INDEPENDENT PROVIDER PERMIT Surf Instructor Permit
|
|
- Ralph Baker
- 8 years ago
- Views:
Transcription
1 Independent Provider Surf Instructor Permit Page 1 of 6 Permit # XX-XX INDEPENDENT PROVIDER PERMIT Surf Instructor Permit Department of Community & Cultural Services Community Recreation Division 415 Pacific Coast Highway, Santa Monica, CA Phone: , ext Fax: NOTE: You are required to check-in with the lifeguard upon your arrival at the beach each day. Keep this permit with you at all times. Permits are not transferrable. PERMITTEE: CONTACT PERSON: ADDRESS: CITY: ZIP: PHONE: ( ) CELL: ( ) FAX: ( ) ADDRESS: DATES OF PERMIT: AUTHORIZED LOCATION: AUTHORIZED ACTIVITY: DAYS AND TIMES OF USE: MAX # OF PARTICIPANTS: MAX PARTICIPANT/INSTRUCTOR RATIO: OTHER RESTRICTIONS/NOTE: PERMIT REQUIREMENTS All activities shall occur only in the area designed for use under this permit unless otherwise directed by the lifeguards to address safety concerns. Permittees may not set-up any operations outside of the assigned area including, but not limited to, Ocean Front Walk, beach parks, and beach parking lots. All instructors in the water must be at least eighteen (18) years of age.
2 Independent Provider Surf Instructor Permit Page 2 of 6 Permit # XX-XX All group surfing instructors and students shall wear color-specific rash guards printed with the name of the Permittee at all times while in the water. Except for Single Instructors, when conducting activities as provided herein, Permittees must display at all times a City-provided sign with the name of the Permittee. No other advertising or signage, including inflatable signs and balloons, may be placed on the beach or in the beach parking lots. FINANCIAL REQUIREMENTS Permittees shall pay a $150 permit fee. Permittees shall pay rent monthly as described in Attachment 1, Rental Terms. Failure to pay rent in accordance with the Rental Terms may result in forfeiture of this permit. INSTRUCTOR INSURANCE REQUIREMENTS Instructor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property that may arise from or in connection with the performance of the work hereunder and the results of that work by the Instructor, its agents, representatives, employees or subcontractors. Minimum Scope/Limits of Insurance 1. Commercial General Liability (CGL): Insurance Services Office Form CG covering GCL on an occurrence basis, including products-completed operations and personal & advertising injury, with limits of no less than $1,000,000 per occurrence. Workers Compensation and Employer s Liability Insurance: Workers Compensation insurance as required by the State of California and Employer s Liability Insurance with limits of no less than $1,000,000 per accident for bodily injury or disease. Workers Compensation insurance is not required if the Instructor does not have employees. The Instructor must, however, execute the City s Workers Compensation Coverage Exemption Form. If the Instructor maintains higher limits than the minimums shown above, the City of Santa Monica requires and shall be entitled to coverage for the higher limits maintained by the Instructor. Other Insurance Provisions 1. The insurance policies are to contain, or be endorsed to contain, the following provisions: a. Additional Insured Status (CGL policy): The City of Santa Monica, its officers, officials, employees and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of Instructor including materials, parts or equipment furnished in connection with such work or operations. b. Primary Coverage (all policies): For any claims related to this contract, the Instructor s insurance shall be primary as respects the City of Santa Monica, its officers, officials, employees and volunteers. Any insurance or self-insurance maintained by the City of Santa Monica, its officers, officials, employees or volunteers shall be in excess of the Instructor s insurance and shall not contribute with it.
3 Independent Provider Surf Instructor Permit Page 3 of 6 Permit # XX-XX c. Notice of Cancellation (all policies): Each insurance policy required herein shall state that coverage shall not be cancelled except after notice has been given to the City of Santa Monica. d. Waiver of Subrogation (all policies): Instructor hereby grants to the City of Santa Monica a waiver of any right of subrogation which any insurer of said Instructor may acquire against the City of Santa Monica by virtue of payment of any loss. Instructor agrees to obtain any endorsement that may be necessary to effect this waiver of subrogation, but this provision applies regardless of whether or not the City of Santa Monica has received the a waiver of subrogation endorsement from the insurer. Acceptability of Insurers Insurance is to be placed with insurers with a current a current A.M. Best rating of no less than A:VII, unless otherwise acceptable to the City of Santa Monica. Verification of Coverage Instructor shall furnish the City of Santa Monica with original certificates and amendatory endorsements or copies of the applicable policy language providing the insurance coverage required herein. All certificates and endorsements are to be received and approved by the City of Santa Monica before work commences. However, failure to obtain required documents prior to the work beginning shall not waive the Instructor s obligation to provide them. The City of Santa Monica reserves the right to require complete, certified copies of all required insurance policies, including the endorsements required herein, at any time. PARKING INFORMATION All Independent Provider groups and individuals must pay applicable parking fees. There are no designated drop-off and pick-up sites in any beach parking lot. GENERAL RULES/GUIDELINES Permittee has complied with applicable law, including but not limited to, holding a valid business license and paying appropriate taxes. Permittees shall have and maintain for a period of three years a liability waiver signed by each student or legal guardian if the student is less than 18 years of age. Permittees that supply equipment to students must provide a soft foam surfboard and/or boogie board with a leash. No equipment may be sold or rented separately on the beach or in beach parking lots. Permittee shall maintain the area clean of trash and shall place group-generated trash in City-provided trash receptacles before leaving the area. Alcohol is not permitted on the beach or in beach parking lots. Glass containers are not permitted on the beach. Smoking, fire, fireworks or cooking are not allowed on the beach. Dogs are not permitted on the beach or beach parking lots.
