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HomeMy WebLinkAboutELITE SPECIAL EVENTS, INC. (6) INSURANCE ON FILE WORK MAY PROCEED N-2025-110 LiNTIL INSURid"CE EXPIRFS .. MAY 7 ?075 AGREEMENT WITH ELITE SPECIAL EVENTS,INC.,TO PROVIDE SPECIAL ENTERTAINMENT EQUIPMENT FOR OUTDOOR PARK EVENTS 1�6nIgU� L,01)n THIS AGREEMENT is made and entered into this 16th day of April 2025, by and between Elite Special Events, Inc., a California corporation("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California("City"). RECITALS A. The City desires to retain a contractor to provide equipment and services for various City events, including the City's 4t' of July Event scheduled for July 4, 2024, and other events as directed by the City. B. Contractor represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting 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 a. As needed, Contractor shall, during the term of this Agreement, provide the equipment and services as further described and set forth in Exhibit A and Exhibit B, each attached hereto and incorporated herein. b. City grants Contractor the right to enter its property for the purpose of delivery,set- up, operation, and pick-up on the days of the scheduled events. C. The equipment shall be disassembled and removed by Contractor at the conclusion of each event. d. City shall have the sole discretion as to engagement of Contractor for services/events. The City reserves the right to administratively change event locations, dates, or services for any mutually agreed upon services/events. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. The total amount to be expended under this Agreement shall not exceed $49,000. Page 1 of 10 b. Payment by City shall be made within forty-five (45) days of Event following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH) transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided,the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. e. Payment need not be made for work that fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on July 1, 2025 and terminate on June 30, 2026, unless terminated earlier in accordance with Section 17, below. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on"public works"and"maintenance"projects. If the services being performed are part of an applicable "public works" or"maintenance"project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor 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 Contractor performs the services which are the subject matter of this Agreement;however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages,employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, Page 2 of 10 modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents &Data that were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents & Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7. INSURANCE Contractor shall procure and maintain for the duration of the agreement, the following insurance coverages: Minimum Scope and limit of Insurance. Contractor 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. • Sexual Abuse or Molestation Liability(SAML): If the CGL policy referenced above is not endorsed to include affirmative coverage for sexual abuse or molestation, Contractor shall obtain and maintain a policy covering Sexual Abuse and Molestation with a limit of no less than$1,000,000 per occurrence or claim. • 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 Contractor 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 Vendor has no employees. • If Contractor 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 Contractor. 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: Page 3 of 10 • CGL, SAML 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 Permittee including materials, parts, equipment, and personnel furnished in connection with such work or operations. • All required insurance policies: Insurance company(ies) agrees to waive all rights of subrogation against City, its City Council,its officers,officials,employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Permittee for City. • All required insurance policies: For any claims related to this contract, Permittee's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers, officials, employees, agents, or volunteers shall not contribute with it. • All required insurance policies: A severability of interest provision must apply for all the additional insureds, ensuring that Permittee's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. • Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty(30) days prior written notice has been given to City,Ten(10)days prior written notice shall be provided to City for policy cancellation or non-renewal due to non-payment. • Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: (Name of Department Staff Responsible for Agreement), Address of Department Responsible for Agreement, M-XX, Santa Ana, CA 92701. The name and location of event should be included in the Description of Operations