HomeMy WebLinkAboutC05-111 Rosa Valadez
?P6... 111- .p I
LEASE AGREEMENT
between The County of Eagle, State of Colorado
and Rosa Valadez
- -
This LEASE made and entered into day 2005, by and between the Board of County
Commissioners of the County of Eagle, State of Colorado, a body corporate and politic (hereinafter
referred to as the "County") and, _Rosa Valadez_(hereinafter referred to as "Lessee").
Business Name (Lessee): --
Contact Name: Rosa Valadez
Address: _P.O. Box 4732 Eagle, CO 81631_
Business phone #: Home Phone #: 328-6565
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WHEREAS, the County represents it is duly authorized to enter into this Lease Agreement pursuant to
Sections 30-11-101, 30-11-107, and 10-11-103, C.R.S., as amended.
WHEREAS, _Rosa Valadez _, represents that he/she is duly authorized to enter into this Lease
Agreement on behalf of the Lessee for its intended purposes.
THAT, in consideration of the mutual promises, covenants, and conditions contained herein, the parties
hereto agree hereby as follows:
1. SCOPE - The County does hereby lease to the Lessee the following premises, as indicated and
marked under paragraph six below, situated within the Eagle County Fairgrounds property,
County of Eagle, State of Colorado, hereinafter referred to as the "leased premises".
Cancellation Provision- Lessees reserving multiple dates hereby agree that the County reserves
the right to cancel reserved dates for use of the facilities giving seven (7) days advance notice to
Lessee. Check whether or not cancellation provision applies below:
X Cancellation Provision does not apply.
0 Cancellation Provision applies.
2. PURPOSE -Lessee's use ofthe leased premises is solely for:
-
1
Estimated number of persons attending: 100_. Estimate as accurately as possible. NOTE:
Lessee may forfeit any damage deposits made if the number of persons attending the event is
fifteen (15) percent greater than the estimate provided. It is the lessee's responsibility to limit
attendance to that indicated herein.
Commercial Events and other events using multiple facilities involving vendors and/or
exhibitors must provide a building and site event layout plan for approval.
3. FEE CATEGORIES - Refer to the Eagle County Fairgrounds Policies and Procedures Manual
for criteria. Check applicable use category below:
Commercial I Non - Resident
X County Resident
0 Non-Profit
4. PERIOD OF AGREEMENT - The term of this lease shall be, check applicable
category:
Month I Day
Exhibit Hall- 10:00 a.m. on 4/2 _,2005, to
10:00 a.m. on 4/3 ,2005.
-
0 Other facilities high use days- 7:00 a.m. to 12:00 p.m. on ,2005.
Other facilities low use days- 7:00 a.m. to 10:00 p.m. on ,2005.
0 Term for multiple date lease shall
5. LICENSES / PERMITS - Prior to the Lessee's event at the leased premises, Lessee shall obtain
any and all licenses, permits and/or inspections as may be required by law, (food vendors must
contact the Eagle County Community Development Department- Environmental Health
Division for requirements. If serving alcohol you must contact the Clerk & Recorders Office).
6. RENTAL FEES AND DAMAGE DEPOSITS - Lessee must pay one-half of the required
damage deposit to reserve the leased premises on the requested date(s). The balance of the
damage deposit and fee is due and payable fourteen (14) days prior to the event and thirty (30)
days prior to the event for the Arena and Grandstands. Events in the Arena and Grandstands
must be reserved no less than sixty (60) days prior to the event. Failure to pay the damage
deposit and fee, as required, prior to the event will result in the loss of the lease. A cancellation
fee of $25 will be withheld from the initial damage deposit if the event is canceled within two
weeks of the event. Cancellation policy for the Arena and Grandstands- Events canceled
2
more than sixty (60) days prior to a reserved event shall receive a full refund of damage deposit
and fees paid. Events canceled less than sixty (60) days prior to a reserved event shall forfeit
one-half of the damage deposit and any fees paid.
Any and all fees and charges shall be agreed to, in advance, and shown on the applicable Exhibit
and attached hereto. If the Lessee requires additional services, subsequent to signing the lease,
the Lessee agrees to execute an additional services form indicating the services required and the
amounts to be paid. Lessee agrees to pay for additional services within thirty (30) days after the
event ends.
The damage deposit and fee for an event will vary depending on the facilities selected, the day of
the week used, the use category into which the user falls and whether or not alcohol is consumed.
Lessee agrees to pay the County the following rental fees and damage deposits for each
Fairgrounds facility leased.
Damage Deposit and Fees Worksheet
Please reftr to "exhibits" attached to this contract for facility ftes.
Exhibit(s) indicating facilities, damage deposits and fees attached? ....................... NO
Check all that apply:
B B
D D Fee Damage Deposit
Parking Lots Included with Lease
Pro-rodeo Arena And Grandstands Exhibit A
- -
Exhibit Hall / North Lawn 100.00 250.00 Exhibit B
-
Livestock Barn (Indoor Arena) Exhibit C
West Parking Lot N/A Exhibit D
Horse Stalls/East Parking Lot Exhibit E
North Lawn/Picnic Area Exhibit F
Events Office Exhibit G
Warm-Up/Practice Arena (Outdoor Arena) - Exhibit H
Concession Stand Exhibit I
Combined Damage Deposit for multiple facilities use
$500 no alcohol / $1,000 alcohol served or
Total Damage Deposit Due: / Total Fees Due: 100.00 250.00
-
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TOT AL AMOUNT DUE:................. ................ ...., .............. .......... ................ .................. 350.00 -
Minus one-half damage deposit due: ...................................................................._125.00
Balance due after one-half damage deposit received:........................................._225.00
Damage Deposit Date Due: -
Date Received: 2/17/2005
- -
Balance of Damage Deposit and Fees Date Due: 3/1812005
-
Date received:
-
Educational Event Fee Waiver Applies
Facilities Admission Surcharge (F AS) Applies
*Please make checks payable to Eagle County.
7. CLEANING AND DAMAGE CHARGES - Prior to the commencement of the lease, Lessee
and an authorized representative of the County shall inspect the leased premises, and shall make
written note of any damaged or unclean property, (for the Exhibit Hall only there will be no pre-
event inspection, lessee accepts the facility as-is). At the termination of the Lease the County's
representative shall make a post-event walk through.
If the premises are left in a clean, usable and undamaged condition, the damage deposit will be
refunded in full to the Lessee within approximately four (4) weeks. If Lessee fails to clean the
leased premises to the satisfaction of the County, or if the leased premises incur any damage
during the Lessee's occupancy, all cleaning and damage expenses incurred by Eagle County
shall be deducted from the damage deposit. In the event that the damage deposit does not cover
the damage, the excess cleaning and damage expenses shall be charged to Lessee who shall pay
that excess within thirty (30) days of billing. Lessee agrees to comply with the facility cleaning
procedures contained in the Eagle County Fairgrounds Policies and Procedures Manual.
Concessionaire and Housekeeping supplemental agreement required.
1. RULES AND REGULATIONS - Lessee agrees to abide by the Eagle County Fairgrounds
Rules and Regulations as set forth in the "Eagle County Fairgrounds Policies and Procedures
Manual- Rules and Regulations", attached hereto and made a part hereof by this reference.
Lessee is responsible for enforcing the Rules and Regulations during its event and with all guests
and participants.
9. INSURANCE FOR EVENTS - The County requires all Lessees to purchase and maintain
insurance as described below under paragraphs A, B & C, insuring against all claims, damages,
losses or expenses arising out of or resulting from the use of the leased premises. The County
does not provide Lessees or their guest's insurance protection. Insurance certificates shall name
4
Eagle County as an "Additional Insured". Lessee agrees to provide the County with a Certificate
of Insurance acceptable to the County, naming Eagle County as an "Additional Insured" fourteen
(14) days prior to commencement of the Lease Agreement. Insurance may be available through
CTSI's Tenant User Liability Insurance Program (TULIP), c/o J & H Alarsh & McLennan at 1-
800-241-2610.
X A. General Liability Coverage shall be carried in the minimum amount of $150,000
per injury and $600,000 per occurrence for claims for damages arising from
Lessee's use of the Fairgrounds, including but not limited to personal injury,
death, property damage, and other damages imposed by law upon the parties
hereto.
B. Host Liquor Liability Insurance is required for any event in which beer or
alcoholic beverages are being served. Host Liquor Liability Insurance shall be
carried in the minimum amount of $150,OOOn per injury and $600,000 per
occurrence.
0 C. Liquor Legal Liability is required for any event in which beer or alcoholic
beverages are being served. Liquor Legal Liability Insurance shall be carried in
the minimum amount of$150,000 per injury and $600,000 per occurrence.
Gij
Proof of Insurance attached? ................... ................................................................................ YE A NO
Host Liquor Liability andlor Liquor Legal policy required? ...............................................=
Proof of Host Liquor and/or Liquor Legal Liability attached? ............................................. ~O
10. INDEMNIFICATION -
A. Lessee agrees to hold the County harmless and assume full responsibility for all claims
asserted against the County by third parties arising out of Lessee's activities on the leased
premises.
B. Lessee agrees the leased premises shall not be used for any purpose which would render
the insurance thereon void or the insurance risk more hazardous, or for any purpose
unauthorized by law.
11. ALCOHOL CONSUMPTION- Lessee is responsible for complying with the State of
Colorado liquor laws. Alcoholic beverages may be served inside the Exhibit Hall, in
connection with a private party, without a liquor license. ANY Lessee requesting to sell
liquor must procure a valid special events liquor license. Special events liquor licenses
may only be obtained by non-profit organizations recognized by the State of Colorado.
Lessee acknowledges that the "sale" of the beer and alcoholic beverages includes indirect
5
sale, for example by cover charge, single price admission, donations or tips. Please
contact the eagle County Clerk and Recorder's office for more information. Check the
applicable category below:
Initials
here:
Lessee requests to serve and consume alcohol inside the Exhibit Hall, for a private
party.
D Lessee requests sell alcohol, or charge admission to our receive donations in
connection with an event where alcohol is provided, on the Eagle County
Fairgrounds' premises; a valid special events liquor license is required.
X Lessee shall not serve or consume alcohol on the premises.
Proof of special events liquor license received? ................ .... .......... ........... .............................. YES @
12. SECURITY - All events where alcohol is served, consumed or sold shall provide security.
Events where attendance is greater than 150 persons in attendance shall provide security based
upon the following schedule:
o to 150 in attendance (required only if alcohol served) .................. 1 uniformed personnel
150 to 200 in attendance ..................... 1 uniformed personnel for no alcohol, 2 for alcohol
200 to 500 in attendance................................................................... 3 uniformed personnel
500 to 1000 in attendance................................................................. 4 uniformed personnel
more than 1000 in attendance................................................................................... 5 uniformed personnel
plus one additional uniformed personnel for each additional 1000 attendees.
Events with 500 or more in attendance require EMT service on-site.
When required, by the guidelines above, Lessee shall provide at its sole expense uniformed
security for events. Lessee shall provide a written, signed confirmation, from the security
provider, to the Facilities Management Department no less than seven (7) days prior to the event.
Security must be arranged through a bonded security firm or the Eagle County Sheriffs
Department.
Secu rity required?...................................................................................................................... YES ~
Proof of security provided? ....................................................................................................... YES
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13. KEY CHECKOUT/RETURN - Lessee shall obtain a key to the leased premises within 48
hours of the event after the fees and damage deposits have been paid in full to the county; proof
of insurance has been submitted; proof of required security has been submitted and any other
requirements have been met. The key must be returned to the county no later than the first
business day following the end of the lease. Keys must be returned to the Fairgrounds Office at:
1400 Fairgrounds Road, Eagle, CO. If the key is not returned within 48 hours after the end of
the event, a lost key fee of$50.00 will be withheld from the damage deposit.
