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HomeMy WebLinkAbout6062 TOURISM PROMOTION SERVICES AGREEMENT The City of Bremerton("City")and Heavy Jeens ("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, 2020 and shall continue in full force and effect until December 31, 2020 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 _Fifteen Thousand and One-hundred Forty Dollars ($15,140.00) 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. A. Payment will be released when the following has been fulfilled: I. The Organization shall submit monthly billing invoices, by the 15th of the month following the end of 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. II. 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. B. 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. I. 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,2021 after the expiration of this Agreement may result in the forfeiture of remaining unbilled compensation. C. 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/Heavy Jeans Page 1 of 5 IV. Relationship of Parties: The Organization represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. The Organization and its personnel are independent contractors and not employees of the City. The Organization and its personnel have no authority to bind the City or to control the City's employees and other contractors. None of the benefits provided by the City to its employees, including, but not limited to, compensation, insurance, and unemployment insurance are available from the City to the employees, agents, representatives, or sub-consultants of the Organization. Organization will be solely and entirely responsible for its acts and for the acts of the Organization's agents, employees, representatives and sub-consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent contractors to perform the same or similar work. As an independent contractor, the Organization is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Organization or its personnel. As an independent contractor, Organization is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These taxes and fees include but are not limited to State industrial insurance,Business&Occupation, State professional licensing, and City business licensing. If any taxes or fees due the City have been declared delinquent,the City may withhold the delinquent amount,plus any additional charges arising from the delinquency, from any payments due Organization. V. Indemnification: Organization shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement, except for that portion of the injuries and damages caused by the City's sole negligence. The City's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive the expiration or termination of this Agreement. VI. Insurance: Prior to and during the performance of the work covered by this Agreement, Organization shall provide the Risk Manager for the City with evidence that it has obtained and maintains in full force and effect during the term of this Agreement comprehensive general liability insurance coverage of at least $500,000.00 per occurrence. In the event Organization organizes, promotes or sponsors an event involving the sale or consumption of food or alcoholic beverages, Organization shall also provide evidence that it has obtained products liability and liquor liability insurance of at least $500,000.00 per occurrence, for each event. The City shall be named as additional insured and it shall be an affirmative obligation upon Organization to advise the City's Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, Attn: Risk Management, 345 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. Bremerton/Heavy Jeans Page 2 of 5 The Organization's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any operations, liabilities and obligations to which coverage applies. VII. General Conditions: A. Reports and Information: When requested by the City, Organization shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested per Exhibit B. Organization shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP)to substantiate all billed amounts. B. Work Performed at Organization's Risk: Organization shall take all precautions necessary and shall be responsible for the safety of its employees, agents,and sub-consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at Organization's own risk, and Organization shall be responsible for any loss of or damage to materials, tools, or other articles used or held for use in connection with the work. C. Place of Work: The Organization shall perform the work authorized under this Agreement at its offices in Bremerton, Washington. Any necessary meetings with the City staff shall take place at the City's offices, or at locations mutually agreed upon by the parties. D. Entire Agreement: This Agreement and its Exhibits constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. E. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. F. Modification: This Agreement may only be modified by written instrument signed by both Parties. G. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. Contracts Administrator Organization Address City of Bremerton Heavy Jeans_ 345 6th Street, Suite 100 2320 Terrace St. Bremerton, WA 98337 Bremerton, WA 98310-5041 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/Heavy Jeans 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 Heavy Jeans By: reg Wheeler By: Karen Sawyer its: Mayor its: Date: 2.f 1'5)2020 Date: 02 • - • 7.- Approved Approved as to form: Attest: _NVQ Ur( Com✓ Bremerton City Attorney City Clerk Bremerton/Heavy Jeans Page 4 of 5 EXHIBIT A Scope of Services Marketing Project including Posters, Printing Plates and supplies, Poster Dispersal, Design, Letterpress Printing, Social Media, Website maintenance. Working with community Partners such as the Downtown Business Association, First Fridays, and local businesses. Bremerton/Heavy Jeans Page 5 of 5 EXHIBIT B CITY OF BREMERTON LODGING TAX FUND REIMBURSEMENT REQUEST FORM Date BR E MERTO NI Contract No. Total Award Amount Organization Name Mailing address Contact Name: Phone: email: Date of Service Event/Program Title Please list your expenses below,attach copies of matching receipts. If more space is needed please use page 2 of this form. Total Request: 0.00 Tourism Funding Recipient Name(printed): Tourism Funding Recipient Signature: Date: *1 certify under penalty of perjury,the information contained in this request for reimbursement is true and correct:I am authorized to certify and submit this request;and I am requesting reimbursement of money I actually spend for the project or event as described in the application and contract with the City of Bremerton. Please return form along with copies of supporting invoices and receipts to: City of Bremerton Contracts Administrator 346 6th Street,Ste 100 Bremerton,WA 98337-1873 Form B.3 2019 Page 1 CITY OF BREMERTON LODING TAX FUND REIMBURSEMENT REQUEST FORM Date CITY pF BREMERTONI Contract No. Organization Name Please list your expenses below, attach copies of matching receipts. Form B.3 2019 Page 2 EXHIBIT B CITY OF BREMERTON LODGING TAX WORKSHEET CITY OF BREMERTON The City of Bremerton is required by RCW 67.28.1816 to report the use of lodging tax funds each year. Your organization received lodging tax funds for 2019. Please complete this form and return to the City no later than March 1, 2020. If you have any questions or concerns please contact Melinda Monroe, Contracts Administrator at (360)473-5306 or by email at Melinda.monroe@ci.bremerton.wa.us. Organization: Date: Completed By: Email: Telephone: ACTIVITY Activity Name Type Date ❑ Event/Festival Start ❑ Facility Total Cost of Activity ❑ Marketing End ATTENDEE ESTIMATES Projected Actual Methodology Notes/Explanation Overall Attendance Select Drop-Down Ite Attendees who traveled 50 miles or more to attend: Total Select Drop-Down Ite Of Total, attendees who traveled from another state Select Drop down Iter or country Attendees who stayed overnight: Paid accommodations Select Drop-Down RE Unpaid accommodations Select Drop-Down Ite Paid Lodging nights Select Drop-Down It( PLEASE RETURN COMPLETED WORKSHEET BY MARCH 1, 2020 Please return to Melinda Monroe at melinda.monroe@ci.bremerton.wa.us or fax(360)473-5306. O CERTIFICATE OF LIABILITY INSURANCE DATE 07J03 020 1 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 .. CONTACT MACKENZIE ENLOE NAME; StateFarm STATE FARM INSURANCE COMPANY PHO Ne.Eat: 3803773992 1 Ia Nei: 3603739720 OH 1100 WHEATON WAY,STE A E-MAIL s: ADDRE OMACKENZIE.ENLOE.E721@GMAILCOM ' BREMERTON,WA 98310 INBURER(S)AFFORDING COVERAGE NA1Ce JOHN STEPHENS,AGENT INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER e: t 1 D iHEAVY JEENS INSURER C: 2320 TERRACE ST INSURER D: (� \\I- r - BREMERTON,WA 98310-5041 INSURER E: A �/ t �/( INSURER F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOT1MTHSTANDING ANY REQUIREMENT, TERM OR CONDmON 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. l INSR TYPE OF INSURANCE ADDVSUBR POLICY EFF POLICY EXP UNITS LTR INSD WYD POUCY NUMBER (MMIDDIYYYYI (MM/DD/YYYYI COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS.MADE ®OCCUR PREMIETIEAOtAO RENTED PREMISES IEA 04WIterlcel $ MED EXP(Any one person) $ 5,000 A , 98-C4-R547-0 01/15/2020 01/15/2021 PERSONALSADVINJURY S GEML AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE : s 2,000,000 XPOLICY❑ a n LOC PRODUCTS-COMP/OP AGGS 2,000,000 OTHER: S AUTOMOBILE UABUJTYBINNED INGLE UMIT $ —ANY AUTO BODILY INJURY(Per person) S — OWNED —SCHEDULED BODILY INJURY(Per ec dert) S �._ AUTOS HIRED ONLY NON--OWNED TRbPERTY DAMAd _ AUTOS ONLY — AUTOS ONLY (Per accident) S S UMBRELLA LIAR OCCUR EACH OCCURRENCE 3 _. EXCESS UAB CLAIMS-MADE AGGREGATE S DEO RETENTION$ _ S WORKERS COMPENSATION � AND EMPLOYERS'LIABILITY Y 1 N I STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) EL DISEASE-EA EMPLOYEE s U yyeetn dMuIbe under DESGtRIPT1ON OF OPERATIONS below EL DISEASE-POUCY UMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Addatonal Remarks Schedule,may be attached N more space la required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED tN CITY OF BREMERTON • ACCORDANCE WITH THE POLICY PROVISIONS. 