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Home My WebLink AboutPBS SO CAL (2)City of Santa Ana Clerk of the Cou, Al 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TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect.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 N-2017- V No. was completed on (List all amendments. Use space below if needed.) Revised: 10-I8-16 COTC Office Use Only City of Santa Ana Au 11 0 N 2021 Clerk of the Council I and final payment has been made. Department: [ VJQ_ VA IA6VAiK Phone/Ext.: sa-vj Signature: S' Q o tJl t1�lJG Date: -7 /aAW INSURANCE NLiT ON, FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: PBS O: PRCS (/ ) SOCAL PBS SoCal Community Lab Partnership Agreement 51Ivia Cuevas 3080 Bristol Street, Suite 400 Costa Mesa, CA 92626 N-2017-210 10100 Santa Monica Blvd, Suite 1070 Los Angeles, CA 90067 Partner Organization: Santa Ana Public Library Partner Address: 26 Civic Center Plaza, Santa Ana, CA 92701 Partner Contact Name: Lupita Arroyo, Cheryl Eberly, Saidy Valdez Partner Contact Phone: (714) 647-5283 Partner Contact Email: LArro o santa-ana.or •CEberl santa-ana,or . Svaldez Santa-ana.or Agreement Start Date: September 12, 2017 Agreement End Date: August 31, 2018 (with option to renew/extend) Community Lab Cohort: 3 PBS SoCal agrees to provide the following through this agreement: 1. On -site trainings on current and future PBS transmedia resources for current staff and new hires during agreement period, 2. Monthly or as appropriate, on -site events put on by PBS SoCal for the families served by the partner. These can include but are not limited to parent workshops, 3. Outreach Events, included but not limited to dissemination of RTL information and resources, Family Science nights, festivals, fairs, back -to -school events, summer camps and afterschool activities. 4. Involvement and/or resources for partner -hosted events as appropriate. 5. Continued delivery of new PBS KIDS apps and/or PBS educational resources on a quarterly basis. 6. Consistent communication and support throughout the agreement period. 7. Technology: PBS SoCal shall provide to the Santa Ana Public Library ten (10) iPads with the serial numbers and Apps below, a. List of !Pad's serial number: DMPQM27SG5VJ, DMPQM2HWG5VJ, DMPQL9Q9G5VJ, DMPQM2PGG5VJ, DMPQL9QJG5VJ, DMPQM210G5VJ, DMPQM1ZSG5VJ, DMPQM2NZG5VJ, DMPQM1CTG5VJ,DMPQM05DG5VJ b. List of PBS KIDS Apps: Wild Kratts Creature Math, Martha Speaks Word Spinner, Dinosaur Train Classic in the Jurassic, Jr, Peg + Cat the Big Gig, Odd Squad Blob Chase, SUPER WHY Paint! WordGiri Superhero Training, Daniel Tiger's Neighborhood: Play at Home with Daniel, Daniel Tiger's Day & Night, Dinosaur Train A to Z, Wild Kratts Creature Power, Wild Kratts World Adventure, Dr, Seuss's The Cat in the Hat Color & Create!, Curious George at the Zoo, Draw with Curious George, Curious About Shapes and Colors, SUPER WHY ABC Adventures: Alphabet, Fizzy's Lunch Lab: Hectic Harvest, Sid the Science Kid Read & Play, SUPER WHY! !Pad, Puffin Web Browser, SUPER WHY Phonics Fair, Peg + Cat: The Tree Problem, Daniel Tiger's Grr-lfic Feelings Arthur's Big App, Explore Daniel Tiger's Neighborhood, All Aboard the Dinosaur Train! Martha Speaks Story Maker, PBS KIDS ScratchJr, PBS KIDS Party App, Plum's PBS SoCal Community Lob Partnership Agreement —Santo Ana Public Library —Cohort 3 Page 1 of 2 Creaturizer, PBS Parents Play & Learn, WordWorid Tales, The Electric Company Party Game, Fizzy's Lunch Lab: Fresh Pick, PBS KIDS Video, Cyberchase Shape Quest, Cyberchase 3D Builder *Contingent on available funding An invitation to join the PBS SoCal Early Learning Collaborative a. Members of this collaborative will be invited to larger scale trainings and presentations on new programs/lessons hosted by PBS SoCal. b. The collaborative will convene semi-annually to discuss the issues and share ideas surrounding early education in the Southern California Community. Santa Ana Public Library agrees to provide the following through this agreement: 1. A meeting with the Executive Director and Early Learning Program Manager (or appropriate staff) to confirm partnership with organization and overview planning with leadership. a. This meeting will also serve as a site visit and tech assessment. 2. A committed contact person at the organization who is directly involved with the Community Lab, and who will provide consistent communication throughout partnership. 3. Integration of PBS Ready to Learn transmedia resources into existing services 4. Use of the Community Lab will be for educational purposes only. 5. Secure and proper storage of the Lab and all associated equipment. 6. A willingness to include PBS SoCal to partner -hosted events as appropriate. 7. A representative of the partner organization to be involved in the PBS SoCal RTL Collaborative. 8. Monthly and Annual Reporting as requested by PBS SoCal. 9. In case of loss, theft, or irreparable damage to the device, the City shall not be financially responsible, but PBS SoCal shall not be obligated to replace the device. 10.Santa Ana Public Library shall return all equipment at the expiration of this Agreement. City of Santa Ana Chief Finan PBS SoCal ATTEST Signatures of Authorized Representatives c Date RECOMMENDED FOR APPROVAL Datd Gerardo Movet, Exec Dir. Parks, Recreation, and Community Services APPROVED AS TO FORM �� Maria D. Huizar, Clerk of Council J# M. Funk, Assistant City Attorney PBS SoCal Community Lab Partnership Agreement— Santa Ana Public Library —Cohort 3 Page 2 of 2 EXHIBIT A— PBS SOCAL COMMUNITY LAB AGREEMENT INSURANCE REQUIREMENTS Prior to undertaking performance of work under this Agreement, PBS shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. PBS 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 PBS'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 $2.000,000 In the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, 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. It. 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. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, PBS, if PBS has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, PBS agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000.000 per accident. d. If PBS is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the Insurance to be provided by PBS pursuant to this section: I. PBS 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. iv. PBS shall supply City with a fully executed additional insured endorsement. f. If PBS 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 PBS's right to be paid for its time and materials expended prior to notification of termination, PBS waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. ACORQ DATE(M MIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 1011012017 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 818-836-5800 CONTACT Andrea Eatou h Lockton Insurance Brokers, LLC 818-721-5800 NIAiol g FAx 16633 Ventura Blvd., Ste. 1300 ac, IN Ext: 818-836-5833 AIc, No): 818-721-5833 Encino, CA 91436 ADDRESS, aeatough@lockton.com INSURERS) AFFORDING COVERAGE NAIC# INSURER A: New York Marine & General Insurance Co. 16608 INSURED KOCE-TV Foundation { INSURER B: PBS SoCaIINSURER C'. 3080 Bristol Street INSURER D: Costa Mesa, CA 92626 INSURER E INSURER F : 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ...._......___. INSR Me POLICY NUMBER _ MMIDDIYYYY) {MMIDD IYYYYf .. _ LIMITS GENERAL LIABILITY EACH OCCURRENCE _....._.. 1,000,000 X COMMERCIAL GENERAL LIABILITY ETORENTED PREMIDAMASES PREMISES�(Eapcc, rrence ' 100,000 A CLAIMSMADE X__ OCCUR ❑ ❑ PK201600003723 11/01/16 11/01/17 MED EXP(Anyone person) 5 5,006 PERSONAL B ADV INJURY 1,000,00D GENERAL AGGREGATE 2,000,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO 21000,000 EMPLOYEE BENEFITS _. 1,000,000 PRO X POLICYFIJECTF LOC ..,..._ UTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _ 0 0 AU201600003678 11/01116 11/01/17 Be acaiaem) BODILY INJURY (Per person) ANY AUTO A` ALL OWNED SCHEDULED AUTOS AUTOS .................................... BODILY INJURY (Per accident) PROPERTYAGE X HIRED AUTOS X NON -OWNED AUTOS (Per accident)ident) X UMBRELLA LIAB X_ OCCUR -..- ....-.--- ............ EACH OCCURR ENCE 6,000,000 A A EXCESS LIAB EXCESS LIABCLAIMS-MADE ❑ ElAGGREEGATE UM201600001281 11/01/16 11/01/17 -- 6, 00000-0 - , DED L X RETENTIONS 10,000 _ __ ORKERS COMPENSATION W- CSTATU- TH AND EMPLOYERS' LIABILITY YIN X ORY LIMITS �FR ANY PROPRIETORIPARTNERI EXECUTIVE E.L. EACH ACCIDENT FFICEIMEMBER EXCLUDED' NIA ❑ E. L. DISEASE EA EMPLOYEE Mandator, in NH) If,es, describe antler E.L. DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS below A Misc. Owned/Rented Equipment ❑ ❑ PK201600003723 11/01/16 11/01/17 $225,000 / Ded. $1,000 hird Party Property Damage $1,000,0001 Ded. $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City of Santa Ana, its officers, employees, agents, volunteers, and representatives are icludes lid Additional Insured, but only as Named Insured. Coverage respects to claims arising out of the negligence of the is primary.; tTeplson-Conti butory. I des 30-day notice of cancellation. . — CERTIFICATE HOLDER . __ .-__._ ........_... CANCELLATION •Q1N8 CITY OF SANTA ANA SHOULD ANY OF ArggVE ED POLICIES BE CANCELLED BEFORE PARKS, RECREATION AND COMMUNITY SERVICES AGENCY THE EXPI N DATE E F, NOTICE WILL BE DELIVERED IN THEACCORDAN E WITH THE PROVISIONS. 20 CIVIC CENTER PLAZA, PO BOX 1988 M-23, SANTA ANA, CA 92702 "i AUTHORIZED REPRESE/nN7TA�-TI�JVE @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD A� o CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYYVY) 10/10I2017 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). Nr FAX Automatic Data Processing Insurance Agency, Inc. Lle o, Exit NoI:. 1 ADD Boulevard aDoaeSS, Roseland, NJ 07068 INSURER(5) AFFORDING COVERAGE NAICN INSURERA: West American Insurance Company 44393 _... _ _... INSURED INSURER B KOCE TV FOUNDATION 3080 BRISTOL ST STE 400 INSURER - Costa Mesa, CA 92626 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 759360 REVISION NIIMRFR- 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- ADDLSUBR LIFE TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFP POLICY EX MMIDDIYYVV MMIDDIYYYV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED - CLAIMS -MADE OCCUR C_ PREMISES (Ea occurrence) S MED EXP (Any one person) S -5 PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S POLICY PRO .._ JECT LOC PRODUCTS-COMPIOPAGES ___..S _. OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S _ (Ea accident)_ ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acatlend $ NON -OWNED PROPERTY DAMAGE -..5 HIRED AUTOS AUTOS Per accident).. 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE E DED RETENTIONS $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER _. A ANY PROPRIETOR/PARTNER/EXECUTNE NIP N XWW57936605 E L EACH ACCIDENT S 1,000,000 06/01/2017 06/01/2018 OFFICER/MEMBER EXCLUDED' (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE S 1,000,000 Ifyes describe under 1,000,000DESCRIPTION OF OPERATIONS below EL DISEASEPOLICYLIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached if more space is required) G�e�a , - VGLLNIIV IY \��\,, ) SHOULD ANY OF THE ABOVE DE�RIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana Public Library ACCORDANCE WITH THE POLICY PROVISIONS, 26 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE �_u )it—)It-- ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NIJWB�RPK201600003723 COMMERCIALr z +, r9 THIS ENDORSEMENT CHANGES THE POLICY, ADDITIONAL INSURED OR AGENCY OR SUBDIVISION OR POLITICAL ! •AUTHORIZATIONS This eruforsement modifies insurance Wovided under the lollo4 ng'. COMME"ACfAL.GEN*WkAl, f,IA8ft.if"v COVEAAGf PART &IM114t1111114 State Or Governmental Agency Or Subdivision Or PoWca Subdivision. CITY OF SANTA ANA FINANCE & MANAGEMENT SERVICES AGENCY 20 CIVIC CENTER PLAZA, PO BOX 1988 M-16, SANTA ANA, CA 92702 The City of Santa Ana, its officers, employees, agents, volunteers, and representatives Section It — Who I& An Insured is amended to in- ciudo as an insured any stale or governnentat agency or subdivision or pofrtical subdivision shown in the Schedule. subject to the following provisions. 1. This insurance applies only with respect to opera- tions performed by you or on your behatf for which the state or governmental agency or su Arvision or p 0c,ai subdivision has issued a permit or au- tfhoresalion. 2, This slsurance dines not apply to & "Bodily injury", 'property Barrage" or 'personal and advertising injury" *rising out of operations performed tof the federal goverrwnent, stale or municolily: or ts. "Bed61y qury' or "property darnage" included within the "produces -completed operations hazard", CO 20 12 05 09 0 Insurance Services Office. fry., 2008 Wage 1 of 1 0 POLICY NUMBER: PK201600003723 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other (2) You have agreed in writing in a contract Insurance Condition and supersedes any or agreement that this insurance would be provision to the contrary: primary and would not seek contribution from any other insurance available to the Primary and Non-contributory Insurance additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and ADDITIONAL INSURED ENDORSEMENT Insurance Company New York Marine & General Insurance Co. p Y_— This endorsement modifies such insurance as is afforded by the provisions of Policy # PK201600003723 relating to the following: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; it officers, employees, agents and representative are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 10/10/2017 Policy # Issued to PK201600003723 KOCE•TV Foundation " PBS SoCal this endorsement form as part of Name Insured e-44ea`p`�`.~ i �Jl, � Countersigned by nce Agent Slgnamre C