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DATE
A- 2015 -141
ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN
THE CITY OF SANTA ANA AND ORANGE COUNTY CENTER FOR CONTEMPORARY ART
This Artist Grant Agreement ( "Agreement ") made and entered this 4T" day of August, 2015, by
and between 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 "), and Orange County
Center for Contemporary Art ( "Grantee ") and, collectively with City, the "Parties ", is for the
purpose of providing grant funding pursuant to the Arts and Culture Artist Grant Program.
RECITALS:
A. On March 17, 2015, the City Council authorized the release of the "Investing in the Artist
Grant Opportunity Application," finding that it serves a legitimate public purpose to enrich and
invigorate the Santa Ana arts and culture landscape.
B. On July 16, 2015, the Arts and Culture Commission reviewed all applicants and determined
that Grantee is hereby awarded an artist grant based on its Application for its artwork ( "Project ")
attached hereto and incorporated herein as Exhibit A.
C. On August 4, 2015, the City Council approved the grant funding for Grantee and authorized the
execution of this Agreement.
D. In undertaking the performance pursuant to this Agreement, Grantee represents that it is skilled
and knowledgeable in the arts and culture arena and that any Project created or performed
hereunder will be created or performed in compliance with such standards as may reasonably be
expected from an artist.
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. Term. This Agreement shall be effective upon signature by both Parties and shall expire one
year from the date first written above, unless terminated earlier in accordance with this
Agreement.
2. Funding.
2.1. Subject to Grantee's performance of all required actions under this Agreement, City shall
provide funding, in one or more disbursements, as reasonably determined by City, of an amount
not to exceed Five Thousand Dollars ($55000) ( "Grant Amount" or "Grant ").
2.2. Appropriate performance of the Grantee will be determined by City in its sole discretion.
City reserves the right to cease funding after each disbursement.
2.3. City represents that there is no correlation or connection between its selection of institutions
for grant awards and an institution's business relationship or potential business relationship with
City.
2.4. Organization Grantees will be required to obtain and demonstrate holding a current City of
Santa Ana business license, as well as provide proof of active nonprofit status and good
standing with the Internal Revenue Service.
3. Grant Activities. Grantee agrees:
3.1. To perform the activities described in the Grant Application and Timeline submitted to City
for consideration dated May 23, 2015, a copy of which is attached as Exhibit A and incorporated
into this Agreement as if set out in full.
3.2. To submit all reports (each, a "Report ") which shall include, at a minimum, the items set
forth as required by the Application. No personally identifiable information shall be included in
any of the Reports, except where specifically requested. The Reports shall be in a format that is
reasonably acceptable to City. City may request additional information as City, in its sole
discretion, determines necessary to monitor performance of this Agreement. City shall have the
right to use any Reports submitted by Grantee, or any portion thereof, for any reason.
3.3. To facilitate site visits, conference calls and audits of Grantee, as reasonably requested by
City.
3.4. Grantee shall ensure that any areas utilized for the Project are maintained and restored to a
well- maintained, safe, sanitary, and clean condition, and kept free of any hazardous waste at all
times. All equipment associated with the installation of the artwork, trash and debris shall be
removed and cleaned up on a daily basis. Grantee shall place a drop cloth or similar barrier on
the ground below the artwork while installation is underway, which barrier shall be removed
each day upon completion of an installation session.
3.5. The Project may not contain advertising, religious art, sexual content, negative or violent
imagery, convey political partisanship or include any hidden, subliminal or camouflaged
messages or statements of any kind or nature.
3.6. The Project may not include any breach of intellectual property, trademarks, brands, or
images of illegal activity.
4. Termination.
4.1. City may immediately terminate this Agreement upon one or more of the following:
4.1.1. Grantee's violation of any federal, state or local law or regulation.
4.1.2. Grantee's breach of any of the terms or conditions of this Agreement, including the
Application and Timeline, or any unapproved deviation from said documents which has not been
cured within 30 days of written notice of such breach.
4.2. In the event the Agreement is terminated under Section 4.1, City reserves the right to
require Grantee to refund any or all grant funds awarded to Grantee under this Agreement, and
Grantee agrees to refund to City any or all grant funds awarded under this Agreement.
5. Limitation of Liability.
5.1. IN NO EVENT SHALL CITY BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL OR
CONSEQUENTIAL DAMAGES OR EXPENSES FOR ANY NEGLIGENCE, BREACH OF
CONTRACT OR ANY OTHER ACT ARISING OUT OF OR RELATING TO THIS AGREEMENT
OR THE ACTIVITIES COVERED HEREUNDER
5.2. Section 5 and Section 6 do not limit Grantee's rights, including its ability to seek recovery,
against anyone other than City, its directors, officers, employees, agents, successors and
assigns.
6. Insurance.
6.1. Prior to undertaking performance of work under this Agreement, Organization Grantees
shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Grantee shall maintain commercial general
liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and 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
Grantee'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, with
$1,000,000 in the aggregate. Grantee shall supply City with a fully executed additional
insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement.
b. The following requirements apply to the insurance to be provided by Grantee pursuant to
this section:
(i) Grantee shall maintain all insurance required above in full force and effect for the
entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of this
Agreement and shall be approved by the City.
(iii) 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.
c. If Grantee 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 Grantee's right
to be paid for its time and materials expended prior to notification of termination.
Grantee waives the right to receive compensation and agrees to indemnify the City for
any work performed prior to approval of insurance by the City.
7. Indemnification.
7.1. Grantee shall defend, indemnify, protect and hold harmless the City, or its elected and
appointed officers, employees, members or agents from and against all claims for damages,
liability, cost and expense (including without limitation attorney's fees) arising out of or alleged
by third parties to be the result of the negligent acts, errors or omissions or the willful
misconduct of the Grantee, and Grantee's employees, subcontractors or other persons,
agencies or firms for whom Grantee is legally responsible in connection with the execution of
the work covered by this Agreement. Grantee shall have no duty to indemnify or hold harmless
the City if claims, damages, liability, costs, expenses (including without limitation, attorney's
fees) arise from the sole negligence or sole willful misconduct of the City subsequent to
3
declaration by the Grantee. Grantee's obligations shall survive the termination of this
Agreement.
7.2. Grantee agrees to hereby fully release and forever discharge the City from any and all
claims, demands, damages, losses, and liabilities (hereinafter collectively referred to as
"claims "), which are or may be related to or in any way connected with the negligence or willful
misconduct of its officers, officials, employees, or agents in connection with the creation,
painting, performance or installation of the Project hereunder.
7.3. Grantee further agrees that City may in good faith and on reasonable terms settle any such
claims and that City's right to indemnification shall extend to any such settlement, provided City
has given notice of such claim and its intent to settle. City's right to indemnification is in addition
to, and may be exercised independently of, any remedy held by City under this Agreement, at
law or in equity. The indemnity provision set forth in this Agreement shall survive the termination
or expiration of this Agreement indefinitely.
8. General Provisions.
8.1. Grantee shall acquire prior written permission from City for any use of the City name or logo
in association with its Project.
8.2. If any parts of this Agreement are held to be invalid or unenforceable, the remaining parts of
the Agreement shall continue to be valid and enforceable.
8.3. This Agreement shall be construed and the rights and obligations of the Parties shall be
determined in accordance with the laws of the State of California, with venue of any action
arising out of this Agreement in Orange County, California.
8.4. Grantee shall comply with all governmental requirements which may now or in the future
become applicable to its activities under this Agreement.
8.5. This Agreement, including Exhibit A, Application, and any amendments or schedules
hereto, contain the full understanding and agreement of the Parties with respect to its subject
matter, and no waiver, alteration or modification of any of the provisions to this Agreement shall
be binding unless in writing and signed by an authorized officer of both Parties.
8.6. No waiver by either party or any breach, default, or series of breaches or defaults, and no
failure, refusal, or neglect of either party to exercise any right, power, or option given to it under
this Agreement or to insist upon strict compliance with the terms of this Agreement shall
constitute a waiver of these provisions with respect to any subsequent breach or waiver by
either party or its right at any time thereafter to require exact and strict compliance with
provisions of this Agreement.
8.7. Any notice or other communication required or permitted to be made or given by either
party pursuant to this Agreement will be in writing and will be deemed to have been duly given:
(i) five business days after the date of mailing if sent by registered or certified U.S. mail, postage
prepaid, with return receipt requested; (ii) when transmitted if sent by facsimile, provided a
confirmation of transmission is produced by the sending machine; or (iii) when delivered if
delivered personally or sent by express courier service. All notices to City shall include a
reference to the Project title.
All notices will be sent to the other party at its address as set forth below or at such other
address as such party will have specified in a notice given in accordance with this section:
Grantee: Oranqe County Center for Contemoorary Art
117 N. Sycamore Street
Santa Ana, CA 92701
City: City of Santa Ana
Clerk of the Council (M -30)
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, CA 92702
FAX (714) 647 -6956
8.8. This Agreement is subject to all applicable local, State and Federal laws
8.9. Grantee agrees to comply with all applicable equal opportunity and affirmative action laws
as appropriate, Grantee 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, training, utilization, promotion,
termination or other employment related activities. Grantee affirms that it is an equal opportunity
employer (if applicable) and shall comply with all applicable federal, state and local laws and
regulations.
8.10. Any funds provided under this Agreement that are not expended, obligated or otherwise
committed by the termination or expiration of this Agreement shall be immediately returned to
City.
8.11. Grantee shall maintain all pertinent financial and accounting records pertaining to this
Agreement in accordance with generally accepted accounting principles and other procedures
reasonably specified by City. Upon termination or expiration of this Agreement or request by
City, Grantee shall provide, at its expense, copies of all financial and accounting records
produced by it arising out of this Agreement.
8.12. Grantee shall allow audits, compliance or special reviews and inspections, including on-
site inspection, with or without prior notice, of Grantee's facilities by City or by third parties
designated by City, or their authorized representatives. Grantee shall provide its full cooperation
for any such audit, review or inspection, including providing timely access, for examination and
copying of records (including computerized records) pertinent books, documents, papers,
computer programs and records and reasonable access to its personnel.
8.13. Grantee grants to City a non - exclusive, irrevocable, transferable, royalty free, worldwide
license to use, reproduce, display, distribute, and prepare derivative works for the Project
conceived, performed or created as a result of this Agreement.
8.14. Grantee and any of the Grantee's agents, employees or representatives are, for all
purposes under this Agreement, an independent contractor and shall not be deemed to be an
employee of the City, and none of them shall be entitled to any benefits to which City employees
are entitled including but not limited to, overtime, retirement benefits, work's compensation
benefits, injury leave or other leave benefits.
8.15. Neither party shall assign any rights or obligations under this Agreement.
8.16. Each party 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.
8.17. Each party warrants that they have executed this Agreement knowingly, freely and
voluntarily and with full knowledge of its legal consequences. All parties involved warrant and
represent that, prior to executing this Agreement, each party has had the opportunity to review
and consider this matter with legal counsel, and that the terms of this Agreement, and its
consequences, are fully understood by each party.
8.18. This Agreement represents the entire agreement and understanding between the parties,
and supersedes any and all prior agreements and understandings between the parties, whether
oral or written.
8.19. 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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
Maria D. Huizar
Clerk of the Council
APPROVED AS TO FORM:
Sonia R. Carvalho
City P 4te)iey
City
RECOMMEND APPR VAL:
f
x
Kelly Rees der E cutive Director
Community Development Agency
CITY OF SANTA ANA
David avazos
City Manager
GRANTEE:
Name:
Title: �1�5d51 Xr DoF( l C�
EXHIBIT A
ARTS AND CULTURE ARTIST GRANT PROGRAM
APPLICATION
Orange County Center for Contemporary Art - Exhibition &
Perfromance
Jeffrey Frisch
5/23/2015
Name of Organization:
Orange County Center for Contemporary Art- Exhibition & Perfromance
Tax ID #:
95- 3545841
City Ward of Project:
2
Contact Person /Title:
Jeffrey Frisch
Address:
117 N. Sycamore Street, Santa Ana, CA 92701
Phone Number:
949 -933 -7300
Email:
Jfrischart!st@netzero.net
Website:
www.ocGca.org
Brief Description of Project:
Solo exhibition of internationally recognized assemblage artist George Herms, The
exhibition, free to the public, will include a performance, also free to the public,
presenting a music style called 'Jassemblage' which is heavily influenced by Mr. Herms'
assemblage art. Mr. Herms' art is in many national and international permanent
collections, both public and private.
Type of Application::
Organization is based in Santa Ana and proposes to use grant funds to provide arts and
culture programming in Santa Ana
Need::
$5000
I am applying for::
Programming Costs
EXHIBIT A
If other please state below,:
n/a
Organization Mission and History:
OCCCA MISSION
The Orange County Center for Contemporary Art ( OCCCA) is a California 501c(3)
non - profit corporation dedicated to the pursuit of professional excellence and freedom of
expression in the arts.
Since its inception in 1980, it provides emerging and established member and guest
artists a forum to explore and develop ideas in contemporary art in an atmosphere that
promotes experimentation and risk - taking, but without the specter of censorship.
In addition, OCCCA develops and actively participates in public educational, outreach
and community art services.
Located in the heart of Santa Ana's Artist Village, OCCCA presents a variety of
programs: films, forums, concerts, workshops, classes and first Saturday artist
receptions.
