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HomeMy WebLinkAbout11/17/2015 05H 2015-2016 Emergency Cold Weather Shelters PolicyBUSINESS OF THE CITY COUNCIL YAKIMA, WASHINGTON AGENDA STATEMENT Item No. 5. H. For Meeting of. November 17, 2015 ITEM TITLE: Resolution approving three locations for cold weather shelters in the City of Yakima SUBMITTED BY: Joe Caruso, Code Administration Manager SUMMARY EXPLANATION: Yakima Neighborhood Health Services is coordinating the 2015 -2016 Emergency Cold Weather Shelters for Yakima's homeless to provide food and transportation from November 18, 2015 to March 15, 2016, working with three local churches and volunteers from approximately 4:00 pm to 7:00 am. This is the ninth year that the City of Yakima is partnering with local churches to have Emergency Cold Weather Shelters. This year Yakima Neighborhood Health is requesting to utilize the Unitarian Universalist Church, Englewood Christian Church and the Central Lutheran Church. Smoke detectors will be provided at each location of sleeping areas and an operational test of Fire & Life Safety issues will be conducted at each location before occupancy is allowed by the Fire Marshal. Resolution: X Other (Specify): Contract: Start Date: Item Budgeted: Funding Source/Fiscal Impact: Strategic Priority: Insurance Required? No Mail to: Phone: Ordinance: Contract Term: End Date: Amount: none APPROVED FOR &Ej SUBMITTAL: City Manager RECOMMENDATION: Pass the resolution ATTACHMENTS: Description Upload Date Type Res Ck.Ad mafliher, slix.)fteir, 11/9/2015 Cbmar Me.irno 2015 2016 If. i rrerg.)incy Ck.Ad Weafllw.)ir ,ll el�ers 11 /(V2015 Cbmar Memo 11..X)C'Uiryeinos RESOLUTION NO. R -2015- A RESOLUTION authorizing and directing the 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 18, 2015 through March 15, 2016 WHEREAS, the City of Yakima, in conjunction with the Yakima Neighborhood Health Services, 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, 2016 ADOPTED BY THE CITY COUNCIL this 17th day of November, 2015 ATTEST: City Clerk Micah Cawley, Mayor All kelk;Ii t'1100d, H EAR 1.rH Ynkirwi Neighborhootl Health Services 12 South 8 "' St, 110 Bos 2605 Yakima WA 98907 -2605 Phone (509) 454 -4143 Nx (509) 454 -3651 w wW.j'a113.b1'e November 3, 2015 To: Joe Caruso, City of Yakima Fire Marshall From: Anita Monoian, YNHS CE`.,, Re: Extreme Winter Weather Shelter Program 2015 - 2016 Yakima Neighborhood Health Services (YNHS) will coordinate extreme winter weather shelter for Yakima's homeless from November 17, 2015 to March 15, 2016, working with three local churches and volunteers. YNHS staff will coordinate efforts to provide food and transportation to safe shelter beginning approximately 4pm each afternoon and coordinating return from the churches approximately 7am each morning. YNHS will assure each overnight shelter has a designated individual to serve as lead for oversight activities for each shelter, and provide training for all volunteers. Training will include: • Hygiene and universal precautions • Fire Safety • Shelter rules • De- escalation techniques YNHS will work with the City of Yakima's Fire Marshall to assure best practices in safety monitoring are adopted and trained. Additionally, YNHS staff will conduct random inspections of the overnight shelters to assure safety of both the volunteers and guests. Guests will be picked up and dropped off from the YNHS Depot. The following churches intend to provide overnight shelter in the 2015 -2016 Extreme Winter Weather program: • Unitarian Universalist Church, 225 North Second Street, Yakima (women's shelter) • Englewood Christian Church, 511 North 44th Avenue, Yakima (men's shelter) • Central Lutheran Church, 1604 West Yakima Avenue, Yakima (men's shelter) Each church will provide its own general liability coverage for it's physical property. YNHS will also name each church as an additional insured. Certificates are attached. Fire monitoring equipment will be provided at each location. Smoke detectors will be inspected to assured they are in working order. YNHS will perform Washington State Patrol background checks on volunteers, and have 