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HomeMy WebLinkAboutTUP2024-11-01Sam’s Club 4795 Grand Opening Parking Lot Events Grapevine 4795 Parking Lot Events 11/3/2024 2 Please complete below. All fields are mandatory; failure to do so will result in automatic rejection of your submission Event Date(s) Event Time(s) Execution Agency Club Count Merchant Support Participating Supplier(s) Giveaways/Samples Event Space & Club Requests Event Overview Marketing/Media Support PepsiCo Walking Taco Truck Parking Lot Event – Grapevine, TX 11/3/2024 10:00am – 2:00pm Propac Marketing 1 – Grapevine, TX Sydney Tucker Terry Orman 479-381-5561 Free Doritos bags of chips topped with Members favorite taco-like toppings with cold Pepsi Branded cans of soda. Unique surprise for Members that may be looking for a lunch-time snack as they head in/out of the club. Outside of the branded food truck, no additional Marketing/Media planned for the event. 28’ x 16’ space in front of the club (~3-4 parking spots) No electric necessary to run the event. Please complete below. All fields are mandatory; failure to do so will result in automatic rejection of your submission Event Date(s) Event Time(s) Execution Agency Club Count Merchant Support Participating Supplier(s) Giveaways/Samples Event Space & Club Requests Event Overview Marketing/Media Support Kingsford Tour: Grapevine Parking Lot Event 11/3/2024 12:00 - 5:00PM GRATSY LLC Grapevine TX, 4795 Jon Odell Clorox/Kingsford 2oz grilled chicken samples with varying sauces. At some clubs we will have a pre-cooked sausage link from Kingsford Build awareness for the range of Kingsford products and product benefits. Inform, apply and teach proper preparation and grilling techniques. Engage and encourage consumers to use products in their own kitchen and events. Potential hashtag for social sharing. 30 x 30 parking lot space close to entrance, visible to the members without impeding traffic. Please complete below. All fields are mandatory; failure to do so will result in automatic rejection of your submission Event Date(s) Event Time(s) Execution Agency Club Count Merchant Support Participating Supplier(s) Giveaways/Samples Event Space & Club Requests Event Overview Marketing/Media Support It All Starts Aqui 11/13-11/14 2pm – 6pm RSM Grapevine TX, 4795 Colgate Palmolive Branded giveaway tchotchke items including pop sockets, sunglasses, sticker sheets, and reusable tote bags will be given away. Colgate is celebrating Hispanic Heritage at Sam's Club . Colgate Palmolive will be featuring their top selling brands among Hispanic consumers; Fabuloso, Irish Spring, Colgate and Suavitel. The experience will showcase a mobile pod unit with digital games, giveaways, and a photo booth for club members. N/A 20’ x 40’ space in parking lot as close to entrance / exit as possible, visible to the members. Please complete below. All fields are mandatory; failure to do so will result in automatic rejection of your submission Event Date(s) Event Time(s) Execution Agency Club Count Merchant Support Participating Supplier(s) Giveaways/Samples Event Space & Club Requests Event Overview Marketing/Media Support GRAPEVINE POST-GO-DUDE WIPES 11/15/2024 10:00AM – 3:00PM DUDE Products, Inc & Harvest Group 1 Jason Fleer DUDE Products, Inc Objective of this event is to bring the DUDE Wipes fun to the Grapevine Sam’s Club and continue to drive trial with members while messaging the Holiday stocking stuffing occasion. Would appreciate the opportunity to work with Sam’s Marketing on a coordinated social media blast on the day of the event. Will be handing out samples of DUDE Wipes singles (see image) and possibly DUDE Wipes branded swag. We will bring a DUDE WIPES pop-up tent seen at right as well as a Holiday Booth for the event. Need a `20x20 space for the tent and Holiday Booth setup 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 10/31/2024 Patterson &Associates Insurance Agency,Inc. 2435 N.Central Expy Suite 1600 Richardson TX 75080 Patterson &Associates Insurance Agency 972-669-2431 972-783-0831 certificate@piainsure.com License#:1866 St.Paul Mercury Insurance Co 24791 PROPMAR-01 Travelers Cas Ins Co of Amer 19046PropacMarketing,Inc DBA Pro Pac Marketing 6300 Communications Parkway Suite 100 Plano TX 75024 Travelers Prop Cas Co of Amer 25674 Travelers Indemnity of America 25666 740128648 A X 1,000,000 X 1,000,000 5,000 1,000,000 2,000,000 X BIP-7R84009A 1/26/2024 1/26/2025 2,000,000 B 1,000,000 X X X BA-7R904341 1/26/2024 1/26/2025 C X X 5,000,000CUP-7R905602 1/26/2024 1/26/2025 5,000,000 X 5,000 D X N UB-7R903682 1/26/2024 1/26/2025 1,000,000 1,000,000 1,000,000 A Crime BIP-7R84009A 1/26/2024 1/26/2025 Employee Theft Forgery Money/Securities 25,000 25,000 25,000 The above coverages refer to the following endorsements listed below: General Liability: CGD144 02/19 -BLKT AI -PERS/ORGS BI/PD REQ IN WRITING;CGD186 02/19 XTEND ENDORSEMENT Auto Liability: CAT420 02/15 -Auto Coverage Plus Endorsement See Attached... City of Grapevine 200 S.Main St. Grapevine TX 76051 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: PROPMAR-01 1 1 Patterson &Associates Insurance Agency,Inc.Propac Marketing,Inc DBA Pro Pac Marketing 6300 Communications Parkway Suite 100 Plano TX 75024 25 CERTIFICATE OF LIABILITY INSURANCE Workers Compensation: WC420304(B)-Texas Waiver of our right to recover from others endorsement COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A.Who Is An Insured – Unnamed Subsidiaries G.Blanket Additional Insured – Mortgagees, Assignees, Successors Or ReceiversB.Who Is An Insured – Employees And Volunteer Workers – Bodily Injury To Co-Employees And H.Blanket Additional Insured – Governmental Co-Volunteer Workers Entities – Permits Or Authorizations Relating To PremisesC.Who Is An Insured – Newly Acquired Or Formed Limited Liability Companies I.Blanket Additional Insured – Governmental Entities – Permits Or Authorizations Relating ToD.Blanket Additional Insured – Persons Or OperationsOrganizations For Your Ongoing Operations As Required By Written Contract Or Agreement J.Blanket Additional Insured – Grantors Of FranchisesE.Blanket Additional Insured – Broad Form Vendors K.Incidental Medical Malpractice F.Blanket Additional Insured – Controlling Interest L.Blanket Waiver Of Subrogation PROVISIONS For purposes of Paragraph 1.of Section II – Who A. WHO IS AN INSURED – UNNAMED Is An Insured, each such subsidiary will be SUBSIDIARIES deemed to be designated in the Declarations as: The following is added to SECTION II – WHO IS a.A limited liability company;AN INSURED: b.An organization other than a partnership, jointAny of your subsidiaries, other than a partnership venture or limited liability company; oror joint venture, that is not shown as a Named c.A trust;Insured in the Declarations is a Named Insured if: as indicated in its name or the documents thata.You are the sole owner of, or maintain an govern its structure.ownership interest of more than 50% in, such subsidiary on the first day of the policy period;B. WHO IS AN INSURED – EMPLOYEES ANDandVOLUNTEER WORKERS – BODILY INJURY TO b.Such subsidiary is not an insured under CO-EMPLOYEES AND CO-VOLUNTEER similar other insurance.WORKERS No such subsidiary is an insured for "bodily injury"The following is added to Paragraph 2.a.(1)of or "property damage" that occurred, or "personal SECTION II – WHO IS AN INSURED: and advertising injury" caused by an offense Paragraphs (1)(a),(b)and (c)above do not applycommitted:to "bodily injury" to a co-"employee" while in the a.Before you maintained an ownership interest course of the co-"employee's" employment by youof more than 50% in such subsidiary; or or performing duties related to the conduct of your b.After the date, if any, during the policy period business, or to "bodily injury" to your other that you no longer maintain an ownership "volunteer workers" while performing duties interest of more than 50% in such subsidiary. related to the conduct of your business. CG D1 86 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY C. WHO IS AN INSURED – NEWLY ACQUIRED E. BLANKET ADDITIONAL INSURED – BROAD OR FORMED LIMITED LIABILITY COMPANIES FORM VENDORS 1.The following replaces the first sentence of The following is added to SECTION II – WHO IS Paragraph 3.of SECTION II – WHO IS AN AN INSURED: INSURED:Any person or organization that is a vendor and Any organization you newly acquire or form, that you have agreed in a written contract or other than a partnership or joint venture, and agreement to include as an additional insured on of which you are the sole owner or in which this Coverage Part is an insured, but only with you maintain an ownership interest of more respect to liability for "bodily injury" or "property than 50%, will qualify as a Named Insured if damage" that: there is no other similar insurance available to a.Occurs subsequent to the signing of thatthat organization.contract or agreement; and 2.The following replaces the last sentence of b.Arises out of "your products" that areParagraph3.of SECTION II – WHO IS AN distributed or sold in the regular course ofINSURED:such vendor's business. For the purposes of Paragraph 1.of Section II The insurance provided to such vendor is subject– Who Is An Insured, each such organization to the following provisions:will be deemed to be designated in the a.The limits of insurance provided to suchDeclarations as:vendor will be the minimum limits that youa.A limited liability company;agreed to provide in the written contract or b.An organization other than a partnership,agreement, or the limits shown in the joint venture or limited liability company;Declarations, whichever are less. or b.The insurance provided to such vendor does c.A trust;not apply to: as indicated in its name or the documents (1)Any express warranty not authorized bythat govern its structure.you or any distribution or sale for a purpose not authorized by you;D. BLANKET ADDITIONAL INSURED – PERSONS OR ORGANIZATIONS FOR YOUR ONGOING (2)Any change in "your products" made byOPERATIONS AS REQUIRED BY WRITTEN such vendor;CONTRACT OR AGREEMENT (3)Repackaging, unless unpacked solely forThe following is added to SECTION II – WHO IS the purpose of inspection, demonstration,AN INSURED:testing, or the substitution of parts under Any person or organization that is not otherwise instructions from the manufacturer, and an insured under this Coverage Part and that you then repackaged in the original container; have agreed in a written contract or agreement to (4)Any failure to make such inspections,include as an additional insured on this Coverage adjustments, tests or servicing asPart is an insured, but only with respect to liability vendors agree to perform or normallyfor "bodily injury" or "property damage" that:undertake to perform in the regular a.Occurs subsequent to the signing of that course of business, in connection with the contract or agreement; and distribution or sale of "your products"; b.Is caused, in whole or in part, by your acts or (5)Demonstration, installation, servicing oromissions in the performance of your ongoing repair operations, except such operationsoperations to which that contract or performed at such vendor's premises inagreement applies or the acts or omissions of connection with the sale of "yourany person or organization performing such products"; oroperations on your behalf. (6)"Your products" that, after distribution orThe limits of insurance provided to such insured sale by you, have been labeled orwill be the minimum limits that you agreed to relabeled or used as a container, part orprovide in the written contract or agreement, or ingredient of any other thing or substancethe limits shown in the Declarations, whichever by or on behalf of such vendor.are less. Page 2 of 5 ú 2017 The Travelers Indemnity Company. All rights reserved.CG D1 86 02 19 Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMERCIAL GENERAL LIABILITY Coverage under this provision does not apply to:b.Arises out of the ownership, maintenance or use of the premises for which that mortgagee,a.Any person or organization from whom you assignee, successor or receiver is requiredhave acquired "your products", or any under that contract or agreement to beingredient, part or container entering into,included as an additional insured on thisaccompanying or containing such products;Coverage Part.or The insurance provided to such mortgagee,b.Any vendor for which coverage as an assignee, successor or receiver is subject to theadditional insured specifically is scheduled by following provisions:endorsement. a.The limits of insurance provided to suchF. BLANKET ADDITIONAL INSURED –mortgagee, assignee, successor or receiverCONTROLLING INTEREST will be the minimum limits that you agreed to 1.The following is added to SECTION II – WHO provide in the written contract or agreement, IS AN INSURED:or the limits shown in the Declarations, whichever are less.Any person or organization that has financial control of you is an insured with respect to b.The insurance provided to such person or liability for "bodily injury", "property damage"organization does not apply to: or "personal and advertising injury" that arises (1)Any "bodily injury" or "property damage"out of:that occurs, or any "personal and a.Such financial control; or advertising injury" caused by an offense that is committed, after such contract orb.Such person's or organization's agreement is no longer in effect; orownership, maintenance or use of premises leased to or occupied by you.(2)Any "bodily injury", "property damage" or "personal and advertising injury" arisingThe insurance provided to such person or out of any structural alterations, neworganization does not apply to structural construction or demolition operationsalterations, new construction or demolition performed by or on behalf of suchoperations performed by or on behalf of such mortgagee, assignee, successor orperson or organization. receiver.2.The following is added to Paragraph 4.of SECTION II – WHO IS AN INSURED:H. BLANKET ADDITIONAL INSURED – GOVERNMENTAL ENTITIES – PERMITS ORThis paragraph does not apply to any AUTHORIZATIONS RELATING TO PREMISESpremises owner, manager or lessor that has financial control of you.The following is added to SECTION II – WHO IS AN INSURED:G. BLANKET ADDITIONAL INSURED – MORTGAGEES, ASSIGNEES, SUCCESSORS Any governmental entity that has issued a permit OR RECEIVERS or authorization with respect to premises owned or occupied by, or rented or loaned to, you andThe following is added to SECTION II – WHO IS AN INSURED:that you are required by any ordinance, law, building code or written contract or agreement toAny person or organization that is a mortgagee,include as an additional insured on this Coverageassignee, successor or receiver and that you Part is an insured, but only with respect to liabilityhave agreed in a written contract or agreement to for "bodily injury", "property damage" or "personalinclude as an additional insured on this Coverage and advertising injury" arising out of thePart is an insured, but only with respect to its existence, ownership, use, maintenance, repair,liability as mortgagee, assignee, successor or construction, erection or removal of any of thereceiver for "bodily injury", "property damage" or "personal and advertising injury" that:following for which that governmental entity has issued such permit or authorization: advertisinga.Is "bodily injury" or "property damage" that signs, awnings, canopies, cellar entrances, coaloccurs, or is "personal and advertising injury" holes, driveways, manholes, marquees, hoistcaused by an offense that is committed, away openings, sidewalk vaults, elevators, streetsubsequent to the signing of that contract or banners or decorations.agreement; and CG D1 86 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 3 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY I. BLANKET ADDITIONAL INSURED – 2.The following replaces the last paragraph of GOVERNMENTAL ENTITIES – PERMITS OR Paragraph 2.a.(1)of SECTION II – WHO IS AUTHORIZATIONS RELATING TO OPERATIONS AN INSURED: The following is added to SECTION II – WHO IS Unless you are in the business or occupation AN INSURED:of providing professional health care services, Paragraphs (1)(a),(b),(c)and (d)above doAny governmental entity that has issued a permit not apply to "bodily injury" arising out ofor authorization with respect to operations providing or failing to provide:performed by you or on your behalf and that you are required by any ordinance, law, building code (a)"Incidental medical services" by any of or written contract or agreement to include as an your "employees" who is a nurse, nurse additional insured on this Coverage Part is an assistant, emergency medical technician,insured, but only with respect to liability for "bodily paramedic, athletic trainer, audiologist,injury", "property damage" or "personal and dietician, nutritionist, occupationaladvertising injury" arising out of such operations.therapist or occupational therapy The insurance provided to such governmental assistant, physical therapist or speech- entity does not apply to:language pathologist; or a.Any "bodily injury", "property damage" or (b)First aid or "Good Samaritan services" by "personal and advertising injury" arising out of any of your "employees" or "volunteer operations performed for the governmental workers", other than an employed orentity; or volunteer doctor. Any such "employees" or "volunteer workers" providing or failingb.Any "bodily injury" or "property damage" included in the "products-completed to provide first aid or "Good Samaritan operations hazard".services" during their work hours for you will be deemed to be acting within theJ. BLANKET ADDITIONAL INSURED – scope of their employment by you orGRANTORS OF FRANCHISES performing duties related to the conductThe following is added to SECTION II – WHO IS of your business.AN INSURED: 3.The following replaces the last sentence ofAny person or organization that grants a franchise Paragraph 5.of SECTION III – LIMITS OFto you is an insured, but only with respect to INSURANCE:liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of For the purposes of determining theyour operations in the franchise granted by that applicable Each Occurrence Limit, all relatedperson or organization.acts or omissions committed in providing or If a written contract or agreement exists between failing to provide "incidental medical you and such additional insured, the limits of services", first aid or "Good Samaritan insurance provided to such insured will be the services" to any one person will be deemed to