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HomeMy Public PortalAboutC-21-139 - HOLLYWOOD DANCE MOMS - LARRY ITLIONG - SPA CITY OF CARSON —INTERNAL CONTRACT ROUTING SLIP All fields are required to be completely filledout.If not-applicable,enter N/A. FROM:JOSE EMMANUEL TINGSON DOCUMENT TYPE:Service PROVIDER EXT.310-830-9991 N/A APPROVALDATE:N/A ITEMNO:N/A VENDOR NAME:HOLLYWOOD DANCE MOMS SERVICES/PRODUCT:ENTERTAINMENT TERM OF CONTRACT:10/21/2021 tHrouch 10/24/2021 AMOUNT OF CONTRACT:N/A SINGLE-SIDED DOCUMENT?[XIYES PAGE COUNT: _PRE-APPROVAL/PRE-CITY SIGNATURES.CHECKLIST DEPT:_CS/RECREATION ATTORNEY ASSIGNED:N/A ASSISTING STAFF ACTION REQUIRED COMPLETION(INITIALS)_ DIRECTOR Confirm approval to proceed. CONTRACT OFFICER Confirm funds are budgeted and/or available. CONTRACT OFFICER Preparation of specifications. This includes coordinating with Risk Management on the Insurance/Bond requirements. PURCHASING Advertise bids,compliance with bid requirements;including posting on City’s website.- *RFP/RFQ must include form contract.: PURCHASING OR CONTRACT OFFICER Evaluate bids/proposals and determine recommended bidder(s). CONTRACT OFFICER &CITY ATTORNEY Complete contract negotiations/finalize contract (including attachments)with City Attorney’s Office.:ue CONTRACT OFFICER Present appropriate contract form to the recommended /I *Verify correct agencytitles/corps.are listed.(ie:City.Council-Mayor vs.CRA-Chairman) CONTRACT OFFICER Verify compliance with business license requirements, vendor,and request W-9 (once received,submity *Signatures must be notarized for every original*, CONTRACT OFFICER &RISK MANAGEMENT CONTRACT OFFICER Verify approval of insurance requiré *Communication through e-mail isp insurance as well as all endorsement fe CONTRACT OFFICER Provide W-9 to Purchasing on Age *Non-Council items:provide W-9 to PURCHASING OR CONTRACT OFFICER Present Department's.recommendation to legislative body to award/approve contract,if applicable.= N/A N/A N/A tain'3,original signatures of “M/A asing) N/A hursday if contract is on the upcoming agenda. hasing on date submitted to City Clerk’s Office. N/A :POSTAPPROVALTPOST-VENDORSIGNATURES CHECKLIST CONTRACT OFFICER Collect.and assemble.insurance (Initialed by Risk Management),*Certificate of Insurance with endorsement must be.attached to be processed;even on amendments*iS CONTRACT OFFICER Collect and assemble bond requirements and forms.*Public Works contracts MUSTattach N/A verification the:bond has been executed by an admitted surety insurer* CONTRACT OFFICER |Transmit 2 complete original sets with this routing slip to the City Clerk’s Office for further N/A “processing. **Note any special services needed,including all prior Contracts,Amendments or Awards. CITY CLERK “|.Verify approval/routing slip completion;obtain signatures:City Attorney,City official,and N/A City Clerk. CITY CLERK Provides electronic copy and 1 original of executed contract to Contract Officer,City Clerk’s N/A Office retains 1 original and enters into Laserfiche PUBLIC WORKS Tyler Entry and Release for City Clerk approval N/A CITY CLERK Tyler approval;email staff upon completion N/A CONTRACT OFFICER Create a requisition in Tyler for Purchasing to issue a Purchase Order. &PURCHASING *Vendor is not to proceed with work until the Purchase Orderis approved.Ly CONTRACT OFFICER Provide Notice to Proceed to vendor.N/A CONTRACT OFFICER | Tickler contract expiration and insurance expiration N/A FINANCE Process contract purchase order and provide copies to department.N/A CONTRACT OFFICER | Process progress payments.iy CONTRACT OFFICER | Process contract completion forms.N/A*Notice of Completion to City Clerk’s Office CHOOSE ONE FOR INTERNAL SIGNATURE PROCESSING: C]Route for City Attorney>Mayor or Chair WITHOUT NOTARY>Clerk CJ Route for City Attorney>City Manager WITHOUT NOTARY>Clerk C]Route for City Attorney>Mayor or Chair WITH NOTARY>Clerk CL]Routefor City Attorney>City Manager WITH NOTARY>Clerk Other:INPUT IN TYLER SPECIAL COMMENTS/INSTRUCTIONS/REQUESTS: STVILINI ©sO ~~anoiuasv7 [_] STVLLIN]"ON LOWYLNOO See STVILINI ——-~9 o1s-usodL_]_ois-3ud [_] AINO 3S/SAdIANTS TWHLN3 YO4 AINO 35f}391440 S,NY31D ALID YO AINO 3S)JDdIO S$NYAID ALID YO4 Checklist Before submitting your application packet make sure each of the belowindicateditemshavebeenattachedorcompleted. (FOR COMMUNITY SERVICES OFFICE USE ONLY) Service Provider Application Agreement Invoice for Future Event Date’ Business License (if applicable) Proof of Insurance/Certificate of Insurance Waiver,Release,Hold Harmless,Agreement Not to Sue,Indemnification,and Photo Release Current Copy of W-9 Form (if not on file already) City HAS CUeRBNT 4)FERN Or FILE,S R R E A K *The date of the Event shall be listed on the invoice for Future Event Date (IFED}.If the Service Provider Application isapproved,then the IFED will be processed as an invoice for services rendered for the Event.No payment will be madeuntiltheconclusionoftheEvent,at earliest. 532227.5 CFN AS OF 1-22-2026 Eve Further Terms of Service Provider Application Agreement: The undersigned signatory of Service Provider (Service Provider being the above-referenced person or entity seeking to provide services at the above-referenced event,including all its officers,agents, employees and volunteers)hereby represents and warrants that heor she is duly authorized by Service Provider to execute anddeliverthis application on behalf of Service Provider,and that by so executing this application,and in consideration for the City’s review of this application,Service Provideris bound by these terms. Service Provider understands and agrees to comply with the City’s “Service Provider Rules & Regulations,”which are set forth below and incorporated herein bythis reference. Service Provider agrees to indemnify and release City in connection with its proposed services in accordance with the “Waiver,Release,Hold Harmless,Agreement Not to Sue,Indemnification,and Photo Release”submitted concurrently herewith. Service Provider agrees to maintain all required insurance coverages and comply with all associated insurance requirementsas set forth on the above “Insurance Requirements”page,whichis incorporated herein by reference.Service Provider agrees that all required policies shall contain,or be endorsed to contain,an agreement by Service Provider to waive all rights of subrogation and contribution against the City,its elected or appointed officers,officials,employees and agents,for all losses andliabilities paid under the terms of any policy which arise from the activities or operations of,or the services performed by,Service Provider,regardless of any prior,concurrent,or subsequent non-active negligence by the City. In the event there is more than one person or entity named in this Service Provider Application Agreementas the Service Provider,then all obligations,liabilities,covenants and conditions hereunder shall be joint and several. This Service Provider Application Agreement,unless and until accepted,approved,and executed by the City Manageror designee,is only an application for provision of services to City,and does not constitute an approvalor authorization for Service Providerto perform or provide anyservice to City. Neither Service Provider nor any of its agents or employees shall be deemed agents or employees of the City,nor a memberof a joint enterprise with the City.Neither Service Provider nor any of its agents or employees shall at any time or in any mannerrepresent that Service Provideror anyof its agents or employees are agents or employees of City,or thatit is a memberof a joint enterprise with City.Subject to the requirements of this Service Provider Application Agreement,neither the City nor anyof its employees shall have any control over the manner,mode or means by which Service Provider,its agents or employees,perform the services set forth herein. In the event that part of this Agreementis declared invalid or unenforceable by a valid judgmentor decree of a court of competent jurisdiction,such invalidity or unenforceability shall not affect any of 532227.5 CFN fe and:need event filten b Service Provider Rules &Regulations 1.SERVICE PROVIDER APPLICATION:Upon acceptance,approval,and execution of a service provider application by the City of Carson (“City”),these rules and provisions shall become binding and part of the Service Provider Application Agreement between the applicant(being the entity providing a service to City as specified in the service provider application),includingits officers,employees,agents and volunteers (“Provider’’),on the one hand,and the City,on the other hand.Anyadditions and amendments thereto that maybe establishedorput into effect by the City, and provided in writing to the Provider,shall also become binding and a part of the Service Provider Application Agreement. 2.PAYMENT/CANCELLATION:If the Provider is unable to perform or cannot provide the services as requested,or the City cancels the service for any reason,the associated fees for service will not be paid. 3.CANCELLATION:No refunds will be given unless the subject event is cancelled by the City’s Community Services Department.Applications may be denied or events cancelled in favor of City programs. 4.PROPERTY LOSS OR DAMAGES:TheCity is not responsible for any damage to,loss ortheft of the Provider’s property,or that of Provider’s agents,employees orinvitees. 5.CHARACTER OF ENTERTAINMENT:TheProvider shall observe,obey and comply with all applicable local,state and federal laws,andall applicable policies,rules,regulations and terms and conditions governing use of City facilities.The Provider will forfeit all rents or other fees paid if ejected from premises for violations of same.Ejection shall not release Provider from any obligations for the payment of rents or other fees not yet paid under such permit or additionally incurred.The policy of the City is to serve the public in the best possible manner.The Provider shall at all times cooperate to this end. Thepolicies,rules,regulations and conditions governinguse of City facilities are subject to change without notice to Provider unless the change affects a permit already issued to Provider. Provider shall be solely responsible for the orderly conduct of all persons using the premises by its invitation,either expressed or implied,during all times covered by the Service Provider Application Agreement.The City reserves the right to eject or cause to be ejected from the premises any person or persons due to unlawful conduct. 6.RESPONSIBILITY:The Provider shall provide all material,equipment,and personnel necessary for provision of the service described in this agreement. 7.MOVE-IN/MOVE-OUT:Move-in to the event area will be set for each venue.Unless otherwise stated,Provider will be required to keep its area fully set up and manneduntil the eventis officially over.Please note that these times are subject to change. 8.SAFETY:Standing on chairs,tables or other rental equipmentis prohibited.This equipment is not engineered to support your weight.The City of Carson,its employees,agents,or officers will not be responsible for injuries or falls caused by the improper use of furniture.Please assist in our efforts to provide a SAFE WORKING ENVIRONMENT. 532227.5 CFN 9.VOLUME/LIGHT CONTROL:The City reserves the right to regulate the volume or intensityofanyandallnoiseorlightgeneratingmechanisms(including,but not limited to,loudspeakers,radios,television sets,musical instruments,entertainers,or blinking or flashing lights)in thereasonablejudgmentoftheCity. 10.FLAMMABLE MATERIALS -All decorations,props and electrical equipment must befireprooforoffireretardantmaterials,must meet City requirements and are subject to removal.Candles and other open flame devices will not be permitted except as authorized on thisagreement,subject to Fire Departmentregulations. 11.COPYRIGHT INFORMATION:Provider is responsible for licensing fees as required bylaw.Provider may be subject to legal action for the use,display or sale of any item using anycopyrightedand/or trademarked name or logo which has not been specifically authorized underlicensefromthetrademarkholder. 12.PERMITS AND LICENSE:Provider shall procure at its own cost and expense all therequiredlicensesandpermitsapplicabletoProvider’s use or activity . 13.OBLIGATION FOR CLEANLINESS:Provider agrees that the facility and any othersurroundingCityproperty(including parking lots)used by the Provider must be left in a cleanandorderlycondition(equal to or better than the condition existing prior to the event).Ifadditionalmaintenanceisrequired,other than the normal cleaning process,the Provider will bechargedadditionalfeesbasedonthecostofsuchmaintenance. 14.DISPUTES:All points not covered by the Service Provider Rules &Regulations are subjecttothedecisionoftheappropriateCityrepresentative. 15.FLOOR MANAGEMENT:The City will appoint a Floor Manager who is authorized toenforcetheserulesandregulations. 16.SPACE ASSIGNMENT:Eventspace is assigned to providers at the sole discretion of theCity.Concerns regarding competitive or specific types of providers should be communicated totheCityatthetimeofapplication. 17,RULE CHANGES:The City reserves the right to make reasonable changes to the foregoingrules,event hours and move-in/move-out arrangements at any time without notice to Provider,unless the change affects a permit already issued to Provider. 532227.5 CFN AS OF 1-22-2020 10/14/21,11:33 AM Invoice 01635 Hollywood Dance Moms | Hollywood Dance Moms !N V O I C E5717Haroldway#304LosAngeles,CA 90028 City of CARSON Invoice #01635701E.CARSON ST. Soane"CA Invoice Date —- 10/23/2021 Due Date 10/23/2021 Item Description Unit Price Quantity Amount Service artist fees 150.00 1.00 150.00 NOTES:Hollywood Dance Moms are performing at the Veterans Fil-Am event for approximately half hour onOct.23,2021 Saturday. HDM Subtotal 150.00 Total 150.00 Amount Paid 0.00 Balance Due $150.00 httns:/Aananw ckeunnva rominrintinvnira nha