14. MISCELLANEOUS -
Lessee may not assign all or any part of this Lease without the express, written consent of
County, which consent County may grant or deny in its sole discretion. County's consent to any
such assignment does not constitute its agreement to consent to any other assignment. Unless
County's written consent to an assignment expressly states to the contrary, Lessee's assignment
of all or any part of this Lease does not relieve Lessee from liability for the performance of all
duties and obligations to be performed by the lessee by the terms of this Lease.
A. Lessee shall permit the County to have access to the leased premises before, during, and
after the scheduled event. The County shall have the right to cancel any event, without
notice, or to stop any event in progress should the County determine that the security or
life-safety of the lessee and/or attendees is in jeopardy or if the County deems the
facilities necessary for a public emergency.
B. No modification or waiver of this Lease or of any covenant, condition, or provision
herein contained shall be valid unless agreed to in writing by all parties.
C. The written Lease embodies the whole agreement between the parties hereto. There are
no inducements, promises, terms, conditions, or obligations made or entered into by
either the County or Lessee other than those contained herein.
D. All agreements and covenants herein are severable, and in the event that any of them
shall be held invalid by a court of competent jurisdiction, this Lease shall be interpreted
as if such invalid agreement or covenant were not contained herein.
E. If lessee fails to abide by the terms of lease, the County reserves the right to hold any or
all oflessee's damage deposit.
IN WITNESS WHEREOF, the parties hereto have executed this Lease Agreement. One original shall
be kept on file with the County and one copy will be delivered to Lessee.
7
THE COUNTY: COUNTY OF EAGLE, STATE OF COLORADO
by and through
Director Eagle County Fair & Rodeo
LESSEE
Name, Title:
STATE OF COLORADO )
)ss
County of Eagle )
The was acknowledged,before me this d f 1/11 ; 2005,
ay 0 /!/1a17://1
by My commission expires:
Notary Publi
I TANVADAHI8ao 1
NOTARY PUBLIC
STATE OFCOf.ORADo
~."
My c......... E.';;"f3a'l'" u_
8
i>OJd- y~ ~orl-
o^ d.<<7!OS <
~/(*(3d3 ~r$/dY
Eagle County Government -Fair & Rodeo anagement
POBox 250, Eagle, CO 81631
3289 Cooley Mesa Road, Gypsum, CO 81637
Phone: (970) 328-3646 Fax: (970) 328-3546
FAIRGROUNDS FACILITIES
LEASING INFORMATION eo, i?;)L'X...q ':t S2
) ~l Vi /R lX~Z eM C:(C( (0'
Name: -1'i.OS,c) ,~16 -:, I
Date Requested: Apr'l \- '2 ,,,-ct- '-.,c- Event Description: t (', ,~r
,- - ( 'I IrlNLC
RENTAL FEES/DAMAGE DEPOSITS - Lessee must pay one-half of the required damage deposit to (balance reserve the
leased premises on the requested date(s). The balance of the damage deposit and fee is due and due) payable fourteen (14) days
prior to the event and!.hir!Y (30) days prior to the event for the Arena and Grandstands. Events in the Arena and Grandstands
must be reserved no less than sixty (60) days prior to the event. Failure to pay the damage deposit and fee, as required, prior to
the event will result in the loss of the lease. A cancellation fee of$25 will be withheld from the initial damage deposit if the
event is canceled within two weeks of the event.
0 Cancellation policy for the Arena and Grandstands- Events canceled more than sixty (60) days prior to a reserved
event shall receive a full refund of damage deposit and fees paid. Events canceled less than ~ (60) days prior to a
reserved event shall forfeit one-half of the damage deposit and any fees paid.
DEFINITION OF FEE CATEGORIES
COMMERCIAL AND/OR NON-RESIDENT - The standard commercial rate applies to any private individual (using
the facilities for an event for which admission fees or other charges are imposed), for-profit organization, corporation,
or non-Eagle County resident organization, youth or adult.
EAGLE COUNTY RESIDENT - The Eagle County resident rate applies to any private individual residing within
Eagle County, using the facilities for a private event. Eagle County residency may be validated by a Colorado drivers
license or voter registration card.
NON-PROF IT- The non-profit rate applies to any organization with a majority (80%) of its membership residing
within Eagle County, sponsoring educational, civic, athletic, or public service events on a non-profit basis.
Organizations must be registered with the State of Colorado Secretary of State's office and organized as a non-profit
corporation under the laws of the State and/or as having non-profit status recognized by the Internal Revenue Service.
Organizations must provide proof of its non-profit status and incorporation to the Fairgrounds office. Eagle County
residency may be validated by a Colorado drivers license or voter registration card.
HIGH AND LOW USE DAYS - Fees for facilities usage are broken out according to the day of use, The following
guidelines apply:
High-use days- Friday thru Sunday
Low-use days- Monday thru Thursday
The classification of facility usage days above determine the applicable rental fees to be paid by the user. The daily
rental fee for use of the facility shall apply respectively to the periods of operation of the facilities between the hours of
7 a.m. to I Ipm on high-use days; and 7:00 a.m. to 10:00 p.m. on low-use days. The exhibit hall lease, only, is for a
period of24 hours from 10:00 a.m. to 10:00 a.m. Music and loud noise must be off by 1 Ipm on high-use days and
10pm on low use days.
1
CURRENT YEAR 2005 FEES:
Facility Non -Profit County Resident Commercial /Non- Deposit
Resident
Pro Rodeo Arena /Grandstands $100 Fri-Sun $200 Fri-Sun $400 Fri-Sun $250/$500
$50 Mon-Thurs $100 Mon- Thurs $300 Mon- Thurs
Livestock Barn/Indoor Arena $50 Fri-Sun $100 Fri-Sun $300 Fri-Sun $250/$500
$25 Mon- Thurs $50 Mon- Thurs $200 Mon- Thurs
'~Y---.,
Exhibit HalllNorth Lawn j $50 Fri-Sun ( .':~.~r~:~ $300 Fri-Sun /$250!~!500
$25 Mon- Thurs $200 Mon- Thurs '--.--.-
on- urs
Events Office $25 Fri-Sun $50 Fri-Sun $100 Fri-Sun $250/$500
$15 Mon-Thurs $25 Mon- Thurs $75 Mon-Thurs
Warm-Up/Practice Arena $25 Fri-Sun $50 Fri-Sun $100 Fri-Sun None
$15 Mon- Thurs $25 Mon- Thurs $75 Mon-Thurs
North Lawn/Picnic Area $25 Fri-Sun $50 Fri-Sun $100 Fri-Sun $250/$500
$15 Mon- Thurs $25 Mon- Thurs $75 Mon-Thurs
West Lot & Picnic Areas $50 Fri-Sun $100 Fri-Sun $300 Fri-Sun None
$25 Mon- Thurs $50 MOll- Thurs $200 Mon- Thurs
East LotJHorse Stall Area $25 Fri-Sun $50 Fri-Sun $100 Fri-Sun None
$15 Mon- Thurs $25 Mon- Thurs $75 Mon- Thurs
Horse Stalls $5/day $5/day $lO/day None
NP - Non-Profit
CR - County Resident
COMM or INR - Commercial or Non-Resident
Exhibit Hall Basic Information - Rental of the Exhibition Hall includes a 214-person seating capacity (40 tables and 214
chairs)/maximum occupancy, plus use of the restrooms, stage area, kitchen facilities, bar, and lawn area adjacent to the
hall.
