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. ^ . ' City of Zephyrmlls U��UK�� o��U�� Planning Department oU�~��nn��o�v~m_ REQUIREMENTS ��su�Street,Zephyr U|s,pL33542 '813'780-0000 Applicants are required to provide proof of insurance in the amount of One Million Dollars ($1,000,000) per occurrence.For events With alcoholic beverage consumption,liability insurance coverage requirements increase to Two Million Dollars($2,000,000)per occurrence.The City of Zephyrhills shall be named as an additional insured on coverage for all events. Please note that itis also the applicant's responsibility mv ensure that all food/beverage vendors and attraction vendors involved in the event provide valid proof ofinsurance meeting the minimum requirements stated above,-.Proof of coverage shall be submitted to the city no less than one week priortotheevent or the event runs the risk of cancellation.An example Certificate of General Liability Insurance form is provided in this packet for informational purposes only. ' \ 44� / ��y z�~*�Tz��^��— . here on known as the APPLICANT shall, its� sole cos and « expense,procure and maintain throughout the term bf this contract, Comprehensive General Liability insurance, with the minimum policy amounts of$1,000,000 Combined Single Limits for passive events or,$2,000,000 Combined Single Limits for events with alcoholic beverage consumption,orto the extent and|nsuchamoun¢sasrepuiredand authorized by Florida law,and will provide endorsed certificates of Insurance generated and executed by a licensed insurance broker, brokerage nrsimilar licensed insurance professional evidencing such coverage, and naming the CITY OF ZEPHYRHILLS as 0 named,additional insured,as well as furnishing the CITY OF ZEPHYRHILLS with a certified copy,nrcnpie�o[said insurance policies.Ce�|Ocatescf insurance and ce�ifiedcopies of these insurances policies must ao�mpanythis signed contract.Said insurance coverages procured 6v the APPLICANT os required herein shall be considered, and the APPLICANT agrees that said insurance coverages |t procures asrequired herein shall be considered,as primary insurance over and above any other insurance,or self-insurance,available u,the CITY oF Z£PHYRH|LLS, and that any other insurance, or se|Ansv^ance available to the c|Tv OF ZEPHvu*|uS shall be considered secondary to,or in excess of,the insurance coverage(s)procured by the APPLICANT as required herein. Nothing herein shall be construed toextend the CITY OFZEPMYDH|LUS' liability beyond that provided in section 768.Z8,Florida Statutes. Applicant Signature Date Printed Name Representative Capacity of Person Signing Insurance 2018