HomeMy WebLinkAboutVoortex Productions LLC , ,
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Agreement for Services
This Agreement is made effective as of March 30, 2017, by and between VOORTEX PRODUCTIONS,
LLC("Consultant")and the CITY OF AUBURN("City").The parties agree as follows:
1. DESCRIPTION OF SERVICES. The Consultant agrees to proyide produetion services set forth in
the Scope of Work attached hereto at Exhibit A,by this reference made a part hereof, for the purpose of
conducting video production work.
2. PAYMENT. For services delivered under the Scope of Work, the City agrees to pay Consultant a
total not to exceed fee of$18,500.00 (eighteen thousand five hundred dollars) pursuant to the project
budget (Exhibit B); of which $3,500.00 (three thousand five hundred dollars is contingency funds).
Notwithstanding its rate and payment provisions contained in its proposal for services, the Consultant
understands and agrees that payments must go through City Council authorization at a regularly
scheduled Council meeting and as such, payment shall only occur after this authorization has been
received.
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3. EXPENSE REIMBURSEMENT. The Consultant shall pay all "out-of-pocket" expenses, and shall
not be entitled to reimbursement from the City except for specific services,items or activities listed below
in TERM/TERMINATION.
4. TERM/TERMINATION.
A.This Agreement is effective upon both parties' signatures,and expires at 11:59 p.m. on June 1,
2017, or upon completion of the Consultant's services, whichever is earlier, unless extended by mutual
agreement in writing prior to the completion of all services.
B. CANCELLATION
Cancellation is defined as either party terrnination tliis agreeinent with written notice. If this contract is
c.ancelled at any time, by the City, the Consultant will retain the $7,500.00 paid to them upon signing of
this contract, and any out of pocket expenses incurred up to the date of cancellation. If this contract is
cancelled by the consultant prior to delivery of the completed product(outlined in Exit A),the Consultant
is liable for refunding the City the$7;500.00 that was paid upon signature of contract.
C.POSTPONEMENT
Postponement is defined as re-scheduling of the production to a later specific date caused or directed by
the City. In such case,the City will reimburse the Consulfant up to$1,500.00 for ariy out of packet
expenses,Reimbursement will be equal to receipts provided specific to costs incurred (i.e.non-
refundable hotel fees,meals consumed on travel,mileage,payroll,project licenses or fees paid).
D. CONTINGENCY/HOLD OVER COST
Contingency is defined as any day where a scheduled media/film shooting has been prevented from
occurring due to circumstances beyond the control of the Consu.l.tant,These circumstances can included;
(1)Weather conditions(rain,fog,sleet,hail,or any adverse condition that is not consistent with the
prescribed shooting conditions desired by the City).(2) Injury,illness,or.absence of City-supplied
elements. (3)"Force majeure"(meaning but not limited to,earthquake,riot,fire,flood,volcanic eruption,
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AUBURI�T � MORE THAN YOU IMAG[NED
acts of war,strikes,labor unrests,civil authority,terrorism,and acts of God). In such case,the City will
, reimburse the Consultant up to$2,000.00 for any out of packet expenses. Reimbursement will be equal
to receipts provided specific to costs incurred (i.e. non-refundable hotel fees,meals eonsumed on travel,
mileage,payroll,project licenses or fees paid).
5. RELATIONSHIP OF PARTIES. 'I'he Consultant is an independent contraetor with respect to the
City of Auburn, and not an employee of the City. The City will not provide fringe benefits, including
he.alth insurance benefits,paid vacation,or any other employee benefit,for the benefit of the Consultant.
6. EIVIPLOYEES. The provisions of this Agreement shall also bind the ConsultanYs employees who
perform services for the City under this Agreement.
7. INDEMNIFICATION/HOLD HARMLESS. The Consultant shall defend,indemnify and hold the
City,its offcers, officials, employees and volunteers harmles.s froin any and all elaims,injuries,damages,
losses or suits including attomey fees, arising out of or resulting from the negligent acts, errors or
omissions of the Consultant in performance of this Agreement,except for injuries and damages caused by
the sole negligence of the City. The City shall defend, indemnify and hold the Consultant, its officers,
officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits
including attorney fees, arising ou.t of or resulting from the negligent acts, errors or omissions of the City
in performance of this Agreement, except for injuries and damages caused by the sole negligenee of the
Consultant. In the event of liability for damages arising out of bodily injury to persons or damages to
property eaused by or resulting from the concurrent negligence of the Consultant and the City;its officers;
officials, employees, and volunteers, (collectively the "Parties") the Parties' liability hereunder shall be
only to the extent of each Party's negligence. It is further specifically and expressly understood that the
indemnification provided herein constitutes the Parties waiyer of immunity under Industrial Insurance
Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated
by the Parties. The provisions of this section sha,ll survive the expiration or termination of this
Agreement.
8. INSURANCE. The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which may arise from ar in
connection with the performance of the work hereunder by the Consultant, its agents, representatives, or
employees.
A. Minimum Scope of Insurance: The Consultant shall obtain insurance of the types described
below:
The Consultant shall be responsible for maintaining, during the term of this Agreement and at its
sole cost and expense,the types of insurance coverages and in the amounts described below. The
Consultant shall furnish evidence, satisfactory to the City, of all such policies. During the terin
hereof, the Consultant shall take out and maintain in full force and effect the following insurance
policies:
Automobile Liability in an amount not less than three-hundred thousand dollars ($300,000) per
occurrence covering all owned,non-owned,hired and leased vehicles.
A Certificate of Insurance for worker's compensation coverage, or a Sole Proprietor Waiver if the
Contractors have no employees,provided that if a Certificate of Insurance is provided, the insurer
must agree to waive all rights of subrogation against the City, its officers,agents,employees,and
volunteers for losses arising from work performed by the Contractors for the City.
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Professional Liability Insurance, as applicable, in an amount not less than million dollars
($1,000,000)per occurrence and one million dollars ($1,000,000)aggregate.The Contractors will
provide proof that professional liability insurance is current.
If a policy does expire during the term of this Agreement,a renewa.l certificate must be sent to the
City fifteen(15)days prior to the expiration date of the p.olicy.
Failure on the part of the Contractors to procure and maintain the required liability insurance arid
provide proof thereof to the City within ten (10) days following the commencement of a new
policy,shall constitute a material breach of this Agreement upon which the City may immediately
terminate this Agreement.
The City reserves the right to continue payment of any insurance premiums otherwise due and
payable by the Contractors and to deduct reimbursement from amounts due or subsequently due
to the Contractors as described in Exhibit B.
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B. Other Insurance Provisions: 'I'he insurance policies are to contain, or be endorsed to
contain,the following provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Consultant's insurance coverage shall be primary insurance as respect to the
City. Any insurance, self-insurance, or insurance pool coverage maintained by the
City shall be excess of the Consultant's insurance and shall not contribute with it.
2. The Consultant's insurance shall be endorsed to state that coverage shall not be
cancelled by either garty,except after thirty(30)days prior written notice by certified
mail,return receipt requested,has been given to the City.
D. Acceptability of Insurers: Insurance is to be placed with insurers with a current A.M. Best
rating of not less than A:VII.
E. Verification of Coverage: The Consultant shall fumish the City with original certificates
and a copy of the amendatory endorsements, including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of the Consultant's
before commencement of the work.
9. ASSIGNMENT. The Consultant's obligations under this Agreement may not be assigneci or
transferred to any other person,firm,or eorporation without the prio.r written consent of the City.
10. NOTICES, All notices required or permitted under this Agreement shall be in writing and shall be
deemed delivered when delivered in person or deposited in the United States mail, postage prepaid,
addressed as follows:
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IF to the Consultant: IF to the CITY:
Charley Voorhis Doug Lein
Owner/Director of Photogi-aphy Economic Development Manager
Vo.ortex Productions,LLC City of Auburn
25 N Wenatchee Ave., Ste 210 25 W.Main Street
Wenatchee,WA 98801 Auburn,WA 98001
Such address may be changed from time to time by either party by providing written notice to the other in
the manner set forth above.
� 11. ENTIRE AGREEMENT. This Agreement contains the entire agreement of the parties and there are
rio other promises or conditions in any other agreement whether oral or written. This Agreement
supersedes any prior written or oral agreements between the paities.
12. AMENDMENT. This Agreement may be modified or amended if the amendment is made in writing
and is signed by both parties.
13. SEVERABILITY. If any provision of this Agreement shall be held to be invalid or unenforceable
for any reason, the remaining provisions shall continue to be valid and enforceable. If a court finds that
any provision of this Agreement is invalid or unenforceable, but that by limiting such provision it would
become valid and enforceable,then such provision shall be deemed to be written,construed, and enforced
as so limited.
14. WAIVER OF CONTRACTUAL RIGHT. The failure of either party to enforce a.ny provision of
this Agreement shall not be construed as a waiver or limitation of that party's right to subsequently
enforce and compel strict compliance with every provision of this Agreement.
15. APPLICABLE LAW. This Agreement shall be governed by the laws of the State of Washington.
Venue for any court action shall be in King County,Washington.
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� The nndersigned hsve read the above statemenis, nndcrstand �em and agree to a�+de b}E�r
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� CITY OF AUBURN VOORTEX FRODUCIIbNS.LLC
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� Signed: Si `
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I N kus,Mayor 1ay ' Qwner
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; nau: �'' �� �I� n�: 4/4/17
! Addrtss: ZS West Main Street Address• 25 N Wenatche�Avc.,Ste 218
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' Aubura,WA 98001 Weastchoe,WA 98&02
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Danielle E.Daskam,City Clerk
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Exhibit A
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Scope_.of_Services:
This Agreement is made as of this March 14,2017 ,between Gontracting City City of Auburn Tourism
Division("City")and Voortex Productions,LLC("Consultant"). Consultant hereby agrees to produce
and deliver to City the production of the below referenced media(s)("Specified Media(s)"),subject to and
in aceordanee with all terms,coriditions,and specifications set forth herein. Consultant responsibilities for
furnishing media are detailed in Bid Estimate Form.
PROJECT TITLE:Auburn Tourism Board Video
1. SPECIFIED MEDIA: Consultant and City agree to the below Specified Media(sj Table(more
parficularly described in Paragraph 5 below),project contract price and the more detailed produetion
outline of Bid Estimate Form.
SPEGIFIED MEDIA TABLE:
_. - - ---- - -
Approx or Exact Media Hosting Finished Used Source Unused Media
Length of for Pu.blic Product Media Rights Rights
Finished Product Display and Rights (shared,client (shared,client
(seconds Deployment (shared,client exclusive, exc►usive,
or minutes) (producer,client, exclusive, produce� producer
both) producer exclusive) exclusive)
exclusive
3-5.minutes Client Glient Client Client
:30 sec cut
:15 sec cut
The goal and purpose of the Auburn Tourism Video is to tell the ciry's story in a way that mofivates
potential visitors to book overnight stays in one of the city's hotels. The secondary and equally important
goal is to evoke a sense ofpri.de amongAuburn's residents. Your video will follow character-actors
around the ciry, showcasingAuburn's rich heritage and a wide variety of tourism attractions.
The scope of this project is based on 2 full days ofproduction in Auburn. We will make every effort to
capture as many Auburn assets within this timeframe,to fit your budget.Additional footage b.eyond two
production days will be at an additional cost; as agreed upon in advance by Consultant and City. �
2.QUALITY: It is the essence of this Agreement that all completed media and services supplied by
Consultant shall be of applicable production standards. Consultant agrees that the media shall be of
guality,artistically produced with direction,photography,sound;art,animation, synchronization and
other physical and aesthetic content as agreed upon in the bid estimate.The City has critically reviewed
samples of Consultant's work and hereby grants full editorial and production control to.Consultant
regarding all creative aspeets of the production and post-production services for the Specifie.d Media(s).
3.FURNISHING MATERIALS,SERVICES,&RELEASES: Other than providing related aceess and
clearances to locations(which shall be the responsibility of City),camera positions and contact personal,
the Consulfant will supply production notes and outliries,music,character talent;and creative guidance
unless otherwise noted.The Consultant shall deliver the completed project pursuant to this Agreement.