24/7 call support available for problem solving. Thank you. We look forward to working with you on this project, Accredited by the l Commission Patient Centered Medical Home Level 3 kq It arft d H E A L T H Yakima Neighborhood Health Services 12 South 8` SI, PO Box 2605 Yakima WA 98907 -2605 Phunc (509) 454 -4143 Fax (509) 454 -3651 Ivww.3'1111s.org Extreme Winter Weather Shelters Plan Updated 11/2/15 YNHS: - Gather clients at YNHS Depot - Perform initial intake and needs assessment Provide mats, cots, bedding (supplied by Network) o Can churches launder their own bedding daily? - Provides liability insurance for volunteers - Conducts WSP background checks on volunteers - Provide church with utility assistance to help offset additional energy costs.. - Will name churches as additional insured. - Train volunteers — to include: • Hygiene and universal precautions • Fire Safety • Shelter rules • De- escalation techniques - Arrange for delivery of guests to churches by 5:30pm - Arrange for pickup of guests at churches and return to YNHS at 6:30am - Provide warming space and coffee until 8:30am - Random inspections to churches to monitor activity, - Will have staff or volunteer on call 24/7 for problem - solving and support Churches: Provides general liability insurance on buildings / premises Smoke detectors must be present in all sleeping areas Designate Lead Volunteer o lead will be paid a stipend to coordinate and schedule volunteers, coordinate meals and maintain contact with EWWS Coordinator, Recruit volunteers (2 per night minimum) o Volunteers required to submit to WSP Background Check and training Check in / check out clients from shelter stay. Maintain roster of clients who are sheltered nightly. Provide shelter list to YNHS each morning at time of client pick up, Complete Incident Report for any unusual events and provide to YNHS. Meals: - One hot meal provided at dinner time - Guests should have a bag lunch to leave with in the morning Other supplies and miscellaneous to be provided by YNHS: • Spill kits • Cavicide wipes (for mats and cleaning) • Hand hygiene signs Smoking cans Sharps containers (diabetics) Personal protective equipment (gloves, masks, gowns) to protect against body fluids. r w, "f Accredited by the Joint Commission Patient Centered Medical Home Level 3 YAKINEI -01 JSCHULTZ ACORO DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 11/3/2015 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 CCkNTACT NAMEr Hub International Northwest LLC PHONE P(dx "' "�.. P.O. Box 2945 elr u ",,.(509) 248 2672IC, fpal (868) 332 7487 Yakima, WA 98907 E4AIL ADDRE'SS:. INSURER(S) AFFORDING COVERAGE NAIC I{ INSURER A... ,.. - . - - - - -- Washington Casualty Company 142510 INSURED_.. ........... ....... ......... .. ... .._------ -- ------,...._ INSURER B Yakima Neighborhood Health Services Inc, wsuRER c �w PO Box 2605 INSURER D Yakima, WA 98907 -2605 INSURER E ......... . --- - - - - -. INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL' AIM S - _ . .. .­,""I'll" .�. T nb'di. Sue R woLICY EFF f POLICYEXP G R TYPE OF INSURANCE INN §D VJVn POLICY NUMBER I (MMIDDIYYYY) IMMIDD/YYYYI C LIMITS MMERCIAL GENERAL LIABILITY OCCURRENCE �s CO w, ] CLAIMS -MADE . ° D6 f PwSC F of I�nrca�rea ryrrp y _� OCCUR � � p ,; , , , .. $ ....... MED EXP (AnV one parson) $ ......_ .�........... —_ .. _ 1, PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I s r�d7t7^ DUCTS - COMP /OP AGG '. POLICY JgMwl LOC AUTOMOBILE LIABILITY GOMB NE0 SI NIS I L L Mill G $ �'�s� �wrr^iata�nkl .. I BODILY INJURY (Per person) $ NON- OWNED _...... AUTOS AUTOS BODILY INJURY Per acrao $ ALL OWNED SCHEDULED ANY AUTO AUTOS ,_ erSrCn eYGOlk,aACiL HIRED AUTOS RL L OCCMS MADE EXCESS L ALIAS ���---- �R '. EACH OCCURRENCE `6 B AGGREGATE s m. .. DEDRELL RETENTIO ^- CLAI,.._ ...............� „�,m _......._.I N$ S ..... W. AND EMPLOYERS IABILITY WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ft e ran rrr= ( E a'Nd+Y PROPRICIOW ARTNCI'IEXIECUdIVE """"" E L. EACH ACCIDENT $ C'Jrr4fV:PBivREMdI9C'dR tX4,B.IIIftli!