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HomeMy WebLinkAboutDISCOVERY SCIENCE CENTER OF ORANGE COUNTY-2017City of Santa ` -a Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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. Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with No. N-2017-029 was completed on (List all amendments. Use space below if needed.) COTC Office Use Only xmD JUL 19 N 37 07 CLERK OFCOUNCIIL and final tt �payment has been made. t Department: ? � / Ad i(J-A, --j Phone/Ext.: Signature: Date: (D Revised: 10-18-16 nNS,URAKE ON FILE W the ' MY PROCEITO WIL INSURANCE EXPIN CEwGI3Ef OF COUNCIL . DA�. PRCS (! ) 2C117 CITY OF SANTA ANA RECREATION FACILITIES USE AGREEMENT N-2017-029 Silvia Cuevas THIS AGREEMENT is made and entered into this 71h day of March, 2017 by and between DISCOVERY SCIENCE CENTER OF ORANGE COUNTY, a California non-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 ("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 may be 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 requested by zoo staff. COMPENSATION User agrees to pay City $25 per student, due and payable to City upon completion of each week of the camp for services as set forth in the scope of services attached and incorporated as Exhibit A. The total sum to be expended under this Agreement shall not exceed Twenty Five Thousand Dollars ($25,000.00). fE1M9l:3u1 This Agreement shall commence on July 3, 2017 and continue through August 18, 2017. COMPLIANCE WITH RULES AND REGULATIONS User shall 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. BACKGROUND CFTPCKS 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 aro 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. INDEMNTFICA'I'fON User agrees to and shall indemnify, protect, defend, and hold harmless City, its officers, agents, employees, consultants, special counsel, and representatives from and against any and all claims, damages, judgments, attorney's fees, costs and expanses 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. 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 limit covorago applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of S 1,000,000 per occurrence and $2,000,000 aggregate, including coverage of sexual molestation with limits not lass than $50,000 per occurrence and $100,000 general aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and reprosentatives 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 auto mob ilcs. c. 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. (li) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved In form by the City. (ili) 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, e. If User fails or refuses to produce or maintain the insurance required by this section or falls or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall hava the right, at the City's election, to terminate this Agreement without penalty or further notice to User. S. CONFLICT OF INTEREST CLAUSE User covenants that it presently has no interests and shall not have interests, direct or indirect, wh€ch would conflict in any manner with performance of services specified under this Agreement. 9. 'FORCE MA,IUERE 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 cmitrol 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. t 1. 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, 12, 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, Clork 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: Bxecutive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center Plaza (M-23) PA, Box 1988 Santa Ana, California 92702 and City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1989 Santa Ana, C al ifornia 92702 To User: DISCOVERY SCIENCE FObN&AtteN C4"OrE of O-C ` 2500 N Main Street Santa Ana, CA 92705 Attn: Janet Yamaguchi, VP, Education 14. EXCLUSIVITY AND AMENDMENT This Agreorne.nt 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 ternis of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not he 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. 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice. 17. 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 opport€[pity 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, perl'ormance, and enforcement of any of the clat[ses of this Agreement shall be determined and governed by the laws of the State or 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 or, n: connection with or by reason of this Agreement. 