www.paymentconference.com
Liability, Waiver and Release Information

Your registration as an Exhibitor (Exhibiting Vendor) indicates agreement to assume responsibility and to hereby release XXX, XXX, ARK
Enterprises LLC, d/b/a Utility Payment Conference, its Audiovisual and Internet Provider, Encore Event Technologies At XXX, Freeman
Exhibitor Booth Set-up Company, (the “Released Parties”) from all liability as a result of its actions during the event, provided that such
liability was not caused by the Utility Payment Conference (ARK Enterprises, LLC) or the providers listed above.

The Exhibiting Vendor shall indemnify, save and hold harmless the Released Parties from and against, any and all claims, losses and
damages, injuries, awards, fines, government charges and liability – together with all costs, expenses and reasonable attorneys’ fees in
connection with its gross negligence and willful misconduct at the Conference, activities and Exposition.

Certificate of Insurance Request

Exhibitors shall provide a Certificate of Insurance for the Utility Payment Conference with a 30-day notice of cancellation provision effective
for October 22 - October 25, 2018.

Two separate insurance certificates are requested:

Certificate Holder:   



Certificate language should be listed as follows:

The Certificate shall provide evidence of commercial general liability coverage with limits of $2,000,000 per occurrence, with a
$5,000,000 general aggregate to include coverage for independent contractors, personal injury and blanket contractual liability
for XXX,
ARK Enterprises LLC, d/b/a Utility Payment Conference, its Audiovisual and Internet Provider, XXX At XXX, Freeman Exhibitor Booth Set-up
Company, and XXX  (the “Released Parties”) shall be listed as additional insured on this policy for the period October 22 - October 25,
2018.  

Minimum coverages required are as follows:

Commerical General Liability Type of Insurance:  (at minimum coverage)
Each Occurrence: $2,000,000
Damage to Rented Premises: $2,000,000
General Aggregate: $5,000,000

Workers Compensation and Employer's Liability Type of Insurance: (at minimum coverage)
E.L. Each Accident: $2,000,000

The Exhibitor shall also
provide evidence that it maintains worker's compensation with statutory limits, and employer’s liability limits of
$1,000,000
or more per claim.

Automobile and Umbrella:
Providers minimum

Labor

The Exhibitor agrees to comply with all union regulations and to abide by all agreements between the Utility Payment Conference and its
contractors, including the Hotel, the Trade Show Service Provider, electrical and audio visual companies or any of its agents.

The Certificate of Insurance must be received by the Utility Payment Conference no later than September 15, 2018.

Proof of insurance should be submitted as follows:

E-mail: info@paymentconference.com
Mail:     Utility Payment Conference, 3522 - 33 Street Ct., Moline, IL 61265

Note: If applicable, your Certificate of Insurance should list the name of the Exhibiting company in addition to the parent company.
Information will be available in May.