HomeMy WebLinkAboutBRIGHTLIFE DESIGNS, LLC.INSURANCE ON FILE
o WORK MAY PROCEED N-2021-186
N UNTIL1NSURA E EXPIRES
N CLERK OF COUNCIL
°- DATE:
vc'i AGREEMENT WITH BRIGHTLIFE DESIGNS LLC TO PROVIDE
�i ShcttfpSN�� HOLIDAY DECOR IN DOWNTOWN SANTA ANA
O C� THIS AGREEMENT is made and entered into on this 15C day of September, 2021, by and
between BRIGHTLIFE DESIGNS, LLC, a California limited liability company ("Contractor"),
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 retain a contractor having special skill and knowledge in the field of:
installation and storage of various holiday decor such as garland, bows, holiday decor lights
for light posts, the installation of a 10 foot LED lit holiday bear, and other holiday decor in
Downtown Santa Ana.
B. Contractor represents that Contractor is able and willing to provide such services to the
City.
C. In undertaking the performance of this Agreement, Contractor represents that it is
knowledgeable in its field and that any services performed by Contractor under this
Agreement will be performed in compliance with such standards as may reasonably be
expected from a professional contractor 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
Contractor shall perform during the term of this Agreement, the tasks and obligations,
including all labor, materials, tools, equipment, and incidental customary work, required to fully
and adequately complete the services described and set forth in Exhibit A, attached hereto and
incorporated herein by reference.
2. COMPENSATION
a. City agrees to pay, and Contractor agrees to accept as total payment for its services for
City, the rates and charges detailed in Exhibit A, attached hereto and incorporated
herein by reference. The total amount to be expended during the term of this
Agreement shall not exceed $31,125.
b. Payment by City shall be made within forty-five (45) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment
need not be made for work which fails to meet the standards of performance set forth
in the Recitals which may reasonably be expected by City.
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3. TERM
This Agreement shall commence on October 1, 2021, and continue until June 30, 2022,
unless terminated earlier in accordance with Section 15 below.
4. INDEPENDENT CONTRACTOR
Contractor 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 professional manner in which Contractor
performs the services which are the subject matter of this Agreement; however, the services to be
provided by Contractor shall be provided in a manner consistent with all applicable standards and
regulations governing such services. Contractor 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.
5. OWNERSHIP OF MATERIALS
This Agreement creates a non-exclusive and perpetual license for City to copy, use,
modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property
embodied in plans, specifications, studies, drawings, estimates, and other documents or works of
authorship fixed in any tangible medium of expression, including but not limited to, physical
drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or
caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor
shall require all subcontractors to agree in writing that City is granted a non-exclusive and
perpetual license for any Documents & Data the subcontractor prepares under this Agreement.
Contractor represents and warrants that Contractor has the legal right to license any and all
Documents & Data. Contractor makes no such representation and warranty in regard to
Documents & Data which were provided to Contractor by the City. City shall not be limited in
any way in its use of the Documents and Data at any time, provided that any such use not within
the purposes intended by this Agreement shall be at City's sole risk.
6. INSURANCE
Consultant shall procure and maintain for the duration of the contract insurance against
claims for injuries to persons or damages to property which may arise from or in connection with
the performance of the work hereunder and the results of that work by the Consultant, its agents,
representatives, employees, or subcontractors.
a. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall beat least as broad
as:
1. Commercial General Liability (CGL): Insurance Services Office Form CG 00
01 covering CGL on an "occurrence" basis, including products and completed
operations, property damage, bodily injury and personal & advertising injury
with limits no less than $2,000,000 per occurrence. If a general aggregate limit
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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.
2. Automobile Liability: Insurance Services Office Form Number CA 0001
covering, Code I (any auto), or if Consultant has no owned autos, Code 8
(hired) and 9 (non -owned), with limit no less than $1,000,000 per accident for
bodily injury and property damage.
3. Workers' Compensation: insurance as required by the State of California, with
Statutory Limits, and Employer's Liability Insurance with limit of no less than
$1,000,000 per accident for bodily injury or disease.
4. If the Consultant maintains broader coverage and/or higher limits than the
minimums shown above, the City requires and shall be entitled to the broader
coverage and/or the higher limits maintained by the Consultant. Any available
insurance proceeds in excess of the specified minimum limits of insurance and
coverage shall be available to the City.
Other Insurance Provisions — The insurance policies are to contain, or be endorsed to
contain, the following provisions:
1. Additional Insured Status: 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 11 85 or if not available, through the addition
of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 20 37 forms if a
later edition is used).
2. Primary Coverage: For any claims related to this contract, the Consultant's
insurance coverage shall be primary coverage at least as broad as ISO CG 20
0104 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. Notice of Cancellation: Each insurance policy required above shall state that
coverage shall not be canceled, except with notice to the City.
4. Waiver of Subrogation: Consultant hereby grants to City a waiver of any right
to subrogation which any insurer of said Consultant may acquire against the
City by virtue of the payment of any loss under such insurance. Consultant
agrees to obtain any endorsement that may be necessary to affect this waiver of
subrogation, but this provision applies regardless of whether or not the City has
received a waiver of subrogation endorsement from the insurer.
5. Self -Insured Retentions: Self -insured retentions must be declared to and
approved by the City. The City may require the Consultant to purchase coverage
with a lower retention or provide proof of ability to pay losses and related
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investigations, claim administration, and defense expenses within the retention.
The policy language shall provide, or be endorsed to provide, that the self -
insured retention may be satisfied by either the named insured or City,
6. Acceptability of Insterers: 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.
7. Claims Made Policies: If any of the required policies provide coverage on a
claims -made basis:
1. The Retroactive Date must be shown and must be before the date of the
contract or the beginning of contract work.
2, Insurance must be maintained and evidence of insurance must be
provided for at least five (5) years after completion of the contract of
work.
If coverage is canceled or non -renewed, and not replaced with another
claims -made policy form with a Retroactive Date prior to the contract
effective date, the Consultant must purchase "extended reporting"
coverage for a minimum of five (5) years after completion of contract
work.
8. Verification of Coverage: Consultant shall furnish the City with original
Certificates of Insurance including all required amendatory endorsements (or
copies of the applicable policy language effecting coverage required by this
clause) and a copy of the Declarations and Endorsement Page of the CGL policy
listing all policy endorsements to City before work begins. However, failure to
obtain the required documents prior to the work beginning shall not waive the
Consultant's obligation to provide them.
9. City reserves the right to require complete, certified copies of all required
insurance policies, including endorsements required by these specifications, at
any time.
INDEMNIFICATION
Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers,
agents, employees, contractors, 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 from the
negligent operations of the Contractor, 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 Contractor
further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including
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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 Contractor'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 Contractor.
8. INTELLECTUAL PROPERTY INDEMNIFICATION
Contractor shall defend and indemnify the City, its officers, agents, representatives, and
employees against any and all liability, including costs, for infringement of any United States'
letters patent, trademark, or copyright infringement, including costs, contained in the work product
or documents provided by Contractor to the City pursuant to this Agreement.
9. RECORDS
Contractor shall keep records and invoices in connection with the work to be performed
under this Agreement. Contractor 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 Contractor under this Agreement. All such records and
invoices shall be clearly identifiable. Contractor 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. Contractor 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 Contractor under this Agreement.
10. CONFIDENTIALITY
If Contractor receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Contractor 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
Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor
without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e)
is independently developed by the Contractor without reference to information disclosed by the
City.
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11. CONFLICT OF INTEREST CLAUSE
Contractor 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.
12. NON-DISCRIMINATION
Contractor 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. Contractor affirms that it is an equal opportunity employer and shall comply with all
applicable federal, state and local laws and regulations.
13. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Contractor, 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 Contractor. 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 Contractor 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.
14. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Contractor,
Contractor 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 which are the subject to this
Agreement performed by City personnel or by other contractors s retained by City.
15. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor
compensation for all services performed by Contractor prior to receipt of such notice of
termination, subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Contractor to
deliver to the City all work product(s) completed as of such date, and in such case
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such work product shall be the property of the City unless prohibited by law, and
Contractor consents to the City's use thereof for such purposes as the City deems
appropriate.
b. Payment need not be made for work which fails to meet the standard of
performance specified in the Recitals of this Agreement.
16. 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.
17. 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.
18. PROFESSIONAL LICENSES
Contractor 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. Contractor shall notify the City immediately and
in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and
exemptions. Said inability shall be cause for termination of this Agreement.
