HomeMy WebLinkAbout3411 RESOLUTION NO. 3 41 1
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF AUBURN,
WASHINGTON, AUTHORIZIN.G THE MAYOR AND CITY CLERK TO ENTER
INTO AN AGREEMENT BETINEEN THE CITY OF AUBURN AND THE
AUBURN FOOD BANK DURtNG THE YEAR 2002.
THE CITY COUNCIL OF THE C1TY OF AUBURN, WASHINGTON, IN A
REGULAR MEETING DULY ASSEMBLED, HEREWITH RESOLVES THAT:
Section 1. The Mayor and City Clerk of the City of Auburn are herewith
authorized to enter into an Agreement between the City of Auburn and The
Aubu�n Food Bank, a local non-profit charitable organization, to provide human.
services to Auburn residents as descriped in said Agreement for the year 2002.
A eopy of said Agreement is attached hereto and denominated Exhibit "A".
Section 2. The Mayor is hereby authorized to i.mplement such
administrative procedures as may be necessary to aarry out the directives of
this legislation.
DATED and SIGNED this l9th day of February, 2002.
CITY OF AUBURN '
_.��
PETER B. LEWIS
MAYOR
----------------------
f2esolution No. 3411
January 24, 2002
Page i
ATTEST"
�
Danielle E. Daskam,
City Clerk
APPROVED AS TO FORM:
,
D niel B. Hei , -
City Attorney
Resolutio No. 34�1
January 2�, 2002
Page z
, . , • a
AGREEMENT FOR SERVICES
THIS AGREEMENT made and entered into this �_�` day of
_ , 2002, by and between the CITY OF AUBURN, a municipal
corporation of the State of Washington, hereafter referred to as "CITY", and THE
AUBURN FOOD BANK, which is located at 930 18th Place NE Auburn, WA 98002, a
non-profit corporation organized under the laws of the State of Washington, hereafter
referred to as "AGENCY."
1NHEREAS, The AGENCY provides a valuable service to the CITY and its
residents th�ough the provision of administrative support and food purchase at food bank;
and
WHEREAS, the CITY is interested in continuing support of Food Bank, including
development of additional resources and service sites, for low income Auburn residents;
NOW, THEREFORE, In consideration of the covenants and conditions of this
Agreement, the parties agree as follows:
I. PURPOSE.
The purpose of this Agreement is to provide for an appropriation to the AGENCY
for pro�iding services as set forth in Exhibit 1, and incorporated herein by this reference
as if fully set forth, to Auburn residents during the 2002 term. This support is in
recognition of the fact that the demand for the services delivered by the AGENCY
continues to rise.
II. SCOPE OF SERVICES.
A: The parties agree and understand that the AGENCY agrees to provide services,
as described in Exhibit `'1", which may include development of new resources, to low
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Agreement 3411
The Auburn Food Bank
January 15,2002
Page 1 of 8
income Aubucn residents. Services to be provided are set forth in Exhibit "1" to this
agreement, and incorporated herein by this reference as if fully set forth.
B. The Agency agrees to provide at a minimum the services outlined on Exhibit 1.
Said services are to be completed no later than December 31, 2002.
III. TERM. �,
The term of this Agreement shall commence on January 1; 2002 and shall expire
on December 31, 2002:
N. PERFORMANCE REPORTS ANb COMPENSATION.
A: The AGENCY sha.11 provide to the City within 15 days of the close of each
calendar quarter a status report containing program statistics regarding the type and level
of services provided to the City of Auburn, as well as financial information pertaining to
the contract agreement and expenditures. The final report, which may include estimated
service levels, shall be submitted no later than December 15, 2002. Format and contents
of these reports are set forth in Exhibits 1 to 3 to this Agreement, which are incorporated
herein by this reference.
B. The Agency shall prepare and submit to the City two program evaluation reports in
the format commonly referred to as the "Logic Model" which will show the intended
linkages between the activities conducted and the cha.nges the activities will produce.
These reports shall contain information as set forth 'in Exhibit 4 to this Agreement, which
is incorporafed herein by this reference, and shall be submitted to the City at the end of
the first quarter and within six#y days following the close of the calendar year.
C. As full and total payment for the services provided under this Agreement, the CITY
agrees to pay the AGENCY the total amount of $27,000.00 as set forth in Exhibit 1. The
_ _.
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Agreement 3411
T'he Auliurn Food Bank
� January 15,2002
Page 2 of 8
CITY will pay an amount equal to one-quarter of the total amount within thirty (30) days
following the CITY's receipt of quarterly invoices. The required format and content of II
quarterly invoices is set forth in Exhibit 4 to this Agreement, and is incorporated herein by
this reference.
VI: INDEMNIFICATION.
The AGENCY agrees to defend, indemnify, and hold harmless the CITY, its
elected and appointed officials, employees and agents from and against any and aU
claims, demands and/or causes of action of any kind or eharacter whatsoever arising out
of or relating to services provided by the AGENCY; its employees, volunteers or agents
concerning any and all claims by any persons for alleged injury or damage to persons or
property to the extent caused by the negligent acts, errors or omissions of the AGENCY,
its employees, volunteers or agents or representatives. In the event that any suit or claim
for damages based upon such claim, acfion, loss or damage is brought against the CITY,
the AGENCY shall defend the same as its sole costs and expense; provided that fhe
CITY retains the right to participate in said suit if any principle of governmental or public
law is involved; and if final judgment be rendered against the CITY and/or its offieers,
elected officials, agents and employees or any of them or jointly against the CITY and the
AGENCY and their respective officers, agents, volunteers; employees or any of them, the
AGENCY shall fully satisfy the same and shall reimburse the CITY any eosts and
expense which the CITY has incurred as a result of such elaim or suit. The provisions of
this section shall survive the expiration or termination of this Agreement.
VII. INDEPENDENT C.ONTRACTOR/ASSIGNMENT.
The parties agree and understand that the AGENCY is an independent contractor
and not the agent or employee of the CITY and that no liabilify shall attach to the CITY by
Agreement 3411
The Auburn Food Bank
January 15,2002
Page 3 of 8
reason of entering into this Agreement except as provided herein. The services required
under this Agreement may not be assigned or subcontracted by the AGENCY without the
prior written consent of the CITY.
VIII. INSURANCE.
The AGENCY shall procure and maintain for the duration of this Agreement
insurance against claims for injuries to persons or property which may arise from or in
connection with services provided by the AGENCY, it agents, employees or volunteers
under this Agreement. The AGENCY agrees to provide comprehensive general liability
insuranee and shall maintain liability limits of not less than ONE MIL.LION DOLLARS
($1,000,000) combined single limit coverage per occurrence for bodily injury, personal
injury and property damage. Where professional services are provided as part of the
seryices rendered pucsuant to this Agreement, as shown in Exhibit 1, the AGENCY shall
also provide and maintain professional liability coverage including errors and omissions
coverage in the minimum liability amount of ONE MILLION DOLLARS ($1,000,000)
combined single limit per occurrence for bodily injury, personal injury and property
damage. Any deductibles or self insured retentions in either policy must be declared to
and approved by the CITY. At the option of the CITY either: The insurer shall reduce or
eliminate such deductibles or self insured retentions as respects the CITY, its officials and
employees; or, The AGENCY shall procure a bond guaranteeing paymenf of losses and
related investigations, claim administration and defense expenses. l"he policies are to
contain or be endorsed to contain the following provisions:
1) GENERAL LIABILITY COVERAGE:
Agreement 3411
The Auburn Food Bank
January 15,2002
Page 4 of 8
The CITY, its elected and appointed officials, empioyees and agents are to be
covered as additional insureds as respects: Liability arising out of services and
activities performed by or on behalf of AGENCY, its employees, agents and
volunteers. The coverage shall contain no special limitations on the scope of
protection afforded to the GITY, its elected and appointed officials, employees or
agents.
2) GENERAL LIABILITY AND PROFESSIONAL LIABILITY COVERAGES:
(a) The AGENCY's insurance coverage shall be primary insurance as respects the
CITY, its officials, employees and agents. Any insurance or self insurance
maintained by the CITY, its officials, employees or agents shall be in excess of
the AGENCY's insurance and shall not contribute with it.
(b) Any failure to comply with reporting provisions of the policy shall not affect
coverage provided to the CITY, its officials, employees or agents.
(c) Coverage shall state that the AGENCY's insurance shall apply separately to
each insured against whom claim is bought or suit is brought except with
respect to the limits to the insurer's liability. I
(d) Each insurance policy required by this clause shall be enciorsed to state that
coverage shall not be suspended, voided, canceled, reduced in coverage, or in
limits except after thirty (30) days prior written notice by certified mail return
receipt requested has been given to the CITY. The AGENCY agrees to
provide copies of the Certificates of Insurance to the CITY at the time that this
Agreement takes effect.
(e) The AGENCY shall furnish the CITY with Certificates of Insurance and with
original endorsements affecting coverage required by this clause. The
Agreement 3411
The Auburn Food Bank
January 15,2002
� Page 5 of 8
certificate and endorsements for each insurance policy are to be signed by a
person authorized by that insurer to bind coverage on its behalf. The GITY
reserves the right to require complete, certified copies of all required insurance
policies at any time.
(f) The AGENCY shall include all volunteers, employees and agents under its
policies or shall furnish separate certificates and endorsements for each: All
coverages for volunteers shall be subject to all the requirements stated herein.
IX. NONDISCRIMINATION.
The AGENCY shall not discriminate under any services or programs to which this
Agreement may apply directly or through contractual or other arrangements on the
grounds of race, color, creed, religion, national origin, sex, age, or the presence of any
sensory, mental or physical handicap.
X. BOOKS AND RECORDS.
The AGENCY agrees to maintain separate accounts and records in accordance
with State Auditor's procedures, including personnel, property, financial and programmatic
records which sufficiently reflect direct and indirect costs and services performed under
this Agreement. The AGENCY agrees to maintain all books and records relating to this
Agreement for a period of three (3) years following the date that this Agreement is expired
or otherwise terminated. The parties agree that the CITY OF AUBURN may inspect such
documents upon good cause at any reasonable time within the three (3) year period.
XI. TERMIiVATION_OF AGREEMENT.
Agreement 3411
The Auburn Food Bank
January 15,2002
Page 6 of 8
This Agreement may be terminated by either party upon ten (10) days writteri
notice should the other party fail substantially to perform in accordance with its terms I�
through no fault of the other.
XII. GENERAL PROVISIONS.
A. The AGENCY agrees to submit a report to the CITY no later than
December 15, 2002, describing the progress and activities perFormed for
the year 2002 under its scope of services.
B. This Agreement shall be governed by the laws, regulations and ordinances
of the City ofi Auburn, the State of Washington, and County of King and
where applicable, Federal laws.
C. The GITY and the AGENCY respectively bind themselves, their
successors, volunteers, assigns and legal representatives to the other
party to this Agreement and with respect to all covenants to this
Agreement.
D. This Agreement represents the entire and integrated Agreement between
the CITY and the AGENCY and supersedes all prior negotiations. This
Agreement may be amended only by written instrument signed by both the
CITY and the AGENCY.
E. Should it become necessary to enforce any term or obligation of this
Agreement, then all costs of enforcement including attorneys fees and
expenses and court costs shall be paid to the substantially prevailing party.
F. The AGENCY agrees to comply with all local, state and federal laws
applicable to its performance under this Agreement.
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Agreement 3411
The Auburn Food Bank
January 15,2002
Page 7 of 8
BU
L �
PETER LEWIS
MAYOR
A ST:
� �
Dan` Ile E: Daskam,
City Clerk
APP T
Daniel Hei ,
City Attorney
T UB FOOD Ac
BY• _ _ h'A. L.-a�e-r�/
TIT ; „�;�' r
STATE OF WASHINGTON )
)ss
COUNTY OF KING � )
�
On this �� day of , 2002; before me, the undersigned, a
Notary ublic in and fo the St te of Washington, personally appeared
e.,��� q Y�r� , to me known to be the Executive Director of The Aubum Food
Bank, the on-profif c rporation that executed the within and foregoing instrurnent, and
acknowledged said instrument to be the free and voluntary act and deed of said non-profit
corporation for the uses and purposes therein mentioned, and on oath stated that he/she is
authorized to execute said instrument on.behalf of said non-profit corporation.
