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HomeMy WebLinkAboutTUP2017-1396 ITY OF GRAPEVINE TEMPORARY & PUBLIC ENTERTAINMENT PERMIT APPLICATION SEC. 15-9. The application for the permit shall be filed not less than thirty (30) days before the first performance and shall contain the following information. 1. Applicant 04C 11vir Address r 4 411, o fax no. 2. Property owner 2"' 4 q e. Name 4V.5 17AJ Address 2-001 Ario4jelorl 014POPIR04 01e®If e o Phone no. fax no. 3. Address of temporary use or entertainment i 4. Date or dates of proposed entertainment to 5. Kind or type of entertainment 6. Total number of off-street or highway parking space 7. Total number of people participating in the event at this location 91 E Number of restrooms available within facility Time and hours of temporary use CITY OF GRAPEVINE. DEVELOPMENT SERVICES.P O BOX 95104.GRAPEVINE.TEXAS.76099.(817)410-3154.FAX (817)410-3018 O.\ZCU\Forms\app.temp use public ent.doc 2 10. Number of outdoor speakers, all speakers shall face away from residential areas, please show location of speakers and the direction they are facing on site plan. 1 hereby authorize to request a temporary use on property I own at Z c'�D �v--S0 Owner (print) Owner signature r` .te e r14 C ej The State of1'e"A( County Of Before Me i' i✓1 f dr -i cK, (notary) on this day personally appeared 2 i cce �l 0 n (property owner) known to me (or proved to me on the oath of card or other document) to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same for the purposes and consideration therein expressed. (Seal) Given under my hand and seal of office this day of A.D. 2-01'1 ,��eHrry ERIN NICOLE HEDRICK. ri p� RY P4 4 r SN otary Public, state of Texas Notary Signature :"a • rte; Comm. Expires 02-01-2020 �yrFQF`�`�• Notary ID 130518858 '�flIr111+*� FOR OFFICIAL USE O Y CITY MANAGER [ iRTK MANAGER DEVELOPMENT SERVICES�DIR _ FI(E E r �4 t ¢ `'' POLICE 0 HEALTH _ CITY OF GRAPEVINE. DEVELOPMENT SERVICES.P O BOX 95104.GRAPEVINE.TEXAS.76099.(817)410-3154.FAX (817)410-3018 O:\ZCU\Forms\app.temp use public ent.doc 3 usan Batte From: Haley Kilar < Sent: Monday, April 17, 2017 12:51 PM To: Susan Batte Cc: Hayden Adcock Subject: Event - Wednesday 4/19 Hello, Please see below for a description of our event this Wednesday 4/19: Our event on Wednesday, 4/19 will take place at Austin Ranch at the Hilton Grapevine. From 7:OOPM to 8:30PM, the event will be inside. Inside, there will be house music and an acoustic old western band called Latigo Crossing (with Lagniappe Productions). Inside, there will be appetizers served and an open bar. The food provided is being catered internally from the hotel. This event is for the company Nest, and is being produced by Encore Live out of Fort Worth Texas. No guests are paying to attend this event. It is a thank you celebration for their retailers visiting Grapevine from New York City. The outside entertainment will be 38 Special. We are using Eagle AVL for production. They will be performing outside of Austin Ranch, on the Austin Ranch Hilton property. They will be performing from 8:3OPM - 10:OOPM. There will be approximately 175 guests in attendance. Get Outlook for iOS 0 Nest Retailer Night Out: Site Map Key Speaker LLJ ENCOLIV-01 CERTIFICATE OF LIABILITY INSURANCE DATE04!117!2017`71201'7 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(les) 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). PRODUCER UWCT Gus Bates Insurance & Investments 3221 Collinsworth St PHONE FAX (AIC, No, Ext): (817) 335-9547 (AIC, No):(817) 338-1422 Fort Worth, TX 76107 ADDREss: INSURER(S) AFFORDING COVERAGE NAIL INSURERA : Union Insurance Company 25844 08/0712016 INSURED Encore Live, LLC dba Encore Live Productions Encore Event Services LLC INSURERS: INSURER C : INSURER D : 1635 Rogers Rd INSURER E : Fort Worth, TX 76107 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INSD UBR WVD POLICY NUMBER POLICY EFF MIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 08/0712016 08/07/2017 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100'000 MED EXP (Any oneperson) $ 3'000 PERSONAL &ADV INJURY 1,000,000 GEN'LAGGREGATE I-WiTAPPLIESPER , X POLICY ❑ QCT 7 LOC GENERALAGGREGATE $ 2,000'000 PRODUCTS - COMP/OP AGG $ 2,000,000 CONTRACTORS ENH $ 5,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraccident $ HIREDNON-OWNED AUTOS ONLY AUTOS ONLY P OPERTY MAGE pA { eraccident) $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN 0 PRO ERIME TORJPARTNER/EXECUTIVE OFFICERRvtEMBEREXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA C 4681916 -12 12/08/2016 12/0812017 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000'000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Blanket Primary and Excess CL CG 01 14 1110 Contractors General Liability Ultra Endorsement -CL CG 04 43 11 10 -Per Project aggregate limit increased, blanket Waiver of Subrogation. Misc. Blanket Additional insured Blanket Waiver of Subrogation WC 42 03 04 B CERTIFICATE HOLDER reNrI:I I ATlnnl ACORD 25 (20i61U3) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Grapevine 200 S. Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Grapevine, TX 76051 AUTHORIZED REPRESENTATIVE ACORD 25 (20i61U3) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CL CG 01 1411 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY INSUREDS)AMENDMENT OF PRIMARY AND EXCESS PROVISIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraph (v) is added to Paragraph (1)(a) of Paragraph b. Excess Insurance under Paragraph 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, as follows: (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (v) That is available to any person or organization who has been added as an additional insured to this policy by endorsement, However, with respect to an additional insured added by endorsement for liability caused, in whole or in part: 1. By your acts or omissions, or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; or (b) In connection with your premises; or 2. By your maintenance, operation or use of equipment leased to you by such person or organization; this insurance shall be primary for such acts or omissions as described in subparagraphs (1)(a)(v)1. and (1)(a)(v)2. above if you and such additional insured have agreed prior to loss in a written contract or written agreement, in effect during this policy period, that this insurance be primary for same. When required by such written contract or written agreement, we will treat as "non-contributory" any other primary premises/operations liability insurance available to such additional insured for liability described in subparagraphs (1)(a)(v)1. and (1)(a)(v)2. above and for which such person or organization has been added as an additional insured by endorsement to this policy. However, this insurance, in all cases, is excess over any other liability insurance available to the additional insured to which such person or organization has been added as an additional insured by endorsement. B. With respect to the changes made by this endorsement, the following definition is added to Section V, DEFINITIONS: "Non-contributory" means that other insurance available to the additional insured will apply as excess and will not contribute as primary to the insurance provided by this endorsement. CL CG 0114 11 10 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. COMMERCIAL GENERAL LIABILITY CL CG 04 43 11 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ♦ I♦ �` "'11111:4 11! 11111191-' This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SUMMARY OF COVERAGE EXTENSIONS Paragraph No_ Name Of Extension Limit or Included A. Miscellaneous Additional Insureds Included B. Aggregate Limits Of Insurance For Construction Projects: 1. Single Construction Project Aggregate Limit (Away From Premises Equal to General Aggregate Limit 2, Cap For All Damages From All Ongoing Construction Projects $5,000,000 C. Expected Or Intended Injury Or Damage Included D, Joint Venture / Partnership / Limited Liability Company Coverage Included E. Knowledge Of Occurrence Included F Legal Liability - Damage To Premises Rented To You (Fire, Lightning, Explosion, or Leakage From Automatic Fire Protective Systems) $300,000 G. Medical Payments $10,000 H. Mobile Equipment .Redefined Included I. Newly Formed Or Acquired Organizations - Extended Period Of Included ncluded J. Non -Owned Watercraft (increased to maximum length of less than) 51 feet K. Supplementary Payments - Increased Limits: 1. Bail Bonds $3,000 2. Loss Of Earnings $1,{}00 L. Unintentional Omission In Disclosure Included M. Waiver Of Subrogation Included The above is a summary only. Please consult the specific provisions that follow for complete information on the extensions provided. If there is a conflict between this summary and the endorsement provisions that follow, the endorsement provisions shall prevail. CL CG 04 4311 10 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 8 with its permission The provisions of the Commercial General Liability Coverage Part apply except as otherwise provided in this endorsement. This endorsement applies only if such Coverage Part is included in this policy. A. MISCELLANEOUS ADDITIONAL INSUREDS Section 11 - Who Is An Insured is amended to include as an insured any person or organization (referred to as additional insured below) described in Paragraphs A.3.a. through A.3.d. below when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy, provided that: 1. The written contract or written agreement is: (a) Currently in effect or becoming effective during the term of this policy; and (b) Fully executed by you and the additional insured prior to the bodily injury, property damage, or personal and advertising injury. 2. The insurance afforded by this provision does not apply to any person or organization included as an additional insured by a separate endorsement issued by us and made a part of this policy or coverage part. 3. Only the following persons or organizations are additional insureds under this provision, with coverage for such additional insureds limited as provided herein: a. Managers or Lessors of Premises A manager or lessor of premises but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. b. Lessor Of Equipment Any person or organization from whom you lease equipment but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. A person's or organization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. This insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. Controlling Interest Any person(s) or organization(s) with a controlling interest in the Named Insured, but only with respect to their liability arising out of: 1. Their financial control of the Named Insured; or 2. Premises they own, maintain or control while the Named Insured leases or occupies these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional insured. d. Owners Or Contractors For Whom You Are Performing Ongoing Operations 1. Any person or organization for whom you are performing operations but only with respect to liability for "bodily injury„ "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this provision ends when your operations for that additional insured are completed. Page 2 of 8 Includes copyrighted material of Insurance Services Office, Inc., CL CG 04 4311 10 with its permission 2. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a. "Bodily injury""property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including. (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. b. 'Bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work"out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to coverage provided by this provision A. Miscellaneous Additional Insureds, the following additional provisions also apply: (1) Any insurance provided to an additional insured designated under Paragraphs A.3.a through A.3.d above does not apply: (a) To "bodily injury" or "property damage" included within the products -completed operations hazard; or (b) To "bodily injury.' "property damage" or "personal and advertising injury" arising out of the sole negligence of such additional insured. (2) Paragraph 4.b. of Section IV - Commercial General Liability Conditions is deleted and replaced with the following: b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis that is available to the additional insured unless you and the additional insured have specifically agreed in writing that this insurance be primary. Then we will treat any other insurance maintained by the additional insured for injury or damage covered by provision A. Miscellaneous Additional Insureds, except such other insurance as noted in Paragraph b -(1)(b), below, as excess to this insurance. If specifically required by such written contract or written agreement, we will not seek contribution from any other liability insurance available to the additional insured for injury or damage covered by provision A. Miscellaneous Additional Insureds, except for such other insurance as noted in Paragraph b.(1)(b) below. (b) Any other primary liability insurance available to the additional insured for damages arising out of premises or ongoing operations for which such person or organization has been added as an additional insured by attachment of an endorsement. (2) When this insurance Is excess, we will have no duty under Section I Coverage A Bodily Injury And Property Damage Liability or Coverage B Personal And Advertising Injury Liability to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. CL CG 04 4311 10 Includes copyrighted material of insurance Services Office, Inc., Page 3 of 8 with its permission (3) When this insurance is excess over other insurance, will share of the amount of the loss, if any, that exceeds the sum ot <a\ The total amount that all such other insurance would pay for the loss inthe absence ofthis insurance: and (b) The total ofall deductible and self-insured amounts under all that other insurance. (4) We will ahonc the remaining |oom, if any, with any other insurance that is not described in this Eumaas Insurance provision and was not bought specifically toapply inexcess of the Limits of Insurance shown in the Declarations of this policy or coverage part. B. AGGREGATE LIMITS OF INSURANCE FOR CONSTRUCTION PROJECTS 1, For all sums which the insured becomes legally obligated to pay as damages omuemd by occurrences under Section I Coverage A. and for all medical expenses caused L accidents under Section i - Coverage C, which can be attributed only to ongoing operations at construction projects premises owned byorrented tothe insured: a. The most we Will pay will be capped at $5,000,R00.regardless ofthe number of: (1) "Occurrences"; (2) Insureds; (3)Claims made nv"suits" (4) Persons or organizations making claims prbringing suits; ur (5) Separate construction projects. b' Subject toParagraph BA'm.above: (1) A separate Single Construction Project applies to each construction project _..y ..... premises.~...e° by or rented tothe /naunsd. and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. (2) The Single Construction Project General Aggregate Limit is the most we will pay for, the sum of all damages under Section I - Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard", and for medical expenses regardless of the number of: (a) Insureds; (b) Claims made or "suits" brought; or (c) Persons or organizations making claims or bringing "suits". Any payments made under Section I - Coverage A for damages or under Section I - Coverage C for medical expenses shall reduce the Single (3) Construction Project General Aggregate Limit for that c°=""cum. project away from premises owned by or rented to the insured. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Single Construction Project General Aggregate Limit for any other separate construction project away from premises owned by or rented to the insured, (4) The limits shown in the Declarations for Each Occurrence, Phe Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Single Construction Project General Aggregate Limit 2. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A, and for all medical expenses caused by accidents under Section I .- Coverage C, which cannot be attributed only to ongoing operations at a single construction project away from premises owned by or rented to the insured: Page 4wf 8 Includes copyrighted material of Insurance Services Office, |nc' CL CG 0443 1110 with its permission a. Any payments made under Coverage A (i) The provisions of section B. for damages or under Coverage C for Aggregate Limits Of Insurance medical expenses shall reduce the For Construction Projects in amount available under the General this endorsement; and Aggregate Limit or the Products- Completed Operations Aggregate Limit, (ii) The provisions of such CG 25 03 whichever is applicable; and endorsement (or a similar such construction projects) aggregate b. Subject to Paragraph B.1.a. above, such endorsement) payments shall not reduce any Single Construction Project General Aggregate both apply, Limit. is subject to Paragraph B.1.a. above. 3. When coverage for liability arising out of the 6. The provisions of Section III - Limits Of "products -completed operations hazard" is Insurance not otherwise modified by this provided, any payments for damages endorsement shall continue to apply as because of "bodily injury" or property stipulated. damage included in the "products -completed ' operations hazard" will reduce the Products- C. EXPECTED OR INTENDED INJURY OR Completed Operations Aggregate Limit, and DAMAGE not reduce the General Aggregate Limit nor Exclusion 2.a, Expected Or Intended Injury of the Single Construction Project General Section I - Coverage A - Bodily Injury And Aggregate Limit. Property Damage Liability is replaced entirely 4. If a single construction project away from with the following: premises owned by or rented to the insured a. Expected Or Intended Injury has been abandoned, delayed, or abandoned and then restarted, or if the "Bodily injury" or "property damage" expected authorized contracting parties deviate from or intended from the standpoint of the plans, blueprints, designs, specifications or insured. This exclusion does not apply to timetables, the project will still be deemed to "bodily injury" or "property damage" resulting be the same construction project. from the use of reasonable force to protect 5. If endorsement CG 25 03, Designated persons or property. Construction Project(s) General Aggregate D. JOINT VENTURE I PARTNERSHIP / LIMITED Limit (or a similar construction project(s) LIABILITY COMPANY COVERAGE aggregate endorsement) is also a part of this 1. The following is added to Section 11 - Who Is policy or coverage part, the most we will pay An Insured: for the total of: a. All sums which the insured becomes 4. You are an insured when you had an interest in a joint venture, partnership or legally obligated to pay as damages limited liability company which terminated caused by occurrences under Section I - or ended prior to or during this policy Coverage A; and period, but only to the extent of your b. All medical expenses caused by interest in such joint venture, partnership accidents under Section I - Coverage C, or limited liability company. which can be attributed only to ongoing However, this coverage does not apply: operations at: a. Prior to the termination or end date of (1) Any construction . project(s) any joint venture, partnership or designated in such CG 25 03 limited liability company; endorsement (or in a similar such b. If there is other valid and collectible construction project(s) aggregate insurance purchased specifically to endorsement); insure the joint venture, partnership (2) Any construction project(s) to which or limited liability company; or the provisions of section B. Aggregate Limits Of Insurance For c. To a joint venture, partnership or Construction Projects in this limited liability company which is, or endorsement apply; and/or ever was, insured under a consolidated (wrap-up) insurance (3) Any construction project(s) to which: program (also Known as an owner - controlled insurance program, OCIP). CL CG 04 4311 10 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 8 with its permission 2. With respect to the coverage provided by this section G. Joint Venture t Partnership / Limited Liability Company Coverage, the last Paragraph of Section Ii - Who Is An Insured is replaced by the following: Except as provided in 4. above, no person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. 3. As used in this endorsement, "consolidated (wrap-up) insurance program" (also known as an owner -controlled insurance program, O.C.i.P.) means a construction, erection or demolition project for which the prime contractor/project manager or owner of. the construction, erection or demolition project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, sometimes referred to as an a Contractor Controlled Insurance Program (C.C.I.P.) E. KNOWLEDGE OF OCCURRENCE Sub -paragraph a. under 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV - Commercial General Liability Conditions is replaced by the following: a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim only when the occurrence or offense is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A manager, if you are a limited liability company; or (4) An "executive officer" or the "employee" designated by you to give such notice, if you are an organization other than a partnership or a limited liability company. To the extent possible, notice should include: (5) How, when and where the "occurrence" or offense took place; (6) The names and addresses of any injured persons and witnesses; and (7) The nature and location of any injury or damage arising out of the "occurrence" or offense. F. LEGAL LIABILITY - DAMAGE TO PREMISES RENTED TO YOU (Fire, Lightning, Explosion, Leakage From Automatic Fire Protective Systems) If damage by fire to premises rented to you is not otherwise excluded from this policy or coverage part, then the following provisions apply: 1. The last Paragraph of Section I - Coverage A(after the exclusions) is replaced in its entirety by the following: Exclusions c, through n. do not apply to damage by fire, lightning, explosion, or leakage from automatic fire protective systems to premises while rented to you or temporarily occupied by you with the permission of the owner. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE (SECTION 111). 2. The Paragraph immediately after Sub- paragraph j.(6) of Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, and leakage from automatic fire protective systems) to premises, including the contents of such premises, rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 3. Paragraph 6. of Section III - Limits of Insurance is replaced in its entirety by the following: 6. Subject to Paragraph 5. above, the greater of: a. $300,000; or b. The Damage To Premises Rented To You Limit shown in the Declarations, is the most we will pay under Coverage A for damages because of "property damage" to premises while rented to you, or in the case of damage by fire, lightning, explosion, or leakage from automatic fire protective systems, white rented to you or temporarily occupied by you with permission of the owner. Page 6 of 8 Includes copyrighted material of Insurance Services Office, Inc., CL CG 04 4311 10 with its permission This limit will apply to all damage proximately caused by the same event, whether such damage results from fire, lightning, explosion, leakage from automatic fire protective systems, or other covered causes of loss or any combination thereof. 4. Sub -paragraph b.(1)(a)(ii) of Paragraph 4. Other Insurance of Section IV - Commercial General Liability Conditions, , is replaced by the following: (11) That is fire, lightning, explosion, or leakage from automatic fire protective systems insurance for premises rented to you or temporarily occupied by you with permission of the owner; or 5. Sub -paragraph a. of definition 9. "insured contract" of Section V - Definitions, --is replaced in its entirety by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, or leakage from automatic fire protective systems to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract". G. MEDICAL PAYMENTS If Coverage C - Medical Payments is not otherwise excluded from this policy or coverage part, the Medical Expense Limit is changed, subject to the terms of Section III - Limits Of insurance, to the greater of: a. $10,000; or b. The Medical Expense Limit shown in the Declarations of this policy or coverage part. H. MOBILE EQUIPMENT REDEFINED Sub -paragraph f.(1) of definition 12. mobile equipment of Section V - Definitions is entirely replaced by the following: (1) Equipment with a gross vehicle weight of 1,000 pounds or more and designed primarily for: 1. NEWLY FORMED OR ACQUIRED ORGANIZA- TIONS - EXTENDED PERIOD OF COVERAGE Paragraph 3. of Section 11 - Who Is An Insured is replaced by the following. 3. Any organization you newly acquire or form, other than: (1) a partnership, joint venture, or limited liability company; or (ii) An organization excluded either by the provisions of this policy or coverage part, or by endorsement, and over which you maintain ownership or majority interest of more than 50% will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the next anniversary date of this policy's effective date after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Section I - Coverage A - Bodily Injury And Property Damage Liability does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Section I - Coverage B - Personal And Advertising Injury Liability does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. J. NON -OWNED WATERCRAFT Sub -paragraph (2) of Exclusion 2.g. of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not used to carry persons or property for a charge; K. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS (a) Snow removal; Under Section I - Supplementary Payments - (b) Road maintenance, but not construction Coverages A and B: or resurfacing; or 1. The limit shown in Paragraph 1.b. for the (c) Street cleaning; cost of bail bonds is changed from $250 to $3,000; and CL CG 04 4311 10 Includes copyrighted material of Insurance Services Office, Inc., Page 7 of 8 with its permission 2. The limit shown in Paragraph 1.d. for loss of earnings because of time off work is changed from $250 a day to $1,000 a day. L. UNINTENTIONAL OMISSION IN DISCLOSURE The following provision is added to Paragraph 6. Representations of Section IV - Commercial General Liability Conditions: However, the unintentional omission of any information given or provided by you shall not prejudice your rights under this insurance. This provision does not affect our right to collect additional premium or to exercise our right of cancellation or non -renewal. i M. WAIVER OF SUBROGATION " Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Commercial General Liability Conditions is amended by the addition of the following: Notwithstanding anything to the contrary in previous paragraph, we waive any right of recovery we may have against a person or organization- because of payments we make for injury or damage arising out of your ongoing operations or "your work included in the "products -completed operations hazard", if: a. Such operations or work were done under a written contract or written agreement between you and such person or organization that contained a provision requiring such waiver; and b. Such written contract or written agreement was: (1) Made prior to the covered injury or damage; and (2) In effect at the time of the covered injury or damage. This waiver applies only with respect to such person or organization. page 8 of 8 Includes copyrighted material of Insurance Services Office, Inc., CL CG 04 43 1110 with its permission WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B (Ed. 6-14) TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. Schedule Specific Waiver Name of person or organization X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: "All Texas Operations" 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Advance Premium: $38 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 12/08/2016 Insured Encore Live LLC Insurance Company: Union Insurance Company WC 42 03 04 B (Ed. 6-14) Policy No. WCA 4661916 12 Countersigned by Endorsement No. Premium usan Batte From: Melanie Hill Sent: Monday, April 17, 2017 3:26 PM To: Susan Batte Subject: RE: Temp Use App - Austin Ranch Approve Melanie Hill, ARM City of Grapevine Risk Manager Office: 817-410-3114 Fax: 817-410-3013 -----Original Message ----- From: Susan Batte Sent: Monday, April 17, 2017 2:05 PM To: Renee L. Minnfee <RLMinnfee@TarrantCounty.com>; Bryan K. Parker <bparker@grapevinetexas.gov>; Randie Frisinger<rfrisinger@grapevinetexas.gov>; Barry Bowling <bbowling@grapevinetexas.gov>; Robert Eberling <reberling@grapevinetexas.gov>; Melanie Hill <mhill@grapevinetexas.gov> Subject: Temp Use App - Austin Ranch Please see attached application and let me know if you approve Susan Batte Planning Technician City of Grapevine P 0 Box 95104 1 Grapevine, TX 7609° p: (817) 410-3155 1 f: (817) 410-3018 -----Original Message ----- From: Sent: Monday, April 17, 2017 12:57 PM To: Susan Batte < Subject: Message from KMBT C652DS Susan Batte From: Robert Eberling Sent: Tuesday, April 18, 2017 8:02 AM To: Susan Batte Subject: RE: Temp Use App - Austin Ranch Approved by PD. Encore has hired two off-duty police officers. -----Original Message ----- From: Susan Batte Sent: Monday, April 17, 2017 2:05 PM To: Renee L. Minnfee < ; Bryan K. Parker < ; Randie Frisinger < ; Barry Bowling < ; Robert Eberling < ; Melanie Hill < Subject: Temp Use App - Austin Ranch Please see attached application and let me know if you approve Susan Batte Planning Technician City of Grapevine P 0 Box 95104 1 Grapevine, TX 76099 p: (817) 410-3155 1 f: (817) 410-3018 -----Original Message ----- From: Sent: Monday, April 17, 2017 12:57 PM To: Susan Batte < Subject: Message from KMBT_C652DS Susan Batte From: Renee L. Minnfee < Sent: Tuesday, April 18, 2017 8:19 AM To: Susan Batte Subject: Re: Temp Use App - Austin Ranch I am okay with this. Renee Minnfee, MPH RS Sanitarian I 1101 S. Main Street, Rm 2300 Fort Worth, TX 76104 817.321.4979 (office) 817.321.4961 (fax) From: Susan Batte < Sent: Monday, April 17, 2017 2:04 PM To: Renee L. Minnfee; Bryan K. Parker; Randie Frisinger; Barry Bowling; Robert Eberiing; Melanie Hill Subject: Temp Use App - Austin Ranch Please see attached application and let me know if you approve Susan Batte Planning Technician City of Grapevine P 0 Box 95104 1 Grapevine, TX 76099 p: (817) 410-3155 1 f: (817) 410-3018 -----Original Message ----- From: Sent: Monday, April 17, 2017 12:57 PM To: Susan Batte < Subject: Message from KMBT_C652DS Susan Batte From: Bryan K. Parker Sent: Tuesday, April 18, 2017 2:20 PM To: Susan Batte Cc: Randie Frisinger Subject: RE: Temp Use App - Austin Ranch Fire Department Comments: Outside entertainment and stage shall not use fire lanes. Maintain fire lane access at all times during the event. Bryan K. Parker I Asst. Fire Marshal 1817.410.4421 1 This message may be confidential and/or privileged. If you are not the intended recipient, please notify the sender immediately then delete it - you should not copy or use it for any purpose or disclose its content to any other person. Internet communications are not secure. You should scan this message and any attachments for viruses. Under no circumstances do we accept liability for any loss or damage that may result from your receipt of this message or any attachments. -----Original Message ----- From: Susan Batte Sent: Tuesday, April 18, 2017 12:01 PM To: Bryan K. Parker < ; Randie Frisinger < Subject: FW: Temp Use App - Austin Ranch I have not heard from yall and this event is tomorrow. -----Original Message ----- From: Susan Batte Sent: Monday, April 17, 2017 1:03 PM To: 'Renee L. Minnfee' < ; Bryan K. Parker < ; Randie Frisinger < ; Barry Bowling < ; Robert Eberling < ; Melanie Hill < Subject: Temp Use App - Austin Ranch Please see attached application and let me know if you approve Susan Batte Planning Technician City of Grapevine P O Box 95104 1 Grapevine, TX 76099 p: (817) 410-3155 1 f: (817) 410-3018