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HomeMy WebLinkAboutC14-213 Katz Racing Promotions AgreementAGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
KATZ RACING PROMOTIONS
THIS AGREEMENT ("Agreement") is effective as of the day of MAY �, 2014 by and between
Katz Racing Promotions, LLC, a Colorado limited liability company (hereinafter "Contractor") and Eagle County,
Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, the County desires to engage a contractor to deliver, set-up and operate a race car simulator for the
2014 Eagle County Fair and Rodeo (the "Project") at the Eagle County Fairgrounds, located at 426 Fairgrounds
Road, Eagle, Colorado 81631 (the "Fairgrounds"); and
WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and
experience necessary to provide the Services as defined below in paragraph I hereof; and
WHEREAS. this Agreement shall govern the relationship between Contractor and County in connection with the
Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and County agree as
follows:
1. Services or Work. Contractor agrees to diligently provide all services, labor, personnel and materials
necessary to perform and cgmplete the services or work described in Exhibit_A ("Services" or "Work") which is
attached. hereto and incorporated herein by reference. The Services shall be performed in accordance with the
provisions and conditions of this Agreement.
a. Contractor agrees to furnish the Services in accordance with the schedule established in Exhibit
A. Contractor will provide its Services on July 25, July 26 and July 27, 2014 during the 75th Annual Eagle County
Fair and Rodeo. If no completion date is specified in Exhibit A, then Contractor agrees to furnish the Services in a
timely and expeditious manner consistent with the applicable standard of care. By signing below Contractor
represents that it has the expertise and personnel necessary to properly and timely perform the Services. The
County agrees that it will provide a 10' x 20' enclosed tent for set-up and operation of the race car.
b. In the event of any conflict or inconsistency between the terms and conditions set forth in Exhibit
A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement
shall prevail,
2. County's Representative. The Facilities Management Department's designee shall be Contractor's contact
with respect to this Agreement and performance of the Services.
3. Term of the Agreement, This Agreement shall commence upon the date first written above, and subject to
the provisions of paragraph 11 hereof, shall continue in hill force and effect until the Services are satisfactorily
completed in accordance with the terms of this Agreement.
4. Extension or Modification. Any amendments or modifications shall be in writing signed by both parties.
No additional services or work performed by Contractor shall be the basis for additional compensation unless and
until Contractor has obtained written authorization and acknowledgement by County for such additional services in
accordance with County's internal policies. Accordingly, no course of conduct or dealings between the parties, nor
verbal change orders, express or implied acceptance of alterations or additions to the Services, and no claim that
County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust
enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written
authorization and acknowledgment by County for such additional services is not timely executed and issued in strict
accordance with this Agreement, Contractor's rights with respect to such additional services shall be deemed waived
and such failure shall result in non-payment for such additional services or work performed.
5. Compensation. County shall compensate Contractor for the performance of the Services in a sum
computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement shall not
exceed $2,100.00. The County will additionally provide one hotel room (with 2 beds) of County's choice for use
by Contractor from 7/24/14 - 7/27/14 during the performance of Contractor's Services. Check-in/check-out times
and use of the rooms will be subject to the hotel's policies and procedures. Contractor shall not be entitled to bill at
overtime and/or double time rates for work done outside of normal business hours unless specifically authorized in
writing by County.
a. Payment will be made via check at the conclusion of the Services for Services satisfactorily
performed, and upon receipt of an invoice from Contractor. All invoices shall include detail regarding the hours
spent, tasks performed, who performed each task and such other detail as County may request.
b. If, at any time during the term or after termination or expiration of this Agreement, County
reasonably determines that any payment made by County to Contractor was improper because the Services for
which payment was made were not performed as set forth in this Agreement, then upon written notice of such
determination and request for reimbursement from County, Contractor shall forthwith return such payment(s) to
County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall
forthwith be returned to County.
C. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor
agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made
pursuant to the terms of this Agreement.
Notwithstanding anything to the contrary contained in this Agreement, County shall have no
obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after
December 31 of any year, without an appropriation therefor by County in accordance with a budget adopted by the
Board of County Commissioners in compliance with Article 25, title 30 of the Colorado Revised Statutes, the Local
Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X,
Sec. 20).
6. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the
particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for
the performance of any of the Services or additional services without County's prior written consent, which may be
withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all
personnel assigned to the subject Project during the performance of this Agreement and no personnel to whom
County has an objection, in its reasonable discretion, shall be assigned to the Project. Contractor shall require each
subcontractor, as approved by County and to the extent of the Services to be performed by the subcontractor, to be
bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and
responsibilities which Contractor, by this Agreement, assumes toward County. County shall have the right (but not
the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and
Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its
agents, employees and subcontractors.
7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense, the following
insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
Workers' Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than $1,000,000 each accident combined
bodily injury and property damage liability insurance, including coverage for owned, hired, and non -owned
vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, broad form property damage with limits of liability not
less than $1,000,000 per occurrence and $1,000,000 aggregate limits.
Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to include
Eagle County, its associated or affiliated entities, its successors and assigns, elected officials, employees, agents and
volunteers as additional insureds. A certificate of insurance consistent with the foregoing requirements is attached
hereto as Exhibit B.
ii. Contractor's certificates of insurance shall include subcontractors, if any as additional
insureds under its policies or Contractor shall furnish to County separate certificates and endorsements for each
subcontractor.
iii. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
iv. The parties hereto understand and agree that the County is relying on, and does
not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights, immunities and
protections provided by the Colorado Governmental Immunity Act, as from time to time amended, or otherwise
available to County, its affiliated entities, successors or assigns, its elected officials, employees, agents and
volunteers.
V. Contractor is not entitled to workers' compensation benefits except as
provided by the Contractor, nor to unemployment insurance benefits unless unemployment compensation coverage
is provided by Contractor or some other entity. The Contractor is obligated to pay all federal and state income tax
on any moneys paid pursuant to this Agreement.
8. Indemnification. The Contractor shall indemnify and hold harmless County, and any of its officers, agents
and employees against any losses, claims, damages or liabilities for which County may become subject to insofar as
any such losses, claims, damages or liabilities arise out of, directly or indirectly, this Agreement, or are based upon
any performance or nonperformance by Contractor or any of its subcontractors hereunder; and Contractor shall
reimburse County for reasonable attorney fees and costs, legal and other expenses incurred by County in connection
with investigating or defending any such loss, claim, damage, liability or action. This indemnification shall not
apply to claims by third parties against the County to the extent that County is liable to such third party for such
claims without regard to the involvement of the Contractor. This paragraph shall survive expiration or termination
hereof.
9. Ownership of Documents. All documents (including electronic files) and materials obtained during,
purchased or prepared in the performance of the Services shall remain the property of the County and are to be
delivered to County before final payment is made to Contractor or upon earlier termination of this Agreement.
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i) personally
delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii) when delivered by FedEx
or other comparable courier service, charges prepaid, to the parties at their respective addresses listed below, or (iv)
when sent via facsimile so long as the sending party can provide facsimile machine or other confirmation showing
the date, time and receiving facsimile number for the transmission, or (v) when transmitted via e-mail with
confirmation of receipt. Either party may change its address for purposes of this paragraph by giving five (5) days
prior written notice of such change to the other party.
COUNTY:
Eagle County, Colorado
Eagle County Facilities Management
Rachel Oys
P.O. Box 850
Eagle, Colorado 81631
(970) 328-8786 (p)
(970) 328-8899 (f)
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E -Mail: atty@eaglecounty.us
CONTRACTOR:
Katz Racing Promotions
Steve Katz
215 Shoney Dr
Grand Junction, CO 81503
(970) 640-0058 (p)
(970) 242-0557 (f)
11. Termination. County may terminate this Agreement, in whole or in part, at any time and for any reason,
with or without cause, and without penalty therefor with seven (7) calendar days' prior written notice to the
Contractor. Upon termination of this Agreement, Contractor shall immediately provide County with all documents
as defined in paragraph 9 hereof, in such format as County shall direct and shall return all County owned materials
and documents. County shall pay Contractor for Services satisfactorily performed to the date of termination.
12. Venue, Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to this
Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado, which shall be the
sole and exclusive forum for such litigation. This Agreement shall be construed and interpreted under and shall be
governed by the laws of the State of Colorado.
13. Execution by Counterparts; Electronic Signatures. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same
instrument. The parties approve the use of electronic signatures for execution of this Agreement. Only the following
two forms of electronic signatures shall be permitted to bind the parties to this Agreement: (i) Electronic or
facsimile delivery of a fully executed copy of the signature page; (ii) the image of the signature of an authorized
signer inserted onto PDF format documents. All documents must be properly notarized, if applicable. All use of
electronic signatures shall be governed by the Uniform Electronic Transactions Act, C.R.S. 24-71.3-101 to 121.
14. Other Contract Requirements and Contractor Representations.
a. Contractor has familiarized itself with the nature and extent of the Services to be provided
hereunder and the Property, and with all local conditions, federal, state and local laws, ordinances, rules and
regulations that in any manner affect cost, progress, or performance of the Services.
b. Contractor will make, or cause to be made, examinations, investigations, and tests as he deems
necessary for the performance of the Services.
C. To the extent possible, Contractor has correlated the results of such observations, examinations,
investigations, tests, reports, and data with the terms and conditions of this Agreement.
To the extent possible, Contractor has given County written notice of all conflicts, errors, or
discrepancies.
e. Contractor shall be responsible for the completeness and accuracy of the Services and shall
correct, at its sole expense, all significant errors and omissions in performance of the Services. The fact that the
County has accepted or approved the Services shall not relieve Contractor of any of its responsibilities. Contractor
shall perform the Services in a skillful, professional and competent manner and in accordance with the standard of
care, skill and diligence applicable to contractors performing similar services. Contractor represents and warrants
that it has the expertise and personnel necessary to properly perform the Services and shall comply with the highest
standards of customer service to the public. Contractor shall provide appropriate supervision to its employees to
ensure the Services are performed in accordance with this Agreement. This paragraph shall survive termination of
this Agreement.
f Contractor agrees to work in an expeditious manner, within the sound exercise of its judgment and
professional standards, in the performance of this Agreement. Time is of the essence with respect to this
Agreement.
g. This Agreemea constitutes an agreement for performance of the Services by Contractor as an
independent contractor and not as an employee of County. Nothing contained in this Agreement shall be deemed to
create a relationship of employer-employee, master -servant, partnership, joint venture or any other relationship
between County and Contractor except that of independent contractor. Contractor shall have no authority to bind
County.
h. Contractor represents and warrants that at all times in the performance of the Services, Contractor
shall comply with any and all applicable laws, codes, rules and regulations.
i. This Agreement contains the entire agreement between the parties with respect to the subject
matter hereof and supersedes all other agreements or understanding between the parties with respect thereto.
j. Contractor shall not assign any portion of this Agreement without the prior written consent of the
County. Any attempt to assign this Agreement without such consent shall be void.
k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their
respective permitted assigns and successors in interest. Enforcement of this Agreement and all rights and obligations
hereunder are reserved solely for the parties, and not to any third party.
1. No failure or delay by either party in the exercise of any right hereunder shall constitute a waiver
thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach.
M. The invalidity, illegality or unenforceability of any provision of this Agreement shall not affect the
validity or enforceability of any other provision hereof.
n. The signatories to this Agreement aver to their knowledge no employee of the County has any
personal or beneficial interest whatsoever in the Services or Property described in this Agreement. The Contractor
has no beneficial interest, direct or indirect, that would conflict in any manner or degree with the performance of the
Services and Contractor shall not employ any person having such known interests.
o. The Contractor, if a natural person. eighteen (18) years of age or older, hereby swears and affirms
under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United States pursuant to
federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to the effective date of this
Agreement.
15. Prohibitions on Government Contracts.
If Contractor has any employees or subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq.,
regarding Illegal Aliens- Public Contracts for Services, and this Agreement. By execution of this Agreement,
Contractor certifies that it does not knowingly employ or contract with an illegal alien who will perform under this
Agreement and that Contractor will participate in the E -verify Program or other Department of Labor and
Employment program ("Department Program") in order to confirm the eligibility of all employees who are newly
hired for employment to perform Services under this Agreement.
a. Contractor shall not:
Knowingly employ or contract with an illegal alien to perform Services under this
Agreement; or
ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall not
knowingly employ or contract with an illegal alien to perform work under the public contract for services.
b. Contractor has confirmed the employment eligibility of all employees who are newly hired for
employment to perform Services under this Agreement through participation in the E -Verify Program or Department
Program, as administered by the United States Department of Homeland Security. Information on applying for the
E -verify program can be found at:
http://www.dhs.gov/xprevprot/programs/ec 1185221678150.shtm
C. Contractor shall not use either the E -verify program or other Department Program procedures to
undertake pre-employment screening of job applicants while the public contract for services is being performed.
d. If Contractor obtains actual knowledge that a subcontractor performing work under the public
contract for services knowingly employs or contracts with an illegal alien, Contractor shall be required to:
i. Notify the subcontractor and County within three (3) days that Contractor has actual
knowledge that the subcontractor is employing or contracting with an illegal alien; and
Terminate the subcontract with the subcontractor if within three days of receiving the
notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop employing or
contracting with the illegal alien; except that Contractor shall not terminate the contract with the subcontractor if
during such three (3) days the subcontractor provides information to establish that the subcontractor has not
knowingly employed or contracted with an illegal alien.
e. Contractor shall comply with any reasonable request by the Department of Labor and Employment
made in the course of an investigation that the department is undertaking pursuant to its authority established in
C.R.S. 8-17.5-102(5).
f If Contractor violates these prohibitions, County may terminate the Agreement for breach of
contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement, Contractor
shall be liable for actual and consequential damages to County as required by law.
g. County will notify the Colorado Secretary of State if Contractor violates this provision of this
Agreement and County terminates the Agreement for such breach.
[REST OF PAGE INTENTIONALLY LEFT BLANK]
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
COUNTY OF EAGLE. STATE OF
COLORADO, by its County Manager
By:
Keith Montag
CONTRACTOR:
Katz Racing Promotions
cS'rSLVQ. J�q7 Z
By:
Title: ©��
Service Provider: Name: Katz Racing Promotions
Address: 215 Shoney.Dr
Grand .Junction, Co 81503
Phone (970) 640-0,058 Fax: (970) 242.0557
Service Receiver: Name: Eagle County Fair
Address: 0426 Fairgrounds Rd.
Ea ° lc, C6-81631
Phone: f970)'32'8-8892 Fax. 0
The total amount is to be paid by the last event date Amnunt of• $2 100 00
The hiring event must Provide a
location inside a building or a fully enclosed tent in place. Lodging
is #o be provided by Provided by the Cagle County Fair 1 room with 2 beds. Lodging
will be check in 7/24/14 and check out 7/27/14
KATZ FACING PROMOTIONS will deliver, set up and operate the race car simulator
at the Eagle County Fair- located at above address on these dates: From ,July 25, 2014
thinJuly 27, 2014 and will include (1) full size simulator 2 attendants, an outside monitor
an sound system for the public to view.
The customer will need to furnish a large enough space to place the race car simulator.
Space needed will be 10 ft by 20 ft. Also requested is the customer supply 110 voltage
to operate the race car simulator. In the event the weather conditions do not allow the
safeoperationof the race car simulator then KATZ RACING PROMOTIONS will extend
their stay at said location with the only additional cost to the customer is lodging and a
meal allowance. Providing we do not have any prier scheduled events for those dates.
Service Provider: Katz Racing Promotions
Authorized Signature: &M Bate: Anri1 15, 2014
Service Receiver: Company Name: Eagle County Fair
f1
Please Fax Back To: { 970 ) 242-0557
j 1;; 3" O 61
059
Email : coolketzrt bi-esnan.net Web WWW.tODen' i-acinp-coni
Billing Statement For Eagle County Fair
LOCATION DATES HOURS DAILY CHARGE
Eagle Counter Fair 7/25014 3:00pm to B:OOpm 5650.00
426'Fairgrounds Rd. 7/26/14 12:00pm to 8:00pm 5650.00
Eagle, CO 81631 7/27/14 12:00pm to 6:00pm $650.00
Contact: Tanya Dahiseid (970) 328-8842
MILEAGE CHARGE'
Both Nvays from Grand Junction, Co at a rate of S1.15 per mile
Estimate miles at 240 (rir► rhargca 1*or tra%cel) $00.00
Lodging
Lodging the clays prior to and after at a rate of $125.00 per night $00.00
and while traveling. (3 nights) Ea; le Comity Uair to set up alld cox'er-
east for lodging 1 morn with 2 beds.
Meals
Meal cost for 2 attendants. (Regular charge 550.00) per clay (3 days) $150.00
Total cost $2,100.00
We will need to connect to 110v power to operate the simulator.
This takes approx 1 hour to set up the display please allow time for this.
lla�ment is still due and payable if the weather does not allow the operation of the simula
do to the exposed electronics and safety of our customers ( Area requires 20ft long
by 10ft wide ) The simulator will need to be placed inside a building or the hiring event
will have an enclosed tent in place upon arrival.
Thank you fi=ery much,
Steve Katz
ACORD, CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
05/20/2014
HIS 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.
HIS 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: Mass Merchandising
K&K Insurance Group, Inc.
1712 Magnavox Way
Fort Wayne IN 46804
PHONE (A/C, No. Ext): 1-800-328-2317 IFAX (AIC, No): 1-260-459-5502
E-MAIL ADDRESS: info@eventinsurance-kk.com
INSURED 10080016 CP# 653
INSURER(S) AFFORDING COVERAGE NAIC #
Steven Katz
DBA: Katz Racing Promotions
15 Shoney Drive
Grand Junction, CO 81503
INSURER A: Nationwide Mutual Insurance Company 23787
INSURER B:
INSURER C:
INSURER D:
Member of the Sports, Leisure & Entertainment RPG
COVERAGES CERTIFICATE NUMBER: 2000147078 REVISION NUMBER:
HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
VIVO
POLICY NUMBER
POLICY EFF
(MM/DD /VY)
POLICY EXP
(MM/DD/YY)
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE LX (OCCUR
J
X
66RPG0000005536500
03/13/14
12:01 AM
03/13/15
12:01 AM
EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence $300,000
MED EXP (Any one person) $5,000
PERSONAL BADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PROJECT ❑LOC
GENERAL AGGREGATE $5,000,000
OTHER
PRODUCTS-COMP/OP AGG
$1,000,000
PROFESSIONAL LIABILITY
LEGAL LIAB TO PARTICIPANTS
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea Accident
ANY AUTO
ALL OWNED AUTOSBAUTOSULED
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
HIRED AUTOS NON -OWNED
AUTOS
--
PROPERTY DAMAGE
Per accident
X
Not provided while in Hawaii
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
EXCESS LIAB CLAIMS -MADE
AGGREGATE
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNERI
STATUTE I
OTHER
E.L. EACH ACCIDENT
EXECUTIVE OFFICER/MEMBER
EXCLUDED?
(Mandatory in NH)
N / A
E.L. DISEASE — EA EMPLOYEE
If yes, describe under
DESCRIPTION OF OPERATIONS
below
E.L. DISEASE — POLICY LIMIT
LDSCRIPTION
MEDICAL PAYMENTS FOR PARTICIPANTS
PRIMARY MEDICAL
EXCESS MEDICAL
OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: BOOTH OPERATIONS OF THE NAMED INSURED BOOTH SIZE: 100 Sq. Ft. The certificate holder is added as an additional insured,
but only for liability caused, in whole or in part, by the acts or omissions of the named insured.
The certificate holder is added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured.
GER I IrICAI E HOLDER CANCELLATION
Eagle County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
0426 Fairgrounds THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Eagle, CO 81631 ACCORDANCE WITH THE POLICY PROVISIONS.
Owner/Manager/Lessor Of Premises AUTHORIZED REPRESENTATIVE
Coverage is only extended to U.S. events and activities.
** NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulations of the State of Texas.
ACORD 25 (2014/01) @ 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD