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GIRL SCOUTS OF ORANGE COUNTY
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURAI CE EXPIRES N-2025-111 CITY ERK 1A1E. MAY 7 2025 ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN THE CITY OF SANTA ANA AND GIRL SCOUTS OF ORANGE COUNTY D Wk LlO This Artist Grant Agreement ("Agreement") is made and entered this 1 st day of February, 2025, by and between 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"), and Girl Scouts of Orange County ("Grantee") for the purpose of providing grant funding pursuant to the Investing in the Artist Grant Program. City and Grantee may herein individually be referred to as a "Party" and collectively be referred to as the "Parties" to the Agreement. RECITALS: A. On November 21, 2024, the Arts and Culture Commission reviewed all applicants and recommended that Grantee be awarded an artist grant based on its Application for its art project ("Project"). A true and correct copy of Grantee's Application is attached hereto as Exhibit A and incorporated herein by reference. B. In undertaking the performance pursuant to this Agreement, Grantee represents that it is skilled and knowledgeable in the arts and culture arena and that the Project created or performed hereunder will be created or performed in compliance with such standards as may reasonably be expected from an artist. 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. Term. This Agreement shall be effective upon signature by both Parties and shall expire one year from the date first written above, unless terminated earlier in accordance with this Agreement. 2. Funding. 2.1. Subject to Grantee's performance of all required actions under this Agreement, City shall provide funding, in two disbursements, as detailed below, of an amount not to exceed Seven Thousand Dollars ($7,000) ("Grant Amount" or "Grant"). 2.2. Grantee will be paid in two (2) installments. First payment will be one-half of the funding amount provided above or$3,500 and will be provided within thirty (30) days of the full execution of the Agreement by the Parties along with a complete invoice submitted by Grantee. The second and final payment will include the remaining amount of$3,500 and will be issued within thirty (30) days after the Grantee submits to the City all the proper receipts, invoices, and final report for the Project. 2.3. Appropriate performance of the Grantee will be determined by City in its sole discretion. City reserves the right to cease funding after the first or second disbursement detailed above, and to be reimbursed the initial payment(s), if Grantee's performance is determined to be insufficient or unacceptable in the City's sole discretion. 2.4. City represents that there is no correlation or connection between its selection of individuals for grant awards and an individual's business relationship or potential business relationship with City. 3. Grant Activities. Grantee agrees: 1 3.1. To perform the activities described in Grantee's Grant Application and Timeline submitted to City for consideration dated October 21, 2024, a copy of which is attached as Exhibit A and incorporated into this Agreement as if set out in full. 3.2. To submit all reports (each, a "Report"), which shall include, at a minimum, the items set forth as required by the Application. No personally identifiable information shall be included in any of the Reports, except where specifically requested. The Reports shall be in a format that is reasonably acceptable to City. City may request additional information as City, in its sole discretion, determines is necessary to monitor performance of this Agreement. City shall have the right to use any Reports submitted by Grantee, or any portion thereof, for any reason. 3.3. To maintain all pertinent financial and accounting records pertaining to this Agreement in accordance with generally accepted accounting principles and other procedures reasonably specified by City. Upon termination or expiration of this Agreement or request by City, Grantee shall provide, at its expense, copies of all financial and accounting records produced by Grantee arising out of this Agreement. 3.4. To allow audits, compliance or special reviews and inspections, including on-site inspection, with or without prior notice, of Grantee's facilities by City or by third parties designated by City, or their authorized representatives. Grantee shall provide its full cooperation for any such audit, review or inspection, including providing timely access, for examination and copying of records (including computerized records) pertinent books, documents, papers, computer programs and records and reasonable access to its personnel. 3.5. To ensure that any areas utilized for the Project are maintained and restored to a well- maintained, safe, sanitary, and clean condition, and kept free of any hazardous waste at all times. All equipment associated with the installation of the artwork, trash and debris shall be removed and cleaned up on a daily basis. If applicable to the Project, Grantee shall place a drop cloth or similar barrier on the ground below the artwork while installation is underway, which barrier shall be removed each day upon completion of an installation session. 3.6. The Project may not contain advertising, religious art, sexual content, negative or violent imagery, convey political partisanship or include any hidden, subliminal, or camouflaged messages or statements of any kind or nature. Appropriateness of the content of the Project will be determined by City in its sole discretion. 3.7. The Project may not include any breach of intellectual property, trademarks, brands, or images of illegal activity, and the Grantee must be the copyright holder for the Project. It is the sole responsibility of the Grantee to obtain any and all applicable copyrights or trademarks associated with the artwork for the Project. 3.8. To be responsible for the maintenance of the Project, which includes, but is not limited to, graffiti removal, touch-up, and restoration, for the duration of the Project's existence. 3.9. If the artwork is a mural, it must be covered in an anti-graffiti coating at the Grantee's expense. 3.10. The City holds all rights to public art on City property, and as such the Project artwork may be removed at the sole discretion of the City. Should the Project artwork be defaced and/or not repaired, maintained, preserved and/or conserved, the City has the authority to repair, maintain, preserve, and/or conserve the Project artwork, or alternatively, the City has the sole authority to remove, alter, or destroy the Project artwork. Grantee will have first right of refusal to restore said 2 Project artwork. If Grantee is unwilling to perform or unable to be contacted within a reasonable time, the City has the right to request the services needed from a different artist, in the City's sole discretion. 3.11. Grantee shall execute and deliver to City any instruments that City may reasonably require to confirm ownership of any artwork. 4. Termination. 4.1. City may immediately terminate this Agreement upon one or more of the following: 4.1.1. Grantee's violation of any federal, state or local law or regulation. 4.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the Application and Timeline, or any unapproved deviation from said documents that has not been cured within 30 days of written notice of such breach. 4.2. In the event the Agreement is terminated under Section 4.1, City reserves the right to require Grantee to refund any or all grant funds awarded to Grantee under this Agreement, and Grantee agrees to refund to City any or all grant funds awarded under this Agreement. 5. Limitation of Liability. 5.1. 1N NO EVENT SHALL CITY BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR EXPENSES FOR ANY NEGLIGENCE, BREACH OF CONTRACT OR ANY OTHER ACT ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE ACTIVITIES COVERED HEREUNDER. 5.2. Section 5 and Section 6 do not limit Grantee's rights, including its ability to seek recovery, against anyone other than City, its City Council, officials, directors, officers, employees, agents, successors, assigns and volunteers. 6. Indemnification, 6.1. Grantee shall defend, indemnify, protect and hold harmless the City, and its City Council, elected and appointed officials and officers, employees, members, volunteers, or agents from and against all claims for damages, liability, cost and expense (including without limitation attorney's fees) arising out of or alleged by third parties to be the result of the negligent acts, errors or omissions or the willful misconduct of the Grantee, and Grantee's employees, subcontractors or other persons, agencies or firms for whom Grantee is legally responsible in connection with the execution of the work covered by this Agreement. Grantee shall have no duty to indemnify or hold harmless the City if claims, damages, liability, costs, expenses (including without limitation, attorney's fees) arise from the sole negligence or sole willful misconduct of the City subsequent to declaration by the Grantee. Grantee's obligations shall survive the termination of this Agreement. 6.2. Grantee agrees to hereby fully release and forever discharge the City from any and all claims, demands, damages, losses, and liabilities (hereinafter collectively referred to as "claims"), which are or may be related to or in any way connected with the negligence or willful misconduct of its officers, officials, employees, or agents in connection with the creation, painting, performance or installation of the Project hereunder. 3 6.3. Grantee further agrees that City may in good faith and on reasonable terms settle any such claims and that City's right to indemnification shall extend to any such settlement, provided City has given notice of such claim and its intent to settle. City's right to indemnification is in addition to, and may be exercised independently of, any remedy held by City under this Agreement, at law or in equity. The indemnity provision set forth in this Agreement shall survive the termination or expiration of this Agreement indefinitely. 7. Insurance 7.1 Prior to undertaking performance of work under this Agreement, Grantee shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: MINIMUM SCOPE AND LIMIT OF INSURANCE Grantee 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 Grantee 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 (WIC).- 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 Grantee has no employees. If Grantee 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 Grantee. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. 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 Grantee including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. 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 Grantee for City. 3. All required insurance policies: For any claims related to this contract, Grantee's insurance coverage shall be primary and any insurance maintained by City, its City 4 Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. 4. All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Grantee'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. 5. 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 shall be provided to City for policy cancellation or non-renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Executive Director, Community Development Agency, 20 Civic Center Plaza M-25, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. 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 ANII, unless otherwise acceptable to City. Verification of Coverage Grantee 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 City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Grantee's obligation to provide them. City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Subcontractors Grantee shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Grantee 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. 8. General Provisions. 8.1. Grantee shall acquire prior written permission from City for any use of the City name or logo in association with the Project. 8.2. If any parts of this Agreement are held to be invalid or unenforceable, the remaining parts of the Agreement shall continue to be valid and enforceable. 8.3. Grantee shall comply with all governmental requirements that may now or in the future become applicable to the activities under this Agreement. 5 8.4. This Agreement, including all exhibits, Application, and any amendments or schedules hereto, contain the full understanding and agreement of the Parties with respect to its subject matter, and no waiver, alteration or modification of any of the provisions to this Agreement shall be binding unless in writing and signed by an authorized officer of both Parties. 8.5. No waiver by either Party or any breach, default, or series of breaches or defaults, and no failure, refusal, or neglect of either Party to exercise any right, power, or option given to it under this Agreement or to insist upon strict compliance with the terms of this Agreement shall constitute a waiver of these provisions with respect to any subsequent breach or waiver by either Party or its right at any time thereafter to require exact and strict compliance with provisions of this Agreement. 8.6. Any notice or other communication required or permitted to be made or given by either Party pursuant to this Agreement will be in writing and will be deemed to have been duly given: (1) five (5) business days after the date of mailing if sent by registered or certified U.S. mail, postage prepaid, with return receipt requested; (ii) when transmitted if sent by facsimile, provided a confirmation of transmission is produced by the sending machine; or (iii) when delivered if delivered personally or sent by express courier service.All notices to City shall include a reference to the Project title. . All notices will be sent to the other Party at its address as set forth below or at such other address as such Party will have specified in a notice given in accordance with this section: Grantee: Girl Scouts of Orange County 9600 Toledo Way Irvine, CA 92618 City: City of Santa Ana City Clerk (M-30) 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 FAX (714) 647-6956 8.7. This Agreement is subject to all applicable local, State and Federal laws. 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. 8.8. Grantee agrees to comply with all applicable equal opportunity and affirmative action laws as appropriate, Grantee shall not discriminate because of race, color, religion, sex, gender identity, gender expression, marital status, sexual orientation, age, national origin, ancestry, medical condition, military or veteran status, genetic information, request for family care leave, request for leave for an employee's own serious health condition, request for pregnancy disability leave, disability, or otherwise as defined and prohibited by applicable law, in the recruitment, selection, 6 training, utilization, promotion, termination or other employment related activities. Grantee affirms that it is an equal opportunity employer(if applicable) and shall comply with all applicable federal, state and local laws and regulations. 8.9. Any funds provided under this Agreement that are not expended, obligated or otherwise committed by the termination or expiration of this Agreement shall be immediately returned to City. 8.10. Grantee grants to City a non-exclusive, irrevocable, transferable, royalty free, worldwide license to use, reproduce, display, distribute, and prepare derivative works, in any form or media at the discretion of the City for the Project conceived, performed or created as a result of this Agreement. 8.11. Grantee and any of the Grantee's agents, employees or representatives are,for all purposes under this Agreement, an independent contractor and shall not be deemed to be an employee of the City, and none of them shall be entitled to any benefits to which City employees are entitled including but not limited to, overtime, retirement benefits, work's compensation benefits, injury leave or other leave benefits. 8.12. Neither Party shall assign any rights or obligations under this Agreement. 8.13. 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. 8.14. Each Party warrants that they have executed this Agreement knowingly, freely and voluntarily and with full knowledge of its legal consequences. All Parties involved warrant and represent that, prior to executing this Agreement, each Party has had the opportunity to review and consider this matter with legal counsel, and that the terms of this Agreement, and its consequences, are fully understood by each Party. 8.15. This Agreement represents the entire agreement and understanding between the Parties, and supersedes any and all prior agreements and understandings between the Parties, whether oral or written. 8.16. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective Parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. {Signatures on following page} 7 IN WITNESS WHEREOF,the Parties hereto have executed this Agreement the date and year first above written. ATTEST: ,, CITY OF SANTA ANA JENNIFE HA ALVARO NUNEZ i C City Manager APPROVED AS TO FORM: GRANTEE: SONIA R. CARVALHO City Attorney IC J�' y: Andrea Ga2' - filler Name: Melanie Marcaurel Assistant City Attorney Organization: Girl Scouts of Orange County j Title:Chief Business Operations Officer RECOMMENDED FOR APPROVAL: ICHAEL L. GARCIA Executive Director Community Development Agency I 8 I EXHIBIT A INVESTING IN THE ARTS GRANT PROGRAM APPLICATION 9 Project Timeline **Input your information directly onto this form and upload onto Submittable.com. DATE ACTION OUTCOME February 1, The instructor will meet with Girl Scouts of Twenty Girl Scouts from Troop 1918 will 2025 Orange County, Troop 1918, to teach Ballet enhance their leadership skills while Folklorico. During the 2-hour troop meeting, deepening their connection to their Hispanic the instructor will outline expectations and heritage through the vibrant traditions of conduct dance assessments to identify the Ballet Folklorico. troop's strengths and areas for improvement. February 3, The instructor will meet with troop leaders The outcome of this meeting would be a 2025 to discuss the music and regional dances the clearer understanding between the instructor girls will be performing, as well as provide and troop leaders regarding the music feedback on the girls' assessments. selection, the specific regional dances to be performed, and how to tailor the training based on the girls' strengths and areas for improvement identified during the assessments. This collaboration ensures that the performance is well-prepared and aligns with the girls' skill levels. February 8, The girls will learn about and practice their The outcome will be that the girls gain a 2025 first two dances. foundational understanding of their first two dances, building their skills.in choreography and performance. This will enhance their confidence and teamwork as they prepare for upcoming performances, while also fostering a deeper connection to the cultural significance of the dances. February 15, The girls will continue rehearsing the two The outcome of this will be that the girls 2025 dances they have learned. become more proficient in the two dances, improving their choreography execution and overall performance quality. Continued rehearsal will enhance their confidence, teamwork, and readiness for any upcoming performances, while also allowing them to further connect with the cultural significance of the dances. February 215�- The girls will continue to practice for two The outcome of this practice schedule will be April 26", hours each week, and an additional dance that the girls develop their skills and 2025 will be introduced to prepare for their Cinco confidence in performing multiple dances, de Mayo performance. ensuring they are well-prepared for their Cinco de Mayo performance. Regular practice will foster teamwork and discipline, while learning an additional dance will enhance their repertoire and cultural appreciation, contributing to a more dynamic and engaging performance. May 3rd 5 De Mayo Event (TBA) The outcome of the Cinco de Mayo Performance Day will be a successful showcase of the girls' skills,boosting their confidence and celebrating their cultural heritage while fostering community connections. May 17, 31 st— The girls will rehearse two dances to Rehearsing the two dances for the Fourth of June 28th perform on the 4'of July Santa Ana July celebration in Santa Ana will help the Celebration. girls build confidence and proficiency in their performances, enhance teamwork and presentation skills, and celebrate their cultural heritage, fostering pride and connection with peers and the audience. July Ott' 4th of July Santa Ana Celebration The outcome of the Fourth of July Celebration in Santa Ana will be a lively event where the girls showcase their dances, boosting their confidence and fostering community connections and cultural pride July 12t11- The girls will rehearse and prepare for the The outcome of rehearsing for the Santa Ana August 23`d& Santa Ana Fiestas Patrias Parade in Fiestas Patrias Parade will be improved dance September 6th September. skills and confidence for the girls, enhanced & September teamwork, and a celebration of their cultural 11 th heritage in a festive setting. September 14th Fiestas Patrias in Santa Ana, CA. The outcome of participating in Fiestas Patrias in Santa Ana, CA,will be an engaging celebration where the girls showcase their cultural heritage through dance, boosting their confidence and fostering community connections and pride in their traditions. September 27th Girls Rehearse and get ready for Our Lady The outcome of rehearsing for the Our Lady —October 4th of Pillar Festival in Santa Ana. of Pillar Festival in Santa Ana will be a well- coordinated performance that enhances the girls' confidence, fosters teamwork, and strengthens their connection to the community while celebrating their cultural heritage. October 11th Our Lady of Pillar Festival in Santa Ana. The outcome of participating in the Our Lady of Pillar Festival in Santa Ana will be a vibrant celebration where the girls showcase their cultural heritage through dance, boosting their confidence, strengthening community ties, and fostering pride in their traditions. October 18t"— Girls Rehearse and get ready for Dia de Los The outcome of rehearsing for the Dia de los October 30t' Muertos Event&Performance Muertos event and performance will be a heartfelt presentation that honors cultural traditions, boosting the girls' confidence and teamwork while deepening their connection to their heritage and community. November lst Dia de Los Muertos event in Santa Ana The outcome of rehearsing for the Dia de los Muertos event and performance will be a meaningful presentation that honors cultural traditions, enhances the girls' confidence and teamwork, and strengthens their connection to their heritage and community. November 8th- Girls Rehearse and get ready for the Posada The outcome of rehearsing for the Posada in 22nd, & in Santa Ana. Santa Ana will be a meaningful celebration December 4th that showcases cultural traditions, enhancing the girls' confidence and teamwork while deepening their connection to their heritage and community. December Sth Santa Ana Posada Event& Performance The outcome of the Santa Ana Posada Event and Performance will be a festive celebration that showcases the girls' cultural heritage through dance and performance. This event will boost their confidence, foster teamwork, and strengthen community bonds while allowing participants to connect with their traditions and share them with the audience. Line Item Budget "Input your information directly onto this form (2 pages)and upload onto Submittable.com. PERSONNEL Description of Personnel Grant (contracted instructors, lecturer honorarium, Total Compensation Funds artist stipend, etc.) Requested Ballet Folklorico Instructor- Erick Rodriguez $150.00 per month $1,650.00 (1.5 hrs. per class)X4 times a month, for 11 months. EQUIPMENT, MATERIALS,AND SUPPLIES Item Unit Total Grant (equipment, materials, supplies) Quantity Cost Cost FundsRequested Traditional Ballet Folklorico-Jalisco 15 $175.00 $2,625.00 $2,625.00 Region Dress Traditional Ballet Folklorico- Chiapas 15 $200.00 $3,000.00 $3,000.00 Region Dress SPECIAL EVENTS Description (permits,fees,facility rental for project, Total Cost Grant Funds Requested marketing) NA Line Item Budget-- Page 2 Enter budget categories and projected expenditures for the proposed program: Expenditures Total Total Expenditures Funded By Funded By Other Organization Category Santa Ana Grant Sources Program Budget (Including in-kind) Budget Administrative Staff $10,306,798 Salaries and Benefits AmEt Contractual/Professional $1,375 = Professional $1,650 $1,650 Services/Stipends dance Instructor Equipment, Material, $5,350 =2 dresses per $5,625.00 Supplies girl Xs 15 girls (30 $5,625.00 dresses total). 2 authentic ballet folklorico dresses from two different Mexican regions Special Events Production $183,310 Marketing $456,285 Other $2,337,803 TOTAL $7,000.00 $15,758,060 PROGRAM REVENUE LIST ALL OTHER PROGRAM RESOURCES "Funding Source" total must equal "Total Program Budget" listed above. FUNDING SOURCE AMOUNT Santa Ana Artist Grant $7,000 In-kind $1,000 TOTAL PROGRAM BUDGET $8,000 A�® CERTIFICATE OF LIABILITY INSURANCE rATE 3/14/202(MMIDDfYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Savannah NAME: PHONE FAX 22 Barnard Street AIC No Suite 200 A DRIESS: gssolutions@palmerandcay.com Savannah GA 31401 INSURERS AFFORDING COVERAGE NAIC# INSURER A:National Casualty Company 11991 INSURED GIRLSCO-85 INSURER B:Lexington Insurance Company 19437 Girl Scouts of Orange County 9500 Toledo Way INSURER C:Granite State Insurance Company 23809 Suite 100 INSURER D: Irvine CA 92618 INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER:1029054499 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY) (MMIDDIYYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY Y X AIP3450493501 10/1/2024 10/112025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X CLAIMS-MADE OCCUR PREMISES Ea occurrence) ccurrence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 POLICY JECTPRO a LOG PRODUCTS-COMP/OP AGG S3,000,000 OTHER: $ C AUTOMOBILE LIABILITY CA0442514221 10/1/2024 10/1/2025 COMBINED tINED SINGLE LIMIT $1,000,000 Ea a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY- AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION Y WCC330125A 12/18/2024 12118/2025 X STATUTE OERH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $1,000,000 B Sex Abuse&Molestation AIP3450493501 10/1/2024 10/1/2025 Per Occurrence 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its officers,officials,employees,and volunteers are named as Additional Insured on the general liability policy with respect to the use of its premises for Girl Scout activities of the insured Girl Scout Council.Waiver of Subrogation applies as required by written contract. Coverage is Primary and Non-Contributory. Tu Tran Digitally Tu Tran Nguyen signed by APPROVED Date:2025.04.29 Nguyen 09:07:23.07'00' By Tu Tran Nguyen at 9:06 am,Apr 29,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana,Attention: Executive Director, Community Development Agency, AUTHORIZED R�EEPPRESENTATIVE 20 Civic Center Plaza M-25, e\� Santa Ana, CA 92701. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AIP0003450493501 COMMERCIAL GENERAL LIABILITY CG20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insures! Person(s)Or Organization(s): THOSE DESIGNATED PERSONS OR ORGANIZATIONS ON FILE WITH US UNLESS SPECIFICALLY DECLINED Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II s Who Is An Insured is amended to by the contract or agreement to provide for such include as an additional insured the person(s) or additional insured. organization(s) shown in the Schedule, but only B. With respect to the insurance afforded to these with respect to liability for "bodily injury", "property additional insureds,the following is added to Section damage" or"personal and advertising injury"caused, III--Limits Of Insurance: in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: If coverage provided to the additional insured is 1. In the performance of your ongoing operations;or required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount 2. In connection with your premises owned by or of insurance: rented to you. 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of Insurance 1. The insurance afforded to such additional insured shown in the Declarations; only applies to the extent permitted by law; and whichever is less. 2. If coverage provided to the additional insured This endorsement shall not increase the applicable is required by a contract or agreement, the Limits of insurance shown in the Declarations. insurance afforded to such additional insured will not be broader than that which you are required CG 20 26 0413 0 Insurance Services Office, Inc.,2012 Page 1 of 1 ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement, effective 12:01 A.M.: 10/01/2024 Forms a part of Policy No.:AIP0003450493501 GIRL SCOUT COUNCIL COMMERCIAL GENERAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is a summary of the Limits of insurance and coverage provided by this endorsement. These coverages apply separately to each of your premises described in the Declarations. If you purchase additional limits for any of these coverages at a specified location,the limits shown below will apply in excess of the insurance purchased separately. We will not pay more under this endorsement than the Limits of Insurance shown below per premises under the Summary of Additional Coverages or Summary of Coverage Amendments and Extensions. Summary of Additional Coverage LIMITS OF INSURANCE SUBJECTS OF INSURANCE $1,000,000 per occurrence Damage to Premises Rented to You $2,500 Supplementary Payments—Bail Bonds $500 per day Supplementary Payments—Loss of Earnings Summary of Coverage Amendments and Extensions SUBJECTS OF INSURANCE Definition of"Bodily Injury"and "Personal and Advertising Injury" Redefined Excess Medical Payments-Athletic Activities Participants-Sponsored Activities Expected or intended Injury-"Property Damage"exception Non-Owned Watercraft Less Than Seventy-Five(75) Feet In Length Primary and Non-Contributory Insurance-Additional Insureds Required by Written Contract Property Damage to Property of Others-Girl Scout Sponsored Activities Unintentional Errors and Omissions Waiver of Right of Recovery When Required By Contract Who Is An Insured to Include Any Person or Organization When Required By Written Contract Prior to Loss A. Subparagraph a.of Paragraph 2. Exclusions of SECTION I---COVERAGES, COVERAGE A-BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by: a. Expected or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. B. Subparagraph g.(2) of Paragraph 2. Exclusions of SECTION I—COVERAGES, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by: 141729(11121) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of with its permission. (2) A watercraft you do not own that is: (a) Less than seventy-five (75)feet long; and (b) Not being used to carry persons or property for a charge; C. The following is added to Subparagraph j. Damage to Property of Paragraph 2. Exclusions of SECTION 1— COVERAGES, COVERAGE A-BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Paragraphs(4)and (6)of this exclusion do not apply to"property damage"to property of others caused by"your work" in connection with scouting activities or operations sponsored by your Scout Council. D. Subparagraphs b. and c. of Paragraph 2. Exclusions of SECTION I—COVERAGES, COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY are replaced by: b. Material Published With Knowledge of Falsity "Personal and advertising injury"arising out of publication of material, including, but not limited to, oral,written, televised, videotaped or electronically transmitted publication of material, if done at the direction of the insured with knowledge of its falsity; c. Material Published Prior To Policy Period "Personal and advertising injury"arising out of publication of material, including, but not limited to, oral,written, televised, videotaped or electronically transmitted publication of material, whose first publication took place before the beginning of the policy period; E. With respect to Medical Payments—Athletic Activities—Excess Insurance For Participants in Activities Sponsored By You, the following amendments apply: 1. Subparagraph e.Athletic Activities of Paragraph 2. Exclusions of SECTION I--COVERAGES, COVERAGE C -MEDICAL PAYMENTS is deleted. 2. The following is added to Subparagraph (1)(a) of Subparagraph b. Excess Insurance of Paragraph 4. Other Insurance of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over that part of any other insurance that provides coverage for medical payments that are incurred by any member of a scouting organization and its"volunteer workers"who are participants of a supervised and approved activity sponsored by your council. F. Subparagraphs 1.b. and 1.d. of SUPPLEMENTARY PAYMENTS—COVERAGES A and B section are replaced by: b. Up to$2,500 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies.We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit," including actual loss of earnings up to$500 a day because of time off from work. G. Subparagraph 3.a. of SECTION II .WHO IS AN INSURED is replaced by: a. Coverage under this provision is afforded only until the one hundred eightieth (18011) day after you acquire or form the organization or the end of the policy period,whichever is earlier. H. SECTION II-WHO IS AN INSURED is amended to include the following as an additional insured: 1. Any person(s)or organization(s)for whom you have agreed in writing in a contract or agreement that such person(s) or organization(s)be added as an additional insured on your policy.Such person(s)or organization(s)is an additional insured only with respect to liability for: a. "Bodily injury"or"property damage" not included in the"products-completed operations hazard"; or b. "Personal and advertising injury"; caused by, in whole or in part, your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your operations. 2. The insurance afforded to such additional insured described in Paragraph 1.of this paragraph I.of this endorsement: a. Only applies to the extent permitted by law; and 141729(11/21) Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 4 with its permission. b. Will not be broader than that which you are required by the contractor agreement to provide for such additional insured. 3. The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement described in Paragraph 1. of this paragraph I. of this endorsement; or b. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. I. I. The following is added to subparagraph a. Primary Insurance of paragraph 4. Other Insurance of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a written contract or written agreement that the insurance provided to an additional insured under this Coverage Part be afforded on a primary basis,or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured for a loss we cover, provided that: a. The"bodily injury"or"property damage"for which coverage is sought occurs; or b. The "personal and advertising injury"for which coverage is sought arises out of an offense committed; subsequent to the signing and execution of that contract or agreement by you. J. The following conditions are added to paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS: Knowledge of the "occurrence," offense, claim or"suit" by the agent, servant, or "employee" of an insured shall not in itself constitute your knowledge unless one of your officers,manager or partners has received notice of the"occurrence," offense, claim or"suit." Failure by the agent, servant or"employee"of an insured (other than an officer, manager or partner)to notify us of an "occurrence" shall not constitute a failure to comply with subparagraphs a.and b.of this condition. K. The following are added to SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS: Unintentional Error or Omission Any unintentional error or omission in the description of or failure to completely describe, any premises or operations intended to be covered by this Coverage Part will not invalidate or affect coverage for those premises or operations. However, you must report such error or omission to us as soon as practicable after its discovery. L. The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation)-Automatic We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived it right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. M. Paragraphs 3.and 14.of SECTION V- DEFINITIONS are replaced as follows: 3. "Bodily Injury"means bodily injury,sickness or disease sustained by a person.This includes mental anguish,mental injury, shock, fright, humiliation, emotional distress or death resulting from bodily injury, sickness or disease. 14. "Personal and advertising injury" means injury, including consequential "bodily injury," arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution or abuse of process; c. The wrongful eviction From,wrongful entry into,or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; 141729(11121) includes copyrighted material of Insurance Services Office, Inc., Page 3 of 4 with its permission, d. Any publication of material including, but not limited to oral, written, televised, videotaped or electronically transmitted publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Any publication of material, including but not limited to oral, written, televised, videotaped or electronically transmitted publication of material that violates a person's right of privacy; f. The use of another's advertising idea in your"advertisement'; or g. Infringing upon another's copyright,trade dress or slogan in your"advertisement." N. Broadened Coverage- Damage to Premises Rented to You 1. The word fire is replaced with the phrase fire, lightning, explosion, smoke and leaks from sprinklers where it appears in: a, SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, subsection 2. Exclusions, paragraph j. Damage to Property; b. SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, subsection 2. Exclusions, last paragraph; c. SECTION III-LIMITS OF INSURANCE, subsection 6.; and d. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, subsection 4. Other Insurance, paragraph b.(1)(a)(111). 2. The limit of insurance applicable to Damage to Premises Rented to You is $1,000,000 unless a higher limit is specified on the Declarations. All other terms and conditions of the policy remain the same. Authorized Representative 141729(11/21) Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 4 with its permission. (Page 25 of 74) ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No: 02-CA-044251422-1 000 Effective 12:01 a.m. 10/01/2024 BUSINESS AUTO BROAD FORM ENDORSEMENT -- FORM B This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. SUBSIDIARIES AND NEWLY ACQUIRED OR FORMED ORGANIZATIONS Subparagraph 1.Who is an Insured of Paragraph A.Coverage(SECTION Il—COVERED AUTOS LIABILITY COVERAGE)is amended to include the following: The following will qualify as a Named Insured if there is no similar insurance available to that organization, regardless of whether the limits of such insurance are exhausted: a. Any incorporated subsidiary in which you maintain ownership or majority interest on the effective date of the policy. b. Any organization you newly acquire or form,other than a partnership,joint venture or limited liability company,and over which you maintain ownership or majority interest. However: (1) Coverage under this provision is afforded only until the 180t"day after you acquire or form the organization or the end of the policy period,whichever is earlier; and (2) Coverage does not apply to"bodily injury"or"property damage"that results from an"accident"that occurred before you acquired or formed the organization. No person or organization will qualify as a Named Insured with respect to the conduct of any current or past partnership,joint venture or limited liability company that is not shown as a Named Insured in the Declarations. If. LESSORS AS INSUREDS Subparagraph 1.Who is an Insured of Paragraph A.Coverage(SECTION If—COVERED AUTOS LIABILITY COVERAGE)is amended to include the following: The lessor of a covered "auto"while the"auto"is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor and (2) The"auto'is leased without a driver. 102093(1-14) Page 1 of 8 Includes copyrighted material of Insurance Services Office,Inc_,with its permission. All rights reserved. (Page 26 of 74) Such a leased "auto"will be considered a covered "auto"you own and not a covered "auto"you hire. Ill. ADDITIONAL INSURED—WHERE REQUIRED UNDER CONTRACTOR AGREEMENT Subparagraph 1.Who Is an Insured of Paragraph A. Coverage(SECTION II—COVERED AUTOS LIABILITY COVERAGE)is amended to include the following: Any person or organization to whom you become obligated to include as an additional insured under this policy,as a result of any contract or agreement you enter into which requires you to furnish Insurance to that person or organization of the type provided by this policy, but only with respect to liability covered by the terms of this policy, arising out of the use of a covered "auto"you own, hire or borrow. However, the insurance provided herein will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. IV. EMPLOYEES AS INSUREDS Subparagraph 1.Who is an Insured of Paragraph A.Coverage(SECTION 11—COVERED AUTOS LIABILITY COVERAGE)is amended to include the following: Any"employee"of yours while using a covered"auto"you do not own,hire or borrow, in your business or your personal affairs. V. EMPLOYEE HIRED AUTOS A. Subparagraph 1.Who is an Insured of Paragraph A.Coverage (SECTION II— COVERED AUTOS LIABILITY COVERAGE)is amended to include the following: An"employee"of yours while operating an"auto"hired or rented under a contract or agreement in that"employee's"name,with your permission,while performing duties related to the conduct of your business. B. Subparagraph b.of Subparagraph 5.Other Insurance of Paragraph B.General Conditions(SECTION IV—BUSINESS AUTO CONDITIONS)is deleted in its entirety and replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered"autos"you own: 1. Any covered"auto"you lease, Dire,rent or borrow;and 2. Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered"auto'. VI. DRIVE OTHER CAR LIABILITY COVERAGE—EXECUTIVE OFFICERS Subparagraph 1.Who is an Insured of Paragraph A. Coverage(SECTION II—COVERED AUTOS LIABILITY COVERAGE)is amended to Include the following: 102093(1-14) Page 2 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. (Page 27 of 74) Any of your"executive officers"or his or her spouse,while a resident of the same household using a covered "auto"described below. For the purposes of this paragraph, a covered "auto"for Covered Autos Liability Coverage is any"auto"you don't own, hire or borrow while being used by your"executive officer"or by his or her spouse while a resident of the same household except: 1. Any"auto"owned by that"executive officer"or a member of that person's household; or 2. Any"auto" used by that"executive officer"or his or her spouse while working in a business of selling, servicing, or repairing or parking"autos". We will provide coverage to this"insured"equal to the broadest coverage applicable to any covered"auto"you own that is covered by this policy. Any coverage provided to this "insured"is excess over any other valid and collectible Insurance_ VII. SUPPLEMENTARY PAYMENTS—BAIL BONDS AND LOSS OF EARNINGS Subparagraph a.of Paragraph 2. Coverage Extensions of Paragraph A. Coverage (SECTION 11--COVERED AUTOS LIABILITY COVERAGE)is deleted in its entirety and replaced with the following: a. Supplementary Payments We will pay for the"insured": (1) All expenses we incur. (2) Up to $2,500 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. (3) The cost of bonds to release attachments in any "cult" against the "insured" we defend,but only for bond amounts within our Limit of Insurance. (4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of earnings up to$300 a day because of time off from work. (5) All costs taxed against the "insured" in any "suit" against the "insured" we defend. (S) All interest on the full amount of any judgment that accrues after entry of the judgment in any "suit" against the "insured" we defend, but our duty to pay interest ends when we have paid, offered to pay or deposited in court the part of the judgment that is within our Limit of Insurance. These payments will not reduce the Limit of Insurance. VIII. AMENDED FELLOW EMPLOYEE EXCLUSION Subparagraph 5.of Paragraph B. Exclusions(SECTION 11—COVERED AUTOS LIABILITY COVERAGE) is deleted In its entirety and replaced with the following: 102093(1-14) Page 3 of 8 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. All rights reserved. i (Page 2B of 74) S. Fellow Employee "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. But this exclusion does not apply if you have workers'compensation insurance in- force covering all of your"employees". Coverage provided under this exception is excess over any other collectible insurance. IX. ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE Subparagraph a. Transportation Expenses of Paragraph 4. Coverage Extensions of Paragraph A. Coverage(SECTION III—PHYSICAL DAMAGE COVERAGE)is deleted in it entirety and replaced with the following: a. Transportation Expenses We will pay up to$60 per day to a maximum of$2,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto"of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto"is returned to use or we pay for its"loss". X. HIRED AUTO PHYSICAL DAMAGE Subparagraph b. Loss of Use Expenses of Subparagraph 4.Coverage Extensions of Paragraph A.Coverage(SECTION III—PHYSICAL DAMAGE COVERAGE)is deleted in Its entirety and replaced with the following: b. Hired Auto Physical Damage Coverage (1) Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "Insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (a) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (b) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto";or (c) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $30 per day, to a maximum of$1000 per accident. 102093(1-14) Page 4 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. (Page 29 of 74) (2) Loss to Hired Auto For Hired Auto Physical Damage, we will pay for"loss"to an "auto"you rented or hired without a driver, under a written rental contract or agreement. We will pay for"loss"if caused by: (a) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto'; (b) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto`; or (c) Collision only if the Declarations indicate that Collision Coverage is provided for any covered"auto". We will provide coverage equal to the broadest coverage applicable to any covered"auto"you own that is covered by this policy. However,the most we will pay for"loss"to any hired"auto"is: (a) $50,000; (b) The actual cash value of the damaged or stolen property at the time of the"loss"; or (c) The cost of repairing or replacing the damaged or stolen property; whichever is smallest, minus the deductible. The deductible will be equal to the largest deductible applicable to any owned "auto"for that coverage. No deductible applies to"loss"caused by fire or lightning. (3) This extension of coverage does not apply to any"autd,you hire or borrow from any of your"employees", partners(if you are a partnership),members (if you are a limited liability company), or members of their households. XI. EXPENSE FOR STOLEN AUTO RETURN Subparagraph 4.Coverage Extensions of Paragraph A. Coverage(SECTION III— PHYSICAL DAMAGE COVERAGE)is amended to include the following: Expense for Stolen Auto Return We will pay for the expense incurred returning a stolen covered "auto"to you because of the total theft of such covered"auto". XII. EXCEPTION TO MECHANICAL BREAKDOWN EXCLUSION FOR AIRBAGS Subparagraph 3. of Paragraph B.Exclusions (SECTION Ili -PHYSICAL DAMAGE COVERAGE)is deleted in its entirety and replaced with the following: 3. We will not pay for 'loss" caused by or resulting from any of the following unless caused by other"loss"that is covered by this insurance: 102093(1-14) Page 5 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. (Page 30 of 74) a. Wear and tear, freezing, mechanical or electrical breakdown. But this exclusion does not apply to accidental discharge of an airbag. b. Blowouts, punctures or other road damage to tires. XIII. AMENDED DEDUCTIBLE PROVISION — GLASS BREAKAGE AND MULTIPLE DEDUCTIBLES Paragraph D. Deductible of SECTION III—PHYSICAL DAMAGE COVERAGE is deleted in its entirety and replaced with the following: D. Deductible For each covered "auto", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations. However, no deductible applies to glass breakage if the glass is repaired rather than replaced. Any Comprehensive Coverage deductible shown in the Declarations does not apply to"loss"caused by fire or lightning. If another policy or coverage form issued by us or any company that controls,is controlled by,or is under common control with us,applies to the same"accident", the following applies: 1. If the deductible under this policy is the smaller(or smallest)deductible, it will be waived;or 2. If the deductible under this policy is not the smaller(or smallest)deductible, it will be reduced by the amount of the smaller(or smallest)deductible. XIV. AUTO LEASE GAP COVERAGE SECTION III—PHYSICAL DAMAGE COVERAGE is amended to include the following: If a long-term leased"auto"is a covered "auto"and the lessor is named in the policy as a loss payee,we will pay in the event of a total 'loss"the unpaid amounts due on the lease for the covered"auto"at the time of the`loss", less: 1. Overdue lease payments at the time of the"loss"; 2. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage. 3. Security deposits not returned by the lessor; 4. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the lease; and 5. Carry-over balances from previous leases. 102093(1-14) Page 6 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. (Page 31 of 74) XV. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraph 2.a.of Paragraph A. Loss Conditions (SECTION IV—BUSINESS AUTO CONDITIONS)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) Flow,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. This condition applies only when the"accident"is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company;or (4) An officer or insurance manager, if you are a corporation. Your failure to give first report of a claim to us shall not invalidate coverage under this policy if the loss was inadvertently reported to another insurer. However, you shall report any such"accident",claim,"suit"or"loss"to us within a reasonable time once you become aware of such error. XVI. LIMITED WAIVER OF RIGHTS OF RECOVERY AGAINST OTHERS Subparagraph 5.of Paragraph A. Loss Conditions(SECTION IV—BUSINESS AUTO CONDITIONS)is deleted in its entirety and replaced with the following: 5. Transfer Of Rights Of Recovery Against Others To Us if any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after"accident"or"loss"to impair them. However,we waive any right of recovery we may have against any person or organization with whom you have a written contract executed prior to the"loss"that requires a waiver of recovery for payments made for damages arising out of your operations done under contract with such person or organization. XVII. UNINTENTIONAL FAILURE TO PROVIDE ACCURATE AND COMPLETE REPRESENTATIONS Subparagraph 2.of Paragraph B. General Conditions(SECTION IV—BUSINESS AUTO CONDITIONS) is deleted in its entirety and replaced with the following: 102093(1-14) Page 7 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. (Page 32 of 74) Z Concealment, Misrepresentation Or Fraud This Coverage Form Is void in any case of fraud by you at any time as it relates to this Coverage Form. It Is also void if you or any other "insured", at any time, intentionally conceal or misrepresent a material fact concerning: a. This Coverage Form; b. The covered "auto"; c. Your interest in the covered "auto";or d. A claim under this Coverage Form. Any unintentional failure by you or any"insured" to provide accurate and complete representations as of the inception of the policy will not prejudice the coverages afforded by this policy. However, you must report such error or omission to us as soon as practicable after its discovery. XVlll.AMENDED BODILY INJURY DEFINITION Paragraph C.of SECTION V—DEFINITIONS is deleted in its entirety and replaced with the following: C. 'Bodily injury" means bodily injury, sickness or disease sustained by a person including mental anguish or death resulting from any of these. All other terms and conditions of the policy remain the same. Author€zed Representative 102093(1-14) Page 8 of 8 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. All rights reserved. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) 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 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON(S) OR ORGANIZATIONS) WITH WHOM YOU HAVE AGREED TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO LOSS Endorsement Effective 12--18--24 Policy No. WCC330125A Insured GIRL SCOUTS OF ORANGE COUNTY Insurance Company NATIONAL CASUALTY COMPANY O 1998 by the Workers Compensation insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers'Compensation Insurance Fors Manual© 1999. insured Copy