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HomeMy WebLinkAboutTEMECULA CARRIAGE COMPANY INSURANCE ON FILE WORD MAY PROCELD UN7tE*SURJ:NC`.EXr4i� N-2025-237 Hq UlliQ. CITY CLERK DATI. SEP 11 2025 O-.99t,S ftoR) CITY OF SANTA ANA (Zcdo�Cv NQvna+ Qz�D2) AGREEMENT WITH TEMECULA CARRIAGE COMPANY TO PROVIDE HORSE DRAWN CARRIAGE SERVICES FOR FIESTAS PATRIAS 2025 THIS AGREEMENT is made and entered into on this 2nd day of September,2025. by and between Temecula Carriage Company, LLC, a California limited liability company("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California("City"). RECITALS A. The City desires to retain a contractor having special skill and knowledge in the field of providing horse drawn carriages to transport dignitaries in the City's Fiestas Patrias Parade to be held on September 14, 2025. B. Contractor represents that it is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional 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 Contractor 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 Contractor 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 2,500.00. 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 Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH)transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. c. Payment need not be made for work which fails to meet the standards of performance Page I of 8 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 continue through September 30, 2025, unless terminated earlier in accordance with Section 15, below. 4. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent Contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 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 Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor 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 insurance Requirements are attached hereto and incorporated herein as Exhibit S. 7. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents,employees, contractors, special counsel, and representatives from liability: (1)for personal injury, damages,just compensation, restitution,judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons Page 2 of S i 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 Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding.Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 8. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor 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 Contractor to the City pursuant to this Agreement. 9. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 10. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information"shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered Page 3 of 8 by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) is independently developed by the Contractor without reference to information disclosed by the City. 11. CONFLICT OF INTEREST CLAUSE a. 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. 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 Consultant 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 CaIPERS retiree as authorized by City Council resolution d. The Consultant 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 Consultant warrants that it is not now aware of any facts which conflict with the prohibitions defined above. If the Consultant hereafter becomes aware of any facts that might reasonably be expected to create a conflict of interest, it must immediately make full 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. Consultant 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 (e) above. 12. NON-DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined i i Page 4 of S I I I I and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 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 Contractor 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, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services 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, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(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 Contractor 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 Ir Page 5 of 8 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 Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits,approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 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 Fax: 714- 647-6956 With courtesy copies to: Executive Director Parks, Recreation and Community Services Agency City of Santa Ana 20 Civic Center Plaza(M-23) P.O. Box 1988 Santa Ana, California 92702 Page 6 of 8 To Contractor: Temecula Carriage Company, LLC Attn: Marica Matson 40001 Berenda Rd. Temecula, CA 92591 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. [signature page to fallow] i Page 7 of 8 i SIGNATURE PAGE TO AGREEMENT WITH TEMECULA CARRIAGE COMPANY TO PROVIDE HORSE DRAWN CARRIAGE SERVICES FOR FIESTAS PATRIAS 2025 IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: CITY SANTA A - 1 ennifer all Klvaro Nunez r City Cler City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney By- onathan T. Martinez aMarika Mats Assistant City Attorney Co-Owner RECOMMENDED FOR APPROVAL: Hawk Scott Executive Director Parks, Recreation, and Community Services Agency Page 8 of 8 EXHIBIT A SCOPE OF SERVICES CONTRACTOR INFORMATION: Temecula Carriage Co. EVENT: Fiesta Patrias Parade SERVICE DATE: Sunday, September 14, 2025 from 9am-2pm COMPENSATION: Total NOT TO EXCEED $2,500.00 for Fiestas Patrias Parade on Sunday, September 14, 2025 from 9am-2pm. Included in the compensation: two (2) horses with one (1) carriage, with the Contractor's own staff. DESCRIPTION: Provide two (2) horses with one (1) carriage with Contractor's own staff. Temecula Carriage Company will provide: • Provide two (2) horses with one (1) carriage, with their own staff to transport City of Santa Ana Parks commissioners and youth in the Fiestas Patrias parade. • The expected time shall be from 9:00 am to 2:00 pm (5 hrs.) The Contractor will be paid no later than 30 days after the event. City will provide additional administrative and logistics details, in writing, to Contractor prior to the event date. OF -3 S r d a� t r�r�l/� . •a� `• ,' ' 'p,, Y;�^ Wit, ..,� ,�y -t .i EXHIBIT B INSURANCE REQUIREMENTS Contractor shall procure and maintain for the duration of the agreement, the following insurance coverages: MINIMUM SCOPE AND LIMIT OF INSURANCE. Contractor shall maintain limits of insurance coverage in the following minimum amounts and shall be at least as broad as: • Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence and $2,000,000 aggregate. • Automobile Liability(AL): Insurance Services Office Form CA 00 01 covering Code 1 (any auto), with combined single limits of$1,000,000. In the event Contractor does not maintain commercial automobile liability insurance, City will accept evidence of personal automobile insurance with existing limits, which can be lower than $1,000,000. • Workers' Compensation (WC): 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 Contractor has no employees. • If Contractor maintains broader coverage and/or higher limits than the minimums shown above, City requires and shall be entitled to the broader coverage and/or the higher limits maintained by Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to City. i Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions: 1. CGL and AL policies: City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, equipment, and personnel furnished in connection with such work or operations. 2. CGL, AL, and WC 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 Contractor for City. 3. All required insurance policies: For any claims related to this contract, Contractor'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. All required insurance policies: A severabiiity of interest provision must apply for all the additional insureds, ensuring that Contractor's insurance shall apply separately to each i I I insured against whom a claim is made or suit is brought, except with respect to the insurer's limits of liability. 5. Each insurance policy required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written notice shall be provided to City for policy cancellation or non- renewal due to non-payment. 6. Certificate Holder on each Evidence of Insurance certificate shall be: City of Santa Ana Attn: Rodolfo Hernandez Parks, Recreation, and Community Services, M-23 20 Civic Center Plaza, CA 92701 Location of Event: Santa Ana, CA Self-Insured Retentions Self-insured retentions must be declared to and approved by the City. City may require Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. Acceptability of Insurers Insurance is to be placed with insurers authorized to conduct business in the state of California with a current A.M. Best rating of no less than ANN, unless otherwise acceptable to City. Verification of Coverage Contractor 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 Contractor'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: 1. The retroactive date must be shown and must be before the date of the contract or the beginning of work. 2. Insurance must be maintained and evidence of insurance must be provided for at least three (3) years after completion of work. 3. 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, Contractor must purchase "extended reporting" coverage for a minimum of three (3) years after completion of work. Subcontractors Contractor shall require and verify that all sub-contractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from sub-contractors. Special Risks or Circumstances City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Temecula Carriage Company - Fiesta Patrias (2025) CAO signed (1 ) Final Audit Report 2025-09-11 Created: 2025-09-11 By: Stephanie Garcia(SGarcia5@santa-anaorg) Status: Signed Transaction ID: CBJCHBCAABAAP2W3rbRBItXtSvEvVBohOO8g6tEKpcxe "Temecula Carriage Company - Fiesta Patrias (2025) CAO sign ed (1 )" History Document created by Stephanie Garcia (SGarcia5@santa-anaorg) 2025-09-11 -4:15:28 PM GMT C+ Document emailed to Hawk Scott (hscott@santa-ana.org)for signature 2025-09-11 -4:15:32 PM GMT Email viewed by Hawk Scott (hscatt a@@santa-ana.org) 2025-09-11 -4:22:16 PM GMT Cho Document e-signed by Hawk Scott(hscott@santa-anaorg) Signature Date:2025-09-11 -4:22:32 PM GMT-Time Source: server Agreement completed. 2025-09-11 -4:22:32 PM GMT Adobe Acrobat Sign aco o1, CERTIFICATE OF LIABILITY INSURANCE DATEIMMrtaomrvl 09/08/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 19 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on r this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Miguel Granado NAME: AmRisk Insurance Services PHONE (48D}66&-5520 FAx A'.. !C No Ext: A!C No: PO Box 6230 E-MAIL Miguel.granado@amriskusa.com AnnRE55' INSURER(Si AFFOROING COVERAGE NA4C/! Scottsdale GO 85261 tNsuRERA: Scottsdale Insurance Camp any s INSURED INSURER a: r Temecula Carriage Company,LLC INSURER C: 40001 Berenda Road INSURER D: INSURER E: Temecula CA 92591 INSURER F: COVERAGES CERTIFICATE NUMBER: CL259800060 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 i INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. f INSR AUUL1bUdK1POLICY EFp POLICY %P }TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDI)NYYY LIMITS t X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ; 1 000000 } CLAIMS-MADE �OCCUR PREMISES Eacccureenee $ 160000 1 MUD EXP(Any one Gerson) $ 5000 A Y N CPS8083474 11/0212024 11/02/2025 PERSONALBADVINJURY $ 1000000 f GENT AGGREGATE LIMIT APPLIES PER- GENERALAGGREGATE $ 2000000 POLICY ElJPECOT F-1 LOC PRODUCTS-COMPlOP AGG 3 2000000 � OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accldent $ 1 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED N N AUTOS ONLY AUTOS BODILY INJURY(Par accident) $ _ HIRED NON-OWNED PROPERTY DAMAGE ' AUTOS ONLY AUTOS ONLY .Per accident $ $ 6 1 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ H EXCESS LIAR CLAIMS-MADE N N AGGREGATE ; 1 QED1. RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROP RI ETORIPARTNERIEXECUTIVE OFPf ERl ElNIEMEER EXCLUDED? NIA N E.L.EACH ACCIDENT $ [Mandatary in NHI E.L.DISEASE-EA EMPLOYEE $ If yes,describe under r DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ l N N 'r s DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Ad dlllonal Remarks Scheduie,may be attached if more space is requlrod) i The Certificate Holder Is included as an additional insured,but only with respect to liability arising out of the ownership,maintenance or use of that part of the premises rented or leased to the insured and shown in the Schedule and subject to additional exclusions set forth in the policy. Tu Tran Tu9TaInyN9 y nby - Nguyent25524zo APPROVED By Tu Tran Nguyen at 12:54 pm,Sep 111,2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Santa Ana Parks,Recreation,and Community Services,M-23 ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 Miguel Granado 04wa-o WID CORPORATION, All rights reserved. ACORD 25(2016103} The ACORD name and logo are registered marks of ACOR MATSONMA04 GROLLINGS '4CCJR0 CERTIFICATE OF LIABILITY INSURANCE DATE YYI 91812 �--� 91a12o25 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jay Jay Janssens NAME: Acrisure West Insurance Services,LLC PHONE FAX 1950 W Corporate Way (A/C,No,Ext): (AIC,No): 91 ADDRess:jjanssens@acrisure.com Anaheim,CA 9 2801-53 73 INSURERISI AFFORDING COVERAGE NAIC 9 INSURER A:State Compensation Insurance Fund of California 35076 INSURED ENSURER B Mark Matson dba Temecula Carriage Company,LL,C INSURER C 40001 Berenda Road kNSURERD: Temecula,CA 92591 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 ADDLSUBR POLICY IPOLICY EX? LTR TYPE of INSURANCE IN ❑ WVD POLICY NUMBER M DDIYYYY MlDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES lEa occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY❑JECT D LOG PRODUCTS-COMPfOP AGG I $ OTHER S AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT Ea accident S ANY AUTO BODILY INJURY Per person S _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED - PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $H r $ LUMI1.R,ELLA LIAR HOCCUR EACH OCCURRENCES LIAR CLAIMS-MADE AGGREGATE 5 DED RETENTION 5 5 A WORKERS COMPENSATION XPER AND EMPLOYERS'LIABILITY YIN STATUTE EORH :ANY PROPRIETORIPARTNERlEXECUTIVE ❑ X 9125855-25 212612025 2126/2026 1,000,000 OFFICIAMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ .(Mandatary in NH) E.L.❑ISEASE-EA EMPLOYE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Waiver of Subrogation applies to the City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers *30 days notice of cancellation applies to all liability;10 days notice for non-payment of premium. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 12:54 phi,Sep 77,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Parks,Recreation,and Community Services Agenc 20 Civic Center Plaza Santa Ana,CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE tMMIDDIYYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 9r8r2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Certificate Team Inszone Insurance Services, LLC PHONE FAX 2721 Citrus Road, Suite A c No Ext:877-308-9663 AIc No:916-400-2625 Rancho Cordova, CA 95742 A Ress: certs@inszoneins.com INSURERS AFFORDING COVERAGE NAIC# License#t OF62764 INSURER A:United Financial Casualty Co. 11770 INSURED TEMECAR-01 INSURER B: Temecula Carriage Company, LLC 40001 Berenda Road INSURER C Temecula, CA 92591 INSURERD: INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER:555967581 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WV0POLICY NUMBER MMIDDIYYYY MMIDDM°YY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ACV INJURY $ GENT AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATF $ POLICY PRO- JECT LOC PRODUCTS-COMPIOP AGG $ OTHER. $ A AUTOMOBILE LIABILITY Y Y 08156736 9/2712024 9127/2025 COaMBI accNEDidentSINGLEUMIT $1,000.000 E ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE 5 AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ s WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFICERlMFMBEREXCLUDED7 ❑ NIA (Mandatory€n NH) E.L.DISEASE-EA EMPLOYEE S It yes.describe under DESCRIPTION OF OPERATIONS below E.L.CISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Additional Insured with a Waiver of Subrogation on the Auto Liability. The aforementioned coverage is provided to the extent in the attached forms for:The City of Santa Ana, its officers, officials,employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Permittee including materials.parts,or equipment furnished in connection with such work or operations. APPROVE© CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at f2:54 pm,Sep It,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Parks, Recreation and Community Services Agency 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 ` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A�SCOTTSDALE INSURANCE COMPANY® CHANGE ENDORSEMENT NO. 6 Policy No, CPS8083474 Effective Date 09/09/2025 12:01 A.M. Standard Time Named Insured TEMECULA CARRIAGE COMPANY, LLC Agent No. 02018 COVERAGE PART INFORMATION—Coverage parts affected by this change as indicated by®below: ❑ Commercial Property IN Commercial General Liability 0.00 ❑ Commercial Crime ❑ Commercial Inland Marine ❑ Commercial Liquor Liability ❑ OCP Liability CHANGE DESCRIPTION In consideration of no change in premium, it is hereby understood and agreed that the following amendments have been made to this policy. Additional Insured -- State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations (OCP) added with CITY OF SANTA ANA PARKS, RECREATION, AND COMMUNITY PLAZA Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) added with City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers Form CC 24 04, 12-19, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) is added to policy. I AUTHORIZED REPRESENTATIVE DATE UTS-244L 06-92 SCOTTSDALE INSURANCE COMPANY® SCHEDULE OF FORMS AND ENDORSEMENTS Policy No. CPS8083474 Effective Date 09/09/2025 12:01 A.M. Standard Time Famed Insured TEMECULA CARRIAGE COMPANY, LLC Agent No. 02018 COMMON POLICY UTS-244L 06-92 CHANGE ENDORSEMENT FORM UTS-SP-2 12-95 SCHEDULE OF FORMS AND ENDORSEMENTS COMMERCIAL LIABILITY OLS-104L 06-92 SCHEDULE OF GENERAL LIABILITY CHANGES CG 20 12 12-19 ADDITTONAL INSURED-STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION-PERMITS OR AUTHORIZATIONS CG 24 04 12-19 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST,' OTHERS TO US (WAIVER OF SUBROGATION) UTS-SP-2(12-95) SCOTTSDALE INSURANCE COMPANY" SCHEDULE OF GENERAL LIABILITY CHANGES Policy No.: CPS8083474 Effective Date: 09/09/2025 12:01 A.M., Standard Time Named Insured: TEMECULA CARRIAGE COMPANY, LLC Agent No.: 02018 CLASS CODE INFORMATION AFFECTED BY THIS CHANGE IS ADDED DELETED OR CHANGED AS INDICATED. THE FOLLOWING CLASS CODE INFORMATION IS: ADDED Code No. Premium Basis 49950 INCLUDED Premises/Operations Premises Exposure 3 Rate Premium Classification: INCLUDED 'INCLUDED ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR Products/Completed Operations SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS (OCP) PER FORM CG 20 12 Rate Premium THE FOLLOWING CLASS CODE INFORMATION IS: ADDED Code No. Premium Basis 4���4 INCLUDED PremiseslOperations Premises Exposure 1 Rate Premium Classification: INCLUDED INCLUDED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Products/Completed Operations (WAIVER OF SUBROGATION) PER FORM CG 24 04 Rate Premium THE FOLLOWING CLASS CODE INFORMATION IS: Code No. Premium Basis Premises/Operations Premises Exposure Rate Premium Classification: Products/Completed Operations Rate Premium THE FOLLOWING CLASS CODE INFORMATION IS: Code No. Premium Basis Premises/Operations Premises Exposure Rate Premium Classification: Products/Completed Operations Rate Premium GLS-104L(6-92) POLICY NUMBER: CPS8083474 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 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 PARKS, RECREATION, AND COMMUNITY PLAZA 23-20 CIVIC CENTER PLAZA SANTA ANA CA 92701 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. i 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"included operations performed by you or on your behalf within the "products-completed operations for which the state or governmental agency or 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; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable limits of insurance. CG 2012 1219 ©Insurance Services Office, Inc., 2018 Page 1 of 9 POLICY NUMBER: CPS8083474 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUN❑ STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): CITY OF SANTA ANA PARKS, RECREATION, AND COMMUNITY CENTER PLAZA 23-20 CIVIC CENTER PLAZA SANTA ANA CA 92701 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 i PROGREll/UE" COMMERCIAL Policy number: 08156736 Underwritten by: United Financial Casualty Co, Insured: TEMECULA CARRIAGE COMPANY LLC September 9, 2025 Policy Period: Sep 27,2024 — Sep 27,2025 Mailing Address United Financial Casualty Co. Po Box 94739 Additional insured endorsement Cleveland,OH44101 1-800-444-4487 Name of Person or Organization For customer service,24 hours a day, City of Santa Ana Attention: Parks, Recreation, and Community 7 days a week 20 Civic Center Plaza, CA 92701, M-23 Santa Ana, CA 92701 This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage, The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. we also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage, Limitof Liabllilly Bodily Injury each perAW each accident Property Damage each acddent Combined liability $ 1,000,000 each acddent All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 08156736 Issued to(Name of Insured): TEMECULA CARRIAGE COMPANY LLC Effective date of endorsement: September 27, 2024 Policy expiration date: September 27, 2025 Fann 1198(07116) M CL I' Pfl®�1�EIJ/I!E° COMMERCIAL PROGRESSIVE PO BOA 94739 CLEVELANQ,QN Policy number: 08156736 44101-8971 Underwritten by: UNITED FINANCIAL CAS CO. Insured: TEMECULA CARRIAGE COMPANY LLC Policy Period: Sep 27 2024- Sep 27, 2025 Mailing Address UNITED FINANCIAL CAS CO. Temecula Carriage Company LLC Po Box 94739 CLEVELAND,OH 44101-8971 40001 Berenda Rd. 1-800-444-4487 Temecula,CA 92591 Far customer service,24 hours a day, 7 days week j WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: Commercial Auto Policy Motor Truck Cargo Legal Liability Coverage Endorsement Commercial General liability Coverage Endorsement We agree to waive any and all subrogation claims against the person or organization designated below. Name of Person or Organization: City of Santa Ana Attention: Parks, Recreation, and Community 20 Civic Center Plaza, CA 92701, M-23 Santa Ana, CA 92701 This endorsement applies to Policy Number: 08156736 Issued to: Temecula Carriage Company LLC Endorsement Effective: September 27, 2024 Expiration: September 27, 2025 All other terms, limits and provisions of this policy remain unchanged. Form 8610(02/19)M_CL i i ENDORSEMENT AGREEMENT STATE WAIVER OF SUBROGATION • BLANKET BASIS 9125855-25 FUND NEW SP HOME OFFICE SAN FRANCISCO EFFECTIVE FEBRUARY 26, 2025 AT 12 .01 A.M. AND PAGE 1 OF 1 EXPIRING FEBRUARY 26, 2025 AT 12 . 01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME Temecula Carriage Company, LLC 40001 Berenda Rd Temecula, CA92591 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER i NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED, NOTHING ELSEWHERE IN THIS POLICY SHALL HE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: February 26, 2025 2572 AUTHORIZED REPRESENT/IVE PRESIDENT AND CEO SCIF FORM 10217 IREV.4-20181 DLO OP 217