HomeMy WebLinkAbout2015-094 Concession Agrmt - Umi Sushi
IL
2015 Calle GuEaajuato Restaurant Concession License
This RESTAURANT CONCESSIC N LICENSE (also referred to herein as "License") is
made and entered into this Q day of 2015, by and between the City of
Ashland, a municipal corporation of the State of Oregon, by and through the Ashland Parks
and Recreation Commission, (hereinafter collectively referred to as "City', and
~:~,+11 (hereinafter referred to as "Concessionaire").
1. SCOPE OF GRANT: Concessionaire has license to operate and maintain an outdoor
dining concession within the described Concession Area Exhibit A.
a. This license gives no estate or interest in the Concession Area, is revocable and
not assignable.
b. This license does not otherwise waive, modify or grant compliance with federal,
state, or local laws applicable to the Concessionaire or its business.
c. The City retains all rights to use and maintain the Concession Area for those
purposes which it holds the property without unreasonably interfering with the
license granted to concessionaire.
2. TERM / EFFECTIVENESS: The term of this License shall commence upon approval and
execution by both City and Concessionaire and shall terminate on November 15, 2015,
unless terminated early as provided for herein.
3. DURATION / MINIMUM INTERVAL OF USE: The duration and scope of the
revocable License and Concession granted by this License is for one season, beginning
March 15, 2015 and ending November 15, 2015.
a. Concessionaire is permitted to prepare, operate, and shall terminate Concession
Area for outdoor dining concession operation between the period beginning
March 15, 2015 at 7:00 A.M. and ending November 15, 2015 at 5:00 P.M.
4. PAYMENT OF LICENSE FEES: Concessionaire shall pay a license fee based upon the
square footage of the Concession Area. The square footage awarded shall be
determined each year by written order of the Parks Director and shall be set forth
precisely in Exhibit A.
a. The square footage flat fee shall be $7.00 per square foot for restaurants, for
the 2015 concession year.
b. Any payments for fees, taxes or assessments required or in arrears or disputed
must be made by Concessionaire before any new license will be authorized for
the Concessionaire.
5. USE OF PREMISES AND CONCESSION OPERATION LIMITS:
a. Compliance with Law. Comply with all federal, state and local laws, rules,
and regulations applicable to public health and safety and licensing related to
food and food handling and doing business in the State and City of Ashland;
b. Maintenance ane Safety. Maintain all the grounds, improvements, facilities,
assets equipment and fixtures contained within the Concession Area in good
repair and in safe, sanitary, clean, and attractive condition that is approved
acceptable by the City, such approval not to be unreasonably withheld.
c. Improvements and Placement of Restaurant Equipment. Unless
otherwise set forth herein, Concessionaire may make physical improvements or
alterations to the concession Area or install structures or fixtures thereon only
after express written authorization of the City Parks Director, such approval not
to be unreasonably withheld.
Calle Guanajuato Restaurant Outdoor Dining Concession 1
d. Concessionaire may place tables and chairs, serving tables or host
podium stand or other items reasonably related to the outdoor dining concession
('restaurant equipment') in the Concession Area.
e. Restaurant equipment shall be of sturdy and durable construction, movable by
one person, and shall be self-supporting, and at no time attached, tied or locked
to trees, hydrants, poles, fences or other items.
f. Restaurant equipment, or materials otherwise associated with the restaurant
owner and restaurant employees shall not block or in any way impede pedestrian
or fire and emergency vehicle access to the Calle Guanajuato as required by this
License.
g. Restaurant equipment, supplies or materials otherwise associated with the
restaurant owner and restaurant employees shall not block, impede or in any
way hamper vehicular traffic on Calle Guanajuato during the following hours or
as otherwise permitted under Ashland Municipal Code 10.68.400
Monday through Friday Saturday and Sunday
Prior to 11:30 a.m. Prior to 8:00 a.m.
& after 10:00 p.m. & after 10:00 p.m.
h. Concessionaire shall promptly remove any offensive, hazardous or dangerous
restaurant equipment, furniture, or solid waste within the Concession Area, at all
times.
6. FIRE AND LIFE SAFETY. Concessionaire shall comply with any and all fire and life
safety guidelines, recommendations and requirements issued by the City of Ashland Fire
Marshal, including, but not limited to:
a. Maintain all required fire and emergency access areas;
b. Ensure that permitted restaurant equipment shall not encroach upon or obstruct
public walkways or open space areas while maintaining a clear eight (8) foot
pathway for emergency vehicles as approved by the City of Ashland Fire Marshal;
c. Maintain a clear, unobstructed space around any fire hydrant as required for fire
safety;
d. Have available and shall maintain such fire extinguishers as determined by the
Fire Marshal;
e. Advise patrons and shall strictly abide by the Park prohibition on smoking.
Smoking is not permitted on the Calle Guanajuato under any circumstances; and
f. No use any bottled gas, electrical devices, or hazardous materials or hazardous
substances without prior approval by the Ashland Parks Director. [For purposes
of this License "Hazardous Substance" or "Hazardous Material" means any
hazardous, toxic, infectious, or radioactive substance, waste, or material as
defined or listed by any local, state or federal environmental law.]
7. VEHICULAR ACCESS. As otherwise provided herein, Concessionaire shall strictly
comply with vehicular access to the Calle Guanajuato as is permitted by AMC 10.68.400.
'a. City, at its sole discretion, will issue revocable access permits to Concessionaire
according to limited purposes and for limited times to facilitate set up, take
down, and removal of restaurant equipment and other materials authorized by
this License.
b. Vehicles will exclusively ingress and egress from Winburn Way, and will not enter
or exit from the plaza end of Calle Guanajuato; nor will they extend beyond the
area designated for the Concession.
c. At no time will the Concessionaire interfere with the eight (8) foot path required
Calle Guanajuato Restaurant Outdoor Dining Concession 2
for emergency vehicles.
d. The Concessionaire shall ensure that appropriate pedestrian safety precautions
are maintained while vehicles using the access permits are in the vicinity.
e. Concessionaire shall procure and maintain insurance in accordance with the
requirements of Exhibit C in full force and effect throughout the term of this
License.
8. SERVICE OF ALCOHOL. This license suspends compliance by Concessionaire to AMC
10.40.030 prohibiting public consumption of alcoholic beverages under the following
conditions:
a. Maintain, in force, a comprehensive liability policy including an endorsement for
liquor liab' 'ty at their own expense and at all times during the Concession
duration; Initial from Concessionaire)
b. Serve alcoholic beverages only in conjunction with prepared meals.
9. INSURANCE: Concessionaire shall, at its sole cost and obligation, procure and
maintain insurance in accordance with the requirements of Exhibit C in full force and
effect throughout the term of this License. Concessionaire shall provide the City with
copies of said insurance certificates and shall name the City of Ashland as additional
insureds.
10. INDEMNITY AND HOLD HARMLESS: Concessionaire will defend, indemnify and hold
City and/or Parks Commission, their officers, employees and agents harmless from any
and all losses, claims, actions, costs, expenses, judgments, subrogations, or other
damages resulting from injury to any person (including injury resulting in death,) or
damage (including loss or destruction) to property, of whatsoever nature arising out of
or incident to this license or the activities that take place on licensed property.
Concessionaire waives the right of subrogation regarding the insurance policy as
described in the Insurance Section in this License. Concessionaire will not be held
responsible for damages caused by negligence of City and/or the Parks Commission.
a. The obligation to indemnify is expressly understood to survive termination of this
License for any reason, and includes reasonable attorneys' fees, including
attorneys' fees on appeal, and investigation costs and all other reasonable costs,
expenses and liabilities incurred by City or its attorney from the first notice that
any claim or demand is to be made or may be made.
11. TERMINATION: Notwithstanding any other provision herein, the City may terminate
this license, in whole or in part, at any time for any reason considered by the City, in the
exercise of its sole discretion, to reasonably be in the public interest. The City will
provide the Concessionaire seven (7) days prior written notice of a termination for public
convenience.
a. Concessionaire's remedy to contest termination of the license by City is provided
in AMC 2.30, Uniform Administrative Appeals Process.
b. Notwithstanding any other provision herein, City may order vacation of the
Concession Area or immediately remove the Concessionaire or any other person
who may be occupying the Concession Area without resort of a Court Order
sanctioning such acdon.
c. Upon failure to vacate, City is expressly authorized to remove all Concessionaire
property from the Concession Area at the Concessionaire's expense,
i. City will reasonably maintain the property of the Concessionaire for at
least 30 days and shall leave it reasonably available for Concessionaire to
take possession. City may dispose of any property that remains
Calle Guanajuato Restaurant Outdoor Dining Concession 3
unclaimed after 30 days. The City may use reasonable discretion to
immediately dispose of non-durable or solid waste, including but not
limited to food and other putrescible waste.
12. SURRENDER: Upon the expiration of the original term or terms, as extended by the
parties, Concessionaire shall surrender to the City the Concession Area in as good or
better condition and order as was originally received, except as allowed for within the
typical wear and tear.
13. DISPUTE RESOLUTION AND ATTORNEY FEES: The preferred method of resolving
disputes between the parties under this License shall be first by mediation. Mediation
shall be conducted by a mediator chosen by mutual agreement of the parties; if there is
no agreement, the mediator shall be appointed by the elected Municipal Court Judge or
Judge pro tem.
a. Any mutually incurred cost from the provision of these services, except costs
associated with building a case including but not limited to attorney fees or fees
for expert witnesses, shall be shared equally between the two parties.
b. In any administrative appeal or litigation between the parties arising out of this
license, the prevailing party shall recover its reasonable attorneys fees incurred
at trial and upon appeal. "Attorneys fees" shal! include the reasonable value of
the services of in-house counsel.
14,. MISCELLANEOUS PROVISIONS.
a. Notice. Any notice affecting the rights of the parties under this License shall be
delivered in writing either in person or to the following parties by first class mail:
City: Director, Michael A. Black
Ashland Parks and Recreation Commission
340 South Pioneer Street
Ashland, Oregon 97520
(Telephone 541-488-5340; FAX: 541-488-5314)
Copy to: City Administrator, Dave Kanner
City of Ashland
20 East Main Street
Ashland, Oregon 97520
(Telephone: 541-552-2100; Fax: 541-488-5311)
Concessionaire: Name of business:
Attn :
Address:
Phone Number: L u $ f~
b. Governing Law. This License, and all matters relating to this License, shall
be governed by the laws of the State of Oregon in force at the time any need for
interpretation of this License or any decision or holding concerning this License
arises. The parties to this License do not intend to confer on any third party any
rights under this License.
c. Severability. If any provision of this License is held by a court of competent
jurisdiction to be either invalid, void, or unenforceable, the remaining provisions
of this License shall remain in full force and effect.
d. Merger. THIS LICENSE CONTAINS THE ENTIRE AGREEMENT BETWEEN THE
PARTIES HERETO AND SUPERSEDES ANY AND ALL PRIOR EXPRESS AND/OR
Calle Guanajuato Restaurant Outdoor Dining Concession 4
IMPLIED STATEMENTS, NEGOTIATIONS AND/OR AGREEMENTS BETWEEN THE
PARTIES, EITHER ORAL OR WRITTEN, AND MAY NOT BE AMENDED, CHANGED
OR MODIFIED IN ANY WAY, EXCEPT BY WRITTEN AGREEMENT SIGNED BY ALL
PARTIES HERETO.
IN WITNESS WHEREOF, the parties hereto have caused this instrument to be
executed in two (2) duplicate originals, either as individuals, or by their officers,
thereunto duly authorized.
DATED this 2 (.t day of ~A('( d"l 2015
Licensee / Concessionaire: Licensor/ City of Ashland, Oregon:
Pafks and Recreatio Commission
Name Printed: Clh*L(-- i 71~j ~L,N Michael A. Black, Director
Ashland Parks a d R reation
Date: 3 L-( IT Dater
a
Dave Kanner, City Administrator
Approved as to form:
'Kpr )VIA
Dave Lohman, City Attorney
Calle Guanajuato Restaurant Outdoor Dining Concession 5
Exhibit A- Concession Area
See attached picture and highlight entire area of interest.
Calle Guanajuato Restaurant Outdoor Dining Concession 6
Integrity Carpet Care 541-770-1616 p.1
Exhnb it B
Proposal Documents
Ashlar. J Parks Recreation Department
REQUEST FOR
RESTAURAN SERVICE SI?ACE-CALLE GUANAJUATO 7
NAME OF RESTAURANT i~ M) ~U3 + J WK PHONE
MESSAGE PHONE EMAIL ADDRESS ~ ~ L C, t i l7 S C (r-kni~a L - ca vl
NAME OF AUTHORIZED REPRESENTATIVE`. -0 ~JS L&= `I
WHAT IS THE BEST WAY TO CONTACT YOU? *(Circle one) mail phone
MAILING ADDRESS
IJ M AI M ST-
CITY i' } t-►~~ STATE ZIP
DESCRIPTION OF AREA. SEE ATTACHED PECTURE (Exhibit A)
ARE YOU REQUESTY NEW SPACE THAT IS NOT CURRENLY A SEATING AREA?
( Circle One) YES NO
TOTAL NUMBER OF SQUARE FEET REQUESTED? l- per square foot)
WILL ALCOHOLIC BEVERAGES BE SERVEDI? YES NO
Date C
Signature (owner o representative)
*******~***e- 5~~3-'"~ONL`-{ 1`~GLOs,J~i'tY~S.i~l1Ut~
Total Square Footage x $ Date Paid
The following items must be ohta" ed before license can be issued:
Business License Number:
• Copy of OLCC License for cutdoor seadrig
• Copy of Insurance Certificate naming City of Ashland as additional insureds
Cage Guanajuato Restaurant Outdoor Dining Concossion 7
.t
00
R
Exhibit B
Proposal Documents
Ashland Parks & Recreation Department
REQUEST FOR
RESTAURANT SERVICE SPACE-CALLE GUANA'JUATO
NAME OF RESTA RANT WK PJ0ONE
MESSAGE PHONE EMAIL ADDRESS
NAME OF AUTHORIZED PRESENTATIVE
WHAT IS THE BEST WAY TO 3NTACT YOU? *(circ% one) email/phone
MAILING ADDRESS
CITY 'STATE ZIP
DESCRIPTION OF AREA. SEE / TTACHED PICTURE (Exhibit A)
ARE YOU REQUESTING A NEW SPACE THAT IS NOT CURRENLY A SEATING AREA?
(Circle One) YES NO
TOTAL NUMBER OF SQUARE F~9ET REQUESTED? per square foot)
WILL ALCOHOLIC BEVERAGES BE SERVED? YES NO
Date
Signature (own r representative)
i
Total Square Footage x $ Date Paid
The following items rust be catained before license can be issued:
• Business License Idnber:
• Copy of OLCC License-for outdoor seating
• Copy of Insurance Certificate naming City of Ashland as additional insureds
Calle Guanajuato Restaurant Outdoor Dining Concession 7
Exhibit C
Insurance Requiremerr:s
The Concessionaire, at its sole cost and expense, commencing on the effective date of this License, shall procure and
maintain insurance acceptable to the City in full force and effect throughout the term of this License. It is agreed
that any insurance maintained by City shall apply in excess of, and not contribute with, insurance provided by
Concessionaire. Concessionaire's Insurance shall be primary and non-contributory and have a cross-liability clause.
During the term of this contract, Concessionaire shall maintain in full force, all the insurance coverage noted below
with the City named as additionally insured:
1. Comprehensive General Liability insurance, with a general aggregate limit of not less than $2,000,000
and $2,000,000 per occurrence. Each policy shall contain a blanket contractual liability endorsement to
cover the Concessionaire's indemnification and other obligations under this License as well as owners' and
contractors' protective insurance, products and completed operations coverage, fire damage, personal and
advertising injury coverage. It shall also include, if appropriate for the contract, coverage for Concession
Area operations, explosion and collapse hazard, underground hazard, products, completed operations,
contractual insurance, and independent contractors.
2. Comprehensive Automobile Liability insurance, with a general aggregate limit of not less than
$2,000,000 and $2,000,000 per occurrence, including coverage for owned, hired or non-owned vehicles.
3 Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverage(s) without 30 days written notice from the Concessionaire or its
insurer(s) to the City.
4. Certificates of insurance. As evidence of the insurance coverage's required by this contract, the
Concessionaire shall furnish acceptable insurance certificates to City at the time Concessionaire returns
signed contracts. For general liability insurance and automobile liability insurance the certificate will provide
that the City, Parks Commission, its officers, employees and agents are Additional Insureds. The certificate
will include the 30-day cancellation clause, and will include the deductible or retention level. Insuring
companies or entities are subject to City acceptance. If requested, complete copies of insurance policies
shall be provided to the City. The Concessionaire shall be financially responsible for all pertinent
deductibles, self-insured retention's, and/or self-insurance. Certifcates of Insurance shall be
forwarded to: (Ashland Parks and Recreation 340 S. Pioneer St., Ashland OR 97520).
5. Workers Compensation insurance in compliance with Oregon Si_atutes, [ORS 656.017] which requires
subject employers to provide Oregon workers' compensation coverage for all their subject workers.
(Required of Concessionaires with one or more employees, unless exempt under ORS 656.027). ) Only if
Concessionaire does not employ workers subject to ORS Chapter 656, Concessionaire shall sign the
following affidavit:
EXEMPTION AFFIDAVIT
Concessionaire declares, under penalty of perjury and false swearing, that Concessionaire does not currently
employ, and will not employ any individuals for work under this contract during the term this License is in
force.
Date:
Concessionaire
Calle Guanajuato Restaurant Outdoor Dining Concession 8
Exhibit D
Minimum Policies, Procedures, and Concession Standards for
Ou+:door Dining on Calle Guanajuato
The Ashland Parks and Recreation Commission may award a concession on the Calle Guanajuato to
Plaza restaurants, adjacent to Calle, for the specific purpose of placing outdoor food service tables on
approved concession sites, said sites designated and approved by the Parks Director on an annual
basis The Policies, Procedures and Standards below govern this process, [Subject to change by the
Parks Commission].
Definitions For the purpose of this document, all references, certain words and phrases are defined, and
certain provisions shall be constructed as herein set out, unless it appears from their context that a different meaning
is intended.
• "Restaurants" shall pertain strictly to City of Ashland Plaza Restaurant owners and establishments adjacent
to Calle Guanajuato. These restaurants are in the business of selling or causing to be sold for cash or
consideration of any kind any of the following items: food or edibles of any type whether hot, cold, fresh
prepared or packaged. This definition includes an offer for sale.
• "Concession" is that City authorization which provides the restaurant owner the right to maintain a
restaurant venture at a certain location on the Calle Guanajuato.
• "Calle Guanajuato" is that area behind the Ashland Plaza business area, adjacent to the south side of
Ashland Creek, between North Nain Street and Winburn Way.
• "Restaurant Equipment" includes but is not limited to any materials, merchandise, tools, carts, tables chairs,
podiums, or other items owned by, in possession of or associated with a licensed restaurant owner.
• "Restaurant Owner" is a person or legal entity who is the legal owner of the restaurant business.
• "Employee" means any person hired or paid compensation by, or any person under contract to, a licensed
restaurant owner.
• "Site Location" (also referred to as "concession area", or "premises" is that useable space or area on Calle
Guanajuato which has been allocated for individual plaza restaurant use by the Ashland Parks Director.
• "Licensed" is that business license required by the City of Ashland constituting a tax for revenue purposes,
and is not a regulatory permit fee. The payment of a license tax required by, and its acceptance by the
City, and the issuance of such license to any person, shall not entitle the holder thereof to carry on any
business on the Calle Guanajuato unless he or she has complied with all the requirements of the City and all
other applicable site permit policies and rules of the Ashland Parks and Recreation Commission as agreed
upon when obtaining a site permit.
Restaurant Concession Application.
• Every plaza restaurant, adjacent to Calle Guanajuato, desiring an outdoor dining concession on the Calle
Guanajuato shall file an application with the Ashland Parks and Recreation Commission upon a form obtained
from the Ashland Parks and Recreation Department. The applicant shall meet the application deadline and place
the same on file with the department.
Review of Concession Applications.
Restaurants shall have first priority for all Calle Guanajuato alcove use as site locations. Calle's alcove
position, design and square footage provides an appropriate setting for restaurant traffic and layout.
Upon receipt of applications, the Ashland Parks and Recreation Commission shall review each according to the
following "priority" criteria:
Calle Guanajuato Restaurant Outdoor Dining Concession 9
• Restaurant proximity shall constitute a major determining factor for a site location on Calle Guanajuato. Only
restaurants that are adjacent to and have the greatest accessibility to a designated location shall have
contractual preference.
• Restaurant "seniority" shall take precedence when two or more restaurants are within the same proximity to a
site location. "Seniority" shall be determined by a review of past year's site permit agreements affording
privilege status to most recent and / or continuous use. Final selection shall be made by the Commission.
Restaurant Concession Fee Schedule.
The Calle Guanajuato Restaurant ncession Fee Schedule shall be set at $7.00 per square foot of use.
March j _ through November ft shall constitute a concession season. "he site permit fee shall be paid by
the second Friday of May of each year covered under the permit. Minimum Period of operation is between
Memorial Day and Labor Day.
Restaurant Concession Reservation and Duration.
1. Any restaurant concession shall be nontransferable and shall be valid for one season in a single calendar
yea r.
2. No Plaza restaurant may hold or be issued more than one concession. (Owners with interests in multiple
restaurants are not restricted by this provision).
3. Should a restaurant "abandon" a reserved site, it shall be "awarded" through the competitive process under
the selection "Review of Applications."
4. At the end of each year, during the month of December, an "intent" notification shall be required of the
restaurant owner regarding continued use of the original reservation. After the third (3) consecutive
"intent" notification, the restaurant must reapply for a new concession and no reservation will held.
5. In considering "intent" notifications, the Ashland Parks and Recreation Commission shall consider the
original application criteria in the section "Review of Applications" and the restaurant owner's compliance
with other applicable City laws and regulations. Any site permit reservation which is rescinded shall receive
in writing an explanation of such action from the Commission.
Restaurant Cancellation.
• A restaurant issued a concession may be canceled at the request of the restaurant owner. In such case, the
annual site permit fee requirement shall be null and void.
• In the event of a cancellation, the restaurant site vacated shall be available for another licensed plaza
restaurant owner or designated as part of the Calle Guanajuato Marketplace Concession.
• The Ashland Parks and Recreation Department reserves the right to revoke any restaurant's concession for
a designated Calle area at any time if that individual restaurant does not conform to applicable law,
including but not limited to the rules and regulations established by the Ashland Parks and Recreation
Commission.
