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Home My WebLink AboutItem 06.f4 "-)- August 2, 2010 Item No. APPROVAL OF CONTRACT WITH SOUTH METRO STORM SWIM CLUB FOR A TRIATHLON TO BE HELD AT ANTLERS PARK ON SUNDAY, AUGUST 15, 2010 Proposed Action Staff recommends adoption of the following motion: Move to approve contract with South Metro Storm Swim Club for a triathlon to be held at Antlers Park on Sunday August 15, 2010. Overview South Metro Storm Swim Club planned and conducted a quality, high level competitive half - triathlon in 2008 and 2009. All reports following the event were excellent. Other than minor issues, Lakeville Police were happy with the event organizers and participants. The race activity starts early morning at Antlers Park and is generally completed by 1 p.m. Primary Issues to Consider • The appropriate insurance /permit documentation has been submitted • Local authorities are involved with race logistics Supporting Information • Agreement signed by Chuck Smith, Vice President of South Metro Storm Swim Club and Race Director of the triathlon • Copy of insurance certificate • City permit • Race route s Gerald S. Michaud Parks & Recreation Director Financial Impact: $500.00 Budgeted: Y/N N Source: Related Documents (CIP, ERP, etc.): Notes: CITY OF LAKEVILLE CONTRACT THIS Contract ( " Contract "), entered into this 2 " day of August, 2010, by and between the CITY OF LAKEVILLE, a Minnesota municipal corporation, whose address is 20195 Holyoke Avenue, Lakeville, Minnesota 55044 (hereinafter referred to as the "City ") and SOUTH METRO STORM SWIM CLUB. WITNESSETH 1. TERM The term of the Contract will be from August 14, 2010 to August 16, 2010. 2. RENT SOUTH METRO STORM SWIM CLUB in consideration of the being allowed to use the Licensed Premises to conduct a triathlon sporting event, hereby covenants and agrees to pay to City $500.00 ( "Rent ") for the Term. 3. INSURANCE SOUTH METRO STORM SWIM CLUB shall procure and maintain general liability insurance against all claims for injuries and damages occurring on the Premises, such insurance to be in amounts approved by City. Such insurance shall be primary and non - contributory and name City as an additional insured and shall contain a provision that the City will be notified in writing thirty (30) days prior to any proposed policy cancellation. 4. TAXES SOUTH METRO STORM SWIM CLUB shall be responsible for all personal property and real estate taxes incurred as a result of this License. 5. OPERATION SOUTH METRO STORM SWIM CLUB must operate its event in accordance with instructions received from the City, a copy of which is attached hereto. 6. Indemnification Any and all claims that arise or may arise on behalf of SOUTH METRO STORM SWIM CLUB, its agents, servants, vendors, invitees or employees as a 136186N01 RNK:01 /02/2008 consequence of any act or omission on the part of the SOUTH METRO STORM SWIM CLUB or its agents, servants, or employees while engaged in the performance of this Agreement shall in no way be the obligation or responsibility of the City. SOUTH METRO STORM SWIM CLUB shall indemnify, hold harmless and defend the City, its officers and employees against any and all liability, loss, costs, damages, expenses, claims or actions, including attorneys' fees which the City, its officers or employees may hereafter sustain, incur or be required to pay, arising out of by reason of any negligent or willful act or omission of SOUTH METRO STORM SWIM CLUB, its agents, servants, vendors, invitees or employees, in the execution, performance, or failure to adequately perform SOUTH METRO STORM SWIM CLUB obligations pursuant to this Contract. IN WITNESS WHEREOF the parties hereto have executed this License as of the day and year first above written. CITY: CITY OF LAKEVILLE BY: Holly Dahl, Mayor BY: Charlene Friedges, City Clerk SOUTH METRO STORM SWIM CLUB BY: Its T I - a o� 136186v01 2 RNK:01 /02/2008 DATE (MM/DDNY) 7(23/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FOR SERVICE CALL: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. FRANCIS L. DEAN &ASSOCIATES, INC. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 1776 S. NAPERVILLE RD., BLDG. B COVERAGE AFFORDED BY THE POLICIES BELOW. P.O_ BOX 4200 COMPANIES AFFORDING COVERAGE WHEATON, IL 60189 (800) 745 -2409 COMPANY RIVERPORT INSURANCE COMPANY www.fdean.com INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION (PURCHASING GROUP) AND ITS PARTICIPATING MEMBERS: COMPANY B South Metro Storm Swim Club P.O. BOX 177 Lakeville, MN 55044 CERT. #AP128850 -00 COMPANY C COMPANY D CC,�VEM�AGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMroonv POLICY EXPIRATION DATE M�DDm LIMITS GENERAL LIABILITY CFNFRA AGGRFGATF $ 2 , 000 , 000.00 A COMMERCIAL GENERAL LIABILITY X PRODUCTS - COMP /OP AGG $ 1,000,00 CLAIMS MADE F7X OCCUR WRD 180035 8/1512010 8/16/2010 PERSONAL & ADV INJURY $ 1,000,000.00 OWNER'S& CONTRACTOR'SPROT EACH OCCURRENCE $ 1,000,000.00 IN CLUDES ATHLETIC PARTICPAN - S _ PX FIRE DAMAGE (Anyone fire) $ 300,000.00 MED EXF (Any one perscn) $ 5,000.00 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIM T $ BODILY INJURY (Perperson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON - OWNED AUTOS PROPERTY LAMAGE $ — GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAd AUTO ONLY. ANY AUTO EACH ACCIDENT $ _ AGGR�GATC $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY WCSTATU- OTH- TOR, uMrS ER EL EACH ACCIDENT $ THE PROPRI ETOR! INCL PARTNERS)EXECUTN'E OFFICERS ARE EXCL EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLO YEE $ OTHER Total Certificate Premium: $735.00 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES /SPECIAL ITEMS Triathlon Activities NO FLAT CANCELLATIONS I�"�'C Asa CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED South Metro Storm Swim Club P.O. Box 177 Lakeville, MN 55044 BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE T'rands L Dean ACORD 23 -S (1195) @ ACORD CORPORATION 1988 ADDITIONAL INSURED Date (M AGENCY PHONE 800- 745 -2409 FAX (AX, Nn,k 630 -665 -7294 FRANCIS L. DEAN & ASSOCIATES, INC. 1776 S. NAPERVILLE RD., BLDG. B P.O. BOX 4200 WHEATON, IL 60187 APPLICANT (First Named Insured) Phone South Metro Storm Swim Club P.Q. Box 177 Lakeville, MN 55044 EFFECTIVE DATE 8/15/2010 I EXPIRATION DATE 8/16/2010 COfPLAN CODE: SUBCODE: AGENCY CUSTOMER ID POLICY NUMBER: WRD 180035 ACCOUNT NUMBER: INTEREST RANK NAME AND ADDRESS I REFERE` +.CE #: CERTIFICATE REQUIRED Independent School District 194 19600 Pava Ave Lakeville, MN 55044 INTEREST IN ITEM NUMBER X ADDITIONAL INSURED LOSS PAYEE MORTGAGE LIENI (OLDER EMPLOYEE AS LESSOR LOCATION BUILDING: VEHICLE. BOAT SCHEDULED ITEM NUMBER: 0-1 IER ITEM DESCRIPTION: INTEREST RAND; NAME AND ADDRESS I REFERENCE #: 7 7 CERTIFIIATE REQUIRED City of Lakeville 20195 Holyoke Avenue Lakeville, MN 55044 INTEREST IN ITEM NUMBER X ADDI - ZONAL INSURED LOSS PAYEE MOFTGAGE LIENHOLDER EMPLOYEE AS LESSOR Lu CAT IOM BUILDING: VEHICLE: BOAT: SCHEDJLED ITEM NUMBER: 0 - HER ITEM DESCRIPTION. INTEREST RANK NAME AND ADDRESS I REFERENCE #: CERTIFICATE REQUIRED L.TEREST N ITEM NUMBER X ADDITIONAL II.SUP.ED LOSS PAYEE MORTGAGE LIENHOLDER EMPLOYE E AS LESSOR Dakota County 14955 Galaxie Ave Apple Valley, MN 55124 LOCATION BUILDING: VEHICLE: I BOAT. SCHEDULED ITEM NUMBER: OTHER ITEM DESCPIPTION: INTEREST RANK: NAME ANE ADDRESS REFERENCE #: CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER X ADDITIONAL INSURED LOSS PAYEE MUkIGA3E LIENHOLDER EMPLOYEE AS LESSOR LOCATION: BUILDING: VEHICLE: BOAT: SCHEDULED ITEM NUMBER: OTHE3 ITEM DESCRIPTION: INTEREST RANK NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER X ADDITIONAI INSURED LOSS PAYEE MORTGAGE LIENHOLDER EMPLOYEE AS LESSOR IOCATION PIIILDING VEHICLE: BOAT SCHEDULED ITEM NUMBER: OTHER ITEM DESCRIPTION: INTEREST RANK: NAMEANDADDRESS REFERENCE#. CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER X ADDITIONAL INSURED LOSS PAYEE MORTGAGE LIENHOLDER EMPLOYEE AS LESSOR LOCATION: BUILDING. VEHICLE: BOAT: SCHEDULED ITEM NUMBER: OTHER ITEM DESCRIPTION: INTEREST RANK: NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED NTEREST IN ITEM NUMBER X ADDITIONAL INSURED LOSS PAYEE MORTGAGE LIENHOLDER EMPLOYEE AS LESSOR LOCATION. BUILDING VEHICLE - . BOAT: SCHEDULED ITE`.1 NUMBER: OTHER ITEM DESCRIPTION: Lakeville Parks and Recreation Department 7• i 20195 Holyoke Avenue Lakeville, MN 55044 (952) 985 -4611 Rental Contract / Permit - Office Copy OFFICE COPY Contract #: 3404 User: jottum Contract Date: 28- Oct -09 Status: Firm Chuck Smith South Metro Storm Swim Club 3601 36th Ave. S. Minneapolis MN 55406 i) Purpose of Use: Special Event ii) Event Description Half Triathlon/Water Ski Show Home Phone: Business Phone: 612 239 -4547 iii) Conditions of Use As lawful consideration for being permitted to use a park or recreational facility belonging to the City of Lakeville, I agree on behalf of myself and my organization or group to release and discharge the City of Lakeville, and its agents and employees, from liability for injuries or damages, including any losses caused by the negligence or strict liabilities of the Released Parties. I further agree on behalf of myself and my organization or group to protect, indemnify, and hold harmless the Released Parties from any and all claims, liabilities, damages, or rights of action directly or indirectly arising from the use of these facilities. This agreement is specifically binding upon my spouse, heirs and assigns, and on the spouses, heirs or assigns of any member, employee, or participant of my organization of business. I warrant that I am authorized to enter into this agreement on behalf of my organization or business. iv) Rental Information Facility Shelter A Shelter B Shelter C Softball Field 1 Antlers Park, Shelter A Start Date/Time Sun, Aug 15, 10 6:00 AM Sun, Aug 15, 10 6:00 AM Sun, Aug 15, 10 6:00 AM Sun, Aug 15, 10 6:00 AM End Date/Time # in Group Fee Sun, Aug 15, 10 4:00 PM 500 $150.00 Sun, Aug 15, 10 4:00 PM 500 $225.00 Sun, Aug 15, 10 4:00 PM 500 $125.00 Sun, Aug 15, 10 4:00 PM 500 $0.00 Return this contract with payment. Payments not received by the due date may result in loss of reservation. Balance of $650.00 is due by November 11, 2009 Antlers Park, Shelter A Balance due: $ 650.00 Contract #: 3404 Payment method: (choose one) ❑ Credit Card (see section below) heck /MO(encosed) ❑ Cash Contract Date: 28- Oct -09 If paying by check or money order, make payment to City of Lakeville. Mail payment to City of Lakeville, Attn: Jane, 20195 Holyoke Ave., Lakeville, MN 55044 If paying by credit card (Complete the following information) Credit card number: Expiration date: Name listed on credit card: If paying by credit card, I agree to pay the City of Lakeville in accordance with the stipulations of my credit card agreement. Please sign below. X: I, the undersigned acknowledge that I have read and understand the provisions of this agreement and am duly authorized to represent the indicated organization's interests with respect to such agreement. I further declare that I am at least 18 years of age. Chuck Smith SIGN AND RETURN WITH PAYMENT MASTERCARD [:] VISA X: Date: Pem &,holli6r signature required to finalize rental. • �!� ♦, �i• r! 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