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DISCOVERY SCIENCE FOUNDATION-2016
City of Santa t -a f Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with COTC Office Use -Mg JUL 19 PM 3, 0 CITY OF SANTA ANA CLERK OF COUNCIL' No. N-2016-036 was completed on �/ I and final payment has been made. (List all amendments. Use space below if needed.) _ Department: �j91��Y1LIN�J Phone/Ext.: Signature: AkNokn Date: -7Lgoi,ty Revised 01-07-16 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES _'&j atr1� CLERK OF COOL 2 2016 DATE: CITY OF SANTA ANA ® f k�, ECREATION FACILITIES USE AORLF4AIENT THIS AGREEMENT is made and entered into on Mauch 3, 2016 by and between DISCOVERY SCIENCE FOUNDATION, a California nan-profit public benefit corporation ("User"), and the CITY OF SANTA ANA, a. charter city and municipal corporation organized and existing under the Constitution and laws of the State of California C"City"). RECITALS A. User wishes to utilize portions of the City -owned Santa Ana Zoo at Prentice Park to provide summer camp programs to children, including residents of the City. B. City is willing to allow use of portions of the Zoo for such purposes subject to the terms of this Agreement. The parties agree as follows: GRANT OF PERMISSION AND FACILITIES TO BE USED City hereby grants User permission to utilize those portions of the Santa Ana Zoo at Prentice Park ("Facilities") for the exclusive purpose of conducting an educational summer camp for children ages 5-10 years old, as more specifically described on Exhibit A and on the dates and times therein. Other portions maybe used only by mutual agreement of the parties. User's use shall be and remain subject to the priority use of the property by City, and its invitees, as a zoo facility open to the public. User shall have the responsibility to set programming for each camp in consultation with zoo staff, User agrees to restrict campers from entering any portion of the zoo that has not been designated for camp use or any other areas as reeluested by zoo staff. 2. COMPENSATION User agrees to pay City $25 per student, due and payable to City upon completion of each week of the camp. This Agreement shall commence on July 11, 2016 and continue through August 19, 2016, 4. COMPLIANCE WITH RULES AND REGULATIONS User shalt use and occupy the Facilities in a safe and careful manner and shall comply with all applicable local, state, and federal laws in its use of and activities in the Facilities, including as to the conduct of its employees, agents, clients, customers, guests, and others using the Facilities by reason of this Agreement. User shall also comply with all rules and regulations of City in effect during its use of the Facilities. Failure to abide by such laws, rules, or regulations, or any condition of this Agreement, may result in the immediate termination of this Agreement in the sole discretion of the City. 5. BACKGROUND CHECKS Where User's use of the Facilities under this Agreement involves participation by minors, User represents and warrants that it has engaged an independent entity to conduct a background check of all employees, agents, independent contractors, volunteers, or other individuals who are performing services for User in connection with such use. The background check shall include at a minimum a state and county criminal history investigation where such individual resides and a search of the national and California state sex offender registries, Proof of the background check required under this section shall be provided to City upon request. 6. INDEMNIFICATION User agrees to and shall indemnify, protect, defend, and, hold harmless City, its officers, agents, employees, considtants, special counsel, and representatives from and against any and all claims, damages, judgments, attorney's fees, costs and expenses arising out of, involving, or in connection with the use of the Facilities or the acts or omissions of User, its officers, agents, employees, volunteers, guests, or invitees, whether or not such acts or omissions constitute permitted uses of the Facilities. 7. INSURANCE Without limiting User's indemnification obligations, User agrees to obtain and maintain during the term of the Agreement, and to require its subcontractors, if any, to obtain and maintain, insurance as described below: a. Commercial General Liability Insurance. Commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of User'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 lhni t coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence and $2,000,000 aggregate, including coverage of sexual molestation with limits not less than $50,000 per occurrence and $100,000 general aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions, b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. e. Worker's Compensation Insurance (California statutory limit) and Employer's Liability Insurance for not less than $1,000,000 per occurrence, d. The following requirements apply to the insurance to be provided by User pursuant to this section: (i) User 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 in form by the City. (iii) Certificates acid 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, e. If User 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 terminate this Agreement without penalty or further notice to User. 8, CONFLICT OF INTEREST CLAUSE User covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any mariner with performance of services specified under this Agreement. 9. FORCE MAJUERE In the event that the Facilities are rendered unavailable due to destruction, partial or total, acts of nature, work stoppages or other labor disturbances, civil commotion, war, or any other action by governmental agencies, or for any reason beyond the control of City, City shall have the right to terminate this Agreement without penalty. 10, LICENSES AND PERMITS User represents and warrants that it, and any agents, independent contractors, subcontractors, vendors, or others acting on its behalf under or with respect to this Agreement, will at all times during the term of this Agreement have and maintain in force any and all licenses, permits, or approvals required by law for the conduct of User's activities under this Agreement, 11, DAMAGE TO FACILITIES User shall be liable for any damage to the Facilities caused by any act of negligence of User, its partners, agents, servants, contractors, representatives, guests, employees, invitees, or customers. City may, at its option, repair such damage, and User agrees to reimburse City for the total cost of repair, 11 PROPERTY BELONGING TO USER City shall not be responsible for lost, stolen, or damages property belonging to User, its partners, agents, servants, contractors, representatives, guests, employees, invitees, or customers. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and directed to the addresses below or such addresses as either party may later specify in writing, Notice is deemed effective on the date it is given if hand - delivered or received, by facsimile that day. Notice given by U.S, mail shall be deemed to have been given three (3) business days after it is deposited in the U.S. mail, postage prepaid and addressed as follows: To City: Clark of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 With copies to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center Plaza (M-75) P.O. Box 1988 Santa Ana, California 92702 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 To User: DISCOVERY SCIENCE FOUNDATION 2500 N Main Street Santa Ana, CA 92705 Attn: Janet Yamaguchi, VP, Education 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and User regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties regarding the use of the Facilities. In the event of a conflict between the terns of this Agreement: and any attaolunents hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of User. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terns and conditions hereof, shall not bind or obligate User or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein, 15, ASSIGNMENT User may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. User shall not allow any other person or entity to use the Facilities without the prior written consent of City. 4 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice. 1.7. NONDISCRIMINATION User shall not discriminate in the course of its activities in or about the Facilities on the basis of race, color, disability, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis prohibited by law. User affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. AUTHORITY Each undersigned represents and wan -ants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement. ATTEST: M LA D. I lUIZAlt Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: (!V 701 Funk — -- Assistant City Attorney RECOMMENDED FOR APPROVAL: CITY OF SANTA ANA .10 DAV CAVAZ,OS City Manager DISCOVERY SCIENCE FOUNDATION UtRARDOMOUET Namc: J/We'r Executive Director — PRCS Title: VIc,PR EsIfjO-Afr EdCAreOV Exhibit A Scope of Service Zoo Camp Schedule 2016 Maximum Number of Campers Age of Campers Start Date End Date Time Camp 30 7-10 7/11/2016 7/15/2016 9:00-2:30 Zoo Camp 30 5-7 7/18/2016 7/22/2016 9:00-12:30 The Zoo and You 30 7-10 7/25/2016 7/29/2016 9:00-2:30 Zoo Camp 30 5-7 8/1/2016 8/5/2016 9:00-12:30 The Zoo and You 30 7-10 8/8/2016 8/12/2016 9:00-2:30 Zoo Camp 30 7-10 8/15/2016 8/19/2016 9:00-2:30 Zoo Camp The portions of the Zoo that are permitted for the above camps at the respective dates and times are the following: a The Zoo Bain Classroom e Amphitheater and Amphitheater Picnic Area • Other portions of the Zoo maybe used only by mutual agreement of the parties, User agrees to restrict its campers from entering any portion of the Zoo that has not been designated for camp use or any other areas as requested by Zoo staff. 271069 ACCML CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `.--"'" 12/22/2015 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) 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 endorsemenk s . PRODUCER CONTACT NAME;Cal . _._horine Cory _ y ..�._._..... Commercial Lines - 818 464-9300 ( ) _...__FA% �.._.— PHONE 818-464-9458 ' _ -- _ AIL Not, 866-068-5687 Wells Fargo Insurance Services USA, Inc, - CA Licht. : gD08408 _ E MAIL_AOURES: cltherine.nory[rUwellsfaryo,com 15303 Ventura Boulevard, 7th Floor Sherman Oaks, CA 91403-3197 INBBRER(B) AFFORDING COV[RAGE --— NAIC N ""--':----- C INSURER A: Philadelphia Indemnity Insurance Company 18058 _._.._._—�..._._.._,.__ ...,_.._ INSURED r L'- Discovery Science Canter of Orange County � �'=� �') � � 1 or - INSURER B; `EmPfO y '-'-s Compensation Ins Co 11512— dba Discovery Cube Orange Courtly _INSURERC; INSURER D -i- '-"' 2500 N. Main Street -----_-- INSURERE; w _ �.--� Santa Ana, CA 92705 INSURER F ; GQVE AYES CEttIIFICA ENUmmik Fl1 ye ICUy3 Ocvlcln\I r.0 uaoco. c THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEuFOR 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. LTR IAD15CA06"Rj�'_"�"-'_"—' POLICY EFF '.: p61'cY E%P - - —" --'—" TYPE OF INSURANCE POLICY NUMBER MMIODIYYYY MWODIYYYY LIMITS rX COMMERCIAL A GENERAL LIABILITY X PHPK1432448 I j 12/15/2015 12/15/2016 EACH OCCURRENCE S 1,000000 X `, OCCUR CLAIMS -MADE LPREMISES (Ee occurrence) I'_5 1,000,000 ti MED EXP (Any, one parson) I $ 20,000 PERSONAL B ADV INJURY IS 1,000000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE lS 2000,000 X � POLICY( IjE� LOG PRODUCTS-COMPIOP AGO 1 S 2,000,000 OTHER - : I ` { Sexual AbuselMolesrel $ _ A or� Included Au7oMoeae LIABILITY I PHPK143244B 1211512015 (12/15/2016 caMBINED SINGE IMI I S I aao o9G i-1Ea a claerlll._..-. F % ANY AUTO I BODILY INJURY (Per person) S ALL OWNED SCHEDULED I'�---- AUTOS <AUTO6 INJUR'I (Par acc,tlengl$ 1 X = HIRED AUTOS % I NON-cI PROPERTYDAMAGE �W -- AUTOS PROPERTY t—� § - - Par acaL4a tt I _ --$ TEACH A X UMBRELLA LIAR X OCCUR ) Pf- UB524655 112/15/2015 ( 12/15/2016 OCCURRENCE - 5 10,000, 000 E%CEBe LIAB CLAIMS -MADE: ` _ A REGATE W g 10, 000,000 DED 1 RETENTIONS 104/Ol/15 B WORKERS COMPENSATION # AND EMPLOYERS' LIABILITY Y I N EIG1453813-03 104/01/16 % PER OTH , I ...,STATUTE ER '.. ANY PROPRIETORIPARTNERIEXEGUTIVE OPFICERIMEMBER EXCLUDED4 aINIAi E. L. EAGH ACCIDENT _E ;F1i0,[X10 _ f- _ ! (Mandatory in NH) If Ves EL DISCASE-EA EMPLOYEE S 1 000,000 ibESCRIPTION SORPTIdescribeON OFFrde, OF OPERATIONS hePow iE. L. DISEASE -POLICY LIMIT j S 1000,00D i i I i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101, Addi lonai Raii Schedule, may ba attached It more apace is regWcedi r rT��~�o The City of Santa Ana, Parks, Recreation and Community Services Agency is included as Additional Insured for Gblity as required written eRakA contract \k�\ e, City of Santa Ana, its officers, agents, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Parks, Recreation and Community Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATInN ACORD 25 (2014,D1) 1111111111111111111111111111111 IN 111111111111111 IN II I IIII I II I I II •,:vaplaz2�¢neeamvoamon,ro POLICY NUMBER: PHPK1432448 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): City of Santa Ana, its officers, agents, and employees Parks, Recreation and Community Services Agency 20 Civic Center Plaza Santa Ana CA 92701 A. Section II — Who Is An Insured is amended to B. With respect to the Insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury", "property If coverage provided to the additional insured is damage" or "personal and advertising injury" required by a contract or agreement, the most we caused, in whole or in part, by your acts or will pay on behalf of the additional Insured is the omissions or the acts or omissions of those acting amount of insurance: on your behalf: 1. In the performance of your ongoing operations; 1. Required by the contract or agreement; or or 2. Available under the applicable Limits of 2. In connection with your premises owned by or Insurance shown in the Declarations; rented to you, whichever is less. However: This endorsement shall not increase the 1. The insurance afforded to applicable Limits of Insurance shown in the such additional insured only applies to the extent permitted by Declarations. law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the ``II Insurance afforded to such additional insured d�7' will not be broader than that which you are ev,JPi required by the contract or agreement to provide for such additional insured. CG 20 26 04 13 0 Insurance Services Office, Inc., 2012 P¢���'Pd Page 1 of 1 271069 AC CERTIFICATE OF'LIABILITY INSURANCE DATE IMMYDDIYYYY) 416/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOII 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. —TM—PORTANT: If the certificate —holder —is--,a-n—ADDITIONAL. -,-I"N--S ... U-R--ED,, the p`oI—icy-(i—es-)-m,-u,-st be —endorse—d.-R --- S-UB-R-0--G'A-T'-10—N IS W—AW-E" —0, -suh—ject 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 o,f such endorsements}, PRODUCERcT NAME; Catherine Cory Commercial Lines - (818) 464-9300 PHONE 818-464-9458 FAX 861 -5687 (AX, No, Ext): (A/C, I Wells Fargo Insurance Services USA, Inc. - CA Llc#: OD08408 E-MAIL ADDRE,ss: catherine.cory@wellsfargo.coi-n 15303 Ventura Boulevard, 7th Floor INSURER(S),AFFORDING COVERAGE NAiC ft Shernian Oaks, CA 91403-3197 INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED t INSURER B Employers Assurance Company 1 25402 Discovery Science Center of Orange County INSURER C dba Discovery Cube Orange County INSURER 0: 2500 N. Main Street INSURER E Santa Ana, CA 92705 INSURER SURER I COVERAGES CERTIFICATE NUMBER. 10353981 REVISION NUMBER: See below '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 ALI. -THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. :Abi POLICY 1 061 EXP LTR TYPE OF INSURANCE POLICY NUM13ER (MM_jUQ1L1�Ka _(EM2p1= LIMITS X 'COMMERCIALGIENERALLIABILITY A X PHPK1432448 12/15/2015 1211512016 EACH OCCURRENCE 3 100 ,0,000 DAMAGE TO RENTED.. - - -- CLAIMS -MADE X OCCUR PREMISES . e) S 1,000�000 acqu.r. I I IAny one Iren 1 20,000 PERSONAL & ADV INJURY 1,000,,000 GEI AGGRIEGATE I IMIT APPLIFS PFR :1 AG G 2,000,000 GENERAL RECIATE X PRODUCTS-CqMJEC7 AGG $ 2 000,000 OTHER, Sexual AbusWyojeswion $ Induced COMBINED SINGLE MIT A AUTOMOBILE LIABILITY PHPK1432448 12115/2015 12/15/2016L_CLIMIT 1,000,000 X ii ANY BODILY INJURY iPer person) $ ALL OWNE I l SCHEDULED I AUTOS f I AUTOS BODILY INJURY (Per accideni $ NON -OWNED P . I . 0 - P .. E . R . I .'. Y - D - AMAGE X HIRED AU LOS x AUTOS (Peraccident) A I x UMBRELLA I X OCCUR PHUB524655 12/15/2015 12/15/2016 EACH OCCURRENCE S 10,000,000 EXCESS LIAB i I C�AIMS-MADE AqGREGATE S 10,000,000 ...... . ..... OLD I I RETENTONs $ WORKERS COMPENSATION ER o ri-i- B AND EMPLOYERWLIARILITY EIG1453813-04 04/01/16 X FSPITFAR-TRITE ER, Y�N� ANY PROPRIETOPIPARTI 1,000,000 D" E 1. EA(711 AC 'IDENT $ 'c"en" �52 1,512016 �IAI,711, Ol-,00i 0FHCERJMi EXCLUDE N (Mandatory in I I DISEASE, EA EMPLOYEE S 1,000,000 0 as, describe under CRTIPTION OFPERATIONS below 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional I Schedute, may be attached if more space is require �,CwedAL The City of Santa Ana, Parks, Recreation and Community Services Agency is included as Additional Insured for General Liabli asequired by writJ590 contract. CERTIFICATE HOLDER CANCELLATION City of Santa Ana, its officers, agents, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Parks, Recreation and Community Services Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD @ 1988-2'014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) POLICY NUMBER: PHPK1432448 CG 20 26 04 13 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 91021MM111111 Clty of Santa Ana, its officers, agents, and employees Parks, Recreation and Community Services Agency 20 Civic Center Plaza Santa Ana CA 92701 Information required to cornplete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property darnage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or ornissions of those acting on your behalf: 1. In the performance of your ongoing operations, or 2. In connection with your premises owned by or rented to you. Flowever. 11The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, 13. With respect to the insurance afforded to these addpfionaf insureds, the following is added to Section III — Limits Of Insurance - If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreerrient, or 2. Available Linder the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Lini of Insurance shown in the Declarations. CG 20 26 04 13 C Insurance Services Office, Inc., 2012 . j\vNe6 1;11P- C11 AMMUM-1