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HomeMy WebLinkAboutEL CENTRO CULTURAL DE MEXICO!h ;;�R6sNCi li(.7 G;4, ;liiF fi,U VVO RK ,AY . ,, 7r _ N-2019-062 f fr(C ED ASR Q 20 WRTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN �, C7 Q (®) THE CITY OF SANTA ANA AND EL CENTRO CULTURAL DE MEXICO This Artist Grant Agreement ("Agreement") is made and entered this 1711 day of July, 2018, by and between 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"), and EI Centro Cultural de Mexico ("Grantee") for the purpose of providing grant funding pursuant to the Investing in the Arts Grant Program. City and Grantee may herein individually be referred to as a "Party" and collectively be referred to as the "Parties" to the Agreement. RECITALS: A. On July 2, 2018, the Arts and Culture Commission reviewed all applicants and recommended that Grantee be awarded an artist grant based on its Application for its artwork ("Project"). A true and correct copy of Grantee's Application is attached hereto as Exhibit A and incorporated herein by reference. B. On July 17, 2018, the City Council approved the grant funding for Grantee and authorized the execution of this Agreement. C. In undertaking the performance pursuant to this Agreement, Grantee represents that it is skilled and knowledgeable in the arts and culture arena and that the Project created or performed hereunder will be created or performed in compliance with such standards as may reasonably be expected from an artist. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. Term. This Agreement shall be effective upon signature by both Parties and shall expire one year from the date first written above, unless terminated earlier in accordance with this Agreement. 2. Funding. 2.1. Subject to Grantee's performance of all required actions under this Agreement, City shall provide funding, in two disbursements, as detailed below, of an amount not to exceed Five Thousand, Six Hundred, Ninety Dollars ($5,690.00) ("Grant Amount" or "Grant"). 2.2. Grantee will be paid in two (2) installments. First payment will be one-half of the funding amount provided above or $2,845.00 and will be provided within thirty (30) days of the full execution of the Agreement by the parties. The second and final payment will include the remaining amount of $2,845.00 and will be issued within thirty (30) days after the Grantee submits to the City all the proper receipts, invoices and final report for the Project. 2.3. Appropriate performance of the Grantee will be determined by City in its sole discretion. City reserves the right to cease funding after the first disbursement detailed above, and to be reimbursed the initial payment, if Grantee's performance is determined to be insufficient or unacceptable in the City's sole discretion. 2.4. City represents that there is no correlation or connection between its selection of institutions or organizations for grant awards and an institution or organization's business relationship or potential business relationship with City. 3. Grant Activities. Grantee agrees 3.1. To perform the activities described in the Grant Application and Timeline submitted to City for consideration dated May 3, 2018, a copy of which is attached as Exhibit A and incorporated into this Agreement as if set out in full. 3.2. To submit all reports (each, a "Report"), which shall include, at a minimum, the items set forth as required by the Application. No personally identifiable information shall be included in any of the Reports, except where specifically requested. The Reports shall be in a format that is reasonably acceptable to City. City may request additional information as City, in its sole discretion, determines is necessary to monitor performance of this Agreement. City shall have the right to use any Reports submitted by Grantee, or any portion thereof, for any reason. 3.3. Grantee shall maintain all pertinent financial and accounting records pertaining to this Agreement in accordance with generally accepted accounting principles and other procedures reasonably specified by City. Upon termination or expiration of this Agreement or request by City, Grantee shall provide, at its expense, copies of all financial and accounting records produced by it arising out of this Agreement. 3.4. Grantee shall allow audits, compliance or special reviews and inspections, including on-site inspection, with or without prior notice, of Grantee's facilities by City or by third parties designated by City, or their authorized representatives. Grantee shall provide its full cooperation for any such audit, review or inspection, including providing timely access, for examination and copying of records (including computerized records) pertinent books, documents, papers, computer programs and records and reasonable access to its personnel. 3.5. Grantee shall ensure that any areas utilized for the Project are maintained and restored to a well-maintained, safe, sanitary, and clean condition, and kept free of any hazardous waste at all times. All equipment associated with the installation of the artwork, trash and debris shall be removed and cleaned up on a daily basis. Grantee shall place a drop cloth or similar barrier on the ground below the artwork while installation is underway, which barrier shall be removed each day upon completion of an installation session. 