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Home My WebLink AboutORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER 8 (3) - 2015City of Santa Ana Clerk of the Council AGREEMENT TERMINATION FORM -- --........................................................... COTC Office Use Only 2019 Please complete this form when the attached agreement and all Y C JAi�TA A AK amendments (if any) are no longer in effect. CITCLY'O Qr NTil AN CIL Return form to the Clerk of the Council Office (M-30). Call 647-6520 if you have any questions. The agreement with No. N-2015-084 was completed on G �and final payment has been made. (List all amendments. Use space below if needed.) Department: ?RC -BA Phone/Ext.: Signature: Date: !I is [0( Revised 08-23-10 INSIIRMCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES GL-.Ixxi 1S wC, tiIA'f� CLERK OF COUNCIL DAIS: 0 2 2 2015 f�'. PRCSCI7 RECREATION SERVICES AGREEMENT W" THIS AGREEMENT is made and entered into this 6th day of May 2015, by and between &OMV Orange County Children's Therapeutic Arts Center ("Provider"), a California nonprofit public benefit corporation, 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 service provider having special skills, resources and knowledge to provide drawing, painting, and dance instruction in its recreation classes program. Fl. Provider represents that Provider is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Provider represents that it is knowledgeable in its field and that any services performed by Provider under this Agreement will be performed in compliance with such standards as may reasonably be expected. 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 Provider shall perform those services as set forth in Exhibit A to this Agreement. 2. COMPENSATION In consideration for the right to provide the programs set forth in Exhibit A, City agrees to pay the Provider seventy percent (70%) of all gross revenue received from program participants. Total revenue to Provider shall not exceed $25,000 during the term of this Agreement. Payment to Provider shall be made within thirty (30) days following completion of the last class taught by Provider that month. City shall be responsible for collecting all fees from program participants. Provider shall not collect fees but will refer all interested participants to City for registration information. Provider agrees that City shall retain thirty percent (30%) of all gross revenue received from program participants. 3. TERM This term of this Agreement shall commence on July 1, 2015.and ending on June 30, 2016, unless terminated earlier in accordance with Section 12 below. 4. INDEPENDENT CONTRACTOR Provider shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the manner in which Provider performs the services which are the subject matter of this Agreement; however, the services to be provided by Provider shall be provided in a manner consistent with all applicable standards and regulations governing such services. Provider shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. Provider is not an agent, representative or employee of City and Provider shall have no authority to act on behalf of the City. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Provider shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Provider shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Provider's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence and $2,000,000 in the aggregate, including coverage of sexual misconduct. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self- insurance programs maintained by the City; and (e) contain standard separation of insured's provisions. b. Worker's Compensation Insurance. In accordance with the provisions of California state law, Provider, if Provider has uiy employees, is required to be insured against liability for worker's compensation or to undertake self-insurance, Prior to commencing the performance of the work under this Agreement, Provider agrees to obtain and, maintain any employer's liability insurance with limits not less than $1,000,000 per accident. c. The following requirements apply to the insurance to be provided by Provider pursuant to this section: (i) Provider shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Certificates of insurance shall be famished to the City upon execution of this Agreement and shall be approved in form by the City. (ii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. d. If Provider fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Provider's right to be paid for its time and materials expended prior to notification of termination. Provider waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 2 6. INDEMNIFICATION Provider agrees to and shall defend, indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability 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 direct or indirect operations of the Provider or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement. The Provider 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 asserting personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arising by reason of the terns of, or affects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. 7. CONFLICT OF INTEREST Provider covenants that it presently has no interests and, shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 8. LIVE SCAN BACKGROUND CHECK Provider, and any employees, subcontractors or substitutes, in contact with minors rmrder eighteen (18) years of age shall arrange for and submit to a Live Scan electronic background check for criminal history available through the California Department of Justice as a condition of this Agreement and provide proof of compliance prior to performing services hereunder. 9. 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 cornmimucation in the mariner provided in this Section, to the following persons: To City: Clerk of the Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax (714) 647-6956 With copy to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 26 Civic Center Plaza (M-75) P.O. Box 1988 Santa Ana, California 92702 Fax (714) 571-4211 To Provider; Orange County Children's Therapeutic Arts Center 2215 N. Broadway Street Santa Ana, CA 92706 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. I£ 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 pruposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 10. EXCLUSI'VITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Provider regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Provider. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Provider or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. IL ASSIGNMENT/SUDSTITUTES a. Assignment. The experience, knowledge, capability and reputation of Provider were a substantial inducement for City to enter into this Agreement. Therefore, Provider may not assign, transfer, delegate, or subcontract any interest 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. b. Substitutes. In the event Provider is not able to teach a class due to illness or some other cause beyond Provider's reasonable control, Provider must procure, at its sole expense, a qualified substitute instructor to teach the class at its regular time and place. Provider shall ensure that substitute instructors are at least twenty-one (21) years of age and comply with the City's insurance and live scan requirements contained herein. Evidence of compliance with City's insurance and live scan requirements shall be provided upon request. Provider must immediately notify the City of the substitute instructor's name, qualifications, address and phone number, If Provider cannot procure a qualified substitute and the City is unable to assist in this regard, then the class shall be canceled and a make-up class must be added to the session. Provider must notify participants as soon as possible of any class cancellation and make-up class. 0 12. TERMINATION a. This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Provider shall be entitled to receive, and City shall pay Provider, compensation for all services rendered prior to the effective date of termination. b. Termination or cancellation of classes by the Provider outside of Section I Lb. must be given to the City at least thirty (30) days prior to termination/cancellation. Failure to provide adequate cancellation notice to the City may put future contracting of business with the City at risk and will result in the City's retention of ten (10%) percent of the final payment to Provider. 13, RECORDS Provider shall use attendance sheets generated and supplied by the City to record attendance in each class. Provider shall keep these and any other records in connection with the work to be performed under this Agreement and shall permit City, upon request, to review such records for a period of three (3) years from the date of final payment to Provider under this Agreement. 14. NONDISCRIMINATION Provider shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities, Provider affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 15. 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 farther 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. 16. LICENSES Provider shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies, 17. SEVERABILITX In the event that one or more of the phrases, sentences, clauses, paragraphs or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or tmenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs or sections of tlrik Agreement, which shall be interpreted to carry out the intent of the parties hereunder. 18. EXHIBITS All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 19. AUTHORITY The person(s) executing this Agreement on behalf of the parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that be so executing this Agreement, the parties hereto are formally bound to the provision of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written, ATTEST: � 2 Mari a D.1-1UIzar Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney ell John Funk Assi ant City Attorney RECOMMENDED FOR APPROVAL: I Executive Director of Park, Recreation and Community Services Agency CITY OF SANTA David Cavazos City Manager PROVIDER: ORANGE GOUTY CHILDREN'S THERAPEUTIC ARTS CENTER By: Exhibit A SCOPE OF SERVICES — Orange County Children's Therapeutic Arts Center A. Provider will teach various classes in painting, drawing, and dance for children ages 4-12, including but not limited to: Young Painters Painting & Drawing for Children with special needs Introduction to Painting & Drawing Painting & Drawing the Masters Introduction to Flamenco Dance B. Provider shall teach such classes at the dates, times, and, locations fixed by the City, in accordance with the City's needs. Classes are ordinarily taught one day per week, one hour per day within a given class term. C. Provider will provide and be responsible for equipment, records, and personnel and clean-up of the facilities and materials necessary to ensure the safety and effectiveness of instruction. CLASS SIZE A. The minimum number or participants is 4 per class, the maximum is 20. B. No registration will be accepted after the second week of classes. C, In the event the ininimum number of enrollees is not realized by the second meeting of the class, the class shall be canceled. Provider will be under no obligation to provide services for the cancelled class, and the City will have no further obligations to pay Provider compensation for the remaining classes that were cancelled in that session. CLASSFEES A. Each participant shall pay class registration fees as established by City. B. Provider may not waive class participation/registration fees. C. Only registered participants may participate in class. D. Any refunds to participants will be made in accordance with City policy. E. Any materials fee shall be established by mutual agreement of City and Provider and shall be payable directly to Provider, aCc3rrn� CERTIFICATE OF LIABILITY INSURANCE �.-- DATE 1/so/aox5 /30/„ 015 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the poiicy(ios) must 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 lisu of such endorsements), PRODUCER Comprehensive insurance Services 26429 Rancho Parkway South Suits 120 Lake Forest CA 92630 CONVACT NAM _ PHONE -, (949) 709-81300 r3csl,ov-lsae EADORE,S,info@ thecomprehensiveinsurance. com AFFORDING COVERAGE_ NAICq --INSURER(S) INSURER A:Nonprof its Insurance Alliance 11845 INSURED Orange County Children's Therapeutic Arts Center 2215 N. Broadway Santa Ana CA 92706 INSURER B: _ INSURER c: INSURER O: T� INsusERe. INSURER F: COVERAGES CERTIFICATE NUMBERIGL/Auto/Pro£/ISC REVISION NUMBER; THIS IS TO CERTIFY THAT THE POIJCIE$ 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 mMICH 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. ILTR TYPE OF INSURANCE COLS aR polmV NbMeEPo POLICY EVFFF 2/21/201412/21/2015 POLICY an, LIMITS A GENERAL LIABILITY COMMERCIAL GENERA. LIABILITY CLNMS-MADE OXOCCUR X 014-09201-NPq EACH OCCURRENCE S 1,000,000 MEocumm 5001000X ME D EXP{An one persenl $_—m 20,000 PERSONAL 3AD41NJURY $ 1/000/000 $0 Oeduatible _ GENF-RALAGGREGAI'E $ 2,000,000 _ PRODUCTS - COMPIOP AGO S m21000,000 GEN'L AGGREGATE LIMIT APPLIES PER. 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OISEASE-EAEMPLDYE S El, DISEASE -POLICY LIMIT S A Social Sery Professional 014-09201-NPO 212t/2014 2/21/2015 $1000 MAgRl1,WU0D00CC $0 Deductible A Impropar Sexual Conduct G14-09201-Nag 2/211201a12/2112015 51000.CCOAggIt.WO000Ea CI $0 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, A4di(tenal Remarks Schedule, it mate space is mgpimU) The City of Santa Ana, its officers, employees, agents, and representatives are included as Additional Insured per attached endorsement special city agreement. This insurance is primary and non-contributory, 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy Provision. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana (The) ACCORDANCE WITH THE POLICY PROVISIONS. Finance & Management Services Agency 20 Civic Center plaza AUTHORIZED REPRESENTATIVE PO Box Box 1988 M-16 Santa Ana, CA 92702 - Richard Eynon/JEREMY ACORD 25 (2010105) Q 1988.2010 AGORCORPORATiVil rights reserved. INS026 =1a,etol The ACORD name and logo are registered marks of ACOF INS9d91eawaetnr CERTIFICATE OF LIABILITY INSURANCE �r2H/z.....I THIS QERTIPICATE IS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 0Y THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, the terms anti conditions of the policy, certain p cortidcate holder III Ilea of such endorsements) PRODUCER Comprehensive Insurance, Services 26429 Rancho parkway South Suite 120 make Forest CA 92630 Orange Coanty Childsen`.s Therapeutic Arks Center 2215 N. Ureadway may require an endorsement. A Statement LET this cerBnca e, does not confer hl7Afs to the j rvn„cn An.ma rrnr,clry A rc Nil MIAUCJIrr./A„frrI P—P I T.AV RPVRF LAM MIIMrM1pp, drill THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAh4ED ABOVE FOR THE pUL(GY PERIOD INDICATED. NODMTHSTANDING ANY REOUIREMCN'r, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCI1MEN I V41It RESPECT TO VWIICH THIS CERTIFICATE MAY RE ISSUED OR MAY PERTAIN, THE PltUILSNCE AFFORDED BY THE POLICIES DFSCRIeFD HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY SUAVE BEEN REDUCEO BY PAID CIAIMS. IflTht£.�...._...,�,..._--.� l'Rill _..._...._..._._........... ...__ LI'JY E TrC�74NV LIMITS, --.�.......r.�..-.n LTA TYPE qF Ir7"URANCE FOLICY RnMa"R gVIERAL LIABILITY - _01AIDDYWY11,MVUgttYV'rf EAGI#OCGi3RRiiNCL 3 1, 000, 00IM RT...�.....---_.,...,._,., tg. 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AaearYfi uMler eL`J4`RIPFIUN OF OPEiL1PIOtl3 FnY.an A Sooial Sery Professional 014-09202-HPO 2/2112014 L2/24/2013 iI,CD0,C09A9UtI,IXW,WCOrp $0 Deductibles i A i XmpropexrSexual Conduct 014-OL12ok-100 �2l21/201412/21/2019 51,CCO.CL\Y\Da/i oc0.f,C0 Ea CI $0 DeduoGible !igE9r:RICit 0R OPR SantarIAna,pNSIVNHIff oars, eimtot,yess al Remarkssn, and re re lerntati The City aP Santa Ana, its ofP;[aars, smp.laysas, entente, and representatives are included as Additional insured per attached endorsement CG2010 OTOA, This insurance is primary and non-contributory. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy �provinion. i City of Santa Ana (The) Finance & Management Services Rgenoy 20 Civic Center Plaza PO Box 1998 W-16 Santa Ana, CA 92702 7 pa Richard &ynon/JER OIY LET 994k1.201U ACORD CO RATION, All rights rosented The ACORD ranee and logo are registered mark" of AOORO ` 1 7r SHOULD ANY OF THE ASOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OEUB ERIED IN ACCORDANOE WITH THE POLICY PROVISIONS. AUTTIOR14ED CERTIFICATE OF LIABILITY INSURANCE DATE II441001YYYYI 1/30/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND DUMPERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE 00E5 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), AUTHORIZE(.) REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the polfcy(las) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the poilcy, certain peliclos may require an endorsement. A statement on this oedificale does not confer rights to the I Certificate bolder b1 lieu of Such ontfors0nlent(s), !PRODUCER Comprehensive Insurance Services 26429 Rancho Parkway South of t�111�0.6r PHONE {94 g)709-OBOO rrj pJo,(044j T09-t66e e. 14 ,infoS thacompr®hsneivsinsurange, corn INSURERtSI APFOROING COVERAGE. �11845 NA124._ Suite 120 INSURSRA:NonprOfitS Insurance Alliance Lake Forest 92630 u_CA INSURED. -- Orange County Children's Therapeutic INSOREac_,______� _ INSURERU� Arts Center INSURER E. 2215 N. Broadway INSURER F: '.Santa Ana CA 92706 COVFRAGFSI CFRTIFICATE NUMRER:GL/Auto/Prof/r3C REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR (HE POLICY PERIOD INDICATED. 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B ADV INJURY +-_20,000 3 11000,000 $0 Deductible ��--- WNC:RAL AGGREGATE- S 2,000,000 _ G[N'4 AGGREGATE LIMIT APPLIES PER PRODUCTS -COIAPPIP AGO 5 2 Boo, 000 I S X Poi ry PRl1 Inc AUTOMOBILE LIABILITY COMONEU SING ELUA BODILY INJURY{Per person{ S 1,000, 000 A ANY AUTO AH.OYNEO SCNEUULEO AUTOS AUTOS NON•OVkNED X HIREOAUTOS '� AU'I'03 014-09201-HPO 12/211201412/21/2015 ODDLY INJURY HPar aMdznb 5 FO Vnducl,D'oX S UMEHRL"LMS OCCUR eACHOCCURRENC�_ S AOOREQATE $ r, EXCESS UPS CLAIIIIIWOC DED RE Et TION _ - S WORKERS COMPENSATION AND EMPLOYERS' LIABRJTY 1fi'r PROPRIErONPARTNER,EXEOUTIVE jY�JN OPFICAR!AENUEN EXCLUeoll l l a6londatord10NN) t!(A _ NICSTATt „—SSeBY IIM1ifr3 __]a ....._ EL EACH ACCIOENt S - EL DISEASE- eA E61PLUYE ---- $ CL O(9EASE -POLICY CtMIT 13 _ �I yyOB, tktlG,YH U'R,, OE SaC_RIP_TION OP OPERATIONS Oamw A Social Sery Professional 014-09201-NPO 2121/20L4 2/21/2015 gi,epgp:ObJyl1,,XI0,CCDOCG $0 Deductible A Improper Sexual Conduct 014-09201^NPO 2/21/2014 2/21/2015 g1,tlCO,CC0Ag011,C00,Cgi ES CI $0 Deductible DESCPIPTION OP OPERATIONS I LOCgTiONSJ 48NIC48s JAM00 ACORe 01,AdlELional RamarNs IRA4&16, R mote spaoo Is roquhed) The City of Santa Ana, its officers, employees, agents, and roproaontatives are included as Additional Insured per attached endorsement spacial city agreement. This insurance is primary and non-contributory. 30 day notico of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision, City of Santa Ana (The) Finance & Management Services Agency 20 Civic Center Plaza PC Box 1988 M-16 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ACORD COQWORA INS026t2aP;mini The, ACORD name and logo are, registered marks CIA Acr�nv" CERTIFICATE OF LIABILITY INSURANCE �---' D/2B/2015Y) 1128/2015 _ THIS CERTIFICATE dS 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: It the certificate holder is an ADDITIONAL INSURED, the poilcy(loa) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this cer6flca(e does not confer rights to the certificate holder in lieu Of such andorsement(s). PRODUCER Comprehensive Insurance Services CONTACT NAME: _ - ~� '"'cl:xH (949)709-8800 Nol•f444)?04-14BB 26429 Rancho Parkway South �SUite 120 ,Lake Forest CA 92630 ...�._w...u....�,._ _..__w_..,_..._..,._._ px Al nPo@ thecomprehonsivoinouranae, com lNSUREfl3 AfFORDiNG COVERAGE � -- NA104 -5 -- msurseRn:Wesc^o Insuranwe Company�— ._... 5011 INSURED INSURERS: Orange County Children-s INSURER C: T�•T__u�_ ��r��- �. Therapeutic Arts Center INSURER o: _ _ _ INSURERS: 221.5 N. Broadway Santa Ana CA 92706 ffltm F; WWI=MAXM . *! a tull a N161 va"Im LIMIT arm elaTICTGIM , THIS IS TO CERTIFY -THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVATHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT AArH RESPECT TO VBHICII THIS CERTIFICATE MAY SE. ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUSJFCT TO ALL. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOVIN MAY RAVE BEEN REDUCED SY PAID CLAIMS. L'rR TYPE GPINBURANCE POLI YNIJNNIR I Itl V Y IIV Y LIMITS_ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MAGI' OCCUR EACH OCCURRENCE a 7TAaA , iNaTTEII.� -E(3�F'M,jS�jBa,=anW>�1_ 9 41ED CXP ft, cnl p¢rsanl S PERSONAL S ADVNNURY S Y GENERAL ACORWATE S ^Y� GCN'L AOORCOArC LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S P LICY PRO- LOU i AUTOMOBILE LIAaIUTY h111N'O SI LC CAI' (Ee acc'aky./t ANY AUTO 0ODRY INJURY sia "uml 5 Air UVMIEn SCHEDULED hUAUi T03 NONOWIED ITI{iLUAUiOS AUTOS 00OILY INJUItY Rier dx' rq S PROPERTYU�. dA0f+1 G `"------ $ UMBRELLA LIAR .._ OCCUR — CACHOCCURRCNCE S AGGRL'OA-FE S EXCESS LIAO CLAINIShbVOE OC M RTIONS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN MY PROPRICTORIPARMEIbGXECtA10EI��T orrICERVidE1AOER EXCLUDED? E�y' (h" elor, In NH( Ry'roS deSCntmundvr NIA s0aR70s /lA/20F4 /iA/ZO1S RN 3 A TO A U; OTer EL FOOD ACCIDENT S 1,000,002 LLDISEASE-EA EM1fPLOYE S 1.000, D�0 E L DISEASG- POLICY LIMIT -- § 1 000 000 Ol"CRIPTIUN OF OPERATIONS trYne: _. _._ tlESCRIay o OPEe of!31 ance la VEHICLES with nroquno 10 claynotice SO day notice oC cancellation with 10 day aotiam n£ cancellation For non-payment of premium per policy cancellation provision. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana (The) ACCORDANCE WITH THE POLICY PROVISIONS, Finance G Management Services Agency --- 20 Civic Center Plaza AUTRoaaED BfPREser+rAnve PO Box 1988 M-16 Santa Ana, CA 92702 .--.? Richard Eynon/JERENY -�• ACORD 26 (2010/0S) Q 1988.2010 ACORD CORPORATION. All rights c08 ved. IPIS07.S Ivmwetm The ACORD narma and logo are registarod marks of ACORDft t�iV �_� lV`.. ADDITIONAL INSURED ENDORSEMENT Insurance Company Nonprofits Insurance Alliance of California This endorsement modifies such insurance as is afforded by the provisions of Policy tk2014-09201-NPo relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30)*days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. *Except 10 day for cancellation due to non-payment of premium -"— -- (Completion of the following, Including countersignature, is required to make this endorsement effective.) Effective 2/20/15 this endorsement form as part of Policy # 2014-09201-NPO Issued toQrange Cnunty Chfidren's Therapeutic Arts Center Name Insured f Countersigned by hnurmn•,Agrnl •i uur.��._ COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 2014-0920'1-NPO CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This +rndnrseinant rrtodiltes Inswanco provided under the foliowmg, COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization (s): The City of Santa Ana, Its officers, employees, agents, and representatives Any person or organization that you are required to add as an additional insured on this poifsy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your octivliles as a real estate manager for that person or organization. Location(s) Of Covered Operations All insured promises and operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section 11 — Who Is An Insured is amended 8, With respect to the insurance to include as an additional insured the afforded to these additional insureds, person(s) or organization(s) shown in the the following additional exclusions Schedule, but only with respect to liability for apply: "bodily injury", "property damage" or "personal This insurance does not apply to and advertising injury" caused, in whole or in 'bodily injury" or "property damage' part, by: occurring after: 1. Your acts or omissions; or The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insuied(s) at the location(s) designated above. C'G 20 10 07 04 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 1 That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project ')ISO Properties, Ina, 2004 Page 1 of 'I CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 4/8/2015 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the cortifioate holder is an ADDITIONAL INSURED, the policy(les) most 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 Comprehensive Insurance Services 26429 Rarloho Parkway South Suite 1,20 Lake Forest CA 92630 INSURED Orange County Children's Therapeutic Arts Center 2215 N. Broadway Q `02oks7- 091 VCONN ,Exa; (949)709-8800 FAX Net: I949) roe -lase ADDRESS:info@ thecomprehensiveinsurance, com INSURERSI AFFORDING COVERAGE NAIC4 INSURERA:MQS00 Insurance Company 25011 INSURER B INSURER C: INSURER 0: INSURER E Santa Ana CA 92706 1 INSURER F: COVERAGES CERTIFICATE NUMBER'WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI1E POLICY PERIOD INDICATED, NOTWTHSTANDINO 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. in TYPE OF INSURANCE ADOL SUBR pOUCY NUMBER POLICY EPP POLICY EXP RISE WVQCOMMERCIAL LIMITS GENERAL LIABILITY EACH. OCCURRENCE 5 DAMAGE TO RENTED CLAIMS -MADE OCCUR PREM18ES (ED oaudencel $ MED CXP(Any one parson) 6 PERSONAL & AOV INJURY g GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRO- POLICY '\\+I JECT LOC V `f PRODUCTS COMPtgP AGG 3 _. OTHER QJ 4 AUTOMOBILE LIABILITY {{{��\\\ 5211�12-111o"PJOUE LIMIT 5 nab ANY AUTO CJ BODILY INJURY iPw PerAwd S ALL OWNEDSCHEDULED AUTOS ��T'„"ry � BODILY INJURY(Perarcidem) S HIRED AUTOS AUTOOSkD (°� \ +PacDac cimjYxE 3 UMBRELLA LIAR OCCUR 1^'T ) EACH OCCURRENCE 5 EXCESS LIAR CLAIM&MADE x AGGREGATE $ DED RETENTIONS IP WORKERS COMPENSATION X STATUTE AND EMPLOYERS' LIABILITY YIN RH ANY PROPRIETOMP.4RTNEWEXECU7IVE F L EACH ACCIOENI$ 1,000,000 OFFICERMEMBER EXCLUDES' NIA - A (Mandate"idNB WW0088783 4/14/2015 4/14/2016 E.L. DISEASE- EAEMPLOYEES 1,000,000 <lIPTION under Dyes, OESCPIPTION OF OPERATIONS below E.L, gISEASE-POLICY LIMIT S 1 000 00G DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schodule, maybe apacpadlf more space lsrequiodi 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. City of Santa. Ana (The) Finance 6 Management Services Agency 20 Civic Center Plaza PO Box 1988 M-16 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE rd Eynon/T1`R:F.;td>` Q 198&2014 ACORD CORPORATION. All riahtS rnsarvrad. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025ooiJOU CERTIFICATE C)F LIABILITY INSURANCE DATE (MMPDDIYYYY)1/B/2016 THIS CERTIFICATE IIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE, HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If 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). PRODU'CER.. CONTACT Certificate Issuance Team NAME: Comprehensive Insurance Services PRONE (949)709-8800 FAX 1949)709-1668 _(A1C, No, Ext):.. .... ._.. _. (AIC._No):.. 26429 Rancho Parkway South AIL ADDRESS,info@ thecomprehensivelinsurance.com. Suite 120 _.. INSURER($) AFFORDING COVERAGE NAIL N Lake Forest CA 92630 INSURERA;Nonprofits Ins Alliance of CA INSURED INSURER. B : Orange County Children's Therapeutic Arts Center INSURERe. 221.5 N . Broadway r m^.^'".... ° I ('"µ, ,.. INSURE'R D : INSUREER. E : Santa. Ana CA 92706 INSURERP: COVERAGES CERTIFICATE NUMBER:GL/Auto/Prof /ISC 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 AADDL SUBR POLICY Ell POLICY EkP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR. 10f2Eccurr ... 500,000 PREMISES PF2E.MISES.(Eadca;.utrence}. $ ........ ._._°.. X 2015--09201-NPO 12/21/2015 12/21/2016 MIED EXP (Any one person) $ 20,000 . ........ PERSONAL &ADVINJURY $ 1,000,000 ......... GEN'L AGGREGATE I..IM,IT APPI IES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECTPRO- X '....LOC PRODUCTS -.COMP/OP AGG $ ..... 2,000,000 OTHER. $0 Deductible $ AUTOMOBILE LIABILITY .. COMBINED SINGLE LIMIT $ 1 , 000,000 (Ea accident), ANY AUTO BODILY INJURY (Per person) $ ..__. ALL. OWNED SCHEDULED AUTOS AUTOS '.. 2015-09201-NPfl 12/,21/201.5 12/21/2016 BODD ILY INJURY (Peraccddenl) $ X..''. NON -OWNED X '.. PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acmden4)... . _..$. _. ng $0 Deductible UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE'...iti4�" ``��, AGGREGATE..... $ QED '.. RETENTION $ /,. '. $ WORKERS COMPENSATION „t" .,PER OTH- LITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OPRIETRER .,.. ,ry, ASTATUE. R (''" A..1` 'ti\ +' EACH `.+I E.L. EACH ACCIDENT $ EXOSIUER/E OFFICER/MEMBER E N / A ..... .... 1, r (Mandatory in NH) \ E L. DISEASE - EA EMPLOYEE $ If yes, describe under _.. ._._. ._. DESCRIPTION OF OPERA-HONS below E_L. DISEASE - POLICY LIMIT $ ,A ',. Social Sery Professional 2015-09201-NPO 12/21/2015;.1.2/21/2016 $1,000,000Agg/1,000,090OCC $0 Deductible A Improper Sexual Conduct 2015-09201-NPO 12/21/2015 1.2/21/2016 $1,000,000Agg11,000,QW Fa 01 $0 Deductible DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,. Additional Remarks Schedule,, may be attached It more space Isrequired) City of Santa Ana, its officers, agent's, employees and volunteers are included as Additional Insured per attached Special City Agreement. This insurance is Primary and Non-contributory. 30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per policy provision. t;nK I IFIC;A I n City of Santa Ana. Parks, Recreation & Community Services Ag 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE, THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE 41 i chard Eynon/JEREMY n 1988.2014 ACORD CORPORATION. All rights reserved, ACORD 26 (2014101) INS025 (2014401) The ACORD name and logo are registered' marks of ACORD ADDITIONAL INSURED Agreement Insurance Company Nonprofits Insurance Alliance of California Nonprofits ... . ... . ..... This endorsement modifies such insurance as is afforded by the provisions of Policy #2015-09201-NPO -relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured, 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds, 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included, 4� With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30rdays written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, *Except 10 day for cancellation due to non-payment of premium (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 12/21/2015 Policy # 2015-09201-NPO this endorsement form as part of issued to Orange County Children's Therapeutic Arts Center Name Insured i MalCountersigned by J I W uw nsurancc A,!lul 14 11 rr