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HomeMy WebLinkAboutZAVALA, ROBERTO dba COSMOS EVENT RENTALSINSURANCE NOTON FILE 1 WORK MAY IQ PROCEED CLERK OF COUNCIL. 0111 1 DATE: N-2021-162 AGREEMENT BETWEEN THE CITY OF SANTA ANA AND ROBERTO ZAVALA DBA COSMOS EVENT RENTALS FOR AS NEEDED 0: Cin+m�u�(Ul EQUIPMENT RENTAL FOR CITY LIBRARY EVENTS f 00S0v494''JMTHIS AGREEMENT is hereby made and entered into this 1st day of September, 2021, by and between the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"), and Roberto Zavala doing business as Cosmos Event Rentals ("Consultant"). RECITALS A. City desires to retain a Consultant to provide equipment rentals for events at the City libraries. B. Consultant provides equipment rentals for various types of events. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a Consultant in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES a. Consultant shall provide as needed equipment rental, equipment set up, and take down for City events at City libraries. Attached hereto and marked as Exhibit "A" is a pricing sheet for all equipment available through Consultant. b. When City needs equipment for an event at a City library, City will contact Consultant for a proposal for that event. Consultant will provide a written proposal (utilizing the price list attached as Exhibit A) to City within a reasonable time prior to the event. If City desires to utilize Consultant's services pursuant to this Agreement, City will confirm in writing within a reasonable time prior to the event acceptance of Consultant's event proposal. 2. COMPENSATION a. City makes no promises or representations of any specific amount of compensation pursuant to this Agreement. If City utilizes Consultant's services pursuant to this Agreement, then Consultant will be compensated pursuant to an agreed upon written proposal and pursuant to the price list set forth in Exhibit "A". The total sum authorized under this Agreement shall not exceed fifteen thousand dollars ($15,000.00) for the entire term of this Agreement. Page 1 of 8 #21732v1 b. City will be invoiced by Consultant after each event. Payment will be made within forty-five (45) days of the date of the invoice. 3. TERM The term of this Agreement shall commence on September 1, 2021 and terminate on August 31, 2022, unless terminated earlier in accordance with Section 13, below. 4. INDEPENDENT CONSULTANT Consultant shall, during the entire term of this Agreement, be construed to be an independent Consultant 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 professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to its employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant 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 Consultant'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. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. Page 2 of 8 #21732v1 c. Worker's Compensation Insurance. In accordance with the California Labor Code, Consultant, if Consultant 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, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant 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 $2,000,000 per claim with $2,000,000 in the aggregate. e. If Consultant 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 Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. f. (1) The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts, or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Consultant's insurance (at least as broad as ISO Form CG 20 10 1185 or both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 forms if later revisions used) (2) For any claims related to this contract, the Consultant's insurance coverage shall be primary insurance coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Consultant's insurance and shall not contribute with it; (3) contain standard separation of insured provisions; (4) Each insurance policy required above shall state that coverage shall not be canceled, except with notice to the City; (5) Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A: VII, unless otherwise acceptable to the City; (6) Consultant shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Consultant shall ensure that City is an additional insured on insurance required from subcontractors. 6. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, Consultants, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise Page 3 of 8 #217320 from the negligent operations of the Consultant, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant 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 challenging the validity of this Agreement, or 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. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. 11aM Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. 8. CONFIDENTIALITY If Consultant received from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant and disclosed without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. Page 4 of 8 #21732v1 9. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 10. NOTICE 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, sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: City of Santa Ana City Clerk (M-30) 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 With copy to: Library Services Director City of Santa Ana 26 Civic Center Plaza (M-75) P.O. Box 1988 Santa Ana, California 92702 And: City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax (714) 647-6515 To Consultant: Mr. Roberto Zavala Cosmos Event Rentals 1773 West Lincoln Avenue, Suite S Anaheim, California 92801 Info@cosmoeventrentals.com 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. If sent by facsimile, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued Page 5 of 8 #21732v1 by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant regarding the subject matter hereur, 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 and will serve to fully supersede existing Agreement. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, that terms or conditions hereof, shall not bind or obligate Consultant nor 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 parties, which are not embodied herein. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant 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. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services that are the subject to this Agreement performed by City personnel or by other Consultants retained by City. 13. TERMINATION Except as otherwise specified herein, this Agreement may be terminated by the City with fifteen (15) days written notice of termination to the Consultant. Payment need not be made for work that fails to meet the standard of performance specified in the Recitals of this Agreement. 14. NON-DISCRIMINATION Provider shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, 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 Page 6 of 8 #217320 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. PROFESSIONAL LICENSES Consultant 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 Sates, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of his inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: LAURA A. ROSSINI Chief Assistant City Attorney CITY OF SANTA ANA KRlSTINE ' CrE City Manager [Signatures continue on the next page] Page 7 of 8 #21732v1 FOR APPROVAL: As z/z, r BIARTERNBERG Executive Director of Library Services Department #21732v1 CONSULTANT /C9C7�d By: Roberto Avala Owner Page 8 of 8 EXHIBIT A PRICE LIST EVENT RENTALS Canopy Price List 2021 Cosmos Event Rentals Canopy Price (January 2021) SIZE (In Feet) PRICE 1Ox10 ........................................... $75.00 1Ox20 ........................................... $150.00 1000 ........................................... $225.00 1Ox40 ........................................... $300.00 1Ox50 ........................................... $375.00 1Ox60 ........................................... $450.00 IWO........................................... $525.00 15x15........................................... $135.00 15x20 ........................................... $180.00 1500 ........................................... $270.00 15x40 ........................................... $360.00 15x50 ........................................... $450.00 15x60 ........................................... $540.00 1500 ........................................... $630.00 20x2O ........................................... $205.00 2000 ........................................... $305.00 20x40........................................... $410.00 20x5O ........................................... $510.00 20x6O ........................................... $615.00 2000 ........................................... $715.00 20x8O .......................................... $820.00 20x9O ........................................... $920.00 Cosmos Event Rentals Canopy Price (January 2021) 3000 ........................................... $445.00 30x40 ........................................... $595.00 30x50 ........................................... $740.00 30x60 ........................................... $885.00 3000 ........................................... $1040.00 30x80........................................... $1190.00 30x90 ........................................... $1335.00 40x40 ........................................... $775.00 40x50 ........................................... $970.00 40x60 ........................................... $1165.00 4000 ........................................... $1360.00 40x80........................................... $1555.00 40x90........................................... $1745.00 40x100........................................... $1940.00 Chairs Standard Samsonite White................................................... .85 Fanback White................................................ 1.15 Children White................................................. 0.75 Cafe Vienna White................................................ 1.40 Plastic Resin w/ Padded Seat White ................................................ 2.50 Black................................................ 2.50 Wood Resin w/ Padded Seat Fruitwood........................................... 2.75 Chiavari (cushion included) White................................................ 4.75 Mahogany........................................... 4.75 Gold................................................. 4.75 Barstool Swivel W/ Cushion .......................................... 6.00 Tables Rectangular 6'x30" (Seats 8)................................... 6.50 Adjustable Height 6'x30" .............................. 7.00 8'x30" (Seats 10).................................. 8.00 Round 48" Diameter (Seats 6-8) ........................ 7.00 60" Diameter (Seats 8-10) ....................... 8.00 66" Diameter (Seats 9-11) ....................... 9.00 72" Diameter (Seats 10-12) .................... 10.00 Cocktail 36" Diameter ..................................... 9.00 (Available in 30" or 40" Heights) Specialty 6'xl8" Conference/Classroom .................... 9.50 8'xl8" Conference/Classroom .................. 10.50 *Serpentine (8ft).................................... 12.50 *Serpentine Riser (8ft) .............................. 10.00 Serpentine Bar w/ Drapes (8ft) ................. 60.00 %: 60" Round Moon ................................... 10.50 Linen Polyester (Solid Colors) Napkins 20"x20".................................... .65 90" Diameter (Round) ............................ 9.00 102" Diameter (Round) ......................... 11.00 108" Diameter (Round) ......................... 12.50 120" Diameter (Round) ......................... 14.50 132" Diameter (Round) ......................... 17.50 Cosmos Event Rentals 1773 W. Lincoln Ave STE S, Anaheim, CA 92801 www.cosmoseventrentals.com 60"x120" (Rectangular) .......................... 9.00 40" Square (Overlay) ............................. 7.25 54" Square (Overlay) ............................. 7.25 60" Square (Overlay) ............................. 7.25 88"x130" (6ft Table Drape) .................... 14.00 88"xl56" (8ft Table Drape) .................... 15.00 Cocktail Spandex Cover 36"x 42" ............. 16.00 Table Runner 18"x108" (18in x 911) ............ 3.50 Chair Sash .......................................... 1.00 Specialty Linen Skirt Drapes %z 60 Round Skirt Drape .......................... 10.50 13.5' Table Skirt w/ Velcro Clips .............. 15.00 88"x130" (6ft) Skirt Drape ..................... 20.00 88"x156" (8ft) Skirt Drape ..................... 22.00 Satin Napkins 20"x20".................................. 1.20 90" Diameter (Round) ........................... 19.00 108" Diameter (Round) ......................... 20.00 120" Diameter (Round) ......................... 25.00 132" Diameter (Round) ......................... 27.00 60"x120" (Rectangular) ............................ 20.00 88"x130" (6ft Table Drape) .................... 23.00 88"xl56" (8ft Table Drape) .................... 27.00 60" Square (Overlay) ........................... 11.00 Glassware Champagne Flute (6oz)................................ .55 Water Goblet (lloz).................................. .45 Wine Glass (12oz)............................................ .60 Dishware Oxford 10" Dinner Plate ..................................... .55 7" Plate ............................................... .50 6" Plate ............................................... .50 Gold Rim 10" Dinner Plate ..................................... .60 7" Plate ............................................... .55 6" Plate ............................................... .55 Charger Gold....................................................... 1.00 Silver..................................................... 1.00 Bronze................................................... 1.00 .Flatware Fanfare ............................................... .45 Avalon............................................... .50 Buffet Service Chafing Dish w/ Burners (1 Compartment) ... 20.00 Chafing Dish w/ Burners (2 Compartments).. 25.00 Cosmos Event Rentals 1773 W. Lincoln Ave STE S, Anaheim, CA 92801 www.cosmoseventrentals.com Deluxe Chafing Dish w/ Burners (1 Comp)... 30.00 40-Cup (8 oz.) Coffee Maker ..................... 17.00 Beverage Tub (Red Plastic) ...................... 4.00 Beverage Dispenser (3.5 Gal) .................. 15.00 Ice Chest (120gt)................................. 16.00 Ice Chest (150gt)................................. 20.00 Champagne Bucket ................................. 3.00 Cooking & Food Prep Cazos (Stainless Steel) (Top Diameter x Depth x Bottom Diameter) 26 %:" x 13" x 18" ............................... 30.00 28 %:" x 15" x 17.. ............................... 35.00 30" x 13" x 20.. .................................. 35.00 Cazo Burners 14.5" Diameter ................................... 15.00 19.5" Diameter ................................... 15.00 23" Diameter ..................................... 15.00 5 Gallon Propane Tank ......................... 25.00 Flooring Dance Floor Oak Parquet (3'x3' Sections) 3x3.................................................................. 10.75 9x9.................................................. 96.75 12xl5............................................. 215.00 15xl5............................................. 268.75 Astro Turf Green (sq. ft.)........................................ .40 Black (sq. ft.)......................................... .40 Carpet Runners Red Carpet 3' x 25................................ 75.00 Red Carpet 3'x 50................................. 120.00 Staging 4x4 Section (6in-211 High) ...................... 25.00 4x4 Section (Over 2ft) ........................... 30.00 Stage Step (6" High) ................................ 15.00 Stage Stairs (2' High) W/O Handrail ........... 25.00 Stage Stairs (2' High) W/ Handrail ............ 30.00 Stage Stairs (3' High) W/ Handrail ............... 50.00 Stage Skirts (1'-2' High) Per Foot .............. 1.50 Stage Skirts (30"-3 High) Per Foot ................ 2.00 ***Safety Rail (4') .............................. 12.00 ***Diagonal Bracing ........................... 12.00 Stage Stairs W/ Carpet and Handrail (2' H) ... 45.00 Stage Stairs W/ Carpet and Handrail (3' H) ... 75.00 Stage Ramp Set (1' High) .............................. 90.00 Stage Ramp Set (2' High) ............................. 210.00 Stage Ramp Set (3' High) ............................. 320.00 9x12............................................... 129.00 *** Safety Rails required for stages 30" high and over 12xl2............................................. 172.00 *** Diagonal Bracing required for stages 30" high and over Cosmos Event Rentals 1773 W. Lincoln Ave STE S, Anaheim, CA 92801 www.cosmoseventrentals.com Crowd Control/Room Divider Free Standing Drapery: Adjustable Height (6'-10') and Adjustable Length (6'-10') ................ 40.00 Stanchion Set (6 FT) ...................................... 22.00 Chrome Stanchion (3 FT) ............................. 10.00 Velvet Rope (6 FT) .......................................... 6.00 Wedding &..Garden Patio Umbrella ................................... 15.00 Umbrella Base ..................................... 5.00 Temperature Control 8' Sunglo Patio Heater .......................... 75.00 Lighting Par Can 38........................................ 15.00 String Lighting w/ Installation (Per Foot) ....... 1.50 ,Canopy Accessories 10' x 10' Canopy ....................................... $75.00 10' x 20' Canopy ....................................... $150.00 10' x 30' Canopy ....................................... $225.00 15' x 20' Canopy ....................................... $180.00 15' x 30' Canopy ....................................... $270.00 15' x 40' Canopy ....................................... $360.00 20' x 20' Canopy ....................................... $205.00 20' x 30' Canopy ....................................... $305.00 20' x 40' Canopy ....................................... $410.00 Solid Sidewall 8' High (per foot) ............... 1.50 Window Sidewall 8' High (per foot) ........... 2.00 Food Mesh Sidewall (per foot) .................. 2.00 High Bay Light ................................... 40.00 Fire Extinguisher (8 lb.) .......................... 15.00 Lighted "Exit" Sign ................................. 10.00 Water Barrel (50 Gallon) ........................ 12.00 Steel Weight (90 LBS)...................................... 5.00 Concession Popcorn Machine (w/ 50 People Kit) .......... 65.00 Popcorn Machine (Machine Only) ............ 50.00 Additional Popcorn Kit (50 People) .......... 20.00 Cotton Candy Machine (w/ 50 People Kit) ... 65.00 Cotton Candy Machine (Machine Only) ....... 50.00 Additional Cotton Candy Kit (50 People) ... 20.00 Snow Cone Machine (w/ 100 People Kit) ... 65.00 Snow Cone Machine (Machine Only) ........ 50.00 Additional Snow Cone Kit (50 People) ....... 20.00 Pretzel Warmer .................................. 35.00 Miscellaneous Trash Bins w/ Liner (32 Gallons) ............... 7.50 Portable Generator 3500........................... 50.00 Cosmos Event Rentals 1773 W. Lincoln Ave STE S, Anaheim, CA 92801 www.cosmoseventrentals.com Mahogany Lectem/Podium ............................. 20.00 1 Dozen Balloons (Latex) ................................ 15.00 Labor Char Chair Set -Up and Take Down (per chair) ....... . 35 Cable Tie Chairs (Customer Provide Ties)...... .25 Table Set -Up and Take Down (per Table) ....... . 75 Linen Set -Up and Take Down (Per Cloth)...... 1.10 Cosmos Event Rentals 1773 W. Lincoln Ave STE S, Anaheim, CA 92801 www.cosmoseventrentals.com Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2022.01.20 10:27:34-08'00' � �"M" CERTIFICATE OF LIABILITY INSURANCE DATE(MMdDDIYYYY) 0111912022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must 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 Gonferrjabts to the certificate holder In lieu of such endorsements . PRODUCER I CONTACT - A U INSURANCE 1000 Macarthur Blvd #66 Santa Arta, CA 92707 INSURED COSMOS EVENT RENTALS 2AVALA, ROBERTO 17731M LINCOL.N AVE #S MESA UNDERWRITERS SPECIALTY INS. COVERAGES CERTIFICATE NUMBER: REVISION NUMB ER. 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, EXCLUSION'S AND CONDITIONS OF SUCH POLICIES, LIMITS' SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR I3EO 500 ADDL S BR POLIO NUMBER MP0004014001196 POLICY EFF M'M bDt1°YYY 1114/2022 POLICY EXP M IDD 111412023 LIMITS EACFI IJCCURRENCE $ 2,000 000 CAMAGET RENTED EMISES 'Ea carurrone .." $ 10 QQQ MED EXP Any ono arson's $ 51000 PERSONAL $ ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER! POLICY 0 PRO- JECT LOG GFNFRALAGGREGATE $ 2,000000 GEN'L PRODUCTS -COMPIOPAGG $ 2,000,000 OTHER: $ AUTOPMSOBIlLE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED f— NUTOS N L AUTOS ONLY AUTOS ONLY COMa IrEO SINGLE LIMI $, BODILY INJURY (Per person) $ BODILY INJURY(Paraccldont) $ P eOr ac da CYAMAUE $ i $ I I UMBRELLA.LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOPJPARTNEPJEXECU'nVE E IN...7A OF�FICFRIMEMMDER EXCLUDED? (Mandatory In NH) Dyes, describe undar DESCRIPTION OF OPERATIONS below ST T T OE E,L,k~AOHACOIDENT F.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT A PROPERTY MP0004014001196 111412021 1114/2022 CONTENTS: 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACM 101, Additional Remarks Schedule, may.. be attached If more space IS required) PARTY RENTAL STORE: City of Santa Ana, Its officers, employees, agents and representatives are Additional Insureds with respect to General Liability and Auto Liabillty par the attached endorsements or as required by written Contract. Insurance is Primary and Non-Contrlbutory. to g PROVED 3e Days' Notice of Cancellation w1th "le Day's Notice for Non -Payment of Premium In accordance with the policy provisions. HAM" B�fisk W A "41FV wi W I N CERTIFICATE HOLIER CANCELLATION ' CITY t:lF enter lazy 2Q� Civic Center Plaza SHOULD ANY OF THE A13OVE DEJra of BL"" ORE THE EXPIRATION DATE THEIR ACCORDANCE WITH THE POLICY P IN Santa Ana, CA, 92702 AUTHORIZED REPRESENYA-rivE V II SU-20115 AGORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACO'RD name and logo are registered marks of ACORD POLICYNUMBER: MP0004014001196 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insures! Person(s) I Location(s) Of Covered Operations SANTA ANA, CA 92701 20 CIVXC CENTER PLAZA The City of Banta Ana, iro offioara, afificla s, employees, and volunteers are to be oovorad an add�tiondl insurada onthe CGL policy with respect to liability arising cut of work or operations performed by or on behalf of, the Contraotor inaluding materials parts, equipment. furnished in connection with ouch WOx1C or Operations InformatfonrequIred to_compiete 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: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional Insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished In connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the Injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the some project. CG 2010 0413 O Insurance Services Office, Inc., 2012 Insured Copy fl Risk Manag=w1 Division REVIEWED & NPRGVED BY. i -.---- W Risk Management AnalyV 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 CG 2010 0413 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. Q Insurance Services Office, Inc., 2012 Of fl Risk Mwwg mmt Division REVIEWED & NPRDVED BY. i -.----� Risk ManagemenCAnalyV COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, PRIMARY AND, NONCONTRIBUTORY - OTHER INSURANCE CONDITION . This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSIC OMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance 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 (2) You have agreed in writing in a contract or agreement that this Insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CCU 20 01 0413 © Insurance satvices Office, Inc., 2012 Raga 1 of 1 Insured Copy Risk Manag=w1 Division REVIEWED & NPROVED BY. i -.----� [task Man gemenCAnalyV Policy Number: MP004014001196 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is hereby agreed that SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, item 8. Transfer Of Rights Of Recovery Against Others To Us, is modified as follows: Schedule: Name of person or Organization: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 Any person or organization you have agreed to waive any right of recovery by written contract, prior to an "occur- rence" or offense. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Rick Manag=atE Division REVIEWED & NPRDVED BY. i -.----� RiskManagemenCAnalyst VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE I11r�uzox`� THIS OORTIPICATE tB ISSUED A$ A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C911'"RIOATE HOi,pER. THIS CERTIPICATE DOES NOT AFF[RIVIATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF1'i7RVVD BY THE POLICIES HOLQW. THIS CERTIFlroATE QF INSURANCE 0098 NOT CONST11J7E A CONTRACT BETWEEN THE 1SSUINO INSURER(S). AUTHORIZE!) 1115PRESENTAI]VA OR PRODUCER, AND THE CERTIFICATE HOLDng, This Form Is used to ropQrt coveragoo provided to a single spoaffia vehicle orequipmant. Do not use thla form to Export liability covarago provided to multiple vehtoles tinder a single pollay. Use ACORD 26 for that purpose, AItOLUCk'R x sa SEpl9,h SWAM $sr#ah OsvoroaLlx-OaMentoa q 714a5d7.7�U y1A�384880� 0 1417 s Broadway salrlah 7145417290.Dom INtS1990 Ana - CA 92707 ROBERTO ZAVAtA CARDENAS DDA COSMOS EVEN- PARTALS• 14132 KERRY ST GARDEN GROVE CA 928" J C'11G VFulr_s C no l'As11ne7C1IT Stole rarm YPJtR MAK91101ANUPACTUREA niOr1U4. #DYT9rPL ' VAHICLOlb#NT1m-ATIONNUM11BR 1094 1 OMO BBoo BOX 1ADKC34N9IR,,I518ai1 Cn$CRIMipN V�11C�PJkgUIPMIENtVALUE MINAL NUMEJER 'THIS O TO t:�RTWF"Y TAT TH FOLICY(ICS) OP [IVSURaNOf; 0TED BELOW PA77HAVe 5FEN Rim) TO THIw INSUERED NAML'D A13OV6 FOR THE POLICY PERI0Id(9) INDICATED, NOTWUHSfANDI•NO ANY ftQUIREMENT, TERM OR CONDITION OP ANY CGNVAGT UR. OTHER DOCUMENT WITH REEIPeOT TO WHICH THIS OVITTIFICATE MAYBE ISSUC4 OR MAY PERTAIN, THE INS URANOR WORDED BY THE; ROLICY(1t$) DESCRIBED HRRCIN tSlARI3 SUajE0T T6 ALL THE TERMS, EXCLUSIONS AND CONC16iIONS OF SUCH VLICY(IE$). INSTt LTR 0.ara, WORD TYPtt OF 019URANCE POLWYAUM094- pOL{OYIPFPECTRlB DATE IMMIDOI"" POLi0Y6kP1R0.TION DATH {MitIPDWYYYYI 6lwyt VUHICLH LIAM LtV COMBINED 91NOW LIMW tE 1,600,000.00 eODNYINJURYQWpprnoaf) 6 A 185771)1-F12r78p 1 11".lxOZ1 12J1212p22 SQDILYINJURY (Nretwldetn) $ � PROPERTY DANAdE .«s. ., . a tl 1 1W1 LIA191LITY rWCH{)COUR> NGfs $ OCCURWNCE tlENt;RAL AgaKWATR $ L'LJAgu18 MADE S Rt� 011 I �Y9 iYWt{1j tN9UN1iNCL PaMovNUMBDR. POLICY EPFHCTNE DAU(MMIODNYYY) P019V RIIPIRATION DATL{MMIDD1f'YYY) LgY1r1RInET1UCTItlLg A VEH onLLISION LOSS 105 7791-F12 76D 12112J=l 12112/2022 1] ACV AGRERD AM1 i Umn 0 STATEeAMT = g00 PRO A vaki COMPI vtsrl 01 C 105 7751 •F12»75D 12117J2ti21 12I12I2022 © ACV J MROM AMr i LOOK 0 C3 $TAUDAMT $100 DED IEQUIPMRNT (} ACV 0 AOREEDAMT BASIC BROAD RO 1] $TA"I)AMT F LIMrr SKCIAL $ DEO UMNSURED MOtORI 1057101•F12.75D 1211212021 1VII02022 H11PO 250,0W)1500,000 REMARKS ONaLUDINO SPECIAL DONDIr oW 1 OTNER 90VEiRMES) IAlteah ACMD 101, Addlllulfol homartw sthdoula, 60mare $peat Is rululrad) Ya /IV1�1�611■IF.\lIF4T1 lab ane Qf file fallewing: TO ut&illI Ma11n1aIao1 doaodhatF MOW her *n added m IN AWleypaa) Datdd hortha by pellry ndrndagaj A feat last tied tulltdlltedm add the add6nol InI axoel ftudbeo bolnwto Ult pNluypeol Inleil k. Sl I.� h....,.h.....�....4...n.. NAME AND AORRSa DIiAuDITIIINAL INTENP,D r CITY OF SANTA ANA 20 CiVIO CENTER PLAVk SANTA ARA, CA 027D1 SHOULD ANY OP THE A13OV9 ORSCRISED POLICIES BE CANCKL91) SePOlka TALI VXMRAVON DATR THEREOF, NQTICttW lLL BE DELIVER915IN A0CC9))ANCE WITHTH0 rooUoY pROVISiQNO. D94ORIMON OF 7HE ADOMONAL INTERBSr iBNi)VWA I k t57xa PAYaR PAYP.$ i I•CWN I LOASR NUMIIER AUTROMI) AePP Do not use QI ACORD 23 (2010103) The ACORD name and logo are malstored marks of ACORD o ,N Rlsk ManagmmlDMslan REVIEWED & NPROVm BY. i FR RiskManagementAnalyst CITY OF SANTA ANA RISR MANAGEMENT, d&aQtw 4 HUMAN RESOURCES Margong PJsk *mist PoWn Oungpei . ..e+�.�.....�.�,+--_vn•-...v+�-..+.-w+..»rw�.�rx..�..�.v..,�..vwv-w.new.�...w.eM.,......�....M.a�+.or...�._r..w+.�.w.m...-.Pm.«�..i.....—....i•.w+.u•�..�-.-r....�..�......aw .� SASSLi�. WORKERS' COMPENSATION DECLARATION 1, Roberto Zavala - hereby affirm under penalty of perjury, the (Namelr tle) following declaration: certify on behalf of Cosmos Event Rentals that during the term (Consultant/Company Nome) of my contract for Party Evens Equipment Rental services with the City of Santa Ana, (Type of service provided) will not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with the provisions and provide proof of workers' compensation coverage immediately. D8t6: 01 /14/2022 Print Name: Roberto Zavala Print Title: owner Signature: GM4& Telephone: 714-559-638 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, 1:1Rlsk MgmtVnsurance Requlrementsti WC Dedaratlon 08152019 flRlsk Mwwg=w1 DMsum REVIEWED & NPROVED BY. 'a -.----� Risk ManagementAnalyV