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HomeMy WebLinkAbout5073 -34- 5073 -� *i.",... _yam _ CITY OP BREMERTON +F41 (114 Of PM( AN® OA•.t}E N11.1 November 20, 2019 Daywireless Systems 4700 S.E. International Way Milwaukie, OR 97222 Attn: Sites Department Re: 1925 Cheryl Street Tower, Bremerton, WA Dear Mr. Hawkins, We have previously approached Daywireless about our future plans to use our Cheryl Street Tower. Because of these change in the City's use of this Tower, we will need to change the terms of our current agreement with Daywireless effective February 19th, 2020. We will either need to negotiate a monthly or annual lease payment amount or terminate the lease agreement including the removal of your equipment from the Tower. Please contact Melinda Monroe, Contracts Administrator at 360-473-5306 or Melinda.monroe@ci.bremerton.wa.us Regards, J, Melinda Monroe Contracts Adminstrator Cc: Thomas Knuckey, Director of Public Works file Finance 1 345 6th Street Ste 100,Bremerton,WA 98337 *Phone(360)473-5306*Fax(360)473-5200 Working for and with our residents to establish Bremerton as Puget Sound's most beautiful and livable waterfront city! Contract Number: 5073 Vendor. Ratelco Communications Services, Inc dba Day Wireless Systems Subject. Site Management Agreement for Cheryl Street Communication Site Department Forestry File Class LEG 12 -1 Begin Date 9/19/2011 End Date 9/30/2016 Review Date 9/1/2016 Vault Date: Comments Automatically renew and extend for 4 additional 5 year terms. Consent to Assignment 2/26/13 DAY sw WIRELESS SYSTEMS Day Management C orp Inc dba Day Wireless Systems PO Box 22169, Milwaukie, OR 97269 -2169 Tel (503) 659 -1240 Fax (503) 659 -4723 February 13, 2013 Bremerton Department of Public Works & Utilities Attn Forestry/Natural Resources Manager 100 Oyster Bay Ave N Bremerton, WA 98312 Re CONSENT TO ASSIGNMENT SITE MANAGEMENT AGREEMENT FOR CHERYL STREET COMMUNICATION SITE Dear Bill, On January 1, 2013 Ratelco Communication Services, Inc dba Day Wireless Systems merged with its subsidiary, Day Management Corporation dba Day Wireless Systems, an Oregon Corporation, with Federal Tax ID# 93 - 0681623 All personnel and contact information remains the same, with the exception of a different post office box, which is identified below Please indicate your approval of this assignment by signing below where indicated and returning one original as soon as possible to Day Wireless Systems Bethany Davidson PO Box 22169 Milwaukie, OR 97269 Please contact me with any questions regarding the merger or the consent at bd avid son(aD-daywireless corn or 800 - 554 -0402 ext 2277 Thank you, Acknowledged and Agreed with authority and on behalf of: City of Bremerton By Bethany Davidson Printed Name "41- A, ^74 0(r/0 Sites and Leasing Specialist Title 0"101,- v✓a� -'s Date 1 Contract Number: Vendor: Sub�ect: Department: File Class: Begin Date: End Date: Review Date: Vault Date: Comments : 5073 Ratelco Communications Services, Inc. dba Day WireZess Systems Site Management Aqreement for Cheryl Street Communication Site Forestry LEG 12-1 9/19/2011 9/30/2016 9/1/2016 Automatically renew and extend for 4 additional 5 year terms. SITE MANAGEMENT AGREEMENT FOR CHERYL STREET COMMUNICATION SITE This ite Mana ement Agreement, hereafter referred to as the "Agreement" is entered into this -- ay of ��2011, between City of Bremerton, hereafter referred to as " wner", and R telco Communications Services, Inc dba Day Wireless Systems hereafter referred to as "Manager" for the purpose of the management of the communications facility and equipment shelter belongmg to Owner, hereby listed on Exhib�t A The commurncations facilities listed on Exhibit A are collectively and hereafter referred to as the "Premises " Section 1 Term The term of this Agreement shall be for a eriod of five (5) years, starting on ���,�.P/1 �� � jl , and expiring on , 2016 This Agreement shall automatically renew and extend for four (4) dditional five (5) year terms During any such renewal period all terms and conditions of the initial Agreement term shall remain in full force and effect Either party shall have the right to terminate this Agreement by giving ninety (90) days advance written notice to the ad�oining party prior to the expiration of the then current term if either party gives such notice then this Agreement shall terminate on the expiration of the then current term Section 2. Manaqer's Responsibilitv Upon execution of the Agreement Manager will perform an initial evaluation of the Premises, on a weather permitting schedule CAD draw�ngs of the towers, buildings, and compounds wdl be produced A Site Data Sheet will be generated for the Premises detailing aii mformation pertinent to the Premises, as well as a picture collage denoting features of importance at the Premises All documentation created will be shared with Owner at Owner's request If Manager fmds third-party equipment on the Premises that is currently not paying rent, Manager will consult with Owner to determine if said third party equipment shall be responsible for paying rent in the future If it is decided that a third party shall pay rent then Manager will proceed to execute Tower Site Lease Agreements with such th�rd parties Manager shall make efforts to market or advertise the Premises to third parties Both parties hereby agree that a variable cost is associated with such actions, and that the Manager will have the ability to decide which efforts are cost effective and which are not Under no circumstance will there be any additional cost beyond the scope to the Owner without prior approval Marketing efforts may include listing the Premises on Manager's website, on Manager's tower site locat�ons list, and Manager's maps Manager wilf direct mad licensed and unlicensed communications operators in the vicinity of the Premises Manager shall manage the Premises and is authorized to license or sublease to others the right to install, operate, and maintain communication equipment and antennas in areas designated by Manager Manager shall use due diligence and good faith in licensing and subleasing to protect the site and to maximize the revenues under this Agreement Manager shall perform any administrative functions required by all subleases of the Premises Such administrative functions include billing, collections, accounts receivable, lease negotiations, renewals and addendums Manager shall offer consultation to Owner regarding issues for which the Owner is responsible as a communications faality owner At no time does Manager accept responsibility for any such City-DWS Cheryl St Agreement � 1 8/18/2011 neglect or failure to respond to Manager's suggestions Such issues include government or regulatory requirements, such as Electromagnetic Emission compliance, FAA requirements, FCC tower identification procedures, and local or federal safety requirements Manager shall provide technical assistance with the Premises, including resolution of mterference problems and intermodulation studies, when necessary, on new tenants Manager will also offer consultation regarding technical or structural problems with the Premises Examples of such problems may include items such as grounding requirements, ice bridges, cable trays, control systems or any other components necessary for the site users to effectively use the Premises Manager shall not aliow the mounting, installation, wiring or relocating of any equipment not belonging to Owner or controlled by Manager on the Premises without written permission of Owner Manager shall allow opportunity for the Owner to review and approve Tower Lease Agreements for tenants prior to execution of said agreements Section 3. Owners Responsibilitv Owner shall be responsible for all normal site maintenance and operational expenses As used herein, "normal site maintenance and operational expenses" include, but is not limited to utility payments, insurance costs, building repairs, lights, heat, ventilation, storm drainage, vandalism, tower inspections and ad�ustments Owner shall also be responsible for any landowner fees such as taxes, site rent, and user charges by any third party landowners Owner shall be responsible for capital expenditures such as site expansion, tower upgrades, or buildmg modifications deemed necessary and appropriate to improve the potential for increased use of the site, however, Owner shall not be obligated to perform these responsibilities Owner shall provide space, if available and reasonable, for Manager owned or controlled equipment on the Premises and such equipment shall be governed under a separate agreement Such space shall include budding and tower space and shall not be considered as revenue generating equipment In the same respect, any Owner-controlled equipment shall not be sub�ect to a revenue split Section 4. Pavment Third party communications equipment and associated accessories placed on or in the Premises shall be sub�ect to a lease amount set by Manager, with fortv-five (45%) of the lease being paid to Manager and fiftv-five (55%) of the lease being paid to Owner Manager shall collect all revenues and send Owner's portion on a quarterly arrears basis Manager shall submit a spreadsheet with each payment detailing the revenues received In the event that Manager is unable to collect on an outstanding balance due to bad debt, bankruptcy, or a legal dispute, Manager will deduct such sums from future payments to Owner for any payments previously made to Owner for the amount that was not collected Manager will provide an accounting of the amount deducted City-DWS Cheryl St Agreement 2 8/18/2011 Section 5. Indemnif�cation Manager shall defend, indemnify and hold the Owner, its officers, officials, employees, agents and volunteers harmless from any and all claims, in�uries, 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 in�uries and damages caused by the Owner's sole negligence The Owner's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indemnification Should a court of competent �urisdiction determine that this Agreement is sub�ect to RCW 4 24 115, then, in the event of liability for damages arising out of bodily in�ury to persons or damages to property caused by or resulting from the concurrent negligence of the Manager and the Owner, its officers, officials, employees, agents and volunteers, the Manager's liability hereunder shall be only to the extent of the Manager'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 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 Section 8 Insurance Insurance: The Manager shall procure and maintain for the duration of the Agreement, insurance against claims for m�uries to persons or damage to property which may arise from or in connection with the pertormance of the work hereunder by the Manager, its agents, representatives, employees, sub-consultants or subs Before beginning work on the pro�ect described in this Agreement, the Manager shall provide a Certificate of Insurance evidencing 1. Commercial General Liabilitv insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal in�ury, bodily in�ury and property damage Coverage shall include but not be limited to blanket contractual, products/completed operations/broad form property damage, explosion, and collapse, and employer's liability Any payment of deductible or self insured retention shall be the sole responsibility of the Manager 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 Owner shall be named as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Manager and a copy of an endorsement that is acceptable to the Owner, which names the Owner as an additional insured City-DWS Cheryl St Agreement 8/18/2011 shall be attached to the Certificate of Insurance The Owner reserves the right to receive a certified copy of all the required insurance policies and endorsements The Owner further reserves the right to re�ect any unacceptable policies and/or endorsements The Manager's Commercial General Liability msurance 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 msurer's liab�lity The Manager's insurance shall be primary msurance as respects the Owner and it shall be an affirmative obligation upon Manager to advise the Owner's Risk Manager by fax at (360) 473-5161, or by certified mail, return receipt requested to City of Bremerton, attn Risk Management, 345 6 Street, Suite 600, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any msurance policy set out herein, and failure to do so shall be construed ta be a breach of this Agreement The Owner 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 Section 7. Liens Manager shall have no power to do any act or to make any contract that may create or be the foundation for any lien, mortgage, or other encumbrance on any interest of Owner in the Premises Section 8. Access Owner shall permit Manager unrestricted access to the Premises and will provide the necessary keys and or codes for Manager and future tenants Manager is hereby granted the ability to allow access, at no additional charge, for any parties necessary to accommodate the needs of any current or future site tenants Section 9. Environmental Warrantv Owner and Manager agree that each will be responsible for compliance with any and all environmental and industrial hygiene laws, including any regulations, guidelines, standards, or policies of any governmental authonties regulatmg or imposing standards of I�abdity or standards of conduct with regard to any environmental or mdustrial hygiene condition or other matters as may now or at any time hereafter be in effect, that are now or were related to that party's activity conducted in or on the Premises Owner and Manager agree to hold harmless and mdemrnfy the other from, and to assume all duties, responsibilities and liabilities at its sole cost and expense, (for the payment of penalties, sanctions, forfeitures, losses, costs or damages) and for responding to any action, notice, claim, order, summons, citation, directive, litigation, mvestigation or proceeding which is related to failure to comply with any environmental or industrial hygiene law, including without limitation any regulations, guidelines, standards or policies of any governmental authorities regulating or imposing standards of liability or standards of conduct with regard to any environmental or industrial hygiene conditions or matters as may now or hereafter be in effect, an (u) any environmental or industrial hygiene conditions that arise out of or are in any way related to the condition of the Premises or activities conducted by the party thereon, unless the environmental conditions are caused by the other City-DWS Cheryl St Agreement 4 8/18/2011 party The indemnifications of this Section 9 specifically include reasonable costs, expenses and fees mcurred in connection with any investigation of Premises conditions or any clean-up, remediation, removal or restoration work required by any governmental authority The provisions of this paragraph will survive the expiration or termination of this Agreement Section 10. Termination 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 Section 10. Additional Reauirements This Agreement shall bind and benefit the parties, their successors, purchaser or assigns This Agreement shall be interpreted, enforced, and governed under the laws of the State of Washington with venue in Kitsap County This Agreement constitutes the entire Agreement between the parties and may not be modified m any way, unless in writing signed by both parties Any notices, communications, or demands to be given hereunder shall be in writmg and sent by certified or registered mail addressed as follows To Owner: Bremerton Department of Public Works & Utilities 100 Oyster Bay Ave. N. Bremerton, WA 98312 Attn: Forestry/Natural Resources fVlanager To Manager: Day Wireless Systems 4700 S.E. International Way Milwaukie, OR 97222 Attn: Sites Department Either party hereto may, from time to time, by notice to the other, designate a different address that shall be substituted for the addresses specified above Manager: Ratelco Communications Services, Inc. dba Day Wireless Systems Brent McGraw, Director of Sites Date �I � I Z/ I( Owner: City of Bremerton, Department of Public Works & Utilities � � Title � �, Date: �'� �� '� �� A a Forrq• CI ` tt0 @)/ � -. . . � i%i� � �J�i� �-- ' — City-DWS Cheryl St Agreement 5 8/18/2011 Exhibit A Communications S�tes - 1925 NE Cheryl Street Bremerton, WA 98310- including but not limited to the self-supporting tower, concrete biock building, and fenced compound City-DWS Cheryl St Agreement 6 8/18/2011 l O�ZJ; �iI A ° CERTIFICATE OF LIABILITY INSURANCE 9/2 0 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: H the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate h older in lieu of such endorsement(s). PRODUCER WEB Melody Kirkendall or Joanna Brown Durham and Bates Agencies Inc PHONE UW (503)241 -0154 No (503)342 -0625 720 SW Washington pj1�,melodyk @dbates.com or joannab @dbates.com Suite 250 � a A00 _ Portland _ OR 97205 -3554 _IN SURER(s) AFFORDING COVERAGE NAIC0 INSURED INSURER A -0 neBe_ac_on America Ins. Co Ratelco Communication Serv3.ces, Inc. INSURERBNavigators Insu r a nce C ompan DHA: Day Wireless Systems IN wmmc Hartford Ins.Co.of the Midwest 37478 4700 SE International Way iNSURm Acc & IndemnatV 22357 INSURER E Mi.lwaukie OR 97222 INSURER F COVERAGES CERTIFICATE NUMBER.Ratelco