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Elton the Early Years A2017-104A2017-104 Services Agreement Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of Chino Hills. Only those items checked -off are MANDATORY, however if your standard policies exceed the minimum requirements please include. Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No. CG 00 01 11 85 or 88. The amount of insurance set forth below will be a combined single limit per occurrence for bodily injury, personal injury, and property damage for the policy coverage. Liability policies will be endorsed to name the City, its officials, and employees as "additional insured's" under said insurance coverage and to state that such insurance will be deemed "primary" such that any other insurance that may be carried by the City will be excess thereto. Workers' Compensation policies shall waive all rights of subrogation against City, its officers, officials, employees and agents for losses arising from work performed by Consultant for City. Such insurance must be on an "occurrence," not a "claims made," basis and will not be cancelable or subject to reduction except upon thirty (30) days prior written notice to the City. Please find additional Terms and Conditions on the reverse side of this Services Agreement. This is not a Contract order or an authorization to begin work. ❑ Comprehensive General Liability, including coverage for premises, products and completed operations, independent contractors, personal injury and contractual obligations with combined single limits of coverage of at least $1.000.000 per occurrence. The City of Chino Hills is to be listed as an additionally insured party. ® Auto Liability, including owned, non -owned and hired vehicles with at least: ❑ $1,000,000 per occurrence. ❑ $100.000 - 300.000 per occurrence. As required by State Statutes. A copy of your current policy must be submitted naming yourself and or your company. ® Workers' Compensation Insurance: as required by State Statutes including Waiver of Subrogation. (Not needed if Self-employed with no employees and CONTRACTOR signs statement to this effect.) ❑ Business License: The SERVICE PROVIDER shall agree to have a current City of Chino Hills license on file at City Hall or purchase said license (at no cost to the City). • Scope of Services and/o(Compensation Attachments ❑ Total Annual Compensation Not -to -Exceed: ® Total Contract Compensation Not -to -Exceed: $2,500.00 • Expiration Date: August 9, 2017 PLEASE NOTE: ALL APPLICABLE INFORMATION LISTED ABOVE MUST BE OBTAINED AND ON FILE, PRIOR TO THE ISSUANCE OF A CITY CONTRACT BEING SENT TO YOU (VIA FAX OR HARD COPY) BY THE CONTRACT COMPLIANCE OFFICER, THUS AUTHORIZING COMMENCEMENT OF WORK FOR THE CITY. Company Name: Elton the Early Years, LLC Company Street Address: P.0, Box 11311 Phone: (323) 480-1213 By (Print name & title): Sharlene Griffith tv-.. (A n P-jgAC e]_V City, State, Zip: Whittier, CA 90638 E-Mail Address: eltontheearlyyears§gmail.com Mail two copies of the original agreement along with proof of insurance to: City of Chino Hills — City Clerk, 14000 City Center Drive, Chino Hills, CA 91709 Originator/Department Contact: Mike Adams Date initiated: 2/6/17 Vendor's Authorized Signature: LiJ,r�—l� Y //Y] /)./7 Date signed: ,� —� — I Contract Compliance Approval: ,c p Date Approved: 5 / 7 /7 Department Director/City Manager Approval: Date Approved: 574 7/ 7 Cily of Chino Hills The City of Chino Hills Community Services Department Summer Concerts in the Park Scope of Services for "Elton the Early Years" Exhibit A DESCRIPTION: This scope of services outlines details regarding a band performance for the Summer Concerts in the Park Series. In this scope of services, the "City of Chino Hills" will be hereinafter referred to as "City" and "Elton the Early Years" referred to as "Group." CONTRACT TERMS: 1. Contract will consist of a live performance by Group on the date and location listed in Exhibit B 2. Group agrees to perform one and one half-hour with no breaks within specified time in Exhibit B. 3. City agrees to pay Group agreed compensation rate listed in Exhibit B. Payment will be issued via check at the completion of the concert, provided Group begins at and performs until listed time in Exhibit B. If Group is not prepared to begin at or ends the concert prior to the scheduled time, Group will not receive a check at the completion of the concert, but instead will receive a check via mail. Payment will be discounted at a rate of $100 for every fifteen minutes the concert is delayed. An encore may be played with approval from City staff and the contracted professional sound operator. 4. Group agrees to set-up its own equipment prior to the concert and be prepared to complete sound check no later than time listed in Exhibit B. 5. Group is solely responsible for transport, setup, and supervision of all equipment owned and operated by Group. City is not responsible for any damage to Groups equipment or injury to any members of Group. 6. Group agrees not to consume alcoholic beverages or illegal drugs on City property or perform under the influence of such substances. 7. Group agrees to exclude any lewd comments, language, or gestures as well as comments, gestures, or songs that promote or practice any form of discrimination based on race, creed, color, national origin, or sexual orientation. 8. Group may submit a Technical Ryder for review with the signed contract. No request in the Technical Ryder is guaranteed. 9. In the event of inclement weather, City agrees to pay Contractor the agreed amount per concert. City will make the final decision to cancel due to inclement weather. 10. Failure to follow the terms of this scope of services may cause the cancellation of the services. SOUND EQUIPMENT/STAGE: 1. City will provide a 14'x36' stage with necessary lighting. 2. City will provided a contracted professional sound operator, sound system, and electrical outlets. 3. Group may submit a stage plot with signed contract. Equipment request are not guaranteed 4. City will provide waters and a dressing area for Group. EVENT LOCATION: Veterans Park 14877 Eucalyptus Drive Chino I -ills, CA 91709 Exhibit B Page 1 EVENT DETAILS: 2017 Concert Dates: August 9 City stage arrival time: 3:15 p.m. Group setup start time: 4:30 p.m. TOTAL COMPENSATION. 2017: $2,500.00 Scheduled sound check completion time: 6:30 p.m. Event Event start end time: time: 7:00 p.m. 8:30 p.m. Compensation rate: $2,500 Page 2 Chino Hills CITY OF CHINO HILLS WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SUBJECTS AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN LABOR CODE § 3706, INTEREST, AND ATTORNEY'S FEES. I affirm under penalty of perjury under the laws of the State of California one of the following declarations: () I have and will maintain a certificate of consent of self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Labor Code § 3700 for the performance of the work set forth the agreement with the City of Chino Hills. Policy No.: (_) I have and will maintain workers' compensation insurance as required by Labor Code § 3700 for the performance of the work for which the agreement with the City of Chino Hills is executed. My workers' compensation insurance carrier and policy number are: Carrier: Policy Expiration Date: Name of Agent: Phone #: (X) I certify that, in the performance of the work set forth in the agreement with the City of Chino Hills, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Labor Code § 3700 I must immediately comply with those provisions or the agreement will automatically become void. 1' 1 1. t Date: 3 ... ... b I-1 Signature U U Agreement for: CI-1-0(1 -/-/ . \r l �t Vu is, LIC' WSJ I Dated: 3 --7 ---;)-o Reviewed by: