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#10-5551 (Corrigan Sports Enterprises) 2011 TOURISM AGREEMENT BETWEEN COLLIER COUNTY AND CORRIGAN SPORTS ENTERPRISES, INC. THIS AGREEMENT is made and entered into this 1st day of October, 2010, by and between Corrigan Sports Enterprise, Inc., a Florida not-for-profit corporation, hereinafter referred to as "GRANTEE" and Collier County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY". WHEREAS, the COUNTY has adopted a Tourist Development Plan (hereinafter referred to as "Plan") funded by proceeds from the Tourist Development Tax; and WHEREAS, the Collier County Tourism Ordinance provides that certain of the revenues generated by the Tourist Development Tax are to be allocated to promote and advertise tourism within the State of Florida, nationally and internationally which encourages tourism; and WHEREAS, GRANTEE has applied to the Tourist Development Council and the County to use Tourist Development Tax funds for out of market promotion of a Lacrosse sporting event to attract overnight visitors to the area; and WHEREAS, The Collier County Board of County Commissioners has approved the funding request of the GRANTEE and the Chairman was authorized to execute the Tourism Agreement. NOW, THEREFORE, BASED UPON THE MUTUAL COVENANTS AND PREMISES PROVIDED HEREIN, AND OTHER VALUABLE CONSIDERATION, IT IS MUTUALLY AGREED AS FOLLOWS: I. SCOPE OF WORK: (a) In accordance with the authorized expenditures as set forth in the Budget, attached hereto as Exhibit "F", the GRANTEE shall expend the funds for the out of county promotion of the IWLCA Lacrosse Event (hereinafter "the Event"). 1 2. PAYMENT: (a) The amount to be paid under this Agreement shall be a total of Five Thousand Dollars ($5,000). GRANTEE shall be paid in accordance with fiscal procedures of the County for the expenditures incurred as described in Paragraph One (I) herein upon submittal of a Request for Funds on the form attached hereto as Exhibit "D" and made a part hereof, and shall submit vendor invoices and copies of cancelled checks or other evidence of payment to the Executive Director of the Naples, Marco, Everglades Convention and Visitors Bureau ("CVB"), or his designee, for review and upon verification by letter from the GRANTEE that the services or work performed as described in the invoice have been completed or that the goods have been received and that all vendors have been paid. (b) The Executive Director of the CVB or his designee shall determine that the invoice payments are authorized and that the goods or services covered by such invoice[ s] have been provided or performed in accordance with such authorization. The budget attached as Exhibit "F" shall constitute authorization for the expenditure[s] described in the invoice[s]. (c) All expenditures shall be made in conformity with this Agreement. (d) The COUNTY shall not pay GRANTEE until the Clerk of the Board of County Commissioners pre-audits all payment invoices in accordance with law. (e) GRANTEE shall be paid for its actual costs, not to exceed the maximum amount budgeted pursuant to the attached "Exhibit F". (f) All requests for reimbursement must be received prior to September 30, 2011 to be eligible for payment. 3. ELIGIBLE EXPENDITURES: (a) Only eligible expenditures described in Paragraph One (1) will be paid by COUNTY. (b) COUNTY agrees to pay eligible expenditures incurred between October 1,2010 and September 30, 2011. (c) Any expenditures paid by COUNTY which are later deemed to be ineligible expenditures shall be repaid to COUNTY within thirty (30) days of COUNTY's written request to repay said funds. (d) COUNTY may request repayment of funds for a period of up to three (3) years after termination of this Agreement or any extension or renewal thereof. 4. INSURANCE: 2 (a) GRANTEE shall submit a Certificate of Insurance naming Collier County Board of County Commissioners and the Tourist Development Council as additional insureds. (b) The certificate of insurance must be valid for the duration of this Agreement, and be issued by a company licensed in the State of Florida, and provide General Liability Insurance for no less than the following amounts: BODILY INJURY LIABILITY $300,000 each claim per person PROPERTY DAMAGE LIABILITY $300,000 each claim per person PERSONAL INJURY LIABILITY $300,000 each claim per person WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY - Statutory (c) The Certificate of Insurance must be delivered to the Executive Director of the CVB, or his designee, with the executed Agreement. The GRANTEE shall not commence promotional or advertising activities which are to be funded pursuant to this Agreement until the Certificate of Insurance has been received by the COUNTY and the Agreement is fully executed. 5. REPORTING REOUIREMENTS: (a) GRANTEE shall provide to County a preliminary status report on the form attached hereto as Exhibit "A" within thirty (30) days of the effective date of the agreement. (b) GRANTEE shall provide to County a quarterly interim status report on the form attached hereto as Exhibit "B". (c) GRANTEE shall provide to County a final status report on the form attached hereto as Exhibit "C" no later than October 15, 20 II. (d) Each report shall identify the amount spent, the duties performed, the services provided and the goods delivered since the previous reporting period. (e) GRANTEE shall take reasonable measures to assure the continued satisfactory performance of all vendors and subcontractors. (f) COUNTY may withhold any interim or final payments for failure of GRANTEE to provide the interim status report or final status report until the County receives the interim status report or final status report or other report acceptable to the Executive Director of the CVB. 6. CHOICE OF VENDORS AND FAIR DEALING: 3 (a) GRANTEE may select vendors or subcontractors to provide services as described in Paragraph One (1). (b) COUNTY shall not be responsible for paying vendors and shall not be involved in the selection of subcontractors or vendors. (c) GRANTEE agrees to disclose any financial or other relationship between GRANTEE and any subcontractors or vendors, including, but not limited to, similar or related employees, agents, officers, directors and/or shareholders. (d) COUNTY may, in its discretion, object to the reasonableness of expenditures and require payment if invoices have been paid under this Agreement for unreasonable expenditures. The reasonableness of the expenditures shall be based on industry standards. 7. INDEMNIFICATION: GRANTEE shall indemnify and hold harmless Collier County, its agents, officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the GRANTEE or anyone employed or utilized by the GRANTEE in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. 8. NOTICES: All notices from the COUNTY to the GRANTEE shall be in writing and deemed duly served if mailed by registered or certified mail to the GRANTEE at the following address: Richard Lee Corrigan, President Corrigan Sports Enterprises, Inc. 6725 Santa Barbara Ct. Suite 104 Elkridge, MD 21075 All notices from the GRANTEE to the COUNTY shall be in writing and deemed duly served if mailed by registered or certified mail to the COUNTY to: Jack Wert, Executive Director Naples, Marco Island, Everglades CVB 2800 N. Horseshoe Drive Naples, Florida 34104 4 The GRANTEE and the COUNTY may change the above mailing address at any time upon giving the other party written notification pursuant to this Section. 9. NO PARTNERSHIP: Nothing herein contained shall be construed as creating a partnership between the COUNTY and the GRANTEE, or its vendors or subcontractors, or to constitute the GRANTEE, or its vendors or subcontractors, as an agent or employee of the COUNTY. 10. COOPERATION: GRANTEE shall fully cooperate with the COUNTY in all matters pertaining to this Agreement and shall provide all information and documentation requested by the COUNTY from time to time pertaining to the use of any funds provided hereunder. 11. TERMINATION: (a) The COUNTY or the GRANTEE may cancel this Agreement with or without cause by giving thirty (30) days advance written notice of such termination specifying the effective date of termination. (b) If the COUNTY terminates this Agreement, the COUNTY will pay the GRANTEE for all expenditures or contractual obligations incurred by GRANTEE, with subcontractors and vendors, up to the effective date of the termination so long as such expenses are eligible. 12. GENERAL ACCOUNTING: GRANTEE is required to maintain complete and accurate accounting records. All revenue related to the Agreement must be recorded, and all expenditures must be incurred within the term of this Agreement. 13. AVAILABILITY OF FUNDS: This agreement is subject to the availability of Tourist Development Tax revenues. If for any reason tourist tax funds are not available to fund all or part of this agreement, the COUNTY may upon written notice , at any time during the term of this agreement, and at its sole discretion, reduce or eliminate funding under this agreement. 14. AVAILABILITY OF RECORDS: GRANTEE shall maintain records, books, documents, papers and financial information pertaining to work performed under this Agreement for a period of three (3) years. GRANTEE agrees that the COUNTY, or any of its duly authorized 5 representatives, shall, until the expiration of three (3) years after final payment under this Agreement, have access to, and the right to examine and photocopy any pertinent books, documents, papers, and records of GRANTEE involving any transactions related to this Agreement. 15. PROHIBITION OF ASSIGNMENT: GRANTEE shall not assign, convey, or transfer in whole or in part its interest in this Agreement without the prior written consent of the COUNTY. 16. TERM: This Agreement shall become effective on October I, 2010 and shall remain effective for one year until September 30, 20 I I. If the project is not completed within the term of this agreement, all unreleased funds shall be retained by the COUNTY. Any extension of this agreement beyond the one (1) year term in order to complete the Project must be at the express consent of tile Collier County Board of County Commissioners. 17. The GRANTEE must request any extension of this term in writing at least sixty (60) days prior to the expiration of this Agreement, and the COUNTY may agree by amendment to this Agreement to extend the term for an additional 90 days. 18. EVALUATION OF TOURISM IMPACT: GRANTEE shall monitor and evaluate the tourism impact of the Project, explaining how the tourism impact was evaluated, providing a written report to the Executive Director of the CVB or his designee, along with a final budget analysis by October 15,2011. 19. REOUIRED NOTATION: All promotional literature and media advertising must prominently list Collier County and the Tourist Development Council as a source of funds and display the CVB logo with website address to qualify for reimbursement. 20. AMENDMENTS: This Agreement may only be amended by mutual written agreement of the parties, after review by the Collier County Tourist Development Council if warranted. IN WITNESS WHEREOF, the GRANTEE and COUNTY have respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. 6 WITNESSES: '0-( (1) ~~ . 12-<-1"",0 If,;-A=,<-t<=- Printed/Typed Name (2) AlVll rL--- 00rv 14 (s IZ.A 1'1-1 .s. oAl Printed/Typed Name BOARD OF COUNTY COMMISSIONERS COLLlER~C~T. Y.,. FLORIDA ~ / l. . J2 lA) ~)I.Q.. . By: . FRED W. COYLE, Chairman . GRANTEE: CORRIGAN SPORTS ENTERPRISES, INC. BY ~~/ p;6~~~ ~~f ~.d'" a-..u?T Printed/Typed Title 7 I certify that the team or league on whose behalf I am requesting this certificate mandates 100% membership in US Lacrosse. In addition, I have verified our team's or league's roster and all participants are currently registered members of US Lacrosse. I certify that this is true and I understand that liability coverage is only extended to our team or league if all participants are current members of US Lacrosse. Further, I acknowledge by clicking on this box that liability claims may be denied for coverage if our teamlleague is not 100% registered with US Lacrosse. Name: Don Abramson Organization: Corrigan Sportsl Presidents Cup Date: 07/13/2010 ACORD~ CERTIFICATE OF LIABILITY INSURANCE I'ssl", DATE {WiDDNYYYj 07/1312010 PRODUCER THIS CERTLFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 00 RIGHTS UPON THE CERTfFICATE BOUJNGER, IDe, HOLOER. THIS CERTlFlCATE DOES NOT AMEND, EXTEND OR 101 JFK PARKWAY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SHORT HILLS, NJ 07078 PHONE: 1-800-526-1379 FAX: 973-921-2876 IN SURERS AFFORDING COVERAGE NAlC # INSURED I NSURER A: Mukel huuJ'ance Company 38970 US Lacrosse, Inc. U3 West University Parkway INSURER 8 INSURER C Baltimore MD 21210 INSURER D Re: Corrigan Sports/ Presidents Cup INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THiE INSURED NAMED ABOVE FOR THE POliCY PERIOD INDICATED. NOlWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE Io.FFORDED BY THE POllClES DESCRIBED HEREIN IS SUBJECT TO All THE TERIAS, EXCl.lJS10tiS .'.ND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C1..AIMS ..., = TY1"f:OfINS1JR:ANCE FOlICYN!.JM8fR ~~:~ ~~ u.'" LTft GENERAL LIABILITY EACH OCCUREtfCE $ls0QOsOOO - =~~~~~ A X COMMERCiAl GEm::RAL UAB1UTY s;QZl\.H221J69 01/01/2010 Ol/1H!'2011 $100,000 = ] CLAIMS WOE EJ OCCUR MEO EXP {My ooe person) $5,000 X Participanta Liab PERSONAL &. ADV INJURY $1,000,000 X GEN:ERAL AGGREGATE $5,000,000 GErM. AGGftfGATE uwr APPlIES PER; PRODUCTS - COOP/OF' WJG $2,000,000 lPCt.CY n~ lXl,oc ~BILE LlABIUTY COMBINED SiNGlE LIMIT $ ArN AUTO {Ea Accident} - ALLOWm::OAIJTOS BODilY INJURY - {Perpersoo} $ $CHiEDULED AUTOS - HiRED AUTOS - BODILY INJURY $ NOK-owHEDAUTO.s {Per ar.-cdeM} - PROPERTY DAMAGE $ (Per~nt} GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~~AlITO OTHER THAN €A ACe $ AU... 0WNiE0 AUTOS AUTO ONLY: AGO $ EXCESSJUMBRELLA LIABIUTY EACH OCCURENCE $l,OOOrOoa A ~OCCUR D<:UiJMSMAOE 46OlAH1:11370 (}l/Ol.l2{}lO OllQVZOll AGGREGATE $ls000s000 $ X $ ~;roocna" RErEtfTIO" $ $ WORKERS COMPEN.SATION AND 1r'6~'" l~~:?s I IU~~. EMPLOYERS" LIABILITY ANY PROPRIETORi?ARTNERiEXECUTI'IE A.L. EACH ACCIDENT $ OFFICERiMEtABER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If~.d:escribeL.lf\deJ SPECIAL PROVISIONS below E_L. DISEASE - POLICY WAIT $ OTHER A Accident MedkaI 4102AHM5:220 Ol.lOll.1mO 011(}"'~Oll Aec Limit: S:25,OOG Catastrophic Acr, 410:2AH30S882 -01/0112010 01mJ.l1011 Cat. Ace: $1,000,000 OESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECiAl PROVISIONS Coverage applies only 10 leamslleagues comprised of 100% US Lacrosse member partidpants during scheduled & supervlsed lacrosse activites. Certificale Holder is named "'Additional insured" with respect to Corrigan Sportsl Presidents Cup. CERTIFICATE HOLDER CANCELLATION Collier County Board of Couniy Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 3301 Ea,t Tamiami Trnil EXPIRATION DATE THEREOF, THE