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NATI'S HOUSE (NEUTRAL GROUND)
City of Santa Ana t Clerk of the Council AGREEMENT TERMINATION City of Santa Ana Please complete this form when the attached agreement is no longer in effect. AIJ 3 0 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 a\ No. was completed on Al Jig and final payment has been made. Department: ��� Ti��•�I��J N -a m ' �� ` Phone/Ext.: 4�,5 Signature: , i_p tt)` m-, Date: -7 !�5 W Revised 07-23-07 INSURANCE ON FILE WORK MAY PROCEED TIE INSURANCE EXPIRES WC tl ij -f (MTRCS (/ } CLERK OF COUNCILSilvia Cuevas DATE: // R S�—/d' 4 t i THIS FIRST AMENDMENT to the above -referenced agreement is entered into on July 31, 2018, by and between Nati's House dba Neutral Ground, a California non-profit organization ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). A. The parties entered into an Agreement dated July 11, 2018 to Provide a Summer Night Lights Program ("Agreement"), by which Consultant agreed to provide food, games, crafts, sports, counseling and educational training during the summer months to reduce violence and increase community relations. B, The parties wish to amend the Agreement to increase compensation paid by Consultant to cover the costs associated with use of the field lights and obtaining an amplified sound permit and to revise the scope of services to include use of the lights at the El Salvador Park. The Parties therefore agree. 1. Section 2a, COMPENSATION, is revised to change $1,293.30 to $2,502.80, Section 1, SCOPE OF SERVICES, Exhibit A, is replaced in its entirety with the attached Exhibit A to include use of the field lights at El Salvador Park and obtaining an amplified sound permit, 3. Except as modified by this First Amendment, all terms and conditions of the Agreement shall remain in fall force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST CITY OF SANTA ANA MARIA D, HUIZAR " RAC GODINEZ T Cleric of the Council City Manager -- signatures continue on next page -- Page 1 of 3 N-2018-141-01 APPROVED AS TO FORM SONIA R. CARVALHO City Attorney LAURA A. ROSSINI' Senior Assistant City Attorney CONSULTANT EXHIBIT A SCOPE OF SERVICES Page 3 of 3 N-2018-141-01 EXH1131T 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 surraner months to reduce violence and increase connnunity relations. Neutral Ground Non -Profit is located at: 1920 E. 17th St. Santa Ana CA 92705 manber: 714.980.0953, Nati Alvarado <nati@ngservices,org> LOCATION: E1 Salvador Park, 1825 West Civic Center Dr., Santa Ana, (714) 647-6558 • Simnner Night Lights will consist of weekly sessions, held 2 days per week, 3 hours per clay from 7:00pm-10:00 pm, every Thursday and Friday starting .July 12, 2018 through August 10, 2018. • Summer Night Lights will utilize the Basketball Court and grass area between the handball courts and pool area and the field lights at El Salvador Park. C. Contractor shall provide all materials, supplies, equipment, records 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, 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. 1. 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 $2,502.80 for usage of area(s), lights and sound permit. 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, ,Ec !Pbr CERTIFICATE OF LIABILITY INSURANCE OATS(MMIDONYYY) 9/25/2016 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 polloy(los) 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 endorsements . PRODUCER Lovitt & TDUchA -Tampa 1050 W Washinggton Street, Suite 233 Temps AZ 86287 Tenla SBitrd 0 W elfin ' � 602 60 I �AX ''rnnan..e39:— c xa1 90z-956.229a laeHrldae�lovl„ t-o-uche,com INSURER E AFFORDING COVERAGE NAIL INSURER A: Philadelphia Indemnity Insurance Co 18098 INSURPA NA7IHOU41 �"' $�ORION N1,91 NT INSURERS: INSURER C : _ INlURERa, _ 3Valancla St Santa Ana CA 92706 INSa: _ IN9UREURERRF I COVERAGES CERTIFICATE NUMBER: 12g4472462 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 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. M R TYPEOP INSURANCE WWH FOLICYNQMBVREP LIMITS A X COMMERCIALaENERAL LIABILITY CLAIMS•MAOE FRI OCCUR PHPK1735IN Irenoia 10201% 6ACHOCCURRENCE 1,010000 91 mO000 MEDEXP n me amon 20000 PERSONAL B ADV INJURY 11 000 GEN'L AGGREGATE UpNpIT.. APPUES PER: )( POLK:Y ❑ JECT LOD OT E ' GENERALAGGREOATE 2000 an PRODUCTS-COMPIOP AGO 92OW 000 $ A AUTOMOSILSLWBUTY )( ANYAUG OWNED SCNF.OUI.FD OM.VNAUTppgg HIRED NOOWNEAUTOS ONLYAUI OS ONLY PHPKU3u B4 19nare varm1g I HDDILY INJURY (Per serum) $1,0W,000 $ BODILY INJURY(Far ecdden8 (Far 9 s UMSRELLAMAS EXCESS LIAR OCCUR CUJMS-MADE - EACH OCCURRENCE f AGGREGATE 9 ORD I I RETENTION$ WORKERS COMPENSATION ANDEMPLOYERS'LMSILnY YIN ANYPROPRIETORIPARTNEMEXSCUTNE (Mamblary In NH) x adeadtn undarOPERATIONS NIA E.L. EACHACCDEM IS EL OISRASE- EA EMPLOYE $ EL DISEASE -POLICY LIMIT 9 A PmNitlOnal Uablllly 9oxuetlPhYakul Ahuee MPKI728IN VBfL018 110r201a Aggragdu AS&oats 2,000,000 30D,00D DESCRIPTION Of OPERATION$ /LOCATIONS 1WHICLE6 (ADDED 101. Addmand Remarks Schedule, may Im Ateahed It man specs le nqu 0.WY Certificate holder Is named Additional Insured to General Liability coverage If required by written contract, "'GE Certificate I po lcy terms, c Ilona, definitions and exclusions. Primary/Non-Contributory applies. J`e,1r�lii CERTIFICATE HOLDER CANCELLATIO . NY- Y" —XI SHOULD ArNY OF THE AHOVe DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana Its officers, employees, agents and volunteers THE EXPIRATION DATE THEREOF, NOTICE WILL Be DEUVSREO IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana CA 92701 01058-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/03) The ACORD name and logo are registered marks of ACORD nc E)" CERTIFICATE OF LIABILITY INSURANCE OAT 0513U131120YYYY) 110 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 AMENb, 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 pollcy(los) must be endorsed. If SUBROGATION S WAIVE , au )oat 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 NAA �—n Automatic Data Processing Insurance Agency, Inc. P .No x1 .._.___ tgrc N� o), —�_ 1 Adp Boulevard AoORIESIll Roseland, NJ 0706E INSURER(S) AFFORDING COVERAGE _ NAICa INSURERAI State Campenaailan lneumnca Fund 35076 INSURED INSURERS; NEUTRAL GROUND —'- 1733VALENCIA INSURERD: Santa Ana, CA 02706 INSURERS: _ INSURER F1 COVERAGES CERTIFICATE NUMBER: VMS/ 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 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 S14OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILm TYPE OF INSURANCE POLICY NUMBER N1Ai DID I I me I LIMITS COMM@RCIAL a@N@flAL LIABILITY CtAIM15-MADE ❑OCCUR EAAR $ _ PR DAMAGE TORENTED (go ecamareal$ MET EXP (Any ona perean) $ PERSONAL ADV INJURY $ GENIL AGGREGATE LIMIT APPLIES PER POLICY'PELT ❑LOC OTHER: GENERALAGGREGATE $ PRODUCTS •COMP/OP AGO $ $ AUTOMOBILE LIASILRY ANY AUTO AViOS NED SCHEDULED HIREDAUTOS AUTOBWNtD SOGILYINJURY(Perperapn) $ BODILY IWURY(Par accident) $ Per ncclCeiR AMq(iE $'.',' $ _ UMDRELLA LIAR EXCESS LIAO OCCUR CUNMIS-MADE EACHOCCURRENCE $ AGGREGATE S DEO I I RETFNTION$ $ A WORK@RS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFIC@FIMEN9EH EXCLUDED? �Y (Mandatary In NH) IUer s IPTiON OF OPERATIONS Mim, NIA N 9221268.2017 ii(13121117 11113/2018 X I TATVTE I I ER B.L. BncH ACCIDENT $ 1,000,000 E,L. DISEASE - EA EMPLOYEE1 $ 1,000,000 EL.DISEASE-POU11YUMIT 5 1,000,000 DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLESIACORD 191, AddIdanel RemarksSahudule, may he attached It MOM apace Is COMOrad) 1 N ' c� V MI ICLI.M 11 V N SHOULD ANY OF HE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Torrl Eggers ACCORDANCE WITH THE POLICY PROVISIONS, 20 CIVIC Canter Plaza AUTNGRIZEO REPRESENTATIVESanta 91 `� Ana, CA 92701 ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER; PIIPK1738184 COMMERCIAL GENERAL LIABILITY CO 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 Ana its officers, employees, agents and volunteers A. Section II — Who Is An Insured is amended to Include as an additional Insured the person(s) or organization(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 less, This endorsement shall not increase the applicable Limits of Insurance shown In the Declarations, 5,a` CG 20 26 0413 9 Insurance Services Office, Inc„ 2012 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 II — WHO IS AN INSURED is amended to include as an additional Insured the person(s) or organization(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 work" 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 Additional Insured's limits of Insurance do not Increase our limits of Insurance, as described I SECTION III — LIMITS OF INSURANCE. Y��d�WQll � �-0 Ail otherterms, conditions, and exclusions under the policy are applicable to this a' menlkand remain unchanged. �T V Page 2 of 2 ) �Q Includes copyrighted material of Insurance Services Office, Inc., wit ' per Q�/II (�l 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 SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS AI or CH Additional Insured or Certificate Holder I Address AI The C1L`y of Santa Ana 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 mail 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. 1, 30 days before the effective date of cancellation if we cancel for any reason other then 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 I of I � p/ \'71✓A, raPHILADELPH LA One Bala Plaza, suite 100 INSURANCE COMPANIES Bala Cynwyd, Pennsylvania 19004 610.617,7900 Fax 610,617,7940 A Member ofthe'rokio blarine aeoup PHLY.eom Phliadelphia Indemnity Insurance Company COMMON POLICY DECLARATIONS Policy Number: PHPK1738184 Named Insured and Mailing Address: Producer: 18025 Nad's House Lovitt &Touche, Inc. 1733 Valencia St 1050 W Washington St Ste 233 Santa Ana, CA 92706-2930 Tempe, AZ 85281 (602)956-2250 Policy Period From:01/06/2018 To: 01/06/2019 at 12:01 A.M. Standard Tim at your mailing address shown above, Business Description: Non Profit Organization 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 Properly Coverage Part 203.00 Commercial General Liability Coverage Part 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 1,670.00 277.00 851,00 GCaP`� 38.00 e FORM (S) AND ENDORSEMENT (S) MADE A PART OF THIS POLICY AT THE TIME OF ISSUE Refer To Forms Schedule 'Omits applicable Forms and Endorsements if shown In specific Coverage Pad/Coverage Form Declarations CPD- PI IC (06114) 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 0100 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 Terrorlsm PI-CANXAICH-002 0511 Cancellation Notice To Schad Addi Insd Or Cert Holder PI-TER-DN1 0115 Disclosure Notice Of Terrorism Ins Coverage Rejection Page 1 of 1 Philadelphia Indemnity Insurance Company Locations Schedule PollayNumber; PHPK1738184 Prems. Bldg. No. No. Address 0001 0001 1516 N Flower St Santa Ana, CA 92706-3721 Page 1 of 1 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 PSG Page 1 of 1 Philadelphia Indemnity Insurance Company Named Insured Schedule Policy Number: PHPK1738184 Neutral Ground dba Page 1 of 1 ��