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AGENDA BILL �� CITY OF BREMERTON CITY COUNCIL SUBJECT: Tourism Promotion Services Study Session Date: January 9, 2019 Agreement with Bremerton Historic Ships COUNCIL MEETING Date: January 16, 2019 Association Department: Finance Presenter: Melinda Monroe Phone: 360 473-5306 S_. _....J.._ ................... SUMMARY: The Lodging Tax Advisory Committee recommended lodging tax funds be granted to applicants in 2018 for 2019 funds. City Council approved recommendations at the Council Meeting held November 20, 2018. The Council adopted the 2019 budget with Ordinance No. 5360 which included the recommendations for the award of Lodging Tax Funds to Bremerton Historic Ships in the amount of $70,000.00. ATTACHMENTS: Tourism Promotion Services Agreement FISCAL IMPACTS (Include Budgeted Amount): $70,000.00 of the total $829,000 budgeted in the Lodging Tax Fund for 2019 STUDY SESSION AGENDA: © Limited Presentation ❑ Full Presentation STUDY SESSION ACTION: Z Consent Agenda ❑ General Business ❑ Public Hearing RECOMMENDED MOTION: Move to approve the Tourism Promotion Services Agreement with Bremerton Historic Ships in the amount of $70,000.00; and authorize the Mayor to finalize and execute the agreement with substantially the same terms and conditions as presented. COUNCIL ACTION: ❑ Approve Form Updated 01/02/2018 ❑ Deny ❑ Table ❑ Continue ❑ No Action TOURISM PROMOTION SERVICES AGREEMENT Bremerton Chamber of Commerce The City of Bremerton ("City") and Bremerton Chamber of Commerce ("Organization"), referred to collectively as the "Parties," enter into the following Agreement for Tourism Promotion services: I. Scope: The Organization shall provide tourism promotion services for the City. Tourism promotion shall mean activities and expenditures designed to increase tourism to the City. Tourism promotion activities may include, but are not limited to, advertising, publicizing, or otherwise distributing information for the purpose of attracting and welcoming tourists to the City. The Organization shall provide to the City a work plan attached hereto as Exhibit A setting forth its goals and objectives for successful tourism promotion. The event(s) promoted by Organization must occur within the agreement Term, unless otherwise agreed to in writing by the City. II. Term: This agreement shall commence on January 1, 2019 and shall continue in full force and effect until December 31, 2019 unless terminated earlier pursuant to Section IX of this Agreement. III. Compensation: In consideration of the services provided pursuant to this Agreement City shall pay the Organization an amount not to exceed Thirty Thousand Dollars ($30,000.00) for Tourism Promotion services. However, funding for this Agreement is subject to the actual Hotel/Motel Tax funds received by the City. If Hotel/Motel Tax receipts are lower than budgeted funding may be decreased. Payment will be released when the following has been fulfilled: a. The Organization shall submit monthly billing invoices, by the 15`" of the month, detailing how activities and services performed by the Organization during the preceding month have specifically promoted tourism in the City of Bremerton including measurable results. b. The Organization will provide proof of insurance, agree to the use of Automated Clearing House (ACH) Direct Deposit, a signed W-9, and current City Business license. Upon receipt of a conforming billing invoice, the City shall promptly process payment. If a billing invoice does not conform to this Agreement, the City may withhold payment until the invoice is brought into compliance. Sample of a conforming invoices and support is provided in Exhibit B. a. Such withholding does not relieve the Organization of its obligations under this Agreement. Failure by the Organization to submit all conforming billing invoices by January l Oa' , 2020 after the expiration of this Agreement may result in the forfeiture of remaining unbilled compensation. The Organization shall not perform work beyond the Scope of Work, nor shall be compensated for such work, unless the Scope of Work or amount of compensation is modified pursuant to this Agreement. Bremerton/Bremerton Chamber Page 1 of 4 r IV. Relationship of Parties: The Organization represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. The Organization and its personnel are independent contractors and not employees of the City. The Organization and its personnel have no authority to bind the City or to control the City's employees and other contractors. None of the benefits provided by the City to its employees, including, but not limited to, compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub -consultants of the Organization. Organization will be solely and entirely responsible for its acts and for the acts of the Organization's agents, employees, representatives and sub -consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent contractors to perform the same or similar work. As an independent contractor, the Organization is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Organization or its personnel. As an independent contractor, Organization is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These taxes and fees include but are not limited to State industrial insurance, Business & Occupation, State professional licensing, and City business licensing. If any taxes or fees due the City have been declared delinquent, the City may withhold the delinquent amount, plus any additional charges arising from the delinquency, from any payments due Organization. V. Indemnification: Organization shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement, except for that portion of the injuries and damages caused by the City's sole negligence. The City's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. VI. Insurance: Prior to and during the performance of the work covered by this Agreement, Organization shall provide the Risk Manager for the City with evidence that it has obtained and maintains in full force and effect during the term of this Agreement comprehensive general liability insurance coverage of at least $500,000.00 per occurrence. In the event Organization organizes, promotes or sponsors an event involving the sale or consumption of food or alcoholic beverages, Organization shall also provide evidence that it has obtained products liability and liquor liability insurance of at least $500,000.00 per occurrence, for each event. The City shall be named as additional insured and it shall be an affirmative obligation upon Organization to advise the City's Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, attn: Risk Management, 345 6a' Street, Suite 100, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to do so shall be construed to be a breach of this Agreement. Bremerton/Bremerton Chamber Page 2 of 4 The Organization's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. VII. General Conditions: A. Reports and Information: When requested by the City, Organization shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested per Exhibit B. Organization shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to substantiate all billed amounts. B. Work Performed at Organization's Risk: Organization shall take all precautions necessary and shall be responsible for the safety of its employees, agents, and sub -consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at Organization's own risk, and Organization shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. C. Place of Work: The Organization shall perform the work authorized under this Agreement at its offices in Bremerton, Washington. Any necessary meetings with the City staff shall take place at the City's offices, or at locations mutually agreed upon by the parties. D. Entire Agreement: This Agreement and its Exhibits constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. E. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. F. Modification: This Agreement may only be modified by written instrument signed by both Parties. G. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1 st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. City Address Organization Address City Clerk Denise Frey, President/CEO 345 6th Street, Suite 100 286 4th Street Bremerton, WA 98337 Bremerton WA 98337 H. Waiver: Failure to enforce any provision of this Agreement shall not be deemed a waiver of that provision. Waiver of any right or power arising out of this Agreement shall not be deemed waiver of any other right or power. Bremerton/Bremerton Chamber Page 3 of 4 I. Non -Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contained herein, or to exercise any option herein conferred in one or more instances shall not be construed to be a waiver or relinquishment of said covenants, agreements or options, and the same shall be and remain in full force and effect. J. Compliance with Laws: Organization shall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. K. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement shall be brought in Kitsap County Superior Court. L. Attorneys' Fees: In the event of litigation to enforce any of the terms or provisions herein, each party shall pay all its own costs and attorney's fees. M. Assignment: Any assignment of this agreement by the Organization without the written consent of the City shall be void. VIII. Nondiscrimination: Organization shall not discriminate in employment or services to the public on the basis of race, color, national origin, sex, religion, age, marital status, sexual orientation or disability, except for employment actions based on bona fide occupational qualification. IX. Termination: This Agreement may be terminated by either party for convenience upon thirty (30) days written notice to the other party, or for cause if either party fails substantially to perform through no fault of the other and does not commence correction within five (5) days of written notice and diligently completes the correction thereafter. Upon such termination, City will be entitled to reports showing the status of all services Organization is providing to the City as of the effective date of termination. X. Termination of Other Contracts. This Agreement shall supersede all prior Agreements between the parties relating to the use of Hotel/Motel Tax. CITY OF BREMERTON By: reg Wheeler its: Mayor Date: -11 X LA J 20 %g Appro ed as to form: No Bremerton ity Att rney Bremerton/Bremerton Chamber BRENfERTON CHAMBER OF COM CE By: Denise Fre its: Presi ent/ Date: , Attest: City CWk Page 4 of 4 t EXHIBIT A Scope of Services Funding will be spent on maintenance of the Chamber website, Mobile App, utilities, postage, staffing of the Visitor Center and supplemental funding for the Armed Forces Festival. Page 1 of 1 Bremerton Chamber EXHIBIT B Payment Terms Payment will be released when the following has been fulfilled: 1) Direct Deposit (ACH Agreement) form, current W-9, and City Business License have been received. 2) Monthly Fund Reimbursement Request form with support has been received, by the 15th of the month following services performed. a) Follow the services outlined in your scope of work, include the funding reimbursement form (Form B.3.2019) incorporated into this contract via Exhibit B. 3) Please note that payment can be held up for the following: a) If a prior year award reporting is not submitted by March 1, 2019 via the attached reporting form. b) If required support documents are not received including: Automated Clearing House (ACH) Direct Deposit form, W-9, Copies of Receipts and Invoices for Reimbursement, and City Business license. Page 1 of 6 Bremerton Chamber of Commerce EXHIBIT B Exhibit B FINANCE AttarrL hjMlw,lwww MOOkIwM acrw.cna.+ry�d.enu.�n.ww. 7r 368d'3i313 tae 36C+t73—�C 3i3 6r^. Sl. sate 60C 6RM,rtT WA 9933" AUTHORIZATION AGREEMENT FOR ACH I hereby authorize the City V Bremerton to remit my fee via direct deposit to my checking or savings account in the financial institution named below This authorization shall continue in effect untl a written notice of cancellation is received by Financial Services I understand that it is my responsibility to notify the City of Bremerton if I change banks or change account numbers. Business Name Bank Name Bank Routing Number Signature E-mail Address for Notification City of Bremerton Vendor Number Please return the completed `orm tc: City of Bremerton Accounts Payable 345 8" Street Suite 1,30 Bremerton WA 98337-1873 Account Number ❑Checking []Savings Date Page 2 of 6 Bremerton Chamber of Commerce EXHIBIT B Farts W-9 Request for Taxpayer Give Forth to the Identification Number and Certification requester. Do not pw•. 1'Iovarba mi'l C4 ft �� to the IRS. n1mii Ra on swa ► Go to www.Arspov/FwmW9 for Instructions and the latest Information. 1 Name fay jxb T yw •tt]ma'.:'r ' tLrrC. ha'na n ragJrot Ort thL Vn a " li`Ya 1l n ha tIDa M. 2 B-uslwas ramvdar000rdoc a'11ty roma, r ctiavrl Itdr oWn 0 3 Lriock approp Ido bcx b blond rm ct•fertffD m ce TQ palm wtrcaa nwna Ins wtam an IK t. 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Mala ma ZIP Lada 7 Ltn anent nunDogM tort t7 NokYWl too Taxpayer Idevilffitcabm Number (TIN) ;-iter war TIN Ir the anprcpr>ate b x. The TIN provk1ed trust Match the tame gven or Ilre -, to avor ISoda *°cry n^nbw Os,den wttYldKw Por Incliietor or clic eg a generally your social ru curl!}' further (SSM. However, of w rot a resident ata 1. sole protxY_t�x or (JIsregaNeC erNty, see tree InStnlcCorwS for pat i, later. Far other ertnles. i Is vour enolorte' 4entl•catlm nunber IEINI. It you do rot nave a nrnber. see Hak to Mt a TIN 41u. or "e: I' t-* account tin more that: Cflc' rar12, see Te Instrtx:a(ns for line f. Arra Sae oma NATE aIV1 Errlployw IdwMAc&b.,n nunbw t Iu,q%A' To Gh+e the Requester for gUdelhes cn wr dse comber .o enter. F -j r'T--T—T—r .1nwr P-rr.'t05 of penury, I certify Ire r imter viawr or the form Is my correct taxpayer Identiricatlon muter (or I am Waltng 1o' a rumtnt to be 155tued to me': and Elm rw slDlecl tc bf9dkup wrtrYxorlg becalse 'al I am exempt from badkuIp w n Ding, or.:bi I have not been nC1W tn' the '1t2rn3l IPven.* sere -7e llaS; trial am 51AIecl to mckup wtrrnoding as a result of a talure to repert at !rite,%i or d'Adencts. cr Ici rie !:IS has notified me Tat an no ioW SubteCt to backup wtlhtourrig: and 3. i an a U.S. o?trer or other a S. person ((Jerred beloM; and 4. The FATCA code,;st entered or the torn Q' arK! Intl Ga„ng that i am exempt from FATCA reporting 15 corwt. certirmoatlon Instructions. YOU mus cross ort Gem 2 atow- r yOL nate beer mottled Nj the IPS that you are ctrnen:ty solecl :c oaclwp Wtnnod-q because you rave rated to reper. all :Merest and L"Jems cr your tax retm. For ea estare transactions, ren 2 dies nor. apply. For monga3e rte -est pw. a>qL sri)r or scam -r- lent of seated property, canoella for of aw., coT.rbut o'Is ',c an nar'ldual wiremern arrano?mert (IRAI, arci genera ly, pdyrmenrts otrr ran Interest an. citrsdenos, you are nor. re Uired to sign he C*M all: -1 W. ycL Tlst -rovue yn.” correct TIN Seetne Irstru:Jans to- Fart II. ,titer algn Stgrntlraof Here U.S. pwsm r Dao. General Instructions Sectydn references are to the Internal FPNerue Code Unless ovierovse nale'.. "In developments. For the latest hfomnator about de'rtaeprrwcs reraled to For r 14-6 arra :t5 insstructlons. sun as Vedslatr-n ena—ed arer trey were pubtsned, go to www.n gov?AOMMi. Purpose of Form .Ar ndlvldua or ernq (Form W-6 regxsterl wt -k !s.