3.6. The Project may not contain advertising, religious art, sexual content, negative or violent imagery, convey political partisanship or include any hidden, subliminal or camouflaged messages or statements of any kind or nature. Appropriateness of the content of the Project will be determined by City in its sole discretion. 3.7. The Project may not include any breach of intellectual property, trademarks, brands, or images of illegal activity, and the Grantee must be the copyright holder for the Project. 4. Termination. 4.1. City may immediately terminate this Agreement upon one or more of the following: 4.1.1. Grantee's violation of any federal, state or local law or regulation. 4.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the Application and Timeline, or any unapproved deviation from said documents that has not been cured within 30 days of written notice of such breach. 4.2. In the event the Agreement is terminated under Section 4.1, City reserves the right to require Grantee to refund any or all grant funds awarded to Grantee under this Agreement, and Grantee agrees to refund to City any or all grant funds awarded under this Agreement. 5. Limitation of Liability. 5.1. IN NO EVENT SHALL CITY BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR EXPENSES FOR ANY NEGLIGENCE, BREACH OF CONTRACT OR ANY OTHER ACT ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE ACTIVITIES COVERED HEREUNDER. 5.2. Section 5 and Section 6 do not limit Grantee's rights, including its ability to seek recovery, against anyone other than City, its directors, officers, employees, agents, successors and assigns. 6. Indemnification. 6.1. Grantee shall defend, indemnify, protect and hold harmless the City, and its elected and appointed officers, employees, members or agents from and against all claims for damages, liability, cost and expense (including without limitation attorney's fees) arising out of or alleged by third parties to be the result of the negligent acts, errors or omissions or the willful misconduct of the Grantee, and Grantee's employees, subcontractors or other persons, agencies or firms for whom Grantee is legally responsible in connection with the execution of the work covered by this Agreement. Grantee shall have no duty to indemnify or hold harmless the City if claims, damages, liability, costs, expenses (including without limitation, attorney's fees) arise from the sole negligence or sole willful misconduct of the City subsequent to declaration by the Grantee. Grantee's obligations shall survive the termination of this Agreement. 6.2. Grantee agrees to hereby fully release and forever discharge the City from any and all claims, demands, damages, losses, and liabilities (hereinafter collectively referred to as "claims"), which are or may be related to or in any way connected with the negligence or willful misconduct of its officers, officials, employees, or agents in connection with the creation, painting, performance or installation of the Project hereunder. 6.3. Grantee further agrees that City may in good faith and on reasonable terms settle any such claims and that City's right to indemnification shall extend to any such settlement, provided City has given notice of such claim and its intent to settle. City's right to indemnification is in addition to, and may be exercised independently of, any remedy held by City under this Agreement, at law or in equity. The indemnity provision set forth in this Agreement shall survive the termination or expiration of this Agreement indefinitely. 7. General Provisions. 7.1. Grantee shall acquire prior written permission from City for any use of the City name or logo in association with its Project. 7.2. If any parts of this Agreement are held to be invalid or unenforceable, the remaining parts of the Agreement shall continue to be valid and enforceable. 7.3. Grantee shall comply with all governmental requirements that may now or in the future become applicable to its activities under this Agreement. 7.4. This Agreement, including Exhibit A, Application, and any amendments or schedules hereto, contain the full understanding and agreement of the Parties with respect to its subject matter, and no waiver, alteration or modification of any of the provisions to this Agreement shall be binding unless in writing and signed by an authorized officer of both Parties. 7.5. No waiver by either Party or any breach, default, or series of breaches or defaults, and no failure, refusal, or neglect of either Party to exercise any right, power, or option given to it under this Agreement or to insist upon strict compliance with the terms of this Agreement shall constitute a waiver of these provisions with respect to any subsequent breach or waiver by either Party or its right at any time thereafter to require exact and strict compliance with provisions of this Agreement. 7.6. Any notice or other communication required or permitted to be made or given by either Party pursuant to this Agreement will be in writing and will be deemed to have been duly given: (i) five (5) business days after the date of mailing if sent by registered or certified U.S. mail, postage prepaid, with return receipt requested; (ii) when transmitted if sent by facsimile, provided a confirmation of transmission is produced by the sending machine; or (iii) when delivered if delivered personally or sent by express courier service. All notices to City shall include a reference to the Project title. All notices will be sent to the other Party at its address as set forth below or at such other address as such Party will have specified in a notice given in accordance with this section: Grantee: EI Centro Cultural de Mexico 837 N. Ross Street Santa Ana. CA 92701 City: City of Santa Ana Clerk of the Council (M-30) 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 FAX (714) 647-6956 7.7. This Agreement is subject to all applicable local, State and Federal laws. 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 State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 7.8. Grantee agrees to comply with all applicable equal opportunity and affirmative action laws as appropriate, Grantee shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Grantee affirms that it is an equal opportunity employer (if applicable) and shall comply with all applicable federal, state and local laws and regulations. 7.9. Any funds provided under this Agreement that are not expended, obligated or otherwise committed by the termination or expiration of this Agreement shall be immediately returned to City. 7.10. Grantee grants to City a non-exclusive, irrevocable, transferable, royalty free, worldwide license to use, reproduce, display, distribute, and prepare derivative works, in any form or media at the discretion of the City for the Project conceived, performed or created as a result of this Agreement. 7.11. Grantee and any of the Grantee's agents, employees or representatives are, for all purposes under this Agreement, an independent contractor and shall not be deemed to be an employee of the City, and none of them shall be entitled to any benefits to which City employees are entitled including but not limited to, overtime, retirement benefits, work's compensation benefits, injury leave or other leave benefits. 7.12. Neither Party shall assign any rights or obligations under this Agreement. 7.13. Each Party covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 7.14. Each Party warrants that they have executed this Agreement knowingly, freely and voluntarily and with full knowledge of its legal consequences. All parties involved warrant and represent that, prior to executing this Agreement, each Party has had the opportunity to review and consider this matter with legal counsel, and that the terms of this Agreement, and its consequences, are fully understood by each Party. 7.15. This Agreement represents the entire agreement and understanding between the parties, and supersedes any and all prior agreements and understandings between the parties, whether oral or written. 7.16. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. {Signatures on following page} IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. Nonna Mitre Acting Clerk of the'ouncil 0 �. Steven A. Mendoza Executive Director Community Development Agency 6 Steven A. Mendoza Acting Citi, Manager Title; fpc�ew+iva rx" v— e !NVESTING IN THE ARTS GRANT +!* 1 A • P Name of Applicant: Award Amount: Category: Average Score: EI Centro Cultural de $5,690 Organization 82.2-8 1h Mexico Organization's Description of Project: This grant will support el Dia del Nino/Day of the Child 2019 event in downtown Santa Ana. On April 28, 2019, EI Centro Cultural de Mexico will present the annual el Dia del Nino/Day of the Child 2019 event, a free, family arts festival celebrating the traditional Latin-American holiday that honors the important role of the child in the family and society. Taking place in urban downtown Santa Ana's historic Birch Park, the day -long festival will feature approximately thirty participatory arts workshops and performances. In the months preceding the festival, EI Centro Cultural de Mexico will conduct interactive workshops. Organization is based in Santa Ana and proposes to use grant funds to provide arts and culture programming in Ward 2. Organization's proposed use of funds:: This grant will support el Dia del Nino/Day of the Child 2019 event in downtown Santa Ana. On April 28, 2019, EI Centro Cultural de Mexico will present the annual el Dfa del Nino/Day of the Child 2019 event, a free, family arts festival celebrating the traditional Latin-American holiday that honors the important role of the child in the family and society. Taking place in urban downtown Santa Ana's historic Birch Park, the day -long festival will feature approximately thirty participatory arts workshops and performances. In the months preceding the festival, EI Centro Cultural de Mexico will conduct interactive workshops to develop visual, literary, and performing art works to be presented during the main festival. The celebration intends to engage community members and local artists in meaningful artistic and cultural experiences. EI Dia del Nino/Day of the Child event is Santa Ana's way of bringing together tradition, community organizations, families, students, and businesses. Participants will find themselves as creative and capable of meaningful participation regardless of skill level and creating her/his own art. Funds from this grant will be used specifically to pay local community artists to cover supplies and materials, and on stage performers. These funds would also help fund permits fees and rentals. Answers to Supplemental Questions: Question 1: Please describe any additional City of Santa Ana resources required for your project (permits, public space, licenses etc.) that you are required to obtain? Event requires to reserve Birch park for the day and senior center for restrooms access. In addition to Orange County Fire Authority permit fees to review and approve plot plan. Question 2: Is this a new or existing program/project? Since 2012 el Dia del Nino/Day of the Child event has been hosted at Birch Park. EI Centro Cultural de Mexico Page 1 of 2 Question 3: How will the proposed project be presented or shared with the public? Will the art display, event or performance be free and accessible to the public? Day of the Child Event will take place on April 28th, 2019 at Birch Park. Where attendees will have the opportunity to create their own piece of art while enjoying performances on stage from local groups. Question 4: How will this project enrich the quality of life for Santa Ana residents?: EI Dia del Nino/Day of the Child event is Santa Ana's way of bringing together tradition, community organizations, families, students, and businesses. Participants will find themselves as creative and capable of meaningful participation regardless of skill level and creating her/his own art. EI Dia del Nino/Day of the Child event serves to strengthen the relationship among participating artists and independent contractors who live and work in our community. These artists gain valuable experience on how to engage audiences in ways they may not have explored. Furthermore, the community is offered a unique way to tap into their own creativity through collaboration with highly -skilled practitioners engaging in diverse arts activities representing all disciplines and different cultural traditions. An unintended benefit has also resulted in that the neighborhood now has embraced the potential of a neglected urban park that is rarely visited by children. Question 5: Describe how your project will stimulate economic development for the City of Santa Ana.: This event is an opportunity to create jobs by hiring local artists. EI Centro Cultural de Mexico Page 2 of 2 I® �� EL CENTRO CULTURAL s DE MEXICO BOARD OF DIRECTORS Benjamin Vazquez, Chair, UCLA graduate with a Masters of Education in Urban Teaching, 2016; 11 years as a teacher SAUSD, World History and Ethnic Studies; McCarthy Dressman foundation Award winner, $30K. Benjamin first came to el Centro when it was housed on Broadway and 5t� Street and he soon created a class for local youth to participate in the community. Since then he has served as an art teacher at El Centro for three years; organized Noche de Altares, Orange County's largest free Day of the Dead celebration for 8 years; and served as the Barrio Writers Director for a year, and as an advisor for 3 years. Carolina Socorro Sarmiento, UCLA graduate with a Masters in Urban Planning from UCI and a PhD in urban Planning, from UCLA. She is currently an Assistant Professor in Civil Society and Community Studies at the University of Wisconsin, Madison. Carolina's mother was the founder of el Centro, but she became increasingly involved in 2002 when the first community center opened. Since then, she has formed part of the Frente of el Centro, linking cultural work to social justice. Crystal Gonzalez Crystal Gonzalez is an experienced educator and community organizer. She holds a Masters degree in Education and a teaching credential from the University of California, Irvine. Crystal specializes in curriculum development that supports individual and neighborhood transformation. She is currently Program Director for The American Friends Service Committee's Roots for Peace Program in Los Angeles. Crystal first met El Centro Cultural de Mexico as a volunteer in 2003. She came through MEChA de UCI's Escuelita program. She has since participated as an after school youth mentor, children's Son Jarocho music teacher, and cultural arts performance Coordinator Elisabeth Le Guin Elisabeth is a performer, musicologist and professor at UCLA. Elisabeth has taught at UCLA since 1997 with a particular focus on undergraduate advising, the teaching of writing, international education, and the integration of performance with scholarship. Elisabetb joined el Centro through son jaroeho and soon became a tallerista, or son Jarocho student. Today, Elisabeth, continues to participate in the son jmrocho classes, and provides musical theory classes for free at el Centro. Jose Manuel Cuevas Manny is a senior operations manager at CoreLogic a leading provide of customer, financial and property information, analytics and services to business and government. Responsible for providing technical expertise and leadership across broad range of CoreLogic engagements that span data warehousing, transactional processing, performance excellence and Big Data. Manny is member of the Orange County Business Intelligence group and also member of the Orange County CERT Mutual Aid Program. Manny joined el Centura through Son Jarocho workshops. Yuriana Velasco Yuriana was born in Oaxaca, raised in Westminster, CA, and have been living in Santa Ana for the past ten years. She is a Spanish high school teacher in Huntington Beach, where also serves as the adviser for the new ballet folkbrico club at her current site. She has been part of the son jarocho program at El Centro Cultural de Mexico for the past ten years, where she has also been an active volunteer. May 3, 2018 To whom it May concern: My name is Reyna Artero, I am originally from the state of Puebla, Mexico I have volunteer for more than 6 years at the Cultural Center of Mexico and for the last 3 years I have participated in el Dia del Nino event, with myjewelry making workshop, which It Is a great responsibility for me but it is also a unique experience. I arrived at the Cultural Center of Mexico to get closer to my culture and traditions. This has allowed me to participate in different projects of the Center. On Children's Day I have the opportunity to show my skills as a community leader by acting as volunteer coordinator for the entire event, as well as transmitting my knowledge as an artist with the jewelry workshop of recycled materials. I am part of the Manus Unidas Creating Art Cooperative and through paper we create art, so it is a pleasure to share this knowledge with the children participating in el Dia del Nino in Santa Ana for the last three years. The encouragement of culture and art makes me feel very proud, since I share this experience with children and their families, which allows us to be better people and be a better community. Sincerely, 4 r6 r Reyna Artero May 3, 2058 To whom it May concern: My name is Ester Hernandez, I am originally from the state of Puebla, Mexico I have more than 6 years as a volunteer at the Cultural Center of Mexico and for 3 years l participated in the Children's Day event, with my basket making workshop, which It is a great responsibility for me but it is also a unique experience. I arrived at the Cultural Center of Mexico to bring my children to the Center. This allowed me and my family to link to the different projects of the Center. The participation of my family in the Center's activities has allowed us to share quality time; because at the same time that we participate we also share our traditions like Children's Day On Children's Day I have the opportunity to show my skills and traditions by building baskets that I learned to make in the cooperative Manos Unidas Creando Arte, to which I belong. I am part of the Manos Unidas Creating Art Cooperative and through recycled materials we create art, so it is a pleasure to share this knowledge with the children participating In Children's Day in Santa Ana for the last three years. The encouragement of culture and art makes me feel very proud, since I share this experience with children and their families, which allows us to be better people and be a better community. Sincerely: Esther Hernandez May 3, 2018 To whom it May concern: My name is Maria Elena Quezada, I am originally from the state of Morelos, Mexico I have more than 6 years of volunteering at the Cultural Center of Mexico and for 3 years I participated in el Dia del Nino event, hosting a pinata making workshop, which is a great responsibility for me but it is also a unique experience. I arrived at the Cultural Center of Mexico to bring my granddaughter to the Center. This allowed me and my family to link to the different projects of the Center. The participation of my family in the Center's activities has allowed us to share quality time; because at the same time that we participate we also share our traditions like el Dia del Nino. On Dia del Nina I have the opportunity to show my skills and traditions by building pinatas that I learned to make in our family business in Mexico and have the opportunity to transmit this knowledge to the following generations.. 1 am part of the Manos Unidas Creating Art Cooperative and through recycled paper we create art, so it is a pleasure to share this knowledge with the children participating in el Dia del Nino in Santa Ana for the last three years. The encouragement of culture and art makes me feel very proud, since I share this experience with children and their families, which allows us to be better people and be a better community. Sincerely, p '/ Maria Elena Quezada" 4 TIMELINE January- February, 2019: Program Planning Organizing Committee is formed. Artist Selection Community Partners confirmed Staff and Volunteers in place Pre -festival community workshops at EI Centro March 2019: Marketing and promotion in place Vendors confirmed Assessment planning Pre -festival community workshops continue April, 2019 Marketing of event April 28, 2019, 11a.m. —4 p.m. festival Debrief with all partners INVESTING IN THE ARTIST LINE ITEM BUDGET PROPOSED GRANT FUNDED PROGRAMMING SERVICES PERSONNEL Description of Personnel (contracted instructors, lecturer honorarium, artist stipend, etc.) Total Compensation Grant Funds Requested Esteban Leon —Cri Cri Performance $1,500 $1,500 Art Workshops 6 X $250 $1,500 $1,500 Others $190 $190 City Fees $1000 0 EQUIPMENT, MATERIALS, AND SUPPLIES Item (equipment, materials, supplies) Quantity Unit Cost Total Cost Grant Funds Requested Rentals (Stage, Sound, Chairs, and Tables) marketing) $3,000 $1,400 Printing and Materials $1,000 City Fees $1000 0 Insurance $156 $0 SPECIAL EVENTS Description Grant Funds (permits, fees, facility rental for project, Total Cost Requested marketing) Marketing $1,500 $1,000 City Fees $300 $100 Insurance $156 $0 City of Santa Ana, Community Development Agency 20 Civic Center Plaza, M-25, Santa Ana, CA 92701 (714) 647-5360 INVESTING IN THE ARTIST LINE ITEM BUDGET PROPOSED PROGRAM BUDGET PROPOSAL Enter budget categories and projected expenditures for the proposed program: PROGRAM REVENUE LIST ALL OTHER PROGRAM RESOURCES "Funding Source" total must equal "Total Program Budget" listed above. FUNDING SOURCE AMOUNT Expenditures $5,690 Total $7,000 Expenditures Funded By Total Program Organization Category Funded By Other Sources Budget Budget Santa Ana Grant (Including in- kind) Administrative Staff Salaries and $32,500 Benefits Contractual/Professional $3,190 $6,810 $10,000 $49,272 Services/Stipends Equipment, Material, Supplies $1,400 $500 $1,900 $16,800 Special Events Production 0 $456 $456 $10,400 Marketing $1,000 $500 $1,500 $500 Miscellaneous $100 $2,044 $2,144 $85,936 TOTAL $5,690 $10,310 $16,000 $195,408 PROGRAM REVENUE LIST ALL OTHER PROGRAM RESOURCES "Funding Source" total must equal "Total Program Budget" listed above. FUNDING SOURCE AMOUNT Santa Ana Artist Grant $5,690 Sponsors $7,000 Fundraisers $2,000 Community Donations $1,310 TOTAL PROGRAM BUDGET $16,000 City of Santa Ana, Community Development Agency 20 Civic Center Plaza, M-25, Santa Ana, CA 92701 (714) 647-5360 r_ -1 e ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATS(MMIDOIYYYYI 1 Ilk� 0312012019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileo of such endorsement($). PRODUCER CONTACT NAME: Emma L Becerra Baker, Romero & Associates Insurance Brokers, Inc. PHONE(626 332-2268 Fi�ic No: (626)339-9921 IAIC N.760 Terrado Plaza #238 EMAIL Covina, CA 91723 -DORHss . emma@bakerromero.com EACH OCCURRENCE $ 1000000 License#:OG22790 INSURERS AFFORDING COVERAGE NAICO INSURERA: Great AmericanInsurance Gro up INSURED INSURER e Centro Cultural de Mexico on el condado de Orange P.O. Box 133, Santa Ana, CA 91702 INSURER C -- 837 N. Ross St IN SURER D: Santa Ana, CA 92701 INSURERe_.____ GEML AGGREGATE LIMIT APPLIES PER: IN F: COVERAGES CERTIFICATE NUMBER: 00000000.1736007 REVISION NUMBER: 2 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. INSR T TYPE OF INSURANCfi ADOL INS, SUBR yYvD POLICYNUMBER POLICY EFF IMNUDI)MVI POLI EXP IMMfi3DIYYYYI LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE ❑ OCCUR PAC2903161 1112812018 1112812019 EACH OCCURRENCE $ 1000000 PREMISES a occummoin 5 100 000 MED EXP(An ono emon) $ 6 000 PERSONAL& ADV INJURY $ 1.000.000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2.000.000 . DX POLICY JECT El LOC PRODUCTS. COMPIOPAGG 5 2.000.000 5 OTHER: A I AUTOMOSILEUAOILITY PAC2903161 1112812018 1112812019 ca BItlEDSINGLELI IT $ 1,000,000 BODILY INJURY (Parperson) S ANYAUTO OUTODONLY SCHEDULED BODILY INJURY (Peraccitlen0 $ HIRED NON-OVINED X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE $ Por acNtlenO _ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS MADE DEO I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFRCERMEMBER EXGLUDEDA ANY ECUTIVE [7 NIA STAT E ETRH E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S (Mandataryln NN) f yos, tloacdbe u,itlar "r DE IRPTIONOF OPERATIONS bal. E.L. DISEASE -POLICY LIMIT S A Professional Llabili PAC2903161 11128/2018 11112812019 $1,000,000 -Dec $2,000,000 Agg A Abuse/Molestation PAC2903161 1112812018 1112812019 $100,000 -CDC $300,000 Agg DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be aaaehed N Moro $Pace Is mqulMd) The city of Santa Ana, its Officers, Agents, and employees named as Additional Insured but only with respect to liability arising Out of the operations of the named insured Amewea lo -M City of Santa Ana 20 Civic Center Plaza P.O. box 1988 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. AUTHORIZED REPRESENTATIVE rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Printed by ELB an Mamh 20, 2019 at 09:21AM * S1 * 03/18/2019 * PAC 2903161 00 GREAT AMERICAN INSURANCE COMPANY *D/B* 426394872 0694803 IL 70 02 (Ed. 10/07) Policy No. PAC 2903161 00 Effective Date of Change 04/28/2019 POLICY CHANGES NAMED INSURED CENTRO CULTURAL DE MEXICO EN EL CONDADO DE ORANGE; KAREN AND ADDRESS: P.O. BOX 133 SANTA ANA, CA 92701 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY ALTERNATE MAILING ADDRESS: AGENT'S NAME AND ADDRESS: BAKER, ROMERO & ASSOC. 750 TERRADO PLZ STE 238 COVINA, CA 91723 3412 Insurance is afforded by the Company named below, a Capital Stock Corporation: GREAT AMERICAN INSURANCE COMPANY POLICY PERIOD: From 11/28/2018 To 11/28/2019 12:01 A.M. Standard Time at the address of the Named Insured IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY IS AMENDED AS FOLLOWS: WITH RESPECTS TO GENERAL LIABILITY FORM CG 2026 ADDITIONAL INSURED WAS ADDED TO THE POLICY: CITY OF SANTA ANA SANTA ANA, CA THE FOLLOWING SPECIAL EVENT HAS BEEN ADDED: DIA DEL NINO ON APRIL 28TH ANY AMENDED FORMS ATTACHED TO THIS CHANGE DISPLAY PREMIUMS FOR A FULL POLICY TERM. IL 70 02 (Ed. 10/07) Forms and Endorsement Activity (Page 1 of 2) i * S1 * 03/18/2019 *PAC 2903161 00 GREAT AMERICAN INSURANCE COMPANY *D/B* 426394872 0694803 CG2026 04/13 ADDL INS -DESIGNATED PERSON/ORGANI ADDED Agent Signature Date IL 70 02 (Ed. 10/07) (Page 2 of 2) Ow " S1 ` 03/18/2019' PAC 2903161 00 GREAT AMERICAN INSURANCE COMPANY "D/B" 426394872 0694803 CG 20 26 (Ed, 04/13) 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 (a): CITY OF SANTA ANA SANTA ANA, CA Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. SECTION 11- 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 111 - 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. © Insurance Services Office, Inc., 2012 CG 20 26 (Ed. 04/13) (Page 1 of 1) Lt _6 * S1 * 03/29/2019 * PAC 2903161 00 GREAT AMERICAN INSURANCE COMPANY *D/B* 426394872 0694803 IL 70 02 (Ed. 10/07) Policy No. PAC 2903161 00 Effective Date of Change 04/28/2019 POLICY CHANGES NAMED INSURED CENTRO CULTURAL DE MEXICO EN EL CONDADO DE ORANGE; KAREN AND ADDRESS: P.O. BOX 133 SANTA ANA, CA 92701 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY ALTERNATE MAILING ADDRESS: AGENT'S NAME AND ADDRESS: BAKER, ROMERO & ASSOC. 750 TERRADO PLZ STE 238 COVINA, CA 91723 3412 Insurance is afforded by the Company named below, a Capital Stock Corporation: GREAT AMERICAN INSURANCE COMPANY POLICY PERIOD: From 11/28/2018 To 11/28/2019 12:01 A.M. Standard Time at the address of the Named Insured IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY IS AMENDED AS FOLLOWS: WITH RESPECT TO GENERAL LIABILITY FORM CG 2026 ADDITIONAL INSURED HAS BEEN AMENDED TO READ AS: THE CITY OF SANTA ANA, IT'S OFFICERS. EMPLOYEES, AGENTS, AND REPRESENTIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY WITH RESPECTS TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, SUCH INSURANCE AS IS AFFORED BY THIS POLICY IS PRIMARY AND IS NOT ADDITIONAL T00 OR CONTRIBUTING WITH ANY OTHER INSURANCE BY OR FOR THE BENEFIT OF THE ADDITIONAL INSUREDS. CITY OF SANTA ANA SANTA ANA, CA ENDORSEMENT 4 ANY AMENDED FORMS ATTACHED TO THIS CHANGE DISPLAY PREMIUMS FOR A FULL POLICY TERM. IL 70 02 (Ed. 10107) (Page 1 of 2) " S1 ` 03/29/2019 " PAC 2903161 00 GREAT AMERICAN INSURANCE COMPANY 'D/B" 426394872 0694803 Forms and Endorsement Activity Agent Signature Date IL 70 02 (Ed. 10/07) (Page 2 of 2) WORKERS' COMPENSATION DECLARATION I &L"— SO Y01F7iA EXtt_oL V?, hereby affirm under penalty of perjury, the (Name/Title) P�Ye G following declaration: I certify on behalf of L,P,vi�n C M,Sb 6 f c k ap, MPW(6hat during the term of my (Organization Name) contract with the Community Development Agency, City of Santa Ana, I will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DATE: 0% / 25/20) F2 By: G �' Name: Title: �kCGvt H ice. �t v e� 1zw Telephone: C9-`t WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. QeJle,we,A C'1• C(�u�� 1-1 4ctaizv® CERTIFICATE OF LIABILITY INSURANCE �...-'' DATE312512D/YYYV) 3/25/2019 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 Patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 CONTACT PHONE MIG. No. Ext)949 486-7900 ac No: 949 486-7950 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# 3/23/2019 INSURERA: Everest National Insurance Company 10120 www.patrisk.com OK07568 INSURED Butler Chemicals, Inc. 3070 E. Ceena Court INSURER B: Everest Indemnity Insurance Company 10851 INSURER C: INSURER D: Anaheim CA 92806 INSURER E PRODUCTS - COMP/OP AGO $2000000 INSURER F: B COVERAGES CERTIFICATE NUMBER: 47705748 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVO POLICY NUMBER POLICY EFF flMMIDDNYYN1 POLICY EXP IMINI LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE. FZ OCCUR CF101-00211191 3/23/2019 3/23/2020 EACHOCCURRENCE $1000000 PREMISES ( a occurrance) $100,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICVF,—/ ]JEC LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2000000 $ B AUTOMOBILE _ ✓ LIABILITY ANY AUTO OWNED SCHEOULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CFICA00155191 3/23/2019 3/23/2020 COMBINED DfINGLEUMIT $1000000 BODILY INJURY (Per parson) $ BODILY INJURY (Pon eculd.up $ PROPERTY DAMAGE $ Per eocldent A �/ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMB-MADE XC1 EX00208191 3/23/2019 3/23/2020 EACH OCCURRENCE $5000000 AGGREGATE $5,000000 DED RETENTION$ $ WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEMe REXCLUDEDP (MentlaWry m NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Holder is named as Additional Insured as respects to General Liability per endorsement attached where required by written contract. 30 days notice of cancellation, 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Cit of Santa Ana Y Finance & Management Services Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza P.O. Box 1988 M-16 Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE / II,, av,f Dave Jacobson U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 97705760 119/20 GL/AU/OMB I Annette Romero 13/25/2019 3:13:59 PM (PDT) I Page 1 of 4 This certifinar, canoels and eupexeedes ALL pxeviouely ieeued cnctificatee. Butler Chemicals, Inc. POLICY NUMBER: CFl GL00211191 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s Locations Of Covered Operations Any person or organization that entered into a written contract with the Named Insured requiring such person(s) or organization(s) to be named as an additional insured with respect to the Named Insured's performance of operations at any location on behalf of such person(s) or organization(s). Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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: 1. Your acts or omissions; or B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 2• 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. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 47705748 1 19/20 GL/AU/OMB I Annette Romero 13/25/2019 3:13:54 PM (PDT) I Page 2 of 4 Thin cert>ficate cancels and supersedes ALL previouely ansued re" if icates. Butler Chemicals, Inc. POLICY NUMBER: CFl GL00211191 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART 61110=11r14A Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION THAT ENTERED INTO WRITTEN CONTRACT WITH THE NAMED INSURED REQUIRING SUCH PERSON(S) OR ORGANIZATION(S) TO BE NAMED AS AN ADDITIONAL INSURED. ANY LOCATION FOR WHICH THE NAMED INSURED'S WORK WAS PERFORMED FOR SUCH PERSON(S) OR ORGANIZATION(S) FOR ANY COMPLETED OPERATIONS. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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. CG 20 37 0413 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. © Insurance Services Office, Inc., 2012 4770574819/20 GL/AV/uM9 I Annette Romero 13/25/2019 3:13:54 PM (PDT) I Page 4 of 4 This cert)Eicate caneele end upessedee ALL previously isuetl certificates. Page 1 of 1 ®® CERTIFICATE OF LIABILITY INSURANCE DAT3I25I2019 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(ies) 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 Patriot Risk & Insurance Services 2415 Campus Drive, Suite #200 Irvine, CA 92612 ACT NAME: (PAHONEn Ext 949 486-7909 AIC No: 949 486-7950 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICN CFl GL00211191 INSURER A: Everest National Insurance Company 10120 www.parldsk.com OK07568 INSURED Butler Chemicals, Inc. 3070 E. Ceena Court INSURERS: Everest Indemnity Insurance Company 10851 INSURERC: INSURER D: Anaheim CA 92806 INSURER E: INSURER F : GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY❑✓ PRO-JECT ❑LOC OTHER: COVERAGES CERTIFICATE NUMBER: 47705747 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. INSR LTR TYPE OF INSURANCE ADDL SUBR NUMBER POLPOLICY MMIICY EFF DNYYY MMIOOYYxYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lz OCCUR CFl GL00211191 3/23/2019 3/23/2020 EACH OCCURRENCE $1000000 PREMISES (E. occurrence) $100,000 MED EXP (Any one person) $15,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY❑✓ PRO-JECT ❑LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2000000 $ B AUTOMOBILE LIABILITY ANVAUTO OWNED SCHEDULED AUTOSONLV AUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY CFlCA00155191 3/23/2019 3/23/2020 COMBINED SINGLE LIMIT $1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident _ A �/ UMSRELLAUAB EXCESS LIAR �/ OCCUR CLAIMS -MADE XC1 EX00208191 3/23/2019 3/23/2020 EACH OCCURRENCE $5,000000 AGGREGATE s5,000,000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERVEMBEREXCLUDED9 (Mandator, In Ni If y 6 describe under DESCRIPTION OF OPERATIONS below NIA STATUTE ER E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD101,Addillonal Remarks$.bedule,maybeattacbedlfmarespacelsrequlred) City of Santa Ana, its officers, agents and employees are named as Additional Insured as respects to General Liability per endorsement attached where required by written contract. 30 days notice of cancellation, 10 days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION Cit of Santa Ana Attn: Purchasing Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ACCORDANCEION W THTHE POLICY PROVISIONATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaze Santa Ana CA 92701-4010 AUTHORIZED REPRESENTATIVE / � pw Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 49905947 i 19/20 GL/AO/IIMB I Annette Romero 13/25/2019 3:13:54 RM (PDT) I Page 1 of 4 This certificate cancele and supersedes ALL previously issued certificates. Buller Chemicals, Inc. POLICY NUMBER: CFl GL00211191 COMMERCIAL GENERAL LIABILITY CG 2010 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED 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) Locations Of Covered Operations Any person or organization that entered into a written contract with the Named Insured requiring such person(s) or organization(s) to be named as an additional insured with respect to the Named Insured's performance of operations at any location on behalf of such person(s) or organization(s). Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 47705747 119/20 GL/All/UM9 I Annette Romero 1 3/25/2019 3:13:54 PM (PDT) I Page 2 of 4 Thin cern final, cancel. and superaedee ALL previously iseued certificate.. C. 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 Page 2 of 2 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. © Insurance Services Office, Inc., 2012 999459971 19/20 GL/AU/OMB Aseptic Romero 3/25/2019 3;13:59 [+M (PDT( Page 3 of 4 This certificate cancele and supersedes ALL previously issued partif iia Les. CG 2010 0413 Butler Chemicals, Inc. POLICY NUMBER: CFl GL00211191 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION THAT ENTERED INTO WRITTEN CONTRACT WITH THE NAMED INSURED REQUIRING SUCH PERSON(S) OR ORGANIZATION(S) TO BE NAMED AS AN ADDITIONAL INSURED. ANY LOCATION FOR WHICH THE NAMED INSURED'S WORK WAS PERFORMED FOR SUCH PERSON(S) OR ORGANIZATION(S) FOR ANY COMPLETED OPERATIONS. Information required to complete this Schedule if not shown above, will be shown in the Declarations. 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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. CG 20 37 0413 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. © Insurance Services Office, Inc., 2012 49905949 1 19/20 eL/Ao/ogB I Annette Romero 13/25/2019 iaiaa Pm (POT) I Page n of n Thie certificate cancole and eupereadea ALL previously iaaued certificates. Page 1 of 1