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FY18/19 Grant Agreement with Power Access, Inc. 9.01L3o429 MIAMI BEACH CITY OF MIAMI BEACH FISCAL YEAR 2018-2019 GRANT AGREEMENT PROJECT No.: 2019-CMB-03 This GRANT AGREEMENT is made and entered into this c day ofPrI 20 Ig by and between the City of Miami Beach Florida (hereinafter the "City"), and Power Access, Inc. (hereinafter the"Grantee"). This Agreement is effective October 1, 2018, the"Effective Date." ARTICLE I /GRANT DESCRIPTION GRANTEE: Power Access, Inc. GRANTEE CONTRACT ADMINISTRATOR: Britanya Woodstock ADDRESS: 1616 Michigan Ave. #1 CITY, STATE, ZIP: Miami Beach, FL 33139 PHONE, FAX, E-MAIL: 305-741-1642 GRANT AMOUNT: $25,000 PROJECT DESCRIPTION: See Exhibit 1 hereto GRANT PROJECT BUDGET: See Exhibit 2 hereto GRANT TERM: October 1, 2018—September 30, 2019 EXPENDITURE DEADLINE: September 30, 2019 PROJECT COMPLETION DATE: September 30, 2019 FINAL REPORT DEADLINE: October 15, 2019 FINAL REIMBURSEMENT REQUEST DEADLINE: October 15, 2019 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement. FOR CITY: City of Miami Beach, Florida ATTEST: ����r . e R 1 Ra ael E. Granado, City ilerk aI; ,, Ji ' y L. orales, City Manager RAT � '' ° Ea. OV 8 201 I11,7<';� aDaIT( Date r . te q-1)"a-.), FOR GRANTEE: Power Access, Inc. Federal ID#27-3497929 ATTEST: 414 Ji 14e.t---- ••• ./f By: `0. 7,1°' Sim= — Authorized Signature titrOlb ; \71-a g.,Pa,th Print Namdt nd Title Print Name and Title ii4(0/& Dat:- Date APPROVED AS TO FORM& LANGUAGE &FOR y<ECUTION 1j94"H fte City Attorney Date • • Page 2 ARTICLE H/GENERAL CONDITIONS 1. PARTIES: The parties to this Agreement are the Grantee listed in Article I, and the City, a municipal corporation organized under the laws of the State of Florida. The City has delegated the responsibility of administering this Grant to the City Manager or the City Manager's authorized designee (the"Contract Administrator"). 2. PROJECT DESCRIPTION: The Grantee may only use the Grant for the purposes that are specifically described in the Project Description,attached hereto as Exhibit 1.Any modification to Exhibit 1, Project Description,shall not be effective unless approved by a written amendment to this Agreement signed by the City and Grantee. Grantee agrees that all funding provided by the City pursuant to this Agreement will be used exclusively for goods or services to be provided within the City of Miami Beach. 3. GRANT PROJECT BUDGET: Subject to the availability of City funds, the maximum amount payable to Grantee for goods or services rendered under this Agreement shall not exceed the Grant Amount as set forth in Article I of this Agreement. Grantee agrees that should available City funding be reduced, the amount payable under this Agreement will be reduced at the sole option of the City of Miami Beach. All of the grantee's expenditures are subject to the terms of this Agreement, and as specified in the Grant Project Budget,attached hereto as Exhibit 2.Any modification to Exhibit 2, Project Budget, shall not be effective unless approved, in writing, by the City and Grantee. Notwithstanding the foregoing, no modification to the project budget shall exceed the Grant Amount set forth in Article I of this Agreement. Any request by Grantee to modify Exhibit 2, Project Budget, shall be made in writing, using City approved forms, detailing and justifying the need for such changes. 4. REPORTS:This Grant has been awarded with the understanding that the activities and services contemplated under the Project Description will mutually contribute to the enhancement of services available to City residents, businesses, and visitors. As a condition of disbursements of grant funds, and to demonstrate that the Grant is fulfilling, or has fulfilled, its purpose, the Grantee must submit quarterly reports to the Contract Administrator by the following dates:January 15t, April 15t, July 15th, and the final report by October 15th. New Grant awards will not be released to the Grantee until all Final Reports for previously awarded grants are received. The City may withhold any future payments of the Grant, or the award of any subsequent Grant, if it has not received all reports required to be submitted by Grantee, or if such reports do not meet the City's reporting requirements. Any reports may be disseminated by the City without the prior written consent of the Grantee. All quarterly reports must be submitted on the Exhibit 3, Grant Quarterly Status Report Form, detailing Grantee's compliance at the time of a partial reimbursement request. 5. REIMBURSEMENT REQUESTS: Reimbursement requests may be submitted to the City at any time during the Grant Term. All reimbursement requests must be made after expenditures have Page 3 occurred. All reimbursement requests for funds must be submitted on Exhibit 4, Grant Reimbursement Request Form.All reimbursement requests must be submitted prior to October 15th,2019.Grantee shall provide the City with copies of all receipts, invoices,cancelled checks(with copies of both front of back) and proof of expenditures of Grant monies. Grantee shall provide the City with and shall categorize all receipts, invoices, cancelled checks, and other documentation, according to the categories set forth in the grant budget. Invoices and checks must be directly related to expenses for Grant-funded activities taking place within the 2018-19 Fiscal Year. 6. AMOUNT OF GRANT AND PAYMENT SCHEDULE: The total amount of the Grant is set forth in Article I, subject to the restrictions set forth herein. In awarding this Grant, the City assumes no obligation to provide financial support of any type whatsoever in excess of the total Grant amount. Cost overruns are the sole principal responsibility of the Grantee. The Grant funds will only be remitted to the Grantee once the Mayor and City Commission have approved the grant award, and once all parties have executed this Agreement. 7. GRANT RESTRICTIONS: Grant funds awarded pursuant to this Agreement may not be used for the following expenditures: remuneration of City employees for services rendered as part of a project funded by this Grant; debt reduction; social and/or fundraising events; cash prizes; lobbying or propaganda materials; charitable contributions; or events not open to the public. 8. NO GUARANTEE OF FUNDING:The grantee acknowledges that the receipt of this grant does not imply a commitment on behalf of the City to continue or provide funding beyond the terms specified in this Agreement. 9. PROGRAM MONITORING AND EVALUATION: The City Manager or the City Manager's designee may monitor and conduct an evaluation of the Project under this Grant, which may include, with or without limitation,visits by City representatives to Grantee's offices and/or the site of any project funded by this Grant, to observe Grantee's programs, procedures, and operations, or to discuss the Grantee's programs with Grantee's personnel;and/or requests for submittal of additional documentation or written reports, prior to the Project completion date, evidencing Grantee's progress on the Project. 10. BANK ACCOUNTS AND BONDING: Grantee shall maintain all monies received pursuant to this Agreement in an account with a bank or savings and loan association that is located in Miami-Dade County. The Grantee shall provide the City with the name of the bank or savings and loan association, as well as the name and title of all individuals authorized to withdraw or write checks on Grant Funds. 11. ACCOUNTING AND FINANCIAL REVIEW: Funded activities by this Grant must take place during the City's fiscal year for which the Grant is approved (October 1 —September 30). The Grantee shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in conformance with reasonable accounting standards. These books and records, as. well as all Page 4 documents pertaining to payments received and made in conjunction with this Grant, including,without limitation, vouchers, bills, invoices, receipts and canceled checks, shall be dated within the fiscal year for which they are approved and retained in Miami-Dade County in a secure place and in an orderly fashion by the Grantee for at least three (3) years after the Expenditure Deadline specified in in this Agreement.These books, records, and documents may be examined by the City, and/or its authorized representatives, at the Grantee's offices during regular business hours and upon reasonable notice. Furthermore,the City may,at its expense,audit or have audited,all the financial records of the Grantee, whether or not purported to be related to this Grant. Grantee costs or earnings claimed under this Agreement may not also be claimed under any other Agreement from the City of Miami Beach or from any other entity. Any claim for double payment by Grantee shall be a material breach of this Agreement. 12. PUBLICITY AND CREDITS: The Grantee must include the City logo and the following credit line in all publications related to this Grant: "This Project is funded in whole or in part by a grant from the City of Miami Beach." Grantee's failure to comply with this paragraph may preclude future grant funding from the City, in the same manner as if Grantee defaulted under this Agreement. 13. LIABILITY AND INDEMNIFICATION: Grantee shall indemnify and hold harmless the City and its officers, employees, agents, and contractors, from and against any and all actions (whether at law or in equity), claims, liabilities, losses, expenses, or damages, including, without limitation, attorneys' fees and costs of defense,for personal, economic, or bodily injury,wrongful death, or loss of or damage to property, which the City or its officers, employees, agents and contractors may incur as a result of claims,demands,suits, causes of action or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this Agreement by the Grantee or its officers, employees, agents, servants, partners, principals or contractors. Grantee shall pay all claims and losses in connection therewith and shall investigate and defend all claims,suits,or actions of any kind or nature in the name of the City, where applicable, including appellate proceedings, and shall pay all costs,judgments, and attorneys'fees which may issue thereon.Grantee expressly understands and agrees that any insurance protection required by this Agreement, or otherwise provided, shall in no way limit its obligation, as set forth herein, to indemnify, hold harmless, and defend the City or its officers, employees, agents, and contractors as herein provided. If the Grantee is a government entity, this indemnification shall only be to the extent and within the limitations of Section 768.28, Florida Statutes, subject to the provisions of that Statute whereby the Grantee entity shall not be held liable to pay a personal injury or property damage claim or judgment by any one person which exceeds the sum of $200,000, or any claim or judgment or portions thereof, which, when totaled with all other claims or judgments paid by the government entity arising out of the same incident or occurrence, exceed the sum of$300,000 from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligence of Page 5 the Grantee entity. 14. ASSIGNMENT: The Grantee shall not be permitted to assign this Grant, and any purported assignment will be void, and shall be treated as an event of default pursuant to this Agreement. 15. COMPLIANCE WITH LAWS: The Grantee agrees to abide by and be governed by all applicable Federal, State, County and City laws, including but not limited to Miami-Dade County's Conflict of Interest and Code of Ethics Ordinance, as amended, which is incorporated herein by reference as if fully set forth herein, and Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 16. DEFAULT/TERMINATION PROVISIONS: In the event the Grantee shall fail to comply with any of the provisions of this Agreement,the City Manager or the City Manager's designee may terminate this Agreement and withhold or cancel all or any unpaid installments of the Grant upon giving five (5) calendar days written notice to the Grantee, and the City shall have no further obligation to the Grantee under this Agreement. Further, in the event of termination,the Grantee shall be required to immediately repay to the City all portions of the Grant which have been received by the Grantee, as of the date that the written demand is received. Any uncommitted Grant funds which remain in the possession or under the control of the Grantee as of the date of the Expenditure Deadline specified in this Agreement must be returned to the City within fifteen(15)days after the Expenditure Deadline. If such funds have been committed but not expended, the Grantee must request in writing from the City Manager an extension of the Expenditure Deadline which, if approved, shall be for a period not to exceed one(1)year. Grant funds which are to be repaid to the City pursuant to this Section are to be repaid upon demand by delivering to the City Manager a certified check for the total amount due, payable to the City of Miami Beach, Florida. These provisions shall not waive or preclude the City from pursuing any other remedies that may be available to it under the law. Notwithstanding the provisions of this Section,and without regard to whether City has exercised the Default provisions thereof, the City reserves the right, at its sole and absolute discretion, to discontinue funding of the Grant if it is not satisfied with the progress of the Project or the content of any required written report. In the event of discontinuation of the Grant or at the close of the Project, any unexpended Grant Funds shall be immediately returned to the City,except where the City Manager has agreed in writing to alternative use of the unused/unexpended Grant Funds. Page 6 • 17. INSURANCE REQUIREMENTS: A. Verification of Coverage Grantee shall provide the required insurance certificates, endorsements or applicable policy language effecting coverage required by this Section, as follows. All certificates of insurance and endorsements are to be received prior to any work commencing. However,failure to obtain the required coverage prior to the work beginning shall not waive the Grantee's obligation to provide them. The City of Miami Beach reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. i. Worker's Compensation Insurance as required by Florida Statute, Chapter 440, and Employer's Liability Insurance with limits of no less than $1,000,000 per accident for bodily injury or disease. ii. Commercial General Liability on a comprehensive basis, including products and completed operations, contractual liability, property damage, bodily injury and personal &advertising injury combined single limit of$1,000,000 per occurrence for bodily injury and property damage. City of Miami Beach must be shown as an additional insured with respect to this coverage. iii. Automobile Liability Insurance covering all owned, non-owned and hired vehicles used in connection with the work, in an amount not less than $500,000 combined single limit per occurrence for bodily injury and property damage. B. Additional Insured Status The City of Miami Beach must be covered as an additional insured with respect to liability arising out of work or operations performed by or on behalf of the Grantee. C. Waiver of Subrogation Grantee hereby grants to City of Miami Beach a waiver of any right to subrogation which any insurer of the Grantee may acquire against the City of Miami Beach by virtue of the payment of any loss under such insurance. Grantee agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City of Miami Beach has received a waiver of subrogation endorsement from the insurer. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City of Miami Beach Risk Management Office. Page 7 E. Special Risks or Circumstances The City of Miami Beach reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Certificate Holder Certificate holder must read: CITY OF MIAMI BEACH do HR Department/Risk Management Division 1700 Convention Center Drive Miami Beach, FL 33139 F. Compliance with the foregoing requirements shall not relieve the Grantee of its liability and obligation under this section or under any other section of this Agreement. 18. NO WAIVER: No waiver of any breach or failure to enforce any of the terms, covenants, conditions or other provisions of this Agreement by either party at any time shall in any way affect, limit, modify or waive either party's right thereafter to enforce or compel strict compliance with every term, covenant, condition or other provision hereof. 19. WRITTEN NOTICES: Any notices required under this Agreement will be effective when delivered to the City in writing and addressed to the City Contract Administrator. Any notices required under this Agreement will be effective when delivered to the Grantee in writing and addressed to the Grantee Contract Administrator. 20. CAPTIONS USED IN THIS AGREEMENT: Captions, as used in this Agreement, are for convenience of reference only and should not be deemed or construed as in any way limiting or extending the language or provisions to which such captions may refer. 21. CONTRACT REPRESENTS TOTAL AGREEMENT: This contract, including its special conditions and exhibits, represents the whole and total agreement of the parties. No representations, except those contained within this agreement and its attachments, are to be considered in construing its terms. No modifications or amendments may be made to this Agreement unless made in writing signed by both parties and approved by appropriate action by the Mayor and City Commission. 22. CITY CONTRACT ADMINISTRATOR: All contract related questions, reports and requests for reimbursements to be submitted to the City Contract Administrator listed below. Page 8 Judy Hoanshelt Director, Grants Management Division City of Miami Beach Office of Budget and Performance Improvement 1700 Convention Center Drive Miami Beach, FL 33139 Tel: 305-673-7510/305-673-7000 ext. 6183 Fax: 786-394-4675 Email: judvhoansheMmiamibeachfl.gov ARTICLE III/MISCELLANEOUS PROVISIONS 23. The Grant awarded herein is the result of a finding by the City, based on representatives, documents,materials and other information supplied by Grantee,that the Grantee is performing a public purpose through the programs, projects, and/or services recommended for support. As such, use of Grant funds for any program component not meeting this condition will be considered a breach of the terms of this Agreement and will allow the City to seek remedies including, but not limited to, those outlined in this Grant Agreement. 24. The Grantee also accepts and agrees to comply with the following Special Conditions: The Grantee hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) prohibiting discrimination on the basis of race, color, national origin, handicap, or sex. The Grantee hereby agrees that it will comply with City of Miami Beach Human Rights Ordinance as codified in Chapter 62 of the City Code, as may be amended from time to time, prohibiting discrimination in employments housing and public accommodations on account of actual or perceived race, color, national origin, religion, sex, intersexuality, gender identity, sexual orientation, marital and familial status, age, disability, ancestry, height, weight, domestic partner status, labor organization membership, familial situation, or political affiliation. The City endorses, and Grantee shall comply with, the clear mandate of the Americans with Disabilities Act of 1990 (ADA) to remove barriers, which prevents qualified individuals with disabilities from enjoying the same employment opportunities that are available to persons without disabilities. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section 504 and prohibits discrimination on the basis of disability and requires that Grant recipients provide equal access and equal opportunity and services without discrimination on the basis of any disability. 25. GOVERNING LAW AND EXCLUSIVE VENUE: This Agreement shall be governed by, and construed in accordance with, the laws of the State Page 9 of Florida, both substantive and remedial,without regard to principles of conflict of laws. The exclusive venue for any litigation arising out of this Agreement shall be Miami-Dade County, Florida, if in State court, and the U.S. District Court, Southern District of Florida, if in federal court. BY ENTERING INTO THIS AGREEMENT, GRANTOR AND GRANTEE EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF, THIS AGREEMENT. THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. Page 10 EXHIBIT 1 PROJECT DESCRIPTION BACKGROUND/DESCRIPTION OF NEED Grantee is producing the Third Annual South Beach Jazz Festival.The purpose of the festival is to uplift the community, bring Miami Beach together, and prove to all that persons with disabilities can do anything regardless of life circumstances, while attracting a prestige class of residents and tourist to Miami Beach. KEY INTENDED OUTCOME (KIO): Services provided by the Grantee support the following City Key Intended Outcomes: • Maximize Miami Beach as a World Class Destination • Improve Alliance with Key Business Sectors, Namely Hospitality, Arts, & International Business with a Focus on Enhanced Culture, Entertainment, &Tourism PROGRAM DESCRIPTION The South Beach Jazz Festival is an event that improves accessibility and equal opportunity to qualified persons who have disabilities in the City of Miami Beach.The purpose of the event is to conduct public awareness programs concerning persons who have disabilities. The Third Annual South Beach Jazz Festival takes place January 4, 5 and 6, 2019. Each musical performance showcases the artistry of at least one person with a disability. The sheer talent of the artists promotes the festival's dual goals: to entertain and to celebrate the journey from disability to serendipity. American Sign Language Interpreters are provided at all events. LOCATIONS The South Beach Jazz Festival takes place in Miami Beach, Florida. The locations of the activities funded by this Agreement are as follows: 1. Euclid Circle: Lincoln Road and Euclid Avenue, Miami Beach, Florida 33139 2. Lincoln Road Stage: 1111 Lincoln Road, Miami Beach, Florida 33139 3. Soundscape Park: 400 17th Street Miami Beach, FL 33139 GRANT ACTIVITIES Activity Name Activity Date(s) and Description of Service Number of Description Recipients Attendees Euclid Circle Concert Free performances on Open to the public; residents 10,000 Jan. 6th, 2019 and visitors. Lincoln Road Stage Free performances on Open to the public; residents 10,000 Concert Jan. 6th, 2019 and visitors. Page 11 Soundscape Park Free Jazz documentary Open to the public; residents 5,000 screening on Jan. 6th, and visitors. 2019 GOALS/OUTCOMES Outcome Measure Target Reporting Timeline Sustained level of Number of attendees 20,000 Final Narrative Report attendance at concerts Sustained level of Number of persons with 45 Final Narrative Report participation by performers disabilities performing Successful completion of Number of free concerts Three (3) Final Narrative Report concerts completed successfully • Page 12 EXHIBIT 2 PROJECT BUDGET Budget Line Item Description Project Budget Professional Services: Event Planning, logistics, artist booking, and $8,000 Coordination fees all event coordination and production tasks (Vendor: KCC Productions) Professional Services: Equipment Rental of musical instruments and $17,000 rental fees equipment to produce event(Vendor: KCC Productions) Grand Total: $25,000 Page 13 ?MIER ACCESS Together celebrating accessibility 1616 Michigan Avenue #1, Miami Beach, FL 33139 November 21, 2018 Sonia S. Bridges, Division Director, Risk Management& Benefits Human Resources Department , 1700 Convention Center Drive, 3rd Floor Miami Beach, FL 33139 1i Dear Sonia S. Bridges, I am writing this letter in regards to the City of Miami Beach Grant Agreement 2018-2019 for request of Automobile Liability Insurance and Worker's Compensation for the 3rd Annual South Beach Jazz , Festival 2019. Power Access, Inc. will not use non-owed vehicles, require any vehicles in connection with the festival, nor does the entity Power Access, Inc. own any vehicles. Therefore, Automobile Liability , Insurance should not be applicable. Power Access, Inc. does not have any employees on payroll. Therefore, Power Access, Inc. is exempt from Worker's Compensation coverage under Florida Statutes, since there are less than four (4) employees. If you should have any questions, please contact me at (561)703-9716 or RDavidNew@gmail.com. Sincerely, )/ �� %' - 7704-) ; R. David New President Power Access, Inc. iSOylri)BEACH ifESTIVAL January 4-6,2019 www.southbeachjazzfest.com CERTIFICATE'OF LIABILITY INSURANCE DATE: 09/30/2018 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATLER OF INFORMATION ONLY AND CONFERS N.O RIGHTS UPON THE.CERTIFICATE HOLDER THIS Pro Health USA, Inc.. ' CERTIFICATE-DOES NOT AMEND,EXTEND Olt ALTER THE 1324.N,State Road 7 COVERAGE AFFORDED BY THE POLICIES BELOW. Margate,FL,33063 ' COMPANIES AFFORDING COVERAGE , COMPANY Alliance of Non Profits for Insurance-NAIC#10023. _. INSURED COMPANY . Power Access, Inc. -. 161.6 Michigan.Ave,Apt#1 COMPANY , Miami Beach, FL 33139 COMPANY COVERAGES TIS 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 ANYCONTRACT OR,OTHLR.DOCUi ENT WITH RESPECT TO WHICH THIS CERTIFICATEMAY BE ISSUED OR'MAY PERTAIN,TiE INSURANCE AFFORDED BY THE.POLICIES DESCRIBED HERIN IS SUBJECT TO ALLTlIE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, • AGGREGATE.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE TYPE OF INSURANCE POLICY NUMBER LIMITS LTR DATE.(MM/DD/YY) GENERAL LIABILITY GENERAL:AGGREGATE $1,000;000. XCL[AdIO1�fhiFitCIAL GENERAL PRODUCTS-COMP/OP AGG $1,000,000 LLTY CI AIMS:MADE' ,X OCCUR, 9-S6-201.8- PERSONAL.&ADV:INJURY S],000,000 B, 20.18-49390: OWNER'•S&CONTRACTORS PROT 9 302019 EACH.00CURANCE $7,000,000 • ' X. Contractual LiabilityDAMAGEto premised. $500,000 MED I?XP'(Ariv One.perS i). S 20:000 , AUTOMOBILE LIABILITY ANY AUTOS. ALL OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY S N/A$.-DU. (Per person) .-. B. ' . SO Dtit DAUTOs BODILY'INJURY' $WA HIRED AUTOS (Per accident), . NON-OWNED AUTOS PROPERTY DAMAGE $NFA . EXCESS LIABILITY EACH.00CURANCE. 'SN/A. B UMBRELLA FORM AGGREGATE $"N/A. ' DTHER.IHANUMBREI:LAFORM S. WORKER'S COMPENSATION AND WC SAiV=. :OTHER "S EMPLOYER'S LIABILITY.' . TORY LIMITS t ' B EL EACH ACCIDENT $ . THE PROPRIETOR/ .INCL EL DISEASE•POLICY'LIMIT .S PARTNERS/EXECUTIVE — :OFFICERS ARE: EXCL EL DISEASE--EA EMPLOYEE '$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEIHCLES/SPECIAL ITEN'IS -This certificate names the City of the Miami Beach,Florida as an additional insured..Add event Iocations at 1111 Lincoln'Rd.stage and Euclid Circle Stage on Euclid Ave..and Soundscape Park 40117u1 st,,Miami Beach,FL 33139 from Jan.4,2019 to.Jan 6m;:;2019 for3rd.Annual South Beach ' -Festival 2019. • .. SHOULD ANY..OF THE ABOVE POLICIES BE CANCEL.LEDOa:MATERIALLY • City of Miami Beach CHANGED-BEFORE-THE EXPIRVFION DATE THEREOF,THE ISSUING 1700 Convention Center Drive COMPANY WFLL.ENDEAVORTOMAI 30-DAYS(EXCEPT 10 DAYS FOR NON-PAYMENT)WEI'I`I'IN NOTICE TO_THE CERTIFICATE.IIOLDERNAMED Miami Beach, FL 33139 :TOTHE LEFT,B FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OI3ILGATIO, o'ANY KIND UPON TETE CO ANY,ITSAGENTS.OR RIRRFS .! FIVES. . 4,1• A, W_I RIZED REPRESENTA .