HomeMy WebLinkAboutORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS CENTER (6) - 2015INSURANCE ON FILE
WORK MAY PROCe2f1 A-2015-139
INTII INSt1RANCE EXIIR18
t 2.-21-15
CLERK FCPiUNCIL
CJ DAfE: r-XRTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN
THE CITY OF SANTA ANA AND ORANGE COUNTY CHILDREN'S THERAPEUTIC ARTS
CENTER
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i
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
Children's Therapeutic Arts Center ("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 Ten Thousand Dollars ($10,000) ("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 26, 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
3
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
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: Orange County Children's Therapeutic Arts Center
2215 N. Broadwa
Santa Ana, CA 92706
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.
5
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
Kelly Reender ,Yxecutive Director
Community ve opment Agency
7
CITY OF SANTA ANA
Davi--�JI
City Manager
GRANTEE:
n
O �
Name:
Title:
EXHIBIT A
ARTS AND CULTURE ARTIST GRANT PROGRAM
APPLICATION
Date Submitted:
INVESTING IN THE ARTIST
APPLICATION COVERSHEET
26;5 tjAY
May 26, 2015 City ward of Project: 2 and 3
Organization Name: Orange County Children's Therapeutic Arts Center
Tax ID #: 33-0930891
Organization Address: 2215 N. Broadway, Santa Ana, CA 92706-2663
Contact Person/Title: Dr. Ana Jimenez-Hami
Phone Number: (714) 547-5468 Email: ana@occtac.org
website: http://www.occtac.org/
Brief Description of Project:
Orange County Children's Therapeutic Arts Center (OCCTAC) proposes to host a
series of three music related films at the Frida Theater in Santa Ana as a means of
educating the public about the value of music education. The films will be promoted in
conjunction with OCCTAC's efforts to expand its current music classes and to create a
youth orchestra in partnership with Chamber Music OC.
Type of Application:
11 Organization is based in Santa Ana and proposes to use grant funds to provide arts and culture
programming in Santa Ana
❑ Organization is not based in Santa Ana and proposes to use grant funds to provide arts and culture
progra, ning in Santa Ana
Need: ❑ $5,000 * $10,000
We are applying for:
■❑ Programming Costs ❑ Equipment ❑■ Special Events []Other
City of Santa Ana, Community Development Agency
20 Civic Center Plaza, M-25, Santa Ana, CA 92701 (714) 647-5360
3
INS
FOC CHILDREN S
THERAPEUTIC TS
2215 North Broadway Santa Ana, CA. 92706 (714) 547 — 5468 www.occtac.org
Organization Mission and History
Mission: The mission of the Orange County Children's Therapeutic Arts Center (OCCTAC) is
to provide innovative, artistic, educational and therapeutic programs that inspire and transform
children, at -risk youth, and their families to fulfill their highest potential. The mission of our
After School Arts Program is to help youth develop creative self-expression, build students' self-
esteem, confidence and leadership, and divert from negative social activity. OCCTAC is the
only multi -disciplinary Arts organization in Santa Ana to provide music, art and dance programs
for at -risk youth! History: OCCTAC was founded by Dr. Ana Jimenez-Hami in the year 2000
after the tragic death of her parents. Dr. Jimenez started the center in their memory with the
vision of providing artistic programs to children with special needs to continue the philanthropic
work of her parents. One year later, OCCTAC expanded programs to ALL children and youth,
but focusing primarily on at -risk youth in Santa Ana, due to the lack of artistic programs in the
City. During the past 15 years, our agency has successfully established a strong Community
After -School Arts program to provide enrichment classes in the fields of Music, Art and Dance
to underserved youth. OCCTAC has served over 10,000 youth since the year 2000, rising from
1.00 students in its first year to more than 1,000 youth each year. Throughout the years,
OCCTAC has successfully established a strong After -School Arts Music Education Program,
and currently offers a variety of classes, including: Piano, Guitar, Harp, Percussion, Violin, and
others. OCCTAC and the founder have received numerous awards throughout the years; such as:
(2006) City of Santa Ana Commwnity Building Award, (2005) Disney Community Award,
(2004) OC Human Relations Commission Award, and many others. More recently (2014), Dr.