minimum limits that you agreed to provide in the be one "occurrence". written contract or agreement, or the limits shown 4.The following exclusion is added toin the Declarations, whichever are less.Paragraph 2.,Exclusions, of SECTION I –K. INCIDENTAL MEDICAL MALPRACTICE COVERAGES – COVERAGE A – BODILY 1.The following replaces Paragraph b.of the INJURY AND PROPERTY DAMAGE definition of "occurrence" in the LIABILITY: DEFINITIONS Section: Sale Of Pharmaceuticalsb.An act or omission committed in providing "Bodily injury" or "property damage" arisingor failing to provide "incidental medical services", first aid or "Good Samaritan out of the violation of a penal statute or services" to a person, unless you are in ordinance relating to the sale of the business or occupation of providing pharmaceuticals committed by, or with the professional health care services.knowledge or consent of, the insured. Page 4 of 5 ú 2017 The Travelers Indemnity Company. All rights reserved.CG D1 86 02 19 Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMERCIAL GENERAL LIABILITY to any person to the extent not subject to5.The following is added to the DEFINITIONS Paragraph 2.a.(1)of Section II – Who Is AnSection: Insured."Incidental medical services" means: L. BLANKET WAIVER OF SUBROGATIONa.Medical, surgical, dental, laboratory, x-ray The following is added to Paragraph 8.,Transferor nursing service or treatment, advice or Of Rights Of Recovery Against Others To Us,instruction, or the related furnishing of of SECTION IV – COMMERCIAL GENERALfood or beverages; or LIABILITY CONDITIONS:b.The furnishing or dispensing of drugs or If the insured has agreed in a contract ormedical, dental, or surgical supplies or agreement to waive that insured's right ofappliances. recovery against any person or organization, we6.The following is added to Paragraph 4.b.,waive our right of recovery against such person orExcess Insurance, of SECTION IV –organization, but only for payments we makeCOMMERCIAL GENERAL LIABILITY because of:CONDITIONS: a."Bodily injury" or "property damage" thatThis insurance is excess over any valid and occurs; orcollectible other insurance, whether primary, b."Personal and advertising injury" caused byexcess, contingent or on any other basis, that an offense that is committed;is available to any of your "employees" for "bodily injury" that arises out of providing or subsequent to the execution of the contract or failing to provide "incidental medical services"agreement. CG D1 86 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved.Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/31/2024 (312) 595-6200 35351 DUDE PRODUCTS, INC DBA DUDE WIPES 3501 N Southport Avenue, # 476 Chicago, IL 60657-1475 42376 33138 41718 A 1,000,000 X PLF181705 4/21/2024 4/21/2025 500,000 20,000 1,000,000 2,000,000 2,000,000 1,000,000A PLF181705 4/21/2024 4/21/2025 5,000,000A XSE696632-03 4/21/2024 4/21/2025 5,000,000 B TWC4405931 4/21/2024 4/21/2025 500,000 N 500,000 500,000 C Excess Liab Layer 2 LHA600166 4/21/2024 10mil xs 5mil 10,000,000 D Excess Liab Layer 3 ELD30057358900 4/21/2024 4/21/2025 10mil xs 15mil 10,000,000 City of Grapevine (See Attached Endorsement) City of Grapevine 200 S. Main Street Grapevine, TX 76051 DUDEPRO-01 DJONES Alliant Insurance Services, Inc. 353 N Clark St 11th Fl Chicago, IL 60654 Chicago P&C chc-inscerts@alliant.com Great American Risk Solutions Surplus Lines Insurance Company Technology Insurance Company Inc Landmark American Insurance Company Endurance American Specialty Insurance Company X 4/21/2025 X X X X X X X 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 10/31/2024 Arthur J.Gallagher Risk Management Services,LLC 4250 Congress Street Suite 200 Charlotte NC 28209-4615 Megan Henry 704-362-2992 704-362-1997 megan_henry@ajg.com Cincinnati Insurance Company 10677 RETASPO-01 Hanover Insurance Company 22292RetailSportsMarketing,Inc.; Brand Builders,Inc.;Events Management,LLC 10150 Mallard Creek DR STE 500 Charlotte NC 28262 Accident Fund Insurance Company of America 10166 StarStone Specialty Insurance Company 44776 1117821643 A X 1,000,000 X 500,000 5,000 1,000,000 2,000,000 X Y EPP0160944 9/15/2024 9/15/2025 2,000,000 A 1,000,000 X X X EBA0160944 9/15/2024 9/15/2025 A X X 5,000,000EPP01609449/15/2024 9/15/2025 5,000,000 X 0 C XAFWCP1000740729/15/2024 9/15/2025 1,000,000 1,000,000 1,000,000 B D Professional Liability Excess Liability LHAD03821409 76287Y240ALI 9/15/2024 6/6/2024 9/15/2025 6/6/2025 Each/Aggregate Each/Aggregate $5M/$5M $5M/$5M City of Grapevine are shown as an additional insured's solely with respect to general liability coverage. City of Grapevine 200 S Main Street Grapevine TX 76051