HomeMy WebLinkAbout2793 1 RESOLUTION NO 2 7 9 3
2
3 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF AUBURN,
WASHINGTON, AUTHORIZING THE MAYOR AND CITY CLERK OF THE CITY
4 OF AUBURN, TO EXECUTE A 1997 CONTRACT FOR SERVICES BETWEEN THE
CITY OF AUBURN AND DOMESTIC ABUSE WOMEN' S NETWORK (DAWN)
5
6 WHEREAS, the CITY desires to award general revenue funds
7
to DAWN to perform domestic violence community advocacy
8
9 services and emergency shelter pursuant to certain terms and
10 conditions as described in this agreement ; and
11 THE CITY COUNCIL OF THE CITY OF AUBURN, WASHINGTON, IN A
12
REGULAR MEETING DULY ASSEMBLED, HEREWITH RESOLVES THAT
13
Section 1. The Mayor and City Clerk of the City of
14
15 Auburn, Washington, are authorized to execute a 1997 Contract
16 for Services between the City of Auburn and Domestic Abuse
17 Women' s Network (DAWN) to provide services as outlined in said
18
Contract A copy of said Contract is designated Exhibit "A"
19
and is attached hereto and incorporated by reference in this
20
21 Resolution
22 Section 2 . The Mayor is hereby authorized to implement
23 such administrative procedures as may be necessary to carry
24
out the directives of this legislation
25
26
Resolution No.2793
July 17, 1997
Page 1
1
DATED and SIGNED this 21st day of July, 1997
2
3
4 CITY OF AUBURN
5
6
7 0.66
CHARLES A BOOTH
8 MAYOR
9
10 ATTEST
11
12
13 Ca
n Wohlhueter,
1 ity Clerk
15
16
17 APPROVED AS TO FORM
18
19 1 1 Aq( 9.1) S
20
21 Michael J Reynolds,
City Attorney
22
23
24
25
26
Resolution No. 2793
July 17, 1996
Page 2
ORIGINAL
CONTRACT FOR SERVICES
2
3 �at�f
THIS CONTRACT is made and entered into this v1"� day of
4
1997, by and between the CITY OF AUBURN, a
5
munic pal corporation of the State of Washington, hereafter
6
referred to as "CITY" , and DOMESTIC ABUSE WOMEN' S NETWORK,
7
(DAWN) , a non-profit corporation organized under the laws of
8
the State of Washington, whose address is P 0 Box 1521, Kent,
9
Washington 98035, hereinafter referred to as "DAWN"
10
WHEREAS, DAWN provides a valuable service to the CITY and
11
its residents in addressing the problems of domestic violence;
12
and
13
WHEREAS, the CITY is interested in continuing support of
14
DAWN; and
15
NOW, THEREFORE, In consideration of the covenants and
16
conditions of this Contract , the parties agree as follows
17
18
1 PURPOSE.
19
The purpose of this Agreement is to provide for an
20
appropriation to DAWN for the 1997 term This continued
21
support is in recognition of the fact that the demand for
22
DAWN' S services continues to rise
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26
Resolution No.2793 Exhibit "A" DAWN
Contract for Services ci.ftegal fag ree/daun97)
July 21 1997 Page I
1
2 2 SCOPE OF SERVICES,
3 The parties agree and understand that DAWN agrees to
4 provide services to the citizens of Auburn including, but not
5 limited to, those services described as follows
6 A Twenty-four (24) hour crisis line operated by
trained volunteers and backup staff
7
8 B Support group counseling that includes an individual
9 screening session, child care during group sessions,
10 an extensive information packet , and referrals to
11 other services as appropriate
12 C Advocacy by specially trained volunteers and staff
13 who work at the shelter who provide information,
14 assistance and emotional support
15 Provision of emergency shelter and crisis
16 intervention for victims of domestic violence
17 Shelter services include food, safety planning,
18 working with the victim and educational system to
19 arrange for appropriate and safe school settings for
20 children, education concerning domestic violence,
21 peer support groups, substance abuse assessment and
22 counseling, mental health assessment and referrals
23
24
25
26
Resolution No. 2793 Exhibit "A" DAWN
Contract for Services Cl /legal/agree/dawn97)
July 22. 1997 Page 2
1
2 to other community agencies for long term counseling
3 and affordable housing
4 E Community Education directed toward the general
5 public This involves discussion of basic domestic
6 violence issues Such outreach and services may
include
8 a Public information activities aimed at
9 informing the general public of the services
10 available through DAWN Such as
11 i Providing Auburn service clubs such as the
12 Rotary, Kiwanis and Soroptomists with presentations
13 ii working with the media to develop
14 articles, news segments and public service
15 announcements concerning domestic violence and its
16 ramifications
17 iii the development of strategies and
18 interactions which include direct contact with the
19 general public to enhance the understanding of
20 domestic violence as a reprehensible social and
21 criminal act
22 b Conduct training sessions for community
23 volunteers Volunteer training will include
24
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26
Resolution No.2793 Exhibit"A" DAWN
Contract for Services ct./legal/agree/dawn97)
July 22, 1997 Page 3
1
i An initial 36 hour crisis intervention to
2
3 be provided two times each year on issues pertaining
to domestic violence and issues related thereto,
4
5 including but not limited to, legal issues,
6 children' s issues, suicide intervention, and
cultural sensitivity
7
8 ii A minimum 2-hour monthly educational
9 training to all volunteers
10 In addition DAWN agrees to work closely with the CITY OF
11 AUBURN in developing and improving other ways to address the
12 problem of domestic violence in the Auburn community
13 3 TERM.
14 The term of this Agreement shall commence on January 1,
15 1997 and will expire on December 31, 1997
16 4 COMPENSATION,
17 As full and total payment for the services provided under
18 this Agreement, the CITY agrees to pay DAWN the total amount
19 of EIGHTEEN THOUSAND DOLLARS ($18 , 000) DAWN will submit a
20 statement with documentation to the CITY describing services
21 and activities that it has rendered under the terms of this
22 Agreement together with the source documentation for hours of
23 service delivered and the activities provided and the CITY
24
25
26
Resolution No. 2793 Exhibit"A" DAWN
Contract for Services (1 /legal/agree/dawn97)
July 22, 1997 Page 4
1
2 will pay such amount upon proper submittal The final
3 statement of services rendered will be submitted on or before
4 December 15, 1997
5 5 INDEMNIFICATION.
6 DAWN agrees to defend, indemnify, and hold harmless the
CITY, its elected and appointed officials, employees and
8 agents from and against any and all claims, demands and/or
9 causes of action of any kind or character whatsoever arising
10 out of or relating to services provided by DAWN, its
11 employees, volunteers or agents concerning any and all claims
12 by any persons for alleged injury or damage to persons or
13 property to the extent caused by the negligent acts, errors or
14 omissions of DAWN, its employees, volunteers or agents or
15 representatives In the event that any suit or claim for
16 damages based upon such claim, action, loss or damage is
17 brought against the CITY, DAWN shall defend the same as its
18 sole costs and expense; provided that the CITY retains the
19 right to participate in said suit if any principle of
20 governmental or public law is involved; and if final judgment
21 be rendered against the CITY and/or its officers, elected
22 officials, agents and employees or any of them or jointly
23 against the CITY and DAWN and their respective officers,
24
25
26
Resolution No.2793 Exhibit A" DAWN
Contract for Services C L/legal tag ree/daun97)
July 22, 1997 Page 5
1
agents, volunteers, employees or any of them, DAWN shall fully
2
satisfy the same and shall reimburse the CITY any costs and
3
expense which the CITY has incurred as a result of such claim
4
or suit The provisions of this section shall survive the
5
expiration or termination of this Agreement
6
6 INDEPENDENT CONTRACTOR/ASSIGNMENT.
7
The parties agree and understand that DAWN is an
8
independent contractor and not the agent or employee of the
9
CITY and that no liability shall attach to the CITY by reason
10
11 of entering into this Agreement except as provided herein
The City will not be responsible for withholding or otherwise
12
13 deducting federal income tax or social security payments, or
contributing to the State Industrial Insurance Program, or
14
otherwise assuming the duties of an employer with respect to
15
16 DAWN and that neither DAWN or any employee off DAWN shall be
17 entitled to any benefits accorded city employees by virtue of
18 any services provided under the contract The services
19 required under this Agreement may not be assigned or
20 subcontracted by DAWN without the prior written consent of the
21 CITY
22
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26
Resolution No. 2793 Exhibit"A" DAWN
Contract for Services Q /legal/agree/dawn97)
July 22, 1997 Page 6
1
2 7 INSURANCE.
3 DAWN shall procure and maintain for the duration of this
4 Agreement insurance against claims for injuries to persons or
5 property which may arise from or in connection with services
6 provided by DAWN, it agents, employees or volunteers under
this Agreement DAWN agrees to provide comprehensive general
8 liability insurance and shall maintain liability limits of not
g less than ONE MILLION DOLLARS ($1, 000, 000) combined single
10 limit coverage per occurrence for bodily injury, personal
11 injury and property damage DAWN shall also provide and
12 maintain professional liability coverage including errors and
13 omissions coverage in the minimum liability amount of ONE
14 MILLION DOLLARS ($1, 000 , 000) combined single limit per
15 occurrence for bodily injury, personal injury and property
16 damage Any deductibles or self insured retentions in either
17 policies must be declared to and approved by the CITY At the
16 option of the CITY either The insurer shall reduce or
19 eliminate such deductibles or self insured retentions as
20 respects the CITY, its officials and employees; or DAWN shall
21 procure a bond guaranteeing payment of losses and related
22 investigations, claim administration and defense expenses
23
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26
Resolution No 2793 Exhibit"A" DAWN
Contract for Services fl /legal/agree/dawn97)
July 22, 1997 Page 7
1
The policies are to contain or be endorsed to contain the
2
3 following provisions
1 GENERAL LIABILITY COVERAGE.
4
5 (a) The CITY, its elected and appointed officials,
6 employees and agents are to be covered as insureds
as respects Liability arising out of services and
7
activities performed by or on behalf of DAWN, its
8
employees, agents and volunteers The coverage
9
shall contain no special limitations on the scope of
10
protection afforded to the CITY, its elected and
11
appointed officials, employees or agents
12
13 2 GENERAL LIABILITY AND PROFESSIONAL LIABILITY
COVERAGES .
14
(a) DAWN' S insurance coverage shall be primary
15
insurance as respects the CITY, its officials,
16
employees and agents Any insurance or self
17
insurance maintained by the CITY, its
18
officials, employees or agents shall be in
19
excess of DAWN' S insurance and shall not
20
contribute with it
21
(b) Any failure to comply with reporting provisions
22
of the policy shall not affect coverage
23
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26
Resolution No.2793 Exhibit"A" DAWN
Contract for Services Cl /legal/agree/dawn97)
July 22, 1 997 Page 8
1
2 provided to the CITY, its officials, employees
3 or agents
4 (c) Coverage shall state that DAWN' S insurance
5 shall apply separately to each insured against
6 whom claim is bought or suit is brought except
7 with respect to the limits to the insurer ' s
8 liability
9 (d) Each insurance policy required by this clause
10 shall be endorsed to state that coverage shall
11 not be suspended, voided, cancelled, reduced in
12 coverage, or in limits except after thirty (30)
13 days prior written notice by certified mail
14 return receipt requested has been given to the
15 CITY DAWN agrees to provide copies of the
16 Certificates of Insurance to the CITY at the
17 time that this Agreement takes effect
18 (e) DAWN shall furnish the CITY with Certificates
19 of Insurance and with original endorsements
20 affecting coverage required by this clause
21 The certificate and endorsements for each
22 insurance policy are to be signed by a person
23 authorized by that insurer to bind coverage on
24
25
26
Resolution No. 2793 Exhibit "A" DAWN
Contract for Services (t /legal/agree/dawn97>
July 22, 1997 Page 9
1
its behalf The CITY reserves the right to
2
require complete, certified copies of all
3
required insurance policies at any time
4
5 (f) DAWN shall include all volunteers, employees
and agents under its policies or shall furnish
6
separate certificates and endorsements for
7
each All coverages for volunteers shall be
8
subject to all the requirements stated herein
9
8 NONDISCRIMINATION
10
DAWN may not discriminate under any services or programs
11
to which this Agreement may apply directly or through
12
contractual or other arrangements on the grounds of race,
13
color, sex, religion, nationality, creed, marital status,
14
sexual orientation, age or presence of any sensory„ mental or
15
physical handicap
16
9 . BOOKS AND RECORDS.
