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HomeMy WebLinkAbout5929TOURISM PROMOTION SERVICES AGREEMENT Downtown Bremerton Association The City of Bremerton ("City") and Downtown Business Association ("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 Twenty Thousand Dollars ($20,000.00) 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 15th of the month, following the quarter in which services were performed, 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 Oth , 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/DBA Page 1 of 5 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 6h 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/DBA Page 2 of 5 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 1st 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 John Morrissey, Treasurer 3456 th Street, Suite 100 PO Box 245 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/DBA Page 3 of 5 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 �'L-J,"'..,..�, By: &6 Wheeler its: Mayor Date: -2. - 22 —moo %R Approved as to form: Bremerton y Alto ey Bremerton/DBA DOWNTOWN BUSINESS ASSOCIATION B is i s� its:i+S`%r�� Date: Attest: City Clerk Page 4of5 EXHIBIT A Scope of Services Dedicated staff to provide the following marketing activities: • Social media Event Promotions: The DBA has an active presence on Facebook, Twitter, and Instagram. Our Facebook is almost to 4,000 followers. Each of our events is promoted through all of our social media outlets. • Poster Placement: Posters can be found all over Bremerton. We ask all of our local businesses to help support our events. Posters for our events can be found from Puyallup to Gig Harbor to Port Townsend to Seattle. You can even find them on all the Ferry's. • Local Business Outreach: Our sponsors as well as many businesses unite to help make our events successful. Kitsap Credit Union for instance, has Rock the Dock as part of their marketing in each of their branches throughout their entire footprint. The West Hills Auto Center sends email blasts about our events to their customers. Etc. • Local Media Advertising: The Kitsap Sun advertises many of our events. We also ask them to run an article, covered in Josh Farley's highly acclaimed "Bremerton Beat Blast". • Local Boating community outreach: The Port of Bremerton collaborates with DBA to market to many boating organizations throughout the entire Puget Sound. Bremerton/DBA Page 5 of 5 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 after the quarter 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 116 Bremerton/DBA Operations EXHIBIT B Exhibit B FUUMCE area'_.' ripest Joie sreot®Ma Y�h�e rim VW30-473-0i3 Yrs 373 -SCG 345 Hn SL SLAE EM Ererterwr, WA 9833; AUTHORIZATION AGREEMENT FOR ACH I hereby authorize the City of Bremerton to rerrit my fee via direct deposit to rely checking or savings account in the financial insfitutir n named below. This authorization shall continue in effect until a written notice of canoellatian es received by Franc iar Services. l understand that it is my responsibility to notify the City of Bremerton if I change banks or change account numbers_ Business Name Bank Name Account Number Bank Routing Number ❑Checking [-]Savings Signature E-mail Address for Notification City of Bremerton Vendor Number Please return the completed form to: City of Bremerton Accounts Payable 345 t* Street Sud& 1€10 Bremerton, WA 93337-1373 Bremerton/DBA Operations [late Page 216 EXHIBIT B CITY OF BREMERTON LODING TAX FUND REIMBURSEMENT REQUEST FORM Date Contract Nol--, Total Award Amount Organisation Name Mailing address Contact Name: Phone: email: Date of^^Service IBJ Event/Program Title Please Is. yorr canartsa; belor - artac-Icopes of match rd rau pl— It Tore space Is rM:$Vd picas us page 2 Total Tourism Funding Recipient Name (printed): Tourism Funding Recipient Signature: Date_ •I cartflt ur4ar pevty d perpuy, the nfumor carnalred In this request tar m mbursamari is the and conett: I rn a{rrar tad to oetffy aid suhmt tib request. aro I am rnquevang wrr-bursemeri at manoy I actual -v spard for the pecieci cr awe-& as descnbed In the a.1plltatol 1-.1 cor.7arr nfth ria Cry of Emrrcltar_ Please return ` alarg with mples of supporting invoices and receipt: ta: Ort{ of fdremerton C:antmirts Administrator 346 fish Street. —CTE loo &en rtm, WA 96337-1873 Form B-2 2015 Page 1 Bremerton/DBA Operations Page 316 EXHIBIT B MY OF BREIMERTON yi LDMNG TAX FUM REMBURSEMENT REQUEST FORM Date Contract No. Organization Name Please list Vour expenses below • attach copies d matching receipts. Form &3 2019 Page 2 Bremerton/DBA Operations Page 416 EXHIBIT B CITY OF BREMERTON LODGING TAX WORKSHEET The City of Bremerton is required by RCW 6728.1816 to report the use of lodging tax funds each year. Your organization received lodging tax funds for 2018- Please complete this form and return to the City no later than March t 2019. If you have any questions or concerns please contact Melinda Monroe, Contracts Administrator at (360) 473-5306 or by email at Melinda.monrce@a.bremerton_wa.us. Organization: Date: Completed By: Erre f: Telephone: ACTIVITY Activity flame Date Start Click here to ether Choose an 7E-went/Ferfiwa! ing a date.Total End Click here to enter Cost of Activity a date ATTENDEE ESTIMATES Dema —4 A-1 U fh-vinlnav Nnfec/Fmlanatien ISI PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at melinda.monroegld.bremerton.wa_us or fax (360) 473-5200. Page 516 Bremerton/DBA Operations Choose an Overall Attendance iters. Attendees who traveled 30 miles or mare to aYtend- Choose an TataE item. Of Total, attendees who Choose an traveled from another state item_ or country Attendees who stuyed overni ht Choose an Paid accommodations item. Choose an Unpaid accommodations item_ Choose an Paid Lodging nights item. ISI PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at melinda.monroegld.bremerton.wa_us or fax (360) 473-5200. Page 516 Bremerton/DBA Operations EXHIBIT B W -g Request for Taxpayer Shm Fes, to #* F� Fav- rfoevr.bw= 7) Identification Number and Certification reglLeater. 00 rot n rucSQSt�y ►GototnrW-&&gWfi:W+W9iQllmtrix"OnsaM3lnaisEeatIfforirE tat Sendt'othe MS. I Mm 05 S a an ycuz Iromw &M rmurl� N¢ rs nxqurm an M rnq do nct lmw tYs bl y a.®._.__ narre'ylsepivdm QVny rnma• r CWwwd trar sbc a S M-kappcPUW bm tar NdWW in Cb-MwLMM cd Yn p7aw VMW nares is aivam m Rc 7. 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Irmtvlataal taxpayer ldenuf(=cri nLrib r fi lrSL Empeai klenttrtcaimn rhnber (AT1M, or ernpkrfer Identlsceticer rurntw rP-V , to repo', on a -L Ir ormal1w. return the amuit pati to y c" or oNer arrxxnt repdr=L- on an tr_orirtatlon rett:- n. Examples of Infanatbn ret.zm lmkjae, btr am not limited L% ttte tofilm19. . Fo-n 1159--.Vr pmerest ee_-ned or pLd; Cat 147. 1Q CIX Bremerton/DBA Operations • Form 169H -Dry (dh ltle. Las, ir'PAZt: Lp those trorn SWRE or m'r�lal ttaxta; • FOrr 1699-MISC r•MarAM TYPES CFr 61DO fie, Pres, awards, or gross Pis) • Form 1689-6 (sG^" tr MLYhaal Mad saes aryl cefWn other trar7&.com ry mri:(--:j • Fora. 1099-6 Droceeas horn regi estate transa=m) . Form 1099-K (merahar-' CE'd &V rir" d party mWork trarlsazt)-m) . Form 1 D96 woe MOM2fige 7rt&, e , 1 D9rrE (s�t bei trdsresrj, i oee-T PMW* • Fora 1 M9 -C (ea'-A*I d deb) • Faun 1699-A(acquisMen or ebarZ LmeM orSHAnc propef'ryl use Form w-9 only It yw are a :1.S- pemm fmiding a ressiner_ aycq, to provne you cared 71N. K ycu C', not refl m Ft"T W-9 to Che requesferwf& a 77N, ya: fntjfr be U1VjW to bir-.W wV-Warnng_ See VMEC Is bsaielp wMiholc ing, war Fam tY-a(Ra,. 71-2DL:) Page 616 ACORD0 CERTIFICATE OF LIABILITY INSURANCE #% DATE(NINDD/YYYI) 06/30/2017 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 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 NAME: CT Victor Thompson Thompson Agency PHONE A/c No Ed): 360-602-6999 IArc, Nol: 360-579-3350 1703 SE Sedgwick Rd, Ste 103 ADDRESS: vthompsonl@farmersa entoom INSURER(S) AFFORDING COVERAGE NAIC R INSURER A: Mount Vernon Fire Insurance Company Port Orchard WA 98366 INSURED INSURER 8 : INSURER C : Downtown Bremerton Association INSURER D: PO Box 245 INSURER E: INSURER F: Bremerton WA 98337 COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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 TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE TMD wVO POLICYNUMBER IMMIDDIYYYY MM/DDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_XJ OCCUR ' EACH OCCURRENCE S 1,00CLOW, PREMISES; Ea occurrence, $ 100,000 MED EXP :An one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A X NBP2552331A 06/30/2018 0690/2019 GEN'LAGGREGATE LIMIT APPLIES PER: is POLICY PEC LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG S 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident, BODILY INJURY (Per person) $ ANY AUTO ALLOWNED- --- SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) i HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE S ,Per eaideM UMBRELLA UAB OCCUR EACH OCCURRENCE 3 AGGREGATE S EXCESS LIAR CLAIMS -MADE -_-._..._DED _i___ RETENTIONS $ _.. _ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN .._ H• STATUTE E.LEACH ACCIDENT $ ,ANY PROPRIETORIPARTNERIEXECUTNENIA OFnCER/MEMBER EXCLUDED? �N E.L. DISEASE - EA EMPLOYE. S (Mandatory In NH) If yes, describe under DESCRIPTION Or OPERATIONS bsiow E.L. DISEASE - POLICY LIMIT $ Each Occurrence - $1,00MA" A Liquor Liability X NBP2552331A 06/30/2018 06/30/2019 , Aggregate Limit - $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1AEoRD 101, Additional Remarks Schedule, may be attached H more space is required) The City of Bremerton is listed as additidKol insured with respect to commercial general liability and liquor liability. CERTIFICATE HOLDER CANCFI I ATInN C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of BremerVe"l ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th St Su AUTHORIZED REPRESENTATIVE Bremerton WA 98337 ✓p C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: NBP2552331A BUSINESSOWNERS BP 04 48 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Effective Date: 06130/2018 12.01 AM City of Bremerton 345 6th Street Suite 100 Bremerton, WA 98337k/ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph C. Who is An Insured in Section II - Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to 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 in the performance of your ongoing operations or in connection with your premises owned by or rented to you. BP 04 48 0106 0 ISO Properties, Inc., 2004 Page 1 of 1 HEADQUARTERS: PO Box 3867 Bellevue,8 98009 GRIFIPINI P: 800.562.8095 F: 425.453.8696 Www..qoGUS.COM UNDERWRITING SERVICES In CA, DBA: Grfffin Insurance Services, CA License #OG66558 M February 15, 2019 Thompson Agency LLC 1703 SE Sedgwick Rd Suite # 103 Port Orchard, WA 98366 Attn: Keith Hafner Re: Downtown Bremerton Association - NBP2552331A Submission #: 18052316B Enclosed is an endorsement changing the above policy as follows: Please see attached carrier endorsements. Also note the enclosed invoice for the additional premium charge of $35.74. Feel free contact us if you have any questions or require further assistance. Best Regards, Josh Schmidt Brokerage Assistant Griffin Underwriting Services In CA, DBA: Griffin Insurance Services JSchmidt@gogus.com ENDORSEMENT #2 This endorsement, issued by Mount Vernon Fire Insurance Company to DOWNTOWN BREMERTON ASSOCIATION forms a part of Policy Number NBP2552331A effective on 2/15/2019 (MO. DAY YR.) at 12:01 A.M. Add/Remove/Amend Businessowners Additional Insured Endorsement In consideration of a flat and fully earned additional premium of $35 it is hereby agreed that the following is(are) added to the Policy: BP0497 01106 - Waiver Of Transfer Of