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HomeMy WebLinkAboutSCAN HEALTH PLANINSURANCE UN EILE N-2025-019 WORK MAY PROCEED UNTIL INSURANCE EXPIRES CITY C'J N 2 4 2025 DATE o'. Pa4S R CO) PARTNERSHIP AGREEMENT WITH SCAN HEALTH PLAN (Co,k\y LA^�)-w, FOR FOUNDATION LEVEL PARTNERSHIP THIS PARTNERSHIP AGREEMENT ("Agreement") is made and entered into this 9th day of January, 2025 ("Effective Date") by and between SCAN Health Plan, a California nonprofit corporation ("Partner"), 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"). RECITALS A. The City is planning efforts for (4) four city-wide events and supporting senior services throughout calendar year 2025 and desires to retain partners for such City event. B. Partner represents that it is able and willing to enter into a partnership for City event(s). C. In undertaking the performance of this Agreement, Partner represents that it is knowledgeable in its field and that any activities conducted by Partner under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional firm in such 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: PARTNER BENEFITS In exchange for the consideration specified in Section 3 below, Partner shall be entitled to the benefits at the City event(s) as described in Exhibit A ("Event(s)"), attached hereto and incorporated by reference. Partner grants to City the right to use Partner's trademark(s), trade name(s), logo designs and company descriptions ("Marks") as prepared and delivered to City by Partner in any medium of advertising, marketing materials, and/or promotional goods distributed in conjunction with the Event(s) and in accordance with Partner's usage guidelines. The manner and display of Partner's Marks must be specifically approved in writing and in advance by an authorized representative of Partner. 2. CITY RESPONSIBILITIES In exchange for the benefits specified in Section I above and for the consideration specified in Section 3 below, City shall be obligated to provide and perform the responsibilities as described in Exhibit A. 3. PARTNERSHIP CONSIDERATION For its participation as a Partner for the Event(s), Partner shall provide to the City in -kind contributions valued at Eleven Thousand and Five Hundred Dollars and Zero Cents ($11,500.00) as further described in Exhibit A. Partner shall not be entitled to the partnership benefits under Page 1 of 8 this Agreement, or to otherwise participate in the Event(s), if Partner fails to provide the in -kind contributions described in Exhibit A. 4. TERM This Agreement shall commence on the Effective Date provided above, and terminate one year from said Effective Date, unless terminated as otherwise provided in this Agreement. 5. INDEPENDENT CONTRACTOR Partner 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 Partner performs the services which are the subject matter of this Agreement; however, the services to be provided by Partner shall be provided in a manner consistent with all applicable standards and regulations governing such services. Partner 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. INSURANCE Partner shall procure and maintain for the duration of the agreement, the following insurance coverages: Minimum Scope and Limit of Insurance. Partner shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • 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 $1,000,000 per occurrence and $2,000,000 aggregate. • Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of $1,000,000. In the event Partner does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance with existing limits, which can be lower than $1,000,000. • Workers' Compensation (W/C): 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, per employee, per policy for bodily injury or disease. This requirement can be waived if Vendor has no employees. • If Partner maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Partner. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Page 2 of 8 Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain, the following provisions: • CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Partner including materials, parts, equipment, and personnel furnished in connection with such work or operations. • All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Partner for City. • All required insurance policies: For any claims related to this contract, Partner's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. • All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Partner's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. • Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non -renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written notice shall be provided to City for policy cancellation or non -renewal due to non-payment. • Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Parks, Recreation, & Community Services Agency, 20 Civic Center Plaza, M-23, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Self -Insured Retentions. Self -insured retentions must be declared to and approved by the City. City may require Partner 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. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:VII, unless otherwise acceptable to City. Verification of Coverage. Partner shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Partner's obligation to provide them. City reserves the right to require complete, certified Page 3 of 8 copies of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies. If any of the required policies provide coverage on a claims - made basis: • The retroactive date must be shown and must be before the date of the contract or the beginning of work. • Insurance must be maintained and evidence of insurance must be provided for at least three (3) years after completion of work. • If coverage is canceled or non -renewed, and not replaced with another claims -made policy form with a retroactive date prior to the contract effective date, Company must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors. Partner shall require and verify that all sub -contractors maintain insurance meeting all the requirements stated herein, and Partner shall ensure that City is an additional insured on insurance required from sub -contractors. 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. 7. INDEMNIFICATION To the fullest extent permitted by law, Partner shall indemnify, defend and hold harmless City, its officers, agents and employees (collectively, the "City Indemnified Parties") from and against any and all claims (including, without limitation, claims for bodily injury, death or damage to property), demands, obligations, damages, actions, causes of action, suits, losses, judgments, fines, penalties, liabilities, costs and expenses (including, without limitation, attorney's fees, disbursements and court costs) of every kind and nature whatsoever (individually, a "Claim"; collectively, "Claims"), which may arise from or in any manner are related (directly or indirectly) to Partner's breach of this Agreement or Partner's presence or activities at the Event (including the negligent and/or willful acts, errors and/or omissions of Partner, its principals, officers, agents, employees, vendors, suppliers, contractors, subcontractors, anyone employed directly or indirectly by any of them or for whose acts they may be liable for any or all of them). Notwithstanding the foregoing, nothing herein shall be construed to require Partner to indemnify the City Indemnified Parties from any claim arising from the negligence or willful misconduct of the City Indemnified Parties. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by the Partner. 8. CONFIDENTIALITY If either party receives from the other party information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, the receiving party Page 4 of 8 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 receiving party disclosed in a publicly available source; (c) is in rightful possession of the receiving party without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Partner without reference to information disclosed by the City. 9. CONFLICT OF INTEREST CLAUSE Each party covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 10. 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 facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax:714-647-6956 Copies to: Parks, Recreation & Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 To Partner: SCAN Health Plan Attn: Samira Villalobos or Raymon Serrano 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90806 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, Page 5 of 8 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. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Partner 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 Partner. 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 Partner 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 party, which are not embodied herein. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Partner, Partner 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 which are the subject to this Agreement performed by City personnel or by other partners retained by City. 13. CANCELLLATION OR TERMINATION a. If, because of war, fire, strike, civil strife, government regulation, natural catastrophe, an act of terrorism or public enemy, an act of God, or any reason beyond the reasonable control of City, the Event or any part thereof is prevented from being held or is cancelled by City, City, in its sole discretion, shall determine and refund to the Partner its proportionate share of the balance of the aggregate partner fees received that remain after deducting actual expenses incurred by City. hi no case shall the amount of the refund to the Partner exceed the arnount of the fee paid. City reserves the right to cancel any portion of the Event as it deems necessary and appropriate and in such event, shall refund to the Partner the applicable share of Partner fees applicable to such cancelled portion of the Event. b. Cancellation by the Partner will be accepted only in writing. In the event of cancellation by Partner, not due to an event in section 13(a) of this Agreement or City's breach of this Agreement, Partner will remain obligated for 100% of the partnership fee, and City will retain the right to seek and retain an alternate partner in City's sole discretion. Page 6 of 8 14. NONDISCRIMINATION Partner shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities or any activities in connection with this Agreement. Partner affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 15. 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. 16. PROFESSIONAL LICENSES Partner shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary 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. Partner 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. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City filly, 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. [signatures appear on following page] Page 7 of 8 SIGNATURE PAGE FOR PARTNERSHIP AGREEMENT WITH SCAN HEALTH PLAN FOR FOUNDATION LEVEL PARTNERSHIP IN WITNESS WHEREOF, the parties hereto have executed this Partnership Agreement the date and year first above written. ATTEST: I_\»:Alklyj m1I7_RYIC9103SLyja SONIA R. CARVALHO City Attorney By: Jonathan T. Mart nez Assistant City Attorney RECOMMENDED FOR APPROVAL: Hawk Scott Executive Director of Parks, Recreation and Community Services Agency CITY OF SANTA ANA l-- Nunez City Manager S ank illalobos Community Business Manager Page 8 of 8 Exhibit A Santa Ana 9a.Ee aaG RKfLh/'J4 Program overview: CITY OF SANTA ANA Parks, Recreation, & Community Services Agency 2025 Customized Annual Partnership: SCAN Health Plan The SCAN Health Plan (SCAN) will be providing an $11,500 financial contribution to the City of Santa Ana's Parks, Recreation, and Community Services Agency (PRCSA) as an annual partner to participate in planning efforts for four city-wide events and supporting senior services. In exchange, PRCSA will provide marketing recognition and designated exhibitor space. The allowable activations will provide opportunities for city-wide community engagement, distribution of information, interactive activities, and giveaways for participants. The SCAN physical activations will be included at the following (final dates and locations subject to change): • Standard Level Events o Dia de los Muertos: Magic of the Altars • Saturday, November 1, 2025 • Roosevelt -Walker Community Center • Main Level Events Tat (Lunar New Year) Festival • Saturday, January 25, 2025 • Centennial Park Chicano Heritage Festival • Sunday, August 10, 2025 • Centennial Park • Grand Level Event o Fiestas Patrias • Saturday and Sunday, September 13 & 14, 2025 • Downtown Santa Ana • Programs and Services o Southwest Senior Center • 6 community activation opportunities in 2025 • 2 workshop opportunities in 2025 • Must be educational and free workshop on topic of senior wellness and healthcare, with curriculum pre -approved by City staff o Santa Ana Senior Center • 6 community activation opportunities in 2025 • 2 workshop opportunities in 2025 • Must be educational and free workshop on topic of senior wellness and healthcare, with curriculum pre -approved by City staff SCAN responsibilities: • A $11,500 financial contribution paid directly to PRCSA with the following schedule: o January 31, 2025: $2,875 o April 30, 2025: $2,875 o July 31, 2025: $2,875 THE CITY OF SANTA ANA 20 Civic Center Plaza • 2nd Floor • Santa Ana, CA 92701 (714) 571-4200 • Web Site: www.Santa-ana.org/departments/parks-recreation Exhibit A o October 31, 2025: $2,875 Foundation level activations to support full duration of all events listed above: o All equipment and supplies needed for activation including, but not limited to, 10'x10' canopy, tables, and chairs o Footprint set up and clean up to be conducted same day of event o Activation fully staffed and operated during all open hours of the event o Activation to include an interactive game or activity that is available to all event participants at no cost. Giveaways, prizes, and educational materials are allowable. Title level activations to support senior services during the 2025 calendar year: o All equipment, supplies, and staff needed to support 12 total community activations at senior centers that provide educational materials and giveaways on the topic of senior wellness and healthcare. o All equipment, supplies, and staff need to support 4 total workshops at senior centers on the topic of senior wellness and healthcare with curriculum pre - approved by City staff. SCAN grants PRCSA the right to use SCAN's trademark(s), trade name(s), logo designs and company descriptions as prepared and delivered to City by Partner in any medium of advertising, marketing materials, and/ or promotional goods distributed in conjunction with the Event and in accordance with the Partner's usage guidelines. PRCSA responsibilities: • Foundation Partner Level inclusions for city-wide events: o Logo placement on annual partner subpage and each event subpage on City's website with redirect link to www.scanhealthplan.com o Designated advertising printed signage provided by PRCSA with thank you text to SCAN, on 24"06" A-frame(s) signage o Designated exhibitor space (10'x10') during events o Minimum of 1 stage mention per event o Social Media • Day -of event social media acknowledgment of @scan_lb in form of stories on @santanaparks • Post -event recap post caption mention of @scan_lb on @santaanaparks o Inclusion in Community Engagement event activity • Title Partner Level inclusions for annual senior services program o Designated advertising printed signage provided by PRCSA with SCAN advertisement, marks, and/ or reference, as supplied by SCAN, on coffee bar at both Santa Ana Senior Center and Southwest Senior Center o Designated exhibitor space (10'x10') for community activations on 12 mutually agreed upon dates by City staff and SCAN staff • 6 community activations at Southwest Senior Center • 6 community activations at Santa Ana Senior Center o Designated room space for educational workshops on the topic of senior wellness and healthcare on 4 mutually agreed upon dates by City staff and SCAN staff, with curriculum pre -approved by City staff • 2 workshops at Southwest Senior Center • 2 workshops at Santa Ana Senior Center o Logo placement on annual partner subpage and senior services coffee subpage on City's website with redirect link to www.scanhealthplan.com THE CITY OF 5ANTA ANA 20 Civic Center Plaza - 2nd Floor • Santa Ana, CA 92701 (714) 571-4200 • Web Site: www.santa-ana.org/departments/parks-recreation Exhibit A o Social Media • Social media acknowledgment of @scan_lb in form of thank you reel on @santanaparks o COSAS newsletter acknowledgment of annual partnership supporting senior center coffee bars o Designated advertising provided by PRCSA with SCAN advertisement, marks, and/ or reference, as supplied by SCAN, in recreation magazine on annual community partners subpage THE CITY OF SANTA ANA 20 Civic Center Plaza - 2nd Floor - Santa Ana. CA 92701 (714) 571-4200 • Web Site: www.santa-ana.org/departments/parks-recreation Santa ana signed agreement Final Audit Report 2025-01-22 Created: 2025-01-22 By: Stephanie Garcia (SGarcia5@santa-ana.org) Status: Signed Transaction ID: CBJCHBCAABAAtkOoiOAr6CPcQ00O2HVrPEpoUeNB9MeJ "Santa ana signed agreement" History Document created by Stephanie Garcia (SGarcia5@santa-ana.org) 2025-01-22 - 9:15,39 PM GMT 774 Document emailed to Hawk Scott (hSCOtt@santa-ana.org) for signature 2025-01-22 - 9:15:46 PM GMT 15 Email viewed by Hawk Scott (hscott@santa-ana.org) 2025-01-22 - 9:16:00 PM GMT d© Document e-signed by Hawk Scott (hscott@santa-ana.org) Signature Date: 2025-01-22 - 10:07:16 PM GMT - Time Source: server Agreement completed. 2025-01-22 - 10:07:16 PM GMT 0 Adobe Acrobat Sign A� �® CERTIFICATE OF LIABILITY INSURANCE DATE(1 zDDD2nYYY) 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 Marsh &McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638 San Diego CA 92186 CONTACT NAME: Jesse Garcia PHONE FAX 858-750-4695 Arc No:658-452-7530 ADOREss: Jesse.Garcia MarshMMA.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Philadelphia Indemnily Insurance Co. 18058 License#: OH18131 INSURED SCANHEAL SCAN Group 3800 Kilroy AirportWay, Ste 100 INSURER B: Zurich U.S. 99999 INSURERC: INSURER D: Long Beach, CA 90806-2494 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 679447032 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICYNUMBER POLICYEFF MM/ODIYYYY POLICY EXP MM/DDIYYYY LIMITS A X LCOMMERCIAI.GENERUNL LIABILITY Y Y PHPK2674081019 7/1/2024 7/1/2025 EACH OCCURRENCE $1.000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES En ocwrte ss $1,D00,000 MED EXP (Any acre person) $ 20, GOO PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 PRO,JET � LOG GENERALAGGREGATE $3,000,000 PRODUCTS - COMP/OP AGG $3.000.000 $ OTHER: A AUTOMOBILE LIABILITY Y PHPK2574081019 7/1/2024 7/1/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Par person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1X accident) BODILY INJURY (Per accid $ PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAR OCCUR PHUBB71598019 7/1/2024 7/1/2025 EACH OCCURRENCE $5,000,000 H AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED '� RETENTION$ in DOD $ B B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Y WC869903800 VVC871760200 7/1/2024 7/1/2024 7/1/2025 7/1/P025 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 ANVPROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERIMEMBEREXCLUDEDi NIA E.L. DISEASE -EA EMPLOYEEI $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Lunar New Year event at Park, Recreation, and Community Services, on January 27, 2025. City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers collectively and individually is included as additional insured as respects to Auto and General Liability per attached endorsement. Waiver of Subrogation applies to General Liability Workers Compensation per attached endorsement. 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. Attention: Parks, Recreation, and Community Servic 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 ,( 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD APPROVED By Lulsa Najera of 1:32 pm, Jan 23, 2025 PI-CA-001 (09/15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE ELITE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART Following is a summary of the Limits of Insurance and additional coverages provided by this endorsement. For complete details on specific coverages, consult the policy contract wording. Coverage Applicable Limit of Insurance Page # Who is An Insured Board Members Newly Acquired Entities Designated Insured Lessor of Leased Autos Included Included Included Included 2 Cost of Bail Bonds $5,000 2 Reasonable Expenses — Loss of Earnings $500 per day 2 Fellow Employee Coverage Amended 3 Towing $100 per disablement 3 Glass Breakage Windshields and Windows No deductible applies 3 Transportation Expenses $100 per day / $3,000 maximum 3 Hired Auto Physical Damage — Loss of Use $100 per day / $1,000 maximum 3 Hired Auto Physical Damage ACV or repair or replacement of the vehicle whichever is less 4 Personal Effects $500 4 Rental Reimbursement $100 per day / 30 days 4 Accidental Discharge —Air Bag Amended 4 Electronic Equipment $1000 5 Original Equipment Manufacturer Parts Replacement Included 5 Auto Loan / Lease Gap Coverage Amended 5 One Comprehensive Coverage Deductible Per Occurrence Amended 6 Notice of and Knowledge of Occurrence Amended 7 Blanket Waiver of Subrogation Amended as required by written contract 7 Unintentional Errors or Omissions Amended 7 Mental Anguish — Bodily Injury Redefined Amended 7 Coverage extensions under this endorsement only apply in the event that no other specific coverage for these extensions is provided under this policy. If such specific coverage applies, the terms, conditions and limits of that coverage are the sole and exclusive coverage applicable under this policy, unless otherwise noted in this endorsement. Any deductible listed in the Auto Declarations Page will apply unless specific deductible provisions are set forth under a coverage enhancement below. Page 1 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) I. LIABILITY COVERAGE EXTENSIONS A. Who Is An Insured SECTION II — LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended by adding the following: The following are also "insureds": 1. Board Members — Board members (or their spouses) while renting a vehicle while on business for the named insured. 2. Newly Acquired Entities —Any business entity newly acquired or formed by you during the policy period, provided you own 50% or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following the acquisition or the formation of the business entity. 3. Designated Insured —Any person or organization designated by the "insured" is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in SECTION II of the Coverage Form. 4. Lessor of Leased Autos — The lessor of a "leased auto is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto' with the permission of any of the above. Any 'leased auto" in the policy schedule will be considered a covered "auto' you own and not a covered "auto' you hire or borrow. The coverages provided under this endorsement apply to any "leased auto' in the policy schedule until the expiration date of the lease, or when the lessor or his or her agent takes possession of the "leased auto," whichever occurs first. "Leased auto" means an "auto' leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. B. Cost of Bail Bonds SECTION 11— LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Item (2) is deleted in its entirety and replaced with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident' we cover. We do not have to furnish these bonds. C. Reasonable Expenses SECTION 11— LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Item (4) is deleted in its entirety and replaced with the following: Page 2 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. D. Fellow Employee Coverage SECTION II — LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee is deleted in its entirety and replaced by the following: "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the conduct of your business. However, this exclusion does not apply to any manager or officer of your company. IL PHYSICAL DAMAGE COVERAGE EXTENSIONS A. Towing SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 2. Towing is deleted in its entirety and replaced with the following: 2. Towing We will pay up to $100 for towing and labor costs incurred each time a covered "auto" is disabled. However, the labor must be performed at the place of disablement. No deductible applies to this enhancement. B. Glass Breakage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 3. Glass Breakage — Hitting A Bird Or Animal — Falling Objects Or Missiles is amended by adding the following: No deductible applies to "loss" to glass used in the windshield or windows. C. Transportation Expenses SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses is deleted in its entirety and replaced with the following: a. Transportation Expenses We will pay up to $100 per day to a maximum of $3,000 for temporary transportation expenses incurred by you because of a "loss" to a covered "auto." We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the "loss" and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss" D. Hired Auto Physical Damage— Loss of Use The last sentence of SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, b. Loss of Use Expenses is deleted in its entirety and replaced with the following: However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $1,000. Page 3 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) E. Hired Auto Physical Damage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following extension: Hired Auto Physical Damage Any "auto' you lease, hire, rent or borrow from someone other than your "employees" or partners, or members of their household is a covered "auto' for each of your physical damage coverages. The most we will pay for any "loss" in any one "accident' is the ACV or the cost for repair or replacement of the vehicle, whichever is less. For each covered "auto' our obligation to pay will be reduced by a deductible of $500 for Comprehensive Coverage and $1000 for Collision Coverage. F. Personal Effects Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following extension: Personal Effects Coverage We will pay up to $500 for "loss" to personal effects, which are: 1. Owned by an "insured"; and 2. In or on your covered "auto." This coverage applies only in the event of the total theft of your covered "auto." No deductible applies to this coverage. G. Rental Reimbursement SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended by adding the following extension: Rental Reimbursement Coverage We will pay up to $100 per day, for up to 30 days, for rental reimbursement expenses incurred by you for the rental of an "auto' because of "loss" to a covered "auto." We will also pay up to $300 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto." If "loss" results from the total theft of a covered "auto," we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Item III. C. Transportation Expenses of this endorsement. H. Accidental Discharge — Airbag Coverage SECTION III — PHYSICAL DAMAGE COVERAGE, B. Exclusions, Paragraph 3. is amended by adding the following exception: Page 4 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) This exclusion does not apply to the accidental discharge of an airbag. This coverage is excess of any other collectible insurance or warranty. No deductible applies to this coverage. I. Electronic Equipment Coverage The following supersedes anything to the contrary in SECTION III — PHYSICAL DAMAGE COVERAGE, B. Exclusions, Paragraph 4. Exclusions 4.c. and 4.d. do not apply to: Any risk management or monitoring equipment and electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss," and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto." The most we will pay for all "loss" to risk management or monitoring equipment, audio, visual or data electronic equipment that is not designed solely for the reproduction of sound and any accessories used with this equipment as a result of any one "accident" is the least of: a. The actual cash value of the damaged or stolen property at the time of the "loss"; b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or c. $1,000. This coverage will not apply if there is other insurance provided by this policy for the above - described electronic equipment. We will, however, pay any deductible, up to $500, that is applicable under the provisions of the other insurance. J. Original Equipment Manufacturer (OEM) Parts Replacement SECTION III — PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance, Paragraph 1. is amended to include: However, if the covered "auto' has less than 20,000 miles on its odometer, then the following condition will apply: We will pay the cost to replace the damaged parts (excluding glass and mechanical parts) with new Original Equipment Manufacturer replacement parts if the damaged parts cannot be repaired. K. Auto Loan / Lease Gap Protection SECTION III — PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance is amended to include the following: 4. In the event of "loss" to a covered "auto' that is loaned or leased to an "insured": a. The most we will pay for "loss" in anyone "accident" is the lesser of: Page 5 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) (1) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (2) The cost of repairing or replacing the damaged or stolen property with other property of like, kind and quality. b. Our Limit of Insurance for "total loss" will be the greater of: (1) The balance due under the terms of the lease or loan, to which your "auto" is subject but not including: (a) Past due payments; (b) Financial penalties imposed under the lease; (c) Security deposits not refunded; (d) Costs for extended warranties or insurance; or (a) Final payment due under a "balloon loan"; or (2) Actual cash value of the stolen or damaged property. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of "loss." c. Additional Definitions (1) "Total loss" for the purpose of this coverage, means a loss in which the estimated cost of repairs, plus the salvage value, exceeds the actual cash value. (2) 'Balloon loan" is one with periodic payments that are insufficient to repay the balance over the term of the loan, thereby requiring a large final payment. d. Additional Conditions This coverage will apply only to the original lease or loan written on your covered "auto." In order for this coverage to apply, leased "autos" must be leased or rented to you under a leasing or rental agreement, for a period of not less than six months, which requires you to provide direct primary insurance for the benefit of the lessor. L. One Comprehensive Coverage Deductible SECTION III — PHYSICAL DAMAGE COVERAGE, D. Deductible is amended by adding the following: Only one Comprehensive Coverage Deductible per occurrence will apply to any "loss" resulting from a covered peril. For the purpose of this extension, occurrence means a single incident, including continuous or repeated exposure to substantially the same general harmful conditions within a 24-hour period. Page 6 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. PI-CA-001 (09/15) III. BUSINESS AUTO CONDITIONS A. Notice and Knowledge of Occurrence SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit Or Loss, Paragraph a. is deleted in its entirety and replaced with the following: a. In the event of "accident," claim, "suit" or "loss," you must give us, or our authorized representative, prompt notice of the "accident" or "loss." Include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Your duty to give us or our authorized representative prompt notice of the "accident" or "loss" applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. B. Blanket Waiver Of Subrogation SECTION IV — BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer Of Rights Of Recovery Against Others To Us, is amended by adding the following exception: However, we waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury" or "property damage" arising out of the operation of a covered "auto" when you have assumed liability for such "bodily injury" or "property damage" under an "insured contract." C. Unintentional Errors or Omissions SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, Or Fraud is amended by adding the following: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. IV. DEFINITIONS A. Mental Anguish SECTION V — DEFINITIONS, C. "Bodily injury" is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Page 7 of 7 © 2015 Philadelphia Indemnity Insurance Company Includes copyrighted material of Insurance Services Office, Inc., with its permission. INSURED: SCAN Group POLICY #: PHPU574081019 POLICY PERIOD: 07r012024 TO 071012025 PI-GLD-HS (1(Y11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY DELUXE ENDORSEMENT: HUMAN SERVICES This endomenient motliffms insuran ce provided amp the dellloMng: COMMERCIAL GENERAL LIABILITY COVERAGE It is unders'mod and agreed that ulna follonming extensions an apply in the event dust no cMter speciFo coverage foc the indicated loss exposure is ,provided under dais policy_ 11'such specific coverage applies, the terms, conditons and limits of1hat mwerage am the sole and exclusive ooverage appiloahle under iris policy, unless otherwise noted on this endcrsement. The Fo bownng is a summary of the Limits of Insurance and additional ou wages provided bytnis endorsement. For completedeta:ils an specific c wages, consult The policy condractwrding. Coverage Applicable Limit of Insurance Page Eidended Property Damage Ina&oded 2 Limited Rental Lease Agreement Contractual Liability $500300limed 2 W5 Owned Watercraft Lem than 59 feet 2 Damage to IPrcioerlyYou Own, Rent or Occupy $313,900 liamit 2 Damage to Premises Rented to You $1.cm'coa 3 HIPAA Clarificallon +4 Medcal Payments 3213,01[lD 5 Medical Payments— EvIended Reporting Period 3yeals 9 Athbedc ActigWes Amended 5 Supplementary Payments —Bag Bonds S5,0110 5 Supplementary Payment —Loss cif Earnings $1,DODperday 5 Emploryee I ndernmITcatan Defense Caoerage 325,DD© 5 1,ey and Lock Repfacemem—Jaridonal Ser-Ams; Client Cweraye $10,00D. tieutid e Additional! .Insured — Newfy Acquired'. Time Period Amended 5 Additional' Insured —Medical Directors and Administrators Included 7 Additional Insured —Managers and Supervisors {nigh Fellow Emplailee Comsrzget Included 7 Additional insured —Broadened Named, Insured Included 7 Additional'ilnsured—Funding Souroe Included 7 Addilonall iInsuured— Horne Care Pro4dders Included 7 Additional'llnsuaed—Managers, Landlords, or Lessors of Premises Included 7 Additionalllnsu;med— Lessor of Leased Equipment IndUded 7 Addide4lall Insured— Cmanpor of Permits Included 8 Additionall Insured-1dendor Included 8: Additional Insured —Fra obism Included E Addifmnall Insured —'u 'hen Required by Contract Included g Additional '.Insured — L'tvners, Lessees,. or Contnactors included 4 Additonal',Insumd— Stine or Pcllitiral Suhdrgsions Included in Page 1 of 12 Incbdes cajojOghted material of Insurance Services Office, Inc., with Its pemiission. @ 2011 Philadelphia Indemnity Insurance Company PI-GLD-HS (10111). Duties in the Event of Ooounenae, Claim or Suit Included to Unintentional Falluure to. Disciose H=rds Incl)ud'ed to Tmamsfer of Rights al Re ery Against Others To Us Clarification to Lilbeealizkon 'Included 11 Bodily, Injury— includes Mental Anguish Included 11 Personal and Ads enisirrg Injury —includes Abuse of Process. Discrimination Included 11 A, Extended Property Damage SECTION I — COVERAGES, COVERAGE A BODILY INJURY ACID PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions, Paragraph a, is deleted In it�; entiretyand replaced by the Wowing: a. Expected or Intended Injury "Bodily inrjury" or property damage' expected arc intended from the standipalnt of the insured. This exclusion does not apply to "biddy injuryr or'property damage" resulting from the use of reasonablle force to protect persons or property. B. Limited Rental Lease Agreement Contractual Liability SECTION I — COVERAGES, COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions, Paragraph tL Contractual Liability is arrnenKled to include the fallowing- (3) Based an the manned insureds recluest at the time of claim, we agree to indent nily the named insured for their liability assumed in a contract or agreement regarding the rental or lease of a premises on be hall of their client, up to S50,C00. This coverage extension only applies to m rural lease agreements. This c ierage is excess omer any rentees liability insurance of the client. C. Non -Owned Watercraft SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Subsection 2. Exclusions, Paragraph g. (2l is deleted in its entirety and replaced by the follawing: (2) A. watercraft you do not own that is: (a) Less than 5:8 feet Ong; and (b) Not being used to carry persons or property far a charge, This pro0sion applies to any person. who with your consent, either uses or is responsible tore the use of a watercraft. This insurance is excess over any other valid and collectible insurance available to the insured whether primary, excess or contungenC D. Damage to Property You Owen, Rent or Occupy SECTION 1— COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE Page 2 of 12 Includes copyrighted material of Insurance Services Office, Inc_, with its permission_ Ue 28i11 Philadelphia Indemnity Insurance Company Pl-GLD-HS (iWl I',J LIABILITY, SubsectDon 2. Exclusions„ Paragraph J. Damage to Property, Item (I) is deleted in its entirety and replaced with the folkshng: (1) Property you own„ rend, or occupy, Including any costs or expenses incurred by you, cr any other person„ organization or entity„ for repair, replacement, enhancernent, restoration or maintenance of such pmperty for any mason, including prevention of irujury to a person or damage to another's property, unless the damage to property is caused by your client, up to a S30,0110 limit. A client is defined as a person under your direct care and superwnsiion. E. 'Damage to Premises Rented to You 1, If damage by fire to premises rented to you is nrA otherwise excluded from this Coverage Part, the,hard "tire° tie. changed to "ire, lightning, explosion, smoke, or leakage from automatic fire protective systems" where it appears in: a. The last paragraph of SECTION I —COVERAGES, COVERAGE A BODILY IIIJURY AND PROPERTY DAMAGE LIABILITY, Subsecbon 2. Exclusions; is deleted in its entirety and replaced by the following: Exclusions c, thorough n. do not appily to damage try tire, lightning, explosion, smoke, or leakage from autrmatic fire protective systems to premises while rented to you or temporarily occupied by you With permission of the corner. A separate limit of iinisurance applies to this coverage as described in SECTION III— LIMITS OF INSURANCE- b. SECTION III —LIMITS OF INSURANCE, Paragraph 0. is deleted in its entirety and replaced by the follourrng:: Subject to Paragraph 5. above, the Damage To Premises (dented To You Unit is the most we will pay under Cooesage A for damages because of "property -damage" to any one premises„ while rented ta• you, or in the case of damage by fire, lightning, explosion„ smoke, or leakage from automatic fire protectiwe systemu utihiille rented to you or temporarily occupied by you vifth pemmissuon of the owner - SECTION V — DEFINITIONS, Paragraph S-a., is delleted in its entirety and replaced by the following., A contract for a lease of premises. 'I owewer„ that portion of the contract for a lease of premises that indemnifies any person or organizzation for damage by fire, lightning„ explosion, smoke, or leakage from automatic Ere protective systems to premmises iNhille. rented to you or temporarily occupied by you with permission of the ovamer is not an inured contract", 2. SECTION IV — COMMERCLAL GE14ERAL LIABILITY CONDITIONS, Subcectcn 4. Other Insurance„ Paragraph b, Excess Insurance, (t) (a) (fi) is deleted in its entirety and replaced by the following: That is insurance for Fire, lightnirug, explosion, smoke, or leakage from automatic Ire protective systems for premises rented to you or temporarily occupiied by you myth permissoon of the comer, 3. The Damage To Premises. (tented To You Limit section of the Declarations is amended to the greater of: Page 3 cif 12 lnelludes copyrighted maternal of Insurance services Office, Inc., with its permission, @ 2011 Philadelphia Indemnity Insurance Company PI-GLD-HS (lull) a. si,t14x}oao;or b. The amount shown in the Dectarations as the Damage to Premises Rented to You Limit. This is the most we will pay for sill damage proximately caused by the some eve nt, whether such damage results from fin:, lightning,, ex plosion,, smoke,, or leaks from automatic fire protective systems or any combination thereof- F. HIPAA SECTiOft 1— COVERAGES, COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY, is amended as follows: 1. Paragraph 1. Insuring Agreement is amended to include the follmua ng: LN'e willl pay those sums that the insured becomes legally obligated to spay as damages because of a `violation(s;i" of the Health Insurance Portability and Accountability Act (HIPAA t. We have the right and the duty to defend the insured against any "suit,' "invesbgafion," or "civil proceeding' seeking these damages. HoweveT, we will have run dutyto defend the insured against any "suiir seeking damages, "nnvestigatiion,' or "civill proceeding" to which this insurance does not apply_ 2. Paragraph 2, Exclusions is amended to include the followdng additional exclusions: Thais insurance does not apply to: a. Intentional, Willful. or Deliberate ViWations Any willful, intentional, or deliberate °vlolation(sJ" by any insured. b. Criminal Acts Any `violation" which results in any criminal penalties under the HIPAA_ c. Other Remedies Any remedy other than monetary damages for penalties assessed. d. Compliance Reviews or Audits Any compliance reviews by the Department of Health and Human Services. I SECT10IJ V — DEFINITIONS is amended to include the folloaMirg additional definitions: a. "Civil proceeding" means an action by the Department od Health and Human Services (HHS) arising cut of'violabons' b. "lnvestigabon' means an examination of an actual or alleged "viellation(sy by HHS_ However, "in•vesttgation' does not include a Compliance Review. c. "'•Aolaficn" means the actuall or alleged faalure to comply with the regulations included in the IHIPAA. Page d of 12' includes oopydghted niattual of Ineurance Serious CAfice, Inc., with ifs permission. @ 2011 Philadelphia indemnity Insurance Company PI-GLO-HS I10111j G. Medical Payments —Limit Increased to $20,000, Extended Reporting Period If Cr_IVERAGE C MEDICAL PAYMENTS is not otherwise excluded from this Coverage Part- 1 . The Medicall Expense Limit is changed subject to alll of the terms of SECTION III - LIMITS Of INSURANCE to the greater of: a. $20,000- or b. The Medical Expense Limit shown in the Declarations of this Cauerage Part. 2. SECTION I —COVERAGE, COVERAGE C MEDICAL PAYMEIITS, Subsection 1. Insuring Agreement, a (3) (bj is deleted In its entirety and replaced by the follumng: (b) The expenses are incurred and reported to us within three years of the date of the accident. H. Athletic Activities SECTION I — COVERAGES, COVERAGE C MEDICAL PAYMENTS, Subsection 2. Exclusions, Paragraph e. Athletic Activities is deleted in its entirety and replaced with the following: e. Athletic Activities To a person injured while taking part, in athletics. L Supplementary Payments SECTION I — COVERAGES. SUPPLEMENTARY PAYMENT'S - COVERAGE A AND B are amended as follows: 1. b. is deleted in its entirety and replaced by the following: 1. b. Up to $5000 for cost of bail bonds required because of accidents or traffic lavr violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies, 'Ale do not have to furnish these_ 1.d. is deleted in its entirety and replaced by the folky"ui ng: 1, d. All reasonable expenses incurred Iry+the insured at our request to assist us in the investigation or defense of the claim or "suet", including actual loss of earrings up to S1,0IDID a day because of time off from work- J. Employee Indemnification Defense Coverage SECTION I — COVERAGES.. SUPPLEMENTARY PAYMUITS — COVERAGES A AND B the following is added: 'Ne will pay, on your behalf, defense wets incurred by an 'employee in a criminal proceed occurring in the course of employment. The most we +adll pay for any "empilagee" who is alleged to be directly involved in a crurninal proceeding is $25,000 regardless of the numbers of °empiiyees ` claims or "suits' bought, or persons or organizations malting claims or bringing °sufts. Page 5 of 12 includes copoghted material of insurance Sermes Office, Inc., with its pemtission_ ® 291 II Philadelphia indemnity insurance Company PI-GLL7-HS (10t11') K. Key and Lock Replacement —Janitorial! Services Client Coverage SECTION I — Cv3NERAGES, SUPPLEMENTARY PAYMEMS — COVERAGES A AND B is amended to include the follondng: We will pay for the roost to m=place ker and locks at the "clients" pretrnises due to theft or other loss to keys entrusted to you by your "clienit,' up to a $111,11100 liinnit peroccumrenca crud SID,D00 policy aggregate - We will not pay for loss cr damage resulting from theft or any other dishonest or cftinal act that you or arry of your partners, members, orfficercs, 'ermplloyees°„ "managers',diirectors, trustees, authorized representataes or any one to whotn you entrust the keys of a "rollent' for any purpose committ, whether acting atone or in coilusion with other persons. The following,When used on this coverage, are defined as follows: a. "Client" n7eans an imndi•v elual, company or caganidatiom vifth whorrn year have a written contract erwrnitt. order for your serauces for a desarlbed premises and have billed for your seraices. b, "Employee" means- (1) Any natural,person: (a) While in your semaice crr for 30 days after tearmination of service; (b) Who you connpensate directly br satary, wages cr comutnissions; and fc9 Who you haa,e the right to .direct and control whille pm,.rfamning services far your; cr (2) Any !natural person who is furnished termporamly to you: (a) To sulnstiturte for a pernnanent 'employee"as defined In Paragraph I14 above, w470 is an leave; ar (b) To meet seasonal or short-term hor load cnntdirlons:, while that person is subject to your direction and contrell and performing seraices for you. (3) "Empleyee" does not moan_ (a) Ary agent.,, barcsker;, person leased to you by a labor leasiing fins, fatter, commission merchant, consignee„ independent contractor or representative of the sanne general ,character, or (b) Aruy "nnanager," director or trustee except wthule performing acts corning within the scope of the usual duffies of an "eirptoyee." c. "P,7anager" means a peasson sensing in a directlorial capacity fora limited litabilfity. company. L. Additional Insureds SECTION Il — WHO IS API INSURED is amended as follows: 1. If coverage for newly acquired or fomned organizations its not otheawdse excluded Iro+rn this Page 6 of 12 lneludes capyrighted m.atedial of Insurance Semices Office, Inc., with its pemnission_ @ 2+011Philadelphia Indemnity lns urance Comm my P I-G'LD-EIS: (1i11irt 1i ) Coverage Part, Paragraph 3.a. is deleted in its entirely and replaced by the following: a. Coverage under this prarisien is afforded until the end of the policy period. 2. Each of the follovAng is al .o aniinswred: a. Medical Directors and Administrators -'Your medical directors and administrators, but only xdiile acting within the scope of and during the course of their duties as such. Such duties do not includle the furnishing or failure to furnish professuranal services of any physician or psychiatrist in the treahnent of a patienL b. Managers and Supervisors - Your managers and supervisors are also insurers, but enNy with respect to thei r duties as your managers and supervisors. Managers and supervisors who are your "emplic!yees" are also insureds for "bodily irijuryr'to a co- "emplkryee" while in the course of his or her employment by you or performing duties related to the conduct of your business. This prcuision does not change Item 2.a.(1)(a! as it applies to managers of a limited liability company. c. Broadened Idamed Insured -ATV organization and subsidiarythereef 1hluich you control) and actively manage on the effeu"ffive date of lhns Coverage Part. However, coverage does not apply to any organization or subsidiary not named in the Declarations as Named Insured, if they are also insured under another similar policy, but for its tenn*atinan or the exhausNion of its limits of insurance. d. funding Source - Any person or organization with respect to their Iliabiility arfsiing out of: (1) Their financialcontrolofyou; or (2) Premises they gown., maintain or control while you lease or occup+y these premises. This insurance does not apply to structural alteraticros„ new construction and demolition operations performed by or for that person of organization. e. Home Care Providers -At the first Named Insureds option, any person or organization underyour direct supervision and control while providog for you private home respite or foster home care for the developmentally disabled. C Managers, Landlords, or Lessors of Premises - Any person cr organration with respect b their liability arising out of the ownership, maintenance or use of that part of the premises Ileamd or rented to you subject to the follomiiing additional exchmicas: This insurance does not apply, to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises.-, or (2) Structural alterations, new construction or demolition operations perfomred by or on behalf of that person or organisation. g, Lessor of Leased Equipment -Automatic Status When Required in Lease Agreement With You -:Any person or organization from whom you lease equipment vihen you and such person or organization have agreed in hT ting in a contract cc agreemrent that such person or organization is to be added as an additionall insured on your poicy... Skim person or Page d of 12 includes copeeighted nratenal of insurance `=.en.ices Office., Inc-, ,xith its permission. @ 2D1i11 Philadelphia Indemnity Insurance Company PI-GLD-HS I',TNll.; organization is an insured only with respect to liability for °bodily injury," "property damage' or "personal and advertising injiury' caused, in whole or in pars, by your maintenance, operation or use of equipment leased to you by :ouch person or organization. A. pe rison's or cManization's status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occunence'viftich takes place after the equipment lease expires- h. Grantors of Permits —Any slate or political subdivision granting you a permit in connection with your premises subject to the folllahing additionall proosm: (1) This insurance applies onlyWith respect to the follomri nag ha2ards for ulhiich the state or political subdivision has issued a permirt in connieetion w th the premises you own, rent or control and to vAhfch this insurance applies: (aj The axirAence, maintenance, repair, constuction, erection, or rennovall or adwertising signs, ,awuuings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidevralk mulls, street banners ordecorations and similar exposures; (b) The construction, erection„ or removal of ellevators; or jcj The ownership, maintenance, or use of any elleaators covered by Oils insurance. i. Vendors — OnBywith respect to `bodily injuryf or "property damage" arising out of your products" which are distribWed or sold in the regular course of the vendor's lousiness, subject to the follum Pig additional exclusions: (i) The insurance afforded the vendor does not apply to: (a) "Bod'ily injury" or "property damage" for Which the vendor is obligated to pay damages by reason of the assumption of Ifiabilfity 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), A%t express vioarranty unauthor zed by you, Jc! `ny physical or chemical change in the product nnade, intentionally by the vendor; I l l Repackaging, except when unpacked solely for the purpose of inspection, demonstration, teslung:, or the substitution of pasts under iinsitruct ones from the manufacturer, and then repacRaged in the original container, jet Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to mrake or normally undertakes to make in the usual course of business., in connection with dhe distribution or sale of the products; it) Demonstrabon, installation„ ^serw dng or repair operations, eH:oept such operations peafomned at the vendotr's premiises in nonnwcticn wdGh the sale or the product; Page 3 of 12 lndurdes copyrighted material of insurance Services Office, kne_, with its permission. 2pT 1 Philadelphia Ilndemnity insurance Companry Pi- -FB (fit}F'IIj (g) !P'roducts which, after distribution or sane by ynu, have been labeled or relabeled or used as a container, part or ingredient of arry other Ching or substanDe by or for the oendor, or (h) "Bodily injury" or "property damage" arising out of the sole neglgence of the vendor for its onro acts or omissions or those of its employees or anyone else acting on its behalf- [ lctmever, this rrckW eon does not apply to,' (0, The exceptions contained in Sub -paragraphs id) or (f); or (ii) Such inspections, adjusflments, tests orserolcing as the vendor has agreed to snake or normally undertakes to make in the usual course of business, in connection with the dishribuiti on or sale of the products. (2j Thds Insurance does not apply to any insured person or organization, from whom you hare acquired such products, or any ingredient, part or container, entering into, accompanying or containing. j. Franchisor — Any person or organization with respect to their .liiabiloty as tdae grantor of a franchdse ten y�nu. k. As Required by Contract — Any person or organization where required by a we tten contract executed prior to die occurrence of a loss. Such person or orgaini¢ation is an additional insured for "bodilly injury," "property damage" or "personal and advertisiing injrury' but ornty for liability arilsting .out of the negligence of the narned insured. The Ifimits of insurance appheabAe to these additional insureds are the lesser of the policy limits or those litmus specified in a contract oragreement. These limits are included within and not tin addition to the limits of insurance shown in the Declarations 1. Owners, Lessees or Contractors —Anyr person or organization, but only vihh respect to liabi I ty for "bodily injury,"' 'Property damage" or "personal and advertising injury" caused, in whole or inn part by. (1) Your acts or omissions; or (2) The acts or ornossions of those acting on your behalf; in the performance of your ongoing olperabors for the additional insured when required by a contract. With respect to the insurance afforded to these additional insureds, the folioNing additional exclusions apply: This insurance does not apply to "bodily Injury„ or "prop•eaty damage" occu ruing after: (aj All work, including materials, parts or equipment furnished in connection with such warl , on the project i other than senrice, rmaintenance or repairs to be performed by or on behalf of the additional insuradt s l at the location of the covered operations has been completed; or (b) That portion of "your wnrk" out of which the injury or damage ar ses• has been put to Its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project Page a or 12 Includes copyrighted materiiail of lnvurance Services Office, Inc., with is permission_ @ 21911 Philadelphia Indemnity Insurance Company PI-GLD-f LS (1(1f11) m. State or Political Subdivisions -Any state or political subd mion as required, subject to the following prord cons: (1) This Insurance applies sandy, Wiith respect to operations perfornned by you or on your behallf for'which the state Or paliitical subdivision has issued a permit, and Is required by contract. (2) This insurance does not apply to: )ap "Bodily injury," "property damage" or "personal and advertising inyuy arising out of operations performed for the stale or muniidipaliity;; or jbj "Bodily injury" or "property damage" included avidiin the "products -completed operations hazard." M. Duties in the Event of Occurrence, Claim or Sure SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Paragraph 2. Is amended as fodlows: a. is amended to include: This condition applies onlywthen the 'wccurence" or offense is known tD: (1) You., if you are an indtidual, (2) A partner, 9 you are a partnership; or (3) An executive officer or insurance manager, if you are a. corporation- b. is amended to include: This condition will not be considered breached unless the breach occurs after such daim or "suit" is known to:. (1) `r'ou., if you are an indilvidual; (2) A partner, of you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. N. Unintentional Failure To Disclose Hazards SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, S. Representations is amended to include the following: It is agreed that, based on our reliance on your representations as to existing hazards, if you should unintentionally fail to disclose all such hazards prior la the beginning of the policy period of this Coverage Part, we shall not derrg coverage under this Coverage Para because of such failure. O. Transfer of Rights of Recovery Against Others To Lis SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIOUS, 3. Transfer of Rights of Page 10 of 12 Includes oDpyrightted material of Insurance Services Office, Inc., FMth its permission. rst 21311Philadelphia Indemnity Insurance Company PI-GLD-i PS (1 ti r11 ) Recovery Against Others To Us is deleted in its entirety and replaced by the following: If the insured has rights to recover ail or pant of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after lIcss to impair them. At our request, the insured will bring "suit" or transfer Mose rights to us and help us enforce them. Therefore, the insured can waive the insurees rights of recovery prior to the occurrence of a loss, provided tine waiver is made in a writben contract- P. Liberarization SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended to Include the following- If or+e. revise this endlomement to provide more coverage veithout additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state- Q. Bodily Injury — Mental Anguish SECTION V — DEFINITIONS, Paragraph 3. Is deleted in it, entirety and replaced bythe falloauing: 'Bodily injury` means: a. Bodily injury, sickness arc disease sustained by a person, and includes rnenlat anguish resulting from any of these; and b. Except for mental anguish, includes death resulting from the foregoing (,Item a. above� at any time- R. Personal and Advertising Injury— Abuse of Process, Discrimination If COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE is not otherwise excluded from this Coverage Pail, the definition of "personal and advertising injury" is amended as follows: f . SECTION V— DEFINITIONS, Paragraph 1, 41.. is deleted in its, entirety and replaced bytlhe following: b. Malicious prosecution or abuse of process; 2. SECTION V — DURATIONS, Paragraph 14_ is amended by adding the following: Discriminalfon based on race, color, reliigion, sex, age or national origin, except when: a, Done intettionally by or at the direction of, or with the knowledge or consent of: 11) Any insured, or (2) Any executive officer, director, stack holder, partner or member of the insured, b. Directly a# indirectly rellated to the empiloyrnent, former or prospective employment, termination of emplicyment, or application foremptciyment of any person or persons by an insured; Page f I of 12 Inclludes copyrighted material of Insurance Services Office, Inc-, with its permission.. @ 201 f Philadelphia (Indemnity Insurance Connpany Pi-GLD-HS (1f M) c. 'Directly or indirectly reiated to the sane, rental, lease or sublease or prospective sales, rental, Ilease or sub -lease a6 arvy morn, dwelling or prenriises by or at the direction of any insured; or d. Insurance far such dliscrirninaWn is prohibited by or held in kiolation of Ilaw. public policy, Ileg islation, court decision or administrative ruling. The al:vi a does not apply to fines cr penallties imposed because of diiscrfirninalfon. Page 12 of 12 includes mpydghted nraternail of insurance Sen:ices Office, Inc-, Mth its permission_ @ 21311 Philadelphon indemnity Insurance Company WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-841 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0% of the California workers' compensation pre-mium otherwise due on such remuneration. Schedule Person or Organization Jab Description ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED,EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION. INSURED: SCAN Group POLICY #: WC869903800 POLICY PERIOD: 07/01/2024 TO 07/01/2025 WC 252 (4-84) WC 04 03 06 (Ed. 4-84) Page 1 of 1