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HomeMy Public PortalAboutC-23-198 - 2 BE DETERMINED - 2023 WHITE LINEN SPA< $. g O City of Carson Community Services Department S e rvice Provide r Appli c ation Dear Applicant, On behalf of the City of Carson, I would like:to thank-you for taking the time. to explore business © opportunities with the City by applying to provide services for an event at-a City facility. As part of our application process, you must complete, sign, and return the following forms. Submission | of these forms does not guarantee that you will be provided the business opportunity you seek. Your prompt assistance in submitting the requested documentation to the City staff member © listed below will be appreciated and will help expedite the application process. Please send your © completed application and attachments directly to the following address: City of Carson Attn: Aundrea E. Rackhold (Event Coordinator’s Name) 18601 S. Main Street. Carson Ca. 90248 (Enter Event Coordinator’s address (i.e., city hall, corporate yard, or specific park address) Email: arockhold@carsonca.gov (Enter event coordinator’s email address) Should you have any questions, please feel free to contact the staff member listed below . Truly, Aundrea Rockhold (Name) Rec. Genter Supervisor I| (Title) 532227.5 CFN AS OF 3/14/2023 Checklist Before submitting your application packet make sure each of the below indicated items have been attached or completed. (FOR COMMUNITY SERVICES OFFICE USE ONLY) Service Provider Application Agreement Invoice for Future Event Date! a S A QA Business License (if applicable) ited ver Proof of Insurance/Certificate of Insurance OR -U Waiver Requested Waiver, Release, Hold Harmless, Agreement Not to Sue, Indemnification, and Photo Release éAGte Current Copy of W-9 Form (if not on file already) 1 The date of the Event shall be listed on the Invoice for Future Event Date (IFED). If the Service Provider Application is approved, then the IFED will be processed as an invoice for services rendered for the Event. No payment will be made until the conclusion of the Event, at earliest. 532227.5 CFN AS OF 5-25-2023 [23/23 Date) D Be ieteemine a Wiace L&Wenium D. dress). — C A A 00 % Les Marge le Insurance Requirements Dear (avionne Manes onan ‘(Ente ér’s Na me ) Please be advised pursuant to-your desire to work with the City of Carson, you are required to submit the following: ¥ Compliant Certificates of Liability Insurance (to be maintained for the duration of services against claims which may arise from or in connection with the:services), evidencing the coverage(s) as indicated below. Certificates of insurance, as well as additional insured and waiver of subrogation endorsements in favor of the City, must be submitted in their entirety before any services are provided or the event takés place. Failure to submit such required forms shall be caus for.City of Carson to reject or terminate any service provider application agreement. The City of Carson reserves the right to modify these requirements based.on the nature of the risk, prior events, insurance coverage, or other special requirements. MINIMUM SCOPE .AND LIMIT OF INSURANCE General Liability Insurance: Coverage shall be at least as broad as Insurance Services Fort CE 00 01 covering CGL on an “occurrence” basis, including property damage, bodily inju and personal & advertising injury. with limits no less than $1,000,000 per occurrence an $2,000,000 aggregate. Additional Insured Status ‘The City of Carson, and its elected and appointed officials, employees, volunteers and agents, a to be covered as additional insureds with respect to liability arising out of their work operations performed at or on behalf of the. City-sponsored event including materials, parts, equipment furnished in connection with the event. 532227.5 CFN City of Carson Community Services Department Servi c e P ro vid er Appli ca ti on A g r ee m e n t Check one (staff use): [] Carson Event Center|_ | Human Services Recreation [| Transportation Gajun&Blues White Linen Affair . 701 E; Carson St. Carson . _-Seplember9, 2023 Event Location: Event Date: 2 GE verERMINED EVENTS + MANAGE MEAT Event: idet: dividii aly’sole proprietorship, corporation, ability. Lic ‘Type: (if g en era l pa rt ne rs hi p limit e d p artn ersh i p, l imi t ed l iabili t y p a r tnership , LLC Bu si ti ess Enti t y:Sta teof I n corporatio n (i f a pp l i c a b l e ):. ORe Typ e of S erv i c e: Live Ban d a n d Vo ca l Performance Contact Person: Lavon e INDERGEN Phone #: MYA $4 3 249 Emer: Contact: N / { Bk Phone #: ( ) N { ip Bi llin g A ddr ess : (21 70 M illen i a m | DRE L oo ANA O f e 0 4 u , pisofo f t isinan c e (enee lc on ey ? [_lves 1 X Ino If NO, please complete the attached insurance waiver form. Special ree Ct otes: rs Live Me ill Rg one CWT ymin 2 Music a Vocal'set at tha upcoming White Linen Cajun Blues Fest. () should arrive atleast 1.5, hours before schedule performance time(TBD) for load in and setup. Please forward stage plot and tech rider for-Sound Co. () will receive payment for White.Linen Cajun Blues Fest on the day of the.event 9/9/2023 . Payment will be in check made to Vendor ‘name above. 