ISSUING fNSURER WtLl EUDEAVOR TO MAIL .JQ.. Naples, FL 34-112 DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO 00 SO SHALL tMPOSE NO OBLIGATION OR UABIUTY OF ANY KIIlD UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIIIf ~ ACORD 25-(200111I8) '-J r @ACORDCORPORATION1983 IMPORTANT ~the certmcate holder is an ADDITlONAL INSURED. the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGA TlON 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-(2001108) ACORD. CERTIFICATE OF LIABILITY INSURANCE I ISSUE DATE {MJ.fJDDiYYYY} il9!1)9I2il!il PROIlUCER THIS CERTIHCATE IS ISSUED AS II flATTER OF INFORIIATlON ONLY AND CONFERS NO RIGHTS UPON THE CERTlFlCATE BOLLINGER, Inc, HOLDER. THiS CERTIFICATE DOES NOT AlIENO. EXTEND OR IOI.ffK PARKWAY ALTER THE COVERAGE AFFORDED BY THE POLlCIES BELOW. SHORT HILLS, NJ 07078 PHONE: 1.soo-516-1379 FAX: 973-921-2876 INSURERS AFfORIlING COVERAGE NAIC # INSURER A; Markel wunnc:e Camp..)' 38970 INSURED US Lacrosse, Inc. INSURER B: 113 West University Pukwa)- INSURER c: Baltimure lUD 21210 INSURER D: Re: Currigan Spurts! Presidents Cup INSURER E COVERAGES THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAUEO I-W/E FOR THE POLICY PERIOD INDICATED_ NOTWlTHSTANDING ANY REQUIREMENT. TERI.J OR CONDITION OF ArN 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 TERUS, E<ClUSIONS AND CONDITIONS OF SUCH POliCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDlJCED BY PAID ClAIMS. INSF :.: TYPE Of Il1$l.JRAMCE POUC'I' NUMBER. POUC'fffFECTflJE POUC'f EXPIRATION UMfT. LTR DA DA GENERAL LIABILITY EACH OCCURENCE $1,000,000 A X ~LGa<<RALUA81I...IT'f ~AH2:1l36:9 0110112010 01/0112011 ~~~C]l~noe\ $100.000 - ] ClAI"S MADE ~ OCCUR MED EX? {My 0f1!!!! person} $5,000 - PERSONAl.. &. AOV INJURY $1.000,000 X Partici.panta Liab X GENERAL AGGREGATE $5.000,000 GEN'L AGGREGATE UMfT APPLES PER: PRODUCTS. COMPiOP AGG $2.000,000 IPOl..!C'f n:'.\'8i IXlLOC AUTOMOBILE LIABILrTY COMBINED SINBLE LIMIT - {EaAocident} $ ANY AUTO - ALL OWNED AIJTO$ BODILY INJURY - {Pefper:.Qn} $ SCHEOl1LED AUTOS - tftREDAIJTOi - BODilY INJURY $ NOtt-OWNED AUTOS {Peracd6ent} - PROPERTY DAMAGE $ {Per acci:ient} GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ =1~AUTO OTHER THAN EAWOC $ ALL OWNED AUTOS AUTO ONLY AGO $ EXCESSJUNBRELLA LIABILllY EACH OCCURENCE $1,000,000 A ~OCCUR DCUAlSMAOt: 4602.\HZZ1370 Ol/OIn:Ol{) 01/0.,.1011 AGGREGATE $1,000,000 $ X ~== $ $ $ 1/IlORKERS COMPENSATION AND I T':i~y'i:~J:?S I IO,!,\'~ EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNEPJEXECUTIVE A.l. EACH ACCIDENT $ OFFIGERiMEM8ER EXC1..UDED? E.L DISEASE - EA EUPLOYEE $ If yes. deo:wribellllder SPECIAL PROVISIONS below E.L DISEASE - POliCY LIMIT $ OTHER A Accident Medical 410:2.AH01&220 OlJOl/:2010 0Il0112011 Act:: Limit: Sl5~{H}O Catastrophic Ace 41OZAH305811Z Ol.lOl,~010 0110112011 Cat. _0\<<: Sl,OOO~OOO [)ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADOED BY ENDORSEMENT I SPECIAL PROVtSIONS Coverage applies only to teamslleagues comprised of 100% US Lacrosse member participants during scheduled & supervised lacrosse activites. Certificate Holder is named "Additional Insured .. with respect to Corrigan SportslPresidents Cup. CERTIFICATE HOLDER CANCELLATION Collier County Tourism.and Development Council SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 3301 Tamiami Ttail East EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 Naple., F1. 34112 DAYS WRIITENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER. ITS AGENTS ORREPRESENTATlVES. AUTHORIZED REPRESENTATIVE ~ ACORD 25--(2001J08} '-/ r @ACORDCORPORATlON1988 IMPORTANT If the certiiicate holder is an ADDITlONAL INSURED. the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of suchendorsement(s). If SUBROGATlON IS WAIVED, subject to the terms and conditions ollhe 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certmcate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the pDlicies listed thereon. ACORD 2&12(01108) ), ~I ~bl L~Hl ~~: J~ CORRIGAN SPORTS PAGE 02/04 4106059389 ... ......... ~....."""""""."..,.""'''."..,.",.,WI'''''':~''Mmjin;;nI')\Oj.'-lit''~d@ili;ro;,Wi.lllliiit WORKERS COMPENSATION AND EMPLOYERS liABILITY INSURANCE POLICY we 00 00 01A INCLUDES COPYllIGHT MATERIAL OF TH, NATIONAl. COUNCIL ON COMPENSATION INSURANCE, USED WITH ITS P,RMISSID INFORMATION PAGE . 'IE" J3t~ In~~rance Group "' . ~.... l00~I.II'I'.Pt. ,~ Erln,1'1\1~630 PRIOR POLICY NUMBER CORRIGAN SPORTS ENTERPRISES & END'I' #1 6725 SANTA BARBARA DR UNIT 4 ELKRIDGE MD 21075-5852 INSUll.ANcE 1D13S31l WDrthlllllton Blvd., Urban~, t.1D21704 301/814-5900 t F/lll'3011810\-0900 lMNW.I"~u r..nceflratfnc.com :n:R.ST, C. '1""'.O".CfWr"""."'....I..........'~. RENEWAL CERTIFICATE CORPORA~ION HOWARD CO OTHER WORKPLACES NOT SHOWN ABOVE - AS SCHEDULED FED ID # 52-2265529 ITEM 2. THE POLICY PERIOD IS FROM 10/25/10 TO 10/25/11 AT THE INSUREDS MAILING ADDRESS. . ITEM 3.A. WORKERS COMPENSATION INSURANCE- PART ONE OF TaE POLICY APPLIES TO THE WORKERS COMPENSATION LAW OF THE STATES LISTED HERE- MD. ITEM 3.B. EMPLOYERS LIABILITY INSURANCE- PART TWO OF THE POLICY APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3.A. THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE- BODILY INJURY BY ACCIDENT $100,000 EACH ACCIDENT BODILY INJURY BY DISEASE $500,000 POLICY LIMIT BODILY INJURY BY DISEASE $100,000 E~CH EMPLOYEE ITEM 3.C. STATES, IF DESIGNATED OTHER STATES INSURANCE- PART THREE OF THE POLICY APPLIES TO THE ANY, LISTED HERE- ALL STATES E~CEPT NO, oa, WA, WY, STATES IN ITEM 3.1l.., ITEM 3.D. SEE ATTACHED ENDORSEMENT SCHEDULE ITEM 4. THE PREMIUM FOR THIS POLICy WILL BE DETERMINED BY OUR MANUALS OF RULES, CLASSIFICATIONS, RATES AND RATING PLANS. ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE BY AUDIT. MINIMUM PREMIUM $258 SEE ATTACHED SCHEDULE OF OPERATIONS EXPENSE CONSTANT TOTAL ESTIMATED ANNuAL PREMIUM DEPOSIT PREMIUM 3,706 210 $3,916 $3,916 RETURNED PAYMENT FEES WILL BE ADDED TO YOUR ACCOUNT. E'AGE 01 HOME OFFICE 08/14/10 SEE REVERSE SIDE WFS OHf . 10/06/2010 00:30 ~' ~ rnS~rance' 4106059389 CORRIGAN SPORT~_, PAGE 03/04 ERIE INSURANCE EXCHANGE ULTRAFLEX POLICY 100 litlcfrnallrBnr.() Place Erie. PA 16530 RENEWAL CERTIFICATE '------0____---. AGENT ITEM 2. POLICY PERIOD B.El~5_0.l_lNSJ1..RAN.CJLl.U..aS.T... I N.c...~O./..2.5j~lL'l'O...1~..2.5,LllJ _---1LE,M 1. NAMED INSU8ttQ.~ND AbORES$_ POLICY NUMBER CORRIGAN SPORTS ENTERPRISES .. ENDT #l 6725 SANTA BARBARA DR UNIT 4 ELKRIDGE MD ~1075-5852 lNSURANCE IDJ 3S30WarthlngtanBr...d,tUrbtlnl,MD21704 3011674-6900. FO'll'301187.(..MOll W\.VW.lnljl\l rs n c8fir.~lne_co m FIR , N. Q4/i 7..S5,Q.6'H M 1 ~ .'-,-~--..~- .l.!()....~"mlllltment14V<>U"""n. POLICY PERIOD BEGINS AND ENOS AT 12.01 A.M. STANDARD TIME AT THE STATED ADDRESS OF THE NAMED INSURED. THE INSURANCE APPLIES TO THOSE PREMISES DESCRIBED AS PER THE ATTACHED SUPPLEMENTAL DECLARATIONS. THIS IS SUBJECT TO ALL APPLICABLE TERMS OF THE POLICY AND ATTACHED FORMS AND ENDORSEMENTS DEDUCTIBLE (PROPERTY PROTECTION ONLY)- $ 500. COVERAGES: PROPERTY PROTECTION - AS PER THE ATTACHED SUPPLEMENTAL DECLARATIONS 1. BUILDINGS 2. BUSINES$ PERSONAL PROPERTY AND PERSONAL PROPERTY OF OTHERS 3. ADDITIONAL INCOME J:'ROTECTION 4. GLASS AND LETTERING 5. SIGNS, LIGHTS AND CLOCKS DEPOSIT PREMIUM $ INCL $ INCL $ INCL $ S LIMITS OF INSURANCE PREMIUM BASIS - PAYROLL EACH OCCURRENCE LIMIT DAMAGE TO PREMISES RENTED TO YOU LIMIT MEDICAL EXPENSE LIMIT PERSONAL & ADVERTISING INJURY LIMIT _ GENERAL AGGREGATE LIMIT PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $ I Net $ 1,000,000 S $ 1,000,000 5,000 EXCLUDED ANV ONE PREMISES ANY ONE PERSON OPTIONAL COVERAGES $ 2,000,000 $ 2,000,000 SEE NEXT PAGE TOTAL DEPOSIT PREMIUM _ _ _ $ 1,711. APPLICABLE FORMS - SEE SCHEDULE OF FORMS 01520 lGEE F,EVEfl,st. ~;j[lE) r.,G:rlIRNED PAYMI;NT FEf:'S WILL BE ADDED TO YOUR ACCOllNT MRM 08/17/10 10/05/2010 00:30 4105059389 CORR~?i\~_. SPO~___ PAGE 04/0~.. I Erie ~~~~;;e' Erls, PA 16530 ERIE INSURANCE EXCHANGE BUSINESS CATASTROPHE POLICY RENEWAL CERTIFICATE AGENT ....:"i :. '. ..' .'. I1E:M::2:#OLil!}'\"P'ERib()~:' :':,.;PdUbV:WM~EF.f ":' B81501 INSURANCE FI~S~' INC.~...l~ ToH:o~~_d' ~~4:!57~~:! ~"'~ ITEM1,N.&MgpJi'iLSUREDANDAIJDRESS, ..' ~ . ''.': '; : \ . '11"1'1.. ,,1'IT'i>cl> ;ie"'''''''''''.' . ,", '... '''., 'i'. nmntANCE 1D13530WOrth,nnton Blvd... Urb)nll. MD '-1704 201181rl..!i.BBO ,Fsxl01/!7j..MOO wwwJneur,lnceflratino..<"Jom IRST.. INC. CORRIGAN SPORTS & ENDT #1 6725 SANTA BARBARA DR UNIT 4 ELKRIDGE MD 21075-5852 _.~-~ "Letl)llC:""""llme"lIO:O"",I11".ln~ POLICY PERIOD BEGINS AND ENDS AT 12:01 A.M., STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED. LEGAL ENTITY - CORPORATION DESCRIPTION OF OPERATIONS - SPORTS EVENT MARKETING CLASS CODE - 047367 THE ERIE'S.LIMIT .FOR THIS COVERAGE IS SHOWN BELOW. THIS INSURANC);: IS SUBJECT TO THE TERMS OF THE POLICY AND ITS FORMS. -----~----~-------------------------------------------------------------------- COVERAGE AND LIMITS - BUSINESS CATASTROPHE LIABILITY COVEHAGE ----------------------------------~-------------------------------------------- LI~IT OF LIABILITY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 WHERE APPLICABLE AGGREGATE LI~IT ---------------------------------~--------------------------------------~------ KAO TOTAL ~REMIUM - - - - _ _ _ _ _ _ _ $ 677. APPLICABLE FORMS - SEE SCHEDULE OF FORMS 000157 (SE~ REVeRS/::: ~1IDt=:) AETURNE:O PAYMSNT FEES WILL G'G AfJDED TO YOUR ACCOU,"JT 09/14/10 . EXHIBIT "A" Collier County Tourist Development Council Preliminary Status Report EVENT NAME: REPORT DATE: ORGANIZATION: CONTACT PERSON: TITLE: ADDRESS: PHONE: FAX: ------------------------------------------------------------------- ------------------------------------------------------------------- On an attached sheet. answer the followina auestions and attach it to your aDDlication. PRELIMINARY INFORMATION: Is this a first time project? If not, please give details of past projects. Do you anticipate using area hotels in support of your project? If so, what are the estimated hotel room nights generated by project? What is the estimated revenue generated by this project? What is the estimated number of participants expected to visit the project? If project planning is in progress, what has been done, what remains to be done, and are there any problems? If the project planning has not been started, why? List any planned out-of-county advertising, marketing, and/or public relations that will be used in support of the project. 8 EXHIBIT "B" Collier County Tourist Development Council Interim Status Report EVENT NAME: REPORT DATE: ORGANIZATION: CONTACT PERSON: TITLE: ADDRESS: PHONE: FAX: ------------------------------------------------------------------- ------------------------------------------------------------------- On an attached sheet. answer the followina auestions to identify the status of the Droiect. Submit this reDort at least auarterlv. INTERIM - These questions will identify the current status of the project. After the TDC staff reviews this Interim Status Report, if they feel you are behind schedule on the planning stages, they will make recommendations to help get the project stay on schedule, Has the planning of this project started? At what point are you at with the planning stage for this project? (Percent of completion) Will any hotels/motels be utilized to support this project? If so, how many hotel room nights will be utilized? What is the total dollar amount to date of matching contributions? What is the status of the advertising and promotion for this project? Have your submitted any advertisements or printed pieces to the TDC staff for approval? Please supply a sample and indicate the ad schedule. How has the public interest for this project been up to this point? 9 EXHIBIT "e" Collier County Tourist Development Council Final Status Report EVENT NAME: REPORT DATE: ORGANIZATION: CONTACT PERSON: ADDRESS: PHONE: TITLE: FAX: ------------------------------------------------------------------- ------------------------------------------------------------------- On an attached sheet. answer the followina auestions for each element in your SCODe of work. Final- These questions should be answered for your final status report, Was this a first time project? If not, how many times has this event taken place? What hotels/motels were utilized to support the project and how many? What is the total revenue generated for this event? Total expenses, (Have all vendors been paid?) List the vendors that have been paid, if not, what invoices are still outstanding and why? What is the number of participants that visited the project? What is the percentage of the total participants from out of Collier County? What problems occurred if any during the project event? List any out-of-county- advertising, marketing, and/or public relations that was used to support the project and attach samples, How could the project been improved or expanded? 10 EXHIBIT "0" REQUEST FOR FUNDS COLLIER COUNTY TOURIST DEVELOPMENT COUNCIL EVENT NAME ORGANIZATION ADDRESS CONTACT PERSON REQUEST PERIOD REQUEST# ( ) INTERIM REPORT FROM TELEPHONE ( TO ( ) FINAL REPORT TOTAL CONTRACT AMOUNT $ EXPENSE BUDGET REIMBURSEMENT REQUESTED TOTALS NOTE: Reimbursement of funds must stay within the confines of the Project Expenses outlined in your application. Copies of paid invoices, cancelled checks, tear sheets, prInted samples or other backup Information to substsntiate payment must accompany request for funds. The following will not be accepted for payments: statements In place of Invoices; checks or Invoices not dated; tear sheets without date, company or organizations name. A tear sheet is required for each ad for each day or month of publication. A proof of an ad will not be accepted. Each additional request for payment subsequent to the first request, Grantee is required to submit verification In writing that all subcontractors and vendors have been paid for work and materials previously performed or received prior to receipt of any further payments. If project budget has specific categories with set dollar limits, the Grantee is required to include a spreadsheet to show which category each Invoice is being paid from and total of category before payment can be made to Grantee. Organizations receiving funding should take Into consideration that It will take a maximum of 45 days for the County to process a check. Furnishing false Information may constitute a violation of applicable State and Federal laws. CERTIFICATION OF FINANCIAL OFFICER: I certify that the above Information Is correct based on our official accounting system and records, consistently applied and maintained and that the cost shown have been made for the purpose of and In accordance with, the terms of the contract. The funds requested are for reimbursement of actual cost made during this time period. SIGNATURE TITLE 11 EXHIBIT "F" Corrigan Sports Enterprises, Inc. Project Budget Fundina - Not to Exceed Out of County Advertising and Marketing Expenses in Sports Publications to promote the IWLCA Lacrosse Event Total: $5,000 12