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HomeMy WebLinkAbout10/20/2009 16 2009-2010 Temporary Emergency Cold Weather Shelters Policy BUSINESS OF THE CITY COUNCIL YAKIMA, WASHINGTON AGENDA STATEMENT Item No. For Meeting of October 20, 2009 ITEM TITLE: Consideration of a resolution authorizing adoption of a policy regarding temporary emergency cold weather shelters in the City of Yakima to be valid November and December 2009, and January, February and March 2010 SUBMITTED BY: Wltiam R. Cook, Director of Community and Economic Development Department CONTACT PERSON/TELEPHONE: Joe Caruso, Acting Code Administration Manager -575 -6257 SUMMARY EXPLANATION: In January of 2007, the City Council passed a resolution authorizing the Yakima County Homeless Network to use two churches, First Baptist Church and the Vineyard Church, in the downtown area for temporary emergency cold weather shelters. This is the third year and the Yakima County Homeless Network has requested Vineyard Church to shelter men with a limit of 12, First Baptist Church and • Englewood Christian Church will limit 15 each Temporary Shelters The proposed Temporary Emergency Shelter Program sets minimum standards and requirements for cold weather emergency shelters. Requirements set out in this policy focus on the temporary volunteer managed characteristic of these shelters. The floor plan configuration of the homeless persons within each of the churches would be reviewed and approved by the Building /Fire Official Resolution X Ordinance Other (Specify) contract .Mail to (name and address): Phone Funding Source APPROVED FOR SUBMITTAL a City Manager Aft STAFF RECOMMENDATION: Adopt Resolution BOARD /COMMISSION /COMMITTEE RECOMMENDATION: COUNCIL ACTION 4110 RESOLUTION NO. R -2009- A RESOLUTION of the City of Yakima, Washington, authorizing and directing the City of Yakima Department of Community and Economic Development to identify and implement a policy regarding temporary emergency cold weather shelters in the City of Yakima, and providing that such policy shall be valid only during November, December 2009, and January, February and March, 2010 WHEREAS, the City of Yakima, in conjunction with the Yakima County Homeless Network, is aware that there is within the City of Yakima a population of homeless persons who may require temporary emergency shelter from cold weather; and WHEREAS, owners of various buildings, including churches, located within the City of Yakima have indicated that they are willing and able to provide temporary emergency shelter; and WHEREAS, the City of Yakima currently has no municipal code provisions, whether under the zoning, buildings, fire, or other codes, expressly allowing, authorizing, or regulating the use of such structures as temporary emergency shelters; and WHEREAS, the City of Yakima Department of Community and Economic Development has endeavored to create interim policy guidelines to address and regulate temporary emergency shelters; and ® WHEREAS, the Yakima City Council finds and determines that it is in the public interest to adopt the resolution set forth herein; NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Yakima, Washington: The City of Yakima Department of Community and Economic Development is hereby authorized and directed to implement the proposed policy statement and application materials attached hereto. This resolution shall be effective after its adoption and for a period expiring on the last day of March, 2010. ADOPTED BY THE CITY COUNCIL this 20 day of October, 2009. David Edler, Mayor ATTEST: City Clerk i, i • rc Sunrise Outreach Center of Yakima • RECEIVED DT: 10/13/2009 OCT 14 2009 TO: City of Yakima CITY OF YAKIMA COMMUNITY DEVELOPMENT CC: Joseph Caruso, William Cook FR: Dave Hanson RE: • • Extreme Weather Emergency Shelter for the Homeless As of this date, all Shelter opening criteria set forth from city and county officials have been satisfied in the 1 s' Baptist, Vineyard and Englewood Church facilities. Floor plans are attached indicating two exits, door swings and proximity of each shelter, within the aforementioned facilities. Layouts are also provided for mats therein. ® We will limit the lS Baptist and Englewood facilities to 15 mats this year. Vineyard will also shelter men this year with a limit of 12. Proof of Project Liability and D & 0 Insurance for Sunrise Outreach Center and Shelter liability for each of the three churches is attached. Also attached is a checklist of Cold Weather Shelter criterion from prior years with an amendment for Fire Watch as specified from the Yakima Fire Department. spectfully Submitted, 0-2.- _ Dave Hanson Executive Director, Sunrise Outreach Center Assistant Pastor, Vineyard Christian Fellowship of Yakima • • Temporary Cold Weather Shelter Locations: 1 Baptist Church, Yakima Ave, cross street N 6 St Vineyard Christian Church, MLK Jr. Blvd., cross street N3rd St Englewood Christian Church, cross street 63 Ave Owner or owner's representative shall submit and self certify the following: 0 Sleeping areas to be located on ground floor, or on other floors with approved exiting. L- At a minimum, smoke detectors shall be located in sleeping areas and on all other floors within the building. O' Proof of approval /acknowledgement of fire insurance underwriter, or national ownership organization if self- insured. TS No cooking 21 On -site audit staff at a ratio of one staff member per eight overnight guests. On -duty staff shall remain awake /alert. On duty staff will facilitate all criteria of the Fire Watch requirements from the City of Yakima Fire Marshal's Office. Ll Floor plan showing shelter layout and exits (a Letter from Homeless Network indicating that the applicant is a certified participant in the Network's emergency shelter program. ll Executive Director Sunrise Outreach Date of Signing 1 Baptist Contact — Dave Roberts —949 -8807 Englewood — Dave Helseth - 966 -6550 Vineyard — Dave Hanson — 941 -9402 • ACORL CERTIFICATE OF LIABILITY INSURANCE ioioiz 9 ' ' PRODUCER 509.965.2090 Conover Insurance, Inc. (Y) 125 N. 50th Ave. 411, FAX 509.966.3454 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTE OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 10088 Yakima, WA 98909 -1088 INSURERS AFFORDING COVERAGE NAIL # 1 .NSURED Sunrise Outreach Center of Yakima P 0 Box 10413 INSURER A: Great American Ins. Companies INSURER B: Yakima, WA 98909 I NSURERC: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L T YPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION LI MITS I TR INCRI' IIATF IMMA'N1NYI Ik1TF (IAMIMIIYV • ' GENERAL UABIUTY PAC8639428 07/21/2009' 07/21/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 I CLAIMS MADE I X I OCCUR MED I EXP (Any one person) $ 5,000 A _ PERSONAL & ADV INJURY $ - 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 7 POLICY n JEOT n LOC • AUTOMOBILE UABIUTY CAP8639429 07/21/2009 07/21/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ — 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS • (Per person) X HIRED AUTOS • BODILY INJURY $ X NON -OWNED AUTOS (Per acddent) • — PROPERTY DAMAGE $ (Per acddent) . GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR [ ] CLAIMS MADE AGGREGATE $ • $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND PAC8639428 07/21/2009 07/21/2010 X I TORY LIMITS I X ( OTH- EMPLOYERS UABIUTY EMPLOYER'S STOP GAP ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below EL DISEASE - POLICY UMIT $ 1,000,000 D i re ctors &Officers EPP8196570 07/21/2009 07/21/2010 $1,000,000 Aggregate Liability DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS : ERTIFICATE OF INSURANCE FOR INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Sunrise Outreach Center of Yakima BUT FAILURE TO MAIL SUCH NOTICE SHALL BAPOSENO OBLIGATION OR UnBnJTY P.O. Box 10413 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Yakima, WA 98909 AUTHORIZED REPRESENTATIVE ,�/ �,� Sherry Lynch /LISAD ` " - "v` LORD 25 (2001!08) ©ACORD CORPORATION 1988 • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. • ACORD 25 (2001/08) Mutual Company Nonassessable CHURCH MUTUAL INSURANCE COMPANY 3000 Schuster Lane, P.O. Box 357, Merrill, WI 54452 COMMON POLICY DECLARATIONS PAGE POLICY NO.: 0039660-02 - 878675 ITEM I. NAMED INSURED AND ADDRESS: ENGIEWOOD CHRISTIAN CHURCH 511 N 44TH AVE YAKIMA WA 98908 ITEM 2. POLICY PERIOD: FROM 02/01/08 TO 02/01/11 0039660-02. 461735 12:01 A:M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN. ABOVE (RENEWAL OF) . ITEM 3. THE NAMED INSURED IS: RELIGIOUS INSTITUTION ITEM 4. AGENT: 03-203 JOE DAVIS SPOKANE VALLEY OFFICE 15407 E MISSION AVE STE 465 SPOKANE VALLEY WA 99037 (800) 554 -2642 ITEM 5. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS: PROPERTY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: • A 100(01 -01) PROPERTY CONDITIONS A 10056F(05-03) EXCLUSION OF CERT ACTS OF TERRORISM AND BIO /CHEM 'A101(04-46) • BUILDING AND PERSONAL PROPERTY COVERAGE RELIGIOUS A 127(04 -06) CAUSES OF LOSS - SPECIAL FORM A 154(10 -99) SYSTEMS/EQUIPMENT BREAKDOWN COVERAGE FORM A 177(04 -06) ` WASHINGTON CHANGES A 177.1(0406) .- WASHINGTON-CHANGES - EXCLUDED CAUSES OF LOSS A 9008(08-04) WASHINGTON - AMENDMENT OF TERRORISM EXCLUSIONS UN 764(04-06) IMPORTANT NOTICE -CHANGE TO PROPERTY COVERAGE FORM UN 766(04-06) - IMPORTANT NOTICE - CHANGE TO THE CAUSES OF LOSSfORM GENERAL LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 052(06-87) • NUCLE:ARENERGY LIABILITY EXCLUSION - EROAD:FORM . •`A 200(01-04) GENERAL LIABILITY COVERAGE PART - OCCURRENCE BASIS A 200.1(12-06) - AMENDATORY ENDORSEMENT - PERSONAL INJURY A 202(01-04) GENERAL UABILITY ADDITIONAL PROVISIONS - RELIGIOUS • A 205(06 -87) LOSS OF LIFE A 229.1(05 -89) EXCLUSION - MEDICAL EXPENSE COVERAGE - SPECIFIC ACTIVITY OREVENT A 249 WA(08-04) STOP GAP - EMPLOYERS LIABILITY