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Item 4DAGENDA ITEM # 4D SEPTEMBER 22, 2008 CITY OF ATLANTIC BEACH CITY COMMISSION MEETING STAFF REPORT AGENDA ITEM: Authorize the City Manager to enter into contracts with 1) Tennis Instructor, Brecht Catalan for use of tennis courts, 2) Atlantic Beach Athletic Association (ABAA) for use of city ball fields and concession stand at Jack Russell Park, and, 3) Atlantic Beach Experimental Theatre (ABET) for use of the Adele Grage Cultural Center Theater. SUBMITTED BY: Timmy Johnson -Director, Recreation Programs & Special Events DATE: September 8, 2008 BACKGROUND: In years past, the City entered into a contract with Tennis Instructor, Brecht Catalan for use of City facilities to promote community sports programs and offer tennis lessons to Atlantic Beach citizens of all ages. The City has contracted with ABET for theatrical entertainment for the community from September through May. ABET has also offered drama classes for adults and children. The City has contracted with ABAA for use of the ball fields & concession stand to promote organized sports such as baseball and T-ball for youth in Atlantic Beach. Staff has reviewed the financial statements, the Certificates of Insurance and other program information provided by the contractors. RECOMMENDATION: Authorize the City Manager to enter into a contract with Tennis Instructor Brecht Catalan, Atlantic Beach Athletic Association (ABAA), and Atlantic Beach Experimental Theatre (ABET). ATTACHIVIENTS: Contracts. Reviewed by City Manager AGENDA ITEM # 4D SEPTEMBER 22, 2008 CITY OF ATLANTIC BEACH RENTAL CONTRACT FOR PUBLIC FACILITIES LONG TERM AGREEMENT made and entered into this l~Y o ~ ~` 2008, at Atlantic Beach, Duval County, Florida, by and between CITY OF AT IC BEACH, a Florida municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233 (hereinafter "City"), and Brecht Catalan, of 12855 Greenmeadow Place, Jacksonville, Florida 32246, (904) 241-4625 (hereinafter "Renter"). WHEREAS, Renter desires to use the following public facility: Russell Park Tennis Courts 5 & 6, and, WHEREAS, Renter desires to use said public facility on a recurring basis such as daily, weekly, monthly, during a particular season, or the like, which is more than a one time use, and therefore a long term use, and WHEREAS, the parties are in complete agreement regarding the terms set forth herein. NOW THEREFORE, in consideration of the covenants and promises as set forth herein, and any rental payment made hereunder, and other valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, it is AGREED AS FOLLOWS: 1. Length of Rental Term: This agreement shall run from October 1, 2008 through September 30, 2009. 2. Amount and Time of Payment: Renter, in exchange for use of the facility, shall pay to the City the annual fee of $200.00 at the time of signing this agreement. Such fee may be waived at the discretion of the City Manager if Renter is a governmental agency or an organization that provides a public service available to all, is non-profit in nature, and charges no user or admission fees. Renter shall provide the City with a copy of its tax-exempt form or other proof or evidence satisfactory to the City Manager of Renter's non-profit status. 3. Conditions: This agreement is made and entered into upon the following express covenants and conditions, all and everyone of which Renter hereby covenants and agrees, with the City, to deep and perform: a. No fees or admission costs shall be charged to the public unless approved in writing by the City Manager. b. No use of alcoholic beverages shall be permitted without the written permission of the City Manager AGENDA ITEM # 4D SEPTEMBER 22, 2008 c. Renter shall provide to the City a copy of audited financial statements if requested. In the event audited financial statements are not available, renter shall provide all supporting documents with its awn financial statements. d. Renter shall insure compliance with all city, state and federal laws, as well as any rules and regulations of the City for the government and management of the public facility, together with all rules and requirements of the police and fire departments of the City. e. Renter shall allow no discrimination based on race, sex, age, religion, national origin, disability or otherwise. f. Renter shall make no alterations to the facility of a permanent nature without the express written consent of the City Manager, g. Renter's use of the facility is not exclusive outside of the dates and time as set forth below. h. Renter shall leave the facility available for use by other parties if other activities are scheduled or upon the request of City staff. This may include removal and storage of Renter's property. i. Renter shall correct any discrepancies noted by the City. Should the City require corrective action, such action shall be the financial responsibility of the Renter. j. Renter shall provide a written account of all security key cards to the facility in possession of Renter at the end of the contract. If renter cannot account for all keys, Renter will incur the cost of canceling the lost card and issuing a new one. One key will be provided at no cost to Renter and any additional keys will require a $20.00 fee per key at Renter's expense. k. Any exclusive use shall be as set forth below. The use of the facility in addition to the exclusive use periods shall be requested through the Recreation Director under the general rules, i.e., a facility may be requested for short tem use by applying for such use after the 15~' day of each month for a day or time period within the next month. For example, any organization requesting the short-term use of a City facility in the month of February could apply for such use after the 15~' day of January. AGENDA ITEM # 4D SEPTEMBER 22, 2008 1. Renter shall maintain at all times during the lease term at Renter's cost, a comprehensive public liability insurance policy protecting the City against all claims or demands that may arise or be claimed on account of Renter's use of the premises, in an amount of at least $1,000,000 for injuries to persons in one accident, $1,000,000 for injuries to any one person, and $1,000,000 for damages to property, the insurance shall be written by a company or companies acceptable to the City and authorized to engage in the business of general liability insurance in the State of Florida. Renter shall deliver to the City satisfactory proof or evidence of such insurance, and shall name the City as an additional insured under said policy. m. Renter may apply to the City Commission of Atlantic Beach for a waiver of this insurance requirement. The City Commission shall consider such application for waiver on a case by case basis, taking into account the length of the lease term, use of the public facility, number of persons involved in said use, cost of the insurance, and any other factors submitted by Renter which unique and particular to the Renter. n. Renter agrees to indemnify and hold harmless the City from any and all liability, defense costs, including other fees, loss or damage which the City may suffer as a result of claims, demands, costs or judgment against it, arising from all activities engaged in by Renter in its use of the following public facility: Adele Grage Cultural Center Theatre. o. Additional provisions agreed upon by the City and Renter: None other specified. 4. Exclusive Ilse Dates and Times: The renter will be given priority for reserving. the Theatre for auditions, performances, rehearsals and drama classes. The Renter's Manager will provide a schedule of plays to the Recreation Department on a yeazly basis. The City retains the right to rent and use the theatre at other times not specified for use by the Renter. 5. ~?elivery of Facility: The City shall deliver the facility to Renter in good working condition, with any necessary facilities and utilities, and in clean condition. 6. Control of Building: In renting said facility to Renter, the City does not relinquish the right to control the management and operation of the facility, and the City Manager or his designee may enter the facility and all premises at any time and on any occasion. 1. Assignment: Renter shall not assign this agreement nor suffer any use of the facility other than herein specified, nor sublet the facility or any part thereof, without the written consent of the City. AGENDA ITEM # 4D SEPTEMBER 22, 2008 8. Default: In case the Renter shall default in the performance of any covenant or agreement contained herein, and such default shall continue for ten (10) days after receipt by the Renter of written notice thereof given by the City, then the City, at its option, may declare this agreement ended. In that event, Renter shall immediately remove all persons and its property from the facility, and failing to do so, the City may cause such removal either with or without process of law, at Renter's expense. These expenses shall include, but not be limited to, reasonable attorney's fees incurred by the City, whether suit is filed or not." IN WITNESS WHEREOF, we have hereunto set our hands and official seals this day of CITY OF ATLANTIC BEACH By: Date: Its: "CITY" "RENTER" AGENDA ITEM # 4D SEPTEMBER 22, 2008 United States Professional Tennis Association, Inc. Determining the way the world learns to play tennis July I8, 2008 Brecht Catalan 2 ] 02 ]~ first St S Jacksonville Beach, .FL 32250-6263 Dear Brecht: uspta. `~ 'T'his i.etter will confirm that, as a Developmental Coach of the United States Professional Tennis Association (USPTA}, you have liability insurance as outlined below. This USPTA Liability policy covers applicants, and certified and certain honorary members in the United States, its territories or Canada, and nonmembers who are insured through a certified member's policy. THE USPTA LIABILITY POLICY INCLUDES $9 million liability insurance, while on court, far bodily injury to others, and for damage to property not in the tennis professional's care, custody ar control. It does not cover injury to the tennis professional, or damage to his/her property. The accident must have taken place on court, and arisen from the tennis professional's playing, practicing, teaching or officiating In ten171S. Policy number: Effective period: For questions or to report an accident, contact: PHPK279449 12/3 I /07- 12/31 /08 USPTA World Headquarters 3535 Briarpark Drive, Suite One Hal.~ston, TX 77042 Telephone (7l3} 978-7782 If we may be of further assistance, please do not hesitate to contact us. Sincerely, SUN, ITED STATES PR ESSIONAL TENNIS ASSOCIATION, INC. `! r~. Metony Loach Insurance Department -.This coverage. is null end vdid if the'member is not a citizen of or'does not legal.#y re§ide aiid`:~vork in the United Stratds, its erritories o; Capada. 3535 Briarpark Drive, Suite One • Houston, TX 77042 800.USPTA-4U • 713.97.USPTA • 713.978.7780 fa~c ~ uspta@uspta.org • www.uspta.org AGENDA ITEM # 4D SEPTEMBER 22, 2008 Jack Russell Park Tennis 200 - 2008 r ~~ ~-~ Monday 4:OOpm - 8:00 pm Juniors & Men Tuesday 5:00 pm - 7:00 pm Private Lesson Wednesday 4:OOpm - 8:00 pm Juniors & Ladies 5:00 pm - 7:00 pm Private Lesson Thursday 5:00 pm - 7:00 pm Private Lesson 5:00 pm - 8:00 pm Developing Ladies & Singles Friday 5:00 pm - 7:00 pm Private Lesson Saturday 1:00 pm - 3:00 pm Working Women's Match Sunday 3:00 pm - 7:00 pm Cardio Tennis SEP-05-2008 03:26 AM P. 01 AGENDA ITEM # 4D SEPTEMBER 22, 2008 ~i~-a~ial llepan~t fos Tcnnis Lessons at lack Russell Fark 2007-2008 ~,~~'r: 'I'irmany Johnson ~~t,: 't Catalan 1lYt~t~'~nri~rw PreM•r~~n~ .~,~ 1~ I.a~es 12 v~ ~ ~' ~ ~ ~ 120.00 S 1200.00 L~~ ~ 12 W~~120.00 51080.00 ~~a~~ :4 9trxd~n~ 12 Wecl~s $480.00 $1920.00 ~8~mter ~'roanrma . ~~Ri~ 3u~er Camp ltlJ~mlo~ ~~ 2 Weeks S17S.00 $1750.00 ~1 9 ~'~ .:..tl~ 6 Weeks $240.00 52160.00 ~~1# P~o~ams ~~,C ~ 'c .l~ students 8 Weeks $480.00 $4800.00 ~twdrats 6 Weeks $240.00 X720.00 a des . ~ 12 Weelrs S 120.00 $96.00 ~t~ ~ 12 Weeks $120.00 $960':00 ~~ ~"e 8 Wccln $ 80.00 5320.00 ~~~-~ $1000.00 {~;ess the ~ Lessons each) '~:'~1 516,870.00 ..~,. AGENDA ITEM # 4D SEPTEMBER 22, 2008 CITY OF ATLANTIC BEACH RENTAL CONTRACT FOR PUBLIC FACILITIES LONG TERM AGREEMENT made and entered into this _ /~~of J~ 2008, at Atlantic Beach, Duval County, Florida, by and between CITY OF ATLANTIC BEACH, a Florida municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233 (hereinafter "City"), and Atlantic Beach Athletic Association, of P.O. Box 331235, Atlantic Beach, Florida (904) 249-2985 (hereinafter "Renter"). WHEREAS, Renter desires to use the following public facility: Jack Russell Park Baseball Facilities and Concession Building and, WHEREAS, Renter desires to use said facility on a recurring basis such as daily, weekly, monthly, during a particular season, or the like, which is more than a one time use and therefore a long term use, and, WHEREAS, the parties are in complete agreement regarding the terms set forth herein. NOW THEREFORE, in consideration of the covenants and promises as set forth herein, and any rental payment made hereunder, and other valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, it is AGREED AS FOLLOWS: 1. Length of Rental Term: This agreement shall run from October 1.2008 through September 30.2009. 2. Amount and Time of Payment: Renter, in exchange for use of the facility, shall pay to the City the annual fee of $200.00 pgryear at the time of signing this agreement. Such fee may be waived at the discretion of the City Manager if Renter is a governmental agency or an organization that provides a public service available to all, is non-profit in nature, and charges no user or admission fees. Renter shall provide the City with a copy of its tax- exempt farm or other proof or evidence satisfactory to the City Manager of Renter's non- profit status. 3. Conditions: This agreement is made and entered into upon the following express covenants and conditions, all and everyone of which Renter hereby covenants and agrees, with the City, to keep and perform: a. No fees or admission costs shall be charged to the public unless approved in writing by the City Manager. b. No use of alcoholic beverages shall be permitted without the written permission of the City Manager. c. Renter shall provide to the City a copy of audited financial statements if requested. In the event audited financial statements are not available, renter shall provide all supporting documents with its own financial statements. d. Renter shall insure compliance with all city, state and federal laws, as well as any rules and regulations of the City for the government and management of the AGENDA ITEM # 4D SEPTEMBER 22, 2008 public facility, together with all rules and requirements of the police and fire departments ofthe City. e. Renter shall allow no discrimination based on race, sex, age, religion, national origin, disability or otherwise. f. Renter shall make no alterations to the facility of a permanent nature without the express written consent ofthe City Manager. g. Renter's use of the facility is not exclusive outside of the dates and time as set forth below. h. Renter shall be responsible for its own furnishings and equipment and shall maintain the facility in a clean and safe condition. i. Renter shall correct any discrepancies noted by the city. Should the City require corrective action, such action shall be the financial responsibility of the Renter. j. Renter shall provide a written account of all keys to the facility in possession of Renter at the end of the contract. If Renter cannot account for all keys, Renter will inquire the cost of re-keying or changing of the applicable Locks. One key will be provided at no cost to Renter and any additional keys will require a 10.00 per key at Renter's expense. k. Any exclusive use shall be as set forth below. The use of the facility in addition to the