Loading...
HomeMy WebLinkAboutBadger State Outboard Association Paramedic Ambulance Stand-by 2017 Motorboat Races!_M 1 AGREEMENT CITY OF OSHKOSH AND BADGER STATE OUTBOARD ASSOCIATION PARAMEDIC AMBULANCE STAND-BY 2017 MOTORBOAT RACES THIS AGREEMENT made and entered into this X\Y day of May, 2017, by and between Badger State Outboard Association, hereinafter called "BADGER OUTBOARD", and the City of Oshkosh, a municipal corporation, hereinafter called "CITY". WHEREAS, BADGER OUTBOARD has requested the CITY provide a dedicated paramedic ambulance for stand-by, during specified hours for 2017 Badger State Motorboat races at the last boat ramp (south end), by the Park Building (sail boat area) located in Menominee Park. WHEREAS, the Common Council for the City of Oshkosh has authorized the appropriate City officials to enter into such an agreement. NOW, THEREFORE, it is agreed by and between the parties to this agreement that the CITY shall provide one (1) two -person paramedic ambulance to be present at Menominee Park during the Motorboat Races on Saturday, September 2, 2017 from 10:30 — 5:00; and Sunday, September 5, 2017 from 11:00 p.m. to 5:00 p.m. The role of this unit shall be to provide Basic Life Support (BLS) and Advance Life Support (ALS) for emergencies, if they occur. Minor first aid and re -hydration will not be a primary function of this unit. Emergencies requiring a response beyond the capabilities of the unit on scene or emergencies occurring while the on -scene unit is busy on any emergency will be handled by a response of on -duty resources. IT IS FURTHER AGREED that BADGER OUTBOARD shall pay as cost reimbursement the actual cost associated with providing personnel, vehicles, equipment and other supplies. The hourly cost for a paramedic unit will be $124.25 per hour. Billed time will commence 30 minutes prior to the start of stand-by and end 30 minutes after the termination of stand-by. Any additional hours requested or required to provide adequate service in the sole opinion of the Duty Chief for the City of Oshkosh to provide adequate service shall be billed to Badger Outboard at the same hourly rate. A three hour minimum will be charged if the event is not cancelled at least twelve (12) hours prior to the scheduled start time. Pre -event cancellation shall be made by calling 920-236-5240 during normal business hours (M -F, 8-4:30) or 920-236-5271. The CITY shall invoice Darrell Ludwig, 535 W Fond du Lac St, Ripon WI 54971 following the event, with payment to be made within 30 days of receipt of invoice. All patients requiring transport by the Oshkosh Fire Department ambulance will be billed for services rendered according to the CITY's usual and customary procedures and rates for service. BADGER OUTBOARD shall indemnify and save harmless the CITY from and against any and all losses, claims, demands, penalties, fines, causes of action, costs, damages, expenses and liability, including without limitation any attorney or consultant fees, investigation fees, court costs and litigation expenses, and other costs of defense arising out of or in any manner related to BADGER OUTBOARD's operation during this event, including but not limited to: A. Any personal injury or bodily injury (including wrongful death) or property damage (real or personal); B. Any lawsuit brought or threatened, settlement reached, or local, state, or federal government or agency order, including, but not limited to claims, costs, liabilities, or expenses arising under federal, state, or local law; C. Any violation of laws, orders, regulations, requirements, or demands of any governmental authorities; and, D. Any breach or violation of any contractual provision of whatever kind with any third party. ( ess) (Witness) r� Ap oved as to F Y ynn A. Lorens ity Attorney BADGER STATE UTBO ASSOCIATION By: Darrell Ludwig, Commodore 61 CITY OF OSHKOSH IC A. Rohloff, And: L Pamela R. Ubrig, �'ty erk And: Timothy R. Franz, Fire Chi N ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYVY) 07/20/2017 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 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 endorsement(s). PRODUCER CELL 516.449.1134 CONTACTNAME: RH FELSEN pHCNE t.516-466-9760 (AICFAX N,:516-466-9663 HAWK RACE CONSULTANTS, LTD. "MOTORSPORTS INSURANCE SPECIALISTS" E-MAIL ADDRESS: HAW KRACE(a7AOL.COM INSURER(S) AFFORDING COVERAGE NAIC# 1600 STEWART AVE. PH -702 WESTBURY, NY 11590 INSURER A: AMERICAN INSURANCE COMPANY A+XV INSURED INSURERB:ARCH INSURANCE COMPANY A+ XV AMERICAN POWER BOAT ASSOCIATION X WOS, PRI,NCAPPL BADGER STATE OUTBOARD ASSOC #304 INSURER C: 17640 EAST NINE MILE ROAD INSURER D: X EASTPOINTE, MI 48021-0377 INSURER E: _.................... ""5,000,000. INSURER F: COVERAGES CERTIFICATE NUMBER: #83117- RHF SANC ID: 12920 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. INSR ADDL. TYPE OF INSURANCE SUBR - -- - - POLICY EFF POLICY EXP _-- LTR NS POLICY NUMBER MMIDDIWW MMIDDM'YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Lx] OCCUR Y Y XXC-80502404 12:01 AM 12-1-16 12:01 AM 12-1-17 EACH OCCURRENCE $ 5,000,000. DAM.AGETORENTED PREMISES Ea occurrence $ 300,000. MED EXP (Any one person) N/A PERSONAL &ADV INJURY "$ $5,000,000. X WOS, PRI,NCAPPL X CONRACTUAL APPL ................ GENERAL AGGREGATE$ _.................... ""5,000,000. GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGG $ 5,000,000. PART LGL LIAB $ 5,000,000. POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accid_enq _._ _ $ $ ANYAUTO BODILY INJURY (Per person) ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE IPer accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DED 1 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYY / N ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- I JOTH- TO_R_ Y LIMIT_ ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? - ❑ N/A! ""--------— E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B PARTICIPANT ACCIDENT AME -000826200 12:01 AM 12:01 AM $10,000. AD & D 12-1-16 12-1-17 $10,000. EXCESS MED $1000 DED $3000/$3000. NON MEMBER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) REGATTA: SHAKE THE LAKE 2017 EVENT DATE: 8/31/2017 — 9/3/2017 CONDUCTING CLUB: BADGER STATE OUTBOARD ASSOCIATION #304 REGION: 7 SANCTION ID: 12920 PLACE: OSHKOSH, WI MILLERS BAY, LAKE WINNEBAGO CERTIFICATE HOLDER IS ADDL. INStWED, BUT ONLY RESPECTS TO OPERATIONS OF NAMED INSURED CERTIFICATE HOLDER CANCELLATION CITY OF OSHKOSH 215 CHURCH AVE OSHKOSH, WI 54901 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE J0 A CELL 516.449.1134 *X� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/051 The ACORD name and logo are registered marks of ACORD