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HomeMy WebLinkAboutELITE SPECIAL EVENTS, INC.INSURANCE NOT ON FILE N-2022-098 WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: AGREEMENT WITH ELITE SPECIAL EVENTS TO PROVIDE EQUIPMENT AND �, STAFFING SERVICES FOR THE SANTA ANA EASTER EVENT N N w- THIS AGREEMENT is made and entered into this 7 day of April 2022, by and between Elite Special Events, Inc., a California corporation ("Vendor"), 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"). 0: PRC5A-U%Y o, 17alrP SA) I RECITALS A. The City desires to retain a vendor to provide equipment and staffing services for the City's Easter Event at Centennial Park on April 16, 2022 between the hours of 9am-lpm. B. Vendor represents that Vendor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Vendor represents that it is knowledgeable in its field and that any services performed by Vendor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. 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. SCOPE OF SERVICES Vendor shall, during the term of this Agreement, provide canopies, tables, chairs, audio, DJ, jumpers, rock wall, petting zoo, pony rides, trackless train, game booths and staffing at Centennial Park 3000 W. Edinger Ave, Santa Ana, for the Santa Ana Easter Event on April 16, 2022 from 9am — 1pm as further described and set forth in Exhibit A, attached hereto and incorporated in full. City grants Vendor the right to enter its property for the purpose of delivery, set-up, operation, and pick-up beginning at 6am the day of the event. The equipment shall be disassembled and removed by Vendor at the conclusion of the event. 2. COMPENSATION a. City agrees to pay, and Vendor agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit A. The total amount to be expended under this Agreement shall not exceed Fifteen Thousand One Hundred Twenty -Two Dollars and Fifty Cents ($15,122.50). This amount is comprised of (1) the base sum of $13,150.00 and (2) a contingency in the amount of $1,972.50 for additional services at the City's sole discretion. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Page 1 of 9 Payment need not be made for work that fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on April 16, 2022 and terminate on April 17, 2022, or one calendar after the event, whichever occurs first, unless terminated earlier in accordance with Section 17, below. 4. PREVAILING WAGES Vendor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Vendor agrees to fully comply with such Prevailing Wage Laws. Vendor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Vendor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Vendor performs the services which are the subject matter of this Agreement; however, the services to be provided by Vendor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Vendor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Vendor under this Agreement ("Documents & Data"). Vendor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Vendor represents and warrants that Vendor has the legal right to license any and all Documents & Data. Vendor makes no such representation and warranty in regard to Documents & Data that were Page 2 of 9 provided to Vendor by the City. City shall not be limited in any way in its use of the Documents & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE Prior to undertaking performance of work under this Agreement, Vendor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Minimum Scope and Limit of Insurance 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Vendor has no owned autos, hired, (Code 8) and non -owned autos (Code 9), with a limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. 4. Sexual Abuse or Molestation (SAM) Liability: if the CGL policy referenced above is not endorsed to include affirmative coverage for sexual abuse or molestation, Vendor shall obtain and maintain a policy covering Sexual Abuse and Molestation with a limit no less than $1,000,000 per occurrence or claim for organization. 5. Broader Coverage: if the Vendor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Vendor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Other Insurance Provisions 1. Additional Insured Status: The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Vendor including materials, parts, or equipment furnished in connectionwith such Page 3 of 9 work or operations. General liability coverage can be provided in the form of an endorsement to the Vendor's insurance (at least as broad as ISO Form CG 20 10 1185 or if notavailable, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used). Primary Coverage: For any claims related to this contract, the Vendor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self- insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Vendor's insurance and shall not contribute with it. 3. Notice of Cancellation: Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation: Vendor hereby grants to City a waiver of any right to subrogation that any insurer of said Vendor may acquire against the City by virtue of the payment of any loss under such insurance. Vendor agrees to obtain any endorsement that may be necessary to affect this waiverof subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require theVendor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. 6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. 7. Verification of Coverage: Vendor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage requiredby this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing allpolicy endorsements to City before work begins. However, failure to obtain the required Page 4 of 9 documents prior to the work beginning shall not waive the Vendor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 8. Subcontractors: Vendor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Vendor shall ensure that City is an additional insured on insurance required from subcontractors. 9. Special Risks or Circumstances: City reserves the right to modify these requirements, including limits, based on the nature of therisk, prior experience, insurer, coverage, or other special circumstances. 8. INDEMNIFICATION Vendor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Vendor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section t of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Vendor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Vendor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Vendor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Vendor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Vendor to the City pursuant to this Agreement. 10. RECORDS Page 5 of 9 Vendor shall keep records and invoices in connection with the work to be performed under this Agreement. Vendor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Vendor under this Agreement. All such records and invoices shall be clearly identifiable. Vendor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Vendor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Vendor under this Agreement. 11. CONFIDENTIALITY If Vendor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Vendor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Vendor disclosed in a publicly available source; (c) is in rightful possession of the Vendor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Vendor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Vendor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Page 6 of 9 Fax 714- 647-6956 Executive Director Parks, Recreation, and Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, CA 92702 To Vendor: Elite Special Events, Inc. Attn: Ted Holcomb, Owner 11278 Los Alamitos Blvd. #101 Los Alamitos, CA 90720 tedhulk(ci�,msn.com 310-560-9122 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timefiames, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Vendor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Vendor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Vendor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any parry, which are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Vendor, Vendor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services that are the subject to this Agreement performed by City personnel or by other contractors retained by City. Page 7 of 9 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Vendor shall be entitled to receive and the City shall pay Vendor compensation for all services performed by Vendor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Vendor to deliver to the City all work product completed as of such date, and in such case, such work product shall be the property of the City unless prohibited by law, and Vendor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work that fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Vendor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Vendor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the 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. 20. PROFESSIONAL LICENSES Page 8 of 9 Vendor shall, throughout the tern of this Agreement, maintain all necessary licenses, Permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Vendor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. MISCELLANEOUS PROVISIONS a. 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 shalt 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. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year fast above written. ATTEST: APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: randon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL r Lisa off Executive Director Parks, Recreation, and Community Services Agency CITY OF SANTA ANA xstine Ridge City Manager ELITE SPECIAL EVENTS, INC. Ted Holcomb Owner Page 9 of 9 EXHIBIT A c ELSE VARTY PLANNERS EV ESN iS 2/16/2022 Elite Special Events, Inc 11278 Los Alamitos Blvd #101 Los Alamitos, Ca 90720 (562)799-7737 Estimate #2322 • Event : Santa Ana Easter Event • Address: Centennial Park — 3000 W. Edinger Ave, Santa Ana • Contact: Sonia Batres — 714-975-4514 • Event Date: April 16 • Event Hours: 9am-12pm • Setuo : 6am Description Amount Total 15 1 OX10 Canopies —white pagoda 80 1200 Pony Ride sweep & Petting Zoo 1600 1600 Trackless train — Toon Town 700 700 (10) Game booths with game 140 1400 Kids Zone Carnival inflatable area — 2 bouncers, Giant Slide, Giant obstacle, Big Baller wipeout, animal kingdom, Rocky Mountain climbing wall 4,000 4,000 DJ — play music and organize games — microphone and sound deck for dance groups 350 350 Easter Bunny Character 125 375 Photo Booth under 1OX10 tent with props and decor 400 400 20X20 canopy with (6) tables and (24) chairs for crafts 400 400 20X20 canopy with (25) tables and (72) chairs for pancake breakfast and eatingarea 650 650 (75) white Samsonite chairs for stage viewing 75 75 Staff —12 workers for games and rides 100 1200 Power — 6 generators for carnival area and dj 500 500 Setup/Delivery Fee 300 Total $13,150 • Payment of half due at signing to reserve package/ Balance paid before setup at show • power not included in above Price - $75 per generator • Attendants for bouncers and games not included in above price. $100 per attendant • Insurance certificate of 1 Million additionally naming your organization will be issued after deposit is received. Name: Cancellation Policy: All events are "rain or shine" unless otherwise stipulated. The PURCHASER is responsible to provide an alternate indoor location in the event of inclement weather. The client agrees to pay the full amount contracted once the PROVIDER has arrived at the event location, even if PROVIDER cannot perform due to inclement weather. PURCHASER will not have to pay balance if they cancel atleast 1 day prior to event. Purchaser will receive full refund if they cancel atleast one week prior to event. Hold Harmless: PURCHASER agrees to indemnify and hold harmless Elite Special Events, Inc, its shareholders, officers, directors, employees and representatives, customers and invitees against all actions, claims, demands, costs, damages, and expenses of any kind (including legal fees) which may be brought or made against Provider by reason of Providers activities. Purchaser acknowledges that using amusement devices or inflatable attractions comes with inherent risks. If you choose to rent above attraction you do so at your own risk. Checks Payable to: Elite Special Events We agree to the above terms and conditions: Rentor Print Name Rentor Signature Date Digitall si nec ACOR" CERTIFICATE OF LIABILITY DA:E(MM/DD/YYYY) b4n9W4/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGILA UPON THE CF ,21 FxC 1Q HO_ , LQ�R. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF /RD IES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAC E H I UI Ra1, AeUT0�2E�•O I REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. C U [I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must ave A I ON ' ff ,UR provisi ,LoQ, ,nd�r� 0 O If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may reruir , an endors r 4 � 9(� U this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Liberty United Insurance Services, Inc PHONE Sam M8888 .: FAX 704 S Victory Blvd, Suite 204 (AC, No Ext): 8187618888 A/c, No): 8882666889 IL Burbank, CA 91502 ADDRESS: Sam@libertyunitedinsurance.com License #: OF89841 INSURER(S) AFFORDING COVERAGE NAIC# UJSURERA: uerialn unaerwrners at L.Io a's INSURED Elite Special Events, Inc 11278 Los Alamitos Boulevard #101 Los Alamitos, CA 90720 INSURER B INSURER C: INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 304 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZISMB1499 06/07/2021 06/07/2022 EACH OCCURRENCE $ 1,000,000 X CLAIMS-MADE1:1 OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ECT LOC �POLICY PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Accident/Medical ZISMB1499 06/07/2021 06/07/2022 $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder Is An Additional Insured CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92701 ACORD 25 (2016/03) 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 IZISIZ IL M88g:D D BD & APPROVED Y:REVIEWE ni z ©1988-2015ACORD, -�,_� I? i5k Management Specialist The ACORD name and logo are registered marks of ACORD Pr POLICY NUMBER: ZISMB1499 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92701 The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 -.E Risk ManagementDMsian REVIEWED & APPROVED BY: NOW Risk Management Specialist POLICY #: ZISMB1499 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 Person or Organization: City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92701 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability caused, in whole or in part, by your performance of ongoing operations for that insured. 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 written "insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract" to provide for such additional insured. This coverage is provided on a primary and non-contributory basis -.E Risk ManagementDMsian REVIEWED & APPROVED BY: NOW Risk Management Specialist AC"RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 04/11 /2022 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 CONTACT Jim McAnany NAME: Nielsen McAnany Insurance Services, Inc. a/CNN Ext : (805) 379-8805 a/c, No): (805) 204-4501 4165 E. Thousand Oaks Blvd E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 325 INSURERA: California Auto Insurance 38342 Westlake Village CA 91362 INSURED INSURER B ELITE SPECIAL EVENTS, INC. INSURER C : 404 N Sparks St INSURER D : INSURER E : Burbank CA 91506-1963 INSURER F : COVERAGES CERTIFICATE NUMBER: CL2222508466 REVISION NUMBER: THIS IS TO CERTIFYTHAT 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE DOCCUR Ea occurrence) $ -PREMISES MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ HPOLICY ❑ PECT ❑ LOC PRODUCTS- COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BA040000023533 08/31/2021 08/31/2022 BODILYINJURY(Peraccident) $ XHIRED FIR ERTYDAMAGE$ Per accident NON -OWNED AUTOS ONLY AUTOS ONLY rx EMPIN $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, officials, employees, and volunteers are to be covered as additional insureds per attached MCA85100817-CA. Santa Ana Easter Event April 16, 2022 Centennial Park 3000 W. Edinger Ave, Santa Ana, CA. 92704. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE PO Box 1988 Santa Ana CA 92701 J.McAnany „o=a E Risk ManagernadDiAsian J \@ REVIEWED & APPROVED BY: © 1988-2015 ACOF I, ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD _ _�_� RukManagement Specialist Business Auto Broadening Endorsement Newly Acquired or Formed Entity (Broad Form Named Insured) —Adds, as an insured, any newly acquired or formed entity provided the insured owns at least 50% of that entity and it is formed during the policy period. The maximum period is18Odays. Primary and Non -Contributory if Required by Contract — We will not seek contribution from any other insurance available under specific conditions. Employees as Insureds —An employee becomes an insured while using a covered auto that the insured does not own, hire orborrow. Automatic Additional Insured — Any person O[organization that the insured iSrequired tOinclude asanadditional insured based onacontract oragreement that isexecuted prior tothe injury or damage. Employee Hired Auto — An employee is an insured when operating an auto that is hired or rented inthe employee's name while oncompany business. Supplementary PayDleDts—B@i| bonds coverage is increased tO$3'OOO. Reasonable expenses and loss of earnings, up to $500 per day, incurred by the insured are covered. Fellow Employee Coverage — The exclusion has been removed. Additional Transportation Expense — We will pay up to $50 per day, maximum is $1,000, for temporary transportation expense resulting from the total theft of a covered auto. Hired Auto Physical Damage Coverage — If you have Hired Auto Liability coverage, and you carry physical damage coverage for any of your autos, we will extend coverage for Hired Auto Physical Damage toalimit of$5O.00O.subject toa$5OOdeductible. Accidental Airbag Deployment —VVS [SnOOvSd the SxC|uSiOO' providing COvS[@0S for @i[b@0 deployment that isaccidental. Loan/Lease Gap — Coverage for the unpaid amount due on the lease or loan has been added if there is a total loss of an auto insured under this policy. Glass Repair — Deductible Waiver —VVS will vv@ivS the deductible if glass is [Sp@i[Sd [@thS[ than replaced. Two or More Deductibles — If two or more policies or coverage forms from the company apply to the same accident, only one deductible will beapplied. Amended Duties in the Event of Accident, Claim, Suit or Loss — The insured must notify us of an accident assoon aspossible. Waiver of Subrogation — We waive our right of recovery against others if the insured has executed avvritten agreement prior tothe accident orloss. Unintentional Error, Omission, or Failure to Disclose Hazards — The policy will not be deemed invalid if the insured unintentionally omits, errs or fails to disclose a hazard. Employee Hired Auto - If the SnOp|OySS hires or [SOtS @ vehicle with pS[nOiSSiOO of the iOSu[Sd' Hired Auto Physical Damage applies. Hired Auto — Coverage Territory — Coverage applies anywhere in the world if an auto is leased, hired, rented or borrowed without a driver for a period of3O days or |eoo, and the inoured'o responsibility to pay for damages is determined in a suit brought in the US, its territories and possessions, Puerto Rico, Canada orinasettlement that vveagree to. Bodily Injury Redefined tD Include Resultant Mental Anguish —Bodily Injury includes nOSOt@| anguish. Risk mwaganadnMsian nsmsWsD & APPROVED or A*fp AavA4 m`*Management Specialist�� IMPORTANT - THIS IS NOT A DELL, iE:N", NO MONEY UNLESS STATEMENT IS ENCLOSED. S'T,A A = t HOME OFFICE SAN FRANCISCO POLICY I ILIA ARATIONS `I it ISPORNIA WORKERS,',.COMPENSATION BAND,EMPLOY.EWS'UUABll.lTY- POLICY F UM'in ' THESE, DECLARATIONS ARE A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREON. THIS INSURANCE IS EFFECTIVE FROM 12:01 A.M. , PACIFIC STANDARD TIME CONTINUOUS POLICV9 Q3 21,, 8-26-21 TO 8-26-22, AND SHALL AUTOMATICALLY RENEW EACH 8-26 • UNTIL CANCELLED ( ELI'T , SPECIAL E NTS, INC DEPOSIT PREMIUM $0.00 11278 LOS ALAMITOS BLVD LOS ALAMITOS, CALIF 90720 MINIMUM PREMIUM 81,400.00 PREMIUM ADJUSTMENT PERIOD QUARTERLY N SP NAME OF EMPLOYER- ELITE SPECIAL EVENTS, INC (A CORP) TRADE NAMES- ELITE SPECIAL EVENTS, INC r LOCATIONS- 11278 LOS ALAMITOS B CYPRESS CA 90720 3958 1 . ?Dea I CO EN:`SAIT°ION INS'UT NCE `-s:PART ONE OF THIS POLICY APPLIES TO THE WORKERS' COMPENSATION LAWS OF THE STATE OF CAL/FORMA. 2 =BMPI,0Y R.'S :LIABILITY' INSURANC. 'PAART TWO OF TRIS POLICY APPLIES TO LIABILITY UNDER THE LAWS OF THE STATE OF CALIFORNIA. THE LIMIT OF OUR LIABILITY INCLUDING DEFENSE COSTS UNDER PART TWO IS, fI$ r.,000,004=> CODE NO.. PRINCIPAL WORD AND RATES EFFECTIVE FROM 08--26-21 TO 08-26-22 INTERIM PREMIUM BASE BILLING BASIS RATE RATE* 9095-1 EVENT MARKET, FESTIVAL OR TIRADE SHOW 30000 9.24 9.99 OPERATION--ALL EMPLOYEES--N.O.C. ********BUREAU NOTE INFORMATION******** TED HOLCOMB P 50 TOM MOORE CEO,S 50 %' TOM MOORS T 0 % FEIN 260747948 TOTAL ESTIMATED ANNUAL PREMIUM $2,947 9""� Rekmanagement E lion ftei REVIEWED&APPROVED BY: COUNTERSIGNED AND ISSUED AT SAN FRANCISCO AUGUST 30, 2021 PO] L � , l � ' Ride lNanlgPmenl SpeSieNis[ SCIF FORM 10961A iREV.7^20144 IDVEII PLEASE) '..