~5 INSURANCE - The County requires all Users (Lessees) purchase and maintain insurance as described
(due date) below under paragraphs A, B & C, insuring against all claims, damages, losses or expenses arising out of or
resulting from the use of the leased premises. The County does not provide Lessees or their guests insurance
protection. Insurance certificates shall name Eagle County as an "Additional Insured", Lessee agrees to provide the
County with a Certificate of Insurance acceptable to the County, naming Eagle County as an "Additional Insured"
fourteen (14) days prior to commencement of this Lease Agreement. Insurance may be available through CTSI's
Tenant User Liability Insurance Program (TULIP), c/o J & H Marsh & McLennan at 1-800-241-2610,
2
A. General Liability Coverage shall be calTied in the minimum amount of$150,000 per injury and
$600,000 per OCCUlTence for claims for damages arising from Lessee's use of the Fairgrounds,
including but not limited to personal injury, death, property damage, and other damages imposed by
law upon the parties hereto.
B. Host Liquor Liability Insurance is required for any event in which beer or alcoholic beverages are
being served without direct or indirect (including cover charge, single-price admission, donations or
tips) charge. Host Liquor Liability Insurance shall be carried in the minimum amount of$150,000
per injury and $600,000 per OCCUlTence.
C. Liquor Legal Liability is required for any event in which beer or alcoholic beverages are being
consumed. Liquor Legal Liability Insurance shall be calTied in the minimum amount of $150,000
per injury and $600,000 per occurrence. Please contact the Eagle County Clerk and Recorder's
Office for more information. (328-8718)
J\ ~
f\U SECURITY - All events where alcohol is served, consumed or sold shall provide security through the Eagle
County Sheriff's Department. (328-8525) Events (due date) where attendance is greater than 150 persons in
attendance shall provide security based upon the following schedule: Sheriff's Department charges $45.00 an
hour
o to 150 in attendance (required only if alcohol served) 1 uniformed personnel
150 to 500 in attendance 1 uniformed personnel for no alcohol, 2 for alcohol
500 to 1000 in attendance 3 uniformed personnel
more than 1 000 in attendance 4 uniformed personnel
plus one additional uniformed personnel for each additional 1000 attendees.
When required, by the guidelines above, Lessee shall provide, at its sole expense, uniformed security for events.
Lessee shall provide a written, signed confirmation to the Fair & Rodeo Management Department no less than seven
(7) days prior to the event. Security must be alTanged through the Eagle County Sheriff's Department.
MISCELLANEOUS - A lease agreement must be signed by Lessee and Eagle County no later than 24 hours prior to the
event after all the requirements have been met. No glass containers or bottles are allowed on fairgrounds property. Music
must end by 11 :00 p.m. Everyone must be off-site by 12:00 midnight.
KEY DROP OFF - If all of the requirements have been met, Lessee may obtain a key to the leased premises from the
Road & Bridge Management office within 48 hours of the event. Leave the key in the drop box at the Exhibition Hall or
at the Road & Bridge Management office on the date agreed upon. A penalty of $1 0 per day will be retained for each day
thereafter.
NOTE - All of the above requirements, including time requirements, will be strictly enforced. Failure to comply with any
of the above requirements will result in termination of agreement.
3
MAR/29/2005/TUE 10:43 AM MARSH FAX No. 3J330848.CD p, 003
/
CERTIFICATE NUMBI!R
S 0 119-01
PROOUClll\ THIS CERTIfICATE IS ISSUE!) AS A MAl'TEf{ OF lNI'ORMA'llON ONLY AND CONFERS
MARSH USA INC_ NO IooHT5 UPON Tlfe ClmmCATE HOl.Dl!1t OTHER 11I.AM TlfOSE PROVIDED Ij THE
1225 17TH STREET, SUITE 2100 POl.lCY, THtG C~TIFIC"n DOE$ NOT AMEND. EXTEND OR ALTER THE COveRAGE
DENVER, CO 80202-5534 fd'l'ORDEl) BVlllE POUCIES DESCRIBED HEREIN.
COMPANIES AFl'ORDING COVERAGE
c;or,pANY
174XX .1UUP-OOOO1-o3l04 A CLARENDON NATIONAL INSURANCE COMPANY
WSUftEt! COMI"ANY
CAPP B
800 GRANT STREET, SUITE 400 COMPANY
DENVER. CO 80203
C
COMPl'.NY
0
, "
nilS IS TO CERTIFY THAT POUClES OF NSlJRANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HERSN F'OI'\ WE POUCY PERno INDIC-'TED.
NCJTWITH3TANDLNG ANY REClJIREMENT, TERM OR CONDITJON OF ANY CONTRAc:T Cfi OTl-ER DOCUMENT W'rH RESPECT TO WHJ:;H TIlE CERTlFlCA.TI< MAY BI: ISSUED OR UAV
PERTAIN. THE ~CE AFFORDED BY THE POLJCES DESCRIBED HEREIN IS SUBJl::C'!' TO AlL THE ~. CONomoNS ANt> EXCl.USIONS OF SUO! PQUClES. AGGREGATE
UMrrs SHOWN Ml\Y HAVE BEEN REDUCED BY PAD ClAIMS.
CO TYPE OF INSURANCE pOUCY NUMbSR POuCY fFf'ECTM; POUCY lOO'IAATI~ UMITS
LTR DATE (NMItIDNY) DAT~ (MIoIIDOIYV)
GENERAL UABIUlY G~AGGRI:GATE $
A X ro~ GE/oERAL lWllU'IY EGlOOOeao-01 07/01/04 07101/05 PRODUCTS - cor.F/OP AGG $ 1.000.000
X ~s w.oe: 0 OCCUR PeRSOtW. & ADV INJURY $ 1,000.000
OWNER'S &. CONTRACTOR'S !>ROT . , $ 1,000,000
$ 50,000
ME[) EXP $
AUTOMOBILE UABlUTY ! $
COMBINED SINGLE: UMIT
IVN AUTO
AlL OWNI:O AUl'OS BODIL V INJLRY S
SCl-J<OULE.D AUTOS (Pwr petSOII)
HlRfOAUTOS IiOOIL V INJlRY $
NON.oWNED AUTOS (Per acddent)
PROPERTY DAMAGE $
GARAGE llA8IlTY AUTO ONLY. Et\ ACClPENT $
Ai('( AUTO
EACH
AGGRl<GATE
EXCESS UABlUlY EACH ~E~
AOOREGATE
THE PRClPI'llErCl'll I~ EL. OISEA.S&PCLlCY L1WT $
FAA'rNERS.EXECUT1VE
a:FlCERS ARE; EXCl.. a. DISEASE-€ACH EMPLOYEE S
OTHER
DE$(;RPnoN OF OPERAnoNSJlOCATDNSlVEHICLESlSPECIAL ITEMS
The Certlficate HoldQr and Eagle County are named as additional insured's with regards to the Dance to be held on Aplil 2, 2005 at the Failgamds in Eagle
County.
SHOUtD AllY OF '\'lIE PCUC12S tll!$CIlllnD tlEREN 6f CIJoI(;I;~U;P .~E THE EXPIRA.T1ON DATE THEREOF.
~E INSURER AFFOROING COVERAGE WILL EIOEA1IOR TO IIlAI. --30 I:v.VS WI'lm'tN NOTICIi TO THE
Ms. Rosa Valadez CER11ACA TE HOUJeR NAMED H~ BUT FALlJRE TO WJL SUCH NOTICE SHALl..IMl'OS6 NO OIlliGA'I1ON OR
P.O- Box 4732
Eagle, CO 81631 UO,llIl.fTY OF ANY KNO I,IPON ntE INlW!lER AFl'ORDJIIQ COoIERAaE, ITS olaEHTS OR REPRElENTAIJIIES, 0;: THE
IS$UliR Of THIS cellTFlC-'TE.
MAA$H USAtNC.
Dorofl1y A. Stevens
......
~ . - ., ., " . ~
MAR-29-2005 TUE 11: 25 TEL: 19703283546 NAME:EAGLE CO RD&BR P. 3