section of each certificate. Self-Insured Retentions. Self-insured retentions must be declared to and approved by the City. City may require Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than A:VII, unless otherwise acceptable to City. Verification of Coverage. Permittee shall furnish City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Permittee's obligation to provide them. City reserves the right to require complete,certified copies Page 4 of 10 of all required insurance policies, including endorsements required by these specifications, at any time. Claims Made Policies. If any of the required policies provide coverage on a claims-made basis: • The retroactive date must be shown and must be before the date of the contract or the beginning of work. • Insurance must be maintained and evidence of insurance must be provided for at least three(3)years after completion of work. • If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, Company must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors. Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor 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. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents,employees,contractors, special counsel,and representatives from liability: (1)for personal injury, damages,just compensation,restitution,judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution,judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury,damages,just compensation,restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8,the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. Page 5 of 10 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor represents and warrants that it has obtained the requisite licenses to show the films contemplated by this Agreement. Contractor further agrees to defend, indemnify and hold harmless the City, its officers, agents,representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents,proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a)has been disclosed in publicly available sources; (b)is,through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. Page 6 of 10 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City Clerk City of Santa Ana 20 Civic Center Plaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Executive Director Parks, Recreation, and Community Services Agency City of Santa Ana 20 Civic Center Plaza(M-23) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: Elite Special Events, Inc, Attn: Ted.Holcomb,President 11278 Los Alamitos Blvd. #101 Los Alamitos, CA 90702 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24)hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded, 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written,between the parties. fn the event of a conflict between the terms of this Agreement and any attachments or exhibits hereto, invoice, purchase order, or other document relating to the transactions contemplated by this Agreement, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. 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 Contractor or the City. Each party to this Agreement Page 7 of 10 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. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor 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 that are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies, 17. TERMINATION This Agreement may be terminated by the City upon thirty(30) days written notice of termination. In such event,Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case, such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work that fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex,marital status, sexual orientation, gender identity, gender expression, gender,medical conditions, genetic information, or military and veteran status, age,national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training,utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. Page 8 of 10 19. 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. 20. PROFESSIONAL LICENSES Contractor 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. Contractor 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. 21. MISCELLANEOUS PROVISIONS a. 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. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. [signature page to follow] Page 9 of 10 SIGNATURE PAGE FOR AGREEMENT WITH ELITE SPECIAL EVENTS,INC.,TO PROVIDE SPECIAL ENTERTAINMENT EQUIPMENT FOR OUTDOOR PARK EVENTS IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY OF S TA ANA ennifer Hall Alvaro Nunez City C City Manager APPROVED AS TO FORM ELITE SPECIAL EVENTS, INC. SONIA R. CARVALHO City Attorney Ted Holcomb(Apr 17,202514:42 MDT) Y• � Jonathan T. Ma nez By: Ted Holcomb Assistant City Attorney Title: President RECOMMENDED FOR APPROVAL -.A-f. uw..,v cccff Timothy Pagano Deputy Director Parks, Recreation, and Community Services Agency Page 10 of 10 EXHIBIT A SCOPE OF SERVICES SCOPE OF SERVICES VENDOR INFORMATION: Elite Special Events EVENT: FY 2025-2026 SERVICE DATE(S): July 1, 2025 —June 30, 2026 COMPENSATION DUE TO THE VENDOR: Total vendor compensation not to exceed $49,000 for the fiscal year 25-26. Compensation for workers to attend rides will not exceed $20 per hour per person. Compensation for setup/teardown/delivery will not exceed $500 per event. LIST OF GENERAL SERVICES: Elite Special Events can provide the following services for multiple public events throughout fiscal year 25-26: Carnival Games (up to 20 booths), Inflatables (minimum of 2 inflatables per event), Power generators upon request, and workers to attend inflatables and booths if needed. DESCRIPTION: The vendor will be paid 50% of the invoiced amount within 5 days of the initial reservation on a per event basis. The vendor will be paid the remaining amount no later than 45 days after the event. EXHIBIT B RATES LIST Elite Special Events Rides& Games (562) 799-7737 4= Price List: IEVW.?V Photo Description Price—4 hrs inflatables Inflatables _ Rocky Mountain Wall—2SX25X28' high $1200 retail f Kids&adults can climb this challenging inflatable $1000 planners rock wall.Complete with harnesses and attendants. Will attract a lot of attention with snow cap top. - 25'Vertical Rush Dual Lane Slide—30X16X25' $800 retail This is the latest version of the dual lane slide that $750 planner also incorporates rock climbing wall and obstacle course all in one unit. Kids will never get bored on this one! 25'Dual Lane Giant Slide—34X17X25' $800 retail Brand new state-of-the-art Giant inflatable Slide $750 planners where r<vo people can slide at the same time on separate lanes. Impressive high piece. Cars"The Movie"Slide—27X19X22 $700 retail With Disney's Cars 3 coming to theatres soon,this is S650 planner becoming one of the most requested pieces we have. 65' Extreme Obstacle—651X1 VXl5' $750 retail The latest in inflatable obstacles. Brand new features $650 planner with more challenges,bigger wall and slide. Longest obstacle on the market. :%tw 52' Pirate Cove Obstacle—52X10X12 $700 Retail Ready for a swashbuckling adventure? Rent this state $600 Planner of the art piece with 3D Graphics technology. It will �. be the talk of the party! Jurassic Park Obstacle Challenge—25X35X15 $850 retail Cutting Edge Obstacle that will really get the kids $750 planner attention. Kids will flock to this piece at an event Sports Bounce House-13X13' $200 retail Traditional-style jumper to keep the toddlers and $150 planners 31 t kiddies entertained at your event.Great for little league and soccer parties Castle bouncer—13X13 $200 retail I. Traditional jumper that both girls and boys enjoy $150 planners playing in. Great for birthdays and themed events. r.. Birthday Cake Bouncer—15X15 $200 retail Great rental for any birthday party or anniversary. $150 planners N' ! Looks like a real cake to jump around in! Frozen"The Movie"4-In-1 Combo—16X16 $450 retail .(`• Probably our most popular piece themed after the $350 planner movie Frozen. State of the art 3D graphics. Bounce slide and jump with Olaf? 4 4-In-1 Combo Bouncer—15X 15 S350 retail Bouncer,slide,climbing wall and hoop S300 planner All in one fun unit. Never get bored in this unit j Giant double-sided Waterslide—42X17X16 S700 retail Perfect for company picnics or summer parties. Kids $600 planners and adults will be entertained all day with this refreshing inflatable attraction. Wet or Dry Dolphin Waterslide—12X12X16'high $450 retail Beautiful bright blue waterslide with seascape $300 planner graphics and 3D Dolphins on top. Can fit in backyard or small space at a party. Wet or Dry-All ages Animal Kingdom Maze—20X20X6 S450 retail Fun inflatable for younger kids to jump around and $400 planner 7 explore in the animal kingdom. Great graphics and tons of fun for the little ones. Rides Rides -- - ^nl Trackless Train—4 cars/36' long $900 retail I �` This family favorite holds up to 18 passengers and $850 planners r+•' c a can travel anywhere around your event. Can travel on both grass or cement. Plays Disney sing along music �\ Mechanical Bull—18X18 arena(kids&adults) $1,400 retail Always a crowd favorite-this challenging bull is $1,200 planners sure to be a hit with your clients. Full-headed bull with inflatable arena. Safe for all! Robo Surfer—18X18 arena(kids&adults) $1,400 retail This Surfer simulator is a big hit with kids and adults. $1,200 planner Great for school and corporate party beach themed events. Fall onto inflatable arena. Super Fiberglass Slide— 15XI0OX30 $4,500 retail 2-'"SkAlGrab your potato sack and race your friend down this $4,300 planner IYslick fiberglass slide. Always a carnival favorite 100 foot long ride to the bottom! Merry Go Round—28X28 $5,000 retail No carnival is complete without a traditional Merry $4,800 planners Go Round. 16 horses and 2 chariots Traditional Ferris Wheel—45' high $7,500 retail This is the piece every real carnival must have. $7,300 planner Lights up the sky and makes a statement. Same wheel you see at state fairs and large carnivals Large 75'Giant Eagle Ferris Wheel—75' high $18,000 retail If your looking for something to attract people to $17,800 planner your event then this Eagle Ferris Wheel is one of the largest on the market. Full LED light package illuminates the sky and can be seen from a mile away. Interactives Interactive Attractions Rock-Climbing Wall—20X2OX30' high $1400 retail Traditional rock-climbing wall which replicates the $1200planners real thing. Safe for both kids and adults. ' Euro bungee—2OX20'Triple your fun with the 4- $1500 retail t / station trampoline bungee jump. Challenge your $1400 planners friends on who can go highest. Great for kids, teens and adults. Labor not included in price.4 attendants Big Bailer Wipeout—30X15 This interactive game $750 retail is a crowd favorite. Like the tv show"Wipeout"see $700 planner who can make it to the end without falling. But don't worry if you fall its on a soft inflatable cushion! Human Hamster Ball Race/Zorb balls Land Balls Race your friends in large hamster ball around $700 retail obstacle course on grass—great for kids and adults $650 planner Water Walking Ball Pool—30X20' $1,000 retai l Kids can walk on water in the large water-walking $900 planner balls in a shallow pool. Great for carnivals and kid Dunk tank—7X4X9-Traditional-style glass dunk $650 retail a tank. Always a crowd favorite and very profitable— $550planners Dunk the coach,teacher,Principal Bungee Run/Joust Combo—30X17 Arena $400 retail Two great sports challenge games in one. See who can S350 planners knock their opponent off the podium first or out run their competitor on a bungee cord Wrecking Ball War—18X18 S700 retail i 't�� Try and knock your opponent off their podium with $650 planners t the life-size wrecking ball. Great for older and younger kids. Great interactive piece Jacobs Ladder—15X18 classic carnival piece. Two $700 retail people try and climb the shaky ladder and win prize if $550 planners they make it to the top and ring the bel I. Horse Derby Races—The horses have reached the $600 retail starting gate and kids can bounce to the finish line for $550 planner �1 prizes. Large and small horses available. Laser Tag Maze—30X30 two teams battle each S1,000 retail other in a 10-room laser arena with lights and fog $900 planner machine.10 people play at same time. Games Games Game Booths— IOXIO" Traditional wood panel S_00 retail carnival-style booths with your choice of over 30 $190 planners games to choose from. Prizes available upon request. �r Center Game booth— 15X15 $250 retail For games needed to be played on all four sides like $200 planners d coin toss,gold fish toss,duck pond...... Sports Game Inflatable—20X20 $500 retail iP 3-In-One sports game with soccer,baseball and $350 planners basketball. Easy for one attendant to staff. Radar Speed Pitch or Speed Soccer HIck—1OX20 $600 retail 5r? How fast can you throw? Both softball and Baseball $350 planner players can compete for high score. Also Soccer kick Batter Up BasebaWSoftball—Step up to the plate $500 retail and hit for prizes.Hit balls into strategically placed $450 planner holes of inflatable baseball diamond. Extreme Blaster—Competitive game where two $400 retail people pump air into balloon side by side to see who $350 planner - - can pop balloon First. Great summer rental! Large Hi Striker 14' tall—Test your strength and S700 retail see if you can ring the bell for prizes. Adults and S650 planner teenagers will play this game all night i"vw.elitesl)eeialevents.coni Phone-310-560-9122 email-info!Fi elitesnecialevents.coni AC"" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 0 411 712 0 2 5 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 Liberty United Insurance Services, Inc PHONE Sam Muradyan FAX 704 S Victory Blvd, Suite 204 AfC No E t: 8187618888 Arc No:8882656889 Burbank, CA 91502 E-MAIL E-MAIL ADDRESS: Sam@libertyunitedinsurance.com License#: OF89841 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Certain Underwriters at Lloyd's of London 15792 INSURED INSURER B: Certain Underwriters at Lloyd's of London Elite Special Events, Inc INSURER C: 11278 Los Alamitos Boulevard #101 INSURERD: Los Alamitos, CA 90720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 460 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 IN SD WVD POLICY NUMBER MMIDDIYYYY$ (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZISMB149903 05/07/2024 05/07/2025 EACH OCCURRENCE 5 1 000000 DAMAGE X CLAIMS-MADE OCCUR PREM SETL occu RENTED S 300,000 MED EXP(Any one person) S PERSONAL&AOV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO- X POLICY F1 ECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER. S AUTOMOBILE LIABILITY C Ea acOMBINED SINGLE LIMITcident S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY Per accident 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAB HCLAIMS-MADE AGGREGATE 5 DIED I I RETENTION 5 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY T,I N STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICEMMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 B Accident/Medical ZISMB1499 03 05/07/2024 06/07/2025 $10,000 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 City Council,officers, officials, employees,agents,and volunteers are listed as additional insureds Digitally signed Tu Tran byTuTr— Nguyen Nguyen1zt2002o�da,- APPROVED By Tu Tran Nguyen at 12:11 pm,May 01,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Parks,Recreation,and Community Services Agency 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE (SMS ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Printed by SMS on 04117/2025 at 01:21 PM AC RO " CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYV) 04/17/2025 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 Dave Warren NAME: Nielsen McAnany Insurance Services,Inc. PHONE Ext: (805)379-8801 qAc,No: (805)204-4501 4165 E.Thousand Oaks Blvd E-MAIL ADDRESS: Suite 325 INSURER(S)AFFORDING COVERAGE NAIC# Westlake Village CA 91362 INSURERA: California Auto Insurance 38342 INSURED INSURER B ELITE SPECIAL EVENTS,INC. INSURER C: 11551 Weatherby Rd INSURER D INSURER E: Los Alamitos CA 90720-3846 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2482810466 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUULSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY) (MMIDDNYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR D PREMISES Ea occurrence 5 MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S JECT POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGO S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) S A OWNED v SCHEDULED BA040000023533 08/31/2024 08/3112025 BODILY INJURY(Per accident) S AUTOS ONLY /� AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE S AUTOS ONLY /� AUTOS ONLY Per accident 5 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S DIED I I RETENTION S S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N I STATUTE I ER ANY PROPRIETOPJPARTNER/EXECUTIVE El EXCLUDED? N/A E.L.EACH ACCIDENT S (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Santa Ana,its Council,officers,officials,employees,agents,and volunteers are additional insured per attached MCA85100817-CA. APPROVED By TO Tran Nguyen at 12:11 pm,May 01,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana Attention:Parks,Recreation,and Community ACCORDANCE WITH THE POLICY PROVISIONS. Services Agency 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 J. McAnany ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTHOLDER COPY SP STATECOMPrN5ATION P.O. BOX 8192, PLEASANTON, CA 94588 INSURANFUN w CE CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 04-22-2025 GROUP: POLICY NUMBER: 9304403-2024 CERTIFICATE ID: 24 CERTIFICATE EXPIRES: 08-26-2025 08-26-2024/08-26-2025 THE CITY OF SANTA ANA SP PARKS, RECREATION, AND COMMUNITY SERVICES 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2025-04-22 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: THE CITY OF SANTA ANA ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 08-26-2024 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2025-04-22 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: THE CITY OF SANTA ANA ENDORSEMENT #1651 - TED HOLCOMB P - EXCLUDED. ENDORSEMENT #1651 - UANET HOLCOMB S,T - EXCLUDED. EMPLOYER ELITE SPECIAL EVENTS, INC SP APPROVED 11278 LOS ALAMITOS BLVD #101 LOS ALAMITOS CA 90720 By Tu Tran Nguyen at 12:11 pm,May 01,2025 [DOG,CN] (REV.7-2014) PRINTED : 04-22-2025 POLICY NUMBER: ZISMB1499 03 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person or Organization: The City of Santa Ana, its officers, officials, employees, and volunteers 20 Civic Center Plaza Santa Ana, CA 92702 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Insurance Services Office, Inc.,2008 Page 1 of 1 Policy Number: ZISMB1499 03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS--SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: The City of Santa Ana,its officers,officials,employees,and volunteers 20 Civic Center Plaza Santa Ana,CA 92702 Any person or organization for whom the named insured has agreed by written "insured contract" to designate as an additional insured subject to all provisions and limitations of this policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS AN INSURED(Section II) is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability caused, in whole or in part, by your performance of ongoing operations for that insured. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by written"insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "Insured contract"to provide for such additional insured. 3. This coverage is provided on a primary and non-contributory basis. Elite Special Events, Inc. Commercial Auto Policy BA040000023533 14 MERCURY INSURANCE Business Auto Broadening Endorsement Newly Acquired or Formed Entity (Broad Form Named Insured) —Adds, as an insured, any newly acquired or formed entity provided the insured owns at least 50% of that entity and it is formed during the policy period. The maximum period is 180 days. Primary and Non-Contributory if Required by Contract—We will not seek contribution from any other insurance available under specific conditions. Employees as Insureds—An employee becomes an insured while using a covered auto that the insured does not own, hire or borrow. Automatic Additional Insured —Any person or organization that the insured is required to include as an additional insured based on a contract or agreement that is executed prior to the injury or damage. Employee Hired Auto—An employee is an insured when operating an auto that is hired or rented in the employee's name while on company business. Supplementary Payments— Bail bonds coverage is increased to $3,000. Reasonable expenses and loss of earnings, up to $500 per day, incurred by the insured are covered. Fellow Employee Coverage—The exclusion has been removed. Additional Transportation Expense—We will pay up to $50 per day, maximum is $1,000, for temporary transportation expense resulting from the total theft of a covered auto. Hired Auto Physical Damage Coverage — If you have Hired Auto Liability coverage, and you carry physical damage coverage for any of your autos, we will extend coverage for Hired Auto Physical Damage to a limit of$50,000, subject to a $500 deductible. Accidental Airbag Deployment—We removed the exclusion, providing coverage for airbag deployment that is accidental. Loan/Lease Gap—Coverage for the unpaid amount due on the lease or loan has been added if there is a total loss of an auto insured under this policy. Glass Repair— Deductible Waiver—We will waive the deductible if glass is repaired rather than replaced. Two or More Deductibles— If two or more policies or coverage forms from the company apply to the same accident, only one deductible will be applied. Amended Duties in the Event of Accident, Claim, Suit or Loss—The insured must notify us of an accident as soon as possible. Waiver of Subrogation—We waive our right of recovery against others if the insured has executed a written agreement prior to the accident or loss. Unintentional Error, Omission, or Failure to Disclose Hazards —The policy will not be deemed invalid if the insured unintentionally omits, errs or fails to disclose a hazard. Employee Hired Auto - If the employee hires or rents a vehicle with permission of the insured, Hired Auto Physical Damage applies. Hired Auto—Coverage Territory—Coverage applies anywhere in the world if an auto is leased, hired, rented or borrowed without a driver for a period of 30 days or less, and the insured's responsibility to pay for damages is determined in a suit brought in the US, its territories and possessions, Puerto Rico, Canada or in a settlement that we agree to. Bodily Injury Redefined to Include Resultant Mental Anguish — Bodily Injury includes mental anguish. CA,AZ,TX,OK,GA 10-16 MCA85100817-CA ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION 9304403-24 TAT E RENEWAL SP A $--84-20-25 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE APRIL 22 , 2025 AT 12. 01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING AUGUST 26, 2025 AT 12 . 01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ELITE SPECIAL EVENTS, INC 11278 LOS ALAMITOS BLVD #101 LOS ALAMITOS, CA 90720 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, THE CITY OF SANTA ANA WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, ELITE SPECIAL EVENTS, INC IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03%. NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: APRIL 24, 2025 2570 �/4 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SCIF FORM 10217 (REV.4-2018) OLD OP 217 CITYOFSANTAANA RISK MANAGEMENT a division of HUMAN RESOURCES Managing Risk through Awareness and Action i Agreement to Indemnify, Hold Harmless and Defend Title of Event/Activity: Agreement to provide special entertainment for outdoor events Event Date: NA description of Event/Activity: Carnival Rides and Games Business or Organization Name: Elite Special Events Full Name of ALuthorized Representative of Ted Holcomb Business/Organization: Title i if Authorized Representative: President In then event the above named Business or Organization does not maintain Improper Sexual Conduct a/k/a Sexual Molestation and Abuse Liability a/k/a Sexual/Physical Abuse/Molestation, or similar insurance coverage, it nevertheless is obligated to and agrees to indemnify, defend, and hold harmless, at its own expense, the City of Santa Ana, its City Council, officers, officials, agents, volunteers and employees from and against all suits or actions, claims, loss, damage, liability, cost or expense, including reasonable attorney's fees, against allegations of physical, emotional, sexual, and/or financial abuse, which may arise from the negligent or intentional actions of any of its contractors, sub-contractors, agents, employees, volunteers, or other persons acting on their behalf while participating in the above titled Event/Activity. By signing this document, the undersigned represents that he/she/they has full authority to bind said Business or Organization named above. Ted Holcomb _ 4/29/2025 Authorized Representative signature of Authorized Representative Date ofBusincss or Organization(Print Name) of Business or Organization CERTHOLDER COPY SP STATE P.O. BOX 8192, PLEASANTON, CA 94588 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 08-28-2025 GROUP: POLICY NUMBER: 9304403-2025 CERTIFICATE ID: 28 CERTIFICATE EXPIRES: 08-26-2026 08-26-2025/08-26-2026 THIS CERTIFICATE SUPERSEDES AND CORRECTS CERTIFICATE # 24 DATED 08-26-2025 THE CITY OF SANTA ANA SP PARKS, RECREATION, AND COMMUNITY SERVICES 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4058 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms,/exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2025-08-26 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED: THE CITY OF SANTA ANA ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS/ NOTICE EFFECTIVE 08-26-2025 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. ENDORSEMENT #2570 ENTITLED WAIVER OF SUBROGATION EFFECTIVE 2025-08-26 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. THIRD PARTY NAME: THE CITY OF SANTA ANA ENDORSEMENT #1651 - TED HOLCOMB P - EXCLUDED. ENDORSEMENT #1651 - JANET HOLCOMB S,T - EXCLUDED. APPROVED By Tu Tran Nguyen at 7.44 am,Sep 29,2025 Tu Tran Digita I ly signed by Tu Tran Nguyen EMPLOYER Nguyen Date:2025.09.29 07.44:57-07'00' ELITE SPECIAL EVENTS, INC SP 11278 LOS ALAMITOS BLVD #101 LOS ALAMITOS CA 90720 [MJM,CS] (REV.7-2014) PRINTED 08-28-2025 WAIVER OF SUBROGATION NOTICE Enclosed is your copy of a certificate of insurance on which the certificate holder required a waiver of subrogation: 1 . Please be advised that a waiver of subrogation requires that a 3% surcharge will be applied by State Fund ONLY to the premium assessed on the payroll of your employees earned while engaged in work for that certificate holder who requested the waiver. (Note: if you have no employee payroll on that job, then there is no charge.) 2. To apply the 3% surcharge, you must also agree to maintain accurately segregated payroll records for employees engaged in work on job/s for the certificate holder who has the waiver. The payroll records are subject to verification by an auditor. Example: Payroll for job : $5 , 000 . 00 Sample Rate : 13 . 300 Regular Premium equals : $ 665 . 00 Surcharge : 3 . 000-. Additional Waiver charge : $ 19 . 95 Total premium equals $ 684 . 95 ( 665 . 00 + 19 . 95) DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 05/29/2025 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 NAME CT Tracy Lacheta Liberty United Insurance Services, Inc PHONE FAX 704 S VictoryBlvd Suite 204 AIC No Ext: 8187618888 A/c No: 8882666889 E-MAIL Burbank, CA 91502 ADDRESS: team@libertyunitedinsurance.com License#: OF89841 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Certain Underwriters at Lloyd's of London INSURED INSURER B Elite Special Events, Inc INSURER C7 11278 Los Alamitos Boulevard #101 INSURER D7 Los Alamitos, CA 90720 INSURER E7 INSURER F: COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 476 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 CONTRACTOR 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 SUBR POLICY EFF POLICY EXP LT R POLICY NUMBER MM DD YYYY MM/DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZISM B1499 04 06/07/2026 06/07/2026 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X CLAIMS-MADE1:1 OCCUR PREMISES (Ea occurrence) $ 300,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 City Council, officers, officials, employees,agents, and volunteers are listed as additional insureds Tu Tran Digitally signed by Tu Tran Nguyen Nguyen Date:2025.05.30 APPROVED 14:32:42-07'00' By Tu Tran Nguyen at 2:32 pm,May 30,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana, THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attention: Parks,Recreation,and Community Services Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza M-3 AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 • (TLL) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by TLL on 05/29/2025 at 02:37PM Effective date of this Endorsement: Issuance Date: 05-29-2025 This Endorsement is attached to and forms a part of Policy Number: ZISMB1499 04 Zodiac Insurance,A World Company Referred to in this endorsement as either the "Insurer" or the "Underwriters" ADDITIONAL INSURED PRIMARY AND NON CONTRIBUTORY AND WOS ENDORSEMENT This endorsement modifies insurance provided under the following: ENTERTAINMENT EQUIPMENT OPERATOR GENERAL LIABILITY CLAIMS MADE AND REPORTED INSURANCE In consideration of the premium charged for this policy, it is understood and agreed that: 1. Section III. PERSONS INSURED is amended to include as an Insured the person or organization shown in the Schedule at paragraph 2. below, but only with respect to liability caused, in whole or in part, by the Named Insured's performance of ongoing operations for that Insured. However: a) The insurance afforded to such additional insured only applies to the extent permitted by law; and b) If coverage provided to the additional insured is required by written "insured contract", the insurance afforded to such additional insured will not be broader than that which you are required by the written "insured contract"to provide for such additional insured. c) This coverage is provided on a primary and non-contributory basis. 2. SCHEDULE Name of Person or Organization: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers 20 Civic Center Plaza M-3 Santa Ana, CA 92701 EVENT DATE: FOR PROOF ONLY, EVENT DATE NOT CONFIRMED Any person or organization for whom the Named Insured has agreed by written "insured contract"to designate as an additional insured subject to all provisions and limitations of this policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) All other terms and conditions of the Policy remain unchanged. Effective date of this Endorsement: Issuance Date: 05-29-2025 This Endorsement is attached to and forms a part of Policy Number: ZISMB1499 04 Zodiac Insurance,A World Company Referred to in this endorsement as either the "Insurer" or the "Underwriters" ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: ENTERTAINMENT EQUIPMENT OPERATOR GENERAL LIABILITY CLAIMS MADE AND REPORTED INSURANCE In consideration of the premium charged for this policy, it is understood and agreed that: 1. Section III. PERSONS INSURED is amended to include as an Insured the person or organization shown in the Schedule at paragraph 2. below, but only with respect to liability arising out of the Named Insured's operations or premises owned by or rented to the Named Insured. 2. SCHEDULE Name of Person or Organization: City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers 20 Civic Center Plaza M-3 Santa Ana, CA 92701 EVENT DATE: FOR PROOF ONLY, EVENT DATE NOT CONFIRMED Any person or organization for whom the Named Insured has agreed by written "insured contract"to designate as an additional insured subject to all provisions and limitations of this policy. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement). All other terms and conditions of the Policy remain unchanged. DATE(MMIDDIYYYY) ACfJRH CERTIFICATE OF LIABILITY INSURANCE 11/2012025 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 pollcy(les)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 NAME CONCT Jim McAnany Nielsen McAnany Insurance Services,Inc. PHONE IC. Et: (805)379-8805 AIC NOV (806)204-4501 6718 Sasparilla Drive ADDRESS: jime@nmacins.00m INSURER(S)AFFORDING COVERAGE NAIL A Simi Valley CA 93063 INSURERA: California Auto Insurance 38342 INSURED INSURER B: ELITE SPECIAL EVENTS INC INSURER C: 11278 Los Alamitos Blvd INSURER D: PMB 101 INSURER E: Los Alamitos CA 90720-3958 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2582111076 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ( POLICY NUMBER MMIDD MMID LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO HENTIzU S CLAIMS-MADE1:1 OCCUR PREMISES occurrence $ MED EXP(Any one person) s PERSONAL BADVINJURY s GENI.AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ POLICY❑PRO- JECT LOC PRODUCTS-COMP/OPAGG S OTHER: s AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000.000 Es accident ANYAUTO BODILY INJURY(Per Person) $ A OWNED SCHEDULED BA040000023533 08/31/2025 08131/2026 BODILY INJURY(Per ace dent) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE s EXCESS LIAB HCLAtMS-MADE AGGREGATE s DED RETENTION S S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N PER ATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E L EACH ACCIDENT s OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addlttonal Remarks Schedule,maybe attached If mom apace is required) Digitally signed The City of Santa Ana,its officers,employees,and volunteers are additional insured as covered by this policy. TU Tra n by Tu Tian Nguyen Nguyen 6zoo°-08ao' APPROVED By Tu Tran Nguyen at 4:19 pm,Nov 24,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AU7,W iVE Santa Ana CA 92702 B 1988-2015 ACORD CORPORATION.'All rights reserved. ACORD 25(2016103) The ACORD name and logo 191stered marks of ACORD BA040000023533 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO]COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section Ii—Liability Coverage, Paragraph A.1.Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the"bodily injury"or"property damage" occurs and that is in effect during the policy period is an"insured"for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an"Insured"under the Who Is An Insured provision contained in Section Il. City of Santa Ana, its City Council, officers, officials, employees, agents, and volunteers. MCA20480711 POLICY NUMBER: BA040000023533 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Elite Special Events, Inc. Endorsement Effective Date: 11/24/2025 SCHEDULE Name(s) Of Person(s) Or Organization(s): City of Santa Ana, its City Council, Officers, officials, employees, agents, and volunteers. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1