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HomeMy WebLinkAbout5939 ,.i, . . IS Aga 1 1 I..., 'Mk_ JJ11 a 11! . „.. ,�/Lift V , ■V VV IIYC. :5• 1 150 N ,tif j-atpr Drive/PO Box 1204/Chehalis,WA 98532/360.748,0195/800.245,6303/fax 360.748.0256 4!:1.:'6,..:, 4),',..'..:';.kl 4 -r- 7 — 1 :;,.,:t :?i:.,, .'?:.��.' PROPOSAL -;.'. ` . 'a '„'.,'J'4 `YEA Y 16,2019 ,..''-',:'!:.-i'''''2' :;': .. , i TON DIRE DEPARTMENT •I .1' N',-•T 1VICGANNLY 'lam*i';�z : �; _�..:-f�. r••AVE ,it'S:. n..4, V a:,;; • R•'MlJR'ON,WA 98337 ;` ”: �JAS`J ;(• at[ilE'jc _iiicganuev(Wci.bremeztou.wa.us Y.`.-}'lose.}�.�,+Y/'r`�:"L^ui:,'�5 a^.}• ':PF:.Aaw'• '?▪ '•R Vatri''OIJNT/REFURBISH 2006 NORTH STAR 167"VEHICLE##548-3 MODULE 4�/44�▪ }�llamN•NORTA E T IS PLEASED TO OFFER 1 IL FOLLOWING PROPOSAL: ,? ,�:t<f. •-, yv . 14C C.PX � f�`�`��lY$E[i1i2LFLIBISH ONE(1)2006 NORTSTAR 167"VEHICLE#548-3 MODULE ONTO A�;;�7�t `'�d ,'� .�QpA ;� �AG PRIi,AIESD'Il SIR�NGb0SED SPECIFICATIONS .(.xe.(;`•[(t� ets'��rwd;'4,::I•?,•'_;�,; i4:'tr;.,' n✓� '' _1:•' •' • •d. s-:'=?Al 4;: Y'h !O1i,Cc .r. L',WAfv.li!C iii}'.iliir#.!.i:•ii::,' ' •}•.,lii.ft, ,�119,301,0I '�,,{.i•l 4'�• ''�C� f ,� fY;' t8_i,.a,• r. !Stt7,bs-t>}ii'i��fucIiltTi<d :y: / ,y•: "".����TT..??..qq��,i��.,.t{{',.X53�`�s ti�:::f :��y7.f!"�•..M1{'.p'i;,(r:�;-�.•:�'.s�,1'•/h•::�'[%•�:�ti�i:7:/<'^�Ii:./� DELIVERYMOUNT/I + i UR3ISI ; ;g3f;'COMPLETE+D WITHIN NINETY(90)DAYS AFTER RECEIPT OF NEWCI ASSTS AND EXISTING VEHICLE. START OF PROCESS TO BE SCH1;1) ]I;�D;33Y. + AFRON NEW CHASSIS DELIVERY AND AGENCY'S OPLRAIIO NAL-:SG EDULE. TERMS: N'I P,eJI• '�rNT(90%)PAYMENT DUE UPON RECEIPT • r:kk�b `�? •';Y{HICLE. BALANCE DUE IN THIRTY(30)DAYS. It is u e i. ,iii' j thatthe used chassis is not road legal due to the transfer of such items as lights and mud flapsfO c. chassis Transportation of used chassis remains the responsibility of agency unless chassis is ��tradet `"Y.!4n r.ts or pieces not transferred to the new chassis or reused,unless specifically noted,shall q•X<< 1 e ch1dela'lh•_trade.iu value of chassis to reduce overall cost of this project. +:' ''.*Vel ielel must;be'in drivable condition,capable of completing the trip to Chehalis,WA. If vehicle 3 x prnps.S;disa led,Custoinor is responsible for anyadditional charges related to gettingthe vehicle to the .-:o•'<Ri nun t'ortln est fnc.Chehalis,WA facility ''....:',':,;;;10„.;izu loitfiu ed I j A;'s a Washrington dealer(0991-A)with insurance information available upon request. `:',1:,�3i I es iiEtfiiilj ';AiNi4. ted by: 'We agree to accept the above proposal: .i'Ie1 ,"f -,IK.''Ottfl ST,INC. BREMERTON FIRE DEPART1�IENT I' ,,�..",, .F- .. a �--- — 2'28 .14) .'';3; ' IVMeCiti*.y::l'..Sales Signature Date ▪ 'Dte �' r• ek..4. ✓fit `6..y"e•-/ 2-25-7�iinted Name Title TM/sel cc RL �_t i'J ■r—s, Enclosure:Specifications. . ► 1' IEIVIERI.iEI01I:Y11 li;11CLES worm hraiunrluv.cram I I GOODS AND SERVICES AGREEMENT THIS AGREEMENT, is entered into between the City of Bremerton, a Washington Municipal Corporation ("City"), and Braun NW Inc. ("Vendor"), whose mailing address is:150 North Star Dr,Chehalis,WA 98532 The parties agree as follows: I. VENDOR SERVICES. The Vendor shall provide the following goods and materials and/or perform the following services for the City:Remount and Refurbish 2006 North Star 167" Vehicle#548.3 Module onto a 2019 Ram 4500 4x2 Ambulance Prep Diesel Chassis. U. TIME OF COMPLETION. Vendor shall complete the work and provide all goods, materials and services within 90 calendar days after receipt of new chassis and existing vehicle. M. COMPENSATION. The City shall pay the Vendor the total amount of$152,258.00, including applicable Washington State Sales Tax, for the goods, materials and services contemplated in this Agreement. A. Defective or Unauthorized Work. The City reserves its right to withhold payment from Vendor for any defective or unauthorized goods,materials or services. If Vendor is unable, for any reason,to complete any part of this Agreement,the City may obtain the goods,materials or services on.its own or from a third party,and Vendor shall be liable to the City for any additional costs incurred by the City. "Additional costs"shall mean all reasonable costs,including legal costs and attorney fees, incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct the cost to complete this Agreement, including any Additional Costs,from any and all amounts due or to become due the Vendor., IV. INDEPENDENT CONTRACTOR. Vendor is and shall be at all times acting as an independent contractor and not as an employee of the City. The Vendor shall secure at its expense, and shall be responsible for all payments of income tax,social security,state disability insurance compensation, unemployment compensation, and all other payroll deductions for the Vendor, officer, agents, employees and subcontractors. The Vendor shall also secure all applicable business licenses, if required, in connection with the contract services, including all required licenses for Vendor's officers,agents,employees and subcontractors. V. TERMINATION. The City may terminate this Agreement for good cause. "Good cause" shall include,without limitation,any one or more of the following events: A. The Vendor's refusal or failure to supply a sufficient number of properly skilled workers or proper materials for completion of this Agreement, B. The Vendor's failure to complete this Agreement within the time specified in this Agreement. Page 1 of 8 Goods and Services Agreement Rev.07/2018 • 1 C. The Vendor's failure to make full and prompt payment to subcontractors or for material or labor. D. The Vendor's failure to comply with federal,state or local laws,rules or regulations. B. The Vendor's filing for bankruptcy or becoming adjudged bankrupt. If the City terminates this Agreement for good cause, the Vendor shall not receive any further monies due under this Agreement until the goods,materials,and services required by this Agreement are completed and fully performed by the City or a third party of the City's choosing. VI. CHANGES. The City may issue a written change order for any change in the goods, materials or services to be provided during the performance of this Agreement. If the Vendor determines,for any reason,that a change order is necessary,Vendor must submit a written change order request to an authorized agent of the City within fourteen (14) calendar days of the date Vendor knew or should have known of the facts and events giving rise to the requested change. If the City determines that the change increases or decreases the Vendor's costs or time for performance,the City will make an equitable adjustment. The City will attempt,in good faith,to reach agreement with the Vendor on all equitable adjustments. However,if the parties are unable to agree,the City will determine the equitable adjustment as it deems appropriate. The Vendor shall proceed with the change order work upon receiving either a written change order from the City or an oral order from the City before actually receiving the written change order. If the Vendor fails to require a change order within the time allowed,the Vendor waives its right to make any claim or submit subsequent change order requests for that portion of the contract work. If the Vendor disagrees with the equitable adjustment the Vendor must complete the change order work; however,the Vendor may elect to protest the adjustment as provided below: • A. Procedure and Protest by the Vendor. If the Vendor disagrees with anything required by a change order, another written order, or an oral order from the City, including any direction,instruction,interpretation,or determination by the City,the Vendor shall: 1. Immediately give a signed written notice of protest to the City; 2. Supplement the written protest within fourteen (14) calendar days with a written statement that provides the following information: a. The date of the Vendor's protest. b. The nature and circumstances that caused the protest. c. The provisions in this Agreement that support the protest. d. The estimated dollar cost,if any,,of the protested work and how that estimate was determined. e. An analysis of the progress schedule showing the schedule change or disruption if the Vendor is asserting a schedule change or disruption. 2. The Vendor shall keep complete records of extra costs and time incurred as a result of the protested work. The City shall have access to any of the Vendor's records needed for evaluating the protest. Page 2 of 8 Goods and Services Agreement Rev.07/2018 The City will evaluate all protests,provided the procedures in this section are followed. If the City determines that a protest is valid,the City will adjust payment for work or time by an equitable adjustment. No adjustment will be made for an invalid protest. B. Vendor's Duty to Complete Protested Work. In spite of any protest,the Vendor shall proceed promptly to provide the goods,materials and services required by the City under this Agreement. C. Vendor's Acceptance of Changes. The Vendor accepts all requirements of a change order by: (1)endorsing it, (2)writing a separate acceptance, or(3)not protesting in the way this section provides. A change order that is accepted by Vendor as provided in this section shall constitute full payment and final settlement of all claims for contract time and for direct,indirect and consequential costs, including costs of delays related to any work,either covered or affected by the change. D. Failure to Protest Constitutes Waiver. By not protesting as this section en oral the Vendor also waives any additional entitlement and accepts from the City any order(including directions,instructions,interpretations,and determination). E. Failure to Follow Procedures Constitutes Waiver. By failing to follow the procedures of this section, the Vendor completely waives any claims for protested work and accepts from the City any written or oral order(including directions,instructions,interpretations, and determination). VII. CLAIMS. The Vendor shall give written notice to the City of all claims other than change orders within fourteen(14)calendar days of the occurrence of the events giving rise to the claims. Any claim for damages, additional payment for any reason, or extension of time,whether under this Agreement or otherwise, shall be conclusively deemed to have been waived by the Vendor unless a timely written claim is made in strict accordance with the applicable provisions of this Agreement; or, if(and only if) no such provision is applicable, unless that claim is set forth in detail in writing and received by the City within seven (7) calendar days from the date Vendor knew, or should have known, of the facts giving rise to the claim. At a minimum, a Vendor's written claim must include the information set forth regarding protests in Section 6(A)(2)(a)-(e). FAILURE TO PROVIDE A COMPLETE, WRITTEN NOTIFICATION OF CLAIM WITHIN THEHANYW TIME ALLOWED SHALL BE AN AY FROM THE FACTS OR OLUTE WAIVER OF ANY CLAIMS AISINGIN ANY SURROUNDING THAT CLAIM OR CAUSED BY THAT DELAY. Vendor must,in any event,file any claim or bring any suit arising from or connected with this Agreement within 120 calendar days from the date the contract work is complete. VIII. WARRANTY. The Vendor shall correct all defects in workmanship and materials within one year from the date of the City's acceptance of the Contract work. When defects are corrected, the warranty for that portion of the work shall extend for one year from the date such correction is Page 3 of 8 Goods and Services Agreement Rev.07/2018 completed and accepted by the City. The Vendor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of the defect. If the Vendor does not accomplish the corrections within a reasonable time,the City may complete the corrections and the Vendor shall pay all costs incurred by the City in order to accomplish the correction. IX. INDEMNIFICATION. Vendor 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. Vendor's obligation to indemnify shall not extend to that portion of damages caused by the City's sole negligence. The City's inspection or acceptance of any of Vendor's work when completed shall not be grounds to avoid any of these covenants of indemnification. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Vendor and the City,its officers,officials,employees,agents and volunteers,the Vendor's liability hereunder shall be only to the extent of the Vendor's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THIS INDEMNIFICATION CONSTITUTES THE VENDOR'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE PURPOSES OF THIS INDEMNIFICATION. THE PARTIES ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this Agreement. X. INSURANCE. The Vendor shall procure and maintain for the duration of this Agreement, insurance against claims for injuries to persons or damage to property that may arise from or in connection with the performance of the Contract work by the Vendor,its agents,representatives, employees or subcontractors. Before beginning work on the project described in this Agreement, the Vendor shall provide a Certificate of Insurance evidencing: A. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and B. Commercial General Liability insurance written on an occurrence basis with limits no less than$1,000,000 combined single limit per occurrence and$2,000,000 aggregate for personal injury,bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual;products/completed operations/broad form property damage;and employer's liability. C. Excess Liability insurance with limits not less than $1,000,000 limit per Page 4 of 8 Goods and Services Agreement Rev.07/2018 1 occurrence and aggregate. D. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim. B. Workers State of Washington,Title insurance,Revised Code of Washington equired by the Industrial Insurance Act of theWashington and employer's liability with limits not less than$1,000,000. Any payment of deductible or self-insured retention shall be the sole responsibility of the Vendor. All required policies shall be provided on an "occurrence" basis except professional liability insurance(if required),which shall be provided on a"claims-made"basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Vendor and a copy of the endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all the required insurance policies. The Vendor's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. Theendoi's insurance shall be primary insurance as respects the City and shall contain a waiver o abrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Vendor 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 6th 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. The City also reserves its unqualified right to require at any time and for any reason,proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. XI. MISCELLANEOUS. A. Licenses and Taxes. Vendor shall possess a current Bremerton Business License and any regulatory license required to fulfill Vendor's obligations under this contract. B&O taxes shall be paid when due, and Vendor, by this agreement, assigns any payments due under this contract to the City Clerk for payment of such taxes which have been declared delinquent. B. Conflict and Precedence. In the event of a conflict between the contract documents, the document which rates higher on the following list shall take precedence: 1. Addenda,if any, Page 5 of 8 Goods and Services Agreement ; Rev.07/2018 i 2. Contract, 3. Specifications, 4. Terms and Conditions, 5. Contractor's proposal. C. Documents Incorporated by Reference. The following documents are incorporated by reference,to include,but not be limited to: 1. Terms and Conditions, 2. Specifications, 3. Proposal, and 4. Non-Collusion Affidavit. E. Use of Photographs and Images. Vendor shall not use or distribute photographs or images depicting City officials,personnel,property,or equipment whether prepared by Vendor or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. F. Nondiscrimination. In the hiring of employees for the performance of work under this Agreement the Vendor,its subcontractors,or any person acting on behalf of Vendor shall not, by reason of race,religion, color, sex, sexual orientation,national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. G. Compliance with Laws. Vendor shall comply with all federal,state and local laws, rules and regulations throughout every aspect in the performance of this Agreement. H. Work Performed at Vendor's Risk. Vendor shall take all precautions necessary and shall be responsible for the safety of its employees,agents,and subcontractors in the performance of this Agreement. All work shall be done at Vendor's own risk,and Vendor 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. I. Governing Law. This Agreement shall be governed and construed in accordance with the laws of the State of Washington.If any dispute arises between the City and Vendor under any of the provisions of this Agreement,resolution of that dispute shall be available exclusively under the jurisdiction, venue and rules of the Kitsap County Superior Court, Kitsap County, Washington. J. Attorney's Fees. In any claim or lawsuit for damages arising from the parties' performance of this Agreement,each party shall be responsible for payment of its own legal costs and attorney's fees incurred in defending or bringing such claim or lawsuit;however,nothing in this subsection shall limit the City's right to indemnification under Section 9 of this Agreement. J. Written Notice. All communications regarding this Agreement shall be sent to the parties at the addresses listed below,unless otherwise notified. Any written notice shall become effective upon delivery, but in any event three (3) calendar days after the date of mailing by Page 6 of 8 Goods and Services Agreement Rev.07/2018 4 registered or certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement. Notices to be sent to: Notices to be sent to: CITY: VENDOR: Braun Northwest,Inc. Attn: Attn: 779/71-7; edit&/ 1 City of Bremerton /.SD , A2,e77i SrMg. 24. 