HomeMy WebLinkAboutOWL360 - Youth and Young Adult Housing $139,700 - 1590Application
Affordable and supportive
Housing & Homeless Housing and
Assistance Funds
For use from January 1, 2025 to December 31, 2025
GENERAL INFORMATION –It is understood that if awarded funding for this period, there is
no guarantee of future funding beyond this award.
We estimate the available funding for this period to be approximately $165,000 for 5386
Homeless Housing and Assistance (operating) funds; $840,000 for 1590 Affordable and
Supportive Housing development funds; and first year operating funds; and $560,000 for 1590
Affordable and Supportive Housing operating funds. Note that 1590 operating funds may be
used for all housing-related services.
Name of Project or Program Youth and Young Adult Housing
Requested total amount for this application: $ 139,700.00
Area of the County to be served: East Jefferson County
Name of Applicant/Agency: OWL360 Federal Tax ID #: 87-1282294
Contact Person: Kelli Parcher Title: Executive Director
Address: 1240 W Sims Way City: Port Townsend
State: WA Zip: 98368
Phone Number: 360-301-3551 Fax Number:
E-mail: kelliparcher@jeffersonyouthproject.org
CERTIFICATION by Authorized Agency Representative (Board President, CEO, or another
person authorized to bind the agency in a contract).
Name of Authorized Agency Representative (print):Kelli Parcher – Executive Director
• Applicant certifies that these funds will be used as described in this application unless a
change has been mutually agreed upon between Contractor and Jefferson County Board of
County Commissioners. Substantive amendment requests will also require the approval of
the Housing Fund Board (“HFB”).
• Applicant certifies that the information in this application is true and correct.
• Applicant certifies that it has no outstanding obligations to the County with respect to
housing funds.
_Kelli Parcher ____________________ 10-12-2024_________________
Signature of Authorized Agency Representative Date
SPECIFIC INFORMATION
Please separately tab each section of the application submission as to Project or Program
Description, Capacity, Alignment, Approach, Impact of Funds, Budget.
PROJECT DESCRIPTION
• Name of Project or Program: Youth & Young Adult Housing
• Amount requested: $139,700
• Provide a brief description of the Project or Program: (LIMIT 200 WORDS)
OWL360 is expanding opportunities for young adults by increasing our housing capacity from
11 units at Pfeiffer and Parliament Houses to 15 units, including a Master Lease agreement for
NEW units at Quimper House in Chimacum. Quimper House will provide transitional housing
and support services for unaccompanied youth and young adults (ages 18-25) and their children
who are homeless, at risk of homelessness, fleeing domestic violence, or without safe housing
options. OWL360 serves residents at 50% AMI.
Quimper House can accommodate up to 8 young adults and/or their children, offering essential
support such as Case Care, basic needs assistance, mental health services, resource connections,
peer counseling, exploring career pathways, building self-sufficiency and sustainable housing
related service and living skills. With a proven history of successfully transitioning young adults
into permanent housing, OWL360 will model Quimper House’s programs on the effective
systems already in place at Pfeiffer and Parliament Houses.
One of OWL360’s goals is to ensure safe and stable housing for all young people across
Jefferson County so that young people may thrive in the short and long term regardless of their
location, age, race, ethnicity, neurodiversity, disability, gender identity or sexual orientation.
• Specify the Project or Program goals and expected outcomes. Specify the measures of
success by which the Project or Program will be assessed. (LIMIT 300 WORDS)
OWL360’s primary goal is to use Quimper House to increase housing availability for vulnerable
youth in Jefferson County. The requested funds will support Quimper House’s operational costs,
including utilities, renovation and maintenance, insurance, and salary and benefits for OWL360
staff who will provide direct services to our residents.
As of September, OWL360 has a waiting list of 17 young adults that qualify for supportive
housing under 1590. Vulnerable youth who are unsheltered face heightened risks, including
exposure to violence, exploitation, mental health issues, and chronic health problems. Studies
show that youth experiencing long-term homelessness are more likely to struggle with substance
abuse, physical health decline, and increased rates of suicide. According to the National Network
for Youth, homeless youth are 2.5 times more likely to become victims of human trafficking.
