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HomeMy WebLinkAboutTUP2024-10-10 SAM’S CLUB #4795 – 1701 W State Hwy 114, Grapevine, TX 76051 Setup Elements: -Entry Photo Moment (Balloon Installation) -Perimeter for Dedicated Activation Area (50’x90’) -Sam’s Club Member Mark Activation (Truck + Tent) -Sam’s Club Photo Opp Bus (Sponsored by Finance Team) -Sam’s Club Owned Food Truck (Permitted in Tarrant County) -Sam’s Club Owned Informational Kiosk -Restroom Trailers (Self-contained water) -10’x10 Pop Up Tents for Activity Areas -Seating for Guests during activities (may include picnic tables, blankets, folding chairs) -Craft Area + Inflatable Games, Yard Games Guest Parking Lot (Free of Charge) Generators and any cabling supplied by A/V Vendor. Power required for audio speakers, restrooms trailers, photo vendor, and partner activations. Parking lot safety lighting will be provided by already existing infrastructure. Unaffected Store Parking ReGO Activation Location Unaffected Egress + Fire Lanes Unaffected Egress + Fire Lanes Activation Location: 50’x90’ Footprint Filed Information MM TruckMM Footprint TMobile Truck Theme Tent Mobile Cafe Talent Tent SNG Kiosk Seating & Crafts Zone Game Zone Inflatable Games Finance Tent Balloon Installation Photo Op Bus 50’x90’ ReGO Activation Footprint Inclusions: All Tents are 10’x10’ 50’ 90’ Rain Contingency Tent Tents: 10’x10’ Pop Up tents Total Number of Tents: Up to 3 If Branded Tents, Vu Promo Supplied: 10’x10’ Branded Tents -(4) Activity Tents -Flame Cert Attached If Unbranded Tents: Uline Supplied -Flame Cert Attached Responsible Party for Setup and Breakdown: Brandon Langieri Senior Producer, Jet Fuel Cell: 973-864-0759 Registered Party Example Branded Tents: 10’x10’ Example Unbranded Tents: 10’x10’ Example Tent Weights: Discs and Sandbags (~10lbs Each) Sam’s Club Mobile Cafe Food Truck- Tarrant County Public Health Permit: The Sam’s Club Food Truck is Tarrant County Public Health Permitted Through July 2025 for Service Sam’s Club Owned + Partner Activations: Sam’s Club Owned + Partner Activations: T-Mobile is Thursday Only On-site Power + Perimeter Setup: Generators and any cabling will be supplied by and handled by the A/V Vendor. Perimeter Setup: 09/11/2024 MGI RISK SERVICES LLC 1405 Highway 35 Suite 212 Ocean NJ 07712 David Salem (212) 790-2885 dsalem@dsriskadvisors.com JetFuel Studio LLC and Powered by Jetfuel LLC 77 Water Street Suite 1603 New York NY 10005 Northfield Insurance Company Penn Star Ins Co CL2411601973 A Deductible $500 BI/PD Per Claim Y WS403951 01/11/2024 01/11/2025 1,000,000 100,000 5,000 1,000,000 2,000,000 1,000,000 BA-0T771090-23-42-G 12/21/2023 12/21/2024 1,000,000 B 0 XPA0002458 01/11/2024 01/11/2025 4,000,000 4,000,000 RE: Sam's Club in Grapevine, TX on October 13h, 16th - 20th City of Grapevine is included as additional insured under General Liability where required by written contract. City of Grapevine 200 S. Main Street Grapevine TX 76051 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY