescriptionoftheProjectorProgram: (LIMIT200WORDS)
SpecifytheProjectorProgramgoalsandexpectedoutcomes. Specifythemeasuresofsuccessbywhichthe
ProjectorProgramwillbeassessed. (LIMIT300WORDS)
SpecifythenumberofunitsofhousingtobecreatedornumberofindividualswhowillbeservedbytheProject
orProgram.
ThresholdRequirements:
Specifythespecificeligibleuse(s) under5386and/or1590forwhichtheProjector
Programqualifies, aslistedonpagestwothroughfouroftheRFP.
Provideabriefdescriptionofrecent, relevantandsuccessfulexperiencesindelivering
similarprogramsand/orprojects.
BrieflydescribehowtheprojectalignswiththeprioritiesandobjectivesoftheFive-
YearHomelessHousingPlanandthecommunityoutreachconductedfortheproject
orprogram. (LIMIT400WORDS)
A. APPROACH - CompletenessofProposalandReadiness (5Points) (LIMIT400WORDS)
Yourapplicationshoulddescribehowyouwillapproachthisassignmentandcompletethepurposeof
theproposal.
IstheProjectorProgramreadytousethefundingnoworarethereactionstobetakenbeforetheProjector
Programcanbegin? Ifso, whatarethoseactions?
WilltherequestedfundsfullyfundtheProjectorProgram? Ifnot, howdoestheorganizationintendtofillthe
gap?
CouldtheProjectorProgrambescaled (includetheperunitcostoftheProjectorProgram)?
Haveadditionalfundsbeenrequestedorwillberequested. Identifythesourcesforthoserequestsandthestatus
oftherequests.
Page12of15
B. IMPACTOFFUNDS - LeverageofOtherFundsandNumberofPersonsAssisted
10Points) (LIMIT400WORDS)
HowwouldtheprojectcontributetopositivemovementinCommerce’sHomelessSystem
PerformanceMeasure: totalprojectentries, lengthoftimehomeless, exitstopermanenthousing,
returnstohomelessness, andsystemprioritization. Gotowww.jeffcountychamber.org.
Areyouusinganymatchingfunds? Ifyes, whatisthesource?
AretherequestedfundstobeusedasamatchforthisProjectorProgram? Ifyes, provideadescriptionofthe
ProjectorProgramtobematchedandhowitrelatestothegoalsandprioritiesoftheFive-YearPlan. Also,
provideabudgetfortheentireProjectorProgramincludingfundingfromallsourcesandidentifywhatportion
oftheProjectorProgramthesefundswillsupport.
Specifythenumberofhousingunitsthatwillbecreatedorthenumberofindividualswhowillbeassistedwith
thisProjectorPrograminthefirstyear.
SpecifythenumberofindividualswhowillbeassistedwiththisProgram.
DiscusshowthisProjectorProgramwillbesustainedafterthesefundsareexhausted.
C. PROJECTORPROGRAMBUDGET – AFeasibleFinancialPlan (5Points)
BUDGETFORMS
FundingperiodbeginsJanuary1, 2023, andendsDecember31, 2023
Pleaseusetheattachedbudgettemplates. Ifyouneedadditionalspace, youmayinsertrows. “Proposal” refers
tothefundsrequestedfromthesefundsthatwillbeappliedtothisspecificProjectorProgram. Blankspaces
areprovidedforadditionalcategories. Justificationforbudgetitemsmustbespecific, andthatsamespecificity
shouldbereflectedinsubsequentbillings. Amaximum10% Administrationfeeisallowedforprojectsif
needed, however, AdministrationfeesarenotallowedforCapitalProjects.
CAPITALBUDGETFORREALESTATEDEVELOPMENTUSES
FinancingCategories Estimate BasisofEstimate
TotalAcquisitionCosts $
Construction $
ConstructionFees $
FinancingFeesand $
Charges
GuaranteesandReserves $
DevelopersFee $
Subtotal $
TOTAL $
Page13of15
SOURCES
FinancingCategories Estimator IndicateifCommittedorApplicationhasbeenmade. Ifnotmade
indicatedateapplicationistobesubmitted
PrivateLoan $
JeffersonCountyFunds $
PublicSources (Stateor $
FederalFunds)
Foundations $
Donations $
LowIncomeHousing $
TaxCredits (indicate9%
or4%)
HistoricTaxCredits $
NewMarketTaxCredits $
Gap (ifany) $
TOTAL $
Pleaseincludeanybudgetnarrativethatisdescriptiveorhelpfultoexplainanypartofyourproposed
expendituresinyourcapitalbudget(s). (LIMIT300WORDS)
PROGRAMOPERATINGBUDGET
DATES\]
BudgetCategories Program Proposal Justification Priority
Salaries $ $
Benefits $ $
RentalSubsidies $ $
Utilities $ $
Insurance $ $
Food/Supplies $ $
Furnishings/Equipment $ $
Repair/Maintenance $ $
Transportation (explain) $ $
Subtotal $ $
Administration (10% max.) $ $
TOTAL $ $
IfyourProjectorProgramincludessalariesandbenefits, pleaselistposition(s) andFTEtobepaidbythesefunds
FTEshouldbethatpercentageoftimetheemployeeisdedicatedtothisProjectorProgram):
Position Salary Benefits FTE
Page14of15
FUNDINGSOURCESFORTHEPROGRAMin2022
FundingSources Awards Awards IndicateifCommittedor
20XX 20XX Applicationhasbeenmade.
PublicSources $ $
StateorFederal
Funds)
PrivateDonations $ $
FoundationGrants $ $
UnitedCampaigns $ $
Other $ $
Other $ $
TOTAL $ $
Pleaseincludeanybudgetnarrativethatisdescriptiveorhelpful, toexplainanypartofyourproposed
expenditures. Forinstance, ifyouarerequestingfurnishingsorappliancesspecificallyforhousingincluded
inyourProjectorProgram, whataretheitemsyouarerequesting?
LIMIT300WORDS)
Page15of15
ATTACHMENTA
RequiredInsurance Coverages.
a. CommercialGeneralLiability.
1) RecipientshallmaintaincommercialgeneralliabilitycoverageonaformacceptabletoJefferson
CountyRiskManagementforbodilyinjury, personalinjury, andpropertydamage, inanamountnot
lessthantwomilliondollarsperoccurrence ($2,000,000) andanaggregateofnotlessthanfour
milliondollars ($4,000,000), forbodilyinjury, includingdeath, andpropertydamage.
2) Thecommercialgeneralliabilityinsurancecoverageshallcontainnolimitationsonthescopeofthe
protectionprovidedandincludethefollowingminimumcoverage:
i. Broadformpropertydamage, withnoemployeeexclusion;
ii. Personinjuryliability, includingextendedbodilyinjury;
iii. Broadformcontractual/commercialliability, includingcompletedoperationsandproduct
liabilitycoverage;
iv. Premises – operationsliability (M&C);
v. Independentcontractorsandsubcontractors; and,
vi. Blanketcontractualliability.
3) Recipient’scommercialgeneralliabilitypolicyshallincludeemployer’sliabilitycoverage.
4) TheCountyanditselectedofficials, officersandemployeesshallbenamedasanadditionalinsured
partyunderthisinsurancepolicy.
b. AutomobileLiability.
RecipientshallmaintainbusinessautomobileLiabilityinsuranceonaformacceptabletoJeffersonCounty
RiskManagementwithalimitofnotlessthanacombinedsinglelimitof $1,000,000eachoccurrence.
Coverageshallincludeowned, hired, andnon-ownedautomobiles.
c. Workers’ Compensation (IndustrialInsurance). Recipientshallmaintainworkers’ compensationinsuranceat
itsownexpense, asrequiredbyTitle51RCW, forthetermofthisAgreementandshallprovideevidenceof
coveragetoJeffersonCountyRiskManagement, uponrequest. IftheCountyincursanycosttoenforcethe
provisionsofthissubsection, allcostsandfeesshallberecoverableformRecipient.
1) RecipientshallprovideWorkers’ CompensationandEmployer’sLiabilityonastateapprovedpolicy
formprovidingbenefitsasrequiredbylawwithemployer’sliabilitylimitsnolessthan $1,000,000
peraccidentordisease.
2) Thiscoverageshallextendtoanycontractororsubcontractorthatdoesnothavetheirownworkers’
compensationandemployer’sliabilityinsurance.
Page16of15
7. Recipientexpresslywaivesbymutualnegotiationallimmunityandlimitationsonliability, withrespecttothe
County, underanyindustrialinsuranceact, disabilitybenefitact, orotheremployeebenefitactofany
jurisdiction, whichwouldotherwisebeapplicableincaseofsuchclaim.
8. GeneralInsuranceRequirements.
a. Insurancecoverageshallbeevidencedbyoneofthefollowingmethods:
1) Certificateofinsurance; or,
2) Self-insurancethroughanirrevocableLetterofCreditfromaqualifiedfinancialinstitution.
b. Anydeductiblesorself-insuredshallbedeclaredtoandapprovedbytheCountypriortotheapprovalofthis
AgreementbytheCounty. AttheoptionoftheCounty, theinsurershallreduceoreliminatedeductiblesor
self-insuredretention, orRecipientshallprocureabondguaranteeingpaymentoflossesandrelated
investigations, claimadministrationanddefenseexpenses.
c. FailureofRecipienttotakeoutormaintainanyrequiredinsuranceshallnotrelieveRecipientfromany
liabilityunderthisagreement, norshalltheinsurancerequirementsbeconstruedtoconflictwithorotherwise
limittheobligationsconcerningindemnificationoftheCounty.
d. Recipient’sinsurersshallhavenorightofrecoveryorsubrogationagainsttheCounty (includingits
employeesandotheragentsandagencies), itbeingtheintentionofthepartiesthattheinsurancepoliciesso
affectedshallprotectallthepartiesandshallbeprimarycoverageforalllossescoveredbytheabove
describedinsurance.
e. InsurancecompaniesissuingRecipient’sinsurancepolicyorpoliciesshallhavenorecourseagainstthe
County (includingitsemployeesandotheragentsandagencies) forpaymentofanypremiumsorfor
assessmentsunderanyformofinsurancepolicy.
f. AlldeductiblesinRecipient’sinsurancepoliciesshallbeassumedbyandbeatthesoleriskofRecipient.
g. AnyjudgmentsforwhichtheCountymaybeliable, inexcessofinsuredamountsrequiredbythis
agreement, oranyportionthereof, maybewithheldfrompaymentdue, ortobecomedue, toRecipientuntil
RecipientshallfurnishadditionalsecuritycoveringsuchjudgmentasmaybedeterminedbytheCounty.
h. AnycoverageforthirdpartyliabilityclaimsprovidedtotheCountybya “RiskPool” createdpursuanttoCh.
48.62RCWshallbenon-contributorywithrespecttoanyinsurancepolicyRecipientshallprovidetocomply
withthisAgreement.
i. TheCountymay, uponRecipient’sfailuretocomplywithallprovisionsofthisAgreementrelatingto
insurance, withholdpaymentorcompensationthatwouldotherwisebeduetoRecipient.
j. RecipientshallprovideacopyofallinsurancepoliciesspecifiedinthisAgreement.
k. WrittennoticeofcancellationorchangeinRecipient’sinsurancerequiredbythisAgreementshallreference
theprojectnameandagreementnumberandshallbemailedtotheCountyatthefollowingaddress:
JeffersonCountyRiskManagement, P.O. Box1220, PortTownsend, WA98368.
Page17of15
l. Recipient’sliabilityinsuranceprovisionsshallbeprimaryandnoncontributorywithrespecttoanyinsurance
orself-insuranceorself-insuranceprogramscoveringtheCounty, itselectedandappointedofficers,
officials, employeesandagents.
m. Anyfailuretocomplywithreportingprovisionsoftheinsurancepoliciesshallnotaffectcoverageprovided
totheCounty, itsofficers, officials, employeesoragents.
n. Recipient’sinsuranceshallapplyseparatelytoeachinsuredagainstwhomclaimismadeorsuitisbrought,
exceptwithrespecttothelimitsoftheinsurer’sliability.
o. Recipientshallincludeallsubcontractorsasinsuredunderitsinsurancepoliciesorshallfurnishseparate
certificatesandendorsementsforeachsubcontractor. Allinsurancecoverageforsubcontractorsshallbe
subjecttoalltherequirementsstatedinthisAgreement. Theinsurancelimitsmandatedforanyinsurance
coveragerequiredbythisAgreementarenotintendedtobeanindicationofexposurenoraretheylimitations
onindemnification.
p. Recipientshallmaintainallrequiredinsurancepoliciesinforcefromthetimeservicescommenceuntil
servicesarecompleted. Certificates, insurancepolicies, andendorsementsexpiringbeforecompletionof
serviceswillbepromptlyreplaced.
q. RecipientshallplaceinsurancewithinsurerslistedtobusinessintheStateofWashingtonandhavingA.M.
BestCompanyratingsofnolessthanA-, withtheexceptionthatexcessandumbrellacoverageusedtomeet
therequirementsforlimitsofliabilityorgapsincoverageneednotbeplacewithinsurersorre-insurers
licensedintheStateofWashington.
r. CertificatesofinsuranceasrequiredbythisAgreementshallbedeliveredtotheCountywithinfifteen (15)
daysofexecutionoftheAgreement. Totheextentacertificatelistsorreferstoanyendorsementssolelyby
name. descriptionornumberitshallbetheresponsibilityofRecipienttoobtainandprovidetoJefferson
CountyRiskManagementafullandcompletecopyofthetextsofsuchendorsements.
s. TheCountyshallbenamedasan “additionalinsured” onallinsurancepoliciesrequiredbythisAgreement.
t. RecipientshallfurnishtheCountywithproperlyexecutedcertificatesofinsurancethat, ataminimum, shall
include:
1) Thelimitsofcoverage;
2) Theprojectnameandagreementnumbertowhichitapplies;
3) ThecertificateholderasJeffersonCounty, Washingtonanditselectedofficials, officers, employees
andagentswiththeaddressofJeffersonCountyRiskManagement, P.O. Box1220, PortTownsend,
WA98368; and
4) Astatementthattheinsurancepolicyshallnotbecancelledorallowedtoexpireexceptonthirty
30) dayspriorwrittennoticetotheCounty.
Page18of15