COVERAGEENDORSEMENT A 251(09 -94) EXCLUSION - LEAD LIABILITY A 253(01-04) LEGAL DEFENSE COVERAGE A 254(10 -99) AMENDMENT OF INSURING AGREEMENT - KNOWN INJURY /DAMAGE A 255(01 -04) CATASTROPHIC VIOLENCE RESPONSE COVERAGE • Church I Mutual A 001 CD(10-99) - WA PAGE 1 ISSUED DATE .02/07/08 • • CRIME COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039660-02 - 878875 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES: PREMISES NO: 001 BUILDING NO: 001 CONSTRUCTION: FRAME OCCUPANCY: CHURCH AND LESSORS RISK LOCATION: 511 NORTH 44TH AVENUE COUNTY: YAKIMA CITY/STATE: YAKIMA, WA COVERAGE FORM: CHURCH THEFT OF MONEY AND SECURITIES LIMIT OF INSURANCE: $5,000 DEDUCTIBLE: $250 SPECIAL COVERAGE DAYS: CHRISTMAS, EASTER AND THANKSGIVING COVERAGE FORM: BLANKET BOND LIMIT OF INSURANCE: $15,000 ITEM 2. ENDORSEMENTS: NONE • Church M ut u al IMSORAKCI canraar A 001 C(06 -87) - WA PAGE 1 ISSUED DATE: 02/07/08 POLICY NO.: 0039660 -02 - 878875 EXCLUSION - MEDICAL EXPENSE - SPECIFIC ACTIVITY OR EVENT: MONTESSOURI SCHOOL (DAY SCHOOL) j OTHER ENDORSEMENTS: LOSS OF LIFE ENDORSEMENT. EACH PERSON LIMIT OF INSURANCE: $ 10,000 EACH ACCIDENT LIMIT OF INSURANCE $ 20,000 • . i • A 001 G(03 =04) - WA PAGE 2 ISSUED DATE: 02/07/08 j GENERAL LIABILITY COVERAGE PART • DECLARATIONS PAGE POLICY NO.: 0039660-02 - 878875 ITEM 1. LIMITS OF INSURANCE: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED $ 3,000,000 OPERATIONS AND SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) PRODUCTS- COMPLETED OPERATIONS AGGREGATE UMIT $ 1,000,000 EACH OCCURRENCE LIMIT (BODILY INJURY AND PROPERTY DAMAGE $ 1,000,000 COMBINED) PERSONAL AND ADVERTISING INJURY LIMIT (COMBINED) $ 1,000,000 MEDICAL EXPENSE LIMIT - ANY ONE PERSON (OTHER THAN SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) $ 10,000 PROPERTY DAMAGE LEGAL LIABILITY - ANY ONE OCCURRENCE $ 300,000 SEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIMIT (COMBINED) - ALL LOCATIONS AND OPERATIONS EACH CLAIM LIMIT $ 300,000 AGGREGATE LIMIT $ 300,000 SEXUAL MISCONDUCT OR SEXUAL MOLESTATION MEDICAL EXPENSE LIMIT • ANY ONE PERSON $ 10,000 AGGREGATE LIMIT $ 50,000 LEGAL DEFENSE COVERAGE LIMIT EACH DEFENSIBLE INCIDENT UMIT $ ' 5,000 AGGREGATE LIMIT $ 15,000 CATASTROPHIC VIOLENCE RESPONSE PER PERSON LIMIT $ 50,000 EACH VIOLENT INCIDENT UMIT $ 300,000 ' VIOLENT INCIDENT AGGREGATE LIMIT $ 300,000 EMPLOYERS LIABILITY (STOP GAP) COVERAGE BODILY INJURY BY ACCIDENT -EACH ACCIDENT $ 1,000,000 BODILY INJURY BY DISEASE -EACH EMPLOYEE $ 1,000,000 BODILY INJURY BY DISEASE - AGGREGATE LIMIT $ 1,000,000 ITEM 2. DESCRIPTION AND CLASSIFICATION OF PREMISES AND OPERATIONS: ALL PREMISES AND OPERATIONS UNLESS EXCLUDED IN ITEM 3 BELOW. NONE ITEM 3. EXCLUSION ENDORSEMENTS: immimmnia Church Mutua IISS1AICI CO A 001 G(03-04) - WA PAGE 1 ISSUED DATE: 02/07/08 POLICY NO.: 0039660-02- 878875 COVERAGE: PERSONAL PROPERTY LIMIT OF INSURANCE: $30.000 COINSURANCE PERCENT: 100% COVERED CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE ITEM 2. DEDUCTIBLE - OCCURRENCE: $1000 • ITEM 3. ENDORSEMENTS: NONE ITEM 4. MORTGAGEHOLDERS, LOSS PAYEES, AND CONTRACT SELLERS: NONE Ir • • A 001 P(10 -99) - WA PAGE 2 ISSUED DATE: 02/07/08 • PROPERTY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039660 -02 - 878875 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES: • PREMISES NO: 001 BUILDING NO: 001 CONSTRUCTION: FRAME OCCUPANCY: CHURCH AND LESSORS RISK LOCATION: 511 NORTH 44TH AVENUE COUNTY: YAKIMA CITY/STATE: YAKIMA, WA COVERAGE: BUILDING LIMIT OF INSURANCE: $5,036,000 COINSURANCE PERCENT: 100% COVERED CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE AUTOMATIC INCREASE IN INSURANCE COVERAGE: PERSONAL PROPERTY LIMIT OF INSURANCE: $756,000 COINSURANCE 100% • COVERED -CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE PREMISES NO: 001 BUILDING NO: 002 CONSTRUCTION: FRAME OCCUPANCY: STORAGE GARAGE LOCATION: 511 NORTH 44TH AVENUE • COUNTY: • YAKIMA CITY/STATE: YAKIMA, WA COVERAGE BUILDING LIMIT OF INSURANCE: $33,000 COINSURANCE PERCENT: 100% COVERED CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL - COVERAGE: AUTOMATIC INCREASE IN. INSURANCE • th urch Mutual ti I.SBlAlcI COMM A 001 P(10 -99) - WA PAGE 1 ISSUED DATE: 02/07/08 • POLICY NO.: 0039660 -02- 878875 GENERAL UABIUTY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 262(01-04) SEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIAB AND MED A 268(05 -03) WAR LIABILITY EXCLUSION A 283(05 -96) WASHINGTON CHANGES • A 9005.4(05-03) EXCL CERT ACTS OF TERRORISM AND OTHER NUCUBIO /CHEM A 937.1(04-06) WASHINGTON CHANGES CRIME COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 300(06 -87) CRIME CONDITIONS FORM A 302(05 -89) CHURCH THEFT OF MONEY AND SECURITIES COVERAGE FORM A 309(06 -87) BLANKET BOND COVERAGE FORM A 358(06-03) WASHINGTON CHANGES A 9008(08-04) WASHINGTON - AMENDMENT OF TERRORISM EXCLUSIONS PROFESSIONAL LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: • - A 500(01 -04) COUNSEUNG PROFESSIONAL LIABILITY COVERAGE - OCCURRENCE A 505(12-04) DIRECTORS, OFFICERS & TRUSTEES LIAB - CLAIMS MADE A 530(12 -06) - AFFILIATED ENTITY DISPUTE LEGAL DEFENSE COVERAGE A 9005.4(05-03) EXCL CERT ACT$ OF TERRORISM AND OTHER NUCUBIO /CHEM A 937.1(04-06) WASHINGTON CHANGES DOT 910(10 -03) APPLICATION FOR DIRECTORS, OFfIOERS & TRUSTEES LIAB HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 600(01-04) HIRED AND NONOWNED AUTO LIAR - RELIGIOUS INSTITUTION A 602(06-00) MEDICAL EXPENSE COVERAGE A 605 WA(12 -06) RENTAL AUTOMOBILE CONTRACTUAL IJABIUTY ENDORSEMENT ' A 692(04-93) WASHINGTON CHANGES - RENEWAL AUTOMOBILE ENDORSEMENT FORMS AND ENDORSEMENTS WHICH APPLY TO THIS ENTIRE POLICY: A 050(01 -98) MUTUAL AND COMMON POLCY CONDITIONS A 051(06 -87) CALCULATION OF PREMIUM A 9009 WA(03 -06) CONDITIONAL EXCLUSION OF TERRORISM A 937(05 -96) WASHINGTON CHANGES I ITEM 6. PREMIUM: IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO • ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. $9,839.00 DUE AT INCEPTION. PREMIUM SUBJECT TO ADJUSTMENT AT EACH ANNIVERSARY. SUMMARY OF ADDITIONAL CHARGES (INCLUDED IN ANNUAL PREMIUM) " TERRORISM - ONLY: $ 132.00 (STATE REQUIRED) This policy Includes copyrighted mil of Church Mahal Insurance Company CovrAaht Church Mutual Insurance compery,1895 Includes ecpy,g fl d =Wen ar Ileurence Services Me. inc., us' Rs remission. Copyright, ham= S.Mces Office, Inc., .1084 &1094 • A 001 CD(10 -99) - WA PAGE 2 _ ISSUED DATE 02/07/08 ACORD T i CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/09/2009 PRODUCER Julie FAIR. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Church Mutual Insurance Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3000 Schuster Lane HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR 3000 WI 54452 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. 0 If care from Washington: 1- 800.654 -2842 Option 1 If calling from Outside Washington: 4800- 554 -2842 Option 9, than area code 509 INSURERS AFFORDING COVERAGE • NAIL # INSURED • ' INSURER& Church Mutual hieurance Company 18787 VINEYARD CHRISTIAN FELLOWSHIP OF YAKIMA INSURER 6: '221 E MARTIN LUTHER KING JR BLVD . INSURER C: YAK/MA WA 98901.2344 INSURER D: Group COVERAGES • 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 CERTIRCATE 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPPS,/DUL POLICY EFFECTIVE POLICY EXPIRATION LTR 01SRD TYPE OF INSURANCE POUCY NUMBER DATE (WtJ0D/TY) DATE (MMIDDIYY) LIMITS A GENERAL LIABILITY 0184711 -02 - 820490 08/31/2007 08/31/20 OCCURRENCE EACH O lR�RCE $ 1,000,000 , gt COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMB8E8 (En: occ+nrenos IJ CLAIMS MADE e OCCUR. — NED EXP (Any one $ 10,000 10 PERSONAL & ADV INJURY $ 1,000,000 .AENERALAGGREGATE $ 3 PM AGGREGATE LRaTAPPLIES PRODUCTS - COMMWOP - $ 1,000,000 E ppLI DOG I POLICY D LOCATION ,P,mPerg DaamageLegal $ 300,000 PROJECT LlabllyAny One ,Omarenoo AUTOMOBILE LIABILITY ..comma, SINGLE OMIT $ Accident) Y ANY At AODI m INJURY (Per Person) $ J ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS • NON -OWNED AUTOS III BODILY INJURY $ (PerAxMeng PROPERTY DAMAGE ' $ ,(Per Accident) GARAGE L IABIUIY AUTO ONLY -EA $ -I ACCIDENT • _I ANY AUTO . $ OTHER THAN EA ACC AUTO ONLY: AGO - $ LIABILITY EACH OCCURRENCE $ OCCURRENCE 0 CLAIMS MADE AGGREGATE $ D DEDUCTIBLE D RETENTION $ • :WORKERS COMPENSATION AND ' ' r $ EMPLOYER'S LIABILITY WC STATUTORY LEA OTHER ANY PROPRIETOR/PART/IF-Ft/EXECUTIVE OFFICERIMEMBEREXCWDED? 'EL.. EACH ACCIDENT $ If yes, describe under E L DISEASE -EA $ SPECIAL PROVISIONS below EMPLOYEE E.L. DISEASE - POUCY $ bTHlat /UNIT $ DESCRIPTION OF OPERATIONS 'l LOCATIONS 1 VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence ofLlablfltyInsurance for participation In the Extreme Weather Shelter Program from 11 -1-09 to 3 -15-10 from 6:90 pm to nee enL to be held et 221 E. Martin Luther King Jr. Blvd. Yakimal,.WA. 144 CERTIFICATE HOLDER • CANCELLATION CI(y of Yakima ' - SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BLS THE COY bfenagement EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR To MAIL 10 ,South Second Street DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Yafdma, WA 98902 FAILURE TO DO SO SHALL OIPOSE KO OBLIGATION OR LIABILITY OF ANY IOW • UPON THE INSURER, TTS AGENTS OR REPRESENTATIVES. MED RATA I ACORD TM CERTIFICATE OF LIABILITY INSURANCE I DATE (MANDONYYY) L 10/13/2009 PRODUCER Heather R Wolff THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION rch Mutual Inswance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Conripany Chu HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR 3000 Schuster Lane ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Meta WI 54452 410 If calling from Washington: 1-800-554-2842 Option 1 If tailing from Outside Wastlingtom 1-500.554-2642 Option 9. then area code 509 , INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Church Mutual Insurance Company /8767 • FIRST BAPI7ST CHURCH OF YAKIMA INSURER B: 515 E YAKIMA AVE INSURER C: YAKIMA WA 98901-2774 . INSURER IX Group , COVERAGES , THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD PADICATED. NOTWITHSTANDING ANY REQUIREMENT. TEMA OR CONDITION OF ANY CONTRACT MOTHER DOCUMENT WMi RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY . PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POUCIES. AGGREGATE LBAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • PER ADM - POUCY EFFECTiva POUCY EICPIPATION LTR esSlior -TYPE OF INSURANCE POUCY NUMBER DATE GlIEDDAM DATE (MIEDDNY) LIMITS A GENERAL LIABILITY 0047252-02-893211 02P19/2008 0211912011 'EACH OCCURRENCE $ 1,000,000 : - ZI COMMERCIAL GENERAL LIABILITY DAMAGE TO FLEETED $ • - PREMISES (Ea. oecurrenut • ' D CUUMS MADEEl OCCUR - MED EXP (Any one penson) $ . . PERSONAL& ADV INJURY $ 9,000,000 .., • . • GENERAL AGGREGATE $ 3,000,000 GEM AGGREGATE LIMIT APPLES PM PRODUCTS .COMP AS $ 9,000,000 POLICY CI LoCATIoN $ • D PROJECT • AUTOMOBILE LIABILMI COMBINED SINGLE WET $ las Accident) MY AUTO 7800ILY INJURY ' $ • D . (Per Person) D ALL OWNED AUTOS . SCHEDULED AUTOS • D HIRED AUTOS D N0N.OW)ED AUTOS . -GODILY INJURY , - $ • - rat Accident) — PROPERTY DAMAGE $ (Per Accident) • 4 GARAGE UABIUTY AUTO ONLY. EA OCCIDENT' $ • D ANY AUTO $ OTHER THAN EA AOC ' _ AUTO ONLY: AGO •. $ • EXCESS/UMBRELLA UABIUTY ..Actt OCCURRENCE $ .0 =MENUS 0 CLAIMS MADE •• AGGREGATE $ • • . $ • .D DEDUCTIBLE El RETENTION „ $ • ... $ . 4 WORIGERS COMPENSATION Am EMPLOYERS LIABILITY 1 WC STATUTORY LIMITS • D OTHER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEIER EXCLUDED? . F__L_ EACH ACCIDENT $ .E.L. DISEASE - EA $ • If yes, describe under SPECIAL PROVISIONS below . . _EMPLOYEE . E.L DISEASE - POUCY LIMIT $ OTHER - $ • oEscRurnON OF OPERATIONS/LOCATIONS / VEHICLES 1 ExCWSIONS AOOEO BY ENDORSEMENT/SPECIAL PROVISIONS Evidence °UMW& inauneme for Extreme Weather Shelter Program from Nov. 15, 2009 -March 14 2010 from 5:30pm - Sam at 516 E Yakima Ave,Yektma, WA 98901. 03-519 CERTIFICATE HOLDER • CANCELLATION CAy of Yakima MOULD ANY OF THE ABOVE DESCRIBED POUCES BE CANCELLED BEFORE THE 129 IV 2nd Street EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 10 • yaldma, WA 98901 DAYS VVRITTEN NOTICE 70 1118 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO 00 50 MALI. agmosE NO OBLIGATION OR UABIUTY OF ANY KIND . - UPON THE INSURER. ITS AGENTS OR REP ', - . TIVES. AWE • _ AU gaM ES .Z.K. 1A) ACORD 26 01001/011) i 10 OACORD CORPORATION led 0 _ .._. _..._......_______ ._...... _ • i IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on • this certificate does not confer rights to the certificate holder in Lieu of such endorsement(s), 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or atter the coverage afforded by the policies Listed thereon. • • • • ACORD 26 (2001108) CORPORATtoN 1880 • , - EXIT Storage TV and Recreation Room \ OVA e te= 0 W 4 5114 Office 7;1 . 3-M4.erigt-4 : mu 04%1 Mt1 **i ga Meal Area Reception 4 !_k,,,T4 N V Storage EXIT Vineyard Shelter Floor Plan • • • -F-)--0 c oc a x3 ►1+ III do 4P111111111.111 - V 1 (21 s 1 1 I s 14 �? s» 1 I ��NN►a loN I II [ I W Q A _ I l 1 • • • x l , 1 1 l I_1 a, QQ)4 ' I 1 I I N1t{q C 9VAQL9 1 I I 11 1