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Home My WebLink AboutVEYNA, ANGELINAINSURANCE ON FILE WORK MAY PROCEED UNTIL IfiSURANCE EXPIRES I�i_— IDS CITY CLF�fjl�. 2 6 2024 DATE: R„v�uu e. unl�� August 9, 2024 Angelina Veyna ("Speaker/Performer") 5823 E. Mountain Loop Trail Anaheim, CA 92807 Re: Speaker/Performer Engagement Agreement N-2024-284 This letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for the engagement described below: 1. Event Description: As further described in Exhibit A, attached hereto, Speaker/Performer shall participate on a speaking panel on the topic of Chicano and Chicana History. 2. Date(s): Thursday, August 29, 2024 3. Event Time(s): 4:00 p.m. — 7:00 p.m. 4. Location ("Property"): City Hall Courtyard, 20 Civic Center Plaza, Santa Ana, CA 92701 5. Compensation: An amount not to exceed $300.00 (payable by check within 30 calendar days of event); Speaker/Performer must provide IRS form W-9 before payment can be made. 6. Provided by City: space for the event(s), microphone, tables and chairs. 7. Provided by Speaker/Performer: Insurance as further detailed in Exhibit B and all other equipment and materials necessary. 8. City Contact Person (for coordinating purposes only): Maria Sepulveda x5265 9. Independent Contractor: Speaker/Performer 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 Speaker/Performer performs the services that are the subject matter of this Agreement; however, the services to be provided by Speaker/Performer shall be provided in a manner consistent with all applicable standards and regulations. Speaker/Performer 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. 10. Indemnification: Speaker/Performer, his or her agents, or employees (if applicable) agrees to and shall indemnify, defend, and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from and against all loss, expenses, or liability (including costs and attorney's fees) arising from the negligence or willful misconduct of Speaker/Performer, his or her agents, or employees. 11. Release: Speaker/Performer accepts any City -provided equipment used in connection with the performance in their "as -is" condition, with all faults. Speaker/Performer fully releases, waives and discharges forever any and all claims, demands, rights, and causes of action of any kind or nature against, and covenants not to sue, City, its elected officials, officers, employees, agents and volunteers, and all persons acting on behalf of, by, through or under each of them, under any present or future laws, statutes, or regulations for any claim or event relating to the condition of the City -provided equipment or Speaker/Performer's use thereof. Speaker Agreement — Angelina Veyna Page 2 12. The City shall have the right and royalty -free license to simulcast or produce and show a tape -delayed broadcast of Speaker/Performer's presentation to the City community or general public, through webcast or any other means. This license shall be non-exclusive and the copyright shall remain with the Speaker/Performer. Copies of Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such recordings. 13. Speaker/Performer is solely responsible for payment of royalty fees, performance fees, or similar fees that may be required by unions or similar organizations. Speaker/Performer shall indemnify the City against any liability or damages, including attorney's fees, that may arise as a result of violation by Speaker/Performer of copyright laws. 14. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in connection with any activities related to this Agreement. 15. This Agreement shall in all respects shall be interpreted, enforced, and governed exclusively by and under the laws of the state of California. Both parties 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. 16. This Agreement represents the complete and exclusive statement between the City and Speaker/Performer regarding the subject matter herein and supersedes any and all other agreements, oral or written, between the parties. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Speaker/Performer. CITY OF SAN ANA varo Nunez City Manager FOR APPROVAL Brian Sternberg Library Services Director Library Services SPEAKER/PERFORMER 4 *01 " VP.Ol1Qo Angelina Veyna APPROVED AS TO FORM: By: B on Salvatierm Deputy City Attorney EXHIBIT A Exhibit A SCOPE OF SERVICES VENDOR INFORMATION: Name: Angelina Veyna Address: 5823 E. Mountain Loop Trail, Anaheim, Ca. 92807 Phone Number: 714 423-8828 Email Address: Veyna Aneelina(asac.edu EVENT: Chicano Heritage Cultural Celebration with the Library LOCATION: City Hall Courtyard, 20 Civic Center Plaza, Santa Ana, Ca. 92701 TERM: Thursday, August 29, 2024 COMPENSATION: $300.00 In honor of Chicano Heritage Month, the library will host a cultural event to celebrate Chicano heritage culture. Angelina Veyna will participate in a panel discussion on the topic of Chicano and Chicana history on Thursday, August 29, 2024, at the courtyard next to City Hall located at 20 Civic Center Plaza, Santa Ana, CA 92701. Principal Librarian Patty Lopez, will host the event and will be present for the entire event. Angelina Veyna will be compensated $300.00 for their participation. This event is free and open to the public EXHIBIT B EXHIBIT B Speaker/Performer shall procure and maintain for the duration of the Agreement insurance against claims for injuries to persons or damages to property which may arise from or in connection with services, products, and materials supplied to City. Total cost of such insurance shall be borne by Speaker/Performer. a. Minimum Scope and Limit of Insurance (1) Commercial General Liability (CGL). Insurance Services Office ("ISO") 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 $1,000,000 per occurrence. (2) Broader Coverage. If the Speaker/Performer 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 Speaker/Perforrner. 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 The above required insurance policies are to contain or be endorsed to contain the following provisions: (1) Additional Insured Status. The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the policies required above, with respect to liability arising out of work or operations performed by or on behalf of the Speaker/Performer including materials, parts, or equipment furnished in connectionwith such work or operations. (2) Certificate Holder. The Certificate Holder on each evidence of insurance certificate shall be: City of Santa Ana, Attn: (name of department staff responsible for Agreement), 20 Civic Center Plaza M-XX (responsible staff's department mailbox), Santa Ana, CA 92701. The name and location of event should be included in the description of operations section of each certificate. C. Verification of Coverage. Speaker/Performer 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 documents prior to the work beginning shall not waive the Speaker/Performer'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. d. Special Events Coverage. Special events coverage is available and can by purchased by Speaker/Performer. Use this link to learn more: www.2sparta.com e. 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. Angie Digitally signed by Angie CERTIFICATE OF INSUR , 1cA eE o SPECIAL EVENT LIABILITY GROUP INSURA JC. - TRUST, A RISK PURCHASING GROUP _Dates4 PRO jUCER: 1 1 4 9.41 FACT P NE i a r : ( on n ct page ulti e, continued CA License it0757776 ,I B International Insurance Services Inc. City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic 3000 Executive Parkway, Suite 300 Center Plaza, Santa Ana, CA 92701 San Ramon, CA 94583 PH: 925 609 6500 FX: 925 609 6550 specialeventPhubintemationalcom EVENT HOLDER - Named Insured: (if multiple, continued on next page) EVENT INFORMATION Chicano Heritage: Educational Celebration of TYPE OF EVENT: Vendors (8) Culture at the Library Vendors (8) EVENT DATES): 8/29/2024 per the attached list 20 Civic Center Plaza, Santa Ana, CA 92701 EVENT LOCATION($): City of Santa Ana City Hall, 20 Civic Center Plaza, Santa Ana, CA 92701 This is to certify that the policies of insurance listed below have been issued to the insured named above for the event dates) indicated above. 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. INSURER A: COLONY INSURANCE COMPANY INSR LTR Type of Insurance Policy Number Effective Expiration Policy Limits Each Occurrence $1,000,000 General Aggregate $2,000,000 Personal & Advertising Injury $1,000,000 A Commercial General Liability 103 GL 0021111 1/1/2024 111121 Products/Completed Operations Aggregate $2,000,000 Damage to Premises Rented to You $1,000,000 Medical Payments $5,000 Liquor Liability Each Occurrence (Aggregate included in General We Liability Aggregate) COVERAGETERMS: Occurrence Form (CG 0001) Host Liquor Liability Included. The coverage afforded by this insurance is primary and non-contributing with any insurance held by the "Additional Insured" as Named Insured, when the "Additional Insured" is shown on this Certificate of Insurance Endorsement as "Additional Insured" Full Liquor Liability Included when a or WHEN REQUIRED BY WRITTEN CONTRACT. separate premium has been charged. COVERAGE EXCLUSIONS: (REFER TO POLICY FOR COMPLETE LISTING OF EXCLUSIONS) -- Communicable Diseases Specific Events are excluded from coverage. Please see second f -- Sexual Abuse & Molestation - Terrorism Risk ManagemmtDiviebn RenEwEo6APPRov®BY: s. ® Risk Management Specialist On behalf of the Risk Purchasing Group and each Member, the Trustee has Insurance Act (TRIA). — Additional Insureds, next page — Second Page of Certificate Certificate # 41528 OTHER ADDITIONAL INSUREDS: 1 Santa Ana Public Library 2 Gabnela Pineault f/s/o Leyenda Ballet Folklorico 3 OC Manachi LLC 4 Alexandro J. Gradilla 5 Angelina Veyna 6 Logan Crow 7 Justina Bonilla 8 Marina Aguilera 9 Donato Martinez 0 L Fil 2 F 13 CANCELLATION: Should the above described policy(s) be canceled before the expiration date thereof, the issuing company will endeavor to m. holder and additional insureds listed AUTHORIZED REPRESENTATIVE: DATE ISSUED: (/`.*^��',\l� ® Riek Mougemat Dlyiainn RE%nV r) & APPROV®BY: A,.g.:e A6aVao Risk ManagementspruAist (Third Page of Certificate I Certificate # 1 41528 1 SPECIFIC EVENT EXCLUSIONS following types of events are specifically excluded and no coverage for them exists on the policies listed on the of this Certificate of Insurance: raft / Aviation Terrain Boarding Mooning / Balloon Rides Be Jumping uldering Events zing, Wrestling ngee Jumping rnival Rides uses certs with single performances exceeding 6 hours of performance time tact Karate / Martial Arts tact Sports ng tball (except passing camps with no contact drills) g Gliding , Rafting or Canoeing in greater than Class 3 rapids Lacrosse I Rugby Mechanical Amusement Rides or Services and Gyroscope Rides Motorized Sporting Equipment i4t-m1: Mountain Biking Power Boat Racing Professional Sporting Activity; Games, Races, Contests of a professional nature Pyrotechnics/Explosives Rap or Heavy Metal Concerts Raves Rock Climbing, Climbing Wall Rodeo / Roping Events (includes practice) ba Diving ;tor / Truck Pulls Line / Zio Linina knm mvwge urvmeinn Rwn o & APPROVED ar. . A� A'a'do Awlt Risk Management Specialist SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST DATE CERTIFICATE OF INSURANCE ENDORSEMENT 8/14/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ENDORSEMENT DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. PRODUCER: CONTACT NAME: JOY CUMMINGS HUB International Insurance Services Inc. PHONE 9256096500 FAX 9256096550 3000 Executive Parkway, Suite 300 EMAIL soecialevent(d)hubinternational.com San Ramon, CA 94583 INSURER(S) AFFORDING COVERAGE NAIC if CA License #0757776 INSURER A: Colony Insurance Company 39993 NAMED INSURED: Chicano Heritage: Educational Celebration of Culture at the Library Vendors (8) per the attached list 20 Civic Center Plaza, Santa Ana, CA 92701 COVERAGES This is to certify that the policies of insurance listed below have been issued to the insured named above for the event dates) indicated below. Notwithstanding any requirement, tens o Condition of any contract or other document with respect to which this cerliicale 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. INSURED MEMBER INSR TYPE OF INSURANCE ENDORSEMENT COVERAGE EFFECTIVE / LIMITS LTR NUMBER EXPIRATION DATE A GENERAL LIABILITY EACH OCCURRENCE $1,000.000 % COMMERCIAL GENERAL LIABILITY 41528 08/29/2024 DAMAGE TO RENTED PREMISES (Ea aca,rence) $1,000,000 CLAIMS -MADE rX1 OCCURRENCE MED E%P lAny cne Penan) $5,000 PERSONAL 6 ADV INJURY $1,000'Goo GENERALAGGREGATE $2,000,000 PRODUCTS-0OMP/OP AGG $2,0DD,000 LIQUOR LIAMUTY PER OCCURRENCE (AGGREGATE INCLUDED IN GENERAL LIABILITY ma AGGREGATE) MASTER POLICY #103 GL 0021111 - EFFECTIVE DATE 111/2024; EXPIRATION 1/1/2025 DESCRIPTION OF OPERATIONS / LOCATIONS City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 is/are Included as an additional insured(s) per attached endorsement T5409-0118. Policy Is Primary and Non-contributing per attached endorsement T1095-0108; Waiver of Subrogation applies per attached endorsement CG 2404 05 09. Event Type: Vendors (8) Event date(s): 8/2912024 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE BEFORE THE EXPIRATION DATE 4 RIA ManagemndDhislon ACCORDANCE WITH THE POLICY ,� RENEWED6 APPROJ®Sr City of Santa Ana �(■�� Attention: Ella Sepulveda AUTHORIZED REPRESENTATIVE r_INILII IG_@i A.r.fr:e A,44 o 20 Civic Center Plaza M-75 ®' Santa Ana, CA 92701, Risk Management Specialist POLICY #103 GL 0021111 COMMERCIAL GENERAL LIABILITY T5409-0118 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 of Additional Insured Person(s) or Organization(s) of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 be shown in the Declarations. Section II - Who Is An Insured is amended to include as 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: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. REVIEWED & APPROV® BY: A, f, A Risk Management Spenakst T5409-0118 0 ISO Properties, Inc., 2004 Page 1 of 1 POLICY #103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE (Third -Party) This endorsement modifies insurance under the following: COMMERCIAL GENERAL LLABILITY COVERAGE PART A. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirety and replaced with the following condition as respects the Third Party shown below: 4. Other Insurance a. With respect to the Third Party shown below, the insurance provided by this policy shall be primary and non-contributing insurance. Any and all other valid and collectible insurance available to such Third Party in respect of operations performed by you under written contractual agreements with said Third party for a loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. Third Party to whom this endorsement applies is: City of Santa Ana, its officers, officials, employees and volunteers. 20 Civic Center Plaza, Santa Ana, CA 92701 Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing operations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. Rule Motagemed Division REVIEWED&AppR ro By: ® A+ "44 Risk Management Specieltst T1095-0108 Includes Copyrighted material of ISO Properties, Inc. with its permission. Page 1 of I POLICY #103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization to whom or to which you are obligated by virtue of a written contract to waive your right of recovery. The following is added to Paragraph S. 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 contact 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. a Rick MnmgenuntDivivion frtviE &ArmR 13Y: ® Risk Management Specialist of CG 24 04 05 09 Contains material copyright, insurance Services Office, Inc., with its permission. Page 1 of I