Create a Website Account - Manage notification subscriptions, save form progress and more.
Please be aware that as the city continues to monitor the Covid-19 situation in our immediate area, any event is subject to possible cancellation.
Company shall, at its own expense, maintain in effect for the Event, comprehensive general liability insurance policies with carriers of recognized standing, with limits of liability of at least one million dollars ($1,000,000), governing any and all property damage and personal liability (including death) arising out of activities associated with or relating to the Event. The City requests an Original or electronically transmitted certificate of insurance (COI) on an ACORD-25 form (2010/05) in the amount of $1,000,000, Commercial General Liability, with a policy endorsement notating the City of Boca Raton and the Boca Raton Community Redevelopment Agency, 201 W. Palmetto Park Rd, Boca Raton, FL 33432, and the Greater Boca Raton Beach and Park District, 21618 St. Andrews Blvd, Boca Raton, FL 33433 as additional insureds for the date of the event, or one full year. In addition, furnish auto liability coverage in the amount of $100,000.
The undersigned, in consideration of the City of Boca Raton and the Greater Boca Raton Beach & Park District providing us with space for the display, promotion and/or sale of our various services, products, goods and other valuable wares during their event, do hereby release the City of Boca Raton and the Greater Boca Raton Beach & Park District and any of their members, employees, directors or volunteers from any liability for the loss or damage of product, personal injury or property damage. Further, I acknowledge full responsibility for all my activities at the event and for those assisting me and I agree to defend, hold harmless and indemnify the City of Boca Raton and the Greater Boca Raton Beach & Park District for any damages, attorney’s fees, or costs of any legal action resulting from any claims in which they, their members, employees, agents or volunteers are made parties defendant. This Release and Indemnity Agreement applies for the duration of the event as scheduled and to any claims made within the applicable Statute of Limitations for a loss occurring during that time period.
This field is not part of the form submission.
* indicates a required field