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Home My WebLink AboutCAL STATE FULLERTON FOUND. 1C coos AGREEMENT TERMINATION Please complete this form when the attached agreement is no longer in effect. Return form to the Sr. Deputy Clerk of the Council (M-30). Call 647-5238 if you have any questions. ---------------------------- The agreement with was completed on C ~ U ~ ,and final payment has been made. .. "~ ~: Department: ~~~ ~~~ ~~~~ Signature: ~ ~~~~ ~~ Date: ~ ' Revised 8-7-03 City of Santa Ana Clerk of the Council , INSURANCE ON FIll NOlii, Mi,Y PROCEED JNIIL INSURA,NCE EXPIRES 1 - -05 CLERK OF COUNCIL DATE: ~--iS-05' N-200S-019 -' CONSULTANT AGREEMENT o':P~ O>.~ THIS AGREEMENT made and entered into this ..J.. ~~day of January 200S by and between California State University Fullerton Foundation, a nonprofit auxiliary and fiscal agent of California State University, Fullerton and the Center for Oral and Public History (hereinafter "Consultant"), 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 (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of conducting oral history interviews to teach classes for the City's leisure class program. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected ITom a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform those services as set forth in Exhibit A to this Agreement. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges identified in Exhibit A. The total sum to be expended under this Agreement shall not exceed $1,000.00 during the term of this Agreement. b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on December 31, 2005, unless terminated earlier in accordance with Section 12, below. The term of this Agreement may be extended upon a writing executed by the Executive Director of Parks, Recreation and Community Services and the City Attorney. 4. INDEPENDENT CONTRACTOR Consultant 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 Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant 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. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1 ,000,000 per occurrence. Consultant shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit B upon execution of this Agreement and shall be approved in form by the City Attorney. b. Reserved c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. The following requirements apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved in form by the City Attorney. (ii) 2 (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. e. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from liability for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including health, and claims for property damage, which may arise from the direct or indirect operations of the Consultant or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement. 7. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant 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. 8. CONFLICT OF INTEREST CLAUSE Consultant covenants that it present! y 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. 9. 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 telefacsimile or other telegraphic communication in the manner provided in this Section, to the following persons: 3 To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 telefacsimile (714) 647-6956 With courtesy copy to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 telefacsimile (714) 571-4235 To Consultant: Tanya Thompson, Acting Director Office of Sponsored Programs 2600 E. Nutwood Avenue, Suite 275 Fullerton, California 92831 telefacsimile (714) 278-1256 A party may change its address by giving notice in writing to the other party. Thereafter, any notice, tender, demand, delivery, or other communication shall be addressed and transmitted to the new address. If sent by mail, any notice, tender, demand, delivery, or other 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 telefacsimile, any notice, tender, demand, delivery, or other 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. 10. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, 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 ofthis Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. 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 Consultant nor 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. 4 11. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant 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 consultants retained by City. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination. 13. DISCRIMINATION Consultant 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. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. 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. 15. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant 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. 16. MISCELLANEOUS PROVISIONS All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 5 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA ~< -_: - r£-r PATRICIA E. HEALY' Clerk of the Council /i/ / ' U%4Î ;;2. DAVID N. REAM City Manager APPROVED AS TO FORM: JOSEPH W. FLETCHER City Attorney ~; By: leu 1(J Lau'ra Sheedy Assistant City Attorney ". 1 )LUI! V / CONSULTANT RECOMMENDED FOR APPROVAL: CSU FULLERTON FOUNDATION / 1;1;, h/. í)', {.L~ . c/<. 41 ¡( U ¿:¿bA-. WILLIAM M. DICKERSON Executive Director GERARDO MOUE Executive Director f Parks, Recreation and Co munity Services Tax ID# 95-2081258 6 EXHIBIT A SCOPE OF SERVICES Consultant shall instruct youth and adults, 16 years and older, in How to Conduct a Family or Neighborhood Oral History, as follows: FEES . , '\-' two X Consultant shall teach the three-hour class during .fStlf' separate sessions. The classes will be held at the Santa Ana Main Library at a date and time to be agreed between Consultant and City. Consultant may adjust the schedule, based on the availability of rooms in the City's facility and holidays scheduled by Consultant. Each class shall have a minimum of 10 and a maximum of 20, registered and paid participants. If the minimum registration has not been reached by the first class, the class may be cancelled by mutual agreement of Consultant and City, with no compensation owed Consultant for any cancelled class session. . . . . Each participant in the class shall pay a $15.00 class registration fee per three-hour class. No refunds will be made to participants after the first class unless the class is cancelled by the Parks, Recreation and Community Services Agency. City shall collect registration fees from each participant. Consultant shall refer interested students to City for registration. Consultant shall receive seventy percent (70%) of total fees collected for the classes within fifteen (15) working days after completion of each class session. City shall retain thirty percent (30%) of the fees collected. Consultant agrees that City shall be entitled to audit Consultant's records and classes to ensure compliance with this Agreement and that all participants are registered. Consultant may not waive class participation/registration fees. City shall prepare class rosters and provide a copy to Consultant. Only registered participants, listed on roster, may participate in class. . . . . . . 7 EXHIBIT B ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # Issued to , this endorsement form as a part of Named Insured Countersigned by Authorized Representative 8 , . 31.Jan-2Q05 Driver Alliant Insurance Services 600 Montgomery Street 9th Floor San Francisco, CA 94111 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. PRODUCER (415) 403.1400 INSURED CSU Fullerton, Foundation 2600 Nutwood Ave., Suite 275 Fullerton, CA 92631-3599 Attn: Bill Herbert INSURERS AFFORDING COVERAGE Please refer to Coverages section below. 481 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CoverageType Insurer Policy EffectiveDate ExplratlonDate L.lmllType Amount SIR Fund LJab1l1 AGPIP S.I.R Fund AGPIP-0405--01 Excess SIR E&O Uab Evidence of Insuran Onl GENESIS YXB3OO954A' 01-Jul-2004 01-Jul-2005 Generalliabili - Each Occurrence Autoliabill Incl. tn GL limit HireG'NonOwned Auto Incl. In GL limit ProdJCom 1.0 rations InclinGLLimit Contractual Liabili IncllnGLUmit 01-JuI-2004 01-Jul-20Q5 Generalliabili -Each Occurrence re ate - Combined Cov. A & B Auto Liabili Incl. In GL limit HireG'NonOwned Auto Incl. In GL limit ProdJCom .0 rations InclinGLlimit Contractual Liabili InclinGLUmit 01-Jul-2{J05 SIR Errors & Omissions Excess SIR Errors & Omissions 01-Jul-2004 01-Jul-2005 GeneralLiabili - Each Occurrence ""'.00) Excess SIR Liabif GENESIS YXB3OO954A' $750,COO $3,00::>,00::> $250,000 $750,000 ExcessL.labili For Evidence of Insurance Onl Schools Excess Uability Fund T0704-19J1247 $14,000,000 APPROVED AS TO FORM DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLEs/EXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insureds as respects Consult Agreement between the City of Santa Ana and CSU Fullerton Foundation for leisure class program. Project Title: Family or Neighborhood Oral History Workshops. Project Period: Janua 2005 - December 2005. IMPORTANT If tI1e certificate hoider is an AODITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate hoider in I~u of such endorsement(s). If SUBROGATION IS WAIVED, subject to Ihe loons and conditions of the policy, certain poiicies may require an endorsement. A statement on Ihis certificate does not confer rights to the certificate holder In lieu of such endorsemen s. The Cartificate of Insurance on this form does f\Ot constitute a contract betwean the issuing insurer(s}, autl10rizad representative Of producer, and the certificate holder, nOf does it aflirma~vely or negativelyarneod,extendorattarlheooverageafforded by the poIicias listed thereon. DISCLAIMER City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Attn: Clerk of The City Council 6476-1741 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTATlVE~.....v ~ ~ , TIllS ENDORSEMENT CHANGES TIŒ POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Eodo,,.,,,,,,nt Number 14 POUCY NUMBER ENDORSEMENT EFFECTIVE COMPANY YXB300954A J~l 2004 G~esæIDmmmceComo~ NAMED INSURED COVERAGE PARTS AFFECl'ED Califumia Stale Umversity Risk Mana¡ement Authority - Tbe Schoo! Policy Auxiliary G1:oup Purchase I:osurance Program Retained Limit Form Cove¡age Part A CHANGES BLANKET AOOmONAL INSIJJ!F.D PlIlagraph D. in SECTION IT - WHO IS AN INSURED in CO\Ierage Part A Is deleted and replaced hy thc following: D. Asly person, entity, or organizaDon you arc required by an lwIured contract to include as an insured we will include as an Insured under this policy but OJÙY with respect to bodily iJljury. penona! Injury, advertising injury or pr-operty damaae arWna out of your operatlODS or premises owned by or rented to you. This insurance shall be limited to the extent of cavenge and Limits of Liability required by the insured eontract and shaU not increase thè limits stated in SECl'ION m' - LIMIT(S) OF INSVRANCJ!: or alter any of the terms' of coverage stated in 1bÏ8 policy. The Insured contract must be effective and eKecuted prior to a covered occorrenœ. The insurance provided hr:rcin to any peœon, entity. or III!)' orpn~tion qWllliÿlng as an Iosured, does not apply 10 any liøbility occurring after those operations or use of premises have ceased. Except with respect to the relevant Limit(s) of Imaranee, any applicable exclusion(s), and any IÌ¡hts or duties specil!caI1y assigned to 1be Fint Named InlUred, this policy applies separately to each Insured against whom çIa!m or suit æ brought The terms of Endorsement Numbers 15 and 17 do not apply to this endOlSement. Signed at Stamford, Connecticut on June 25, 2004 APPROVED AS TO FOR!v¡ ~ 2/2- /Laura SlÜt Sheedy Assistant City A¡¡orl~V SPIU.F 999-1 /~~ Copyrlab~ Geoeais In,uraDc:e Company, 2004 Authorized. Representative Feb 02 05 02:46p p.2 AC.DRQ. . CI!:RTIFICA TE OF LIABILITY INSURANCE I DATE (NWDDIYYYY) 02/02/2005 '''''''''CB< (7J.4)!/23-1860 FAX (714)!/3!/-1654 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA11ON Brown It Browtt of Cal iforaia, Inca DNL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO &ox 6!/89 ALTER THE COVERAGE AFFORDED BY THE POUClES BELOYI. Orange, CA !/2863 INSURERS AFFORDING COVERAGE NAIe " INSURED CSU Ful1er~ FOUndat"10ft INSURER A. State Fund 2600 Nutwood Avenue INSURER B Suite Z75 INSURER c: Fullerton, CA !/Z831 INSURER D: INSURER E COVERAG~" THE POUCES OF INSURANCE laSTED BElOW' K\VE BEEN ISSlED TO TtE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOI::ATED. NOTWlTHSTANDfNG IW'f RECUREMENT, TERM OR CONDITION OF Am CONTRACT OR OTIER DOCI.JŒNT WITH RESPECT TO WHICH THIS CER11FICATE MAY BE ISSUED OR MAY PERTAIN, i1-E INSURANCE AFFORDED BV THE POl.JCIEs DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS, EXCLl.JSIONS ANO CONOITJONS OF SUCH ~S.þßGREGATE llMIT5 SHOWN MAY HA.'Æ BEEN REDUCED BY PADCLAN$. 1NU1 T'fPEOF INSUIUtHCE paJCy NUM8ER POlICY ~ POLICY RAT UOIITS GENERAl. UA8LITY EACH 0CC<JR1>E!ICE , I- DAMAOE TO RENTED COMMERCIA.l GENERAL UABlUT'f , ~ =:J CCA*$ MADE 0 OCCUR toteD EKP (Anr one pecson) , PERSONAl.- & ADJ INJURY , GENERAL AGGftEGA"Œ , GEN'L NJGREG#\ TE LIMIT APPlIES PER. ÞRODtJCTS. CQMPoP "GG , ~POUCYn~ nlOC AU'1'OM08ItÆlMØ/LfTY COMBINED S1NGl£ UMff - , A~"UTO (E.açIC~ - ~ All OWNED AIJfDS BODILY INJURY , SCHEDUlED AUTOS (perpetSOð) - APPROVED AS TO FORN HIRED AUTOS BOOIL Y INJURY - , NON.oINNED...UTOS . ¿:1r¡ (Peraccl6eonl) - '" ),Á /J t7A PROPERTY DAMAGe . ::z- (?eraccidenl;) =f""""'-"Y .a ~'~;~ ecdy AUTO ONLY - EA ACCIENT , ANY A.UTO Assistant Cit ' J ttorney one< n<AN EA-=' AUTO ONLY AGG . EXCESSIUMMEUA LIAIIIUTY EACH OCCURRENCE , 5:x,CUR 0 CtMI$ MACE AGGREGATE , =i== ' , . , WCRKER5COMP'ENSAT1CH AND 566000008-()4 07/01/2004 07/01/Z005 X WCSTATIJ- I""" EMPlOYERS' UABIUTY 1,000,000 A N'(V PRQPRtETORIPARTNERlEXEClmVE EL EACH ACCIDENT . OfACERlMEMBER EXCLIJOED? EL. OISEA$E-EAEMPlOYEl $ 1 000.000 ~,dftcrjbeunø.r 1,000 .0001 EClAt. PROVISIONS below E.1... DISEASE. POlICY lIMIT $ OTHER DeSCRJP110N OF 0PERA.1f:S Il.OOAJIONS' YEHIClES I EXCWStONS ADDED BV eNOORSEMENI' I SPeCW. PROVIS«)NS PI: Dr. Art ur Hansen Project Title: Fanrily or Neighborhood Oral History Workshops Project Period: J..uary 2005 - DecenDer Z005 ERTlFICATE R CANCELLA110N Ci ty of S8IIta ABa ATIN: Clerk of the City Counsel 20 Civic Center Plaza. (M-30) P.O. &ox 1!/88 Santa AN. CA 92702-1988 StiOUl.ÐANY OF THE AeO'œ œSCI\I8eD POUCH!S BECAHCe1.l8) BEFORE TME EXPlRAT10N DATE THEREOF. THE I5SUING INSURER WILL ENDEAVOR. TO M~L ~ OAV$ WftlnEN NOTICE TO THE CERTtACAlC HOlDER NAMED TO THE LEFT, BUT FM..URE TO MAIL $UC~ MOT1C:E SHALL IMf'OSENO OBlIGATION OR. LIABILITY OF Atft taNO UPON THE INSURER. ITS AU D R8PRRS :A. ACORDU (2OO1Q8) FAX: (714)647-6!/56 @ACORD CORPORATtON 1188 EVANSTON INSURANCE COMPANY CERTIFICATE NO.: CERTIFICATE OF INSURANCE , EXCLUDES COVERAGE FOR NOMINEE EVENTS. SEE SEPARATE APPLICATIONS FOR NOMINEE EVENTS. SPECIAL EVENT LIABILITY PROGRAM PRODUCER: PUBLIC ENTITY (ADDmONAL INSURED) Driver Allia¡J.t Insurance Services C-Lty 0 [, San:ta. AM P. O. Box 28323 20 C~v~e Cent~ Plaza, M-28 Santa Ana, CA 92799-8323 Santa. AM, CA 92701 (949) 660-8163 License No: OC 36861 NAMED INSURED (EVENT HOLDER): EVENT INFORMATION: S~epha~e GeoÆge AI - õl.D()5- 01 '1 TYPE: r n.6 :tJtuc..ü.o YlILt - EYlgwh/SpaYÚ.6h, DATE(S): 2/07/05~6/30/05 HL6~Mlf, PÆe.6eJr.V CenteJr. f,M OÆILt & Pub~e HL6~OÆlf/CSUF LOCATION: S.A. Ubl!.CUttf Pho~a.6 This i~ to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated Notwithstanding any requirements, terms or conditions of any contIact 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. INSURANCE CARRIER: Evanston Insurance Company MASTER POLICY NUMBER: 05SEPI 000001 MASTER POLICY DATES: EFFECTIVE: JANUARY 1,2005 EXPIRATION: JANUARY 1,2006 COMMERCIAL GENERAL UABIUTY OCCURRENCE FORM DEDUCTIBlE: NONE General Agsregate Limit $ 2.000.000 Products It Completed OpcnIdons 1,000,000 Personal It Advertising Injury 1.000,000 Each OccUITCDCC Limit 1.000.000 Fire Damase (Any One Fire) SO.OOO Medical Payments (Any One Penon) S.ooo The limits of insurance apply separately to each event insured by this policy as jf a separate policy of insurance has been issued for that event. "Who is insured" is amended to include. as an insured. the person or organization shown in this schedule, but only with respect to ¡iability arising out of the ownership, maintenance or use of tile premises used by the named insured (event holder), This insurance does not apply to: Any"occurrence" which takes place after the event holder ceases to'be a tenant in that premises. OTHER ADDITIONAL INSUREDS APPROVED AS TO FORJv, ' '--ÂI~~? LdUW iy -, Assistant Ci y Alwrn.;, CANCELLATION' Should the above described policy to cancelled before the expiration date thereof. the issuing company wilJ mail 30 days written notice to the certificate ho1der and additionaJ insureds listed. Ylg AUTHORlZED REPRESENTATIVE: úçc~ DATE ISSUED: 2/07/05