HomeMy WebLinkAbout20230689.tiffRESOLUTION
RE: APPROVE AGREEMENT CONCERNING USE OF SOUTHWEST SERVICE CENTER
POND AND AUTHORIZE CHAIR TO SIGN - NORTHERN COLORADO MODEL BOAT
CLUB, NAMBA DISTRICT 20
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement Concerning Use of the
Southwest Service Center Pond between the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Facilities Department, and
the Northern Colorado Model Boat Club, NAMBA District 20, on weekends from 7:00 a.m. to
5:00 p.m., commencing April 1, 2023, and ending October 31, 2023, with further terms and
conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Agreement Concerning Use of the Southwest Service Center
Pond between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Facilities Department, and the Northern
Colorado Model Boat Club, NAMBA District 20, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 13th day of March, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: theAtiv �CD�
-F-re man, Chai
Weld County Clerk to the Board
BY:
Deputy Clerk to the Boar
VED A
ounty At orney
Date of signature: x3/16/23
Perry . Bybk, Pro-Tem
Scott . James _
n
evin D. Ross
Lori Saine
cc :86(1-11SO
x3/17/23
2023-0689
BG0025
Qarii-vac,-7Z5
February 28, 2023
FACILITIES DEPARTMENT
PHONE: (970) 400-2020
FAX: (970) 304-6532
WEBSITE: waaw.co.weld.co.us
1105 H STREET
P.O. BOX 758
GREELEY, COLORADO 80632
To: Board of County Commissioners
From: Toby Taylor
Subject: Northern Colorado Model Boat Club, NAMBA District 20 — Use Agreement
Northern Colorado Model Boat Club, NAMBA District 20 has historically used the pond at the Southwest
Services Center for Model Boat activity each summer. The attached use agreement is for the 2023
season and will allow the boat club to use the use the pond from 7:00 a.m. through 5:00 p.m. on
Saturday's & Sunday's Beginning April 1, 2023 through October 31, 2023.
Facilities Department is recommending approval of this agreement.
If you have any questions, please contact me at extension 2023.
Sincerely,
Toby Taylor
Director
2023-0689
03A 3
AGREEMENT CONCERNING USE OF WELD COUNTY'S
SOUTHWEST SERVICE CENTER POND
THIS AGREEMENT is made and entered into this 06 day of March 2023 by and
between the County of Weld, a body corporate and politic of the State of Colorado, by and
through its Board of County Commissioners, whose address is 1150 "O" Street, Greeley,
Colorado 80631, hereinafter referred to as "County," and Northern Colorado Model Boat Club,
NAMBA District 20, whose address is 10455 Panorama Cir, Firestone, CO 80504 hereinafter
referred to as "NAMBA."
WHEREAS, the County owns the Southwest Service Center pond, hereinafter referred to
as "pond", located at 4209 County Road 24 '/2, Firestone, and
WHEREAS, NAMBA wishes to use the pond thereon, for model boat activities on
Saturdays and/or Sundays from April 2023 through October 2023 pursuant to the terms and
conditions contained herein, and
NOW THEREFORE, in consideration of the mutual promises and covenants contained
herein. the parties hereto agree as follows:
I. DUTIES AND RESPONSIBILITIES.
(a) The County hereby grants to NAMBA permission to use the pond, as governed by the
terms and conditions of this agreement, for the sole purpose of model boat activities
and related activities, including setting up.
(b) NAMBA shall make all arrangements relating to the model boat events and related
activities, except those specifically made the responsibility of the County by this
agreement.
II. TERM.
(a) NAMBA shall be permitted to use the pond from 7:00 a.m. to 5: p.m., April 2023
through October 2023 on Saturdays and/or Sundays. NAMBA shall notify the
following County employee at least 48 hours before the model boat activities take
place:
Name: Toby Taylor
Position: Director of Weld County Facilities Department
Address: 1105 H Street Greeley, CO 80632
Address: PO Box 758 Greeley, CO 80632
E-mail: ttaylor@weldgov.com
Facsimile: 970-304-6532
(b) Time shall be of the essence of this Agreement, and the time granted for the use of the
facility shall include set up, preparation, clean up and the removal of arty equipment.
0203 - 08"9
The time shall not be extended without written permission of the County, through its
County designee, Toby Taylor, Director of the Facilities Department for Weld
County.
III. STAFF AND INVITEES. NAMBA, and guests assisting with activities, shall be
responsible for supervising all children, adults, and invitees of NAMBA that will be on
the premises and assuring that such persons adhere to all rules and regulations as may be
established by the County. Upon the request of the County's designee, NAMBA and other
adult personnel, shall immediately remove any such person not adhering to the rules and
regulations of the County.
IV. CONDITION OF PREMISES. NAMBA agrees to leave the pond and surrounding area
in the same condition after the model boat activities as it was at the commencement of the
activities, ordinary wear and tear thereof excepted. NAMBA specifically acknowledges
that temperatures and wind conditions may enhance fire danger and will ensure that no
open fires are utilized.
(a) NAMBA agrees that there shall be no more than 30 attendees, including members,
supervisors, parents, invitees, or others affiliated with the event.
(b) NAMBA will arrange and pay fora portable toilet to use throughout the duration of the
event.
V. LIABILITY AND INDEMNIFICATION. NAMBA, its group members, supervisors,
volunteers, and their parents hereby agree to indemnify and hold harmless the County from
any and all rights, actions, claims, demands, liabilities or damages which may accrue
against the County or any of its employees or agents for any injuries or damages to persons
or property, as well as costs or expenses sustained or received as a result of or in connection
with the use or preparation for use of the property for model boating activities. The County
specifically disclaims all liability for any loss or theft of personal property of NAMBA, its
employees, members, agents, or invitees.
VI. INSURANCE. NAMBA must secure, at or before the time of execution of this
Agreement or commencement of any activities, the following insurance covering all
activities provided pursuant to this Agreement. NAMBA shall keep the required insurance
coverage in force at all times during the term of the Agreement, and any extension thereof
The insurance coverage specified in this Agreement are the minimum requirements, and these
requirements do not decrease or limit the liability of NAMBA. The County in no way
warrants that the minimum limits contained herein are sufficient to protect NAMBA from
liabilities that might arise out of the activities by the Contractor, its agents, guests,
representatives, and members. General Liability Insurance with the minimum limits as
follows: $1,000,000 each occurrence; $2,000,000 general aggregate. For general liability,
NAMBA's insurer shall name County as an additional insured.
VII. SEVERABILITY. If any term or condition of this Agreement shall be held to be invalid,
illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be
2
construed and enforced without such provision, to the extent that this Agmement is then
capable of execution within the original intent of the parties.
VIII. GOVERNMENTAL IMMUNITY. No term or condition of this contract shall be
construed or interpreted as a waiver, express or implied, of any of the immunities, rights,
benefits, protections, or other provisions, of the Colorado Governmental Immunity Act
§§24-10-101 et seq., as applicable now or hereafter amended.
IX. ENTIRE AGREEMENT. This Agreement contains the entire agreement and
understanding between the parties to this Agreement and supersedes any oiler agreements
concerning the subject matter of this transaction, whether oral or written. L is the express
intention of the parties that any entity other than the undersigned parties receiving services
or benefits under this Agreement shall be deemed an incidental beneficiary only.
NAMBA by and through:
7/46- 7',/edia4,7
Signature
NAMBA District 20 Director
Printed Name / Title
ATTEST:
dir.44) Jeido;ok
03/06/2023
Date
BOARD OF COUNTY COMMISSIONERS
Weld Count Clerk to the Board WELD COUNTY, COLORADO
BY:
Deputy C
3
rk to
n -p
'ke Freeman, Chair MAR 1 3 2123
A)a3- �� 19
ACORU"
NAMBINT-01 OHLMA
CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)
11/21/2022
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).