4 Independent Provider Surf Instructor Permit Page 4 of 6 Permit # XX-XX Surf camps are allowed to erect no more than 200 sq. ft. of canopy. Tents or temporary enclosures are not permitted. Advertising or sponsorship recognition is not allowed. Portable boom boxes with built-in speakers only (no additional speakers) are permitted in the designated area only. Please direct speakers toward the ocean and be courteous to neighbors. Bull horns may be used for emergencies only. Permittees shall have a first aid kit available on-site. All Permittees must check in with the LA County lifeguards at the assigned tower each day of class or camp. Permittees shall maintain on-site a cell phone programmed with the LA County Lifeguard emergency dispatch phone number, (310) Permittees shall provide and maintain a Permittee contact name and cell phone number to the City. By September 30, 2013 Permittee is required to provide City with written report of summer season activities, stating the number of program participants served, gross income and activities offered under permits issued by the City of Santa Monica. PERMIT REVOCATION The City has the ability to terminate this permit based on recommendation of County Lifeguards, violation of permit requirements or lack of registered participants. I, representing the Permittee, have read this permit and the attached rental terms and agree to abide by all the terms and conditions of conducting activities authorized under this permit. Signature Name Date Title APROVED FOR ISSUANCE: Community Recreation Division Date (This permit is not valid without signature by an authorized City representative)
5 Independent Provider Surf Instructor Permit Page 5 of 6 Permit # XX-XX ATTACHMENT 1, RENTAL TERMS Each Permittee shall pay a percentage of monthly gross receipts in accordance with the following terms and conditions: 1. MONTHLY PERCENTAGE RENT: Throughout the term of this permit, the Permittee agrees to pay the City as monthly rent an amount equal to ( %) of the amount of Monthly Gross Sales ( Monthly Percentage Rent ). Gross Sales and Gross Receipts shall refer to the actual price for all goods, wares, and merchandise sold exclusive of applicable sales tax and the actual charges for all services performed by the Permittee and its authorized agents and/or employees arising out of the activities authorized under this permit, whether for retail, cash, or otherwise, without reserve or deduction for inability or failure to collect. Gross Sales shall include without limitation all sales and services (a) where the orders therefor originate in, at, from, or arising out of the activities authorized under this permit, whether delivery or performance is made from Santa Monica State Beach or from some other place; (b) made or performed by mail, telephone, or computer orders; and (c) all revenues and receipts generated by or arising from the activities authorized under this permit. Any deposit not refunded shall be included in Gross Sales. Each installment or credit sale shall be treated as a sale for the full price in the month during which such sale is made, regardless of whether or when Permittee receives payment therefor. Gross Sales also shall include any revenues and receipts generated from any television, radio, movie, studio, or photograph promoter, or any other such activity dependant on authorization under this permit. 2. ITEMIZED STATEMENT OF GROSS SALES: Permittee shall deliver to the City the following: A. Monthly Report of itemized Gross Sales: Within fifteen (15) days after the close of each calendar month of the term of the permit, a written report signed by the Permittee or by an authorized officer of agent of Permittee, showing the itemized Gross Sales made in the preceding calendar month. Such report shall be submitted on the City s Monthly Report of Operations Form or other Cityapproved instrument. B. Percentage Rent: Within fifteen (15) days after the close of each calendar month throughout the term of the permit, along with the Monthly Report of Gross Sales, a check made payable to the City of Santa Monica in the amount of rent due, as described above. Checks shall be delivered to: City of Santa Monica Community Recreation Division 415 Pacific Coast Highway Santa Monica, CA Attn: Heath Hamilton 3. PERMITTEE S RECORDS: Permittee shall keep the following: A. Required Records: For the purpose of permitting verification by City of any amounts due as rent, Permittee covenants and agrees that all business
6 Independent Provider Surf Instructor Permit Page 6 of 6 Permit # XX-XX conducted under this permit shall be performed so that a computerized point of sales records, duplicate sales slip, invoice, or non-resettable cash register receipt, serially numbered, or such other device for recording sales as City approves, shall be issued with each sale or transaction, whether for cash, credit, or exchange. B. Maintenance of Records: Permittee shall keep and preserve for at least two (2) years, and during the term of the permit shall keep in office a general ledger, required receipts and disbursement journals, and such sales records and other supporting documentation together with original or duplicate books and records that shall disclose in detail all information required to permit City to verify Permittee s Gross Sales and that shall conform to and be in accordance with generally accepted accounting principles. 4. AUDITS: At any time or from time to time with twenty-four (24) hours advance notice to Permittee, City or its consultants, representatives, and/or accountants shall have the right during business hours to make any examination or audit of such books and records that the City may desire. If such audit discloses that, in any rental year, rent due is greater than rent paid by Permittee for such period, Permittee shall pay to City within (10) days of notice thereof the amount of such deficiency. In addition, if such audit shall disclose that the Permittee has underpaid by three percent (3%) or more any rent payable by Permittee, the amount of which is based on Gross Sales, then upon thirty (30) days written notice to Permittee, Permittee shall pay the cost of such audit, all monthly Percentage Rent then payable, plus interest at the default rate on such monthly Percentage Rent, calculated from the date such additional monthly Percentage Rent was originally due and payable. The City may declare an Event of Default after issuance of three notices of deficiency to Permittee. 5. FAILURE TO PAY RENT: If Permittee fails to pay any rent within ten (10) days after the same is due, Permittee shall be obligated to pay a late payment charge equal to ten percent (10%) of any rental payment not paid when due ( Late Charge ) to reimburse City for its additional administrative costs. In addition, rent shall bear interest at the Default Rate from the first day due until paid ( Interest on Late Payments ). Late Charges and Interest on Late Payments shall be payable with the next installment of Monthly Rent. Failure to pay rent by the fifteenth (15) of each calendar month may result in revocation of Permit. I have read the above and agree to abide by all its terms and conditions: By: Title: Date:
Memorandum of Understanding
Memorandum of Understanding between Name of Company: Owner/Principal: As a Solar Santa Monica Preferred Contractors And the Solar Santa Monica Program of the City of Santa Monica (Last edited July 2, 2015)
More informationEXHIBIT B. Insurance Requirements for Construction Contracts
EXHIBIT B Insurance Requirements for Construction Contracts Contractor shall procure and maintain for the duration of the contract, and for x years thereafter, insurance against claims for injuries to
More informationTHIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
INSURER POLICY No. ENDORSEMENT NO: ISO FORM CG 20 10 11 85 (MODIFIED) COMMERCIAL GENERAL LIAIBILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR
More informationCITY of DALY CITY INSURANCE REQUIREMENTS
CITY of DALY CITY INSURANCE REQUIREMENTS IMPORTANT NOTE Contractors/Homeowners shall not perform any work, or allow any work to be performed, on behalf of the City or in the City right of way, until the
More informationEXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY
EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY Revised: February 23, 2008 EXHIBIT C INSURANCE REQUIREMENTS Without limiting Consultant s indemnification, Consultant shall
More informationSkokie Park District Media Permit
Skokie Park District Media Permit PLEASE READ THROUGH AND COMPLETE THE FOLLOWING 6 STEPS: STEP 1: Please Select Type of Permit Still Photo** Film** $250/Resident user fee per location/per five hours $500/Non-Resident
More informationAGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES
AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic
More informationAGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] WHEREAS, Contractor has the necessary experience in providing the services; and
AGREEMENT FOR SERVICES BETWEEN THE CITY OF YREKA AND [CONTRACTOR] THIS AGREEMENT is made and entered into this day of, 2014, by and between the City of Yreka, a municipal corporation, hereinafter referred
More informationINSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS
INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS Without limiting CONTRACTOR's indemnification of COUNTY, and in the performance of this Contract and until all of its obligations pursuant to this
More informationHow To Work For A City Of Germany Project
CONSULTING SERVICES AGREEMENT This Consulting Services Agreement ( Agreement ) is made and entered into this day of, 2013, by and between the City of Clovis, a Municipal Corporation, hereinafter called
More informationCALIFORNIA HOUSING FINANCE AGENCY INSURANCE REQUIREMENTS - CONSTRUCTION RISK
CALIFORNIA HOUSING FINANCE AGENCY INSURANCE REQUIREMENTS - CONSTRUCTION RISK Prior to construction loan closing, the Borrower shall procure and maintain, and provide proof of, all required insurance coverage
More informationInsurance Requirements for Contractors (Without Construction Risks)
Insurance Requirements for Contractors (Without Construction Risks) Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to
More informationNORTHERN CALIFORNIA SCHOOLS INSURANCE GROUP
NORTHERN CALIFORNIA SCHOOLS INSURANCE GROUP Insurance Recommendations for Consultant Contracts For contracts providing professional services by Accountants, Architects, Attorneys, Counselors, Consultants,
More informationHow To Insure Construction Contracts In Northern California Schools Insurance Group
NORTHERN CALIFORNIA SCHOOLS INSURANCE GROUP Cover Note to NCSIG Members & Their Architects/Engineers Insurance Recommendations for Construction Contracts Applicable to New Construction & Modernization/Remodeling
More informationCERTIFICATE OF INSURANCE TO CITY OF NEWARK CALIFORNIA ( the City ) A Municipal Corporation
CERTIFICATE OF INSURANCE TO CALIFORNIA ( the City ) A Municipal Corporation Page 1 of 2 Only this Certificate of Insurance form will be accepted This certifies to the City of Newark that the following
More informationSchedule Q (Revised 1/5/15)
Schedule Q (Revised 1/5/15) CONSTRUCTION CONTRACTOR INSURANCE REQUIREMENTS Section 0.0 Introduction of the Owner-Controlled Insurance Program The City of Oakland (City) has implemented an Owner-Controlled
More informationINSURANCE AND INDEMNIFICATION REQUIREMENTS. RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4
1THE PHILADELPHIA PARKING AUTHORITY RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4 Prior to commencement of the contract and until completion of your work, shall, at its sole expense,
More informationHURRICANE PROTECTION AND SEVERE WEATHER PLAN INFORMAL REQUEST FOR PROPOSALS FOR NEW HANOVER COUNTY EMERGENCY MANAGEMENT
HURRICANE PROTECTION AND SEVERE WEATHER PLAN INFORMAL REQUEST FOR PROPOSALS FOR NEW HANOVER COUNTY EMERGENCY MANAGEMENT Proposals will be received in the New Hanover County Finance, 230 Government Center
More informationEXHIBIT D. Insurance and Bond Requirements
EXHIBIT D Insurance and Bond Requirements A. General Requirements YMCA shall forward certificates of insurance with the endorsements required below to the City as verification of coverage within 5 calendar
More informationEXHIBIT "B" CRITERIA AND BILLING FOR EXTRA SERVICES
EXHIBIT "B" CRITERIA AND BILLING FOR EXTRA SERVICES The following Extra Services to the Agreement shall be performed by Architect if needed and if authorized or requested by the District: 1. Making revisions
More informationIMPORTANT! - Please use the attached Application for Payment. All payment requests must be submitted on our form. Thank you!
` SUBCONTRACTOR: PHONE PROJECT: LOCATION: Page 1 of 6 SUBCONTRACT (SHORT FORM) JOB NO.: COST CODE: PRICE: This agreement is made and effective, by and between SUN CONSTRUCTION & FACILITY SERVICES, INC.
More informationATTACHMENT A.6 INSURANCE REQUIREMENTS ROUTINE CONSTRUCTION, MAINTENANCE AND REPAIR PROJECTS
ATTACHMENT A.6 INSURANCE REQUIREMENTS ROUTINE CONSTRUCTION, MAINTENANCE AND REPAIR PROJECTS Contractor shall obtain insurance of the types and in the amounts listed below. A. COMMERCIAL GENERAL AND UMBRELLA
More informationAGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND VENDOR TBD FOR PURCHASE AND INSTALLATION OF AUTOMATED LICENSE PLATE RECOGNITION SYSTEMS
AGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND VENDOR TBD FOR PURCHASE AND INSTALLATION OF AUTOMATED LICENSE PLATE RECOGNITION SYSTEMS NAME OF CONTRACTOR: RESPONSIBLE PRINCIPAL OF CONTRACTOR:, Vendor
More informationINSURANCE REQUIREMENTS FOR VENDORS
INSURANCE REQUIREMENTS FOR VENDORS The Contractor/Vendor shall purchase and maintain for the duration of the contract/work insurance against claims for injuries to persons or damages to property which
More informationThe purpose of this Agreement is to establish the services of Independent Contractor to the University of La Verne on
THIS AGREEMENT is made by and between UNIVERSITY OF LA VERNE ( University ) and. Independent Contractor In consideration of the mutual promises and covenants contained herein, the parties are agreed as
More informationD3 Bus Wash Rehabilitation AC Transit Contract #2016-1372 SECTION 007316 INSURANCE REQUIREMENTS
SECTION 007316 INSURANCE REQUIREMENTS PART 1 - INSURANCE REQUIREMENTS 1.01 GENERAL A. Any person, firm or corporation Contractor authorizes to work upon the Property, including any subcontractor, shall
More informationEXHIBIT "A" INSURANCE REQUIREMENTS FOR RIGHT OF ENTRY AGREEMENTS
EXHIBIT "A" INSURANCE REQUIREMENTS FOR RIGHT OF ENTRY AGREEMENTS Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to Property,
More informationCONTRACT INSURANCE REQUIREMENTS
CONTRACT INSURANCE REQUIREMENTS Dakota County requires that each Contractor with whom the County negotiates a contract, meet standard insurance requirements. Please review these documents to acquaint yourself
More informationSUPER OVERSIZE / OVERWEIGHT SINGLE TRIP
CITY OF BAYTOWN City Clerk s Office 2401 Market Street Baytown, Texas 77520 Phone: (281) 420-6504 Fax: (281) 420-5891 Web: www.baytown.org FOR OFFICE USE ONLY Date Received: Date Processed: SUPER OVERSIZE
More informationSAMPLE SERVICES CONTRACT
SAMPLE SERVICES CONTRACT The parties to this contract are the SAN DIEGO COUNTY WATER AUTHORITY, a county water authority, (the Water Authority) and, [a / an], having its principal place of business at
More informationRichard J. Daley Center Plaza GUIDELINES
Richard J. Daley Center Plaza GUIDELINES Applications for permit should be filed no more than 365 days and no fewer than 30 days before the scheduled event date. All applications should be submitted to
More informationMobile Stage & Portable Bleachers Reservation Application
City of Brentwood Parks and Recreation Department 35 Oak Street Brentwood, CA 94513 (925) 516-5444 (925) 516-5447 FAX www.brentwoodca.gov Mobile Stage & Portable Bleachers Reservation Application Reservation
More informationFOOD VENDING APPLICATION. May 21 st 4-10pm Main St. Downtown Monroe, NC
Please read following instructions carefully! FOOD VENDING APPLICATION May 21 st 4-10pm Main St. Downtown Monroe, NC Please complete this BBQ Festival specific application along with the additional general
More informationFUNDING AGREEMENT BETWEEN THE SOUTH BAY CITIES COUNCIL OF GOVERNMENTS AND THE LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY
FUNDING AGREEMENT BETWEEN THE SOUTH BAY CITIES COUNCIL OF GOVERNMENTS AND THE LOS ANGELES COUNTY METROPOLITAN TRANSPORTATION AUTHORITY This Funding Agreement (the Agreement ) is entered into with an effective
More informationCoverages Required during Course of Construction.
18. INSURANCE. Grantor shall incorporate this Section in its entirety as a contractual requirement in any agreement for construction or alterations on or about the Property, and shall include a provision,
More informationMATTCON GENERAL CONTRACTORS, INC. INSURANCE SPECIFICATIONS EXHIBIT B INSURANCE Subcontractor shall obtain insurance of the types and in the amounts
MATTCON GENERAL CONTRACTORS, INC. INSURANCE SPECIFICATIONS EXHIBIT B INSURANCE Subcontractor shall obtain insurance of the types and in the amounts described below. The insurance shall be written by insurance
More informationVendor Application 2015 32 nd Annual Fiesta Old Town Cinco de Mayo
Vendor Application 2015 32 nd Annual Fiesta Old Town Cinco de Mayo Saturday, May 2, 2015 from 11:00 a.m. 10:00 p.m. Sunday, May 3, 2015 from 11:00 a.m. 5:00 p.m. Vendedor (vendor) $1,000.00 Vendor Note:
More informationKALEIDA HEALTH INSURANCE REQUIREMENTS SERVICE PROVIDERS. Bodily Injury and Property Damage Limit occurrence. General Aggregate $2,000,000
1. INSURANCE TO BE MAINTAINED BY VENDOR/SERVICE PROVIDER Prior to providing products/equipment and/or services under this Agreement, Vendor/Service Provider, at its own cost and expense, shall procure
More informationINSURANCE GUIDE I - MINOR CONTRACTS FOR SERVICE
INSURANCE GUIDE I - MINOR CONTRACTS FOR MEETING GUIDE I SPECIFICATIONS DURATION: Project will not exceed 30 calendar days COST: Project cost will not exceed $50,000 RISK: Low, No unusual or high hazards
More informationInsurance Requirements Professional Services
Insurance Requirements Professional Services A. REQUIRED INSURANCE. Without limiting any of the other obligations or liabilities of the vendor/contractor, the vendor/contractor shall, at their sole expense,
More informationREQUEST FOR PROPOSAL OFFICE OF THE NEVADA ATTORNEY GENERAL GRANTEE- FORECLOSURE RELIEF PROGRAM MAY 20, 2011
REQUEST FOR PROPOSAL OFFICE OF THE NEVADA ATTORNEY GENERAL GRANTEE- FORECLOSURE RELIEF PROGRAM MAY 20, 2011 SCOPE OF WORK: The Office of the Attorney General (AGO) recently received a settlement from Wells
More informationP. Insurance Submittal Address: All Insurance Certificates requested shall be sent to the Clark County Purchasing and Contracts Division, Attention:
EXHIBIT B ASK PROJECT DESCRIPTION INSURANCE REQUIREMENTS TO ENSURE COMPLIANCE WITH THE CONTRACT DOCUMENT, ASK TYPE SHOULD FORWARD THE FOLLOWING INSURANCE CLAUSE AND SAMPLE INSURANCE FORM TO THEIR INSURANCE
More informationCOC-Insurance Requirements Page 1 of 9
CITY OF CONCORD INSURANCE AND INDEMNIFICATION REQUIREMENTS (The 1 st two pages provide basic insurance requirements information.) Insurance Required: See below Sample in Contract Limits of Coverage: Additional
More informationPolicy on Use of Sports Facilities by Officially Recognized University Student Organizations
Policy on Use of Sports Facilities by Officially Recognized University Student Organizations For the purpose of this document, Official Recognized University Student Organizations are defined as: 1) a
More informationINSURANCE REQUIREMENTS
INSURANCE REQUIREMENTS TO ENSURE COMPLIANCE WITH THE CONTRACT DOCUMENT, SUPPLIERS SHOULD FORWARD THE FOLLOWING INSURANCE CLAUSE AND SAMPLE INSURANCE FORM TO THEIR INSURANCE AGENT 1. FORMAT / TIME SUPPLIER
More informationPREQUALIFICATION APPLICATION REQUIREMENTS
PREQUALIFICATION APPLICATION REQUIREMENTS To be eligible to bid and contract work with Webcor, subcontractors are required to be prequalified annually. If you have any questions, please contact Webcor
More informationSTATE OF NEW YORK OFFICE OF PARKS, RECREATION AND HISTORIC PRESERVATION
Office of Parks, Recreation and Historic Preservation Page 1 STATE OF NEW YORK OFFICE OF PARKS, RECREATION AND HISTORIC PRESERVATION FILMING/PHOTOGRAPHY/SOUND RECORDING PERMIT AND PERMIT APPLICATION Facility:
More informationMansfield Independent School District Business Procedures Manual Section 7 Risk Management
Mansfield Independent School District Business Procedures Manual Section 7 Risk Management 7. INSURANCE REQUIREMENT INFORMATION 7.1. Facility Rentals 7.1.1. This category applies to any individual or organization
More informationREQUEST FOR QUALIFICATIONS (RFQ) DIVISION OF THE STATE ARCHITECT INSPECTOR OF RECORD SERVICES
REQUEST FOR QUALIFICATIONS (RFQ) DIVISION OF THE STATE ARCHITECT INSPECTOR OF RECORD SERVICES 1. STATEMENTS OF QUALIFICATIONS REQUESTED The San Bernardino Community College District (District) Facilities
More informationCOMMERCIAL LIABILITY INSURANCE APPLICATION
5800 Explorer Drive, Suite 310 Mississauga, ON L4W 5K9 905-602-9339 or 800-753-2632 Fax: 905-602-9141 www.kandkcanada.com K&K Insurance Brokers, Inc. Canada COMMERCIAL LIABILITY INSURANCE APPLICATION 1.
More informationSANTA BARBARA METROPOLITAN TRANSIT DISTRICT. Invitation for Bids for Architectural & Engineering Services. Addendum Number 1 Issued August 5, 2013
SANTA BARBARA METROPOLITAN TRANSIT DISTRICT Invitation for Bids for Architectural & Engineering Services Addendum Number 1 Issued August 5, 2013 The Santa Barbara Metropolitan Transit District (MTD) herewith
More informationGordon L. Mountjoy & Associates, Inc.
INSURANCE REQUIREMENTS CHECKLIST Submit an Acord 25 form and the endorsements as required below. Your insurance must be in compliance immediately after you sign your subcontract and before you start work.
More informationExhibit D CRANE AUCTION INDEMNIFICATION AND INSURANCE REQUIREMENTS
Exhibit D CRANE AUCTION INDEMNIFICATION AND INSURANCE REQUIREMENTS The insurance requirements below are dependent on the actions to be taken by the successful vendor(s) following the Port of Los Angeles
More informationHorse Lover s Management Corporation Reach 11 Recreation Area Arizona Horse Lover s Park Facility Use Agreement
THIS AGREEMENT made and entered into this day of, 20, by and between HORSE LOVER S MANAGEMENT CORPORATION hereinafter called HLMC and hereinafter called User. The Equestrian Program Coordinator, hereinafter
More informationAttachment A Terms and Conditions RFX No. 3000005987 TITLE: Quality Control Standards DHH Office of Public Health
Bidder: Bid delivery instructions for State Procurement: Bidders are hereby advised that the U.S. Postal Service does not make deliveries to our physical location: Bids may be mailed through the U.S. Postal
More informationDepartment of Purchasing & Contract Compliance
Department of Purchasing & Contract Compliance Fulton County, GA August 8, 2014 Re: 14RFP070714K-NH 2015 STANDBY ENGINEERING SERVICES Dear Vendors: Attached is one (1) copy of Addendum 2, hereby made a
More informationCeres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014
Ceres Unified School District INDEPENDENT CONTRACTOR AGREEMENT 2013-2014 THIS CONTRACT is hereby entered into by the Ceres Unified School District, hereinafter referred to as DISTRICT, and CONTRACTOR MAILING
More informationFOOD VENDOR APPLICATION August 7 th and 8th 2015 4:00PM - 10:00PM SALT RIVER FIELDS, SCOTTSDALE WW..COM
FOOD VENDOR APPLICATION August 7 th and 8th 2015 4:00PM - 10:00PM SALT RIVER FIELDS, SCOTTSDALE WW..COM DEADLINE FOR SUBMISSION: July 15, 2015 CONTACT NAME MAILING ADDRESS CELL PHONE NUMBER EMAIL ADDRESS
More informationNEW YORK STATE OFFICE OF GENERAL SERVICES SURPLUS PROPERTY SALE - CABOOSE
NEW YORK STATE OFFICE OF GENERAL SERVICES SURPLUS PROPERTY SALE - CABOOSE Seller s Disclosure/Bidders Acknowledgment of Terms, Conditions, and Other Requirements NYS Surplus Property CABOOSE Buyers are
More informationThank you for your interest in Leucadia PhotoWorks. Please follow the following steps and checklist to confirm your booking reservation.
374 N. Coast Highway 101, Suite F15, Encinitas, CA 92024 Thank you for your interest in Leucadia PhotoWorks. Please follow the following steps and checklist to confirm your booking reservation. Step 1:
More informationAMENDATORY ENDORSEMENT NORTH CAROLINA PERSONAL AUTO POLICY
AMENDATORY ENDORSEMENT NORTH CAROLINA PERSONAL AUTO POLICY This Endorsement amends the Policy as follows: I. DEFINITIONS The Definitions Section is amended as follows: A. The third paragraph is replaced
More informationARTICLE 11. INSURANCE AND BONDS
Provide submittals to Architect / Engineer that are required by any governing body or other authorities. Upon receipt of the Contractor s list, the Architect will make an inspection to determine whether
More informationApril 22, 2009 REQUEST FOR PROPOSALS (RFP)
April 22, 2009 REQUEST FOR PROPOSALS (RFP) The New Jersey Schools Development Authority (NJSDA) is seeking proposals to engage a contractor to provide HVAC preventative maintenance and repairs at NJSDA
More informationAttachment A Terms and Conditions
Bidder: BID DELIVERY INSTRUCTIONS FOR STATE PROCUREMENT: BIDDERS ARE HEREBY ADVISED THAT THE U.S. POSTAL SERVICE DOES NOT MAKE DELIVERIES TO OUR PHYSICAL LOCATION: BIDS MAY BE MAILED THROUGH THE U.S. POSTAL
More informationAttachment A: Terms and Conditions RFx 3000006001 Bid Opening: 07/06/2016
1. Bid Delivery Instructions for State Procurement: Fax quotations may be submitted either: Via fax to: (225) 342-9756 OR Delivered by hand or courier service to: Office of State Procurement Claiborne
More information5. Preparation of the State and Federal Single Audit Reports.
THE CITY OF GROTON REQUEST FOR PROPOSAL FOR AUDITING SERVICES RFP 15-01 (Revised 5/28/15) 1. Introduction The City of Groton, Connecticut (the City) is soliciting proposals for purpose of obtaining the
More informationSAMPLE CONSTRUCTION INSURANCE REQUIREMENTS
SAMPLE CONSTRUCTION INSURANCE REQUIREMENTS A. In General The shall purchase and continuously maintain in full force and effect for the policy periods specified below the insurance policies specified in
More information**If this is an agreement between the City and an individual or business entity providing DESIGN SERVICES, use Form MVF 00-05.**
**If this is an agreement between the City and an individual or business entity providing DESIGN SERVICES, use Form MVF 00-05.** **OPERATOR** Do a global search and replace the word *NAME* with CONTRACTOR,
More informationLOCATION AGREEMENT. Location Agreement Page 1 of 5
LOCATION AGREEMENT The undersigned grants to ( Producer ) its successors and assigns, the right and license to enter upon, to make photographs (stills, film, tape or otherwise) and use for so-called location
More informationInformation, Guidelines and Application
THE VILLAGE AT FAR HILLS RACE MEETING Information, Guidelines and Application SATURDAY, OCTOBER 17, 2015 FAR HILLS, NEW JERSEY FAR HILLS RACE MEETING ASSOCIATION, INC. P.O. BOX 617, 50 ROUTE 202, FAR HILLS,
More informationSTATE OF DELAWARE DEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROL DIVISION OF PARKS AND RECREATION
STATE OF DELAWARE DEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROL DIVISION OF PARKS AND RECREATION REQUEST FOR PROPOSAL FOR BEACH ACCESSORY RENTAL AND MOBILE SNACK FOOD SERVICES ISSUED FEBRUARY
More informationSTOPWASTE RESPONSIBILITIES
The Assessor named below hereby agrees to participate in the Home Energy Score Program being administered the Energy Council ( StopWaste ) as a partner organization to the U.S. Department of Energy ( DOE)
More informationAttachment 04 Contractor s Insurance Requirements
GROUP 31503 BITUMINOUS CONCRETE Page 1 of 5 Attachment 04 Contractor s Insurance Requirements The prospective awardee shall be required to procure, at its sole cost and expense, all insurance required
More information14RFP00721B-WL, Small Business Market Availability Study
August 12, 2014 Re: 14RFP00721B-WL, Small Business Market Availability Study Dear Proposers: Attached is one (1) copy of Addendum 1, hereby made a part of the above referenced Request for Proposal #14RFP00721B-WL,
More informationNPSA GENERAL PROVISIONS
NPSA GENERAL PROVISIONS 1. Independent Contractor. A. It is understood and agreed that CONTRACTOR (including CONTRACTOR s employees) is an independent contractor and that no relationship of employer-employee
More informationRIGHT OF ENTRY RECITALS. A. WHEREAS, CITY owns and operates the Norman Y. Mineta San Jose International Airport ( Airport ); and
RIGHT OF ENTRY This Right of Entry Agreement ( AGREEMENT ) is made this day of, 2015, by and between NAME, [an individual/ a corporation/ a limited liability company/ a partnership] ( ENTRANT ) and the
More informationSPORTS CAMP CONTRACT
STATE OF NORTH CAROLINA WAKE COUNTY SPORTS CAMP CONTRACT This agreement made and entered into this day of, 20, by and between North Carolina State University (hereinafter referred to as NC STATE ), and,
More informationItems 1-7 above shall not be subject to any of the following limiting or exclusionary endorsements:
Page 1 of 5 Supplier's Insurance. Before commencing the Work, and as a condition of any payment due under this Subcontract, Supplier shall, at its own expense, procure and maintain insurance on all of
More informationSAMPLE VERBIAGE OF SUBCONTRACT AGREEMENT INSURANCE REQUIREMENTS (PLEASE REFER TO YOUR STRUCTURE HOME SUBCONTRACT AGREEMENT)
SAMPLE VERBIAGE OF SUBCONTRACT AGREEMENT INSURANCE REQUIREMENTS (PLEASE REFER TO YOUR STRUCTURE HOME SUBCONTRACT AGREEMENT) INSURANCE REQUIREMENTS A. COVERAGE: Subcontractor and its subcontractors and
More informationBIKRAM S YOGA COLLEGE OF INDIA. Affiliation Agreement
BIKRAM S YOGA COLLEGE OF INDIA Affiliation Agreement THIS AFFILIATION AGREEMENT ( Agreement ) is effective as of 2011 ( Effective Date ) and is by and between BIKRAM CHOUDHURY or his designee ( Bikram
More informationThe AIA B 141-1997 Standard Form of Agreement between the Owner and Architect is hereby amended as follows:
AMENDMENT A to AIA B 141-1997 between the Owner, Colorado College, and Architect (Firm s name) with Standard Form of Architect s Services made as of (Contract date). PROJECT: (Project name) The numbering
More informationWhen completing certificates of insurance, the following wording must be stricken from the standard statement:
(Applicable to all SETA-funded programs) (Pursuant to SETA Governing Board Action on 4/21/88) (Revised 5/3/2007) Prior to contract execution, commencement of program performance and disbursement of any
More informationRequest for Proposals WEB-BASED GRANT MANAGEMENT SOFTWARE FOR THE CITY OF MOUNTAIN VIEW S CDBG AND HOME PROGRAMS
