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HomeMy WebLinkAboutNATI'S HOUSE (DBA NEUTRAL GROUND)City of Santa Ana Clerk of the Council ,t AGREEMENT TERMINATION City of Santa Ana Please complete this form when the attached agreement is no longer in effect. Aye? ® 2 2021 Return form to the Clerk of the Council Office (M-30). Clerk of the Council Call 647-5237 if you have any questions. -------------------------- The agreement with N C��1�S t�QUS'E 12 QLl`t"t Usk' 6 (bUnd No. was completed one 1` and final payment has been made. Department: N-aoV�-'L-�'_d ` Phone/Ext.: Signature: CiDt>1m Q VQV CV) Date: % LOW W Revised 07-23-07 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES It - t CLERK OF COUNCIL DATE i)V,. 17 syjkj 0: PRCS ( / ) AGREEMENT TO PROVIDE SUMMER NIGHT LIGHTS PROGRAM N-2018-141 Silvia Cuevas "this agreement is made and entered into this I I"' day of July, 2018 by and between Nati's House dba Neutral Ground, a California anon -profit organization ("Contraeter") and the City ofSanta Ana, achartor city and municipal corporation organized and existing under the Constitution and laws Of the State (if California C'City"), RECITAUS .A, The City desires to retain a contractor having special skill and knowledge in the field of providing food, games, crafts, sports and counseling and educational traiminni during the summer roonflas to reduce violence and increase community relations. B, Contractor represents that it is able and willing to provide such services ten the City known as the Summer Night Lights program ("Event'), C. In undertaking the performance of this Agreement, Contractor refirc-,ents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as array reasonably be expected front a professional consulting thin in the field. NOW T HERFFORE, it) consideration of the mutual and respective promises, and subject to the tertis and condil ions hereinafter set linih, the parties of as follows: I SCOPE OF SERVICES Contractor shall provide Summer Night fights Program cervices for the City as set forth in the scope of w"iccs attached and incorporated as Exhibit A. 2, COMPENSATION a. Contractor agrees to pay, and City agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. 'the total sum to be expended under this Agreement shall not exceed Line Thousand Two Hundred Ninety -Three Dollars and 30 Cents ($1,293.30) for the term of this agreement. b. A deposit arricaun of 'Three Thousand Dollars ($3,000,00), will be paid to the City for any dtitna,-eqthat ninyincur, ,,isaresult f,iftlieprogram. Deposit will berefunded to Contractor to 6 weeks after the program has ended and no heritage to the location reficrenced in Exhibit A has beeri, confirmed by the Executive Director of the Parks, Recreation and Community Services Agency, 31 TERM This Agrearrient shall comiarenoe on the (late stated above and terminate on August 31, 2018, untess teriumated earlier in accordance with Section 12, below, 4. ]INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be in independent contractor mid not an employee of the City, This Agreement is not intended nor shall it he cot arued to Page I of 8 discretion or control over the professional manner in which Contractor performs the services which are the subject nutter of this Agreement, however, the services to be provided by Contractor shall be provided in it manner consistent with all applicable standards and regulations governing such set -vices, Contractor shall pay all salaries and wages, employees social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising frona bodily and personal injury, including death resulting therefrom and damage to property, resulting frorn any act or Occurrence arising out of Contractor's operations in [lie performance of this Agreement, including, without Ifirlitarion, acts involving Vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, and $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions, b, Worker's Compensation Insurance., In accordance with California State law, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance, Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $ 1,000,000 per accident, c. 'the following requirements apply to the insurance to be provided by Contractor pursuant to this section: i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement, fi. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. iii. Certificates and policies shot] state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. iv, Where the amounts or coverage provided by the certificates Of insurance provides coverage greater than those listed by this Agreement, the amounts provided by the certificates or insurance shall be incorporated by reference into the Agreement, V. Consultant shall supply City with a fully executed additional insured endorsement, e. If Contractor fails or refuses to produce or maintain the insurance required by this, section or fails Or refuses to furnish the City with required proof that insurance has been procured and is in fibroc and paid for, the City shall have the rig ,ht, at the City's election, to forthwith terminate this Agrccmeat. Such termination shall not effect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. Page 2 of 8 6. INDEMNIFICATION Contractor agrees to and shall defend, indemnify, and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of clauris for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of Contractor or its contractors, subcontractors, agents, employees, or other persons acting an their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising froth this Agreement. This indernaity and hold harmless agreement applies to all claims for daunages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising froni this Agreement. Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or properly rights arises by reason of the forms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. LIVE SCAN 13ACKGIIOUND CTIECK Provider, and any cruployces, subcontractors or substitutes, in contact with minors under eighteen (18) years of age shall arrange for and submit to a Live Scan electronic background check for criminal history available through the California Department (if Justice as a condition of this Agreement and provide proof of compliance prior to performing services hereunder, CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential, and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event loss than reasonable care, "Confidential Infortriation" shall include all nonpublic information. Confidential information includes not only written infrannation, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by tiny subsidiary and/or agent of the other party is covered by this Agreement, The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (c) is independently developed by the Contractor without reference to information disclosed by the City. 91 CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has tie interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified Linder this Agreement, 10. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given irdelivered in person or mailed by first class or certified Page 3 of 8 mail, postage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Facsimile: 714-647-6956 Copies to: Parks, Recreation & Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) Santa Ana, California 92702 Facsimile: 714-571-4221 To Contractor: Neutral Ground Attn: Ms. Nati Alvarado 1920 E. 17"' Street Santa Ana, CA 92705 Phone: (714) 980-0953 Email: nati a7ngservices org A party may change its address by giving notice in writing to the other party. Thereafter, any connntmication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by facsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terns of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 12, ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability Page 4 of 8 to have any of the services which are I lie subject to this Agreement performed by City personnel or by other contractors retained by City. 13. TERMINATION This Agreement may be terminated by the City upon seven (7) days written notice of termination, In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services perforated by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the fiNecutive Director may require Contractor to deliver to the City all work product cornpletedas of such date, and in such case inch work product shall be die property of the City unless prohibited by law, and Contractor consents to the Citys use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement, 14. NON-DISCRINIINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marnal status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selvetam, trahung, utilization, promotion, tennination or other employment related activities or in connection with any activities under this Agreement. Connector affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations, 15. JUIUSDICTION-VENUE This Agreement'has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the Suite of California, Both parties further agree that Orange County, California, shall be the venue for any action orproceeding that may be brought or arise out of, in connection with or by reason of this Agreement. M PROFESSIONAL LICENSES Contractor shall, throughout the terns of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and excruptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the, State of California, the City of Santa Ana and all other governmental agencies, including without limitation, the California Bureau of Security and Investigative Services. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions, Said inability shall be cause for termination of this Agreement, M M ISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its sustature herein below has the power, authority and right to hind their respective parties to each of the tennc of this Agreement, and shall indemnify City hilly, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that inch authority or power is not, in fact, held by the signatory or is withdrawn, Page 5 of 8 N-2018-141 b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above Written. ATTEST: _ MARIA D. IIWZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALI-IO City Attorney By: tv ICYUI LAURA ROSSINI, Senior Assistant City Attorney Recreation & Community CITY OF SAT•A AN RAUL GODINEZ II City Manager CONTRACTOR Page 6 of 8 N-2018-141 EXHIBIT A SCOPE OF SERVICES A. Contractor shall conduct Summer Night Lights activities at no charge to the Community. Registration and participation is open for ages: 1-99 years old. Program will provide food, games, crafts, sports and counseling and educational trainings during the summer months to reduce violence and increase community relations B. Contractor shall teach such or similar activities at the times provided below at facilities to be designated by the City. Should an event require re -location, the Executive Director of Parks, Recreation and Community Services Agency shall provide a written confirmation of the new location(s) for these events. Scheduling is provided below for the listed activities session or term, including the location, specific days and hours when activities will be held, and holidays to be observed, in accordance with City's needs. SUMMER NIGHT LIGHTS Summer Night Lights mission: Developing a presence, forming relationships, and changing the story with a vision to reduce violence and increase community relations during summer months. Summer Night Lights description: Summer Night Lights is a free program for all age groups which will provide food, games, crafts, sports and trainings during the summer months to reduce violence and increase community relations. Neutral Ground Non -Profit is located at: 1920 E. 17th St. Santa Ana CA 92705 number: 714.980.0953. Nati Alvarado <nati c@ngservices.org> LOCATION: El Salvador Park, 1825 West Civic Center Dr., Santa Ana, (714) 647-6558 • Summer Night Lights will consist of weekly sessions, held 2 days per week, 3 hours per day from 7:OOpm-10:00 pm, every Thursday and Friday starting July 1.2, 2018 through August 10, 2018. • Summer Night Lights will utilize the Basketball Court and grass area between the handball courts and pool area at El Salvador Park. C. Contractor shall provide all materials, supplies, equipment, music, sound equipment and personnel. Contractor shall be responsible for clean-up of the facilities/park and materials and shall ensure the safety and effectiveness of instruction. D. Contractor shall be responsible for all equipment, which includes a storage bin (to be kept at El Salvador Park, and secured by Neutral Ground) for their chairs and tables. Page 7 of 8 E. Contractor shall be responsible for all security, and will provide adequate insurance information (i.e., name of company, insurance, etc.) to the City of Santa Ana for verification purposes. F. The City will not provide electricity to the provider. Contractor agrees to secure lighting other than what is available in the park on their own. G. Contractor will adhere to City noise ordinance. H. Contractor will seek approval from the Orange County Health Department, if food will be served. A copy of the approved permit will be required by the City. If the Contractor wishes to use any portion of El Salvador Center, and or the El Salvador Community Gardens, a separate application will be furnished to the applicant detailing costs for rental and staff hours. CLASS FEES A. Contractor will not charge a fee for the program B. Only registered participants may participate in class. RENTAL FEES A. Contractor shall conduct Summer Night Lights activities and agree to pay the City $1,293.30 for usage of area(s). A deposit amount of $3,000 will be paid to the City for any damages that may incur, as a result of the program. Deposit will be refundable 4 to 6 weeks after the program has ended and no damage to the location has been confirmed. Page 8 of 8 a`orzis CERTIFICATE OF LIABILITY INSURANCE oAT61281201e ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polloy(1os) must have ADDITIONAL INSURED provisions or 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 B . PRODUCER Loviit & Toucha -Tempe 1080 W Washington Street, Suite 233 Tonla Selfridge PHOHe � P�% fc.Na,BxUL2._ -2260 C„ Na1:802.060.2265 AIL Tempe AZ 85281 tseifrld a lovllhtouche.com INSURSR(81AFFORDING COVERA30 -, NAICB N-2018-141 INSURERA I Philadelphia Indemnity Insurance CO 18068 INSURED , PIATIHOU-Cl $AN N�17trBira"roodfi� INSURERS: INSURER CI INSURER D I i'M Valencia St Santa Ana CA 92706 INSURERS I INSURER PI UUVtlKAUI:5 LCKIIr RoA1C NVIYr*MK:1ZU44724G2 PICVIEIIUN 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 REOVIREMENT, 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, I SR TYPE OF INSURANCEPOLICYNUMBER F NO (WON"y'vi LIMITS A �COMMRRCIALGENERAL LIABILITY CLAIMS -MADE M OCCUR PHPK1738184 1912010 102019 EACH COURRENOE $1,000,000 ETSRE -MS E9 IS.oneuDercolt,WO,WO MEO EXP An bne reon PERSONAL S ADV INJURY ,$20000 $f000,000 AGGREGATE LIMpIIT. APPLIES PER: POLICY❑jECT E]LOC GENLRALAGGREGATE $EW0o00 GENL X PRODUCTS• COMPIOP AGO $2WO W0 $ OTHER: A AUTOMOBILELIABILI" PHPK17381134 f18 me IJ812019 OMRINRD n11 $11000,000 AUTO BODILY INJURY (Par Wanm) $ kANY OWNED BCHEm1LED HIREUB ONLY X NOFOWNED AUTOS ONLY AUTOS ONLY BODILY INJURY Par arnddedi �$ PROPERTVOAMAGE r $ UMSRELLALIAe OCCUR EACHOCCURRENCE s AGGREGATE EXCESSUAB CLAIMS -MADE ENRICH I WORKERS COMPENSATION AND EMPLOYEREPUABILITY YIN ANYPROPRIETOWPARTNSWEXECUTIVE OFFICEWMEMBEREXCLUDED7 (MmdAtorVIn NH) kk dw thsUeder d P O G het NIA p 5 E E�H• E.L. EACH ACCIDENT $ E.L, DISEASE - EA EMPLOYE $ E.L DISEASE -POLICY LIMIT 8 A Prefonlonal Liability eeruepphyalaal Aouea PHPK1738181 11812018 IM12012 A$gretlals A90ra0ela 2,OW,000 300,0m DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACOND 401, Additional Remarks Schedule, in" be otlaohed If mare apaao la mqu roq� Certificate holder Is named Additional Insured to General Liability coverage If required by Written contract, SLID td^al policy terms, c flans, de0nlllGn3 and exclusions, PrimarylNon-Contributory applies, CJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Its officers, employees, agents and volunteers _ 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 c_ All ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I ACo/Zo CERTIFICATE OF LIABILITY INSURANCE DATE(MM)DDMYY) 0=112618 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polioy(los) 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 Ileu Of such endorsement(s). PRCDUCEfl Automatic Data Procossing Insurance Agency, Inc. 1 Adp Boulevard Roseland, NJ 07068 NA E: Or P ONE o .( A c Nu : M DDRESS: INW R S AFFoaolNC DoyeRApe HAD 0 tNSURERA: Slat. Camponsallan lrmurnnoa Fund 35678 _ INSURED NEUTRAL GROUND INSURER 81 '--- INSURER c______ 1733 VALENCIA INSURER o I Santa Ana, CA 02706 118URERe: INSURER F COVERAGES CERTIFICATE NUMBER: 910597 REVISION NUMBER' THIS 15 TD 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. ILTfi TYPE OF INSURANCE KV➢L SOSTY �Y3 p IN90 D POLICY NUMBER MMIDOMlYY MMIDO P LIMITS CO MMERCIALGENERAL LIAeLLITY __ CLAIMS MADE D OCCUR EAC14OCCURRENCE _ $ —too' A A E ERTED'— PREMISES 8n..unenne)_ $ MED FXP(Any one person) $ _ PERSONAL d ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY❑ PROT T ElLDC JEC GENERALAGOREGATE _ $ GERL PRODUCTS. COMPIOP AGO $ $ o1rleR; AUTOMOBILE LIABILITY Gw nNdaytDs GLEL .. '$ — ANY AUTO ALL OWNED SCHEDULED AUTOS Al H'OS HIRED ADTOS NON 80DII..Y INJURY (par prawn) _ $ BODILY INJURY(Par.Wdenl) _ $ PR PER DAMAGE aPsr eccit — $ UMBRBLLALIAB EXCESS DAB OCCUR CLAIMS MADE _ EACH OGCURRF,NCE $ AGGREGATE $ GEO RETENON AND I(ERS COMPENSATION AND EAtP RIETO'LIABILITY YIN ANYPROPRIMBER EXRTNENEXEGDTIVE OFPICEH/MEMR lil EXCLUDE'o9 (Mandataryln and byes,RIPTIONunder DESCRIPTION OF OPERATIONS bnlnw E X ST lRE ER $ A NIA N fl2292682017 1111312017, a1111,312019 C.L.EACH ACCIDENT _ $ 11000,000 E.L, DISEASE -EA EMPLOYE $ 1,000,000 E,L.OISrgSE- POLICY LIMIT $ 110001000 Va DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addil.n.lR.marhs Sahs6d.,mey b. attaohpd If mmo aPnrr is r.1.11.d)ANP <ae d�(ZN SHOULD ANY OF HE ABOVE QS RISED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Torrl Eggers ACCORDANCE WITH THE POLICY PROVISIONS, 20 Civic Center Plaza AUTHORIZED REPRCSCNTATIVE `ll(7IL" Santa Ana, CA 92701 AO 1988.2014 ACORD CORPORATION. Ail rights reserved, ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER; PEPK1738104 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): The City of Santa .Etna its officers, employees, agents and volunteers Information required to complete this Schedule, if not shown above, will be shown In the Declarations, A. Section It — Who Is An Insured is amended to Include as an addltlonal Insured the person(s) or organlzation(s) shown In the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, In whole or In part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you, However: 1, The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the Insurance afforded to these additional Insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of Insurance; 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever Is loss. This endorsement shall not increase the applicable Limits of Insurance shown In the Doclarations, e e CG 20 26 0413 0 Insurance Services Office, Inc,, 20'12 page 2 of 2 PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 06/14/2017 Name of Person or Organization (Additional Insured): The City of Santa Ana its officers, employees, agents and volunteers SECTION 11— WHO IS AN INSURED Is amended to Include as an additional Insured the person(s) or organlzatlon(s) shown in the endorsement Schedule, but only with respect to liability for "bodily Injury," "property damage" or "personal and advertising Injury' arising out of or relating to your negligence in the performance of "your worte for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance Is primary to and non-contributory with any other Insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even If other valid and collectible Insurance Is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additlonai Insured's limits of Insurance do not increase our limits of Insurance, as described I SECTION III — LIMITS OF INSURANCE. ���� All other terms, conditions, and exclusions under the policy are applicable to this end trrnsr a Id remain unchanged. � _ ,,� \V Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., PI-CANXAICH-002 (05111) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR CERTIFICATE HOLDER This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part; A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mall written notice of cancellation to Additional Insureds or Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall Impose no obligation of any kind upon us, our agents or representatives. i. 20 days before the effective date of cancellation If we cancel for any reason other than for non - payment of premium. As respects Additional insureds, the above cancellation provision applies only when the Additional Insured shown in the above SCHEDULE Is added to the policy by a separate additional Insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE HOLDER does not provide additional insured coverage, Page 1 of 1 n'�� ,ono PHILADI!rLPH.IA T.NSURANU COMPANTT,S A Member of tbe'rokio bla iva alroup One Bala Plaza, Suite 100 Bala Cynwyd, Pennsylvania 19004 610.617.7900 Fax 610.617,7940 PHLY,com Philadelphia Indemnity hlsurance Company COMMON POLICY DECLARATIONS Policy Number: PHPK1738184 Named Insured and Mailing Address: Natl's House 1733 Valencia St Santa Ana, CA 92706-2930 Policy Period From: 01/06/2018 To: 01/06/2019 Business Description: Non Profit Organization Producer: 18025 Levitt & Touche, Inc, 1050 W Washington St Ste 233 Tempe, AZ 85281 (602)956-2250 at 12:01 A.M. Standard Time at your making address shown above. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY, THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED, THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT, PREMIUM Commercial Property Coverage Part 203,00 Commercial General Liability Coverage Part 1,670.00 Commercial Crime Coverage Part Commercial Inland Marine Coverage Part Commercial Auto Coverage Part Businessowners Workers Compensation Professional Liability Sexual/Physical Abuse Total Total Includes Federal Terrorism Risk Insurance Act Coverage PART OF 277,00 851.00 '&6'r)y 3,151,00 38.00 q(` �� b E `Omits applicable Forrns and Endorsements it shown In SPeclflc Cove age Pad/Coverage Form Declarations CPD- PI IC (06/14) c ✓b tr-�. . �1 Secretary President and CEO Philadelphia Indemnity Insurance Company Form Schedule -- Policy Policy Number: PHPK1738184 Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: Form Edition Description WHY MyPHLY 0000 WHY MyPHLY7 CSNotice-1 1014 Making Things Easier BJP-190-1 1298 Commercial Lines Policy Jacket IL N 177 0912 California Premium Refund Disclosure Notice PP2015 0615 Privacy Policy Notice CPD-PIIC 0614 Common Policy Declarations Location Schedule 0100 Location Schedule Additional Insured Schedule 0100 Additional Insured Schedule Named Insured Schad 01.00 Named Insured Schedule PI-BELL-1 1109 Bell Endorsement PI-CME-1 1009 Crisis Management Enhancement Endorsement IL0017 1198 Common Policy Conditions IL0021 0908 Nuclear Energy Liability Exclusion Endorsement IL0102 0505 California Changes - Actual Cash Value IL0104 0907 California Changes IL0270 0912 California Changes - Cancellation And Nonrenewal IL0952 0115 Cap On Losses From Certified Acts Of Terrorism PI-CANXAICH-002 0511 Cancellation Notice To Schad Addl Insd Or Cart Holder PI-TER-DNL 0115 Disclosure Notice Of Terrorism Ins Coverage Rejection Page 1 of 1 Philadelphia Indemnity Insurance Company Locations Schedule Policy Number: PFIPK1738184 Proms, Bldg. No, No, Address 0001 0001 1516 N Flower St Santa Ana, CA 92706-3721 Page 1 of 1 x D�� Philadelphia Indemnity Insurance Company Additional Insured Schedule Policy Number: PHPK1738184 Additional Insured The City of Santa Ana Its officers, employees, agents and volunteers 20 Civic Center Piz Santa Ana, CA 92701-4058 CG2026 - General Liability Re: Event at local park Additional Insured Santa Ana Unified School District Its governing board, officers, agents & employees 1601 E Chestnut Ave Santa Ana, CA 92701-6322 CG2026 - General Liability Page 1 of 1 �1� Philadelphia Indemnity Insurance Company Named Insured Schedule Policy Number: PHPK1738184 Neutral Ground dba sy� �d 1 Page 1 of 1 ��