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Home My WebLink About2012-151A g . � Indian River County Holman Stadium Use Agreement This Holman Stadium Use Agreement ("Agreement" ) is made this day of2012 , by and between Indian River County Board of County Com ssioners , a political subdivision of the State of Florida (" County") and the Jake Owen Foundation , a Tennessee Corporation , 209 10th Avenue South , Suite 216 , Nashville , TN 37203 (" User Group " ) . BACKGROUND RECITALS A . The User Group has requested the use of Holman Stadium facilities (collectively referenced as " Stadium ") under the terms and conditions set forth in the Indian River County Holman Stadium Use Guidelines , attached to this Agreement as Exhibit 1 and incorporated herein in its entirety by this reference and under the terms and conditions set forth in this Agreement . B . The County will allow the User Group to use the Stadium under the terms and conditions set forth in Exhibit 1 and under the terms and conditions set forth in this Agreement . NOW THEREFORE , for good and valuable consideration , the receipt and sufficiency of which is hereby acknowledged , and intending to be legally bound , the parties agree as follows : 1 . PERIOD OF USE . This Agreement shall be in force December 15th , 2012 , and includes all setup and clean up time . Rain date will be December 16th , 2012 . 2 , NUMBER OF PARTICIPANTS EXPECTED . User Group estimates that the number of participants expected at the event will be between 4 , 000 up to seating capacity of 6 , 500 . 3 . DESCRIPTION OF EVENT . User Group states that the following is an accurate description of the event: 7th Annual Jake Owen Foundation Benefit Concert . 4 , INSURANCE . The minimum dollar amounts and types of insurance coverage ` s required are set forth in Exhibit 2 attached hereto and incorporated herein in its entirety by this reference . 5 . FEES , The User Group agrees to pay all Stadium use charges as set forth in Exhibit I , including , without limitation , the charges set forth in paragraphs C , D , F , G , H , and I . Where the User Group uses the services of VeroTown , LLC for parking attendants , ticket takers , security personnel , clean - up crews , or concession operations , the User Group acknowledges and agrees that the County shall cause VeroTown , LLC : ( i) to provide a written invoice for such services to the User , together with a courtesy copy to the County within ten ( 10 ) business days after the conclusion of the event ; and ( ii ) to remit the net funds , if any , to the User Group . In addition , all costs for utilities and any other costs incurred by VeroTown , LLC in connection with the User Group ' s use of the Stadium shall be set forth on the foregoing written invoice , and such costs shall also be deducted from the net funds , if any , and remitted to the User Group . Upon the County' s receipt of the notice of invoice payments from VeroTown , LLC , the security 1 g . � Indian River County Holman Stadium Use Agreement This Holman Stadium Use Agreement ("Agreement" ) is made this day of2012 , by and between Indian River County Board of County Com ssioners , a political subdivision of the State of Florida (" County") and the Jake Owen Foundation , a Tennessee Corporation , 209 10th Avenue South , Suite 216 , Nashville , TN 37203 (" User Group " ) . BACKGROUND RECITALS A . The User Group has requested the use of Holman Stadium facilities (collectively referenced as " Stadium ") under the terms and conditions set forth in the Indian River County Holman Stadium Use Guidelines , attached to this Agreement as Exhibit 1 and incorporated herein in its entirety by this reference and under the terms and conditions set forth in this Agreement . B . The County will allow the User Group to use the Stadium under the terms and conditions set forth in Exhibit 1 and under the terms and conditions set forth in this Agreement . NOW THEREFORE , for good and valuable consideration , the receipt and sufficiency of which is hereby acknowledged , and intending to be legally bound , the parties agree as follows : 1 . PERIOD OF USE . This Agreement shall be in force December 15th , 2012 , and includes all setup and clean up time . Rain date will be December 16th , 2012 . 2 , NUMBER OF PARTICIPANTS EXPECTED . User Group estimates that the number of participants expected at the event will be between 4 , 000 up to seating capacity of 6 , 500 . 3 . DESCRIPTION OF EVENT . User Group states that the following is an accurate description of the event: 7th Annual Jake Owen Foundation Benefit Concert . 4 , INSURANCE . The minimum dollar amounts and types of insurance coverage ` s required are set forth in Exhibit 2 attached hereto and incorporated herein in its entirety by this reference . 5 . FEES , The User Group agrees to pay all Stadium use charges as set forth in Exhibit I , including , without limitation , the charges set forth in paragraphs C , D , F , G , H , and I . Where the User Group uses the services of VeroTown , LLC for parking attendants , ticket takers , security personnel , clean - up crews , or concession operations , the User Group acknowledges and agrees that the County shall cause VeroTown , LLC : ( i) to provide a written invoice for such services to the User , together with a courtesy copy to the County within ten ( 10 ) business days after the conclusion of the event ; and ( ii ) to remit the net funds , if any , to the User Group . In addition , all costs for utilities and any other costs incurred by VeroTown , LLC in connection with the User Group ' s use of the Stadium shall be set forth on the foregoing written invoice , and such costs shall also be deducted from the net funds , if any , and remitted to the User Group . Upon the County' s receipt of the notice of invoice payments from VeroTown , LLC , the security 1 deposit shall be returned to the User Group ; provided , however , that in the event the costs invoiced by VeroTown , LLC exceed the funds available , the County shall have the right to use the security deposit for such costs . In addition , the User Group agrees to be solely responsible to pay any and all additional charges required for the staging of the event . 6 . INDEMNIFICATION AND WAIVER OF CLAIMS . The User Group assumes all risks and agrees to indemnify fully and save and hold harmless the County , its commissioners , officers , employees , and agents ( hereinafter individually and collectively referenced as " Indemnified County Parties" ) , and VeroTown , LLC , their respective owners , share holders , officers , employees , representatives , agents , heirs , successors , and assigns ( hereinafter individually and collectively referenced as " Indemnified VeroTown , LLC Parties ") against all claims , losses , damages , judgments , liabilities , accidents or injuries to person (s) or property , and causes of action , including reasonable attorney' s fees and court costs , arising out of , or caused directly or indirectly , by the conduct , acts , omissions , negligence , or willful misconduct of any participant in the event , the User Group , its visitors , agents , and employees . The Indemnified County Parties , and the Indemnified VeroTown , LLC Parties shall not be liable for damages to , or loss of, personal property sustained by the participants in the event , the User Group , its visitors , agents , employees , or any person claiming by or through the User Group or any of the foregoing , resulting from any fire , accident , occurrence , theft , or condition in or upon the Stadium , provided such are not due to the sole negligence or willful misconduct of the Indemnified County Parties or the Indemnified VeroTown , LLC Parties . This indemnification paragraph shall survive the expiration or sooner termination of this Agreement. 7 , CANCELLATION . This Agreement is subject to cancellation by either the User Group or the County as set forth in Exhibit 1 . 8 , FACILITY UNAVAILABILITY DISCLAIMER . The County assumes no responsibility for circumstances that may require the closing of the Stadium facility due to conditions that would render it unfit for public usage due to inclement weather , state health department or other regulatory agencies requirements . In the event of such occurrence it is the responsibility of the User Group to obtain alternative facilities and the County shall have no liability whatsoever to the User Group . 9 . GOVERNING LAW . The laws of the State of Florida shall govern this Agreement and any and all legal action shall be instituted in Indian River County for all state court matters and in the Southern District of Florida for all federal court matters . 10 . ENTIRETY OF AGREEMENT . The Agreement incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , or understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings of any nature whatsoever concerning the subject matter of this Agreement that are not contained in this Agreement . No supplement , modification , or amendment to this Agreement shall be binding unless signed in writing by the County and the User Group . 2 deposit shall be returned to the User Group ; provided , however , that in the event the costs invoiced by VeroTown , LLC exceed the funds available , the County shall have the right to use the security deposit for such costs . In addition , the User Group agrees to be solely responsible to pay any and all additional charges required for the staging of the event . 6 . INDEMNIFICATION AND WAIVER OF CLAIMS . The User Group assumes all risks and agrees to indemnify fully and save and hold harmless the County , its commissioners , officers , employees , and agents ( hereinafter individually and collectively referenced as " Indemnified County Parties" ) , and VeroTown , LLC , their respective owners , share holders , officers , employees , representatives , agents , heirs , successors , and assigns ( hereinafter individually and collectively referenced as " Indemnified VeroTown , LLC Parties ") against all claims , losses , damages , judgments , liabilities , accidents or injuries to person (s) or property , and causes of action , including reasonable attorney' s fees and court costs , arising out of , or caused directly or indirectly , by the conduct , acts , omissions , negligence , or willful misconduct of any participant in the event , the User Group , its visitors , agents , and employees . The Indemnified County Parties , and the Indemnified VeroTown , LLC Parties shall not be liable for damages to , or loss of, personal property sustained by the participants in the event , the User Group , its visitors , agents , employees , or any person claiming by or through the User Group or any of the foregoing , resulting from any fire , accident , occurrence , theft , or condition in or upon the Stadium , provided such are not due to the sole negligence or willful misconduct of the Indemnified County Parties or the Indemnified VeroTown , LLC Parties . This indemnification paragraph shall survive the expiration or sooner termination of this Agreement. 7 , CANCELLATION . This Agreement is subject to cancellation by either the User Group or the County as set forth in Exhibit 1 . 8 , FACILITY UNAVAILABILITY DISCLAIMER . The County assumes no responsibility for circumstances that may require the closing of the Stadium facility due to conditions that would render it unfit for public usage due to inclement weather , state health department or other regulatory agencies requirements . In the event of such occurrence it is the responsibility of the User Group to obtain alternative facilities and the County shall have no liability whatsoever to the User Group . 9 . GOVERNING LAW . The laws of the State of Florida shall govern this Agreement and any and all legal action shall be instituted in Indian River County for all state court matters and in the Southern District of Florida for all federal court matters . 10 . ENTIRETY OF AGREEMENT . The Agreement incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , or understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings of any nature whatsoever concerning the subject matter of this Agreement that are not contained in this Agreement . No supplement , modification , or amendment to this Agreement shall be binding unless signed in writing by the County and the User Group . 2 11 . SEVERABILITY . In the event that any of the provisions of this Agreement are deemed unenforceable , the enforceability of the remaining provisions of this Agreement shall not be affected . 12 . ASSIGNMENT . User Group shall not grant, assign , or otherwise convey to anyone any or all of its rights to use the Stadium hereunder without the prior written consent and approval of the County and VeroTown , LLC . The User Group shall use the Stadium only in the manner contemplated in this Agreement . 13 . THIRD PARTY BENEFICIARY. No person other than VeroTown , LLC , the County , the Indemnified County Parties , the Indemnified VeroTown , LLC Parties , and the User Group , and the successors of the User Group shall have any rights whatsoever under this Agreement . 14 . BACKGROUND RECITALS . The Background Recitals are true and correct and form a material part of this Agreement . 15 . DEFAULT . County shall have the right to terminate this Agreement and /or deny User Group use of the stadium if User Group defaults in the performance of any obligation hereunder, provided that in the event of such default , the County shall give the User Group notice of such default and twelve ( 12 ) hours to cure the default or a lesser time if appropriate to the default on the day of the event. 