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HomeMy WebLinkAbout1 - Original Submission_ PSA FINAL Phase I with Exhibits- USEPage 1 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 PROFESSIONAL SERVICES AGREEMENT UTILITY AND FORESTRY LAND MANAGEMENT PLAN UPDATE The City of Bremerton (“City”) and Mason, Bruce & Girard, Inc (“Consultant”), referred to collectively as the “Parties,” enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work, dated April, 04 2022, including any attachments thereto, attached hereto as Exhibit A, which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.H of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be performed upon the express written request of the City. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time such services are performed. II. Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described in Exhibit A is to be completed as provided for in the work schedule attached hereto as Exhibit B; provided however, that additional time shall be granted by the City for excusable delays or extra work as provided for in Section X.A of this agreement. III. Compensation: In consideration of the services provided pursuant to this Agreement, the City shall pay Consultant in an amount not to exceed $18,000.00. Consultant’s charges and bills shall conform to the fee schedule attached hereto as Exhibit A and incorporated herein by this reference. The Consultant shall submit regular billing statements detailing work performed and amount charged on each task or portion thereof. The descriptions shall conform to and fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall promptly process payment. PROVIDED, HOWEVER, the City reserves the right to prioritize scoped work and accelerate and/or delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as delineated in Exhibit A. Consultant 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. Consultant shall only be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compensation shall be in accordance with Exhibit A. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brought into compliance. Such withholding does not relieve Consultant of its obligations under this Agreement. DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 2 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 IV. Relationship of Parties: Consultant 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. Consultant and its personnel are independent Consultants and not employees of the City. Consultant and its personnel have no authority to bind the City or to control the City’s employees and other Consultants. 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 Consultant. Consultant will be solely and entirely responsible for its acts and for the acts of Consultant'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 Consultants to perform the same or similar work. As an independent Consultant, Consultant 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 Consultant or its personnel. As an independent Consultant, Consultant 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 Consultant. V. Indemnification: A. Consultant 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, unless Consultant is conducting work pursuant to Subsection B below. 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. B. Architects, Engineers and Any Other Professional Listed In and Performing Services Defined in RCW 4.24.115. Should a court of competent jurisdiction determine that Consultant’s services provided pursuant to this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY UNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 3 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this Agreement. VI. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub-consultants or sub-contractors. Before beginning work on the project described in this Agreement, the Consultant shall provide a Certificate of Insurance evidencing: 1. Automobile Liability insurance with limits no less than $1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; explosion, collapse and underground (XCU) if applicable; and 3. Excess Liability insurance with limits not less than $1,000,000 limit per occurrence and aggregate; and 4. Professional Liability insurance with limits no less than $1,000,000 limit per occurrence/claim; and 5. Workers Compensation insurance as statutorily required by the Industrial Insurance Act of the State of Washington, Title 51, Revised Code of Washington and employer's liability with limits not less than $1,000,000. Any payment of deductible or self-insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an “occurrence” basis except professional liability insurance (if required), which may be provided on a “claims-made” basis. The City shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the Certificate of Insurance. The City reserves the right to receive a certified copy of all the required insurance policies and endorsements. The City further reserves the right to reject any unacceptable policies and/or endorsements. The Consultant's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 4 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 The Consultant'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. It shall be an affirmative obligation upon Consultant to advise the City’s Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, Attn: Risk Management, 345 6th Street, Suite 100, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein, and failure to do so shall be construed to be a breach of this Agreement. The City also reserves its unqualified right to require at any time and for any reason, proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. In the event that the Consultant employs other consultants or contractors (sub-consultants or sub-contractors) as part of the work covered by this Agreement, it shall be the Consultant’s responsibility to require and confirm that each sub-consultant or sub-contractor meets the minimum insurance requirements specified above. The Consultant shall, upon demand of the City, deliver to the City copies of such policy or policies of insurance and the receipts for payment of premiums thereon. VII. General Conditions: A. Reports and Information: When requested by the City, Consultant 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. Consultant shall maintain accounting records in accordance with Generally Accepted Accounting Principles (“GAAP”) to substantiate all billed amounts. B. Ownership and Use of Records and Documents: Original documents, drawings, designs and reports, including those in electronic format, developed under this Agreement are the property of the City. All written information submitted by the City to the Consultant in connection with the services performed by the Consultant under this Agreement will be safeguarded by the Consultant to at least the same extent as the Consultant safeguards like information relating to its own business. If such information is publicly available or is already in Consultant's possession or known to it or is rightfully obtained by the Consultant from third parties, Consultant shall bear no responsibility for its disclosure, inadvertent or otherwise. All data, documents and files created by Consultant under this Agreement may be stored at Consultant's office in Portland, Oregon. Consultant shall make such data, documents, and files available to the City upon its request at all reasonable times for the purpose of editing, modifying and updating as necessary until such time as the City is capable of storing such information in the City's offices. Duplicate copies of this information shall be provided to the City upon its request, and at reasonable cost. All documents, including all reports, drawings, specifications, computer software or other items prepared or furnished by Consultant pursuant to this Agreement, are instruments of service DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 5 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 with respect to the project and are the property of the City. Any reuse by the City for other than the specific purpose intended will be at City’s sole risk. C. Use of Photographs and Images. Consultant shall not use or distribute photographs or images depicting City officials, personnel, property, or equipment whether prepared by Consultant or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. D. Work Performed at Consultant's Risk: Consultant 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 Consultant's own risk, and Consultant 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. E. Place of Work: The Consultant shall perform the work authorized under this Agreement at its offices Portland, Oregon. Meetings with the City staff as described in Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. F. 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. G. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. H. Modification: This Agreement may only be modified by written instrument signed by both Parties. I. 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. Notices to be sent to: Notices to be sent to: CITY: CONSULTANT: Attn: Cami Apfelbeck Attn: Wendy Wente City of Bremerton Mason, Bruce & Girard Inc. 345 6th Street, Suite 100 707 SW Washington Street, Suite 1300 Bremerton, WA 98337-1891 Portland, OR 97205 J. 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. DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 6 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 K. 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. L. Compliance with Laws: Consultant shall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. M. 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. N. 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. O. Assignment: Any assignment of this agreement by the Contractor without the written consent of the City shall be void. VIII. Equal Employment Opportunity Statement: In the hiring of employees for the performance of work under this Agreement, the Consultant, its subcontractors, or any person acting on behalf of Consultant shall not discriminate in any employment practice on the basis of age (40+), sex, race, creed, color, national origin, sexual orientation/gender identity, marital status, military status, or the presence of any physical, mental or sensory disability. IX. ADA Statement: The City of Bremerton does not discriminate on the basis of disability in programs and activities, which it operates pursuant to the requirements of the Americans with Disabilities Act of 1990, and ADA Amendments Act. This policy extends to both employment and admission to participation in the programs, services and activities of the City of Bremerton. Reasonable accommodation for employees or applicants for employment will be provided. X. Termination: This Agreement shall remain in force until completion and acceptance of the services, terminated by written instrument upon mutual consent, or by the City of Bremerton for convenience. This Agreement may be immediately terminated for cause by a Party if the other Party substantially fails to perform through no fault of the terminating Party, and the non-performing Party does not commence correction of the failure of performance within thirty (30) days of the terminating Party’s sending notice to the non-performing Party. Any Notice by Consultant shall include a report showing the status of all items listed in the Scope of Work current through the termination date. If the City receives reimbursement by any federal, state, or other source for work described in Section I herein, and that funding is withdrawn, reduced or limited in any way, or the project is cancelled or substantially reduced after the execution date of this Agreement and prior to the completion of the work, the City may summarily terminate this Agreement. DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 7 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 A. Excusable Delays: The right of Consultant to proceed shall not be terminated nor shall Consultant be charged with liquidated damages for any delays in the completion of the work due to: 1) any acts of the federal government in controlling, restricting, or requisitioning materials, equipment, tools, or labor by reason of war, national defense, or other national emergency; 2) any acts of the City, its consultants, or other public agencies causing such delay; and 3) causes not reasonably foreseeable by the parties at the time of the execution of the Agreement that are beyond the control and without the fault or negligence of the Consultant, including, but not restricted to, acts of God, fires, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must promptly notify the City within ten (10) calendar days in writing of the cause of the delay. If, on the basis of the facts and the terms of this Agreement, the delay is properly excusable, the City shall, in writing, extend the time for completing the work for a period of time commensurate with the period of excusable delay. B. Rights Upon Termination: In the event of termination, the City shall pay for all services performed by the Consultant to the effective date of termination, as described on a final invoice submitted to the City. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project which may be used by the City without restriction. Any such use not related to the project which Consultant was contracted to perform shall be without liability or legal exposure to the Consultant. XI. Suspension & Debarment. For contracts involving Federal funding, Consultant hereby certifies, by signing this agreement, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. Consultant shall provide immediate written notice to the City if at any time it learns that it is or has become ineligible for certification. Should Consultant enter into a covered transaction with another firm, Consultant agrees by signing this agreement that it will verify that the firm with whom it intends to do business is not debarred, suspended, ineligible, excluded or disqualified. IN WITNESS WHEREOF, the parties below have executed this Agreement. CITY: CONSULTANT: CITY OF BREMERTON By: By: Print Name: Tom Knuckey Print Name: Its: Public Works & Utility Director Its: Date: Date: APPROVED AS TO FORM: ATTEST: By: By: DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Mike Lester Mason, Bruce & Girard, Inc. President 4/26/20224/27/2022 Page 8 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 Kylie J. Finnell, Bremerton City Attorney Angela Hoover, City Clerk R:\Legal\Legal\Forms\FORMS ON COBWEB\Professional Services Agreement Rev. 09 2021.docx DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 9 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 UTILITY AND FORESTRY LAND MANAGEMENT PLAN UPDATE FORESTRY CONSULTANT EXHIBIT “A” Scope and Compensation – Phase 1 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 1 Proposal to City of Bremerton | April 4, 2022 4 April 2022 Milenka Hawkins-Bates Forestry Division City of Bremerton, Washington RE: Scoping Effort for City of Bremerton Utility and Forest Land Management Plan Update and Implementation Plan Development Dear Milenka, Mason, Bruce & Girard, Inc. (MB&G) is pleased to support the City of Bremerton’s (City’s) efforts to update your Utility and Forest Land Management Plan and develop a multi-year strategic implementation plan. We understand the City owns and manages approximately 8,400 acres and intends to apply the new plans to sustainably manage and protect the resources present on them, including the 3,000-acre forested Union River which supplies the City’s drinking water. Per our discussion last week, this scope of work describes tasks needed to complete the first phase of the project which includes developing a revised scope and determining the level of effort and associated budget needed to update the management plan and develop the strategic implementation plan. Task 1. Site Visit MB&G’s Project Manager (myself) and Senior Forester (Brent Keller) will complete a field visit to tour the City of Bremerton’s watershed and associated facilities, and to meet the City’s project team. We assume we will complete the field tour within one day, including travel, but we included one overnight in case it is needed. The first-hand information received by MB&G’s project team through discussions with the City’s project team, and first-hand review of the watershed will be used by MB&G to inform Task 2. Task 2. Review Background Materials and Prepare Project Scope and Estimate The City has provided the following information to MB&G as background material for the project: • Preliminary Project Summary & Scope Outline • Project Scoping Notes (dated 3/1/2022) • City of Bremerton Watershed Road Map • 2006 Forest Land Management Analysis for the City of Bremerton Department of Public Works and Utilities • Appendix A: City of Bremerton Watershed Fire Response Map • Forest Health Assessment and Forest Management Practices Recommendations (University of Washington, 2019) • Volume I, Utility Land Management Plan (1996) • Volume II, Forest Management Plan (1996) DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 2 Proposal to City of Bremerton | April 4, 2022 MB&G will review these materials and complete additional coordination with the City of Bremerton staff, as needed, to develop a detailed scope of work describing tasks recommended to update the Utility and Forest Land Management Plan and to develop the strategic implementation plan. This task will also include development of an estimated level-of-effort and budget needed for the project. Budget Our estimated fee to perform these services is $17,587. Please see our attached cost estimate to review the breakdown of labor and expenses anticipated to complete the scoping effort. This scope of work is based on an estimate of technical time needed to complete the tasks. If a task requires additional technical time, MB&G will notify City of the need to increase the budgeted amount for the task. MB&G appreciates the opportunity to provide you with our scope and budget for your interesting project. Should you have any questions, please don’t hesitate to contact me by phone at (503) 417-5450, or email at wwente@masonbruce.com. We look forward to working with you to successfully complete the work outlined above. Sincerely, Wendy H. Wente, Ph.D. Associate / Senior Ecologist DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 4/4/2022 Scoping Effort: City of Bremerton Utlility and Forest Land Management Plan and Implementation Plan PROPOSED MB&G BUDGET Wente (PM/Senior Ecologist)Keller (Senior Forester)Administrative AssistantTotal Hours Task Total Task 1 Site Visit 18 18 36 6,390$ Task 2 Review Background and Prepare Scope and Estimate 24 32 6 62 10,288$ TOTAL HOURS 42 50 6 98 HOURLY RATE $185 $170 $68 TOTAL FEES $7,770 $8,500 $408 16,678$ EXPENSES Mileage (0.85/mile, 800 miles (2 vehicles))680$ Hotel (1 overnight, 1 person)96$ Per Diem ($44.25, 3 days)133$ TOTAL EXPENSES 909$ TOTAL NON-CONTINGENCY NOT-TO-EXCEED LABOR and EXPENSES 17,587$ TASK MB&G DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 Page 10 of 10 Bremerton/[MB&G} [Utility & Forestry Lands Update] Rev. 09/2021 UTILITY AND FORESTRY LAND MANAGEMENT PLAN UPDATE FORESTRY CONSULTANT EXHIBIT “B” Term – Phase 1 • First Review of Phase I Draft – May 10, 2022 • Second Review of Phase I Draft – May 31, 2022 • Phase I Complete – June 30, 2022 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?(Mandatory in NH) DESCRIPTION OF OPERATIONS belowIf yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIREDAUTOS ONLY 4/15/2022 JD Fulwiler &Co.,Insurance5727SMacadamAve.Portland OR 97239 Cindy Mohr 503-977-5643 503-977-5843 cmohr@jdfulwiler.com Great Northern Insurance Co 20303 MASOBRU-01 Federal Insurance Co 20281MasonBruce&Girard,Inc.707 SW Washington,Suite 1300PortlandOR97205 Travelers Casualty Insurance Company of America 19046 The Hartford Beazley Insurance Company Inc 37540 481745527 A X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X Y Y 36061706 1/1/2022 1/1/2023 2,000,000 B 1,000,000 X X X 2073612935 1/1/2022 1/1/2023 Hired Auto PD Deds 500/1,000 B X 5,000,000 X 78195468 1/1/2022 1/1/2023 5,000,000 X 0 D X52WECPI72301/1/2022 1/1/2023 500,000 500,000 500,000 CE ProfessionalLiability CyberLiability 106620746V26CF9190101 11/1/20214/16/2021 11/1/20224/16/2022 AggregateEachClaim$1M Breach Response 5,000,0005,000,000$1M Policy Agg. Excess Umbrella:75119C221ALI 1/1/22-1/1/23 Aggregate:5,000,000 Each Occurrence:$5,000,000Crime/Fidelity $5,000,000 Limit;Fiduciary Liability $5,000,000 Travelers Insurance Company 107198509 1/1/2022 –1/1/2023TheCityofBremerton,its officers,officials,employees,agents and volunteers are included as Additional Insureds as respects operations of the Named Insuredsubjecttopolicyterms,conditions,and exclusions per attached form.Coverage is Primary/Non-Contributory and Waiver of Subrogation in favor of City ofBremertonappliesperattachedform. City of Bremerton3456thStreet,Suite 100BremertonWA98337 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9 DocuSign Envelope ID: 5E994284-8BD6-4E8D-AA8A-F86DE02DEEF9