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HomeMy WebLinkAboutC17-149 A Great Northern A'FairAGRE.EM N'':I' ["OR, SERVICES
BI-?-i'WE11N EAGLE COUNTY. COLORADO
,I L)
A GRl- A Y' NORTHERN A'F'AT
05/03/2017
THIS AGR:EEMEN'r ("Agrceinnent°' is effective as of. _ _ 10! r �. �, .
�4 _ --- by and
bctween A Great Nortlne-rn A'Fair, an Arizona corporation (here i naftor"Contractor") and Eagle Coa ty,
Colorado, a body' c.orpoiate and politic (hereinafter "County").
RECITALS
WHEREAS, County desires to have Contractor provide a variety of adult Bund children's rides, games,
food and confection concessions at the Eagle County Fairgrounds (the "Project") located at 0794
Fairgrounds Road; Eagle, Colorado (the "Property"), and
W14EREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill,
cxpertlse, and experience necessary to provide tine Services as dUfined below in paragraph I hereof; and
Wl iEREAS, dhis Agreement shall govern the relationship between Contractor and County in connection
with tine Services.
AGREE:MENIT
NOW, T1l L,RE'ORE, in consideration of the :Foregoing and the folIowin- promises Contractor and
County agree as follows:
I. Services or Work. Contractor agn-ees to diligently provide all services, labor-, personnel and
materials necessary to perform arid. 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. County shall provide Contractor
with a suitable location and exhibition site for its rides, with reasonable access to water at the Property,
a. Contractor agrees to furnish the Services no later than J Lily 3 7, 18, 19, 20, 21 and 22,
2017 and in accordance with the schedule established in Exhibit A. 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 Inas the expertise and
personnel necessary to properly and timely perfonn the Services.
b. In the event of any conflict or inconsistency between the terns and conditions set forth in
Exhibit A and the terms and conditions set forth in this Agreement, the tennis and conditions set forth in
this Agreement shall prevail.
2. County's .Re 3resen[ativz. Ire Fair and Rodeo I]epar�si3errt`s dWsignGe shall be Cr=n;ractcnr`s
con act with respect to this Agreement .nod perforitrance o f the Services.
C17-149
3. Tern, of the Agreement. This Agreement shall connmence upon the date first written above, and
subject to the provisions ot'paragraph I 1 hereof. shall continue in full force and effect throt.gli the 22"`l
day of July, 2017.
4. Extension or Modification. This Agreement may be e%tended for up to three additional one year
terms i i p o n written ab eement of the parties. No addi.tiona] services or work performed by Contractor
shall be the basis for additional co€ pensation unless and until Contractorhm obtained tVritten
authorization and acknoti ledgcment. 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 i.mpIied acceptance ❑Faltecat ions or additions to the Services, and no claiin that Caunty
has been unjustly enriched by any additional services, whether or not there is in fact any such unjust
enricliment, shall be the basis of any increase in the coinpens ati on payable hereunder. In the event that
written authorization and acknowledgment by County for such additional services is not tikxi.ely 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 not be responsible for compensating or paying for the Services set
forth herein. Instead, Contractor small pay County a portion of its ticket sales and may retain a portion of
its sales as follows.
a. Ride tickets are .dal .00 for one ticket, $25.00 for thirty tickets, $50.00 for siXty tickets.
Tickets shall be good lbr and accepted for rides each day during the Eagle County Fair and rodeo.
b. On -Site unlimited ride wristban(Is are $30.00 each and are good for one day only.
c. Pre -Sale ride tickets are $20.00 each and are good for one day only.
Contractor shall pay County twelve and half percent (12.5%) of all onsite ride gross ticket sales
and thirty (30%) of all presale ride tickets. Contractor may retain the proceeds not due to County under
this Agreement.
All tickets sales. include both presale and onsite ticket sales must be reconciled by and payment
of all sums dtie to County shall be made by Contractor to County no later than Juiy 23, 2017.
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 agreernents 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 snail have
the right in. its reasonable discretion to approve ail personnel assigned to the subject project during the
performance oFthis 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 assurne toward Contractor all the obligations and responsibilities
Which Contra ctor, bv this Agreement. assumes toward County. County shall have the right (but not the
obiigauon) to enforce the provisions of Cliis Agreenieint against en;y subcoiAmctor hircd by Contractor and
Contractor small conperavo in such process. The. Contractor shall be responsible for the acts and ojrns5ior-E
of its agents, employees and subcontractors.
Iasi -trance. Contractor agrees to provide and €n ainta-M art Contractors sole Cost Lind expense, the
following insurance coverage v1 it IIniit.s of IiabIIity not !ess tlnan tha_sc stmod beloiN
a. Types of Insuratice.
Workers' Compensation insurance a5 required by law.
J. Auto coverage with limits of liability not less than S750,000 each accident
combined bodily injury and property damage Iiability insurance, including coverage for owned, hired. and
non -awned 'vehicles,
iii. Commercial General Liability coverage to include premises and operations.
personal/advertising injury, products/completed operations, broad forin property Barna e with lin-lits of
liability not less than $1,000,000 per occurrence and $I,000,000 aggregate limits. This polity shall be
endorsed to include covera«e for physical/sexual abuse and molestation.
Other Requirements.
i. The automobile and commercial general liability coverage shalI be eirdorsed to
include Eagle County, its associated or affiliated entities, its successors and assign}s, elected officials,
employees, agents and E oIt€nteers as additional insureds. A certificate of insurance consistent with the
foregoing requirements is attached hereto as Exhibit B.
ii. Contractcir's certificates of insurance shall include subcontractors, ifanv as
additional insureds Lander its policies or Contractor shall furnish to County separate certificates and
endorsements fol' each subcontractor,
iii. The insurance provisions ofth€s Agreement shall survive expiration or
termination hereof.
iv. The parties hereto understand and agee 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 Irm-nunity 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
pray ided by the Contractor, n.or to urrernployment insurance benefits unless unempIo ment compensation
coverage is provided by Contractor or some other entity. The Contractor is obligated to pa_;' all federal
and state income tax on any inioneys paid purstiant 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 habil ities for Whicli County may
become subject to insofar as any such losses, cla.iins. 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 COUJIty for reasonable attorney fees and
costs_ legal and other expenses incurred by County in connection with investigating or defending any such
loss, claire, 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 Cootractor. This paragraph shall survive expiration or termination hereof
9. Ownership _o_f_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 brig 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 Comity, Colorado
Attention: Tanya. Dahlseid
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-8892
Facsimile: 970-328-8899
E -Mail: tanya.dahlseid r ea.glecounty.us
With a copy to:
Eagle Count} Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
'Telephone. 970-328-8685
Facsimile: 970-328-5690
l -Mail: atty u eaglecounty.us
C UN RAC'TOR:
Tiny and Dana Matdleldt
A Great -Northern A'Fair
62()1 1'nst ?'aritclise i.szEe
GiendaIe, Arizona 85'06
Telephone: (623) 203-5565)
Facsi-mile: (602)863-2823
_mai :mrran' _�rr.•.ao .co3m
IL . Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or F NIOLlt Ca.LiSe and without penalty there:Eor with seinen (7) calendar days' prior written
notice to the Contractor, upon termination of this Agreeiment. Contractor Shall imrT?ed'satel} provide
CaLintY Nvith al documents as defined in paragraph 9 hereof, in such format as County shall direct and
shall return all County owned tnateriais and documents. County shall pay Contractor for Services
satisfactorily performed to the date oftermination.
12, V01ILle,_Jurisdictiorr and App[icable Law. Any and all claims, disputes or controversies related to
this Agreerne9t, or breach thereof. shall be litigated in the District Court for Eagle County, Colorado,
which shall be the sole and exclusive forun, for such litigation. This Agrecment shall be construed and
interpreted ander and shall. be governed by the lavas of the State of Colorado.
13, Execution by Counterpails. l lcctronic Sianatures. This Avreemont may be executed in M o or
rnore counterparts. each of which shall be deemed an original, but a]I of which shall constitute one and the
same instrument. The parties approve the use of electronic signatures for execution of this Agreement.
Only the follow ing two forms of electronic signatures shall be permitted to bind the parties to this
Agreement: (i) Electronic or facsimile delivery ofa fully executed copy of the signature page; (ii) the:
image, of the signature of art authorized signer inserted Onto PDI format documents. All documents must
be property notarized, if applicable. A]I use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act, C.R.S. 24-71.3-I01 to 12I.
14. Other Contract Re_qLi,iremerts and Contractor Representations.
a. Contractor has faini.liarizcd 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.
T
. Contractor will make, or cause to be made, examinations, investigations, and tests as lie
deems necessary for the performance of the Services.
To the extent possible. Contractor has correlated the results of such obser,iation.s,
exarminations. investigations, tests, reports, and data Mth the terms and conditions of this Agreement.
d. To the e>aent possible. Ccntractor liar given CoLinty written notice of all conflicts, errors,
L7i discrepancies,
e. Contractor shall be responsible for the completeness and accuracy of tire Services aa;d
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 Cotntractor of arty of its
responsibilities. Contractor shall Perform the Services in a skillful. professional and competent nnannrer
and in accordance with the standard of care, skill and diligence applicable to contractors performing
sirniIar service9. Contractor represents and warrants that it has the expertise acid personnel necessary to
properly perform the Services and shall comply »ith the: Highest standards of customer service to the
pubic. Contractor shail provide appropriate supervision to its employees to ensure the Services are
perlUnned in accordance with this rAgreetrient. This paragraph shall survive termination of this
Agreement.
f. Contractor agrees to work in an expeditious maim.er, 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 deerned 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 aLithority to hind County.
11. Contractor represents and warrants that at all times in the performance of the Services,
Contractor shall comply with any and a]I applicable laves, codes, mules 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 portiou of this Agreement without the prior written
consent of the County. Any attempt to assigns this Agreenren.t without such consent shall be void.
lt. 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.
PI. The invalidity=; illegality or LInenforceability of any prevision of this Agreement shall not
afl:ect the validity or enforceability of any other provision hereof.
n. T he sigq-,ataries to ibis Agr'eernent aver to t h c I r ]tirii.viedye no ernpIoyce of the CoLinty ha
any personal or beneficial interest -wh Nciever in the Services or Property described in this Ag_'eemesit.
The Contractor has no heneficial interest, direct or indirect, that would conflict in any mairner or de-rce
with this per form anCe of tl.e Services and Contractor Onall snot employ any pei's oi_ h a -v iris Sil.ch ii_ni}V%IA
interests.
o. The Contractor, if a riatliratl person eii g,. h te en, (18} }'ears of a.ge or a1der, I�ereby swears. and
affirms Linder pen alty of pei;jtiry that he or she (i) is a citiz.ri or otherwise la=nfLilly present in the United
States pursuant to federal law, (ii) to the extent app Iicab] e shall comply with CY'S. 24-76.5-103 prior to
the effective date ofthis Agreement.
15. Prohibitions on (:iovernment Contracts.
As used in this Section 15, the term undocnmentcd indi; idLial vvilI refer to those individuals fro,xr foreign
coLintries not Iegally within the United States as set forth in C.I .S. 8-17.5-101, et. seq. If Contractor has
any employees or stibcontractors. Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this
Agr'eeinent. By execLition of this Agreenie➢nt. Contractor certifies that it does riot knowingly empiny or
contract witli an Lindoctimented indiv i d n a I ;ho will perforin under this Avreerncnt and th Lt Contractor
will participate in the F -verify Program or other Department of Labor and Employment program
("Department Program") in order to confirm the eiigib lht - of all employees who are newly hired 161-
ernployment to perform Scn1ces Linder this Agieenient.
a. Contractor shall not:
i. Knowincyly employ or contract with an iir,documented indi%Fidual to perform
Services under this Agreement; or
ii. EDIer into a subcontract that fails to certify to Contractor that the stibcontract or
shall not knowingly employ or contract with ar, undocumented individual to perform work Linder the
public contract for services.
b. Contractor has confirmed the employment eligibility of all employees who are newly
hired for employment to perforin Services under this Agreement through participation in the E-VeriA,
Program or Department Prograin, as administered by the United States Department of Home]and
SeCL[rity. l6c miation on applying for the E -verify pro- atii can be found at:
hap `('vv v��-.ci ts.?t � r'• yr t Er circ iiiiiwr_litl:i :' 1 18.5221 03781 50.a; ,51
C. Contractor shall not use either the E -verify program or other Department Program
procedures to undertake pre-enip lo}ment screening of job appIicar, ts G,,hile the ptib Iic contract for services
is being performed.
d. If Contractor alma€ns actuai knowledge that a sulocontractor perfurm;no work- cinder the
pLrbliC ContraCt for 5e1''rCeS kYii]Wingly employs or contracts rvith an tin docLirnented indiv'idiial., Contractor
sha?l be required to:
i. -Notify the subcontractor and County within three (3) days that Contractor has
actual knov,,ledgc that the subcontractor is cmployin" or contracting with an undocumented Individual;
and
ii. Terminate the subcontract wvith the subcontractor if within three days of receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor noes not stop
employing or contracting with the undocumented individual; 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 of contracted with an undocumented
indivlduaL
e. Contractor shall. ca3nply 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 ten ninate the Agreement for breach
of contract. ]f 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 viil notify the Colorado Secretary of State if Contractor violates this provision of
this Agreement and County terminates the Agreement for such breach.
[RE,S7'0J-PAGEINTEW 7 1 ON-AL1,Y.LEF.T}3.LI14K]
N WITINIESS WHEREOF, the partics have ckec:uted this A ree.lzeatt the Clay and year first sd forth
above,
COUNTY OF EAGLE.. STATE OFCOLORADO, OLORADO, € y
and l'brc ,Ai Its COUNTY MANAGER
i�`
p 54
.
----------
Bryan Treu, Interim County Manager
CONTRACTOR---
A
ONTRACTOR--A GREAT . 0 ,T I, ��k'�A 1
Print- Name:
rr n;
4,11i:1113MI11
SERVICES
During the 2017 Eagle County Fair and Rodeo Contractor shall supply and adequately staff the
following Services:
1. Ferris wheel
7. Sizzler ride
3. Para -trouper ride
4. Space shuttle ride
5. Aladdin ride
5. The Hamner
7. Flying Pink Elephant
& Bee Ride
9. Kid Tower
16, Car Reade
11. Fun House
12. Top Balloon Swing
I
CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDWYYYY]
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
0411212017
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 have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION 1S 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 endorsementjs].
PRODUCER
Allied Specialty insurance, Inc,
CONTACT Kathleen Janes
NAME: —
10451 Gulf Blvd
PHONE 727-547-3085 FAX
Treasure Island, FL 33706 4814
ADflA�ss,
DAMAGE
PREMISES fEa occurmnceS 100,000)
.,kjones@allledspecialty.com 4
_ _ ENSURER�AFFORDING COVERAGE _--_ � NAIC Ir
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INSURERA: T.H.E. Insurance Company 12666
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-- - — -- --- - .-... - --- --- --...
INSURED
A Great Northern A'Fair
INSiI RER D
-----
6201 W Paradise Ln
INSURER c_
Glendale, AZ 85306
INSURER e
INSURER E:
0 EN'L AGGREGATE LIMIT APPLIES PER:
INSURER F
rn111r0err_a rFRTIVIC_ATI= NIIMRFR• REVISION NUMBFR:
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.
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A
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AUTHORIZED REPRESENTATIVE
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OPP0105730-0007!271201
s 07127/2Q18
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WHO EXP [Any one person] $ NIA _
PERSONAL&APV INJURY I $ 1,000,000..._.
0 EN'L AGGREGATE LIMIT APPLIES PER:
GENERALACGREGATE 1 $ 2,000,000
PRO- [_ECT j LOC
m _ POLICY!
1 PRODUCTS - COMP7Dla AGG $ 1,000,000
__�..$___.�._
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A AUTOMOBILE LIABILITY
CPP0105730-00
0712712016
07/27120'18
COMBINED SINGLE l -WIT
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$ 750,000 _ . -.._..
BODILY INJURY [Per person]
�--------
1 ANY AUTO
$
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DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORO 101, Addlilonal Remarks Schedule, may be nUachad If more space Is required)
Eagle County, Co is additiona11y insured with respects to the negligence of the named insured,
Dates: July 17-24T 2017
rc0rMf1AY= unt nr-o rANrFI I ATInN
Eagle County, CO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
C/o Tanya Dahlseid
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
426 Fairground Road
ACCORDANCE WITH THE POLICY PROVISIONS,
Eagle, CO 81631
AUTHORIZED REPRESENTATIVE
0
19$8-201,-VACORD CORPORA I ION. All rignts reserveo.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
/�C ® DATE[MM.'DD.'YYYY]
�". CERTIFICATE OF LIABILITY INSURANCE F5122017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement{s}.
PRODUCER CONTACT *Raehal Dias
NAME:
Koty—Leavitt Insurance Agency, Inc. PHONE_,.,, (520)571-1900 F (520)571-9667
(AIC Nn
6992 E. BroadwayBlvd E-MAIL rachel—dias@leavitt.co�m
ADDRESS:
Tucson AZ 85710-2803
INSURED
A Great Northern A'Fair, Inc.
PO Box 1052
!!SURE AFFORDNG COVERAGE MAIC 0
A. -Travelers Property & asualty 36161
B:
D:
Wickenburg AZ 85358 I NSURERF:
f'nVFRAIPFC f:FRTIFIr'ATF NI IURFR•17 /18 WORK COMP RFVIRinhi NI IURFR-
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.
NSR
LTR
TYPEOFNSURANCE
ADDL SUBR
INSO WVD
POLICYNIUMBER
POLICY EFF
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POLICY EXP
LIMITS
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*Rachel Dias/RACHEL
EACH OCCURRENCE $
CLAIMS -MADE OCCURPREMISES
DAMAGE TO RENTED
Ea oocurren $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GE NL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
POLICY I M F-1 LDC
PRODUCTS - COMPIOP AGG $
$
OTHER:
AUTOMOBILE LIABILITY
COM BINE D 81 NGLE OMIT $
Ea accident
BODILY INJ URY [Per person] $
ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY [Per acddent] $
PROPERTY DAMAGE $
HIRED AUTOS NON -OWNED
AUTOS
$
LMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS UAB
CLAIMS -MADE
DED RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILn'Y YIN
ANY PROPRIETOR+PARTNERIEXECUTIVEN1
OFFICERIMEMBER EXCLUDED? Y❑
A {Mandatary In NH)
6JUB2E69775A17 3/27/2017
X PER TH-
AT ER
E.L. EACH ACCIDENT $ 1,000,000
3/27/2018 E.L. DISEASE - —FMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT 1,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (ACORD 101, AddNfonel Remarks Schedule, may beaItached It mo re apace is required)
rFRTIFIrATF Hoo nFR rANrFI I ATinN
TANYA.DAHLSEID@EAGLECOUNTY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
EAGLE COUNTY FAIR & RODEO
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
425 FAIRGROUNDS ROAD
ACCORDANCE WITH THE POLICY PROVISIONS.
EAGLE, CO 81531
AUTHORIZED REPRESENTATIVE
*Rachel Dias/RACHEL
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ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INSn7-i rm,An,,