IN WITNESS WHEREOF, I have hereunfo set my hand and affixed my official seal the date
hereinabove set forth��������
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� :� �"` �': i NOTARY PUBLIC'in and i the Sta e of
�� '•, ►'UBL1C ' � Washington, residing in
�o� �f' �•jo,2 5.0`�•�'� MY COMMISSION expires: Il1-zs-U�
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������\�ASN��'�:
=-------------------------------------
__ . .
Agreement-3411,The Auburn Food Bank
January 15,2002
Page 8 of�
'c
EXHIBIT 1,GF-0221
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2002 SCOFE OF SERVICES AND QUARTERLY SERVICE UNIT REPORT
Agency Information
Auburn Food Bank 253-804-5696
930 18th Place NE 253-833-8925
Auburn, WA 98002 '
J_Laverty@nventure.com
Conta.ct: Jack Laverty Title: Director
Are professional services (e.g., counseling, case management) provided as part of this
Agreement? yes
Contract Information
Contract Amount; $27,000.00 Program Name: Food Bank
Description of Service to be provided: administrative support and food purchase at food bank
Reporting Information
Report for _ 15'Qtr/Jan-Mar _2"d Qtr/Apr-Jun _3�d Qtr/Jul-Sep _4t"QtNOct=Dec
2002 Service Units
City Funding
All Funding Sources Actual Senrice
ON
Units to Date,
Total
Service Unit Description: Projected Actual Units by Quarter all Fund
Auburn Residents Only Sources
Annual Units
Service UniUPerformance Measure 1St 2nd 3rd 4tn
--- --. __ _ ..
_ _ _
Unduplicated Num6er�of Au6urn 2700 . r
Clienfs Serued
_ _ _. __. __ _____ ___ __ ____.._ . ... _..,. . �. ._ ..
clients per month 230
Narrative: Flease attach other relevant information, including current trends, program developments,
special events, publicity, community education, etc. If actual service units are lower than anticipated,
please explain.
EXHIBIT 2,GF-0221
� CITY OF AUBURN
2002 Quarterly Financial Report
Agency: Auburn Food Bank Date:
Program: Food Bank
Report for _ 15t Qtr/Jan-Mar _2"d Qtr/Apr-Jun _3`�Qtr/Jul-Sep _4th QtNOct-Dec
Cost Gategories Budget This Cumulative Award
Award Request to date Balance
1 Personal/Agency Services $8,100.00
2 Office/Operating Supplies
3 Consultant or Purchased
Services
4 Direct Client Assistance $18,900.00
5 Communications
6 Travel &Training
7 Intra-Agency Support
8 Other per Detail
_. __
Grand Total $27,000.00
Requested
Reimbursement:
Detail as Applicable:
EXHIBIT 3,GF-0221
CITY OF AUBURN
2002 Demographic Report
Agency: Auburn Food Bank Date:
Program: Food Bank
_ , __.�.... _ __.
- -
- —.
�a ��, ate" O_. _ � _.,.___ _-__ .1u __�'. .�,-2�- „: .3. �— -_,.._._4��, TOtal_YTD_;:;
-- __._..._
,C iel nt''P� �� � AI ona
__ _
Residence" Auburn
' Black Diamond
*"List alf"clients gurien
<"served�in this
-- --
��� �; Govin ton _ _ _ _ _ _
�catego.ry:
In;all,atf�er Des Moines
�categories°llst n Enumclaw
_ _ - --
.Aubum,clients : _Federal Wa
- ... ..... . _ _
�;�only.,� Kent �
Ma le Valle
Normand Park
; . - - . _
Pacific
Renton
__ __
SeaTac
Seattle =- -
>�� m= • � Tukwila � � �
; .. - -- - —
Unincor orated.Kin Counf
� Ofher: __
Unknown
- _ _ _.
� ;�:. � . w-_. TOTAL
'Clien4 30%of inedian or below
-
_ _
s�lncome,-�: 50%of inedian or below
'Level���' � 80%of inedian or below ��� �
_ — - -
° ,;, : Above 80%0 of inedian
° �"` ' Unknown
_ _
TOTAL
Client Female
�Gepder�______ .Male
�CUenf_.__ _..___ 0-4 _
Age. , 5-12 -
;; �� 13-17 ---
� � 18-34 � � ��
35-54
:..;. � � -
, 55 74. _ _.__
75+ - �
Unknown
TOTAL
iEthniCity/-' Asian/Pacific lslander
Culturel Black/African American
_ _ _ __
Backgrouncl�: His aniGLa4ino
Native American/Alaskan Native
;, : > White/Caucasian .
,. : --- . . _
Other
Unknown
°°� y„'; TOTAL
.�. �
._ __ _ _ _
_Conddion� __�_Disablin Condition -
`ESL � � Limited En lish S eakin
�. � .
- - . _
Hou§etiold Female-Headed Household
EXHIBIT 4,GF-0221
CITY OF AUBURN
Logic Model Evaluation Format
AgenCy; Au6urn Food Bank Date:
Frogram: Food Bank
I. Submission Dates.
This report shall be submitted with the first quarter invoice and again within sixty (60) days of
the end of the calendar year.
II. Contents.
A. The components of the evaluation will:
1) Identify both process and outcome portions of administrative support and food
purchase at food bank;
2) Show the relationship of program resources and activities to the expected results or
outcomes;
3) Help identify those questions the evaluation is to answer;
4) Provide a graphic summary of how program parts relate to the whole;
5) Make explicit the underlying theory of fhe program; and
6) Identify measurable categories in the program evaluation.
B. Aubum Food Bank shall develop the following status report components wifhin fhe time
frames established below:
1) 1 St Quarter 2002
a) The outcome based results Auburn Food Bank expects to achieve;
b) An indicator to inform the Auburn Food Bank that the anticipated change has or
has not o:ccurred; and
c) The method for gathering information needed to indicate the outcomes that have
occurred.
d) Initial Collection and assessment of the information acquired to include:
alterations in the anticipated outcomes or alteration in the mefhodology of
information gathering.
2) 4`h Quarter 2002
a) Information collected;
b) Conclusions developed as a result of the information.
.�
� . � .
COVER PAGE,GF-0221
CITY OF AUBURN
HUMAN SERVICE AGREEMENT
2002 INVOICE FOR CONTIZACTED SERVICES
To: Gity of Auburn, Attn: Shirley Aird, Planning Department
25 West Main, Auburn, WA 98001
Ageney: Auburn Food Bank Date:
.
930 18th Place NE 253-804-5696
Auburn, WA 98002 253-833-8925
J_Laverty@nventure.com
Contact: Jack Laverty
Invoice for: ❑ 1St Quarter, January to March—Due April 15, 2002
❑ 2"d Quarter, April to June— Due July 15, 2002
❑ 3rd Quarter, July to September—Due October 15,2002
❑ 4'h Quarter(Preliminary, Cover sheet and Ex. B only) October to December—Due
Deeember 13, 2002
❑ 4t"Quarter(Final) October to December—Due January 31, 2003
Amount Requested: , : '�'
Required Attachment ChecklisY. Exhibit A—QUarterly Service Report
Exhibit B—Quarterly Financial Report
Exhibit C—Demographic Report(2"d and 4th Quarters only)
_Logic Model/Outcomes Report(15t and 4th Quarters only)
_Proof of Insurance (1S`quarter and/or if expired since last
reimbursement requesf)
I certify to the best of my knowledge that this invoice and attachmenfs reflect actual service provided to
Auburn residents.
�.�'�� ....��-��....,,_. �..._.� ,��___. � ;�._��. � ':; . .��� ��� ��. � �i".��� _��ill�lf�. ���� r �,� ��,4�� ''�� .�t!��'
L�. R,�
Signature of Aufhorized Representative Date
The City of Auburn will issue payment upon this invoice within thirty(30) business days of receipt, To
ensure prompt payment, please submit this form and all required attachments by the date listed above.
FOR CITY OF AUBURN USE ONLY:
Contract Amount: $27,OOO.QO
Payments Year to Date: Date: '
___.
Date:
Date: i
Date: '
Payment this invoice: Contract Balance:
Authorized to Pay:
Signature Date
COVE.R PAGE—MUST BE SIGNED AND SUBMITTED WITH EAGH PAYMENT REQUEST
ACORD Certificate of Insurance---------------------------Issue Date: 013`102 =-
_ _ .
�Producer--------------------¶This certif.icate is issued as a matter of irifo=
¶Hill Banchero and Twidt
¶rmation and confers no rights upon the _certific-
¶POB 833 ¶ate holder. This certificate does not amend, ¶
¶Auburn, Wa. 98071 �extend or alter the coverage afforded by the',� ¶
.,
¶253-833-5140 �policies below. %'. .•' �,� ¶
�Insured�---------------- �----------Companies Affording Coverag�- -,- � ---,-¶
� � ¶Company Letter A: AMERIGAN STATES . c"' � �¶
¶ AUBURN. FOOD. 'BANK ¶Compa.ny Letter B; a �� ' � ¶
¶ PO BOX 464 : �(Compa.ny Letter C: .-' �.� �, ¶
¶ AUBURN - - WP, 98071 �Compa.ny Letter D:
_ ' �
------------------------------------- r-------°�',- -- :,``-�
�Coverages----------- ,
�This is to eertify that the policies of insurance listed bel�ow� have been`i" ' ¶
�sued to the insured named above for the policy period iridicated, notwith�ri=¶
�ding any requirement or condition of any contract or other docu�i:en�t�h re- ¶
¶spect to which this certificate may be issued or may pertain, the insurance ¶
¶afforded by the policies described herein is subject to all the terms, exclu-�
�sion.s and conditions of such policies . Limits shown may have been reduced by¶
paid claims . ¶
�Co ¶------------------¶-------------¶Effect ¶Expire �------------------------�
¶Ltr¶Type of Insurance ¶Policy Number�Date �Date ¶ Al1 Limits in $100-0 . ¶
----------- ------ - ----------------=--=-
¶------------------�-- �- -----¶---
� A �General Liab.ility ¶02CC7875275 � 090101¶ 090102¶General Agg $1000,
¶ ¶ [X] Commercial ¶ � ¶ ¶Prd/Comp Ops $1000, �
� ¶ [X] General Liab. ¶ � ¶ ¶Pers/Adv Inj $1000, ¶
� ¶ [ ] Claims Made ¶ � ¶ ¶Eaeh Oec . $1000, �(
¶ ¶ [X]Occurence � ¶ ¶ 1fFire Damage* $200, ¶
¶ C � Own & Cont Prot� � ¶ ¶Med Expense* $10, ¶
¶ � [ � � ¶ ¶ ¶*Any 1 Fire/Any 1 Per ¶
� -- ---------------�-------------¶--=--=-¶-------¶------------------------¶
�Auto Liability ¶ � ¶ ¶Combined Single ¶
¶ ¶ [ ]Any Auto ¶ � ¶ ¶ ¶Limit $ �
¶ ¶ [ ]All Owned Autos� �� �_ � � ¶ . ¶ ¶Bodily Injury - Per �
¶ ¶ [ ] Scheduled Autos¶ �r� � ¶ _ ¶ ¶Person $ ¶
� � [ ] Hire Autos �( ,�, �, � ¶ ¶ �Bodily In�ury - Per ¶
¶ ¶ [ ] Non-Oriwed Autos� , �, � ��
` �� �' �-.'
¶ ¶ [ ] Garage Liab �( „na�� t,��,, � ¶ ¶Property Damage �
1f 1f [ ] 9f �.y �,,. e-' 11 ¶ 1f $ 9f
¶---q�------------------¶-----��,,��---�-------¶-------¶------------------------¶
¶ ¶Excess Liability ¶ �•�p"�' ¶ � ¶Each Occurence ¶
¶ ¶ [ ]Umbrella Form ¶ ��� ¶ ¶ ¶ $ �
¶ [ ] Other Than Umbr¶ ¶ ¶ ¶Agg. $ _�.
- --------------------
--=�-=----------------¶-------------¶-------¶-------¶- -
¶ �Employers � ¶ ¶ ¶ �
� ¶Contingent Liab. � ¶ ¶ ¶Disease Agg $ ¶
q;{f ___ 1;}fEach Acc Lmt$ ¶
11-=--=--=----------- � � � 11Each Emp Lmt$ �
Other
¶----------------------¶-------------¶-------�(-------�------------------------�
¶Description of Operations/Locations/Vehicles/Special Items ¶.
. _.._ _ - - �
� C-ERTIFICATE HOLDER IS NAMED AS ADDTTIONA_L 2NSUR.ED RE:CONIl�lUNITY SUPP_E.R �
---------
-----------------------------------
¶--------------------------¶---- �� � �II �
Certificate Holder Cancel-lation
¶--------------------------�(----------------------------- --------------------�
¶ �(Should any of the above described policies be can-�
¶ �celled before expiration date thereof, issuing co-�
¶ CITY OF AUBURN �(mpany will endeavor to mail 10 days written notice�
¶ SHIRLEY AIRD ¶to certificate holder named to the left, but fail-¶
� AUBURN PLANNING DEPT ¶ure to mail such notice shall impose no obligat.ion�
¶ 25 WEST MAIN ¶or liability of any kind upon the company, its ¶
AUBURN, WA 98001 �agents or representatives . �
_ - --=-----------------=
¶------------- ---- - -- =- , �
�(Authorized Represeritative� _- _ ._ �
--=-----------------------�-- --_ - _ _
ACORD 25-5(7/90) ---------� ----- - A /9