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HomeMy WebLinkAbout5930TOURISM PROMOTION SERVICES AGREEMENT WayzGoose Kitsap 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 -Four Thousand Dollars ($24,000.00) 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, 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 10th, 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 inderrmnifrcation. 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/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 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 John Morrissey, Treasurer 345 6th 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 ��- �J)� By: ',breg Wheeler its: Manor Date: 21tat 1z0 tq Approved as to form: (Z==, Ag Bremerton Ceftor4ky Bremerton/DBA DOWNTOWN BUSINESS ASSOCIATION its: c Date: Attest: A��' - CED City Qje k Page 4 of 5 EXHIBIT A Scope of Services Promotion of art festival to be held August 27, 2019-Septermber 3, 2019: A. Advertising & Networking B. Online & Social Media Outreach C. Merchandise D. Original artwork E. Holiday Season gifts 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 Wayzgoose Exhibit B 1A:�MulIIHAIra] ref 363-473-5.BO Al. 363 -473 -SM 3" Qh at, Suite sm Ert r ertm. WA 98337 AUTHORIZATION AGREEMENT FOR ACH I hereby authorize the City of Bremerton to remit my fee via direct deposC to rry checking or savings ao=unt in the financial institration named below - This authorization shall continue in effect unta 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 a000w- t numbers. Business Name Bank Name Bank Routing Number Signature Email Address for Notification City of Bremerton Vendor Number Please return the completed dorm to: City of Bremerton Accounts Payable 345 EP Street Suite 100 Bremerton, WA 98337-1873 Bremerton/DBA Wayzgoose Account Number ❑Checking []Savings. Date Page 216 EXHIBIT B CITY OF BR'EMERTON LOOING TAX FUND REIMBURSEMENT REQUEST FORM Date Contract No. Total Award Amount CNganizatian Name Mailing address Contact Name: Phone.� email: Date of Service Event/Program Title Picric Is: your cs mo holo. 2=n cop c--&. match rg reca m Y mere spam Is rmedai obase use Pape 2 Total Request: Tourism Funding Recipient Name (printed)_ Tourism Funding Recipient Signature: Date- -I ccrttyurda�peratycd perlurr, the ofctfratlor codalredit this request for ncThursemon Is In aand m -mot: I aT autbn2md iG ['Mlfy i_1d sutlrr:t hg mquost, and jam mquesung mmburscmert of money t a�noly as doscited Irtho aaplitetm a b ccmrartwith tx CRY of glem0te2 Please mtum doTm aloi,4 with mples of sL;pratirg mvolces and receipt,• to: Oty of Sremeron COntra[ti AdmslsiratoT 346 6th Street, STE 100 Bremerton, WA 98337-1873 Foran k3 2019 Puge 1 Bremerton/DBA Wayzgoose Page 316 EXHIBIT B MY OF MEMFRTON } LOVING TAX FLWD REiM BUR5EMEN'T RECKIM FORM Date Contract No - Organization Macre Kease lest your expenses below - attach copies of matching receipts. Form L3 2019 Pap 2 Bremerton/DBA Wayzgoose 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 fundis for 2018_ Please complete this form 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 email at Melindamonroe@ci-bremerton-wa.us. Organization: Date: _k here to enter a date. Completed By: Email: Telephone: ACTIVITY Activity Name Type Date Start C ick here to erter ❑ Event/Festhal J Facility D Marketing a date. End Dick h -re to erter Total Cost of Activity a date ATTENDEE ESTIMATES D--. rdt A-1 Y-rb.-Anh..o Nc»aclFrolanarian u PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at melinda_monroe&Dci_bremertonwa.us ar fmr (360) 473 -5200 - Page 516 Bremerton/DBA Wayzgoose Choose an Overall Attendance item. Attendees who traveled 50 miles or more ro attend` Choose an Tota; Item. Of Total, attendees who Choose an traveled from another state item. or country Attendees who stayed overnight: Choose an Paid accommodations item. Choose an Unpaid accommodations item. Choose an Paid Lodging nights item. u PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2019 Please return to Melinda Monroe at melinda_monroe&Dci_bremertonwa.us ar fmr (360) 473 -5200 - Page 516 Bremerton/DBA Wayzgoose EXHIBIT B Fra W-9 Request for Taxpayer r*w Fwm to #* �iw_No„ai�a ffi17} Identification dumber and Certification fir. too not ao . 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Ina wa ml taxpayer: mnan atton nunber fi-IM, adoptai , Farm 1099-A (acquMen or aban:mrrrent of sectrac property) m payer *ec=Carar, nu_-7bar (ATINj, or an pioerNncatlyo rLimber F M, to repeet on oat IrSormaflon retLen tate arnyxit pen to yEu or Older use Fore VY -6i your rbc are a US person prtwdng a re i� r amm= mpomve, yo an Imornra�a re L --m Examples of Irerrrtartan 0. to prdvtde your correct TIN. ret.;ms L'ducte, = are not IIm1Ed to. Stye fC(Jo% rig_ r y^:r W not reWm Four W-9 to the iegusstar tiff-, a VII, you mgr>: , Form 1 DBS -^SFT 0rrierest euned a pe'Cj be stub to t miap W=00ffi1g. See Yetrsy Is backip wtOlWa g. lafen Cat Na. 10231X F3m 71-Y JRW. l i -20i rj Pel°e 6 6 Bremerton/DBA Wayzgoose ACORO® CERTIFICATE OF LIABILITY INSURANCE �..� DATE(MMIDDrYYYY) 0613 0/2 01 7 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 NAME• Victor Thompson Thompson Agency NCO No. E i : 360-602-6999 360-519-3350 (AIC, No): ADDRESS: vthompsonl®famiersagent.com 1703 SE Sedgwick Rd, Ste 103 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Mount Vernon Fire Insurance Company Port Orchard WA 98366 INSURED _ INSURER B Downtown Bremerton Association INSURERC: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ACCORDANCE WITH THE POLICY PROVISIONS. INSIt LTR - -— TYPE OF INSURANCE AUUL INSD WVD POLICY NUMBER MMID01YYYY POLICY EXP MMIDDIYYYYr — --- --- --- --- LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x]] EACH OCCURRENCE $ 1,000. PREMISES �Ea occurrence; E 100.000 MED EXP Arif one-ersonl E 5,000 PERSONAL &ADV INJURY $ 1,000,000 A _ X NBP2552331A 06/30/2018 2019 GENLAGGREGATE X LIMITAPPLIES PER: POLICY ❑ PRO- F LOC GENERALAGGREGATE S 2,000,000 PRODUCTS - COMPIOPAGG S 2.000,000 $ AUTOMOBILE OTHER: LIABILITY COMBINED SINGLE LIMIT $ e accident, BODILY INJURY (Per person) S ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per ac*W* S PROPERTY DAMAGE S Per accident; HIRED AUTOS NON -OWNED AUTOS _ S UMBRELLA LIAB OCCUR EACH OCCURRENCE t AGGREGATE S EXCESSLWB CLAIMS -MADE DED RETENTIONS_ _ _ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN T T ANY PROPRIETORIPARTNER/EXECUTIVEi N l A EXCLUDED? ❑N ' E.L. EACH ACCIDENT S _ (OFnCERIMEMBER (Mandatory In N H) ` E.L. DISEASE - EA EMPLOYE. S If S , describe under f _ !D below _ E.L. DISEASE - POLICY LIMIT $ Liquor Liability A TX NBP2552331A 06/30/2018 06/30/2019 Each Occurrence - $1,000;Q961, Aggregate Limit - $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES CORD 101, Additional Remarks Schedule, may be attached If more space In required) The City of Bremerton is listed as additio T�eLinsured 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 100 AUTHORIZED REPRESENTATIVE Bremerton WA r 98337 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: BUSINESSOWNERS COVERAGE FORM SCHEDULE Name of Additional Insured Person(s) Or Organization(s): Effective Date: 0&30/201812 , 01 AM City of Bremerton 345 6th Street Suit�O/ 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 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, 48069 GIRIFFINIt P: 800.562.8095 F: 425.453.8.8 696 WWW.j000S.00A,1 UNDERWRITING SERVICES In CA, DSA: Griffin Insurance Services, CA License $tOG66558 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 M 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 2/1512019 (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: 0211 5/201 9 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 HEAKU AftTERS: PO Bm 3$57 Wte,w, WA 98009 P:425.553.66% GR1F`F1 NF: 425.453.8595 1 W%q\V.'q0GUS'C0M UNDERWRITING SERVICES En CA, MA: Griffin Insurance Services, CA License #OG66558 � Acct. Exec Npotts Bill To: AGT7894 Thompson Agency LLC 1703 SE Sedgwick Rd Suite #103 Port Orchard, WA 98366 Invoice Number: 575291 Invoice Date: 02/15/19 Rage 1 Insured: Downtown Bremerton Association Submission Number: 18052316 Policy Number: NBP2552331 A Effective Dates: 02/15/19 to 6/30/19 Insurance Company: Mount Vernon Fire Insurance Co. Agent Code: AGT7894 Type of Transaction Line of Business Company ID Amount Comm($) Net Due Endorsement - Addl Premium PACKAGE POLICY 80519 $35.00 $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 Amount Invoiced: 1 Comm % I Commission I Invoice Amount Due $ 35.74 10.00 S3.50 Note: Payment Due on RECEIPT OF THIS INVOICE Thank you for your business! Invoice - Agency Bill ACORN®DATE ��. CERTIFICATE OF LIABILITY INSURANCE (MMIDDNYYY) 07/12/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 GUNIAGI NAME: Thompson Agency LLC PHONA/C No Ext): A!C No): 1703 SE Sedgwick Rd Suite #103 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC INSURERA: Mount Vernon Fire Insurance Co. 26522 Port Orchard WA 98366 INSURED INSURER B : Downtown Bremerton Association INSURER C : INSURER D : PO Box 245 INSURER E : -INSURER F: Bremerton WA 98337 COVFRAGFS CFRTIFICATF NIIMRFR• wFXnsinu MI mnRCA- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y NBP2552331A 06/302018 06/30/2019 GEN'LAGGREGATE LIMITAPPLIES PER. !� POLICY 11 LOC GENERAL AGGREGATE $ 2,000,000 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 PROPERTYDAMAGE $ Per accident UMBRELLA LIABOCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN I STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N N lA EL DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E . DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Directors & Officers Liability Y Y NBP2552331A [06/30/2018 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 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 (2014/01) The ACORD name and logo are registered marks of ACORD # s 9a9/513d 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 Pnlicv Nn : NBP ?,5?331A 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