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HomeMy WebLinkAboutC21-151 DGH ProductionsAGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
DGH PRODUCTIONS
THIS AGREEMENT (“Agreement”) is effective as of __________________, by and between DGH Productions
(hereinafter “Contractor”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”).
RECITALS
WHEREAS, the County desires to engage Contractor to provide video recordation and production services as well
as use and operation of a video scoreboard at the 2021 Eagle County Fair and Rodeo (the “Project”) to be held at the
Eagle County Fairgrounds located at 426 Fairgrounds Road, Eagle, Colorado (the “Property”); 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 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 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 diligently provide all services, labor, personnel, equipment and materials necessary to
perform video recordation and production services for four (4) rodeos scheduled to take place on July 21,
22, 23 and 24, 2021, at the 2021 Eagle County Fair and Rodeo (the “Services”). The Services shall
include:
Live video feed as well as replays of each of the rodeos. The exact time of rodeos will be determined by
the County; and
Contractor will be responsible for providing a video scoreboard, timing equipment and all personnel
necessary for operation of the scoreboard and timing devices during the four (4) rodeos. The scoreboard
shall be installed and operational no later than two (2) hours prior to the evening rodeo scheduled for July
21, 2021, and shall stay in place through the conclusion of the rodeo scheduled for July 24, 2021; and
The Services shall be performed in accordance with the provisions and conditions of this Agreement.
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.
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
5/12/2021
C21-151
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 full force and effect through the 25 day of July, 2021.
4. Extension or Modification. This Agreement may be extended for up to three additional one year terms
upon written agreement of the parties. 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 $15,987.84. 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 for Services satisfactorily performed within thirty (30) days of receipt of a
proper and accurate 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.
d. 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
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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.
i. 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.
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.
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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
Attention: Tanya Dahlseid
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-8892
E-Mail: tanya.dahlseid@eaglecounty.us
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:
DGH Productions
Casey Harp
504 Dogwood Trail
Forney, TX 75126
Telephone: 214-980-2222
E-Mail: harp.casey@gmail.com
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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.
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
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.
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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
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.
l. 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.
As used in this Section 15, the term undocumented individual will refer to those individuals from foreign countries
not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Contractor has any employees or
subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this Agreement. By execution of this
Agreement, Contractor certifies that it does not knowingly employ or contract with an undocumented individual
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 undocumented individual to perform Services
under this Agreement; or
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall not
knowingly employ or contract with an undocumented individual 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:
https://www.uscis.gov/e-verify
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 undocumented individual, 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 undocumented individual; 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 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 or contracted with an undocumented individual.
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]
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IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth above.
COUNTY OF EAGLE, STATE OF COLORADO, By
and Through Its COUNTY MANAGER
By: ______________________________
Jeff Shroll, County Manager
DGH Production
Casey Harp:
By:________________________________
Print Name: _________________________
Title: ______________________________
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
Casey Harp
General Manager
EXHIBIT A
SCOPE OF SERVICES, SCHEDULE, FEES
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
D G H P R O D U C T I O N S , L L C
Office
504 Dogwood Trail [p] 2149802222
Forney, Texas 75126 [e] harp.casey@gmail.com
Eagle County Fair & Rodeo
Tanya Dahlseid
Fairgrounds Coordinator/Fair Manager
Eagle County Facilities Management
970-328-8892
RE: 2021 Eagle Rodeo Video Screen April 5, 2021
Tanya,
Thank you again for taking my call earlier today to discuss the scope of work for this year’s rodeo video screen.
I have included our proposal to serve as your production firm for the 2021 Eagle County Fair & Rodeo. In addition, I am including
the information we discussed regarding available on-screen real estate for sponsor graphic placement. This information will be a
big asset to help you guys with your sponsor packages, either as a value added or even a whole new line of potential sales
avenues. As I stated, typically I like to wait until we have a formal agreement to send this information because frankly, I don’t
want to help my competitors! However; I feel confident in visiting with you that I’m sure we can reach a deal.
In addition, I have already made contact with a couple of video directors in our network to ensure we have the best crew
available for your event.
To reiterate our call, the best way I can help with our pricing is for your staff to help with sourcing and coordinating local camera
operators. If I were to include operators with our pricing obviously it would send our numbers much higher because I have to
allow for compensation, lodging, per diem etc. Also, working with local hotels to provide sponsor trades for our crew lodging is
also another way to help control your costs.
With the attached proposal you will note that I have offered some discounts, like a preferred partner discount through our
friends at Cervi Championship Rodeo, as well as a substantial discount to execute a multi-year agreement. Further, we typically
charge $500 per feed for streaming to the Cowboy Channel. I will waive that extra cost for streaming for 2021 as a thank you for
a multi-year contract. I’m happy to work with you anyway I can to tailor your package.
Again, thank you so much for considering DGH for your Rodeo and I look forward to visiting with you soon to formalize an
agreement. I am available anytime via cell phone, 214.980.2222 or email, harp.casey@gmail.com.
Best Wishes,
Casey Harp
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
Event:Eagle County Fair & Rodeo Date:April 5, 2021
Contact:Tanya Dahlseid Valid For:30 days
Phone:970.390.3657 Prepared by:Casey Harp
Address:Phone:214.980.2222
Address:Email:harp.casey@gmail.com
City, State, Zip Eagle, Colorado
Email:tanya.dahlseid@eaglecounty.us
Performances Venue Load-In Dates
4 Eagle County Fair Grounds July 20 July 21-24
426 Fairgrounds Rd, Eagle, CO 81631
Days/Perfs Description Unit Price Line Total
4 10'x18' 3.9mm Screen 2,000.00$ 8,000.00$
Assume Single feed for video screen; hung in arena
4 Video Production $ 1,505.00 $ 6,020.00
*Includes equipment rental, Director, Replay, Live Stats, Min 2
Cameras
4 Stats 795.00$ 3,180.00$
*Stats Director, Equipment, including OmniSport Console, Judges
handhelds, FarmTek Timer
1709 Freight 0.58$ 991.22$
Mileage Digital copy of program feed included
CLIENT AGREES TO PROVIDE
Camera Locations platforms, power
All screen ready graphic elements, commercials and other media 24 hours prior to load in.
Video Content - 1080I/P or 720P or H264 in .mov or .mpg or .mp4 formats
Graphic Content - JPG or PNG with recommended resolution of at least 1280x720. NO .PDF FILES
All rigging crews and suport structure or forklift
Power at screen location: 200a service, tie for CamLok tails or Camlok Direct
Secure/weather proof location for video/stats production, or location for production trailer
Bonded/certified crane with operator, telescopic forklift or stable screen rigging location
Stable secure internet connection, minimum 15mbps upload speed, not WIFI, hard wire
Min (2) Camera operators for each performance, (1) for all slack perfomances (if required for streaming)
(2) single occupancy hotel rooms from night prior to load-in thru load-out
Additional livestreaming feeds, $500 per feed
Total Retail Cost 18,191.22$
Preferred Partner (Cervi Rodeo) $ (1,000.00)
7% 3-year contract discount (1,203.38)$
Total 15,987.84$
Invoice
DGH agrees to provide the Client with the equipment and labor as specified. Client is responsible for all permits and licenses. Client is responsible for providing reasonable security for equipment
& personnel. Client agrees to immediately imburse DGH for any and all stolen, lost or damaged equipment at current new replacement value costs, with daily rental rates ac cruing until such
reimbursement is made. Interest of 10% per month shall be added to past due balances. Client shall pay all costs of collection, including attorney and court costs.
504 Dogwood Trail⎹Forney,Texas 75126 ⎹214.980.2222
Signature:_________________________Title:_________________________
Print: _________________________Date: ____________
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
S C O R I N G /T I M I N G
Up-to-second live scoring and timing statistics
for fans and production personnel.
Broadcast quality graphics to make your event state-of-the-art
Capable of customizing sponsor graphic packages for greater
activation.
High-defintion, multi-angle playback within seconds of each ride or run.
A diverse network of industry professionals with experience in rodeo and professional sports broadcasting. Fully equipped to livestream to virtuallyany platform.
Offering the highest definition video screen in the Rodeo and Western Sports industy.
(1) ABSEN PL3.9mm, 10’x18’, LED Video Screen
(1) ABSEN PL.2.9mm, 10’x18’, LED Video Screen
*LED walls are rated by mm. Lower mm=higher defintion
504 Dogwood Trail, Forney, Texas 75126 (c) 2149802222 (e) harp.casey@gmail.com
Liv e e v e nt so l utio ns for t he Wes t e r n S p orts I ndustry.
H I G H D E F I N I T I O N V I D E O W A L L S
V I D E O /I N S T A N T R E P L A Y
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
EXHIBIT B
INSURANCE CERTIFICATE
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134
CERTIFICATE OF LIABILITY INSURANCE
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, subejct 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 endorsements(s).
PRODUCER
INSURED
CONTACT
NAME:
PHONE !
(A/C, No, Ext):
E-MAIL!
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
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.
FAX!
(A/C, NO):
INSR!
LTR TYPE OF INSURANCE ADDL!
INSR
SUBR!
WVD POLICY NUMBER POLICY EFF!
(MM/DD/YYYY)
POLICY EXP!
(MM/DD/YYYY)LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-!
JECT LOC
EACH OCCURRENCE
DAMAGE TO RENTED!
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP
$
$
$
$
$
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
$
$
$
$
$
COMBINED SINGLE LIMIT!
(Ea accident)
PROPERY DAMAGE!
(Per accident)
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED!
AUTOS
HIRED AUTOS
SCHEDULED!
AUTOS
NON-OWNED!
AUTOS
UMBRELA LIAB
EXCESS LIAB
DED RETENTION $
OCCUR
CLAIMS-MADE
EACH OCCURRENCE
AGGREGATE
$
$
$
WORKERS COMPENSATION!
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/
EXECUTIVE/OFFICE/MEMBER
EXCLUDED?
If yes, describe under!
DESCRIPTION OF OPERATIONS below
Mandatory in NH
Y/N
N/A E.L. EACH ACCIDENT
E.L. DISEASE - EA
E.L. DISEASE - POLICY LIMIT
$
$
$
$
WC STATU-!
TORY LIMITS
OTH-!
ER
PEP10017
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED IN ACCORDDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
DATE (MM/DD/YYYY)
ORIGIN BANK
ISAOA
P.O.BOX 390127
MINNEAPOLIS, MN 5543
ACORD 25 (2010/05)(C) 1988-2010 ACORD CORPORATION. All rights reserved.The ACORD name and logo are registered marks of ACORD
ERVIN INSURANCE CONCEPTS, INC.
P.O.BOX 372
FORNEY, TX 75126
A
1,000,000
100,000
5,000
$1,000,000
2,000,000
2,000,000
x
x
x
05/11/2021
MESA UNDERWRITERS SPECIALTY INSURANCE
Beckie Ervin
972-357-7298
beckieervin@gmail.com
DGH PRODUCTIONS LLC306 BORDER ST.FORNEY, TEXAS 75126
MP0042028001993 05/11/2021 05/11/2022
EAGLE COUNTY COLORADO0426 FAIRGROUNDS ROADP.O.BOX 850EAGLE, COLORADO 81631
DocuSign Envelope ID: F6F67437-808C-4E7B-9F93-4D9149602134