532227.5 CFN AS OF 3/14/2023 Please list any special concerns in the section below. Please note, that the City of Carson is not responsible for any Hotel, Transportation, or Per Diem expense. All these cost fall under the responsibility of the Performer. $4500.00 NOTE: If service provider is unable to provide the services as proposed or requested or the City of Carson cancels the’service for any reason, the associated. fees will not be paid. Total Service Fee [remainder of page intentionally left blank] 532227.5 CEN 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 he or she. is duly authorized by Service Provider to execute and deliver this 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 Provider is 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 by this 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 requirements as set forth on the above “Insurance Requirements” page, which is incorporated herein by reference. Service Provider agrees that all required policies, shall contain, or be endorsed to cotitaih, an agreement by Service Provider to waive ali rights of subrogation and contribution against the City, its elected or appointed officers, officials, employees and agents, for all losses and liabilities paid under the terms of any policy: which arise from the activities or operations of, or the services. performed by, Seryice 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 Agreement. as the Service Provider, then all obligations, liabilities, covenants and condition hereunder shall bé joint and several. This Service Provider Application Agreement, unless and until accepted, approved, and executed b the City Manager or designee, is only an application for provision of services to City, and does no constitute an approval or authorization for Service: Provider to perform or provide any service to City Neither Service Provider nor any of its agents or employees shall be deemed agents or employees 0 the City, nor a member of a joint enterprise with the City. Neither Service Provider nor any of it agents or employees shall at any time or in any manner represent that Service Provider or any of it agents or employees are agents or employees of City, or that it is a member of a joint enterprise wit City. Subject to the requirements of this Service Provider Application Agreement, neither the Cit nor any of its employees shall have any control over the manner, mode or means by which Servic Provider, its.agerits or employees, perform the services set forth herein. In the event that part of this Agreement is declared invalid or unenforceable by a valid judgment o decree of a court-of competent jurisdiction, such invalidity or unenforceability shall not affect any of 532227.5 CFN the remaining portions of this Agreement which are hereby declared as severable and shall be. interpreted to carry out the intent.of the parties hereunder. Service Provider acknowledges that the City of Carson’s consideration of Service Provider’s application to provide the above-referenced services is on the express condition that Service Provider represents and warrants that. it is and will be in compliance with all applicable restrictions on the use of intellectual property, including copyright laws, in connection ‘with the services proposed to be provided. Service Provider shall indemnify, defend, and hold harmless the City against any penalties, claims, or liabilities arising from or in connection with Service Provider’s noncompliance. with same. The undersigned, on behalf of Service Provider, agrees that Service Provider seeks and is willing to piovide the above-referenced service(s) on the. date and time of the above-referenced event. This Service Provider Application Agreement has been executed on.the dates written below. APPLICATION SUBMISSION (wet si gnatu re requir ed; n o ele ct ro nic sig n atur es): s e n v i c u p r o u p g e : 2 . P E W e T I a R M I w E D W E T S + M 4 7 ZOAW E L S D ( (Sigiiituré:of Service: Provider"s Authorized Representative) (Date) bel ONE Mj WPERSon/ ‘(Ptintéd:Name‘of- Service: Provider'y-Authdrizéd Représentativey (Space below this line for City use only) APPLICATION APPROVAL: CITY OF CARSON Muihaf Arte, 4/°S/023 (Signature of City Manager or Designee) —{e&- (Date) Om Bentave= Frm Ghee.) 532227.5-CFN Service Provider Rules & Regulations 1. SERVICE PROVIDER APPLICATION: Upon accéptance, approval, and execution of a : service provider application. by the City of Carson (“City”), these. rules and provisions shall _ become binding and a 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), . including its officers, employees, agents and volunteers (“Provider”), on the one hand, and the » City, on the other hand. Any additions and amendments. thereto that may be established or put _ 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 uriable to perform or cannot provide the - services as requested, or the City cancels the setvice 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: The City is not responsible for any damage to, loss or theft of the Provider’s property, or that of Provider’s agents, employees or invitees. : 5. CHARACTER OF ENTERTAINMENT: The Provider shall observe, obey and comply with : all applicable local, state: and federal laws, and all applicable policies, rules, regulations and 3 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. The policies, rules, regulations and conditions governing use 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 zesponsible for the orderly conduct of all persons using the premises b its invitation, either expressed or implied, duting all times covered by the Service Provid Application Agreement. The City reserves the right to eject or cause to be ejected from th 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. Unle: otherwise stated, Provider will be required to keep its area fully set up and manned until the: event is officially over. Please note that these times are subject to change. 8. SAFETY: Standing on chairs, tables. or other rental equipment is prohibited. This equipment is. not engineered to support your weight: The City of Carson, its employees, agents, or.officers w 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 ‘AS OF 3-14-2023 9. VOLUME/LIGHT CONTROL: The City reserves the right to regulate the volume or intensity of any and a ll noise or light generating mechanisms (including, but not.limited to, loudspeakers, radios, television sets, musical instruments, entertainers, or blinking or flashing lights) in the © reasonabl e judgment o f th e City. 10. FLAMMABLE MATERIALS — All decor ations, props and electric a l equipment must be. - fireproof or of fire retardant materials, must meet City requirements and are subject to remoyal. Candles and other open flame devices w ill not be permitt ed ex cept a s aut horized on thi s agreement; subject to Fire Department regulations. 11. COPYRIGHT INFORMATION: Provide r is responsible for licens ing fee s a s r equ ire d by law. Provider may be subject t o legal actio n for the us e, display or sale of any item using any copyrighted and/or trademarked name or logo which has not been specifically authorized under license from the trademark holder. 12 , PERMITS AND LICENSE: Provider shall procure. at its own cost and expense all the. required l i c e n s e s an d p e r m its applic able t o Provi der’s use or acti vity ’. 13. OBLIGATION FOR CLEANLINESS: Provide r agrees tha t t he facility and any o ther: surrounding City pro per ty (inc luding parki ng lots) used. by t he Provider must be le ft in a cl e an: and orderly condition (equal to or. b etter th an the condition existing prior to the event). If: add itional maintenance i s required, other th an the normal cleaning process, the Provider will be : charged additional fees based on the cos t of such maintenanice. : 14. DISPUTES: All points not covered by the Service Provider Rules & Regulations are subject t o the decision of the appropriate City representative. 1 5 . FLOOR MANAGEMENT: The City will appoint a Floor Manager who is authorized to: enforc e these.rules a n d regulations. 16. SPACE ASSIGNMENT: Event space is ass igned to pr oviders at the. so le discreti on of the City. Conce rns. r e g a r d ing competitive or specific t ypes of provider s should be communicated to th e C i t y at the time o f applicati on. 1 7 . RULE CHANGES: T h e City reserve s the ri gh t to make-reasona b l e c hang es t o t he forego ing rules, 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 Waiver, Release, Hold Harmless, Agreement Not to Sue and Indemnification I, LAY ONE M Annee J (“individual”) (on behalf of 2 PE PEA Me ID (“Exhibitor”), and.as a bona fide agent of Exhibitor duly authorized to execute this Waiver, Release, Hold Harmless; Agreement Not, to Sué and Indemnification agreement (“Apreement”) on behalf of Exhibitor] (individual and Exhibitor hereinafter collectively referred to ‘as “Signatory,” and the term “Signatory” includes Exhibitor's officers, officials, employees, agents and volunteers), seek acceptance by the City ‘of Carson of an application to provide services in/at White Linen Cajun Blues Fest (“Event”) on 9/9/2023 (“Date”). Signatory understands that accidents, illnesses, and injuries can arise out ofthe Event; knowing, the risks, nevertheless, and in ; consideration of the acceptance of ‘an.application to provide a service at the Event on the Date, Signatory hereby waives, releases and discharges: the City of Carson, its elected and appointed. officers, officials, employees, agents and. volunteers (collectively’ : “City,” and individually, “City Party”), and from and against any and all claims or liabilities. to-Signatory or‘any other person or entity, including but: not limited to claims or liabilities for bodily injury, illness, death, or: property damage, arising out of or connected in any way with Signatory’s participation in, presence at, of performance: of services at'or for the Event,.even though that liability may arise, out of negligence or carelessness on the part of City, and Signatory agrees to waive its rights to.make any. ° such claims through any actiGn or proceeding against ihe City orany City.Party. Howéver, Signatory understands that this paragraph is not intended to.release any party from any act or omission of “gross negligence:” Signatory hereby grants City the Tight to photograph or video-record Signatory during or in connection with the Event, and to use ; Signatory’s photographed or video-recorded likeness, and any image, silhouette, or reproduction of the voice or appearance-o ‘Signatory taken during 'or if connection with the. Event (“Likeness”), for any purpose, including publicity and promotion of City and its events, and creation or production of materials in any form for'such purpose, with no claim of entitlement to any license fee or royalty of any kind from-City. Signatory hereby waives any right to the intellectual property of Signatory’s Likeness. : Signatory further agrees to indemnify, defend and hold harmless City and each City Party from and against any and all claims, :: liabilities, losses; damages, expenses, and costs (including without limitation costs and fees of litigation) of every nature (including but not. limited to, property damage, bodily injury, or death), whether. imposed. by law or otherwise, sustained: or alleged to b sustained by any person or entity (whether they be members of the public visiting the Event, employees of the City, other Exhibitor: at the Event, or otherwise), occurring at, arising from, or connected with Signatory’s piéparation or performance of services at th Event; Signatory’s actions, inactions, or use of ‘facilities at the Event, or any-equipment, machinery or items displayed or used.b the Sigriatory ‘at or for the Event, except for such claim, liability, loss, damage, expense, or cost which was caused by the sol negligence or willful misconiduct of the.City. In giving the foregoing releases and waivers, Signatory expressly waives any and all rights conferred upon it by the provisions o California Civil Code Section’ 1542, which Signatory understands reads as follows: : A general release does not extend to claims that the creditor or releasing party does not'know or suspect to exist in his or her favo at the time.of executing the release and that, if known by him or her, would have. materially affected his-or her‘settlement with th debtor or released party.” This waiver shall be effective, as.a bar to any and all actions, fees, damages, losses, claims, liabilities and demands of whatsoev character, nature and kind, that are: known or unknown, of suspected or unsuspected, that may. arise’ from or relate-in any way to: Signatory’s participation in'the Event. This Agréement shall be binding on Sigiatory’s successors, heirs.and assigns, and shall not. expire. No oral representation statements or inducements, apart from this written form, have:been made with regard to the subject matter of this form: If an portion of this.form is declared invalid-by-a court of competent jurisdiction, the remainder shall continue in. full force. and effect; By signing below, Signatory acknowledges and represents that it has read and'understands the above, and that it voluntarily agre to its‘terms. awe C R O NN G M E N D E R E O N a e OR G AN I ZAT I ON , 2 : LA V ETERM | Gb EVATS 4 s m M bm] p a r e : P A O M A ? A B A N E X D 01007,0001/781805.1 O A S W K + C U E ~W H i T e P A R T Y event, 2. | am confirming that | and my business do: not have commercial general liability insurance as required by the City of Carson but amstill interested to provide services at the CASUNG PMS WHITE Seti event surance-cartier-will . ? 16 éverit of a) loss resulting from iny:orniy business’ nsuiFer Will Seek'té:recoverits financial logs ;Way-with'the said.tecovery: efforts. s:discrétion. INVOICE LAVONNE@2BEDETERMINED.COM +1 (323) 841-8278 www.2bedetermined.com 2 BE DETERMINED EVENTS & MANAGEMENT, LLC 12130 Millennium Drive LOS ANGELES, CA 90094 City of Carson Bill to City of Carson Invoice details Invoice no.: 1259 Terms: Due on receipt Invoice date: 08/23/2023 Due date: 09/09/2023 Product or service BISCUITS & GRAVY Service date: 09/09/2023 Zz & f wineof Events &Management BISUCITS & GRAVY LIVE 55 MINUTE PERFORMANCE - CITY OF CARSON CAJUN+ BLUES WHITE PARTY Ways to pay Note to customer THANK YOU FOR CHOOSING 2 BE DETERMINED EVENTS & MGMT. Pay invoice ~ Amount 1 unit x $4,500.00 $4,500.00 Total $4,500.00