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HomeMy WebLinkAboutR-2015-140 2015-2016 Emergency Cold Weather Shelters PolicyRESOLUTION NO. R-2015-140 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: Acting Acting City Jerk Micah Cawley, Mayor '1111111 1, nun 11,1:1141r10 BUSINESS OF THE CITY COUNCIL YAKIMA, WASHINGTON AGENDA STATEMENT Item No. S.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 Ordinance: Other (Specify): Contract: Contract Term: Start Date: End Date: Item Budgeted: Amount: Funding Source/Fiscal Impact: none Strategic Priority: Insurance Required? No Mail to: Phone: APPROVED FOR SUBMITTAL: City Manager RECOMMENDATION: Pass the resolution ATTACHMENTS: Description Upload Date DI Res cc wea her slIneRer 11/9/2015 2015...2016 Emergency Coffi Weather SheIlters IDocuments 11/6/2015 Type Cover Memo Cover Memo Neibhboriwod H E A L'F H Yakima Neighborhood Health Services 12 South 8"' St, PO Bos 2605 Yakima WA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.ynlis.org 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: o Hygiene and universal precautions o Fire Safety o Shelter rules o 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 Joint Corornission Patient Centered Medical Home Level 3 YNHS: Neig>?borltvod H f A. T H Yakima Neighborhood Health Services 12 South 8' SI, PO Box 2605 Yakima WA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.y'nhs.org Extreme Winter Weather Shelters Plan Updated 11/2/15 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: o Hygiene and universal precautions o Fire Safety o Shelter rules o 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. Accredited by the Joint Commission Patient Centered Medical Home Level 3 YAKINEI-01 JSCHULTZ ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 Hub International Northwest LLC P.O. Box 2945 Yakima, WA 98907 INSURED Yakima Neighborhood Health Services Inc. PO Box 2605 Yakima, WA 98907-2605 CONTACT NAMEr PHONE (509)248 2672 leer urr,�� �i E•MA%t.. ADDRE'SS:. INSURER(S) AFFORDING COVERAGE INSURER A... Washington Casualty Company INSURER B : INSURER C INSURER D INSURER E INSURER F : PIC, N,); 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1NSFt TYPE OF INSURANCE ..... ACDL SUER _..... _.— _. .-..___. POLICY EF . POLICY' EXP LTR INso WVn POLICY NUMBER (MMIDDIYYYYI (MMIDD/YYYY1 66)332-7487 NAIC N 142510 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: i PRO. POLICY ,plxc1• LOC 0111tl„fb; AU 0MOBILE BILE..LIABILITY LY ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAB EXCESS LIAB SCHEDULED AUTOS NON -OWNED AUTOS OCCUR CLAIMS -MADE _.......... DED.................RETENTION $L..................._......�....- .�. WO...__... KERS COMPENSATION AND EMPLOYERS' LIABILITY a'Nd^r N'k1P,11•nRIE TORI KARTNERtExIECU14VE V:R8iw1EMRER EXCLUDED? ttl tlavudt ry Is NH) 01 eP. 41rACribe undee (J fciu°IYONOFOPERATIONS b Iru�^r A Professional Liab. A Professional Liab, YIN N/A LIMITS $ EACH OCCURRENCE DAMAGE TOR MILD Pf11zMf.f^ a,(f )ra•cairRrs�ryr,a,%. MED EXP (Any one parson) $ PERSONAL 8 ADV INJURY - $ GENERAL AGGREGATE 1$ PRODUCTS - COMP/OPAGG COME%N. BODILY INJURY (Per person) BODILY INJURY (Per accident) 0 $ M0 $ II EACH OCCURRENCE AGGREGATE $ '61-14....... s FAT F I FR E , EACH ACCIDENT _ S E L, DISEASE - EA EMPLOYEE, $ EL, DISEASE POLICY LIMIT $ 13858 02/25/2015 02/25/2016 EACH OCCURRENCE 13858 02/25/2015 02/25/2016 AGGREGATE 1,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mo e 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. CERTIFICATE HOLDER Yakima County 128 North 2nd Street Yakima, WA 98901 ACORD 25 (2014/01) CANCELLATION 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 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YAKINEI-01 JSCHULTZ ACRO CERTIFICATE OF LIABILITY INSURANCE l DATE (MM/YY) 015 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 Hub International Northwest LLC P.O. Box 2945 Yakima, WA 98907 INSURED Yakima Neighborhood Health Services Inc. PO Box 2605 Yakima, WA 98907-2605 CONTACT NAME: PHOE NE (509)248-2672 IAIC No. xll ADDRESS,: INSURER(S) AFFORDING COVERAGE INSURER A :Washington Casualty Company INSURER B; INSURER C INSURER D INSURER E r. INSURER F : IAIC. Mel 66) 332-7487 NAIC 0 42510 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, NSFt ADM 50111" ' pOLiG1"EF POLitsra LTR TYPE OF INSURANCE_ wvn POLICY NUMBER (MM/DDIYYYY) IMM/DDIYYYY1 LIMITS I COMMERCIAL GENERAL LIAA__ -- _.. — EACH OCCURRENCEBILITTY 1 CLAIMS MADE ;m, �.,} OCCUR PRIF M(' fijjPcomaErswa'op),. GEN'L AGGREGATE LIMIT APPLIES PER: PRD= POLICY Jf=2.T 1 LOC OrHUR AUTOMOBILE LIABILITY _..._ ....... ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAB EXCESS LIAB SCHEDULED AUTOS NON -OWNED AUTOS DED 1 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRCPRII' TOra/I ARTNER/EEEC.0"TIVC, orricrfi/H4EMRGER EXCLUDED? IManda(rny In NH) If yes, Jeri,'+hr under owiRo rgN 00.OPERATIOEEIEW A Professional Liab. A Professional Liab. OCCUR CLAIMS -MADE Y NIA 13858 13858 MED EXP (Anv one porsonl PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OP AGG 4,00 WED SINGLE LIMIT BODILY INJURY (Per person) I. BODILY INJURY (Per accident) t�_pa add'ra�kRhC 4 .... EACH OCCURRENCE, AGGREGATE S I$ I STATUTE f ER s E,L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE` $ 02/25/2015 02/25/2015 02/2512016 0212512016 E ,. DISEASE - POLICY LIMIT EACH OCCURRENCE AGGREGATE 1,000,000 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requlred) Englewood Christian Church is named as additional insured as their interest may appear regarding Extreme Winter Weather Program. CERTIFICATE HOLDER Englewood Christian Church 511 North 44th Avenue Yakima, WA 98908 ACORD 25 (2014/01) CANCELLATION 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 c Jo © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE YAKINEI-01 JSCHULTZ DATE (MMIDDIYYYY) 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 Hub International Northwest LLC P.O. Box 2945 Yakima, WA 98907 INSURED Yakima Neighborhood Health Services Inc. PO Box 2605 Yakima, WA 98907-2605 CON'TACT NAME: '.. PONE (AIHrN E'si) (509) 248-2672 E-MAIL ,..., a..�.... ...... ADDRESS: .................. INSURER(S) AFFORDING COVERAGE INSURER A :Washington Casualty Company INSURER 0 INSURER C INSURER 0 INSURER E INSURER F: 332-7487 NAIC N 42510 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. (LTR TYPCOMMERCIAL OF INSURANCE I INSn w N (ABILITY vn POLICY NUMBER IMM/DD/VYYYI IMMJDDIYYYY) LI EACH OCCURRENCE NSR U POLICY EYE POLICY EXP 1 ------ LIMITS 1 CLAIMS MADE IOCCUR p RFMIREC IE l ISAMAGrTo REISTED GEN°L AGGREGATE LIMIT APPLIES PER: POLICY 1111. j° ( LOC OTHER; AUTOMOBILE LIABILITY I ANY AUTO ALL OWNED AUTOS HIRED AUTOS `SCHEDULED AUTOS NON -OWNED AUTOS MED EXP () PERSONAL n ADV INJURY one person 8 Y GENERAL AGGREGATE PRODUCTS - COMP/OP AGG Cf.?I1t51NE0 SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRE;,]PLRTY4)Ad,1AfxE N $ (laec ,,,:cir1r12). UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTIONS A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS heir, Professional Liab, mmmm mm ._ ..,_,. Professional Liab. YIN EACH OCCURRENCE AGGREGATE NIA X j 13858 02/25/2015 02/25/2016 13858 02/25/2015 02125/2016 E,L. EACH ACCIDENT E . DISEASE - EA EMPLOYEE';' $ E L DISEASEPOLICY LIMIT $ EACH OCCURRENCE 1,000,00 AGGREGATE 5,000,000 DESCRIPTION OF OPERATIONS / 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 Unitarian Universalist Church 225 North 2nd Street Yakima, WA 98901 ACORD 25 (2014/01) 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 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE YAKINEI-01 C JSCHULTZ DATE (MMIDD/YYYY) 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 Hub International Northwest LLC P.O. Box 2945 Yakima, WA 98907 INSURED Yakima Neighborhood Health Services Inc. PO Box 2605 Yakima, WA 98907-2605 CONTACT NAME" PHONE 508 ) 248-2672 tAaC. Na, C..N9 E MAL '....... ADDRESS. INSURERS) AFFORDING COVERAGE INSURER A :Washington Casualty Company INSURER B INSURER C INSURER D INSURER E INSURER F : �rtst... Nn I (866) 332-7487 tA1C. NAIC N 42510 COVERAGES CERTIFICATE NUM'.wER: 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. INSRm,._..,. MAL S R,.,.,,,_..... .,.. POLICY -Err POLICY EXP LTR r TYPE OF INSURANCE INSD WNO POLICY NUMBER IMM/DD/YYYYI IMMIDDIYYYYI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LIMITS EACH OCCURRENCE -LSAMAGE-TOT7EN'TED PRFMISFS (Ea nrr enra), MED EXP (Any one person) PERSONAL 8 ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OPAGG GEN°L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC I OTHER. AUTOMOBILE LIABILITY ANY AUTO '.. ALL OWNED AUTOS HIRED AUTOS SCFIEDULED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR NE D SINGLE LIMIT BODILY INJURY (Per person BODILY INJURY (Per accident) PROPERTY DAMAGE EXCESS LAB CLAIMS . ......, M -MADE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab. A Professional Liab. NIA: X 13858 13858 02/25/2015 02/25/2015 02/25/2016 02/25/2016 EACH OCCURRENCE AGGREGATE PER STATUTE E . EACH ACCIDENT E DISEASE - EA EMPLOYEE. L. DISEASE E,.. ,I....�IMT_. E, POLICY LIMIT EACH OCCURRENCE 1,000,000 AGGREGATE 5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Central Lutheran Church is named as additional insured as their interest may appear regarding Extreme Winter Weather Program, CERTIFICATE HOLDER Central Lutheran Church 1604 West Yakima Avenue Yakima, WA 98902 ACORD 25 (2014/01) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. qW A REPRESENTATIVE t © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Nei hborbood HEALTH Yn dma Neighborhood Health Services 12 South 8"' St, PO Box 2605 Yakima WA 98907-2605 Phone (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) 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 o 2"d backup Rhonda Hauff (509) 949-9779 For Church: • Designated Lead • BackUp _...�..._......'.i:"... _� Dates for 2015 - 2016 : November 17, 2015 - March 15, 2016 Population Serving and Capacity: # C) Men OR # 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 NeabI bort ood Yakima Neighborhood health Services 12 South 8"' St, PO Box 2605 Yakima WA 98907-2605 Phone (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 : TN (4 15f (=RN) RvoAA � I J_E - ep.> ; P,4 N) Ci . ` N kA.°a"` 'Lr � J A Li Wla .\ l _ ; Kitchen use: Church agrees to allow volunteers to use the kitchen for the following uses: i NO /- Meal preparation: YES Oven/Stovetop for warming: YES NO Microwave oven available: Sandwich preparation: Coffee / tea maker: Other kitchen use availability or restrictions: YES YES YES »-c l6 Cc NO NO NO 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 Net iff;or/`ood Yakima Neighborhood Health Services 12 South 8"' Si, PO Bos 2605 Yakima WA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.ynhs.org floors, wiping down all counters, removing any other garbage generated during the shelter activity. The storage space for this church is as follows: Cl1/4-rASS C2.70 '6 , r•J , ¶ L CrivG 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: o Hygiene and universal precautions o Fire Safety o Shelter rules o 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 l/— Accredited by the Joint Commission (Church) / date Patient Centered Medical Home Level 3 Neighborhood ('HEALTH V'akini Neighborhood Health Services 12 South 8'h Sl, PO Box 26115 Yakima \VA 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.yolis.org Extreme Winter Weather Shelter Memorandum of Understanding between Yakima Neighborhood Health Services And Church (named here) L i\ o-rC L 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 o 2nd backup Rhonda Hauff (509) 949-9779 For Church: • Designaf ci j , .a t BackUp Dates for 2015 — 2016: November 17, 2015 — March 15, 2016 Population Serving and Capacity: # a 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 No01)otlrood H E A R T H Yakima Neighborhood Health Services 12 South 8'h St, I'O Box 2605 Yakima WA 98907-2605 Phone (509) 454-0143 Fax (509) -154-3651 www.yiths.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 Steeping Space and Rest Rooms Available and attach floor plan : 11rinr n a v, S q . f k` PEA() 1 n Y` r1 n yn C h Kitchen use: Church agrees to allow volunteers to use the kitchen for the following uses: Meal preparation: Oven/Stovetop for warming Microwave oven available: Sandwich preparation: Coffee / tea maker: ' .rrAl trq YES i/ NO E YES YES YES Other kitchen use availability or restrictions: _complii Volunteers, during orientation and training, should be instructed to clean kitchen spaces before and after each use. NO NO NO NO V4 e ntran ce_, Transportation: Does Church have capacity to provide transportation at 5:30pm ? YES Does Church have capacity to provider transportation at 7:30am ? YES 0 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 r ' .,{ Patient Centered Medical Home Level 3 Nekhbor/Tood —HEALTH Yakima Neighborhood Health Services 12 South 811' St, PO Box 2605 Yakima 1114 98907-2605 Phone (509) 454-4143 Fax (509) 454-3651 www.yahs.org floors, wiping down all counters, removing any other garbage generated during the shelter activity. The storage space for this church is as follows, f 4, t ,„ 5 1 Ura5e, l r do 1 OCIC 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: o Hygiene and universal precautions o Fire Safety o Shelter rules o 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 Accredited by the Joint Commission Ehc: I(C�:r,/ C)rfs ;ctrl Ch�rA (Church) / date 1,/O3/2015 Patient Centered Medical Home Level 3 Englewood Church 111 Storage Class Room Class Room • . A A , woN Oen' Class Room highr000t Kitchen HUST1AN 0UNDATION Helping Disciples Make a Difference (soo) 668-8016 2a' )K' i9'5V2' www.christianchurchfoiiadation.org GENERAL LIABILITY COVERAGE PART DECLARATIONS PAGE )OLICY NO,: 0039660-02-651835 i'EM 1. LIMITS OF INSURANCE: ENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED )AERATIONS AND SEXUAL MISCONDUCT OR SEXUAL MOLESTATION) 'RODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT ACH OCCURRENCE LIMIT (BODILY INJURY AND PROPERTY DAMAGE ;OMBINED) IERSONAL AND ADVERTISING INJURY LIMIT (COMBINED) tIEDICAL EXPENSE LIMIT - ANY ONE PERSON (OTHER THAN SEXUAL hISCONDUCT OR SEXUAL MOLESTATION) IROPERTY DAMAGE LEGAL LIABILITY - ANY ONE OCCURRENCE EXUAL MISCONDUCT OR SEXUAL MOLESTATION LIMIT (COMBINED) - ALL ,OCATIONS AND OPERATIONS EACH CLAIM LIMIT AGGREGATE LIMIT EXUAL MISCONDUCT OR SEXUAL MOLESTATION MEDICAL EXPENSE LIMIT ANY ONE PERSON AGGREGATE LIMIT :EGAL DEFENSE COVERAGE LIMIT EACH DEFENSIBLE INCIDENT LIMIT AGGREGATE LIMIT CATASTROPHIC 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 DISEASE --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. LONE rEM 3. EXCLUSION ENDORSEMENTS: 001 G{ 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 Church u } Leal I ll.StlAAPCE CONVAHY ISSUED DATE: 01/00/14 EXCLUSION - MEDICAL EXPENSE - SPECIFIC ACTIVITY OR EVENT: MONTESSOURI SCHOOL (DAY SCHOOL) OTHER ENDORSEMENTS: LOSS OF LIFE ENDORSEMENT, EACH PERSON LIMIT OF INSURANCE: EACH ACCIDENT LIMIT OF INSURANCE: $ 10,00( $ 20,00( AGE 2 I aSUEL C ATE PROFESSIONAL LIABILITY COVERAGE PART CLAIMS MADE DECLARATIONS PAGE POLICY NO.: 0039660-02-651835 ITEM 1. COVERAGE DESCRIPTION: COVERAGE DIRECTORS, OFFICERS & TRUSTEES LIABILITY AGGREGATE RETENTION: $1,000 EMPLOYMENT PRACTICES LIABILITY AGGREGATE RETENTION: $5,000 ITEM 2. OTHER ENDOR•SENIENTS: LIMIT OF INSURANCE $ 1,000,000 $ 100,000 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 001 PIC- d10-99 - WA PAGE 1 IIiSIIPANCE COMPA ISSUED DATE: 01/06/14 HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039880-02-651835 ITEM 1. COVERAGE DESCRIPTION: COVERAGE LIMIT OF INSURANCE HIRED AND NONOWNED AUTOMOBILE LIABILITY COVERAGE RELIGIOUS INSTITUTIONS - EXCESS INSURANCE EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 3,000,000 ITEM 2. ENDORSEMENTS: MEDICAL EXPENSE COVERAGE EXCESS INSURANCE ANY ONE PERSON $ 10,000 AGGREGATE $ 25,000 Church Mutua look At!' (.9MPANY A 001 H10M0 - WA PAGE 1 ISSUED DATE: 01/06/14 CRIME COVERAGE PART DECLARATIONS PAGE 5-0?- 5/7t/- s56V pQLICY NO.: 0039560-02-851835 .ITEM 1. DESCRIPTION OF PREMISES AND COVERAGES; ,*,*******0,************** * * * * * * * - * * ** * * * * * * * * * * * * * * * * * * y. * * k************* PREMISES NO: ;CONSTRUCTION: ;OCCUPANCY: LOCATION: '.COUNTY: CITY/STATE: 001 BUILDING NO: 001 FRAME CHURCH AND LESSORS RISK 511 NORTH 44TH AVENUE YAKIMA YAKI MA, . WA COVERAGE FORM: CHURCH THEFT OF MONEY AND SECURITIES LIMIT OF INSURANCE: $5,000 SPECIAL COVERAGE DAYS_ bHRISTMAS, EASTER AND THANKSGIVING COVERAGE FORM: BLANKET BOND LIMIT OF INSURANCE: $15,000 ITEM 2. ENDORSEMENTS; VONE 001 C 06-7 - WA [DEDUCTIBLE: $250 DEDUCTIBLE: FULL COVERAGE PAGE 1 Church Mutual ixsn�AHtI taut, ISSUED DATE: 01/06/14 PROFESSIONAL LIABILITY COVERAGE PART DECLARATIONS PAGE POLICY NO.: 0039660.02651835 ITEM 1. COVERAGE DESCRIPTION: OVERAGE LIMIT OF INSURANCE COUNSELING PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE SCHEDULE OF POSITIONS COVERED $ 1,000,000 $ 3,000,000 "SCHEDULE 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 urch utual INSURANCE COMPANY LIED DATE: 01/06/14 POLICY NO.: 0039000.0'2-6351$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 * * *********** n'* * it * sr s: * * * * * **W* *WWW** **R *W*W W** * ****: 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 A P109, -WA PAGE 2 ISSUE[