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HomeMy WebLinkAboutBLUERAY MANAGEMENT LLC 6 r City of Santa Ana .* i- Clerk of the Council COTC Office Use Only AGREEMENT TERMINATION FORM f [ Please complete this form in its entirety when the attached agreemag(la al.' P l 3: 18 amendments (if any) are no longer in effect. Note: If your agreement is grant related,please ensure that all grant retention requirement u ' 4 A N TA A NA have been satisfied prior to signing the termination form. i,L E OF r + OF COUNCIL 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 t `D\ \A, 0-k, v\ \`'L.G.VILk 4�'L -" La_ . _s J i r-,M1 N-2019-023 ,9y No. was completed on 14-7..` i ) ) C`I and final payment has been made. (List all amendments. Use space below if needed.) I f' Department: 9-LP f v t i ; , :3 .,' Phone/Ext.: Signature: S ), Q11:k'C��11PA,i(I\. --) Date: i1 1 b-U^ Revised:10-18-16 iNSURANGE ON FILL N-2019-1)Q$ %Ujt!, MAY f ROCEED UNTIL INSURANCE EXPIRES GLERK OF COUNC9L DAIk. IAN 2 9 2019�GREEMENT TO PROVIDE AQUATICS PROGRAMMING Q: PMaCt AT SANTA ANA CITY POOLS THIS AGREEMENT is made and entered into this 19"' day of December, 2018, by and between Blueray Management .LLC,.a California limited liability company ("Provider'), 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. The City desires to utilize the services of an independent contractor with the requisite skill and expertise to provide seasonalaquatics programs for the Parks, Recreation, and Community Services Agency at City pools, including private and group swim lessons;: swim team programming, lifeguard training, and other aquatic programming as mutually agreed upon, as more fully described in the scope of services that is attached as Exhibit A. B. Provider represents that it is fully qualified to perform such services by virtue of its experience and the training, education, and expertise of its principals and employees. C. City desires to retain Provider, and Provider desires to perform these services for the City in accordance with the terms and conditions of this Agreement. The parties therefore agree as follows: 1. PROVIDER'S SERVICES A. Scope of Services. Provider shall perform those services as set forth in Exhibit A. B. Standard of Performance. Provider shall perform all services under this Agreement in accordance with the standard of care generally exercised by like professionals under similar circumstances and in a manner satisfactory to City. C. Personnel. Provider has, or will secure at its own expense, all personnel to perform the services required under this Agreement. All of the services required under this Agreement shall be performed by Provider or under its supervision, and all personnel engaged in the work shall be qualified to perform such services. D. Compliance with Laws. Provider shall keep itself informed of all local, state, and/or federal ordinances, statutes, and regulations that in any manner affect those employed by Provider or in any way affect the performance of Provider's services under this Agreement. Provider shall at all times observe and comply with all such ordinances, statutes, and regulations. City and its agents shall not be liable for any noncompliance by Provider. E. Safety Equipment. Provider shall be responsible for providing and maintaining all safety equipment required to carry out Provider's duties under this Agreement. F. Class Cancellation and Rescheduling. If for any reason Provider must cancel a class or other program, Provider shall give City as much prior notice as possible:. Provider shall be responsible for contacting all students. G. Class Enrollment. Classes or programs may be cancelled if enrollment minimums are not met, Provider shall coordinate with City regarding transfer or withdrawal of participants. 1-1. Attendance Sheets. Provider shall complete an attendance sheet listing participants° names and shall submit all attendance sheets to the Parks, Recreation, and Community Services Agency at the conclusion of each swim session or program. 1. l in�.eertirinting/Backs~round Checks. Prior to performing services under this Agreement, and at Provider's sole expense, all personnel shall be fingerprinted through Live Scan for completion of a criminal record check by the California Department of Justice. No personnel convicted of any offense specified in California Public Resources Code section 5164 shall be permitted to perform services this Agreement. If at any time Provider fails to comply with this Section L, City may terminate this Agreement immediately and without penalty. Provider shall also comply with all screening and background check requirements of California Penal Code section 11105.3. Provider warrants and represents that none of its employees, agents, or volunteers will provide services under this Agreement unless the proper screening and any necessary notification to City under the above code sections have taken. place. 2. COMPENSATION I e, As total and complete compensation for Provider's ,services under.this ,Agreement, Provider shall have the right to collect and retain all program fees and revenues stated in Exhibit A. Provider shall be responsible for all program costs, excopt chose facility costs fo be assum by the City. The total amount to be expended under this Agreement sltall, exceed $25,0g4: 3. TERM This Agreement shall commence on January 1, 2019 and continue through December 31, 2019, unless terminated earlier in accordance with. Section 12, below,. The term of this Agreement maybe extended for.an additional one-year period by a writing. executed by the City Manager And the City Attorney. 4. INDEPENDENT CONTRACTOR Provider shall, during the entire term of this .Agreement be construed to be an independent contractor and not an .employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the manner in which Provider performs the services which are the subject matter of this Agreement; however, the services to be provided by Provider shall be provided in .a manner consistent with, all applicable standards and regulations governing such services. Provider shall pay, all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. Provider is not an agent, representative or employee of City and Provider shall have no authority to act on behalf of the City. S. INSURANCE Prior to undertaking performance of work under this Agreement, and without limiting the indemnification obligations described in Section 6, Provider shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: A. Cgmmercial Gegeral Liability Insurance. Provider shall maintain 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 Provider'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 $2,000,000 per occurrence and $4,000,000 in the aggregate, including coverage of sexual molestation with limits not less than $250,000 per occurrence and $500,000 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 (e) contain standard separation ofinsured's provisions. B. Worker's Compensation Insurance. In accordance with California State law, Provider 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, Provider agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. C. The following requirements apply to the insurance to be provided by Provider pursuant to this section: i. Consultant 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. Where the amounts or coverage provided by the certificates of insurance provides coverage greater than those listed by this Agreement, the amounts provided by the certificates of insurance shall be incorporated by reference into the Agreement. V. Consultant shall supply City with a fully executed additional insured endorsement. D. If Provider 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. Such termination shall not affect Provider's right to be paid for its time and materials expended prior to notification of termination. Provider waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Provider agrees to and shall defend, indemnify and hold harmless the City, its officers, agents, employees, attorneys, volunteers, representatives, successors, and assigns from and against any and all damages, costs, expenses, liabilities, claims, demands, causes of action, proceedings, expenses, judgments, penalties, liens, or losses of any nature whatsoever, including costs and attorney's fees, and the payment of all consequential damages, whether actual, alleged, or threatened, that arise out of, pertain to, or relate to the acts or omissions of Provider, its officers, subcontractors, agents, employees, or other persons acting on Provider's behalf in the performance of this Agreement. Provider further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Provider's indemnifications obligations under this section shall survive expiration or termination of this Agreement. 7. CONFLICT OF INTEREST Provider 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. Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, in the manner provided in this Section, to the following persons: To City: Clerk of the Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 With copy to: Executive Director of Parks, Recreation and Community Services City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 To Provider: Blueray Management LLC 10661 Ellis Ave, Suite E Fountain Valley, CA 92708 Attn: Abby Pearose, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 9. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Provider regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments 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 Provider. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Provider 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 is not embodied herein. 10. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 11. ASSIGNMENT The experience, knowledge, capability and reputation of Provider were a substantial inducement for City to enter into this Agreement. Therefore, Provider 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. 12. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Provider shall be entitled to receive, and City shall pay Provider, compensation for all services rendered prior to the effective date of termination. 13. RECORDS Provider shall use attendance sheets to record attendance in each class or session. Provider shall keep these and any other records in connection with the work to be performed under this Agreement and shall permit City, upon request, to review such records for a period of three (3) years from the date of expiration of this Agreement. 14. NON-DISCRIMINATION Provider 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, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Provider affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 15. 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. 16. LICENSES Provider shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. 17. SEVERABILITY In the event that one or more of the phrases, sentences, clauses, paragraphs or sections contained in this Agreement shall be declared invalid or unenforceable by valid judgment or decree of a court of competent jurisdiction, such invalidity or unenforceability shall not affect any of the remaining phrases, sentences, clauses, paragraphs or sections of this Agreement, which shall be interpreted to carry out the intent of the parties hereunder. 18. EXHIBITS All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 0 N-2019-o23 19. AUTHORITY The person(s) executing this Agreement on behalf of the parties hereto wan -ant that they are duly authorized to execute this Agreemaent on behalf of said parties and that by so executing this Agreement, the parties hereto are formally bound to the provisions of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ems. Norma Mitre Acting Clerk of the Council LISA'RUJiLM Executive Director, Parks, Recreation and Community Services Agency &M-MV104MOMMS SONIA R. CARVALHO City Attorney By: LAURA ROSINNI Senior Assistant City Attomey Title: �5!� 0 7 EXHIBIT A SCOPE OF SERVICES PROGRAM DESCRIPTION Blueray Management will continue to offer seasonal aquatic programs at all five (5) City pools and will assume the management of the swimming programs, private lessons and coaching of the city - wide swim teams. Blueray Management will manage all registration for these program activities. Upon prior written approval by the PRCSA, Blueray Management may add other programs and will need to provide 30 days in advance a written proposal, with program specifics to PRCSA for consideration. Blueray Management will handle the collection and management.of.program.fees and will retain 100% of the revenue generated by the aquatics programming at all five (5) city pools. SWIM LESSONS Blueray Management will provide swim lesson according to the nationally recognized American Red Cross Learn -to -Swim Program. The programs will operate on a schedule determined by Blueray Management and approved by the City. A maximum of six (6) swim participants are enrolled with the exception of the Parent & Me and Adult swim classes, which in both courses accommodates up to 10 participants; the Parent & Me program, has the support of parent involvement, which is a American Red Cross standard. The Swim lesson fees for a two (2) week, & day session will be $ 50.00 for all swim participants. Private lessons will be available at $ 20.00 per 25 minutes lesson; Saturday lessons $25 to $30 per session for four 30 minutes lessons. BLUERAY SWIM TEAM Blueray Management will provide the swim team program, which will be conducted at two (2) city pools for all interested participants, ages 5-17. The swim team program will operate on a schedule determined by Blueray Management and approved by the City. Teams will compete in the City's traditional events. All Meets will be governed by United States Swimming (USS) rules and regulations. The swim team fees will be $ 60.00 per month, payable to Blueray Management. BLUERAY WATER POLO Blueray Management will provide a water polo program, which will be conducted at Memorial Pool for all interested participants, ages 4-14. A minimum 20 participants must be registered in order for the program to be offered. The water polo fees will be $ 55.00, payable to Blueray Management. PERSONNEL The proposed program will be managed by experienced Blueray Management staff, and will provide training through the nationally recognized American Red Cross Health and Safety courses for Lifeguard training, First Aid, and CPR for the Professional rescuer and Learn -to -Swim Program, trainings will be conducted in-house and Blueray will offer CPR/First Aid/Lifeguard certification for a minimal cost to City of Santa Ana employees in need of certification. Blueray will interview and possibly hire current City of Santa Ana Aquatics staff. A onetime in-service training to confirm qualification and required skill performances and team information meeting will be conducted. CITY COSTS The City shall be responsible for all maintenance, gas, water, electricity and related facility expenses, and recreational swim session at facilities covered by this Agreement. BLUEMAN-02 CERTIFICATE OF LIABILITY INSURANCE D031221201YY) �......--� D3razrzol$ 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 INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polloy(les) 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 oertificate holder in lieu of such endorsement(a). PRODUCER License # OG19 MY," Momentous Insurance Brokerage Inc - PNDNe ' PAX(AfC.,Nu, EFn: ($18) 833-2700 (Pic,sol:(81$) 533-2701 5990 Sepulveda Blvd., 0550 Van Nuys, CA 01411 N-2019-023 d�ea: ' INSURERISIAPPORDINO,COVHRAOe NAICS INSURaRA:Philadelphia Indemnity Insurance Company ..18068 INSURED I CVINSURERS tSentinel insurance Company,11000 J Lau 'U Biueray Management LLC Iaau,RERc: P.A. Sax 12629 INSURERa: NowportBeach, CA92668 ;INSURERS:. .. .. NlSURERF: C!lll1L-RArSRe r'�tOTlCif!ATl=NS1BARRa• RRVLC[fSN NtiMRFR• THIS I$ 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIOH 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 SHOVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. waftLTR'. TYPE OF INSURANCE APD4 aR. POLICYNUMBER 'POLICY aPP -aamLIMITS A : X COMMERCIAL GENERAL LIABILITY EACH OECC7pURRENCE, S 2.000,000 . CLAIMS•MADE X OCCUR X PHPK1794789 0312412018 0312412019 PONAfOHS;EaxalreMe) ; r 100,000 . t�D EIw iAnrana PerAml . S 0 _ PERSONALBAOV INJURY S 2,000,000 . GEN'LAGOR90ATE PER: ,. ORNERALAGOREPATS. „4. 4,000,000 pLRIMDIT.APPLIES POLICY .tECT Loa DINER: _ PRODUCTS•COMPIOPAGO S 4,00%000 A AUTOMP81L8I %0MBOaWdartfINED LELIMIP S _ 11000,000 X AAN+�Y�AEE000rb PHPK1794789 03t2412018 0312VOIS gooJYDuuFYpwpwvM) gCyEpp UA TOSONLY X AUpTN ULEDp AAIUliTOO BODILY INJURY tPor acdgene.A X .AUTOS ONLY ONLY rPeQPaeEddRriWpANAO@ : S LIORe"MAE, OCCUR - EACH OCCURRENCE .8 . ..EXCESSLWB CLAIMS•MAOE AOOREOATE . CEO I.. RETENTIONS -FI�HIR g vemkNSAnaN �k4LOYERB'tMgqB1UEETYRR pE pTN. STATUTE : ER AANryryYBY gpFIC�Wt�Mn�E%C100061T ECUIIVE NIA ,EL EACHACCIDENT. .. .: 5.... l mtlat EL,DISEASE-RAEMPLOYEES H asernbauMar i i G B usineas ers Poli 728SA 1 (131`10018 0311 019 BPP 50,000 BESCRtP80N 6F OPERATEORSt LOCATIONS tYEHiCLE9 (AGGRO 101, Addllldnat REMarks Sandula, MAYM&EMIRSR wen spa" 14111100d) yy�•�``ff City of Santa Ana Dan Stocker 20 Civic Center Plaza Santa Ana, CA 92TO1.4058 ACORD 25 (2010103) 98NUCLLATIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORRW REPRESENTATIVE 01988.201E ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD YY CERTIFICATE OF LIABILITY INSURANCE I DA091I171207120181 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 pollcy(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 center rights to the certificate holder in lieu of such endorsement(s). Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard Roseland, NJ 07068 INSURED BLUERAY MANAGEMENT LLC 4131 GLNWOOD ST Irvine, CA 92604 INSURER E : AmOUARD Insurance Company 42390 NI INIRFO• 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.—_...__....._.___. .____ _.._...._.--'A�L`SUSR: _—....... LTR TYPE OF INSURANCE IINSD-WVD' POLICY NUMBER OL1OYFF r PdLIDV E%P....i . MMiQOr/YYY MMIDDNYVYLIMITS ',. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S J CLAIMS -MADE i_IOCCUR ipREM18ETORau7unancej - — . NED EXP(Any one peracn) $ PERSONAL& ADV INJURY S GEN'LAGGREGATEUMITAPPLIES PER I_ G_ENERALAGGREGATE I S POLICY G PRO- LOC JECT _ ' PRODUCTS-- —_ i COMPlOP AGG'S OTHER' AUTOMOBILE LIABILITY 7 WMtIFZ15I § ANY AUTO ;BODILY INJURY (POrperson) 15 ALL OWNED SCHEDULED AUTOS AUTOS I'..""—'' BODILY INJURY(Peraw,denry S NON -OWNED HIRED AUTOS y i AUTOS �RR2SPERYYDAMAGE _fpsr_acci0enq_ : ' § I UMBRELLA LIAB OCCUR ~ ( EACH OCCURRENCE S 1 I EXCESS LIAB ,CLAIMS-MADEI I __ j AGGREGATE $ OED RETENTIONS i $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I X MINI . ANY PROPRIIETORMARTNBRtEXECUTIVE A IQFPICEWMEMBER EXCLUDED? NIA N BLWC903730 1 000,000 ;0510112018 O61OV2O191 E.L. EACH ACCIDENT S_ _ ;(Mandatory In NH) IEL. DISEASE -EA EMPLOYEE$ 7000,000 ifys%dea nice under 'DESCRIPTIONGPOPERATIONS below I "'- E.L. DISEASE -POLICY LIMITS 1000,OD0 I i ' I I DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Addition Remado,Schedule, may be attached if more space is regWnd) \Gy ^ S ej SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Santa Ana Parks, Recreation & Community City t1f THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Services Agency 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK1794789 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 1825 West Civic Center Dr Santa Ana, CA 92703-2821 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ Included Information required to complete this Schedule if not shown above, will be shown in the Declarations. A. Section II— Who is An Insured is amended to Include as an additional insured the person(s) or organizations) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the promises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to; 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and CG 20 110413 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 Joliowing 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 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, 5`�vG�Gp,I P00 P� C Insurance Services Office, Inc., 2012 Page 1 of 7 POLICY NUMBER: PHPK1794789 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 2102 S Slower St Santa Ana, CA 92707-2500 Name Of Persons) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ Included Information required to complete 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 arising out of the ownership, maintenance or use of that pert of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant In that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and CG 20 110413 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 [if — 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 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, r� p� ® insurance Services Office, Inc., 2012 Page 2 of 7 POLICY NUMBER: PHPK1794789 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED — MANAGERS OR LESSORS OF PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 300 S Figuaroa St Santa Ana, CA 92703-3373 Name Of Parsons) Or Organization(s) (Additional Insured): City o5 Santa Ana Additional Premium: $ included Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section If— 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This Insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant In that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organizations) shown in the Schedule. However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and CG 20 110413 ® insurance Services Office, Inc., 2012 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 mostwe 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 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. S��vG�p,� pa�ur P� Page 3 of 7 POLICY NUMBER: PHPK1794789 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. M1JMr1VJAWM1q1Mc � . LESSORSOF PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 706 N Newhope at Santa Ana, CA 92703-2562 Name Of Person(s) Or Organization(a) (Additional insured): City of Santa Ana Additional Premium: $ Included Information re uired to complete this Schedule, if not shown above will be shown In the Declarations. A. Section II — 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This Insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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: 1. Required by the contractor 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. CG 20 110413 ® Insurance Services Office, Inc., 2012 , I' 0 a� �`Rcspd Pdm0 Page 4 of 7 POLICY NUMBER: PHPX1794789 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — MANAGERS OR LESSORS OF PREMISES This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 726 S Center St Santa Ana, CA 92704-2835 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ included Information required to complete 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 arising out of the ownership, maintenance or use of that part of the Premises leased to you and shown In the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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: 1, 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. CG 20 110413 0 Insurance Services Office, Inc„ 2012 �\���aGn P'a��r• Q�(yCJP�go 5 of 7 Policy Number: PHPK1794789 PI-MANU-1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY Primary & Non -Contributory Wording This insurance is primary except when it is excess as provided under part b., below. When this insurance is primary, we will not seek contribution from other insurance available to the person or organization shown in the schedule of this endorsement except for the gross negligence and or willful or wanton misconduct of the person or organization shown in the schedule of this endorsement All other terms and conditions of this Policy remain unchanged, Page 1 of 1 �s ?QVI �l �Fz,G BLUEMAN-02 CERTIFICATE OF LIABILITY INSURANCE GATE (MM OCKTTT7 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 If SUBROGATION IS WAIVED, subject to the terms and conditions of this certificate does not confer rights to the certificate holder in lieu Of at PRODUCER License # OG19762 wntous insurance Brokerage Inc I Sepulveda Blvd.. #550 Nuys, CA 91411 must have ADDITIONAL INSURED provisions or be endorsed. certain policies may require an endorsement. A statement on . ..'.1 PHONE tAgmq. N. Ears. (818)933-2700 (aC. NRn(818) 933-2701 AOORIE9a- INSVRERtS I AFFORDING COVERAGE NAICI INSURER A Philadelphia Indemnity Insurance Company 18058 INSURED N,ap'Lci_.D-3 INSURER 9: Sentinel Insurance Company 11000 Blueray Management LLC -1 ((A�C�� INSURER c. P.O. Box 12529 Newport Beach, CA 92658 INSURER 0; INSURER E. (-.nVFRAGFS CERTIFICATE NUMRFR THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AS OVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENT 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 70 ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ILTRNSR TYPE INSURANCE_AM __ OaLyyp __ PODGY NUMBER POUCY EFF POLICY UP liffilmorryYyl UNITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 CLAIMS MADE X occOR PHPKi936138 03124/2019 0312412020 PREMISSES(Eeaa ,m,m e) S W0,0-D MED EXP(Any om mrimq S 0 PERSONAL 6 AOV INJURY $ 2,000,000 GEHL AGGRE GAL E LIM.$T APPLIES PER GENERALAGGREGAM S 4,000,000 POLICY jECT LOC PRODUCTS - COMPIOP AGG S 4,000,000 OTHER S A AUTONOBRE LIABILITY COMEINED SINGLE LINE (Ea..de'l; S 1,000,000 X ANYAUT) PHPK1938138 03IW2019 0312412020 BODILY INJURY(Per person) S O OSDONtY X SCHEDULED AUTOS BODILY BODILY INJURY IF., mxw.e ) S f10 p X AUTOS AUTOS PROP�ERi4em'AMAGE ONLY ONLY Pe S S UMBRELLA UAB OCCUR EACH OCCURRENCE S excess DAB CLAIMS MADE AGGREGATE S DED RETENTIONS S WORKERS AN EMPLOYERS, WR8ITUW STATUTE Ell YIN ANY IPPRRRMRMMORIPA LUEEREXECUTIVE GEDI NtA EL EACH ACCIDENT S (MmdMaOFFry In NNII I E L DISEASE -EA EMPLOYEE S N,FA. dWTIOe unem DESCR6*nONOFOPERATiDNS L DI -P LIMIT It B Business Owners Poil 72SBAAR9881 0311512019 0311612020 BPP 50,000 `' e�v 7 OESCRW ONOFOPERAAONSILWATKMSIVENrLESWAM fat,A4Nemul Ram R*0 SSMert, may IN, aaa4Me N m6la 4@ Wrae Al (� J\� Gee Q�G City of Santa Ana Parks, Recreation & Community Services Agency 1825 W. Civic Center Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXXAN�gyOONIti TNT THERE PROVISIONS. YBLL BE DELIVERED IN AUTNOReelnO REPRESENTATIVE �'988.2018 ACORD CORPORATION. All Hght4 rsprved. ACORD 25 (2016103) POLICY NUMBER: PHPKI938138 COMMERCIAL GENERAL LIABILITY CG20260413 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 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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 omissions 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. 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: 1. 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. ed`oypp. CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. 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 applicable Limits Insurance shown in the Declarations; whichever is less. This endorsement shall not increase applicable Limits of Insurance shown in Declarations. ?\�JGcaP�pc! pR of the the Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: PHPK1938138 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 1825 west Civic Center Dr Santa Ana, CA 92703-2821 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ Included Information required to complete 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: 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: 1. 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 InsurpRcA -shown in the Declarations. pep aG>>e� E'y)\`\�C1� y 1,�_ CG 20 11 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 7 POLICY NUMBER: PHPK1938138 COMMERCIAL GENERAL LIABILITY CG 2011 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 2102 S Flower St Santa Ana, CA 92707-2500 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ Included Information required to complete 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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; 1. 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 n.ot)-A� crease the applicable Limits of Insure shown in th Declarations. 6111 ON lb Q�G CG 20 11 0413 © Insurance Services Office, Inc., 2012 Page 2 of 7 POLICY NUMBER: PHPK1938138 COMMERCIAL GENERAL LIABILITY CG 20 11 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 300 S Figueroa St Santa Ana, CA 92703-3373 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II— 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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: 1. 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 . own in the Declarations. C' CG 20 11 0413 © Insurance Services Office, Inc., 2012 Page 3 of 7 POLICY NUMBER: BHPKl935138 COMMERCIAL GENERAL LIABILITY CG 20 110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 706 N Newhope St Santa Ana, CA 92703-2562 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium: $ Included Information required to complete 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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: 1. 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 'cease the applicable Limits of Insura show in th Declarations. ���,���� \` DD CG 20 11 0413 © Insurance Services Office, Inc., 2012 Page 4 of 7 POLICY NUMBER: PHPKI938138 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): 726 S Center St Santa Ana, CA 92704-2835 Name Of Person(s) Or Organization(s) (Additional Insured): City of Santa Ana Additional Premium; $ included Information required to complete 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any"occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. 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: 1. 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 crease the applicable Limits of Insurv,% 14own in th Declarations. {-e C�1 Z,Jv A A 4 CG 20 11 0413 0 Insurance Services Office, Inc., 2012 Page 5 of 7