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HomeMy WebLinkAboutContract 50399 City Secretary Contract No. fs FORTWOR"HC PERSONAL SERVICES AGREEMENT (Library) C�pFFb tP�`l G� This PERSONAL SERVICES AGREEMENT ("Agreement") is made and entered into by and between the CITY OF FORT WORTH (the "City"), a Texas home-rule municipal corporation, and Music Mentors of Texas ("Musician/Band"), a jazz band. City and Musician/Band are each individually referred to herein as a "party"and collectively referred to as the"parties." CONTRACT DOCUMENTS: The Contract documents shall include the following: 1. This Agreement for Personal Services 2. Exhibit "A"— Statement of Work plus any amendments to the Statement of Work 3. Exhibit `B"— Payment Schedule 4. Exhibit "C"— Signature Verification Form All Exhibits attached hereto are incorporated herein and made a part of this Agreement for all purposes. In the event of any conflict between the documents, the terms and conditions of this Personal Services Agreement shall control. The term "Musician/Band"or"Contractor"shall include the Musician/Band or Contractor, and its officers, agents, employees, representatives, servants, contractors or subcontractors. The term "City" shall include its officers, employees, agents, and representatives. 1. Scope of Services. The Music Mentors of Texas will provide 7 musicians to perform for 90 minutes at 6:30 p.m. Thursday, July 19, 2018, for a jazz performance at the Fort Worth Central Library, which is part of the Library's 3rd Thursday Jazz Series. The fee is $1800.00 USD and will be presented at the conclusion of the performance. Specifically, Musician/Band will perform all duties outlined and described in the Statement of Work, which is attached hereto as Exhibit "A" and incorporated herein for all purposes, and further referred to herein as the "Services." Musician/Band shall perform the Services in accordance with standards in the industry for the same or similar services. In addition, Musician/Band shall perform the Services in accordance with all applicable federal, state, and local laws, rules, and regulations. if there is any conflict between this Agreement and Exhibit A, the terms and conditions of this Agreement shall control. 2. Term. This Agreement shall commence upon March 10, 2018, ("Effective Date") and shall expire no later than October 1, 2018, ("Expiration Date"), unless terminated earlier in accordance with the provisions of this Agreement or otherwise extended by the parties. This Agreement is not renewable. OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Music Mentors of Texas Personal Services Agreement-Library Page 1 of I I Rev. 102017 City Secretary Contract No. 3. Compensation. The City shall pay Musician/Band the amount of[dollar amount]USD in accordance with the provisions of this Agreement and Exhibit "B," Payment Schedule, which is attached hereto and incorporated herein for all purposes. Musician/Band shall not perform any additional services for the City not specified by this Agreement unless the City requests and approves in writing the additional costs for such services. The City shall not be liable for any additional expenses of Musician/Band not specified by this Agreement unless the City first approves such expenses in writing. City agrees to pay all invoices of Musician/Band within thirty (30) days of receipt of such invoice. Musician/Band may charge interest on late payments not to exceed one percent (1%). 4. Termination. 4.1. Convenience. Either the City or Musician/Band may terminate this Agreement at any time and for any reason by providing the other party with 30 days written notice of termination. 4.2 Breach. Subject to Section 29 herein, either party may terminate this Agreement for breach of duty, obligation or warranty upon exhaustion of all remedies set forth in Section 29. 4.3 Fiscal Fundine Out. In the event no funds or insufficient funds are appropriated by the City in any fiscal period for any payments due hereunder, the City will notify Musician/Band of such occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to the City of any kind whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. 4.4 Duties and Oblip-ations of the Parties. In the event that this Agreement is terminated prior to the Expiration Date, the City shall pay Musician/Band for services actually rendered up to the effective date of termination and Musician/Band shall continue to provide the City with services requested by the City and in accordance with this Agreement up to the effective date of termination. Upon termination of this Agreement for any reason, Musician/Band shall provide the City with copies of all completed or partially completed documents prepared under this Agreement. In the event Musician/Band has received access to City information or data as a requirement to perform services hereunder, Musician/Band shall return all City provided data to the City in a machine readable format or other format deemed acceptable to the City. 5. Disclosure of Conflicts and Confidential Information. 5.1 Disclosure of Conflicts. Musician/Band hereby wan-ants to the City that Musician/Band has made full disclosure in writing of any existing or potential conflicts of interest related to Musician/Band's services under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this Agreement, Musician/Band hereby agrees immediately to make full disclosure to the City in writing. 5.2 Confidential Information. The City acknowledges that Musician/Band may use products, materials, or methodologies proprietary to Musician/Band. The City agrees that Musician/Band's provision of services under this Agreement shall not be grounds for the City to have or obtain any rights in such proprietary products, materials, or methodologies unless the parties have executed a separate written agreement with respect thereto. Musician/Band, for itself and its officers, agents and employees, agrees that it shall treat all information provided to it by the City ("City Information") as confidential and shall not disclose any such information to a third party without the prior written approval of the City. 5.3 Unauthorized Access. Musician/Band shall store and maintain City Information in a secure manner and shall not allow unauthorized users to access, modify, delete or otherwise corrupt City Information in any way. Musician/Band shall notify the City immediately if the security or integrity of any City information has been compromised or is believed to have been compromised, in which event, Musician/Band shall, in good faith, use all commercially reasonable efforts to cooperate with the City in identifying what information has been accessed by unauthorized means and shall fully cooperate with the City to protect such information from further unauthorized disclosure. 6. Riaht to Audit. Music Mentors of Texas Personal Services Agreement-Library Page 2 of I I Rev. 102017 City Secretary Contract No. Musician/Band agrees that the City shall, until the expiration of three(3)years after final payment under this Agreement, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records of the Musician/Band involving transactions relating to this Agreement at no additional cost to the City. Musician/Band agrees that the City shall have access during normal working hours to all necessary Musician/Band facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this section. The City shall give Musician/Band not less than 10 days written notice of any intended audits. Musician/Band further agrees to include in all its subcontractor agreements hereunder a provision to the effect that the subcontractor agrees that the City shall, until expiration of three(3)years after final payment of the subcontract, have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records of such subcontractor involving transactions related to the subcontract, and further that City shall have access during normal working hours to all subcontractor facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this paragraph. City shall give subcontractor not less than 10 days written notice of any intended audits. 7. Independent Contractor. It is expressly understood and agreed that Musician/Band shall operate as an independent contractor as to all rights and privileges granted herein, and not as agent, representative or employee of the City. Subject to and in accordance with the conditions and provisions of this Agreement, Musician/Band shall have the exclusive right to control the details of its operations and activities and be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors and subcontractors. Musician/Band acknowledges that the doctrine of respondeat superior shall not apply as between the City, its officers, agents, servants and employees, and Musician/Band, its officers, agents, employees, servants, contractors and subcontractors. Musician/Band further agrees that nothing herein shall be construed as the creation of a partnership or joint enterprise between City and Musician/Band. . It is further understood that the City shall in no way be considered a Co-employer or a Joint employer of Musician/Band or any officers, agents, servants, employees or subcontractors of Musician/Band. Neither Musician/Band, nor any officers, agents, servants, employees or subcontractors of Musician/Band shall be entitled to any employment benefits from the City. Musician/Band shall be responsible and liable for any and all payment and reporting of taxes on behalf of itself, and any of its officers, agents, servants, employees or subcontractors. 8. LIABILITY AND INDEMNIFICATION. A. LIABILITY - MUSICIAN/BAND SHALL BE LIABLE AND RESPONSIBLE FOR ANY AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE EXTENT CAUSED BY THE NEGLIGENT ACT(S) OR OMISSION(S), MALFEASANCE OR INTENTIONAL MISCONDUCT OF MUSICIAN/BAND, ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES. B. INDEMNIFICATION - MUSICIAN/BAND HEREBY COVENANTS AND AGREES TO INDEMNIFY, HOLD HARMLESS AND DEFEND THE CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING ALLEGED DAMAGE OR LOSS TO MUSICIAN/BAND'S BUSINESS, AND ANY RESULTING LOST PROFITS) PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, AND DAMAGES FOR CLAIMS OF INTELLECTUAL PROPERTY INFRINGEMENT, ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT, TO THE EXTENT CAUSED BY THE ACTS OR OMISSIONS OF MUSICIAN/BAND, ITS OFFICERS, AGENTS, SUBCONTRACTORS, SERVANTS OR EMPLOYEES. 9. Assilanment and Subcontracting. Music Mentors of Texas Personal Services Agreement-Library Page 3 of I I Rev. 102017 City Secretary Contract No. Musician/Band shall not assign or subcontract any of its duties, obligations or rights under this Agreement without the prior written consent of the City. If the City grants consent to an assignment, the assignee shall execute a written agreement with the City and the Musician/Band under which the assignee agrees to be bound by the duties and obligations of Musician/Band under this Agreement. The Musician/Band and Assignee shall be jointly liable for all obligations under this Agreement prior to the assignment. If the City grants consent to a subcontract, the subcontractor shall execute a written agreement with the Musician/Band referencing this Agreement under which the subcontractor shall agree to be bound by the duties and obligations of the Musician/Band under this Agreement as such duties and obligations may apply. The Musician/Band shall provide the City with a fully executed copy of any such subcontract. [insert language if goal has been set under the Business Diversity Ordinance] Business Diversity Ordinance does not apply to this contract. 10. INSURANCE. During the term of this Agreement, Musician/Band shall procure and maintain at all times, in full force and effect, a policy or policies of insurance that provide the specific coverage set forth in this Section as well as any and all other public risks related to Musician/Band 's performance of its obligations under this Agreement. Musician/Band shall specifically obtain the following types of insurance at the following limits: Commercial General Liability: $500,000 Each occurrence on a combined single limit Musician/Band shall promptly provide the City with a certificate of insurance that verifies Musician/Band's compliance with the insurance requirements of this Agreement. The City's Risk Manager shall have the right to review and evaluate Musician/Band's insurance coverage and to make reasonable requests or revisions pertaining to the types and limits of that coverage. Musician/Band shall comply with such requests or revisions as a condition precedent to the effectiveness of this agreement. 11. Compliance with Laws, Ordinances, Rules and Regulations. Musician/Band agrees to comply with all applicable federal, state and local laws, ordinances, rules and regulations. If the City notifies Musician/Band of any violation of such laws, ordinances, rules or regulations, Musician/Band shall immediately desist from and correct the violation. 12. Non-Discrimination Covenant. Musician/Band, for itself, its personal representatives, assigns, subcontractors and successors in interest, as part of the consideration herein, agrees that in the performance of Musician/Band's duties and obligations hereunder, it shall not discriminate in the treatment or employment of any individual or group of individuals on any basis prohibited by law. if any claim arises from an alleged violation of this non-discrimination covenant by Musician/Band, its personal representatives, assigns, subcontractors or successors in interest, Musician/Band agrees to assume such liability and to indemnify and defend the City and hold the City harmless from such claim. Music Mentors of Texas Personal Services Agreement-Library Page 4 of 1 1 Rev. 102017 City Secretary Contract No. 13. Israel Musician/Band acknowledges that in accordance with Chapter 2270 of the Texas Government Code, the City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2)will not boycott Israel during the term of the contract. The terms "boycott Israel"and "company"shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this contract, Musician/Band certifies that Musician/Band's signature provides written verification to the City that Musician/Band: (1) does not boycott Israel;and(2) will not boycott Israel during the term of the contract. 14. Notices. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand-delivered to the other party, its agents, employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the transmission, or (3) received by the other party by United States Mail, registered, return receipt requested, addressed as follows: TO THE CITY: City of Fort Worth With Copy to the City Attorney Attn: Jennifer Demas at same address 1000 Throckmorton Fort Worth TX 76102 Facsimile: (817)392-7734 TO MUSICIAN/BAND: Name: Music Mentors of Texas Address: 400 Blairwood Drive Fort Worth, 76134 15. Solicitation of Employees. Neither the City nor Musician/Band shall, during the term of this Agreement and additionally for a period of one year after its termination, solicit for employment or employ, whether as employee or independent contractor, any person who is or has been employed by the other during the term of this Agreement, without the prior written consent of the person's employer. This provision shall not apply to an employee who responds to a general solicitation or advertisement of employment by either party. 16. Governmental Powers. It is understood and agreed that by execution of this Agreement, the City does not waive or surrender any of its governmental powers. 17. No Waiver. The failure of the City or Musician/Band to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of the City's or Musician/Band's respective right to insist upon appropriate performance or to assert any such right on any future occasion. Music Mentors of Texas Personal Services Agreement-Library Page 5 of I I Rev. 102017 City Secretary Contract No. 18. Governing Law and Venue. This Agreement shall be construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought on the basis of this Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. 19. Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired. 20. Force Majeure. The City and Musician/Band shall exercise their best efforts to meet their respective duties and obligations as set forth in this Agreement, but shall not be held liable for any delay or omission in performance due to force majeure or other causes beyond their reasonable control (force majeure), including, but not limited to, compliance with any government law, ordinance or regulation, acts of God, acts of the public enemy, fires, strikes, lockouts, natural disasters, wars, riots, material or labor restrictions by any governmental authority, transportation problems and/or any other similar causes. 21. Headings Not Controlling. Headings and titles used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 22. Review of Counsel. The parties acknowledge that each party and its counsel have reviewed this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. 23. Amendments. No amendment of this Agreement shall be binding upon a party hereto unless such amendment is set forth in a written instrument, and duly executed by an authorized representative of each party. 24. Entirety of Agreement. This Agreement, including any exhibits attached hereto and any documents incorporated herein by reference, contains the entire understanding and agreement between the City and Musician/Band, their assigns and successors in interest, as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict with any provision of this Agreement. Music Mentors of Texas Personal Services Agreement-Library Page 6 of 11 Rev. 102017 City Secretary Contract No. 25. Counterparts. This Agreement may be executed in one or more counterparts and each counterpart shall, for all purposes, be deemed an original, but all such counterparts shall together constitute one and the same instrument. An executed Agreement, modification, amendment, or separate signature page shall constitute a duplicate if it is transmitted through electronic means, such as fax or e-mail, and reflects the signing of the document by any party. Duplicates are valid and binding even if an original paper document bearing each party's original signature is not delivered. 26. Warranty of Services. Musician/Band warrants that its services will be of a professional quality and conform to generally prevailing industry standards. City must give written notice of any breach of this warranty within thirty (30)days from the date that the services are completed. In such event, at Musician/Band 's option, Musician/Band shall either(a)use commercially reasonable efforts to re-perform the services in a manner that conforms with the warranty, or(b) refund the fees paid by the City to Musician/Band for the nonconforming services. 27. Network Access. 27.1 City Network Access. If Musician/Band, and/or any of its employees, officers, agents, servants or subcontractors (for purposes of this section "Musician/Band Personnel"), requires access to the City's computer network in order to provide the services herein, Musician/Band shall execute and comply with the Network Access Agreement which shall be provided at the start of negotiations and incorporated herein for all purposes. 28. Immieration Nationality Act. The City of Fort Worth actively supports the Immigration & Nationality Act (INA) which includes provisions addressing employment eligibility, employment verification, and nondiscrimination. Musician/Band shall verify the identity and employment eligibility of all employees who perform work under this Agreement. Musician/Band shall complete the Employment Eligibility Verification Form (I-9), maintain photocopies of all supporting employment eligibility and identity documentation for all employees, and upon request, provide City with copies of all 1-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Musician/Band shall establish appropriate procedures and controls so that no services will be performed by any employee who is not legally eligible to perform such services. Musician/Band shall provide City with a certification letter that it has complied with the verification requirements required by this Agreement. Musician/Band shall indemnify City from any penalties or liabilities due to violations of this provision. City shall have the right to immediately terminate this Agreement for violations of this provision by Musician/Band. 29. Sienature Authority. The person signing this agreement hereby warrants that he/she has the legal authority to execute this agreement on behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This Agreement, and any amendment(s) hereto, may be executed by any authorized representative of Musician/Band whose name, title and signature is affixed on the Verification of Signature Authority Form, which is attached hereto as Exhibit "E" and incorporate herein by reference. Each party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Music Mentors of Texas Personal Services Agreement-Library Page 7 of 11 Rev. 102017 City Secretary Contract No. IN WITNESS WHER OF, the parties hereto have executed this Agreement in multiples this day of_vtica , 20 /a ACCEPTED AND AGREED: ACCEPTED AND AGREED: CI F ORT WO TF1(: Music Me ors of Texas: ` f By: 1 By: �Assis City � ��� Tit ee �X �Date: Date: �/� /�j Za/ rroRrvv AiyySecretary B �" MK ser yf ' Ci APPROVED AS�nT/O1 FORM AND LEGALITY: Paige Mebariel Assistant City Attorney 1295 CONTRACT AUTHORIZATION: M&C: No M&C Necessary Date Approved: N/A 1295 Certification: N/A CONTRACT COMPLIANCE MANAGER: By signing, I acknowledge that I am the person responsible for the monitoring and administration of this contract, including en ring all performance d reporting requirements. Marilyn Marvin Assista t Library Di ctor OFFICI A RMRR CITY 81CRUARY FTM WpR1'FI,TX Music Mentors of Texas Personal Services Agreement-Library Page 8 of I I Rev. 10/2017 City Secretary Contract No. EXHIBIT "A" STATEMENT OF WORK Scope of Work/Project Deliverables The Music Mentors of Texas will provide 7 musicians to perform for 90 minutes at 6:30 p.m. Thursday, July 19, 2018, for a jazz performance at the Fort Worth Central Library, which is part of the Library's 3rd Thursday Jazz Series Music Mentors of Texas Personal Services Agreement-Library Page 9 of I I Rev. 102017 City Secretary Contract No. EXHIBIT "B" PAYMENT SCHEDULE The City of Fort Worth will issue payment of$1800.00 USD at the conclusion of the performance. Music Mentors of Texas Personal Services Agreement-Library Page 10 of I I Rev. 102017 City Secretary Contract No. EXHIBIT "C" VERIFICATION OF SIGNATURE AUTHORITY Full Legal Name of Company: Music Mentors of Texas Legal Address: is 400 Blairwood Drive, Fort Worth, 76134 Services to be provided: Jazz Band for the 3`d Thursday Jazz Series Execution of this Signature Verification Form ("Form") hereby certifies that the following individuals and/or positions have the authority to legally bind the Company and to execute any agreement, amendment or change order on behalf of Company. Such binding authority has been granted by proper order, resolution, ordinance or other authorization of Company. The City is fully entitled to rely on the warranty and representation set forth in this Form in entering into any agreement or amendment with Company. Company will submit an updated Form within ten (10) business days if there are any changes to the signatory authority. The City is entitled to rely on any current executed Form until it receives a revised Form that has been properly executed by the Company. 1. Name:9yelyty L.Adr►c s Position: L71Cec,4-*— S ignat e 2. Name: Position: Signature 3. Name: Position: Signature Name: ney Jon Stgnat re of Pr ident/ CEO Other Title: -xeg- - ✓z 4rjec'&✓- Date: L,4l'f 44.eA �l�Zc)/ Music Mentors of Texas Personal Services Agreement-Library Page 1 I of I I Rev. 102017 ATE(MMIDIDIYYYY A�I CERTIFICATE OF LIABILITY INSURANCE D03/12/2018 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT TULIP Administrator NAME: Specialty Advantage Insurance Services PHONE g00 507-8414 FAX 1100 Glendon Ave. (Ac,No Ext: ( ) AIC No): E-MAIL tulip@onebeacon.com Suite 900 ADDRESS: p@ Los Angeles,CA 90024 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Atlantic Specialty Insurance Company 27154 INSURED INSURER B: Music Mentors of Texas 400 blairwood drive INSURER C: fort Worth,TN 76134 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 117445 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 LIMITS LTR POLICY NUMBER MMIDDIYYYY MWDD/YYYY A GENERAL LIABILITY X GL00187-09 07/19/2018 07/20/2018 EACH OCCURRENCE $1,000,000 DAMAGETO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $50,000 CLAIMS-MADE rX1 OCCUR MED EXP(Any one person) s Excluded PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $None GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 POLICY -]jX PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below I I I I I I E.L.DISEASE-_POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 3rd Thursday Jazz Series 07/191201 B CERTIFICATE HOLDER CANCELLATION City of Fort Worth 200 Texas Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Worth,TX 76102 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Worth 200 Texas Street AUTHORIZED REPRESENTATIVE Fort Worth,TX 76102 t ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD TENANT USERS LIABILITY INSURANCE CERTIFICATE BINDER THIS CERTIFICATE/BINDER REPRESENTS A SUMMARY OF THE INSURANCE PROVIDED. INSURANCE PROVIDED IS SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. Date: 3/12/2018 2:32 PM Certificate Number: 117445 Broker: Hub International Texas, Inc. Tenant User: Music Mentors of Texas Event Title 3rd Thursday Jazz Series Type of Event Jazz and Jam Concerts—Indoors Daily Attendance 100 Period of Insurance: 07/19/2018 12:01 AM To 07/20/2018 12:01 AM Policy#1 GL00187-09 Insurance Company: Atlantic Specialty Insurance Company Coverage Limits General Agg. None Products Completed Ops $1,000,000 Personal/Adv. Injury $1,000,000 Each Occurance: $1,000,000 Fire Damage: $50,000 Medical Payments: Excluded Premium Computation General Liability $79.00 Liquor Liability $0.00 Third Party Property Damage $0.00 Excess Liability $0.00 Total Premium $79.00 Total Fees $0.00 Total Due $79.00 Certificate Holder/Additional Insured City of Fort Worth 200 Texas Street Fort Worth, TX 76102 City of Fort Worth 200 Texas Street Fort Worth, TX 76102 To obtain a complete copy of the policy with the terms, conditions and exclusions of the policy, you must contact us at: tulip@ebi-ins.com or(800)507-8414.