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HomeMy WebLinkAboutC14-276 Paul BorrilloJul 15 14 07:10a borrillo entertainment 303-420-7616 p.1
AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
PAUL BORRILLO
I�y
THIS AGREEMENT ("Agreement") is effective as of the day of July, 2014 by and between Paul Borriilo
(hereinafter "Contractor") and Eagle County, Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, the County desires to engage a contractor to provide entertainment at 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 1 hereof; and
WHEREAS, this Agreement shall govern the relationship between Contractor and County in cotmection 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 complete 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 23, July 24, July 25 and July 26, 2014 during the 2014 Eagle
County Fair and Rodeo. 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.
b. In the event of any conflict or inconsistency between the terms and conditions set forth in Exhi it
A and the tenns and conditions set forth in this Agreement, the terms and conditions set forth in this Agreement
shall prevail.
2. Coin's-Rgpresentative. 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 A�areement. This Agreement shall commence upon the date first written above, and subject to
the provisions of paragraph 11 hereof, shall continue in full 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
Jul 15 14 07:10a borrillo entertainment 303-420-7616 p.2
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 $5,600.00. 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. County will additionally provide
Contractor with one (l) hotel room of County's choice for use by Contractor from 7/23114 through 7.,76/14. Check-
inlcheek-out times and use of the roams will be subject to the hotel's policies and procedures.
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. It at any time during the term or after termination or expiration of this Agreement, County
reasonably determines that any payment [Wade 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 repotting and payment of any taxes related to payments made
pursuant to the terms of this Agreement.
d. Notwithstanding anything to the contrary contained in this Agreement, County shall have no
ob] igations under this Agreement after, nor shall any payments be made to C ontractor in respect of any period after
December 31 of any yew, 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 Lau, (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X,
Sec. 20).
6. SUb ontractors. 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 hived by Contractor and
Jul 151407:10a borrillo entertainment 303-420-7616 p.3
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 bylaw.
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, productsicompleted operations, broad form property damage with limits of liability not
less than $1,000,000 per occurrence and $1,000,000 aggregate limits.
iv_ Liquor Liability coverage with limits of liability not less than $1,000,000 per occurrence
and $1,000,000 aggregate limits.
b. 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
Jul 15 14 07:10a borrillo entertainment 303-420-7616 p.4
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 recei»ng facsimile number for the transmission, or (v) when transmitted ria 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:
Eaglc County Attorney
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-8685
Facsimile: 970-328-8699
E -Mail: atty@caglecounty.us
CONTRACTOR:
PaulBorrillo D6Fl rbaeft ii -,Lo FrIJ`Te/L"rAitJmeII r LLC
5721 Yukon Street
Arvada, CO 80002
(303) 596-0920 (p)
(303) 420-7616 (f)
1 I . Termination County may terminate this Agreement, in whole or in part, at anytime 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
Jul 151407:11a borrillo entertainment 303-420-7616 p.5
as defined in paragraph 9 hereo< 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.
1.2. 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 C ntemarts• 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.
d. 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
shalt perform the Services in a sldliful, 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.
I 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 Agreement 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
Jul 15 14 07:12a borrilloentertainm- — 303-A"r)-7616 p.6
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.
I 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.
in. 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 anymanner or degree with the performance of the
Services and Contractor shall not employ any person having such (mown interests.
o. The Contractor, if 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:
i. 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.
Jul 15 14 07:13a borrillo entertainment 303-420-7616 p.7
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:
httna/tivc�tiv.dhs.gov x�e�nrot+'pro �arnsigc 1 18522 1679150 shim
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
ii. 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.
