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HomeMy WebLinkAboutORIGINAL AND 1ST AMENDMENT Bremerton's Farmer's MarketPendergast Regional Park Exhibit B Bremerton Community Farmer’s Market Traffic & Crowd Control Volunteer Vehicle Traffic Market Manager/Info Booth Vendor Booth Vendor Vehicle Customer Traffic Cones/Barriers Hand Washing StaƟon 2020 Covid‐19 Safety Plan  ● All vendors, customers, volunteers, and staff must wear a mask or face covering while in the market  footprint.   ● All vendors must have a hand washing station and sanitizer in their booths  ● The market will provide a hand washing stations at the entrance and exit of the market and require that  all entering the market must wash hands before entry.   ● Vendor booths will be spaced apart, with their car next to their booth creating an actual physical barrier,  in addition to empty space created by skipping several parking spaced before placing the next booth.  ● To begin with we will cap the total # of customers to a limit of 2‐3 per vendor (total customers would  adjust upward as we are allowed to bring in more vendors). Not to exceed 20 customers (with the current amount of vendors).  ● We will be working with the Vendors to adjust their booth and display set up to allow for the safest  transaction possible. We will require an empty “transaction” table to be at the front of the booth, that  will be required to be sanitized after each purchase/customer. This table creates a sanitized surface  between the vendor and customer as well as a physical distancer. All items for sale will be on a table or  stand in the back of the booth and will not be touched by any customers. Vendors will either bag the  items for the customer or place the items on the table should the customer want to use their own bag  (customer would then remove items from the table). We will encourage all vendors to offer a touchless  way to pay, or require the same method of exchanging money, cards or market tokens, placing it on the  empty table to maintain a “touchless” transaction.   ● After each customer, the vendor must wash their hands and sanitize the front empty table before the  next customer can be served.   ● No sampling or eating on site allowed.  ● No pets allowed. Service animals are always welcome  ● We will utilize volunteers & staff in brightly colored vests to monitor, count and control the crowd.   ● Any money, market tokens or paperwork turned in at the end of market will be handled with gloves. All  wooden tokens used will be sanitized with the manufacturer’s guidelines of water and Dawn dish soap  wipe being allowed to dry completely in high sun.    ● Any staff, vendor, volunteer, or customer displaying any signs of illness will not be allowed entry.   ● We will publicize and ask our customers to take the attached “Shoppers Oath”     STAY HOME if I am sick or if I have been in contact with someone who is sick  Make a shopping list before visiting the market and will Pre-order whenever possible.Designate one shopper per household. Leave my pet at home unless it is a service animal. Wear a face mask or face covering to the market. Pay attention to modifications and signs and adhere to them. Not touch products, but instead ask a vendor for what I would like. Maintain 6 feet of space at all times. I will look for physical cues like tape, chalk, and signs to help remind me. Shop quickly and efficiently. I won't loiter for chats with my favorite vendors - I will offer them a smile (behind my mask) and a wave and hearty nod!!!. Use the provided hand sanitizer and hand wash stations at the market. Avoid touching my eyes, nose, mouth, and face in general THE SHOPPER OATH As a responsible community market shopper, I will: I will set an example for all by being the most responsible shopper I can possibly be! LICENSE AGREEMENT [CITY OF BREMERTON and BREMERTON FARMER'S MARKET] THIS LICENSE AGREEMENT is entered into by and between the CITY OF BREMERTON, a municipal corporation organized and existing under the laws of the State of Washington, (hereinafter referred to as the "City"), and the BREMERTON FARMER'S MARKET (hereinafter referred to as the "Licensee"). WITNESSETH: 1. PREMISES: City is the legal owner of the property identified in Exhibit A. The City hereby grants to License this agreement for the use of a portion of Evergreen Rotary Park identified in Exhibit A for the uses and purposes described herein. 2. USES AND PURPOSES: Licensee shall have the use of the premises identified in Exhibit A for the purpose of a Farmer's Market. Such Farmer's Market shall be limited to the premises, and shall only be allowed during the months of May -October of each year this agreement is in effect. Additionally, the Licensee's use of the premises is limited to Thursday afternoons from 2:00 p.m. until 8:00 p.m. Sales, displays, storage and delivery of Farmer's Merchandise shall be limited to the portion of Evergreen Rotary Park identified in Exhibit A. Vendor's vehicles and trailers shall remain on paved areas of the premises. Vendors may use small carts and hand trucks to transport their merchandise to their booth(s). The Licensee shall be responsible for the cleanup of litter, unsold merchandise, packing, displays and other market related items following the close of the Farmer's Market each Thursday. No permanent signage or other advertising shall be used by the Licensee. However, temporary signage may be used by the Licensee and may be placed at entrances to Evergreen Rotary Park as well as other locations within Evergreen Rotary Park upon written approval of the City's Park and Recreation Director. Notwithstanding any other provisions herein, the Licensee shall not enter into any other sublicense of the premises or any portion thereof or any assignment of any interest in this Agreement whether long or short term in nature, or engage in any activity with respect to or on the premises other than the express use(s) and purpose(s) stipulated herein, without obtaining the prior written authorization therefore from the City. 3. TERM: The term of this Agreement shall be for a period of three (3) years from the date of execution. However, the parties shall have the option to terminate this Agreement at any time with thirty (30) days written notice to the other parry. Bremerton Fanner's Market License Agreement 2018 1 4. COMPENSATION: Licensee shall make an annual payment to City in the amount of $250.00. Such payment shall be made prior to April of any year this agreement is in effect. 5. NOTICES: All notices and payments to be given by either parties hereto to the other party shall be in writing and may either be delivered personally or may be deposited in the United States Mail, postage prepaid, as either certified or regular addressed as specified below. City: City of Bremerton City Clerk 345-6 1h Street, Suite 600 Bremerton, WA 98337 Licensee: Bremerton Farmer's Market P.O. Box 5662 Bremerton, WA 98312 6. RELATIONSHIP: In no event shall the City be construed, or held to have become in any way or for any purpose a partner, associate or joint venturer of the Licensee or any party associated with the Licensee in the conduct of the Licensee's business or otherwise. 7. PERMITS: Licensee shall obtain, at Licensee's expense, all permits necessary for Licensee's intended use. 8. UTILITIES: Licensee shall pay for all services and utilities supplies to the premises including the required installation, connection and disconnection of those services necessary for Licensee's use of the Property. Such payment shall be in addition to the annual payment paid by the Licensee. 9. INDEMNIFICATION: Licensee shall defend, indemnify and hold the City harmless from any and all claims, causes of action, liability, damage, expense (including all legal costs and attorney fees), suits, or judgments for personal injury or property damage arising from or in any way connected with Licensee's performance under this agreement. The provisions of this paragraph shall survive the expiration or termination of this agreement. 10. INSURANCE: Licensee shall procure and maintain for the duration of this agreement, insurance against claims for injuries to persons or damages to property that may arise from or in connection with use of the premises by the Licensee, its agent, representatives, employees, customers, contractors or subcontractors. By the commencement of the rental period, the Licensee shall provide a Certificate of Insurance evidencing: Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and $1,000,000 aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad form property damage; and employer's liability. Any payment of deductible or self-insured retention shall be the sole responsibility of Licensee. The City shall be named as an additional insured on the insurance policy, as respects the operation of this agreement by or on behalf of Licensee and a copy of the Bremerton Farmer's Market License Agreement 2018 2 endorsement naming the City as additional insured shall be attached to the Certificate of Insurance. Licensee's 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. Licensee's insurance shall be primary insurance as respects the City and the City shall be given thirty (30) calendar days prior written notice of any cancellation, suspension or material change in coverage. 11. MODIFICATION: This agreement may not be modified, altered or amended unless first approved in writing by the City. 12. ENTIRE AGREEMENT: This agreement contains the entire agreement between the parties and, in executing it, City and Licensee do not rely upon any statement, promise, or representation, whether oral or written, not expressed herein. CITY F BREMERTON �Ajlff:4 011 By: Jeff Elevado Title: Parks and Recreation Director Date: March 23, 2018 Approved as to form: City Attorney Attest: Bremerton Farmer's Market License Agreement 2018 3 BREMERTON FARMER'S MARKET By: )appington Title: Bremerton Farmer's Market Manager Date: 8/20/18 u Exhibit A Ill r k --77 A'pprove'd,, Market A r'pa 771 Ail :it it Ilk 1, �04 .0 ll ol Eli 04 17' 'iA BREME-1 OP ID: LS CERTIFICATE OF LIABILITY INSURANCE[__�ATE05(3112018Y) 05/31 /2018 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 Pro Insur,lnc. dba Campbell Risk Management 9595 Whitley Drive, Suite 204 Indianapolis, IN 46240 CONTACT NAME: Larry Spilker Ext. 203 PArX No Ext : 317-848-9075 Fn/�"c No : 317-848-9093 E-MAIL ss, Ispilker@campbelfrisk.com INSURER(S) AFFORDING COVERAGE NAIC d Larry Spilker ext 203 INSURER A: Capitol Indemnity Corporation 10472 INSURED Bremerton Farmers Market PO BOX 5662 INSURER B: EACH OCCURRENCE $ 1,000,00 Bremerton, WA 98312 INSURERC: INSURER D: INSURER E: 05/01/2018 INSURER F: Ea occurrence $ 100,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE POUCY NUMBER MMM//D� EFF MPOM/DD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y CP02229107 05/01/2018 05/01/2019PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 2,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ PER ACCIDENT UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ N / A T RY LIMIT R EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYE $ (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) THOSE USUAL TO THE INSURED'S OPERATIONS. CERTIFICATE HOLDER IS HEREBY LISTED AS AN ADDITIONAL INSURED. BLANKET ADDITIONAL INSURED APPLIES PER COVERAGE FORM CGL 421. trCR I IrIVA 1 C r1VLUCK GAPIt.;tLLA I IVIV CTYBREM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th Street Suite 600 AUTHORIZED REPRESENTATIVE Bremerton, WA 98337 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD BREME-1 OP ID: LS ,d►coR�° CERTIFICATE OF LIABILITY INSURANCE `—� DA05/31/2018Y) 05/31 /2018 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 Pro Insur,lnc. dba Campbell Risk Management 9595 Whitley Drive, Suite 204 Indianapolis, IN 46240 CONTACT NAME: Larry Spilker Ext. 203 PHOE A/CNNo Ext): 317-848-9075 ,c No , 317-848-9093 E-MAIL s: Ispilker@campbellrisk.com INSURER(S) AFFORDING COVERAGE NAIC # Larry Spilker ext 203 INSURER A: Capitol Indemnity Corporat' n 10472 EACH OCCURRENCE $ 1,000, 0 INSURED Bremerton Farmers Market PO Box 5662 Bremerton, WA 98312 INSURER B : INSURER -C: INSURER D: GENERALAGGREGATE $ 2,000,0,0! INSURER E: PRODUCTS -COMP/OP AGG $ 2,000, 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 POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ALS DD UBR NUMBER EFF MM/LDDIYYYY PLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABI TY CLAIMS -MADE X CCUR Y Bremerton, WA 98337 -POLICY CP02229107 05/01/2018 0001/2019 EACH OCCURRENCE $ 1,000, 0 DAMAGE TO RS9TE7--- PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,0,0! GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS -COMP/OP AGG $ 2,000, $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ PER ACCIDENT UMBRELLA LIABOCCUR EXCESS LIAB FCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- I OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THOSE USUAL TO THE INSURED'S OPERATIONS. CERTIFICATE HOLDER IS HEREBY LISTED AS AN ADDITIONAL INSURED. BLANKET ADDITIONAL INSURED APPLIES PER COVERAGE FORM CGL 421. CERTIFICATE HOLDER CANCELLATION CTYBREM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Bremerton ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th Street AUTHORIZED REPRESENTATIVE Suite #00 Bremerton, WA 98337 �A-cy'e-c­ ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BREME-1 OP ID: LS '4` R� CERTIFICATE OF LIABILITY INSURANCE DA05/31/2018 05131 /2018 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 Pro Insur,lnc. dba Campbell Risk Management 9595 Whitley Drive, Suite 204 Indianapolis, IN 46240 CONTACT NAME: Larry Spilker Ext. 203 ,CC. N EXt :317-848-9075 FONE vc No): 317-848-9093 E-MAIL ADDREss: Ispilker@campbelirisk.com INSURER(S) AFFORDING COVERAGE NAIC # Larry Spilker ext 203 INSURER A: Capitol Indemnity Corporation 10472 INSURED Bremerton Farmers Market PO Box 5662 INSURER B : EACH OCCURRENCE $ 1,000, 0 Bremerton, WA 98312 INSURER C: INSURER D : INSURER E: 05/01/2018 INSURER F: PREMISES Ea occurrence $ 100,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER ICY EFF MM/DD1YYYY POLICY EXP MM DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000, 0 A X COMMERCIAL GENERAL LIABILITY Y CP02229107 05/01/2018 0/2019 / PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE X CCUR PERSONAL BADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000, GEN'L AGGREGATE LIMIT APPLIES PER:PRODUCTS -COMP/OP AGG $ 2,000,00 X POLICY PRO jECTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ PER ACCI DENT UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/ N TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under OrOF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THOSE USUAL TO THE INSURED'S O9PERATIONS. NORM DICKS GOVERNMENT CENTER IS HEREBY LISTED AS AN ADDITIONAL INSURED PER BLANKET ADDITIONAL INSURED COVERAGE FORM CGL 421. I C nVLUCR NORMDIC Norm Dicks Government Center 345 6th Street Bremerton, WA 98337 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ,acc�Ra► CERT. ,CATE OF LIABILITY INSUR. _SCE DATE (MM/DD/YYYY) 06/11/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: r Larry Spilker ext 203 NAME: Pro Insur, Inc dba PHONE 317-848-9075 A/C No, Campbell Risk Management E-MAIL Ispilker@campbellrisk.com 9595 Whitley Drive, Suite 204 ADDRESS: Indianapolis, IN 46240 INSURERS AFFORDING COVERAGE Larry Spilker Ext 203 INSURERA : HANOVER INSURANCE GROUP INSURED INSURER B : Bremerton Community Farmers Market P.O. BOX 5662 INSURER C : Bremerton Washington 98312 INSURER D : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 317-848-9093 NAIC # 22292 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 13000,000 CLAIMS -MADE OCCUR X X AAM6070 LHW D481967 05/01/2020 05/01/2021 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,000 X POLICY PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,0001000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's operation. Blanket additional Insured applies per coverage form 421-2915 06 15. Certificate holder, if any, is hereby an additional insured. C« City of Bremerton 345- 6th Street, Suite 100 Bremerton WA 98337 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED PERSON OR ORGANIZATION YOUR ONGOING OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION 11 —WHO IS AN INSURED is amended to include as an additional insured any person or organization but only with respect to liability arising out of your ongoing operations and when you and such person or organization have agreed in writing that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; b. The acts or omissions of those acting on your behalf; or c. In connection with your premises owned by or rented to you. A person's or organization's status as an additional insured under this endorsement ends when your operations with that additional insured are completed. All Other Terms And Conditions Of This Policy Remain Unchanged. CGL 421 (01-13) Copyright 2013, Capitol Transamerica Corporation Includes material copyrighted by Insurance Services Office, Inc., used with permission. Page 1 of 1