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HomeMy WebLinkAboutHERITAGE MUSEUM OF ORANGE COUNTY (9)INSURANCE ON FILE WORK MAY PROCEED © UNTIL INSURANCE EXPIRES _ -7-- 1 t CLERK OF COUNCIL a DATE: 0:CDPs 0 T1"V91MLe)Ff'r SECOND AMENDMENT TO ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT N-2019-185-02 THIS SECOND AMENDMENT TO ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT is made and entered into this 10th day of February, 2021, 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 Heritage Museum of Orange County ("Grantee"). RECITALS A. City and Grantee entered into Arts and Culture Artist Grant Program Agreement number N-2019-185, dated August 20, 2019, for the purpose of providing grant funding pursuant to the Investing in the Artist Grant Program ("said Agreement"). B. City and Grantee entered into a First Amendment to said Agreement dated July 6, 2020, for the purpose of extending the Term of said Agreement until June 30, 2021. C. In accordance with the terms and conditions of said Agreement, the parties now desire to amend Section 1 — Term, to extend said Agreement until June 30, 2022. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: Section 1, Term, shall be amended to read as follows: "This Agreement shall commence on the date first written above and terminate on June 30, 2022, unless terminated earlier in accordance with this Agreement. The term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney." Except as hereinabove modified, all terms and conditions of said Agreement shall remain in full force and effect. Page 1 of 2 N_2019-1g5-02 IN WITNESS WHEREOF, the Parties have executed this Second Amendment to Arts and Culture Artist Grant Program Agreement the date and year first above written. ATTEST: DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: Ryan 0. Hodge Assistant City Attorney RECOMMENDED FOR APPROVAL: STEVEN A. MENDOZA Executive Director Community Development Agency CITY OF SANTA ANA KRtSTINE RIDGE City Manager GRANTEE: Page 2 of 2 M HIBER :c ive Director . age Museum o range County olgltMy signed by FrancineR Francine R. Villareal Vfltr aI Dale: 2020.12.e9 vRJ04 goes' ACOf2LO® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 12/09/2020 THIS CERTIFICATE IS ISSUED AS 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 CONTACT Mary Pofar NAME: ISU- Dunlap Agency plcNNO Ext: (714)838-3158 A16 No: (714)922-6157 700 West 1st St., Suite 8 �mary@dunlapins.com INSURERS) AFFORDING COVERAGE NAIC N Tustin CA 92780 INSURERA: GrealAmedcan Insurance INSURED INSURERS: Oak River Insurance Co. Heritage Museum of Orange County INSURER C : 3101 W. Harvard Street INSURER D : INSURER E : Santa Ana CA 92704 INSURERF: COVERAGES CERTIFICATE NUMBER: CL2062204674 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 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. INSRR TYPE OF INSURANCE INSD MD POLICY NUMBER POLIO MMIDDS"(11f) POLICY EXP (MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ 1,000,000 tU PREMISIIUKNES EaEocccueence $ 300,000 MED EXP(An one person) $ 20,000 PERSONAL&ADV INJURY $ 1,000,000 A PAC 4296301-05 07/01/2020 07/01/2021 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY ❑ JECPROT- ❑ LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP(OP AGO $ 2,000,000 $ OTHER: LIABILITY COMBINED SING LE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO AOWNED SCHEDULED AUTOS ONLY AUTOS PAC 4296301-05 07/01/2020 07/01/2021 POMOBILE aODILYINJURV Per accldenU $ HIRED NON -OWNED AUTOS ONLY HAUTOS ONLY PROPERTY DAMAGE Perawldenl $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION ANDEMPLOYER9'LIABILITY ANYPROPRIMBERIPARTNDED? unvE Y❑ In NH) EXCLUDED? (Mandatory In NH) (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below NIA HEWC116523 07/01/2020 07/01/2021 PER OTH- !� STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 A Building PAC 4296301-05 07/01/2020 07/01/2021 Ded: $5,000 $6,365,305 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may bealtached If more space Is required) The City of Santa Ana, It's officers, employees, agents, and representatives are named ad Additional Insured In regards to General Liability per attached CG201511 88 Additional Insured form. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FI. 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 DeI 51988.2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD .a PJAMmugemmEDbisian ��° REVIEWED&ppAPPROVED BY�: SI ,1' � �4h6M.vNE M1v. V4.TAb/daA1. Risk Management Analyst 00, POLICY NUMBER: PAC 4296301-05 LIABILITY COMMERCIAL GENERAL CG 20 15 07 04 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDORS 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) (Vendor Your Products City of Santa Ana, it's officers, All Products sold or Distributed by agents and employees you 20 Civic Center Plaza Santa Ana, CA 92701 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 insured any person(s) or organization(s) (referred to below as vendor) shown in the schedule, but only with respects to "bodily injury" or "property damage" arising out of "your products" shown in the schedule which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. "Bodily Injury" or "property damage' for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failures to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or h. "Bodily Injury' or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. CG 20 15 07 04 ISO Properties, Inc., 2004 m,9g� Risk MmiapmatWWislun f R�EVIEWED&APPROVED BY: � t I "AI b ABC P. V:kawd Risk Management Anatyn CITYOFSANTAANA Rim< MANAGEMENT 2 d4,4e m 4 HUMAN RESOURCES Managing Risk mmaoi Positive Change ADDITIONAL INSURED ENDORESEMENT Insurance Company: This endorsement m/—o7diffiies such Insurance as is afforded by the provisions of �/ /` Policy #_T �I (mil � 30 r ) _ relating to the following 1111'k Z 7N 6'6, & U721 czjov r 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents and volunteers are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. Completion of the following, including countersignature, is required to make this endorsement effective. Effective 1'C) this endorsement form as a part of Policy# `I�`i��'"/ lj�.� �Z) *� issued to /C� / 1 �� �i CJ%= �%Vu - �Cl'JZ% (Named Insured) Countersigned by AuthorizedRepres`entatye ! iRisk Mgmt�lnsuronce Requirementsr'Additionai Insured Endorsement 08152019 3 (( REVIEV/EO&pMtPIROVmBYq: 81111 � f•'1Fu4vnMQ R. Vi.4tf✓F[N.(. '' Risk Management Analyst