OCCCA HISTORY
Orange County Center for Contemporary Art is a non - profit California 501c3 corporation
operating as an Affiliate -run, uncensored, community gallery since its inception in 1980.
OCCCA began through the vision of its five founding members, Richard Aaron, Robert
Cunningham, Suvan Geer, Alhena Scott, and Carol Stella. The inaugural exhibition, in
September of 1980, featured Slator Barron, George Herms, and Dustin Shuler.
OCCCA has continued to function as a nurturing showplace for emerging and
mid - career member artists from the Orange County area. In addition to members work,
OCCCA strives to exhibit a variety of artists work from all media and career levels from
emerging through established late career artists. Artist members participate in all
aspects of professional art practice, including design and installation of exhibitions,
public relations /publicity, curatorial, accounting, grant and proposal writing, gallery
sitting, facilities maintenance, etc.
In its 30 year history, with a membership roster limited to 40 through its current by -laws,
OCCCA has exhibited over 800 guest artists and held numerous solo, group and juried
shows that have showcased more than 6,000 participants.
Affiliate members have shown in more than 600 one - person shows and 300 group
exhibitions. In addition, the organization has a long tradition of mounting non - member
exhibition and performance projects, and inviting outside curators to organize shows.
OCCCA exhibitions have consistently received overwhelmingly positive media attention
in regional newspapers, including the Los Angeles Times, the Orange County Register,
OC Weekly, Riverside Press - Enterprise, art - related publications, and radio and cable
and network television broadcasts.
OCCCA HISTORY, Cont'd.
Over the years, the scope of OCCCA's programming has expanded to include
collaborative and exchange projects with other venues throughout the United States
and overseas. OCCCA was the very first arts organization to commit to moving into the
Santa Ana Artists Village. With the generous assistance and support of the City of
Santa Ana, OCCCA was granted title and moved to its current 6,300 square -foot facility.
Ownership and member management and control of the gallery makes OCCCA unique
in the world of non - profit arts organizations.
In the past six years OCCCA has extended its international reach. The new facility has
enabled the planning of more ambitious large -scale projects most notably those in the
new media areas.
All of this is done in the spirit of voluntarism. OCCCA directors receive no salary. This is
a pure grassroots organization that works on the passion and creativity of its members,
who are artists themselves. Therefore by being a member you are an active participate
in Its vision and future. We are not beholden to anyone but our standards and
community.
Narrative for proposed use of funds::
INVESTING IN THE ARTIST — Orange County Center for Contemporary Art
Application: Use of Funds
SUMMARY: The funds will be used to provide an art exhibition and a top quality
professional jazz musical performance. The exhibited artist is George Herms, an
internationally recognized assemblage artist. Mr. Herms' art is in many national and
international permanent collections, both public and private. The exhibition, free to the
public, will include a performance, also free to the public, presenting a music style called
'Jassemblage' which is heavily influenced by Mr. Herms' assemblage art.
SPECIFICS: The funds will be used in three categories.
1. Exhibiting Artist Expenses: Fee and Compensation @ $3,000.00
2. Musicians Compensation: Five musicians @ $300 each = $1,500.00
3. Logistics: Truck rental for pick -up of art from artist's storage in Los Angeles,
preparation for transit, delivery to OCCCA in Santa Ana, after exhibition de- installation,
preparation for transit return delivery to artist's storage in Los Angeles, misc. supplies,
hardware, equipment for exhibition installation and de- installation @ $500.00
Supplemental Question 1::
None
Supplemental Question 2::
The OCCCA exhibition program has existed since the artist run gallery was created in
Santa Ana in 1980. This specific exhibition and musical presentation within the existing
program is unique, therefore new.
Supplemental Question 3::
The one month exhibition and one night jazz performance will be free and open to the
public and promoted widely through several existing social media platforms and
standard print and broadcast media -wide press releases.
Supplemental Question 4::
The exhibition of this particular artist of international reputation in the art world, has the
potential to bring additional regional and /or national and /or international cultural focus,
attention, viability, credibility to both OCCCA and the Santa Ana Artists Village with this
professional level high quality contemporary art and music.
Executive Board
Orange County Center for Contemporary Art (OCCCA)
117 N, Sycamore Street
Santa Ana, CA 92701
714- 667 -1517
Executive Director: Stephen Anderson
Assistant Director: Jeffrey Frisch
Treasurer: Christina Ponce
Secretary: Robin Repp
Exhibitions Director: Rob Mintz
Clty of So Me Ana,
My name Is Richard Chia rink My family and I are the owners of Chia rinI Marble and Stone, a long time
Santa Ana business located on Washington Street between Santlago and Lincoln, We have been at this
address for over thirty years. We have watched Santa Ana grow for years. My family and family
members live and vote, In Santa Ana. My children attended Santa Ana schools, as do their children,
My family has had a long -term commitment to Santa Ana and has enthusiastically supported its urban
renewal efforts, particularly those associated with the arts. My family supported ARTISTS VILLAGE
efforts when our company donated the large, courtyard Fountain on the Second Street Promenade, it
bears ourfamlly's name.
The Orange County Center for Contemporary Art (OCCCA) has been a pioneering and Important long
term contributor to Santa Ana's urban return to opportunity and downtown prosperity. It has provided
high quality art exhibitions my family and I have experienced and appreciated often.
This said, my family and I enthusiastically encourage you to support OCCCA'S 2015 "Investing in the
Artist" grant funding application.
Slncerelyy -
v
Richard Chlarini
INVESTING IN THE ARTIST
SIMPLE PROJECT TIMELINE
DATE
ACTION
OUTCOME
Agus @d- lsba0e,$We
M D01IFCl Is lnehllatl wN CCCG AdIt —W wlw,ur ebwentlllme. Ind Wee r ollg Id lrum tm M9ek5 otIrs,
Creates art exhibition
September 8, 2010
Art to the public
Public attended for Mcnthly Santa Ana Art Walk
September 10, 2616
''Texhibit
�'yopens
Jazz performance lance at gallery
Free and open to public attendance
Seplemhpl 26, 2016
Art exhibition closes
Gallery closed between exhibitions
September 36. e0, 2e16
mm lWille9lede. I�e laleewleeeeCAAnhrm ,mnerwl9�awlsoer,Mlho.II IW.ewlureh9,dlotoeAn9d,e,em9a
Gallery prepared for next exhibition
INVESTING IN THE ARTIST
LINE ITEM BUDGET
PROPOSED GRANT FUNDED PROGRAMMING SERVICES
PERSONNEL
Description of Personnel
(contracted instructors, lecturer honorarium,
artist stipend etc.)
Total Compensation
Grant
Funds
Requested
Artist George Herms Honorarium /Stipend
$3,000.00
$3,000.00
Five Musicians @ $300.00 each
$1,500.00
$1,500.00
$500.00
EQUIPMENT, MATERIALS AND SUPPLIES
ITEM
(equipment, material and supplies)
Quantity
Unit
Cost
Total
Cost
Grant
Funds
Requested
Truck rentals, misc. equipment and supplies
$500.00
$500.00
SPECIAL EVENTS
Description Total Cost Grant Funds
(permits, fees, facility rental) I Requested
INVESTING IN THE ARTIST
LINE ITEM BUDGET
PROPOSED PROGRAM BUDGET PROPOSAL
Enter budget categories and projected expenditures for the proposed proaram:
Category
Expenditures
Funded By
Santa Ana
Grant
Expenditures
Funded By
Other
Sources
(Including in.
kind)
Total Program
Budget
Total
Organization
Budget
Administrative Staff Salaries and
Benefits
Contractual /Professional
Services /Stipends
Equipment, Material, & Supplies
TOTAL PROGRAM BUDGET
Special Events Production
TOTAL
PROGRAM REVENUE
LIST ALL OTHER PROGRAM RESOURCES
Fundinq Source total must equal Total Pro ram
qef fisted above
Budc
FUNDING SOURCE
AMOUNT
Santa Ana Artist Grant
TOTAL PROGRAM BUDGET
EXHIBIT C
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy #
relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers,
employees, agents, volunteers and representatives 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 to 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.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
this endorsement form as a part of
Policy #
Issued to
Named Insured
Countersigned by
Authorized Representative
A CERTIFICATE OF LIABILITY INSURANCE
DATE , Y 8 /1 22016
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 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 lion of such endorsement(s).
PRODUCER
Clayton Insurance
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Al Whittier, CA 90603
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CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, . THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
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DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES(ACORD 101; AddRU V.I 110. ft S0ftc,may ba attached if mere syace LS myuired)
The City of Santa Ana is listed as additional insured
Insurance is: primary 'and non-contributory
C I
Cityof:Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ION PATE THEREOF, .NOTICE WILL BE DELIVERED IN
. WITH THE POLICY PROVISIONS.
ACQRD 25 (2014101) The ACORD name and logo are registered marks of
1001486 132849.9 02 -04 -2014