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Home My WebLink AboutCORRESPONDENCE - RFP - 8683 EVENT BEVERAGE CONCESSIONS - RECREATION CENTERS (4)October 18, 2019 Black Tie Events LLC Attn: Gina Maez 155 North College # 128 Fort Collins, CO 80524 RE: Contract Renewal, 8683 Event Beverage Concessions - Recreation Centers Dear Ms. Maez: The City of Fort Collins wishes to extend the agreement term for the above captioned agreement per the existing terms and conditions and the following: 1) The term will be extended for one (1) additional year, January 1, 2020 through December 31, 2020. If the renewal is acceptable to your firm, please sign this letter in the space provided and include a current copy of insurance certificate naming the City as an additional insured for General and Automotive Liability within the next fifteen (15) days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non-renewal. Please contact buyer, Beth Diven at (970) 221-6216 if you have any questions regarding this matter. Sincerely, Gerry S. Paul Director of Purchasing __________________________________________ ________________ Signature Date (Please indicate your desire to renew 8683 by signing this letter and returning it to Purchasing Division within the next fifteen days.) GSP:kk Financial Services Purchasing Division 215 N. Mason St. 2nd Floor PO Box 580 Fort Collins, CO 80522 970.221.6775 970.221.6707- fax fcgov.com/purchasing DocuSign Envelope ID: 799F7B8B-B26D-4226-8C17-19A3C7D35E02 10/18/2019 01/15/2019 Veracity Insurance Solutions, LLC. 260 South 2500 West, Suite 303 Pleasant Grove UT 84062 FLIP Program Support (844)-520-6992 info@fliprogram.com Great American Alliance Insurance Co. 26832 Black Tie Events LLC 155 north college #128 Fort Collins CO 80524 A x x x x PL2260060-F059733X 02/01/2019 02/01/2020 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 Certificate holder had been added as additional insured regarding the above mentioned policy per attached Additional Insured - Designated Person or Organization (CG 20 26 Ed. 04 13) The City of Fort Collins, it's officers, agents, and employees. 215 N Mason Avenue Fort Collins, CO 80524 PL2260060-F059733X CG 20 26 (Ed. 04 13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Organization(s): The City of Fort Collins, it's officers, agents, and employees. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION II - WHO IS AN INSURED is amended to include as an Additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; or 2. in connection with your premises owned by or rented to you. However: 1. the insurance afforded to such additional insured only applies to the extent permitted by law; and 2. if coverage provided to the Additional Insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these Additional Insureds, the following is added to SECTION III – LIMITS OF INSURANCE: If coverage provided to the Additional Insured is required by a contract or agreement, the most we will pay on behalf of the Additional Insured is the amount of insurance: 1. required by the contract or agreement; or 2. available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Copyright, ISO Properties, Inc., 2012 CG1 20 26 (Ed. 04/13) PRO Page 1 of × CLAIMS-MADE OCCUR 01/15/2019 Veracity Insurance Solutions, LLC. 260 South 2500 West, Suite 303 Pleasant Grove UT 84062 FLIP Program Support (844)-520-6992 info@fliprogram.com Certain Underwriters at Lloyds Black Tie Events LLC 155 north college #128 Fort Collins CO 80524 A LIQUOR LIABILITY x DT810213-LLA059749 02/01/2019 02/01/2020 $1,000,000 Occurrence / $2,000,000 Aggregate Certificate holder had been added as additional insured regarding the above mentioned policy per attached Additional Insured - Liquor License Holder (FLL2022) The City of Fort Collins, it's officers, agents, and employees 215 N Mason Ave Fort Collins CO 80524 DT810213-LLA059749 (FLL20 22) ADDITIONAL INSUREDS - LIQUOR LICENSE HOLDER This endorsement modifies insurance provided under the following: LIQUOR LIABILITY COVERAGE FORM SECTION II - WHO IS AN INSURED, paragraph 2. is amended by the addition of the following: d. The license holder for the insured location, but only for acts within the scope of their duties related to the conduct of your business. However, none of these license holders are an insured for: (1) “Injury”: (a) To you, to your partners or members (if you are a partnership of joint venture) or to your members (if you are a limited liability company); or (b) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in (a) above. (2) “Property damage” to property: (a) Owned or occupied by, or (b) Rented or loaned to that license holder by any of your partners or members (if you are a partnership or limited liability company). All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy unless another effective date is shown. FLL20221 Page 1 of EXHIBIT ___ CERTIFICATE OF EXEMPTION FROM STATUTORY WORKERS’ COMPENSATION LAW AND ACKNOWLEDGEMENT OF RISK/HOLD HARMLESS AGREEMENT I, Gina Maez , as an owner / member / partner / stockholder (circle one) in Black Tie Events_ (insert business name), a Sole Proprietorship / Limited Liability Company / Partnership / Corporation (circle one), with a principal address of 155 N College Ave Fort Collins, CO 80524,, certify to the City of Fort Collins, Colorado (the “City”) that the aforementioned business has no employees as defined by the Workers’ Compensation Act of Colorado, C.R.S. §§ 8-40-101, et seq., (the “Act”) other than those owners, members, partners, directors or other principals that have elected to be exempt from Workers’ Compensation coverage in accordance with Colorado law. On behalf of said business and its officers, agents, insurers, heirs, legal representatives, successors and assigns (collectively the “Business”), I warrant that I have full authority to execute this Exhibit on behalf of the Business. I warrant I understand the requirements of the Act with respect to providing Workers’ Compensation coverage for any employees of the Business. If the Business’s status changes in such a manner that requires Workers’ Compensation Insurance, the Business shall provide the City with a Certificate of Insurance evidencing proof of Workers’ Compensation Insurance coverage and Employer’s Liability Insurance coverage as required by the Agreement. The Business shall provide such Certificate of Insurance prior to the employees’ start of work for the City. On behalf of the Business, I acknowledge the Business may be contracting to engage in activities that involve a risk of personal injury, that the Business is capable of performing the activities, and that the Business shall take all necessary precautions to prevent injury. The Business does hereby waive, release and forever discharge and hold harmless the City, its officers, employees, agents and insurers from any and all liability, damages, claims, causes of action and demands with respect to any bodily injury, personal injury, illness, or death that may result from the performance of the Agreement, either in law or equity, whether caused by the negligence or breach of contract of the City its officers, employees, agents and insurers or otherwise. The Business also understands that the City, its officers, employees, agents and insurers do not assume any responsibility for, or obligation to, provide the Business with financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of any bodily injury, personal injury, illness or death The Business agrees to defend, indemnify, and hold harmless the City from any and all such claims. As an independent contractor, the Business acknowledges that neither the Business nor any person employed by or serving the Business is entitled to workers’ compensation benefits from the City. The Business hereby waives any rights or claims to workers’ compensation benefits from the City, and agrees to indemnify and hold the City harmless against any claims for such benefits by any officer, director, owner, employee, or servant of the Business or any other person claiming through the Business. By signing this Certificate, the Business acknowledges that it is responsible and liable for all work-related injuries, and further requests the City waive its requirement for evidence of Workers’ Compensation Insurance. BUSINESS: By: ________________________________ Printed: Gina Maez Title: Member Date: 10.21.2019