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AGREEMENT TERMINATION FORM
Please complete this form in its entirety when the attached agreement and all
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
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Return form to the City Clerk's Office (M-30).
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The agreement with
No. A -w23 _b3Z was completed on
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i:lagreementsVorms6orm - agreement termination form goldenrod doc
City of Santa Ana
JUL 06 2023
City Clerk's Office
d 2 and final payment has been made.
Department:? Ir-C.5,0,
Phone/Ext.:
Signature:
Date:
INSURANCE NOT ON FILE A-2023-032
WORK MAY NOT PROCEED
CLERK OF COUNCIL
DATE: DONATION AGREEMENT WITH PROJECT BACKBOARD FOR BASKETBALL
COURT REPAIR AND RESURFACING AT PORTOLA PARK
This Agreement is made and entered into this 7th day of March, 2023 by and between Project
�. Backboard, a California non-profit public benefit corporation (Donor), and the City of Santa Ana, a
G3 charter city and Municipal Corporation organized and existing under the Constitution and laws of the
State of California ("City").
RECITALS
(TP.)la�l
A. Donor is a 501(c)(3) organization that renovates public basketball courts and installs large
scale works of site specific art on the surface in order to strengthen communities, improve park safety,
encourage multi -generational play, and inspire people to think more critically and creatively about their
environment.
B. Portola Park in the City of Santa Ana has a basketball court available for public use.
C. Donor wishes to donate the repair and resurfacing of the public basketball court at Portola
Park.
D. These repair and resurfacing services will be donated to City and performed by Donor at
no cost to City.
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
Donor shall furnish, at its own expense, all labor, materials, equipment, supplies and other
items and services necessary to repair and resurface the public basketball court at Portola Park, as
further described in Exhibit A, attached hereto, by June 30, 2023. City grants Donor the right to enter
its property for the purpose of repair and resurfacing of the public basketball court at Portola Park.
2. COMPENSATION
City agrees to accept services to be provided above and Donor agrees to provide services and
materials free of charge to the City. This Agreement does not contemplate the payment of monies to
Donor on the part of the City.
3. TERM
This Agreement shall commence on the date stated above and terminate on April 30, 2023,
unless terminated earlier in accordance with Section 12, below.
4. INDEPENDENT CONTRACTOR
Donor 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
Page 1 of 8
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 Donor performs the services which are the
subject matter of this Agreement; however, the services to be provided by Donor shall be provided in a
manner consistent with all applicable standards and regulations governing such services. Donor 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. INSURANCE
Donor shall provide to the City proof of insurance prior to undertaking performance of work
under this Agreement. Donor shall maintain and shall require its subcontractors, if any, to obtain and
maintain insurance as described below:
a. Minimum Scope and Limit of Insurance
(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 $1,000,000 per occurrence. If a general aggregate limit applies,
either the general aggregatelimit 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: ISO Form Number CA 00 01 covering any auto (Code 1), or
if Contractor has no owned autos, hired, (Code 8) and non -owned autos (Code 9),
with a limit no less than $1,000,000 per accident for bodily injury and property
damage.
(3) Workers' Compensation: 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) Broader Coverage: if the Contractor 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 Contractor. Any
available insurance proceeds in excess of the specified minimum limits of insurance
and coverage shall be available to the City.
b. Other Insurance 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
Contractor 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 Contractor's insurance (at least as broad as ISO Form CG 20
Page 2 of 8
10 11 85 or if notavailable, through the addition of both CG 20 10, CG 20 26, CG
20 33, or CG 20 38; and CG 2037 if a later edition is used).
(2) Primary Coverage: For any claims related to this contract, the Contractor's
insurance coverage shall be primary 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 Contractor's insurance and shall not contribute
with it.
(3) Notice of Cancellation: Each insurance policy required above shall provide that
coverage shall not be canceled, except with notice to the City.
(4) Waiver of Subrogation: Contractor hereby grants to City a waiver of any right to
subrogation that any insurer of said Contractor may acquire against the City by
virtue of the payment of any loss under such insurance. Contractor agrees to obtain
any endorsement that may be necessary to affect this waiverof 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 Contractor to purchase coverage with a lower
retention or provide proof of ability to pay losses and related 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 Insurers: 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 claims -made
coverage:
i. The retroactive date must be shown, and must be before the date of the
contract or beginning of contract work.
ii. Insurance must be maintained and evidence of insurance must be provided
for at least five (5) years after completion of contract work.
iii. 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 Contractor must purchase "extending reporting" coverage
for a minimum of five (5) years after completion of work.
Page 3 of 8
(8) Verification of Coverage: Contractor 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 allpolicy
endorsements to City before work begins. However, failure to obtain the required
documents prior to the work beginning shall not waive the Contractor's obligation to
provide them.
The City reserves the right to require complete, certified copies of all required
insurance policies, including endorsements required by these specifications, at any
time.
(9) Subcontractors: Contractor shall require and verify that all subcontractors maintain
insurance meeting all the requirements stated herein, and Contractor shall ensure
that City is an additional insured on insurance required from subcontractors.
(10) Special Risks or Circumstances: City reserves the right to modify these
requirements, including limits, based on the nature of the risk, prior experience,
insurer, coverage, or other special circumstances.
6. INDEMNIFICATION
Donor agrees to and shall defend, 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 from the direct or indirect
operations of Donor or its contractors, subcontractors, agents, employees, or other persons acting on
their behalf which relates to the services described in section I 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. Donor 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 Donor'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 Donor.
Page 4 of 8
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 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.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and Donor
regarding the subject matter herein, and supersedes any and all other agreements, oral or written,
between the parties. In the event of a conflict between the terms of this Agreement and any
attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified
except by written instrument signed by the City and by an authorized representative of Donor. 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 Donor
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 party, which are not embodied herein.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Donor, Donor may
not assign, transfer, delegate, or subcontract any interest herein, except as already specified in this
Agreement, 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 retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon seven (7) days written notice of
termination.
13. NON-DISCRIMINATION
Donor 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, training, utilization, promotion, termination or other
employment related activities. Donor affirm that it is an equal opportunity employer and shall comply
with all applicable federal, state, and local laws and regulations.
Page 6 of 8
14. 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.
15. PROFESSIONAL LICENSES
Donor 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. Donor 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.
16. NUSCELLANEOUS 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:
Cl the Council
CITY OF SANTA ANA
Icristine eRidge�
City Manager
[signatures continued on next page)
Page 7 of 8
A-2023-032
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
randon Salvatierra
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
Ex arks, Recreation &
Community Services Agency
DONOR
D
Dan Peterson
Project Backboard
Page 8 of 8
EXHIBIT A
Project Backboard
c/o Dan Peterson
53 Christamon S.
Irvine CA, 92620
dpeterson@projectbackboard.org
(512) 492 2062
Description
This Scope of Work is for the repair and resurfacing of one basketball court at
Portola Park, 1700 E Santa Clara Ave, Santa Ana, CA 92705.
Project Backboard to provide the following:
• Clean existing basketball court.
• Patch and level significant "bird bath" areas and repair existing
cracks
• Apply acrylic sports resurfacer (Sport Master or similar brand)
• Two (2) coats, minimum, of acrylic sports specific color coating
(Sport Master or similar brand) in accordance with the requirements
of final approved design.
• Source all stencils and other materials needed to install court
artwork.
• Stripe court(s) with textured acrylic with line paint.
• Remove and replace basketball rims.
• Clean and repaint existing basketball backboards as necessary.
Portola Park, 1700 E Santa Clara Ave, Santa Ana, CA 92705
Condition as of 2/11/2013
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NOTICE OF COMPLIANCE
Contractor Project Backboard
Name:
Project TBD (013)
Number:
Project Donation Agreement With Project Backboard For Basketball Court Repair
Name: And Resurfacing At Portola Park
The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the
insurance requirements. No further action is required at this time.
The compliant coverage(s) are:
EXPIRATION
TYPE OF INSURANCE
POLICY NUMBER
COI DATE
FILE NAME
DATE
Project
AUTOMOBILE LIABILITY
214520005
09/29/2023
03/15/2023
Backboard - City
of Santa Ana 03-
15-23.pdf
Project
GENERAL LIABILITY
214520005
09/29/2023
03/15/2023
Backboard - City
of Santa Ana 03-
15-23.pdf
Certificate
WORKERS COMPENSATION AND EMPLOYERS'
93027012022
07/28/2024
03/21/2023
9302701-2022
LIABILITY
(9).pdf
Thank you,
City of Santa Ana
Risk Management Division
in partnership with
CTrax Plus Services Team
3/23/2023 6:06 PM