�6J1` _ IJ Sf:Idas YON l'nderPEf "tAl "WONT tiat�lrul^r NIA E.L DISEASE -EA EMPLOYErI Ol�erCR0,1S1 oON 01"O E L. DISEASE - POLICY LIMIT s • Professional Liab, X 13858 _ _ �ml 0212512015 0212512016 EACH OCCURRENCE ._...._ mm 1,000,000 • Professional Liab, 13858 4 02125/2015 0212512016 AGGREGATE 5,000,000 P: I I DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Yakima County and the Board of Yakima County Commissioners are named as additional insured as their interest may appear regarding Extreme Winter Weather Program. _ ..._� _._.. ............ .w_ .. ........ ......... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Yakima County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 128 North 2nd Street ACCORDANCE WITH THE POLICY PROVISIONS. Yakima, WA 98901 _ _ AUTHORIZED REPRESENTATIVE �........_.. _ . _ ... ........ ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD YAKINEI -01 JSCHULTZ ACORO DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1113/2015 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 CONTACT NAPtE. Hub International Northwest LLC PHONE " ............... i FAX` "" _... P.O. Box 2945 IAIC Nq, Ext) (509) 248 -2672 tAlc, 40� (866) 332 7487 Yakima, WA 98907 E-MAIL ADDRESS, INSURED Yakima Neighborhood Health Services Inc. PO Box 2605 Yakima, WA 98907 -2605 NAIC 0 10. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSfi ... ... - - -- Ji.U01 BU .. ........ ........... TYPE OF INSURANCE ��asnwv ...... POLitYEFI`-" POLICY -Exo .__ . . LIMITS LTR POLICY NUMBER COMMERCIAL GENERAL LIABILITY fMMIDDNYYY) 1 _ EACH OCCURRENCE $ CLAIMS MADE OCCUR �fA DAorr0 fi NTE PR6.MI'�Efi Ero+acroarsnavnrro $ ,. MED EXP (Any one parson) $ ..... .... 8 ADV INJURY $ .... f GE- N'L AGGREGATE LIMIT APPLIES PER: ERALAGGREGATE GENERAL POLICY LOG Jk'�,'OT 1 PRODUCTS - AGG $ _m _ �e ......,.. ,. AUTOMOBILE LIABILITY _..._ ....... �. m .... ..... ........_ .., w.... �.,,. �.. ... .._............................ l �'JAiDddlFrt7;"rIB�P(ak,J" I uMVA $ rLI nra Ea "� • II� „m _ ANY AUTO BODILY INJURY (Per person) $ 'j A OWNED SCHEDULED 1 BODILY INJURY (Per accident) $ AUTOS AUTOS 1 NON-OWNED I dS @" I fi Yet m_,.._ ... t �. AMAGE HIRED AUTOS - AUTOS t U _ _ ... .. �..... _ ...... .........�..,..,, UMBRELLA LIAB OCCUR EACH OCCURRENCE p EXCESS LIAB CLAIMS MADE ... i A AGGREGATE S I RETENTION $ DED _ I_ e li $ WORKERS COMPENSATION � . PER ..... '� ..... - I AND EMPLOYE RS'LIABILITY YIN -. STATUTE ( FIR k ANY Pd RiJ O I . E,L EACH ACCIDENT r $ NIA FV Ev1[ER EXCLUDED? � 6 � QM,andatany In NH) "" """ E.L, DISEASE EA EMPLOYEE" $ II YPS, derrrrhn unduj I ..__ ..,- r1ESCRq!'F )N car OPE RAT IONd tw E ,. DISEASE - POLICY LIMIT $ • Professional Liab. X 13858 02/2512016 ,EACH OCCURRENCE 1,000,000 • Professional Liab. 13858 0212512015 0212512016 'AGGREGATE 5,000,000 ___J02125/20115 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached if more space is required) Englewood Christian Church is named as additional insured as their interest may appear regarding Extreme Winter Weather Program. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Englewood Christian Church THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 511 North 44th Avenue Yakima, WA 98908 ......... AUTHORIZED REPRESENTATIVE ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD YAKINEI -01 JSCHULTZ ACV DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 11/3/2015 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). ��, _....... T� �tNdtiAT' PRODUCER Hub International Northwest LLC PaH! °NN EYn (509) 248 2672 rAx ( ) P.O. Box 2945 AIC Tau 858 332-7487 Yakima, WA 98907 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N INSURER A : WaShington Casualty Company 42510 INSURED INSURER B Yakima Neighborhood Health Services Inc. INSURER C PO BOX 2605 INSURER o Yakima, WA 98907 -2605 INSURER E INSURER F : COVERAGES _ CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED„ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ITR vo I x — EF -Y -j _ EXP L TYPE OF INSURANCE � u LIMITS w POLICY NUMBER IDIY I MIDDI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CSAruiOUE CY RE%6I EO CLAIMS MADE I OCCUR PREMISE¢ IF. .I. $ MED EXP fAny one oer onl „ 1p F PERSONAL 8 ADV INJURY "e GENT AGGREGATE LIMIT APPLIES PER: I i j GENERAL AGGREGATE POLICY «6Ft'""q' LOG j PRODUCTS - COMPIOpAGG $ 31FU(R ! �..... $ AUTOMOBILE T LIABILITY �� I � � t� trdr ueq SINGLE LI MIT $ ANY AUTO BODILY INJURY (Pe r P erson) $ ALTOOS VdNED SCHEDULED $ . . ............ 