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t)ATE.I(?— ARTS AND CULTURE ARTIST GRANT PROGRAM AGREEMENT BETWEEN
THE CITY OF SANTA ANA AND THE WOODEN FLOOR FOR YOUTH MOVEMENT
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 The Wooden
Floor for Youth Movement ( "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:
N 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. Fundinq.
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 ($5000) ( "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 22, 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
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
failure, refusal, or neglect of either party to exercise any right, 6
this Agreement or to insist upon strict compliance with the
constitute a waiver of these provisions with respect to any s
either party or its right at any time thereafter to require e;
provisions of this Agreement.
of breaches or defaults, and no
ower, or option given to it under
terms of this Agreement shall
ibsequent breach or waiver by
act and strict compliance with
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: The Wooden Floor for Youth Movement
1810 N. Main Street
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.
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
5
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
Clerk of the Council
APPROVED AS TO FORM:
Sonia B. Carvalho
RECOMMEND APPROVAL:
Kelly Reenders cecutive Director
Community De el pment Agency
CITY OF SANTA ANA
David Cavazos
City Manager
GRANTEE:
Name:
Title,
EXHIBIT A
ARTS AND CULTURE ARTIST GRANT PROGRAM
APPLICATION
The Wooden Floor for Youth Movement
Keegan Bell
5/22/2015
Name of Organization:
The Wooden Floor for Youth Movement
Tax ID #:
33- 0299356
City Ward of Project:
3
Contact Person /Title:
Keegan Bell, Chief Development Officer
Address:
1810 North Main Street, Santa Ana, CA 92706
Phone Number:
714 541 -8314
Email:
Keegan@thewoodenfloor.org
Website:
www.thewoodenfloor.org
Brief Description of Project:
Dance Free Weeks is a free, community engagement program of The Wooden Floor, an
after - school, creative youth development organization that serves low- income children
in central Orange County, Dance Free Weeks targets students in grades 3 -5 in Title I
elementary schools primarily in the Santa Ana School District as well as schools in
Tustin and Garden Grove. The program occurs on approximately 20 school campuses,
during the school day.
Provided over three consecutive weeks during September /October, Dance Free Weeks
encourages artistic expression and physical education. Our professional dance
instructors spend one week in each school providing five consecutive hour -long,
rigorous movement sessions in a joyous introduction to dance.
Students learn various dance phrases and how to combine it all into an entertaining
dance presentation. A joy for movement and one's body, confidence, teamwork, and
respect grow through this creative, high - energy instruction. The culminating
performance is open fellow students, teachers, family and interested community
members.
EXHIBIT A
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
If other please state below::
n/a
Organization Mission and History:
Our mission is to empower low- income youth from diverse backgrounds to strengthen
self- esteem, self - discipline and their sense of accomplishment through dance, academic
and family programs. Our goal is to teach young people what it takes to succeed in
school and life. Serving the most economically disadvantaged youth in central Orange
County, our vision is to break the cycle of poverty in our community through
generational change.
Now in our 32nd year of changing lives through dance, we celebrate service to over
80,000 Orange County youth, ages 8 -18. The Wooden Floor evolved from its founding
as a ballet pilot project for at -risk youth to a multifaceted after - school organization with a
holistic focus on youth development. Our comprehensive strategy, grounded in dance
and mentoring relationships that last up to ten years, give low- income youth the tools
and guidance to follow a path out of poverty.
We serve 375 children ages 8 -18 annually in our year -round program. They average
76% girls, 24% boys; 95% Latino and 91 % low- income (HUD levels 1 -3, low to
extremely low income). Dance Free Weeks is our primary community engagement
program that exposes a broad range of children to the transformational power and joy of
dance. Through it, children are invited to audition for The Wooden Floor's year -round
program.
Narrative for proposed use of funds::
City of Santa Ana grant funds would be used to support the sole direct program cost,
which are the teaching artist fees for professional dance instructors and program
coordinator. The Wooden Floor administrative and promotional costs, listed in the
budget, are not included in the grant request.
Supplemental Question 1::
No additional resources from the City of Santa Ana are required for this program. The
culminating performances are held in the auditorium or playground at each school site.
Supplemental Question 2::
Dance Free Weeks is an existing program that we hope to expand.
Supplemental Question 3::
The culminating, free, in- school performance at week's end is for the students and is
open to family and interested community members.
Supplemental Question 4::
Dance brings joy and is transformative. That is why dance is the core transformational
element in The Wooden Floor's Theory of Change. Through dance, children engage in
a creative experience, learn to trust themselves and others; they problem solve and
develop self - awareness, curiosity and attentiveness. Dance Free Weeks creates a
sense of community and fosters learning in a team environment. It provides a safe
space for children to explore and express artistic expression through dance. For many,
this is a first exposure to dance that launches a child's engagement in and appreciation
of this art form. This contributes to cultural literacy that enriches the Santa Ana
community.
