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10/21/2014 09 2014-2015 Temporary Emergency Cold Weather Shelters Policy
BUSINESS OF THE CITY COUNCIL YAKIMA, WASHINGTON AGENDA STATEMENT Item No. 9. For Meeting of: October 21, 2014 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ITEM TITLE: Resolution authorizing a policy regarding temporary emergency cold weather shelters in the City of Yakima, and providing that such policy shall be valid from November 15, 2014 through March 15, 2015 to allow three churches to serve as shelters SUBMITTED BY: Joe Caruso, Code Administration Manager (509) 575-6257 Joan Davenport, AICP, Community Development Director SUMMARY EXPLANATION: This is the eighth year the City of Yakima proposed to partner with the Yakima County Homeless Network to have emergency cold weather shelters within designated churches from November 15, 2014 through March 15, 2015. This year, the Yakima County Homeless Network has requested to utilize Englewood Christian Church, Unitarian Universal Church of Yakima and the Note of Joy Church. The City proposes to require the same life and safety standards as last year's agreement. Temporary Shelters The proposed Temporary Emergency Shelter program sets standards and requirements for cold weather emergency shelters. Requirements set out in the policy focus on fire department compliance and communication: 1. Volunteer managed shelters with trained staff and personnel equipped with hand held radios for Fire Department contact, 2. Smoke detectors in sleeping quarters, 3. All sleeping quarters on ground floor, 4. Prior approval of all pick-up and drop-off areas, 5. Indemnification and hold harmless agreements as well liability insurance, 6. Approval by Building Code Official and evacuation plan. Resolution: X Ordinance: Other (Specify): Contract: Contract Term: Start Date: End Date: Item Budgeted: No Amount: Funding Source/Fiscal Impact: Strategic Priority: Public Safety Insurance Required? No Mail to: Phone: APPROVED FOR SUBMITTAL: RECOMMENDATION: Approve Resolution City Manager ATTACHMENTS: Description resolution authorizing a policy regarding Resolution authorizing temporary Emergency Cold Weather Shelters Upload Date 10/10/2014 10/10/2014 Type Cover Memo Cover Memo A RESOLUTION RESOLUTION NO R-2014 of the City of Yakima, Washington, authorizing and directing the City of Yakima Community Development Department 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 from November 15, 2014 through March 15, 2015 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 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 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 15th day of March, 2015 ADOPTED BY THE CITY COUNCIL this 21s1 day of October, 2014 ATTEST: Micah Cawley, Mayor City Clerk m October 2014 TO: TD: JosephCaruso FR: Dave Hanson RE: Sunrise Outreach and the participating churches Extreme Weather Shelter Plan for 2014-2015 Local churches and the faith community have provided shelter to homeless persons during the cold winter months and extreme weather since 2007. Sunrise Outreach has coordinated with the City of Yakima Fire Marshal and the churches to adopt best practices to ensure the safety of the homeless persons being sheltered by the churches. In 2013-14, new and improved fire watch and safety systems were put into place with funding support from the Homeless Network of Yakima County. Many of the safety measures are addressed in the Participant Certification Form (attached) and the Fire Safety attachments. We will continue to work with the City of Yakima Fire Marshal, the participating churches, and the Homeless Network of Yakima County to improve our services to the homeless. The following churches will be participating in the Extreme Weather Shelter Plan for 2014-2015: Englewood Christian Church, Unitarian Universalist Church and Note ofJoy Church. The current plan is to house a maximum of 15 women at Englewood church, 20 men at Unitarian church, and an additional 25 men at the Note ofJoy Church which is located at 808 Mead (Previously Victory Outreach Church). Sunrise Outreach will provide training for all volunteers at each participating church. Training will include Fire Safety training and Fire Watch responsibilities. Attached are certifications for the participating churches, Englewood, Unitarian Universalist and Note ofJoy. We will provide updates and certifications to the City of Yakima whenever there is a change in the list of participating churches. All participating churches that provide shelter to homeless persons during the extreme weather in 2014 and 2015 agree to operate shelters under the same conditions agreed to previously and as reflected in the certification forms to be completed by each participating church. We anticipate that this year's extreme weather shelters will be in operation from November 15, 2014 to March 15, 2015. Submitted by Sunrise Outreach, Pastor Dave Hanson, 10/10/2014 Sunrise Outreach Center ofYakima, ozEast Martin Luther King Jr. Blvd. Yakima, wa98901 ACC PREP CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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(les) 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 Conover Insurance 125 N. 50th Ave . P.O. Box 10088 Yakima WA 98909-1088 CONTACT NAME: Lisa Daley PHONE (509) 965-2090 FAX /A/C koFxtl: (A1C, No)a. '(509) 966-3454 E•L lisad@ conoverinsurance . com ADDROs: INSURERS) AFFORDING COVERAGE NAIL # INsuRERA:Great American Assurance Co INSURED Sunrise Outreach Center of Yakima P 0 Box 10413 Yakima WA 98909 _INSURER INSURER B : INSURER C: INSURER D : INSURER E $ 7. , 000 , 00C F- X S ATE NUMBER:' 14-' 15 SION 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, NOTVVITHSTANDING 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. IR LTR TYPEC}FN9URANCH -,JNSR ADDLSUBR WV!) POLICY NUMBER POLICY EFF IMMlOD11'YYYI O PLICY EXP � fMMIDDlY'fYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 7. , 000 , 00C X COMMERCIAL GENERAL LIABILITY i 1tA E T• R PREMISS Eaoecurrence $ 100,00C A CLAIMS-MADE,OCCUR X P 86394280 7/21/2014 7/21/2015 MED EXP (Any one person) 5 5 00 PERSONAL&ADV INJURY , $ 1,000,00C r• ,� $ 2,000,00C GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG $ 2 , 000 , 00C X POLICY PRO- IECT LOC AUTOMOBILE LUABILI LIMIT Ez eiNEDaccident ,, 1 .000.000 A ANY AUTO BODILY INJURY (Par person) ALLOWNEO AUTOS x SCHEDULED AUTOS CAP8639429057/21/2014 '7/21/2015 eOf1ILY INJURY (Per accident) - $ X HIRED AUTOS X NON-0WNED AUTOS PROPERTY DAMAGE Per accident Medicalpaymenls $ 5,00C UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE,..$ DED ..._RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1N (Stop Gap) X WC STATU- TORY. LIMITS OTH- ER ANY PROPRIETORIPARTNER/EXECUTIVE ri OFFICERIMEMBER EXCLUDED? N I A E L. EACH ACCIDENT $ 7 , 000 , 000 (Mandatory in NH) If describe under PAC853942805 7/21/2014 7/21/2015 EL DISEASE - EA EMPLOYE $ 1 000 000 r , yes, DESCRIPTION OF OPERATIONS below L DISEASE - POLICY LIMIT $ 1 000,000 , DESCRIPTION OF OPS / LOCATIONS !VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Extreme Weather Shelters - City of Yakima, its agents, employees, elected and appointed officials and volunteers are named as additional insureds as required by written contract or agreement, per the following social service agency general liability broadening endorsement CG 82 24 (Ed. 12/01) XS. CERTIFICATE HOLDER CANCELLATION City of Yakima Attn: Joseph Caruso 129 N. 2nd St Yakima, WA 98901 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010165) IP1SA7{i (7n1nnsti n1 AUTHORIZED REPRESENTATIVE Sherry Lynch/LISAD 1988-2010 ACORD CORPORATION, All rights reserved. September 17, 2014 Yakima City Council Yakima City Hall 129 North Second Street Yakima, WA 98901 ENGLEWOOD CHRISTIAN CHURCH (Disciples of Christ) 511 N. 44th Avenue, Yakima, Washington 98908-2698 Office Phone: (509) 966-6550 Rev. Dr. Margaret J. Hickman, Interim Minister To Whom it May Concern: This letter is to advise you that Englewood Christian Church, located at 511 N. 441h Avenue, Yakima, WA 98908, has the intent to open the extreme weather shelter for the 2014-15 winter season. Attached please find copies of our Liability Insurance. Should you have comments or questions, please feel free to contact me at the church office, (509) 966-6550. Thank you. Sincerely, m Rev. Margaret J. Hickman Minister A congregation of the Christian Church (Disciples of Christ) Mutual Company Nonassessable Policy CHURCH MUTUAL INSURANCE COMPANY 3000 Schuster Lane, P.O. Box 357, Merrill, WI 54452 UMBRELLA LIABILITY POLICY DECLARATIONS PAGE EXCESS INSURANCE POLICY NUMBER: 0039660-81-651836 ITEM 1. NAMED INSURED AND ADDRESS: THE ENGLEWOOD CHRISTIAN CHURCH 511 N 44TH AVE YAKIMA WA 98908-2698 ITEM 2. POLICY PERIOD: FROM 02(01(1.4 TO 02(01(17 0039660-81-303194 12:01 A.M. STANDARD TIME AT YOUR ADDRESS SHOWN ABOVE. (RENEWAL OF) ITEM 3. THE NAMED INSURED IS: RELIGIOUS INSTITUTION ITEM 4. LIMITS OF INSURANCE: GENERAL AGGREGATE LIMIT - (ANNUAL) EACH OCCURRENCE LIMIT- (BODILY INJURY AND PROPERTY DAMAGE (ANNUAL) PERSONAL AND ADVERTISING INJURY LIMIT - (COMBINED) $ 1,000,000 OMBINED) $ 1,000,000 SELF-INSURED RETENTION (EACH OCCURRENCE OR OFFENSE NOT COVERED BY UNDERLYING INSURANCE) ITEM 5, FORMS AND ENDORSEMENTS WHICH APPLY TO THIS POLICY: UMB 8000(02-88) MUTUAL POLICY CONDITIONS UMB 8001(01-04) UMB 8115(02-88) UMB 8117(02-88) UMB 8121(09-94) UMB 8124(01-08) UMB 8131(01-08) UMB 8133(05-03) UMB 8134WA(08-06) UMB 8203(02-88) UMB 8204(02-88) UMB 8210(03-03) UMB 8214(12-06) UMB 8215(12-07) UMB 8216(12-07) UMB 8641(01-12) UN 560(01-94) UN 720(02-08) UMB D (09-9 $ 1,000,000 UMBRELLA LIABILITY POLICY NUCLEAR ENERGY LIABILITY EXCLUSION - BROAD FORM ASBESTOS LEAD LIABILITY CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM EXCLUSION OF PUNITIVE DAMAGES WAR LIABILITY EXCLUSION WASHINGTON FUNGI OR BACTERIA EXCLUSION COUNSELING PROFESSIONAL LIABILITY EMPLOYERS' LIABILITY - FOLLOWING FORM ACQUIRED AUTOMOBILES ENDORSEMENT AMENDATORY ENDORSEMENT -PERSONAL INJURY BODILY INJURY DEFINITION CORPORATE ENTITY ENDORSEMENT AMENDATORY ENDORSEMENT - WASHINGTON WASHINGTON POLICY JACKET NOTICE - DISCLOSURE OF TERRORISM PREMIUM 10,000 Church Mutual INSURANCE COMPANY ISSUED DATE: 12120113, CHURCH MUTUAL INSURANCE COMPANY UMBRELLA LIABILITY POLICY SCHEDULE OF UNDERLYING INSURANCE POLICY NUMBER: 0039660-81-651836 TYPE OF INSURANCE LIMIT OF INSURANCE GENERAL LIABILITY $ 3,000,000 GENERAL AGGREGATE $ 1,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE $ 1,000,000 EACH OCCURRENCE (BODILY INJURY AND PROPERTY DAMAGE) $ 1,000,000 PERSONAL AND ADVERTISING INJURY COMPANY PROVIDING THE INSURANCE: CHURCH MUTUAL INSURANCE COMPANY POLICY PERIOD: 02/01/14 TO 02/01/17 COUNSELING PROFESSIONAL LIABILITY $ 1,000,000 EACH CLAIM $ 3,000,000 AGGREGATE COMPANY PROVIDING THE INSURANCE: CHURCH MUTUAL INSURANCE COMPANY POLICY PERIOD: 02/01/14 TO 02/01/17 HIRED AND NONOWNED AUTOMOBILE LIABILITY $ 1,000,000 EACH OCCURRENCE $ 3,000,000 AGGREGATE COMPANY PROVIDING THE INSURANCE: CHURCH MUTUAL INSURANCE COMPANY POLICY PERIOD: 02/01/14 TO 02/01/17 WORKERS' COMPENSATION STATUTORY EMPLOYERS LIABILITY (STOP GAP) COVERAGE $ 1,000,000 BODILY INJURY BY ACCIDENT -EACH ACCIDENT $ 1,000,000 BODILY INJURY BY DISEASE -EACH EMPLOYEE $ 1,000,000 BODILY INJURY BY DISEASE -POLICY LIMIT COMPANY PROVIDING THE INSURANCE: CHURCH MUTUAL INSURANCE COMPANY POLICY PERIOD: 02/01/14 TO 02/01/17 Church Mutua- IN3 RANGE Cfl1EPANY UMB SCHED (02-88) 1 ISSUED DATE: 12/20/13, Q'�gCERTIFICATE OF LIABILITY INSURANCE DATE(MWDOTTYYY) 09117!2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED must be endorsed. if SUBROGATION IS WAIVED, subject to A statement on this certificate does not confer rights to the IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) the terms and conditions of the policy, certain policies may require an endorsement. certificate holder in lieu of such endorsement(s). PRODUCER Church Mutual Insurance Company 3000 Schuster Lane Merrill WI 54452 1CdNTA4T NAME: Claire l 7immerman eco Bio ems►?• 1-800.554-2642 Option 1 laic. Not: 855-254-2329 EMAIL r r -Ss: I? 0 . c,a INSURERIS) AFFORDING COVERAGE NAIC 1 INSUR RA; Church Mutual insuranre Company 18767 INSURED ENGLEWOOD CHRISTIAN CHURCH (THE) 511 N44THAVE YAKIMA WA 98908-2698 INSURER B : INSURER C : -, INSURER D : INSURER E : INSURER F NUM R: 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 AWL INSD SUER WVD POLICY NUMBER POLICY EFF JMMJD $YYYY1„LM/DDIYYYY) POLICY EXP LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,nf10 CLAIMS MADE ri OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 10.000 $ 1000,000 $ 3.000,000 A 0039660-02-651835 02/01/2014 02/01/2017 PERSONAL &ADVINJURY GERL AGGREGATE LIMIT APP LIES PER: GENERAL AGGREGATE X POLICY nPRO- JECT LOC PRODUCTS - COMP/OP AGG S 1 00.000 OTHER: S AUTOMOBILE LIABILITY (EOMBINEDil ' INGLE LIMN- $ ANY AUTO —' BODILY INJURY {Por parson) $ ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURYPeraaciden1 PROPERTY DAMAGE ) (Per accident) $ S UMBRELLA LIAR_ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS•MADE AGGREGATE DED RETENTION$ $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE EXCLUDED? YIN N ! A E•L. EACH ACCIDENT S OFFICER/MEMBER (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD tai, Additional Remarks Schedule, may he attached if mora apace le requrred) Evidence of Liability Insurance for participation In the Extreme Weather Shelter Program from 11/15/14 through 03115/14 (ram 6:30 p.m. to 7:00 a.m. to be held at 511 N 44th Ave, Yakima WA, 98902. SRAP 520 P03 CERTIFICATE HOLDER CANCELLATION City of Yakima City Management South 2nd Street Yakima, WA 98902-2629 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH 1 D PRE ERTATIVE © 198.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Englewood Church Storage Class Room Class Room Class Room Kitchen Unitarian Universalist Church of Yakima 225 North Second Street Yakima, WA 98901 (509) 453-8448 www.uucyakima.orq adminuucvakima.orq Sunrise Outreach Center of Yakima 221 E Martin Luther King Jr. Blvd. Yakima, WA 98901 (509) 225-9310 www.sunriseoutreachcenter.com The purpose of this agreement is to define the relationship between Sunrise Outreach, who will operate an Extreme Weather Shelter for homeless men, and the Unitarian Universalist Church of Yakima, who will provide the facility for the shelter in 2014-15 season. Contacts The parties agree that communication between Sunrise, hereafter known as the agency, and the UUCY, hereafter known as the church, on policy matters but not daily operation will be between Ken Trainor, representing the agency, and Rev. Ken Jones (509-714-9861) as primary contact or Randy Luvaas (509-965-4641) as secondary contact, representing the church. Facility Areas and Times The church will make available for use by the agency starting on or about November 15, 2014 and ending on or about March 15, 2015, the following areas on the lower level: Garden Room, storage Room, Fellowship Hall, kitchen and restrooms located adjacent to the Fellowship Hall. The hours of operation seven days a week will be from 5:00 PM until 7:30 AM the next morning. The capacity of the shelter will be limited to a maximum of twenty guests. Building Access UUCY will supply SOC with a single registered Medeco key for building access. This key is to be shared by all agency personnel who need access. It will unlock the Alley Door and the Garden Door. The individual responsible for opening the shelter each evening will use this key for access through the Alley Door, and will re -lock that door immediately after accessing the facility. Then s/he will unlock the Garden Room Door for shelter operations. The agency will insure that all doors will be locked when the shelter closes each morning. Kitchen Use The kitchen is to be used by the agency to warm and serve evening meals to shelter guests but not used for preparation of meals. Church groups or other tenants of the church may access the kitchen for incidental use during shelter operation hours. Certain cupboards and shelves in the kitchen and one of the refrigerators will be designated and labeled for "shelter use." The agency will not use any other areas of the kitchen for storage of shelter items. Clean-up Sleeping mats and bedding may be stored in the Fellowship Hall, neatly stacked in the northwest corner of the room. Each morning the agency will remove all refuse from the area and may use the church dumpster in the alley, accessed through the Alley Door, provided the dumpster is not full. If there is insufficient room in the dumpster, the agency agrees to remove shelter refuse from the church property. The agency agrees to clean all the areas of use including the restrooms and kitchen, including mopping the restroom and kitchen floors and wiping down all counters. Each morning the agency will restore the church facility as near as possible to the condition found the previous evening. Expenses Reimbursement The church will monitor expenditures for heating of the facility during the term of shelter operations as compared with the previous year (Nov. 15, 2014 to March 1, 2015) taking into consideration variations of degree days. At the end of the term of use the church will provide the agency with documentation of increased expenses over the previous year, to be reimbursed to the church no later than one month after documentation is provided by the church to the agency. In addition, the agency agrees to reimburse the church for expenses related to up to two hours per week of additional custodial time incurred a needed to insure full compliance with clean-up provisions above. FOr the Unitarian Universalist Church Of Yakima /D/3 Date Signed Date Signed For Sunrise Outreach Center of Yakima .unurun rluLudl in5ura lU/lU/LU14 Z:Jb:4b PM PAGE 10/024 Fax Server Mutual Company Nonassessable CHURCH MUTUAL INSURANCE COMPANY 3000 Schuster Lane, P.O. Box 357, Merrill, WI 54452 COMMON POLICY DECLARATIONS PAGE POLICY NO.: 0233326-02-699077 ITEM 1. NAMED INSURED AND ADDRESS: UNITARIAN UNIVERSALIST CHURCH OF YAKIMA 225 N 2ND ST YAKIMA WA 98901-2332 ITEM 2. POLICY PERIOD: FROM 06/20/14 TO 06/20/17 0233326-02-348823 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE (RENEWAL OF) ITEM 3. THE NAMED INSURED 15: RELIGIOUS INSTITUTION ITEM 4. AGENT: 03-203 DEBBIE SUNDSETH ROCKY MOUNTAIN WEST DIVISION CHURCH MUTUAL INS CO 3000 SCHUSTER LANE MERRILL WI 54452 (800) 554-2642 ITEM 5. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS: FORMS AND ENDORSEMENTS WHICH APPLY TO THIS ENTIRE POLICY: A 050(01-98) MUTUAL AND COMMON POLICY CONDITIONS A 051(06-87) CALCULATION OF PREMIUM A9009 WA(01-12) WASHINGTON CONDITIONAL EXCLUSION OF TERRORISM A 937(12-11) WASHINGTON CHANGES A 937.2(07-13) WASHINGTON CHANGES - DEFENSE COSTS UN 720(01-08) NOTICE - DISCLOSURE OF TERRORISM PREMIUM PROPERTY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 100(01-01) PROPERTY CONDITIONS A 1001(01-08) IDENTITY RECOVERY COVERAGE FORM A 1009.1 WA(07-09) WATER EXCLUSION ENDORSEMENT A 101(04-06) BUILDING AND PERSONAL PROPERTY COVERAGE - RELIGIOUS A 101.1 WA(02-05) OPTIONAL COVERAGES - AUTOMATIC INCREASE IN INSURANCE A 117.1(05-89) COVERAGE EXTENSIONS AND ADDITIONAL COVERAGES A 127(04-06) CAUSES OF LOSS - SPECIAL FORM A 154(10-99) A 177(04-06) A 177.1(04-06) A 945.2(01-08) SYSTEMS/EQUIPMENT BREAKDOWN COVERAGE FORM WASHINGTON CHANGES WASHINGTON CHANGES - EXCLUDED CAUSES OF LOSS CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM GENERAL LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 052(06-87) NUCLEAR ENERGY LIABILITY EXCLUSION - BROAD FORM A 001 CD(10-99) - WA PAGE 1 Church Mutual IMSURAMC( (PMPAMY ISSUED DATE: 05/27/14 4.. 11U1 ts11 1'1U 1-UiA1 111 f1. UL O. 1V! 1V1 L.V1'1 G., +3, ".*J k'I 1-'491C1L J. ) VG`i f 2' OVI VG./ GENERAL LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0233326-02-699077 ITEM 1. LIMITS OF INSURANCE: GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS AND SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT EACH OCCURRENCE LIMIT (BODILY INJURY AND PROPERTY DAMAGE COMB INED) PERSONAL AND ADVERTISING INJURY LIMIT (COMBINED) MEDICAL EXPENSE LIMIT - ANY ONE PERSON (OTHER THAN SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) PROPERTY DAMAGE LEGAL LIABILITY - ANY ONE OCCURRENCE SEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIMIT (COMBINED) - ALL LOCATIONS AND OPERATIONS EACH CLAIM LIMIT AGGREGATE LIMIT SEXUAL MISCONDUCT OR SEXUAL MOLESTATION MEDICAL EXPENSE LIMIT ANY ONE PERSON AGGREGATE LIMIT LEGAL DEFENSE COVERAGE LIMIT EACH DEFENSIBLE INCIDENT LIMIT AGGREGATE LIMIT CATASTROPHIC VIOLENCE RESPONSE PER PERSON LIMIT EACH VIOLENT INCIDENT LIMIT VIOLENT INCIDENT AGGREGATE LIMIT EMPLOYERS LIABILITY (STOP GAP) COVERAGE BODILY INJURY BY ACCIDENT --EACH ACCIDENT BODILY INJURY BY DISEASE --EACH EMPLOYEE BODILY INJURY BY DISEASE --AGGREGATE LIMIT ITEM 2. DESCRIPTION AND CLASSIFICATION OF PREMISES AND OPERATIONS: ALL PREMISES AND OPERATIONS UNLESS EXCLUDED IN ITEM 3 BELOW, NONE ITEM 3. EXCLUSION ENDORSEMENTS: $ 3,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 15,000 $ 300,000 $ 300,000 $ 300,000 $ 10,000 $ 50,000 $ 5,000 $ 15,000 $ 50,000 $ 300,000 $ 300,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 Church Mutual INSURANCE COMPANY A 001 G(03-04) - WA PAGE 1 ISSUED DATE: 05/27/14 i.N✓ avi cv.L. G u ) , YJ 4"41 rnur 11/ VLY rax out VC!' POLICY NO.: 0233326-02-699077 GENERAL LIABIL A 200(01-04) A 200.1(12-06) A 200.2(12-07) A 2012(12-07) A 2013(12-07) A 202(01-04) A 205(06-87) A 229.1 (05-89) A 238(01-04) A 242(01-04) A 249 WA(08-04) A 251(09-94) A 253(12-07) A 254(05-08) A 255(01-04) A 262(01-04) A 268(05-03) A 9006(01-08) A 937.1(04-06) A 945,3(01-08) ITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: GENERAL LIABILITY COVERAGE PART - OCCURRENCE BASIS AMENDATORY ENDORSEMENT - PERSONAL INJURY BODILY INJURY DEFINITION CORPORATE ENTITY ENDORSEMENT MEDICAL EXPENSE AMENDMENT GENERAL LIABILITY ADDITIONAL PROVISIONS - RELIGIOUS LOSS OF LIFE EXCLUSION - MEDICAL EXPENSE COVERAGE - SPECIFIC ACTIVITY OR EVENT EXCL - PROF HEALTH, SOCIAL, OR COSMETIC SERVICES EXCLUDED OPERATIONS STOP GAP - EMPLOYERS LIABILITY COVERAGE ENDORSEMENT EXCLUSION - LEAD LIABILITY LEGAL DEFENSE COVERAGE FORM AMEND OF INSURING AGREEMENT - KNOWN INJURY OR DAMAGE CATASTROPHIC VIOLENCE RESPONSE COVERAGE SEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIAB AND MED WAR LIABILITY EXCLUSION EXCL OF PUN DAMAGES RELATED TO A CERT ACT OF TERROR WASHINGTON CHANGES CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM 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 PROFESSIONAL A 500(01-04) A 505(12-04) A 505.1(12-07) A 520(01-04) A 529(12-04) A 530(12-06) A 534(12-07) A 535(12-07) A 9006(01-08) EXCL OF PUN DAMAGES RELATED TO A CERT ACT OF TERROR A937.1(04-06) WASHINGTON CHANGES A945.3(01-08) CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM EPL 914-WA(02-07)APPLICATION FOR EMPLOYMENT PRACTICES LIABILITY LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: COUNSELING PROFESSIONAL LIABILITY COVERAGE -OCCURRENCE DIRECTORS, OFFICERS & TRUSTEES LIAB - CLAIMS MADE SPOUSAL LIABILITY EMPLOYMENT PRACTICES LIABILITY COVERAGE EMPLOYMENT PRACTICES LIABILITY COVERAGE AMENDMENT AFFILIATED ENTITY DISPUTE LEGAL DEFENSE COVERAGE CORPORATE ENTITY ENDORSEMENT CORPORATE ENTITY ENDORSEMENT DO&T LIABILITY HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE PART AND ITS FORMS AND ENDORSEMENTS: A 600(01-04) HIRED AND NONOWNED AUTO LIAB - RELIGIOUS INSTITUTION A 602(06-00) MEDICAL EXPENSE COVERAGE A 602.1(12-07) MEDICAL EXPENSE AMENDMENT A 605 WA(12-06) RENTAL AUTOMOBILE CONTRACTUAL LIABILITY ENDORSEMENT A 606(12-07) CORPORATE ENTITY ENDORSEMENT A 692(04-93) WASHINGTON CHANGES - RENEWAL AUTOMOBILE ENDORSEMENT A 9006(01-08) EXCL OF PUN DAMAGES RELATED TO A CERT ACT OF TERROR A945.3(01-08) CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM A 001 CD(10-99) - WA PAGE 2 ISSUED DATE: 05/27/14 ma I. • WI le 'IA .a. 4, LA 4.4 VI AL CR. J. J.I1 IL rmu.c. 1 Z. UL 9E Fd.25, ourvur POLICY NO.: 0233326-02-699077 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, $8,369.00 DUE AT INCEPTION. PREMIUM SUBJECT TO ADJUSTMENT AT EACH ANNIVERSARY. ** SUMMARY OF ADDITIONAL CHARGES (INCLUDED IN ANNUAL PREMIUM) ** TERRORISM RISK INSURANCE: $ 167.00 ANNUAL CHARGE This policy includes copyrighted material of Church Mutual Insurance Company Copyright, Church Mutual Insurance Company, 1995 Includes copyrighted material of Insurance Services Office. Inc , with Its permission copyright, insurance Services Office, Inc., 1954 & 1994 Church Mutual 11131111AW COMPANY A001 CD(10-99) - WA PAGE 3 ISSUED DATE: 05/27/14 asrml 4.1,e44 ',44W.I.M 1.01VG"I rax OG.E V PROPERTY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0233326-02-699077 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES: PREMISES NO: CONSTRUCTION: OCCUPANCY: LOCATION, COUNTY: CITY/STATE. 001 BUILDING NO: 001 MISTED MASONRY CHURCH AND LESSORS RISK 225 N 2ND ST YAKIMA YAKIMA, WA COVERAGE: BUILDING LIMIT OF INSURANCE: $4,113,000 COINSURANCE PERCENT: 90% COVERED CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE COVERAGE: PERSONAL PROPERTY LIMIT OF INSURANCE: $617,000 COINSURANCE PERCENT: 90% COVERED CAUSE OF LOSS: SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE **********a**********awa**********x**************a*********************** ADDITIONAL COVERAGES OR ENDORSEMENTS ADDITIONAL COVERAGE: LIMIT OF INSURANCE: ADDITIONAL COVERAGE: LIMIT OF INSURANCE: INSTITUTIONAL INCOME & EXTRA EXPENSE $20,000 ANY ONE OCCURRENCE BUILDING ORDINANCE $200,000 ANY ONE OCCURRENCE ITEM 2. DEDUCTIBLE - OCCURRENCE: $5,000 ITEM 3. ENDORSEMENTS: NONE A001 P(10-99) - WA PAGE 1 Mutual Church IILSVRANCE COMPANY ISSUED DATE: 05/27/14 4.11Ui 4,11 /IV 4-,01O.J. 1110U1d 1 k1 J.V/Z. 1Y ,G,.: w7 :J :'#iJ F'lL 1-'H4JL. 10/VGY 1 -dA DWI VGI POLICY NO.; 0233326-02-699077 EXCLUSION - MEDICAL EXPENSE - SPECIFIC ACTIVITY OR EVENT: BUDDHIST CONGREGATION METROPOLITAN CHURCH LEAGUE OF WOMEN VOTERS IGLESIA DE DIOS VIVO COLUMNA APOYO DE LA VERDAD EL BUEN PASTOR EXCLUSION - EXCLUDED OPERATION(S), DESCRIPTION OF OPERATIONS: ANY ACTIVITIES OF UNION GOSPEL MISSION CLINIC OTHER ENDORSEMENTS: LOSS OF LIFE ENDORSEMENT, EACH PERSON LIMIT OF INSURANCE: EACH ACCIDENT LIMIT OF INSURANCE: $ 15,000 $ 20,000 A001 G(03-04) - WA PAGE 2 ISSUED DATE: 05/27/14 Unitarian Church Shelter Floor Plan Storage S tL L Exit Guest Check —In Exit I Dinning Area Exit Kitchen Bath Room Bath Room Exit QRQY CERTIFICATE OF LIABILITY INSURANCE DA10/09/2014 0/09/DIYYYY) 1 010 912 0 1 4 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 Full Armor Insurance Services, LLC 500 North Government Way, Suite 300 Coeur d'Alene, ID 83814 Phone: (208) 664-6000 Fax: (208) 765-8676 ONTACT Doug Bacon PHONE F (208)664-6000 Ket;(208)765-8676 E MASS' PMLK)Y EXP IMMIDDrvYYYI An_easss• dbaconefullarmorcda.com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: GuideOne Mutual Insurance INSURED PACIFIC NORTHWEST DISTRICT OF THE PENTECOSTAL CHURCH OF GOD PO BOX 1497 Kamiah ID 83536- ._-.... INSURERB : ..._.._.. __ 09/01/201409/01/2015 INSURER C : EACH OCCURRENCE INSURER D INSURER E: CLAIMS -MADE INsuRIcRF; OCCUR COVERAGES CERTIFICATE NUMBER; REVISION NUMB 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 LTR TYPE OF INSURANCE -.... INSO NRIVD POLICY NUMBER PD DO/ EFF 1NMVDD/YYYY1 PMLK)Y EXP IMMIDDrvYYYI LIMI.I.S _....-._.,..� X COMMERCIAL GENERAL LIABILITY 01283014 09/01/201409/01/2015 EACH OCCURRENCE .$ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO kENTEU PRQ.,1; s1Pgra BI $ 1,000,000 MED EXP (Any one person) S 10,000 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGRE=GATE $ 3,000,000 X POLICY PRO JECT LOC PRODUCTS 3,000,000 OTHER: $ AUTOMOBILE. LIABILITY ..._— COMBINED SINGLE LIMIT (Ea acoldanl) ANY AUTO '. BODILY' INJURY (Per person)ALL $ AUTOS OWNED AUTOSSCHED BODILY INJURY Peraccfdenl. 1 ) S _. HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE--' I?r,A- desil $ UMBRELLA UAB OCCUR EACH OCCURRENCE m 0 EXCESS LIAB _ _ CLAIMS -MADE AGGREGATE �.� S DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY " PER OTH- STATUTE ER YIN ANY PROPRIETOR/PARTNERIEXECUTIVE N f A E.L. EACH ACCIDENT - $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EA., DISEASE - EA EMPLOYEE '----°^^-°--- S - If yes, desonbeunder DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT S r DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached timbre space Is required) Policy covers the Property at 808 W Mead, Yakima WA 98902. CERTIFICATE HOLDER CANCE ATION Yakima County Offices ATTN: Ken 128 North 2nd St Yakima, WA 98901 Fax: (599) 823-7775 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 Full Armor Insurance Services, LLC ACORD 25 (2014/01) ®1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 41F - Co Atom rr-Argly ,eff,5treig. F ay' 7-gl (5 etd,-3D 4vie e/4,04.6/ A v; )4.ki1A ,tele2441e je usa G/ Pc/AA r1r-,-6 S7E,15474.)JE &._'"Y7viet- c'T- 9 3-J ',Jo ?(-1)L /11 mc,a