19. 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, or sent by fax or other telegraphic communication in
the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
Fax: 714- 647-6956
Page 7 of 9
With courtesy copies to:
Steven Mendoza, Executive Director,
Community Development Agency
City of Santa Ana
20 Civic Center Plaza (M-25)
P.O. Box 1988
Santa Ana, California 92702
To Contractor:
Joseph Castro
Owner
BrightLife Designs, LLC
16351 Gothard St., K
Huntington Beach, CA 92647
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 fax, communication shall be effective or deemed to have
been given twenty-four (24) hours after the time set forth on the transmission report issued 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.
20. A/HSCELLANEOUS 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. Where any terms in the Exhibits conflict
with terms set forth in this Agreement, the language of the Agreement shall prevail.
(Signatures on following page]
Page 8 of 9
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
fast above written.
ATTEST:
�aisy Gomez;�1<
lerk of the Council
APPROVED O'
SONIA R. CARVALHO
City Attorney
Ryan O. Hodge
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
-fD1 N/ G--_
Steven Mendoza
Executive Director
Community Development Agency
CITY OF SANTA ANA
io✓
Kristine Ridge
City Manager
CONTRACTOR:
Q.ea4�t ¢zme
Josep Castro
Owner
BrightLife Designs, LLC
Page 9 of 9
August 16, 2021
Contact Name: Julie Castro -Cardenas
Title: Economic Development Specialist II
Client Name: City of Santa Ana
Email: jcastro-cardenas@santa-ana.org
Phone: (714) 647-6585
City of Santa Ana Holiday Proposal 2021
"PROPOSAL"
Installation, Removal & Storage of Customer Owned Decorations
Labor for all rental decorations included
F31 r�I_"WIT-4afTft1 t
Bow and Garland Decor on Lamp Posts
Lighted Elements, Enhancement options (see separate - Spec Sheet).
City Wide Decor
DETAILED REPORT:
Existine LamD Post Decor — on 4th Street (from French St. to Ross St.
Installation of seventy-nine (79) Light Posts with 10' sections of decorated garland two (2gty) per pole.
Customer owned decorations. Price includes Labor for installation, removal & storage of customers decor.
(158) total of 24" Red Bows with gold trim. Each Light Post will have a bow on either side, (2) bows per pole.
Labor Cost Per kit is $175 each.
Labor Installation, Removal Cost $10,625.00
Storage Cost $3,800.00
$13,825.00
Purchase of New Light Pole Kits
Five (5) New 24" Double Bow Accent Kit with Red Bows, 10' of Mountain Pine Garland with Red and Gold Decor.
Unlit.
Labor & storage for Five (5) New 24" Double Bow Accent Kit (2) Gold bows, 10' of Mountain Pine Garland with
Red and gold decor. Unlit.
Purchase of New Kits Price Per Each $495.00
Labor Installation, Removal & Storage Per Each $175.00
Total $3,350.00
10' Lighted Seating Teddy Bear
- One (1) 10' Lighted Giant Teddy Bear, installation and removal at Plaza Calle Cuatro.
Lease Price $11,795.00
Holiday Cafe/Patio Lights S4 Lights- Plaza Calle Cuatro
Installation and Removal of LED RGB color changing patio lights. Lights will be strung from lamp post to lamp
post. There is six lamp posts in Plaza Calle Cuatro, approximately 150' of string cables and lights. RGB Lights are
BrightLife Designs LLC
16351 Gothard St, STE C, Huntington Beach, CA 92647
Phone: 714-326-8326; Direct : 714-372-2274
www, Brigh tlifedesigns.com
54 color changing lights. Lights will be hung over head to enhance the plaza.
Rental Price $2,155.00
Timing and Agreement:
This Agreement shall commence on October 30, 2021, the date first written above for a One (1) year term with
the option for the City to grant up to a two-year renewal, exercisable in writing by the City Manager and the City
Attorney, unless terminated earlier in accordance with Section 15, below.
Rental:
Yes, Installation & Removal Services, Holiday Decor
Purchase:
N/A
Installation Date:
First week of Nov. 1st 2021-
Working Hours:
Business Hours & Night Hours
Strike Date:
First Week of January 2022
Installation Address:
Downtown, Santa Ana, CA 90745
City Permits:
* Price does not include city permits, additional cost for required permits.
To execute this agreement, sign this proposal and the Terms and Conditions. Please note the payment schedule above, in addition any
delinquent accounts with a past due balances are subject to a $90.00late fee. Upon receipt of initial payment, the dates of installation
& removal will be secured. This quote is valid for 30 days. Thank you.
Sincerely, /p
v
Joe Castro
Confirmed By and on Behalf of
City of Santa Ana
Authorized Signer Printed Name
BrightUfe Designs LLC
16351 Gothard St, STE C, Huntington Beach, CA 92647
Phone: 714-326-8326; Direct : 714-372-22.74
www.Brightlifedesigns.com
Date
Francine R. D1111ally signed by
Francine R. Villareal
Villareal Date: 2021.09.1615:00:29
-07'00'
ACIl® CERTIFICATE OF LIABILITY INSURANCE
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DATE (MMI°D YY
1 08/19/2021
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(ies) must have ADDITIONAL INSURED provislons or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
B2 Insurance Services
1426 Aviation Blvd, Suite 203
Redondo Beach, CA 90278
CONTACT
NAME: NiceLLOfin
PHoni E (424)266-9400 aC No: 424 886-7660
npoa'ess: nica@b2insurance.com
INSURE S AFFORDING COVERAGE
NAICN
License #: 0122551
INSURER A: Mesa Underwriters Specialty Insurance
36838
INSURED
INSURER B: AmGUARD Insurance Comoanv
42390
Brightlife Designs LLC
INSURERC:
16351 Gothard St, Ste C
Huntington Beach, CA 92647
INSURER D:
INSURER E:
INSURER I,
COVERAGES CERTIFICATE NUMBER: 00006370-591763 REVISION NUMBER: 69
THIS IS TO CERTIFYTHAT 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 WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADOL
INSD
SUBR
INVID
POLICYNUMBER
POUCYEFF
MMIDOM'YY
POLICY EXP
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LIMITS
A
X
I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ®OCCUR
Y
Y
MP0004016006613
08/10/2021
08/10/2022
EACH OCCURRENCE
$ 1000000
PREMISES E.occurance
$ 100000
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1009000
GENL AGGREGATE LIMIT APPLIES PER:
X POLICY JR,0T LOC
OTHER:
GENERAL AGGREGATE
$ 2009000
PRODUCTS -COMPIOPAGG
$ 2,000,000
$
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY X AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
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BRAU048580
10/09/2020
10/09/2021
EaaRcdtlEtSINGLELIMIT
$ 1009000
BODILY INJURY (Per person)
$
BODILY INJURY Per accident)
( )
$
PROPERTY DAMAGE
Per acoident
$
Comp/Coll Deduc
$ $1000
UMBRELLA LIAR
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EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION$
$
WORKERS COMPENSATION
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OFFICERIMEMBEER PROPRIETOTPARTNEREEXCLUDED?ECUTIVE ❑
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DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
City of Santa Ana, its officers, employees, agents and representatives are Additional Insureds with respect to General Liability
and Auto Liability per the attached endorsements or as required by written contract. Insurance is Primary and
Non -Contributory
City of Santa Ana - Risk Management Division
4th Floor
20 Civic Center Plaza
Santa Ana, CA 92702
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Printed by NI
y RiskMRnagemaltDivteion
REVIEWED & APPROVED BY:
54ll1Lll ''
'�Risk Management Analyst
MUS 01 0120128 0316 Insured Copy
MESA UNDERWRITERS SPECIALTY
INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Al - PRIMARY NON-CONTRIBUTORY -
WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Blanket Additional Insureds - As Required By Contract
A. Subject to the Primary and Non -Contributory provision set forth in this endorsement, SECTION II - WHO IS AN
INSURED is amended to include as an additional insured any person or organization whom you have agreed in
a written contract, written agreement or written permit that such person or organization be added as an
additional insured on your policy. Such person or organization is an additional insured only with respect to
liability for "bodily injury" or "property damage" or, to the extent applicable under the Coverage Part to which
this endorsement applies, "personal and advertising injury" caused, in whole or in part, by:
1. Your ongoing operations, "your product", or premises owned or used by you;
With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage' or, to the extent applicable under
the Coverage Part to which this endorsement applies, "personal and advertising injury" arising out of
the rendering of, or the failure to render, any professional architectural, engineering or surveying
services by or for you, including:
a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; and
b. Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrong -doing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which
caused the "bodily injury" or "property damage", or, to the extent applicable under the Coverage Part to which
this endorsement applies, the offense which caused the "personal and advertising injury", involved the
rendering of, or failure to render, any professional architectural, engineering or surveying services.
2. Your maintenance, operation or use of equipment, other than aircraft, "auto" or watercraft, rented
or leased to you by such person or organization. A person or organization's status as an additional
insured under this endorsement ends when their contract, or agreement with you for such rented or
leased equipment ends. With respect to the insurance afforded to these additional insureds, this
insurance does not apply to any "occurrence" which takes place after the rental agreement or
equipment lease expires.
The provisions of this coverage extension do not apply unless the written contract or written agreement has
been executed (executed means signed by the named insured) or written permit issued prior to the "bodily
injury" or "property damage" or, to the extent applicable under the Coverage Part to
applies, "personal and advertising injury". �,�c We(eManagemenEDMslm
F REVIEWED&APP'RIIOeV'ED By.,
Risk Management Analyst
Primary and Non -Contributory Provision
The following is added to Paragraph 4.Other Insurance, b. Excess Insurance under SECTION IV -
COMMERCIAL GENERAL LIABILITY CONDITIONS:
This insurance shall be excess with respect to any person or organization included as an additional insured
under this policy, any other insurance that person or organization has shall be primary with respect to this
insurance, unless:
1) The additional insured is a Named Insured under such other insurance;
2) You have agreed in a written contract, written agreement or written permit to include that
additional insured on your General Liability policy on a primary and/or non-contributory basis; and
3) The written contract or written agreement has been executed (executed means signed by the
named insured) or written permit issued prior to the "bodily injury" or "property damage" or, to the
extent applicable under the Coverage Part to which this endorsement applies, "personal and
advertising injury".
Waiver Of Transfer Of Rights Of Recovery
The following is added to Paragraph 8. Transfer of Rights Of Recovery Against Others To Us under SECTION
IV - COMMERCIAL GENERAL LIABILITY CONDITIONS:
We will waive any right of recovery we may have against a person or organization because of payments we
make for "bodily injury" or "property damage" arising out of your ongoing operations or "your work" done
under a written contract or written agreement and included in the "products -completed operations hazard", if:
1. You have agreed to waive any right of recovery against that person or organization in a written contract
or written agreement;
2. Such person or organization is an additional insured on your policy; or
3. You have assumed the liability of that person or organization in that same contract, and it is an "insured
contract".
The section above only applies to that person or organization identified above, and only if the "bodily injury" or
"property damage" occurs subsequent to the execution of the written contract or written agreement.
All other terms and conditions of this policy remain unchanged.
MUS 0101 20128 0316
AiskMMWmadDW[an
�'- Risk Managownt Analyst
01
POLICYHOLDER COPY
SP
P.O. BOX 8192, PLEASANTON, CA 94588
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 08-23-2021 GROUP:
POLICY NUMBER: 9282984-2020
CERTIFICATE ID: 84
CERTIFICATE EXPIRES: 10-22-2021
10-22-2020/10-22-2021
CITY OF SANTA ANA SP
20 CIVIC CENTER PLZ 10-22-2020
SANTA ANA CA 92701-4058 HO
This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the
California Insurance Commissioner to the employer named below for the policy period indicated._
This policy is not subject to cancellation by the Fund except upon 10 days advance written notice to the employer
We will also give you 10days advance notice should this policy be cancelled prior to its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded
by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance
afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy.
Authorized Representative/ President and CEO
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE.
ENDORSEMENT #0015 ENTITLED ADDITIONAL INSURED EMPLOYER EFFECTIVE 2021-08-23 IS
ATTACHED TO AND FORMS A PART OF THIS POLICY. NAME OF ADDITIONAL INSURED:
CITY OF SANTA ANA
ENDORSEMENT H2572 ENTITLED BLANKET WAIVER OF SUBROGATION EFFECTIVE
2020-10-22 IS ATTACHED TO AND FORMS A PART OF THIS POLICY
ENDORSEMENT N1851 - CASTRO,JOE MGR-MEMBR - EXCLUDED.
ENDORSEMENT X1951 - PETERSON,MATTHEW MGR-MEMBR - EXCLUDED.
ENDORSEMENT N1851 - ANNIGONI,JOSEPH MGR-MEMBR - EXCLUDED.
EMPLOYER
BRIGHTLIFE DESIGNS, LLC SP
16351 GOTHARD ST STE C
HUNTINGTON BEACH CA 92647 ,, R1ek M1l°"'grnuaiDtwel°"
<Y Y�°.. REVIEWED&ryAP'PR0VW8y.'
I 8?bL0Yk4 a R V cif AFAS
(REV.7-20141
PRINTED 0NEW
Risle 4lmiagement Analyst