C. 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 INTENTIONALLYLEFT BLANK]
Jul 15 14 07:14a borrillo entertainment 303-420-7616 p.8
IN WITIJESS 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:
F
Paul Botrillo
Proposal for Eagle County Fair and Rodeo
July 23, 249 259 26
Wednesday 4:30 to 7:30
Face Painter - $375
Strolling entertainer/emcee - $525
Total = $900
Thursday 4:30 to 7:30
Face Painter - $375
Strolling entertainer/emcee - $525
Total = $900
Friday — 4.30 to 7.30
Face Painter - $375
Strolling entertainer/stage show/interactive games/trivia game show - $525
Total =$900
Saturday — 11:00 am to 7:30 pm
Face Painter - $700 (Day rate)
Balloon Twister - $700 (Day rate)
Magician — $900 ($650 for two shows plus additional $250 for walk around
entertainment between shows)
Emcee/Strolling entertainer/2 stage shows/games/trivia - $900 (Day rate)
$300 — Sound system for iPod atmosphere music and stage microphone
$300 — travel pay for 4 performers (@ $75 x 4)
Total - $5600 (Appropriate breaks will be taken during the day)
One room for will be provided for Paul and Erica for Wednesday thru Saturday (Dog
friendly preferred)
Total 4 day package = $5600
Paul Borrillo
303-596-0920
ACCW" CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
7/15/2014
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
MMA - Minneapolis
7225 Northland Dr N #300(AIC
Minneapolis, MN 55428
CONTACT
NAME: Stephanie Weiss
PHONE 715-246-8908 FAx 715-246-4257
Ext : ac No
-M
E-MAIL certs s ecial insurances enc com
ADDRESS: C p tY 9 Y•
Attn: Colleen Johnson
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Lexington Insurance Company 19437
EACH OCCURRENCE $ 3,000,000
INSURED Performers of the U.S. and Club Members
INSURER B:
INSURER C :
Phone: 715-246-8908 Fax: 715-246-4257
INSURER D:
Attn: Stephanie Weiss
PO Box 24
New Richmond, WI 54017
INSURER E
CLAIMS -MADE XI OCCUR
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
NUMBER
POLICPOLICY
MM DDYEFF IYYYY
MWDDY EXP
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 3,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO
PREMISES (Ea Occurrence) $ 300,000
CLAIMS -MADE XI OCCUR
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 3,000,000
A
X LX9776 08/04
X
X
021396070
04/25/14
04/25/15
X LX0404
GENERAL AGGREGATE $ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 5,000,000
$
X POLICY PEO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person) $
ANY AUTO
BODILY INJURY (Per accident) $
ALL OWNED SCHEDULED
AUTOS AUTOS
PROPERTY DAMAGE $
Per accident
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
WC STATU- OTH-
T R LIMITER
E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑
N / A
E.L. DISEASE - EA EMPLOYE $
(Mandatory in NH)
E.L. DISEASE -POLICY LIMIT $
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S. (FORM LEXD00O21 LX0404):
Paul A Borrillo dba Borrillo Entertainment LLC
Additional Insured: Eagle County
Email: tanya.dahlseid@eaglecounty.us Attn: Tanya Dahlseid
CERTIFICATE HOLDER
Eagle County
426 Fairgrounds Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Eagle, CO 81631 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
9 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
�■■■
@ 1988-2010 ACORD CORPORA
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 11
ENDORSEMENT
This endorsement, effective 12:01 AM 04/25/2014
Forms a part of policy no.: 021396070
Issued to: PERFORMERS OF THE U.S.
CLOWNS OF THE U.S.
By:LEXINGTON INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY POLICY, COVERAGE APPLICABLE TO COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE (SECTION I - COVERAGES) ONLY
A. Section II - Who Is An Insured is amended to
include any person or organization you are
required to include as an additional insured on
this policy by a written contract or written
agreement in effect during this policy period and
executed prior to the "occurrence" of the "bodily
injury" or "property damage."
B. The insurance provided to the above described A
additional insured under this endorsement is
limited as follows:
1. COVERAGE A BODILY INJURY AND PROP-
ERTY DAMAGE (Section I - Coverages) only.
2. The person or organization is only an
additional insured with respect to liability
arising out of "your work" or "your product".
3. In the event that the Limits of Insurance
provided by this policy exceed the Limits of
Insurance required by the written contract or
written agreement, the insurance provided by
this endorsement shall be limited to the Limits
of Insurance required by the written contract
or written agreement. This endorsement shall
not increase the Limits of Insurance shown in
the Declarations pertaining to the coverage
provided herein.
4. The insurance provided to such an additional
insured does not apply to "bodily injury" or
"property damage" arising out of an archi-
tect's, engineer's, or surveyor's rendering of
or failure to render any professional services,
including, but not limited to:
i. The preparing, approving, or failing to
prepare or approve maps, shop
drawings, opinions, reports, surveys,
field orders, change orders, or drawings
and specifications; and
ii. Supervisory, inspection, architectural, or
engineering activities.
5. This insurance does not apply to "bodily
injury" or "property damage" arising out of
"your work" or "your product" included in
the "product -completed operations hazard"
unless you are required to provide such
coverage by written contract or written
agreement and then only for the period of
time required by the written contract or
written agreement and in no event beyond
the expiration date of the policy.
6. Any coverage provided by this endorse-
ment to an additional insured shall be
excess over any other valid and collectible
insurance available to the additional insured
whether primary, excess, contingent or on
any other basis.
C. In accordance with the terms and conditions of
the policy and as more fully explained in the
policy, as soon as practicable, each additional
insured must give us prompt notice of any
"occurrence" which may result in a claim,
forward all legal papers to us, cooperate in the
defense of any actions, and otherwise comply
with all of the policy's terms and conditions.
Failure to comply with this provision may, at our
option, result in the claim or "suit" being
denied.
. <
Authorized Representative OR
Countersignature (In states where applicable)
Includes copyrighted information of the Insurance Services Offices, Inc., with its permission. All rights reserved.
L X9776 (08/04)