HomeMy WebLinkAboutSANTA ANA UNIFIED SCHOOL DISTRICT (24)INSURANCE ON FILE
Y! 'RR MAY PROCEED
UNTIL INSURANCE EXPIRES
CITY CLERK
DATE: AUG Z 1 ZQ2�
D Pa6SAC90
(Movy LOj) 1vX CITY OF SANTA ANA
FACILITY USE AGREEMENT WITH SANTA ANA UNIFIED SCHOOL
DISTRICT FOR THE DISTRICT'S COLLEGE AND
CAREER RESOURCE FAIR
THIS FACILITY USE AGREEMENT is made and entered into on this 22nd day of July
2024 by and between the SANTA ANA UNIFIED SCHOOL DISTRICT ("District") 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"). The City and
District may be referred to herein individually as "Party" and collectively as the
"Parties."
RECITALS
A. The District has a need for a venue for the District's College and Career
Resource Fair.
B. The District has determined the Santa Ana Zoo is a suitable venue for the
District's College and Career Resource Fair.
C. The Parties have entered into this Agreement for the purposes of setting forth
the terns and conditions for the District to use the Santa Ana Zoo facilities for
the District's College and Career Resource Fair.
The parties agree as follows:
GRANT OF PERMISSION AND FACILITIES TO BE USED
City hereby grants District the limited, non-exclusive right to utilize the Santa
Ana Zoo ("Facilities") as a venue for the District's College and Career Resource Fair as
further detailed in Exhibit A and Exhibit B, attached hereto and incorporated by
reference.
2. COMPENSATION
City acknowledges the public benefit provided by District to the youth of the City
of Santa Ana through its College and Career Resource Fair. For the use of the Facilities
described in Section 1 of this Agreement, District shall pay City fees as described in further
detail in Exhibit A in an amount not to exceed Two Thousand, Eight Hundred and DO/100
Dollars ($2,800).
3. TERM
The term of this Agreement shall begin on the date first written above and
terminate on June 30, 2025, unless terminated pursuant to the terms of this Agreement.
Pagel of 8
N-2024-276
4. COMPLIANCE WITH RULES AND REGULATIONS
District shall use and occupy the Facilities in a safe and careful manner and shall
comply with all applicable local, state, and federal laws in its use of and activities in the
Facilities, including as to the conduct of its employees, agents, clients, customers, guests,
and others using the Facilities by reason of this Agreement. District shall also comply
with all rules and regulations of City in effect during its use of the Facilities. Failure to
abide by such laws, rules, or regulations, or any condition of this Agreement, may result
in the immediate termination of this Agreement in the sole discretion of the City.
5. BACKGROUND CHECKS
District shall ensure that all employees, subcontractors, and any volunteers are
fingerprinted and background checked prior to conducting any work pursuant to this
Agreement.. District shall not assign any employee, agent, subcontractor, volunteer or the
District personally to provide services pursuant to this Agreement, if that employee,
agent, subcontractor, volunteer, or the District personally are required to register as a sex
offender under California Penal Code Section 290 et seq, have a conviction for any crime
of moral turpitude, have a conviction for a sexual based crime, have a conviction for a
violent felony as defined in California Penal Code Section 667.5(c), or has a conviction
for a serious felony as defined in California Penal Code Section 1192.7(c). Disqualifying
convictions include but are not limited to, violations of California Penal Code Sections
37, 128, 136.1 with Section 186.22, 187, 190-190.4 and 192(a), 205, 206, 207-209.5, 211,
212, 212.5, 213, 214, 215, 218-219, 220, 236.1(b) or 236.1(c), 243.4, 261, 261.5, 273.5,
262, 264.1, 266, 266c, 266h, 266i, 266j, 267, 269, 272, 273a, 273ab, 273d, 285, 286, 288,
288a, 288.2, 288.3, 288.4, 288.5, 288.7, 289, 290, 311.1, 311.2, 311.3, 311.4, 311.10,
311.11, 314, 347(a), 368, 417(b), 45l(a),518 with 186.22, 647.6, 653f(c), 664 and 187,
667.5(c), 18745, 18750, or 18755, 12022.53, 11418(b)(1) or (b)(2); Business and
Professions Code Section 729.'
6. INDEMNIFICATION
District agrees to and shall indemnify, protect, defend, and hold harmless City, its
officers, agents, employees, consultants, special counsel, and representatives from and
against any and all claims, damages, judgments, attorney's fees, costs and expenses
arising out of, involving, or in connection with the use of the Facilities or the acts or
omissions of District, its officers, agents, employees, volunteers, guests, or invitees,
whether or not such acts or omissions constitute permitted uses of the Facilities.
INSURANCE
Without limiting District's indemnification obligations, District agrees to obtain
and maintain during the term of the Agreement, and to require its subcontractors, if any,
to obtain and maintain, insurance as described below:
Page 2 of 8
a. Minimum Scope and Limit of Insurance
(1) Commercial General Liability (CGL). Insurance Services Office
("ISO") 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,OOOper occurrence and $2,000,000 aggregate.
(2) 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.
(3) Broader Coverage. If the District 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 District. 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
The above required 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 District including materials, parts, or
equipment furnished in connectionwith such work or operations.
(2) Waiver of Subrogation. District shall require its insurance
company(ies) 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
this Agreement.
(3) Primary Coverage. For any claims related to this contract, the
District's insurance coverage shall be primary and any insurance or self-
insurance maintained by City, its City Council, its officers, officials,
employees, or volunteers shall be excess of the District's insurance and
shall not contribute with it.
Page 3 of 8
(4) Severability. A severability of interest provision must apply for all the
additional insured, ensuring that District's insurance shall apply
separately to each insured against whom a claim is made or suit is
brought, except with respect to the insurer's limits of liability.
(5) Notice of Cancellation. Insurance policy(ies) 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 the
Insurance certificate shall be: City of Santa Ana, Attn: (name of
department staff responsible for Agreement), 20 Civic Center Plaza
M-XX (responsible staffs department mail box), Santa Ana, CA
92701. The name and location of project must be included in the
Description of Operations section of each certificate.
C. Self -Insured Retentions. Self -insured retentions must be declared to and
approved by the City. City may require District 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.
d. 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.
C. Verification of Coverage. District 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 District'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.
f. Subvendors. District shall require and verify that all subvendors maintain
insurance meeting all the requirements stated herein, and District shall
ensure that City is an additional insured on insurance required from
subvendors.
Page 4 of 8
g. 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.
8. CONFLICT OF INTEREST CLAUSE
District 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.
9. FORCE MAJUERE
In the event that the Facilities are rendered unavailable due to destruction, partial
or total, acts of nature, work stoppages or other labor disturbances, civil commotion, war,
or any other action by governmental agencies, or for any reason beyond the control of
City, City shall have the right to terminate this Agreement without penalty.
10. LICENSES AND PERMITS
District represents and warrants that it, and any agents, independent contractors,
subcontractors, vendors, or others acting on its behalf under or with respect to this
Agreement, will at all times during the term of this Agreement have and maintain in force
any and all licenses, permits, or approvals required by law for the conduct of District's
activities under this Agreement.
11. DAMAGE TO FACILITIES
District shall be liable for any damage to the Facilities caused by any act of
negligence of District, its partners, agents, servants, contractors, representatives, guests,
employees, invitees, or customers. City may, at its option, repair such damage, and
District agrees to reimburse City for the total cost of repair.
12. PROPERTY BELONGING TO DISTRICT
City shall not be responsible for lost, stolen, or damages property belonging to
District, its partners, agents, servants, contractors, representatives, guests, employees,
invitees, or customers.
13. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and directed to the addresses below or such addresses as
either party may later specify in writing. Notice is deemed effective on the date it is
given if hand -delivered or received by facsimile that day. Notice given by U.S. mail shall
be deemed to have been given three (3) business days after it is deposited in the U.S.
mail, postage prepaid and addressed as follows:
Page 5 of 8
To City: City Clerk
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, CA 92702-1988
With copies to: Executive Director of Parks, Recreation and Community Services
City of Santa Ana
20 Civic Center Plaza (M-75)
P.O. Box 1988
Santa Ana, California 92702
To District: Santa Ana Unified School District
Attn: Michael Esparza — Director of Purchasing
1601 E. Chestnut Ave.
Santa Ana, CA 92701
Michael.Esparza@sausd.us
14. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City
and District regarding the subject matter herein, and supersedes any and all other
agreements, oral or written, between the parties regarding the use of the Facilities. 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 District.
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 District 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 are not embodied
herein.
15. ASSIGNMENT
District 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. District shall not allow any other person or entity to use the Facilities without
the prior written consent of City.
16. TERMINATION
notice.
This Agreement may be terminated by the City upon thirty (30) days written
Page 6 of 8
17. NONDISCRIMINATION
District 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. District affirms that it is an
equal opportunity employer and shall comply with all applicable federal, state and local
laws and regulations.
18. 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.
IT . O ; rri
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.
[signature page follows)
Page 7 of 8
SIGNATURE PAGE FOR
FACILITY USE AGREEMENT WITH SANTA ANA UNIFIED SCHOOL
DISTRICT FOR THE DISTRICT'S COLLEGE AND
CAREER RESOURCE FAIR
IN WITNESS WHEREOF, the Parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
Brkffron Salvatierra
Deputy City Attorney
RECOMMENDED FOR APPROVAL:
Hawk Scott
Executive Director of Parks, Recreation,
And Community Services Agency
CITY F SANT ANA
l/+ L
Ivaro Nunez
City Manager
SANTA ANA UNIFIED
SCHOOL DISTRICT
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Name: n:C4ou i6y, Z� p
Title:T2).7
Page 8 of 8
0
MAYOR
Valerie Amezcus
MAYOR PRO TEM
Thai Vlet Phan
COUNCILMEMBERS
Phil Bacems
Jessie Lopez
Johnathan Ryan Hernandez
David Pensloze
Benjamin Vazquez
June 3, 2024
CITY OF SANTA ANA
Parks, Recreation & Community
Services
20 Civic Center Plaza • P.O. Sox 1988
Santa Ana, California 92702
mmsenta-sna.om
Rebecca Plants, Ed.D., P.P.S.
Coordinator of College and Career Readiness
Santa Ana Unified School District
1601 East Chestnut Ave.
Santa Ana, CA 92701
Re: College and Career Community Resource Fair at Santa Ana Zoo
Dear Ms. Pianta:
ACTING CITY
MANAGER
Alvaro Nunez
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Jennifer L. Hall
This letter provides a scope of work and details for the proposed college and career resource fair at
the Santa Ana Zoo. In September 2022 SAUSD and the City of Santa Ana worked together
supporting an incredibly successful event at the zoo providing our community with access to college
and career resources. The event reached over 4,000 residents and featured over 100 school and
career exhibitors. The event was well organized and SAUSD provided staffing resources that left our
zoo facility even cleaner than when the event began. We look forward to building on the success of
the last event.
Event Location: Santa Ana Zoo, 1801 E. Chestnut Ave. Santa Ana, CA 92701
Event Date: 9/12/24 from 4pm-7pm
Setuc Hours: 9111/24 from 8am — 5pm; 9/12124 from 8am — 4pm
Take -down Hours: 9/12/24 from 7pm —11 pm and 9/13/24 from 8am —12pm
Fees: $1300 — large event park fee; $1,500 — staff time (6 employees, 5 hours, $50/hr.); total $2,800
The City of Santa Ana will provide a venue for the event and staff to provide access to the facility
during setup and take -down. The City will provide staff during the event to ensure the well-being of
the animals and to advise SAUSD of any problematic situations. City departments will be offered an
opportunity to table at the event. The City will help promote the event through social media and other
channels.
SAUSD is the event coordinator and will provide necessary equipment to support the event,
Including as examples: tables, chairs, lighting, and generators. SAUSD will remove trash throughout
the event and dispose of off -site. SAUSD staff will continuously service the public restrooms
SANTA ANA CITY COUNCIL
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throughout the event and clean at the and of the event for the following day. SAUSD staff will
provide overall security, ensuring the safety of attendees and facility. SAUSD will coordinate with zoo
staff on locations for music and entertainment to ensure the well-being of the animals at the zoo.
We look forward to partnering with you again and to a very successful college and career community
resource fair.
Respectfully,
Ethan Fisher
Zoo Director
Santa Ana Zoo at Prentice Park
Parks, Recreation, and Community Services Agency
SANTA ANA CITY COUNCIL
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EVIDENCE OF COVERAGE
DATE (1/202YVV)
_
6/2/2024
This Evidence of Coverage is used as a matter of information only and confers no rights upon the Certificate Flo Ider. This Evidence of Coverage does not
amend, extend, or alter the coverage afforded by the memoranda listed below.
MEMORANDUM NUMBER: 144
JOINT POWERS AUTHORITY (JPA)
JPA MEMBER
Alliance of Schools for Cooperative Insurance Programs
16550 Bloomfield Avenue
Cerritos, CA 90703
Santa Ana Unified School District
1601 E. Chestnut Avenue
Santa Ana CA 92701-6322
www.ASCIP.org
CONTACT NAME: Mr. Reshan Ccoray
PHONE: (562) 404-8029 cooray@ascip.Grg
This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed below have
been issued to the Covered Party named above for the period indicated. Notwithstanding any requirement, term, or condition of any contract or other
document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of Coverages
described herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages.
TYPE OF COVERAGE
INSR DL
MEMORANDUM NUMBER (MOC)
(MMIDDNYYY)
POLIY Err
POLICY
LIMIT OF LIABILITY I COVERAGE
GENERAL
LIABILITY
COMBINED SINGLE LIMIT PER OCCURRENCE
$ $5,000,000
OCCURRENCE
V
MOC #144
7/1/2024
7/1/2025
AGGREGATE
7 none
_Personal Injury
,L
Errors & Omission
'—'
Employment Practices
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT PER OCCURRENCE
$ $5,000,000
AUTOMOTIVE PHYSICAL DAMAGE
MOC #144
7/1/2024
7/1/2025
ACTUAL CASH VALUE
$
COMPREHENSIVE I COLLISION
ANYAUTO
Q�ned Aulo —
$
Hired Auto
PROPERTY
ANDCONDITREPLACEMENTCOST SUBJECT TO POLICY LIMITS,
TERMS,
$
BUILDING I CONTENTS
FIRE,THEFT, RENTAL INTERRUPTION
-
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
NIA
EACH ACCIDENT
$
PER EMPLOYEE
$
WC STATUTORY LIMITS
POLICY LIMIT
$
OTHER
SUBJECT TO POLICY LIMITS. TERMS, AND CONDITIONS
EMPLOYEE DISHONESTY (CRIME)
ADDITIONAL REMARKS:
As respects to Agreement between the City of Santa Ana and Santa Ana Unified School District
CERTIFICATE HOLDER
CANCELLATION
Should any of the above coverages far the Covered Party be changed or withdrawn prior
to the expiration date issued above, ASCIP will mail 30 days written notice to the
City of Santa Ana
Parks, Recreation and Community Services
20 Civic Center Plaza
Certificate Holder, but failure to mail such notice shall impose no obligation or liability of
any kind upon ASCIP, Its agents, or representatives.
Santa Ana CA 92701
AUTHORIZED REPRESENTATIVE: Fritz J. I-Ieirlch
*ASCIP Is a jolntpowers authority pursuant MAMIcIe'1(commencing with section 6500)Chapters of Division 7ofTitle l ofthe Government Code and5ections 39603 and 81603 ofthe Education Code. nev5W
8,,59429- 1 144 1 24,25 All 'types I .Nancy Lopez 1 6!21/2023 10:50;21 AN i2DT) I Page 1 3= 2
Additional
Covered Party Endorsement
District: SantaAna Unified School District
Endorsement No.
90594297
Additional Covered Party:
Description of Operations, Vehicle, or Property:
City of Santa Ana
its officers, officials, employees, and voluntcets
As respects to AKreement between the City orSanta Ana and Santa Ana
Unified School District
Coverage Period:
Effective:7/1/2024 Expires 12:01 a.m.: 7/1/2025
The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above
in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only
with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by
ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party. tit issuing this endorsement, ASCIP
intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the Additional Covered Party named
above only to the extent that the Additional Covered Party Paces liability arising out of claims, demands, or lawsuits claiming money
damages on account of bodily injury or property damage as detined and limited in the ASCIP MOC. The limits of liability extended
to the Additional Covered Party listed above is $5,000,000 per occurrence for liability. Such insurance as afforded by this policy
shall be primary, and any insurance carried by the Additional Covered Party named above shall be in excess and non-contributory.
Authorized Representative:
Date Issued:6/21/2024
ASCIP is ajoi tit powers authority pursuant to Articto I (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government
Code and Sections 39603 and 81603 of the Education Code.
Rev 5i97
23191291 1 L44 1 24:25 All Tyyes 1 Marcy Lcyez 1 8'21;2021 10: 5a: 21 AM. IPDf) 1 2age 2 of 2
q.sp"tA 4"4{i Santa Ana Unified
f� RISK MANAGEMENT DEPT.
H00 �
June 21, 2024 Angie
School District
Jerry Almendarez
Superintendent of Schools
Digitally signed by
Angie Acevedo
Santa Ana Acevedo Date. 2024.07.08
20 Civic Center Plaza
Santa Ana, CA 92702 10:01:07 _071001
RE: Insurance Coverage for Santa Ana Unified School District
Use of Facilities/Sports Practices and Sports Games 7/01/24 — 7/01/25
The purpose of this letter is to advise that the Santa Ana Unified School District is insured for
General and Automobile Liability from $50,000 to $5,000,000 with the Alliance of Schools for
Cooperative Insurance Programs (ASCIP) with a SIR of $50,000.
The District is also insured for Property with the Alliance of Schools for Cooperative Insurance
Programs (ASCIP) with a SIR of $25,000. The District is also insured with the Alliance of Schools
for Cooperative Insurance programs (ASCIP) for Comprehensive Crime and Automobile Physical
Damage. All these documents are attached.
Additionally, the District has excess liability insurance with the Schools Excess Liability Fund
(SELF) from $5,000,000 to $55,000,000.
The District is self -insured up to a $1,000,000 for workers' compensation and additionally, the
District has Excess Workers' Compensation Insurance with Safety National from the $1,000,000
self -insured retention level.
If you have any questions, please call me at (714) 558-5875.
Sincerely,
Dr. Sara Nazir M.D., M.P.A.
Executive Director of Risk Management
Enclosure: Copy of Certificate to Consent to Self -Insure #7523 for Workers' Comp
Certificate of Insurance and Additional Endorsement from ASCIP
1601 East Chestnut Avenue, Santa Ana, CA 92701-6322, (714) 558-55
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EVIDENCE OF COVERAGE
This Evidence of Coverage is used as a matter of information only and confers no rights upon the Certificate Holder. This Evidence of Coverage does not
amend, extend, or alter the coverage afforded by the memoranda listed below.
MEMORANDUM NUMBER: 144
JOINT POWERS AUTHORITY (JPA)
Alliance of Schools for Cooperative Insurance Programs
16550 Bloomfield Avenue
Cerritos, CA 90703
www.ASCIP.org
CONTACT NAME: Mr. Reshan COOray
PHONE: (562) 404-8029 roomy@ascip.org
JPAMEMBER
Santa Ana Unified School District
1601 E. Chestnut Avenue
Santa Ana CA 92701-6322
This is to certify that the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Memorandum of Coverages on insurance listed below have
been issued to the Covered Party named above for the period indicated. Notwithstanding any requirement, term, or condition of any contract or other
document with respect to which this Evidence of Coverage may be used or may pertain, the coverages afforded by the Memorandum of Coverages
described herein are subject to all the terms, exclusions, and conditions of such Memorandum of Coverages.
TYPE OF COVERAGE
ADDL
INSR
MEMORANDUM NUMBER (MOC)
POLICY EFF
(MMIDDIYYYY)
POLICY ERP
12:01a.m.
LIMIT OF LIABILITY/COVERAGE
GENERALLIABILITY
OCCVRRENCE
Personal Injury
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MOC #144
7/1/2024
7/1/2025
COMBINED SINGLE LIMIT PER OCCURRENCE
S $5,000,000
AGGREGATE
$ none
S
Errors & Omission
S
Employment Practices
$
AUTOMOBILE
LIABILITY
AUTOMOTIVE PHYSICAL DAMAGE
COMPREHENSIVE I COLLISION
ANYAUTO
Owned Auto
MOC #144
7/1/2024
7/1/2025
COMBINED SINGLE LIMIT PER OCCURRENCE
$ $5,000,000
ACTUAL CASH VALUE
S
s
S
S
Hired Auto
$
PROPERTY
BUILDING / CONTENTS
FIRE, THEFT, RENTAL INTERRUPTION
NIA
AND EMPLOYERS' LIABILITY
WC STATUTORY LIMITS
OTHER
EMPLOYEE DISHONESTY (CRIME)
ADDITIONAL REMARKS:
As respects to use of their facilities by SAUSD schools for sports practices and sports games
CERTIFICATE HOLDER
City of Santa Ana
Attn: Risk Menagement Division
20 Civic Center Plaza
Santa Ana CA 92702
S
$
S
S
EACH ACCIDENT
S
PER EMPLOYEE
S
POLICY LIMIT
S
SUBJECTTO POLICY LIMITS, TERMS, AND CONDITIONS
S
S
S
CANCELLATION
Should any of the above coverages for the Covered Party be changed or withdrawn prior
to the expiration date issued above, ASCIP will mail 30 days written notice to the
Certificate Holder, but failure to mail such notice shall impose no obligation or liabilityof
any kind upon ASCIP, Its agents, or representatives.
AUTHORRED REPRESENTATIVE: Fritz J. HE
'ASCIP is ajoint powers authority pursuamto Article 1(commencing with Section 6SOO) Chapter 5 of Division 7 of Title 1 ofthe Government Code and Sections
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Additional
Covered Party Endorsement
District: Santa Ana Unified School District
Endorsement No.
90594296
Additional Covered Party:
Description of Operations, Vehicle, or Property:
City of Santa Ana
its officers, agents, employees and volunteers
As respects to use of their facilities by SAUSD schools for sports practices
and sports to
Coverage Period:
Effective:7/l/202a Expires 12:01 a.m.: 7n/2025
The coverage provided to the Covered Party is hereby extended by this endorsement to the Additional Covered Party named above
in accordance with the provisions contained in the Memorandum of Coverage (MOC). The coverage extended hereby applies only
with respect to liability arising out of activities in the Description of Operations, Vehicle, or Property noted above. It is intended by
ASCIP in issuing this endorsement to defend and/or indemnify the Additional Covered Party. In issuing this endorsement, ASCIP
intends and agrees to extend coverage pursuant to the terms and conditions of the MOC to the Additional Covered Party named
above only to the extent that the Additional Covered Party faces liability arising out of claims, demands, or lawsuits claiming money
damages on account of bodily injury or property damage as defined and limited in the ASCIP MOC. The limits of liability extended
to the Additional Covered Party listed above is $5,000,000 per occurrence for liability. Such insurance as afforded by this policy
shall be primary, and any insurance carried by the Additional Covered Party named above shall be in excess and non-contributory.
i
Authorized Representative:
Date Issued:6/21/2024
ASCIP is ajoint powers authority pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title I of the Govemment
Code and Sections 39603 and 81603 of the Education Code.
Rev 5/97
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