Teachers, school administrators and parents are effusive in their praise of this arts
program because its impact on their students is immediate and significant. This program
is valued for the enthusiasm and sense of accomplishment it sparks. The newly
created dances are original and relevant to each group of students. Young people
learn that who they are and what they have to say matters. With grant - funding, we hope
to expand the number of students served. Dance Free Weeks is the only program of its
kind in Orange County.
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James A, Driscoll, Chairman
Comrnunity Leader
Ernesto M. Vasquez, FAIA, NCARB, Immediate Past Chair
Partner & CEO,
SVA Architects, Inc,
Damien Jordan, Vice Chair
General Manager, Retired,
American Funds /Capital Group Companies, Inc.
Richard C. Hunsaker, Treasurer
President,
Hunsaker Management
Epiphany Owen, Secretary
Partner, Government & Regulatory Law
Rumn & Tucker, LLP
Joan Beall
Community Leader
Maria Cirese, Parent Representative
Community Leader
Prank Hall
Vice President Resource Development, Retired,
St Joseph Health
Sharon Hartshorn
Community Leader
Virginia Hunsaker
Community Leader
Yvonne M. Jordan
Community Leader
Jeremy grout
President /CEO,
Environmental Planning Development Solutions, Inc.
Danny Melita
Community Leader
Yvonne R. O'Neill
Certified Public Accountant,
O'Neill Flnanclai Management
Board of Directors 2014 -2015
Arthur Ong
Executive Vice President,
Deputy General Counsel
PI MCO
Luz Orozco, Parent Representative
Community Leader
Cyrus Parker — Jeannette
Dean of the College of the Arts,
California State University, Long Beach
Judith F, Posnikoff, PHD
Managing Dlrector,
Pacific Alternative Asset Management Co., LLC
Dawn S. Reese
Executive Director and Cc -CEO,
The Wooden Floor
Melanie Rios Glaser
Artistic Director and Co -CEO,
The Wooden Floor
Jesse M. Rodriquez, CFPe, CPWA®, CRPCa
Senior Vice President • Wealth Management
UBS Financial Services Inc.
Kristy Santimyer- Molita
Community Leader
Jim Slaughter
Attorney at Law,
Slaughter & Slaughter, LLP
Mary E. Tolar
Vice President and Senlor Strategic Program Manager,
American funds /Capital Group Companies, Inc.
Beth Burns, Board E'merita
Founder of The Wooden Floor and
Artistic Olrector ('83 -'415)
Socorro Vasquez, Board Emerho
Community Leader
As of 51112015
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The Wooden Floor currently employs a staff of 16 F/T and 2 P /T: Male-38%, Female -62 %) Latino -62 %,
Eight program staff members (Includes Artistic Director), all of whom are bi- lingual, provide direct
services to The Wooden Floor students and theirfamilies.
Leadership
Dawn S. Reese, Executive Director and Co -CEO
Melanie Rios Glaser, Artistic Director and Co -CEO
Year -Round Programs Staff
Wendy Mendoza, Director of Student Development
Ernesto Cabral, Student Development Associate
Nelie Ramirez Peha, College Preparatory Coordinator
Teresa Farias, Family Services Manager
Michael Fernandez, Student Support Services Advisor and Registrar
Ill Avina, Student Activities Leader
Dianicio Lopez, Student Activities Assistant (P /T)
Ruby Osorio, Tutor Lead (P /T)
Seasonal: Dance Free Weeks Faculty -10 -12 professional dance instructors
Executive & Administrative Staff
Veronica Avzaradel, Controller
Keegan M. Bell, CFRE, Chief Development Officer
Derek Bruner, Executive and Artistic Associate
Payal Kumar Avellan, Director of Communications & Marketing
Nathan Lammers, Communications and Marketing Associate
Ishell Linares, Assistant Director of Development
Emily Parent, Development Coordinator
Ben Tusher, Director of Production & Operations
M4
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FTA
May 22, 2015
Richard Valle, Principal
408 Santa tiara Ave,
Office 714 564-2100
Santa Ana Arts and Culture Commission
20 Civic Center Plaza
Santa Ana, CA, 92701
Dear Santa Ana Arts and Culture Commission.
m_:
Rick Miller, Ph.D. Superintendent
Santa Ana, CA 92706
Fax 714 564 -2199
On behalf of the students, families and staff of Hoover Elementary School, it is my pleasure to
write this letter in support of Tlie Wooden Floor and its Dance Free Weeks program for the
Investing in the Artist Grant opportunity.