-equreci to me an inforratlon return wM the IRS must oo(alr,, your Curet! taxpayer denll-catlor number (TIMI wticn may be your soca sectrlry rurrcer 'SSNt, Irdloctial taxpayw Identtreafion number !I -Mr, adoption iaxna:yw l,.e-rtmcAw rurDer (ATIM, or empIc jw Idemmra tion number IE M,. tc report on an Ir ormanor: return the amcttt paid to you, or otrnear amdullt reportao le on an Inromnatior retan. ExamW-s or ImDrmatlxl returns hctude, bit are not Ilmfed tc. the fbilowng. • Form 1099 -INT (lnleres' ea ned or pati; cat W. 102-31x Bremerton Chamber of Commerce • Form 1069-13I%' (dividends, IrIlArla those haT stocks or rru:lal rutos; . norm 1069-MISC p'andus types ct norma, pri e$. ewares. or gross proceeds) • Forr 1069`6 (smcK or mutual turd saes and certan other transactions by txbkc .i • Forrn 1069-S Iproce-eds from red astate transactlxrs'! • Form 106a`K lmerchart ra^d and r" party network trartsd:tl�rlsi • Form 1099 glome MDrtgZ3ge tt: eSY,, l rJ3&E F51Uden.l�.ah Iriere5tl, 1 we --T ( rtkiq • Form 1069-C (Qiinoele(J debt, • Form I D99 -A iacqut5mcn or abandonment of secured property) Use Form VV -9 only If YOL are a -S. person ;lncuono a resloer. ik,en), to pro" your correct TIN. 11yai cr rlor retum FAT: W-9 to the re%--ste. 4M a RN, you rngrC be:aftfad to Dwkvp nit* -.kMg See Me Is baoraip wtthro4aing. later Farr n -U f4w. 1 i M TI Page 3 of 6 EXHIBIT B CITY OF BREMERTON LODGING TAX WORKSHEET The City of Bremerton is required by RCW 67.28.1816 to report the use of lodging tax funds each year. Your organization received lodging tax funds for 2018. Please complete this forth and return to the City no later than March 1, 2019. If you have any questions or concerns please contact Melinda Monroe, Contracts Administrator at (360) 473-5306 or by emai at Melinda.monroe@ci.bremerton.wa.us. Organization: pate: ;e Completed By: Email: Telephone: ACTIVITY Activity Name Type Date Start _r i-'� [_ -.:[=i a date. End Click here to enter -1 Event/Festiva' :3 Facility Marketing Total Cost of Activity ATTENDEE ESTIMATES Proiected Actual Mothndninw Nntec/Frnlanatinn PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at mefinda_monroeLwo_bremerton_wo.us or jar (360) 473-5200. Page 4 of 6 Bremerton Chamber of Commerce Choose an Overall Attendance item_ Attendees who traveled 50 miles or more to attend.- ttend:Tota Choose an Tota item. Of Tota, attendees who Choose an traveled from another state item or country Attendees who stayed overnight: Paid accommodations Choose an item_ Chic,« _n Unpaid accommodations Choose an Paid Lodging nights item PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at mefinda_monroeLwo_bremerton_wo.us or jar (360) 473-5200. Page 4 of 6 Bremerton Chamber of Commerce EXHIBIT B CITY OF OREMERTON LODING TAX FUND REIMBURSEMENT REQUEST FORM Date Contract No.1 Total Award Amount Organization Name Mailing address Contact Name: Phone: email: Date of Service Event/Program Title Please I: you er.mnses below rttacn copes a' mato^. ra recepu. It more space IS reeocd pieax jse palte 2 Total Request Tourism Funding Recipient Name (printed). Tourism Funding Recipient Signature: Date: 'I carttV Lrdor rtvtV Of perNry, the Into'rnatlor m-italmd Ir this repuest tar re Tbursemart Is Mo and coTect. I am autnorted to celtrfy 3-4 submt tnr neques[, and I arm requesting mrrbursemert of Toney I actual,# spore for the p qee or eve -ft as descl bed Ir the aapllcaton ane co`trart with tx Cny of Warr* -tar Piense return form along with copies of support.ng mvolce•, and receipts to: City of Bremertor Contracts Administrator 346 6th Street. STC 100 B•emerton. WA 98337 1973 Form B.3 2019 Page 1 Page 5 of 6 Bremerton Chamber of Commerce EXHIBIT B CITY OF BREMERTON LODING TAX FUND REIMBURSEMENT REQUEST FORM IsliDate Contract No. Organization Name P>ease Lst your expenses below - attach copies o' -rata ng •ece pts. Form 8.3 2015 PW 2 Page 6 of 6 Bremerton Chamber of Commerce ACOR" CERTIFICATE OF LIABILITY INSURANCE ATE D051211201 YY) 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 05/2112018 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT CS&S/PROPEL INSURANCE NAME: PO BOX 958489 PHONE FAX (A/C, No, Ext): (A/C, No): VED LAKE MARY, FL 32746-8989 E-MAIL Phone - 877-724-2669 ADDRESS: Fax - 877-763-5122 INSURERS AFFORDING COVERAGE NAIC # INSURER A: INSURED INSURER B: remGna ' Bremerton Historic Ship Association CONTINENTAL CASUALTY semenr 300 Washington Beach Avenue INSURER C: ANY 20443 INSURER D: BREMERTON, WA 98337 INSURER E: v INSURER F: CUVERAUES 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY FXP (MMMD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR EACH OCCURRENCE 2,000,QO0 PREMISES DAMAGE O(EaEoccu anNTED te) 300,000 MED EXP An one rson 10,000 C Y Y 3010105003 04/08/2018 008/2019 ' PERSONAL & ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4,000,000 PRODUCTS - COMP/OPAGG 4,000,000 POLICY [:]JECT ® LOC OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) BODILY INJURY (Per person) ANY AUTO C AUTOS ONLY AUTOS OWNED SCHEDULED HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y Y 3010105003 04/08/2018 04/08/2019 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LIABOCCUR EACH OCCURRENCE _ AGGREGATE EXCESS LIAR CLAIMS -MADE DED I RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE I ER E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N/A E . DISEASE - EA EMPLOYEE (Mandatory In NH) ❑ If yes, describe under E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS below C STOP GAP N N 1 3010105003 04/08/2018 04/08/2019 Each Accident Limit $1,000,00 Disease Each Employee $2000 00 Disease Aggregate , ate , DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACOR 1, Additional Remarks Schedule, may t>e attached if more space is required) City of Bremerton is Named as Additid I*4nsured -Designated Person or Organization. Coverage is Pri ar Non- Contributory to any other available coverage when required by contract. Waiver Su gati"Non- applies. CERTIFICATE HOLDER CANCEL I ATInN city O remeOn 345 6th St Ste q00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bremerton, WA 98337 ACCORDANCE WITH THE POLICY PROVISIONS. AUTTHHORIZ%EED� R/EEP�RESENTATWE n` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD cac6796 w cac67ss 52MA S (Ed. 6-166 )) (Ed. 6 - ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM SCHEDULE Policy # 3010105003 Name Of Person Or Organization: City of Bremerton 345 6" St Ste 600 Bremerton, WA 98337 Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. It is understood and agreed that the section entitled WHO IS AN INSURED is amended with the addition of the following: A. The person or organization shown in the Schedule is an insured, but only with respect to such person or organization's liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; or 2. in connection with premises owned by or rented to you. B. However, if coverage for the additional insured is required by written contract or written agreement, subject always to the terms and conditions of this policy, including the limits of insurance, we will not provide such additional insured with: 1. coverage broader than required by such contract or agreement; or 2. a higher limit of insurance than required by such contract or agreement. C. The coverage granted by this endorsement does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard." Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. SB300113D (Ed. 6-16) Page 1 of 1 Copyright, CNA All Rights Reserved. SB146932F (Ed. 6-16) BLANKET ADDITIONAL INSURED AND LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM BUSINESSOWNERS COMMON POLICY CONDITIONS s I. BLANKET ADDITIONAL INSURED PROVISIONS 0 s M A. ADDITIONAL INSURED — BLANKET VENDORS 0 S Who Is An Insured is amended to include as an additional insured any person or organization (referred to below as vendor) with whom you agreed under a "written contract' to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. 'Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; SB146932F (6-16) Page 1 of 7 Copyright, CNA All Rights Reserved. TABLE OF CONTENTS I. Blanket Additional Insured Provisions A. Additional Insured — Blanket Vendors B. Miscellaneous Additional Insureds C. Additional Provisions Pertinent to Additional Insured Coverage 1. Prima — Noncontributoryrovi ion; " 2. Definition of "written contract." II. Liability Extension Coverages A. Bodily Injury — Expanded Definition B. Broad Knowledge of Occurrence C. Estates, Legal Representatives and Spouses D. Legal Liability — Damage to Premises E. Personal and Advertising Iniury — Discrimination or Humiliation F. Personal and Advertising Injury — Broadened Eviction G. Waiver of Subrogation - Blanket s I. BLANKET ADDITIONAL INSURED PROVISIONS 0 s M A. ADDITIONAL INSURED — BLANKET VENDORS 0 S Who Is An Insured is amended to include as an additional insured any person or organization (referred to below as vendor) with whom you agreed under a "written contract' to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. 'Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; SB146932F (6-16) Page 1 of 7 Copyright, CNA All Rights Reserved. SB146932F CNA (Ed. 6-16) e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. 3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and made a part of this Policy. 4. This provision 2. does not apply if "bodily injury" or "property damage" included within the "products - completed operations hazard" is excluded either by the provisions of the Policy or by endorsement. B. MISCELLANEOUS ADDITIONAL INSUREDS 1. Who Is An Insured is amended to include as an insured any person or organization (called additional insured) described in paragraphs 3.a. through 3.j. below whom you are required to add as an additional insured on this policy under a "written contract.": 2. However, subject always to the terms and conditions of this policy, including the limits of insurance, we will not provide the additional insured with: a. A higher limit of insurance than required by such "written contract"; b. Coverage broader than required by such "written contract" and in no event greater than that described by the applicable paragraph a. through k. below; or c. Coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard." But this paragraph c. does not apply to the extent coverage for such liability is provided by paragraph 3.j. below. Any coverage granted by this endorsement shall apply only to the extent permitted by law. 3. Only the following persons or organizations can qualify as additional insureds under this endorsement: a. Controlling Interest Any persons or organizations with a controlling interest in you but only with respect to their liability arising out of: (1) such person or organization's financial control of you; or (2) Premises such person or organization owns, maintains or controls while you lease or occupy these premises; provided that the coverage granted to such additional insureds does not apply to structural alterations, new construction or demolition operations performed by or for such additional insured. SB146932F (6-16) Page 2 of 7 Copyright, CNA All Rights Reserved. SB146932F (Ed. 6-16) b. Co-owner of Insured Premises A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the co-owners liability for "bodily injury", "property damage" or "personal and advertising injury" as co-owner of such premises. c. Grantor of Franchise Any person or organization that has granted a franchise to you, but only with respect to such person or organization's liability for "bodily injury", "property damage", or "personal and advertising injury" as grantor of a franchise to you. d. Lessor of Equipment Any person or organization from whom you lease equipment, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by your maintenance, operation or use of such equipment, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury" takes place prior to the termination of such lease. e. Lessor of Land Any person or organization from whom you lease land, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use of that specific part of the land leased to you, provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury", takes place prior to the termination of such lease. The insurance hereby afforded to the additional insured does not apply to structural alterations, new construction or demolition operations performed by, on behalf of or for such additional insured. f. Lessor of Premises An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use of such part of the premises leased to you, and provided that the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury", takes place prior to the termination of such lease. The insurance hereby afforded to the additional insured does not apply to structural alterations, new construction or demolition operations performed by, on behalf of or for such additional insured. g. Mortgagee, Assignee or Receiver A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or s receiver's liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance, or use of a premises by you. 0 s This insurance does not apply to structural alterations, new construction or demolition operations performed by, on behalf of or for such additional insured. h. State or Political Subdivisions A state or government agency or subdivision or political subdivision that has issued a permit or authorization, but only with respect to such government agency or subdivision or political subdivision's liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of: (1) The following hazards in connection with premises you own, rent, or control and to which this insurance applies: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway openings, sidewalk vaults, street banners, or decorations and similar exposures; or SB146932F (6-16) Page 3 of 7 (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance or use of any elevators covered by this insurance; or Copyright, CNA All Rights Reserved. SB146932F (Ed. 6-16) (2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted by this paragraph does not apply to: (a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or government agency or subdivision or political subdivision; or (b) "Bodily injury" or "property damage" included within the "products -completed operations hazard." With respect to this provision's requirement that additional insured status must be requested under a "written contract", we will treat as a "written contract" any governmental permit that requires you to add the governmental entity as an additional insured. i. Trade Show Event Lessor With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any person or organization .whom you are required to include as an additional insured, but only with respect to such person or organization's liability for "bodily injury", "property damage", or "personal and advertising injury" cause by: a. Your acts or omissions; or b. Acts or omissions of those acting on your behalf; in the performance of your ongoing operations at the trade show premises during the trade show event. j. Other Person or Organization Any person or organization who is not an additional insured under paragraphs a. through I. above. Such additional insured is an insured solely for "bodily injury", "property damage" or "personal and advertising injury" for which such additional insured is liable because of your acts or omissions. The coverage granted by this paragraph does not apply to any person or organization: (1) For "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering or failure to render any professional services; (2) For "bodily injury" or "property damage" included in the "products -completed operations hazard." But this provision (2) does not apply to such "bodily injury" or "property damage" if: (a) It is entirely due to your negligence and specifically results from your work for the additional insured which is the subject to the "written contract"; and (b) The "written contract" requires you to make the person or organization an additional insured for such "bodily injury" or "property damage"; or (3) Who is afforded additional insured coverage under another endorsement attached to this policy. C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE With respect only to additional insured coverage provided under paragraphs A. and B. above: 1. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the Condition entitled Other Insurance: This insurance is excess of all other insurance available to an additional insured whether primary, excess, contingent or on any other basis. However, if a "written contract" requires that this insurance be either primary or primary and noncontributing, then this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. 2. Under Liability and Medical Expense Definitions, the following definition is added: "Written contract" means a written contract or agreement that requires you to make a person or organization an additional insured on this policy, provided the contract or agreement: a. Is currently in effect or becomes effective during the term of this policy; and b. Was executed prior to: SB146932F (6-16) Page 4 of 7 Copyright, CNA AI Rights Reserved. CNA (1) The "bodily injury" or "property damage"; or (2) The offense that caused the "personal and advertising injury"; for which the additional insured seeks coverage. II. LIABILITY EXTENSION COVERAGES SB146932F (Ed. 6-16) It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do not apply. A. Bodily Injury— Expanded Definition Under Liability and Medical Expenses Definitions, the definition of "Bodily injury" is deleted and replaced by the following.- "Bodily ollowing: "Bodily injury" means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical injury, sickness or disease. B. Broad Knowledge of Occurrence Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended to add the following: Paragraphs a. and b. above apply to you or to any additional insured only when such "occurrence," offense, claim or "suit" is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This paragraph applies separately to you and any additional insured. C. Estates, Legal Representatives and Spouses The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives and spouses only for claims arising solely out of their capacity as such and, in the case of a spouse, where such claim seeks s damages from marital common property, jointly held property, or property transferred from such natural person a insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative or spouse outside the scope of such person's capacity as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named Insured's business. D. Legal Liability — Damage To Premises Under B. Exclusions, 1. Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is replaced by the following: k. Damage To Property "Property damage" to: 1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of SB146932F (6-16) Page 5 of 7 Copyright, CNA All Rights Reserved. S CNA (Ed.Ed. 6- 6-16)6) such property for any reason, including prevention of injury to a person or damage to another's property; 2. Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; 3. Property loaned to you; 4. Personal property in the care, custody or control of the insured; 5. That particular part of any real property on which you or any contractors or subcontractors working directly or indirectly in your behalf are performing operations, if the "property damage" arises out of those operations; or 6. That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs 1, 3, and 4, of this exclusion do not apply to "property damage" (other than damage by fire or explosion) to premises: (1) rented to you: (2) temporarily occupied by you with the permission of the owner, or (3) to the contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D — Liability and Medical Expenses Limits of Insurance. Paragraphs 3, 4, 5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to "property damage" included in the "products -completed operations hazard." 2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the following paragraph is added, and replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and Advertising injury: Exclusions c, d, e, f, g, h, i, k, 1, m, n, and o, do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section D. Liability And Medical Expenses Limits Of Insurance. 