PRooucER License # 696868
HUB International Mountain States Limited
2703 Connery Way
Missoula, MT 59808
g2k cT Lisa Kohlman
PHONE FAx
tac. No, Extl: (406) 303-6088 (alc, Nal:(406} 542-5647
noollEss: Lisa.kohlman@hubinternational.com
INSURER{S) AFFORDING COVERAGE
NAIL #
INSURER A : Travelers Property Casualty Company of America
25674
INSURED
Namba International
North American Model Boat Assoc.
162 Avenida Chapala
San Marcos, CA 92069
INSURER B :
INSURER c .
INSURER D :
INSURER E :
INSURER F :
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INN jYPE OF INSURANCE
LA
ADDL SUER
pOUCY NUMBER
POLICY EFF
POLICY El(P
LIMITS
X
COMMERCIAL GENERAL LIABILITY
I CLAIMS -MADE ❑X OCCUR
X
6605864O477
1/1/2023
1/1/2024
EACH OCCURRENCE
E 1,000,000
PREMISES Enn,T,nce)
e 300`000
MED EXP IA.. ene person,
$ 10,000
PERSONAL BADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEM. AGGREGATE LIMIT APPLIES PER:
POLICY D jea Q LOC
OTHER
PRODUCTS-COMP/OP AGG
$ 2,000,000
$
A AUTOMOBILE
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ANY AUTO
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AUTEO�S ONLY
AUTOS ONLY
SCHEDULED
AUtOSWNE.
X AUONR ONL�
66058645477
1/1/2023
1/1/2024
%00 cc010aSLE LIMIT
E 1,000,000
OODILY INJURR (perperson)
BODILY INJURY {per accident)
E
PPerOaExRdent) MACE
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A
X
UMBRELLA UAB X
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1/1/2023
1/1/2024
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$ 1,000,000
AGGREGATE
$ 1,000,000
1,000,000
DED I X I RETENTIONS 0
AND EMPIiDERS LIABI %, IN
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DESCRIPTION OF OPERATIONS be.
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E.L. DISEASE - EA EMPLOYEE
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E.L. DISEASE - POLICY LIMIT
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DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES HUon 1 tot, Addtdonal Remarks Schedule, ma be attacked K more "ace'srequired)
Site: South West Weld County Services Pond, 4209 County Road 241!2, Longmont, 01Ca ado, 80504
FORM CG D1 86 0219 I General Liability XTEND Endorsement.pdf Attached.
CANCELLATION
Weld County
tY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1105 H Street
Greeley, CO 80632-0000
AUTHORIZED REPRESENTATIVE
S 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT
This endorsement modifies insurance provided tinder the fotowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION DE 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 al 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
B. Who is An insured- Employee s And Volunteer
Workers - Bodily Injury To Co -Employees And
CoVoturieer Workers
C. Who is An insured - Newly Acquired Or Formed
Limited Liabi rty Companies
D. Blanket Additional Insured - Persons Or
Organizations For Your Ongoing Operations As
Required By W risen Contract Or Agreement
E. Blanket Additional Insured - Broad Form
Vendors
F. Blanket Addrtianai Insured - Controlling !wrest
PROVISIONS
A. WHO IS AN INSURED - UNNAMED
SUBSIDIARIES
The following is added to SECTION II - WHO IS
ANA:
Arty of your subsidiaries, other than a partnership
or torn venture, that in not shown as a Named
Insured in the Declarations is a Named Insured if:
a. You are the sole owner of. or maintain an
ownership interest of mom than 50% in. such
subsidiary on the first day of the policy period;
and
b. Such subsidiary is not an inured under
similar other insurance.
No such subsidiary is an assured for bodily rnfury
or "property damage" that occurred, or 'personal
and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than S0% in such subsidiary; or
b. After the date, if any, during the policy period
that you no longer maintain an ownership
interest of more than 50% in such subsidiary.
CG D1 06 0219
G. Blanket Additional Insured — Mortgagees.
Assignees. Successors Or Receivers
H. Blanket Additional insured — Governmental
Entities — Permits Or Authorizations Relating To
Premises
Blanket Additional Insured— Governmental
Entities - Permits Or Authorizations Relating To
Operations
J. Blanket Additional Insured- Grantors Of
Franchises
K. incidental Medical Malpractice
L Blanket Waiver Of Subrogation
For purposes of Paragraph 1. of Section II - Who
Is An Insured, each such subsidiary wit be
deemed to be designated in the Declarations as:
a. A Ironed IiaE ty company;
b. An organization other than a partnership, joint
venture or limited liability company: or
c. A trust:
as indicated in its name or the documents that
govern its structure
B. WHO IS AN INSURED — EMPLOYEES AND
VOLUNTEER WORKERS — BADLY INJURY TO
CO -EMPLOYEES AND CO -VOLUNTEER
WORKERS
The following is added to Paragraph 2.a.(1) of
SECTION It - WHO IS AN INSURED:
Paragraphs (1Na). (b) and (c) above do not apply
to "bodily injury" to a co -`employee while in the
course of the co- employee's" employment by you
or performing dirties related to the corrd'uct of your
business, or to 'body injury' to your other
"volunteer workers" while performing duties
related to the conduct of your business.
201 tt+e Try cicts nderrr�iy Corn rhr At rights reser.md. Page 1 of 5
inci�udes copy47ted mT.ranioi of Inaurunor 5nroccs Ohim. Inc. or tr is p�ennisson.
COMMERCIAL GENERAL LIABILITY
C. WHO IS AN INSURED - NEWLY ACQUIRED
OR FORMED LIMITED LIABILITY COMPANIES
1. The following replaces the first sentence of
Paragraph 3. of SECTION II - WHOM AN
INSURED:
Any organization you newly acquire or form.
other than a partnership or joint venture, and
of which you we the sole owner or in which
you maintain an owners=hip interest of mom
than 50%. ill qualify as a Named Insured if
there is no other similar insurance available to
that organization.
2. The following replaces the last sentence of
Paragraph 3. of SECTION II — WHO IS AN
INSURED:
For the purposes of Paragraph 1. of Section II
— Who Is An Insured, each such organization
will be deemed to be designated in the
Declarations as:
a. A limited liability company:
b. An organization other than a partnership,
joint venture or limited liability company;
or
c. A trust;
as indicated in its name or the documents
that govern Os structure.
D. BLANKET ADDITIONAL INSURED — PERSONS
OR ORGANIZATIONS FOR YOUR ONGOING
OPERATIONS AS REQUIRED BY WRITTEN
CONTRACTOR AGREEMENT
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is not otherwise
an insured under this Coverage Part and that you
have agreed in a written contract or agreement to
include as an additional insured on this Coverage
Part is an insured. but only with respect to &ability
for "bodily injury' or `property damage' that
a. Occurs subsequent to the signing of that
contract or agreement and
b. Is caused. in whole or in part, by your acts or
omissions in the performance of your ongoing
operations to which that contract or
agreement apples or the acts or omissions of
arty person or organization performing such
operations on your behalf_
The limits of insurance provided to such insured
will be the minimum limits that you agreed to
provide in the written contract or agreement, or
the limits shown in the Declarations, whichever
are less.
Page 2 of 5
E. BLANKET ADDITIONAL INSURED — BROAD
FORM VENDORS
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is a vendor and
that you have agreed in a written contract or
agreement to include as an ad ktional insured on
this Coverage Part is an insured. but only wth
respect to liability for "bodily Witty" or `property
damage' that:
a. Occurs subsequent to the signing of that
contract or agreement; and
b. Arises out of 'your products" that am
distributed or sold in the regular course of
such vendor's business.
The insurance provided to such vendor is subject
to the following provisions::
The limits of insurance provided to such
vendor will be the minimum limits that you
agreed to provide in the written contract or
agreement or the limits shown in the
Declarations, whichever am less.
Ix The insurance provided to such vendor does
not apply to:
(If Any express warranty not authorized by
you or any cksfiributioa or sale for a
purpose not authorized by you:
(2) Any change in "your products' made by
such vendor;
(3) Repackaging. unless unpacked solely for
the purpose of inspection. demonstration.
testing, or the substitution of parts under
instructions horn the manufacturer, and
then repackarjed in the original container.
(4) Any failure to make such inspections.
adjustments, tests or servicing as
vendors agree to perform or normally
undertake to perforre in the regular
course of business. in coruiectio n wilts the
ckstnbuiron or sate of your products";
(5) Demonstration, installation, servicing or
repair operations, except such operations
performed at such vendor's premises in
connection with the sale of 'your
products'; or
(6) 'Your products" that. after distribution or
sale by you, have been labeled or
relabeled or used as a container, part or
ingredient of any other thing or substance
by or on behalf of su d't vendor.
0 2017 Tie Travers irrderrxrity Company At rights rewind
Includes co€yrgltd rrszerial of Irsrrante Serviom Office, Inc., w. its Femur .°
CG D1 96 02 10
COMMERCIAL GENERAL LIABILITY
Coverage under this provision does not apply to:
a. Ary person or organization from whom you
have acquired your products", or any
ingredient. part or container entering into,
accompanying or conflating such products,
or
b. Ary vendor for which coverage as an
additional insured specifically is scheduled by
endorsement.
F. BLANKET ADDITIONAL INStD
CONTROLLING INTEREST
1. The following is added to SECTION M — WHO
IS AN INSURED:
Ary person or organization that has financial
control of you is an insured with respect to
liability for 'bodily injury"property damage"
or "personal and advertising injury" that arises
out of:
a. Such financial control; or
b. Such person's or organization's
ownership. maintenance or use of
premises leased to or occupied by you.
The insurance provided to such person or
organization does not apply to structural
aheratiuo, new construction or demolition
operations performed by or on behalf of such
person or organization.
2. The fofowing is added to Paragraph 4. of
SECTION B- WHO IS AN INSURED
This paragraph does riot apply to any
premises owner, manager or lessor that has
financial control of you.
G. BLANKET ADDITIONAL INSURED -
MORTGAGE€S, ASSIGNEES SUCCESSORS
OR RECEIVERS
The following is added to SECTION II — WHO IS
AN CURED:
Any person or organization that is a mortgagee.
assignee, airrevsoF or receiver and that you
have agreed in a written contract or agreement to
include as an additional insured on this Coverage
Part is an insured, but only with respect to its
liability as mortgagee. assignee, successor or
receiver for "bodily irgury", 'property damage' or
"personal and advertising injury" that:
a. Is "bodly injury' or "property damage" that
occurs, or is "personal and advertising injury'
caused by an offense that is communed.
subsequent to the signing of that contract or
agreement: and
CGD11l60219
b. Arises out of the ownershp, maintenance or
use of the premises for ndschthat mortgagee.
assignee, successor m receiver is required
under that contract or agreement to be
included as an additional insured on this
Coverage Part.
The nsfrance provided to such mortgagee,
assignee, successor or receiver is subject to the
following provisions:
a. The limits of insurance provided to such
mortgagee, assignee. successor or receiver
well be the minimum limits that you agreed to
provide in the written contract or agreement,
or the limits shown n the Declarations,
whichever are less.
b. The insurance provided to such person or
organization does not apply to:
(1) Any "fly injury" or "property damage"
that occurs, or any "personal and
advertising injury" caused by an offense
that is comnvtted after such contract or
agreement is no longer in effect: or
42) Any "bodily injury', "property damage" or
'personal and advertising limy' arising
out of arty structural alterations. new
construction or demokion operations
performed by or on behalf of such
mortgagee, assignee, successor or
receiver.
FL BLANKET ADDITIONAL INSURED —
GOVERNMENTAL ENTITIES — PERMITS OR
AUTHORIZATIONS RELATING TO PREMISES
The following is added to SECTION 5 — WHO IS
AN INSIStED:
Any governmental entity that has issued a permit
or authorization with respect to premises owned
or occupied by, or rented or loaned to. you and
that you are required by any ordinance, law,
building code or mitten contract or ageerner t to
include as an additional insured on this Coverage
Part is an insured, but only with respect to liability
for 'bodily 'injury". "property damage" or 'personal
and advertising injury" arising out of the
existence, ownership, use, maintenance, repair.
construction, erection or removal of any of the
following for which that governmental entity has
issued such permit or authorization: advertising
signs, awnings, canopies, cellar entrances, coal
holes, driveways, manholes, marquees. hoist
away openings, sidewalk vats, elevators. street
banners or decorations.
Ca 2117 The Trs ek's h'hderm ty Company. An rights reserved.
Err odes co,nghted rneetial of Insurance Services 0Fnom, Inc. with es perrniss on.
Page 3 of
COMMERCIAL GENERAL LABILITY
1. BLANKET ADDITIONAL INSURED —
GOVERNMENTAL ENTITIES — PERMITS OR
AUTHORIZATIONS RELATING TO OPERATIONS
The following is added to SECTION II — WHO IS
AN INSURED:
Any governmental entity that has issued a permit
or au horeation with respect to operations
performed by you or on your behalf and that you
are required by any ordnance, law, building code
or written contract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only w'th respect to liability for "bodily
injury", "property damage" at "personal and
advertising injury' arising out of such operations.
The insurance provided to such governmental
entity does not apply to:
a. Any 'bodily egury' 'prope•rty damage" or
'personal and advertising injury" arising out of
operations performed for the governmental
entay; or
b. Ary "bodily injury" or "property damage'
included in the "products -completed
operations hazard".
J. BLANKET ADDITIONAL INSURED —
GRANTORS OF FRANCHISES
The fallowing is added to SECTION It — WHO IS
AN INSURED:
Any person or organization that grants a franchise
to you fs an iztsured, but only with respect to
liability for 'bodily injury". 'property damage' or
'personal and advertising inpny" arising out of
your operations in the franchise granted by that
person or organization.
If a written contract or agreement exists between
you and such additional insured, the limits of
insurance provided to such insured sell be the
minimum limits that you agreed to provide it the
wriitten contract or agreement, or the limits shown
in the Declarations, whichever are less.
K. INCIDENTAL MEDICAL MALPRACTICE
1. The following replaces Paragraph to. of the
definition of "occurrence" n the
DEFINITIONS Section:
b. An act or omission committed in providing
or fading to provide incidental medical
services", first aid or "Good Samaritan
services" to a person, unless you are in
the business to occupation of providing
professional health care services.
2. The falknwatg replaces the last paragraph of
Paragraph 2.a.(1) of SECTION II — WHO IS
AN INSURED.
Unless you are in the business or occupation
of providing professional health care services.
Paragraphs (1Ha), (b}. to) and Id) above do
not apply to 'bodily injury' arising out of
providing or failing to provide:
(a) "Incidental medical services' by any of
your "employees" who is a nurse, nurse
assistant. emergency medical technician,
paramedic, athletic trainer, audiologist,
dietician. nutritionist, occupational
therapist or occupational therapy
assistant, physical therapist Of speech -
language pathologist; or
(b) First aid or "Good Samaritan services" by
any of your "employees" or "volunteer
workers", odrer than an employed or
volunteer doctor. Any such "employees'
or "volunteer workers" providing or failing
to provide Frst ad or "Good Samaritan
services" during their work hours for you
will be deemed to be acting within the
scope of their employment by you or
performing duties related to the conduct
of your business.
3. The following replaces the fast sentence of
Paragraph S. of SECTION IN — UNITS OF
INSURANCE:
For the purposes of determining the
applicable Each Occurrence Link all related
ads or omissions committed it providing or
failing to provide 'incidental medical
services", first aid or 'God Samaritan
services" to arty one person wiT be deemed to
be one 'occurrence".
4. The fdlowatg eockrsion is added to
Paragraph 2., Exclusions, of SECTION I —
COVERAGES — COVERAGE A — BODILY
INJURY AND PROPERTY DAMAGE
UABIITY:
Sale Of Pharmaceuticals
"Bodily injury or 'property damage arising
out of the violation of a penal statute or
ordinance relating to the sale of
pharmaceuticals committed by, or with the
knowledge or consent of, the insured.
Page a of 5
C aonl Tte Travelers Indemnity Company. All righis reserved. CG D1 86 0219
Includes mpyng►+ed imierial of Insurance Services 0Ifiee, Inc.,. wlh rft permission.
COMMERCIAL GENERAL LIABILITY
S. The fallowing is added to the OEFINITIONS
Section:
"Incidental medical services" means:
a. Medical. surgical, dental. laboratory, x-ray
or nursing service or treatment, advice or
instruction. or the related furnishing of
food or beverages: or
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances_
6. The fallo ving is added to Paragraph 4.b..
Excess Insurance. of SECTION IV —
COMMERCIAL GENERAL UABLITY
CONDITIONS:
This insurance is excess over any valid and
collectible other insurance. whether primary.
excess. contingent or on any other basis, that
is available to any of your employees" for
"Caddy uysry" that arises out of providing or
fading to provide "incidental medical services"
CG Di !602 19
to arty person to the extern not subyct to
Paragraph 2,a.(1) of Section II — Who Is An
Insured.
L BLANKET WAIVER OF SUBROGA11ON
The following is added to Paragraph It., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — COMMERCIAL GEPRRAL
UABLITY CONDITIONS:
If the insured has agreed in a contract or
agreement to waive that irsured's right of
recovery against any person or organization. we
waive our right of recovery against such person or
organization, but only for payments we make
because of.
a. "Bodily injury` or "property damage' that
occurs: ar
b. "Personal and advertising 'wits,/ caused by
an offense that s committed,
subsequent to the execution of the contract or
agreement
6 2017 Tie Traretrs a dermey company Au rights rexnred. Page 5 of 5
Irrciudes copjrsgheed malaria! of Insurance Seririces Dine. Inc. "nth is pemrieeecr.
Contract Form
N
Request
Entity Name* Entity ID
NORTHERN COLORADO MODEL BOAT @OOO43884
CLUB
Contract Name*
MOU FOR USE OF POND
Contract Status
CTB REVIEW
New Entity?
Contract ID
6725
Contract Lead*
SGEESAMAN
Contract Lead Email
sgeesarnan@co.weld.co.us
Contract Description*
AGREEMENT TO USE SOUTHWEST SERVICE CENTER POND FOR MODEL BOAT CLUB
Contract Description 2
Contract Type*
AGREEMENT
Amount*
$0.00
Renewable
NO
Grant
Parent Contract ID
Requires Board Approval
YES
Department Project #
Department Requested BOCC Agenda Due Date
BUILDINGS AND GROUNDS Date* 03/09,'2023
03/1312023
Department Email
CM-
BuildingGrou nds@weldgov.c
om
Department Head Email
CM-BuildingGrounds-
DeptHead@weIdgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELDG
EY@WELDG
OV.COM
If this is a renewal enter previous tract ID
If this is part of a PISA enter NSA Contract ID
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Effective Date
Review Date
03 ;`01 2024
Renewal Date
Co
i0
Contact Name
Porcha
Purchasing Approver
App
Department Head
TOBY TAYLOR
DH Approved Date
03/07/2023
BOCC Approved
BOCC Signed Date
i3OCC Agenda Date
03/13/2023
Originator
SGEESAMAN
Contact Type
Committed Delivery Date
Contact Email
Finance Approver
CHERYL PATTELLI
Expiration Date •
03i01 /2024
Contact Phone 1
Purchasing Approved Date
Finance Approved Date
03/07/2023
Tyler Ref #
AG 031 323
Legal Counsel
BRUCE BARKER
Contact Phone 2
Legal Counsel Approved Date
03/07/2023
Hello