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HomeMy WebLinkAboutBOBROVE, JOSHUA (3) INSURANCE ON FILE N-2025-145 WORK MAY PpnrFFfl ;itElIII, INS[ CLTY CLERK OaTG. JUN 2 7 2025 AGREEMENT WITH JOSHUA BOBROVE TO PROVIDE COMMERCIAL y PHOTOGRPAHY SERVICES THIS AGREEMENT is made and entered into on this 1st day of March, 2025 by and between (koa 001pJ*Joshua Bobrove ("Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The City desires to retain a Consultant having special skill and knowledge in the field of commercial photography services for use by the Public Works Agency. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services for City, the rates and charges identified in Exhibit A. The total amount to be expended during the term of this Agreement shall not exceed $50,000. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on February 28, 2026 with the option for the City to grant one (1), 2-year extension period, exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Page 1 of 8 Section 15, below. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement;however,the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages,employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, 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 Consultant under this Agreement ("Documents & Data"). Consultant 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. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 6. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant 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 Consultant. MINIMUM SCOPE AND LIMIT OF INSURANCE 1. 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. Required policy limits can be met with primary and umbrella/excess insurance policies. Page 2 of S i 2. 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 Consultant does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance. 3. 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 Consultant has no employees and signs request to waive such insurance. 4. Professional Liability Insurance: with limits no less than$1,000,000 per occurrence or claim, and$2,000,000 aggregate. If Consultant 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 Consultant.Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. Other Insurance Provisions The above required insurance policies are to contain or be endorsed to contain the following provisions: 1. City, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds, under Consultant'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 Consultant including materials,parts, equipment, and personnel furnished in connection with such work or operations. 2. Consultant'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 Consultant under this Agreement. 3. For any claims related to this contract, Consultant'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. 4. A severability of interest provision must apply for all the additional insureds, ensuring that Consultant's insurance shall apply separately to each insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. 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. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana Attention: Water Resources Division 220 S Daisy Ave, M-85 Santa Ana, CA 92703 Page 3of8 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 Consultant 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 AXII,unless otherwise acceptable to City. Verification of Coverage Consultant 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 Consultant'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. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk,prior experience, insurer, coverage, or other special circumstances. 7. INDEMNIFICATION Consultant 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, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section I 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 Consultant 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 Page 4 of 8 shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Consultant shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent,trademark,or copyright infringement,including costs,contained in the work product or documents provided by Consultant to the City pursuant to this Agreement. 9. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant 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 Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant 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. Consultant 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 Consultant under this Agreement. 10, CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. 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 Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) is independently developed by the Consultant without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE Consultant 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. Page 5 of 8 12. NON-DISCRIMINATION Consultant 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. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 13. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, 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 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 Consultant 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. 14. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City. 15. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment,the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. Page 6 of 8 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. 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. 18. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals,waivers,and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 19. 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: CIerk of the City Council City of Santa Ana 20 Civic Center Plaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Executive Director, Public Works Agency City of Santa Ana Page 7 of 8 20 Civic Center Plaza(M-21) P.O. Box 1988 Santa.Ana, California 92702 To Consultant: Joshua Bobrove 2419 Vista Del Campo Santa Barbara, CA 93101 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. 20. 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. The Agreement is the final and complete agreement and any prior or contemporaneous agreements for similar services between the parties is superseded by this Agreement. This shall not apply where the Parties are currently engaged and Consultant is providing services.not contemplated by this Agreement. C. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. [Signatures on following page] Page 8 of 8 i i IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. r=, ATTEST: CITY OF SANTA ANA Jennifer Hall lvaro Nunez City Cle City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONSULTANT: City Attorney Kyle ellesen Joshua ffobrove Assistant City Attorney Owner RECOMMENDED FOR APPROVAL: ,6L4it Saba, P.E. Executive Director Public Works Agency Page 9 of 8 EXHIBIT A photogmphyioshua 2419 Vista Del Campo call me: 323.868.9639 b b rove Santa Barbara Cc 93101 info@ioshuabobrove.com www.joshuabobrove.com 2025 Pricing for City of Santa Ana Full Day Rate (up to 8 hours)for Lifestyle/ Location Editorial & Portraits, 1250 including retouching of selected images. Half Day Rate (1-4 hours, last day of coverage of>1 day of Full Day prior) 900 for Lifestyle/ Location Editorial & Portraits, including retouching of selected images, Location Studio Setug Portrait Session (1-5 people) including retouching of 1250 selected images. Additional people, per person of Studio Portrait Session. 130 All images include unlimited usage rights. All images Transmitted Electronically. Rates may vary depending on the specifics of each project, formal Proposals will be created for each project. DATE IMM100fYYYY) acc��xra�° CERTIFICATE OF LIABILITY INSURANCE 05/02/2025 THIS CERTIFICATE 1S 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 be endorsed. If SUBROGATIONIS 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 HILL&USHER INS&SURETYIPHS E' 59302202 PHONE (866)467-8730 FAX (AIC,No,Ext): (AIc,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Insurance Company 30104 Joshua Bobrove DBA Photography By Joshua Bobrove INSURER B 2419 VISTA DEL.CAMPO SANTA BARBARA CA 93101-4662 INSURERC: INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Y TYPE OF INSURANCE ADDL SU OR POLICY NUMBER. POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE�OCCUR DAMAGE TO RENTED $1,000,000 PREMISE Ea occurrence) X General Liability MED EXP(Any ona person) $10,000 A X 12119/2024 12/19/2025 PERSONAL$ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X PRO- El PRODUCTS-COMPIOP AGG $2,000,000 POLICY❑ JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 dent)(Ea acc ANY AUTO BODILY INJURY(Per person) A AUTOS AT OS AUTOS SCHEDULED 12/19/2024 12/19I2025 BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LAB CLAIMS- MADE AGGREGATE EO RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE E ANY YIN E1 EACH ACCIDENT PROPRIETORIPARTNERIEXECUTIVE NJ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE (Mandatory in NMI If yes,descrlbeunder - E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below APPROVED - By Tu Tran Nguyen at 8:18 am,May 20,2025 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Those usual to the Insured's Operations.City of Santa Anna,its city councils,its officers,its officials,employees,agents&volunteers are additional insured per the Business Liability Coverage Part includes a Blanket Additional Insured By Contract Endorsement,Form SL 30 32.Notice of Cancellation will be provided in accordance with Form SL9013 CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Attn:Water Resources Division BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 220 S DAISY AVE#M-85 IN ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 92703-4334 AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMEDINSURED HILL&USHER INS&SURETYIPHS JOSHUA BOBROVE DBA PHOTOGRAPHY BY JOSHUA POLICY NUMBER BOBROVE SEE ACORD 25 2419 VISTA DEL CAMPO CARRIER NAIC CODE SANTA BARBARA CA 93 1 0 1-4662 SEE ACORD 25 EFFEcTIVE DATE:SEE ACORD 25 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SL0000 Coverage is primary and noncontributory per the Business Liability Coverage Form SL0000 attached to this policy. CITY WILL BE MAILED 30 DAYS WRITTEN NOTICE OF POLICY CANCELLATION AND THE REFERENCES "ENDEAVOR TO"AND "FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES" SHALL BE REMOVED OR CROSSED OUT. ACORD 101 (2014101) ©2014 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD Declarations; Business LiabilityCoverage Part Your policy includes the liability coverages listed below. The limits in the right-hand column show the maximum amount we'll pay. •- FORM NAME LIMIT OF SL 00 00 10 18 BUSINESS LIABILITY COVERAGE FORM Damage To Premises Rented To You Limit $1,000,000 General Aggregate Limit $2,000,000 Liability and Medical Expenses Limit $1,000,000 Medical Expenses Limit $10,000 Personal and Advertising Injury Limit $1,000,000 Products-Completed Operations Aggregate Limit $2,000,000 Property Damage Liability Deductible No Deductible ADDITIONAL BUSINESS LIABILITY COVERAGES SL 30 42 10 18 ADDITIONAL INSURED-DESIGNATED PERSON OR ORGANIZATION SL 30 43 10 18 ADDITIONAL INSURED-MANAGERS OR LESSORS OF PREMISES SL 30 36 10 18 ADDITIONAL INSURED-OWNERS,LESSEES OR CONTRACTORS-COMPLETED OPERATIONS SL 30 32 06 21 BLANKET ADDITIONAL INSURED BY CONTRACT Included' SL 30 26 10 18 HIRED AUTO AND NON-OWNED AUTO LIABILITY Included' SL 30 31 10 18 UNMANNED AIRCRAFT-LIABILITY ENDORSEMENT Included' SL 30 03 10 18 WAIVER OF SUBROGATION See schedule below 'Included in Business Liability Limit(s) BLISINE. . Form Number Form Name Description Additional Details SL 30 03 10 18 WAIVER OF SUBROGATION CITY OF SANTA ANA RISK Location:20 CIVIC MANAGEMENT DtVISON CENTER PLAZA,4TH FL SANTA ANA,CA 92701 - - _ Additional Insured Name Form Number Form Name Location and Address i SL 30 36 10 18 ADDITIONAL INSURED-OWNERS, SKIRBALL CULTURAL CENTER 001 LESSEES OR CONTRACTORS- 2701 NORTH SEPULVEDA BLVD, COMPLETED OPERATIONS LOS ANGELES,CA 90049 SL 30 43 10 18 ADDITIONAL INSURED- THE BEVERLY HILTON NIA MANAGERS OR LESSORS OF 9S76 WILSHIRE BLVD, BEVERLY PREMISES HILLS,CA 90210 i PLAYA STUDIOS MOPHONICS NIA PLAYA REALTY 11260 PLAYA CT,CULVER CITY, CA 90230 Form:SC 00 01 10 113 8 Declarations: Business LiabilityCoverage Part CONTINUED Form Number Form Name Additional Insured Name Location and Address SL 30 42 10 18 ADDITIONAL INSURED- THE RITZ-CARLTON BACARA, NIA DESIGNATED PERSON OR SANTA BARBARA THE RITZ- ORGANIZATION CARLTON CO LLC MARRIOTT INTERNAT IONAL SANTA BARBARA HOTEL OPERATOR INC WATERMARK LODGING TRUST INC BROOKFIELD ASSET MGT INC THE RITZ-CARLTON BACARA 8301 HOLLISTER AVE,GOLETA, CA 93117 CITY OF SANTA ANA RISK NIA MANAGEMENT DIVISON 20 CIVIV CENTER PLAZA,SANTA ANA,CA 92701 Form Number Form Name SL 20 06 10 18 EXCLUSiON-NUCLEAR ENERGY LIABILITY SL 20 78 10 18 EXCLUSION-SILICA-BEJS9NESS LIABILITY COVERAGE FORM SL 90 13 1018 NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) COVERAGEBUSINESS LIABILITY ', . 00 Price is subject to fees and surcharges. For more details, refer to Page 11 Form:SC 00 01 10 18 9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE ,;> HAR'FFdRD ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS POLICY NUMBER: This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. The following is added to Section C.WHO IS AN INSURED: Additional Insured—Owners, Lessees Or Contractors--Completed Operations a. The person(s)or organization(s) shown In the Schedule on the Declarations is also an additional insured, but only with respect to liability for"bodily injury" or"property damage"caused, in whole or in part, by"your work" and at the location designated and described in the Location And Description Of Completed Operations Schedule in the Declarations performed for that additional insured and included in the "products-completed operations hazard". b. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, editing of or failure to prepare or approve, shop drawings, maps, opinions, reports, surveys, change orders, field orders, designs, drawings, specifications, warnings, recommendations, permit applications, payment requests, manuals or instructions; (2) Supervisory, inspection, quality control, architectural, engineering or surveying activities or services; (3) Maintenance of job site safety, construction administration, construction contracting, construction management, computer consulting or design software development or programming service, or selection of a contractor or programming service; (4) Monitoring, sampling, or testing service necessary to perform any of the services included in (1), (2) or(3) above; (5) Supervision, hiring, employment, training or monitoring of others who are performing any of the services included in (1), (2) or(3)above; c. The insurance afforded to these additional insureds only applies to the extent permitted by law. d. If coverage provided to these additional insureds is required by a written contract, agreement or written permit issued by a state or governmental agency or subdivision or political subdivision, the insurance afforded to these additional insureds will not be broader than that which you are required by the contract, agreement or permit to provide for these additional insureds. Form SL 30 36 10 18 Page 1 of 1 Process Date: O 2018, The Hartford Policy Expiration Date: (May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, THE HARTFORD WAILER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. The following is added to Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS: We waive any right of recovery we may have against: a, Any person or organization shown in the Declarations, or b. Any person or organization with whom you have a contract that requires such waiver. Form SL 30 03 10 18 Page 1 of 1 ©2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc.,with its permission) PA E 4 - - - -- --- - --- - -- ----b-a c-k - - - - - - --- - - -- - CALIFORNIA EVIDENCE OF FINANCIAL. RESPONSIBILITY Name and Address of Insured NAIL 25968 California Evidence of Financial Responsibility JOSI-RJA M EvE Keep this card. 2419 VISTA DEL CAWPO IMPORTANT: The California Financial Responsibility Act SANTA BARBARA CA 931014662 (Section 16020) of the Vehicle Code requires every owner or operator of a vehicle subject to the requirements of the Financial Responsibility Act to carry evidence of financial responsibility in the vehicle at all times. Undervehicle code (Section 16028) every driver involved in an accident must provide evidence of financial responsibility at the scene. f Failure to comply is an infraction and shall be punishable by o fines, impoundment or license suspension. I d JOSHUA M BCEFOuE Insurance Company USAA CASUALTY INSURANCE CCMPANY Policy Number Effective Date Expiration Date 1 06/07/25 12/07/25 Vehicle Make/Vehicle Identification Number Year Additional copies available at usaa.com TOYOTA 2017 This policy provides at least the minimum amounts of liability insurance CONTACT US: 210-531-USAA(8722)OR 8 D 0-5 3 1-USA A required by the CA VEH CODE SECTION 16056 for the specified vehicle and named insureds and may provide coverage for other persons and other vehicles as provided by the insurance policy. 9800 Fredericksburg Road,San Antonio,Texas 78288 - ^^ ^ - - - r- ^ ^ California Automobile Insurance Identification Cards We've issued two identification cards as evidence of liability insurance for your vehicle(s). These cards are valid only as long as liability insurance remains in force. Keep a copy of the ID card in your vehicle at all times, You may be required to produce your identification card at vehicle registration or inspection, when applying for a driver's license, following an accident, or upon a law enforcement officer's request. 53CA1 Rev. 06-13 05/04/25 55047-0513 02 CALIFORNIA EVIDENCE OF FINANCIAL RESPONSIBILITY Name and Address of Insured NAIC 25968 California Evidence of Financial Responsibility JOSHUp, M BCffUvE Keep this card. 2419 VISTA DEL CAMP() SANTA BARBARA CA 93101-4662 IMPORTANT: The California Financial Responsibility Act (Section 16020) of the Vehicle Code requires every owner or operator of a vehicle subject to the requirements of the Financial Responsibility Act to carry evidence of financial responsibility in the vehicle at all times. Undervehicle code (Section 16028) every driver involved in an accident must f provide evidence of financial responsibility at the scene. O Failure to comply is an infraction and shall be punishable by I fines, impoundment or license suspension. d JOS" M BC E Insurance Company LISAA CASUALTY INS Policy Number Effective bate Expiration Date 06/07/25 12/07/25 Vehicle Make/Vehicle Identification Number Year TOYOTA 2017 Additional copies available at usaa.com This policy provides at least the minimum amounts of liability insurance CONTACT US: 210-531-USAA(8722) required by the CA VEH CODESECTION 16056 for the specified vehicle and OR 8 0 0.5 31-USA A named Insureds and may provide coverage for other persons and other vehicles as provided by the insurance policy. 9800 Fredericksburg Road,San Antonio,Texas 78288 PK E 5 USAA CASUALTY INSURANCE COMPANY ADDL INFO ON NEXT PAGE MAIL MCH-M-1 RENEWAL OF 1 (A Stock Insurance Company) State 10 5 V� POLICY NUMBER USAW 9800 Fredericksburg Road-San Antonio,Texas 78288 CA 8 0 XM CALIFORNIA AUTO POLICY POLICYPERIOD: (12:01 A.M. standard time) RENEWAL DECLARATIONS EFFECTIVE JUN 07 2025 TO DEC 07 2025 ATTACH TO PREVIOUS POLICY OPERATORS Named Insured and Address 01 JOSHUA M BOBROVE JOSHUA M BOBROVE 2419 VISTA DEL CAMPO SANTA BARBARA CA 93101--4662 Description of Vehicle s VEH USE* vt D-CCL les 1rE}i YEAJ TRADE NAME MODEL BODYIYPE IT IDENTIFICATION NUMBER SYM 05 17 TOYOTA PRIUS HYB 4D 13372 P The Vehicle(s)described herein is principally garaged at the above address unless otherwise stated. W1G-W0rkG -ool•D-Busl F=Farm;P--Rhsure VEH 05 SANTA BARBARA CA 93101-4662 Is po icyred prove es t ose coverages w are a premium is shown below. a limits shown may be uced by policy provisions and may not be combined regardless of the number of vehicles for which a premium is listed unless specifically authorized elsewhere in this policy. COVERAGES LIMITS OF LIABILITY VEH VEH VEH VEH 05 ("ACV"MEANS ACTUAL CASH VALUE) D==0ED6PR MI MH D=DED PREMIUM D=DED I PREMIUM D=DED PREMIUM AMOUNT $ MOUNT $ MOUNTI AMOUNTI $ PART A -- LIABILITY BODILY INJURY EA PER $ 500 , 00 EA ACC $1, 000, OOC 271 . 31 PROPERTY DAMAGE EA ACC $ 300, OOC 134 .24 PART C - UNINSURED MOTORISTS BODILY INJURY EA PER $ 500, 00 EA ACC $1, 000, OOC 107 . 18 WAIVER OF COLL DEDUCTIBLE 1 . 75 PART D - PHYSICAL DAMAGE COVERAGE COMPREHENSIVE LOSS ACV LESS D 500 82 . 61 COLLISION LOSS ACV LESS D 500 291 .26 VEHICLF, 'TOTAL PREMIUM 888 . 35 6 MONTH PREMIUM $ 888 . 35 PREMIUM DUE AT INCEPTION. THIS IE NOT A BILL, STAT MENT 70 FOLLOW. ADDITIONA MES GE (S) - SEE FOLLO ING GE (S) DDITIONAL INTEREST -- EMPLOYER CITY OF SANTA ANA ATTN WATER R, SANTA ANA, CA ENDORSEMENTS: ADDED 06-07-25 - NONE REMAIN IN EFFECT (REFER TO PREVIOUS POLICY) - A073 (05) A200CA(01) RSGPCW (01) 5100CA(02) INFORMATION FORMS: 50CA 05 CADS 05 40CA 01 13580 03 _1051 RSM36 OON I I I I I I I I 1H In WITNESS WHEREOF, we have caused this policy to be signed y our President and Secretary at San Antonio,Texas, on this date MAY 4, 2025 5404 C 05-12 Kelly Armstrong,Secralary Randy Termear,President 53383-05-12 CITY OF SANTA ANA Risk Management a division of Human Resources Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE I Joshua Bobrove ("Representative"),attest that I am an authorized (Name and Title of Vendor Representative) representative of Photography by Joshua Bobrove ("Company"), and (Consultant/Company blame) possess the authority to legally bind Company. In my capacity as Representative of Company, 1 represent and confirm the following,as relates to the agreement between Company and City of Santa Ana,agreement number ("Agreement")to provide Photography ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance coverage in the performance of Services to, for, or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. 48y�,� 417125 Signature [date Joshua Bobrove Print Name owner Title 323-868-9639 joshua@joshuabobrove.com Contact Information,i.e.,Telephone Number and/or Email Address Affidavit of Exemption for Professional Liability Insurance 11.12.2024 CITY OF SANTA AMA Risk Management a division of Human Resources 1F, Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE I Joshua Bobrove ("Representative"), attest that I am an authorized (Name and Title of Vendor Representative) representative of Photography by Joshua Bobrove ("Company"),and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana, agreement number ("Agreement")to provide Photography ("Services"): Services (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana,Company will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if Company should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, Company shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. rum t3e �er,� 4f7125 Signature Date Joshua Bobrove Print Name owner Title 323-868-9639 joshua@ajoshuabobrove.com Contact Information,i.e.,Telephone Number and/or Email Address WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND;SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANT 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. Affidavit of Exemption for Workers'Compensation Insurance 11.12.2024