HomeMy WebLinkAboutMAGIC MAKERS ENTERTAINMENT INSURANCE ON FILE
WORK MAY PROCEED
UNTIL INSURANCE EXPIRE', 1V-2025-'�$2
CITY CLERK
DATE.JUL 14 2025 AGREEMENT WITH MAGIC MAKERS ENTERTAINMENT TO PROVIDE
LIVE MAGIC SHOWS FOR VARIED CITY EVENTS
P2csA (�t) THIS AGREEMENT is made and entered into on this 301h day of June, 2025 by and between
Mnnl ,Up- Le0n(02)Magic Makers Entertainment dba Richard the Magician, ("Performer"),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 Performer having special skill and knowledge in the field of
providing live magic shows for varied City events on behalf of the City's Parks,Recreation,
& Community Services Agency.
B. Performer represents that it is able and willing to provide such services to the City.
C. In undertaking the performance of this Agreement, Performer represents that it is
knowledgeable in its field and that any services performed by Performer 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
Performer 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 Scope of Services-Exhibit A and
Performer's Proposal - Exhibit B, attached hereto and incorporated by reference. City and
Performer shall agree, in writing, as to the scheduling of events during the term of this Agreement.
2. COMPENSATION
a. City does not guarantee any minimum compensation to Performer under this
Agreement. Performer shall be paid only for actual services performed under this
Agreement at the rates and charges mutually agreed upon by the Parties. Upon the
written confirmation of a scheduled event, as provided for in Section 1, above, City
agrees to pay,and Performer agrees to accept as total payment for its scheduled services
for City, the rates and charges agreed upon, in writing, by receipt of an invoice or quote
from the Performer similar to Invoice 9ES22 — Exhibit C, attached hereto and
incorporated by reference. The total amount to be expended during the term of this
Agreement shall not exceed $25,000.00.
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. City and
Performer agree that all payments due and owing under this Agreement shall be made
through Automated Clearing House (ACH) transfers. Performer agrees to execute the
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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 Performer's account(s) with financial institutions.
Payment need not be made for work which fails to mect the standards of performance
set forth in the Recitals which may reasonably be expected by City.
3. TERM
This Agreement shall commence on July 1, 2025 and continue through June 30, 2026,
unless terminated earlier in accordance with Section 15, below.
4. INDEPENDENT CONTRACTOR
Performer shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor shall
it be construed to create an employer-employee relationship, a joint venture relationship, or to
allow the City to exercise discretion or control over the professional manner in which Performer
performs the services which are the subject matter of this Agreement; however,the services to be
provided by Performer shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Performer 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 Performer under this Agreement("Documents&Data"). Performer 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. Performer
represents and warrants that Performer has the legal right to license any and all Documents&Data.
Performer makes no such representation and warranty in regard to Documents&Data which were
provided to Performer 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
Performer shall procure and maintain for the duration of the agreement, the following
insurance coverages:
Minimum Scope and Limit of Insurance. Performer shall maintain limits of insurance
coverage in the following minimum amounts and shall be at least as broad as:
• Commercial General Liability (CGL): Insurance Services Office Form CG 00 01
covering CGL on an"occurrence"basis, including products and completed operations,
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property damage, bodily injury and personal & advertising injury with limits no less
than $1,000,000 per occurrence and$2,000,000 aggregate.
• Sexual Abuse or Molestation Liability(SAML): If the CGL policy referenced above
is not endorsed to include affirmative coverage for sexual abuse or molestation,
Performer shall obtain and maintain a policy covering Sexual Abuse and Molestation
with a limit of no less than $1,000,000 per occurrence or claim.
• Automobile Liability (AL): Insurance Services Office Form CA 00 01 covering Code
1 (any auto), with combined single limits of$1,000,000. In the event Performer does
not maintain commercial automobile liability insurance, City wit[ accept evidence of
personal automobile insurance with existing limits, which can be lower than
$1,000,000.
• Workers' Compensation (WIC): as required by the State of California,with statutory
limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per
accident, per employee, per policy for bodily injury or disease. This requirement can
be waived if Vendor has no employees.
• If Performer maintains broader coverage and/or higher limits than the minimums
shown above, City requires and shall be entitled to the broader coverage and/or the
higher limits maintained by Performer. Any available insurance proceeds in excess of
the specified minimum limits of insurance and coverage shall be available to City.
Other Insurance Provisions. The insurance policies are to contain, or be endorsed to
contain, the following provisions:
• CGL, SAML and AL policies: City of Santa Ana, its City Council, its officers,
officials, employees, agents, and volunteers are to be covered as additional insureds
with respect to liability arising out of work or operations performed by or on behalf of
the Performer including materials, parts, equipment, and personnel furnished in
connection with such work or operations.
• All required insurance policies: Insurance company(ies) agrees to waive all rights of
subrogation against City, its City Council, its officers,officials,employees, agents,and
volunteers for losses paid under the terms of any policy which arise from work
performed by Performer for City.
• All required insurance policies: For any claims related to this contract, Performer's
insurance coverage shall be primary and any insurance maintained by City, its City
Council, its officers, officials, employees, agents, or volunteers shall not contribute
with it.
• All required insurance policies: A severability of interest provision must apply for all
the additional insureds, ensuring that Performer's insurance shall apply separately to
each insured against whom a claim is made or suit is brought, except with respect to
the insurer's limits of liability.
• Each insurance policy required herein shall provide that coverage shall not be canceled,
suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or
materially changed except after thirty (30) days prior written notice has been given to
City.Ten(10)days prior written notice shall be provided to City for policy cancellation
or non-renewal due to non-payment.
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• Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa
Ana, Attention: (Name of Department Staff Responsible for Agreement), Address of
Department Responsible for Agreement, M-XX, Santa Ana, CA 92701. The name and
the location of event should be included in the Description of Operations section of
each certificate.
Self-Insured Retentions. Self-insured retentions must be declared to and approved by the
City. City may require Performer to purchase coverage with a lower retention or provide proof of
ability to pay losses and related investigations,claim administration, and defense expenses within
the retention.
Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct
business in the state of California with a current A.M. Best rating of no less than A:VII, unless
otherwise acceptable to City.
Verification of Coverage. Performer shall furnish City with original Certificates of
Insurance including all required amendatory endorsements (or copies of the applicable policy
language effecting coverage required by this clause) and a copy of the Declarations and
Endorsement Page of the CGL policy listing all policy endorsements to Entity before work begins.
However, failure to obtain the required documents prior to the work beginning shall not waive
Performer'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.
Claims Made Policies. If any of the required policies provide coverage on a claims-made
basis:
• The retroactive date must be shown and must be before the date of the contract or the
beginning of work.
• Insurance must be maintained and evidence of insurance must be provided for at least
three (3) years after completion of work.
• If coverage is canceled or non-renewed, and not replaced with another claims-made
policy form with a retroactive date prior to the contract effective date, Company must
purchase "extended reporting" coverage for a minimum of three (3) years after
completion of work.
Subcontractors. Performer shall require and verify that all sub-contractors maintain
insurance meeting all the requirements stated herein, and Performer shall ensure that City is an
additional insured on insurance required from sub-contractors.
Special Risks or Circumstances. City reserves the right to modify these requirements,
including limits, based on the nature of the risk,prior experience, insurer,coverage,or other special
circumstances.
7. INDEMNIFICATION
Performer 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
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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 Performer, its subcontractors, agents, employees, or other persons
acting on its behalf which relates to the services described in section 1 of this Agreement; and(2)
from any claim that personal injury, damages,just compensation, restitution,judicial or equitable
relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and
hold harmless agreement applies to all claims for damages,just compensation, restitution,judicial
or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in
this Section or by reason of the terms of, or effects, arising from this Agreement. The Performer
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 Performer's services are subject to Civil Code Section 2782.8, the above indemnity
shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of,
pertain to, or relate to the negligence, recklessness, or willful misconduct of the Performer.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Performer 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 Performer to the City pursuant to this Agreement.
9. RECORDS
Performer shall keep records and invoices in connection with the work to be performed
under this Agreement. Performer 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 Performer under this Agreement. All such records and invoices shall
be clearly identifiable. Performer 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. Performer 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 Performer under this Agreement.
10. CONFIDENTIALITY
If Performer receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Performer 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
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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
Performer disclosed in a publicly available source; (c) is in rightful possession of the Performer
without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e)
is independently developed by the Performer without reference to information disclosed by the
City.
11. CONFLICT OF INTEREST CLAUSE
a. Performer 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.
b. No immediate family members of either the Mayor, City Council Member, or any
appointed City Official, including appointed board and commission members, as
defined under the City's Municipal Code, whose position with the City shall award or
influence the award of this Agreement, or any competing contract or amendment
thereof, shall be employed in any capacity by the Performer or have any other direct or
indirect financial benefit or interest in this Agreement.
c. The section also prohibits the awarding of any agreement, contract, grant, or any
amendment to those awards,to any former full-time employee for one-year from date
of employee separation except for any CalPERS retiree as authorized by City Council
resolution
d. The Performer must comply with all conflict of interest laws, ordinances, and
regulations now in effect or hereafter to be enacted during the term of this Agreement.
The Performer warrants that it is not now aware of any facts which conflict with the
prohibitions defined above. If the Performer hereafter becomes aware of any facts that
might reasonably be expected to create a conflict of interest, it must immediately make
frill written disclosure of such facts to the City. Full written disclosure must include,
but is not limited to, identification of all persons implicated and a complete description
of all relevant circumstances. Failure to comply with the provisions of this paragraph
will be a material breach of this Agreement.
e. Performer covenants that none of its directors, officers, employees, or agents shall
participate in selecting or administrating any subcontract supported(in whole or in part)
by City funds stemming from the Agreement where the awarding of the subcontract
has any direct or indirect financial benefit or interest to any individual, as defined in
subsections (b) and(c) above.
12. NON-DISCRIMINATION
Performer 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,
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promotion, termination or other employment related activities or any services provided under this
Agreement. Performer 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
Performer, 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 Performer. 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 Performer 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 Performer,
Performer 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 Performers retained by City.
15. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Performer shall be entitled to receive and the City shall pay Performer
compensation for all services performed by Performer 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 Performer 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
Performer 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.
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
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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
Performer 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. Performer 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:
City Clerk
City of Santa Ana
20 Civic Center Plaza(M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
With courtesy copies to:
Executive Director,
Parks, Recreation, & Community Services
Agency
City of Santa Ana
20 Civic Center Plaza(M-23)
P.O. Box 1988
Santa Ana, California 92702
To Performer:
Magic Makers Entertainment dba Richard the Magician
352 S. Center St.
Orange, CA 92866
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. All Exhibits referenced herein and attached hereto shall be incorporated as if fully
set forth in the body of this Agreement.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first
above written.
ATTEST: _,h, CITY OF SANTA ANA
nL li' R
ennifer . all Ivaro Nunez
City Clerk City Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO PERFORMER:
City Attorney
$ �icGt�d R!'bct,{fo
:aano uw .sass ix:s ri}
Jonathan T. Martinez By: Richard Ribuffo
Assistant City Attorney Title: Owner
RECOMMENDED FOR APPROVAL:
Hawk Scott
Executive Director
Parks, Recreation, & Community Services Agency
Page 9 of 9
EXHIBIT A
SCOPE OF SERVICES
I
Exhibit A
SCOPE OF SERVICES
VENDOR INFORMATION: Magic Makers Entertainment
EVENT: Summer Splash Day Camp, Kid's Night Out, Afterschool Programs
SERVICE DATE(S): 07/01/2025-06/30/2026. Performer shall present magic shows for one-hour shows
during dates, times, and locations upon written agreement between the parties.
COMPENSATION DUE TO THE PERFORMER: not to exceed $25,000.00 for the one (1) year term
of the agreement. The invoice will be electronically submitted and payment will be made via check or
credit card to Magic Makers Entertainment.
DESCRIPTION:
Magic Makers Entertainment shall provide one-hour of special entertainment in the form of magic shows
at Summer,Splash Day Camp,Kid's Night Out, and Afterschool Programs at the following locations:
El Salvador Community Center
Jerome Community Center
Salgado Community Center
Garfield Community Center
Roosevelt-Walker Community Center
The Performer will be paid within 45 days of the event.
EXHIBIT B
PERFORMER'S PROPOSAL
Exhibit B
Magic Makers Entertainment
Richard Ribuffo (Owner)
714-318-7538 1 1
352 S Center St,Orange,CA 92866
Adventure Magic Show Description:
California Joe's Adventure Magic Show takes the kids on a magical journey around the world! It
features magic tricks from all over the globe. The kids start in ancient Egypt with the literal
oldest trick in magic and then move on to Tanzania, Africa, to learn about jungle animals. The
Adventure Magic Show also features magic tricks about pirates and Irish fairies. At one point,
fairy tries to steal California Joe's table by making it float up in the air! The show is highly
engaging. The kids get to participate every step of the way. Some will be selected to join
California Joe on stage to help with the tricks.
The Adventure Magic show is California Joe's flagship show. It was the first to be designed
specifically for the character of California Joe and for children Pre-K through 5th grade. But, the
show also works with a for K through 8th grade, as long as the younger kids sit toward the front,
[CLICK HERE to view a VIDEO CLIP from the shawl
California Joe has been working with schools and educators since 2003 to present his shows in
a way that is fun, engaging, and educational. He continues to develop his performances by
adding new, exciting, effects and stays up to date with current educational techniques.
for MORE show descriptions CLICK HERE)
EXHIBIT C
COSTS/RATES-INVOICE E822
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!>M Creation Date: 2 Mc ic Makers
1 : Due Date: 7!l 8;'2025 E nitertainment
Organization: City of Santa Ana Parks
Richard Ribuffo(Owner)
First Name: Lupita 714 j l8 7ti38
Last Name: Palomares
Title: Recreation Peot�ram Coordinator cichardi r richardiliema$ician.com
Phone: 714-79?-0 k93 352 S CenterSt,Orange,CA.92866
lWebsitel
Email: 1palonarestc Santa-ana.org
LACPI..Vendor ID: 182692
Cc To:vrn till gttia;ct�santa-ana.org,jhoana(c sauta-ana,org SBGPL "enor ID:
Zti 78
Billing Address: '0 civic Center-Plaza�1-?3, Santa Ana,CA 9?701 SBC 4i'k14 r I
PO Num: -
Documents"Magic Nlakers Entertainment"
Make all checks payable to: Event
Total: 1000 USD [Company Documents
1Promo Phatosl
Deposit: 0 USD 1W- 91
[Auto Liability Waiver]
Balance: 1000 USD [Workman's Comp Waiiverl
[Vendor Agreement Doc1
Payment Method: Check [Insurance Doei
Show Description Doel
OOMWI Event Type: Camp ShowShow Title: Adventure Magic Shona
Events:July ISth: Quantity: 3
Performer: California Joe
10:30-11:3 Oa m Age Ranee: Prek-*th Grade
Salgado Recreation Center attendance: Up to 60
706 N Newhope St, Santa Ana, CA 92704
Details: Hello! I am looking to book 3 -45 minute nIagic
1:00-2:00pm shoves for our summer camp with the City of Santa Ana.
Jerome Recreation Center Each site will be inside one of our communiNI centers, The
736 S Center St, Santa Ana,CA 92704 theme of either week is"A mid Summer's Kni(,ht"or
"Passport to adventure". If you have a show that relates to
3:00-4:00pm either that Wouldbe great. Ideally the site visits would be
El Salvador Community Center 10:30-1 1:30.. 1:00-2:00,
18-25 W Civic Center Dr, Santa Ana.CA 92703
• Magic Makers Entertainment is the parent company of Richard The ilfagicirrn and SoCal Kids Mai
Pages 1 of 1
wu;,
SPECIALTY CERTIFICATE OF LIABILITY INSURANCE DATE
IMM/DDlYYY'/1
>i ;,, ; , r,, 1 06/20/2025
IMPORTANT:It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL_INSURED provisions or be endorsed.If SUBROGATION IS
WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER Specialty Insurance Agency Contact Name: Heather Weiss Zenzen
Performers of the U.S. Phone: 715-246-8908 FAX: 715-246-8908
3432 Denmark Ave#231 Email: cents@specialtyinsuranceagency.com
Eagan,MN 55123
INSURERS AFFORDING COVERAGE NAIC#
INSURED PERFORMERS OF THE U.S.AND ITS PARTICIPATING MEMBERS: INSURER A: Evanston Insurance Company 35378
Richard Ribuffo
INSURER B:
dba Magic Makers Entertainment, Inc
352 South Center Street INSURER C:
Orange,CA 92866
INSURER O:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
iNSD wvD DATE{MM/DD/YY) DATE(MMIDDPfl)
X COMMERCIAL GENERAL EACH OCCUnRENCE $1,000,000
LIABILITY DAMAGETO RENTED $300,000
CLAIMS MADE XOCCUR PREMISES(Ea occurrence)
GEN'L AGGREGATE LIMIT MED EXP(Any one person} $5 OOD
A APPLIES PER: X X 2CN0180-13838 03/2612025 03/26/2026 12:01am PERSONAL&ADVINJURY $1,000,000
X POLICY❑PROJECT GENERAL AGGREGATE $2,000,000
LGC PRODUCTS-CCMPlOP
AGG $ ,OOD
A PERFORMER ASSISTANT(S) EACH OCCURRENCE $
AGGREGATE $
A BUSINESS PERSONAL AGGREGATE $
PROPERTY-INLAND MARINE
SEXUALABUSEAND EACH OCCURRENCE $1,000,OOD
A MOLESTATION 2CN0180-13839 03/26/2025 03/26/2026 12:01 am
X accuR AGGREGATE $2,000,400
A DATA BREACH AND CYBER AGGREGATE $
LIABILITY COVERAGE
A EQUIPMENT LEASED OR RENTED AGGREGATE $
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.:
Richard Ribuffo dba Magic Makers Entertainment, Inc
Additional Insured:The City of Santa Ana, Risk Management,it's City Council,officers,employees,agents,representatives,and volunteers as additional inured.
Coverage is primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of Subrogation applies to general liability.
Thirty(30)day prior written notice of cancellation required.
Sexual abuse or molestation coverage is not excluded by endorsement.$1,000,000/$2,000,000 coverage limits apply to educational institutions only;otherwise
$100,000 each occurrencB/$300,000 aggregate limits apply to sexual abuse or molestation coverage.
Email:jhoang@santa-ana.arg Attn:,Julie Hoang Ongoing For Policy Period
Insured for:Balloon Twister,Childrens Entertainer, Magician,Public Speaker,Videographer,Rope Tricks Performer
oquny s.snm
Tu Tran APPROVED
Nguyen°:Ss'o:-0.a�a,
PTu T!O Nguyen at 2:55 pm,Jul 03,2025
CERTIFICATE HOLDER CANCELLATION
City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Attention:Parks,Recreation,and Community Services Agency BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING
COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
20 Civic Center Plaza M-23 CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO
Santa Ana,CA 92702 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
POLICY NUMBER: 20NO180-13838 COMMERCIAL GENERAL LIABILITY
CG 2012 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - STATE OR GOVERNMENTAL
AGENCY OR SUBDIVISION OR POLITICAL
SUBDIVISION - PERMITS OR AUTHORIZATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
State Or Governmental Agency Or Subdivision Or Political Subdivision:
City of Santa Ana
Attention:Parks,Recreation,and Community Services Agency
Santa Ana,CA 92702
The City of Santa Ana,Risk Management,it's City Council,officers,employees,agents,representatives,and volunteers as additional
inured.Coverage is primary and not-contributory with respect to insurance or self-insurance maintained by the City. Waiver of
Subrogation applies to general liability.Thirty(30)day prior written notice of cancellation required.
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 2. This insurance does not apply to:
include as an additional insured any state or a. "Bodily injury", "property damage" or
governmental agency or subdivision or political "personal and advertising injury" arising out
subdivision shown in the Schedule, subject to the of operations performed for the federal
following provisions: government, state or municipality; or
1. This insurance applies only with respect to b. "Bodily injury" or "property damage"
operations performed by you or on your behalf included within the "products-completed
for which the state or governmental agency or operations hazard".
subdivision or political subdivision has issued a
permit or authorization. B. With respect to the insurance afforded to these
additional insureds, the following is added to
However: Section III--Limits Of Insurance:
a. The insurance afforded to such additional If coverage provided to the additional insured is
insured only applies to the extent permitted required by a contract or agreement, the most we
by law; and will pay on behalf of the additional insured is the
b. If coverage provided to the additional amount of insurance;
insured is required by a contract or 1. Required by the contract or agreement; or
agreement, the insurance afforded to such
additional insured will not be broader than 2. Available under the applicable Limits of
that which you are required by the contract Insurance shown in the Declarations;
or agreement to provide for such additional whichever is less.
insured. This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
CG 20 12 04 13 c0 Insurance Services Office, Inc., 2012 Page 1 of 1
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER:
III 2CN0180-13838
M IRKEr
EVANSTON INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE, READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name Of Person Or Organization:
Any person(s)or organization(s)with whom the Named Insured agrees, in a written contract
executed prior to the 'occurrence", to waive rights of recovery
Additional Premium: $
The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV —
Commercial General Liability Conditions:
We waive any right of recovery we may have against any person or organization shown in the Schedule of this
endorsement.This waiver applies only to the person or organization shown in the Schedule of this endorsement.
All other terms and conditions remain unchanged.
MEGI_0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
with its permission.
POLICY NUMBER; 2CN0180-13838
COMMERCIAL GENERAL LIABILITY
CG 20 01 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY --
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance (2) You have agreed in writing in a contract or
Condition and supersedes any provision to the agreement that this insurance would be
contrary: primary and would not seek contribution
Primary And Noncontributory Insurance from any other insurance available to the
additional insured.
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
CG 20 0104 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1
CITY OF SANTA ANA
Risk Management a division of Human Resources
Managing Risk through Awareness and Action
AFFIDAVIT OF EXEMPTION FOR WORKERS' COMPENSATION INSURANCE
�A��a (``Representative"), attest that I am an authorized
(Name and Tide or Vendor Representative)
representative ofIA 1 S �`��, �—�(°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 ` ("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,
Si nature Date
C)
Print Name
l Title
Contact Informati ,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
Fwd: Auto Insurance Confirmation
1 message
Kelly Christensen Ribuffo<cplusten@gmail.com> Mon,Jun 23,2025 at 12:51 PM
To: Richard Ribuffo<richardribuffo@gmail.com>
Forwarded message
From:USAA<USAA.Customer.Service@mailcenter.usaa.com3
Date: Mon,Jun 23,2025 at 12:48 PM
Subject:Auto Insurance Confirmation
To: <cplusten@gmail.corn>
To ensure delivery to your inbox,please add USAA.Customer.Service@mailcenter.usaa.com to your address book.
USAA SECURITY ZONE
Kelly
Ribuffo
USAA#ending in:379D
Auto Insurance Confirmation
Dear Kelly Ribuffo,
Please use this as confirmation of auto insurance;however,this doesn't take the place of an insurance
identification card.
Registered owner: RICHARD RIBUFFO
Address: 352 S CENTER ST
ORANGE CA 92866
Policy number: GAR 01 3633790 7104
Policy effective date: February 24,2025
Policy expiration date: August 24,2025
Vehicle: 2022 SUBARU FORESTER
VIN: JF2SKAEC3NH487278
Bodily injury liability limit: $100,000
each person
$300,000 each accident
Property damage liability limit: $100,000 each accident
Comprehensive deductible: $500
Collision deductible: $500
Meets California minimum statutory liability requirements
This confirmation of coverage neither affirmatively nor negatively amends,extends or alters the coverage given
by the policy issued by Garrison Property and Casualty Insurance Company.
HOW to Contact Us
Thank you for choosing us for your auto insurance needs. If you have any questions,please contact us using
one of the following options:
`, Phone: 210-531-USAA(8722),our mobile shortcut#8722 or 800-531-8722
Fax: 800-531-8877
Thank you,
Garrison Property and Casualty Insurance Company
Garrison Property and Casualty Insurance Company,a subsidiary of USAA Casualty Insurance Company,is authorized to use
the USAA logo,a registered trademark of United Services Automobile Association.
40 Go Digital
Review and edit your online document preferences at usaa.com,
GO MOBILE You
apes&more
Please do not reply to this e-mail.
To contact USAA,visit our secure contact page.
Privacy Promise bll�
Garrison Property and Casualty Insurance Company,9B00 Fredericksburg Road,San Antonio,Texas 78288 V SW
93127-0111
For Roadside Assistance: 800-531-8555
Report a claim, get coverage and deductible information, request a tow from the accident
scene, schedule an appraisal or reserve a rental car using:
• usaa.com,
• USAA's Mobile App, or
• By calling 210-531-USAA (8722), our mobile phone shortcut number #8722 or
800-531—USAA.
California Evidence of Financial Responsibility
This ID card is evidence of liability insurance for your vehicle. The card is 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.
Insurance information has already been submitted directly to the DMV electronically, submit this
document to DMV only if specifically requested by DMV.
FCA 1 Rem. 06-25 50781-0625
----------------------------------------------------------------------------- ------------------------------------------------------------------
b a c k
CALIFORNIA EVIDENCE OF FINANCIAL RESPONSIBILITY
Name and Address of Insured NAIC 21253
California Evidence of Financial Responsibility
MRS KELLY M RIBUFFO Keep this card.
352 S CENTER ST
ORANGE CA 92866-2008 IMPORTANT: Evidence of financial responsibility shall
at all times be carried in the vehicle. Under vehicle
Digital I y signedcode (Section 16028) every driver involved in an accident
Tu Tran by TdT�T,T�au
"ate-2 must provide evidence of financial responsibility at the
Nguyen°ate:zoz5.,z.zz
,0:55:49-08'00' scene. Failure to comply is an infraction and shall be
punishable by fines, impoundment or license suspension.
APPROVED f
By Tu Tran Nguyen at 10:54 am,Dec 22,2025 0
1
MRS KELLY M RIBUFFO d
RICHARD RIBUFFO JR
Insurance Company
GARRISON PROP AND CAS INS CO
Policy Number Effective Date Expiration Date Additional copies available at usaa.com
01363 37 90R 7104 4 08/24/25 02/24/26
Vehicle Make/Vehicle Identification Number Year
SUBARU JF1GPAP62G8285795 2016 CONTACT US: 210-531-USAA(8722)
This policy complies with Sections 16056 of the California Vehicle Code. OR 800-531-USAA
This policy provides at least the minimum amounts of liability insurance
required by CA VEH CODE for the specified vehicle and named insureds and 9800 Fredericksburg Road, San Antonio, Texas 78288
may provide coverage for other persons and other vehicles as provided by 9
the insurance policy.
For Roadside Assistance: 800-531-8555
Report a claim, get coverage and deductible information, request a tow from the accident
scene, schedule an appraisal or reserve a rental car using:
• usaa.com,
• USAA's Mobile App, or
• By calling 210-531-USAA (8722), our mobile phone shortcut number #8722 or
800-531-USAA.
California Evidence of Financial Responsibility
This ID card is evidence of liability insurance for your vehicle. The card is 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.
Insurance information has already been submitted directly to the DMV electronically, submit this
document to DMV only if specifically requested by DMV.
FCA 1 Rem. 06-25 50781-0625
----------------------------------------------------------------------------- ------------------------------------------------------------------
b a c k
CALIFORNIA EVIDENCE OF FINANCIAL RESPONSIBILITY
Name and Address of Insured NAIC 21253
California Evidence of Financial Responsibility
RICHARD RIBUFFO Keep this card.
352 S CENTER ST
ORANGE CA 92866-2008 IMPORTANT: Evidence of financial responsibility shall
at all times be carried in the vehicle. Under vehicle
code (Section 16028) every driver involved in an accident
must provide evidence of financial responsibility at the
scene. Failure to comply is an infraction and shall be
punishable by fines, impoundment or license suspension.
f
0
I
MRS KELLY M RIBUFFO d
RICHARD RIBUFFO JR
Insurance Company
GARRISON PROP AND CAS INS CO
Policy Number Effective Date Expiration Date Additional copies available at usaa.com
01363 37 90R 7104 4 08/24/25 02/24/26
Vehicle Make/Vehicle Identification Number Year
SUBARU JF2SKAEC3NH487278 2022 CONTACT US: 210-531-USAA(8722)
This policy complies with Sections 16056 of the California Vehicle Code. OR 800-531-USAA
This policy provides at least the minimum amounts of liability insurance
required by CA VEH CODE for the specified vehicle and named insureds and gg00 Fredericksburg Road, San Antonio, Texas 78288
may provide coverage for other persons and other vehicles as provided by 9
the insurance policy.
Auto Insurance Confirmation Through February 2026
1 message
Richard The Magician<richard@richardthemagician.com> Mon, Dec 22,2025 at 10:16 AM
To: Richard The Magician<richard@richardthemagician.com>
To ensure delivery to your inbox,please add USAA.Customer.Service@mailcenter.usaa.com to your address book.
■ USAA SECURITY ZONE
Kelly
Ribuffo
USAA#ending in:3790
Auto Insurance Confirmation
Dear Kelly Ribuffo,
Please use this as confirmation of auto insurance;however,this doesn't take the place of an insurance
identification card.
Registered owner: RICHARD RIBUFFO
Address: 352 S CENTER ST
ORANGE CA 92866
Policy number: GAR 01 3633790 7104
Policy effective date: August 24,2025
Policy expiration date: February 24,2026
Vehicle: 2022 SUBARU FORESTER
VIN: JF2SKAEC3NH487278
Bodily injury liability limit: $100,000
each person/
$300,000 each accident
Property damage liability limit: $100,000 each accident
Comprehensive deductible: $500
Collision deductible: $500
Meets California minimum statutory liability requirements
This confirmation of coverage neither affirmatively nor negatively amends,extends or alters the coverage given
by the policy issued by Garrison Property and Casualty Insurance Company.
How to Contact U
Thank you for choosing us for your auto insurance needs. If you have any questions,please contact us using
one of the following options:
Phone: 210-531-USAA(8722),our mobile shortcut#8722 or 800-531-8722
do Fax: 800-531-8877
Thank you,
Garrison Property and Casualty Insurance Company
Garrison Property and Casualty Insurance Company,a subsidiary of USAA Casualty Insurance Company,is authorized to use
the USAA logo,a registered trademark of United Services Automobile Association.
Taking care of our members since 1922.
40 Go Digital
Review and edit your online document preferences at
GO MOBILE You
apes&more
Please do not reply to this e-mail.
To contact USAA,visit our secure contact page.
Privacy Promise
Garrison Property and Casualty Insurance Company,9800 Fredericksburg Road,San Antonio,Texas 7828.1, V SAA®
93127-0111
DATE
SPECIALTY CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY)
INSURANCE AGENCY 04/04/2026
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS
WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Specialty Insurance Agency Contact Name: Heather Weiss Zenzen
Performers of the U.S. Phone: 715-246-8908 FAX: 715-246-8908
3432 Denmark Ave#231 Email: certs@specialtyinsuranceagency.com
Eagan,MN 55123
INSURERS AFFORDING COVERAGE NAIC#
INSURED PERFORMERS OF THE U.S.AND ITS PARTICIPATING MEMBERS: INSURER A: Evanston Insurance Company 35378
Richard Ribuffo INSURER B:
DBA Richard Ribuffo of Magic Makers Entertainment
352 South Center Street INSURER C:
Orange,CA 92866 INSURER D:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
INSD AVID DATE(MM/DD/YY) DATE(MM/DD/YY)
X COMMERCIAL GENERAL EACH OCCURRENCE $1,000,000
LIABILITY DAMAGE TO RENTED $300'000
CLAIMS MADE X CCUR
PREMISES(Ea occurrence)
MED EXP(Any one person) $5,000
A GEML AGGREGATE LIMIT X X 2CN0183-13838 03/26/2026 03/26/2027 12:01 am PERSONAL&ADV INJURY
APPLIES PER: $1,000,000
GENERAL AGGREGATE $2 000 000
X POLICY PROJECT PRODUCTS-COMP/OP
LOG AGG $2,000,000
PERFORMER ASSISTANT(S)
EACH OCCURRENCE $
A AGGREGATE $
A BUSINESS PERSONAL AGGREGATE $
PROPERTY-INLAND MARINE
SEXUAL ABUSE AND EACH OCCURRENCE $1,000,000
A MOLESTATION 2CN0183-13838 03/26/2026 03/26/202712:01am
EjOCCUR AGGREGATE $2 000 000
A DATA BREACH AND CYBER AGGREGATE $
LIABILITY COVERAGE
A EQUIPMENT LEASED OR AGGREGATE $
RENTED
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.:
Richard Ribuffo DBA Richard Ribuffo of Magic Makers Entertainment
Additional Insured:City of Santa Ana, its City Council,officers,officials,employees,agents,and volunteers. Waiver of Subrogation applies to general liability.
Sexual abuse or molestation coverage is not excluded by endorsement.$1,000,000/$2,000,000 coverage limits apply to educational institutions only;otherwise
$100,000 each occurrence/$300,000 aggregate limits apply to sexual abuse or molestation coverage.
Email:juribe@santa-ana.org,VMunguia@santa-ana.org,Ipalomares@santa-ana.org Attn:Juan Magana Uribe Ongoing For Policy Period
Insured for: Balloon Twister,Childrens Entertainer, Magician, Public Speaker, Rope Tricks Performer,Videographer. Note:Athletic audience participation
exclusion applies.
APPROVED
By Tu Tran Nguyen at 9:40 am,Apr 09,2026
CERTIFICATE HOLDER CANCELLATION
City of Santa Ana,Attention: Parks, Recreation,and Community SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,THE INSURER AFFORDING
Services Agency COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
20 Civic Center Plaza CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO
M-23 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Santa Ana,CA 92701 INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE -u^ 1
y�l JI 2
Auto Insurance Confirmation thru 8/24/2026
1 message
Richard The Magician<richard@richardthemagician.com> Tue, Feb 24,2026 at 11:15 AM
To: Richard The Magician<richard@richardthemagician.com>
Auto Insurance policy with coverage limits through August 24th,2026
To ensure delivery to your inbox,please add USAA.Customer.Service@mailcenter.usaa.com to your address book.
USAA SECURITY ZONE
Kelly
Ribuffo
USAA#ending in:3790
J
Auto Insurance Confirmation
Dear Kelly Ribuffo,
Please use this as confirmation of auto insurance;however,this doesn't take the place of an insurance
identification card.
Registered owner: RICHARD RIBUFFO
Address: 352 S CENTER ST
ORANGE CA 92866
Policy number: GAR 01 3633790 7104
Policy effective date: February 24,2026
Policy expiration date: August 24,2026
Vehicle: 2022 SUBARU FORESTER
VIN: JF2SKAEC3NH487278
Bodily injury liability limit: $100,000
each person/
$300,000 each accident
Property damage liability limit: $100,000 each accident
Comprehensive deductible: $500
Collision deductible: $500
Meets California minimum statutory liability requirements
This confirmation of coverage neither affirmatively nor negatively amends,extends or alters the coverage given
by the policy issued by Garrison Property and Casualty Insurance Company.
How to Contact Us
Thank you for choosing us for your auto insurance needs. If you have any questions,please contact us using
one of the following options:
Phone: 210-531-USAA(8722),our mobile shortcut#8722 or 800-531-8722
IQh Fax: 800-531-8877
Thank you,
Garrison Property and Casualty Insurance Company
Garrison Property and Casualty Insurance Company,a subsidiary of USAA Casualty Insurance Company,is authorized to use
the USAA logo,a registered trademark of United Services Automobile Association.
Taking care of our members since 1922.
40 Go Digital
Review and edit your online document preferences at usaa.com.
GO MOBILE You
apps&more
Please do not reply to this e-mail.
To contact USAA,visit our secure contact page.
Privacy Promise
Garrison Property and Casualty Insurance Company,9800 Fredericksburg Road,San Antonio,Texas 78288 U JI"1I"��
93127-0111
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER:
III 2CN0183-13838
MARKEV
EVANSTON INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
LIQUOR LIABILITY COVERAGE FORM
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM
SCHEDULE
Additional Premium: $INCLUDED (Check box if fully earned EI)
Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this
endorsement may or may not be defined in all Coverage Forms.
A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by
valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property
damage" (including "bodily injury" and "property damage" included in the "products-completed operations hazard"),
and "personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named
Insured and only with respect to any coverage not otherwise excluded in the policy.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid
written contract or agreement to provide for such additional insured.
Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance
of any other provisions of such contract or agreement or the contract or agreement in total.
When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured.
No coverage applies to such additional insured for injury or damage of any type to any "employee" of the Named
Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such
injury or damage.
B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the valid written contract or agreement; or
2. Available under the applicable limits of insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable limits of insurance shown in the Declarations.
All other terms and conditions remain unchanged.
MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
with its permission.
COMMERCIAL GENERAL LIABILITY
POLICY NUMBER:
III 2CN0183-13838
MARKEL'
EVANSTON INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name Of Person Or Organization:
Any person(s) or organization(s)with whom the Named Insured agrees, in a written contract
executed prior to the 'occurrence", to waive rights of recovery
Additional Premium: $
The following is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV —
Commercial General Liability Conditions:
We waive any right of recovery we may have against any person or organization shown in the Schedule of this
endorsement. This waiver applies only to the person or organization shown in the Schedule of this endorsement.
All other terms and conditions remain unchanged.
MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
with its permission.