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NAVA, LUIS dba BEBO ENTERTAINMENT
City of Santa Ana -� Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. {dote- If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The agreement with A—)CtjcL L v 1 5 Y 0- COTC Office Use On] c 2,02,2-- City ()f Santa AnS JAN 112024 citycierWs Office No. N-2022-045 was completed on V�- and final payment has been made. (List all amendments. Use space below if needed.) Department:' Phone/Ext.: Signature: Date: 1 2,3 iflagreementslformslform - agreement termination form_goldenrod.doc INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: February 23:1, 2022 Luis Nava, dba Bebo Entertainment ("Speaker/Performer") 2030 E. 4th Street Santa Ana, CA 92705 C* booking@DjBeboEntertainment.com N WW Re: Speaker/Performer Engagement Agreement tail N-2022-045 This letter represents your agreement with the City of Santa Ana ("City") as entered into on the above date for the engagement described below: 1. Event Description: Performer shall provide DJ Services, as detailed in Exhibit A, for the department's City - sponsored, community outreach events at the Sana Public Library sites. First event will be during the Dia de los Nines, Dia de los Libros community outreach event. Other services will be provided as needed per direction of department staff. 2. Date(s): As needed March 1, 2022 —December 20,2022 a. Dia de los Ninos, Dia de los Libros community outreach event: Saturday, April 30, 2022 3. Event Time(s): As needed. a. Dia de los Ninos, Dia de los Libros community outreach event: Saturday, April 30, 2022 from 10:00 a.m. to 2:00 p.m. 4. Location ("Property"): As needed at the following locations: Main Library, 26 Civic Center Plaza, Santa Ana, CA 92701 and the Newhope Library, 122 N. Newhope Street, Santa Ana, CA 92703. a. Dia de los Nines, Dia de Ins Libros community outreach event: Saturday, April 30, 2022 at Main Library, 26 Civic Center Plaza, Santa Ana, CA 92701. 5. Compensation: Amount per service date will be coordinated between Performer and City Staff. Total not to exceed Six Thousand Four Hundred Dollars and Zero Cents ($6,400) under this Agreement (payable by check within 30 calendar days of event); Speaker/Performer must provide IRS form W-9 before payment can be made 6. Provided by City: setting up the space for the patrons attending, and advertising the events. 7. Provided by Speaker/Performer: All other equipment and materials, supplies and personnel necessary to provide the service. 8. City Contact Person (for coordinating purposes only): Maria Miranda Castro 9. Independent Contractor: Speaker/Performer 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, ajoint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Speaker/Performer performs the services that are the subject matter of this Agreement; however, the services to be provided by Speaker/Performer shall be provided in a manner consistent with all applicable standards and regulations. Speaker/Performer shall pay all salaries and wages, Letter Agreement — Debo Entertainment Page 2 employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 10. Indemnification: Speaker/Performer, his or her agents, or employees (if applicable) agrees to and shall indemnify, defend, and hold harmless the City, its officers, agents, employees, consultants, special counsel, and representatives from and against all loss, expenses, or liability (including costs and attorney's fees) arising from the negligence or willful misconduct of Speaker/Performer, his or her agents, or employees. It. Release: Speaker/Performer accepts the Property and any City -provided equipment used in connection with the performance in their "as -is" condition, with all faults. Speaker/Performer fully releases, waives and discharges forever any and all claims, demands, rights, and causes of action of any kind or nature against, and covenants not to sue, City, its elected officials, officers, employees, agents and volunteers, and all persons acting on behalf of, by, through or under each of them, under any present or future laws, statutes, or regulations for any claim or event relating to the condition of the Property or City -provided equipment or Speaker/Performer's use thereof. 12. Commercial General Liability Insurance (CGL). Speaker/Performer shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, not be limited to protection against claim arising from bodily and personal injury including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Speaker/Performer'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: Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including property damage, bodily injury and personal and advertising injury with limits no less than $1,000,000 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 require occurrence limit. 13. Broader Coverage. If the Speaker/Performer 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 Speaker/Performer. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. 14. Certificates of Insurance. Speaker/Performer shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements affecting the coverage required by these specifications, at any time. 15. Primary Coverage. For any claims related to this cor insurance coverage at least as broad as ISO CG 20 0104 agents and volunteers. tract, the Speaker/Performer's coverage shall be primary 13 as respects to the City, its officers, officials, employees, 16. Waiver of Subrogation. The Insurance Company agrees to waive all rights of subrogation against the City, its elected or appoints officers, officials, agents, and employees for losses paid under the terms of any policy which arise from work performed by the Speaker/Performer for the City. This provision also applies to the Speaker/Performer's Workers' Compensation policy. 17. Cancelation of Insurance Policy. Each insurance policy required shall not be canceled, except with thirty (30) days written notice to the City. 18. The City shall have the right and royalty -free license to simulcast or produce and show a tape -delayed broadcast of Speaker/Performer's presentation to the City community or general public, through webcast or any other means. This license shall be non-exclusive and the copyright shall remain with the Speaker/Perforter. Copies of N-2022-045 Letter Agreement — Debo Entertainment Page 3 Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such recordings. 19, Speaker/Performer is solely responsible for payment of royalty fees, performance fees, or similar fees that may be required by unions or similar organizations. Speaker/Performer shall indemnify the City against any liability or damages, including atto ney's fees, that may arise as a result of violation by Speaker/Performer of copyright laws. 20. Speaker/Performer 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. Speaker/Performer affirms that they are an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 21. This Agreement shall in all respects shall be interpreted, enforced, and governed exclusively by and under the laws of the state of California. Both parties 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. 22. This Agreement represents the complete and exclusive statement between the City and Speaker/Performer regarding the subject matter herein and supersedes any and all other agreements, oral or written, between the parties. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Speaker/Performer. CITY OF SANTA ANA SPEAKER/PERFORMER KRISTINE RIDGE City Manager ATTEST: AISY GOMEZ /'D Clerk of the Cmmcil RECOZD FOR APP OVAL Brian Sternberg Director, Library Servic s Luis Wva, dba Bebo Entertainment APPROVED AS TO FORM: By: B on Salvatierra Deputy City Attorney Exhibit A SCOPE OF SERVICES VENDOR INFORMATION: Luis Nava DBA: Bebo Entertainment 2030 E. 0' Street Santa Ana, Ca. 92705 Email: hoolcjUiy a DiBebotintertainment.com EVENT: Santa Ana Public Library Services Department Events LOCATIONS: Services will be presented at the following locations: Main Library, 26 Civic Center Plaza, Santa Ana, CA 92701 and/ the Newhope Library, 122 N. Newhope Street, Santa Ana, CA 92703. TERM: March 1, 2022 — December 20, 2022 COMPENSATION: Not to exceed $6,400.00. Amount per service date will be coordinated between vendor and city staff. DESCRIPTION: Provider shall provide DJ Services for the department's city -sponsored, community outreach events at the Santa Ana Public Library sites. DJ Bebo, will be providing one of the services on Saturday, April 30, 2022 from 10:00 a.m. to 2:00 p.m. during the Din de los Niiios, Dia de los Libros community outreach event. Other services will be provided as needed per direction of department. staff. The City will be responsible for setting up the space for the patrons attending, and advertising the events. Vendor will be responsible for providing all equipment, materials, supplies and personnel necessary to provide the service. City staff will be present at all times during the service. TOY I P I e Ys O„ Digitally signed by Tor: Pierson 1 1 1 1 Date: 2022.03.0115:55:29 -08'00' ACOR" CERTIFICATE OF LIABILITY INSURANCE L.� DATE (MMIDD/YYYY) 1 01 /26/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Neighborhood Insurance Agency 600 S Grand ave Ste 101 CONTACT Martin R. Felix PHONE FAX A/C No Ext : (714)285-9990 A/C No : (714)384-7473 E-MAIL ADDRESS: martin@r11aCOV@rage.COm SANTA ANA, CA 92705 INSURER(S) AFFORDING COVERAGE NAIC # License #: OC38846 INSURERA: HiSCOX INSURED BEBO ENTERTAINMENT INSURER B DBA BEBO ENTERTAINMENT INSURERC: 613 E BERKELEY ST INSURER D SANTA ANA, CA 92707-2301 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 00017529-126933 REVISION NUMBER: 1 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y UDC-4930316-CGL-21 08/13/2021 08/13/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE J OCCUR TO RENTE PREM AGE SES (E. occurrD.r ce)$ 100,000 MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JECT LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ ECLAIMS-MADE AGGREGATE $ EXCESS LAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) DJ MUSIC BUSINESS CANCELLATION NOTICE WILL BE SENT TO CERTIFICATE HOLDER PRIOR TO CANCELLATON OF POLICY CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTI('o `Am 1 oo not ni000n IKI ACCORDANCE WITH THE POLICY PROVI �;, as REvi & APPROVED Br. . AUTHORIZED REPRESENTATIVE --- iqw ✓V J Ri,k Management Cl eri-1 Aide ACORD 25 (2016/03) @ 1988-2015 ACORD CL)KVUKw I wlv. Au ngnl<s reserves. The ACORD name and logo are registered marks of ACORD Printed by MRF on 01/26/2022 at 02:48PM POLICY NUMBER: UDC-4930316-CGL-21 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES 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 Insured Person(s) Or Organization(s) Location(s) Of Covered Operations The City of Santa Ana, 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 20 Civic Center Plaza, Santa Ana, Ca 92702 performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. 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: 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 same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: CG 20 10 04 13 © Insurance Services Office, Inc., 2012 r' �< a. � & PR8,. 1,J, 76,t b oo RYsk NYanagernena CY'erirvl'Aticfle 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 Rooe&w &PR8,r. RYsk NYanagernena CY'erirvl'Aticfle COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 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 PRODUCTS/COMPLETED 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. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Rooe&w &PR8,r. RYsk NYanagernena CY'erirvl'Aticfle POLICY NUMBER: UDC-4930316-CGL-21 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations The City of Santa Ana, its officers, officials, employees, 20 Civic Center Plaza and volunteers are to be covered as additional insureds Santa Ana, CA 92702 on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 37 04 13 © Insurance Services Office, Inc., 2012 RYsk NYanagernena CY'erirvl'Aticfle COMMERCIAL GENERAL LIABILITY CG 21 36 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - NEW ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Paragraph 3. of Section II - Who Is An Insured does not apply. r' & PR8,r. � ��.�,� RYsk NYanagernena CY'erirvl'Aticfle CG 21 36 03 05 © ISO Properties, Inc., 2004 . -!I- . — on Policy Number: Named Insured: Endorsement Number: Endorsement Effective: U DC-4930316-CGL-21 BEBO ENTERTAINMENT INC 18 January 28, 2022 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MODIFIED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: You may waive your rights against another party so long as you do so in writing prior to: (i) an offense arising out of your business that caused a "personal and advertising injury"; or (ii) an "occurrence" that caused "bodily injury' or "property damage". CGL E5402 CW (03/10)� fir' i < a. RsAe&w & ,PMPwRcovm 8v. RYsk NYanagernena CY'erirvl'Aticfle Includes copyrighted material of Insurance Services Office, Inc., with its permiss Tracy Digitally signed by Tracy Jacobs i I— Date:2022.08.22 ACCORD® CERTIFICATE OF LIABILITY INSURANCE Jak_Uu. 16:3 :54�gVJMM/DD/YYYY) 08/17/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Neighborhood Insurance Agency 600 S Grand ave Ste 101 SANTA ANA, CA 92705 CONTACT NAMEVANESSA ESTRADA PHONE FAX A/C No Ext : (714)285-9990 A/C No : (714)384-7473 ADDRESS: cs@niacoverage.com INSURER(S) AFFORDING COVERAGE NAIC # License #: OC38846 INSURERA: HISCOX 10200 INSURED INSURER B INSURERC: BEBO ENTERTAINMENT 613 E BERKELEY ST INSURER D SANTA ANA, CA 92707-2301 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 00017529-126933 REVISION NUMBER: 10 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y P100.458.079.2 08/13/2022 08/13/2023 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F�vl OCCUR J DAMAGE TO RENTE PREM SES (E. occurrD.r ce)$ 100,000 MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY D PRO- JECT LOC X PRODUCTS - COMP/OP AGG $ 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LAB OCCUR EACH OCCURRENCE $ ECLAIMS-MADE AGGREGATE $ EXCESS LAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) DJ MUSIC BUSINESS CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED CITY OF SANTA ANA RISK MANAGEMENT DIVISION 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---- • • lil �,• oa.w e REVIEWED& APPROVED BY: © 1988-2015 ACCORD Cl -- Risk Management Analyst ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Pri AM H I SCOX Policy Number: Named Insured: Endorsement Number: Endorsement Effective: P100.458.079.2 BEBO ENTERTAINMENT INC 18 08/13/2022 Hiscox Insurance Company Inc. 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 Persons Or Organization(s) City of Santa Ana, it's officers, officials, employees and volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organi- zation(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 omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 C ISO Properties, Inc., 2004 w& ... REVIEWED & APPROVED $Y: e I T ;. k� w Risk Management Analyst Policy Number: Named Insured: Endorsement Number: Endorsement Effective: P100.458.079.2 BEBO ENTERTAINMENT INC 15 08/13/2022 Hiscox Insurance Company Inc. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MODIFIED WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: You may waive your rights against another party so long as you do so in writing prior to: (i) an offense arising out of your business that caused a "personal and advertising injury"; or (ii) an "occurrence" that caused "bodily injury" or "property damage". CGL E5402 CW (03/10) RiokMmmgmwdDbW= REvIEWEo & APPRovED Bv: Includes copyrighted material of Insurance Services Office, Inc., with its permiss a �� �—�� Risk Management Analyst AM HIO Policy Number: Named Insured: Endorsement Number: Endorsement Effective: P100.458.079.2 BEBO ENTERTAINMENT INC 14 08/13/2022 Hiscox Insurance Company Inc. 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 A. 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, pro- vided: 1. you have agreed in a written contract or agreement to add such additional insured to a policy providing the type of coverage af- forded by this policy; and 2. you have agreed in a written contract or agreement with such additional insured that this insurance would be primary and would not seek contribution from any other insur- ance available to the additional insured. CGL E5581 CW (03/16) Includes copyrighted material of Insurance Services Office, Inc., with its permission REVIEWED & APPROVED $Y: e I T ; k� w Risk Management Analyst