16 . NOTICES . Any notices or other written communications from the User Group to the County shall be delivered by fax , overnight mail , hand delivery , or first class mail to the County Recreation Director . Any notices or other communications from the County to the User Group shall be delivered by fax , overnight mail , hand delivery , or first class mail to the User Group Executive Director . The names and address to be contacted are as follows : As to the County : Indian River County Board of County Commissioners Attn : Michael C . Zito , Assistant County Administrator 1801 27th Street, Vero Beach , FL 32960-3398 As to the User Group : Jake Owen Foundation 209 10th Avenue South , Suite 216 Nashville , TN 37203 3 11 . SEVERABILITY . In the event that any of the provisions of this Agreement are deemed unenforceable , the enforceability of the remaining provisions of this Agreement shall not be affected . 12 . ASSIGNMENT . User Group shall not grant, assign , or otherwise convey to anyone any or all of its rights to use the Stadium hereunder without the prior written consent and approval of the County and VeroTown , LLC . The User Group shall use the Stadium only in the manner contemplated in this Agreement . 13 . THIRD PARTY BENEFICIARY. No person other than VeroTown , LLC , the County , the Indemnified County Parties , the Indemnified VeroTown , LLC Parties , and the User Group , and the successors of the User Group shall have any rights whatsoever under this Agreement . 14 . BACKGROUND RECITALS . The Background Recitals are true and correct and form a material part of this Agreement . 15 . DEFAULT . County shall have the right to terminate this Agreement and /or deny User Group use of the stadium if User Group defaults in the performance of any obligation hereunder, provided that in the event of such default , the County shall give the User Group notice of such default and twelve ( 12 ) hours to cure the default or a lesser time if appropriate to the default on the day of the event. 16 . NOTICES . Any notices or other written communications from the User Group to the County shall be delivered by fax , overnight mail , hand delivery , or first class mail to the County Recreation Director . Any notices or other communications from the County to the User Group shall be delivered by fax , overnight mail , hand delivery , or first class mail to the User Group Executive Director . The names and address to be contacted are as follows : As to the County : Indian River County Board of County Commissioners Attn : Michael C . Zito , Assistant County Administrator 1801 27th Street, Vero Beach , FL 32960-3398 As to the User Group : Jake Owen Foundation 209 10th Avenue South , Suite 216 Nashville , TN 37203 3 IN WITNESS WHEREOF , the County and the User Group have caused this Agreement to be executed in their respective names as of the date set forth above . USER GROUP : INDIAN RIVER COUNTY , FLORIDA : JAKE OWEN FOUNDATION IBy: Jackie Warrick , Manager By : Ga Wheeler , Chairman ¢ ' BCC Approved : September 11 , 2012 ''� �,y• � �o� ; gNRivER YMp up " ' ATTEST: Approved as to form and legal sufficiency : fbFJ . R . SMIT , CLQ County Attorney APPROVAL BY VEROTOWN , LLC , SOLELY AS TO THIRD PARTY BENEFICIARY PROVISIONS VEROTOWN , LLC By : Craig B . all n , Vice President Vero Be cfi ports Village 4 IN WITNESS WHEREOF , the County and the User Group have caused this Agreement to be executed in their respective names as of the date set forth above . USER GROUP : INDIAN RIVER COUNTY , FLORIDA : JAKE OWEN FOUNDATION IBy: Jackie Warrick , Manager By : Ga Wheeler , Chairman ¢ ' BCC Approved : September 11 , 2012 ''� �,y• � �o� ; gNRivER YMp up " ' ATTEST: Approved as to form and legal sufficiency : fbFJ . R . SMIT , CLQ County Attorney APPROVAL BY VEROTOWN , LLC , SOLELY AS TO THIRD PARTY BENEFICIARY PROVISIONS VEROTOWN , LLC By : Craig B . all n , Vice President Vero Be cfi ports Village 4 JSELLERS ACORD, ,, CERTIFICATE OF . LIABILITY INSURANCE °11/27/ 1°2 Y " 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 pol (cy(ies) must be endorsed . it 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 endorsements . PRODUCER CO AC SMALL COMMERCIAL UNIT K & K Insurance Grvup , Inc . NAME; _ P . O . Box 2338 PRONE ' 877 - 783 - 1161 260 - 459 - 5870 Fort Wayne , Tn 46801 AIGNo_ Ext : LAIC. No): L ADDRESS: SCUOKANDKZNSURANCR . COM INSURERS} AFFORDING COVERAGE NAIC A INSURER A: NATIONWIDE LIFE INSURANCE COMP 66869 INSURED C&H EVENTS , INC . INSURERS: NATIONAL CASUALTY COMPANY 11991 160 W . CAMINO REAL , # 231 INSURER C: BOCA RATON , FL 33412 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1670516 REVISION NUMBER: T1THR 15 TO CERTIFY THAT THE POI IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10 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 . NC=NOT COVERED TYPE OF INSURANCEAWULZV POLICY NUMBER POLICYEP POLICY EXP LIMITS LT INSR WVD_ MMIDDIYYYY MMIDDIYYYY ETR GENERAL LIABILITY EACH OCCURRENCE 1000000 , B rG.SNL MERCIALGENERALLIABIUTY 12 : 01AM 12 : 01AM PREMISES occurrence 300000 CLAIMSMADE OCCUR I Y KK00002424100 4 / 21 / 12 4 / 21 / 13 MED EXP (Anyone person) 5000 ners & Contractors PERSONAL SADV INJURY 1000000 i I GENERALAGGREGATE NONE GREGATE LIMIT APPLES PER: PRODUCTS•COMPIOP AGG 1000000 PROJECT F7LQC Part L131;E Liab 1000000 COMBINeguMIT AUTOMOBILE LIABILITY i Accident 1000000 12 : 01AM 12 : 01AM 60DILYIWURY (Perperson) KK00002424100 4 / 21 / 12 4 / 21 / 13 ALL OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) AUTOS JANYAUTO HIREO AUTO$ X NON-OW NEO PROPERTY OAMAGE AUTOSPer aceiden UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS•MAOE AGGREGATE OED RETENTION WORKERS COMPENSATIONA OTHER AND EMPLOYERS' LIABILITY a TORY LIMITS ,T ANY PROPRIETORIPARTNERI EL EACH ACCIDENT EXECUTIVE OFFICERIMEMBER N I A EXCLUDED? E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) N yes describe under F.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below 12 : 01AM 12 ; OIAM AD&D NC A Participant Accident SPX0025353300 4 / 21 / 12 4 / 21 / 7.3 Primary Medical NC ExCeSS Medical 25000 Weekly Indemnity NC DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, it more space i5 required) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO ,.I✓�- :,1 ; - I` LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED . EVENT : JAKE OWEN NOV 2 s �Ol � FOUNDATION BENEFIT CONCERT . DATE : 12 / 12 - 16 / 12 . LOC : VERO BEACH SPORTS VILLAGE L45K Mi�$EII1CIlt": CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ELIVERED I INDIAN RIVER COUNTY ACCORDANCE WITH THE POLICY PROVISIO St 1 1 ATTN : COUNTY RISK MANAGER INDIAN RIVER COUNTY AUTHORIZED S AT 1800 27TH STREET VERO BRACH , FL 32960 ACORD 26 {2010106) O 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JSELLERS ACORD, ,, CERTIFICATE OF . LIABILITY INSURANCE °11/27/ 1°2 Y " 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 pol (cy(ies) must be endorsed . it 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 endorsements . PRODUCER CO AC SMALL COMMERCIAL UNIT K & K Insurance Grvup , Inc . NAME; _ P . O . Box 2338 PRONE ' 877 - 783 - 1161 260 - 459 - 5870 Fort Wayne , Tn 46801 AIGNo_ Ext : LAIC. No): L ADDRESS: SCUOKANDKZNSURANCR . COM INSURERS} AFFORDING COVERAGE NAIC A INSURER A: NATIONWIDE LIFE INSURANCE COMP 66869 INSURED C&H EVENTS , INC . INSURERS: NATIONAL CASUALTY COMPANY 11991 160 W . CAMINO REAL , # 231 INSURER C: BOCA RATON , FL 33412 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1670516 REVISION NUMBER: T1THR 15 TO CERTIFY THAT THE POI IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER10 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 . NC=NOT COVERED TYPE OF INSURANCEAWULZV POLICY NUMBER POLICYEP POLICY EXP LIMITS LT INSR WVD_ MMIDDIYYYY MMIDDIYYYY ETR GENERAL LIABILITY EACH OCCURRENCE 1000000 , B rG.SNL MERCIALGENERALLIABIUTY 12 : 01AM 12 : 01AM PREMISES occurrence 300000 CLAIMSMADE OCCUR I Y KK00002424100 4 / 21 / 12 4 / 21 / 13 MED EXP (Anyone person) 5000 ners & Contractors PERSONAL SADV INJURY 1000000 i I GENERALAGGREGATE NONE GREGATE LIMIT APPLES PER: PRODUCTS•COMPIOP AGG 1000000 PROJECT F7LQC Part L131;E Liab 1000000 COMBINeguMIT AUTOMOBILE LIABILITY i Accident 1000000 12 : 01AM 12 : 01AM 60DILYIWURY (Perperson) KK00002424100 4 / 21 / 12 4 / 21 / 13 ALL OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) AUTOS JANYAUTO HIREO AUTO$ X NON-OW NEO PROPERTY OAMAGE AUTOSPer aceiden UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS•MAOE AGGREGATE OED RETENTION WORKERS COMPENSATIONA OTHER AND EMPLOYERS' LIABILITY a TORY LIMITS ,T ANY PROPRIETORIPARTNERI EL EACH ACCIDENT EXECUTIVE OFFICERIMEMBER N I A EXCLUDED? E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) N yes describe under F.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below 12 : 01AM 12 ; OIAM AD&D NC A Participant Accident SPX0025353300 4 / 21 / 12 4 / 21 / 7.3 Primary Medical NC ExCeSS Medical 25000 Weekly Indemnity NC DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101 , Additional Remarks Schedule, it more space i5 required) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO ,.I✓�- :,1 ; - I` LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED . EVENT : JAKE OWEN NOV 2 s �Ol � FOUNDATION BENEFIT CONCERT . DATE : 12 / 12 - 16 / 12 . LOC : VERO BEACH SPORTS VILLAGE L45K Mi�$EII1CIlt": CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ELIVERED I INDIAN RIVER COUNTY ACCORDANCE WITH THE POLICY PROVISIO St 1 1 ATTN : COUNTY RISK MANAGER INDIAN RIVER COUNTY AUTHORIZED S AT 1800 27TH STREET VERO BRACH , FL 32960 ACORD 26 {2010106) O 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD