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HomeMy WebLinkAboutALEXANDER, JONATHAN INSURANCE NOT ON FILE WORK MAY NOT PROCEED N-2024-207 CITY CLERK • DATE: /(3 I JUN 1 7 LUL it C Library) CD) -- LE.Seuly d E7- June 4,2024 Jonathan Alexander("Speaker/Performer") 2 Wharton Ct. Irvine,CA 92617 ifalexanauci.edu Re: Speaker/Performer Engagement Agreement 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: As further described in Exhibit A, attached hereto, Speaker/Performer shall provide a presentation and reading of their latest work,provide insights into the writing process,and spark thought-provoking discussions. They will also provide a Q&A and a book signing once the presentation concludes. 2. Date(s): Saturday,June 22, 2024 3. Event Time(s): 1:00 p.m.—2:30 p.m. 4. Location("Property"): Newhope Library, 122 N.Newhope,Santa Ana,CA 92704 5. Compensation: An amount not to exceed $305.00. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Speaker/Performer agree that all payments due and owing under this Agreement shall be made through Automated Clearing House (ACH)transfers. Speaker/Performer agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided, the City will be authorized to deposit payments directly into Speaker/Performer's account(s)with financial institutions. 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. 6. Provided by City: space for the event(s), microphone,projector,tables and chairs. 7. Provided by Speaker/Performer: Insurance as further detailed in Exhibit B and all other equipment and materials necessary. 8. City Contact Person(for coordinating purposes only): Maria Sepulveda x5265 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,a joint 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, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. Speaker Agreement—Jonathan Alexander Page 2 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. 11. Release: Speaker/Performer accepts 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 City-provided equipment or Speaker/Performer's use thereof. 12. 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/Performer. Copies of Speaker/Performer's presentation may be maintained by the City, and Speaker/Performer consents to use of such recordings. 13. 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 attorney's fees,that may arise as a result of violation by Speaker/Performer of copyright laws. 14. Speaker/Performer shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, disability, or any other basis protected by applicable law in connection with any activities related to this Agreement. 15. 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. 16. 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. [signature page follows] Speaker Agreement—Jonathan Alexander Page 3 SIGNATURE PAGE FOR SPEAKER/PERFORMER AGREEMENT WITH JONATHAN ALEXANDER CITY OF ANTA SPEAKER/PERFORMER 01,,, Jonathan AGemder I I Jonathan Alexander(Jun 11,2024 10:17 PDT) lvaro Nunez (I L 1 N Jonathan Alexander Acting City Manager r ATTEST: APPROVED AS TO FORM: 1411111 AC •tin,. By: Jennifer L. ill Br n Salvatierra City Cle Deputy City Attorney RECOMMENDED FOR APPROVAL Brian Sternber ,2024 11:59 PDT) Brian Sternberg Library Services Director Library Services EXHIBIT A Exhibit A SCOPE OF SERVICES VENDOR INFORMATION: Name: Jonathan Alexander Address: 2 Wharton Ct. Irvine, Ca. 92617 Phone Number: 949-293-9575 Email Address:jfalexan@uci.edu EVENT: Author Presentation and Reading/Q&A Session &Book Signing for Jonathan Alexander LOCATION: Newhope Library 122,N.Newhope Santa Ana, Ca. 92704 TERM: One-time event: Saturday, June 22, 2024 COMPENSATION: $ 305.00 DESCRIPTION: Author Jonathan Alexander, is a writer, literacy scholar, and cultural critic.A Chancellor's Professor of English and Informatics at the University of California, Irvine, Jonathan will share his latest work,provide insights into the writing process, and spark thought-provoking discussions. He will do a Q&A and a book signing once the presentation concludes. The presentation will be conducted in person. It will be hosted by Patty Lopez, Principal Librarian in charge of Adult Services at the Newhope Public Library as part of the Author Hour Series. The presentation is free and everyone can attend. It will take place one time on Saturday, June 22, 2024 from 1:00-2:30 p.m. at the Newhope Public Library. He will be compensated$305.00 for his presentation. EXHIBIT B Exhibit B Speaker/Performer shall procure and maintain for the duration of the Agreement insurance against claims for injuries to persons or damages to property which may arise from or in connection with products and materials supplied to City. Total cost of such insurance shall be borne by Speaker/Performer. 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 and$2,000,000 aggregate. 2. 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. 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 and SAML policy(ies)with respect to liability arising out of work or operations performed by or on behalf of the Speaker/Performer including materials, parts, or equipment furnished in connection with such work or operations. 2. Waiver of Subrogation: Insurance company(ies) agree(s) to waive all rights of subrogation against City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers for losses paid under the terms of any policy which arise from work performed by Speaker/Performer for City. 3. Primary Coverage: For any claims related to this Agreement, Speaker/Performer's insurance coverage shall be primary and any insurance maintained by City, its City Council, its officers,officials,employees,agents,or volunteers shall no contribute with it. 4. Severability: A severability of interest provisions must apply for all the additional insured, ensuring that Speaker/Performer's insurance shall pally separately to each insured against whom a claim is made or suit is brought, except with respect tot eh insurer's limits of liability. 5. Cancellation: Insurance policy(ies) required herein shall provide that coverage shall not be canceled, suspended, voided, reduced in coverage or in limits, non-renewed by the carrier, or materially changed except after thirty (30) days prior written notice has been given to City. Ten (10) days prior written notice shall be provided to City for policy cancellation or non-renewal due to non-payment. 6. Certificate Holder: The certificate holder on each evidence of insurance certificate shall be: City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701. The name and location of event should be included in the description of operations section of each certificate. c. 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. d. Verification of Coverage: 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 requiredby 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 Speaker/Performer'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. e. Special Events Coverage: Special events coverage is available and can be purchased by Speaker/Performer. Use this link to learn more: www.2sparta.com. f. Special Risks or Circumstances: City reserves the right to modify these requirements at any time, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. DATE CERTIFICATE OF LIABILITY INSURANCE 6/14/2024 THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THISCERTIFICATEDOESNOT AMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.THISCERTIFICATEOFINSURANCEENDORSEMENTDOESNOTCONSTITUTEA 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: 925 609 6550 PHONE 925 609 6500 FAX HUB International Insurance Services Inc. EMAIL specialevent@hubinternational.com 3000 Executive Parkway, Suite 300 INSURER(S) AFFORDING COVERAGE NAIC # San Ramon, CA 94583 Colony Insurance Company CA License #0757776 INSURER A:39993 NAMED INSURED: Jonathan Alexander 2 Wharton Ct., Irvine, CA 92617 COVERAGES Thisistocertifythatthepoliciesofinsurancelistedbelowhavebeenissuedtotheinsurednamedabovefortheeventdate(s)indicatedbelow.Notwithstandinganyrequirement,termor conditionofanycontractorotherdocumentwithrespecttowhichthiscertificatemaybeissuedormaypertain,theinsuranceaffordedbythepoliciesdescribedhereinissubjecttoallthe terms, exclusions and conditions of such policies. INSURED MEMBER COVERAGE EFFECTIVE / INSR TYPE OF INSURANCELIMITS ENDORSEMENT EXPIRATION DATE LTR NUMBER EACH OCCURRENCE 6/22/2024-6/23/2024 GENERAL LIABILITY 24010797$1,000,000 A DAMAGE TO RENTED PREMISES COMMERCIAL GENERAL LIABILITY X $1,000,000 (Ea occurrence) MED EXP (Any one person) CLAIMS-MADEOCCURRENCE X$5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 LIQUOR LIABILITY PER OCCURRENCE (AGGREGATE n/a INCLUDED IN GENERAL LIABILITY AGGREGATE) MASTER POLICY #103 GL 0212472-01 - EFFECTIVE DATE 1/1/2024; EXPIRATION 1/1/2025 12:01 A.M. Standard Time at your Mailing Address. DESCRIPTION OF OPERATIONS / LOCATIONS The certificate holder is included as Additional Insured as per endorsement T5409-0118. This insurance is Primary and Non-Contributing as per endorsement CG2001-1219. The insurance company waives rights of recovery as per endorsement CG2404-1219. The Insured Member Endorsement cannot be cancelled by the insurance company as per endorsement T1523-0111. Event Type:Story Telling, Lecture, or Reading Event date(s):6/22/2024-6/23/2024 CERTIFICATE HOLDERCANCELLATION SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLED BEFORETHEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 POLICY #103 GL 0212472-01 COMMERCIAL GENERAL LIABILITY T5409-0118 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED Î DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Named of Additional Insured Person(s) or Organization(s) City of Santa Ana, its officers, officials, employees and volunteers, 20 Civic Center Plaza, Santa Ana, CA 92701 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. SectionII-WhoIsAnInsured isamendedtoinclude asadditionalinsuredtheperson(s)ororganization(s) shownintheSchedule,butonlywithrespecttoliability forÐbodilyinjuryÑ,ÐpropertydamageÑorÐpersonaland advertisinginjuryÑcaused,inwholeorinpart,byyour actsoromissionsortheactsoromissionsofthoseacting on your behalf: A.In the performance of your ongoing operations; or B.In connection with your premises owned by or rented to you. T5409-0118 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY #103 GL 0212472-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE (Third-Party) This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR 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(2) You have agreed in writing in a contract or contribution from any other insurance available toagreement that this insurance would be an additional insured under your policy providedprimary and would not seek contribution that:from any other insurance available to the (1) The additional insured is a Named Insuredadditional insured. under such other insurance; and CG 20 01 12 19 Includes Copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1 POLICY #103 GL 0212472-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name of Person or Organization: As required by written contract with the Named Insured that is executed by the parties to the contract prior to the commencement of work that is called for in the contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Î Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 Contains material copyright, Insurance Services Office, Inc., with its permission. Page 1 of 1 POLICY #103 GL 0021111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IF CAREFULLY. SEPARATION OF INSUREDS - INSURED MEMBERS AND REPORTING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART A. SECTIONI-COVERAGES,COVERAGEABODILYINJURYANDPROPERTYDAMAGELIABILITY,2. Exclusions,and COVERAGEBPERSONALANDADVERTISINGINJURYLIABILITY,2.Exclusions ofthe COMMERCIALGENERALLIABILITYCOVERAGEFORM,and SECTIONI-LIQUORLIABILITY COVERAGE, 2. Exclusions of the LIQUOR LIABILITY COVERAGE FORM are amended and the following added: This insurance does not apply to: Unreported Events ÐBodilyinjuryÑ,ÐpropertydamageÑ,ÐpersonalandadvertisinginjuryÑorÐinjuryÑarisingoutofanyÐInsuredMember(s)Ñ thatyouhavenotreportedinthePolicyholderÓsBordereaux,subjectto SECTIONIVCOMMERCIALGENERAL LIABILITY CONDITIONS, Reporting Provisions added in item E. below. However,thisprovisiondoesnotapplyintheeventofanunintentionalerrororomissioninnotreportinganÐInsured MemberÑinthePolicyholderÓsBordereauxifsuchÐInsuredMemberÑreceivedaCertificateofInsuranceandpaidthe premiumpriortotheÐbodilyinjuryÑ,ÐpropertydamageÑorÐpersonalandadvertisinginjuryÓorÐinjuryÑthatresultedina claim or ÐsuitÑ. B. SECTIONIl-WHOISANINSURED,1.a.ofthe COMMERCIALGENERALLIABIUTY and LIQUOR LIABILITY COVERAGE FORMS, is deleted and replaced with the following: a. Anindividual,youandyourspouseareanamedinsured,butonlywithrespecttoyourconductasanÐInsured MemberÑ named on the Certificate of Insurance referenced in item C. below. C. SECTIONII-WHOISANINSURED ofthe COMMERCIALGENERALLIABILITY and LIQUORLIABILITY COVERAGE FORMS is amended and the following added: 4. Any ÐInsured MemberÑ issued a Certificate of Insurance evidencing coverage under this Master Policy will qualify as a Named Insured. However, for the ÐEvent InformationÑ designated in the Certificate of Insurance: a.COVERAGE A does not apply to Ðbodily injuryÑ or Ðproperty damageÑ that occurred before the ÐEvent InformationÑ inception date shown in the ÐCertificate policy periodÑ; and b.COVERAGE B does not apply to Ðpersonal and advertising injuryÑ arising out of an offense committed before the ÐEvent InformationÑ inception date shown in the ÐCertificate policy periodÑ; and c.LIQUOR LIABILITY COVERAGE does not apply to ÐinjuryÑ that occurred before the ÐEvent InformationÑ inception date shown in the ÐCertificate policy periodÑ. D. SECTIONIV-COMMERCIALGENERALLIABILITY and LIQUORLIABILITYCONDITIONS,7.Separation Of lnsureds is deleted and replaced with the following: 7. Separation Of Insureds This insurance is provided under a Master Policy and applies: a. as if each ÐInsured MemberÑ shown on a Certificate of Insurance were the only Named Insured; and T1523-0111Page 1 of 3 b. separately to each ÐInsured MemberÑ against whom claim is made or ÐsuitÓ is brought. The Limits of Insurance shown in the Certificate of Insurance issued to the ÐInsured MemberÑ will apply separately to each ÐInsured MemberÑ to which this insurance applies. All terms and conditions of this Master Policy are the terms and conditions applicable to the ÐInsured MemberÑ during the ÐCertificate policy periodÑ. If the expiration date of the ÐCertificate policy periodÑ shown on the Certificate of Insurance issued to the ÐInsured MemberÑ is after to the expiration date of the Master Policy, coverage will cease upon the expiration date of the ÐCertificate policy period.Ñ In no event will coverage for the ÐInsured MemberÑ extend beyond twelve (12) months after the expiration of the Master Policy. If the expiration date of the ÐCertificate policy periodÑ shown on the Certificate of Insurance issued to the ÐInsured MemberÑ is prior to the expiration, termination or cancellation date of the Master Policy, coverage will cease upon the expiration date of the ÐCertificate policy period.Ñ If this Master Policy is terminated or cancelled prior to the expiration date of the ÐCertificate policy periodÑ shown on the Certificate of Insurance issued to the ÐInsured MemberÑ, coverage for the ÐInsured MemberÑ will continue under the terms and conditions of the Master Policy until the expiration of the ÐCertificate policy period.Ñ In no event will coverage for the ÐInsured MemberÑ extend beyond twelve (12) months after the termination or cancellation of the Master Policy. E. SECTIONIV-COMMERCIALGENERALLIABILITYCONDITIONS and SECTIONIV-LIQUOR LIABILITY CONDITIONS are amended and the following added: Reporting Provisions a.The premium charged at the inception of each policy year is an advance premium. Upon our receipt of your complete PolicyholderÓs Bordereaux at the end of each Ðreporting periodÑ, an endorsement will be issued by us for any adjustment in premium because of ÐInsured Member(s)Ñ you added or deleted in the PolicyholderÓs Bordereaux. b.Premium Reporting: (1) You must file a PolicyholderÓs Bordereaux with us each Ðreporting periodÑ and at Expiration, in accordance with this Reporting Provision, showing separately each ÐInsured MemberÑ to be covered. In addition to the information required by the Policyholders Bordereaux, you must include a copy of the Certificate of Insurance issued evidencing the ÐInsured MembersÑ coverage provided by this Master Policy. (2) You may not correct an inaccurate PolicyholderÓs Bordereaux after a claim or ÐsuitÑ has occurred. c.Failure to Submit a PolicyholderÓs Bordereaux: Coverage only applies to: (1) ÐInsured Member(s)Ñ shown in the PolicyholderÓs Bordereaux you filed with us prior to the Ðbodily injuryÑ, Ðproperty damageÑ, Ðpersonal and advertising injuryÑ or ÐinjuryÑ that resulted in a claim or ÐsuitÑ, or, (2) ÐInsured Member(s)Ñ shown on reports or Certificates of Insurance that were on file with HUB International Insurance Services, Inc. prior to the Ðbodily injuryÑ, Ðproperty damageÑ or Ðpersonal and advertising injuryÑ or ÐinjuryÑ that resulted in a claim or ÐsuitÑ. However, paragraph c. does not apply in the event of an unintentional error or omission in not reporting an ÐInsured MemberÑ in the PolicyholderÓs Bordereaux except if such ÐInsured MemberÑ received a Certificate of Insurance and paid the premium prior to the Ðbodily injuryÑ, Ðproperty damageÑ, Ðpersonal and advertising injuryÑ or ÐinjuryÑ that resulted in a claim or ÐsuitÑ. T1523-0111Page 2 of 3 F. SECTIONIV-COMMERCIALGENERALLIABILITY and SECTIONIV-LIQUORLIABILITY CONDITIONS, 5. Premium Audit, are deleted and replaced with the following: 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. If the policy is cancelled, to determine any premium refund or additional premium due, we may elect to use an earned premium computed by an audit or pro rata or less than pro rata calculation of the advanced premium or minimum premium. Paragraph 5. of A. Cancellation of the Common Policy Conditions is amended accordingly. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. G. SECTION V - DEFINITIONS is amended and the following added: 1. ÐInsured MemberÑ means: a. a member of the First Named Insured shown in the Declarations and named as the Event Holder on a Certificate of Insurance issued evidencing the ÐInsured MemberÓsÑ coverage under this Master Policy; and b. evidenced on the PolicyholderÓs Bordereaux filed with the company. Throughout this policy the words ÐyouÑ and ÐyourÑ refer to the ÐInsured MemberÑ as a Named Insured under this Master Policy. 2. ÐEvent InformationÑ means the event and the area or location where the event is being conducted provided the event is designated on the Certificate of Insurance issued to that ÐInsured MemberÑ and PolicyholderÓs Bordereaux filed with the company. 3. ÐCertificate policy periodÑ means the period of time coverage under this Master Policy will apply for the ÐInsured MemberÑ indicated on the Certificate of Insurance issued to that ÐInsured MemberÑ. 4. ÐReporting periodÑ means the period of time shown below that you must record and file with us a PolicyholderÓs Bordereaux on all changes to the issued Certificates of Insurance, including copies of the Certificates of Insurance issued evidencing the ÐInsured MemberÓsÑ coverage under this Master Policy. The Ðreporting periodÑ is: a. each calendar month starting at policy inception, and then each consequential month, and b. ninety (90) days from the date of non-renewal or the date of cancellation if this policy is cancelled prior to policy expiration. Each monthly PolicyholderÓs Bordereaux shall include Certificates of Insurance issued within the previous three (3) calendar months that were not previously reported to us. All references to LIQUOR LIABILITY in this endorsement only apply if a LIQUOR LIABILITY COVERAGE PART is attached to this policy. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. T1523-0111Page 3 of 3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Endorsement:1 Policy Number Policy Changes Effective Company 24010797 6/22/2024 Colony Insurance Company Name Insured Authorized Representative Jonathan Alexander Amwins Insurance Brokerage, LLC Changes Policy Effective Date: 6/22/2024 Agent: HUB International Insurance SE In consideration of no change in premium, it is understood and agreed that the policy is hereby amended as follows: The following Additional Insured is added with form T5409-01 18: CityofSantaAna,itsofficers,officials,employeesandvolunteers,20CivicCenterPlaza,SantaAna,CA92701 All other terms and conditions remain the same. 1 of 1