Restaurant Concession Regulations.
• Concessionaires shall be required to enter into a standard Concession agreement with the City to lawfully
operate a concession on city park property.
Calle Guanajuato Restaurant Outdoor Dining Concession 10
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AIll- CERTIFICATE OF LIABILITY INSURANCE 03/25/2015
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).
CONTACT
PRODUCER Phone: 541-779-4232 N
AME:
Hart Insurance Fax: 541-772-3963 PHONE FAX
1123 Royal Ave. A/c No Ext : A/c No):
Medford, OR 97504 E-MAIL
Hart Insurance / Medford ADDRESS:
PRODUCER 9UMISUA
CUSTOMER ID
INSURER(S) AFFORDING COVERAGE _ NAIC # _
INSURED Umi Sushi of Ashland Inc. INSURER A: American Hallmark 43494
29 N Main St INSURER B : SAIF Corporation
Ashland, OR 97520 - -
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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X 44PB477366 12/08/2014 12/0812015 DAMAGE TO RENTED 100,00
PREMISES Ea occurrence $
CLAIMS-MADE OCCUR MED EXP (Any one person) $ 5,00
PERSONAL & ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00
POLICY F1 JECT PRO LOC Liquor $ 1,000,00
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
SCHEDULED AUTOS
PROPERTY DAMAGE $
HIRED AUTOS (Per accident)
NON-OWNED AUTOS $
- $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION X WC STATU- OTH-
AND EMPLOYERS' LIABILITY TORY LIMITS ER
B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N 776284 12/01/2014 12/01/2015 E.L. EACH ACCIDENT $ 500,00
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,00
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate Holder is an additional insured
CERTIFICATE HOLDER CANCELLATION
CITYASH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Parks & Recreation Dept AUTHOR REPRESENTATIVE
20 E. Main Street Hart S rance / ed d „
Ashland, OR 97520
~hY / cc
C 1988-2009 ACORD_RPORATION. All rights reserved.
c
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II - Who Is An Insured is amended drawings, opinions, reports, surveys,
to include as an additional insured any per- field orders, change orders or draw-
son or organization for whom you are per- ings and specifications; or
forming operations when you and such per-
son or organization have agreed in writing in b. Supervisory, inspection, architectural
a contract or agreement that such person or or engineering activities.
organization be added as an additional in- 2. "Bodily injury" or "property damage" oc-
sured on your policy. Such person or organi- curring after:
zation is an additional insured only with re-
spect to liability for "bodily injury", "property a. All work, including materials, parts or
damage" or "personal and advertising injury" equipment furnished in connection
caused by your negligence in the perform- with such work, on the project (other
ance of your ongoing operations performed than service, maintenance or re-
for that additional insured. A person's or or- pairs) to be performed by or be-
for
status as an additional insured half of the additional insured(s) at
under this endorsement ends when your op- the location of the covered opera-
under
for that additional insured are com-
pleted. b. That portion of "your work" out of
B. With respect to the insurance afforded to which the injury or damage arises
these additional insureds, the following addi- has been put to its intended use by
tional exclusions apply: any person or organization other
than another contractor or subcon-
This insurance does not apply to: tractor engaged in performing opera-
1. "Bodily injury", "property damage" or tions for a principal as a part of the
"personal and advertising injury" arising same project.
out of the rendering of, or the failure to 3. "Bodily injury" or "property damage" oc-
render, any professional architectural, curring or commencing before:
engineering or surveying services, in-
cluding but not limited to: a. Execution of the written contract or
agreement that such person or or-
a. The preparing, approving, or failing ganization be added as an additional
to prepare or approve, maps, shop insured on your policy.
CBGL 00 41 06 06 Contains Copyrighted Material of Page 1 of 1
ISO Properties, Inc., with permission