345 4- 345 6a'Street, Suite 1000.) /,20// Bremerton,WA 98337-1891 .fi �iSr /tel 9TSZ2- K. Assignment. Any assignment of this Agreement by the Vendor without the written consent of the City shall be void. L. Modification. No waiver, alteration, or modification of any of the provisions of this Agreement shall be binding unless in writing and signed by a duly authorized representative of the City and Vendor. M. Severability. If any one or more sections, subsections, or sentences of this Agreement are held to be unconstitutional or invalid,that decision shall not affect the validity of the remaining portion of this Agreement and the remainder shall remain in full force and effect. N. Entire Agreement. The written provisions and terms of this Agreement,together with any attached Exhibits,supersede all prior verbal statements by any representative of the City, and those statements shall not be construed as forming a part of or altering in any manner this Agreement. This Agreement and any attached Exhibits contain the entire Agreement between the parties. Should any language in any Exhibit to this Agreement conflict with any language contained in this Agreement,the terms of this Agreement shall prevail. IN WITNESS WHEREOF,the parties below have executed this Agreement. CITY: o- VENDOR: Braun Northwest, Inc. City of Bremerton • Page 7 of 8 Goods and Services Agreement Rev.07/2018 i, ��_ By: Print 1 r Print ame: /Ll ' }LLU/1 Name: G e�.of Cn9L.e_i 4 /�� Its: Ma.y o•r Its: G. l' tee,S.7/X' Date: 31'8 12019 Date: (j`*//`� APPROVED AS TO FORM: ATTEST: By: _ By: O ROGER A. LUBOV ,Bxeme ton City Attorney ANGELA W go DS,City Clerk R:\Legel\Legal\Forms\FORMS ON COBWEB1Goods and Services Agreement Rev.07 2018.daex Page 8 of 8 Goods and Services Agreement Rev.07/2018 • • • CITY OF BREMERTON TAX & LICENSE DIVISION 345 6th Street, Suite 100 • Bremerton WA 98337-1891 • PHONE (360)473-5311 FAX(360)473-5300 BUSINESS LICENSE BRAUN NORTHWEST INC License Number: 19794 PO BOX 1204 CHEHALIS,WA 98532 Expires: 12/31/2019 Location: 150 North Star Dr CHEHALIS,WA 98532 License Type: Business License This License must be posted in a conspicuous place at the business location, This business license is not transferable or assignable A ------"I", BRAUNOR-01 SCRESALIA ~ iir©n CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 317/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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 NCONTACT Sharon Cresalia AME: Insurance Partners,LLC PHONE 545 First Street (A1C,No,Ext);(503)642-3933 I VA,No):(503)542-3944 Lake Oswego,OR 97034 EMAIL ADDRESS:Info@InsurancePartners.biz INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Charter Oak Fire Insurance Company 26615 ' INSURED INSURER B:Travelers Indemnity Company of America 25666 J.R.Braun NW,Incl Braun NW,Inc./JLT Holdings,LLC INSURER C:Travelers Property Casualty Company of America 25674 P.O.Box 1204 INSURER D: /'�� /')/✓'�I 1 Chehalis,WA 98532 V INSURER E INSURER F: ' V 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. INSR ADDL SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMM/DpmYYJ IM�AM/DID/YYYYI, LIMITS A X COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X I OCCUR V X X 6307K712297 3/31/2018 3/31/2019 REM 3ES(Ea ocaurrrenc@) $ 100,000 MED EXP(Any one person $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ VVVV 2,000,000 X POLICY P LOC PRODUCTS-COMP/OP AGG $ 2,000,000 J X OTHER;0 Deductible / WA STOP GAP B AUTOMOBILE LIABILITY . d ......a 1,000,000 COMBINED SINGLE LIMIT 1,000+000 VV (Ea accident) $ X ANY AUTO AD7K718020 3/31/2018 3/31/2019 O ED ` SCHEDULED BODILY INJURY(Per person) 'a AUTOS ONLY AUTOS Wt�Ep BODILY INJURY(Per accident) S X AUTOS ONLY x ATOS ONLY Pier eecci en DAMAGE $ X Ind DealeNTr Comp./Coll.loll.Ded s p 1,000 C X UMBRELLA LWB X OCCUR EACH OCCURRENCE $ 15,000,000 EXCESSLIAB CLAIMS-MADE CUP7K743587 3131/2010 3/31/2019 AGGREGATE $ ile 15,000,000 DED X RETENTIONS 10,000 a C WORKERS COMPENSATION STATUTE OTH- ER AND EMPLOYERS'LIABILITY X AQNYCPRROPREIEMTBOERIPARTNERfEXECUTNE YIN UB7K741686 3/31/2018 3/31/2019 1000,000 (nnanrlat In NHT EXCLUDED? N/A E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEES 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATION below E.L.DISEASE-POLICY LIMIT S C Manufacturers E&O li, ZPL51M98607 3131/2018 3/31/2019 Aggregate /l 1,000,000 C Workers Compensation VUB7K741686 3/31/2018 3/31/2019 WA Employer Liabilit w 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) City of Bremerton Is an additional insured as per forms attached. Coverage provided by Braun Northwest,Inc.is primary and waiver of subrogation applies per forms attached. V CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 345 6th Street,Suite 100 ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton,WA 98337-1891 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only.Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties,and what is and is not covered. A. Broadened Named Insured J. Bodily Injury To Co-Employees And Co-Volunteer B. Blanket Additional Insured--Broad Form Vendors Workers C. Damage To Premises Rented To You K. Aircraft Chartered With Crew • Perils of fire, explosion, lightning, smoke, L. Non-Owned Watercraft—Increased From 25 Feet water To 50 Feet • Limit increased to$300,000 M. Increased Supplementary Payments D. Blanket Waiver Of Subrogation • Cost of bail bonds increased to$2,500 E. Blanket Additional Insured — Owners, Managers • Loss of earnings increased to$500 per day Or Lessors Of Premises F. Blanket Additional Insured — Lessors Of Leased N. Medical Payments-Increased Limit Equipment O. Knowledge And Notice Of Occurrence Or Offense G. Incidental Medical Malpractice P. Unintentional Omission H. Personal Injury—Assumed By Contract Q. Reasonable Force — Bodily injury Or Property I. Amended Bodily Injury Definition Damage PROVISIONS B. BLANKET ADDITIONALLINSURED — BROAD A. BROADENED NAMED INSURED FORM VENDORS 1. The following is added to SECTION II—WHO The following is added to SECTION II—WHO IS IS AN INSURED: AN INSURED: Any organization, other than a partnership or Any person or organization that is a vendor and joint venture, over which you maintain owner- that you have agreed in a written contract or ship or majority interest on the effective date agreement to include as an additional insured on of the policy qualifies as a Named Insured. this Coverage Part is an insured, but only with re- However, coverage for any such organization spect to liability for "bodily Injury" or "property will cease as of the date during the policy pe- damage"that: riod that you no longer maintain ownership of, or majority interest in,such organization. a. Is caused by an"occurrence"that takes place 2. The following replaces Paragraph 4.a. of after you have signed and executed that con- SECTION II—WHO IS AN INSURED: tract or agreement;and a. Coverage under this provision is afforded b. Arises out of "your products" which are dis trd only until the 180th day after you acquire vend r' or sold in the regular course of such or form the organization or the end of the vendor's business. policy period, whichever is earlier, unless The insurance provided to such vendor is subject reported in writing to us within 180 days. to the following provisions: CG D4 58 07 13 ©2[113 The Travelers indemnity Company.All rights reserved. Page 1 of 7 Includes copyrighted materiel of insurance Services Office,Inc.with its permission. 6 COMMERCIAL GENERAL LIABILITY a. The limits of insurance provided to such yen- JURY AND PROPERTY DAMAGE LIABIL- dor will be the limits which you agreed to pro- ITY: vide in the written contract or agreement, or Exclusions c.through n.do not apply to dam- the limits shown in the Declarations of this age to premises while rented to you, or tern- Coverage Part,whichever are less. porarily occupied by you with permission of b. The Insurance provided to such vendor does the owner,caused by: not apply to: a. Fire; (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay b. Explosion; damages by reason of the assumption of c. Lightning; liability in a contract or agreement. This d. Smoke resulting from such fire, explosion, exclusion does not apply to liability for or lightning;or damages that the vendor would have in e. Water. the absence of the contract or agreement; (2) A separate limit of Insurance applies to such Any express warranty unauthorized by damage to premises as described in Pare- you; graph 6.of Section III—Limits Of Insurance. (3) Any physical or chemical change in "your This insurance does not apply to damage to products" made intentionally by such premises while rented to you, or temporarily vendor; occupied p by you with permission of the (4) Repackaging, unless unpacked solely for owner,caused by: the purpose of inspection, demonstration, a. Rupture, bursting, or operation of pres- testing, or the substitution of parts under sure relief devices; instructions from the manufacturer, and then repackaged In the original container; b. Rupture or bursting due to expansion or (5) Any failure to make such inspections, ad- swelling of the contents of any building or structure, caused by or resulting from wa- justments, tests or servicing as vendors ter; agree to perform or normally undertake to perform in the regular course of business, c. Explosion of steam boilers, steam pipes, in connection with the distribution or sale steam engines,or steam turbines. of"your products"; 2. The following replaces Paragraph 6, of SEC- (6) Demonstration, installation, servicing or TION til—LIMITS OF INSURANCE: repair operations,except such operations Subject to 5. above, the Damage To Pram- performed at such vendor's premises in ises Rented To You Limit is the most we will connection with the sale of 'your prod- pay under Coverage A for damages because " u s ;or of "property damage" to any one premises (7) "Your products"which, after distribution or while rented to you, or temporarily occupied sale by you, have been labeled or rela- by you with permission of the owner, caused beled or used as a container, part or in- by fire; explosion; lightning smoke resulting gradient of any other thing or substance from such fire, explosion, or lightning; or wa- by or for such vendor, ter. The Damage To Premises Rented To Coverage under this provision does not apply to: You Limit will apply to all damage proximately a. Any person or organization from whom you caused by the same "occurrence, whether have acquired "your products", or any ingre such damage results from fire; explosion; dient, part or container entering into, accom- lightning; smoke resulting from such fire, ex- panying or containing such products;or plosion, or lightning; water; or any combine- b. Any vendor for which coverage as an addi- tionaltion of any of these. insured specifically is scheduled by en The Damage To Premises Rented To You dorsement. Limit will be the higher of; C. DAMAGE TO PREMISES RENTED TO YOU a. $300,000;or 1. The following replaces the last paragraph of b. The amount shown on the Declarations of Paragraph 2., Exclusions, of SECTION I — this Coverage Part for Damage To Prem- COVERAGES—COVERAGE A BODILY IN- ises Rented To You Limit. Page 2 of 7 02013 The Travelers Indemnity Company.Ail rights reserved. CG 04 58 07 13 includes copyrighted material of Insurance Services Office,Inc,with its permission. COMMERCIAL GENERAL LIABILITY 3. The following replaces Paragraph a, of the a. Is"bodily injury"or"property damage"caused definition of"insured contract" In the DEFINI- by an "occurrence" that takes place, or"per- TIONS Section: sonal injury" or"advertising injury" caused by a. A contract for a lease of premises. How- an offense that is committed, after you have ever, that portion of the contract for a signed and executed that contract or agree- lease of premises that indemnifies any meet; and person or organization for damage to b. Arises out of the ownership, maintenance or premises while rented to you, or tempo- use of that part of any premises leased to redly occupied by you with permission of you. the owner, caused by: The insurance provided to such premises owner, (1) Fire; manager or lessor is subject to the following pro- (2) Explosion; visions: (3) Lightning; a. The limits of insurance provided to such premises owner, manager or lessor will be (4) Smoke resulting from such fire, ex- the limits which you agreed to provide in the plosion,or lightning;or written contract or agreement, or the limits (5) Water. shown on the Declarations of this Coverage Part,whichever are less. is not an"insured contract"; b. The Insurance provided to such premises 4. The following replaces Paragraph 4.b.(1)(b) owner, manager or lessor does not apply to: of SECTION IV— COMMERCIAL GENERAL (1) "Bodilyor LIABILITY CONDITIONS: injury" "property damage" caused by an "occurrence" that takes (b) That is insurance for premises rented to place, or "personal injury" or "advertising you, or temporarily occupied by you with injury" caused by an offense that is corn- the permission of the owner; , mitted, after you cease to be a tenant in D. BLANKET WAIVER OF SUBROGATION V' that premises; or The following is added to Paragraph 8., Transfer (2) Structural alterations, new construction or Of Rights Of Recovery Against Others To Us, demolition such premises performedfwbya a on er of SECTION IV— COMMERCIAL GENERAL Li- behalf of owner, manager or lessor, ABILITY CONDITIONS: c. The insurance provided to such premises We waive any right of recovery we may have owner, manager or lessor is excess over any against any person or organization because of valid and collectible other insurance available payments we make for injury or damage arising to such premises owner, manager or lessor, out of premises owned or occupied by or rented unless you have agreed in a written contract or loaned to you; ongoing operations performed for this insurance to apply on a primary or by you or on your behalf, done under a contract contributory basis. 4' with that person or organization; "your work"; or F. BLANKET ADDITIONAL INSURED— LESSORS "your products". We waive this right where you OF LEASED EQUIPMENT have agreed to do so as part of a written contract, The following is added to SECTION II—WHO IS executed by you prior to loss. AN INSURED: E. BLANKET ADDITIONAL INSURED—OWNERS, Any person or organization that is an equipment MANAGERS OR LESSORS OF PREMISES lessor and that you have agreed in a written con- The following is added to SECTION II—WHO IS tract or agreement to Include as an additional in- AN INSURED: sured on this Coverage Part is an insured, but Any person or organization that is a premises only withrespect to liability for "bodily injury", owner, manager or lessor and that you have "property damage", "personal injury" or"advertis- agreed in a written contract or agreement to ing injury"that: name as an additional insured on this Coverage a. Is"bodily injury"or"property damage"caused Part is an insured, but only with respect to liability by an "occurrence" that takes place, or 'per- for "bodily injury", "property damage", "personal sons! injury" or"advertising injury" caused by injury"or"advertising injury"that: an offense that is committed, after you have CG D4 58 07 13 ©2013 The Travelers indemnity Company.All rights reserved. Page 3 of 7 Includes copyrighted material of Insurance Services Office,Inc.with its permission. df5131 ____.—..IN BRAUNOR-01 SCRESALIA ACC)RII) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �..----- 3/27/2019 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 endorsed. If SUBROGATION IS WAIVED, subject (iiiterms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to OldIcate holder in lieu of such endorsement(s). PRODUCER CONTACT Sharon Cresalia Insurance Partners,LLC MAR 2 9 2019 PHONE 545 First Street (A/c,No,Ext):(503)542-3933 (A/C,NO:(503)542-3944 Lake Oswego,OR 97034 AIM RIEss:Info)@InsurancePartners.biz City of Bremerton INSURERS)AFFORDING COVERAGE NAIC# Risk Management INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:The Travelers Indemnity Company 25658 J.R.Braun NW,Inc./Braun NW,Inc./JLT Holdings,LLC INSURER c:Travelers Property Casualty Company of America 25674 0 P.O.Box 1204 INSURER D: 14., 31 1 Chehalis;WA 98532 INSURER E F. INSURER F: – 's...,,,/'\\.J 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POUCY EFF POUCY EXP LIMITS LTR INSD WVD (MMIDD/YYYY1 IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY v" EACH OCCURRENCE $ 1,000,000 630-7K712297 3/31/2019/2020 DAMAGE TO RENTED CLAIMS-MADE X OCCUR X X PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ iivVVV// 2'000'000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER STOP GAP $ 1,000,000 B COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY I/ (Ea accident) 3 1,000,000 X ANY AUTO AD-7K718020 3/31/2019 3131/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOSpNNWWNNEEpp BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOONLY (Perra�identDAMAGE ._$_— C X UMBRELLA LIAB X OCCUR Y 15,000,000 EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE CUP-7K743587 3/31/2019 3/31/2020 AGGREGATE $ 15,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION EMPLOYERS'LIABILITY Y/N X STATUTE ER 1UB-7K741686 3/31/2019 3/31/20201,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FICER/MEMBER EXCLUDED? N/A andatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liabili ZPL-51M98607 3/31/2019 3/31/2020 Aggregate 1,000,000 C Workers Compensation UB-7K741686 3/31/2019 3/31/2020 WA Employer Liabilit V 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) • City of Bremerton is an additional insured as per forms attached. Coverage provided by Braun Northwest,Inc.is primary and waiver9f subrogation applies per forms attached. ✓✓ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th Street,Suite 100 Bremerton,WA 98337-1891 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) v ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD R ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/26/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies 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: NE Sharon Cresalia, ARM N Insurance Partners, LLC PHONE (503) 210-2300 FAX (503) 210-2323 A/C No Ext : A/C, No : PO Box 699 RECEIVE® E-MAIL scresalia@insurancepartners.biz ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Lake Oswego APR 0 2O r,qT 34-0066 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Travelers Indemnity (IND) 25658 Braun Northwest, Inc. INSURER C : Travelers Property Casualty Ins Co 36161 P. O. Box 1204 City of Bremerton Risk Management INSURER D INSURER E : Chehalis WA 98532 INSURER F : CnVFRAGFS CERTIFICATE NUMBER: 2020-21 Master 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. ILTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICY NUMBER MMIDDY/YYYY MM DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR Y 63071<712297 03/31/2020 03/31/2021 EACH OCCURRENCE $ 110003000 DAMAGE TO RENTED PREMISES Ea occurrence 300000 $ , MED EXP (Any one person) $ 51000 PERSONAL &ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 21000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑JECT PRO ❑ LOC X O- OTHER: PRODUCTS - COMP/OPAGG $ 2,000,000 WA Stop Gap $ 110002000 B AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X GARAGE AD71<718020 03/31/2020 03/31/2021 COMBINED SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C X 17MBRE'L LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP71<743587 03/31/2020 03/31/2021 EACH OCCURRENCE $ 152000,000 AGGREGATE $ 15,000,000 $ DED I X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA UB7K741686 03/31/2020 03/31/2021 X STATUTE H ER E.L. EACH ACCIDENT 11000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 11000,000 $ B Garage & Dealers Comp & Coll Deductibles AD71<718020 03/31/2020 03/31/2021 Limit $500,000 $11000/$11000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is an additional insured as per forms attached. Coverage provided by Braun Northwest, Inc. is primary and waiver of subrogation applies per forms attached. I+C DTI CII+ATC lJ (11 r1CG renlr.I=1 I eTInN 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 Street, Suite 100 AUTHORIZED REPRESENTATIVE Bremerton WA 98337-1891 61 LW [IWO� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. •.' 1. 9111k• IU: •. !. •.' �. •. • �: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II —WHO IS AN INSURED: Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs subsequent to the signing of that contract or agreement; and b. If the "bodily injury" or "property damage" is caused, in whole or in part, by your acts or omissions in the performance of "your work" to which that contract or agreement applies or the acts or omissions of any person or organization performing operations on your behalf. The insurance provided to such additional insured is subject to the following provisions: a. The limits of insurance provided to such additional insured will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. This insurance does not apply to any person or organization for whom you have purchased an Owners and Contractors Protective policy. c. The insurance provided to such additional insured does not apply to: (1) Any "bodily injury" or "property damage" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. d. If the written contract or agreement does not require that the insurance provided under this Coverage Part apply on a primary basis, or a primary and non-contributory basis, then this insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. CG D1 44 02 79 ©2017 The Travelers Indemnity Company. All rights reserved. Page 1 Of 1 Includes copyrighted material from Insurance Services Office, Inc. with its permission. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/25/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Partners, LLC dba: Frinell Risk Advisors PO Box 699 H 11 G Lake Oswego INSURED Braun Northwest, Inc. Nun iH� r Sharon CresaliaARM NAME: , PHONE (503) 210-2300 AIC No Ext : E-MAIL scresalia@frinellrisk.com ADDRESS: INSURER(S) AFFORDING COVERAGE OR 97034-0066 INSURERA: LM Insurance Corporation INSURER B: Liberty Mutual Fire Insurance Co INSURER C : Liberty Insurance Corporation P. O. Box 1204 City of Bremertory INSURER D Sisk (t/)c('jat_lpmpw INSURER E : Chehalis WA 98532 INSURER F : COVERAGES CERTIFICATE NUMBER: 2021-22 Master REVISION NUMBER: (503) 210-2323 NAIC # 33600 23035 42404 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. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 F DAMAGE TO RENTEIT� 3001000 CLAIMS -MADE OCCUR PREMISES Ea occu ence $ MED EXP (Any one person) $ 51000 PERSONAL &ADV INJURY $ 1,000,000 A Y Y TB5Z91472765011 03/31/2021 03/31/2022 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 21000,000 PRO ❑ LOC X POLICY ❑ PRODUCTS - COMP/OPAGG $ 21000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000,000 (Ea accident) X ANY AUTO $ BODILY INJURY (Per person) B OWNED SCHEDULED AS2Z91472765011 03/31/2021 03/31/2022 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accident $ X GARAGE X OMYRELLA LIAB X OCCUR EACH OCCURRENCE $ 1510000000 AGGREGATE $ 151000,000 C EXCESS LIAB CLAIMS -MADE TH7Z91472765051 03/31/2021 03/31/2022 DED I X RETENTION $ 0 $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY YI N STATUTE EORH B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WC2Z91472765031 03/31/2021 03/31/2022 E. L. EACH ACCIDENT $ 11000,000 11000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L._DISEASE-EA EMPLOYEE $ If yes, describe under _ _ `^ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Garagekeepers & Dealer B Comp & Coll Deductibles AS2Z91472765011 03/31/2021 03/31/2022 Limit per location $500,000 Deductibles $13000/$11000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is an additional insured as per forms attached. Coverage provided by Braun Northwest, Inc. is primary and waiver of subrogation applies per forms attached. CERTIFICATE HOLDER CANCELLATION 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 Street, Suite 100 AUTHORIZED REPRESENTATIVE Bremerton WA 98337-1891 & ii, dl ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER tieenG• CONTACT Julie Douglas Insurance Partners, LLC dba: Frinell Risk Advisors PO Box 699 Lake Oswego INSURED Braun Northwest, Inc. P. O. Box 1204 Chehalis nnveon�oc I�ECEI V I:U City ofi Bremerton Risk Management PHONE (503) 210-2300 rvx (503) 210-2323 AIC No Ext : AIC No E-MAIL jdouglas@frinellrisk.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 97034-0066 INSURERA: LM Insurance Corporation 33600 INSURER B : Liberty Mutual Fire Insurance Co 23035 INSURER C : Liberty Insurance Corporation 42404 INSURER D : INSURER E : WA 98532 1 INSURER F f`FRTIFIPATF All IMRFR• 22-23 GL, AL, WC, Umb, REVISION NUM6ER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW'HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTANDING 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYY MM DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y TB5Z91472765012 03/31/2022 03/31/2023 EACH OCCURRENCE $ 1 ,0001000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 51000 PERSONAL &ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 21000,000 GEN'LAGGREGATE LIMITAPPLIES PER: JECT F1POLICY ❑ PRO- ❑ LOC OTHER: PRODUCTS $ 2,000,000 Employee Benefits $ 11000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X GARAGE AS2Z91472765012 03/31/2022 03/31/2023 COMBINED SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C X 17M13'►2>=LLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE TH7Z91472765052 03/31/2022 03/31/2023 EACH OCCURRENCE $ 15,0002000 AGGREGATE $ rd $ DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, descrihe under DESCRIPTION OF OPERATIONS below NIA WC2Z91472765032 03/31/2022 03/31/2023 X PER STATUTE H ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 11000,000 $ B Garagekeepers & Dealer Comp & Coll Deductibles AS2Z91472765012 03/31I2022 03/31/2023 Limit per location Deductibles $500,000 $11000/$11000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is an additional insured as per forms attached. Coverage provided by Braun Northwest, Inc. is primary and waiver of subrogation applies per forms attached. CERTIFICA City of Bremerton 345 6th Street, Suite 100 Bremerton CANCELLATION 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 WA 98337-1891 Gr-�(r,�✓t� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) 'oRo® CERTIFICATE OF LIABILITY INSURANCE 03127/2023 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 endorse 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 riahts to the certificate holder in lieu of such endorsement(sl. PRODUCER Insurance Partners, LLC dba: Frinell Risk Advisors PO Box 699 Lake Oswego INSURED Braun Northwest, Inc. P. O. Box 1204 Chehalis �iPl�7_[�7�� RECEIVEC� OR 97034-0066 MAR: 3 0 2023 City of Bremerton Risk Manag�(►�J8532 C�3�.3iIj[�7rri�:I� i]iT7�:A ��"'A" Julie Douglas NAME: PA/ONN Ext • (503) 210-2300 A/C No : (503) 210-2323 on Rlvcc• Jdouglas@frinellrisk.com INSURERS) AFFORDING COVERAGE INsuRERA: Travelers Indemnity Company ofAmerica INsuRER B ; Travelers Casualty Co of CT INsuRER c : Travelers Indemnity Company ofAmerica INsuRER D : Travelers Property Casualty Company ofAmerica INSURER E 23-24 GLAL WC Umb 1:7X�I��L�7:�:1il'�I=7dil NAIC # THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOV4'F1RtlE 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS•MADE � OCCUR PREMISES Ea occurrence 5 300,000 MED EXP (Any one person) 5 5,000 pERSONALaADVINJURY 5 1,000,000 A Y Y6304W039541TIA23 03/31/2023 03/31/2024 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE 5 2,000,000 POLICY ❑ jEo- � LOC PRODUCTS-COMP/OPAGG 5 2,000,000 OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident g 1,000,000 X BODILY INJURY (Per person) S ANY AUTO g OWNED SCHEDULED AUTOS ONLY AUTOS AD5W2222772314 03/31/2023 03/31/2024 BODILY INJURY (Per accident) 5 PROPERTY DAMAGE Per accident 5 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY x S GARAGE x IYIN�Iif=LUi LIAR X OCCUR EACH OCCURRENCE 5 15,000,000 gGGREGATE 5 C EXCESS LIAB CLAIMS•MADE CUP4W0400662314 03/31/2023 03/31/2023 DED RETENTION $ 5 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED9 (Mandatory in NH) NIA U64W0399462314G 03/31/2023 03/31/2023 X STATUTE ERH E.L.FACHACCIDENT 5 1,000,000 E.L.DISEASE-64EMPLOYEE 5 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 5 1,000,000 Limit Per Location $500,000 B Garagekeepers &Dealer Comp &Coll Deductibles AD5W2222772314 03/31/2023 03/31/2024 Deductibles $1,000/$1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Bremerton is an additional insured as per forms attached. Coverage provided by Braun Northwest, Inc. is primary and waiver of subrogation applies per forms attached. CERTIFICATE HOLDER CANCELLATION 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 sth Street, Suite 100 AUTHORIZED REPRESENTATIVE Bremerton WA 98337-1891 Clli ii,�✓l� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2015/03) The ACORD name and logo are registered marks of ACORD 8