Hoover Elementary has greatly benefitted as a long-term partner and school site for The Wooden
Floor's Dance Free Weeks program since 2002. Our teachers are eager to have their students
participate in this impactful program each year, and continue to be impressed by how much student
engagement in the classroom has positively resulted from their students' energy, joy, and
confidence developed byXarticipating in this program. In fact, last year at the conclusion of Dance
F7,ee Weeks, one of our 4 grade teachers shared, "one of my shy students volunteered to share
eight counts of the dance they created. She was excited and so proud of herself."
At Hoover, our staff and parents continue to pursue community collaborations to meet the
intellectual, physical and emotional needs of our students so that they become successful,
productive and contributing members of the community. It is collaborations with leading non-profit
organizations like The Wooden Floor that helps us augment our rigorous curriculum and provide a
meaningful ails education experience for our students to learn about the art form of dance, and
experience the many developmental benefits of creative self- expression,
I know my fellow Santa Ana Unified principals and teachers join in my recommendation of The
Wooden Floor and the quality and impact of its Dance Free Weeks program. Our students are
greatly benefitted by the confidence of learning a new skill and remember fondly their participation
,with The Wooden Floor team. l also know many young people that very much look forward to once
again participating in this program this fall. Thank you for your generous consideration of this
letter and The Wooden Floor's application.
Sincerely,
Richard Valle
Principal, Hoover Elementary School
1601 East Chestnut Avenue, Santa Ana, CA 92701 -6322 17141 558 -5501
BOARD OF EDUCATION
John Palacio - President, Cecilia Iglesias - Vice President
Valerie Amezcua • Clerk • Rob Richardson Member - Jos6 Alfredo Flern'andcz, J.D. - Member
INVESTING IN THE ARTIST GRANT OPPORTUNITY
Event Tlmellne
The event timeline must be submitted no later than September 15, 2015.
An event timehno Is defined as a date or timeframe of when a project will be displayed or workshop will be held
DATE & TIME
EVENT NAME
LOCATION
9128. 10/02115 -gam
Dance Free Weeks
Harvey Elementary School
9128 - 10/02115 .1 lam
Dance Free Weeks
Lowell Elementary - 3rd grade
9128. 1102/15 -fpm
Dance Free Weeks
Martin Elementary
10/05. 10109115- gam
Dance Free Weeks
Kennedy Elementary
10/05 10/0911 5.9am
Dance Free Weeks
Adams Elementary - 4th grade
10105 - 18/89/15 -1lam
Dance Free Weeks
Lowell Elementary - 4th grade
10/05.10 /09 /15 -11am
Dance Free Weeks -
Adams Elementary - 3rd grade
10105 - 19/09/15.11 am
Dance Free Weeks
Thorpe Fundamental Elementary - 4th grade (3olasses)
10105 - 10109115 -lpm
Dance Free Weeks
Remington Elementary
10/05 - 10/09/15-1 pm
Dance Free Weeks
Garfield Elementary - 3rd grade,
I; Keegan - Bahl,, an authorized representative of The Wooden Floor Youth Movement, understand that
notification of any modification made to the event timeline must be submitted in writing no less than 10
days prior to the event date.
Notice shall be sent by mail or email to the address as set forth below:
Chris Dalton
Community Development Agency
20 Civic Center Plaza
Santa Ana, CA 02701
cdaltonCa)santa -an a.ora
1 ± l XIS
INVESTING IN THE ARTIST GRANT OPPORTUNITY
Event Timeline
The event timeline must be submitted no later than September 15 2015.
An event timeline is defined as a date or timeframe of when a protect will be displayed or workshop will be held
DATE & TIME
EVENT NAME
LOCATION
10/05 - 10/09115 -fpm
Dance Free Weeks
Heninger Elementary
10105. 10109/15 -115Pm
Dance Free Weeks
Thorpe Fundamental Elementary - 4th grade (3classes)
10,12.10/16/15 -gam
Dance Free Weeks
Franklin Elementary
10/12.1 9 /1 611 5 -gam
Dance Free Weeks
Davis Elementary - 3rd grade
10/12 - 10/16/15 -11am
Dance Free Week�sr
Garfield Elementary
19/12. 19116 /15.11am
Dance Free Weeks
y- y-�4th {'grade
�IY onte vista Elementary
10/05 - 10109115 -11am
Dance Free Weeks
Davis Elementary - 4th grade
J-
I, Keeoan Bell an authorized representative of The Wooden Floor Youth Movement understand that
notification of any modification made to the event timeline must be submitted in writing no less than 10
days prior to the event date.
Notice shall be sent by mail or email to the address as set forth below:
Chris Dalton
Community Development Agency
20 Civic Center Plaza
Santa Ana, CA 92701
cdalton a santa-ana.org
- -�° 09 -14 -2015
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I
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
Contract Fees: 1 Program Coordinator; 10 -12 Dance Instructors
$,500
5,000
EQUIPMENT, MATERIALS AND SUPPLIES
ITEM
(equipment, material and supplies)
Quantity
Unit
Cost
Total
Cost
Grant
Funds
Requested
(none)
SPECIAL EVENTS
Description
(permits, fees, facility rental)
Total Cost
Grant Funds
Requested
(none)
INVESTIING IN THE ARTIST
LINE ITEM BUDGET
PROPOSED PROGRAM BUDGET PROPOSAL.
Enter budget categories and projected expenditures for the proposed procram:
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
Surdna Foundation
10,908
10,908
2,500
Contractual /Professional
Services /Stipends
55,000
rt
3,500
81500
TOTAL PROGRAM BUDGET
Equipment, Material, & Supplies
0
0
0
Special Events Production
0
0
0
TOTAL
55,000
14,408
197408
2
PROGRAM REVENUE
LIST ALL OTHER PROGRAM RESOURCES
"Fundina Source" total must equal 'Total Program Budaet" listed above
FUNDING SOURCE
AMOUNT
Santa Ana Artist Grant
5,000
Zappettini Foundation
3,500
Surdna Foundation
5,000
Ueberroth Foundation
2,500
Disney Community Fund
2,500
Individual donations
908
TOTAL PROGRAM BUDGET
19,408
ACC)J?EIr CERTIFICATE OF LIABILITY INSURANCE
8/DATE(M 5DYYYY)
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
Frank Crystal & Co of CA, Inc.
dba Crystal & Company Ins Srvc
#OB64537 575 Market St - 13 FL
NAME, Ricardo Ramos
PHONE . 310- 981 -0816 FAX .8O0- 383 -1852 IA
10-98 -081
EMAIL Ric rdo.Ramos@crystalco.com
c stalco.com
Ban Francisco CA 94105
INSURERS AFFORDING COVERAGE
NAIC q
INSURER A:Philadelphia Indemnity Insurance Co
18058
INSURED W 00 DFL
INSURER B
2/1/2015
The Wooden Floor
1810 North Main St.
INSURER C:
$1,000,000
INSURER D.
DAM RENTED
PREMISES RE, currence
Santa Ana CA 92706
INSURER E:
MED EXP(Any one person)
$5,000
INSURER F
COVERAGES CFRTIFICATF NIIMRFR• 1694005375 ucvtmnu unaao vo.
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
LTR
TYPE OF INSURANCE
IN BD
W.
POLICY NU M BER
POLICY EFF
MMIDDIYYYY
PO
MMI LICY -'CY EXP
YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE r—xl OCCUR
PHPK1289624
2/1/2015
211/2016
EACH OCCURRENCE
$1,000,000
DAM RENTED
PREMISES RE, currence
$100,000
MED EXP(Any one person)
$5,000
PERSONAL &ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
X POLICY ❑ PRO-
ECT F-1 OC
GENERALAGGREGATE
$2,000,000
PRODUCTS - COMP /OP AGO
$2,000,000
OTHER:
$
AUTOMOBILE
LIABILITY
2MBINED LE
accident
$
ANY AUTO
BODILY INJURY (P., person)
$
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
$
HIRED AUTOS NON-OWNED
AUTOS
PROPERTY DAMA E
Peraccident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS�MADE
DED RETENTION$
$
WORKERS COMPENSATION
YIN
PER ER
S ATUTE ER
EL EACH ACCIDENT
$
ANY
ANY PROPRIETORIPARTNERIEXECUTIVE ❑NIA
OFFICERIMEMBER EXCLUDEDP
E.L. DISEASE - EA EMPLOYE
$
(Mandatory In NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
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 is named as Additional Insured with respect to the General Liability coverage provided per the attached form
PI- GLD -HS 1011 on a Primary and Non - contributory basis. Endorsements are to follow.
16C�
The City of Santa Ana
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
019RR -gel4 ACnRn r]nRP0PATInN AD rL,Mf� ---H
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Philadelphia Insurance Companies
This endorsement modifies such insurance as is afforded by the provisions of Policy
# PHPK1289624 relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92702; its officers, employees, agents and volunteers 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
canceled, 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 92702.
(Completion of the following, including countersignature, is required to make this
endorsement effective.)
Effective 08106/2015 this endorsement form as a
part of Policy # PHPK1289624
Issued to The Wooden Floor for Youth Movement
Named Insured
Countersigned by ��
Authorized Representative
I0fI