345 6TH ST STE 100 Sohn Stet:, Std BREMERTON,WA 98337-1891 �AvrHoluzEa REPa ENT• 11P / 1::,,,,. JJ I 1 01988-2015 ACORD C•RPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16.2016 Policy No. 98 C4R547 0 2813-FBBC ✓ Page 1 oft THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4797 ADDITIONAL INSURED — CONTROLLING INTEREST This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98 C4R547 0 Named Insured: HEAVY JEENS 2320 TERRACE ST BREMERTON WA Name And Address Of Additional Insured Person Or Organization: City of Bremerton 345 6TH ST STE 100 BREMERTON WA 983371891 1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2. With respect to the insurance afforded the additional insured, this insurance does not apply to struc- tural alterations, new construction or demolition operations performed by or for that additional in- sured. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. All other policy provisions apply. CMP-4797 1006233 137725.1 11-20-2013 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 787 Policy No. 98 C4R547 0 2813-FBBC ag9e 1of THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP-4787 WAIVER OF)RANSFER OF RIGHTS OR RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98 C4R547 0 Named Insured: HEAVY JEENS 2320 TERRACE ST BREMERTON WA 98310-5041 Name And Address Of Person Or Organization:' City of Bremerton 345 6TH ST STE 100 BREMERTON WA 983371891 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: va. Your ongoing operations; or Vb. "Your work" done under 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. All other policy provisions apply. CMP-4787 1006225 137715.1 11-19-2013 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. M 9136 DECLARATIONS(CONTINUED) Businessowners Policy for HEAVY JEENS Policy Number 98-C4-R547-0 SECTION I-EXTENSIONS OF COVERAGE-LIMIT OF INSURANCE-EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations,unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, but has"Included"indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF - COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit - Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs(applies only when buildings are 10% insured on a replacement cost basis) Money And Securities(Off Premises) $2,000 Money And Securities(On Premises) $5,000 Money Orders And Counterfeit Money $1 000 Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B-Business Personal Property) Newly Acquired Or Constructed Buildings(applies only if this policy provides $250,000 Coverage A-Buildings) Prepared JAN 28 2020 ©Copyright State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009138 290 Continued on Reverse Side of Page Page 3 of 6 N M 9136 DECLARATIONS(CONTINUED) Businessowners Policy for HEAVY JEENS Policy Number 98-C4-R547-0 Coverage M-Medical Expenses(Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF V AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 " . General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II-Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below,and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form CMP-4247.1 Amendatory Endorsement CMP-4561.1 Policy Endorsement FE-6999.2 Terrorism Insurance Coy Notice CMP-4705.2 Loss of Income&Extra Expnse FE-3650 Actual Cash Value Endorsemet CMP-4572 Amendment of Premium Gond CMP-4709 Money and Securities CMP-4804 Addl lnsd Club Members CMP-4797 Addl lnsd Controlling Interest FD-6007 Inland Marine Attach Dec SCHEDULE OF ADDITIONAL INTERESTS Interest Type: Addl Insured-Section II Endorsement#: CMP4797 Loan Number: N/A CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 983371891 Prepared JAN 28 2020 0)Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009139 290 Continued on Reverse Side of Page Page 5 of 6 N STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Pq Borxds8on53, T92X5 75085-3925 Policy Number 98-C4-R547-0 Poc a Named Insured Policy Period Effective Date Expiration Date M-15-2813-FBBC F N 12 Months JAN 15 2020 JAN 15 2021 HEAVY JEENS The policy period begins and ends at 12:01 am standard time at the premises location. 2320 TERRACE ST BREMERTON WA 98310-5041 ATTACHING INLAND MARINE Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8744.1 Inland Marine Computer Prop FE-8724 Inland Marine Conditions See Reverse for Schedule Page with Limits Prepared JAN 28 2020 fr Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009140 530-686 a2 05-311011 iolt37370 98-C4-R547-0 009141 CMP-4247.1 Page 1 of 5 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4247.1 AMENDATORY ENDORSEMENT(Washington) ::s::' This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM A. SECTION I is amended as follows: (3) Weight of rain that collects on a 1. Paragraphs 1. and 8. under Property Not roof; or �'8 Covered of SECTION I — PROPERTY is (4) Use of defective material or meth- replaced by the following: ods in construction, remodeling or 1. Aircraft, automobiles, motor trucks, or renovation if the collapse occurs other vehicle subject to licensing re- during the course of the co quirements. tion, remodeling or renovavattionion . However, if the collapse occurs af- 8. "Computer(s)" which are permanently ter construction, remodeling or installed or designed to be permanently renovation is complete and is installed in any aircraft, watercraft, mo- caused in part by a cause of loss tor truck or other vehicle subject to li- listed in Paragraphs (1) through censing requirements. This paragraph (3), we will pay for the loss even if does not apply to "computer(s)" while use of defective material or meth- held as"stock"; ods in construction, remodeling or 2. The last paragraph under Paragraph 2.1. renovation, contributes to the col of SECTION I—EXCLUSIONS is replaced lapse. by the following: The criteria set forth in Paragraphs But if an excluded cause of loss that is a.(1) and a.(2) do not limit the Ex- listedcover- in Paragraphs (1) through (7) above age otherwise provided under this results in an accidental direct physical loss tensionOf Coverage for the causes of loss by any of the "specified causes of loss", listed in Paragraphs b.(1), b.(2), and b.(3). building glass breakage or collapse, as provided in SECTION I — EXTENSIONS c. With respect to the following property: OF COVERAGE, we will pay for the loss (1) Awnings; caused by that"specified causes of loss", (2) Gutters and downspouts; building glass breakage or collapse. 3. Paragraphs 4.b.,4.c. and 4.d.(1)under Col- (3) Yard fixtures; lapse of SECTION I — EXTENSIONS OF (4) Outdoor swimming pools; COVERAGE are replaced by the following: (5) Piers, wharves and docks; b. We will pay for accidental direct physi- (6) Beach or diving platforms or ap- cal loss to Covered Property, caused purtenances; by collapse of a building or any part of (7) Retaining walls; and a building that is insured under this coverage form or that contains Cov- (8) Walks, roadways and other paved ered Property insured under this cov- surfaces; erage form, if the collapse is caused if the collapse is caused by a cause of by one or more of the following: loss listed in Paragraphs b.(2)through (1) The "specified causes of loss" or b.(4), we will pay for loss to that prop- breakage of building glass, all only erty only if such loss is a direct result as insured against in this coverage of the collapse of a building insured form; under this coverage form and the (2) Weight of property is Covered Property under g people or personal property; this coverage form. ©,Copyright,State Farm Mutual Automobile Insurance Company,2016 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009142 CMP-4247.1 Page 3 of 5 2. Paragraph 5. Employer's Liability of SEC- because of the injury described in TION II — EXCLUSIONS applies only to Paragraph i.above. "bodily injury" to "employees" of the in- sured n C. SECTION I AND SECTION II — COMMON whose employment is not subject to POLICY CONDITIONS is amended as follows: the 1. the Industrial Insurance Act of Washington •- (Washington Revised Code Title 51). 1. The following is added to 2. Concealment, With respect to "bodily injury" to "employ Misrepresentation Or Fraud: ees" of the insured whose employment is If the loss is also the result of an act of subject to the Industrial Insurance Act of domestic abuse by you, this policy is not Washington, paragraph 5., is replaced by void as to any other insured provided that N the following: the other insured files a police report, co- operates with any law enforcement inves- 5. Employer's Liability tigation relating to the act of domestic a. "Bodily injury" to an "employee" or abuse and did not cooperate in or contrib- a former"employee" of the insured ute to the loss. arising out of and in the course of: If we pay for such a loss, our payment to (1) Employment by the insured; or the insured is limited to that insured's in- surable interest in the property less any (2) Performing duties related to the payments we first made to a mortgagee or conduct of the insured's busi- other party with a legal secured interest in ness. the property. In no event will we pay more b. Any obligation to share damages than the Limit Of Insurance. with or repay someone else who As used here, domestic abuse means in- must pay damages because of the tentionally, knowingly, or recklessly caus- injury. ing physical loss to covered property so as to intimidate or attempt to control the be- This exclusion does not apply to liabil- havior of another insured. ity assumed by the insured under an "insured contract". 2. The paragraph titled SECTION I—PROP- ERTY under Other Insurance is replaced 3. Paragraph 2.a.(1)of SECTION II— WHO IS by the following: AN INSURED applies only to"employees"of SECTION I—PROPERTY the insured whose employment is not subject to the Industrial Insurance Act of Washington With respect to insurance provided under (Washington Revised Code Title 51). SECTION I—PROPERTY: With respect to "employees" of the insured a. You may have other insurance subject whose employment is subject to the Indus- to the same plan, terms, conditions trial Insurance Act of Washington, Para- and provisions asu the insuranceewill pay under � this policy. If you do, we our graph 1.b.(1)(a)is replaced by the following: share of the covered loss. Our share is (a) "Bodily injury" or"personal and adver- the proportion that the applicable Limit tising injury": Of Insurance under this policy bears to i. To you, to your partners or mem the limits of insurance of all insurance bers (if you are a partnership or covering on the same basis. joint venture), to your members (if b. If there is other insurance covering the you are a limited liability company), same loss, other than that described in or to a co-"employee" while that Paragraph a. above, we will pay only co-"employee" is either in the for the amount of covered loss in ex- course of his or her employment or cess of the amount due from that other performing duties related to the insurance, whether you can collect on conduct of your business; or it or not. But we will not pay more than ii. For which there is any obligation to the applicable Limit Of Insurance. share damages with or repay some- However,this insurance is primary and does one else who must pay damages not contribute with any other insurance for a C),Copyright,State Farm Mutual Automobile Insurance Company,2016 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009143 CMP-4247.1 Page 5 of 5 (3) 45 days before the effective date of Insured shown in the Declarations and cancellation if we cancel for any the first Named Insured's agent written other reason. notice of the nonrenewal at least 45 C. Notice of cancellation will state the ac- days before the: r• tual reason for and effective date of (1) Expiration of the policy; or ,..0 cancellation. The policy period will end on that date. (2) Anniversary date of this policy if d. We will mail or deliver our notice to the this policy has been written for a first Named Insured's and the first term of more than one year. vs5 Named Insured's agent at their last We will mail or deliver our notice to the �� mailing address known to us. If notice first Named Insured's and the first is mailed, proof of mailing will be suffi- Named Insured's agent at their last mail- cient proof of notice, ing address known to us. We will also e. We will also mail or deliver to any mail to any mortgageholder, pledgee or mortgageholder, pledgee or other per- other person shown in this policy to son shown in this policy to have an in- have an interest in any loss which may terest in any loss which may occur occur under this policy, at their last mail- under this policy, at their last mailing ing address known to us, written notice address known to us, written notice of of nonrenewal. The notice will state the cancellation prior to the effective date reason for nonrenewal. If notice is of cancellation. If cancellation is for mailed, proof of mailing will be sufficient reasons other than those contained in proof of notice. Paragraph b.(1) above, this notice will be the same as that mailed or delivered b. Otherwise, we will renew this policy to the first Named Insured. If cancella- unless: tion is for a reason contained in Para- (1) The first Named Insured fails to graph b.(1) above, we will mail or deliver this notice at least 20 days prior pay the renewal premium after we to the effective date of cancellation. have expressed our willingness to f. If this policy is cancelled, we will send renew, including a statement of the the first Named Insured any premium renewal premium, to the first refund due. If we cancel, the refund will Named Insured and the first be pro rata. If the first Named Insured Named Insured's insurance agent cancels, the refund may be no less or broker, at least 20 days before than 90% of the pro rata refund. The the expiration date; cancellation will be effective even if we (2) Other coverage acceptable to the have not made or offered a refund. insured has been procured prior to g. If this policy insured more than one the expiration date of the policy; or Named Insured, then the first Named (3) The policy clearly states that it is Insured may affect cancellation for the not renewable, and is for a specific account of all insureds. line, subclassification, or type of When We Do Not Renew coverage that is not offered on a a. If we decide not to renew this policy,we renewable basis. will mail or deliver to the first Named All other policy provisions apply. CMP-4247.1 ©,Copyright,State Farm Mutual Automobile Insurance Company,2016 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. (CONTINUED) 98-C4-R547-0 009144 CMP-4561.1 Page 2 of 5 only if the loss occurs within 90 days employment, training, or monitoring of after the property is first moved. others by an insured, or providing or The Other Insurance Condition con- failing to provide transportation with tained in SECTION I AND SECTION II respect to any person that may be under 4- — COMMON POLICY CONDITIONS the influence of alcohol if the "occur- "'` does not apply to this Extension Of rence"which caused the"bodily injury" Coverage. The insurance provided or property damage" involved that under this Extension Of Coverage is which is described in Paragraph 3.a. primary and does not contribute with (2) Paragraph 8.f. under Aircraft, Auto any other insurance. Or Watercraft is replaced by the follow- m 7o d. The following is added to Paragraph 22.e. ing: under Equipment Breakdown: f. "Bodily injury" or "property dam- Paragraph 5.b. under Coverage B – age"arising out of: Business Personal Property is replaced (1) The operation of machinery or by: equipment that is attached to, b. Be your responsibility to maintain or or part of, a land vehicle that insure according to the terms of your would qualify under the defini- lease or rental agreement. tion of "mobile equipment" if it were not subject to a comput- e. The following is added: sory or financial responsibility Business Personal Property In Portable law or other motor vehicle in Storage Units surance or motor vehicle regis- tration law where it is licensed You may extend the insurance provided by or principally garaged; this coverage form to apply to Business Personal Property, other than"money"and (2) The operation of any of the fol- "securities", "valuable papers and rec- lowing machinery or equip- ords", or accounts receivable, while tem- ment: porarily stored in a portable storage unit (a) (including a detached trailer) located with- Cherry pickersndano similarauto- in 100 feet of the described devices mounted s a and premises. mobile or truck chassis and The most we will pay for loss under this used to raise or lower Extension Of Coverage is$10,000. workers; and The amount we pay under this Extension Of Coverage will not increase the applica (b)Air compressors, pumps, ble Limit Of Insurance. and generators, including spraying, welding, building Coverage will end 90 days after Business cleaning, geophysical ex- Personal Property has been placed in the ploration, lighting, and well storage unit. Coverage does not apply if servicing equipment; or the storage unit itself has been in use at the described premises for more than 90 (3) The operation of your business consecutive days, even if the Business from a land vehicle: Personal Property has been stored there (a) While it is parked and func- for 90 or fewer days at the time of loss. tioning, other than "loading 4. SECTION II — LIABILITY is amended as and unloading", as a prem- follows: ises for your business op- erations;a. Section II – Exclusions is amended as and follows: (b) That would qualify under the (1) The following is added to Paragraph 3. definition of "mobile equip- Liquor Liability: ment" if it were not subject to a compulsory or financial This exclusion applies even if the responsibility law or other claims allege negligence or other motor vehicle insurance or wrongdoing in the supervision, hiring, motor vehicle registration 0,Copyright,State Farm Mutual Automobile Insurance Company,2015 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009145 CMP-4561.1 Page 4 of 5 b. Paragraph 1.d.(2) under Coverage M – while performing duties related Medical Expenses is replaced by the fol- to the conduct of your busi- lowing: ness; or (2) Executes authorization to allow us to (b) The spouse, child, parent, # obtain copies of medical bills, medical brother, or sister of that co- records, and any other information we "employee" as a consequence deem necessary to substantiate the of Paragraph(a)above; claim. (4) The owner of a "non-owned auto" Such authorizations must not: or any agent of or any person or No (a) Restrict us from performing our entity employed by such owner. business functions in: d. Paragraph 2.b. under Financial Respon- sibility Laws of SECTION II — GEN- i. Obtaining records, bills, infor mation, and data; or ERAL CONDITIONS does not apply. ii. Using or retaining records, e. SECTION II — DEFINITIONS is amended bills, information, and data col- as follows: lected or received by us; (1) Paragraph 2.is replaced by the following: (b) Require us to violate federal or 2. "Auto"means: state laws or regulations; a. A land motor vehicle, trailer, or (c) Prevent us from fulfilling our data semitrailer designed for travel reporting and data retention obliga- on public roads, including any tions to insurance regulators; or attached machinery or equip- (d) Prevent us from disclosing claim menta or information and data: b. Any other land vehicle that is i. To enable performance of our subject to a compulsory or fi- business functions; nancial responsibility law or ii. To meet our reporting obliga- other motor vehicle insurance tions to insurance regulators; or motor vehicle registration iii. To meet our reporting obliga- law where it is licensed or prin- tions to insurance data consol— idators; andHowever, "auto" does not include iv. As otherwise permitted by law. "mobile equipment". If the holder of the information re- (2) The following is added to Paragraph fuses to provide it to us despite 15."mobile equipment": the authorization, then at our re- However, "mobile equipment"does not quest the person making claim or include land vehicles that are subject his or her legal representative must to a compulsory or financial responsi- obtain the information and promptly bility law or other motor vehicle insur- provide it to us; and ance or motor vehicle registration c. SECTION II —WHO IS AN INSURED is where they are licensed or principally amended as follows: garaged. Land vehicles subject to a compulsory or financial responsibility (1) Paragraph 1.c.does not apply. law or other motor vehicle insurance (2) Paragraphs 2.b.(1) and (4) are re- law or motor vehicle registration law placed by the following: are considered"autos". (1) "Employees"with respect to"bodily (3) Paragraphs 18.f. and g. of "personal injury"to: and advertising injury" are replaced by (a) Any co-employee" arising out the following: of and in the course of the co- f. The use of another's advertising "employee's" employment or idea in your"advertisement"; 0,Copyright,State Farm Mutual Automobile Insurance Company,2015 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009146 FE-8744.1 Page 1 of 5 FE-8744.1 INLAND MARINE COMPUTER PROPERTY FORM INSURING AGREEMENT there is no physical evidence to show what geg We will pay for accidental direct physical loss to: happened to the property; 1. "Computer equipment", used in your business e. Any dishonest or criminal act occurring at operations, that you own, lease from others, any time by you, any of your partners, em- rent from others, or that is loaned to you. How- ployees, directors, or trustees; ever, we do not insure"computer equipment" f. Hidden or latent defect or any quality in used to operate or control vehicles. property that causes it to damage or de- l. Removable data storage media used in your stroy itself. However, we do insure for any business operations to store"electronic data". resulting loss unless the resulting loss itself is excluded; We do not insure property you lease to others or g. Obsolescence; rent to others. We do not insure "computer programs" or "elec 3. We do not insure under any coverage for any tronic data" except as provided in the Computer loss that consists of, or is directly or llowin - Programs And Electronic Data Extension Of Coy- ately caused by one or more of the following, whether the event occurs suddenly or gradu- erage. ally, involves isolated or widespread damage, LIMIT OF INSURANCE arises from natural or external forces,or occurs We will pay for all covered loss up to the limits as a result of any combination of these: shown on the Schedule Page. a. Fungi DEDUCTIBLE Growth, proliferation, spread or presence The deductible amount shown on the Schedule of"fungi", including: Page will only apply to the property covered under (1) Any loss of use or delay in repairing or this form. This amount will be deducted from the replacing covered property, including amount of any loss under this coverage. any associated cost or expense, due to EXCLUSIONS interference at the location of the cov- 1. We do not insure under any coverage for any ered property or at the location of the loss to any property while in transit as checked repair or replacement of that property baggage on a commercial airline; by"fungi"; 2. We do not insure for loss either consisting of, (2)Any remediation of"fungi",including the or caused by,one or more of the following: cost or expense to: a. Errors and omissions in programming. (a) Remove the "fungi" from covered However, we do insure for any resulting property or to repair, restore or re- loss unless the resulting loss itself is ex- place that property; cluded; (b) Take apart and repair any property b. Faulty, inadequate, unsound or defective as needed to gain access to the design,specifications,workmanship, or re- "fungi"; pair. However, we do insure for any result- (c) Contain, treat, detoxify, neutralize ing loss unless the resulting loss itself is or dispose of or in any way respond excluded; to or assess the effects of the c. Wear,tear, marring,scratching, rust, corro- "fungi"; or sion or deterioration. However, we do in- (d) Remove any property to protect it sure for any resulting loss unless the from the presence of or exposure to resulting loss itself is excluded; "fungi"; and d. Property that is missing,where the only evi- (3) The cost of any testing or monitoring of dence of the loss is a shortage disclosed on air or property to confirm the type, ab- taking inventory, or other instances where sence, presence or level of "fungi", ©,Copyright,State Farm Mutual Automobile Insurance Company,2017 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009147 FE-8744.1 Page 3 of 5 The amount we pay under this Extension Of b. Any necessary "extra expense" you incur Coverage will not increase the applicable Limit during the "period of restoration" that you Of Insurance. would not have incurred if there had been SPECIAL CONDITIONS no damage or destruction to property cov- 1. Valuation ered under this form, by a Covered Cause Of Loss. We agree all losses to: We will only pay for"Loss Of Income"or"extra a. "Computer equipment" will be determined expense"that you sustain during the"period of based on the cost to repair or replace with restoration" that occurs within 12 consecutive that of similar performance, capacity or months after the date of loss.We will only pay Ni function; for"ordinary payroll expenses"for 90 days fol- b. Removable data storage media will be de- lowing the date of loss. termined based on the cost to repair or re- 2. We will not pay for: place that media with blank media of similar a. Any"extra expense"or increase of"Loss Of performance, capacity or function; Income" caused by suspension, lapse or c. "Computer programs": cancellation of any license, lease or con- (1) That are commercial off-the-shelf will tract. But if the suspension, lapse or can- be determined based on the cost to re cellation is directly caused by the pair or replace with that of similar per "suspension" of your operations, we will formance, capacity or function; or cover such loss that affects your"Loss Of (2) That are not commercial off-the-shelf will Income"during the"period of restoration"; be determined based on the cost of re- b. Any"extra expense"caused by suspension, producing the programs if they are repro- lapse or cancellation of any license, lease or duced. If not reproduced, loss will be contract beyond the"period of restoration"; determined based on the cost of blank, c. Any other consequential loss; or readily available,removable data storage d. Loss caused by seizure or destruction of media,such as blank discs,with suitable property by order of governmental author- capacity to store the programs. ity. But we will pay for acts of destruction d. "Electronic data"will be determined based ordered by governmental authority and on the cost of reproducing the data, if it is taken at the time of a fire to prevent its reproduced. If not reproduced, loss will be spread. determined based on the cost of blank, DEFINITIONS readily available, removable data storage media, such as blank discs, with suitable 1. "Computer"means: capacity to store the data. a. Programmable electronic equipment that is 2. One Loss used to store, retrieve and process data; If an initial loss causes other losses, all will be and considered one loss.All losses that are the re- b. Associated peripheral equipment that pro- sult of the same event will be considered one vides communication, including input and loss. output functions such as printing and auxil- OPTIONAL COVERAGE — LOSS OF INCOME iary functions such as data transmission. AND EXTRA EXPENSE "Computer"does not include those used to op- 1. If a limit is shown on the Inland Marine Sched- erate production type machinery or equipment. ule Page for Loss Of Income And Extra Ex- 2. "Computer equipment" means "computers", pense, coverage under this form is provided, "computer"cables and wiring not attached to or subject to that limit,for the following: forming a part of a building, and equipment a. The actual"Loss Of Income"you sustain due manuals. "Computer equipment" does not to the necessary"suspension"of your opera- mean other types of devices with internal com- tions during the "period of restoration". The puting capability, such as intelligent devices "suspension"must be caused by damage or that contain an embedded chip or some other destruction to property covered under this form of logic circuitry,or the computing compo- form, by a Covered Cause Of Loss;and nents in those devices. m,Copyright,State Farm Mutual Automobile Insurance Company,2017 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009148 FE-8744.1 Page 5 of 5 b. The amount of all charges which are the c. The fair rental value of any portion of the de- legal obligation of the tenant(s) and scribed premises which is occupied by you. which would otherwise be your obliga- 12."Suspension" means the partial slowdown or tions; and complete cessation of your business activities. FE-8744.1 ©,Copyright,State Farm Mutual Automobile Insurance Company,2017 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. FE-6999.2 Page 1of1 17:2 In accordance with the Terrorism Risk Insurance Act of 2002 as amended and extended by the Terrorism Risk Insurance Program Reauthorization Act of 2015,this disclosure is part of your policy. FE-6999.2 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Coverage for acts of terrorism is not excluded January 1, 2017; 82% beginning on January 1, from your current policy. However your policy 2018; 81% beginning on January 1, 2019; and does contain other exclusions which may be ap- 80% beginning on January 1, 2020 of covered plicable, such as an exclusion for nuclear hazard. terrorism losses exceeding the statutorily estab- You are hereby notified that under the Terrorism lished deductible paid by the insurance company Risk Insurance Act, as amended in 2015,the def- providing the coverage. The Terrorism Risk Insur- inition of act of terrorism has changed.As defined ance Act, as amended, contains a $100 billion in Section 102(1) of the Act: The term "act of ter- cap that limits U.S. Government reimbursement rorism" means any act that is certified by the Sec- as well as insurers' liability for losses resulting retary of the Treasury—in consultation with the from certified acts of terrorism when the amount Secretary of Homeland Security, and the Attorney of such losses exceeds $100 billion in any one General of the United States—to be an act of ter- calendar year. If the aggregate insured losses for rorism; to be a violent act or an act that is dan- all insurers exceed $100 billion, your coverage gerous to human life, property, or infrastructure; may be reduced. to have resulted in damage within the United There is no separate premium charged to cover States, or outside the United States in the case of certain air carriers or vessels or the premises of a insured losses caused by terrorism. Your insur- United States mission; and to have been commit- ance policy establishes the coverage that exists ted by an individual or individuals as part of an for insured losses. This notice does not expand effort to coerce the civilian population of the United coverage beyond that described in your policy. States or to influence the policy or affect the con- THIS IS YOUR NOTIFICATION THAT UNDER duct of the United States Government by coer- THE TERRORISM RISK INSURANCE ACT, AS cion. Under this policy, any covered losses AMENDED, ANY LOSSES RESULTING FROM resulting from certified acts of terrorism may be CERTIFIED ACTS OF TERRORISM UNDER partially reimbursed by the United States Gov- ernment under a formula established by the Ter- YOUR POLICY MAY BE PARTIALLY REIM- rorism Risk Insurance Act, as amended. Under BURSED BY THE UNITED STATES GOVERN- the formula, the United States Government MENT AND MAY BE SUBJECT TO A $100 generally reimburses 85% through 2015; 84% BILLION CAP THAT MAY REDUCE YOUR COV- beginning on January 1, 2016; 83% beginning on ERAGE. FE-6999.2 ©,Copyright,State Farm Mutual Automobile Insurance Company,2015 (CONTINUED) 98-C4-R547-0 009149 CMP-4705.2 Page 2 of 4 (2) Ends on the earlier of: c. Civil Authority coverage for necessary"Ex- (a) The date you could restore your tra Expense" will begin immediately after "operations", with reasonable the time of the first action of civil authority speed, to the level which would that prohibits access to the described r', generate the Net Income amount premises and will end: that would have existed if no acci- (1) Four consecutive weeks after the date dental direct physical loss had oc- of that action;or curred; or (2) When your Civil Authority coverage for (b) 60 consecutive days after the date "Loss Of Income"ends; vm determined in Paragraph a.(1) above. whichever is later. However, Extended Loss Of Income does EXTENSIONS OF COVERAGE not apply to "Loss Of Income" incurred as 1. Newly Acquired Property a result of unfavorable business condi- a. You may extend the insurance provided by tions caused by the impact of the Covered this endorsement to apply to newly ac- Cause Of Loss in the area where the de- quired or constructed property covered as scribed premises are located. described in Paragraph 12. of SECTION I b. "Loss Of Income" must be caused by ac- —EXTENSIONS OF COVERAGE of your cidental direct physical loss at the de- policy. scribed premises caused by any Covered b. The most we will pay in any one occur- Cause Of Loss. rence under this coverage for"Loss Of In- 4. Civil Authority come" and necessary "Extra Expense" is a. When a Covered Cause Of Loss causes the actual loss you sustain. damage to property other than property at 2. Interruption Of Web Site Operations the described premises,we will pay for the a. You may extend the insurance provided by actual "Loss Of Income" you sustain and this endorsement to apply to the neces- necessary"Extra Expense" caused by ac- sary interruption of your business. The in- tion of civil authority that prohibits access terruption must be caused by an to the described premises, provided that accidental direct physical loss to your Web both of the following apply: Site Operations at the premises of a ven- (1) Access to the area immediately sur- dor acting as your service provider. rounding the damaged property is pro- Such interruption must be caused by a hibited by civil authority as a result of Covered Cause Of Loss other than a loss the damage, and the described prem- covered under Equipment Breakdown Ex- ises are within that area but are not tension Of Coverage of your Business- more than one mile from the damaged owners Coverage Form. property; and (2) The action of civil authority is taken in (1) Coverage Time Period response to dangerous physical condi- We will only pay for loss you sustain tions resulting from the damage or during the seven-day period immedi continuation of the Covered Cause Of ately following the first 12 hours after Loss that caused the damage, or the the Covered Cause Of Loss. action is taken to enable a civil authori- (2) Conditions ty to have unimpeded access to the (a) This coverage applies only if you damaged property. have a back-up copy of your Web b. Civil Authority coverage for "Loss Of In- Site stored at a location other than come" will begin immediately after the the site of the Web Site vendor and time of the first action of civil authority that to the extent "Loss Of Income" is prohibits access to the described premis- lost. es and will apply for a period of up to four (b) Notwithstanding any provision to the consecutive weeks from the date on which contrary, the coverage provided un- such coverage began. der this Interruption Of Web Site ©,Copyright,State Farm Mutual Automobile Insurance Company,2016 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CONTINUED 98-C4-R547-0 009150 CMP-4705.2 Page 4 of 4 (2) "Maintenance fees", if you are a con- (1) Begins immediately after the time of dominium association or other similar accidental direct physical loss caused community association; by any Covered Cause Of Loss at the •• (3) Total receipts and contributions (less described premises; and � operating expenses) normally received (2) Ends on the earlier of: = during the period of disruption of oper- ations; and (a) The date when the property at the described premises should be (4) Tuition and fees from students, includ- repaired, rebuilt or replaced with ing fees from room, board, laboratories reasonable speed and similar NN and other similar sources. quality; or Net Income does not include any Net In- (b) The date when business is re- come that would likely have been earned sumed at a new permanent loca- as a result of an increase in the volume of tion. business due to favorable business condi- b. Does not include any increased period re- tions caused by the impact of the Covered quired due to the enforcement of any ordi- Cause Of Loss on customers or on other nance or law that: businesses. b. Continuing normal operating expenses in- (1) Regulates the construction, use or re- curred, including "ordinary payroll ex ens- pair, orro requires the tearing down of es". p any property; or (2) Requires any insured or others to test 3. "Maintenance fees" means the regular pay- for, monitor, clean up, remove, contain, ment made to you by unit-owners and used to treat, detoxify or neutralize, or in any service the common property. way respond to or assess the effects 4. "Operations" means your business activities of"pollutants". occurring at the described premises. The expiration date of this policy will not cut short the"period of restoration". 