exclusive use periods shall be requested through the Recreation Director under the general rules, i.e., a facility may be requested for short term use by applying for such use after the 15th day of each month for a day or time period within the next month. For example, any organization requesting the short-term use ofa City facility in the month of February could apply for such use after the 15th day of January. Renter shall maintain at all times during the lease term at Renter's cost, a comprehensive public liability insurance policy protecting the City against all claims or demands that may arise or be claimed on account of Renter's use of the premises, in an amount of at least 1000 000 for injuries to persons in one accident, X1,,000.000 for injuries to any one person, and $1,000,000 for damages to property, the insurance shall be written by a company or companies acceptable to the City and authorized to engage in the business of general liability insurance in the State of Florida. Renter shall deliver to the City satisfactory proof or evidence of such insurance, and shall name the City as an additional insured under said policy. m. Renter may apply to the City Commission of Atlantic Beach for a waiver of this insurance requirement. The City Commission shall consider such application for waiver on a case by case basis, taking into account the length of the lease term, use of the public facility, number of persons involved in said use, cost of the insurance, and any other factors submitted by Renter with unique and particular to the Renter. n. Renter agrees to indemnify and hold harmless the City from any and all liability, 2 AGENDA ITEM # 4D SEPTEMBER 22, 2008 defense costs, including other fees, loss or damage which the City may suffer as a result of claims, demands, costs or judgment against it, arising from all activities engaged in by Renter in its use of the following public facility: Jack Russell Park Baseball Facilities and Concession Building o. Additional provisions agreed upon by the City and Renter: 4. Exclusive Use Dates and Times: January 1 ~` through 3une 30`" & August I ~ through November 30`". 5. Delivery of Facility: The City shall deliver the facility to Renter in good working condition, with any necessary facilities and utilities, and in a clean condition. 6. Control of Building: In renting said facility to Renter, the City does not relinquish the right to control the management and operation of the facility, and the City Manager or his designee may enter the facility and all premises at any time and on any occasion. 7. Assisnment: Renter shall not assign this agreement nor suffer any use of the facility other than herein specified, nor sublet the facility or any part thereof, without the written consent of the City. IN WITNESS WHEREOF, we have hereunto set our hands and official seals this _ day of (month), 2008. CITY OF ATLANTIC BEACH By: Its: "CITY" Date: "RENTER" (Attachments to Contract: Financial Statement 2007-08; Certificate of Insurance) AGENDA ITEM # 4D SEPTEMBER 22, 2008 CERTIFICATE 4F INSURANCE '~`~~"~~"""°°"'~ z/o4/oa PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ~ K & K Insurance Group, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 1712 Magnavox Way P O B 2 . CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE . . ox 338 COVERAGE AFFORDED BY THE POLICIES BELOW Fort Wayne, In 46801 . COMPANIES AFFORDING COVERAGE INSURED BABE RUTH LEAGUE, INC. COMPANY LETTER A NATIONAL CASUALTY COMPANY PO BOX 5000 1770 BRUNSWICK PIKE COMPANY B NATIONWIDE LIFE INSURANCE COMPANY TRENTON, NJ 08638 LETTER COMPANY C LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OT , HER 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED B Y PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER LICY E FFDD TIVE POLICY EXPIRATION LTR ~ ATE !YY) DATE (i1A1NDDlYY) LIMITS (in thousands) General Liability ~ C i G General Aggregate $ NONE A ommerc al eneral Liability ^Cl i M ~ 12 : 01AM 12 : O1AM Products-Co_mptops Aggregate S 2000 a rns ade Occur. ^ O ' & KR00000150700 2/01/08 2/O1/p9 Personal&Advertisinglnjury 5 2000 vmer s contractors Prot. Each Occurrence $ 2 0 0 0 ^ Fi D re amage (Any one fire) $ 3 0 0 Medical Expense (Any one person) $ 5 Participant Leg al Liability $ 2000 Automobile Liability ^An auto 12 : O lAM 12 : O 1AM Combined ~ A y KR00000150700 2/01/08 2/01/09 ~;m 51000 All . owned autos Bodi~ Scheduled autos Injury r rson $ Hired autos ® Bodil ® Nan-owned autos y Injury er accident $ Garage Liability pro Damage 5 ^ Excess Liability Each A Occurrence ggregate Other than Umbrella form 5 $ Workers' Compensation Statutory and E ' $ Each Accident mployers Liability $ Di _ sease-Policy Limit ~. $ Disease-Each Em loyee B AD80 $ 10 Participant 12:OiAM 12:01AM Primary Medical $ 250 Accident SPP0003072200 2/01/08 2/01/09 Excess Medical $~ NONE Weekl Indemni $ XNONE DESCRIPTION OF OPERATION5ILOCATIONS/VEHICLES/RESTRICTIONSl5PECIAL ITEMS ADDITIONAL INSURED: ANY PERSON, ORGANIZATI ON, OR ENTITY ENGAGED IN SPONSORING OR PROVIDING THE PREMISES FOR BABE RUTH BASEBALL/SOFTBALL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ATLANTIC BEP_CH BABE RUTH LEAGUE , ISSUING COMPANY WILL ENDEAVOR TO MAIL ~0 pAYS Dunham, Susan WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 4219 Stacey Road West THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE Jacksonville Beach, FL 32250 NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR tJT TIVE 1 SL39 ~' 1-92 AGENDA ITEM # 4D SEPTEMBER 22, 2008 CERTIFICATE OF INSURANCE PRODUCER ISSUE DATE (MM~pDIYY) 2/04/08 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY K & K Insurance Group, Inc . AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TWIS 1712 Magnavox Way CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE P.O. BOx 2338 COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Wayne, In 4b801 COMPANIES AFFORDWG COVERAGE INSURED BABE RUTH LEAGUE, INC. PO COMPANY LETTER A NATIONAL CASUALTY COMPANY BOX 5000 1770 BRUNSWICK PIKE COMPANY B NATIONWIDE LIFE INSURANCE COMPANY TRENTON, NJ 08638 LETTER COMPANY C LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICI ES OF INSURANCE LISTED l3ELOW HAVE BEEN ISSUED TO THE INSURED N AMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTH , ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DE SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY P AID CLAIMS. CO. TYPE OF INSURANCE POLICY NUMBER LILY EFFECTIVE POLICY EXPIRATKIN LTR ATE (MIWDO/YY) PATE (tuNVpptYYy LIM1T5 (in thousands} General Liability ] C General Aggregate $ NONE A ~ ommercial General Liability ^ 12 : O lAM 12 : 01AM Products-ComplOps Aggregate _ $ 2 0 0 0 GaimsMade®Occur. ^ O ' KR00000150700 2/01/08 2/01/09 PersnnaidAdvertisinglnjury $ 2000 wner s $ contractors Prot. Each Occurrence $ 2 0 0 0 ^ ~ Fire Damage (Any one fire) $ 3 0 0 Medicai Expense (Any one person) $ 5 Parlicipan2LegatLiabifity $ 2000 Automobile Liability ^An auto 12 • 01AM 12 : OlAM Combined 1 A y KR00000150700 2/01/08 2/01/09 e ~~ 9 $1000 A ll owned autos ® Bodily Scheduled autos Injury ' r erson $ ®Hired autos Bodil ® Non-owned autos y Injury G r a idem $ ^ arage Liability rt P o ^ Damage $ Excess Liability ^ Each A t Occurrence ggrega e ^ Other than Umbrella form 8 S Workers' Compensation Statutory and ' $ Each Accident Employers Liability $ Disease-Policy Limit $ Disease-Each Employee B AD$D $ 10 Participant 12 : OlAM 12 : OlAM Primary Medical $ 250 Accident SPF0003072200 2/01/08 2/01/09 ExcessMedicat $ NONE Weekl Indemni $ XNONE DESCRIPTION OF OPERATIONSIi„OCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS ADDITIONAL INSURED: ANY PERSON, ORGANIZATION, OR ENTITY ENGAGED IN SPONSORING OR PROVIDING THE PREMISES FOR BABE RUTH BASEBALL/SOFTBALL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ATLANTIC BEACH CAL RIPKEN LEAGUE , ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS Dunham, Susan , WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 4219 Stacey Road West THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE Jacksonville Beach, FL 32250 NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR 17vE SL39 1-92 AGENDA ITEM # 4D SEPTEMBER 22, 2008 CERTIFICATE OF IN SURANCE '~~"'~~"""°°"'' 2/04/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY K & K Insurance Group, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1712 Magnavox Way CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE P.O. BOX 2338 COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Wayne, In x6801 COMPANIES AFFORDING COVERAGE INSURED COMPANY Q NATIONAL CASUALTY COMPANY BABE RUTH LEAGUE, INC. LETTER PO BOX 5000 1770 BRUNSWICK PIKE COMPANY NATIONWIDE LIFE INSURANCE COMPANY B TRENTON NJ 08638 LETTER , COMPANY C LETTER COVERAGES THIS IS TO CERTIFY 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAfO CLAIMS. CO. LTR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE qTE ~pp~Yy? POLICY EXPIRATION PATE (-'~ONY1 LIMITS (in thousands) General Liability General Aggregate ~ $ NONE A Commercial General Liabili ty 12 : 01AM 12 : 0 lAM Products-Com A r P~~ 99 agate $ 2 0 0 0 ^ClaimsMade®Occur. KR00000150700 2/01/08 2/OI/09 PersonalBAdvertisingtn]ury $ 2060 ^ Owner's & contractors Prot. Each Occurrence $ 2000 ^ Fire Damage (Any one fire) $ 3 p 0 Medical Expense (Any one person) $ 5 Participard Legal Liability $ 2 0 0 0 Automobile Liability 12 • OlAM ~ 12 : O 1AM Combined A ^ Any auto KR00000150700 2/01/08 2/01/09 Single Limit 31000 ^ A11 owned autos g„d;y ^ Scheduled autos Injury on 3 ®Hired autos g~,ty ® Non-owned autos Injury r accident $ ^ Garage Lial~i(ity Property Damage 3 Excess Liability Each A ^ Occurrence ggregate ^ Other than Umbrella form 3 $ Workers' Compensation Statutory and $ Each Accident Employers' Liability $ Disease-Policy Limit $ Disease-Each Empf ee AD&D $ 10 B Participant 12 ; OlAM 12 : OIAM Primary Medical $ 250 Accident SPP0003072200 2/01/08 2/01/09 Excess Medical $ NONE Weekl (ndemn' $ XNONE DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/RE5TRICTiONS/SPECIAL ITEMS ADDITIONAL INSURED: ANY PERSON, ORGANIZATION, OR ENTITY ENGAGED IN SPONSORING OR PROVIDING THE PREMISES FOR BABE RUTH BASEBALL/SOFTBALL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ATLANTIC BEACH 12 &U SOFTBALL BRL ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS Dunham, Susan WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 4219 Stacey Road west THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE 3acksonville Beach, FL 32250 NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR T1VE ~ /'~ f//y, [~// CI QC 1-92 AGENDA ITEM # 4D SEPTEMBER 22, 2008 CERTIFICATE OF INSURANCE '~"°°A °°~ 2 a PRODUCER THIS CERTIFICATE IS fSSUED AS A MATTER OF INFORMATION ONLY K & K Insurance Group, Inc . AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS 1712 Magnavox Way P 0 BOX 2338 . CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE . . COVERAGE AFFORDED BY THE POLICIES BELOW Fort Wayne, Tn 46801 . COMPANIES AFFORDING COVERAGE INSURED BABE RUTH LEAGUE, INC. PO BOX 50 COMPANY LETTER A NATIONAL CASUALTY COMPANY 0D 1770 BRUNSWICK PIKE COMPANY B NATIONWIDE LIFE INSURANCE COMPANY TRENTON. NJ 08638 LETTER COMPANY C LETTER COVERAGES THIS 15 TO CERTIFY THAT THE POLICI ES 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN lS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO. LTR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE ATE t'MfWDDlYY) POLICY EXPIRATION DATE (MWDDM') LIMITS {in thousands) General Liability ~ C i l G General Aggregate $ NONE p~ ommerc a eneral Liability ^Cl i M d ® 12 : O lAM 12 ; OIAM Products-Comp/Ops Aggregate $ 2 0 0 0 a ms a e Occur. ^ O ' 8 KR00000150700 2/01/08 2/01/09 Personal&Advertisinglnjury $ 2000 wner s contractors Prot Each Occurrence $ 2 0 0 0 Fi D re amage (Any one fire) $ 3 0 0 Medical Expense (Any one person) $ 5 Automobile Liability ParticipaMLeg alLiability $ 2000 A ^Anyauto 12 . OIAM 12 : O lAM Combined Single KR00000150700 2/01/08 2 01 09 / / Li it $100 All m 0 ^ owned autos Bodil ^ Scheduled autos y Injury ®Hi d t r rson $ re au os Bodil ® Non-owned autos y Injury ^ G accide t $ arage Liability ^ Damage $ Excess Liability Each A Occurrence ggregate ^ Other than Umbrella form S $ Workers' Compensation Statutory and $ Each Accident Employers' Liability $ __ Disease-Policy Limit ~ ~ $ Disease-Each Employee B Participant AD&D $ 10 12: D1P.M 12: OZAM Primar~Medical $ 250 Accident SPP0003072200 2/01/08 2/01/09 Excess Medical $ NONE Wee Indemn' $ XNONE DESCRIPTION OF OPERATIONSILOCATIONSNEH3CLESIRESTRICTIONS!SPECIAL ITEMS ADDITIONAL INSURED: ANY PERSON, ORGANIZATION, OR ENTITY ENGAGED IN SPONSORING OR PROVIDING THE PREMISES FOR BABE RUTH BASEBALL/SOFTBALL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ATLANTIC BEACH 16&U SOFTBALL BRL CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~0 DAYS Dunham, Susan WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMER TO 4219 Stacey Road West THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE Jacksonville Beach, FL 32250 NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, IT5 AGENTS OR REPRESENTATIVES. AUTHORIZE° REPR NT TIVE ~ ~ ~ SL39 ~~~u 1-92 AGENDA TI'EM # 4D SEPTEMBER 22, 2008 ABAA Income Statement 2007 Revenue - Registration - Concession & Other Gross Revenues Cost of Goads Sold - Uniforms - Concessions Cost of Goods Sold Gross Mazgin Expenses - General & Administrative -Maintenance - Equipment - Personnel Expense Field Prep Concessions Manager Total Expenses Net Surplus/(Shortage) Note: Statement was prepared on a cash basis $ 97,161.33 25,057.03 $122,218.36 $ 44,900.27 26.186.30 71.086.57 $ 51,131.79 $ 25,149.18 13,269.65 7,862.01 3,150.00 9,350.00 $58,780.84 ($ 7,649.05) Beginning bank balance as of 12/30/06 $9, 907.01 Ending bank balance as of 12/31/07 $2,257.96 AGENDA ITEM # 4D SEPTEMBER 22, 2008 CITY OF ATLANTIC BEACH RENTAL CONTRACT FOR PUBLIC FACILITIES LONG TERM AGREEMENT made and entered into this i ~~`of ~ , 2008 at Atlantic Beach, Duval County, Florida, by and between CITY OF ATL TIC BEACH a F1orlda municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233 (hereinafter "City"), and Atlantic Beach Experimental Theatre (ABETS of Atlantic Beach, Florida (904) 249-7177 (hereinafter "Renter"). WHEREAS, Renter desires to use the following public facility: The Adele Grade Cultural Center Theatre and WHEREAS, Renter desires to use said public facility on a recurring basis such as daily, weekly, monthly, during a particular season, or the like, which is more than a one time use, and therefore a long term use, and WHEREAS, the parties are in complete agreement regarding the terms set forth herein. NOW THEREFORE, in consideration of the covenants and promises as set forth herein, and any rental payment made hereunder, and other valuable consideration, the receipt and sufficiency of which is acknowledged by both parties, it is AGREED AS FOLLOWS: 1. Length of Rental Term: This agreement shall run from October 1, 2008 through September 30, 2009. 2. Amount and Time of Payment: Renter, in exchange for use of the facility, shall pay to the City the annual fee of $200.00 at the time of signing this agreement. Such fee may be waived at the discretion of the City Manager if Renter is a governmental agency or an organization that provides a public service available to all, is non-profit in nature, and charges no user or admission fees. Renter shall provide the City with a copy of its tax exempt form or other proof or evidence satisfactory to the City Manager of Renter's non-profit status. 3. Conditions: This agreement is made and entered into upon the following express covenants and conditions, all and everyone of which Renter hereby covenants and agrees, with the City, to deep and perform: a. No fees or admission costs shall be charged to the public unless approved in writing by the City Manager. b. No use of alcoholic beverages shall be permitted without the written permission of City Manager. AGENDA ITEM # 4D SEPTEMBER 22, 2008 c, Renter shall provide to the City a copy of audited financial statements if requested. In the event audited financial statements are not available, renter shall provide all supporting documents with its own financial statements. d. Renter shall insure compliance with all city, state and federal laws, as well as any rules and regulations of the City for the government and management of the public facility, together with all rules and requirements of the police and fire departments of the City. e. Renter shall allow no discrimination based on race, sex, age, religion, national origin, disability or otherwise. f. Renter shall make no alterations to the facility of a permanent nature without the express written consent of the City Manager. g. Renter's use of the facility is not exclusive outside of the dates and time as set forth below. h. Renter shall leave the facility available for use by other parties if other activities aze scheduled or upon the request of City staff. This may include removal and storage of Renter's property. i. Renter shall correct any discrepancies noted by the Ciry. Should the City require corrective action, such action shall be the financial responsibility of the Renter. Renter shall provide a written account of all security key cards to the facility in possession of Renter at the end of the contract. If renter cannot account for all keys, Renter will incur the cost of canceling. the lost card and issuing a new one. One key will be provided at no cost to Renter and any additional keys will require a $20.00 fee per key at Renter's expense. k. Any exclusive use shall be as set forth below. The use of the facility in addition to the exclusive use periods shall be requested through the Recreation Director under the general rules, i.e., a facility may be requested for short tem use by applying for such use after the 15a' day of each month for a day or time period within the next month. For example, any organization requesting the short-term use of a City facility in the month of February could apply for such use after the 15a' day of January. AGENDA ITEM # 4D SEPTEMBER 22, 2008 1. Renter shall maintain at all times during the lease term at Renter's cost, a comprehensive public liability insurance policy protecting the City against all claims or demands that may arise or be claimed on account of Renter's use of the premises, in an amount of at least $1,000,000 for injuries to persons in one accident, $1,000,000 for injuries to any one person, and $1,000,000 for damages to property, the insurance shall be written by a company or companies acceptable to the City and authorized to engage in the business of general liability insurance in the State of Florida. Renter shall deliver to the City satisfactory proof or evidence of such insurance, and shall name the City as an additional insured under said policy. m. Renter may apply to the City Commission of Atlantic Beach for a waiver of this insurance requirement. The City Commission shall consider such application for waiver on a case by case basis, taking into account the length of the lease term, use of the public facility, number of persons involved in said use, cost of the insurance, and any other factors submitted by Renter which unique and particular to the Renter. n. Renter agrees to indemnify and hold harmless the City from any and all liability, defense costs, including other fees, loss or damage which the City may suffer as a result of claims, demands, costs or judgment against it, arising from all activities engaged in by Renter in its use of the following public facility: Adele Grage Cultural Center Theatre. o. Additional provisions agreed upon by the City and Renter: None other specified. 4. Exclusive Use Dates and Times: The renter will be given priority for reserving the Theatre for auditions, performances, rehearsals and drama classes. The Renter's Manager will provide a schedule of plays to the Recreation Department on a yearly basis. The City retains the right to rent and use the theatre at other times not specified for use by the Renter. 5. Delivery of Facility: The City shall deliver the facility to Renter in good working condition, with any necessary facilities and utilities, and in clean condition. 6. Contrgt of $uitdins: In renting said facility to Renter, the City does not relinquish the right to control the management and operation of the facility, and the City Manager or his designee may enter the facility and all premises at any time and on any occasion. 7. Assignment: Renter shall not assign this agreement nor suffer any use of the facility other than herein specified, nor sublet the facility or any part thereof, without the written consent of the City. AGENDA ITEM # 4D SEPTEMBER 22, 2008 8. Default: In case the Renter shall default in the performance of any covenant or agreement contained herein, and such default shall continue for ten (10} days after receipt by the Renter of written notice thereof given by the City, then the City, at its option, may declare this agreement ended. In that event, Renter shall immediately remove all persons and its property from the facility, and failing to do so, the City may cause such removal either with or without process of law, at Renter's expense. These expenses shall include, but not be limited to, reasonable attorney's fees incurred by the City, whether suit is filed or not." IN WITNESS WHEREOF, we have hereunto set our hands and official seals this day of CITY OF ATLANTIC BEACH By: Date: Its: "CITY" "RENTER" AGENDA ITEM # 4D SEPTEMBER 22, 2008 ATLANTIC BEACH EXPERIMENTAL THEATRE Treasurer's Report FY 2007-2008 Month ending 30-Jun YTD Cash antl Bank Accounts 1-Jun $ 18,925.99 13,874.95 Receiots Program Ads 0.00 875.00 1700 last fiscal year Community Foundation Grant 0.00 7,029.00 Cultural Council Grant 0.00 3,828.75 ABET Backers -2007-2008 season 0.00 496.86 3005 last fiscal year ABET Backers -2008 - 2009 season fi33.00 1,733.00 Ticket sales -2007-2008 season 0.00 564.00 5345 last fiscal year Ticket sales -2008-2009 season 1,121.00 2,593.00 Misc. 45.00 drama workshop 0.00 360.00 cost 0.00 -324.00 90% to tutor Children's workshop 0.00 1,200.00 cost of camp 0.00 -900.00 75 % to tutor subtotal 0.00 SHOWS receipts Show #11ast FY 0.00 220.00 They're playing our song Show #2 0.00 3,209.31 party to murder Show #3 0.00 3,615.15 dde down mt. Morgan Show #4 0.00 3,741.40 ladies of the alamo Show #5 27.00 3,481.50 to gillian on her 37th birthday Stage2 0.00 1,888.25 O'Henry Chdstmas Stage2 0.00 467.50 7HE calling Stage2 0.00 438.25 She's Wonderful Show #6 0.00 0.00 Nunsense subtotal 27.00 Total InFlow to Cash antl Bank Accounts 1,781.00 34,541.97 x enses Salary 1,250.00 11,250.00 Payroll Taxes WRhheld -120.63 -1,085.67 US Treasury 0.00 1,948.25 CONTRIBUTION TO BEAM [Beaches Emergency Aid Ministries[ $220 SHOWS expenses Show #ilast FY 0.00 -193.07 Show #2 0.00 2,555.02 Shaw#3 0.00 2,436.32 Show #4 0.00 1,922.97 Show #5 44.22 1,621.14 Stage2 0.00 1,217.70 Stage2 0.00 327.18 Stage2 0.00 342.95 Show #6 64.35 83.60 Nunsense show#7 91.90 111.15 Sanders family Christmas show #8 0.00 74.88 Love letters show #9 0.00 0.00 Forrest show #10 0.00 54.88 Exact center of ... show#11 0.00 0.00 Rear end show#12 0.00 29.88 Hughie show #13 0.00 0.00 show 13 subtotal 200.47 misc 3,276.00 3,562.05 $3228 for chairs Florida annual report 0.00 61.25 Memberships 0.00 217.95 Licenses 10.00 10.00 insurance 0.00 1,999.40 Advertising/Promotlon 0.00 283.50 Supplies 0.00 4.27 Perusal Scripts 0.00 56.02 PostageMtailbox/Copies 37.83 275.08 Storage Expense 259.00 2,331.00 259 PER MON7H DUE BY Telephone 137.85 1,264.77 Total Outflow from Cash and Bank Accounts 5,050.52 32,760.45 Net Income/(Loss) -3,269.52 1,781.52 Cash and Bank Accounts 30-Jun $ 15,656.47 15,656.47 Checlung Account 15,286.95 Cultural Council Account 219.52 Ticket Box Cash 150.00 Credh p $ 15,656.47 old balance 18,556.47 219.52 From: Kimberly Brown At: Ponta, Castle, Ingram Agency FaxID: To: Tim AGENDA ITEM # 4D SEPTEMBER 22, 2008 ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID ic8 DATE(MM1DD/YYYY) ATI.AId-2 09/09/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Poata Castle Ingram Agency Iac HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 31100 Telegraph Rd. , Suite 250 , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Biagham Farms MI 48025-4365 Phone: 248-258-1110 Fax:248-258-1964 INSURERS AFFORDING COVERAGE NAICS ~~~ ~URERA Pacific Iademait C as 20346 INSURER B: Atlantic Beach riatal Th IPLSl1RER c 1015 Atlantic Hlvd. 175 Atlantic Beach >!'L 3~2 3 IrRD: SJSURER E: ~.w crcnvco THE POLICIES OF INSURPN('.E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NJDICATED. NOTWITHSTANDNJG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTFER 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N TYPE OF NISURANCE POLICY NUMBER DATE MMID DATE (MMIDD/YY) LBIRS GENERAL LUIBLITV EACH OCCURRENCE S S, 0 0 0, O O O. A X X coMMERCwL GENERAL uaBalrY 35752133 01/20/08 01/20/09 PREMISes Fe oca,rar~ca S 1, 000 , 000 . CLAIMS MADE ~ OCCUR MED EXP (Any one Person} S 10 , D 0 0 . PERSONAL & ADV INJLStY S 1, 0 0 0~ Q Q D, GENERAL AGGREGATE S 2, 0 0 0, O O O. GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG S 2 , O O O , D O O . POLICY PET LOC AUT OM060.E LU18tlfTY COMBINED SINGLE LIMIT S ANY AUTO (Ea acadenp ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Perryerson) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY • EAACCIDENT ; ANY HlJTO EA ACC OTHER TW W E AUTO OM.Y: AGG S EXCESSAMABRELLA LIABILITY EACH OCCURRENCE S OCCUR ~ CLAIMS MADE AGGREGATE S i DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETORtPARTNERIEXECIJTIVE E.L. EACH ACCIDENT S OFFICER/MEIrBER EXCLIAEO? If d ib d E.L. DISEASE - EA EMPLOYEE S yes, escr e un er SPECIAL PROVISIONS belay E.L. DISEASE -POLICY LIMIT S OT1~R DESORPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / E%ClUSIONS ADDED BY ENDOR36AENT /SPECIAL PROVISIONS The belo`- named Certificate Holder is as Additional Insured with respects to the negligence of the First Named Insured IX+hile at 716 Ocean Blvd, Atlantic Beach, FL 32233 during the above policy term. CERTIFICATE HOLDER CANCELLATION Ar~r~rrl SHOULD ANY OF THE ABOVE DESCRIBED POLICIE8 BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN City of Atlantic HeaCh NOTICE TO THE CERTIFICATE HOLDER NAM®TO THE LEFT, BUT FAILURE TO DO SO SHALL Atlantic Beach City Hall BOO SemiIIOle Rid SIPOSE NO OBLIGATION OR LIA81LITV OF ANY KW UPON THE INSURER, ITS AGENTS OR Atlantic Beach FL 32233 REPRES9tTATNES. TIVE RwRU cu (auuual O ACORD CORPORATION 1988