COMMUNITY DEVELOPMENT DEPARTMENT NEIGHBORHOOD PRESERVATION DIVISION 500 Castro Street Post Office Box 7540 Mountain View, California 94039 7540 650 903 6379 FAX 650 962 8502 Request for Proposals WEB-BASED
More informationCity of Kirkland. Request for Proposal. Property Management Services City of Kirkland Rental Properties. Job # 56-15-FAC
City of Kirkland Request for Proposal Property Management Services City of Kirkland Rental Properties Job # 56-15-FAC Issue Date: September 17, 2015 Due Date: October 1, 2015 REQUEST FOR PROPOSALS The
More informationAttachment 4: Insurance Requirements
The prospective awardee shall be required to procure, at its sole cost and expense, all insurance required by this Section and, unless otherwise required by this Section, provide proof of the same within
More informationRequest for Proposal. City of Monrovia Case Management, Facilities Management and Work Order Application Replacement
Request for Proposal City of Monrovia Case Management, Facilities Management and Work Order Application Replacement City of Monrovia Information Systems Division January 2, 2014 Responses Due January 27,
More informationExhibit B (Incorporated into Construction Purchase Order Terms and Conditions) CONSTRUCTION CONTRACT INSURANCE REQUIREMENTS
Exhibit B (Incorporated into Construction Purchase Order Terms and Conditions) CONSTRUCTION CONTRACT INSURANCE REQUIREMENTS 1.1. Contractor shall maintain insurance underwritten by solvent insurance companies
More informationAlterations to Building Request Form
Alterations to Building Request Form This form is required for all Organizational Housing Facilities that wish to request any changes, updates, or overall alterations to the facility or surrounding area.
More informationInsurance Requirements vary for different applicants. Please see the below listed applicant types followed by the insurance requirements.
CITY OF HUNTINGTON BEACH 2000 Main Street, Huntington Beach, CA 92648-2702 Email: michelle.roesner@surfcity-hb.org Phone: 714-536-5434 Fax: 714-374-1654 Insurance Requirements vary for different applicants.
More informationLast: First: Middle Initial: Title
Credit Application Name/Address Last: First: Middle Initial: Title Name of Business: Tax I.D. Number Address: City: State: ZIP: Phone: Cell Phone: Email Address: Organization Information Type of Organization:
More informationFood Vendor Application 2013 Florence, Arizona April 11 th - 14 th
Food Vendor Application 2013 Florence, Arizona April 11 th - 14 th Dear prospective vendor, Thank you for your interest in participating in the 2013 Country Thunder Music Festival in Florence, Arizona.
More informationProperty Management Agreement
Property Management Agreement Owner: Address: _ Email: Phone: Phone: Manager: Address of Property(ies): RealCore Realty LLC Dba. Arizona Rental Pros / National Rental Pros 3101 W. Thomas Rd #106 Phoenix,
More informationINSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000
Page 1 of 9 DOCUMENT 00850 INDEMNIFICATION AND INSURANCE REQUIREMENTS EXHIBIT B-1 INSURANCE REQUIREMENTS FOR CONSTRUCTION CONTRACTS ABOVE $25,000 Indemnity The Contractor shall indemnify, defend, and hold
More informationBerkeley Unified School District ROUTING FORM Contract, MOU and Amendment Approval
ROUTING FORM Contract, MOU and Amendment Approval All Independent Contractor Agreement, MOU and Amendment Forms should be routed to Purchasing Department first for tracking. Purchasing will send the documents
More informationINDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES
INDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES This Independent Contractor Agreement for Services ( Agreement ) is made as of, 2012, between the Culver City Unified School District ("District")
More informationRequired Insurance Language for PRF Construction Contracts
Required Insurance Language for PRF Construction Contracts When working with legal counsel to affect a construction contract for new construction or for build-outs the Purdue Risk Management Department
More informationADDENDUM A1. Subcontractor Insurance Requirements
ADDENDUM A1 Subcontractor Insurance Requirements Certificates and endorsements must be received and approved prior to the start of any work. No payments will be released until all insurance documents are
More informationAGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND FOR. Attention:
AGREEMENT BETWEEN THE CITY OF BEVERLY HILLS AND FOR NAME OF CONSULTANT: RESPONSIBLE PRINCIPAL OF CONSULTANT: CONSULTANT'S ADDRESS: Attention: CITY'S ADDRESS: City of Beverly Hills 455 N. Rexford Drive
More informationINSURANCE REQUIREMENTS FOR ALL CITY CONTRACTS
INSURANCE REQUIREMENTS FOR ALL CITY CONTRACTS 1. GENERAL PROVISIONS A. Indemnification. The Contractor shall indemnify and save harmless the City of Lincoln, Nebraska from and against all losses, claims,
More informationEXHIBIT A (of Request for Proposal)
EXHIBIT A (of Request for Proposal) INDEPENDENT CONTRACTOR AGREEMENT FOR SPECIAL SERVICES This Independent Contractor Agreement for Services ( Agreement ) is made as of, 2016 between the Dublin Unified
More information