Rights Of Recovery Against Others To Us BP -172 10113 - Primary And Non -Contributory - Written Contract TOTAL CHARGES: Additional Premium: $35.00 Surplus Lines Tax $0.70 Stamping Fee $0.04 Total: $35.74 All other terms and conditions of this Policy remain unchanged. ADD—REM (03-01) POLICY NUMBER: NBP2552331A BUSINESSOWNERS BP 04 97 01 06 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Person Or Organization: Effective Date: 02/15/2019 12:01 AM CITY OF BREMERTON 345 6TH STREET SUITE 100 BREMERTON, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Paragraph K. Transfer Of Rights Of Recovery Against Others To Us in Section III - Common Policy Conditions is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. BP 04 97 01 06 ISO Properties, Inc., 2004 UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA Thisendorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Primary And Non -Contributory - Written Contract Schedule: Effective Date: 02/15/2019 12: 01 AM Name of Person or Organization: CITY OF BREMERTON 345 6TH STREET SUITE 100 BREMERTON, WA 98337 (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) SECTION III - COMMON POLICY CONDITIONS, Paragraph H. OTHER INSURANCE, is amended with the addition of the following: The coverage afforded by this policy to the person(s) or organization(s) listed above is primary and non- contributory if: 1. This insurance is required to be primary or non-contributory under a written contract: and 2. The loss to be covered occurs on or after the effective date of the written contract; and 3. The loss to be covered resulted solely and exclusively from your ongoing acts or omissions or the ongoing acts or omissions of those acting on your behalf in performing "your work" under a written contract referred to above. 4. The person(s) or organization(s) listed above is an additional insured under this policy. However, the coverage provided by this endorsement does not apply to any coverage provided for an "auto" on a "non -owned auto', "hired auto', uninsured motorists coverage, underinsured motorists coverage, personal injury protection, property protection or similar no-fault coverage by whatever name called and/or an "auto' coverage of any type. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. BP 172 (10-13) Page 1 of 1 HEAKUMTERS: PO Bmt3867 P: ltevue,800.56 WA 98809 GRIFIrINJ( P: 425.453.8695 F: 425.453.$(39(3 WWvV'g0GU5.00'M UNDERWRITING SERVICES In CA, DBA: Griffin insurance Services, CA license #0(366558 Acct. Exec Npotts Bill To: AGT7894 Thompson Agency LLC 1703 SE Sedgwick Rd Suite #1103 Port Orchard, WA 98386 Type of Transaction Line of Business Endorsement - Addl Premium PACKAGE POLICY Surplus Lines Tax PACKAGE POLICY Stamping Office Fee PACKAGE POLICY Amount Invoiced: I Comm % Invoice Number: 575291 Invoice Date: 02/15/19 Page 1 Insured: Downtown Bremerton Association Submission Number: 18052316 Policy Number: NBP2552331 A Effective Dates: 02/15/19 to 6/30/19 Insurance Company: Mount Vernon Fire Insurance Co. Agent Code: AGT7894 Company ID Amount Comm($) Net Due 80519 535.00 $3.50 $31.50 T0002 50.70 $0.00 $0.70 T0001 SO.04 $000 $0.04 Commission $ 35.74 1 10-00 1 S3.50 Note: Payment Due on RECEIPT OF THIS INVOICE Thank you for your business! Invoice - Agency Bill Invoice Amount Due ACORN® CERTIFICATE OF LIABILITY INSURANCE �./1 DATE (MMlDDNYYY) 07/12/2018 THIS CERTIFICATE IS ISSUED ASA 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 NAME: Thompson Agency LLC PHONE Ext): A1C No 1703 SE Sedgwick Rd Suite #103 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC I INSURERA: Mount Vernon Fire Insurance Co. 26522 Port Orchard WA 98366 INSURED INSURERB: INSURER C : Downtown Bremerton Association INSURER D : PO Box 245 INSURER E : INSURERF: Bremerton WA 98337 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 CONTRACTOR 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AIJULSUBH JUM WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F OCCUR DAMA PREM SESOEa occuE.Dence $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 A Y Y NBP2552331A 06/30/2018 06/302019 GEN'LAGGREGATE LIMITAPPLIES PER. GENERALAGGREGATE $ 2,000,000 X POLICY PES F-1LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIR ED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per aca dent UMBRELLA LIABOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION .$.. $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT A Directors & Officers Liability Y Y NBP2552331A 06!302018 06/302019 $1,000,000 / $1,000,000 - D&O DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is named as Additional Insured per form BP04 48 01 06. Primary & Non -Contributory applies per form BPI 72 10 13. Waiver of Subrogation applies perform BP0497 01 06. —10 day notice for non-payment of premium - City of Bremerton 345 6th Street Suite 100 Bremerton WA 98337 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MIWDDNYYY) 0613012017 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 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 IT NAME Victor Thompson Thompson Agency A"C° No, Et,: 360-602-6999 Alc, No): 360-519-3350 1703 SE Sedgwick Rd, Ste 103 I. MAIL ADDRESS: vthompsonl@farrnersagent.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Mount Vernon Fire Insurance Company Port Orchard WA 98366 INSURED INSURER B: INSURER C : Downtown Bremerton Association INSURER D: PO Box 245 _ INSURER E: INSURER F: Bremerton i WA 98337 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. 999T_POLICYEFF LTR I TYPE OF INSURANCE INSD WVD POLICY NUMBER ttA,Y./DD;`.^!Y't) I POLICY P (MM!DDfYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR j ! EACH OCCURRENCE s 1,000, DAMA T R_IvTEO PREMISES ;Ea occurtencei $ 100,000 MED EXP :An; one person) $ 5,000 i PERSONAL &ADV INJURY $ 1,000,000 A X NBP2562331A 06/30/2018 06/3012019 GEN'LAGGREGATE LIMITAPPLIES PER: PRO- POLICY ECT ❑—LOC-- GENERALAGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG s 2,000,000 OTHER: S F_$ _ — —� AUTOMOBILE _. _ LIABILITY _ I COMBINED SINGLE LIMIT $ Ea accident, BODILY INJURY (Per person) I S ANY AU70 ALL OWNED SCHEDULED ' BODILY IINJURY(Per S _ AUTOS AUTOS accident) PROPERTY DAMAGE _l.5 -Per eccidenh—__ _I HIRED.AUTOS NON -OWNED AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED ; RETENTIONS $ _ _ iAND WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN _ _ PER 0TH- STATUTE ER I E.L. EACH ACCIDENT S �OFFICERIMEMBEREXCLUDED? i ID ANY PROPRIETORlPARTNERlEXECUTIVE N (MandatoryinNH) If describe under ESCRIPTION OF OPERATIONS below S. N/A E.LDISEASE -EAEMPLOYE°. S E.L DISEASE - POLICY LIMIT , $ I A Liquor Liability X NBP2552331A 06/30/2018 06/30/2019 Each Occurrence - $1,OD , 0 Aggregate Limit - $2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (A D 101, Additional Remarks Schedule, may be attached if more space is required) The City of Bremerton is listed as additional red with respect to commercial general liability and liquor liability. CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS, 345 6th St Suite 1t AUTHORIZED REPRESENTATIVE Bremerton —` WA 98337�i•.t;;.; ✓IJ^ — i- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: NBP2552331A BUSINESSOWNERS BP 04 48 01 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUS INESSOWNERS COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Effective Date: 06/30/201$12:01 AM City of Bremerton -- 345 6th Street Suite 100 Bremerton, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph C. Who is An Insurer! in Section II - Liability: 3. Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to 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 in the performance of your ongoing operations or in connection with your premises owned by or rented to you. BP 04 48 0106 0 ISO Properties, Inc., 2004 Page 1 of 1 HEADQUARTERS: PO Box 3867 Bellevue, 98004 GRIFFINI P: 800,562.8095 F: 425.453.8.8 b% www.loous.com UNDERWRITING SERVICES In CA, DBA: Griffin Insurance Services, CA License #OG66558 M February 15, 2019 Thompson Agency LLC 1703 SE Sedgwick Rd Suite # 103 Port Orchard, WA 98366 Attn: Keith Hafner Re: Downtown Bremerton Association - NBP2552331A Submission #: 18052316B Enclosed is an endorsement changing the above policy as follows: Please see attached carrier endorsements. Also note the enclosed invoice for the additional premium charge of $35.74. Feel free contact us if you have any questions or require further assistance. Best Regards, Josh Schmidt Brokerage Assistant Griffin Underwriting Services In CA, DBA: Griffm Insurance Services JSchmidt@gogus.com ENDORSEMENT #2 This endorsement, issued by Mount Vernon Fire Insurance Company to DOWNTOWN BREMERTON ASSOCIATION forms a part of Policy Number NBP2552331A effective on 2/15/2019 (MO. DAY YR.) at 12:01 A.M. Add/Remove/Amend Businessowners Additional Insured Endorsement In consideration of a flat and fully earned additional premium of $35 it is hereby agreed that the following is(are) added to the Policy: BP0497 01106 - Waiver Of Transfer Of Rights Of Recovery Against Others To Us BP -172 10113 -Primary And Non -Contributory -Written Contract TOTAL CHARGES: Additional Premium: $35.00 Surplus Lines Tax $0.70 Stamping Fee $0.04 Total: $35.74 All other terms and conditions of this Policy remain unchanged. ADD—REM (03-01) POLICY NUMBER: NBP2552331A BUSINESSOWNERS BP 04 97 01 06 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Person Or Organization: Effective Date: 02/15/2019 12:01 AM CITY OF BREMERTON 345 6TH STREET SUITE 100 BREMERTON, WA 98337 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Paragraph K. Transfer Of Rights Of Recovery Against Others To Us in Section III - Common Policy Conditions is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. BP 04 97 01 06 ISO Properties, Inc., 2004 UNITED STATES LIABILITY INSURANCE GROUP WAYNE, PENNSYLVANIA Thisendorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Primary And Non -Contributory - Written Contract Schedule: Effective Date: 02/15/2019 12: 01 AM Name of Person or Organization: CITY OF BREMERTON 345 6TH STREET SUITE 100 BREMERTON, WA 98337 (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) SECTION III - COMMON POLICY CONDITIONS, Paragraph H. OTHER INSURANCE, is amended with the addition of the following: The coverage afforded by this policy to the person(s) or organization(s) listed above is primary and non- contributory if: 1. This insurance is required to be primary or non-contributory under a written contract: and 2. The loss to be covered occurs on or after the effective date of the written contract; and 3. The loss to be covered resulted solely and exclusively from your ongoing acts or omissions or the ongoing acts or omissions of those acting on your behalf in performing "your work" under a written contract referred to above. 4. The person(s) or organization(s) listed above is an additional insured under this policy. However, the coverage provided by this endorsement does not apply to any coverage provided for an "auto" on a "non -owned auto', "hired auto', uninsured motorists coverage, underinsured motorists coverage, personal injury protection, property protection or similar no-fault coverage by whatever name called and/or an "auto' coverage of any type. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. BP 172 (10-13) Page 1 of 1 HEADQUARTERS: PO Box 3867 Bellevue, WA 98009 R I P: 800.562.8095 1■■ F: 425.453.U% PPNI( WWW,g0 :u5.c0M UNDERWRITING SERVICES In CA, DBA: Griffin insurance Services, CA License a0GM58 Acct. Exec Npotts Bill To: AGT7894 Thompson Agency LLC 1703 SE Sedgwick Rd Suite 91013 Port Orchard, WA 98366 Invoice Number: 575291 Invoice Date: 02/15/19 Page 1 Insured: Downtown Bremerton Association Submission Number: 18052316 Policy Number: NBP2552331 A Effective Dates: 02/15/19 to 6/30/19 Insurance Company: Mount Vernon fire Insurance Co. Agent Code: AGT7894 Type of Transaction Line of Business Company ID Amount Comm($) Net due Endorsement - Add[ Premium PACKAGE POLICY 80519 535.00 $3.50 $31.50 Surplus Lines Tax PACKAGE POLICY T0002 $0.70 $0.00 $0.70 Stamping Office Fee PACKAGE POLICY T0001 $0.04 $0.00 $0.04 Nate: Payment Due on RECEIPT OF THIS INVOICE Thank you for your business! Invoice - Agency Bill ACOR" ��.. CERTIFICATE OF LIABILITY INSURANCE DATE (M MlDDNYYY) F07/122018 THIS CERTIFICATE IS ISSUED ASA 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 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 NAME: Thompson Agency LLC A/CONNo, Ext): FAX No): 1703 SE Sedgwick Rd Suite #103 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 3 INSURERA: Mount Vernon Fire Insurance Co. 26522 Port Orchard WA 98366 INSURED INSURER B INSURER C : Downtown Bremerton Association INSURER D : PO Box 245 INSURER E : INSURER F : Bremerton WA 98337 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AUULSUBH INSID WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FRI OCCUR DAMAGE 11 PREMISES(i ooTEcurrDence $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 A Y Y NBP2552331A 06/302018 06/30/2019 GEN'LAGGREGATELIMITAPPLIESPER : GENERALAGGREGATE $ 2,000,000 X POLICY [:]PRO- ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE $ Peraccident UMBRELLA LIAB HCLAIMS-MADE OCCUR CURRENCE $ ATE $ EXCESS LAB DED RETENTION $ $ NLEACH WORKERS COMPENSATION OTH- AND EMPLOYERS' LIABILITY Y / N ER ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA I . DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I . DISEASE - POLICY LIMIT $ A Directors & Officers Liability Y Y NBP2552331A 06/302018 06/302019 $1,000,000 /$1,000,000 - D&O DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is named as Additional Insured per form BP04 48 01 06. Primary & Non -Contributory applies per form BP172 10 13. Waiver of Subrogation applies perform BP0497 01 06. —10 day notice for non-payment of premium"" City of Bremerton 345 1 Street Suite 100 Bremerton WA 98337 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD # s9a9/5136 MOUNT VERNON FIRE INSURANCE COMPANY 1190 DEVON PARK DRIVE P.O. BOX 6700 WAYNE PA 19087-2191 NOTICE OF CANCELLATION OF INSURANCE Named Insured & Mailing Address: DOWNTOWN BREMERTON ASSOCIATION PO BOX 245 BREMERTON WA 98337 Producer: 1803 GRIFFIN UNDERWRITING SERVICES P.O. BOX 3867 BELLEVUE WA 98009 Pnlir.v Nn : NRP 2552331A Type of Policy: NON PROFIT BUSINESS OWNERS PACKAGE Date of Cancellation: 06/11/2019; 12:01 A.M. Local Time at the mailing address of the Named Insured. We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above. The reason for cancellation is Nonpayment. Your interest in this policy as an "insured" or other party of interest is being cancelled effective 06/11/2019; 12:01 A.M. Local Time at the mailing address of the named insured. Additional Insured CITY OF BREMERTON 345 6TH STREET SUITE 100 BREMERTON WA 98337 Date Mailed: 23rd day of May, 2019 STEPHANIE RIVERA WACC19NONPMNT FORM# CC9697WA51995 05232019MNNY oDEN 3.0.19.04a Copy for Additional Insured Page 1 of 1 MOUNT VERNON FIRE INSURANCE COMPANY 1190 DEVON PARK DRIVE P.O. BOX 6700 WAYNE PA 19087-2191 REINSTATEMENT NOTICE Named Insured & Mailing Address: DOWNTOWN BREMERTON ASSOCIATION PO BOX 245 BREMERTON WA 98337 Producer: 1803 GRIFFIN UNDERWRITING SERVICES P.O. BOX 3867 BELLEVUE WA 98009 Policy No.:. NBP.2552331A Type of Policy: NON PROFIT BUSINESS OWNERS PACKAGE You recently received a notice advising this policy was being cancelled effective 06/11/2019. This notice is to advise that the policy is being reinstated without lapse in coverage. Named Insured DOWNTOWN BREMERTON ASSOCIATION PO BOX 245 BREMERTON WA 98337 Date Mailed: 6th day -of June, 2019" STEPHANIE RIVERA WACT 19 FORM# CT969897WA51995 06062019SNNY OMEN 3.0.19.04a Copy for Named Insured Page 1 of 1