Consultant shall provide to City copies of necessary consents,waivers,releases fortns and licenses
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required from talent and all persons or entities who have rendered services to Consultant in connection
with the Specified Media(s).
4.CHANGES IN SPECIFICATIONS: If at any time,City desires to make any changes or variations
from the script(sj or storyboard(s)in the Specified Media(s)or from any material or work in progress, and
such changes result in additional costs to Consultant,Consultant agrees to notify the City of the ainount
before any such additional costs are incurred and Consultant shall proceed only after receiving approval
(written or oral)from City;approval by City shall be binding and incorporated into the terms of this
Agreement. Reimbursement for such additional costs shall be payable in accordance with the terms of this
Agreement for final payment.Any applicable location license and permit costs will be invoiced in
acldition to this bid.
5.SPECIFIED 1VIEDIA RIGHTS: Specified Media Rights are shown on the Table set forth in
Paragraph 1 above.Consultant and City aeknowledge and agree that the ownership and legal rights to the
Specified Media(s)shall be held in such manner checked in the Table,which is more thoroughly
deseribed below.
City Exclusive Rights: City holds the exclusive right to have Specified Media(s)used exclusively within
productions commissioned by City. City holds the riglit to use Specified Media(s)for display,publication;
and portfolio purposes. City holds an exclusive,worldwide,perpetual, sublicenseable,transferable,
royalfy free license to Specified Media(s)produced during the course of the contracted work and life of
Specified Media(s)thereafter. Consultant may not use Speeified Media(s)for display,publication,arid
portfolio purposes unless granted permission by City.
6.SECURITY/CONFIDENTIALITY: Consultant understands that some information for said Specified
Media(s)may be of a confidential and/or sensitive riature. Consultant agrees,at City's written request,to
require,within reason;those engaged for the production to sign appfopriate agreements not to discuss or
disclose information about the product or the Specified Media(s)except as such disclosure may be
necessary for Consultant to produce media(s)in the usual and customary manner under this Agreement..
7.CONSULTANT WARRANTIES: Consultant represents and warrants:
A.That Consultant has full right to enter into this Agreement and to perform its obligations hereunder and
will comply with all applicable Federal; State and Local Laws,ordinances and regulations and with all
applicable agreements to which Consultant is a signatory.
B.That Consultant will use reasonable efforts to obtain all licenses,consents and rights necessary and
incident to the performance,reproduction and exhibition of the Specified Media(s)with respect to
materials,elements and services provided by Consultant.
8.CITY WARRANTIES: Contracting City represents and warrants:
City assumes all responsibilities for obtaining anynecessary permission,clearance permits,etc.,which
may be required for Consultant to capture coritent on a designated date and location.
9.DELIVERY OF MATERIALS AND HOSTING:Delivery of the Specified Media(s) shall mean
delivery of the Specified Media(s)iri paragraph 1 by Consultant to City. Hosting and Deployrnent is
determined between Consultant and City as to who is responsible for hosting the Final Product for public
display.Consultant will retain copies of Specified Media(s) generated during the course of the
commissioned work.The Consultant will do everything within its power to save and back up Specified
1Vledia(s).After final delivery of Specified Media(s)The Consultant does not guarantee indefinite;
archival preservation.
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10.TAX LIABILITY:Any sales tax,use ta�c,or other tax payable on production and delivery of
Specified Media(s)to City(s) (other than sales ta�c arising from Consultant's purchases of materials or
supplies in connection with the production)shall be the responsibility of City who shall pay,defend and
hold harmless Consultant from payment of any such taxes.
11.DISPUTE RESOLUTION: The prevailing party in any legal action shall be entitled to attorney's
fees and costs in corinection with the legal proceedings.
12.CAPTIONS: The captions are inserted only as a matter of convenience and for reference and in no
way define,limit or describe the scope or intent of this Agreement or of any provision hereof.
13.ENFORCEABILITY: If one or more of the provisions of this Agreement shall be held
unenforceable,it shall not affect the enforceability of the other provisions.
14.EQUAL OPPORTUNITY: In connection with its performance hereunder,Consultant agrees riot to
discriminate against any employee or applic.ant because of race,religion,sexual orientation,color;sex,
national origin,age,disability,or any other factor protected by federal,state or local law. �
15.AUTHORIZATION:The person signing below on behalf of City and Consultant covenant and
warrant that he or she is authorized to sign this Agreement on behalf of the entity he or she represents.
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Exhibit �
Total Project Deliverable Cost: $15,000.00
Total Not to Exceed Cost of entire agreemenf; $18,500.00
Schedule:
$7,500.00 due upon signing of agreement
$7,500.00 due upon completion of project
Up to$1;500.00 contingency for"Postponement"
Up to$2,000.00 contingency for"Contingency/Holdover Cost"
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Fo� OII!�9 Request for Taxpayer Give Form to the
(Rev.August2013) Identification Number and Certification requester.Do not
Department of the Treasury send.to the IRS.
Intemal ReJenue Service
Name(as shown on your income tax return)
Charley Voorhis
N Business name/disregarded entity name,if different from above
�, Voortex Productions LLC
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°- Check appropriate box for federal tax classification: Exemptions(see instructions):
c
° ❑IndividuaVsole proprietor ❑ C Corporation S Corporation ❑ Par;nership ❑TrusVestate
y ,
�o Exempt payee code Qf any)
Q� Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► S Ezemption from FATCA reporting
�� oode(if any)
a� ❑ Other(See instrudions)►
U: . . _.._ _ . .
�' Address(number,street,And apt.or suite no.) Repuester's name and add�ess(optional)
8. 25 N Wenatchee Ave, ste 210
N City,state,and ZIP code
� Wenatchee WA, 98801
List aocount number(s)here(optional)
• Taxpayer ldentification Number(TIN) --
Enter y"our TIN in the appropriafe box.The TIN provided must match the name given on the"Name"line Sociat secu,rity number
- - -
to avoid backup withholding.For individuals,this is your social security number(SSN),.However,for a � _m —�
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other
entities,it is you�employer identification number(EIN).If you do not have a number,see How to get a
T1N on page3:
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification,number
number to enfer.
_- - -- . _
4 6 - 1 1 1 9 0 6
Certification -
Under penalties of perjury,I certify that:
1. The number shown on tliis form is rriy correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I haVe not been notified by the Internal Revenue
Service(IRS)that I am.subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that l am
no longer subject to backup withholding,and
3. I am a U.S.citizen or other U.S.person(defined below),and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certrfication instructions.You must cross out item 2 aboVe if you have been notifled by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mqrtgage
interest paid,acquisition or abandonment of secured roperty;cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other 4han interest and div� �u are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3. ,,� �' , ,
Sign Si nature of ,•r'�` f
Here 9 �' �� 3/20/17
U.S:person► � ,_ ti. Date>
__ _ . _ ... . _. _. .. �� ^ :, +i
General Instructions �` �"� withholding tax on foreign partners'share of effactiyely connected income,and
SeCtiOn referenCeS 8re t0 the Intemal ReVenUe Code unless OtherwiSe nOted. 4.Certify that FATCA code(s)entered on this form(if any)indicating that you aze
exempt from the FATCA reporting,is corcect.
Future developments.The IRS has created a page on IRS.gov for information Note.Jf you are a U.S...person and a requeste�giVes you a fortn other than Form
about Forrn W-9,at www.irs.gov/w9.Infortnation about any future developments yy_g to request your TIN,you must use the requester's form if it is substantially
affecting Form,W-9(such as legislation enacted after we release it)will tie posted similar to this Form W-9.
on 4hat page.
Definkion ot a U.S.person.For federal taxpurposes,you are considered a U.S.
Purpose of Form , person if you a�e:
A person who is required to file an infortnation retum with the IRS must obtain your '�individual who is a U.S.citizen or U.S.resident alien,
correct taxpayer identification number(fIN)to report,for example,income paid to •A partnership,corporation,company,orassociation created or organized in the
you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States,
transactions,real estate transactions,mortgage interest you paid,acquisition or .q��tyte(other than a foreign estate),or
abandonment of secured property,cancellation of debt,or contributions you made
to an IRA. •A domes4ic trus4(as defined in Regula4ions section 301,7701-�.
Use Form W-9 only if you are a U:S.person(inoluding a resident alien),to Special rule§for partnerships.Partnerships tFiat conduct a trade br tiusiness in
provide your correct TIN to the person requesting it(the requester�and,when 4he United Statesare generally required to pay a withholding tax undersection
applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from
such business.Further,in certain cases where a Form W-9 has no4 been received,
1.Certify that the TIN you are giving is correct(or you are waiting for a num6er tHe rules under section 1446 require a partnership to presume that a partner is a
to be issued), foreign person,and pay the section 1446 withholding taz.Therefore,if you are a
2.Certify that you are not subject.to backup withholding,or U.S:person that is a partner in a partnership conducting a trade or business in the
3.Claim ezemption from backup withholding if you are a U.S.exempt payee.if United States,provide Fortn 1N-9 to the partnership to establish your U.S.status
applicable,you are aiso certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income.
any partnership income from a U.S.trade orbusiness is not subject to the
Cat.No.10231X Form W-9(Rev.8-2013)
�CO� DATE(MM/DD/YYYY)
� CERTIFICATE OF LIABILITY IIVSURANCE 4�3�201�
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
_ _ _...._ _ _
CERTIFICAIE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
_
BELOW. THIS CERTIFICATE OF INSURANCE DOES NO.T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
_ _ _ . _ . ._ _ _ _ _ _ _
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 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
certifcate holder in lieu of such endorsement(s).
PRODUCER CONTA.T J330A Ed3Y�8A
NAM •
Eastman Insurance IAC. PHONE (§O9)665-1112 F� N ,(509)663-5465
239 N Mission St ,qppRE�:Jason@eastmanins.com
PO BOx 3365 INSURER S AFFORDINGCOVERAGE NAIC#
Wena_tchee WA 98807 INSURERAOh10 C83Lidlt
INSURED INSURER B:.
_ _ _ _
Voortex Productions LLC INSURER C'.
25 N Wenatchee Ave. Suite 210 INSURERD:
INSURER E:
Wenatchee WA 98801 INSURERF:
COVERAGES CERTIFICATE NUMBER:�L174303625 REVISION NUMBER:
_ _ _ _ _ _
THIS IS TO GERTIFY 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 WHIGH THIS
CERTiFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR qypE OF INSURANCE AD L SUBR POLICY.EFF AOLICY EXP LJMITS
LTR POLICY NUMBER MM/DD MMfDD/YWY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DAMAG�Y�( R�N 1,000,000
A CLAIMS-MADE �x O.CCUR PR Ea oc rt nc $
$ BKO(17)55163d17 7/1/2016 7/1/2017 MEDEXP(Myoneperson) $ 15,OOA
PERSONAL&ADV INJURY $ excluded
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY❑�E a � LOC PRODUCTS-COMPlOP AGG $ 2,000;000
OTHER: $
AUTOMOBILE��IABILITY OMBINE� INGL LIMIT . $ 1,000,.000
Eaaccident
A ANY AUTO BODIIY INJURY(Per person) $ _
AUT03�ED X AUTOSULED gAp�17)`55163417 7/1/2016 7/1/2017 BODILYINJURY(Peraccident) $
NONAWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Per accident
$ _
UMBRELLA UAB OCCUR EACH 06CURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $.
WORKERSCOMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY y�N STATUTE ER
ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under
DESCRIPTION.OF OPERA710NSbelow E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICIES(ACORD 101,AddlBonal Remarks Schedule,may be attached if more space is required) �
Certificate Holder is named as an additional insured, in respects to the nameci insureds operation; per
mritten contract. Policy form CG88100413
CERTIFICATE HOLDER CANCELLATION
SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Auburn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
25 West Main Street ACCO,RDANCE VYITH THE POLICY PROVISIONS.
Auburn, WA 98001 -- -
AUTHORIZED REPRESENTATIVE
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Denise Goodwin/DENISE -.�,-�'.�.�'�,--{..._: i'"""�'`��"�'"�:�"'"'�...�-��.�
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O 1988-2014 ACORD CORPORATION. All righfs reserved.
ACORD'25(2014109) The ACORD name and logo are registered marks of ACORD
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