Communication REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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 AIDUL ITR TYPE OFINSURANCE - - - - -- - -- Y Gw I POU Y LTXii - - LIMITS POLICY NUMBER MID M GENERALLIABILITY i EACH OCCURRENCE 6 1,000,000 DAMAGE'r101 UW "— 1 000, 000 X ( CWL GENERAL LIABILITY PRE"SE (Ea xcuTMq@ S , A I i GRWSMADE IX OCCUR 17110099180005 10/1/2011 1110/1/2012 ; MED ( Any ) $ 10,000 X $1,000,000 UNBRELLA ! PERSONAL &ADVNJURY $ 1,000,000 X I 1NOISHI31WTM STOP GAP GENE AGG REGATE $ 2,000,000 7MLAGGREGATE LIMir APPLIES PER i PR - COMPIOP AGG S 2,000,000 I POLICY I I 7X LOG WA EMPLOYERS LIABILITY $ 500,000 AUTOMOBILE LIANUTY I I I COMBINED SINGLE LIMIT $ 1,000,000 (Es acciderd) X ANY AUTO BODILY INJURY (Per person) $ A i_ ALL OWNED AUTOS I i (/110099180005 10/1/2011 10/1/2012 - - - - -- BODILY INJURY (Per aeodent) E SCHEDULED AUTOS i PROPERTY OAtHAGE X� HIRED AUTOS I I - (per socidern) - - - -- f X NON -0WNEDAUTOS I S I I 6 UMBREILALIA6 X j I LAl1EXC1611651V 10/1/2011 1110/1/2012 EAC OCCURRENCE s 8,000,000 I X EXCESS AD LIAS CLAIMS -ME I GATE _ _ s 8,000,000 1 DEDUCTIBLE 6 S RETENTION 8 c WMORKER8COMPENSATIWI 21ITEI,N9641 SO /1/2011 0/1/2012 X TRYLI I_ - AND EMPLOYERS' LIABILITY YIN I ANY PROPRIETORIPARTNERAEXECUTIVE IAVV- C Hartford of Midwest E L EACH ACCIDENT E 1, 000, 00 0 � OFFICERIMEABER EXCLUDED? i N I A D (Mandatwy In NH) CA, oR -D Hartford Ace ind E L DISEASE - EA ENIPL OYEE $ 11000,000 I DESCR OFOAERATIONS below l I E L DISEASE - POLICY LIMIT s 1, 000,00 A GARAGRM2EM I 110099180005 10/1/2011 0/1/2012 COMP&COLLUMITS $250,000 J DEDUCTIBLE $ 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. N more space Is required) See attached form VCO207 07 09 Vantage for General Liability Technology Companies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS Attn: Risk Management 345 6th Street, Suite 600 AUTNORtZEDRtiPRESHNTATIVE Bremerton WY 98337 Joanna Brown /MJf{ ACORD 25 (2009!09) 0 1988 -2009 ACORD CORPORATION. All rights reserved. 1NS025(2mmg) The ACORD name and logo are registered marks of ACORD POLICY NUMBER' 711009918-0005 THIS ENDORSEMENTCHANGES THE POLICY. PLEASE READ IT CAREFULLY. a@VANTAGE FOR GENERAL LIABILITY TECHNOLOGY COMPANIE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following schedule fists the coverage extensions provided by this endorsement. Refer to the Individual provisions to determine the extent of your coverage. SCHEDULE OF COVERAGE EXTENSIONS �® 1. Additional Insured — Broad Form Vendors S. Coverage Territory — Worldwlde 2. Additional Insured — by Contract, Agreement or 8. Outies in Event of Occurrence, Claim or Suit Pefn*relating to 10. Expected,or Intended Injury (PO) o Work performed by you 11. Incidental Medical Malpractice o Premises you own, rent, lease or occupy 12. Medical Payments o Equipment you lease 13. Mobile Equipment Redefined 3. Aggregate Limit Per Location 14 Newly-Acquired or Formed Organizations 4. Blanket Waiver of Subrogation 16. Non - Qwned Aircraft S. Bodily Injury Redefined — Mental Anguish 16, Non -Owned Watercraft 6. Broadened Named Insured 17. Personal and Advertising Injury 7. Broadened Property Damage 18. Product Recall Expense o Borrowed Equipment 19. Supplementary Payments Increased Limits o Customers' Goods o Use of Elevators 1. ADDITIONAL INSURED — BROAD FORM VENDORS Section 11 Who Is An Insured is amended to include as an additional insured any person(s) or orgaroration(s) (referred to below as vendor) with whom you agreed in a written contract or agreement to provide insurance, but anty with respect to "bodily Injury" or " damage" ansing out of "Your products" which are distributed or solo h the regular course of the vendor's business, subject to the following additional exclusions a. This provision 1. does not apply to. (1) 'Bodily injury or "property dernage" for which the vendor is obligated to pay damages by reason of the assumption -of liability in a contract or agreement. This e'kdlusion does not apply to lability for damages that the vendor would have in the absence of the contract or agfeement, (2) Any express warranty not authorized by you; (3) Any physical or chemical change in the product made Intentionally by the vendor, (4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing or the substitution of parts under Instructions from the manufacturer, and then repackaged in the original cordalner; (5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or nortnaly undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (0) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises In connection with the sale of the product, (7) Products which, after distribution or safe by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor, or (8) `Bodily Injury" or "property damage" arlsilg out of the sole negligence of the vendor for its own acts or onissions or those of its employees or anyone else acting on Its behalf. However, this exclusion does not apply to (a) The exceptions contained in Subparagraphs 4. or 6.; or VCG 107 07 09 Includes capyrVted material of Insurance Services Office. Inc Pegs 1 of 7 CopprtgM 2009, 11111111! lnitlllllllt !!lfilll!!I!!fllltlt!!lltill IIIIIIIIIIIIIIIIIIIII (b) Such inspectons, sdjushMnts, tests orservift as the vendor haslagireed to make or 'nom>elly Undedakes to trtakb in the usual course of businms, In connedon v0 the dlstrthulf on or sale of the products. (9) Any vendor, person or prgarilzallort if the "pr'oductipcompteted operations hazard" Is excluded either by the ptuMons of the Garage Form or by endorsement b. This insurance does not apply to any unwed person or orpnintion, from whom you have acquired such produdis, or anytngredlent, part or container, entering into, acconVOying or contWnIng such products. 2. ADDITIONAL INSURED —CONTRACT, AGREEMENT OR PERMIT a. tootioa II — Who Is An Insured is amended to include as an additional IrtUred any person(s) or organi- gaon tj) with whom you agreed in a written contract, wr m agreement:or permit to provide Insurance such as Is affouled under this Coverage Part, but only with respect to labidty lot "bodily injury", "property damage or "personal and advertising Injury" caused, In whole or in part, by your acts or omissions or the acts or omissions of those acting an your behalf: 1. In the performance of 'your work° for the additional Insured(s) at the location designated In the contract, agreement or permit; or 2. In the maintenance, operabort or use of equipment leased to you by such pewm(s) or organization(s), or 3. In connection with premises you own, rent, lease or bccupy. This Insurance applies on a primary or primary and non - contributory basis if that Is required In writing by the contrao, agreement or permit. b. The insurance provided to the additional Insured herein Is limited. This Insurance does not apply 4. Unless (a) the written contract, agreement or permit is currently In effect or becomes effective during the term of this policy; and (b) the contract or agreement was executed or permit issued prior to the "bodily Injury", "property damage", or "personal and advertising Injury"; 2. To any person or organization Included as an insured under the Additional Insured - Broad Form Vendors provision of this endorsement; 3. To any person or organization Included as an Insured by an endorsement issued by us and made part of tttls Can age Part, 4. To any person or organization if the "bodily Injury', "property damage', or "personal and advertising Injury" arises out of the rendering of or failure to render any professional architectural, enginebring or surveying services by or for you including (a) The preparing, approving, or falling to prepare or approve, maps, shop drawings, opinions, reports, surveys. field orders, change orders or drawings and specifications, or (b) Supervisory, inspection, architectural or engineering activities. 5. To any. (a) Lessor of equipment after the equipment lease terminates or expires, or (b) Owners or other Interests from whom land has been leased; or (c) Managers or lessors of premises it (1) The "occurrence "takes place after you cease to be a tenahtfn Xhot premises; or [2) The "bodily Injury", "property damage°, "personal and advertWng injury' arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. 6. To "bodily injury, or "property damage" occurring after. (a) All work on the projedt (ocher than service, maintenance or repairs) to be performed by or on behalf of the additional insured at the site of the dovbred operations has been completed, or (b) 'T'hat portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged In pedomting operations for a principal as part of the same project. Page 2 of 7 Indudes copydgfded material of Insurance seivlces 01Gee. Im VCG 207 07 09 Copyrfght2009, 1111 1UI111 11111il1 1111 fill IIIII1Ir11111111111111 . c. Limits of Insurance applicable to the additional insured are those specified in the contract, agreement or permit or in the Declarations of this policy, whichever is less, and fix the most we will pay regardless of the number of: 1. Insureds, 2. Claims made or "suits" brought; or 3. Persons or organizations making claims or bringing "salts". These Limits of insurance are inclusive of and not in addition to the Umits of Insurance shown in the Declarations. 3. AGGREGATE LIMIT PER LOCATION a. Under Section III — L €mits of Insurance, the General Aggregate Umit applies separately to each of your "locations" owned by or rented or leased to you. b. Under Section V — Definitions, the following definition Is added: "Locatlon" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right - of-way of a railroad 4. BLANKET WAIVER OF SUBROGATION Section IV — Transfer of Rights of Recovery Against Others to Us Condition is amended to add the following We will waive any right of recovery we may have against any person or organizabon because of payments we make for Inju or damage arising out of your ongoing operations done under a written contract or agreement with that person or organization and included In "your work" or the "products- completed operations hazard". This waiver applies only to persons or organizations with whom you have a written contract, executed prior to the "bodily injury" or "property damage ", that requires you to waive your rights of recovery b. BODILYiNJURYREDEFINED�MENTALANGU ISH Under Section V, the definition of "bodily injury" is replaced by the following' "bodily injury" means bodily injury, sickness, or disease sustained by a person, Including mental anguish or death resulting from any of these at any time S. BROADENED NAMED INSURED Section 11-- Who Is An Insured is amended to include as an insured the following - Any organization which Is, S legall incorporated entity in which you own a financial interest of more than 50 percent of the voting stock the effective bate of this endorsement will be a Named Insured until the 180th day or the and of the pol1Cy period, Whichever comes first, provided there is no other similar insurance available to that organization The insurance afforded herein does not apply to any entity which Is also an Insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 7. BROADENED PROPERTY DAM AGE — BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF ELEVATORS The Insurance for "property damage" Iiabirdy is subject to the following. a. The Damage To Property exclusion under Section 1 Coverage A is amended as follows 1. The exclusion for personal property In the care, custody or control of the insured does not apply to "property damages to equipment you bwow while at a job site and provided it is not being used by anyone to perform operations at the time of loss 2 The exclusions for (a) Property loaned to you; (b) Personal property in the care, custody or control of the Insured; and (c) That particular part of any property that must be restored, repaired or replaced because your work" was Incorrectly performed on it do not apply to "property damage" to "customers' goods° while on your premises nor do they apply to "property damage" arising from the use of elevators at premises you own, rent, lease or occupy. Subject to the Each Occurrence Umit, the most we will pay for "property damage" to "Customers' Goods" Is $35,000 per "occurrence" VCa 207 07 00 Includes eopyrlghted material of Insurance Services Office Inc Page 3 of 7 Copyright 2009,1 'if 11111111 1111111 It 11111 — __ _ _ _ _ _ _ _ _ �. .�. __., _ __ F � �_ ____ __ , h ACOR� ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1� `� 9/29/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed if SUBROGATION IS WAIVED, sub�ect to the terms and conditions of the policy, certain policies may reqwre an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER NAME � Melody Kirkendall or Joanna Brown Durham and Bates Agencies Inc aC ext (503) 241-0154 a No (503)542-0625 720 SW Washs.ngton AD O R�ess �elodyk@dbates com or 7oannab@dbates com Su1te 25� PRODUCER 00003730 CUSTOME IDq Portland OR 97205-3554 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURED INSURERA OIlP$A3COI1 Amera.ca Ins Co Ratelco Communication Services, Inc INSURERBN3V1 ators Insurance Com an DBA Day Wa.reless Systems iNSUReRC Hartford Ins Co of the Ntidwest 37478 4700 SE Internats.onal Way INSURERD H32'tfOrCl ACC & Indemnit 2357 INSURER E Nlilwaukie OR 97222 INSURER F COVERAGES CERTIFICATE NUMBER 12atelco Communication REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTAND�NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS �LTR TMPE OF INSURANCE INSR WVD POLICY NUMBER I MM D�D MM/DDlYYYY LIMITS GENERAL LIABILITY I I EACH OCCURRENCE $ 1� OOO � OOO X COMMERCIAL GENERAL LIABILIN A I CLAIMS-MADE � OCCUR X I $1,000,000 i7rIDRET.T.n X WASHINGTON STOP GAP GEN L AGGREGATE LIMIT APPLIES PER I POLICY n PR O n LOC AUTOMOBILE LIABILITY � ° ANY AUTO A ALL OWNED AUTOS SCHEDULEO AUTOS X HIRED AUTOS X NON-OWNED AUTOS � I I UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS-MADE DEDUCTIBLE B C � A WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y � N ANV PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED� � N / A (Mandatory m NH) If yes describe under DESCRIPTION OF OPERATIONS below GAF2�GEKEEPERS 99160005 110099180005 EXC161165IV WEIN9641 - C Hartford of Midwest ,OR-D Hartford Acc Ind 99180005 o/i/2oii �io/i/2oi2 /1/2011 �10/1/2012 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERALAGGREGATE $ PRODUCTS COMPlOP AGG $ WA EMPLOYERS LIABILITY $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ �$ 10/1/2011 10/1/2012 IEACH OCCURRENCE AGGREGATE I I '10/1/2011 10/1/2012 � T RY IMIT��ER I � E L EACH ACCIDENT E L DISEASE - EA EMPLOYEI I , E L DISEASE POLICY LIMIT 10/1/2011 I10/1/2012 COMP 8 COLL LIMITS I DEDUCTIBLE DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Ii more space Is required) See attached form VCG207 07 09 Vantage for General Liability Technology Companies CERTIFICA TION 1,000,000 10,000 1,000,000 2,000,000 2,000,000 500,000`? - -. 1,000,000 g 8,000,00 $ 8,���,�� $ $ $ 1,000,00 $ 1,000,00 $ 1,000,00' $250,00 $ 50 OC T o 5 Zo 11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS Attn Risk Management C��' °f Bremerfon R�sk M anrzgement AUTHORIZED REPRESENTA7IVE 345 6th Street, Suite 600 Bremerton WY 98337 Joanna Brown/MJK ACORD 25 (2009/09) �O 1988-2009 ACORD CORPORATION All rights reserved INS025 �zoosos� The ACORD name and logo are registered marks of ACORD POLICY NUMBER 711009918-0005 THIS ENDORSEMENT CHANGES THE POi.ICY. PLEASE READ IT CAREFULLY. a�VANTAGE FOR GENERAL LIABiLITY TECHN�Lt�GY COMPQ►NIES Th�s endo�sement modifies insurance prov�ded under the fotlav�nng COMMERCiAL GENERAL LIABILITY COVERAGE FORM 7he following schedute Usts the coverage extens�ons provided by th�s endorsement. Refer to the �ndwidual provisians to determine the extent of your coverage SCHEDULE OF COVERAGE EXTENSIONS �� 1. Additional Insured — Broad Farm Vendors �� 2. Additional Insured — by Contract, Agreement or Permit rela�ng to o Work performed by you o Premises you own, rent, lease or occupy o Equipment you lease 3. Aggregate L�mit Per Locat�on � 4. Bianket Waiver of Subrogabon 5. Baddy In�ury Redefined — Mental Anguish 6. Broadened Named Insured 7. Broadened Property Damage o Borrowed Eqwpment o Customers' Goods o Use of Elevators 8. Coverage Territory — Warldwide 9. Out�es m Event of Occu�rence, Claim o� Suit 10. Expected or Intended In�ury (PD) 11. Inc�dental Med�cal Malpract�ce 12. Medical Payments 13 Mobde Equipment Redefined 14 Newly Acqwred or Formed Organizations 15. Non-Owned Aircraft 16 Non-Owned Watercraft 17. Personal and Advertismg In�ury 18. Product Recall Expense 99. Supplementary Payments Increased Umits ADDITIONAL INSURED — BROAD FORM VENDORS Section 11— Who Is An Insured �s amended to mclude as an addfional insured any person(s) or orgarnzabon(s) (referred to below as vendor) with whom you agreeci �n a wntten contract or agreement to prov�de insurance, but only with respect to "bodity m�ury" or "property damage" ansmg out of'your products" which are distnbuted or soid tn the regular course of the vendo�'s business, sub�ect to the follo�nnng addiGonal exciusions a. Th�s provis�on 1 does not apply to {1) "Boddy in�un/" or "property damage" for which the vendor �s obligated to pay damages by reason of the assumption af liabddy in a contract or agreement This exdus�on does not app{y to liabdity for damages that the vendot would have m the absence of the contract or agreement, (2) At�y express warraMy not authonzed by you, (3} Any physical or cl�emical change in the p�oduct made mtenUonaliy by the vendor, (4) Repackagmg, except when unpacked solely for the purpose of inspechon, dernonstratton, testing or the substitution of pa�ts under instructions from the manufaeturer, and then �epackaged m the original container, (5) Any faiture to rnake such inspections, adjustments, tests or servic�ng as the vendor has agreed to make or nortnally undertakes to make m the usual course of busmess, in connedion wnth the distnbut+on or sale of the products, (6) Oemonstrat�on, mstaltation, serv�ang or repair operations, except such operations performed at the vendor's premises in connection w�th the sale of the product (7) Products which, after distnbudon or sale by you, have been labeled or relabeled or used as a contamer, part or ingred�ent of any other thmg or substance by or for ihe vendor, or �8) "Boddy in�ury" or "properiy damage" ans►ng out of the sole negligence of the vendor for ds awn acts or omissions or those of its employees or anyone etse acbng on its behalf However, this exclusion does not appiy to (a) The exceptions contained �n Subparagraphs 4 or 6, or VCG 207 OT 49 Indudes copyrighted matedal of Insurance Serv�ces Office, Inc Page 1 of 7 CoPYn9ht 2009, ii�l�}��n�un�nt��i��lllmn�nilnf!}t�fl�l�1 �u�s�u��������1uH , , (b) Such inspecdons, ad�ustmenfis, tests or serviang as the vendor has agreed to make or narmally upde�takes to make in the usuat course of busmess, in connection with the distribuban or sale of the products �9) Ariy ve�lslar, person pr orgarnzabon if the "praiucts-completed operafions hazard" is excluded e�ther by the ptovisions af the Coverage Fbrm ot by endorsement b. T'hrs rnsttrance does nof appty to any �nsured person or organ�zaUon, from who�n you have acquired such ��ruducttts, ur any ingredient, part or container, entenng into, accoinpanytng or cpntairnng such ptoducts 2. ADmITIQNAL INSURED — CON7RACT, AGREEMENT OR PERMIT a. SeCtion II — Wha Is An Insured is amended to mclude as an addi6anai msured any person(s) or organ�- .�ation(�) with whom you agreed in a wMten contract, wr+tten agreement or perm�t to provide insurance such ,as �s afforded under thts Coverage Part, but onty wnth respect to bat�hty for "badiiy In�ry", "property damage" +�r "personat and advefis�rx,� m�ury" caused, in whole or in part, by your acts or omissrons or the acts or ��misstons of those acbng on your behaif 1. In the petfom�tance of "your work" for the add�Uonal insured{s) at the locat�on des�gnated in the contract, agreement or permit, or 2. In the maintenance, operafion or use of equtpment leased to you by such person(s) or orgarnzation(s), or 3. In connecbon with prem�ses you own, rent, lease or occupy This �nsurance app4es on a pnmary or pnmary and non-contnbutory basES if that is required �n wnhng by the c0ntract, ayreement or permit b The insurance provided to the addiUonal insured herem is hm�ted This msurance does not apply 1. Unless (a) the wrttten contract, agreement or permit is currentty m ef�ect or becomes effect�ve dunng the tetm of this policy, and (b) the contract or agreement was executed ar permd �ssued pnor to the "boddy in�ury", "property damage", or "personal and advertising in�ury", 2. To any pe�son or orgarnzat�on included as an insured urtder the Add�t�onal Insured - Broad Form Veridars provision of this endorsement, 3. To any person or organizat�on inciuded as an insured by an endorsement issued by us and made part of this Cov�rage Part, 4. To any person or orgarnzation if the "bodily injury", "property damage", or "personai and advertis�ng in�ury" arises out of 1he rendenng of or fadure to render any profess�onat architectural, engineenng or surveying serv�ces by or for you mdud�ng (a) The preparing, approwng, or fadmg to prepare or approve, maps, shop draw�ngs, opinions, repor#s, surveys, field orders, change orders or drawmgs and speci�ica�ons, or {ti� Superv�sory, mspecGQn, arch�tectu�at or engmeer�ng ac4v�Ges 5 To a�y (a) Lessor af eqwpmen# after the equipment lesse termmates or exp�res, or {bX O�nrners ar othe� �nterests from whom land has been Isased, or (c) Managers orlessors of prem�ses if {1) The'bccurrence" takes place after you cease to be a tenant in that premrses, or (2} The "bodily injury", "property rJamage", "personal and adver�smg mjury" arises out of structurat afterabons, new construct�on or demolition operaUons performed by or on behalf of the manager or lessor 6. To "badily �n�ury, or "properly damage" occurnng after (a) Ail work on the pro�ect (other than serv�ce, maintenance or repa�rs) to be performed by or on behalf of the adddionai msured at the site of the covered operabons has been completed, or tb) That pottion of "your work" out of which the injury ot damage anses has been put to its intended use by any person or organizahan other than another contractor or subcontractor engaged in pe�formmg operations for a pnncrpal as part of the same pro�ect Page 2 ot 7 Includes copynghted matenal of fnsurance Services Office Inc VCG 207 07 OS Copynght 2009, +���n�iniinnininii�n�ii►inniinimni�ii c. Limtts of Insurance apphcable to the additional msured are those specified in the contract, agreement or perm�t or m the Declaratrons of th�s poUcy, whichever is less, and fix the most we v�nll pay regardless of the number of 1. Insureds, 2. Claims made or "suits" brought, or 3. Persons or argan�zabons malung ctaims or bnnging "suits" These Limits of Insurance are inclusnre af and not in addition to the Lim�ts of Insurance shown in the DeGaraUons 3. AGGREGATE LIMIT PER LOCATION a. Under Section III — Limits of Insurance, the General Aggregate Limit applies separately to each of your "locat�ons" owned by or rented or leased to you b. Under Section V— Def�nitions, the foliowing defini4on is added "Location" means premises involving the same or connectmg lots, or premises whose connection is mterrupted on{y by a street, roadway, waterway or nght-of-way of a railroad 4. BI.ANKET WAIVER OF SUBROGATION Sect�on IV — Transfer of Rtghts of Recovery Against Others to Us Condition �s amended to add the following We will wa�ve any nght of recovery we may have against any person or organization because of payments we make for in�ury or damage ansing out of your angoing operafians done under a wr�ten contract or agreement wnth that person or orgarnzation and mcluded tn "your work" or the "products-compteted operations hazard" Thts waiver applies only to persons or orgarnzations with whom you have a written contract, executed pnor to the "bodily tn�ury" or "property damage", that requires ynu to waive your nghts af recovery 5. BODILY INJURY REDEFINED — M ENTAL ANGUISH Under Section V, the deftnit�on of "bodiiy m�ury" ts replaced by the foilowing "Bodily in�ury" means bod0y in�ury, sickness, or disease sustained by a person, including mental angwsh or death resuiting from any of these at any time 6. BROADENED NAMED INSURED Section II — Who Is An Insured is amended to include as an msured the follawmg Any orgarnzaUon which is a legal{y mcorporated entdy in which you own a financ�al inierest of more than 50 percent of the votmg stock on the effecbve date of this endorsement will be a Named Insured untd the 18Qth day or the end of the pohcy period, Whichever comes first, provided there is no other simdar �nsurance available to that orgarnzation The insurance affarded herein does not app{y to any ent�ty which ts also an insured under another policy or would be an �nsured under such poHcy but for its termination or the exhaustio� of its limits of msurance 7. BROAOENED PROPERTY DAMAGE — BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF ELEVATORS The msurance for "property damage" liabdity is sub�ect to the following a. The Damage To Property exciusion under Section 1 Coverage A is amended as foliows 1. The exctusion for personal property in the care, custody or control of the insured does not apply to "property damage" to equipment you borrow whde at a �ob site and provided it is not bemg used by anyone to perform operaUons at the bme of loss 2 The exclusions for (a) Praperty loaned to you, {b) Personat properly m the care, custody or control of the insured, and (c) That parUcUlar part of any property that must be restored, repaired or repiaced because "your work" was mcorrectly performed on it do not apply to "property damage" to "customers' goods" whde on your premises nor do #hey apply to "property damage" arising from the use of elevators at premises you own, rent, lease or occupy Sub�ect to the Each Occurrence Ltmit, the most we will pay for "property damage" to "Customers' Goads" is $35,000 per "occurrence" VCG 207 07 09 Includes copynghted mate�ial o( Insurance Services Office, Inc Page 3 of 7 Copynght2009, �������������!!!l������lIIIlItl�ll����l�1(���1i��� To: +13604735300 Page: 3 of 3 2022-03-30 09:25:19 MDT 18664293119 From: Robyn Greene ACQ 32s/2CERTIFICATE OF LIABILITY INSURANCE °A'/29/2"o22 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NRPAE: Robyn Greene The Leavitt Group of Boise, Inc, AIC No Exr. (20B) 672-6160 'C.No: (sbal azv-az9 6220 N. Discovery Way, Ste 100 nnnls. robyn-green@leavitt.com Boise ID INSURED Day Management Corporation dba Bay Wireless Systems 4100 SE International Way Mi.lwaukie OR COVERAGES 83713 AFFORDING COVERAGE I NAIL 4 INSURERC:New Hampshire Insurance Company 23841 INSURER 0: Scottsdale Insurance Comnanv 141297 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING ANY RFC)UIRFMFNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RFSPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR#BED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 97222 INSURER F CERTIFICATE NUMBER:22/23 Master INSR I LTR TYPE Of INSURANCE ADQi_POLICY Swvb UBR POLICY NUMBER EFF iMMIDO/YYYYJ POLICY EXP iMMJ001YYYYI,LIMITS X COMMERCIAL GENERAL LIABILITY EACH CCCURRENCE $ 1,000,000 .. CLAIMS -MADE ..._,. OCCUR DAMAGE TO RENTED ...H._:..._[5....ES !.ST�.2�lretjce L...._._? .., .___,__,.._.... 50p 000 ............ $0 Ded X GT, 5342023 4/1/2022 4/1/2023 MEU EXP (Any Ong person) $ 25,000 PERSONAL &ADV INJURY $ 1,000,000 GEN`L AGGREGATE LINTIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JEC 7- LOC ECI _. PRODUCTS - $ 2,,000,000 OTHER.. $ AUTOMOBILE LIABILITY COMBINE) SINGLE LIMIT Ea see€Cet% $ 2,000,00() BODILY INJURY (Perperson) $ X ANYAu7tl A BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS CA 3796644 4/1/2022 4/1/2023 NON -OWNED PROPF.RTV DAMAGE $ HIRED AUTOS AUTOS Per acUdent $ X UMBRELLA LIAB X OCCUR EACH gCOURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DELI I X I RETENTION 5 a $ CH22EXC8855921C 4/1/2022 4/1/2023 NfORKER5C01v1PEN5AT'ION WC 025893651 (Aos) 4(1/2022 4(112023 X PER ITH- STATUTE ER AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1,000,004 ANY PROPR I ETORIPARTNER,EXECUTIVE WC 025B93652 (CA) 4/1/2022 4/1/2023 OFFICERIMEMBER EXCLUDED? y NIA E.L. DISEASE - EA EMPLOYEE $ 1 000 000 C JlVandatory in NH) WA Stop Gap 0 yes, desulbe under DESCRIPTION OF OPERATIONS below E.LDISEASE- POLICY LIMIT $ 1,000,000 D 2.nd Excess Policy -Excess over XLS0123570 4/1/2022 4/1/2023 5 x 5 ENc Layer Lima $5,000,000 GL, Auto & Employers Liability DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101. Additional RemaAs Schedule. may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION (360) 473--5300 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THEEXPIRA71ONDATE THEREOF, NOTICEWiLLBEDELIVEREDIN 100 Oyster Flay Ave LET ACCORDANCE WITH THE POLICY PROVISIONS. Bremerton, WA 98132 AUTHORIZED REPRESENTATIVE O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)