3. The first Paragraph under item 5. Damage To Premises Rented To You Limit of the section entitled Liability And Medical Expenses Limits Of Insurance is replaced by the following: The most we will pay under Business Liability for damages because of "property damage" to any one premises, while rented to you or temporarily occupied by you with the permission of the owner, including contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to Premises Rented to You limit shown in the Declaration. E. Personal and Advertising Injury — Discrimination or Humiliation 1. Under Liability and Medical Expenses Definitions, the definition of "personal and advertising injury" is amended to add the following: h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is: (1) Not done intentionally by or at the direction of: (a) The insured; or SB146932F (6-16) Page 6 of 7 Copyright, CNA All Rights Reserved. CNA SB146932F (Ed. 6-16) (b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited liability company) of the insured; and (2) Not directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person or person by any insured. 2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and Advertising injury is amended to add the following additional exclusions: (15) Discrimination Relating to Room, Dwelling or Premises Caused by discrimination directly or indirectly related to the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any insured. (16) Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any insured. (17) Fines or Penalties Fines or penalties levied or imposed by a governmental entity because of discrimination. 3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by endorsement. F. Personal and Advertising Injury - Broadened Eviction Under Liability and Medical Expenses Definitions, the definition of "Personal and advertising injury" is amended to delete Paragraph c. and replace it with the following: c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord or lessor. G. Waiver of Subrogation — Blanket We waive any right of recovery we may have against: a. Any person or organization with whom you have a written contract that requires such a waiver. 0 All other terms and conditions of the Policy remain unchanged. s 0 s N O O SB146932F (6-16) Page 7 of 7 Copyright, CNA All Rights Reserved. CERTIFICATE OF LIABILITY INSURANCE -S' -3 DATE (MM/DD/YYYY) ,acoROa 02/16/2019 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 Y( ) endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CS&S/PROPEL INSURANCE PHONE FAX PO BOX 958489 (NC, A No,Ext): (NC,No): EMAIL ADDRESS: Lake Mary, FL 32746-8989 INSURER(S)AFFORDING COVERAGE NAIC# 1-877-724-2669 Continental CasualtyCompany20443 INSURER A: INSURED INSURER B: 0 ' I BREMERTON HISTORIC SHIP ASSOCIATION INSURER C: 0- 101 300 WASHINGTON BEACH AVENUE INSURER D: ` , BREMERTON,WA 98337 INSURER E: V 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. NOTWITHSTANDINGANY 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD wvD POLICY NUMBER (MMIDDIYY) (MM/DD/YY) LIMITS A X COMMERCIAL GENERAL LIABI Y 3010105003 04/08/19 04/08/20 EACH OCCURRENCE $ 2,000, Ve DAMAGE TO RENTED CLAIMS-MADE © • CUR PREMISES(Ea xcurence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- POLICY JECT I/\I LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: A AUTOMOBILE LIABILITY 3010105003 04/08/19 04/08/20 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident) $ XHIRED AUTOS NON-OWNED PROPERTY DAMAGE \/ONLY U AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ OTHER PER OTH- STATUTE ER E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Acord 01,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is Named as Additional)cured -Designated Person or Organization. Coverage is primary and non-contributory. RE: Tax Lodging Permit CERTIFICATE HOLDER CANCELLATION City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th St Ste00 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE / 5 °. ckxnuiar J JJ ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0410312019 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Nicole Anderson Propel Insurance PHONE FAX (Alc,No,Est):800 499-0933 (Arc,No): 866 577-1326 Tacoma Commercial Insurance ADDRESS: nicole.andersongpropeiinsurance.com 1201 Pacific Ave, Suite 1000 INSURER(S)AFFORDING COVERAGE NA IC Tacoma,WA 98402 INSURER A:Continental Casualty Company 20443 INSURED INSURER B: Bremerton Historic Ship Association INSURER C: 300 Washington Beach Avenue Bremerton,WA 98337 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. LTR TYPE OF INSURANCE NAL WVp POLICY NUMBER (PODCYNEYFFW) (MOLlDICYYEYYXPY) LIMITS A X COMMERCIAL GENERAL LIABILITY 3010105003 4/08/2019 04/08/2020 EACH OCCURRENCE $2,000,000 PREMISES( CLAIMS-MADE X OCCUR EeoTc-Vence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GENE AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4,000,000 POLICY JECT X LOC i PRODIJCTS-COMP/OP AGG $4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED U EDONLY SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PPReOPPERT accident) $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y I N STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? I NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: operations of the named Insured. City of Bremerton Is named as Additional Insured per the attached. CERTIFICATE HOLDER CANCELLATION City of Bremerton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th St Ste 600 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337 AUTHORIZED REPRESENTATIVE m 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S36020091M3602006 NAA01