Ana Jimenez-Hami was awarded the "Hero of the Year" award by the Orange Comity Register.
INVESTING IN THE ARTIST
CHECKLIST
X Application Cover Sheet
E] Checklist
®❑ Organization Mission and History
(1 page limit, Times New Roman 12 -point font, double-spaced, 1 inch margins)
❑® List of Key Staff/Board of Directors
(1 Page)
Narrative for proposed use of finds and supplemental questions
(1 page limit, Times New Roman 12 -point font, double-spaced, 1 inch margins)
Supplemental Questions:
o Please describe any additional City of Santa Ana resources required for your project (permits,
public space, licenses etc.)?
o Is this a new or existing program/project?
o How will the proposed project be presented or shared with the public? Will the art display,
event or performance be free and accessible to the public?
o How will this project enrich the Santa Ana arts and culture community?
Project Timeline
❑® Line Item Budget
FBI One signed Letter of Community Support - preferably from within the community
organization/professional seeks to impact (i£ letter is in language other than 'English, please provide
English translation)
OC CHILDREN'S
=- HER-A PEUTIC ARTS
2215 North Broadway, Santa Ana, CA 92706
(714) 547 - 5468 www.occtoc.org
Sherry Taylor, LUTCF, Board President
Newcastle Financial Advisors
Rocio Brooks, Board Secretary
EmbroidMe, Business Owner
Alan Lajtay, Board Treasurer
AHL Consulting, Managing Partner
Manal Alawneh, Board Member
CA School of Health Sciences, Owner
Dr. Khalifa Alshammiry, Board Member
International Education Corp., Vice President of Education
Dr. Anooshiravan Hami, Board Member
A. Hami, MD a Medical Corporation
Felipe Heras, Board Member
Document Processing Solutions, President & CEO
Nilo E. Lipiz, Board Member
Santa Ana College, Dean of Instruction & Student Services
Candice Marti, Board Member
Union Bank, Marketing Manager
Dr. Eric Olson, Board Member
Strategic Leadership Consultant
Dr. Asha Ravikumar, Board Member
Asha Ravikumar MD inc.
Dr. Ana Jimenez, Board Member
OC Children's Therapeutic Arts Center Foun, 1 or & CEO
Chapman University, Adjunct Faculty
q OC CHILDR_EN'S
THERAPEUTIC ARTS
2215 North Broadway Santa Ana, CA. 92706 (714) 547 - 5468 www.occtac.org
OCCTAC proposes to host a 3 -film series at Santa Ana's Frida Cinema as a means of providing
an introduction to both classical and contemporary music through Latino films highlighting the
importance and relevance of music and the arts in general for community members with little or
no exposure to the genre(s). OCCTAC proposes to screen these films to demonstrating to
community members that there are opportunities for them to learn to play an instrument, be
active audience members, or both. The three films OCCTAC has selected are El Sistema (The
System), the story of the Venezuelan network of children's and youth orchestras which produced
talents such as conductor Gustavo Dudamel and the double bass player Edicson Ruiz, who at age
17 became the youngest musician ever to join the Berlin Philharmonic; Landfill Philharmonic, a
documentary about the transformative power of music told through the lives of a garbage picker,
a music teacher and a group of children from a Paraguayan slum that out of necessity started
creating instalments entirely out of garbage; and Hecho en Mexico (Made in Mexico), which
showcases the richness of Mexican music and artistry through poets, singers, actors and cultural
leaders speaking about their craft, their homeland and what it meais to be Mexican. Films will
be screened on the first weekend(s) of September, October, and November, respectively. The
'3n
screening of El Sistema will be the kickoff event and will include performances by OCCTAC
students and an introduction by Chamber Music OC. The series will close with the film Hecho
en Mexico which will screen during Santa Ana's annual Noche de Allures and. will include music
performances by OCCTAC's harp program students and offer free tacos for movie attendees.
Is this a new or existing program/project? The proposed project is an expansion of an existing
program. OCCTAC currently has various music classes and is working towards a goal of
implementing an "Et Sistema," styled music curriculum through a partnership with Chamber
Music OC. "El Sistema" based music programs are designed to engage and empower students to
excel and experience being an asset to their community. Aspects of the program include
ensemble practice and coaching, ear training, music theory and history, Eurhythmics workshops,
monthly and public performances. OCCTAC and Chamber Music OC have an ongoing
partnership where a professional musician from Chamber Music OC provides monthly free
community music workshops at OCCTAC to promote educational interactions through live
music and make the benefits of music more accessible and approachable for the entire
community. Chamber Music OC is a non-profit organization whose mission is to promote the
artistic relevance of classical music throughout Southern California.
How will the proposed project be presented or sharers with the public? Will it be free and
accessible to the public? The film series will be promoted through local media channels (online
and print) and the networks of the project partners: OCCTAC, Chamber Music OC, and Frida
Cinema. Tickets will be offered for $5 for adults; admission for children under 12 will be free
with paid adult admission. One month of free music classes at OCCTAC will be offered to new
students who sign up at any of the screenings or with flyers distributed at the events.
How will this project enrich the Santa Ana arts and culture community? OCCTAC intends to
put on this film series ah means of educating current OCCTAC students and their families
about the power of orchestral music and training to change lives, and to expose Santa Ana
residents to classical music in a way that will make it more accessible and relatable to them by
relating it through Latino culture.
Additional City of Santa Ana resources required for the project: There are no city permits,
licenses or use of public s?,,-nce required for this project. Project activities will be held at the non-
profit Frida Cinema and at OCCTAC's facility, both located within Santa Ana.
OCCTAC Narrative & Supplemental Questions
PF RFOA MA NGR•F❑ IT OAT TON • CO M MIT LAITY
May 24, 2015
Santa Ana Arts and Culture Commission
City of Santa Ana
20 Civic Center Plaza
M-25, 6th Floor
Santa Ana, CA 9270
Dear Members of the Santa Ana Arts and Culture Commission,
On behalf of Chamber Music OC, I am pleased to submit this letter in support of Orange County
Children's Therapeutic Arts Center's (OCCTAC) application to the Investing in the Artist Grant
Program. OCCTAC's proposed project to bring a series of three films for screening to Santa Ana
is a unique venture with potential to expose diverse segments of Santa Ana's population as a
means of educating the community about the value of classical music education and the role that
music plays in contemporary cultural identity.
The proposed project will make the Santa Ana population better aware of opportunities to learn
to play an instrument. It will also show this community that musical performances of all kinds -
classical and contemporary - are accessible to them for their appreciation and enjoyment.
As a partner in the proposed project, Chamber Music OC is committed to assisting with the event
promotion and execution. Chamber Music OC is also happy to provide a brief performance and
introduction to the screening of `Bl Sistema" as a means of setting the tone for the audience to
view the film.
Chamber Music OC expresses full support for Orange County Children's Therapeutic Arts
Center. We believe it has the potential to reach a large, diverse segment of Santa Ana's
population that has never considered themselves to be patrons of the arts, and to reengage others
with an appreciation and commitment to support the perfonning arts.
Thank you for your consideration of OCCTAC's proposed project.
Sincerely,
Michelle Gasworth
Director of Cornmtmity Outreach, Chamber Music OC
Project Timeline
Frida Cinema Music Films:
• September 27 (2:00 pm) — EI Sistema film, Chamber Music + OCCTAC Performing Groups
• October 24 (7:00 pm) - Screen Landfill Philharmonic film + OCCTAC Performing Groups
• November 7 (6:00 pm) — Hecho en Mexico film + OCCTAC Performing Groups
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
Chamber Music OC Honorarium - Screening Introduction
$500,00
$500,00
OCCTAC Staff Outreach - Flyer production, distribution, signup
$800.00
$800,00
One month of free music instruction at OCCTAC for 79 students
$3,950.00
$3,950.00
EQUIPMENT, MATERIALS AND SUPPLIES
ITEM
(equipment, material and supplies)
Quantity
Unit
Cost
Total
Cost
Grant
Funds
Requested
Promotional materials (flyer & postcard printing)
1
$5500,00
$500.00
$500,00
$500.00
$500.00
�a
SPECIAL EVENTS
Description
(permits, fees, facility rental)
Total Cost
Grant Funds
Requested
Frida Cinema Facility Rental (all 3 screenings)
,,, 3,000.00
$3,000.00
Movie Screening Rights (all 3 films)
$750.00
$750.00
Food for "Hecho en Mexico" screening
$500.00
$500.00
INVESTING IN THE ARTIST
LINE ITEM BUDGET
PROPOSED PROGRAM BUDGET PROPOSAL
Enter budget categories and projected expenditures for the proposed program:
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
Fund-raising Events
$20,000.00
$20,000.00
$20,000.00
Contractual/Professional
Services/Stipends
$5,250.00
$60,000.00
$65,250.00
TOTAL PROGRAM BUDGET
Equipment, Material, & Supplies
$500.00
$500.00
$1,000.00
Special Events Production
$4,250.00
$4,250.00
TOTAL
$10,000.00
80,500.00
$90,500.00
$725,000.00
PROGRAM REVENUE
LIST ALL OTHER PROGRAM RESOURCES
"Funding Source" total must equal 'Total Proqram Budqet" listed above.
FUNDING SOURCE
AMOUNT
Santa Ana Artist Grant
$10,000.00
Foundations/Corporations
$30,000.00
Fund-raising Events
$15,000.00
Private Donations
$20,000.00
Program Fees
$15,500.00
TOTAL PROGRAM BUDGET
$90,500.00
CERTIFICATE OF LIABILITY INSURANCE
FDATE
1 1/30/2015vv
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 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:
Comprehensive Insurance Services
PHONNO ,Xt. (949) 709-8800 RVC Net (949)709-1668
EDoaIESS:info@thecomprehensiveinsurance.com
26429 Rancho Parkway South
Suite 120
INSURERS AFFORDING COVERAGE NAICB
INSURER A:Non rofits Insurance Alliance 11845
Lake Forest CA 92630
INSURED
INSURER B:
INSURER C:
Orange County Children's Therapeutic
INSURER D:
Arts Center
INSURER E:
2215 N. Broadway
INSURER F:
Santa Ana CA 92706
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.
(NSR
R
TYPE OF INSURANCE
ADDL
a R
POLICY NUMBER
POLICY EFF
MM/ D/YYYY
POLICY EXP
MM/DD YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY
OAMADE T R D 500,000
PREMISES Ea occurrence $
A
CLAIMS -MADE
X
014 -09201 -NPO
12/21/201412/21/2015
MED EXP (Any one person) $ 20,000
PERSONAL&ADV INJURY $ 1,000,000
$0 Deductible
GENERAL AGGREGATE $ 2,000,000
CENT AGGREGATE LIMIT APPLIES PER.
PRODUCTS - COMP/OP AGG $ 2,000,000
$
X POLICY F ECT 7 PRO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident $
BODILY INJURY (Par person) $ 11000,000
A
ANY AUTO
ALL OWNED SCHEDULED2014-09201-NPO
AUTOS AUTOS
NOR
NOR OWNED
Y' HIRED AUTOS X AUTOS
12/21/201412/21/2015
BODILY INJURY (Per accident) $
PROPER DAMAGE $
(N
$0 DeduclibleX $
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAR
CLAIMS -MADE
DED F I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNERIEXECUTIVGE.L.
WC STATU- OTH-
TORY LIMITS ER
EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E. L. DISEASE - EA EMPLOYE $
E.L. DISEASE -POLICY LIMIT $
If yes, describe under
DESCRIP1 ION OF OPERATIONS below
A
Social Sery Professional
2014 -09201 -NPO
12/21/201412/21/2015
$10o0,00oAgg/1,ogo 000OCC $0 Deductible
A.
Improper Sexual Conduct
2014 -09201 -NPO
12 /21/2014
12/21/2015
$1000,00DAgg/1000.000 Es Cl $0 Deductible
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
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. I'll,
(. T
City of Santa Ana (The)
Finance & Management Services Agency
20 Civic Center Plaza
PO Box 1988 M-16
Santa Ana, CA 92702
ACORD 25 (2010105)
I N 5025 (201 ga5) 01
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
Eynon/JEREMY
1988-2010 ACORD
The ACORD name and logo are registered (narks of ACORD
All rights reserved.
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Nonprofits Insurance Alliance of California
This endorsement modifies such insurance as is afforded by the provisions of Policy
#x•2014 -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 (30fdays 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 to Orange County Children's Therapeutic Arts Center
Name Insured
Countersigned by_
kj _e.4};ent. ., ,tu re
OWN
CERTIFICATE OF LIABILITY INSURANCE
4/8/2015
—is
THIS CERTIFICATE 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
REPPRET ' ENLAIIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
O 11 AN "C 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 SUCK Gndorserreent(s),
TR`To�c7R
7—
NAME'
Comprehensive insurance Services
PHONE (949)709-88()0 FAX
(VG,Na E,,N� (AIC, N.L (119) 70 S- 1666
IT
'26429 Rancho Parkway South
E,MAIL
ADDRESS info@ thecomprehensiveinsurance. com
I
Suite 120
INSURERS) AFFORDING COVERAGE NAIC 4
Lake Forest CA 52630
INSURERA:WeSCO insurance Company 25011
INSURED
Orange County Children's Therapeutic Arts Center
INSURERG:.
2215 N. Broadway
INSURER D
SII
INSURER F
1 L Santa Ana CA 92706
INSURER F
COVERAGE$ CERTIFICATE NUMBERPC REVISION NUMBER;
THIS IS TO CERTIF77T777T TF70—LIC F INSURANCE LISTED BELOWHAVET—SSGEEFTO THF INSURED NAMED ABOVE FOR THE POLICTPERIOD
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 CoNDi riONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADULSUBR POLICY EFF POLICY UP
LTR TYR' OF INSURANCE PO C LINUTS
02CLY n
20 _nJIM10offm
COMMERCIAL GENERAL UAWLITY EACH OCCURRENCE:'.I
CI AIMS MADE 0111CUR DAVITAG E TO PE In e1)
PREMISCS ¢ P
MILE, EXII {AIIL, Orb
PERSONAi- 8 ADV [InIJITY S
CF Nf. AGNREGA IF UNINF APPLIES ENT OF NEPAL AGORLGAT(
POLICY PRO
Acr LOC PRODUCTS - COOPA)P AGG S
OTHER
AUTOMOBILE UADILITY
ANY AUTO BOOKY INJURY P�,
A( I OVINFrI 5CHFDIfLrD
,4U FCC, A1JT0$ BODILY iNJURY
NON OWNIUD PROPER rY DANIAGI
I 0RED AU FOS AUT08 xcltxnt)
5
UMBRELLA NINE OCCUR F.A01 OrCLRRENCE
EXCESS LAS GAAIIa,','13ADf AGURFGAIF
DEli RE TENTIQUL
WO9KERSCCMPEN$ATjOs X UIATTUTE (IT
FIR
AND EMPLOYEES' LIABILITY YIN
,N,y r 1, FACHA"(110EW S 1,000,000
N?A
A WWC3023783 Et DISI' ASE EA TMPLOY1,E S 1,000,000
---D1U3t>flProN(A 0PLrIiVIK)NF000W 1- r, DISEASE - POLICY k W1 I $ 1.000, 000
DESCRP PON OF OPERATIONS I LOCATIONS f oF14K] LES
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 & Mariagoment Sen�ices Agency
20 Civic Center. Plaza
PC Box 1988 M-16
Santa Ana, CA 92702
RHOULD ANY OF THE A60VE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPURSENTATNIC
01988-20'14 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025,
AC<>J?0r
CERTIFICATE C7� IV LIABILITY INSURANCE
FATE(MMIDDNYYY)
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
11/30/2015
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(S),, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) roust 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 Certificate Issuance Team.
NAME',
Comprehensive Insurance Services
PH �o._Exq (949) 709-8800 �AtC,No): (949)709-1668
26429 Rancho Parkway South
EMAILss:info@thecomprehensiveinsurance.corn
ADDRE—......
Suite 120
INSURER(S) AFFORDING COVERAGE NAIC;q
Lake Forest. CA 92630
INSURERA Nonprofits Ins Alliance of CA
--
INSURED
..........
INSURER 8:
Orange County Children's Therapeutic Arts Center
INSURERC:
2215 N. Broadway
- -
INSURER D
BODILY INJ'UIRY(Peraccidanit).. $
INSURER F::
Santa Ana CA. 92706
INSURER F:
COVERAGES CERTIFICATE NUMBER:'Oh/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, NOTWU1THSTANDINO 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.
POLICY EFF POLICY EMP -_-----
LTR TYPE OF INSURANCE POLICY NUMBER M�MfDDCCYYy MMPDEdYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE. $1,000,000
A _-- CLAIM'S -MADE I X = OCCUR
...,.,... .._......—....
DAMAGE TO RENTED
PREMISES (Ea occurrence) $ 500,000
X
-09201 -NPO 112/21/2015 12/21/2016 MED EXP (Any one persanl $, 20,000
12015
--- ,., ..._._ -.
_ PERSONAL & AOV INJURY l $ 1,000,000
GFN L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE $ 2,000,000
11 _ POLICY -. .CECT' X LOC
III PRODUCTS - COMP/OP AGO 2,000,000
OTHER'
_ .�$
$0 Deductible
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
_[Es accidernt)_ $ 1,000,0
A ANY AUTO
BODILY INJURY (Per persan) $
-- -- ....
ALL OWNED I SCHEDULED
2015 -09201 -NPO 112/21/2,015 12/21/2016
BODILY INJ'UIRY(Peraccidanit).. $
AUTOS AUTOS
X X AN(U)TOS
_ HIRED AUTOS AUTOS
i
I_- _-- -...............
--
I PROPERTY OAMAGE $
I Per accident)_
1
_ ..
$0 Deductible $
UMBRELLA LIAR OCCUR
EACH OCCURRENCE $
E%GESS LIAR CLAIMS MAGE -i
AGGREGATE IIS -..
L ._—._ $
DED I RETENTION $
'WORKERS COMPENSATION
PER CTH-
AND YIN
ANY PROPRIEEORIPARTINERYEXECUTIVE
STATUTE ER
I
OFF@CERJMEMBER EXCLUDED. NIA
�
E L EACH ACCIDENT $
_. ---- - -
(Mandatory in NH) -�
E L DISEASE. EA EMPLOYEE $
If yes, describe under
_-__. ,. ..........— ....
DESCRIPTION OF OPERATIONS below1
E.L. DISEASE. POLICY LIMIT $
A Social Sery Professional
2015 -09201 -NPO 12/21/2015 12./2:.1/20161
$1,000,000Agg/1,000,000OCC $0 Deductible
ISI
A Improper Sexual Conduct
2015 -092.01. -NPO 12/21/2015 12/2..1/2016
$1,000,000Agg/1,000,000 Ea CI $0 Deductible
DESCRIPTION. OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
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 clay notice of cancellation for non -'payment of premium per policy
provision.
CERTIFICATE HOLDER
CANCFII I ATION
ACORD 26 (2014/01)
INS025 (201401)
Q 1968-2414 ACO'RD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Santa Ana (The)
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Finance & Management Services Agency
ACCORDANCE WITH! THE POLICY PROVISIONS.
20 Civic Center Plaza
AUTHORIZED REPRESENTATIVE
PO Box 1988 M -1E
Santa. Arta, CA 92742
Richard Eynon/SERE'MY
ACORD 26 (2014/01)
INS025 (201401)
Q 1968-2414 ACO'RD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ADDITIONAL INSURED EN+X4R-SC-!N4C–N+- Agreement
Insurance Company Nonprofits Insurance Alliance of California
This endorsement modifies such insurance as is afforded by the provisions of Policy
#2015 -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.
1 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 this endorsement form as part of
policy # 2015 -09201 -NPO
issued toOrange County Children's Therapeutic Arts Center
Name Insured
Countersigned by P11111L
I IM I rn III C A gvn t lu-MO