7 AU AUT09 BODILY INJURY (Par accident) �. � ^ C .:p w NON -OWNED q 1_l_.� A ta. HIRED AUTOS auros $ I UMBRELLA LIAB CLAIMS -MADE I AGGROGAURRENCE OCCUR EXCESS LIAB DED7 RETENTION$ I + $ ANFRCER( RIE ER EXCLUODE E ) -... STATUTE _ B �R L�4 _,... AND EMPLOYERS' LIABILITY ANY CERIM MB ER ECUTIVE YIN N N I A F , E,L. EACH ACCIDENT $ (Mandatory In NH) �� E L EA EMPLOYEES $ If yes describe under ff —, - �.. ,°",..... DF°iC RIPTION OF OPERATIONS heinw _ � _ 4 E L DISEASE - POLICY LIMIT $ ..- __...._ ._,. .,.,._.._ ...�..w A Professional Liab. I X 13858 1 02/2512015102/2512016 EACH OCCURRENCE 1,000,00 A Professional Liab. 13858 02/25/2015 0212512016 AGGREGATE 5,000,000 ......_..... �! .. L .. ...... DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached IF more space is required) Unitarian Universalist Church is named as additional insured as their interest may appear regarding Extreme Winter Weather Program, ..­,__....,.. .. .............. . ...................... . CERTIFICATE. HOLDER CANCELLATION' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Unitarian Universalist Church Unitarian 2nd Street ACCORDANCE WITH THE POLICY PROVISIONS. 225 Yakima, WA 98901 ..............W AUTHORIZED REPRESENTATIVE _._..M .... ......... ....... ._ I U ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD YAKINEI -01 JSCHULTZ AcoR° CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY, 111/3!2/312015 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 CONTACT NAME; P.O. Box 2945 4 HONE 508 248 -2672 f tisc. N) „ �87 . Hub International Northwest LLC Na, E,1 (.. .).- QAfC. Ne 866 332 74.. ,. . Yakima, WA 98907 E-MAIL E-MAIL a. INSURER(S) AFFORDING u( C N RDING COVERAGE NAI U Washington Casualty Company 42510 INSURER INSURER B, Yakima Neighborhood Health Services Inc. INSURER c P..._ ,_..— ._...- --- O BOX 2605 INSURER _,.mm,,.._.:�,....m , ... .....,.. .,.,., Yakima, WA 98907 -2605 �,n........ _ ..._ INSURER E INSURER F : ..�..,...,,�...___'. ....._....._... ....... ........ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: .. �.... _ __ _ ...... _ ............... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.: NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,.OM- MERCIAL GENERAL LIABILITY ` -,-`r- ... •,... _..... ... ... ........ mm .��., ... ...._....... - ...... _ �. �.,. .. ...,......,. ._, _,�,,,,,,. -. ILT R' __['C TYPE OF INSURANCE Di1L S POLICY EFF POLIO ExP LIMI S LTR � _ _ INSD �n POLICY NUMBER fMMIDDIVYYYI IMMIDDlYYYYI EACH OCCURRENCE $ �- r CLAIMS -MADE � OCCUR TPiRATFvtMI_ S F�C T O� !r FTEnNr T ED na{ MED EXP (Any one person) $ ....,m ..................... .�...__m _______ . _ ----- , PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY C -a u � JE4V I..Ots PRODUCTS - AGG $ i'aNEtfi T C1$ AUTOMOBILE LIABILITY MfiiINC U SIVGGLE'. LCM9T (LKp ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ,. AUTOS ,w. ..NON-OWNED F"RtipPFFtT1'C.uAPJ,dIt"6' _.. )� $ HIRED AUTOS AUTOS j (Pe .�,.... UMBRELLA _ ........ ..�,�,.,,,,... . .._....m.,.... °_ LIAB OCCUR EACH OCCURRENCE $ -- CLAIMS -MADE AGGREGATE $ EXCESS LIA6 _...... ,. _ ..... _.m..- ... AND WORKERS RETENTION $ YIN � $ WOR ERS COMPENSATION -- - _ „_STATUTE �N _ ........ .......- K MPLOYERS' LIABILITY ANY PROPRIETORIPARTNER /EXECUTIVE "”' E.L. EACH ACCIDENT $ OFFICERJMEMBER EXCLUDED? � .... 11A, . - ....- ..- ....--- . -„_m_ (Mandatory In NH) E.L.. DISEASE - EA EMPLOYEE. $ D SCRIPTION OF OPERATIONS below EJ_. DISEASE- °°° °°°°°°° ° _ ._— _ ,...... If yos, describe under L. POLICY LIMIT $ • Professional Liab. X 13858 02125/2015 02125/2016 EACH OCCURRENCE 1,000,000 • Professional Liab. 13858 02125/2015 0212512016 AGGREGATE 5,000,000 I I DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Central Lutheran Church is named a s additional insured as their interest may appear regarding Extreme Wlnter Weather Program, CERTIFICATE HOLDER CANCELLATION _. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Central Lutheran Church THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1604 West Yakima Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Yakima, WA 98902 (AUTHORIZED REPRESENTATIVE I ` ���LLL///»7 ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD H E A LT H Yakima Neighborhood Health Services 12 South 81" St, YO Box 2605 Yakimn NYA 98907 -2605 Phonc (509) 454-1143 Fax(509)454-3651 www.ynhs.org Extreme Winter Weather Shelter Memorandum of Understanding between Yakima Neighborhood Health Services And Church (named here) C 2.C_ N K i,v\ P', Purpose: The purpose of this agreement is to outline expectations and roles for coordinating and providing safe shelter for homeless individuals in Yakima during the winter months in Yakima. This effort is shared by the named church in this Memorandum of Agreement, community volunteers, and Yakima Neighborhood Health Services as the Coordinating Organization of the Extreme Winter Weather Shelter program. This effort is supported by Yakima Valley Conference of Government. Contact Information: For Yakima Neighborhood Health Services: Frank Ramirez, Shelter Manager — Phone number o Back up Annette Rodriguez (509)949 -9122 0 2 "d backup Rhonda Hauff (509) 949 -9779 For Church: o r. • Designated Leadi • BackUp Dates for 2015 — 2016 : November 17, 2015 — March 15, 2016 Population Serving and Capacity: # Men OR # Women Facilities: Each church agrees to designate a lead coordinator to organize and schedule volunteers for oversight and shelter monitoring. The Lead Coordinator will be paid a monthly stipend of $1,000 per month (pro -rated for partial months) for coordination of volunteers, coordinating and monitoring check -in and check -out procedures at the church, setup and cleanup of sleeping mats, meal coordination, etc. Church leadership will designate parishioners or volunteers with keys to church and provide access to facilities for guests. At no time should guests be in facility without oversight. Accredited by the Joint Commission Patient Centered Medical Home Level 3 AlIr�T�d Yakima Neighborhood health Scrvices l2 South 8 "' St, PO Box 2605 Yakima 1YA 98907 -2605 Phonc (509) 454 -4143 fax (509) 454 -3651 www.yuhs.org Church will designate appropriate rest room facilities to be used by guests. A minimum of two volunteers will be required each night. Church agrees to be prepared to receive guests from 5:30pm each evening. Describe Sleeping Space and Rest Rooms Available and attach floor plan: WwOZ- �. "TN At—L �5f (l[�vr� Sc�c /711Cra��n�aT R.vaM ,v C>UI -qN) L� W' A' j w� . , ,° r _ �.,, �t-o l,c Kitchen use: Church agrees to allow volunteers to use the kitchen for the following uses: i Meal preparation: YES NO �- Oven /Stovetop for warming: YES X NO Microwave oven available: YES NO �-X Sandwich preparation: YES I`` NO Coffee / tea maker: YES NO Other kitchen use availability or restrictions: `; l 6 �jA Volunteers, during orientation and training, should be instructed to clean kitchen spaces before and after each use. Transportation: Does Church have capacity to provide transportation at 5:30pm ? YES NO Does Church have capacity to provider transportation at 7:30am ? YES " NO Storage and Clean up: Church agrees to provide a storage space for sleeping mats and bedding. The Church Lead Coordinator will be responsible for either removing refuse his / herself, or mobilizing the guests or volunteers to assist in clean up. Clean up should include mopping the restroom and kitchen Accredited by the Joint Commission Patient Centered Medical Home Level 3 1Vel�I "P, "" ". " ".d Yakima Neighborhood Health Services 12 South 8 "' St, PO Bos 2605 Yakima WA 98907 -2605 1'houe (509) 4544143 Fax(509)454-3651 w•ww.ynLs.org floors, wiping down all counters, removing any other garbage generated during the shelter activity. The storage space for this church is as follows: C�-ASS QoL) VV , (,r�S!�mL rJ 'i o Expense Reimbursement: Church agrees to monitor expenses for additional heating of the facility and maintenance costs during the term of the shelter operations. YNHS has requested funding from Yakima Valley Conference of Government to reimburse church for these additional costs. Funding will be provided to church, through receipt and /or time sheet, as made available by YVCOG. YNHS Coordination: As the coordinating entity of the Extreme Winter Weather Shelter, Yakima Neighborhood Health Services will provide the following: Recruit and coordinate volunteers to assist churches in overnight supervision of shelter operations; Coordinate transportation between YNHS and shelter locations. - Gather clients at YNHS (Depot or Market TBD) - Perform initial intake and comprehensive needs assessment; record data entry as required to state HMIS system; - Screen clients for potential permanent housing solutions. Identify Yakima churches willing to provide shelter between mid - November and mid - March, to which populations (men or women); Coordinate distribution of sleeping mats Provides liability insurance for volunteers Conducts WSP background checks on volunteers - Train volunteers — to include: • Hygiene and universal precautions • Fire Safety • Shelter rules • De- escalation techniques Perform random inspections to churches to monitor activity, Have staff on call 24/7 for problem - solving and support Provide funding to church (dependent on YVCOG approval) for groceries, maintenance, utilities, and shelter coordination. Yakima Neighborhood Health Services /date (Church) / date Dt�-C'� Accredited by the Joint Commission Patient Centered Medical Home Level 3 -, ¶:n.; Nex �r�ar�rl�o d H A t. T H Yakima Neighborhood Health Services 12 South 8 "' St, PO Box 2611-5 Yakima \VA 98907 -2605 Phone (5119) 454 -4143 Fos (509) 454 -3651 wmN.pilts.org Extreme Winter Weather Shelter Memorandum of Understanding between Yakima Neighborhood Health Services And Church (named here) _ f j Purpose: The purpose of this agreement is to outline expectations and roles for coordinating and providing safe shelter for homeless individuals in Yakima during the winter months in Yakima. This effort is shared by the named church in this Memorandum of Agreement, community volunteers, and Yakima Neighborhood Health Services as the Coordinating Organization of the Extreme Winter Weather Shelter program. This effort is supported by Yakima Valley Conference of Government. Contact Information: For Yakima Neighborhood Health Services: Frank Ramirez, Shelter Manager — Phone number o Back up Annette Rodriguez (509)949 -9122 0 211 backup Rhonda Hauff (509) 949 -9779 For Church: Desi natod g �4 BackUp Dates for 2015 — 2016 : November 17, 2015 — March 15, 2016 Population Serving and Capacity: # — Men OR Women Facilities: Each church agrees to designate a lead coordinator to organize and schedule volunteers for oversight and shelter monitoring. The Lead Coordinator will be paid a monthly stipend of $1,000 per month (pro -rated for partial months) for coordination of volunteers, coordinating and monitoring check -in and check -out procedures at the church, setup and cleanup of sleeping mats, meal coordination, etc. Church leadership will designate parishioners or volunteers with keys to church and provide access to facilities for guests. At no time should guests be in facility without oversight. Accredited by the Joint Commission Patient Centered Medical Home Level 3 Nei rfx r {io od H L T H Yakinw Neighborhood Health Services 12 South 8" St, PO Box 2605 Yakima WA 98907 -2605 Phone (509) 454 -0143 Fax (509) 454-3651 w m%'.)'uhs.arg Church will designate appropriate rest room facilities to be used by guests. A minimum of two volunteers will be required each night. Church agrees to be prepared to receive guests from 5:30pm each evening. Describe Steeping Space and Rest Rooms Available and attach floor plan P. Kitchen use: Church agrees to allow volunteers to use the kitchen for the following uses: Meal preparation: YES ✓ NO Oven /Stovetop for warmint:0' rrAthi To ES m „� NO Microwave oven available: YES u., ° °' NO Sandwich preparation: YES NO Coffee / tea maker: YES NO Other kitchen use availability or restrictions: _C I I 1 0 a z 'e- e nl-ra i ce-, Volunteers, during orientation and training, should be instructed to clean kitchen spaces before and after each use. Transportation: Does Church have capacity to provide transportation at 5:30pm ? YES NO'f Does Church have capacity to provider transportation at 7:30am ? YES NO Storage and Clean up: Church agrees to provide a storage space for sleeping mats and bedding. The Church Lead Coordinator will be responsible for either removing refuse his / herself, or mobilizing the guests or volunteers to assist in clean up. Clean up should include mopping the restroom and kitchen Accredited by the Joint Commission Patient Centered Medical Home Level 3 Nei6hborhood H EP4LTH Yakimo Neighborhood He;ilth Serrices 13 South 8 "' St, 1'0 Box 2605 Yakima 1VA 98907 -2605 Phone (509) 4544143 Fax (509) 454 -3651 www.yuhs.or; floors, wiping down all counters, removing any other garbage generated during the shelter activity. The storage space for this church is as-+ ffrojel lee ollows, f � s r do I c aG a, Expense Reimbursement: 5 Church agrees to monitor expenses for additional heating of the facility and maintenance costs during the term of the shelter operations. YNHS has requested funding from Yakima Valley Conference of Government to ireimburse church for these additional costs. Funding will be provided to church, through receipt and /or time sheet, as made available by YVCOG. YNHS Coordination: As the coordinating entity of the Extreme Winter Weather Shelter, Yakima Neighborhood Health Services will provide the following: Recruit and coordinate volunteers to assist churches in overnight supervision of shelter operations; Coordinate transportation between YNHS and shelter locations. Gather clients at YNHS (Depot or Market TBD) Perform initial intake and comprehensive needs assessment; record data entry as required to state HMIS system; Screen clients for potential permanent housing solutions. - Identify Yakima churches willing to provide shelter between mid - November and mid - March, to which populations (men or women); - Coordinate distribution of sleeping mats - Provides liability insurance for volunteers - Conducts WSP background checks on volunteers - Train volunteers — to include: • Hygiene and universal precautions • Fire Safety • Shelter rules • De- escalation techniques - Perform random inspections to churches to monitor activity, - Have staff on call 24/7 for problem - solving and support Provide funding to church (dependent on YVCOG approval) for groceries, maintenance, utilities, and shelter coordination. Yakima Neighborhood Health Services /date "/- 5 -/ E' Accredited by the Joint Commission (Church) / date (' 03 j� IS Patient Centered Medical Home Level 3 Englewood Church ............. . Storage M. ,rrn Kitchen Class Room Class Room Class Room nrr r 76ATION F%Iping D$cipios Make a D ft?rrice (800) 668 -8016 -�l cez' X �6� R oo.m ��► 5" r h r www.christianohurohfoWdation.org GENERAL LIABILITY COVERAGE PART DECLARATIONS PAGE IOLICY NO,: 0039660 -02- 651835 i E!M 1. LIMITS OF INSURANCE: ENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED wERATIONS AND SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) iRODUCTS- COMPLETED OPERATIONS AGGREGATE LIMIT ACH OCCURRENCE LIMIT (BODILY INJURY AND PROPERTY DAMAGE ;OMBINED) IERSONAL AND ADVERTISING INJURY LIMIT (COMBINED) aF,DICAL EXPENSE LIMIT - ANY ONE PERSON (OTHER THAN SEXUAL flISCONDUCT OR SEXUAL MOLESTATION) )ROPERTY DAMAGE LEGAL LIABILITY - ANY ONE OCCURRENCE IEXUAL MISCONDUCT OR SEXUAL MOLESTATION LIMIT (COMBINED) - ALL ;OCATIONS AND OPERATIONS EACH CLAIM LIMIT AGGREGATE LIMIT SEXUAL MISCONDUCT OR SEXUAL MOLESTATION MEDICAL EXPENSE LIMIT ANY ONE PERSON AGGREGATE LIMIT :EGAL DEFENSE COVERAGE LIMIT EACH DEFENSIBLE INCIDENT LIMIT AGGREGATE LIMIT 'ATASTROPHIC VIOLENCE RESPONSE PER PERSON LIMIT EACH VIOLENT INCIDENT LIMIT VIOLENT INCIDENT AGGREGATE LIMIT IMPLOYERS LIABILITY (STOP GAP) COVERAGE BODILY INJURY BY ACCIDENT -EACH ACCIDENT BODILY INJURY BY DISF-ASE- -EACH EMPLOYEE BODILY INJURY BY DISEASE -- AGGREGATE LIMIT TEM 2. DESCRIPTION AND CLASSIFICATION OF PREMISES AND OPERATIONS: iLL PREMISES AND OPERATIONS UNLESS EXCLUDED IN ITEM 3 BELOW, BONE tEM 3. EXCLUSION ENDORSEMENTS: 11/06/1} 001 G(03 -04) - WA PAGE 1 $ 3,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 10,000 $ 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 Ih Mutual IKJUAAPCE CONVAHY DATE: 01 /00114 OLICY NO,: EXCLUSION - MEDICAL EXPENSE , SPECIFIC ACTIVITY OR EVENT: MONTESSOURI SCHOOL (DAY SCHOOL) OTKF -R ENDORSEMENTS: IrOSS OF LIFE ENDORSEMENT, EACH PERSON LIMIT OF INSURANCE: $ 10,00( EACH ACCIDENT LIMIT OF INSURANCE: $ 20,00( A 001 G 0 -:9 - WA PAGE 2 ISSUED DATE: PROFESSIONAL LIABILITY COVERAGE PART CLAIMS MADE DECLARATIONS PAGE POLICY NO.: 0039660 -02- 651835 ITEM I. COVERAGE DESCRIPTION: COVERAGE LIMIT OF INSURANCE DIRECTORS, OFFICERS & TRUSTEES LIABILITY AGGREGATE $ 1,000,000 RETENTION: $1,000 EMPLOYMENT PRACTICES LIABILITY AGGREGATE $ 100,000 RETENTION: $5,000 ITEM 2. OTHER ENDORSEMENTS: AFFILIATED ENTITY DISPUTE LEGAL DEFENSE COVERAGE ENDORSEMENT EACH WRONGFUL ACT $ 25,,000 AGGREGATE $ 50,000 ITEM 3, RETROACTIVE DATE: DIRECTORS; OFFICERS & TRUSTEES LIABILITY COVERAGE DOES NOT APPLY TO INJURY THAT ARISES OUT OF A "WRONGFUL. ACT" WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW, RETROACTIVE DATE: 07/08/96 EMPLOYMENT PRACTICES LIABILITY COVERAGE DOES NOT APPLY TO INJURY THAT ARISES OUT OF A "WRONGFUL EMPLOYMENT PRACTICE" WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW. RETROACTIVE DATE: 03/07/08 A 00 I.(d9 -99 - WA PAGE 1 Pu"tlul; all , ri INSUPANEE COMPAN ISSUED DATE: 01/06/14 HIRED AND NONOWINED AUTOMOBILE LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039660 -02- 651835 ITEM I. COVERAGE DESCRIPTION: HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE RELIGIOUS INSTITUTIONS - EXCESS INSURANCE EACH OCCURRENCE AGGREGATE ITEM 2. ENDORSEMENTS: MEDICAL EXPENSE COVERAGE EXCESS INSURANCE ANY ONE PERSON AGGREGATE A 001 H(10 -,99) - WA PAGE 1 LIMIT OF INSURANCE $ 1,000,000 $ 3,000,000 $ 10,000 $ 25,000 Ch a rc Mutual INSIIAANti (AMPANY ISSUED DATE: 01/05/14 5a(?- ,57z1- %56V CRIME COVERAGE PART DECLARATIONS PAGE POLICY NO.; 0039660 -02- 651835 ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES; ,�xwxwx- �xaww *�rw wwww wwwwwwwwWw�xx * *xxyr :kkwN N +K}x *x *+r�t.cxxxky.xwxxxx wxxxxxxxxr `PREMISES NO: 001 BUILDING NO: 001 ;CONSTRUCTION:, FRAME ;OCCUPANCY: CHURCH AND LESSORS RISK ,LOCATION: 511 NORTH 44TH AVENUE `COUNTY: YAKIMA CITY /STATE: YAKIMA,.WA *'IwW w wxA it N M.: 'a '+M x- x w** w* w w w M w**w w'*w W'*x ww•ww ww wt'w w* w 0 **M','wx r x*x, w *. -x,* *•. x.. xx *xxx xxr. r-OVERAGE FORM: CHURCH THEFT OF MONEY AND SECURITIES LIMIT OF INSURANCE: $5,000 DEDUCTIBLE: $250 t 6PECIAL COVERAGE DAYS_ bHRISTMAS, EASTER AND THANKSGIVING x*W w*w w wwww w W'*x M. x A, 'F . Wx x'ti. M,* •s. yaw * w* 'w*w•* w * w* wwww * w 0ww'0 x'** *x A *'N x. M * A f x x'A'... ,A' # * * Oaw COVERAGE FORM: BLANKET BOND JMIT OF INSURANCE: $15,000 DEDUCTIBLE: FULL COVERAGE ITEM 2. ENDORSEMENTS; VONE fi Church ul INSDAMI taus ti 001 C(06 -7) - WA _ __ PAGE 1 ISSUED DATE: 01/06/1 PROFESSIONAL LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039660. 02651835 ITEM I. COVERAGE DESCRIPTION: ;VERACE COUNSELING PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE SCHEDULE OF POSITIONS COVERED LIMIT OF INSURANCE 1,000,000 3,000,000 "SCHE=DULE OF POSITIONS COVERED" - "EMPLOYEES AND VOLUNTEERS ACTING UNDER YOUR DIRECTION AND CONTROL AND WITHIN THE SCOPE OF HIS OR HER DUTIES AS SUCH." ITEM 2. ENDORSEMENTS; NONE R(10 -99) - WA PAGE 1 ISSUED DATE V arc uutLuaI INSURANCE COMPANY 01/06/14 POLICY NO.: 00:39(00.02.651$35 COVERAGE: PERSONAL PROPERTY LIMIT OF INSURANCE: $34,000 COINSURANCE PERCENT: 90% COVERED CAUSE OF LOSS; SPECIAL VALUATION: REPLACEMENT COST OPTIONAL COVERAGE: AUTOMATIC INCREASE IN INSURANCE xxxxxxxww xwwww n' *xxirw W+r+:,rxwwwxxwxw wwwwwwwwxxxx RwwwWwwn'xxxxkww�: ADDITIONAL COVERAGES OR ENDORSEMENTS ADDITIONAL COVERAGE: LIMIT OF INSURANCE; ADDITIONAL COVERAGE: LIMIT OF INSURANCE; ADDITIONAL COVERAGE: LIMIT OF INSURANCE: DEBRIS REMOVAL $25,000 ANY ONE OCCURRENCE INSTITUTIONAL INCOME & EXTRA EXPENSE $50,000 ANY ONE OCCURRENCE BUILDING ORDINANCE $400,000 ANY ONE OCCURRENCE ITEM 2, DEDUCTIBLE - OCCURRENCE: $2,500 ITEM 3. ENDORSEMENTS: NONE ITEM 4. MORTGAGEHOLDERS, LOSS PAYEES, AND CONTRACT SELLERS: NONE 10-99) - WA PAGE 2 ISSUEL