19, AUTHORITY 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. AT't'p.ST, i)MMAAD. IIUIZAR Clark of the Council APPROVED AS TO FORM: SONIA R. CARVAIA-10 City Attorney Fay: 0 `vV. .� M rU n � Assistant City Attorney C[TY OF SAWA ANA GERARDO MOU T Acting City Manager DISCOVERY SCIENCE Olq OF"". RECOMMENDED FOR APPROVAL,: .A EANN : JURADO � Name: — 4 1Q cgs Acting .xecutivs Director — PRCSA Litt • Exhibit A Scope of Service The User will provide the City with up to eight weeks of summer day camp instruction, "Zoo Camp ", at the Santa Ana Zoo at Prentice Park in the numbers, ages and dates set forth below: Maximum Number of Cam ears Age of Campers Start Date End Date Time I Camp 30 7.10 713/2017 7/7/2017 00-2;30 Zoo Camp 30 7-10 7/10/2017 7/14/2017 9:00-2;30 Zoo Camp 30 5-7 7/17/2017 7/21/2017 9:00-1230 The Zoo and You 30 7-10 7/24/2017 7/28/2017 9:00.2:30 Zoo Camp 30 5-7 7/31/2017 8/4/2017 9:00-12:30 The zoo and You 30 7-10 8/7/2017 1 8)[1/2017 9:00-230 Zoo Camp 30 1 7-10 1 8/14/2017 MOM 1 9:00-230 Zoo Camp The portions of the Zoo that are permitted for the above camps at the respective dates and times are the following: • The ;Zoo Barn Classroom • Amphitheater and Amphitheater Picnic Area o 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 which has not been designated for provision of the camp, and any other area as requested by Zoo staff. 271069 0 CERTIFICATE OF LIABILITY INSURANCE DAT2/20/2OIYYYY) 12r2ar�a 1 s 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 have ADDITIONAL INSURED provisions or 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 aloes not confer rights to the certificate holder in lieu of such endorsement S), PRODUCER CONTACT NAME. Rodriguez Commercial Lines - 213-253-6700 PHDNE FAX — AIe o. Exti: 81 B-447-2014 WC. No., 806-968-5687 Wells Fargo Insurance Services, Inc, - CA Lic#: 0008408 E-MAIL ron.rodriguez wellsfar a.ggm ACORES$: 333 S. Grand INSURER(S) AFFORDING COVERAGE MAIC ## Las Angeles, CA 90071 — --�� _ INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER a: Empioyer5 Assurance Company -- 25402 Discovery Sclence Center of Orange County �� INSURER C dba Discovery Cube Orange County INSURER D: 2500 N. Main Street INSURER E : Santa Ana, CA 92705 INSURER F ; --- -- COVERAGES CERTIFICATE NUMBER: 11200600 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L18TED 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS, INSR LTR TYPE OF INSURANCE A I UBR POLICY NUMBER POLICY EFF MMIDIQYYYY POLICY EXP MM DDIYYYY LIMITS A j( COMMERCIAL GENERAL LIABILITY IX CLAIMS•MADE CJ OCCUR PHPIC1590101 12115l2016 711/2018 EACH 5 1,OOp,000 PREMISES (Ea ocxurranre REMDAMAIS56 EaE�f )rr c S 1,000,000 � MED EXP (Any one person) $ 5,000 _ PERSONAL & ADV INJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER! POLICY �] JEC F I I.00 GENE RAL AGGREGATE I $ 2,000,000 PRODUCTS •COMPIOPAGG $ 2,000,000 Sexual AbuselM*Ieetatiun 5 Included OTHER: A AUTOM0131LE LIABILITY PHPK15901D1 12/15/2016 711I2018 COMBINED SINGLE LIMIT Eaac dent 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODI..__...,...._--Per,,.,. ide BODILY INJURY (PBr accidenlJ __.•.... $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE."__ Per aocldent $ e $ A x UMHRELLALIAB X OCCUR P1­11.113567098 12/15/2016 7/1/2018 EACHOCCURRENCr _ ,. $ 11,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATEry $ 11,000,000 DELI 12ETEN710N $ I3 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNERlLXEGUTIUE Y 1 N RFFICERIMGM6EREXCLUDEn7 (Mandatory In NHI MIA EIG1453$13"04 04101/16 D4101117 x PER Ol STAT TE ER ""'-' E.L. EACH ACCIDENT $ 1,000,000 E.L. DtSEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATJON9 below E.L. D SEASE - POLICY LIMIT $ 1,000,000 s _ DESCRIPTION OF DPERATIDN5!LOCATIONS 1 VEHICLES (ACORD 401, Additional Remarks sehdule, mayb�alla; The City of Santa Ana, Parks, Recreatkin and Community Services Agency is includ 'for General Llabllty as required by written contract. CERTIFICATE HOLDER CANCELLATION City of Santa Ana, its officers, agents, and employees Parks, Recreation and Cnmrnunit Services Agency Y 9 Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 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 Cs 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 111111111111111111111111111111111111111111111111111111111 1111� 11111111111111111111111 'CYBq 1 A2nlnnn2Tn1021T)W0001n' POLICY NUMBER: PHPK1590101 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 fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Porson(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 Information required to coMplete this Schedule, if not shown above, will be shown in the Declarations, A. Section II — Who Is An InsLrred is amended to S. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the fallowing is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance,: with respect to liability for "bodily injury", "property "personal If coverage provided to the additional insured is damage" or 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 emissions 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. Availably: 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 such additional applicable Limits of Insurance shown in the Declarations. insured only applies to the extent permitter 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. CG 20 26 04 13 0 Insurance Services Office, Inc., 2 Page 1 of i 1111I 111110111111111111111111 IN 1111111111 1EI 111111111111111111111111111111111 _..... 1-1-1-01IN 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) TF 12�20/20113 S 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 13 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 andarsement(s). PRODUCER CoRT Crrurnemial, Lines NAMEA� CT R o- onald RodrIguez - 213-253-6700 PHONE FAX (A/C, No. Ext)� 81 8-447-2011 4 .... (AIC , Not: 866-968-5687 Wells Fargo FnSIJFcIFIGB SeirvIcas, Inc. - CA Lic4: OD08408 P-MAIL ADDRESS: ron. rod riguez@w(-,,Ilsta rgo corn 333 S. Grand INSURER(S) AFFORDING COVERAGE Los Angeles, CA 90071 NAIC 4 .... . ... . ..... INSURER A � Philadelphia inclerinnity insurance Company 18058 ..- I P --- INSURER B:. Employers Assurance Company 25402 Discovery Science Center of Orange GOUnty INSURER URER C : I dba Discovery Cube Orange County . . . ... C-I ... ...... .. - WSURER D 2500 N. Main Street INSURER E: Sarila Ana, CA 92705 .. . .... .... . ......... .... . . ........ INSURER F: COVERAGES CERTIFICATE NUMBER: 11200600 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 CER FIRCA I E MAY BE ISSUED OR MAY PER -FAIN, 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 E . ... . ...... . .. AD15L s0ak POLICY .. EF . F ... . ... .... LTR TYPE Or INS URANC VQ p POLICY NUMEIF nR UMLEgLan _RM DWY LIMITS X COMMERCIAL GENERAL LIABILITV L X —yy1 A I x PHPI<1590101 12/15/2016 7/11/2018 EACH OCCURRENCE i s 1000000 I OCCUR IYA191AGE TO RENTEo x CLAIMS-MAOE PREMISES jEa occurrence)_. 1 0100000 ...... . . . .. ..... .. ME. D EXP (Any one person) i S 5000 A PERSONA[ &ADVINJIURY S 1 000'D00 GF!N't AGGREGATE I WIT APPIAES PER,: GENERAL AGGREGATE 2000,000 PRODUCTS - CP�OP AGG 2 x p 0 1, r y I 0C OIVI000000 FIP M Abugeg0d�t,,11 ion A AUTOMOBILE LIABILITY COMBINED SINGLE UMIT X . ANY AUTO Ea 12/15/2016 711/2018 1 '00 0 - 0 - 0 1 a BUMLY I4JURY (her persc)ii) OWNED SCHEDIJIFF) AW-OS A,Q ;T-,-, 1"nn1y INI'➢l IPYrP," IVRED OWNED . ..... . X ON �,Y LY AUTOS AUTOS ONLY S D�' ON NON x :UM;BRELLCA;L1A�B x U A OCCUR PHUB567098 1211512016 71112018 EACH OCCURRENCE I I ODO,000 EXCESS LIAS CLAINIS-MADE: AGGREGATE S 11,000,000 0 'Lo ED RETFN1ION,5 WORKERS COMPENSATION PER OFH ---T4101117 s B AND EMPLOYERS'LIABILITY EIG1453813-04 04/01/16 -T0RWARTNFR.IkALCU FIVE 1 000,000 ANYPRC)PRIL YIN LK!U.TE .,i. L�R — ---------- oFFICEWMEMBERE"XGLUDED? F—N NIA El, EACH ACCIDENT (Mandatory In NH) If yes. descrilrn, under E.L. DISEASE - EA EMPLOYrF,1_1_ 1,000 000 DESCRIPTION OF CPERATION', ILlow -1 E.L.DISEASE , POLICY LIMIT S 1000101 44 )ESCRIPTION OF OPERATIONS f LCCAJ1ONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attar ce its required) The City of Santa Aria, Parks, Recreation and Community Services Agency is includ 11 d for General Liablity as required by written contract. 'ERTIFICATE HOLDER CANCELLATION City of Santa Ana, Its officers, agents, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Parks, Recreation arid Community Services Agency THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE' ITH THE POLICY PROVISIONS, Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE .CORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Cc 1988-2015 ACORD CORPORATION. All rights reserved. POLICY NUMBER: PHPm590101 COMMERCIEAL, GENERAL. LIABILITY CG 20 26 OBI 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance prodded under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Parson(s) Or Organization(s): City of Santa Ana, its officers, agents, and employees Parks, Recreation and Community Services Agency 26 Civic Center Plaza Santa Ana CA 92701 nformation required to complete: this Schedule, if not s 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 damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or onnissions 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. However: 1. The 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. CG 20 26 04 13 will be shown in the Declarations. S. With respect to the insurance afforded to these additional 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 contract or agreement; or 2. Available under the appllcable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 2A �e'4 C� Insurance Services office, Inc„ 2 �� Page 'i of 7 ^even i,a2orunnvnmsrosaunnum 271069 7DATE (MMIDD11YYYY) 31 0 CERTIFICATE OF LIABILITY INSURANCE 3/2412017yyy' 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 pollicy(jes) must have ADDITIONAL INSURED provisions or 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 endarsement(s). PRODUCER CONTACT NAME� Ronald Rodriguez Corrinnercial Lines - 213-253-6700 11.11 -11. - .... . ............ .. ... . . .... . ... . .......... . ... . ........ PHONE 818-447-2014 FAX (A/C, No, Ext)� ... . . ........ . . ..... . . . ............ ........ .... (A/C, Nei: 866-968-5687 Wells Fargo Insurance Services, Inc. - CA Lic#: OD08408 E-MAIL ADDRESS: ron.rodriguez@wellsfargo.corn 333 S. Grand ..... . ......... ... .. .. ... . ...... . .... INSURER(S) AFFORDING COVERAGE COVIERIAG11E . ..... .............................- . NAIL Los Angeles, CA 90071 INSURERAPhiladelphiIndemnity Insurance Company 18058 INSURED . : INSURER B. Travelers Property Casualty Co of America 25674 Discovery Science Center of Orange County INSURER C dba Discovery Cube Orange County . .... . . . ........ . .. . . ,INSURER D: .. . ..... . ..... 2500 N. Main Street INSURE RE Santa Ana, CA 92705 INSURER F: COVERAGES CERTIFICATE NUMBER: 11590574 REVISION NUMBER., See below THIS IS TO CERTIFY FHAT 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 INIO WVn POLICY NUMBER P6_L1_1ffY_BPF POLICY EXP . . .. . .... fMMIDD1YYYYJ (MMtDOIYYYY) LIMITS A X .- COMMERCIAL GENERAL LIABILITY x PHPK1590101 12115/2016 7/112018 EACH OCCURRENCE S'' x CLAMS -MADE OCCUR PREMISES (Eaoccurrenue)._ S 1,000,000 MED EXP (Any one pprscn) - , I'll __ I S . ............... . ... . .... 5,000 PERSONAL & ADV INJURY i S 1,000,000 GEN'[ AGGRIEGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 x PRO, � POLICY JE.CJ LOC PRODUCTS - COMPtOP AG G S 2,000,000 I OIHFR: Sexual AlbuselMoleslation Included A AUTOMOBILE LIABILITY PHPK1590101 12/1512016 7/112018 COMB INF. D SINGLE LIMI I JE'�Lguci 11 1,000,000 X ANY AUTO � __991 BODILY INJURY (Per porsor) OWNED 'CHEDULED AUTOS ONLY AUTOS .... .. . ... ... . BODILY INJURY SPerarcidenl) S x HIRED NON -OWNED rytA0 AUTOS ONLY AUTOS ONLY (Per acciderl) A -,.X--- UMBRELLALIAB X OCCUR PHUB567098 12115/2016 7/1/2018 EACH OCCURRENCE S 11 000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE 11,000000 UFO RETENTIONS WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PJUB3J26338517 04101/17 04/01/18 iPER OTH" __.�jaT , TE ER mm.m Ymm ANYPROPRIETOR/PARTNERi'EXECOTIVE 'N L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? [:N: I A E.L. DISEASE - EA EMPLOYEE 3 1,000,000 (Mandatory in NH) If yes, describc, ondor - E.L. DISEASE - POLICY LIMIT 3 1,000,000 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, Parks, Recreation and Cornrnunity Services Agency is included as Additional Insured for Genera I Liabl ity as f y written contract. X� CERTIFICATE HOLDER CANCELLATION City of Santa Aria, its officers, agents, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL -LED BEFORE Parks, Recreation and Community Services Agency THE EXPIRATION DATE THEREOF, NIOTIICE WILL BE DELIVERED IN 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 @ 1988-2015 ACCIRD CORPORATION, All rights reserved, ACORD 25 (2016103) I11111110 I11111111 I I110 II1111111111111111 11��l Ike1111 POLICY NUMBER4 PHPK1590101 COMMERCIAL GENERAL LIABILITY CG 20 26 04 113 THIS EV This endorsement rnodifies insurance provided kinder the following: R 11 1 2111 1 i I I 1111111!1 City 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 org2nizafion(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting an your behalf: 1. In the performance of your ongoing operations-, or 2. In connection with your premises owned by or rented to YOU. However: 1. The 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 B. With respect to the insurance afforded to these additional 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: I. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. (0 Insurance Services Office, Inc., 2012 00614a.ge I of 1 11I III I1111111111 1111I IPI 11111111111111111111111 1111111111111 _.... .... ........