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HomeMy WebLinkAboutLIGHTNING YOUTH ACADEMY (3) INSURANCE ON FILE N-2025-128 WORK MAY PROCLED UNTIL INSURW4CE LXPIRES A v A.L 7, ._. CITY CLIMAY 2 7 2025 DATE. CITY OF SANTA ANA RECREATION SERVICES AGREEMENT WITH LIGHTNING YOUTH ACADEMY THIS AGREEMENT is made and entered into on this 1st day of May 2025,by and between Lightning Youth Academy, a California nonprofit public benefit corporation("Provider"), and the City of Santa Ana, a charter city and Municipal Corporation organized and existing under the pe►n1 Qez mz l�--qonstitution and laws of the State of California("City"). City and Provider are also referred to as "the Parties." RECITALS A. The City desires to retain a recreation service provider having special skills, resources and knowledge to provide running,breathing,and mindfulness programming in its recreation class program. B. Provider represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Provider represents that he is knowledgeable in his field and that any services performed by Provider under this Agreement will be performed in compliance with such standards as may reasonably be expected. D. The Parties acknowledge that the City intends to provide recreational activities to the public but must balance the need to comply with all COVID-19 guidance and restrictions. 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. Provider shall perform those services as set forth in Exhibit A to this Agreement. b. All classes operated pursuant to this Agreement for conducting recreation classes at City facilities, including parks, will comply with all applicable guidance and public health orders, including those from the Centers for Disease Control ("CDC"), California Department of Public Health ("CDPH"), the Orange County Health Care Agency("OCHCA")and the City itself for as long as those orders and guidance remain in place. Provider will remind participants of these guidelines. To the extent that Provider needs assistance with enforcing any rules or requirements, Provider will contact a City Parks' employee or City security for assistance. c. Provider shall not attend a class or teach any class if Provider is sick or has any symptom(s)associated with COVID-19 including but not limited to,fever above 100.4, chills, cough, shortness of breath loss of taste or smell, nausea, muscle or body aches, vomiting,headache, sore throat or diarrhea. Page 1 of 10 d. Provider will not attend class or teach a class if Provider or any member of Provider's household has been asked to quarantine or self-isolate due to symptoms of COVID-19 or a positive test result for COVID-19. c. Provider acknowledges that, to the extent that City is able to and chooses to conduct classes indoors, this Agreement will also cover classes conducted at one of City's recreational centers during the term of this Agreement. f. City reserves the right to change the location(s) at which the services contemplated by this Agreement are provided. g. Provider shall comply with the City's recreation classes policy manual and any other City rules and regulations regarding the operation of recreation classes. 2. COMPENSATION a. In consideration for the provision of the programs set forth in Exhibit A, City agrees to pay, and Provider agrees to accept as total payment for their services for the City, seventy percent (70%) of all gross revenue received from program participants. Total annual revenue to Provider shall not exceed Twenty-Five Thousand Dollars and Zero cents ($25,000.00). b. Payment to Provider shall be made monthly within thirty (30) days following completion of the last class taught by Provider the prior month. City shall be responsible for collecting all fees from program participants. Provider shall not collect fees but will refer all interested participants to City for registration information. c. Provider agrees that City shall retain thirty percent(30%) of all gross revenue received from program participants as an administrative fee. d. City and Consultant agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACTT) transfers. Consultant 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 Consultant's account(s)with financial institutions. c. Payment need not be made for work that fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on June 1, 2025 and end on May 31, 2026 unless terminated earlier in accordance with Section 14 below. The term of this Agreement may be extended for up to one(1) one-year period upon a writing executed by the City Manager and City Attorney. Page 2 of 10 i 4. INDEPENDENT CONTRACTOR Provider 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 manner in which Provider performs the services which are the subject matter of this Agreement; however,the services to be provided by Provider shall be provided in a manner consistent with all applicable standards and regulations governing such services. Provider 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. Provider is not an agent, representative or employee of City and Provider shall have no authority to act on behalf of the City. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Provider shall maintain and shall require any subcontractors to obtain and maintain insurance as described below for the entire Term of this Agreement against claims for injuries to persons or damage to property which may arise from or in connection with services,products and materials supplied to City. Total cost of such insurance shall be borne by Provider. Minimum Scope and Limit of Insurance. • Commercial General Liability (CGL): Insurance Services Office Form CC 00 01covering 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. Required policy limits can be met with primary and umbrella/excess insurance policies. • Automobile Liability: Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with limits no less than $1,000,000 combined single limits. In the event Provider does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance. • 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. • Workers' Compensation. 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, policy or employee, for bodily injury or disease. Coverage is not required if Provider has no employees and signs request to waive such insurance. If Provider maintains broader coverage and/or higher limits than the minimum requirements for each line of coverage shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Provider, Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Page 3 of 10 Other Insurance Provisions. The above required insurance policies are to contain or be endorsed to contain the following provisions: • City, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds, under Provider's CGL, Professional Liability, and Automobile Liability policies, with respect to any liability arising out of work or operations performed by or on behalf of the Instructor including materials, parts, equipment, and personnel furnished in connection with such wort',or operations. • Provider's 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 Provider under this Agreement. • For any claims related to this contract, Provider'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. • A severability of interest provision must apply for all the additional insureds, ensuring that Provider'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. • Insurance policies 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 of premium. • Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana, Attention: Parks, Recreation, & Community Services Agency, 20 Civic Center Plaza,M-23,Santa Ana,CA 92701.The name and location of project must 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. The City may require the Provider 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 ANII, unless otherwise acceptable to City. Verification of Coverage. Provider 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 before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive Provider'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. Page 4 of 10 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. 6. INDEMNIFICATION Provider agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees,Providers, 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 Provider or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; 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, to the extent that the injury, damages,just compensation,restitution,judicial or equitable relief is caused by the negligence of the Provider. 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. City may make all reasonable decisions with respect to its representation in any legal proceeding. In no case will Provider be required to indemnify or hold harmless the City from injury, damages,just compensation, restitution, judicial or equitable relief caused by the negligence of the City. 7. CONFIDENTIALITY If Provider receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary,Provider 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, including but not limited to student records. 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 Provider disclosed in a publicly available source; (c) is in rightful possession of the Provider without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e)is independently developed by the Provider without reference to information disclosed by the City. R. COVID-19 ASSUMPTION OF RISK AND WAIVER Provider acknowledges that Provider could be exposed to persons that may have COVID- 19 providing services pursuant to this Agreement. Provider understands that interacting with any person currently comes with the inherent risk of exposure to COVID-19 and that COVID-19 is Page 5of10 highly contagious. Provider assumes the risks associated with providing services pursuant to this Agreement, namely potential exposure to COVID-19. Provider acknowledges that while some people have no symptoms or mild symptoms from COVID-19,some people have become seriously ill requiring hospitalization and that some people have died from COVID-19. Provider acknowledges that persons over the age of 65 and persons with underlying health conditions are at greater risk of contracting COVID-19 and are potentially risking serious injury or death. Provider is agreeing to provide classes pursuant to this Agreement and does so of Provider's own free will. Provider intends to be legally bound by this assumption of risk, release and waiver and to bind Provider's heirs, personal representatives,next of kin and anyone who may make a claim on Provider's behalf. Provider knowingly releases and waives any and all claims that Provider may have or could have in the future and includes any claims resulting from potential exposure or actual exposure to COVID-19, this includes claims for personal injury, transmittal of COVID-19 to others, and/or wrongful death. Provider agrees to hold harmless, defend and indemnify the City, its public officials,officers, employees,volunteers,and agents from any and all claims for liability or damages, including those for exposure to or diagnosis with COVID-19 as a result of providing. services pursuant to this Agreement. 9. CONFLICT OF INTEREST Provider covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 10. BACKGROUND CHECK Provider shall ensure that all employees, subcontractors, and any volunteers are fingerprinted and background checked prior to conducting any work pursuant to this Agreement. Provider shall not assign any employee, agent,subcontractor,volunteer or the Provider personally to provide services pursuant to this Agreement, if that employee, agent, subcontractor, volunteer, or the Provider personally are required to register as a sex offender under California Penal Code Section 290 et seq, have a conviction for any crime of moral turpitude, have a conviction for a sexual based crime, have a conviction for a violent felony as defined in California Penal Code Section 667.5(c), or has a conviction for a serious felony as defined in California Penal Code Section 1192.7(c).Disqualifying convictions include but are not limited to,violations of California Penal Code Sections 37, 128, 136.1 with Section 186.22, 187, 190-190.4 and 192(a), 205, 206, 207-209.5, 211, 212, 212.5, 213, 214,215, 218-219,220, 236.1(b) or 236.1(c), 243.4, 261, 261.5, 273.5, 262, 264.1, 266, 266c, 266h, 266i, 266j, 267, 269, 272, 273a, 273ab, 273d, 285, 286, 288, 288a, 288.2,288.3,288.4,288.5,288.7,289,290, 311.1,311.2,311.3,311.4,311.10,311.11,314, 347(a), 368,417(b),451(a),518 with 186.22, 647.6, 653f(c),664 and 187,667.5(c), 18745, 18750, or 18755, 12022.53, 11418(b)(1) or(b)(2); Business and Professions Code Section 729, 11. 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 Page 6of10 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 Cleric City of Santa Ana 20 Civic Center Plaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax (714) 647-6956 With copy to: Executive Director Parrs,Recreation and Community Services City of Santa Ana 20 Civic Center Plaza(M-23) P.O. Box 1988 Santa Ana, California 92702 Fax (714) 571-4211 To Provider: Lightning Youth Academy Attn. Jose Antonio Cholula Bruno 600 W Santa Ana Blvd., Suite 530A Santa Ana, CA 92701 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 time frames, weekends, federal, state, County or City holidays shall be excluded. 12. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Provider regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Provider. 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 Provider or the City. Each party to this Agreement acknowledges that no representations, inducements,promises or agreements,orally or otherwise,have been made by any party,or anyone acting on behalf of any party,which is not embodied herein. Page 7 of 10 13. ASSIGNMENT The experience, knowledge, capability and reputation of Provider were a substantial inducement for City to enter into this Agreement. Therefore, Provider may not assign, transfer, delegate, or subcontract any interest hcrcin 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, 14. TERMINATION a. This Agreement may be terminated by the City immediately pursuant to any federal, state, county or local health order related to or regarding COVID-19 making it impossible to hold classes. For any other reason, this Agreement may be terminated by City upon thirty (30) days written notice of termination. In such event, Provider shall be entitled to receive, and City shall pay Provider, compensation for all services rendered prior to the effective date of termination. b. Termination or cancellation of classes by the Provider outside of Section I Lb. must be given to the City at least thirty (30) days prior to termination/cancellation. Failure to provide adequate cancellation notice to the City may put future contracting of business with the City at risk and will result in the City's retention of ten (10%)percent of the final payment to Provider. 15. 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. 16. RECORDS Provider shall use attendance sheets generated and supplied by the City to record attendance in each class. Provider shall keep these and any other records in connection with the work to be performed under this Agreement and shall permit City, upon request, to review such records for a period of three (3) years from the date of final payment to Provider under this Agreement. 17. NON-DISCRIMINATION Provider 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. Provider 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 M 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. 19. LICENSES Provider 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. 20. SEVERABILITY In the event that one or more of the phrases, sentences, clauses, paragraphs or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement, which shall be interpreted to carry out the intent of the parties hereunder. 21. EXHIBITS All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 22. AUTHORITY The person(s) executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement,the parties hereto arc formally bound to the provisions of this Agreement. [Signature Page Follows] Page 9 of 10 SIGNATURE PAGE FOR RECREATION SERVICES AGREEMENT WITH LIGHTNING YOUTH ACADEMY IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: _ CITY OF S TA ru en er at Alvaro Nunez Cit C City Manager APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: J,pwAan T. Martin Assistant City Attorney RECOMMENDED FOR APPROVAL: PROVIDER: Jose C1101t 5,202513:37 PDT) Hawk Scott Jose Antonio Cholula Bruno Executive Director of Parks, President Recreation and Community Services Agency Page 10 of 10 Exhibit A SCOPE OF SERVICES Program Overview: This Scope of Services outlines the responsibilities and expectations for engagement of Provider to provide physical fitness and mental health classes for ages 5 - 17 years at City recreation facilities and parks, as defined below. The aim is to promote health and wellness in the community by offering affordable recreation opportunities that encourage creative activity and teamwork. A. Program and Class Offerings: i. Seasonal programs and class offerings may include, but are not limited to the following class options: i. Breathing and Mindfulness ii. Lightning Youth Running Club ii. Provider shall teach such or similar classes at available City facilities to be designated by the City on a schedule agreed upon by the parties, in writing, for each class session or term, including the location, specific days and hours when classes will be held, and holidays to be observed, in accordance with City's needs. Provider and City agree that class locations and/or scheduling are subject to change due to unforeseen events or needs beneficial to the class participants. The Parties agree that changes to scheduling or location of classes shall be agreed upon, in writing, prior to the allowance of said change(s). iii. Class Size i. At the City's discretion and upon mutual agreement, the minimum and maximum number of participants required for each class will be determined to ensure the quality and safety of the class participants. ii. Class ratio of participants to Provider(s)will be set for each class to ensure effective instruction and safety based on statewide standards. iii. If the minimum registration has not been reached by the second class, it is up to the discretion of the City upon mutual agreement with Provider, that the class shall be cancelled. Provider will be under no obligation to provide services for the cancelled classes, and the City will have no further obligations to pay Provider compensation for the remaining classes that were cancelled in that session. t vii. Promotion of class(es) with City approved marketing materials outside of City managed platforms. Publicizing on additional channels and networks outside of City platforms is the sole responsibility of the Provider. viii. Provider shall provide all materials, supplies, equipment, records and personnel. Provider shall be responsible for repairing and maintaining all equipment and supplies, and ensuring that it is in good working condition. Provider shall ensure clean-up of the facilities and materials to ensure the safety and effectiveness of instruction. The City will not responsible for any damage, repairs, misplaced, or stolen supplies or equipment, and will not be responsible for storing supplies or equipment. C. City Responsibilities: i. City shall manage participant registration and class information through registration software. Provider shall be granted access to the class roster on the City registration system and is responsible for tracking attendance. ii. City shall collect all enrollment fees through the registration software. Provider shall not accept enrollment fees directly from a participant, and shall only collect materials fees that are pre-approved by City and published in advance as a part of the program marketing. Such material fees shall be collected by Provider at the first scheduled class meeting. No additional fees shall be collected for materials, uniforms, awards, etc. without written approval and advanced advertising. iii. City shall provide publicity for class(es) seasonally in the City's recreation magazine (published seasonally). City shall have the sole discretion to decide what information will be included in the recreation magazine about the class and Provider. Publicity may also include flyers created by City. Provider created flyers are encouraged, but must be finalized by City to include use of City logos before distribution. iv. City shall provide a location for the class(es). Provider will request dates and times for the class(es)seasonally, in writing. The City will confirm the class(es)schedule seasonally. Location selection is based on need, size of class, type of activity and availability, and is reserved at the discretion of the City. V. City shall provide refunds to participants when: ■ The participant formally requests to drop the class before the second schedule class meeting. ■ The class is canceled by City or Provider. 3 ICE T • PRA A 1f TEMrfifta,kTus' Ti e d CE 't :cf O F The City of Santa r to P ksnd ReAngie o n Civic Center Pl Santa Ana,CA 9 /0 Y AcOVgdd-s.. •. This certificate is issued as a matter of infornati on' and confer n�° erttfic I Id r2- i or v xten a cov r, n„�:_ _.,..,uw. �sf[ttic .. 'ins uaoes notico titu a�on ac a een the i h t e r - and 'fi a holder. A I R ER S 'D 1 C n 3tR CL1 Y 0�OIFICATE ID: 5KSP6X67 Foy Insurance A A ur Athletic Union o th �I CLUB CODE: W3DFW W 64 Portsmouth Ave I '.alt Disney World Resort Lightning Youth Running Club PO Box 1030 P.O.Box 22409 600 W.Santa Ana Blvd.Suite 530A Exeter,NH 03833-1030 Lake Buena Vista,FL 32830-1000 Santa Ana,CA 92701 (407)934-7200 INSURERS)AFFORDING COVERAGE Company A United State Fire Insurance Company NAIC#21 11 3 -1 Company B Everest National Insurance Company NAIC#10120 *For box below,INSR LTR refers to Company A or B. COVERAGES-This is to certify that the policy(ies)of insurance listed below.have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,tern,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 policy(ies)described herein is subject to all the terms,exclusions,and conditions of such policy(ies),limits shown may have been reduced by paid claims. INSR TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES LFVHTS LTR INSURANCE NUMBER DATE(MM/DD/YY) DATE(MM/DDIVY) A Participant US1182730 9/01/2024 12:01 AM. 9/01/2025 12:01 AM. Accident Medical 100,000 Accident Accidental Death and Dismemberment 20,000 B Excess S18EX00142-241 9/01/2024 I2:01 AM. 9/01/2025 12:01 AM. Each Occurrence 3,000,000 Liability Policy Aggregate 3,000,000 B General S18ML00176-24I 0/01/2024 12:01 AM. 9/01/2025 12:01 AM. Each Occurrence Limit 1,000,000 Liability General Aggregate Limit 3,000,000 Participant Legal Liability 1,000,000 Personal and Advertising Injury Limit 1,000,000 Products-Completed Operations Aggregate 3,000,000 Fire Damage to premises Rented to You t,000,000 Policy Aggregate Cap 20,000,000 Medical Expenses Limit(Any One Person) 5,000 Sexual Abuse Liability 1,000,000 Sexual Abuse Aggregate 3,000,000 ADDITIONAL INFORMATION/RESTRICTIONS/SPECIAL ITEMS Coverage applies to Lightning Youth Running Club,License#5KSP6X67 Practice,Lightning Youth Running Club from 09/01/2024 through 08/31/2025,for the gross negligence and/or liabilities of the AAU Club(s)or registered members. For said club to have coverage,all membership requirements in the AAU must be met. Primary non-contributory applies as per attached endorsement ECG 24 520 04 02. Waiver of Transfer of Rights of Recovery Against Other to Us applies per attached Endorsement ECG 24 522 04 02. The Certificate holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations o F 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. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives. REVOCATION OF MEMBERSHIP-will result in cancellation of coverage. FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE. Go to www.nausports.org,Membership,Insurance,Issued Third Party Certificates, Insert member club code Risk Managematl Division REVIEWED&APPROVED BY: ffS..w Certificate No.20254314 ~r 'i A.,g�z Aawdo Authorized Representative ,mmym'• Risk Management Specialist POLICY NUMBER:S18ML00 1 76-24 1 COMMERCIAL GENERAL LIABILITY CG 20 11 0413 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED- MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Designation Of Premises(Part Leased To You): rr 2 All locations owned,operated or leased by Name Of Person(s)Or Organization(s)listed below Name Of Person(s)Or Organization(s)(Additional Insured): The City of Santa Ana Parks and Recreation 20 Civic Center Plaza Santa Ana,CA 92701 Event: Practice,Lightning Youth Running Club Date: 09/01/2024 through 08/31/2025 Additional Premium: $ N/A Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II-Who Is An Insured is amended to include 2. If coverage provided to the additional insured is as an additional insured the person(s)or required by a contract or agreement,the insurance organization(s)shown in the Schedule,but only with afforded to such additional insured will not be broader respect to liability arising out of the ownership, than that which you are required by the contract or maintenance or use of that part of the premises leased agreement to provide for such additional insured, to you and shown in the Schedule and subject to the following additional exclusions: B. With respect to the insurance afforded to these additional insureds,the following is added to Section This insurance does not apply to: III-Limits Of Insurance: 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. If coverage provided to the additional insured is 2. Structural alterations,new construction or required by a contract or agreement,the most we will demolition operations performed by or on behalf of the pay on behalf of the additional insured is the amount of person(s)or organization(s)shown in the Schedule. insurance: However: 1. Required by the contract or agreement;or 1. The insurance afforded to such additional insured 2. Available under the applicable Limits of Insurance only applies to the extent permitted by law;and shown in the Declarations;whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Risk ManymurtDMsion CG 20 1104 13 ©insurance Services Office,Inc.,2012 REVIEWED&APPROVED BY.- Risk Management Specialist POLICY NUMBER:SI8ML00176-241 COMMERCIAL GENERAL LIABILITY ECG 24 520 04 02 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL-OTHER INSURANCE (PRIMARY NONCONTRIBUTORY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A.Paragraph a.Primary Insurnce of 4. Other In-surance of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: a. Primary Insurance This insurance is primary except when b.below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then,we will share with all that other insurance by the method described in c.below,except that we will not seek contribution from any party with whom you have agreed in a written contract of agrement that this insurance will be primary and noncontributory,if the written contract of agreement was made prior to the subject"occurrence"or offense. ECG 24 520 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page I of I with its permission Risk Mmagcmtent Division REVIEWED&APPROVID BY: Ap A,44�- Risk Management specialist POLICY NUMBER:SI8ML00176-241 COMMERCIAL GENERAL LIABILITY ECG 24 522 04 02 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 SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER (if no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: 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 operations or "your work"done under&written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the"occurrence". This waiver applies only to the person or organization shown in the Schedule above. ECG 24 522 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of I with its permission Riak Management DM Ian REVIEWED&APPROVED BY: Fl-f,Fl,w44 ® Risk Management Specialist Lightning Youth Academy Lightning Youth Running Club August 20, 2024 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 Re: Auto Insurance Requirement Dear City of Santa Ana Risk Management Division: Lightning Youth Academy/Lightning Youth Running Club has intent to enter into an agreement with the City of Santa Ana. Throughout the course of this agreement, Lightning Youth Academy/Lightning Youth Running Club attests to the following: 1. Lightning Youth Academy/Lightning Youth Running Club, will not use/drive any vehicle during the course and scope of the services provided in the agreement/contract. 2. Lightning Youth Academy/Lightning Youth Running Club will not use any owned/rented/leased vehicles during the course and scope of the services provided in the agreement/contract. 3. Lightning Youth Academy/Lightning Youth Running Club consultants/independent contractors/employees utilize their personal vehicles/non-company owned,borrowed, or rented/leased vehicles for transportation to and from work and if applicable carry their own automobile insurance. By signing below, I, attest that I possess the legal authority to enter into an agreement with the City of Santa Ana as well as the legal authority to attest to the statements above. If at any time it is found that Lightning Youth Academy/Lightning Youth Running Club is not adhering to any/all statements in this document and has not provided the minimum Auto liability insurance coverage of$1 million per occurrence, the contract will be considered null and void and the company will be held fully liable for any and all damages. Dr.Jose Cholula,MA,EdD, President/Head Coach USA-TF,Level 2 714-699-3345 cholula@lyacademy.org wok r, �� t uum ? REVIEWED&APPROVED BY: 600 W. Santa Ana Blvd. Ste 530A, Santa Ana, CA 92701 * 714-6' ®' Ruk Management Specialist *cholula@lyacademy.org * lightningyouthacademy.orNQ CITY OF SANTA ANA RISK MANAGEMENT.duau as HUMAN RESOURCES ..A Managing Risk m1wg*Posf�Change I. WORKERS' COMPENSATION DECLARATION Jose Cholula, President I, hereby affirm under penalty of perjury, the (Name/Title) following declaration: Lightning Youth Academy/LYRC certify on behalf of that during the term (Consultont/Company Name) of my contract for Reservation of Parks services with the City of Santa Ana, (Type of service provided) will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. Date: 8/20/24 Print Name: Jose Cholula Print Title: President Signature: Telephone: 714-943-8975 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Risk Mwvgwiwt DMs[cn ��� REVIEWED&APPROVED BY: A. 4 Acev44 ® Risk Management Specialist I:1Risk Mgmtllnsurance Requirements�WC Declaration 08152019 PRACTICE THIRD PARTY CERTIFICATE OF INSURANCE AMATEUR ATHLETIC UNION OF THE U.S.,INC. CERTIFICATE HOLDER City of Santa Ana,its City Council,officers,officials,employees, agents and volunteers COVERAGE DATES: 20 Civic Center Plaza 9/1/2025-8/31/2026 Santa Ana,CA 92701 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 issuina insurers authorized re resentative or producer,and the certificate holder. PRODUCER INSURED MEMBER CLUB INSURED CERTIFICATE ID: PL8NBMFGMV Foy Insurance Amateur Athletic Union of the U.S.,Inc. CLUB CODE: UGU2DYSXZ 64 Portsmouth Ave Walt Disney World Resort Lightning Youth Running Club PO Box 1030 P.O.Box 22409 600 W.Santa Ana Blvd.Suite 530A Exeter,NH 03833-1030 Lake Buena Vista,FL 32830-1000 Santa Ana,CA 92701 (407)934-7200 INSURER(S)AFFORDING COVERAGE Company A United State Fire Insurance Company NAIC#21113 Company B Everest National Insurance Company NAIC#10120 *For box below,INSR LTR refers to Company A,B,or C. Company C HDI Global Specialty SE NAIC#AA-1340041 COVERAGES- This is to certify that the policy(ies)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 policy(ies)described herein is subject to all the terms,exclusions,and conditions of such policy(ies),limits shown may have been reduced by paid claims. INSR TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES LIMITS LTR INSURANCE NUMBER DATE(MM/DD/IY) DATE(MM/DD/IY) - A Participant US1182736 9/01/202512:01 AM. 9/01/2026 12:01 AM. Accident Medical 100,000 Accident Accidental Death and Dismemberment 20,000 B Excess GCN0012707-251 9/01/2025 12:01 AM. 9/01/2026 12:01 AM. Each Occurrence 1,000,000 Liability Policy Aggregate 1,000,000 C Excess 25QS1244 9/01/2025 12:01 AM. 9/01/2065 12:01 AM. Each Occurrence 4,000,000 Liability Policy Aggregate 4,000,000 B General GCN0012693-251 9/01/2024 12:01 AM. 9/01/2025 12:01 AM. Each Occurrence Limit 1,000,000 Liability General Aggregate Limit 3,000,000 Participant Legal Liability 1,000,000 Personal and Advertising Injury Limit 1,000,000 + Products-Completed Operations Aggregate ,000,000 1 Fire Damage to premises Rented to You ,000,000 Policy Aggregate Cap 20,000,000 "s. Medical Expenses Limit(Any One Person) 5,000 Sexual Abuse Liability 1,000,000 Sexual Abuse Aggregate 2,000,000 ADDITIONAL INFORMATION/RESTRICTIONS/SPECIAL ITEMS Coverage applies to Lightning Youth Running Club,License#PL8NBMFGMV AAU Practice License 2026 from 9/1/2025 through 8/31/2026,for the gross negligence and/or liabilities of the AAU Club(s)or registered members. For said club to have coverage,all membership requirements in the AAU must be met. Primary non-contributory applies as per attached endorsement ECG 24 520 04 02. Waiver of Transfer of Rights of Recovery Against Other to Us applies per attached Endorsement ECG 24 522 04 02. The Certificate holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations of the policy(ies),attached CG 20 11 04 13 applies. 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. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives. REVOCATION OF MEMBERSHIP-will result in cancellation of coverage. FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE. Go to www.aansports.org,Membership,Insurance,Issued Third Party Certificates, Insert member club code � Certificate No. USAPD5ZAW83FU D1 Authorized Representative is cftfa 1ity.1pt Digitally signed TU Tran byT.T_ APPROVED Nguyen N 9 uyen Date:2025.0&.2 By Tu Tran Nguyen at 12:30 pm,Aug 22,2025 12:31:55-07'00' POLICY NUMBER:GCN0012693-251 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE rNN Designation Of Premises(Part Leased To You): ' =.r All locations owned,operated or leased by Name Of Person(s)Or Organizations)Iisted below Name Of Person(s)Or Organization(s)(Additional Insured): City of Santa Ana, its City Council,officers,officials,employees,agents and volunteers 20 Civic Center Plaza Santa Ana,CA 92701 Event: AAU Practice License 2026 Date: 9/1/2025 through 8/31/2026 Additional Premium: $ N/A Information required to complete thichedule, s"5 if not s ibwn above,wifl be'shown it the Ieclarattons.N �. A. Section II-Who Is An Insured is amended to includel\,�� 2. If coverage provided to the additional insured is as an additional insured the person(s)or required by a contract or agreement,the insurance organization(s)shown in the Schedule,but only with afforded to such additional insured will not be broader respect to liability arising out of the ownership, than that which you are required by the contract or maintenance or use of that part of the premises leased agreement to provide for such additional insured. to you and shown in the Schedule and subject to the following additional exclusions: i L B. With respect to the insurance afforded to these * #� additional insureds,the following is added to Section This insurance does not apply to: Ill-Limits Of Insurance: 1. Any'occurrence"which takes place after you - cease to be a tenant in that premises. If coverage provided to the additional insured is 2. Structural alterations,new construction or required by a contract or agreement,the most we will demolition operations performed by or on behalf of the pay on behalf of the additional insured is the amount of person(s)or organization(s)shown in the Schedule. insurance: . - However: 1. Required by the contract or agreement;or 1. The insurance afforded to such additional insured 2. Available under the applicable Limits of Insurance only applies to the extent permitted by law;and shown in the Declarations;whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 1104 13 ©Insurance Services Office,Inc.,2012 Page 1 of 1 POLICY NUMBER:GCN0012693-251 COMMERCIAL GENERAL LIABILITY ECG 24 520 04 02 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL-OTHER INSU (PRIMARY NONCONTRIBU +� This endorsement modifies insurance provided under the following:- COMMERCIAL GENERAL LIABILITY COVERAGE PART,, A.Paragraph a.Primary Insurnce of 4. Other In-surance of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the y following: � +� a. Primary Insurance This insurance is primary except when b.below applies. If this; insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then,we will share with all that other insurance by the method described in c.below,except that we will not , seek contribution from any party with whom you have agreed in a �r+ written contract of agrement that this insurance will be primary and V. . 1 noncontributory,if the written contract of agreement was made prior to the subject"occurrence" or offense. ECG 24 520 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission POLICY NUMBER:GCN0012693-251 COMMERCIAL GENERAL LIABILITY ECG 24 522 04 02 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS O VERY AGAINST OTHERS TO This endorsement modifies insurance provided under the following:.- COMMERCIAL GENERAL LIABILITY COVERAGE PARI SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS", AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER (if no entry appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: 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 operations or "your work"done under a written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the'occurrence". This waiver applies only to the person or organization shown in the Schedule*above. N. ECG 24 522 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission d GfG�T/1/�i!/G Lightning Youth Academy Lightning Youth Running Club August 21, 2025 City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 Re: Auto Insurance Requirement Dear City of Santa Ana Risk Management Division: Lightning Youth Academy/Lightning Youth Running Club has intent to enter into an agreement with the City of Santa Ana. Throughout the course of this agreement, Lightning Youth Academy/Lightning Youth Running Club attests to the following: l. Lightning Youth Academy/Lightning Youth Running Club, will not use/drive any vehicle during the course and scope of the services provided in the agreement/contract. 2. Lightning Youth Academy/Lightning Youth Running Club will not use any owned/rented/leased vehicles during the course and scope of the services provided in the agreement/contract. 3. Lightning Youth Academy/Lightning Youth Running Club consultants/independent contractors/employees utilize their personal vehicles/non-company owned, borrowed, or rented/leased vehicles for transportation to and from work and if applicable carry their own automobile insurance. By signing below, I, attest that I possess the legal authority to enter into an agreement with the City of Santa Ana as well as the legal authority to attest to the statements above. If at any time it is found that Lightning Youth Academy/Lightning Youth Running Club is not adhering to any/all statements in this document and has not provided the minimum Auto liability insurance coverage of$1 million per occurrence, the contract will be considered null and void and the company will be held fully liable for any and all damages. Dr. Jose Cholula, MA, EdD, President/Head Coach USA-TF, Level 2 714-699-3345 cholula@lyacademy.org 600 W. Santa Ana Blvd. Ste 530A, Santa Ana, CA 92701 * 714-699-3345 *cholula@lyacademy.org * lightningyouthacademy.org CITY OF SANTA fANA RISK MANAGEMENT diuidiaa 4HUMAN RESOURCES " Managing Risk vmvwhPos �.:�.i WORKERS' COMPENSATION DECLARATION Jose Cholula, President I, hereby affirm under penalty of perjury, the (Name/Title) following declaration: Lightning Youth Academy/LYRC certify on behalf of that during the term (Consultant/Company Name) of my contract for Reservation of Parks services with the City of Santa Ana, (Type of service provided) will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. Date: 8/21/25 Print Name: Jose Cholula Print Title: President Signature: Telephone: 714-943-8975 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1: Risk Mgmt�lnsurance Requirements�WC Declaration 08152019 PRACTICE THIRD PARTY CERTIFICATE OF INSURANCE AMATEUR ATHLETIC UNION OF THE U.S.,INC. CERTIFICATE HOLDER The City of Santa Ana Parks&Recreation 20 Civic Center Plaza COVERAGE DATES: Santa Ana,CA 92701 9/1/2025-8/31/2026 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 insure s authorized represent 've or producer,and the certificate holder. PRODUCER INSURED MEMBER CLUB INSURED CERTIFICATEID: PL8NBMFGMV Alliant Insurance Services,Inc. Amateur Athletic Union of the U.S.,Inc. CLUB CODE: UGU2DYSXZ 101 Park Avenue,14th Floor Walt Disney World Resort Lightning Youth Running Club New York,NY 10178 P.O.Box 22409 600 W.Santa Ana Blvd.Suite 530A Lake Buena Vista,FL 32830-1000 Santa Ana,CA,92701 (407)934-7200 INSURERS)AFFORDING COVERAGE Company A United State Fire Insurance Company NAIC#21113 Company B Everest National Insurance Company NAIC#10120 *For box below,INSR LTR refers to Company A,B,or C. Company C HDI Global Specialty SE NAIC#AA-1340041 COVERAGES- This is to certify that the policy(ies)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 policy(ies)described herein is subject to all the terms,exclusions,and conditions of such policy(ies),limits shown may have been reduced by paid claims. INSR TYPE OF POLICY COVERAGE EFF. COVERAGE EXP. COVERAGES LIMITS LTR INSURANCE NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) A Participant US1182736 9/01/202512:01 AM. 9/01/2026 12:01 AM. Accident Medical 100,000 Accident Accidental Death and Dismemberment 20,000 B Excess GCN0012707-251 9/01/2025 12:01 AM. 9/01/2026 12:01 AM. Each Occurrence 1,000,000 Liability Policy Aggregate 1,000,000 C Excess 25QS1244 9/01/2025 12:01 AM. 9/01/2026 12:01 AM. Each Occurrence 4,000,000 Liability Policy Aggregate 4,000,000 B General GCN0012693-251 9/01/2025 12:01 AM. 9/01/2026 12:01 AM. Each Occurrence Limit 1,000,000 Liability General Aggregate Limit 3,000,000 Participant Legal Liability 1,000,000 r Personal and Advertising Injury Limit 1,000,000 Products-Completed Operations Aggregate 3,000,000 Fire Damage to premises Rented to You 1,000,000 Policy Aggregate Cap 20,000,000 "',G Medical Expenses Limit(Any One Person) 5,000 Abuse or Molestation Incident 1,000,000 Abuse or Molestation Aggregate 2,000,000 ADDITIONAL INFORMATION/RESTRICTIONS/SPECIAL ITEMS Coverage applies to Lightning Youth Running Club,License#PL8NBMFGMV AAU Practice License 2026 APPROVED from 9/1/2025 through 8/31/2026,for the gross negligence and/or liabilities of the AAU Club(s)or registered members. By Tu Tran Nguyen at 3:01 pm,Mar 10,2026 1 J For said club to have coverage,all membership requirements in the AAU must be met. Primary non-contributory applies as per attached endorsement ECG 24 520 04 02. Waiver of Transfer of Rights of Recovery Against Other to Us applies per attached Endorsement ECG 24 522 04 02. The Certificate holder shall be an Additional Insured,but only with respect to the operations of the Named Insured,subject to the provisions and limitations of the olic ies attached CG 20 11 0413 applies. 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. But,failure to mail such notices shall impose no obligation for liability of any kind upon the insurer,its agents or representatives. REVOCATION OF MEMBERSHIP-will result in cancellation of coverage. FACILITY OWNER SHOULD VERIFY THIS CERTIFICATE. Go to www.aausports.org,Membership,Insurance,Issued Third Party Certificates, Insert member club code Certificate No. UMTMXG94SM Autl,.Jy Representative mscenfacility.rpt POLICY NUMBER:GCN0012693-251 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE rNN Designation Of Premises(Part Leased To You): ' =.r All locations owned,operated or leased by Name Of Person(s)Or Organizations)Iisted below Name Of Person(s)Or Organization(s)(Additional Insured): City of Santa Ana, its City Council,officers,officials,employees,agents and volunteers 20 Civic Center Plaza Santa Ana,CA 92701 Event: AAU Practice License 2026 Date: 9/1/2025 through 8/31/2026 Additional Premium: $ N/A Information required to complete thichedule, s"5 if not s ibwn above,wifl be'shown it the Ieclarattons.N �. A. Section II-Who Is An Insured is amended to includel\,�� 2. If coverage provided to the additional insured is as an additional insured the person(s)or required by a contract or agreement,the insurance organization(s)shown in the Schedule,but only with afforded to such additional insured will not be broader respect to liability arising out of the ownership, than that which you are required by the contract or maintenance or use of that part of the premises leased agreement to provide for such additional insured. to you and shown in the Schedule and subject to the following additional exclusions: i L B. With respect to the insurance afforded to these * #� additional insureds,the following is added to Section This insurance does not apply to: Ill-Limits Of Insurance: 1. Any'occurrence"which takes place after you - cease to be a tenant in that premises. If coverage provided to the additional insured is 2. Structural alterations,new construction or required by a contract or agreement,the most we will demolition operations performed by or on behalf of the pay on behalf of the additional insured is the amount of person(s)or organization(s)shown in the Schedule. insurance: . - However: 1. Required by the contract or agreement;or 1. The insurance afforded to such additional insured 2. Available under the applicable Limits of Insurance only applies to the extent permitted by law;and shown in the Declarations;whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 1104 13 ©Insurance Services Office,Inc.,2012 Page 1 of 1 POLICY NUMBER: GCN0012693-251 COMMERCIAL GENERAL LIABILITY ECG 24 520 04 02 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL- OTHER INSURANCE (PRIMARY NONCONTRIBUTORY) d.. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A.Paragraph a.Primary Insurnce of 4. Other In-surance of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONSis replaced by the following: a. Primary Insurance This insurance is primary except when b.below applies. If this<+. insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then,we will share with all that other insurance by the method described in c.below,except that we will not seek contribution from any party with whom you have agreed in a written contract of agrement that this insurance will be primary and noncontributory,if the written contract of agreement was made prior to the subject"occurrence" or offense. '%J ECG 24 520 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission POLICY NUMBER: GCN0012693-251 COMMERCIAL GENERAL LIABILITY ECG 24 522 04 02 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" SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER (if no entry appears above,information required to complete this endorsement will be shown in e Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition(Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: 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 operations or "your work"done under a written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the"occurrence". This waiver applies only to the person or organization shown in the Schedule above. ECG 24 522 04 02 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 1 with its permission