17
DAWN agrees to maintain separate accounts and records in
18
19 accordance with State Auditor ' s procedures, including
20 personnel, property, financial and programmatic records which
21 sufficiently reflect direct and indirect costs and services
22 performed under this Agreement DAWN agrees to maintain all
23 books and records relating to this Agreement for a period of
24
25
26
Resolution No.2793 Exhibit"A" DAWN
Contract for Services ct./legal/agree/daun97)
July 22, 1997 Page 10
1
2 six (6) years following the date that this Agreement is
3 expired or otherwise terminated The parties agree that the
4 CITY OF AUBURN may inspect such documents upon good cause at
5 any reasonable time within the six (6) year period
6 10 TERMINATION OF AGREEMENT.
7 This Agreement may be terminated by either party upon ten
8 (10) days written notice should the other party fail
9 substantially to perform in accordance with its terms through
10 no fault of the other
11 11 GENERAL PROVISIONS .
12 11 1 DAWN agrees to submit a report to the CITY no
13 later than Decemner 31, 1997, describing the
14 progress and activities performed for the year
15 1997 under its scope of services
16 11 2 This Agreement shall be governed by the laws,
17 regulations and ordinances of the City of
18 Auburn, the State of Washington, and County of
19 King and where applicable, Federal laws
20 11 3 The CITY and DAWN respectively bind themselves,
21 their successors, volunteers, assigns and legal
22 representatives to the other party to this
23
24
25
26
Resolution No.2793 Exhibit "A" DAWN
Contract for Services ci itega Uagree{daun97)
July 22, 1997 Page I I
1
2 Agreement and with respect to all covenants to
3 this Agreement
4 11 4 This Agreement represents the entire and
5 integrated Agreement between the CITY and DAWN
6 and supersedes all prior negotiations This
7 Agreement may be amended only by written
8 instrument signed by both the CITY and DAWN
9 11 5 Should it become necessary to enforce any term
10 or obligation of this Agreement, then all costs
11 of enforcement including attorneys fees and
12 expenses and court costs shall be paid to the
13 substantially prevailing party
14 11 6 DAWN agrees to comply with all local, state and
15 federal laws applicable to its performance
16 under this Agreement
17
18
CITY OF AUBURN
19
20
aLt5ifits _ oczQ
21
CHARLES A BOOTH
22 MAYOR
23
24
25
26
Resolution No. 2793 Exhibit "A" DAWN
Contract for Services ci /legal/agree/dawn97)
July 22, 1997 Page 12
1 ATTEST
2
3
4 ie4LLS>H( e9 /04Latm-iikefr4--
iRobin Wohlhueter,
City Clerk
7
8
APPROVED AS TO FORM
9
1 '
11 1 4,,L
12 Michael J Reynolds,
13 City Attorney
14
15
16
17 DOMESTIC ABUSE WOMEN' S NETWORK
(DAWN)
18
19
20 BY
21
TITLE (G�, — Lt�c�J(,,c /1"'
22
23
24
25
26
Resolution No. 2793 Exhibit"A" DAWN
Contract for Services Cl /legal/agree/dawn97)
July 22, 1997 Page 13
r
1
2 STATE OF WASHINGTON )
) ss
3 COUNTY OF KING
4
5 On this S day of 4ubcs 1- , 1997, before
me, the undersigned, a Notary Public in and for the State of
6 Washington, personally appeared i?aricjc G��
to me known to be the Executive Director of DOMESTIC ABUSED
WOMEN' S NETWORK (DAWN) , the non-profit corporation that
8 executed the within and foregoing instrument , and acknowledged
said instrument to be the free and voluntary act and deed of
9 said non-profit corporation for the uses and purposes therein
mentioned, and on oath stated that he/she is authorized to
10 execute said instrument on behalf of said non-profit
11 corporation
12 IN WITNESS WHEREOF, I have hereunto set my hand and
13 affixed my official seal the date hereinabove set forth
14
15 r , \t;;ioraFr•• r a
4 44 i ,w Ila
to ys.
16 /*s U -R ;* � NOTARY PUBLIC in and for the State of
17 /u7:.pAUBL\‘'o,=� Washington, residing at �.4'i4G (�l�
�• p p� 6r
aa9j:, L h
18 t�,�Jtn,,,,,..,.••`�Cl_ MY COMMISSION expires la) (61 / fj1
It <, 1 g
‘vv. wAsN..—"
19
20
21
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23
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Resolution No.2793 Exhibit"A"DAWN
Contract for Services ti /legal/agree/dawn97)
July 22, 1997 Page 14
.. lo�cXG
A'C//IW'/o CERTIFICATE. OF INSURANCE ISSUE DATE(MM/DOPIY) v '
PRODUCER ' - • 11 f 1/09/97
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Philadelphia Insurance Companies CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
4900 S W Griffith Dr POLICIES BELOW.
Suite #237
Beaverton OR 97005 COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER n Philadelphia Indemnity Ins Co.
INSURED C�ERNY B
Domestic Abuse Women s Network COMPANY //�� l:
dba D.A W.N LETTER C �P� 7 lyy,
PO Box 1521 COMPANY ,I
Kent WA 98035 LETTER O CITY CE ER An
COMPANY E CE u� i`Cft-
LETTER •1V Vr�•
COVERAGES ,
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
CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DO/YY) LIMITS
A GENERAL ABIUTY GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000
CLAIMS MADE X OCCUR PHPG105705-A 1/01/97 1/01/98 PERSONAL&ADV.INJURY $ 1,000,000
OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
X Professional Liability FIRE DAMAGE(Any one fire) 9 50,000
X Abuse Sublimit $200,000 MED EXPENSE(Anyoneperson) $ 5,000
A AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE
LIMIT $
1,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS PHPG105705-A 1/01/97 1/01/98 (Per person)
X HIRED AUTOS
% NON.OWNED AUTOS BODILY INJURY $
(Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS UABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE I$
OTHER THAN UMBRELLA FORM
I
WORKER'S COMPENSATION STATUTORY LIMITS
AND EACH ACCIDENT ,9
DISEASE-POUCY LIMIT $
EMPLOYERS'LIABILITY
DISEASE'EACH EMPLOYEE $
A OTHER Loc 1-Contents $ 10 000
Property PHPG105705-A 1/01/97 1/01/98 Loc 2-Contents $ 30 000
Loc 2-BSC each Loc $ 7 500
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Certrf irate Holder is an additional insured regarding their interest in the operations of the Named Insured as a funding
source
CERTIFICATE HOLDER - - - CANCFI I ANION - - ' - -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO 1�
The City of Auburn MAIL 45 D S WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ('r
ATTN Al Hicks, Sr Planner LEFT UT F URE TO MAIL SU H NOTICE S LL POSE NO OBLIGATION OR
25 West Main LIABIL 0 ANY KIND UPO jiE OMP Y, S TS OR REPRESENTATIVES N.
Auburn, WA 98001 AUTHOR D PRESENTATIVE
//n/l' if/A77 ACORD25SW9G) ^oACOF 1f6CORPORATION IS90•
((?
y vCACORD RIF. „� .A.0,T O I L A..r.<,.;,f. EIN — _a9;r.'.m•
a".:�-i^ _
,Y '. i i DATEIM /ODr ) -;ETC B= i4 SInURANiCE » •. = 1/6/9$ 1 PRODUCER THIS ISSUED AS A MATTER OF INFORMATION
PHILADELPHIA INSURANCE CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND
4900 SW GRIFFITH DRIVE, SUITE 251 ALTER THECOVERAGEAFFORDED BY THE POLICIES BELOW.
BEAVERTON, OR 97005 I COMPANIES AFFORDING COVERAGE
KENNETH C. KLASSY COMPANY
A PHILADELPHIA INSURANCE CO
INSURED DOMESTIC ABUSE WOMEN'S NETWORK I COMPANY
DBA. D.A.W.N. .1.QN 1 2 1999 _ __ __ _
PO BOX 1521 COMPANY
KENT WA 98035 Cl I Y VI .L\UU[ i N
CITY CLERKS ® E
,COVERA
THIS IS TO CERTIFY THAT THE POLICIES 3 . r.`,.'?.;.r>;;;k... .- ;?Ei })T",, ._,. r=R..:: .V._�.W. ..,.LIz ,. . .
.itr' :It- r....y ,i ir'
f•.'Gr...'..:.e ,.t•:,$�:.._. stir .,ii..t.0.Ti4•::T�^•,,� � r•3 �'.;.t.4. .. :iW,.
.:.BOVE:' -P
INDICATED,NOTWITHSTANDING ANY IREQUIREME TN TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT CT TO WHICH E HOD
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE(MM/DD/YY) DATE(MM/DD/W) LIMITS
GENERAL LIABILITY PHPG105705-8
GENERAL g
A X COMMERCIAL GENERAL LIABILITY 1/1/98 1/1/99 2,000,000
PRODUCTS COMP/OP AGG S 1,000,000
CLAIMS MADE i X I OCCUR PERSONAL&ADV INJURY g
OWNER'S&CONTRACTOR'S PROT I 1,000,000
EACH OCCURRENCE 3 1,000,000
X I PROF LIAR. 1 FIRE DAMAGE (Any one fire) S
X I ABUSE SUBMIT$200,000 50,000
1 MED EXP (Any one person) s 5,000
AUTOMOBILE LIABILITY pHPG105705-13
1/1/98 1/1/99 1000,000
A ANY AUTO COMBINED SINGLE LIMIT 8
ALL OWNED AUTOS --
, 1 BODILY INJURY g
SCHEDULED AUTOS I I (Per person)
X ' HIRED AUTOS
BODILY INJURY S
X . NON-OWNED AUTOS (Per accident)
—1
: PROPERTY DAMAGE g
GARAGE LIABILITY
AUTO ONLY_EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY
I _ EACH ACCIDENT 3
1 I i AGGREGATE S
EXCESS LIABILITY
-- I EACH OCCURRENCE g
UMBRELLA FORM -- -— — --
,AGGREGATE — 3
--1 OTHER THAN UMBRELLA FORM I 3
IWORKER'SCOMPENSATIONAND STOPGAP-PHPG105705-B 1/1/98 1/1/99 I__TDRVUMTS X1DER _
EMPLOYERS'LIABILITY
I EL EACH ACCIDENT g 1,000,000_
THE PROPRIETOR/ — S ASE POLICY— --
PARTNERS/EXECUTIVE X INCL EL DISEASE POLICY LIMIT $
OFFICERS ARE, li II EXCL i ,EL DISEASE EA EMPLOYEE, S
OTHER
A PROPERTY IPHPG105705-B I 1/1/98 1/1/99 .LOC. 1-BLDG-O CONTENTS$10,000
LOC 2A-BLDG-5127,000 CONTENTS$30,00C
I LOC 2B-BLDG-$126,000 CONTENTS$7,500
' LOC 2C-BLDG-$126,000 CONTENTS$7,500
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS AN ADDITIONAL INSURED REGARDING THEIR INTEREST IN THE OPERATIONS OF THE NAMED
INSURED AS A FUNDING SOURCE.
CERTIFICATE:FiOtDER:=`;'i .:1;c-^lti?r- #,;.w
0F� tTf'G�t" .-r.' "CANCELL'JATION 7eT.�,�4..si;r�? ._...,7_.-FL.';_'.'.=7.:_,..:.: "c- -.. -y.V
�
SHOULD ANY OF HE ABOVE DEtCRIBED..PQj4ClES BE CANCELLED BEFORE THE
THE CITY OF AUBURN EXPI,,���,,��ryryry///FFF...ION D E THEREOF THE ING COMPANY L DEAVOR TO MAIL
ATTN: AL HICKS, SR. PLANNER 45 pAY RITTEN NOTICE ERTIF AT OL AMED TO THE LEFT,
25 WEST MAIN BUT RE T MAIL SUCH OTI HALL I SE NO [CATION OR/LIABILITY
AUBURN, WA 98001 OF Y KI N COMPANY, AGEN O SENTATIVES.
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