HomeMy WebLinkAboutContract 28442��� � �� ���� � ����,�
USAGE AGREEMENT
'This agreement represents an understanding of 3iabilities assumed of 3191a3 (hereafter known as
User}, TO THE EXTENT ALLOWABLE BY LAW, hy Sundance Square, Sundance West Partners,
L.P., Sundance SqUare Management, L.L.C. and Bass Enterprises Production Co. (cdlecti�ely
"Zridernnitees") during the �/�S/Q3 (date) usage of praperty owned by �ndemni�ees.
THE INDEMNITEES, THEIR .AFFII.ZATED COMPANIES AND THEIR RESPECTNE
OFFICERS, DIltEGTORS AND E1VI�LOYEES SHALL NOT BE LIABLE OR RESPONSIBLE FOR
AND SHALL BE SAVED AND HELD HARMLESS BY THE USER FROM AND AGAINST ANY
1�ND ALL CLAIMS AND DAMAGES, INCLUDING DEFENSE COSTS, OF EVERY KIND, FOR
INNRY TO OR DEATH OF ANY FERSON OR PERSONS AND FOR DAMAGE TO OR L�SS OF
PROPERTY, ARISING Oi7T OF OR ATTRIBUTED, DIltECTLY OR INDTRECTLY, TO THE USE
BY THE USER AND THE PARTICIPANT OF SAID PROPERTY EVEN IF SUCH CLAIM, LOSS OR
DAMAGE IS OCCASIONED BY THE CONCURRENT OR P,ARTIClPATING NEGLIGENCE OF
ANY INDEh21VITEE TO THE EXTENT ALL�WABLE BY LAW �OR THE CITY O�' FORT
WORTH,
THE CITY IS SELF-INSURED. THYS ARTICLE SHALL NOT APPLY TO THE
C'ITY OF FORT WORTH AS SET FORTH IN ATTACHMENT A. USER SHALL
MAINTAIlV COIVIMERCIAL GENER.AL LIABILITY IN THE AMOUNT N�T LESS THAN $SQO,Q40
�'ER OCCURRENCE AND SHALL FR4VIDE EVIDENCE OF SUCI� BY CERTIFICATE OF
INS[JRANCE S DAYS PRIOR TO THE USE OF SAID PROPERTY AND SUCH COVERAGE SHALL
BE ENDORSED TO II�TCLUDE IlVDEMNITEES A5 ADDITIONAL INSUREDS. SAID INSURANCE
SHALL BE PRIMARY TO ANY OTHEIt INSi7RANeE AVAILABLE TO IlVDEMNITEES AND THE .
CERTIFICATE SHALL STATE THIS FACT. USER FURTHER AGREES THAT ALL BUSINESS OR
PER54NAL PROPERTY OF THE USER OR THE PARTICIPANTS IN THIS EVENT IS ON THE
SAID PROPERTY SOLELY AT THE RISK O� THE USER, AND TI� USER WAIVES, AND WTLL
REQi)IItE I'TS TNSURER, TF AN Y, T4 WANE,� ANY AND ALL RIGHTS IT MAY HAVE AGAINST
ANY INDEIVINITEE FOR CLAIMS OF DAMAGE TO OR LOSS DF THIS PROPERTY, THE USER
WILL REQUIRE EACH VENDOR TO PROVIDE COMMERCIAL LIABILITY IN THE AMOUNT
NOT LESS TIJAN $SOQ,OQO PER OCCURRENCE NAMING THE ABOVE MENTIONED
INDEMIriITIEES AS ADDITIONAL INSURED.
In Witness Hereof, User's signature below acknowl acceptance th se liabilities.
ibby Wa , Assistant City Manager
3/�/0�
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A SIGNED COPY OF THIS F�RM ALONG WTI'H A COPY bF THE REQUIRED CERTIFICATE
MUST� BE SENT TO RISK MANAGEMENT PRTOR TO EVENT.
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Contrae� Ruti�oriza�ion -
Date
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Mal`ch 3, 2(303
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Sundance Sq�are
5ur�dance Square Management, i..�. C.
Sundance West Partners, L.P.
Bass Enterprises Produc�ian Ca.
512 Main 5treet, Ste. 1500
�ort Worth, Texas 76102
RE: � Reque�t for Proof of lnsurance
City of Fork Wort�'s S�If-funded Insuranc� Program
Dear Ms. .Perrett:
Please accept this correspondence pursuant tv your r�quest far documentation of the
City of Fort Wo�kh's insurance program. The City of Fort Worti� is basicaffy a salf�funded
enfEty and as sueh does not maintain a commerciaf policy af general liabiiity ins�rance
and/or auto liability insurance. Damage fior wF�ich the City o# Fort Wvrth wo�l� �I#imately
be fou�d liable waui� be paid directly by the City of Fort Worf}� and not by a commercial
insurance company. City owned prope�ty is covered under the City of For� Worth Fire
and Exter�ded co�erage program by a commercial insurance policy. Statutory workers'
compensation insurance, caverage Es• seff-funded to the $SOQ,Q00.00 rete�tion limit per
ir�ciden# aver which romme�cial caverag� respor�ds with no upp�r ca�; and, employ�r�s
liability coverag.e is maintaine� at tf�e $1,O�D,OOQ.OQ policy limit.
In the e�ent tt�ere are any q�estions regarding the City ofi �ort Worth's insurance
program or if [ may be of additior�af assisiance, please contaci me at the address
provided, or phone direc# to 817-871-7761. �
Tha�k you for your time and attention to this ma#ter. Bath are appreciated. �On b�half of
the City of �ort W�rth, we laok forward �to your continued interest and cooperation.
Sincereiy,
��
Sue Haupt
Risk Manager
cc: Ha�ly Summerford, Er��ironrrtentai Managemen#
RISK A�TAANAGEI�IEI�IT DIVISI4I'�
THE CITY OF �'ORT WORTH * IOOI} THROCi{MORTQN STREET *�DRT WORTH, TEXAS 7fi102
($1'� 87%-8492
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