HomeMy WebLinkAboutHURLEY, PATRICK A. (2)N-2022-258
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: RECREATION SERVICES AGREEMENT
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THIS AGREE NT is made and entered into on this day of 1/-9-
2022 by and between Patrick A. Hurley, anindividual ("Provider"), and the Cityof Santa, a charter
city and Municipal Corporation organized and existing under the Constitution and laws of the State
of California ("City"). City and Provider are also referred to as "the Parties."
RECITALS
L" A. The City desires to retain a recreation service provider having special skills, resources
and knowledge to provide music classes in its recreation class program.
B. Provider represents that it is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Provider represents that he is
knowledgeable in his field and that any services performed by Provider under this
Agreement will be performed in compliance with such standards as may reasonably
be expected.
D. The Parties acknowledge that the City intends to provide recreational activities to the
public but must balance the need to comply with all COVID-19 guidance and
restrictions.
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
a. Provider shall perform those services as set forth in Exhibit A to this Agreement.
b. All classes operated pursuant to this Agreement for conducting recreation classes at
City facilities, including parks, will comply with all applicable guidance and public
health orders, including those from the Centers for Disease Control ("CDC"),
California Department of Public Health ("CDPH"), the Orange County Health Care
Agency ("OCHCA") and the City itself for as long as those orders and guidance remain
in place. Provider will remind participants of these guidelines. To the extent that
Provider needs assistance with enforcing any rules or requirements, Provider will
contact a City Parks' employee or City security for assistance.
c. Provider shall not attend a class or teach any class if Provider is sick or has any
symptom(s) associated with COVID-19 including but not limited to, fever above 100.4,
chills, cough, shortness of breath loss of taste or smell, nausea, muscle or body aches,
vomiting, headache, sore throat or diarrhea.
d. Provider will not attend class or teach a class if Provider or any member of Provider's
household has been asked to quarantine or self -isolate due to symptoms of COVID-19
or a positive test result for COVID-19.
e. Provider acknowledges that, to the extent that City is able to and chooses to conduct
classes indoors, this Agreement will also cover classes conducted at one of City's
recreational centers during the term of this Agreement.
f. City reserves the right to change the location(s) at which the services contemplated by
this Agreement are provided.
g. Provider shall comply with the City's recreation classes policy manual and any other
City rules and regulations regarding the operation of recreation classes.
2. COMPENSATION
a. In consideration for the provision of the programs set forth in Exhibit A, City agrees
to pay, and Provider agrees to accept as total payment for their services for the City,
seventy percent (70%) of all gross revenue received from program participants. Total
annual revenue to Provider shall not exceed Twenty -Five Thousand Dollars and Zero
cents ($25,000).
b. Payment to Provider shall be made monthly within thirty (30) days following
completion of the last class taught by Provider the prior month. City shall be
responsible for collecting all fees from program participants. Provider shall not collect
fees but will refer all interested participants to City for registration information.
Provider agrees that City shall retain thirty percent (30%) of all gross revenue received
from program participants as an administrative fee.
3. TERM
This Agreement shall commence on the date first written above and end on September 30,
2023 unless terminated earlier in accordance with Section 14 below. The term of this Agreement
may be extended for up to one (1) one-year period upon a writing executed by the City Manager
and City Attorney.
4. INDEPENDENT CONTRACTOR
Provider 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 manner in which Provider performs the services
which are the subject matter of this Agreement; however, the services to be provided by Provider
shall be provided in a manner consistent with all applicable standards and regulations governing
such services. Provider 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. Provider is not an agent, representative or employee of City and
Provider shall have no authority to act on behalf of the City.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Provider 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 Insurance (CGL). Insurance Services Officer
Form CG 00 01 covering CGL on an "occurrence" basis, including property
damage, bodily injury and personal & advertising injury with limits no less than
$1,000,000 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. Worker's Compensation Insurance. In accordance with California State law,
Provider, if Provider has any employees, is required to be insured against liability
for worker's compensation or to undertake self-insurance. Prior to commencing
the performance of the work under this Agreement, Provider agrees to obtain and
maintain any employer's liability insurance with limits not less than $1,000,000 per
accident.
3. Sexual Abuse or Molestation (SAM) Liability. If the CGL policy referenced
above is not endorsed to include affirmative coverage for sexual abuse or
molestation, Provider shall obtain and maintain a policy covering Sexual Abuse
and Molestation with a limit no less than $100,000 per occurrence or claim or an
individual instructor and with a limit no less than $1,000,000 per occurrence or
claim for an organization.
4. Broader Coverage. If the Provider 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 Provider. 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
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
Provider including materials, parts, or equipment furnished in connectionwith such
work or operations. General liability coverage can be provided in the form of an
endorsement to the Provider's insurance (at least as broad as ISO Form CG 20 10
1185 or if not available, 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).
2. Primary Coverage: For any claims related to this contract, the Provider's
insurance coverage shall be primary coverage at least as broad as ISO CG 20 0104
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 Provider'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: Provider hereby grants to City a waiver of any right to
subrogation that any insurer of said Provider may acquire against the City by virtue
of the payment of any loss under such insurance. Provider agrees to obtain any
endorsement that may be necessary to affect this waiver of 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 the Provider 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: Provider 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 all policy
endorsements to City before work begins. However, failure to obtain the required
documents prior to the work beginning shall not waive the Provider'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: Provider shall require and verify that all subcontractors maintain
insurance meeting all the requirements stated herein, and Provider 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 the risk, prior experience,
insurer, coverage, or other special circumstances.
6. INDEMNIFICATION
Provider agrees to defend, and shall indemnify and hold harmless the City , its officers,
agents, employees, Providers, 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 Provider or its contractors, subcontractors, agents, employees, or
other persons acting on their behalf which relates to the services described in section 1 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,
to the extent that the injury, damages, just compensation, restitution, judicial or equitable relief is
caused by the negligence of the Provider. 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. City may make all reasonable decisions
with respect to its representation in any legal proceeding. In no case will Provider be required to
indemnify or hold harmless the City from injury, damages, just compensation, restitution,
judicial or equitable relief caused by the negligence of the City.
CONFIDENTIALITY
If Provider receives from the City information which due to the nature of such information
is reasonably understood to be confidential and/or proprietary, Provider 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, including but not limited to student records. 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 Provider disclosed in a publicly available source; (c) is in
rightful possession of the Provider without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Provider without reference
to information disclosed by the City.
8. COVID-19 ASSUMPTION OF RISK AND WAIVER
Provider acknowledges that Provider could be exposed to persons that may have COVID-
19 providing services pursuant to this Agreement. Provider understands that interacting with any
person currently comes with the inherent risk of exposure to COVID-19 and that COVID-19 is
highly contagious. Provider assumes the risks associated with providing services pursuant to this
Agreement, namely potential exposure to COVID-19. Provider acknowledges that while some
people have no symptoms or mild symptoms from COVID-19, some people have become seriously
ill requiring hospitalization and that some people have died from COVID-19. Provider
acknowledges that persons over the age of 65 and persons with underlying health conditions are
at greater risk of contracting COVID-19 and are potentially risking serious injury or death.
Provider is agreeing to provide classes pursuant to this Agreement and does so of Provider's own
free will.
Provider intends to be legally bound by this assumption of risk, release and waiver and to
bind Provider's heirs, personal representatives, next of kin and anyone who may make a claim on
Provider's behalf. Provider knowingly releases and waives any and all claims that Provider may
have or could have in the future and includes any claims resulting from potential exposure or actual
exposure to COVID-19, this includes claims for personal injury, transmittal of COVID-19 to
others, and/or wrongful death. Provider agrees to hold harmless, defend and indemnify the City,
its public officials, officers, employees, volunteers, and agents from any and all claims for liability
or damages, including those for exposure to or diagnosis with COVID-19 as a result of providing
services pursuant to this Agreement.
9. CONFLICT OF INTEREST
Provider 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.
10. BACKGROUND CHECK
Provider shall ensure that all employees, subcontractors, and any volunteers are
fingerprinted and background checked prior to conducting any work pursuant to this Agreement.
Provider shall not assign any employee, agent, subcontractor, volunteer or the Provider personally
to provide services pursuant to this Agreement, if that employee, agent, subcontractor, volunteer,
or the Provider personally are required to register as a sex offender under California Penal Code
Section 290 et seq, have a conviction for any crime of moral turpitude, have a conviction for a
sexual based crime, have a conviction for a violent felony as defined in California Penal Code
Section 667.5(c), or has a conviction for a serious felony as defined in California Penal Code
Section 1192.7(c). Disqualifying convictions include but are not limited to, violations of California
Penal Code Sections 37, 128, 136.1 with Section 186.22, 187, 190-190.4 and 192(a), 205, 206,
207-209.5, 211, 212, 212.5, 213, 214, 215, 218-219, 220, 236.1(b) or 236.1(c), 243.4, 261, 261.5,
273.5, 262, 264.1, 266, 266c, 266h, 266i, 266j, 267, 269, 272, 273a, 273ab, 273d, 285, 286, 288,
288a, 288.2, 288.3, 288.4, 288.5, 288.7, 289, 290, 311.1, 311.2, 311.3, 311.4, 311.10, 311.11, 314,
347(a), 368, 417(b), 451(a),518 with 186.22, 647.6, 653f(c), 664 and 187, 667.5(c), 18745, 18750,
or 18755, 12022.53, 11418(b)(1) or (b)(2); Business and Professions Code Section 729.
11. 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 Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax (714) 647-6956
With copy to: Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-23)
P.O. Box 1988
Santa Ana, California 92702
Fax(714) 571-4211
To Provider: Mr. Patrick A. Hurley
14920 Minneola Court
Tustin, CA 92780
Phone:714-734-9310
Email: LeSPaul971(a)aol.com
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
time frames, weekends, federal, state, County or City holidays shall be excluded.
12. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Provider 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
Provider. 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 Provider or the City. Each parry 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 party, which is not embodied herein.
13. ASSIGNMENT
The experience, knowledge, capability and reputation of Provider were a substantial
inducement for City to enter into this Agreement. Therefore, Provider 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.
14. TERMINATION
a. This Agreement may be terminated by the City immediately pursuant to any federal,
state, county or local health order related to or regarding COVID-19 making it impossible to hold
classes. For any other reason, this Agreement may be terminated by City upon thirty (30) days
written notice of termination. In such event, Provider shall be entitled to receive, and City shall
pay Provider, compensation for all services rendered prior to the effective date of termination.
b. Termination or cancellation of classes by the Provider outside of Section 1 Lb. must be
given to the City at least thirty (30) days prior to termination/cancellation. Failure to provide
adequate cancellation notice to the City may put future contracting of business with the City at risk
and will result in the City's retention of ten (10%) percent of the final payment to Provider.
15. 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.
16. RECORDS
Provider shall use attendance sheets generated and supplied by the City to record
attendance in each class. Provider shall keep these and any other records in connection with the
work to be performed under this Agreement and shall permit City, upon request, to review such
records for a period of three (3) years from the date of final payment to Provider under this
Agreement.
17. NON-DISCRIMINATION
Provider 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. Provider affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
18. 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.
19. LICENSES
Provider shall, throughout the term 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.
20. SEVERABILITY
In the event that one or more of the phrases, sentences, clauses, paragraphs or sections
contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree
of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the
remaining phrases, sentences, clauses, paragraphs or sections of this Agreement, which shall be
interpreted to carry out the intent of the parties hereunder.
21. EXHIBITS
All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in
the body of this Agreement.
22. AUTHORITY
The person(s) executing this Agreement on behalf of the parties hereto warrant that they are
duly authorized to execute this Agreement on behalf of said parties and that by so executing this
Agreement, the parties hereto are formally bound to the provisions of this Agreement.
IN WnNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
,/Clerk of the Council
CITY OF SANTA ANA
2:5;=N�- �r
Kristine Ridge
City Manager
[signatures continue on next page]
APPROWD AS TO FORM:
SONIA R. CARVAL}{O
City Attorney
By
Fttafidon Salvatiena
Deputy City Attorney
KLCOMMEND D
l W&I
AL:
Rccrcation and Community Services Agency
19 &411A 100 03
1
4 �
PatAck A. HurIcy
EXHIBIT A
Exhibit A
SCOPE OF SERVICES
A. Provider shall conduct Music classes for ages 9 years old - Adults
B. Provider shall teach such or similar classes (1) at the times below at a facility to be designated by the City
or (2) on a schedule otherwise agreed upon by the parties for each class session or term, including the
location, specific days and hours when classes will be held, and holidays to be observed, in accordance
with City's needs.
INSTRUCTOR: Pat Hurley
LOCATION: El Salvador Park, 1825 W Civic Center Dr. SA.,CA. (714) 647-6558
Basic Guitar
Class is designed for the beginner student as well as the student who can play some songs. Basic chords,
strumming patterns, finer picking, reading tablature, sight reading, and playing a variety of current songs
will be taught. Students must provide their own guitar.
• Basic Guitar classes will consist of 4 week sessions, held 1 day per week, 1 hour per day
CLASS SIZE
1) Each class must have a minimum of 3 paid student and no more than a maximum of 15.
2) No registration will be accepted after the second meeting of class.
3) In the event the minimum number of enrollees is not realized by the second meeting of the class, the class shall
be canceled. Provider will be under no obligation to provide services and the City will have no obligations to pay
Consultant compensation
CLASS FEES
1) Each participant shall pay class registration fee as established by City.
2) Provider may not waive class participation/registration fees.
3) Only registered participants may participate in class.
4) Any refunds to participants will be made in accordance with City policy.
5) Any material fee shall be established by mutual agreement of City and Provider and shall be payable directly to
Provider.
COVID-19 REQUIREMENTS
A. Instructor and participants shall wear a mask at all times to participate.
B. Temperature will be taken at the beginning of the class for instructor and participants.
C. Social Distancing should be adhered to at all times.
E. State of California COVID-19 regulations shall apply.
Samantha Digitally signed by
Samantha M.Lambert
CERTIFICATE OF LIABILITY Il i Date::262122.10.03 DATE/18/2MIDDIYYYY)
A�QRQ � 10:26:21-0T00' 08/18/2022
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
NAME:
BIBERK PHONE 844-472-0967 FAX -
P.O. Box 113247 IWO,No,
E II: AIG No):
MAIL customerservlce@bIBERK.com
Stamford, CT 06911 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
INSURERA:Berkshire Hathaway Direct Insurance Company
�] (iF�Ns urley INSURERB:
INSURER C:
14920 Minneola Ct INSURERD:
Tustin, CA 92780 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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.
LTR TYPE OF INSURANCE ADDUL SU n POLICY NUMBER MMIDDIYYYY MPOLICY EFF D IYY ICY P LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
OCCUR DAM ETORENTED
CLAIMS-MADE
PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL&ADV I NJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGOREGATE $
POLICY❑JECT JEC LOC PRODUCTS-COMPIOP AGO $
I� PRO-
OTHER: $
AUTOMOBILE LIABILITY COMBINED SING LPHMIT $
a accident _
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per acid nt
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DE D RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y f N STATUTE ER
ANYPROPRIFTOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below F.L.DISEASE-POLICY LIMIT $
A Professional Liability (Errors & X N9PL738182 09/01/2022 09/01/2023 Per Occurrence/ $1,000,000/
Omissions): Claims-Made Aggregate $11000,000
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES(ACORD 10i,Additional Remarks Schedule,maybe attached it more space is required)
City of Santa Ana Risk Management Division is listed as additional insured as it pertains to professional liability(see endorsement attached)
Sexual Molestation limits$250k
CERTIFICATE HOLDER CANCELLATION
9,w 0REviEWED&APPROVED By:
SHOULD ANY OF THE ABOVE DESCRI THE EXPIRATION DATE THEREOF 2' �
-
City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PRO
----1-,—" Risk Management Supervisor
20 Civic Center Plaza
Santa Ana, CA 92702 AUTHORIZED REPRESENTATWE
0 1 988-201 5 ACORD CORPORATION, All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD