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HomeMy WebLinkAboutPBS SO CAL (3)�. City of Santa A f Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. City of Santa Ana Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. (' Q " 2021 Is the agreement(s) a permanent record? Yes No Clerk of the Council Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with P— IL '�E—>Mpv� N-2018-211 ,/ No. was completed on �, � � ! (.C1 and final payment has been made. (List all amendments. Use space below if needed.) Department: Phone/Ext.: Signature: Q��/�C` u �j-Q/ Ck'o Date: Revised: 10-18-16 INSURANCE ON FILE WORK MAY PROCEED ,C��.�IIVTIL INSURANCE EXPIRES CLERK OF COUNCILf'1L DATE. NOV 1 8 2018 0: PRCS (/ ) PBS SoCal Community Lab Partnership Agreement Silvia Cuevas 3080 Bristol Street, Suite 400 10100 Santa Monica Blvd, Suite 1070 Costa Mesa, CA 92626 Las Angeles, CA 90067 Partner Organization: Santa Ana Pubtic Library Partner Address: 26 Civic Center Plaza, Santa Ana, CA 92701 Partner Contact Name: Lupita Arroyo, Cheryl Eberly, Sally Valdez Partner Contact Phone: (714) 647-6283 Partner Contact Email: LArro o santa-ana.or ;CEber! Santa-ana.or ; Svaldez(u)santa-ana.org Agreement Start Date: September 05, 2018 Community Lab Cohort: 3 Agreement End Date: September 5„2019 (with option to renew/extend) PBS SoCat agrees to provide the following through this agreement: 1. Ori sate trainings on,current and future PBS transmedla resources for.current staff and new likes during agreement period. 2. Monthly or as appropriate, on --site events put on by PBS SoCat for the families served by the partner. These can Include but are not limited to parent workshops. 3. Outreach Events, included but not limited to dissemination of RTL Information and resources, Family Science nights, festivals, fairs, back -to -school events, summer camps and afterschool activities. 4. Involvement and/or resources for partner -hosted events as appropriate. 5. Continued delivery of new PBS KIDS apps and/or PBS educational resources on a quarterly basis. 6. Consistent communication and support throughout the agreement period. 7. Technology: PBS SoCat shall provide to the Santa Ana Public Library ten (10) iPads with the serial numbers and Apps below. a. List of iPad's serial number: DMPQM27SG5VJ, DMPQM2HWG5VJ, DMPQL9Q9G5VJ, DMPQM2PGGSVJ, DMPQL90JG5VJ, DMPQM210GSVJ, DMPQMIZSGSVJ, DMPQM2NZGSVJ, DMPQM1CTG5VJ,DMPQM05DG5VJ b. List of PBS KIDS Apps: Wild Kratts Creature Math, Martha Speaks Word Spinner, Dinosaur Train Classic In the Jurassic, Jr, Peg + Cat the Big Gig, Odd :squad Blob Chase, SUPER WHY Paint! WordGirt Superhero Training, Daniel Tigers Neighborhood: Play at Horne with Daniel, Daniel Tigers Day & Night, Dinosaur Train A to Z, Wild Kraffs Creature Power, Wild Kratts World Adventure, Dr. Seuss's The Cat in the Hat Color & Createt, Curious George at the Zoo, Draw with Curious George, Curious About Shapes and Colors, SUPER WHY ABC Adventures: Alphabet, Fizzy's Lunch Lab: Hectic Harvest, Sid the Science Kid Read & Play, SUPER WHY[ iPad, Pullin Web Browser, SIPPER WHY Phonics Fair, Peg + Cat: The Tree Problem, Daniel Tigers Gn=ific Feelings Arthur's Big App, Explore Daniel Tigers Neighborhood, All Aboard the Dinosaur Traint Martha Speaks Story Maker, PBS KIDS ScratchJr, PBS KIDS Party App, Plum's PBS Wal Community tab Partnership Agreement -Santa Ana Public Library - Cohort Page 2 of 2 Creaturizer, PBS Parents Play 8 Learn, WordWorid Tales, The Electric Company Party Game, Fizzy's Lunch Lab: Fresh Pick, PBS KIDS Video, Cyberchase Shape Quest, Cyberchase 31) Builder *Contingent on available funding 8. An invitation to join the PBS SoCal Early Learning Collaborative a. Members of this collaborative will be invited to larger scale train€ngs and presentations on new programs/lessons hosted by PBS SoCal. b. The collaborative will convene semi-annually to discuss the issues and share Ideas surrounding early education In the Southern Catifomla Community. zS,gM &n_a Public Library agrees to provide the following through this agreement: 1. A meeting with the Executive Director and Early Learning Program Manager (or appropriate staff) to confirm partnership with organization and overview planning with leadership. a. This meeting will also serve as a site visit and tech assessment. 2. A committed contact person at the organization who Is directly involved with the Community Lab, and who will provide consistent communication throughout partnership. 3. integration of PBS Ready to Learn transmedla resources into existing services 4. Use of the Community Lab will be for educational purposes only. 5. Secure and proper storage of the Lab and all associated equipment. 6. A willingness to Include PBS SoCal to partner hosted events as appropriate. 7. A representative of the partner organization to be involved In the PBS SoCal RTL Collaborative. 8. Monthly and Annual Reporting as requested by PBS SoCal. €i. In case of toss, theft, or Irreparable damage to the device, the City shall not be financially responsible, but PBS SoCal shall not be obligated to replace the device. 10. Santa Ana Public Library shall return all equipment at the expiration of this Agreement. Signatures of Authorized Representatives 11 • Ra I GodinqAll Date City r Cry- nta Ana 1160117 DavvqM# Date CIaVOPioer, PBS SoCal ATTES PROVED A S T,QFORM � �Marla D. Hulzar, lerk of Coun-c , _ Laura Rossini, Senior Assistant City Attorney RE rjOWENDR APPROVAL Ll r, RUDLOFF Exec iNzad , Recreation, and Community Services PSSSoCal Community lob Partnership Agreement —Santo Ana Public Library —Cohort 3 Page 2 of 2 EXHIBIT A— PBS SOCAL COMMUNITY LAB AGREEMENT INSURANCE REQUIREMENTS Prior to undertaking performance of work under this Agreement, PBS shall maintain and shall require its subcontractors, if any, to obtain and maintain Insurance as described below: a. Commercial General Liability Insurance. PBS shall maintain commercial general liability Insurance naming the City, its officers, employees, agents, volunteers and representatives as additional Insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, Including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of PBS's operations in the performance of this Agreement, including, without limitation, 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, with $2,000,000 In the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, 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. Business automobile liability Insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence, Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, PBS, if PBS 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, PBS agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If PBS Is or employs a licensed professional such as an architect or engineer. Professional liability (errors and omisslons) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 In the aggregate. e. The following requirements apply to the Insurance to be provided by PBS pursuant to this section: I. PBS shall maintain all insurance required above in full force and effectfor the entire period covered by this Agreement. fl. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. Ill. Certificates and policies shall 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. PBS shall supply City with a fully executed additional Insured endorsement. f. If PBS 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 force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such terminatlon shall not affect PBS's right to be paid for its time and materials expended prior to notification of termination. PBS waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of Insurance by the City. KCETLIN-01 TTRAN .41CoRL7" CERTIFICATE OF LIABILITY INSURANCE �� D11101AM 120118 1110112018 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(les) 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(s). PRODUCER License # 0757776 C TA CT Los Angeles, CA -Center Drive -HUB International Insurance Services Inc. 6701 Center Drive West, Suite 1500 Los Angeles, CA 90045 PHONE FAX (A/Ctp, No, Ext): (310) 568-5900 AIc, No :(310) 568.9098 AEMLS: INSURER( ) AFFORDING COVERAGE NAICN INSURERA:VI gantInsurance Company _ 20397 INSURED INSURER B: Atlantic S ececlalty Ins. Co. 27154 _ Public Media Group of Southern California INSURER C: Federal Insurance Company 20281 INSURER D: 2900 W. Alameda Blvd, Suite 600 Burbank, CA 91605 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IN TYPETYPE OF INSURANCE ADDLSUBR INSD POLICY NUMBER POUCV EFF 0- POLICY EXP fMMIDDffYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADELAJ Fy IOCCUR X X 79565975 0710112018 07/0112019- EACH OCCURRENCE $ 1,000,000 DAMAG-EREMI,EETO RENTED r $ 1,000,000 ALE-DEXP fA ny one arson $ 10'000 PERSONAL B AOV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY n PROOT- InJ LOC GENERAL AGGREGATE $ 2,0011000 GENT PRODUCTS - COMP/OP AGO $ _...__._..._2,000 ,000 OTHER: B AUTOMOBILE LIABILITY ICOMBINED SINGLE LIMIT LLE�cE.del>a $ 1,000,000 BODILY INJURY ParPelson) $ _X F" ANY AUTO X 71001462100114 107101/2018 07101/2019 OVJNEO SCHEDULED AUTOSONLY AUTOS H REED NON-oVJNED Al)TOS ONLY ..._.. AUTOS ONLY i BODILY INJURY (Per accident ROPERTY DAMAGE Per accident) ;_,_____ F _$ $ C X4UMI LIAR X OCCUR EACH OCCURRENCE $ 10:000,000 AGGREGATEFRETENTION$ 10,000,000 R CLAIMS -MADE 79565976 07/01/2018 07/0112019 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY FICERIM IIM6OR/ EXCLUDED?ECUTIVE j (Mandatory In NH) L—J If yes, describe under DESCRIPTION OF OPERATIONS below NIA IPER OTH- ISTATUTE E. L. EACH ACCIDENT $ E, L. DISEASE - EA EMPLOYEE $ E. L. DISEASE -POLICY LIMIT $ B Commercial Property D100286.09 07/01/2018 07/01/2019 Misc. Equipment 2,250,000 B Commercial Property D100286.09 07101/2018 07/01/2019 Misc. Equipment Ded.I I 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be adached a more apace Is mqulmd) The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are Included as Additional Insured in respects to the General Liability Policy but only as respects to claims arising out of the negligence of the Named Insured. Coverage is Primary and Nan"ributory. a30 Days' Notice of Cancellation except 10 Day's for Non -Payment of Premium. NN o � GeV �,S City of Santa Ana Parks, Recreation and Community Services Agency 20 Civic Center Plaza P.O. Box 1988 M-23 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Con Itlons (continued) Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights Against Others of recovery against such person or organization in a contract or agreement that is executed before such loss, To the extent that the insured's rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them This condition does not apply to medical expenses, 5 00 Liabllfty Insurance Form 80-022000 (Rev. 4-01) Contract page 24 of 92 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DVANTAGE FOR AUTOMOBILE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following schedule lists the coverage extensions provided by this endorsement. Refer to the individual provi- .1,u, I to wmn 111110 um QAwul ur yuw I SCHEDULE OF COVERAGE EXTENSIONS 2. Airbag Discharge 13. Fellow Employee Exclusion 3. Auto Theft Reward 14. Glass Repair- Waiver of Deductible 4. Blanket Waiver of Subrogation 15. Hired Auto Physical Damage Coverage 5. Bodily Injury Redefined - Mental Anguish 16. Lease Gap Coverage 6, Broad Form Named Insured 17. Liability Coverage - Supplementary Payments 7. Communications Equipment 18. Newly Formed or Acquired Organizations 8. Diminution in Value 19. Physical Damage -Transportation Expenses 9. Drive Other Car- Executive Officers 20. Rental Reimbursement - Private Passenger 10. Duties In The Event of Accident, Claim, Suit or Loss Vehicles 1. ADDITIONAL INSURED BY CONTRACT The Who Is An Insured provision under SECTION 11- LIABILITY COVERAGE is amended to include as an additional "Insured" any person or organization with whom you agreed In a written contract, written agreement or permit, to provide insurance such as is afforded under this Coverage Form. Such person or organization is an "insured" only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part by your maintenance, operation or use of your covered "autos". With respect to the insurance afforded to these additional "insureds", this insurance does not apply: a. Unless the written contract or agreement has been executed or the permit has been issued prior to the "bodily injury" or "property damage"; b. To any person or organization included as an "insured" by endorsement or in the Declarations; or c. To any lessor of "autos" when their contract or agreement with you for such leased "auto" ends. 2. AIRBAG DISCHARGE If you purchased physical damage coverage for a covered "auto" under this policy, we will pay to reset or re- place an airbag that accidentally discharges without the vehicle being involved in an accident. No deductible applies to this additional coverage. However, this coverage only applies if the airbag is not covered under a manufacturer's warranty and you did not intentionally cause the airbag to discharge. 3. AUTO THEFT REWARD We will pay up to a $2,000 reward in the event of a covered loss, for information leading to the arrest and conviction of anyone stealing a covered "auto". A reward will not be paid to you, a family member, employee or any public official while performing their duty. 4. BLANKET WAIVER OF SUBROGATION The Transfer Of Rights of Recovery Against Others To Us condition under SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A. LOSS CONDITIONS is replaced by the following: We will waive any right of recovery we may have against any person or organization because of payments we make for Injury or damage arising out of the operation of a covered "auto" when Ap ve assumed liability for such "bodily injury" or "property damage" under an "insured contract", provlVhe contract is in iting and executed prior to the "bodily Injury" or "property damage". ��\�' �co,n la 6. BODILY INJURY REDEFINED- MENTAL ANGUISH I -A i ✓ \'_ The definition of "bodily injury" under SECTION V - DEFINITIONS is replaced�jib6�i "Bodily injury" means bodily injury, sickness, or disease sustained \gyp f�ori 11,0401 g mental anguish or death resulting from any of these at any time. VCA 2010109 Includes copynghteo material of Insurance Services Office; 16C. Page 1 of 5 Copyright 2004, Oneaeacon Insurance Croup LLC INSURED 6. BROAD FORM NAMED INSURED a. The Who Is An Insured provision under SECTION 11 — LIABILITY COVERAGE is amended to include the following: Any organization which is a legally incorporated entity in which you own a financial interest of more than 50% of the voting stock on the effective date of this Coverage Form will be a Named Insured until the 160" day or the end of the policy period whichever comes first, provided there is no other similar insurance avail- able to that organization. I Paragraph a. of this provision 6. does not apply to "bodily injury" or "property damage" for which an "in- sured" is also an "insured" under any other automobile policy or would be an "insured" under such a poli- cy, but for its termination or the exhaustion of its Limit of Insurance. 7. COMMUNICATIONS EQUIPMENT a. The exclusion for electronic equipment under Exclusions of SECTION III — PHYSICAL DAMAGE COVERAGE does not apply to loss of any permanently installed, non -removable communications equip- ment designed for use as a: 1. Citizen's band radio; 2. Two-way mobile radio or telephone; 3. Scanning monitor receiver; or 4. GPS Navigation System, including its antenna and other accessories. b. No Deductible applies to this additional coverage. c. The most we will pay for this coverage is $5,000 per occurrence, 6, DIMINUTION IN VALUE The "diminution in value" exclusion under SECTION III — PHYSICAL DAMAGE COVERAGE, B. Exclusions does not apply if the covered "auto" is a private passenger "auto" and is leased, rented, hired or borrowed without a driver for a period of 30 days or less and is used in the conduct of the insured's business. The most we will pay for "loss" arising out of an "accident" is the lesser of $7,500 or 20% of the actual cash value of the "auto" as determined by Kelley Blue Book or other independent valuation sources. 9. DRIVE OTHER CAR— EXECUTIVE OFFICERS a. The Who Is An Insured provision under SECTION II — LIABILITY COVERAGE is amended to include: If you are designated in the Declarations as: 1. An individual; you and your spouse. 2. A partnership; your partners and their spouses. 3. An organization other than an Individual or a partnership; your "executive officers" and their spouses. I SECTION II — LIABILITY COVERAGE and SECTION III — PHYSICAL DAMAGE COVERAGE are ex- tended to include "autos" you don't own, hire, lease or borrow while in the care, custody or control of an "Insured" listed in III This does not include any "auto": 1. Owned by any "insured" listed in 9.a., or any member of their household, including any such "auto" that is owned but not insured; 2. Used by an "insured" listed in 9.a, while working in the business of selling, servicing, repairing or parking autos; or 3. Insured under another policy of insurance. If Medical Payments, Uninsured/Underinsured Motorist, Personal Injury Protection or other compulsory coverages required by the governing jurisdiction are covered on this policy, then insureds listed in 9.a. above and family members residing in the same households are "insureds" while: 1. Occupying as a passenger; or�db�' 2. A pedestrian when struck by, ,,��.55 any "auto" you do not own, hire, lease or borrow, except any "auto" owirt d by that 'Tri sled in 9.a, their family members or an "auto" insured under any other policy. n ld c. The limits and deductibles applicable to this provision will be the largest for the specific insurance. Page 2 of 5 Includes copyrighted material of Insurance services Office, Inc. Copyright 2004, One Beacon Insurance Group LLC �R\ e'&hn "auto" 11Q VCA 20101 09 • 0 d. The following definition is added to the DEFINITIONS section of the policy: "Executive officer" means a person holding any of the officer positions created by your charter, consti- tution, by-laws or any similar governing document. e. The Other Insurance Condition, under Section IV — BUSINESS AUTO CONDITIONS, does not apply 40 to the provisions of this Drive Other Car endorsement. There is no "other insurance" applicable to this en- dorsement. 10. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUITOR LOSS Under SECTION IV — BUSINESS AUTO CONDITIONS — the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is amended as follows: The requirements that you must: a. Notify us of an "accident", claim, "suit" or "loss"; and b. Send us documents concerning a claim or "suit", apply only when such "accident", claim, "suit" or "loss" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. An executive officer of the corporation or insurance manager, if you are a corporation; or d. A manager, if you are a limited liability company. 11. EMPLOYEES AS INSUREDS The Who Is An Insured provision under SECTION II — LIABILITY COVERAGE is changed by adding the fol- lowing: Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. This coverage Is excess over any other collectible insurance. 12. EMPLOYEE HIRED AUTOS The following is added to the Who Is An Insured Provision: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contact or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. For purposes of this coverage grant, paragraph 5.b. of the Other Insurance Condition in the Business Auto Coverage Form is replaced by the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: 1. Any covered "auto" you lease, hire, rent or borrow; and 2. Any covered "auto" hired or rented by your "employee" under a contract in that individual "employ- ee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". This coverage is excess over any other collectible insurance. 13. FELLOW EMPLOYEE EXCLUSION The Fellow Employee exclusion under SECTION 11— LIABILITY COVERAGE does not apply if the "bodily in- jury" results from the use of a covered "auto" you own or hire. This coverage is excess over any other insur- ance. 14. GLASS REPAIR — WAIVER OF DEDUCTIBLE Under paragraph D. — Deductible — of SECTION III — PHYSICAL DAMAGE COVERAGE, the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced ° 15. HIRED AUTO — PHYSICAL DAMAGE COVERAGE If hired "autos" are covered "autos" under SECTION 11— LIABILITY COV�1' and if C sive, Speci- fied Causes of Loss, or Collision coverages are provided under this' olicy for any " ou awn, then SECTION III —PHYSICAL DAMAGE COVERAGE is extended to "autos" you hire, sub oJowl ing all The most we will pay for "loss" to any hired "auto" is the lesser of: a. $75,000 for "autos" of the private passengertype and $50,000 fora �7jS�afp{1 VCA 2010109 Includes copyrighted material of Insurance services Office, Inc. Copyright 2004, Oneaeacon Insurance Group LLC Page 0 or 5 b. The actual cash value; or c. The cost of repairing or replacing it with other property of like kind or quality. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or lightning. • Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. We will also cover loss of use of the hired "auto" if the following conditions are met: a. It results from an accident; b. You are legally liable; and c. The lessor incurs an actual financial loss. The most we will pay for this loss of use coverage is $1,000 per "accident". 16. LEASE GAP COVERAGE Under paragraph C. Limit of Insurance — of SECTION III — PHYSICAL DAMAGE COVERAGE, the following is added: If a covered "auto" is leased, we will also pay the difference between the actual cash value of a covered "au- to" at the time of "loss" and the remaining balance on your lease if the following conditions are met: a. The "auto" has a long term lease and is covered on this policy. b. The lessor is added as an Additional Insured in a written lease agreement. c. You are legally obligated for the remaining balance. We will not pay for any amounts representing excess wear and tear charges; additional mileage charges; taxes; overdue payments; penalties, interest or charges resulting from overdue payments; or lease termination fees. 17. LIABILITY COVERAGE EXTENSIONS — SUPPLEMENTARY PAYMENTS Under SECTION II — LIABILITY COVERAGE, the Coverage Extension for Supplementary Payments is re- vised as follows: a. The limit for the cost of bail bonds is amended to $3,500. b. The limit for reasonable expenses incurred by the "insured" is amended to $500 a day. 18. NEWLY FORMED OR ACQUIRED ORGANIZATIONS a. The Who Is An Insured provision under SECTION II — LIABILITY COVERAGE is amended to include as an "insured" any organization that is formed or acquired by you and over which you maintain majority ownership. b. Paragraph a. of this provision 18. does not apply to any organization: 1. That is a joint venture or partnership; 2. That is an "insured" under any other policy; 3. That has exhausted its Limit of Insurance under any other policy; or 4. 180 days or more after its acquisition or formation by you, unless you have given us notice of the ac- quisition or formation. c. Paragraph a. of this provision 18. does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. 19. PHYSICAL DAMAGE— TRANSPORTATION EXPENSES COVERAGE Under SECTION III — PHYSICAL DAMAGE Coverage Extensions, the limit for Transportation Expenses is amended to $75 per day and the maximum is amended to $2,250. 20. RENTAL REIMBURSEMENT We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" of ,t� vale passenger type because of "loss" to a "covered auto" of the private passenger type. Payment a p ie�4d'`gddition to the of wise applicable amount of each coverage you have on a "covered auto". No deductilapply to this cov . We will pay those expenses incurred during the policy period beginning 24 hours after the to ` ding, regardless of the policy's expiration, six (6) days after the "loss". \ �\�Gla a(��(e° ��j�o Page 4 of 5 Includes ccpyrlghted material of Insurance Services Office, Inc. VCA 2010109 Copyright 2004, OneBeacon Insurance Group LLC LJ Payment is limited to the lesser of the following amounts: 1. Necessary and actual expenses incurred. 2. The maximum daily payment of $25 for anyone day. This coverage does not apply while there are spare or reserve "autos" available to you. If "loss" results from the total theft of the private passenger "auto", we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the PHYSICAL DAMAGE COVERAGE Extension. 21. TOWING —COVERED AUTOS Under SECTION III — PHYSICAL DAMAGE COVERAGE, Coverage for Towing is amended as follows: a. This coverage applies to any covered "auto" for which a premium charge for towing and labor is shown in the Schedule or in the Declarations. b° The limit is $100, (Soo n. ,. VCA 201 01 09 Includes copyrighted material of Insurance Services Office, Inc. Page 5 of 5 Copyright 2004, OneBeacon Insurance Group LLC WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 99 03 04 (Ed. 7-M) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date Is Indicated below. (The following "attaching clause° need be completed only when this endorsement Is Issued subsequent to preparation of the policy.) This endorsement, effective on Policy No. (18)7956-70-87 07/01/18 at 12:01 A. M. standard time, forms a part of (DATE) Issuad to COMMUNITY TELEVISION OF SOUTHERN CALIFORNIA (A CORP) Endorsement No. of the FEDERAL INSURANCE COMPANY (NAME OF INSURANCE COMPANY) Authorizod Roprssentatue We have the right to recover our payments from anyone liable for an In)ury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for the blanket waiver offered by this endorsement shall be 1.00 % of total California premium. Schedule Person or Organization BLANKET WAIVER -ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER Job Description ALL CALIFORNIA OPERATIONS WC 99 03 04 (Et. 7-09) KI Liability Insurance or�ua® Endorsement Policy Period JULY 1, 2018 TO JULY 1, 2019 Effective Date JULY 1, 2018 Policy Number 7956-59-75 Insured KCETLINK Name of Company VIGILANT INSURANCE COMPANY Date Issued JULY 1, 2018 This Endorsement applies to the following forms: GENERAL. LIABILITY LSQUOR LIABILITY TSR*:R.�'kYS'.Xf':A#xk"�S:SkY@Y::.�<2'�+�_3k.Y2a^L'�'Y,e\+Yz' k"HUkf.'fizMX.h:eY4X4':,:.A'FY�k't`mY�hs#'Xt£V€kRa`n"div"'3..W`#kY5TfirtG�2�.�.nkn`.%4`?.'w^.S%'R£R:,^2TK'.R}Y"�.:3#it�u^R�WkYRN9iH5:;d:A'St."ALW.:�.�+3nrt�bX Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in pan, before the execution of the contract or agrecmem; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardlessof any limitation applicable thereto), • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for Injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. kY.WRh'k�h.; m'�n'^....'k<FA'.4Z1`4'sx:YSS'.Cal�9H.ak"SA.FtkJaT\\�l`?'.24�.Ya2'eSVk'Y.<dSa'v:S�"d*:n R:'i".::.Citllkkb'titftR:FX&A?Y..'UR4.+.�'k'via'Z.tSkk?SiJ.n3&';�i5a`, '��',jRYY�:HS.' {*3sRti9 � 1-01 Liability Insurance Additional Insured- Scheduled Person Or Organization K� continued Liability Endorsement (continued) Under Conditions, the following provision is added to the condition tilled Other Insurance, Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Pnrnary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. asamtsr rsxaa::,..,:r..gas..srx.easzrexa.unmanx.4�:.rzsaw:�z�.�^c�aaerx:assxaxan+aror�aaa:azaxuc'w.o�aaw,.zxas;:.::aw,;;^:ausa�',axar�aur.�:za.;txUs�suaarz�:ww�w.xxma:�,rrx�ix�rxtt Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Q �1, P V Liability Insurance Additional Insured- Scheduled Person Or Organization lastpage Farm 80-02-2367(Rev. 5-07) Endorsement Page 2 Liability Insurance Endorsement Policy Period JULY 1, 2018 TO JULY 1, 2019 Effective Date SEPTEMBER 20, 2018 Policy Number 7956-59-75 Insured KCETLINK Name of Company VIGILANT INSURANCE COMPANY Date Issued SEPTEMBER 25, 2018 This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Is An Insured, the following provision is added. Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule; • to the extent such contract or agreement requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or damage to which this insurance applies. No person or organization is an insured under this provision: that is more specifically identified under any other provision of the Who Is An insured section (regardless of any limitation applicable thereto). with respect to any assumption of liability (of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement. "a Additional Insured — Scheduled Person Or Form 80-02-2367 (Rev. 5-07) Endorsement Page 1 Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance, Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule City of Santa Ana Parks, Recreation and Community Services Agency 20 Civic Center Plaza PO Box 1988 M-23 Santa Ana, CA 92702 All other terms and conditions remain unchanged. Authorized Representative Liability Insurance Additional Insured— Scheduled Person or Organization -0last page