5. "Ordinary payroll expenses": 7 a. Mean payroll expenses for all your em- "Rental value"means: ployees except: a. The total anticipated rental income from (1) Officers; tenant occupancy of the premises de- scribed in the Declarations as furnished (2) Executives; and equipped by you; (3) Department Managers; and b. The amount of all charges which are the (4) Employees under contract. legal obligation of the tenant(s) and which would otherwise be your obligations; and b. Include: c. The fair rental value of any portion of the (1) Payroll; described premises which is occupied by (2) Employee benefits, if directly related to you. payroll; 8. "Suspension"means: (3) FICA payments you pay; a. The partial slowdown or complete cessa- (4) Union dues you pay; and tion of your business activities; or (5) Workers'compensation premiums. b. That a part or all of the described premises is rendered untenantable, if coverage for 6. "Period of restoration": "Loss Of Income"applies. a. Means the period of time that: All other policy provisions apply. CMP-4705.2 0,Copyright,State Farm Mutual Automobile Insurance Company,2016 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. (CONTINUED) 98-C4-R547-0 009151 FE-8724 Page 2 of 4 h. Cooperate with us in the investigation or 12.Knowledge or Control. We will not pay for settlement of the claim; loss while the chance of loss is increased by i. Resume all or part of your business activi- means within your knowledge or control. ties at the described premises as quickly 13. Policy Period, Coverage Territory. We coy- as possible. er loss commencing during the policy period 7. Appraisal. If you and we disagree on the and within or between the coverage territory. value of the property or the amount of loss, ei The coverage territory is the United States of ther may make written demand for an ap America (including its territories and posses praisal of the loss. In this event, each party sions), Puerto Rico and Canada. will select a competent and impartial apprais- 14.Changes er. Each party will notify the other of the se- a. This policy contains all the agreements lected appraiser's identity within 20 days after between you and us concerning the insur- receipt of the written demand for an appraisal. ance afforded. The first Named Insured The two appraisers will select an umpire. If shown in the Declarations is authorized to the appraisers cannot agree upon an umpire make changes in the terms of this policy within 15 days, either may request that selec- with our consent. This policy's terms can tion be made by a judge of a court having ju- be amended or waived only by endorse- risdiction. The appraisers will state separately ment issued by us and made a part of this the value of the property and amount of loss. policy. If they fail to agree, they will submit their dif- ferences to the umpire. A decision agreed to b. We may change the Named Insured's poI- by any two will be binding. Each party will: icy address as shown in the Declarations Pay its chosen appraiser; and and in our records to the most recent ad- a. dress provided to us by: b. Bear the other expenses of the appraisal (1) You; or and umpire equally. 8. Abandonment. There can be no abandon (2) The United States Postal Service. ment of any property to us. 15.Concealment, Misrepresentation or Fraud. 9. Legal Action Against Us. No one may bring This policy is void in any case of fraud by you legal action against us under this insurance as it if relatesouto the policy insured any tint nt iso ally unless: void if you or any other intentionally conceal or misrepresent a material fact con- a. There has been full compliance with all of cerning: the terms of this insurance; and a. This policy; b. The action is brought within two years af- b. The covered property; ter the date on which the accidental direct physical loss occurred. But if the law of c. Your interest in the covered property; or the state in which this policy is issued al- d. A claim under this policy. lows more than two years to bring legal action against us, that longer period of If the loss is also the result of an act of do- time will apply. mestic abuse by you, this policy is not void as to any other insured provided that the other 10. Recovered Property. If either you or we re- insured files a police report, cooperates with cover any property after loss settlement, that any law enforcement investigation relating to party must give the other prompt notice. At the act of domestic abuse and did not cooper- your option, the property will be returned to ate in or contribute to the loss. you. You must then return to us the amount we paid to you for the property. We will pay If we pay for such a loss, our payment to the recovery expenses and the expenses to repair insured is limited to that insured's insurable in- the recovered property subject to the limit of terest in the property less any payments we insurance. first made to a mortgagee or other party with a 11. No Benefit to Bailee. No person or organiza- legal secured interest in the property. In no tion, other than you, having custody of cov- event will we pay more than the Limit Of In- ered property will benefit from this insurance. surance. ©,Copyright,State Farm Mutual Automobile Insurance Company,2011 CONTINUED 98-C4-R547-0 009152 FE-8724 Page 4 of 4 You may also accept the usual bills of lad- property so as to intimidate or attempt to ing or shipping receipts limiting the liability control the behavior of another insured. of carriers. 22.Transfer of Your Rights and Duties Under This will not restrict your insurance. This Policy. Your rights and duties under this policy may not be transferred without our writ- Our right to recover our payments applies ten consent except in the case of death of an only after you have been fully compen- individual Named Insured. If you die,your rights sated for damages. and duties will be transferred to your legal rep- resentative but only while acting within the If we pay an insured, who is victim of do- scope of duties as your legal representative. mestic abuse, for a loss caused by an act Until your legal representative is appointed, of domestic abuse, the rights of that in- anyone having proper temporary custody of sured to recover damages from the perpe- your property will have your rights and duties trator of the abuse are transferred to us to but only with respect to that property. the extent of our payment. That insured 23.Conformityto State Law. When aprovision may not waive such rights to recover this olis t conflict with the asn against the perpetrator of the domestic policy pp abuse. As used here, domestic abuse law of the state in which this policy is issued, means intentionally, knowingly, or reck- the law of the state will apply. lessly causing physical loss to covered All other policy provisions apply. FE-8724 ©,Copyright,State Farm Mutual Automobile Insurance Company,2011 FE-3650 Page 1 of 1 FE-3650 ACTUAL CASH VALUE ENDORSEMENT The following is added to any provision which uses the term"actual cash value": Actual cash value means the value of the damaged part of the property at the time of loss,calculated as the estimated cost to repair or replace such property,less a deduction to account for pre-loss depreciation. For this calculation,all components of this estimated cost including,but not limited to: 1. materials,including any tax; 2. labor,including any tax;and 3. overhead and profit; are subject to depreciation. The depreciation deduction may include such considerations as: 1. age; 2. condition; 3. reduction in useful life; 4. obsolescence;and 5. any pre-loss damage including wear,tear,or deterioration; of the damaged part of the property. All other policy provisions apply. FE-3650 ©,Copyright,State Farm Mutual Automobile Insurance Company,2015 (CONTINUED) 98-C4-R547-0 009153 CMP-4709 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4709 MONEY AND SECURITIES This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM The following is added as an Extension of Cover- 3. We will determine the value of: age under SECTION I — EXTENSIONS OF a. "Money"at its face value; and COVERAGE. Money And Securities b. "Securities" at their value at the close of business on the day the loss is discov- 1. We will pay for loss of "money" and "securi- ered. ties" used in your business while at a bank or savings institution, within your living quarters 4. With respect to coverage provided by this en- or the living quarters of your partners or any dorsement: employee having use and custody of the property, at the described premises, or in a. Paragraph 2. of Property Not Covered transit between any of these places, resulting does not apply. directly from: b. Paragraphs 1.c. and 1.d. of Property a. Theft, meaning any act of stealing; Subject To Limitations does not apply. b. Disappearance; or 5. All loss: c. Destruction. a. Caused by one or more persons; or 2. The most we will pay for loss to "money" and b. Involving a single act or series of related "securities" in any one occurrence under this acts; Coverage is: is considered one occurrence. a. The Limit Of Insurance for Money And Se- 6. We will not pay under this Extension Of Cov- curities (On Premises) shown in the Dec- erage for loss consisting of one or more of the larations while: following: (1) In or at the described premises; or a. Resulting from accounting or arithmetical (2) Within a bank or savings institution; errors or omissions; and b. Due to the giving or surrendering of prop- b. The Limit Of Insurance for Money And Se- erty in any exchange or purchase; or curities (Off Premises) shown in the Dec- larations while anywhere else. c. Of property contained in any "money"- operated device unless the amount of The amount we pay under this Extension of "money" deposited in it is recorded by a Coverage is an additional amount of insurance. continuous recording instrument in the de- Regardless of the amount of the Basic De- vice. ductible, the most we will deduct from any 7. You must keep records of all "money" and loss under this Extension of Coverage in any "securities" so we can verify the amount of one occurrence is the applicable deductible any loss. listed for Money And Securities under Special Deductibles shown in the Declarations. All other policy provisions apply. CMP-4709 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. (CONTINUED) 98-C4-R547-0 009154 553-3197.1 Important Notice About Your Policy Declarations Thank you for choosing State Farm®to provide your insurance. Your Declarations,Coverage Form booklet and applicable endorsements are enclosed. PLEASE REVIEW YOUR COVERAGE SELECTIONS CAREFULLY. If you have any questions concerning the coverage listed on your Declarations,or you believe any information is incorrect, please contact your State Farm agent right away. � ° By payment of the applicable premium and acceptance of this coverage,you agree to the terms and conditions of the policy and acknowledge that the Declarations accurately represents your choices of the type and amounts of coverage desired. Your new Declarations replaces any insurance binder you may have received. You should keep any insurance binder,the Declarations, Coverage Form booklet and applicable endorsements with your important papers. Again,thank you for choosing State Farm. This message is only a general description of coverage and/or coverage changes and is not a statement of contract. All coverages are subject to all policy provisions and applicable endorsements. 553-3197.1(C) 98-C4-R547-0 009155 CMP-4797 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CMP-4797 ADDITIONAL INSURED—CONTROLLING INTEREST • This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-C4-R547-0 Named Insured: HEAVY JEENS 2320 TERRACE ST BREMERTON WA 98310-5041 Name And Address Of Additional Insured Person Or Organization: CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 1. SECTION II —WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2. With respect to the insurance afforded the additional insured, this insurance does not apply to struc- tural alterations, new construction or demolition operations performed by or for that additional in- sured. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. All other policy provisions apply. CMP-4797 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 98-C4-R547-0 009156 CMP-4797 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. frAff CMP-4797 ADDITIONAL INSURED—CONTROLLING INTEREST This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-C4-R547-0 Named Insured: HEAVY JEENS 2320 TERRACE ST BREMERTON WA 98310-5041 Name And Address Of Additional Insured Person Or Organization: CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 1. SECTION II —WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2. With respect to the insurance afforded the additional insured, this insurance does not apply to struc- tural alterations, new construction or demolition operations performed by or for that additional in- sured. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. All other policy provisions apply. CMP-4797 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS DECLARATIONS Ri IBardson9TX 75085-3925 Policy Number 98-C4-R547-0 Addl Insured-Section II Only Policy Period Effective Date Expiration Date M-15-2813-FBBC F N 12 Months JAN 15 2020 JAN 15 2021 0 013 7 5 312 3 The poli y period begins and ends at 12:01 am standard CITY OF BREMERTON time at the premisesiocatlon. 345 6TH ST STE 100 BREMERTON WA 98337-1891 Named Insured HEAVY JEENS 2320 TERRACE ST BREMERTON WA 98310-5041 IIphr1111111h1rh11rlrllll'H1111y11'iFhllmFdy a Businessowners Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: NON-PROFIT POLICY PREMIUM $ 325.00 Minimum Premium Prepared JAN 28 2020 ©Copyright State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009157 290 Al Continued on Reverse Side of Page Page 1 of 6 N 530-6860 05-31-7511 1o153231c) DECLARATIONS(CONTINUED) Businessowners Policy for CITY OF BREMERTON Policy Number 98-C4-R547-0 SECTION I-EXTENSIONS OF COVERAGE -LIMIT OF INSURANCE-EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations,unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, No but has"Included"indicated,please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs(applies only when buildings are 10% insured on a replacement cost basis) Money And Securities(Off Premises) $2,000 Money And Securities(On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B-Business Personal Property) Newly Acquired Or Constructed Buildings(applies only if this policy provides $250,000 Coverage A-Buildings) Prepared JAN 28 2020 ©Copyright State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009158 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS(CONTINUED) Businessowners Policy for CITY OF BREMERTON Policy Number 98-C4-R547-0 Coverage M-Medical Expenses(Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II-Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations,the BUSINESSOWNERS COVERAGE FORM shown below,and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form CMP-4247.1 Amendatory Endorsement CMP-4561.1 Policy Endorsement FE-6999.2 Terrorism Insurance Coy Notice CMP-4705.2 Loss of Income&Extra Expnse FE-3650 Actual Cash Value Endorsemet CMP-4572 Amendment of Premium Gond CMP-4709 Money and Securities CMP-4804 Addl Insd Club Members CMP-4797 Addl Insd Controlling Interest FD-6007 Inland Marine Attach Dec Prepared JAN 28 2020 5 Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009159 290 Continued on Reverse Side of Page Page 5 of 6 N STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Po Box 8539 Policy Number 98-C4-R547-0 Richardson, 75085-3925 Named Insured Policy Period Effective Date Expiration Date M-15-2813-FBBC F N 12 Months JAN 15 2020 JAN 15 2021 The polipy period begins and ends at 12:01 am standard HEAVY JEENS time at the premises location. 2320 TERRACE ST BREMERTON WA 98310-5041 ATTACHING INLAND MARINE Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period.If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequent to the issuance of this policy. Forms,Options,and Endorsements FE-8744.1 Inland Marine Computer Prop FE-8724 Inland Marine Conditions See Reverse for Schedule Page with limits Prepared JAN 28 2020 Copyright State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009160 5304860 05-31-7011 ioit3737c) 98-C4-R547-0 009161 CMP-4797 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. trayr CMP-4797 ADDITIONAL INSURED—CONTROLLING INTEREST This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 98-C4-R547-0 Named Insured: HEAVY JEENS 2320 TERRACE ST BREMERTON WA 98310-5041 Name And Address Of Additional Insured Person Or Organization: CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 1. SECTION II —WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2. With respect to the insurance afforded the additional insured, this insurance does not apply to struc- tural alterations, new construction or demolition operations performed by or for that additional in- sured. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. All other policy provisions apply. CMP-4797 ©,Copyright,State Farm Mutual Automobile Insurance Company,2008 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. STATE FARM FIRE AND CASUALTY COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON,ILLINOIS Pq gox 853,9 75085-3925 Ric ardson M-1 5-281 3-FBBC 001374 3123 JOHN STEPHENS Policy Number 98-C4-R547-0 1100 WHEATON WAY STE A BREMERTON WA 98310-4459 I rrr r III Irl rl rllrlr I r I Ilr I r l r rrl r III I l l l l li I lul ill 11111 In I I I II Action Required: Enclosed is a new State Farm®policy. This is the customer's copy. This policy has been mailed to you to deliver and answer any questions the customer may have. If you decide to mail this policy to the customer,please put the enclosed policy in a new envelope for delivery. Contact underwriting for any assistance. Thank you. Prepared JAN 28 2020 ®Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009136 290 I N 1R M 9136 DECLARATIONS(CONTINUED) Businessowners Policy for HEAVY JEENS Policy Number 98-C4-R547-0 SECTION I-PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase- Premises Coverage A- Coverage B- Business Buildings Business Personal Personal Property Property 001 2320 TERRACE ST No Coverage $ 1,000 25% BREMERTON WA 98310-5041 *As of the effective date of this policy,the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I-INFLATION COVERAGE INDEX(ES) CovA-Inflation Coverage Index: N/A Coy B-Consumer Price Index: 257.3 SECTION I-DEDUCTIBLES Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Equipment Breakdown $1,000 Other deductibles may apply-refer to policy. Prepared JAN 28 2020 0 Copyright.State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009137 Continued on Next Page Page 2 of 6 StateFarm STATE FARM FIRE AND CASUALTY COMPANY --�' 00, A STOCKggCOMPANY22gWITH HOME OFFICES IN BLOOMINGTON,ILLINOIS DECLARATIONS PO hard on9TX 75085-3925 Policy Number 98-C4-R547-0 Addl Insured-Section II Only Policy Period Effective Date Expiration Date M-15-2813-FBBC F N 12 Months JAN 15 2020 JAN 15 2021 001375 3123 The poli y period begins and ends at 12:01 am standard CITY OF BREMERTON time at the premises location. 345 6TH ST STE 100 r_,•'"' BREMERTON WA 98337-1891 Named Insured 0 HEAVY JEENS 2320 TERRACE ST II�I�I"IIIIII�II' 'll'I'I'IIII'��111"i'I'I'��'�III�IIi'��'I��II BREMERTON WA 98310-5041 8 S 0 n b Businessowners Policy Automatic Renewal-If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period. If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: NON-PROFIT RECEIVED FEB 0 4 2020 City of Bremerton Risk Management POLICY PREMIUM $ 325.00 Minimum Premium Prepared JAN 28 2020 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009157 290 Al Continued on Reverse Side of Page Page 1 of 6 Fan.eeF a 9 nF_R1.91111 inifaTAIri StateFarm ❑ 0 DECLARATIONS(CONTINUED) Businessowners Policy for CITY OF BREMERTON Policy Number 98-C4-R547-0 F- • SECTION I- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE- EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by"See Schedule." If a coverage does not have a corresponding limit shown below, wo but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non-Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25%of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) $5,000 Money Orders And Counterfeit Money $1,000 Newly Acquired Business Personal Property(applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A- Buildings) Prepared JAN 28 2020 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc„with its permission. 009158 290 Continued on Reverse Side of Page Page 3 of 6 N StateFarm ❑ (DO, DECLARATIONS(CONTINUED) Businessowners Policy for CITY OF BREMERTON Policy Number 98-C4-R547-0 Coverage M - Medical Expenses (Any One Person) $5,000 0:1 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $2,000,000 (no General Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4102 Businessowners Coverage Form CMP-4247.1 Amendatory Endorsement CMP-4561.1 Policy Endorsement FE-6999.2 Terrorism Insurance Coy Notice CMP-4705.2 Loss of Income & Extra Expnse FE-3650 Actual Cash Value Endorsemet CMP-4572 Amendment of Premium Cond CMP-4709 Money and Securities CMP-4804 Addl lnsd Club Members CMP-4797 Addl lnsd Controlling Interest FD-6007 Inland Marine Attach Dec Prepared JAN 28 2020 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009159 290 Continued on Reverse Side of Page Page 5 of 6 N StateFarm STATE FARM FIRE AND CASUALTY COMPANY ❑ A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS 00,, BB 2255 Ri Richardson, 75085-3925 Policy Number 9$-C4-R547-O Named Insured Policy Period Effective Date Expiration Date M-15-2813-FBBC F N 12 Months JAN 15 2020 JAN 15 2021 HEAVY JEENS time policy period estocation.ends at 12:01 am standard 2320 TERRACE ST •%. BREMERTON WA 98310-5041 RECEIVED FEB 0 4 2020 City of Bremerton ATTACHING INLAND MARINE Risk Management Automatic Renewal- If the policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period. If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations,the INLAND MARINE CONDITIONS shown below,and any other forms and endorsements that apply,including those shown below as well as those issued subsequentto the issuance of this policy. Forms,Options,and Endorsements FE-8744.1 Inland Marine Computer Prop FE-8724 Inland Marine Conditions See Reverse for Schedule Page with Limits Prepared JAN 28 2020 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 FD-6007 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 009160 530-685 a.2 05 31-2011 1o1f3232c) StateFarm 98-C4-R547-0 009161 CMP-4797 ❑ 0Q, Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY srwrr ranµ «« • <� CMP-4797 ADDITIONAL INSURED — CONTROLLING INTEREST This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE RECEIVED $ Policy Number: 98-C4-R547-0 Named Insured: FEB 0 4 2020 HEAVY JEENS 2320 TERRACE ST City of Bremerton BREMERTON WA 98310-5041 Risk Management Name And Address Of Additional Insured Person Or Organization: CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises. 2. With respect to the insurance afforded the additional insured, this insurance does not apply to struc- tural alterations, new construction or demolition operations performed by or for that additional in- sured. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. All other policy provisions apply. CMP-4797 ©, Copyright,State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. StateFarm • • • STATE FARM FIRE AND CASUALTY COMPANY Ll A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS 9 PO 0ardson, ox 85397� ic5k 75085 3925 R Addl Insured -Section II Only AT1 M-15-2813-FBBC F N 003075 3125 CITY OF BREMERTON 345 6TH ST STE 100 BREMERTON WA 98337-1891 11I1�IIIIV II II11IIIIIII11II I I1III11IIIII III IIIII' Policy Number 98-C4-R547-0 Policy Period Effective Date Expiration Date 12 Months JAN 15 2021 JAN 15 2022 The policy period begins and ends at 12:01 am standard time atthe premises location, Named Insured HEAVY JEENS 2320 TERRACE BREMERTON WA ST 98310-5041 Businessowners Policy Automatic Renewal - If the policy period is shown as 12 months, this policywill be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: NON-PROFIT NOTICE: Information concerning changes in your policy language is included. Please call your agent if you have any questions. POLICY PREMIUM Minimum Premium Prepared NOV 23 2020 CMP-4000 018060 294 Al N $ 325.00 RECEDED DEC o 8 2020 ty Of City A�mey s Ofte © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 1 of 6 530fifi6a.2 fi5312611 (0113231c1 � _ � �. "' i R � ,� • R • * • � Location Location of Limit of Insurance Limit of Insurance* Seasonal number Described Increase - premises Coverage A - Coverage B ® Business Buildings Business Personal personal property Property 001 2320 TERRACE ST No Coverage $ 1,100 25% BREMERTON WA 98310-5041 of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage Cov A -Inflation Coverage Index: N/A Cov B -Consumer Price Index: 260.4 • '. � k :. R•�: a '� 1� � � 1� iw �t Money and Securities $250 Other deductibles may apply -refer to policy. Prepared NOV 23 2020 CMP-4000 018060 r � -. •� O Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Next Page '.�- • ENEWAL •-: • • r �e 0 0 The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." if a coverage does not have a corresponding limit shown below, N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. 0 LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $2,000 Money And Securities (On Premises) Money Orders And Counterfeit Money Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) Prepared NOV 23 2020 CMP-4000 018061 294 N ©Copyright, State Farm Mutual Automobile Insurance Company, 2D08 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. Continued on Reverse Side of Page $5,000 $1,000 $100,000 $250,000 Page 3 of 6 �_ �, r� t � � �-� � r Ordinance Or Law -Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B -Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Water Damage, Other Liquids, Powder Or Molten Material Damage �' �' �._ • r � �, �. � � r a ,. � w � Loss Of Income And Extra Expense i' j Coverage L -Business Liability Prepared NOV 23 2020 CMP-4000 018061 ,-;.� � ,. Included '� 111 $2,500 '� i1/ 1 r, $2,500 '� 1#1 ' 11 Included Actual Loss Sustained - 12 Months O Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyriyl�ted material of Insurance Services Office, Inc., with its permission. Continued an Next Page '. 11 /1/ Page 4 of 6 a DECLARATIONSENEWAL (CONTINUEDJ Businessowners Policy f, Policy Number98wC4wR547wO Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You Products/Completed Operations Aggregate General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. $5,000 $2,000,000 $2,000,000 Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. - FE-6999.3 *Terrorism Insurance Cav Notice CMP-4247.1 Amendatory Endorsement FE-3650 Actual Cash Value Endorsement CMP-4572 Amendment of Premium Cond CMP4561 A Policy Endorsement CMP-4705.2 Loss of Income & Extra Expnse CMP-4709 Money and Securities CMP-4804 Addl Insd Club Members CMP-4797 Addl Insd Controlling Interest FD-6007 Inland Marine Attach Dec * New Form Attached Prepared NOV 23 2020 CMP-4000 018062 294 N ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Continued on Reverse Side of Page Page 5 of 6 i ° . "mig- ly OR . • ,•�. k t..� This policy is issued by the State Farm Fire and Casualty Company, Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois, Secretary President For a comprehensive description of • .. .and forms,please referyour • Policy changes requested before the "Date Prepared V1 , which appear on this notice, are effective on the Renewal Date of this policy y a separate endorsement, binder, or amended declarations, Any coverage forms attached •notice. are also effective •.. the Renewal ^. of policy, Policychanges•"Date to you as an amended declarationsor endorsement Your policy. Billing for any additional premium for such changes will be mailed at a later date. if, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent, EM Prepared NOV 23 2020 CMP-4000 O18062 294 N © Copyright, State Farm Mutual Automobile h7surance Company, 2DDil Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 6 STATE FARM FIRE AND CASUALTY COMPANY 11 A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Pp 11oson75085-3925 Arc har ardson, Named Insured M-15-2813-FI3BC F N Policy Period Effoctive Date Expiration Date 12 Months JAN 15 21 JAN 15 2022 The poll y period beggins and ends at 12:01 am standard time at e premises Toc ition. Ail'ACHIIVC IIVLARI® MARINE Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien holder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium Included The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINA CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8724 Inland Marine Conditions FE-8744.1 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared NOV 23 2020 FD-6007 © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018063 53�-5U5a.2 U5-3L2011 (oif3232c1 N: 1�..�;z.. �iTACHIIVG INLA►IVD I�AARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8744.1 Prepared NOV 23 2020 F®-6007 018063 Inland Marine Computer Prop Loss of Income and Extra Expense �i�N OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY C� Copyright, State Farfn Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 11 +r- 536 666 u.2 65-31 2611 1oif3233c1