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HomeMy WebLinkAboutSkookum Rotary - Contract Equipment Use Agreement This agreement by and between Meson County 411 North 5th Street,Shelton WA 98584 Equipment owner's name Egtdpment owner's complete address ("Equipment Owner"),and skaukamRntary ("User"), User's name User's addresscomplete address will take effect on the end day of October 2024 and will continue for a period of 1 Weak'ends OctoberS.2024 JJn}' Month Yea I irne perio WHEREAS,Equipment Owner owns certain personal property described as bleachers atMCRACountyPark Description of equipment ("Equipment"),and which is normally used for "swig atmcmPa* and Type of use WHEREAS,User desires to use the Equipment for the purpose of sea8ngatoystertest and purpose o(use WHEREAS,Equipment Owner has agreed to allow User to use the Equipment provided that the following terms and conditions are met. It is Therefore Agreed By and Between the Parties: 1. Equipment Owner agrees to let User use the above described Equipment only for the above described purpose on October 2-9,2024 Carl Olson.427-9670 ext 725 is the contact person for Equipment Owner and Describe times and days of asage Equipment Owner contact person Jerry Obendod,360-463-6386 is the contact person for User to coordinate the details of usage. .Name c Users contact person 2. in consideration for the benefit of using the Equipment,User agrees to abide by all the terms andconditions of use described in this agreement.User further agrees that the lending of the Equipment is for the User's sole benefit. 3. User agrees not to use the Equipment for any unlawful purposes,and will obey all laws,rules,and regulations of all governmental authorities while using the Equipment.User also agrees to use the Equipment in a careful and proper manner. 4. User shall maintain the equipment in good repair and operating condition,allowing for reasonable wear and tear. S. Insurance Requirements.User will maintain the insurance coverages shown below. Liability Insurance.User promises and warrants that it carries liability insurance with a minimum liability occurrence limit of$1,000,000. The User will provide a certificate of insurance to the Equipment Owner at least seven days prior to the date upon which the User begins to use the above described Equipment. The certificate of insurance will indicate that User has made Equipment Owner an"additional insured"on User's policy with respect to the use of the Equipment. Property Insurance.User promises and warrants that User will keep the equipment insured against all risks of loss or damage from every cause whatsoever for full replacement value of the Equipment and name Equipment Owner as a loss payee. J:IFORMSIEQUIPMENT USE AGREEMENT.pdf 6. User agrees to hold harmless,indemnify and defend equipment owner(including equipment owner's agents,employees, and representatives)from any and all liability for injury or damage including,but not limited to,bodily injury,personal injury,emotional injury,property damage,or financial damage,which may result from any person using the equipment while the equipment is in the care of user,regardless of whether such injury or damage results from the negligence of the equipment owner(including equipment owner's agents,employees and representatives)or otherwise. 7. Equipment Owner,being neither the manufacturer,nor a supplier,nor a dealer in the equipment,makes no warranties, express or implied,as to any matter Whatsoever,including,without limitation,the condition of the equipment,its merchantability,its design,its capacity,its performance,its material,its workmanship,its fitness for any particular purpose, or that it will meet the requirements of any laws,rules,specifications,or contracts which provide for specific apparatus or special methods.User accepts the equipment"AS 1S." g, User agrees that if the equipment fails to perform after acceptance by User it will be the responsibility of User to repair and correct the problem.User further agrees that Equipment Owner will not be responsible for any failure of equipment for any reason. y. This agreement may be canceled unilaterally by either party with 14 days written notice to the other party.In the event that Equipment Owner must cancel this agreement,User will be entitled to any deposit User has paid.However,in no event Al Equipment Owner be liable to User for any lost profits or incidental,indirect,special,or consequential damages arising out of User's inability to use the Equipment,even if Equipment Owner has been advised of the possibility of such damages. Dated this U� day of 3a I -k ty1/� 202q Dap Month Year User Signer's Name Signer's Name e County Administrator c A. Position with Equiprnent Onorer(title) fosition with User(title) JAFORMS\EQUIPMENT USE AGREEMENT.pdf -----"IN SHELSKI ACORN" CERTIFICATE OF LIABILITY INSURANCE DA09123/202TE Y) 09/23/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT 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 have ADDITIONAL INSURED provisions or 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 certificate holder in lieu of such endorsements. PRODUCER 360-426-3317 CONTACT WHITNEY GONZALES ARNOLD&SMITH INS AGENCY INC. PHONE 360-426-3317 FAX P.O.BOX L WC,No,Ext: I WC.No: SHELTON,WA 98584 E IMAIL HOUSE ACCOUNT _ INSURER(Sl AFFORDING COVERAGE NAIC N INSURERA:MUtUal of Enumclaw 14761 MYN ON SKOOKUM ROTARY CLUB INSURER B: NANCY KISSNER INSURER C PO BOX 849 SHELTON,WA 98584 INSURER D: INSURER E- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 PAID CLAIMS. 11R. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP I LIMITS COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES lEa occurnnnl MED EXP An one erson PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY❑Yer LOC PRODUCTS-COMP/OPAGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Per rson OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident HIRF�D NON-OWNED ROPERTY AMAGE AUT S ONLY ,AUTOS ONLY Per accident UMBRELLA LIAR I OCCUR EACH OCCURRENCE $ EXCESS LIAB I CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY Y/N ANY , ICEWMEMBER PAR EXCLUDED ECUTIVE ❑ N/A E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Equipment Floater CPP0019051 04 09/18/2024 09/18/2025 IRENTED& 250,000 RENTED&LEASED EQUIPMENT LEASED EQ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) PROOF OF INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELWERED IN MASON COUNTY PARKS ACCORDANCE WITH THE POLICY PROVISIONS. &RECREATION DIANE ZOREN AUTHORIZED REPRESENTATIVE 2100 E JOHNS PRAIRIE RD HOUSE ACCOUNT SHELTON,WA 98584 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD