HomeMy WebLinkAbout313310 07/10/17 9�.,"f• CITY OF CARMEL, INDIANA VENDOR: 371270
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ONE CIVIC SQUARE ARTISTS DEVELOPMENT COMPANY CHECK AMOUNT: $**"*"*600.00'
: ?�; CARMEL, INDIANA 46032 324 W.MAIN STREET CHECK NUMBER: 313310
+y,- CARMEL IN 46032 CHECK DATE: 07/10/17
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INVOICE
Invoice ID: 0017
Issue Date: May 25, 2017
Artists Development Company
Due Date: July 22, 2017 324 W Main St,Carmel,IN 46032
3131
Subject: Entertainment Bookings for July 22, 2017 3evelop info@ardstdevelopmentcompany.com
For: The City of Carmel
ITEM DESCRIPTION Date NAME AMOUNT
TYPE
Service Contracted Saturday,July Tad Robinson $600
Entertainment-Jazz 22,2017
on Monon
$600.00
$600.00
Pleat,(, Qu+ cM
spafoc chuck { m
Dov/ ADC, 1+ Mc
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artist
development
company
PERFORMANCE AGREEMENT
This Performance Agreement (the "Agreement"), which shall be effective as of the date it is last signed b a
(the "Effective Date"), is now entered into by and between Artist Development Corporation ("ADC"), and
an individual or entity authorized to do bu 'ness in the State of Indiana and with offices
spa } i (}t'.A 4L A V , 6�{Q of / (the address of the "Performer").
1. Performance. The Performer shall provide the following live entertainment oho '�` (the "Perform
July 22nd , 2017j (the "Performance to"), from 6 .M. to � .M, at Ave, SW , Carmel, in
"Venue"). Th P rformer shall provide all pment necessa or desirable for the Performance, except that ,
provide: �` � I
2. Payment. ADC shall pay to the Performer the sum of$. , � (the "Payment") upon payment to ADC '
Carmel, Indiana ("City of Carmel"), typically within forty-five (45) days of the Performance Date, which p
constitute all monies due and owing to the Performer from ADC for or related to the Performance.
3. Non-Performance. If the Performance is cancelled by ADC at least thirty (30) days,prior to the P
ADC owes no amount to Performer. If the Performance is cancelled less than thirty days befi ,
Date, then ADC shall pay to the Performer the full amount of the Payment sum as spedfied infaraY
4. Sales. Neither ADC nor the Performer shall sell tickets or charge admission to the P+erformanoe
the Performer may, in conformance with the laws, rules, and regulations of thA V
Date, y . ►
merchandise at the Performance location, and the Performer shall retain all proceeds
ADC.
F
5. Relationship. The Performer is not, and shall not be cchsldefed for any--purpose th. t+
City of Carmel. The Performer hereby agrees to indemrilfY arid-hold hetmleBs At?C �j
the City of Carmel's officers, officials, emplo ees, WIA., . . sta#fneys , s�r><d.;
Ileb"fit, losers, costs, and expenses (including►_;w o nt,
from s elm for wages, benefits, or otherw[s of
acdo6q,4f#* Performer and/or the Perfo "
rmer's�
or hereby grants to
In, on, or throuilitp
,v tuiNlr oby ADC and.
In Q to .
tutes
re agreement between the performer and
O with
o the
oontained herein. This Agrament edest'ali prior t8orall or written representations and agreementsregarding same, This
subject matter hereof, and supers written amendment executed b both parties hereto. The parties represent and
Agreement may only be modified by Y Pant have the
warrant that they are authorized to enterresent. The parties into this nwarranththat the hat avesexecutingr ad this Agreement and understand
authority to bind the party which
it, have had the opportunity to obtain leg they represent.a{ advice d the assistance of counsel throughout the negotiation of this
Agreement,and enter into the same freely,voluntarily,and without any duress,undue influence or coercion.
IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement as follows:
ARTIST DEVELOPMENT CORPORATION tr3atj Robipisun
('ADC") ("Performer")
By: By:
BW Clark,President Aum Sign re
Date: a-Zs-2of I R-°g i�j Sot�1
Printed Name
Title
FID/TIN:
` "f
Last Four of SSN if Sole Proprietor. %r r
777
Dater 2S
}
If Mirror:
1 #A Pam
shy both abe b�utd tt� � . $
� a
a s`i '
4 ,
r
artist
development
0 company
PERFORMANCE AGREEMENT
This Performance Agreement (the"Agreement"), which shall be effective as of the date it is last signed by a party hereto
(the "Effective Date"), is now entered into by and between Artist Development Corporation ("ADC"), and Tad Robinson ,
an individual or entity authorized to do business in the State of Indiana and with offices located
(the address of the"Performer").
1. Performance. The Performer shall provide the following live entertainment: Tad Robinson (the "Performance") on
July 22nd , 201 (the "Performance Date"), from 6:00 P.M. to 9:00 P.M, at 211 2" Ave, SW , Carmel, Indiana (the
"Venue"). The Performer shall provide all equipment necessary or desirable for the Performance, except that ADC shall
provide: None
2. Payment.ADC shall pay to the Performer the sum of$_600.00_(the"Payment") upon payment to ADC by the City of
Carmel, Indiana ("City of Carmel"), typically within forty-five (45) days of the Performance Date, which payment shall
constitute all monies due and owing to the Performer from ADC for or related to the Performance.
3. Non-Performance. If the Performance is cancelled by ADC at least thirty (30) days prior to the Performance Date,
ADC owes no amount to Performer. If the Performance is cancelled less than thirty (30) days before the Performance
Date, then ADC shall pay to the Performer the full amount of the Payment sum as specified in Paragraph 2 hereinabove.
4. Sales. Neither ADC nor the Performer shall sell tickets or charge admission to the Performance. On the Performance
Date, the Performer may, in conformance with the laws, rules, and regulations of the Venue, sell the Performer's
merchandise at the Performance location, and the Performer shall retain all proceeds therefrom without contribution to
ADC.
5. Relationship. The Performer is not, and shall not be considered for any purpose to be, the employee of ADC or the
City of Carmel. The Performer hereby agrees to indemnify and hold harmless ADC and the City of Carmel, and ADC and
the City of Carmel's officers, officials, employees, agents, and attorneys, from and against all claims, suits, judgments,
liabilities, losses, costs, and expenses (including, without limitation, reasonable attorneys' fees and court costs) that result
from any claim for wages, benefits, or otherwise by any agent, employee, or contractor of the Performer or from any
actions of the Performer and/or the Performer's agents, employees, or contractors at or regarding the Performance.
6. License. The Performer hereby grants to ADC and the City of Carmel a license (the "License") to photograph, video
record, or otherwise depict, in, on, or through any medium (whether print, digital, or other media format), the Performer
and the Performance, for use by ADC and the City of Carmel in advertising or marketing ADC, the Venue, the City of
Carmel, the Carmel Arts and Design District, and/or ADC-sponsored or ADC-related events. The License shall survive the
termination of this Agreement.
7. Indemnity. The Performer hereby agrees to indemnify and hold harmless ADC and ADC's officers, officials,
employees, agents, and attorneys from and against all claims, suits, judgments, liabilities, losses, costs, and expenses
(including, without limitation, reasonable attorneys' fees and court costs)that result from the Performance or the breach of
this Agreement by Performer.
8. Assignment. The Performer shall not assign this Agreement or any of its obligations hereunder.
9. Copyright Permission. The Performer hereby agrees to obtain all necessary permissions from BMI, ASCAP, SESAC,
or directly from the copyright holder(s) of all songs or other works that is not in the public domain and that will be part of
the Performance, and hereby agrees to indemnify and hold harmless ADC, and ADC's officers, officials, employees,
agents, and attorneys, from and against all claims, suits, judgments, liabilities, losses, costs, and expenses (including,
without limitation, reasonable attorneys' fees and court costs) that result from the Performer's failure to obtain such
permissions.
10. Compliance with Law; Lawful Orders. The Performer agrees to comply with all federal, state and local laws,
executive orders, rules, regulations and codes applicable to the Performer's performance of its obligations under this
Agreement, and all relevant provisions thereof are incorporated herein by this reference. The Performer agrees to
indemnify and hold harmless ADC from any loss, damage and/or liability resulting from any such violation of such laws,
orders, rules, regulations and codes. The Performer further agrees to comply with all lawful orders of ADC with regards to
or related to the Performance.
11. Nondiscrimination. The Performer represents and warrants that it and all of its officers, employees, agents and
contractors shall comply with all laws of the United States, the State of Indiana and Carmel, Indiana prohibiting
discrimination against any employee, applicant for employment, or other person in the performance of the Performer's
obligations under this Agreement with respect to their hire, tenure, terms, conditions and privileges of employment and
any other matter related to their employment or subcontracting, because of race, religion, color, sex, handicap, national
origin, ancestry, age, disabled veteran status and/or Vietnam era veteran status.
12. Governing Law; Lawsuits. This Agreement is to be construed in accordance with and governed by the laws of the
State of Indiana, except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder,
they waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County, Indiana only,
and agree that such court is the appropriate venue for and has jurisdiction over the same.
13. Iran Certification. Pursuant to I.C. § 5-22-16.5, the Performer hereby certifies that it does not engage in investment
activities within the Country of Iran.
14. E-Verify. Pursuant to I.C. § 22-5-1.7, et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference, the Performer hereby certifies that, to the extent the Performer has any employees, the
Performer has enrolled and is participating in the E-verify program and does not knowingly employ any unauthorized
aliens. Should the Performer violate Indiana's E-Verify law, the City may terminate this Agreement in accordance with
therewith.
15. Force Majeure. If performance of this Agreement or any obligation under this Agreement is prevented, restricted, or
interfered with by causes beyond either party's reasonable control ("Force Majeure"), and if the party unable to carry out
its obligations gives the other party prompt written notice of such event, then the obligations of the party invoking this
provision shall be suspended to the extent necessary by such event. The term Force Majeure shall include, without
limitation, acts of God, fire, explosion, vandalism, storm or other similar occurrences, orders or acts of military or civil
authority, or by national emergencies, insurrections, riots, or wars. The excused party shall use reasonable efforts under
the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable
dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable
control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates.
16. Miscellaneous. The indemnities set forth in this Agreement shall survive the termination of this Agreement. The
invalidity or unenforceability of any term or condition of this Agreement shall not affect the other terms and conditions, and
this Agreement shall be construed in all respects as if such invalid or unenforceable term or condition had not been
2
contained herein. This Agreement constitutes the entire agreement between the Performer and ADC with respect to the
subject matter hereof, and supersedes all prior oral or written representations and agreements regarding same. This
Agreement may only be modified by written amendment executed by both parties hereto. The parties represent and
warrant that they are authorized to enter into this Agreement and that the persons executing this Agreement have the
authority to bind the party which they represent. The parties warrant that they have read this Agreement and understand
it, have had the opportunity to obtain legal advice and the assistance of counsel throughout the negotiation of this
Agreement, and enter into the same freely, voluntarily, and without any duress, undue influence or coercion.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
ARTIST DEVELOPMENT CORPORATION Tad Robinson
("ADC') ("Performer")
By: By:
Blair Clark, President Authorized Signature
Date: 4-26-2017
Printed Name
Title
FID/TIN:
Last Four of SSN if Sole Proprietor:
Date:
If Minor:
I represent, as parent or guardian of the Performer, we
shall both be bound by the terms of this Performance
Agreement.
Signature of Parent of Guardian
Printed Name
Date:
3
INVOICE
Invoice ID: 0018
Issue Date: May 25, 2017 411
Artists Development Company
Due Date: July 29, 2017 324 W Main St,Carmel,IN 46032
3131
Subject: Entertainment Bookings for July 29, 2017 3evelop entco
info@artistdevelopmentcompany.com
For: The City of Carmel
ITEM DESCRIPTION Date NAME AMOUNT
TYPE
Service Contracted Saturday,July Emma $600
Entertainment-Jazz 29,2017 Hedrick/Main
on Monon Street Jazz
Band
$600.00
$600.00
Oh- -/"
P6- / 0o09' 2
'J 1
artist
development
company
PERFORMANCE AGREEMENT
This Performance Agreement(the"Agreement"), which shall be effective as of the date it is last signed by a party hereto
(the "Effective Date"), is now entered into by and between Artist Development Corporation ("ADC"), and Emma
Hed-nd Main Street Jazz Band, an individual or entity authorized to do business in the State of Indiana and with offices
located at 13257 Blacktern Way, Carmel, IN 46032(address of the"Performer").
1. Performance. The Performer shall provide the following live entertainment: Emma Hedrick at Jazz onthe.Monon the
"Performance")on July 29th , 201 (the'Performance Date"), from 6:00 P.M.to 9:00 P.M, at Carmel Arts&
DesignDistrict , Carmel, Indiana (the "Venue"). The Performer shall provide all equipment necessary or desirable for the
Performance, except that ADC shall provide: None
2. Payment.ADC shall pay to the Performer the sum of$600.00_(the"Payment") upon payment to ADC by the City of
Carmel, Indiana ("City of Carmel"), typically within forty-five (45) days of the Performance Date, which payment shall
constitute all monies due and owing to the Performer from ADC for or related to the Performance.
3. Non-Performance. If the Performance is cancelled by ADC at least thirty (30) days prior to the Performance Date,
ADC owes no amount to Performer. If the Performance is cancelled less than thirty (30) days before the Performance
Date, then ADC shall pay to the Performer the full amount of the Payment sum as specified in Paragraph 2 hereinabove.
If the Performance is not provided by the Performer as specified in Paragraph 1 hereinabove, the Performer shall pay to
ADC one-half of the Payment sum as specified in Paragraph 2 hereinabove.
4. Sales. Neither ADC nor the Performer shall sell tickets or charge admission to the Performance. On the Performance
Date, the Performer may, in conformance with the laws, rules, and regulations of the Venue, sell the Performer's
merchandise at the Performance location, and the Performer shall retain all proceeds therefrom without contribution to
ADC.
5. Relationship. The Performer is not, and shall not be considered for any purpose to be, the employee of ADC or the
City of Carmel. The Performer hereby agrees to indemnify and hold harmless ADC and the City of Carmel, and ADC and
the City of Carmel's officers, officials, employees, agents, and attorneys, from and against all claims, suits, judgments,
liabilities, losses, costs, and expenses (including, without limitation, reasonable attorneys'fees and court costs)that result
from any claim for wages, benefits, or otherwise by any agent, employee, or contractor of the Performer or from any
actions of the Performer and/or the Performer's agents, employees, or contractors at or regarding the Performance.
S. License. The Performer hereby grants to ADC and the City of Carmel a license (the "License") to photograph, video
record, or otherwise depict, in, on, or through any medium (whether print, digital, or other media format), the Performer
and the Performance, for use by ADC and the City of Carmel in advertising or marketing ADC, the Venue, the City of
invalidity or unenforceability of any term or condition of this Agreement shall not affect the other terms and conditions, and
this Agreement shall be construed in all respects as if such invalid or unenforceable term or condition had not been
contained herein. This Agreement constitutes the entire agreement between the Performer and ADC with respect to the
subject matter hereof, and supersedes all prior oral or written representations and agreements regarding same. This
Agreement may only be modified by written amendment executed by both parties hereto. The parties represent and
warrant that they are authorized to enter into this Agreement and that the persons executing this Agreement have the
authority to bind the party which they represent. The parties warrant that they have read this Agreement and understand
it, have had the opportunity to obtain legal advice and the assistance of counsel throughout the negotiation of this
Agreement, and enter into the same freely, voluntarily, and without any duress, undue influence or coercion.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
ARTIST DEVELOPMENT CORPORATION Emma Hedrick/Main Street Jazz Band
("ADC") ("Performer")
By: By:
Blair Clark, President Authorized Signature
Date: 4/28/2017 EM
C�-
Printed Name
Title
FIDITIN:
Last Four of SSN if Sole Proprietor: A Q oZ
Date: �-,�c�0► -7
If Minor:
I represent, as parent or guardian of the Performer, we
shall both be bound by the terms of this Performance
Agreement.
Lyu"I d�.
Signature V Parent of Guardian
Printed Name
3
INVOICE
Invoice ID: 0019
Issue Date: May 25, 2017
Artists Development Company
Due Date: August 5, 2017 324 W Main St,Carmel,IN 46032
3131
Subject: Entertainment Bookings for August 5, 2017 3evelop info@artistdevelopmentcompany.com
9 info@artistdevelopmentcompany.com
For: The City of Carmel
ITEM DESCRIPTION Date NAME AMOUNT
TYPE
Service Contracted Saturday, Slammer Jazz $600
Entertainment-Jazz August 5,
on Monon 2017
$600.00
$600.00
P
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ck 4 `vt,
Y cm
1
artist
development
0 company
PERFORMANCE AGREEMENT
This Performance Agreement (the"Agreement"), which shall be effective as of the date it is last signed by a party hereto
(the"Effective Date"), is now entered into by and between Artist Development Corporation ("ADC"), and Slammer Jazz, an
individual or entity authorized to do business in the State of Indiana and with offices located at 842 Desert Wind Ct. .
Carmel. IN 46032(the"Performer").
1. Performance. The Performer shall provide the following live entertainment: Slammer Jazz at Jazz on the Monon the
"Performance") on August 5th , 2017. (the "Performance Date"), from 6:00 P.M. to 9:00 P.M, at Carmel Arts &
Design District, Carmel, Indiana (the "Venue"). The Performer shall provide all equipment necessary or desirable for the
Performance, except that ADC shall provide: none
2. Payment. ADC shall pay to the Performer the sum of$_600.00_(the"Payment") upon payment to ADC by the City of
Carmel, Indiana ("City of Carmel"), typically within forty-five (45) days of the Performance Date, which payment shall
constitute all monies due and owing to the Performer from ADC for or related to the Performance.
3. Non-Performance. If the Performance is cancelled by ADC at least thirty (30) days prior to the Performance Date,
ADC owes no amount to Performer. If the Performance is cancelled less than thirty (30) days before the Performance
Date, then ADC shall pay to the Performer the full amount of the Payment sum as specified in Paragraph 2 hereinabove.
If the Performance is not provided by the Performer as specified in Paragraph 1 hereinabove, the Performer shall pay to
ADC one-half of the Payment sum as specified in Paragraph 2 hereinabove.
4. Sales. Neither ADC nor the Performer shall sell tickets or charge admission to the Performance. On the Performance
Date, the Performer may, in conformance with the laws, rules, and regulations of the Venue, sell the Performer's
merchandise at the Performance location, and the Performer shall retain all proceeds therefrom without contribution to
ADC.
5. Relationship. The Performer is not, and shall not be considered for any purpose to be, the employee of ADC or the
City of Carmel. The Performer hereby agrees to indemnify and hold harmless ADC and the City of Carmel, and ADC and
the City of Carmel's officers, officials, employees, agents, and attorneys, from and against all claims, suits, judgments,
liabilities, losses, costs, and expenses (including, without limitation, reasonable attorneys' fees and court costs) that result
from any claim for wages, benefits, or otherwise by any agent, employee, or contractor of the Performer or from any
actions of the Performer and/or the Performer's agents, employees, or contractors at or regarding the Performance.
6. License. The Performer hereby grants to ADC and the City of Carmel a license (the "License") to photograph, video
record, or otherwise depict, in, on, or through any medium (whether print, digital, or other media format), the Performer
and the Performance, for use by ADC and the City of Carmel in advertising or marketing ADC, the Venue, the City of
Carmel, the Carmel Arts and Design District, and/or ADC-sponsored or ADC-related events. The License shall survive the
termination of this Agreement.
7. Indemnity. The Performer hereby agrees to indemnify and hold harmless ADC and ADC's officers, officials,
employees, agents, and attorneys from and against all claims, suits, judgments, liabilities, losses, costs, and expenses
(including, without limitation, reasonable attorneys' fees and court costs)that result from the Performance or the breach of
this Agreement by Performer.
8. Assignment.The Performer shall not assign this Agreement or any of its obligations hereunder.
9. Copyright Permission. The Performer hereby agrees to obtain all necessary permissions from BMI, ASCAP, SESAC,
or directly from the copyright holder(s) of all songs or other works that is not in the public domain and that will be part of
the Performance, and hereby agrees to indemnify and hold harmless ADC, and ADC's officers, officials, employees,
agents, and attorneys, from and against all claims, suits, judgments, liabilities, losses, costs, and expenses (including,
without limitation, reasonable attorneys' fees and court costs) that result from the Performer's failure to obtain such
permissions.
10. Compliance with Law; Lawful Orders. The Performer agrees to comply with all federal, state and local laws,
executive orders, rules, regulations and codes applicable to the Performer's performance of its obligations under this
Agreement, and all relevant provisions thereof are incorporated herein by this reference. The Performer agrees to
indemnify and hold harmless ADC from any loss, damage and/or liability resulting from any such violation of such laws,
orders, rules, regulations and codes. The Performer further agrees to comply with all lawful orders of ADC with regards to
or related to the Performance.
11. Nondiscrimination. The Performer represents and warrants that it and all of its officers, employees, agents and
contractors shall comply with all laws of the United States, the State of Indiana and Carmel, Indiana prohibiting
discrimination against any employee, applicant for employment, or other person in the performance of the Performer's
obligations under this Agreement with respect to their hire, tenure, terms, conditions and privileges of employment and
any other matter related to their employment or subcontracting, because of race, religion, color, sex, handicap, national
origin, ancestry, age, disabled veteran status and/or Vietnam era veteran status.
12. Governing Law; Lawsuits. This Agreement is to be construed in accordance with and governed by the laws of the
State of Indiana, except for its conflict of laws provisions. The parties agree that, in the event a lawsuit is filed hereunder,
they waive their right to a jury trial, agree to file any such lawsuit in an appropriate court in Hamilton County, Indiana only,
and agree that such court is the appropriate venue for and has jurisdiction over the same.
13. Iran Certification. Pursuant to I.C. § 5-22-16.5, the Performer hereby certifies that it does not engage in investment
activities within the Country of Iran.
14. E-Verify. Pursuant to I.C. § 22-5-1.7, et seq., as the same may be amended from time to time, and as is incorporated
herein by this reference, the Performer hereby certifies that, to the extent the Performer has any employees, the
Performer has enrolled and is participating in the E-verify program and does not knowingly employ any unauthorized
aliens. Should the Performer violate Indiana's E-Verify law, the City may terminate this Agreement in accordance with
therewith.
15. Force Majeure. If performance of this Agreement or any obligation under this Agreement is prevented, restricted, or
interfered with by causes beyond either party's reasonable control ("Force Majeure"), and if the party unable to carry out
its obligations gives the other party prompt written notice of such event, then the obligations of the party invoking this
provision shall be suspended to the extent necessary by such event. The term Force Majeure shall include, without
limitation, acts of God, fire, explosion, vandalism, storm or other similar occurrences, orders or acts of military or civil
authority, or by national emergencies, insurrections, riots, or wars. The excused party shall use reasonable efforts under
the circumstances to avoid or remove such causes of non-performance and shall proceed to perform with reasonable
dispatch whenever such causes are removed or ceased. An act or omission shall be deemed within the reasonable
control of a party if committed, omitted, or caused by such party, or its employees, officers, agents, or affiliates.
16. Miscellaneous. The indemnities set forth in this Agreement shall survive the termination of this Agreement. The
2
invalidity or unenforceability of any term or condition of this Agreement shall not affect the other terms and conditions, and
this Agreement shall be construed in all respects as if such invalid or unenforceable term or condition had not been
contained herein. This Agreement constitutes the entire agreement between the Performer and ADC with respect to the
subject matter hereof, and supersedes all prior oral or written representations and agreements regarding same. This
Agreement may only be modified by written amendment executed by both parties hereto. The parties represent and
warrant that they are authorized to enter into this Agreement and that the persons executing this Agreement have the
authority to bind the party which they represent. The parties warrant that they have read this Agreement and understand
it, have had the opportunity to obtain legal advice and the assistance of counsel throughout the negotiation of this
Agreement, and enter into the same freely, voluntarily, and without any duress, undue influence or coercion.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
ARTIST DEVELOPMENT CORPORATION Slammer Jazz
("ADC') ("Performer")
By: By:
An`Ua4S&a►&W0A
Blair Clark, President Authorized Signature
Date:
Jim VanSlambrook
Printed Name
Slammer Jazz
Title
FID/TIN:
Last Four of SSN if Sole Proprietor: -7341
Date: 3/31/2017
If Minor:
I represent, as parent or guardian of the Performer, we
shall both be bound by the terms of this Performance
Agreement.
Signature of Parent of Guardian
Printed Name
Date:
3