Long-term housing instability also disrupts education and employment opportunities,
perpetuating cycles of poverty and instability. Ensuring access to stable housing is crucial to
reducing these risks and promoting long-term well-being for unsheltered youth.
A report from the state's Office of Homeless Youth and A Way Home Washington found that
homelessness among people ages 12–24 in Washington decreased by 40% between 2016-2022.
This is due to a collaborative, multi-sector effort. The report also found that 75% of youth and
young adults who were permanently housed in 2020 remained stably housed two years later.
Outcome Measures:
• Quimper House: Up to 2,920 days of residential youth living in 2025 (two units that
have two-bedroom for up to 8 residents multiplied by 365 nights), plus sustainable living
support services.
• Pfeiffer/Parliament Houses: Up to 8,030 days of residential youth living in 2025 (11
units multiplied by 365 nights), plus sustainable living support services.
These outcome measures will help OWL360 assess the program’s success in providing safe,
supportive housing and essential services.
• Specify the number of units of housing to be created or number of individuals who will be
served by the Project or Program.
Quimper House will serve up to 8 young people annually in two units that have 2 bedrooms
each. Across all three OWL360 housing programs—Quimper House, Pfeiffer House, and
Parliament House—there will be a total of 15 housing units available. It is anticipated that these
programs can serve up to 40 individuals annually, based on participants' ability to transition into
permanent housing as opportunities arise in the community, supported by OWL360’s dedicated
staff and placement services.
Threshold Requirements:
• Identify the specific eligible use(s) under 5386 and/or 1590 for which the Project or
Program qualifies, as listed on pages two through four of the RFP. If you are submitting
for both operating and development funds, please submit separate budgets for each.
House Bill 1590 and RCW 82. 14. 530
• Development (and first year operations): A minimum of sixty percent of
this fund must be used for the following eligible uses:
• Constructing affordable housing, which may include new units of
affordable
housing within an existing structure, and facilities providing housing-
related services,
solely for eligible households
Eligible Persons Meeting the Definition of Homeless: Providing new living units that serve
unaccompanied youth and young adults who are homeless and/or being evicted with no
subsequent residence identified and lacking the resources needed to obtain housing.
Additionally, our residents include those who are fleeing from domestic violence with no safe
residence or resources to obtain such housing. We include persons living on the streets or in
emergency shelters who are low income and qualifying for affordable housing.
ELIGIBLE USES: OWL360 positively address all of the eligible uses identified below: (1590
and/or 5386)
Eligible Uses:
• Rental and furnishing of dwelling units for homeless individuals.
• Development of affordable housing and services for formerly homeless
individuals and families in transitional or permanent housing.
• Homelessness prevention services.
• Outreach services to homeless individuals and families.
• Other activities to reduce and prevent homelessness as identified in the local plan.
• Support for building operation and maintenance costs for housing projects
affordable to very low-income households.
• Supplemental funding for operating expenses of eligible housing projects that
provide affordable housing to very low-income residents.
OWL360’s program aligns with all eligible uses under 1590, aimed at (New units and first year
operations) reducing homelessness and providing essential housing and support services.
• Provide a brief description of recent, relevant and successful experience in delivering
similar programs and/or projects.
OWL360 is proud to report an 80% success rate in helping our residents transition into
permanent housing, a testament to the strength of our comprehensive support services. By
addressing critical barriers such as affordable housing and long-term stability, our program
empowers young adults to overcome challenges and chart their own paths toward a stable and
independent future. The majority of our residents smoothly transition into permanent housing,
while others enter specialized programs that meet their unique needs, demonstrating OWL360’s
commitment to personalized, impactful care.
Our success is defined not only by housing outcomes but also by the development of life skills
and confidence necessary for independent living. The experiences of our residents underscore the
alignment of OWL360’s work with both the county’s 5-year plan and the State of Washington’s
broader efforts to end homelessness for young people by breaking down silos and promoting
system-wide collaboration.
OWL360 has extensive experience supporting youth involved in multiple systems of care. We
provide safe, stable housing alongside a comprehensive framework of trauma-informed case
management, professional counseling, and peer ally support. Our services focus on both
prevention and intervention, ensuring holistic care for youth navigating complex challenges. By
offering wraparound services, OWL360 not only supports residents but also assists those on
waiting lists and in outreach programs, helping them develop vital skills to manage challenges
and conflicts effectively.
In 2022-2023, only 31% of OWL360 housing residents had a high school diploma upon entry,
and of those, 62% were employed part- or full-time but earning less than 50% of the area median
income. Among the 69% without a diploma, only 9% were employed when they entered our
program. These statistics highlight the urgent need for continued Case Care and Navigation
service which remains a core focus of OWL360.
Finally, OWL360 remains committed to expanding the continuum of low-barrier housing
solutions that include street outreach, direct services, and transitional housing for youth aged 18-
25. This holistic approach is tailored to meet the distinct needs of marginalized young people
facing housing instability, providing the comprehensive support they need to transition to a
brighter, more stable future.
• Briefly describe how the project aligns with the priorities and objectives of the Five-Year
Homeless Housing Plan and the community outreach conducted for the project or
program. (LIMIT 400 WORDS)
• Objective #1-2
OWL360 identifies program participants through referral partnerships with local
service and educational organizations or self-referrals. Upon receipt of
applications, we act quickly to enter them into our database and follow up with a
detailed interview. Our interview determines the risk and the needs and rates them
the highest priority of homelessness, related risks for overall success for
independent living, and the most vulnerable to further prioritizing those most in
need of services and housing support. Strategies include enhancing the case
management system for young people who are homeless to address individual
barriers to stable housing, continuing case care and supportive service once the
young person is housed. Our services and support have been developed to
maximize exits to sustainable permanent housing.
• Objective #3-6
OWL360 will increase the total number of supportive housing units by
implementing the new facility, Quimper House. This increase will add to the
capacity we experienced in 2023-2024. Due to the continued lack of affordable
housing and livable wages for youth and young adults in Jefferson County, it
makes our efforts challenging but certainly worth the effort and time to provide
these much needed services. Staff provide necessary support that helps focus on
the development of each emerging adult transitioning out of homelessness and
into sustainable independence and permanent housing.
• Objective# 5
OWL360 is committed to a “client first” approach. Attention is paid to successful
motivation and engagement, allowing staff to provide specific need-based
responses and, in most cases, a trauma informed method that is more likely to lead
to client-centered programming and supportive services that match the diverse
population we serve. Our non-discrimination policy ensures that we support
marginalized youth including BIPOC and LBGTQA+ individuals.
• Objective #4
Since 2021, OWL360 has participated in Jefferson County’s local PIT count and
provides related information to the Homeless Management Information
Systems. This data informs us of our approach and policies. In 2023, we
participated in the A Way Home Washington’s Anchor Community Initiative
cohort that is specifically working to develop a by-name list to support homeless
youth in our county. In 2024, OWL360 became the lead for the Anchor
Community Initiative to gather and support organizations in both Jefferson and
Clallam specifically for youth and young adults facing homelessness and housing
insecurity.
A. APPROACH - Completeness of Proposal and Readiness (5 Points) (LIMIT 400
WORDS)
OWL360 has negotiated a Master Lease for the Quimper House, expanding our housing services
to Chimacum in Jefferson County’s south region. This expansion will enhance our capacity to
house emerging young adults, providing them with comprehensive support that includes Case
Care management, Resource Navigation, Mental Health services, and Education and Career
pathways. In addition, Quimper House residents will benefit from OWL360’s extensive network
of over 20 partnerships throughout Jefferson County, ensuring they receive a broad spectrum of
services.
The proven success of our existing models at Pfeiffer and Parliament Houses will serve as the
foundation for Quimper House’s implementation. Our organizational philosophy, “Believe,
Begin, and Become,” guides our approach to supporting young people as they navigate the
challenges of homelessness, trauma, and instability. With the help of county funding, we will
tailor Quimper House to meet the unique needs of its residents.
OWL360’s approach is rooted in adolescent development and trauma-informed care. We
recognize that youth and young adults often face complex challenges, including mental health
issues, education barriers, career pathway obstacles, and significant resource gaps due to
geographic isolation. Our model integrates these components to create a holistic support system
for youth, many of whom have severe, multifaceted needs and are in multi systems of care.
We are fully prepared to take the next steps toward providing safe, supportive housing and
individualized transition planning for Jefferson County’s vulnerable young population. Once
housed, Quimper House residents will immediately be integrated into the same robust system of
services that have proven successful at Pfeiffer and Parliament Houses. Case Care management
will work closely with each resident, providing them with the tools, resources, and personalized
support needed to transition into permanent housing and independent living.
OWL360 is committed to building sustainable futures for at-risk young adults.
B. IMPACT OF FUNDS - Leverage of Other Funds and Number of Persons Assisted
(10 Points) (LIMIT 400 WORDS)
Addressing youth and young adult homelessness and reducing the risk of returning homelessness
is a critical priority. Youth and young adult homelessness is often hidden, manifesting in unsafe
living situations such as couch surfing, being lured into trafficking, or ending up in adult shelters
where they are vulnerable to victimization.
Jefferson County has the second-highest rate of disconnected youth in the state, with 25% ,
compared to the national average of 12% (Measure of America). OWL360 remains committed to
reaching vulnerable youth. We will create opportunities for disconnected youth to re-engage and
build sustainable independence.
The pathways into homelessness for youth are complex and rarely the result of a single event.
Unlike the adult homeless population, youth experiencing homelessness are more likely to leave
home due to family conflicts. These conflicts often involve being forced out, facing abuse
(physical, emotional, or sexual), or parental neglect related to mental health issues or substance
use. Dysfunctional family environments can lead youth to seek separation and independence,
which further exacerbates homelessness. This struggle is compounded by barriers like mental
health challenges, limited educational opportunities, substance use, or encounters with the justice
system.
Moreover, the experiences of homeless youth differ significantly from those of homeless adults.
Once on the streets, youth face unique dangers and are at heightened risk of enduring additional
trauma. They encounter daily stressors with limited coping strategies and lack the resources to
navigate these challenges. Youth experiencing homelessness are disproportionately affected by
social and health inequities—disparities in access to opportunities and outcomes that undermine
their well-being.
Effectiveness lies in tailoring interventions for the younger age group by listening to them and
looking at data, understanding that the causes and solutions for youth homelessness are unique.
Through Case Care and Resource Navigation we will employ an equity-based approach to ensure
that each individual receives the support necessary for personal growth and development.
Quimper House will provide life-changing housing and support to up to 8 young people each
year. Across all three of OWL360's housing programs—Quimper House, Pfeiffer House, and
Parliament House—15 units will be available, with the capacity to serve up to 40 individuals
annually. By offering stable housing and robust support, we strive to support young people
toward sustainable housing and independence.
OWL360 will continue to work with our committed partners and the Department of Commerce -
Office of Homeless Youth to leverage resources and available funds until we have functionally
ended homelessness for all young people.
C. PROJECT OR PROGRAM BUDGET – A Feasible Financial Plan (5 Points)
BUDGET FORMS
Funding period begins January 1, 2025, and ends December 31, 2025. Please use the
attached budget templates. If you need additional space, you may insert rows. “Proposal”
refers to the funds requested from these funds that will be applied to this specific Project or
Program. Blank spaces are provided for additional categories. Justification for budget items
must be specific, and that same specificity should be reflected in subsequent billings. A
maximum 10% Administration fee is allowed for projects if needed, however,
Administration fees are not allowed for Capital Projects.
CAPITAL BUDGET FOR REAL ESTATE DEVELOPMENT USES Financing Categories Estimate Basis of Estimate Total Acquisition Costs $
Construction $
Construction Fees $
Financing Fees and Charges $
Guarantees and Reserves $
Developers Fee $
$
Subtotal $
TOTAL $
SOURCES
Financing Categories Estimator Indicate if Committed or Application has been made.
If not made indicate date application is to be
submitted
Private Loan $
Jefferson County Funds $
Public Sources (State or
Federal Funds)
$
Foundations $
Donations $
Low Income Housing Tax
Credits (indicate 9% or 4%)
$
Historic Tax Credits $
New Market Tax Credits $
Gap (if any) $
TOTAL $
Please include any budget narrative that is descriptive or helpful to explain any part of your
proposed expenditures in your capital budget(s). (LIMIT 300 WORDS)
PROGRAM OPERATING BUDGET
[DATES]
Budget Categories Program Proposal Justification Priority
Salaries $110,500 $62,500
$24,000
1 FTE Case Care Coordinator
.5 Resource Navigation /Outreach
1
Benefits $14,000 $7,000
$4000
Case Case
Rental Subsidies $0.00 $0.00 See budget notes 1
Utilities $18,000 $6,000
$4,000
Quimper House
Case Care Office Space
2
Insurance $15,500 $11,500 Housing Programs - Quimper 1
Food/Supplies $3000 $0.00 Basic needs
Furnishings/Equipment $8500 $0.00 Furnished units
Repair/Maintenance $10000 $8000 Quimper House Renovations/Maintenance 1
Transportation (explain) $2500 $0.00 Resident Supports
$
Subtotal $ 182,000 $127,000
Administration (10%
max.) 18,200.00 $12,700
TOTAL $ 200,200 $139,700
If your Project or Program includes salaries and benefits, please list position(s) and FTE to be
paid by these funds (FTE should be that percentage of time the employee is dedicated to this
Project or Program):
Position Salary Benefits FTE
Case Care Coordinator 62,600 $7000 1
Resource Navigation $24,000 $4000 .5
FUNDING SOURCES FOR THE PROGRAM in 2025
Funding Sources Awards
2023
Awards
2024
OWL360 Indicate if Committed
or Application has
been made.
Public Sources (State or Federal
Funds)
FUNDING SOURCE ARE FOR ALL
HOUSING UNITS & RESOURCE
SPACE. NO FUNDS ARE AWARD FOR
NEW UNIT
$34,000
$97,500
$149,270
$67,200
149/1590
OHY 7/2023
- 6/2025
OCH -
Committed
Committed
Application submitted
9-2024
Private Donations $1200 $7000
Foundation Grants $ JCF Catalog Application
submitted
United Campaigns UGN Application Submitted
Other $ $
Other $ $
TOTAL $98,700 $223,470
Please include any budget narrative that is descriptive or helpful, to explain any part of your
proposed expenditures. For instance, if you are requesting furnishings or appliances specifically
for housing included in your Project or Program, what are the items you are requesting? (LIMIT
300 WORDS)
We are not directly seeking rental subsidies in this RFP as we work directly with community
partners to support young adults with rental assistance. Assistance is based on needs and incomes
and subsidies vary depending on residents’ specific qualifications. These subsidies will go
towards supporting our Master Lease agreements, administrative staff, prevention and
intervention peer counselors, as well as OWL360’s associated support activities.
Our proposed housing budget supports utilities – water/sewer, electricity, garbage removal, and
internet, for the residential living units and administration office. Regular maintenance and
repairs are also expected and proposed in the budget after a small renovation project to bring the
units to an acceptable standard required for habitability.
In our housing budget, we are also requesting salary and benefits at a livable wage for 2
employees. (1.5 FTE) As we continue to grow and become a vital resource for the youth and
young adults of our community, we want to ensure we can offer a livable wage for our staff
willing to commit themselves to supporting the youth of Jefferson County. These employees’
roles will be to assist in resource navigation, workforce development, case care, housing
outreach, and other support services. As the continued success of our young people grows, they
become less dependent on subsidies and are expected to work towards covering their housing
expenses. Expanded education and employment often places our young people in a situation
known as the “income cliff “when you make too much money to be subsidized but in Jefferson
County are not earning enough for a livable wage. This puts them at great risk of falling back
into housing insecurity. This funding will help us to bridge the gap as they grow towards self-
sufficiency.
ATTACHMENT A
Required Insurance Coverages
1. Commercial General Liability.
• Recipient shall maintain commercial general liability coverage on a form
acceptable to Jefferson County Risk Management for bodily injury, personal
injury, and property damage, in an amount not less than two million dollars
per occurrence ($2,000,000) and an aggregate of not less than four million
dollars ($4,000,000), for bodily injury, including death, and property
damage.
• The commercial general liability insurance coverage shall contain no
limitations on the scope of the protection provided and include the following
minimum coverage:
• Broad form property damage, with no employee exclusion;
• Person injury liability, including extended bodily injury;
• Broad form contractual/commercial liability, including completed
operations and product liability coverage;
• Premises – operations liability (M&C);
• Independent contractors and subcontractors; and,
• Blanket contractual liability.
• Recipient’s commercial general liability policy shall include employer’s
liability coverage.
• The County and its elected officials, officers and employees shall be named
as an additional insured party under this insurance policy.
2. Automobile Liability.
• Recipient shall maintain business automobile Liability insurance on a form
acceptable to Jefferson County Risk Management with a limit of not less
than a combined single limit of $1,000,000 each occurrence. Coverage shall
include owned, hired, and non-owned automobiles.
3. Workers’ Compensation (Industrial Insurance). Recipient 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. If the County incurs any
cost to enforce the provisions of this subsection, all costs and fees shall be
recoverable from Recipient.
• Recipient shall provide Workers’ Compensation and Employer’s
Liability on a state approved policy form providing benefits as required
by law with employer’s liability limits no less than $1,000,000 per
accident or disease.
• This coverage shall extend to any contractor or subcontractor that does
not have their own workers’ compensation and employer’s liability
insurance.
• Recipient 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 case of such claim.
4. General Insurance Requirements.
• Insurance coverage shall be evidenced by one of the following methods:
• Certificate of insurance; or,
• Self-insurance through an irrevocable Letter of Credit from a qualified
financial institution.
• Any deductibles or self-insured 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 shall reduce or eliminate deductibles or
self-insured retention, or Recipient shall procure a bond guaranteeing
payment of losses and related investigations, claim administration and
defense expenses.
• Failure of Recipient to take out or maintain any required insurance shall not
relieve Recipient from any liability under this agreement, nor shall the
insurance requirements be construed to conflict with or otherwise limit the
obligations concerning indemnification of the County.
• Recipient’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 insurance policies so affected shall
protect all the parties and shall be primary coverage for all losses covered
by the above described insurance.
• Insurance companies issuing Recipient’s insurance policy or policies 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 insurance policy.
• All deductibles in Recipient’s insurance policies shall be assumed by and be at
the sole risk of Recipient.
• 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 Recipient until Recipient 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 insurance policy Recipient shall provide to comply with this
Agreement.
• The County may, upon Recipient’s failure to comply with all provisions of this
Agreement relating to insurance, withhold payment or compensation that
would otherwise be due to Recipient.
• Recipient shall provide a copy of all insurance policies specified in this
Agreement.
• Written notice of cancellation or change in Recipient’s insurance 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.
• Recipient’s liability insurance provisions shall be primary and noncontributory
with respect to any insurance or self-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 the insurance policies shall
not affect coverage provided to the County, its officers, officials, employees or
agents.
• Recipient’s insurance shall apply separately to each insured against whom
claim is made or suit is brought, except with respect to the limits of the
insurer’s liability.
• Recipient shall include all subcontractors as insured under its insurance
policies or shall furnish separate certificates and endorsements for each
subcontractor. All insurance coverage for subcontractors shall be subject to all
the requirements stated in this Agreement. The insurance limits mandated for
any insurance coverage required by this Agreement are not intended to be an
indication of exposure nor are they limitations on indemnification.
• Recipient shall maintain all required insurance policies in force from the time
services commence until services are completed. Certificates, insurance
policies, and endorsements expiring before completion of services will be
promptly replaced.
• Recipient shall place insurance with insurers listed to 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 place with insurers or re-
insurers licensed in the State of Washington.
• Certificates of insurance as required by this Agreement shall be delivered to
the County within fifteen (15) days of execution of the Agreement. To the
extent a certificate lists or refers to any endorsements solely by name.
description or number it shall be the responsibility of Recipient to obtain and
provide to Jefferson County Risk Management a full and complete copy of the
texts of such endorsements.
• The County shall be named as an “additional insured” on all insurance policies
required by this Agreement.
• Recipient shall furnish the County with properly executed certificates of
insurance that, at a minimum, shall include:
• The limits of coverage;
• The project name and agreement number to which it applies;
• The certificate holder as Jefferson County, Washington and its
elected officials, officers, employees and agents with the address of
Jefferson County Risk Management, P.O. Box 1220, Port Townsend,
WA 98368; and
• A statement that the insurance policy shall not be canceled or
allowed to expire except on thirty (30) days prior written notice to
the County.